• Sotera Health Reports First-Quarter 2021 Results

    Source: Nasdaq GlobeNewswire / 13 May 2021 06:00:02   America/Chicago

    • Q1 2021 net revenues of $212 million increased 13%, compared to Q1 2020
    • Q1 2021 net income of $11 million or $0.04 per diluted share, compared to a net loss of $2 million or $0.01 per diluted share in Q1 2020; Q1 2021 includes $14 million of expense related to the repricing of the Company’s Term Loan
    • Q1 2021 Adjusted EBITDA of $105 million increased 15%, compared to Q1 2020
    • Q1 2021 Adjusted EPS increased 80% to $0.18, compared to Q1 2020 Adjusted EPS of $0.10
    • March 31, 2021 total debt of $1.87 billion, net debt of $1.79 billion, and net leverage ratio improved to 4.1x
    • Company reaffirms 2021 Outlook

    CLEVELAND, May 13, 2021 (GLOBE NEWSWIRE) -- 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 three months ended March 31, 2021.

    First-quarter 2021 net revenues increased 13% to $212 million, compared with $188 million in the first-quarter a year ago. Net income attributable to Sotera Health (“net income”) was $11 million, or $0.04 per diluted share, compared with a net loss of $2 million, or $0.01 per diluted share in the first-quarter 2020. First-quarter 2021 net income included $14 million of expense related to the repricing of the Company’s first lien term loan (“Term Loan”), $11 million of which was non-cash. Adjusted EBITDA for the first-quarter 2021 increased by approximately 15% over the prior-year quarter to $105 million. First-quarter 2021 Adjusted Earnings Per Diluted Share (“Adjusted EPS”) was $0.18, compared to $0.10 in Q1 2020, an increase of $0.08 per diluted share. Please refer to the section “Non-GAAP Financial Measures” provided later in this release.

    “We are off to a strong start in 2021, reporting double-digit revenue growth, meaningful net income growth, and double-digit Adjusted EBITDA growth in the first quarter,” said Chairman and Chief Executive Officer, Michael B. Petras, Jr. “All three of our segments achieved solid revenue and segment income growth for the quarter, while managing ongoing challenges as a result of the pandemic. We also continued to execute on our strategic priorities, with the acquisition of BioScience Laboratories, capital deployment towards growth initiatives, and further deleveraging during the quarter.”

    Petras continued, “I’m very proud of the entire Sotera Health team for delivering such strong financial and operational performance to start out 2021. These results establish a solid foundation for the remainder of the year, which is why we are comfortable reaffirming our Company’s 2021 outlook that we first provided on March 9, 2021. As we have said in the past, our focus remains on supporting our global team members while ensuring the highest quality of service for our customers.”

    First-Quarter Review by Business Segment

    Sterigenics

    For first-quarter 2021, Sterigenics net revenues were $131 million, an increase of approximately 12% compared to the first quarter a year ago. Segment income was $68 million, an increase of more than 12%.

    Revenue and segment income growth for the first-quarter 2021 were driven by the acquisition of Iotron in July 2020, favorable pricing, and organic sales growth.

    Nordion

    For first-quarter 2021, Nordion net revenues were $26 million, an increase of approximately 10% compared to the first quarter a year ago. Segment income increased 6% to $14 million.

    The increases in both revenue and segment income were driven by strengthening of the Canadian dollar compared to the U.S. dollar, favorable pricing, and higher volumes of medical-use cobalt-60.

    Nelson Labs

    For first-quarter 2021, Nelson Labs net revenues were $55 million, an increase of more than 16% compared to the first quarter a year ago. Segment income increased approximately 30% to $23 million.

    Revenue and segment income growth for the first-quarter 2021 continues to be driven primarily by increased demand for testing related to personal protective equipment.

    Balance Sheet and Liquidity

    As of March 31, 2021, Sotera Health had $1.87 billion of total debt, and $108 million of cash and cash equivalents, compared to $1.86 billion of total debt and $102 million of 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 March 31, 2021 improved to 4.1x. Please refer to the section “Non-GAAP Financial Measures” provided later in this release.

    Reaffirming 2021 Outlook

    Today, Sotera Health is reaffirming the 2021 outlook first provided on March 9, 2021. As a reminder, that outlook is:

    • Net revenues in the range of $890 million to $920 million, representing growth of approximately 9% to 12%, compared to the prior year,
    • Adjusted EBITDA in the range of $465 million to $485 million, representing growth of approximately 11% to 16%, compared to the prior year,
    • Tax rate applicable to Adjusted Net Income of approximately 28%,
    • Adjusted EPS in the range of $0.78 to $0.86,
    • A fully diluted share count in the range of 281 million to 283 million shares on a weighted-average basis,
    • Capital expenditures in the range of $100 million to $110 million, and
    • Net leverage reduction of approximately 3/4 of a turn.

    The outlook provided above contains a number of assumptions, including, among others, the Company’s current expectations regarding the impact of the COVID-19 pandemic, including the rate of recoveries of elective procedures and new product development testing, and exchange rates.

    The Company does not provide a reconciliation of the forward-looking Adjusted EBITDA, Adjusted Net Income, and Adjusted EPS 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.

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

    Recent Accomplishments

    • Announced expansion of sterilization capacity in Europe; the first of six Sterigenics expansions expected to go live in 2021.
    • Amended the Company’s $347.5 million revolving credit facility to reduce the interest rate on borrowings and extend maturity date to June 13, 2026. The facility remains undrawn at this time.
    • Purchased outstanding equity interest relating to the 2018 acquisition of Gibraltar Labs (now named Nelson Labs Fairfield).

    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. To participate in the live call, please dial 1-833-303-1211 if dialing in from the United States or Canada, or 1-918-922-6527 if dialing in from other locations. Please join the conference call at least 10 minutes prior to the scheduled start time using conference ID 7289075. A live webcast of the conference call and accompanying materials may also be accessed via the Investor Relations section of the Company’s website at https://investors.soterahealth.com/events-and-presentations. A replay of the webcast will be available later in the day on May 13, 2021.

    Upcoming Investor Events

    • RBC Capital Markets Global Healthcare Conference at 8:00 a.m. Eastern Time, May 18, 2021.
    • Sotera Health 2021 Annual Meeting of Stockholders at 9:00 a.m. Eastern Time, May 27, 2021.
    • Jefferies Virtual Healthcare Conference at 9:30 a.m. Eastern Time, June 1, 2021.
    • Goldman Sachs Virtual Global Healthcare Conference on June 8, 2021.

    Live and archived webcasts and presentations associated with the conferences listed above may be accessed on the Investor Relations section of the Sotera Health website:
    https://investors.soterahealth.com/events-and-presentations.

    Forward-Looking Statements

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

    Non-GAAP Financial Measures

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

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

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

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

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

    Our Net Leverage Ratio is equal to Net Debt divided by the trailing twelve-months of 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 basis for the metric we utilize to determine 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


    Sotera Health Company
    Consolidated Statements of Operations
    (in thousands, except per share amounts)
    (unaudited)
     
     Three Months Ended March 31,
     2021 2020
    Revenues:   
    Service$188,698   $167,405  
    Product23,450   20,795  
    Total net revenues212,148   188,200  
    Cost of revenues:   
    Service85,036   83,069  
    Product11,740   8,614  
    Total cost of revenues96,776   91,683  
    Gross profit115,372   96,517  
    Operating expenses:   
    Selling, general and administrative expenses52,465   37,053  
    Amortization of intangible assets16,543   14,599  
    Total operating expenses69,008   51,652  
    Operating income46,364   44,865  
    Interest expense, net21,282   56,562  
    Loss on extinguishment of debt14,312   —  
    Foreign exchange loss (gain)578   (627) 
    Other expense (income), net(3,890)  3,150  
    Income (loss) before income taxes14,082   (14,220) 
    Provision (benefit) for income taxes3,017   (12,234) 
    Net income (loss)11,065   (1,986) 
    Less: Net income (loss) attributable to noncontrolling interests223   (22) 
    Net income (loss) attributable to Sotera Health Company$10,842   $(1,964) 
        
    Earnings (loss) per share:   
    Basic$0.04   $(0.01) 
    Diluted0.04   (0.01) 
    Weighted average number of common shares outstanding:   
    Basic278,827   232,400  
    Diluted278,968   232,400  


    Sotera Health Company
    Segment Data
    (in thousands)
    (unaudited)
     
     Three Months Ended March 31,
     2021 2020
    Segment revenues:   
    Sterigenics$131,151   $117,280  
    Nordion25,918   23,625  
    Nelson Labs55,079   47,295  
    Total net revenues$212,148   $188,200  
    Segment income:   
    Sterigenics$68,461   $61,091  
    Nordion13,786   13,022  
    Nelson Labs23,070   17,770  
    Total segment income105,317   91,883  
    Less adjustments:   
    Interest expense, net21,282   56,562  
    Depreciation and amortization(a)37,661   36,023  
    Share-based compensation(b)3,449   1,725  
    Loss (gain) on foreign currency and embedded derivatives(c)(336)  4,267  
    Acquisition and divestiture related charges, net(d)(185)  994  
    Business optimization project expenses(e)261   1,049  
    Plant closure expenses(f)542   771  
    Loss on extinguishment of debt(g)14,312   —  
    Professional services relating to EO sterilization facilities(h)13,399   4,146  
    Accretion of asset retirement obligation(i)551   490  
    COVID-19 expenses(j)299   76  
    Consolidated income (loss) before income taxes$14,082   $(14,220) 


    (a)Includes depreciation of Co-60 held at gamma irradiation sites.
    (b)Represents non-cash share-based compensation expense.
    (c)Represents the effects of (i) fluctuations in foreign currency exchange rates, primarily related to remeasurement of intercompany loans denominated in currencies other than subsidiaries’ functional currencies, and (ii) non-cash mark-to-fair value of embedded derivatives relating to certain customer and supply contracts at Nordion.
    (d)Represents (i) certain direct and incremental costs related to the acquisitions of BioScience Laboratories in 2021, Iotron Industries in July 2020 and 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, 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.
    (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 Nelson Labs, 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 including accelerated amortization of prior debt issuance and discount costs.
    (h)Represents professional fees related to litigation associated with our EO sterilization facilities and other related professional fees.
    (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.


    Sotera Health Company
    Condensed Consolidated Balance Sheets
    (in thousands)
    (unaudited)
     
     As of March 31, As of December 31,
     2021 2020
    Assets   
    Current assets:   
    Cash and cash equivalents$108,016  $102,454 
    Accounts receivable, net96,393  91,735 
    Inventories, net33,375  34,093 
    Other current assets90,583  86,733 
    Total current assets328,367  315,015 
    Property, plant, and equipment, net611,620  609,814 
    Operating lease assets47,117  45,963 
    Other intangible assets, net656,572  643,366 
    Goodwill1,106,728  1,115,936 
    Other assets26,596  31,185 
    Total assets$2,777,000  $2,761,279 
    Liabilities and equity   
    Total current liabilities$138,019  $140,598 
    Long-term debt, less current portion1,837,580  1,824,789 
    Other noncurrent liabilities205,987  219,502 
    Deferred income taxes129,670  121,816 
    Total liabilities2,311,256  2,306,705 
    Total equity 465,744  454,574 
    Total liabilities and equity$2,777,000  $2,761,279 


    Sotera Health Company
    Condensed Consolidated Statements of Cash Flows
    (in thousands)
    (unaudited)
     
     Three Months Ended March 31,
     2021 2020
    Operating activities:   
    Net income (loss)$11,065   $(1,986) 
    Non-cash items52,657   27,437  
    Changes in operating assets and liabilities(7,563)  (19,761) 
    Net cash provided by operating activities56,159   5,690  
    Investing activities:   
    Purchases of property, plant and equipment(20,942)  (12,989) 
    Purchase of mandatorily redeemable noncontrolling interest in Nelson Laboratories Fairfield(12,425)  —  
    Purchase of BioScience Laboratories, LLC, net of cash acquired(13,152)  —  
    Net cash used in investing activities(46,519)  (12,989) 
    Financing activities:   
    Proceeds from revolving credit facility—   50,000  
    Payments of debt issuance costs and prepayment premium(3,435)  (207) 
    Payments on long-term borrowings—   (142) 
    Other(348)  (344) 
    Net cash (used in) provided by financing activities(3,783)  49,307  
    Effect of exchange rate changes on cash and cash equivalents(295)  154  
    Net increase in cash and cash equivalents, including restricted cash5,562   42,162  
    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$108,016   $105,187  
        
    Supplemental disclosures of cash flow information:   
    Cash paid during the period for interest$19,745   $63,570  
    Cash paid during the period for income taxes, net of tax refunds received11,561   1,868  
    Equipment purchases included in accounts payable7,389   5,100  


    Sotera Health Company
    Non-GAAP Financial Measures
    (in thousands, except per share amounts)
    (unaudited)
     
     Three Months Ended March 31,
     2021
    		 2020
    Net income (loss)$11,065  $(1,986)
    Amortization of intangibles22,282  19,913 
    Share-based compensation(a)3,449  1,725 
    (Gain) loss on foreign currency and embedded derivatives(b)(336) 4,267 
    Acquisition and divestiture related charges, net(c)(185) 994 
    Business optimization project expenses(d)261  1,049 
    Plant closure expenses(e)542  771 
    Loss on extinguishment of debt(f)14,312  — 
    Professional services relating to EO sterilization facilities(g)13,399  4,146 
    Accretion of asset retirement obligation(h)551  490 
    COVID-19 expenses(i)299  76 
    Income tax benefit associated with pre-tax adjustments(j)(14,133) (7,707)
    Adjusted Net Income51,506  23,738 
    Interest expense, net21,282  56,562 
    Depreciation(k)15,379  16,110 
    Income tax provision applicable to Adjusted Net Income(l)17,150  (4,527)
    Adjusted EBITDA$105,317  $91,883 
        
    Net Revenues$212,148  $188,200 
    Adjusted EBITDA Margin49.6
    		% 48.8
    		%
    Weighted average number of shares outstanding   
    Basic278,827  232,400 
    Diluted278,968  232,400 
    Earnings (loss) per share:   
    Basic$0.04  $(0.01)
    Diluted0.04  (0.01)
    Adjusted earnings per share:   
    Basic$0.18  $0.10 
    Diluted0.18  0.10 


    (a)Represents non-cash share-based compensation expense.
    (b)Represents the effects of (i) fluctuations in foreign currency exchange rates, primarily related to remeasurement of intercompany loans denominated in currencies other than subsidiaries’ functional currencies, and (ii) non-cash mark-to-fair value of embedded derivatives relating to certain customer and supply contracts at Nordion.
    (c)Represents (i) certain direct and incremental costs related to the acquisitions of BioScience Laboratories in 2021, Iotron Industries in July 2020 and 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, 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.
    (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 Nelson Labs, the Sotera Health rebranding, operating structure realignment and other process enhancement projects.
    (e)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.
    (f)Represents expenses incurred in connection with the repricing of our Term Loan in January 2021 including accelerated amortization of prior debt issuance and discount costs.
    (g)Represents professional fees related to litigation associated with our EO sterilization facilities and other related professional fees.
    (h)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.
    (i)Represents non-recurring costs associated with the COVID-19 pandemic, including incremental costs to implement workplace health and safety measures.
    (j)Represents the tax benefit or provision associated with the reconciling items between net income (loss) and Adjusted Net Income. To determine the aggregate tax effect of the reconciling items, we utilized statutory income tax rates ranging from 0% to 35%, depending upon the applicable jurisdictions of each adjustment.
    (k)Includes depreciation of Co-60 held at gamma irradiation sites.
    (l)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 (j).


    Sotera Health Company
    Non-GAAP Financial Measures
    ($’s in thousands)
    (unaudited)
     
     As of March 31, As of December 31,
     2021 2020
    Long-term debt$1,837,580   $1,824,789  
    Current portion of finance leases1,108   1,173  
    Finance leases less current portion33,432   34,939  
    Total Debt1,872,120   1,860,901  
        
    Add: unamortized debt issuance costs and debt discounts26,579   38,761  
    Less: cash and cash equivalents(108,016)  (102,454) 
    Total Net Debt$1,790,683   $1,797,208  
        
    Adjusted EBITDA$433,294   $419,859  
    Net Leverage 4.1x    4.3x  


    Sotera Health Company
    Non-GAAP Financial Measures
    (in thousands)
    (unaudited)
     
     Twelve Months Ended March 31, Twelve Months Ended December 31,
     2021 2020
    Net loss$(24,440)  $(37,491) 
    Amortization of intangibles82,624   80,255  
    Share-based compensation(a)12,711   10,987  
    Capital restructuring bonuses(b)2,702   2,702  
    (Gain) loss on foreign currency and embedded derivatives(c)(13,057)  (8,454) 
    Acquisition and divestiture related charges, net(d)2,753   3,932  
    Business optimization project expenses(e)1,736   2,524  
    Plant closure expenses(f)2,420   2,649  
    Loss on extinguishment of debt(g)58,574   44,262  
    Professional services relating to EO sterilization facilities(h)45,924   36,671  
    Accretion of asset retirement obligation(i)2,007   1,946  
    COVID-19 expenses(j)2,900   2,677  
    Income tax benefit associated with pre-tax adjustments(k)(49,962)  (43,536) 
    Adjusted Net Income126,892   99,124  
    Interest expense, net179,979   215,259  
    Depreciation(l)62,578   63,309  
    Income tax provision applicable to Adjusted Net Income(m)63,845   42,167  
    Adjusted EBITDA$433,294   $419,859  


    (a)Includes non-cash share-based compensation expense.
    (b)Represents cash bonuses for members of management primarily relating to the November 2020 IPO.
    (c)Represents the effects of (i) fluctuations in foreign currency exchange rates, primarily related to remeasurement of intercompany loans denominated in currencies other than subsidiaries’ functional currencies, and (ii) non-cash mark-to-fair value of embedded derivatives relating to certain customer and supply contracts at Nordion.
    (d)Represents (i) certain direct and incremental costs related to the acquisitions of BioScience Laboratories in 2021, Iotron Industries in July 2020 and 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, 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.
    (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 Nelson Labs, 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 and paydown of debt following the November 2020 IPO, including accelerated amortization of prior debt issuance and discount costs, and premiums paid in connection with early extinguishment.
    (h)Represents professional fees related to litigation associated with our EO sterilization facilities and other related professional fees.
    (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 donations to related charitable causes, special bonuses for front-line personnel working on-site during lockdown periods and incremental costs to implement workplace health and safety measures.
    (k)Represents the tax benefit or provision associated with the reconciling items between net loss and Adjusted Net Income. To determine the aggregate tax effect of the reconciling items, we utilized statutory income tax rates ranging from 0% to 35%, depending upon the applicable jurisdictions of each adjustment.
    (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).

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