CONMED Corporation Announces Fourth Quarter and Full-Year 2022 Financial Results

Rhea-AI Summary

CONMED reported Q4 2022 sales of $250.9 million, an 8.4% decline year-over-year, with domestic revenue down 3.9% and international revenue down 13.8%. Diluted net earnings per share (GAAP) rose 14.7% to $0.86, while adjusted earnings fell 60.7% to $0.42. For full-year 2022, sales grew 3.4% to $1,045.5 million. However, the company reported a diluted net loss per share of $2.68, contrasting with earnings of $1.94 in 2021. For 2023, CONMED forecasts revenue between $1.170 billion and $1.220 billion, with adjusted EPS expected at $3.20 to $3.45.

Positive

• Q4 diluted net earnings per share (GAAP) increased by 14.7% to $0.86.
• Full-year 2022 sales increased by 3.4% year-over-year, reaching $1,045.5 million.
• Domestic revenue grew by 4.8% year-over-year for the full year.

Negative

• Q4 sales decreased by 8.4% year-over-year due to new warehouse management software.
• International revenue fell by 13.8% year-over-year in Q4.
• Adjusted diluted net earnings per share decreased by 60.7% year-over-year in Q4.

LARGO, Fla.--(BUSINESS WIRE)-- CONMED Corporation (NYSE: CNMD) today announced financial results for the fourth quarter and full-year ended December 31, 2022.

Fourth Quarter 2022 Highlights

• Fourth quarter 2022 sales significantly impacted by the implementation of new warehouse management software.
• Sales of $250.9 million decreased 8.4% year over year as reported and 7.0% in constant currency. Acquisitions contributed approximately 460 basis points of growth.
• Domestic revenue decreased 3.9% year over year.
• International revenue decreased 13.8% year over year as reported and 10.6% in constant currency.
• Diluted net earnings per share (GAAP) were $0.86, an increase of 14.7% compared to diluted net earnings per share (GAAP) of $0.75 in the fourth quarter of 2021.
• Adjusted diluted net earnings per share⁽¹⁾ were $0.42, a decrease of 60.7% compared to adjusted diluted net earnings per share of $1.07 in the fourth quarter of 2021.

Full-Year 2022 Highlights

• Sales of $1,045.5 million increased 3.4% year over year as reported and 4.6% in constant currency. Acquisitions contributed approximately 240 basis points of growth.
• Domestic revenue increased 4.8% year over year.
• International revenue increased 1.8% year over year as reported and 4.3% in constant currency.
• Diluted net loss per share (GAAP) was $2.68, compared to diluted net earnings per share (GAAP) of $1.94 in 2021.
• Adjusted diluted net earnings per share⁽¹⁾ were $2.65, a decrease of 17.4% compared to adjusted diluted net earnings per share of $3.21 in 2021.
• Closed In2Bones transaction on June 13, 2022.
• Closed Biorez transaction on August 9, 2022.

“We are disappointed that our fourth quarter results were significantly disrupted by the implementation of a new warehouse management system. We are shipping at or above historical daily rates, and we continue to work diligently to increase our efficiency and capacity,” commented Curt R. Hartman, CONMED’s Chair of the Board, President, and Chief Executive Officer. “I am pleased with our team’s accomplishments in 2022, including the acquisitions of In2Bones and Biorez, the closing of our convertible senior notes offering, and the continued work on new product innovation across the company. We enter 2023 focused on execution and delivery of revenue and earnings growth.”

2023 Outlook

The Company expects full-year 2023 reported revenue between $1.170 billion and $1.220 billion, which includes expected headwind from foreign exchange between 150 and 200 basis points. Adjusted diluted net earnings per share⁽²⁾ is expected to be in the range of $3.20 to $3.45, which includes expected headwind from foreign exchange between $0.20 and $0.25.

Supplemental Financial Disclosures

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

⁽²⁾ Information reconciling forward-looking adjusted diluted net earnings per share to the comparable GAAP financial measures is unavailable to the company without unreasonable effort, as discussed below.

Conference Call

The Company’s management will host a conference call today at 4:30 p.m. ET to discuss its fourth quarter and full-year 2022 results.

To participate in the conference call via telephone, please click here to pre-register and obtain the dial-in number and passcode.

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

Consolidated Condensed Statements of Income (Loss)
(in thousands except per share amounts, unaudited)
		Three Months Ended							Year Ended
		December 31,							December 31,
		2022			2021				2022			2021
Net sales		$	250,867		$	273,971			$	1,045,472		$	1,010,635
Cost of sales			119,005			118,115				474,227			442,599
Gross profit			131,862			155,856				571,245			568,036
% of sales			52.6	%		56.9	%			54.6	%		56.2	%
Selling & administrative expense			120,737			107,279				454,039			414,754
Research & development expense			12,220			11,361				47,152			43,565
Income (loss) from operations			(1,095	)		37,216				70,054			109,717
% of sales			-0.4	%		13.6	%			6.7	%		10.9	%
Interest expense			9,443			7,569				28,905			35,485
Other expense			-			-				112,011			1,127
Income (loss) before income taxes			(10,538	)		29,647				(70,862	)		73,105
Provision (benefit) for income taxes			(37,122	)		5,203				9,720			10,563
Net income (loss)		$	26,584		$	24,444			$	(80,582	)	$	62,542
Basic EPS		$	0.87		$	0.83			$	(2.68	)	$	2.14
Diluted EPS			0.86			0.75				(2.68	)		1.94
Basic shares			30,484			29,349				30,040			29,162
Diluted shares			30,931			32,769				30,040			32,216

Sales Summary
(in millions, unaudited)
	Three Months Ended December 31,
						% Change
													Domestic			International
	2022		2021			As Reported		Impact of Foreign Currency		Constant Currency			As Reported			As Reported		Impact of Foreign Currency		Constant Currency
Orthopedic Surgery	$	115.2	$	117.6		-2.0	%	1.7	%	-0.3	%		15.0	%		-11.7	%	2.7	%	-9.0	%
General Surgery		135.7		156.4		-13.2	%	1.2	%	-12.0	%		-11.5	%		-16.9	%	3.8	%	-13.1	%
	$	250.9	$	274.0		-8.4	%	1.4	%	-7.0	%		-3.9	%		-13.8	%	3.2	%	-10.6	%
Single-use Products	$	211.9	$	222.8		-4.9	%	1.4	%	-3.5	%		1.1	%		-12.6	%	3.3	%	-9.3	%
Capital Products		39.0		51.2		-23.7	%	1.5	%	-22.2	%		-29.6	%		-18.4	%	2.8	%	-15.6	%
	$	250.9	$	274.0		-8.4	%	1.4	%	-7.0	%		-3.9	%		-13.8	%	3.2	%	-10.6	%
Domestic	$	142.8	$	148.6		-3.9	%	0.0	%	-3.9	%
International		108.1		125.4		-13.8	%	3.2	%	-10.6	%
	$	250.9	$	274.0		-8.4	%	1.4	%	-7.0	%

	Year Ended December 31,
						% Change
													Domestic			International
	2022		2021			As Reported		Impact of Foreign Currency		Constant Currency			As Reported			As Reported		Impact of Foreign Currency		Constant Currency
Orthopedic Surgery	$	461.5	$	438.4		5.3	%	1.2	%	6.5	%		9.2	%		3.0	%	2.0	%	5.0	%
General Surgery		584.0		572.2		2.1	%	1.0	%	3.1	%		3.0	%		0.0	%	3.2	%	3.2	%
	$	1,045.5	$	1,010.6		3.4	%	1.2	%	4.6	%		4.8	%		1.8	%	2.5	%	4.3	%
Single-use Products	$	874.9	$	820.1		6.7	%	1.1	%	7.8	%		8.3	%		4.5	%	2.6	%	7.1	%
Capital Products		170.6		190.5		-10.5	%	1.1	%	-9.4	%		-13.7	%		-7.6	%	2.0	%	-5.6	%
	$	1,045.5	$	1,010.6		3.4	%	1.2	%	4.6	%		4.8	%		1.8	%	2.5	%	4.3	%
Domestic	$	579.0	$	552.5		4.8	%	0.0	%	4.8	%
International		466.5		458.1		1.8	%	2.5	%	4.3	%
	$	1,045.5	$	1,010.6		3.4	%	1.2	%	4.6	%

Reconciliation of Reported Net Income to Adjusted Net Income
(in thousands, except per share amounts, unaudited)
	Three Months Ended December 31, 2022
	Gross Profit			Selling & Administrative Expense			Operating Income (Loss)			Interest Expense			Other Expense		Tax Expense/ (Benefit)			Effective Tax Rate		Net Income			Basic EPS		Adjustments(7)		Diluted EPS
As reported	$	131,862		$	120,737		$	(1,095	)	$	9,443		$	-	$	(37,122	)	352.3	%	$	26,584				$	-	$	26,584
% of sales		52.6	%		48.1	%		-0.4	%
EPS																							$	0.87			$	0.86
Shares																								30,484		447		30,931
Acquisition and integration costs(1)		2,096			(3,757	)		5,853			-			-		12,873					(7,020	)
Restructuring and related costs(2)		1,955			(786	)		2,741			-			-		6,029					(3,288	)
Software implementation costs(3)		-			(6,769	)		6,769			-			-		14,889					(8,120	)
Contingent consideration fair value adjustment(4)		-			(2,518	)		2,518			-			-		5,538					(3,020	)
	$	135,913		$	106,907		$	16,786		$	9,443		$	-	$	2,207				$	5,136
Adjusted gross profit %		54.2	%
Amortization(5)	$	1,500			(7,228	)		8,728			(1,506	)		-		2,446					7,788
As adjusted				$	99,679		$	25,514		$	7,937		$	-	$	4,653		26.5	%	$	12,924				$	-	$	12,924
% of sales					39.7	%		10.2	%
Adjusted diluted EPS																											$	0.42
Shares																								30,484		447		30,931
Convertible note hedges(6)																												-
Adjusted diluted shares																												30,931
	Three Months Ended December 31, 2021
	Gross Profit			Selling & Administrative Expense			Operating Income			Interest Expense			Other Expense		Tax Expense			Effective Tax Rate		Net Income			Basic EPS		Adjustments(7)		Diluted EPS
As reported	$	155,856		$	107,279		$	37,216		$	7,569		$	-	$	5,203		17.6	%	$	24,444				$	-	$	24,444
% of sales		56.9	%		39.2	%		13.6	%
EPS																							$	0.83			$	0.75
Shares																								29,349		3,420		32,769
	$	155,856		$	107,279		$	37,216		$	7,569		$	-	$	5,203				$	24,444
Adjusted gross profit %		56.9	%
Amortization(5)	$	1,500			(6,811	)		8,311			(3,386	)		-		2,744					8,953
As adjusted				$	100,468		$	45,527		$	4,183		$	-	$	7,947		19.2	%	$	33,397				$	-	$	33,397
% of sales					36.7	%		16.6	%
Adjusted diluted EPS																											$	1.07
Shares																								29,349		3,420		32,769
Convertible note hedges(6)																												(1,446	)
Adjusted diluted shares																												31,323

(1) In 2022, the Company incurred inventory step-up adjustments associated with the acquisition of In2Bones Global, Inc. and consulting fees, legal fees and other integration related costs associated with the acquisitions of In2Bones Global, Inc. and Biorez, Inc.
(2) In 2022, the Company incurred consulting fees related to an operational cost improvement initiative and severance related to the elimination of certain positions.
(3) In 2022, the Company incurred incremental freight, professional fees and other costs related to the implementation of a warehouse management software.
(4) In 2022, the Company incurred expense related to the fair value adjustment of contingent consideration.
(5) Includes amortization of intangible assets, deferred financing fees and debt discount.
(6) Non-GAAP adjusted dilutive weighted average shares outstanding exclude dilution that is expected to be offset by the Company’s convertible notes hedge transactions.
(7) The Company adopted ASU 2020-06, effective January 1, 2022. As a result of the adoption, the Company is required to compute diluted EPS using the if-converted method. Under the if-converted method, the numerator is adjusted for interest expense applicable to its convertible notes (net of tax) and the denominator includes additional common shares assuming conversion premium and principal portion of the notes (when permitted or required) are settled in shares. Subsequent to June 6, 2022, the Company is required to settle the principal value of its convertible notes in cash.

	Reconciliation of Reported Net Income (Loss) to Adjusted Net Income
	(in thousands, except per share amounts, unaudited)
	Year Ended December 31, 2022
	Gross Profit			Selling & Administrative Expense			Operating Income			Interest Expense			Other Expense			Tax Expense/ (Benefit)			Effective Tax Rate		Net Income (Loss)			Basic EPS			Adjustments (11)		Diluted EPS
As reported	$	571,245		$	454,039		$	70,054		$	28,905		$	112,011		$	9,720		-13.7	%	$	(80,582	)				$	-	$	(80,582	)
% of sales		54.6	%		43.4	%		6.7	%
EPS																								$	(2.68	)			$	(2.68	)
Shares																									30,040			-		30,040
Acquisition and integration costs(1)		4,540			(10,063	)		14,603			-			-			46,965					(32,362	)
Legal matters(2)		-			(775	)		775			-			-			(462	)				1,237
Restructuring and related costs(3)		1,955			(786	)		2,741			-			-			6,029					(3,288	)
Software implementation costs(4)		-			(6,769	)		6,769			-			-			14,889					(8,120	)
Contingent consideration fair value adjustment(5)		-			(2,518	)		2,518			-			-			5,538					(3,020	)
Convertible notes premium on extinguishment(6)		-			-			-			-			(103,125	)		(61,521	)				164,646
Change in fair value of convertible notes hedges upon settlement(7)		-			-			-			-			(5,460	)		(3,257	)				8,717
Loss on early extinguishment of debt(8)		-			-			-			-			(3,426	)		(2,044	)				5,470
	$	577,740		$	433,128		$	97,460		$	28,905		$	-		$	15,857				$	52,698
Adjusted gross profit %		55.3	%
Amortization(9)	$	6,000			(27,791	)		33,791			(4,910	)		-			9,381					29,320
As adjusted				$	405,337		$	131,251		$	23,995		$	-		$	25,238		23.5	%	$	82,018					$	2,978	$	84,996
% of sales					38.8	%		12.6	%
Adjusted diluted EPS																													$	2.65
Shares																									30,040			2,656		32,696
Convertible note hedges(10)																														(578	)
Adjusted diluted shares																														32,118
	Year Ended December 31, 2021
	Gross Profit			Selling & Administrative Expense			Operating Income			Interest Expense			Other Expense			Tax Expense			Effective Tax Rate		Net Income			Basic EPS			Adjustments (11)		Diluted EPS
As reported	$	568,036		$	414,754		$	109,717		$	35,485		$	1,127		$	10,563		14.4	%	$	62,542					$	-	$	62,542
% of sales		56.2	%		41.0	%		10.9	%
EPS																								$	2.14				$	1.94
Shares																									29,162			3,054		32,216
Restructuring and related costs (3)		-			(414	)		414			-			-			109					305
Loss on early extinguishment of debt(8)		-			-			-			-			(1,127	)		281					846
	$	568,036		$	414,340		$	110,131		$	35,485		$	-		$	10,953				$	63,693
Adjusted gross profit %		56.2	%
Amortization(9)	$	6,000			(27,133	)		33,133			(13,943	)		-			11,394					35,682
As adjusted				$	387,207		$	143,264		$	21,542		$	-		$	22,347		18.4	%	$	99,375					$	-	$	99,375
% of sales					38.3	%		14.2	%
Adjusted diluted EPS																													$	3.21
Shares																									29,162			3,054		32,216
Convertible note hedges(10)																														(1,273	)
Adjusted diluted shares																														30,943

(1) In 2022, the Company incurred inventory step-up adjustments associated with the acquisition of In2Bones Global, Inc. and consulting fees, legal fees and other integration related costs associated with the acquisitions of In2Bones Global, Inc. and Biorez, Inc.
(2) In 2022, the Company incurred costs related to the settlement of litigation.
(3) In 2022, the Company incurred consulting fees related to an operational cost improvement initiative and severance related to the elimination of certain positions. In 2021, the Company incurred restructuring costs related to restructuring of our sales force.
(4) In 2022, the Company incurred incremental freight, professional fees and other costs related to the implementation of a warehouse management software.
(5) In 2022, the Company incurred expense related to the fair value adjustment of contingent consideration.
(6) In 2022, the Company incurred costs related to the conversion premium on the repurchase and extinguishment of $275.0 million of its 2.625% Convertible Notes.
(7) In 2022, the Company incurred costs related to the settlement of convertible notes hedge transactions associated with the repurchase and extinguishment of $275.0 million of its 2.625% Convertible Notes.
(8) In 2022, the Company incurred costs related to the write-off of deferred financing fees associated with the repurchase and extinguishment of $275.0 million of its 2.625% Convertible Notes and term loan paydown. In 2021, the Company incurred costs related to a loss on early extinguishment and third-party fees associated with the seventh amended and restated senior credit agreement.
(9) Includes amortization of intangible assets, deferred financing fees and debt discount.
(10) Non-GAAP adjusted dilutive weighted average shares outstanding exclude dilution that is expected to be offset by the Company’s convertible notes hedge transactions.
(11) The Company adopted ASU 2020-06, effective January 1, 2022. As a result of the adoption, the Company is required to compute diluted EPS using the if-converted method. Under the if-converted method, the numerator is adjusted for interest expense applicable to its convertible notes (net of tax) and the denominator includes additional common shares assuming conversion premium and principal portion of the notes (when permitted or required) are settled in shares. Subsequent to June 6, 2022, the Company is required to settle the principal value of its convertible notes in cash. Adjustments in 2022 are applicable on a non-GAAP basis only since GAAP results are in a loss position and therefore exclude dilutive potential shares.

Reconciliation of Reported Net Income (Loss) to EBITDA & Adjusted EBITDA
(in thousands, unaudited)
	Three Months Ended							Year Ended
	December 31,							December 31,
	2022			2021				2022			2021
Net income (loss)	$	26,584		$	24,444			$	(80,582	)	$	62,542
Provision (benefit) for income taxes		(37,122	)		5,203				9,720			10,563
Interest expense		9,443			7,569				28,905			35,485
Depreciation		4,026			3,975				16,055			16,494
Amortization		13,709			13,502				53,464			54,249
EBITDA	$	16,640		$	54,693			$	27,562		$	179,333
Stock based compensation		5,758			4,332				21,729			16,335
Acquisition and integration costs		5,853			-				14,603			-
Legal matters		-			-				775			-
Restructuring and related costs		2,741			-				2,741			414
Software implementation costs		6,769			-				6,769			-
Contingent consideration fair value adjustment		2,518			-				2,518			-
Convertible notes premium on extinguishment		-			-				103,125			-
Change in fair value of convertible notes hedges upon settlement		-			-				5,460			-
Loss on early extinguishment of debt		-			-				3,426			1,127
Adjusted EBITDA	$	40,279		$	59,025			$	188,708		$	197,209
EBITDA Margin
EBITDA		6.6	%		20.0	%			2.6	%		17.7	%
Adjusted EBITDA		16.1	%		21.5	%			18.1	%		19.5	%

About CONMED Corporation

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

Forward-Looking Statements

This press release and the associated conference call may contain forward-looking statements based on certain assumptions and contingencies that involve risks and uncertainties, which could cause actual results, performance, or trends to differ materially from those expressed in the forward-looking statements herein or in previous disclosures. For example, in addition to general industry and economic conditions, factors that could cause actual results to differ materially from those in the forward-looking statements may include, but are not limited to, the risks posed to the Company’s business, financial condition, and results of operations by the COVID-19 global pandemic and the various government responses to the pandemic, including deferral of surgeries, reductions in hospital and ambulatory surgery center operating volumes, disruption to potential supply chain reliability; any assumptions underlying any of the foregoing as well as the risk factors discussed in the Company's Annual Report on Form 10-K for the full year ended December 31, 2021, listed under the heading Forward-Looking Statements in the Company’s most recently filed Form 10-Q and other risks and uncertainties which may be detailed from time to time in reports filed by CONMED with the SEC, including the risks associated with the timing and costs related to the software implementation as further described in the risk factors listed in the Current Report filed on Form 8-K on November 15, 2022. Any and all forward-looking statements are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995 and relate to the Company’s performance on a going-forward basis. The Company believes that all forward-looking statements made by it have a reasonable basis, but there can be no assurance that management’s expectations, beliefs or projections as expressed in the forward-looking statements will actually occur or prove to be correct.

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

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

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

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

We are unable to present a quantitative reconciliation of our expected diluted net earnings per share to expected adjusted diluted net earnings per share as we are unable to predict with reasonable certainty and without unreasonable effort the impact and timing of acquisition, integration and other charges. The financial impact of these items is uncertain and is dependent on various factors, including timing, and could be material to our consolidated condensed statements of income (loss).

View source version on businesswire.com: https://www.businesswire.com/news/home/20230202005780/en/

CONMED Corporation

Todd W. Garner

Chief Financial Officer

727-214-2975

ToddGarner@conmed.com

Source: CONMED Corporation

FAQ

What were CONMED's sales in Q4 2022?

CONMED's sales in Q4 2022 were $250.9 million, an 8.4% decrease year-over-year.

How did CONMED perform in 2022 compared to 2021?

CONMED's sales for the full year 2022 increased by 3.4% to $1,045.5 million, but it reported a diluted net loss per share of $2.68, compared to earnings of $1.94 in 2021.

What is CONMED's outlook for 2023?

CONMED expects 2023 revenue to be between $1.170 billion and $1.220 billion, with adjusted diluted EPS projected at $3.20 to $3.45.

What affected CONMED's Q4 2022 financial results?

The Q4 2022 results were significantly impacted by the implementation of a new warehouse management system.

What was the adjusted diluted EPS for Q4 2022?

The adjusted diluted EPS for Q4 2022 was $0.42, a decrease of 60.7% compared to the previous year.