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Sotera Health Reports Fourth-Quarter and Full-Year 2023 Results; Provides 2024 Outlook

  • 2023 net revenues increased 4.5% to $1.05 billion, compared to 2022
  • 2023 net income of $51 million or $0.18 per diluted share
  • 2023 Adjusted EBITDA(1) increased 4.3% to $528 million
  • 2023 Adjusted EPS(1) decreased $0.15 to $0.81 per diluted share
  • Full-year 2024 outlook of 4.0% - 6.0% growth for Net Revenues and Adjusted EBITDA

CLEVELAND, Feb. 27, 2024 (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 fourth-quarter and full-year 2023 and its initial 2024 outlook.

For the fourth-quarter 2023, net revenues increased 23.3% to $310 million, compared with $252 million in the same period a year ago. Net revenues increased 21.9% on a constant currency basis. Net income attributable to the Company (“net income”) was $39 million, or $0.14 per diluted share, compared with a net loss attributable to the Company (“net loss”) of $320 million, or $1.14 per diluted share for the fourth-quarter 2022, which included a $408 million legal reserve. Adjusted EBITDA increased by 28.7% to $167 million compared to the prior-year quarter. Adjusted earnings per diluted share (“Adjusted EPS”) was $0.26, an increase of $0.01 per diluted share, compared to the fourth quarter of 2022.

For full-year 2023, net revenues increased 4.5% to $1.05 billion, compared with $1.00 billion for full-year 2022. Net revenues increased 4.2% on a constant currency basis. Net income was $51 million, or $0.18 per diluted share, compared with net loss of $234 million, or $0.83 per diluted share, for 2022. Adjusted EBITDA increased 4.3% to $528 million, compared to 2022. Adjusted EPS was $0.81 in 2023, a decrease of $0.15 from 2022.

“Today I am pleased to announce another year of top- and bottom-line growth,” said Chairman and Chief Executive Officer, Michael B. Petras, Jr. “Throughout 2023, the Sotera Health team demonstrated resilience, adaptability and an unwavering commitment to the Company’s core values in the face of continued macro-economic pressures. During the year, Sterigenics completed four capacity expansions, the Nordion team successfully navigated the complex Cobalt-60 supply chain, and Nelson Labs continued to provide our customers with world-class lab testing services and expert advisory support. We remain focused on our mission of Safeguarding Global Health© and are excited for continued growth in 2024.”

Fourth-Quarter and Full-Year 2023 Review by Business Segment

Sterigenics

For fourth-quarter 2023, net revenues were $172 million, an increase of 6.5% compared to the fourth quarter a year ago. Segment income was $95 million, an increase of 6.4%.

For full-year 2023, Sterigenics net revenues were $667 million, an increase of 6.5% compared to 2022. Segment income increased 6.8% to $362 million.

Net revenue growth for fourth-quarter 2023 was driven by favorable pricing and changes in foreign currency exchange rates, partially offset by unfavorable volume and mix.

Segment income growth for the quarter was also driven by favorable pricing and changes in foreign currency rates, partially offset by higher costs and unfavorable volume and mix.

Nordion

For fourth-quarter 2023 net revenues were $80 million, an increase of 134.2%, compared to the fourth quarter a year ago as Nordion generated 50% of its full-year revenue in the quarter, as expected. Segment income increased 162.7% to $53 million.

For full-year 2023, Nordion net revenues were $160 million, an increase of 4.4% compared to 2022. Segment income increased by 8.0% to $97 million.

The increase in net revenues, segment income and segment income margin for fourth-quarter 2023 was driven by favorable impacts from volume and pricing.

Nelson Labs

For fourth-quarter 2023, net revenues were $58 million, an increase of 4.3% compared to the fourth quarter a year ago. Segment income decreased 7.8% to $19 million.

For full-year 2023, Nelson Labs net revenues were $222 million, a decrease of 0.8% compared to 2022. Segment income decreased 10.9% to $69 million.

Net revenue growth for the fourth-quarter 2023 was driven by favorable pricing and changes in foreign currency exchange rates, partially offset by unfavorable volume and mix.

Segment income and margin decline for the fourth-quarter 2023 was driven by unfavorable volume and mix coupled with the impact of inflation, partially offset by favorable pricing.

Balance Sheet and Liquidity

As of December 31, 2023, Sotera Health had $2.3 billion in total debt, and $296 million in cash and cash equivalents, compared to $2.0 billion in total debt and $395 million in cash and cash equivalents as of December 31, 2022. As of December 31, 2023, the Company had no balance outstanding on its revolving credit facility. Material debt balances outstanding do not mature until 2026. Sotera Health’s Net Leverage Ratio(1) as of December 31, 2023 was 3.8x, compared to 3.2x at December 31, 2022.

Full-Year 2024 Outlook

Today, Sotera Health is providing its full-year 2024 outlook:

  • Net revenues and Adjusted EBITDA growth in the range of 4.0% to 6.0%,
  • Interest Expense in the range of $170 million to $180 million,
  • Tax rate applicable to Adjusted Net Income(1) in the range of 31.5% to 34.5%,
  • Adjusted EPS in the range of $0.67 to $0.75,
  • A weighted-average fully diluted share count in the range of 283 million to 285 million shares,
  • Capital expenditures in the range of $205 million to $225 million

The Company does not provide a reconciliation for non-GAAP financial measures on a forward-looking basis where it is unable to provide a meaningful or accurate calculation or estimation of reconciling items without unreasonable effort. The Company cannot reconcile its expected Adjusted EBITDA,

Adjusted Net Income, Adjusted EPS and Net Leverage Ratio without unreasonable effort because certain items that impact net income, earnings per share and other reconciling metrics are out of the Company’s control and/or cannot be reasonably predicted at this time, including uncertainties caused by changes to the regulatory landscape, restructuring items and certain fair value measurements, all of which are potential adjustments for future earnings.

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 EO and Cobalt-60, the impact of inflationary trends including their impact on energy prices and the supply of labor, and the expectation that exchange rates as of January 31, 2024 remain constant for the remainder of 2024. 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 “Cautionary Note Regarding 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. To participate in the live call, please dial 1-844-481-2916 if dialing in from the United States, or 1-412-317-0709 if dialing in from other locations. 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 Presentation & Events | Sotera Health. A replay of the webcast will be archived on the Company’s website.

Updates on recent developments in matters relevant to investors can be found on the Investor Relations section of the Sotera Health website at Investor Relations | Sotera Health. For developments related to EO, updates can be found at Ethylene Oxide | Sotera Health.

Upcoming Investor Events

  • Barclay’s 2024 Global Healthcare Conference at 7:30 a.m. Eastern Time, March 13, 2024
  • KeyBanc Life Sciences & Medtech Investor Forum at 9:00 a.m. Eastern Time, March 19, 2024

Cautionary Note Regarding 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 versions 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 of the Company’s future performance and the future performance of the markets in which the Company operates 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, or increases in the price of ethylene oxide (“EO”) or Cobalt-60, or our other direct materials, services and supplies, including as a result of geopolitical instability and/or sanctions arising from United States, Canadian, United Kingdom or European Union relations with Russia; fluctuations in foreign currency exchange rates; changes in industry trends, environmental, health and safety regulations or preferences, and general economic, social and business conditions; the impact and outcome of current and future legal proceedings and liability claims, including litigation related to use of EO and/or emission and releases 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, build new facilities in a timely and cost-effective manner and renew leases for our leased facilities; our ability to attract and retain qualified employees; the risks of doing business internationally, including global and regional economic and political instability and compliance with numerous and sometimes inconsistent laws and regulations in multiple jurisdictions; and an inability to pursue strategic transactions, find suitable acquisition targets, or integrate strategic acquisitions into our business successfully. For additional discussion of these risks and uncertainties, please refer to the 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 EBITDA margin, Adjusted Net Income, Adjusted EPS, Segment income margin, Net Debt and 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, 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.

Segment income margin is equal to segment income divided by net segment revenues.

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

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

Our Net Leverage Ratio is equal to Net Debt divided by Adjusted EBITDA.

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 GAAP.

We use these non-GAAP financial measures as the principal measures of our operating performance. Management believes these measures 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 without these measures and their 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 key metric 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
Vice President & Treasurer, Sotera Health
IR@soterahealth.com

MEDIA CONTACT

Kristin Gibbs
Chief Marketing Officer, Sotera Health
kgibbs@soterahealth.com

Source: Sotera Health Company

(1) This is a non-GAAP financial measure used throughout this press release; please refer to the section “Non-GAAP Financial Measures” for explanations of our Non-GAAP financial measures and the schedules provided later in this release for reconciliations of reported GAAP to Non-GAAP financial measures.


 
Sotera Health Company
Consolidated Statements of Operations
(in thousands, except per share amounts)
(unaudited)
 
 Three Months Ended
December 31,
 Year Ended
December 31,
  2023   2022   2023   2022 
Revenues:       
Service$237,918  $220,377  $905,598  $864,828 
Product 72,321   31,213   143,690   138,859 
Total net revenues 310,239   251,590   1,049,288   1,003,687 
Cost of revenues:       
Service 106,921   98,105   418,611   390,860 
Product 23,235   11,765   53,519   55,823 
Total cost of revenues 130,156   109,870   472,130   446,683 
Gross profit 180,083   141,720   577,158   557,004 
Operating expenses:       
Selling, general and administrative expenses 60,358   65,949   236,667   245,714 
Amortization of intangible assets 15,701   15,603   63,799   62,940 
Total operating expenses 76,059   81,552   300,466   308,654 
Operating income 104,024   60,168   276,692   248,350 
Interest expense, net 42,653   32,269   142,878   80,144 
Illinois EO litigation settlement    408,000      408,000 
Georgia EO litigation settlement       35,000    
Impairment of investment in unconsolidated affiliate          9,613 
Foreign exchange (gain) loss (227)  647   159   145 
Other income, net (4,072)  (2,246)  (7,372)  (6,441)
Income (loss) before income taxes 65,670   (378,502)  106,027   (243,111)
Provision (benefit) for income taxes 26,989   (58,783)  54,651   (9,541)
Net income (loss) 38,681   (319,719)  51,376   (233,570)
        
Earnings (loss) per share:       
Basic$0.14  $(1.14) $0.18  $(0.83)
Diluted 0.14   (1.14)  0.18   (0.83)
Weighted average number of shares outstanding:       
Basic 281,335   280,417   281,008   280,096 
Diluted 283,339   280,417   283,222   280,096 


 
Sotera Health Company
Segment Data
(in thousands)
(unaudited)
 
 Three Months Ended
December 31,
 Year Ended
December 31,
 2023  2022  2023  2022 
Segment revenues:       
Sterigenics172,196  161,669  667,130  626,646 
Nordion79,835  34,088  160,459  153,639 
Nelson Labs58,208  55,833  221,699  223,402 
Total net revenues310,239  251,590  1,049,288  1,003,687 
Segment income:       
Sterigenics94,753  89,056  362,212  339,144 
Nordion53,316  20,298  96,678  89,477 
Nelson Labs18,679  20,259  69,139  77,628 
Total segment income166,748  129,613  528,029  506,249 
Less adjustments:       
Interest expense, net(a)33,793  24,516  116,068  78,490 
Depreciation and amortization(b)40,722  36,462  157,925  145,554 
Share-based compensation(c)8,229  6,256  32,364  21,211 
(Gain) loss on foreign currency and derivatives not designated as hedging instruments, net(d)(3,011) 7,938  (1,552) 3,150 
Acquisition and divestiture related charges, net(e)120  420  937  1,398 
Business optimization project expenses(f)217  617  7,310  2,226 
Plant closure expenses(g)55  954  (585) 4,730 
Impairment of investment in unconsolidated affiliate(h)      9,613 
Professional services and other expenses relating to EO sterilization facilities(i)20,222  22,401  72,122  72,639 
Georgia EO litigation settlement(j)    35,000   
Illinois EO litigation settlement(k)  408,000    408,000 
Accretion of asset retirement obligation(l)731  550  2,413  2,194 
COVID-19 expenses(m)  1    155 
Consolidated income (loss) before income taxes65,670  (378,502) 106,027  (243,111)

(a)  The three and twelve months ended December 31, 2023 excludes $8.8 million and $26.8 million, respectively, of interest expense, net on Term Loan B attributable to the loan proceeds that were used to fund the $408.0 million Illinois EO litigation settlement. The three and twelve months ended December 31, 2022 exclude a $7.8 million and $1.7 million net decrease, respectively, in the fair value of interest rate derivatives not designated as hedging instruments recorded to interest expense.
(b)  Includes depreciation of Co-60 held at gamma irradiation sites.
(c)  Represents share-based compensation expense to employees and non-employee directors.
(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 derivatives not designated as hedging instruments.
(e)  Represents (i) certain direct and incremental costs related to the acquisitions of RCA and BioSciences Labs and certain related integration efforts as a result of those acquisitions, (ii) the earnings impact of fair value adjustments (excluding those recognized within amortization expense) resulting from the businesses acquired, (iii) transition services income and non-cash deferred lease income associated with the terms of the divestiture of the Medical Isotopes business in 2018.
(f)  Represents professional fees, 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 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. The twelve months ended December 31, 2023 also includes a $1.0 million cancellation fee received from a tenant in connection with the termination of an office space lease at the Nordion facility.
(h)  Represents an impairment charge on an equity method investment in a joint venture.
(i)  Represents litigation and other professional fees associated with our EO sterilization facilities. This includes $8.8 million and $26.8 million, respectively, of interest expense, net for the three and twelve months ended December 31, 2023 associated with Term Loan B that was issued to finance the $408.0 million settlement of 880 pending and threatened EO claims against Sterigenics U.S., LLC and Sotera Health LLC (“the Defendant Subsidiaries”) in Illinois under Settlement Agreements entered into on March 28, 2023.
(j)  Represents the cost to settle 79 pending EO claims against the Defendant Subsidiaries in Georgia under a Settlement Term Sheet entered into on December 21, 2023.
(k)  Represents the cost to settle 880 pending and threatened EO claims against the Defendant Subsidiaries in Illinois under Settlement Agreements entered into on March 28, 2023.
(l)   Represents non-cash accretion of asset retirement obligations related to Co-60 gamma and EO processing facilities, which are based on estimated site remediation costs for any future decommissioning of these facilities and are accreted over the life of the asset.
(m)  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 December 31,
   2023   2022 
Assets    
Current assets:    
Cash and cash equivalents, including restricted cash $301,654  $396,294 
Accounts receivable, net  147,696   118,482 
Inventories, net  48,316   37,145 
Other current assets  59,578   93,089 
Total current assets  557,244   645,010 
Property, plant, and equipment, net  946,914   774,527 
Operating lease assets  24,037   26,481 
Other intangible assets, net  416,318   491,265 
Goodwill  1,111,190   1,101,768 
Other assets  74,717   78,654 
Total assets $3,130,420  $3,117,705 
Liabilities and equity    
Total current liabilities $230,654  $791,567 
Long-term debt, less current portion  2,223,674   1,747,115 
Other noncurrent liabilities  167,904   160,761 
Deferred income taxes  64,454   68,024 
Total liabilities  2,686,686   2,767,467 
Total equity  443,734   350,238 
Total liabilities and equity $3,130,420  $3,117,705 


 
Sotera Health Company
Condensed Consolidated Statements of Cash Flows
(in thousands)
(unaudited)
 
 Year Ended December 31,
  2023   2022 
Operating activities:   
Net income (loss)$51,376  $(233,570)
Non-cash items 204,177   102,297 
Changes in operating assets and liabilities (403,285)  409,234 
Net cash provided by (used in) operating activities (147,732)  277,961 
Investing activities:   
Purchases of property, plant and equipment (214,975)  (182,378)
Adjustment to purchase of Regulatory Compliance Associates Inc.    450 
Other investing activities 69   32 
Net cash used in investing activities (214,906)  (181,896)
Financing activities:   
Proceeds from revolving credit facility and long-term borrowings 500,000   200,000 
Payment of revolving credit facility (200,000)   
Payment of long-term borrowings (2,500)   
Payments of debt issuance costs and prepayment premium (25,645)  (31)
Shares withheld for employee taxes on equity awards (4,089)  (393)
Other financing activities (1,807)  (1,815)
Net cash provided by financing activities 265,959   197,761 
Effect of exchange rate changes on cash and cash equivalents 2,039   (4,456)
Net increase in cash and cash equivalents, including restricted cash (94,640)  289,370 
Cash and cash equivalents, including restricted cash, at beginning of period 396,294   106,924 
Cash and cash equivalents, including restricted cash, at end of period$301,654  $396,294 
    
Supplemental disclosures of cash flow information:   
Cash paid during the period for interest$173,842  $75,849 
Cash paid during the period for income taxes, net of tax refunds received 50,210   75,496 
Purchases of property, plant and equipment included in accounts payable 16,720   16,413 


 
Sotera Health Company
Non-GAAP Financial Measures
(in thousands, except per share amounts)
(unaudited)
 
 Three Months Ended
December 31,
 Year Ended
December 31,
  2023   2022   2023   2022 
Net income (loss)$38,681  $(319,719) $51,376  $(233,570)
Amortization of intangible assets 20,058   19,958   81,348   81,554 
Share-based compensation(a) 8,229   6,256   32,364   21,211 
(Gain) loss on foreign currency and derivatives not designated as hedging instruments, net(b) (3,011)  7,938   (1,552)  3,150 
Acquisition and divestiture related charges, net(c) 120   420   937   1,398 
Business optimization project expenses(d) 217   617   7,310   2,226 
Plant closure expenses(e) 55   954   (585)  4,730 
Impairment on investment in unconsolidated affiliate(f)          9,613 
Professional services and other expenses relating to EO sterilization facilities(g) 20,222   22,401   72,122   72,639 
Georgia EO litigation settlement(h)       35,000    
Illinois EO litigation settlement(i)    408,000      408,000 
Accretion of asset retirement obligations(j) 731   550   2,413   2,194 
COVID-19 expenses(k)    1      155 
Income tax benefit associated with pre-tax adjustments(l) (11,166)  (77,744)  (50,617)  (103,081)
Adjusted Net Income 74,136   69,632   230,116   270,219 
Interest expense, net(m) 33,793   24,516   116,068   78,490 
Depreciation(n) 20,664   16,504   76,577   64,000 
Income tax provision applicable to Adjusted Net Income(o) 38,155   18,961   105,268   93,540 
Adjusted EBITDA(p)$166,748  $129,613  $528,029  $506,249 
        
Net Revenues$310,239  $251,590  $1,049,288  $1,003,687 
Adjusted EBITDA Margin 53.7%  51.5%  50.3%  50.4%
Weighted average number of shares outstanding       
Basic 281,335   280,417   281,008   280,096 
Diluted 283,339   280,417   283,222   280,096 
Earnings (loss) per share       
Basic$0.14  $(1.14) $0.18  $(0.83)
Diluted 0.14   (1.14)  0.18   (0.83)
Adjusted earnings per share       
Basic$0.26  $0.25  $0.82  $0.96 
Diluted 0.26   0.25   0.81   0.96 

(a)  Represents share-based compensation expense to employees and non-employee directors.
(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 derivatives not designated as hedging instruments.
(c)  Represents (i) certain direct and incremental costs related to the acquisitions of RCA and BioSciences Labs and certain related integration efforts as a result of those acquisitions, (ii) the earnings impact of fair value adjustments (excluding those recognized within amortization expense) resulting from the businesses acquired, (iii) transition services income and non-cash deferred lease income associated with the terms of the divestiture of the Medical Isotopes business in 2018.
(d)  Represents professional fees, 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 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. The twelve months ended December 31, 2023 also includes a $1.0 million cancellation fee received from a tenant in connection with the termination of an office space lease at the Nordion facility.
(f)  Represents an impairment charge on an equity method investment in a joint venture.
(g)  Represents litigation and other professional fees associated with our EO sterilization facilities. This includes $8.8 million and $26.8 million, respectively, of interest expense, net for the three and twelve months ended December 31, 2023 associated with Term Loan B that was issued to finance the $408.0 million settlement of 880 pending and threatened EO claims against the Defendant Subsidiaries in Illinois under Settlement Agreements entered into on March 28, 2023.
(h)  Represents the cost to settle 79 pending EO claims against the Defendant Subsidiaries in Georgia under a Settlement Term Sheet entered into on December 21, 2023.
(i)  Represents the cost to settle 880 pending and threatened EO claims against the Defendant Subsidiaries in Illinois pursuant to Settlement Agreements entered into on March 28, 2023.
(j)  Represents non-cash accretion of asset retirement obligations related to Co-60 gamma and EO processing facilities, which are based on estimated site remediation costs for any future decommissioning of these facilities and are accreted over the life of the asset.
(k)  Represents non-recurring costs associated with the COVID-19 pandemic, including incremental costs to implement workplace health and safety measures.
(l)  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.
(m)  The three and twelve months ended December 31, 2023 excludes $8.8 million and $26.8 million, respectively, of interest expense, net on Term Loan B attributable to the loan proceeds that were used to fund the $408.0 million Illinois EO litigation settlement. The three and twelve months ended December 31, 2022 exclude a $7.8 million and $1.7 million net decrease, respectively, in the fair value of interest rate derivatives not designated as hedging instruments recorded to interest expense.
(n)  Includes depreciation of Co-60 held at gamma irradiation sites.
(o)  Represents the difference between the income tax provision/benefit as determined under U.S. GAAP and the income tax benefit associated with pre-tax adjustments described in footnote (l).
(p)  $24.4 million and $20.9 million of the adjustments for the three months ended December 31, 2023 and 2022, respectively, and $94.1 million and $83.6 million of the adjustments for the year ended December 31, 2023 and 2022, respectively, are included in cost of revenues, primarily consisting of amortization of intangible assets, depreciation, and accretion of asset retirement obligations.


 
Sotera Health Company
Non-GAAP Financial Measures
(in thousands, except Net Leverage)
(unaudited)
 
 Year Ended December 31,
  2023   2022 
Current portion of long-term debt$4,797  $197,119 
Long-term debt$2,223,674  $1,747,115 
Current portion of finance leases 8,771   1,722 
Finance leases less current portion 63,793   56,955 
Total Debt$2,301,035  $2,002,911 
    
Less: cash and cash equivalents (296,407)  (395,214)
Net Debt$2,004,628  $1,607,697 
    
Adjusted EBITDA$528,029  $506,249 
Net Leverage 3.8x   3.2x 

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