shc-20221102
0001822479FALSE00018224792022-11-022022-11-02

 
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): November 2, 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 November 2, 2022, Sotera Health Company (the “Company”) issued a press release (the “Press Release”) announcing its financial results for the third-quarter ended September 30, 2022. The Company will hold its previously announced conference call on November 2, 2022, at 9:00 a.m. Eastern Time to discuss its financial results for the quarter. 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: November 2, 2022
By:/s/ Michael F. Biehl
Michael F. Biehl
Interim Chief Financial Officer

Document
Exhibit 99.1                
https://cdn.kscope.io/25cd7720b14048b73ee56d6995088a61-soterahealth_vxclrxrgbxreg.jpg

Sotera Health Reports Third-Quarter and Year-to-Date 2022 Results

Q3 2022 net revenues of $249 million increased 10%, compared to Q3 2021
Q3 2022 net income of $25 million or $0.09 per diluted share, compared to net income of $27 million or $0.10 per diluted share in Q3 2021
Q3 2022 Adjusted EBITDA of $125 million increased 7%, compared to Q3 2021
Q3 2022 Adjusted EPS of $0.23 improved $0.02 compared to Q3 2021
Adjusting full-year 2022 net revenue growth outlook to 7% - 8% and Adjusted EBITDA growth to 4% - 6%
The Company announced today that Alex Dimitrief joined as General Counsel effective November 1st
CLEVELAND, OH, November 2, 2022 – Sotera Health Company (“Sotera Health” or the “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 third quarter and first nine months of 2022.
Third-quarter 2022 net revenues increased 10.0% to $249 million, compared with $226 million in the same period a year ago. Net revenues increased 13.2% on a constant currency basis. Third-quarter 2022 net income attributable to Sotera Health (“net income”) was $25 million, or $0.09 per diluted share, compared with net income of $27 million, or $0.10 per diluted share in the third quarter of 2021. Adjusted EBITDA for the third-quarter 2022 increased 7.3% over the third quarter of 2021 to $125 million. Third-quarter 2022 adjusted earnings per diluted share (“Adjusted EPS”) was $0.23, compared to $0.21 in the third quarter of 2021, an increase of $0.02 per diluted share. Please refer to the section “Non-GAAP Financial Measures” provided later in this release.

For the first nine months of 2022, net revenues increased 9.0% to $752 million, compared to $690 million for the same period in 2021. Net revenues increased 11.3% on a constant currency basis. Net income was $86 million, or $0.31 per diluted share for the nine months ended September 30, 2022, compared with net income of $81 million, or $0.29 per diluted share, for the same period last year. First nine months of 2022 Adjusted EBITDA increased 5.6% to $377 million and Adjusted EPS grew by $0.07 to $0.72 compared to the first nine months of 2021. Please refer to the section “Non-GAAP Financial Measures” provided later in this release.

“We are pleased to report solid top and bottom-line growth for the third quarter of 2022 as compared to the same period in 2021,” said Chairman and Chief Executive Officer, Michael B. Petras, Jr. “This is the eighth consecutive quarter that Sotera Health has delivered top-line and Adjusted EBITDA growth, which is quite an accomplishment in light of the adverse macroeconomic environment that we are all experiencing. The Sotera Health team is focused on making meaningful progress on capacity expansion investments, operational excellence initiatives and managing complex supply chains in order to serve our customer base around the globe.”

Petras continued, “With nine months of reported financials behind us, and taking into consideration additional foreign exchange and other macroeconomic pressures, we are adjusting our 2022 outlook. Our current outlook for net revenues is in the range of $995 million to $1.005 billion, with Adjusted EBITDA in the range of $500 million to $510 million. As always, our focus continues to be providing high-
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quality service to our customers, while remaining committed to our values and mission, Safeguarding Global Health®.”
Third-Quarter and Year-to-Date Highlights by Business Segment
Sterigenics
For the third quarter of 2022, Sterigenics net revenues were $158 million, an increase of 8.5% compared to the third quarter a year ago. In this same period, segment income increased 7.9% to $86 million. For the first nine months of 2022, Sterigenics net revenues were $465 million, an increase of 10.3% compared to the same period in 2021. In this same period, segment income increased 10.0% to $250 million.
Revenue and segment income growth for the third quarter of 2022 were driven by favorable pricing and organic volume growth, partially offset by an unfavorable impact from foreign currency exchange rates.
Nordion
For the third quarter of 2022, Nordion net revenues were $35 million, an increase of 21.9% compared to the third quarter a year ago. In this same period, segment income increased 24.3% to $20 million. For the first nine months of 2022, Nordion net revenues were $120 million, an increase of 15.2% compared to the same period in 2021. In this same period, segment income increased 12.9% to $69 million.
Revenue and segment income growth for the third quarter of 2022 were driven by volume growth and a favorable impact from pricing, partially offset by an unfavorable impact from foreign currency exchange rates.
Nelson Labs
For the third quarter of 2022, Nelson Labs net revenues were $56 million, an increase of 7.3% compared to the third quarter a year ago. In this same period, segment income decreased 8.2% to $19 million. For the first nine months of 2022, Nelson Labs net revenues were $168 million, an increase of 1.7% compared to the same period in 2021. In this same period, segment income decreased 15.5% to $57 million.
Revenue growth for the third quarter of 2022 was driven by favorable pricing and revenues from our recent acquisition, partially offset by an unfavorable impact from foreign currency exchange rates. The decrease in segment income was primarily driven by increased staffing in anticipation of incremental volume, unfavorable revenue mix and an unfavorable impact from foreign currency exchange rates, partially offset by favorable pricing. Segment income margin decline for the third quarter of 2022 was a result of the aforementioned factors coupled with dilution resulting from the margin profile of the 2021 Nelson Labs acquisitions.
Balance Sheet and Liquidity
As of September 30, 2022, Sotera Health had $1.80 billion of total debt and $165 million of cash and cash equivalents, compared to $1.79 billion of total debt and $107 million of cash and cash equivalents as of December 31, 2021. During the third quarter of 2022, the Company’s cash balance increased by $24 million. Material debt balances currently outstanding do not mature until 2026. Sotera Health’s net leverage ratio as of September 30, 2022 improved to 3.3x, well within the 2.0x to 4.0x target range provided by the Company. Please refer to the section “Non-GAAP Financial Measures” provided later in this release.

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2022 Outlook
Today, Sotera Health is updating its 2022 outlook to the following:
Net revenues in the range of $995 million to $1.005 billion, from previous guidance of $1.000 billion to $1.022 billion, representing growth of 7% to 8%, compared to the prior year, due to an incremental 1% foreign exchange headwind and slower recovery in certain testing categories at Nelson Labs,
Adjusted EBITDA in the range of $500 million to $510 million, from previous guidance of $515 million to $525 million, representing growth of 4% to 6%, compared to the prior year,
Tax rate applicable to Adjusted Net Income of approximately 28%, from previous guidance of 29% to 30%,
Adjusted EPS of $0.91 to $0.95, from previous guidance of $0.93 to $0.97,
Fully diluted share count range of 280 million to 282 million shares on a weighted-average basis,
Capital expenditures in the range of $150 million to $170 million, from previous guidance of $140 million to $170 million, and
Net leverage reduction in the range of 3.2x to 3.3x, from previous guidance of approximately 1/2 of a turn reduction for 2022.
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 their impact on energy prices and 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 third-quarter 2022 remain constant for the remainder of 2022. Our outlook is based on current plans and expectations and is subject to several known and unknown risks and uncertainties, including those set forth below under “Forward-Looking Statements.”
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 Time today. Participants may access the conference call live via webcast on the ‘Presentations & Events' page of Sotera Health’s website at https://investors.soterahealth.com/events-and-presentations. To participate via telephone, registration is required. The Company advises attendees to register in advance at this link to avoid delays in joining the call. Upon registration, all telephone participants will receive a confirmation email detailing how to join the conference call, including the dial-in number along with a unique passcode and registrant ID that can be used to access the call. A replay of the conference call and webcast will be archived on the Company's website.
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. For developments related to EO, updates can be found at https://investors.soterahealth.com/ethylene-oxide-eo-overview.
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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. In addition, any statements that refer to expectations, projections or other characterizations of future events or circumstances, are forward-looking statements. 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, or increases in the price of EO or Co-60, including geopolitical risks related to the supply of Co-60 from Russia; foreign currency exchange rates and changes in those rates; 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; adverse judgments against two of our subsidiaries in the EO tort litigation that may require an appellate bond or alternative form of security to appeal, and plaintiff efforts to enforce judgments against us, any one of which may have an adverse impact on our liquidity; 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, Net Leverage Ratio and constant currency financial measures that are not based on any standardized methodology prescribed by GAAP.
We define Adjusted Net Income as net income (loss) before amortization and certain other adjustments that we do not consider in our evaluation of our ongoing operating performance from period to period.
We define Adjusted EBITDA as Adjusted Net Income before interest expense and the mark-to-market impact of derivatives not accounted for as hedges, 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.
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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, including financing leases, plus unamortized debt issuance costs and debt discounts, less cash and cash equivalents.
Our Net Leverage Ratio is equal to Net Debt divided by the trailing twelve-months of Adjusted EBITDA.
Constant currency is a non-GAAP financial measure we use to assess performance excluding the impact of foreign currency exchange rate changes. We calculate constant currency net revenues by translating prior year net revenues in local currency at the average exchange rates applicable for the current period. The translated results are then used to determine year-over-year percentage increases or decreases. We generally refer to such amounts calculated on a constant currency basis as excluding the impact of foreign currency exchange rates. These results should be considered in addition to, not as a substitute for, results reported in accordance with GAAP. Results on a constant currency basis, as we present them, may not be comparable to similarly titled measures used by other companies and are not measures of performance presented in accordance with U.S. GAAP.
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 basis for the 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
Jason Peterson                            Sally J. Curley, IRC            
Vice President & Treasurer, Sotera Health            Curley Global IR, LLC
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
September 30,
Nine Months Ended
September 30,
2022202120222021
Revenues:
Service$216,704 $200,499 $644,451 $597,907 
Product32,000 25,665 107,646 92,322 
Total net revenues
248,704 226,164 752,097 690,229 
Cost of revenues:
Service99,772 88,349 292,755 264,776 
Product12,919 12,229 44,058 40,734 
Total cost of revenues
112,691 100,578 336,813 305,510 
Gross profit
136,013 125,586 415,284 384,719 
Operating expenses:
Selling, general and administrative expenses57,091 44,038 179,765 146,331 
Amortization of intangible assets15,727 15,877 47,337 48,081 
Total operating expenses
72,818 59,915 227,102 194,412 
Operating income
63,195 65,671 188,182 190,307 
Interest expense, net23,427 18,140 47,875 58,585 
Impairment of investment in unconsolidated affiliate — 9,613 — 
Loss on extinguishment of debt 6,365  20,677 
Foreign exchange loss (gain)(535)756 (502)1,410 
Other income, net(1,713)(693)(4,195)(7,347)
Income before income taxes
42,016 41,103 135,391 116,982 
Provision for income taxes16,926 13,659 49,242 35,858 
Net income
25,090 27,444 86,149 81,124 
Less: Net income attributable to noncontrolling interests
 —  239 
Net income attributable to Sotera Health Company
$25,090 $27,444 $86,149 $80,885 
Earnings per share:
Basic$0.09 $0.10 $0.31 $0.29 
Diluted0.09 0.10 0.31 0.29 
Weighted average number of common shares outstanding:
Basic280,142 279,381 279,988 279,097 
Diluted280,172 279,560 280,093 279,253 

6

Sotera Health Company
Segment Data
(in thousands)
(unaudited)
Three Months Ended
September 30,
Nine Months Ended
September 30,
2022202120222021
Segment revenues:
Sterigenics$157,723 $145,314 $464,977 $421,647 
Nordion35,071 28,768 119,551 103,811 
Nelson Labs55,910 52,082 167,569 164,771 
Total net revenues
$248,704 $226,164 $752,097 $690,229 
Segment income:
Sterigenics$85,587 $79,344 $250,088 $227,374 
Nordion20,294 16,331 69,179 61,285 
Nelson Labs19,271 20,999 57,369 67,895 
Total segment income
125,152 116,674 376,636 356,554 
Less adjustments:
Interest expense, net(a)
20,080 18,140 53,974 58,585 
Depreciation and amortization(b)
36,104 37,634 109,092 112,756 
Share-based compensation(c)
4,616 3,547 14,955 10,489 
Gain (loss) on foreign currency and derivatives not designated as hedging instruments, net(d)
3,194 1,881 (4,788)885 
Acquisition and divestiture related charges, net(e)
447 (2,662)978 (2,003)
Business optimization project expenses(f)
1,035 244 1,609 780 
Plant closure expenses(g)
2,627 266 3,776 1,564 
Impairment of investment in unconsolidated affiliate(h)
 — 9,613 — 
Loss on extinguishment of debt(i)
 6,365  20,677 
Professional services relating to EO sterilization facilities(j)
14,501 9,449 50,238 33,492 
Accretion of asset retirement obligation(k)
526 598 1,644 1,751 
COVID-19 expenses(l)
6 109 154 596 
Consolidated income before income taxes$42,016 $41,103 $135,391 $116,982 
(a)The three and nine months ended September 30, 2022 excludes $3.3 million of unrealized loss and $6.1 million of unrealized gain, respectively, on interest rate derivatives not designated as hedging instruments.
(b)Includes depreciation of Co-60 held at gamma irradiation sites.
(c)Represents non-cash share-based compensation expense.
(d)Represents the effects of (i) fluctuations in foreign currency exchange rates, (ii) non-cash mark-to-fair value of embedded derivatives relating to certain customer and supply contracts at Nordion and (iii) unrealized gains and losses on interest rate caps not designated as hedging instruments.
(e)Represents (i) certain direct and incremental costs related to the acquisitions of RCA, the noncontrolling interests in our China subsidiaries, BioScience Labs in 2021, the first quarter 2021 gain on the mandatorily redeemable noncontrolling interest in Nelson Labs Fairfield, and certain related integration efforts as a result of those acquisitions, (ii) the earnings impact of fair value adjustments (excluding those recognized within amortization expense) resulting from the businesses acquired, and (iii) transition services income and non-cash deferred lease income associated with the terms of the divestiture of the Medical Isotopes business in 2018, and (iv) a $3.4 million gain recognized in the third quarter of 2021 related to the settlement of an insurance claim for Nordion that existed at the time of our acquisition of the business in 2014.
(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 recent acquisitions, operating structure realignment and other process enhancement projects.
(g)Represents decommissioning costs, 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 an impairment charge on our equity method investment in a joint venture.
(i)Represents expenses incurred in connection with the repricing of our Term Loan in January 2021 and full redemption of the First Lien Notes in August 2021, including a prepayment premium and accelerated amortization of prior debt issuance and discount costs.
(j)Represents litigation and other professional fees associated with our EO sterilization facilities.
(k)Represents non-cash accretion of asset retirement obligations related to gamma and EO processing facilities, which are based on estimated site remediation costs for any future decommissioning of these facilities (without regard for whether the decommissioning services would be performed by employees of Nordion, instead of by a third party) and are accreted over the life of the asset.
(l)Represents non-recurring costs associated with the COVID-19 pandemic, including incremental costs to implement workplace health and safety measures.
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Sotera Health Company
Condensed Consolidated Balance Sheets
(in thousands)
(unaudited)
As of September 30,As of December 31,
20222021
Assets
Current assets:
Cash and cash equivalents$164,961 $106,924 
Accounts receivable, net 111,613 108,183 
Inventories, net37,153 54,288 
Other current assets107,007 76,566 
Total current assets420,734 345,961 
Property, plant, and equipment, net704,406 650,797 
Operating lease assets27,194 39,946 
Other intangible assets, net503,755 598,844 
Goodwill1,092,469 1,120,320 
Other assets62,074 33,634 
Total assets$2,810,632 $2,789,502 
Liabilities and equity
Total current liabilities$140,031 $161,161 
Long-term debt1,746,555 1,743,534 
Other noncurrent liabilities165,597 164,210 
Deferred income taxes151,720 134,501 
Total liabilities2,203,903 2,203,406 
Total equity606,729586,096 
Total liabilities and equity$2,810,632$2,789,502 
8

Sotera Health Company
Condensed Consolidated Statements of Cash Flows
(in thousands)
(unaudited)
Nine Months Ended
September 30,
20222021
Operating activities:
Net income$86,149 $81,124 
Non-cash items140,675 152,710 
Changes in operating assets and liabilities(50,789)(18,640)
Net cash provided by operating activities176,035 215,194 
Investing activities:
Purchases of property, plant and equipment(110,642)(60,898)
Purchase of mandatorily redeemable noncontrolling interest in Nelson Laboratories Fairfield (12,425)
Purchase of BioScience Laboratories, LLC, net of cash acquired (13,530)
Adjustment to purchase of Regulatory Compliance Associates Inc.450 — 
Other investing activities34 (717)
Net cash used in investing activities(110,158)(87,570)
Financing activities:
Purchase of noncontrolling interests in China subsidiaries (8,418)
Payments of debt issuance costs and prepayment premium(31)(6,718)
Payments on long-term borrowings (100,000)
Other(1,452)(368)
Net cash used in financing activities(1,483)(115,504)
Effect of exchange rate changes on cash and cash equivalents(6,357)345 
Net increase in cash and cash equivalents, including restricted cash58,037 12,465 
Cash and cash equivalents, including restricted cash, at beginning of period106,924 102,454 
Cash and cash equivalents, including restricted cash, at end of period$164,961 $114,919 
Supplemental disclosures of cash flow information:
Cash paid during the period for interest$65,045$53,726 
Cash paid during the period for income taxes, net of tax refunds received56,474 31,922 
Purchases of property, plant and equipment included in accounts payable18,583 14,527 
9

Sotera Health Company
Non-GAAP Financial Measures
(in thousands, except per share amounts)
(unaudited)
Three Months Ended September 30,Nine Months Ended September 30,
2022202120222021
Net income$25,090$27,444$86,149$81,124
Amortization of intangibles20,21921,23961,59665,299
Share-based compensation(a)
4,6163,54714,95510,489
Gain (loss) on foreign currency and derivatives not designated as hedging instruments, net(b)
3,1941,881(4,788)885
Acquisition and divestiture related charges, net(c)
447(2,662)978(2,003)
Business optimization project expenses(d)
1,0352441,609780
Plant closure expenses(e)
2,6272663,7761,564
Impairment of investment in unconsolidated affiliate(f)
9,613
Loss on extinguishment of debt(g)
6,36520,677
Professional services relating to EO sterilization facilities(h)
14,5019,44950,23833,492
Accretion of asset retirement obligation(i)
5265981,6441,751
COVID-19 expenses(j)
6109154596
Income tax benefit associated with pre-tax adjustments(k)
(7,753)(9,776)(25,337)(32,772)
Adjusted Net Income64,50858,704200,587181,882
Interest expense, net(l)
20,08018,14053,97458,585
Depreciation(m)
15,88516,39547,49647,457
Income tax provision applicable to Adjusted Net Income(n)
24,67923,43574,57968,630
Adjusted EBITDA(o)
$125,152$116,674$376,636$356,554
Net Revenues$248,704$226,164$752,097$690,229
Adjusted EBITDA Margin50.3 %51.6 %50.1 %51.7 %
Weighted average number of shares outstanding:
Basic280,142279,381279,988279,097
Diluted280,172279,560280,093279,253
Earnings per share:
Basic$0.09$0.10$0.31$0.29
Diluted0.090.100.310.29
Adjusted earnings per share:
Basic$0.23$0.21$0.72$0.65
Diluted0.230.210.720.65
(a)    Represents non-cash share-based compensation expense.
(b)    Represents the effects of (i) fluctuations in foreign currency exchange rates, (ii) non-cash mark-to-fair value of embedded derivatives relating to certain customer and supply contracts at Nordion and (iii) unrealized gains and losses on interest rate caps not designated as hedging instruments.
(c)    Represents (i) certain direct and incremental costs related to the acquisitions of RCA, the noncontrolling interests in our China subsidiaries, BioScience Labs in 2021, the first quarter 2021 gain on the mandatorily redeemable noncontrolling interest in Nelson Labs Fairfield, and certain related integration efforts as a result of those acquisitions, (ii) the earnings impact of fair value adjustments (excluding those recognized within amortization expense) resulting from the businesses acquired, and (iii) transition services income and non-cash deferred lease income associated with the terms of the divestiture of the Medical Isotopes business in 2018, and (iv) a $3.4 million gain recognized in the third quarter of 2021 related to the settlement of an insurance claim for Nordion that existed at the time of our acquisition of the business in 2014.
(d)    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 recent acquisitions, operating structure realignment and other process enhancement projects.
(e)    Represents decommissioning costs, 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.
(f)    Represents an impairment charge on our equity method investment in a joint venture.
(g)    Represents expenses incurred in connection with the repricing of our Term Loan in January 2021 and full redemption of the First Lien Notes in August 2021, including a prepayment premium and accelerated amortization of prior debt issuance and discount costs.
(h)    Represents litigation and other professional fees associated with our EO sterilization facilities.
(i)    Represents non-cash accretion of asset retirement obligations related to gamma and EO 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.
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(j)    Represents non-recurring costs associated with the COVID-19 pandemic, including incremental costs to implement workplace health and safety measures.
(k)    Represents the income tax impact of adjustments calculated based on the tax rate applicable to each item. We eliminate the effect of tax rate changes as applied to tax assets and liabilities and unusual items from our presentation of adjusted net income.
(l)    The three and nine months ended September 30, 2022 excludes $3.3 million of unrealized loss and $6.1 million of unrealized gain, respectively, on interest rate derivatives not designated as hedging instruments.
(m)    Includes depreciation of Co-60 held at gamma irradiation sites.
(n)    Represents the difference between the income tax provision as determined under U.S. GAAP and the income tax benefit associated with pre-tax adjustments described in footnote (k).
(o)    $22.1 million and $20.8 million of the adjustments for the three months ended September 30, 2022 and 2021, respectively, and $62.8 million and $63.3 million of the adjustments for the nine months ended September 30, 2022 and 2021, respectively, are included in cost of revenues, primarily consisting of amortization of intangible assets, depreciation, and accretion of asset retirement obligations.

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Sotera Health Company
Non-GAAP Financial Measures
($’s in thousands)
(unaudited)
As of September 30,As of December 31,
20222021
Long-term debt$1,746,555 $1,743,534 
Current portion of finance leases1,591 1,160 
Finance leases less current portion54,935 40,877 
Total Debt1,803,081 1,785,571 
Add: unamortized debt issuance costs and debt discounts16,995 20,016 
Less: cash and cash equivalents, including restricted cash(164,961)(106,924)
Total Net Debt$1,655,115 $1,698,663 
Adjusted EBITDA$501,311 $481,229 
Net Leverage3.3x3.5x
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Sotera Health Company
Non-GAAP Financial Measures
(in thousands)
(unaudited)
Twelve Months Ended September 30,Twelve Months Ended December 31,
20222021
Net income$122,146 $117,121 
Amortization of intangible assets83,039 86,742 
Share-based compensation(a)
18,336 13,870 
Gain on foreign currency and derivatives not designated as hedging instruments(b)
(5,731)(58)
Acquisition and divestiture related charges, net(c)
(3,037)(6,018)
Business optimization project expenses(d)
1,777 948 
Plant closure expenses(e)
4,539 2,327 
Impairment of investment in unconsolidated affiliate(f)
9,613 — 
Loss on extinguishment of debt(g)
4 20,681 
Professional services relating to EO sterilization facilities(h)
62,402 45,656 
Accretion of asset retirement obligation(i)
2,145 2,252 
COVID-19 expenses(j)
319 761 
Income tax benefit associated with pre-tax adjustments(k)
(31,065)(38,500)
Adjusted Net Income264,487 245,782 
Interest expense, net(l)
69,581 74,192 
Depreciation(m)
64,199 64,160 
Income tax provision applicable to Adjusted Net Income(n)
103,044 97,095 
Adjusted EBITDA(o)
$501,311 $481,229 
(a)    Represents non-cash share-based compensation expense.
(b)    Represents the effects of (i) fluctuations in foreign currency exchange rates, (ii) non-cash mark-to-fair value of embedded derivatives relating to certain customer and supply contracts at Nordion and (iii) unrealized gains and losses on interest rate caps not designated as hedging instruments.
(c)    Represents (i) certain direct and incremental costs related to the acquisitions of RCA, the noncontrolling interests in our China subsidiaries, BioScience Labs in 2021, the first quarter 2021 gain on the mandatorily redeemable noncontrolling interest in Nelson Labs Fairfield, and certain related integration efforts as a result of those acquisitions, (ii) the earnings impact of fair value adjustments (excluding those recognized within amortization expense) resulting from the businesses acquired, and (iii) transition services income and non-cash deferred lease income associated with the terms of the divestiture of the Medical Isotopes business in 2018, (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 in the fourth quarter of 2021 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.
(d)    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 recent acquisitions, operating structure realignment and other process enhancement projects.
(e)    Represents decommissioning costs, 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.
(f)    Represents an impairment charge on our equity method investment in a joint venture.
(g)    Represents expenses incurred in connection with the repricing of our Term Loan in January 2021 and full redemption of the First Lien Notes in August 2021, including a prepayment premium and accelerated amortization of prior debt issuance and discount costs.
(h)    Represents litigation and other professional fees associated with our EO sterilization facilities.
(i)    Represents non-cash accretion of asset retirement obligations related to gamma and EO 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.
(k)    Represents the income tax impact of adjustments calculated based on the tax rate applicable to each item. We eliminate the effect of tax rate changes as applied to tax assets and liabilities and unusual items from our presentation of adjusted net income.
(l)    The twelve months ended September 30, 2022 excludes $6.1 million of unrealized gains on interest rate derivatives not designated as hedging instruments.
(m)    Includes depreciation of Co-60 held at gamma irradiation sites.
(n)    Represents the difference between the income tax provision as determined under U.S. GAAP and the income tax benefit associated with pre-tax adjustments described in footnote (k).
(o)    $84.7 million and $85.3 million of the adjustments for the twelve months ended September 30, 2022 and December 31, 2021, respectively, are included in cost of revenues, primarily consisting of amortization of intangible assets, depreciation, and accretion of asset retirement obligations.
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