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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10-Q
(Mark One)
☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended March 31, 2025
OR
☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from ________ to ________
Commission File Number 001-36440
AVANOS MEDICAL, INC.
(Exact name of registrant as specified in its charter)
| | | | | | | | | | | | | | | | | | | | |
Delaware | | | | 46-4987888 |
(State or other jurisdiction of incorporation) | | | | (I.R.S. Employer Identification No.) |
| 5405 Windward Parkway | |
| Suite 100 South | |
| Alpharetta, | Georgia | 30004 | |
| (Address of principal executive offices) | (Zip code) | |
Registrant’s telephone number, including area code: (844) 428-2667
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 | AVNS | New York Stock Exchange |
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act. | | | | | | | | | | | | | | |
Large accelerated filer | ☒ | | Accelerated filer | ☐ |
Non-accelerated filer | ☐ | | Emerging growth company | ☐ |
Smaller reporting 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. ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).
Yes ☐ No ☒
As of April 29, 2025, there were 46,243,980 shares of the registrant’s common stock outstanding.
Table of Contents
Information Concerning Forward-Looking Statements
This Quarterly Report on Form 10-Q (this “Form 10-Q”) contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements are included throughout this Form 10-Q, including in the section entitled “Management’s Discussion and Analysis of Financial Condition and Results of Operations.” Forward-looking statements include all statements that do not relate solely to historical or current facts, and can generally be identified by the use of words such as “may,” “believe,” “will,” “expect,” “intend,” “predict,” “potential,” “project,” “estimate,” “anticipate,” “plan,” or “continue” and similar expressions, among others. The matters discussed in these forward-looking statements are based on the current plans and expectations of our management and are subject to certain risks and uncertainties that could cause actual results to differ materially from those projected, anticipated or implied in the forward-looking statements. These factors include, but are not limited to:
•general economic conditions, particularly in the United States;
•weakening of economic conditions that could adversely affect the level of demand for our products;
•pricing pressures generally, including cost-containment measures that could adversely affect the price of or demand for our products;
•fluctuations in global equity and fixed-income markets;
•our ability to successfully execute on or achieve the expected benefits of our restructuring initiative;
•supply chain issues and inflationary pressures;
•a resurgence of the COVID-19 pandemic;
•changes in the competitive environment;
•the loss of current customers or the inability to obtain new customers;
•cybersecurity threats, including breaches of or cyberattacks on our information systems;
•the ongoing regional conflicts between Russia and Ukraine and in the Middle East;
•concentration of our manufacturing operations in Mexico;
•financial conditions affecting the banking system and the potential threats to the solvency of commercial banks;
•litigation and enforcement actions;
•disruption in the supply of raw materials or the distribution of finished goods;
•price fluctuations in key commodities;
•the expected impact of tariffs and our ability to mitigate tariffs;
•new or increased tariffs;
•changes in, or revised interpretations of, import-export laws or international trade agreements;
•fluctuations in currency exchange rates;
•changes in governmental regulations that are applicable to our business;
•our ability to realize the intended benefits of our restructuring initiatives or our divestiture, acquisition or merger transactions;
•changes in asset valuations, including write-downs of assets such as inventory, accounts receivable or other assets for impairment or other reasons; and
•any other matters described in Item 1A - “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2024 (the “Form 10-K”) and Part II, Item 1A - “Risk Factors” in this Form 10-Q.
You are cautioned not to unduly rely on such forward-looking statements when evaluating the information in this Form 10-Q. Where, in any forward-looking statement, an expectation or belief as to future results or events is expressed, such expectation or belief is based on the current plans and expectations of our management and expressed in good faith, and is believed to have a reasonable basis. There can be no assurance that any such expectation or belief will be achieved or accomplished.
Any forward-looking statement made in this Form 10-Q speaks only as of the date of this report. Factors or events that could cause our actual results to differ may emerge from time to time, and it is not possible for us to predict all of them. We undertake no obligation to publicly update any forward-looking statement, whether as a result of new information, future developments or otherwise, except as may be required by applicable securities laws.
PART I – FINANCIAL INFORMATION
Item 1. Financial Statements
AVANOS MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED INCOME STATEMENTS
(in millions, except per share amounts)
(Unaudited)
| | | | | | | | | | | | | | | |
| | | Three Months Ended March 31, |
| | | | | 2025 | | 2024 |
Net Sales | | | | | $ | 167.5 | | | $ | 166.1 | |
Cost of products sold | | | | | 77.7 | | | 71.3 | |
Gross Profit | | | | | 89.8 | | | 94.8 | |
Research and development | | | | | 5.4 | | | 7.0 | |
Selling and general expenses | | | | | 75.7 | | | 83.6 | |
Other (income) expense, net | | | | | (1.6) | | | 0.2 | |
Operating Income | | | | | 10.3 | | | 4.0 | |
Interest income | | | | | 1.5 | | | 0.6 | |
Interest expense | | | | | (2.1) | | | (3.1) | |
Income Before Income Taxes | | | | | 9.7 | | | 1.5 | |
Income tax provision | | | | | (3.1) | | | (1.0) | |
Income from Continuing Operations | | | | | 6.6 | | | 0.5 | |
Loss from discontinued operations, net of tax | | | | | — | | | (1.4) | |
Net Income (Loss) | | | | | $ | 6.6 | | | $ | (0.9) | |
| | | | | | | |
Basic Earnings (Loss) Per Share | | | | | | | |
Continuing operations | | | | | $ | 0.14 | | | $ | 0.01 | |
Discontinued operations | | | | | — | | | (0.03) | |
Basic Earnings (Loss) Per Share | | | | | $ | 0.14 | | | $ | (0.02) | |
| | | | | | | |
Diluted Earnings (Loss) Per Share | | | | | | | |
Continuing operations | | | | | $ | 0.14 | | | $ | 0.01 | |
Discontinued operations | | | | | — | | | (0.03) | |
Diluted Earnings (Loss) Per Share | | | | | $ | 0.14 | | | $ | (0.02) | |
The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.
AVANOS MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(in millions)
(Unaudited)
| | | | | | | | | | | | | | | |
| | | Three Months Ended March 31, |
| | | | | 2025 | | 2024 |
Net Income (Loss) | | | | | $ | 6.6 | | | $ | (0.9) | |
Other Comprehensive Income (Loss), Net of Tax | | | | | | | |
Unrealized currency translation adjustments | | | | | 2.3 | | | (2.2) | |
Defined benefit plans | | | | | 0.1 | | | (0.3) | |
Cash flow hedges | | | | | (0.1) | | | — | |
Total Other Comprehensive Income (Loss), Net of Tax | | | | | 2.3 | | | (2.5) | |
Comprehensive Income (Loss) | | | | | $ | 8.9 | | | $ | (3.4) | |
The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.
AVANOS MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(in millions, except share data)
(Unaudited) | | | | | | | | | | | |
| March 31, 2025 | | December 31, 2024 |
ASSETS | | | |
Current Assets | | | |
Cash and cash equivalents | $ | 97.0 | | | $ | 107.7 | |
Accounts receivable, net of allowances | 104.8 | | | 132.8 | |
Inventories | 138.1 | | | 138.8 | |
Prepaid and other current assets | 12.5 | | | 14.1 | |
Total Current Assets | 352.4 | | | 393.4 | |
Property, Plant and Equipment, net | 109.8 | | | 110.7 | |
Operating Lease Right-of-Use Assets | 32.1 | | | 34.1 | |
Goodwill | 455.9 | | | 455.6 | |
Other Intangible Assets, net | 107.2 | | | 112.3 | |
Deferred Tax Assets | 25.0 | | | 24.9 | |
Other Assets | 25.4 | | | 23.2 | |
TOTAL ASSETS | $ | 1,107.8 | | | $ | 1,154.2 | |
LIABILITIES AND STOCKHOLDERS’ EQUITY | | | |
Current Liabilities | | | |
Current portion of long-term debt | $ | 9.4 | | | $ | 9.4 | |
Current portion of operating lease liabilities | 10.4 | | | 10.9 | |
Trade accounts payable | 46.0 | | | 54.3 | |
Accrued expenses | 71.4 | | | 91.3 | |
Total Current Liabilities | 137.2 | | | 165.9 | |
Long-Term Debt | 98.0 | | | 125.3 | |
Operating Lease Liabilities | 23.1 | | | 24.6 | |
Deferred Tax Liabilities | 5.6 | | | 5.5 | |
Other Long-Term Liabilities | 4.5 | | | 4.4 | |
Total Liabilities | 268.4 | | | 325.7 | |
| | | |
Commitments and Contingencies | | | |
| | | |
Stockholders’ Equity | | | |
Preferred stock - $0.01 par value - authorized 20,000,000 shares, none issued | — | | | — | |
Common stock - $0.01 par value - authorized 300,000,000 shares, 46,236,444 outstanding as of March 31, 2025 and 45,962,627 outstanding as of December 31, 2024 | 0.5 | | | 0.5 | |
Additional paid-in capital | 1,682.8 | | | 1,678.6 | |
Accumulated deficit | (700.4) | | | (707.0) | |
Treasury stock | (101.2) | | | (99.0) | |
Accumulated other comprehensive loss | (42.3) | | | (44.6) | |
Total Stockholders’ Equity | 839.4 | | | 828.5 | |
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY | $ | 1,107.8 | | | $ | 1,154.2 | |
The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.
AVANOS MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENT OF STOCKHOLDERS’ EQUITY
(in millions)
(Unaudited)
| | | | | | | | | | | | | | | |
| | | Three Months Ended March 31, |
| | | | | 2025 | | 2024 |
Common Stock | | | | | $ | 0.5 | | | $ | 0.5 | |
Additional Paid-in Capital, beginning of period | | | | | 1,678.6 | | | 1,663.6 | |
Exercise or redemption of share-based awards | | | | | 0.4 | | | 0.5 | |
Stock-based compensation expense | | | | | 3.8 | | | 3.6 | |
Additional Paid-in Capital, end of period | | | | | 1,682.8 | | | 1,667.7 | |
Accumulated Deficit, beginning of period | | | | | (707.0) | | | (314.9) | |
Net income (loss) | | | | | 6.6 | | | (0.9) | |
Accumulated Deficit, end of period | | | | | (700.4) | | | (315.8) | |
Treasury Stock, beginning of period | | | | | (99.0) | | | (85.9) | |
Purchases of treasury stock | | | | | (2.2) | | | (9.1) | |
Treasury Stock, end of period | | | | | (101.2) | | | (95.0) | |
Accumulated Other Comprehensive Loss, beginning of period | | | | | (44.6) | | | (27.0) | |
Other comprehensive income (loss), net of tax | | | | | 2.3 | | | (2.5) | |
Accumulated Other Comprehensive Loss, end of period | | | | | (42.3) | | | (29.5) | |
Total Stockholders’ Equity, end of period | | | | | $ | 839.4 | | | $ | 1,227.9 | |
The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.
AVANOS MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED CASH FLOW STATEMENTS
(in millions)
(Unaudited)
| | | | | | | | | | | |
| Three Months Ended March 31, |
| 2025 | | 2024 |
Operating Activities | | | |
Net income (loss) | $ | 6.6 | | | $ | (0.9) | |
Depreciation and amortization | 9.6 | | | 11.4 | |
Stock-based compensation expense | 3.8 | | | 3.6 | |
| | | |
Net loss on asset dispositions and impairments | 0.2 | | | 0.3 | |
Changes in operating assets and liabilities, net of acquisition: | | | |
Accounts receivable | 25.1 | | | 8.2 | |
Inventories | 1.2 | | | (4.7) | |
Prepaid expenses and other assets | 0.3 | | | (0.2) | |
Accounts payable | (6.4) | | | 2.3 | |
Accrued expenses | (14.8) | | | (27.6) | |
Deferred income taxes and other | 0.1 | | | (0.4) | |
Cash Provided by (Used in) Operating Activities | 25.7 | | | (8.0) | |
Investing Activities | | | |
Capital expenditures | (6.7) | | | (4.1) | |
Proceeds from RH Divestiture post-closing settlement | — | | | 2.1 | |
| | | |
Investments in Non-affiliates | (2.4) | | | — | |
Cash Used in Investing Activities | (9.1) | | | (2.0) | |
Financing Activities | | | |
| | | |
Secured debt repayments | (2.3) | | | (1.6) | |
Revolving credit facility proceeds | — | | | 20.0 | |
Revolving credit facility repayments | (25.0) | | | (10.0) | |
Purchases of treasury stock | (2.2) | | | (9.1) | |
| | | |
Proceeds from the exercise of stock options | 0.4 | | | 0.5 | |
Payment of contingent consideration liabilities | — | | | (0.5) | |
Cash Used in Financing Activities | (29.1) | | | (0.7) | |
Effect of Exchange Rate Changes on Cash and Cash Equivalents | 1.8 | | | (1.2) | |
Decrease in Cash and Cash Equivalents | (10.7) | | | (11.9) | |
Cash and Cash Equivalents - Beginning of Period | 107.7 | | | 87.7 | |
Cash and Cash Equivalents - End of Period | $ | 97.0 | | | $ | 75.8 | |
The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.
AVANOS MEDICAL, INC. AND SUBSIDIARIES
NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Note 1. Accounting Policies
Background and Basis of Presentation
Avanos Medical, Inc. is a medical technology company focused on delivering clinically superior medical device solutions that will help patients get back to the things that matter. Headquartered in Alpharetta, Georgia, we are committed to addressing some of today’s most important healthcare needs, including providing a vital lifeline for nutrition to patients from hospital to home, and reducing the use of opioids while helping patients move from surgery to recovery. We develop, manufacture and market our recognized brands globally and hold leading market positions in multiple categories across our portfolio. References herein to “Avanos,” “the Company,” “we,” “our” and “us” refer to Avanos Medical, Inc. and its consolidated subsidiaries.
Interim Financial Statements
We prepared the accompanying unaudited condensed consolidated financial statements in accordance with accounting principles generally accepted in the United States (“GAAP”) for interim financial information and the instructions to the Quarterly Report on Form 10-Q and Rule 10-01 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements, and the condensed consolidated financial statements in this Form 10-Q should be read in conjunction with the Form 10-K. Our unaudited interim condensed consolidated financial statements contain all necessary material adjustments, which are of a normal and recurring nature, to fairly state our financial condition, results of operations and cash flows for the periods presented.
Use of Estimates
Preparation of our condensed consolidated financial statements in accordance with GAAP requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities at the date of the financial statements and the reported amounts of net sales and expenses during the reporting periods. Estimates are used in accounting for, among other things, certain amounts included in discontinued operations, certain amounts included in assets and liabilities held for sale, distributor rebate accruals, future cash flows associated with impairment testing for goodwill and long-lived assets, loss contingencies, and deferred tax assets and potential income tax assessments. Actual results could differ from these estimates, and the effect of any change could be material to our financial statements. Changes in these estimates are recorded when known.
Segment Reporting
We follow the guidance in Accounting Standards Codification (“ASC”) Topic 280, Segment Reporting as amended by Accounting Standards Update (“ASU”) No. 2023-07, Segment Reporting: Improvements to Reportable Segment Disclosures. We define our reportable segments based on the way our Chief Operating Decision Maker (“CODM”) manages the operations of the business for purposes of allocating resources and assessing performance. Reportable segments are determined based on revenue, profit or loss and assets tests. We disclose segment revenue, operating income/loss and significant segment expenses for each reportable segment, which is consistent with our internal management reporting to the CODM.
Goodwill
We test goodwill for impairment annually or more frequently whenever events or circumstances more likely than not indicate that the fair value of the reporting unit may be below its carrying value. We operate as two operating and reportable segments. The fair values of our reporting units are estimated using a combination of income (discounted cash flow analysis) and market approaches. The income approach is dependent upon several assumptions regarding future periods such as sales growth and a terminal growth rate. A weighted average cost of capital (“WACC”) was used to discount future estimated cash flows to their present values. The WACC was based on externally observable data considering market participants’ cost of equity and debt, optimal capital structure and risk factors specific to us.
In conjunction with several changes in the organization of the Company and our shift from one reportable segment to two, we performed an interim goodwill impairment test as of January 1, 2025, and determined that the fair values of our reporting units exceeded the net carrying amounts. However, there can be no assurance that the assumptions and estimates made for purposes of the annual goodwill impairment test will prove to be accurate. Volatility in the equity and debt markets, or increases in interest rates, could result in a higher discount rate. Changes in sales volumes, selling prices and costs of goods sold, the effect of new or higher tariffs or increases in interest rates could cause changes in our forecasted cash flows. Unfavorable changes in any of the factors described above, as well as a decline in our stock price, could result in a goodwill impairment charge in the future.
Hedging and Derivatives
All derivative instruments are recorded as assets or liabilities on the balance sheet at fair value. Changes in the fair value of
derivatives are either recorded in the income statement or other comprehensive income, as appropriate. The effective portion of
the gain or loss on derivatives designated as cash flow hedges is included in other comprehensive income in the period that
changes in fair value occur, and is reclassified to income in the same period that the hedged item affects income. Our policies allow the use of derivatives for risk management purposes and prohibit their use for speculation. Our policies also prohibit the use of any leveraged derivative instrument. Consistent with our policies, foreign currency derivative instruments are entered into with major financial institutions. At inception, we formally designate certain derivatives as cash flow hedges and establish how the effectiveness of these hedges will be assessed and measured. This process links the derivatives to the transactions they are hedging. See Note 11, “Derivative Financial Instruments,” for disclosures about derivative instruments and hedging activities.
Recently Adopted Accounting Pronouncements
Effective January 1, 2025, we adopted ASU No. 2023-05, Business Combinations: Joint Venture Formations. This ASU is intended to address diversity in practice regarding accounting and provide decision-useful information related to contributions made to joint ventures and requires entities that qualify as either a joint venture or a corporate joint venture to apply a new basis of accounting upon the formation of the joint venture. Specifically, the ASU provides that a joint venture or a corporate joint venture must initially measure its assets and liabilities at fair value on the formation date. Adoption of this ASU did not have a material effect on our financial position, results of operations or cash flows.
Effective in the fourth quarter of 2024, we adopted ASU No. 2023-07, Segment Reporting: Improvements to Reportable Segment Disclosures. This ASU enhances segment reporting under Topic 280 by expanding the breadth and frequency of segment disclosures, and aims to improve reportable segment disclosure requirements, primarily through enhanced disclosures about significant segment expenses that are regularly provided to the Chief Operating Decision Maker (CODM) and included in each reported measure of segment profit or loss. In addition, the amendments enhance interim disclosure requirements, clarify circumstances in which an entity can disclose multiple segment measures of profit or loss, provide new segment disclosure requirements for entities with a single reportable segment, and contain other disclosure requirements. On an annual basis, this ASU requires us to disclose the CODM’s title and position, as well as how the CODM uses each reported measure of segment profit or loss to assess performance and allocate resources to the segment. In accordance with this ASU, we have applied this guidance retrospectively for all periods presented in the financial statements in Note 2., “Segment Information”. Adoption of this ASU did not have a material effect on our financial position, results of operations or cash flows.
Recently Issued Accounting Pronouncements
In November 2024, the FASB issued ASU No. 2024-03, Disaggregation of Income Statement Expenses. This ASU requires disaggregated disclosure of income statement expenses for public business entities (PBEs) to address investor requests for more detailed information about the types of expenses in commonly presented expense captions. This ASU will require new tabular disclosures for the following expenses: (1) purchases of inventory, (2) employee compensation, (3) depreciation, (4) intangible asset amortization, and (5) depletion. Additionally, certain other expenses and gains or losses that must be disclosed under existing U.S. GAAP, and that are recorded in a relevant expense caption, must be presented in the same tabular disclosure. This ASU will be effective for annual periods beginning after December 15, 2026, with early adoption permitted. Adoption of this ASU is not expected to have a material effect on our financial position, results of operations or cash flows.
Note 2. Segment Information
We define our reportable segments based on the way our CODM manages the operations of the business for purposes of allocating resources and assessing performance. During the first quarter of 2025, our CODM began managing the business at a disaggregated level beyond our previously defined medical devices segment. Accordingly, we conduct our business in two operating and reportable segments. Prior year amounts have been reclassified to conform with the current year presentation. Our reportable segments include the following:
Specialty Nutrition Systems (“SNS”) is a portfolio of products including:
•Enteral feeding, which includes products such as our MIC-KEY enteral feeding tubes and Corpak patient feeding solutions; and
•Neonate solutions feeding products comprised of our NeoMed neonatal and pediatric feeding solutions.
Pain Management and Recovery (“PM&R”) is a portfolio of products including:
•Surgical pain and recovery products such as ON-Q and ambIT surgical pain pumps and Game Ready cold and compression therapy systems; and
•Radiofrequency Ablation (“RFA”) solutions, which provide minimally invasive pain relief therapies, such as our COOLIEF, Trident and ESSENTEC RFA products used to treat chronic pain conditions.
The CODM evaluates the performance of our two reportable segments and determines how to allocate resources based on Operating Income (Loss), and is regularly provided with segment revenues and expenses. The CODM receives and reviews total assets as presented in the Consolidated Balance Sheets, and does not evaluate asset information at the segment level. The significant expenses included in Operating Income, as regularly provided to the CODM, are as follows (in millions):
| | | | | | | | | | | | | | | | | |
| Three Months Ended March 31, 2025 |
| SNS | | PM&R | | Total |
Net Sales | $ | 101.1 | | | $ | 56.3 | | | $ | 157.4 | |
Reconciliation of consolidated net sales: | | | | | |
Corporate and other(a) | | | | | 10.1 | |
Total consolidated net sales | | | | | $ | 167.5 | |
Cost of goods sold | (35.2) | | | (20.7) | | | |
Distribution | (6.3) | | | (2.7) | | | |
Research and development expenses | (4.1) | | | (1.1) | | | |
Advertising, promotion and selling expenses | (11.8) | | | (14.9) | | | |
General expenses | (17.5) | | | (12.7) | | | |
Depreciation and amortization expense | (5.0) | | | (3.9) | | | |
Other segment items | (0.1) | | | (0.1) | | | |
Reportable segment operating income (loss) | $ | 21.1 | | | $ | 0.2 | | | $ | 21.3 | |
Corporate and other | | | | | (11.0) | |
Interest expense, net | | | | | (0.6) | |
Income before income taxes | | | | | $ | 9.7 | |
| | | | | | | | | | | | | | | | | | | | | | | | |
| | | | |
| | | Three Months Ended March 31, 2024 | |
| | | | | | | SNS | | PM&R | | Total | |
Net Sales | | | | | | | $ | 94.6 | | | $ | 56.3 | | | $ | 150.9 | | |
Reconciliation of consolidated net sales: | | | | | | | | | | | | |
Corporate and other(a) | | | | | | | | | | | 15.2 | | |
Total consolidated net sales | | | | | | | | | | | $ | 166.1 | | |
Cost of goods sold | | | | | | | (31.2) | | | (20.3) | | | | |
Distribution | | | | | | | (7.3) | | | (2.4) | | | | |
Research and development expenses | | | | | | | (4.2) | | | (2.0) | | | | |
Advertising, promotion and selling expenses | | | | | | | (17.0) | | | (19.7) | | | | |
General expenses | | | | | | | (15.3) | | | (10.6) | | | | |
Depreciation and amortization expense | | | | | | | (4.2) | | | (3.4) | | | | |
| | | | | | | | | | | | |
Reportable segment operating income (loss) | | | | | | | $ | 15.4 | | | $ | (2.1) | | | $ | 13.3 | | |
Corporate and other | | | | | | | | | | | (9.3) | | |
Interest expense, net | | | | | | | | | | | (2.5) | | |
Income from continuing operations before income taxes | | | | | | | | | | | $ | 1.5 | | |
__________________________________________________
(a) Corporate and Other net sales includes revenue from our Hyaluronic Acid (“HA”) injections and our IV infusion oncology pumps.
Note 3. Restructuring Activities
Post-RH Divestiture Restructuring Plan
During 2024, following the RH Divestiture described in Note 5, “Discontinued Operations,” we initiated a restructuring plan (the “Plan”). The Plan is intended to align our organizational structure, distribution, manufacturing and operational footprint with our remaining business. During the first quarter of 2025 the scope of the plan was expanded to accommodate incremental costs expected for optimization of our manufacturing and operational footprint, and may be expanded further in the second quarter of 2025 for other initiatives that have not been finalized. We expect the Plan, regardless of final scope, will be substantially complete by the end of 2025 and, under the current scope, expect to incur up to $16.0 million of cash expenses in connection with the Plan, primarily for employee termination benefits and incremental temporary labor costs. In the three months ended March 31, 2025, we incurred $3.1 million of costs related to the Plan, compared to $0.7 million in the three months ended March 31, 2024. These costs are included in “Cost of products sold” and “Selling and general expenses” in the accompanying condensed consolidated income statements. Since its initiation, we have incurred expenses of $12.0 million in connection with the Plan, including $11.6 million of cash expenses.
Transformation Process
In January 2023, we initiated a three-year restructuring initiative intended to align the Company under a single commercial organization, rationalize our product portfolio, undertake additional cost management activities to enhance the Company’s operating profitability and pursue efficient capital allocation strategies (the “Transformation Process”). The RH Divestiture represented a key component of the three-year Transformation Process. The Transformation Process was complete at the end of 2024.
In the three months ended March 31, 2024, we incurred expenses of $2.9 million in connection with the Transformation Process, primarily related to employee severance and benefits costs. These costs are included in “Cost of products sold” and “Selling and general expenses” in the accompanying condensed consolidated income statements. Since its initiation, we incurred expenses of $27.4 million in connection with the Transformation Process, including $28.7 million of cash expenses.
Restructuring Liability
Our liability for costs associated with our restructuring initiatives as of March 31, 2025 is summarized below (in millions):
| | | | | |
| Restructuring Liability |
Balance, December 31, 2024 | $ | 3.8 | |
Restructuring and transformation costs, excluding non-cash charges | 2.6 | |
Payments and adjustments, net | (4.5) | |
Balance, March 31, 2025 | $ | 1.9 | |
Note 4. Supplemental Balance Sheet Information
Accounts Receivable
Accounts receivable consist of the following (in millions): | | | | | | | | | | | |
| March 31, 2025 | | December 31, 2024 |
Accounts receivable | $ | 109.9 | | | $ | 133.6 | |
Income tax receivable | 0.4 | | | 4.9 | |
Allowances and doubtful accounts: | | | |
Doubtful accounts | (4.9) | | | (4.9) | |
Sales discounts | (0.6) | | | (0.8) | |
Total Accounts receivable, net of allowances | $ | 104.8 | | | $ | 132.8 | |
Losses on receivables are estimated based on known troubled accounts and historical experience. Receivables are considered impaired and written off when it is probable that payments due will not be collected. Bad debt expense was $0.1 million for the three months ended March 31, 2025, compared to $0.1 million for the three months ended March 31, 2024.
Inventories
Inventories at the lower of cost (determined on the FIFO method) or net realizable value consists of the following (in millions): | | | | | | | | | | | | | | | |
| March 31, 2025 | | | | | | December 31, 2024 |
Raw materials | $ | 37.4 | | | | | | | $ | 36.5 | |
Work in process | 22.7 | | | | | | 21.1 |
Finished goods | 74.8 | | | | | | 78.3 |
Supplies and other | 3.2 | | | | | | 2.9 |
| | | | | | | |
Total Inventories | $ | 138.1 | | | | | | | $ | 138.8 | |
We incurred $1.7 million of expense for inventory write-offs and obsolescence in the three months ended March 31, 2025, compared to $1.5 million in the three months ended March 31, 2024.
Property, Plant and Equipment
Property, plant and equipment consists of the following (in millions): | | | | | | | | | | | |
| March 31, 2025 | | December 31, 2024 |
Land | $ | 1.2 | | | $ | 1.1 | |
Buildings and leasehold improvements | 40.6 | | | 40.6 | |
Machinery and equipment | 188.6 | | | 186.3 | |
Construction in progress | 19.9 | | | 21.4 | |
| 250.3 | | | 249.4 | |
Less accumulated depreciation | (140.5) | | | (138.7) | |
Total Property, Plant and Equipment, net | $ | 109.8 | | | $ | 110.7 | |
Depreciation expense was $4.5 million for the three months ended March 31, 2025, compared to $5.3 million for the three months ended March 31, 2024.
Goodwill and Intangible Assets
The changes in the carrying amount of goodwill are as follows (in millions): | | | | | | | | | | | | | | | | | |
| SNS | | PM&R | | Total |
Balance, December 31, 2024 | $ | 327.6 | | | $ | 128.0 | | | $ | 455.6 | |
Currency translation adjustment | — | | | 0.3 | | | 0.3 | |
Balance, March 31, 2025 | $ | 327.6 | | | $ | 128.3 | | | $ | 455.9 | |
Intangible assets subject to amortization consist of the following (in millions):
| | | | | | | | | | | | | | | | | | | | | | | |
| March 31, 2025 |
| Gross Carrying Amount | | Accumulated Amortization | | Accumulated Impairment | | Net Carrying Amount |
Trademarks | $ | 40.1 | | | $ | (29.9) | | | $ | (0.9) | | | 9.3 | |
Patents and acquired technologies | 248.3 | | | (83.8) | | | (99.3) | | | 65.2 | |
Other | 79.4 | | | (46.7) | | | — | | | 32.7 | |
Total | $ | 367.8 | | | $ | (160.4) | | | $ | (100.2) | | | $ | 107.2 | |
| | | | | | | |
| | | | | | | |
| December 31, 2024 |
| Gross Carrying Amount | | Accumulated Amortization | | Accumulated Impairment | | Net Carrying Amount |
Trademarks | $ | 40.1 | | | $ | (28.7) | | | (0.9) | | | 10.5 | |
Patents and acquired technologies | 248.3 | | | (82.3) | | | (99.3) | | | 66.7 | |
Other | 79.1 | | | (44.0) | | | — | | | 35.1 | |
Total | $ | 367.5 | | | $ | (155.0) | | | $ | (100.2) | | | 112.3 | |
| | | | | | | |
Amortization expense for intangible assets is included in “Cost of products sold” and “Selling and general expenses” and was $5.1 million for the three months ended March 31, 2025, compared to $6.1 million for the three months ended March 31, 2024.
Amortization expense for the remainder of 2025, the following four years and thereafter is estimated as follows (in millions):
| | | | | | | | |
| | Amount |
Remainder of 2025 | | $ | 20.5 | |
2026 | | 14.3 | |
2027 | | 14.1 | |
2028 | | 11.4 | |
2029 | | 10.3 | |
Thereafter | | 36.6 | |
Total | | $ | 107.2 | |
Accrued Expenses
Accrued expenses consist of the following (in millions): | | | | | | | | | | | |
| March 31, 2025 | | December 31, 2024 |
Accrued rebates and customer incentives | $ | 22.1 | | | $ | 24.2 | |
Accrued salaries and wages | 19.7 | | | 32.1 | |
Accrued taxes and other | 16.5 | | | 18.0 | |
Other | 13.1 | | | 17.0 | |
Total Accrued Expenses | $ | 71.4 | | | $ | 91.3 | |
Other Long-Term Liabilities
Other long-term liabilities consist of the following (in millions): | | | | | | | | | | | |
| March 31, 2025 | | December 31, 2024 |
| | | |
Accrued compensation and benefits | $ | 4.3 | | | $ | 4.2 | |
Other | 0.2 | | | 0.2 | |
Total Other Long-Term Liabilities | $ | 4.5 | | | $ | 4.4 | |
Note 5. Discontinued Operations
On October 2, 2023 (the “Initial Closing”), we closed the sale of our Respiratory Health (“RH”) business to SunMed Group Holdings, LLC (“Buyer”) (the “RH Divestiture”). The purchase price for our RH business was $110 million in cash, subject to certain adjustments based on the indebtedness and inventory transferred to Buyer at the closing and the chargebacks assumed by Buyer but that would otherwise have been payable by the Company and its subsidiaries on or after October 2, 2023 to distributors of the Company’s RH products located in the United States.
Pursuant to an agreement under which we provided certain manufacturing services to Buyer, certain manufacturing facilities and equipment did not transfer to Buyer upon the Initial Closing and remained in “Assets Held for Sale”, with a corresponding liability representing our obligation to transfer the relevant manufacturing facilities and equipment to Buyer until the final conveyance. Similarly, the results of operations from those manufacturing operations were classified as “(Loss) income from discontinued operations, net of tax.” Our obligation to manufacture products on behalf of Buyer terminated and the related manufacturing assets were transferred to Buyer and the corresponding liability was extinguished on October 1, 2024.
In conjunction with the RH Divestiture, we and Buyer entered into various transition services agreements pursuant to which we, Buyer and each company’s respective affiliates provide to each other various transitional services, including, but not limited to, product manufacturing and distribution, facilities, order fulfillment, invoicing, quality assurance, regulatory support, audit support and other services. The remaining limited support services being performed will terminate no later than three years following the closing.
The following table summarizes the financial results of our discontinued operations for the three months ended March 31, 2024 (no activity subsequent to October 1, 2024) (in millions):
| | | | | | | | | | | |
| | | | | Three Months Ended March 31, |
| | | | | | | 2024 |
Net Sales | | | | | | | $ | 16.9 | |
Cost of products sold | | | | | | | 15.9 | |
Gross Profit | | | | | | | 1.0 | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
Other expense, net | | | | | | | 2.9 | |
(Loss) Income from discontinued operations before income taxes | | | | | | | (1.9) | |
Income tax benefit from discontinued operations | | | | | | | 0.5 | |
Net Loss from discontinued operations, net of tax | | | | | | | $ | (1.4) | |
| | | | | | | |
Loss Per Share | | | | | | | |
Basic | | | | | | | $ | (0.03) | |
Diluted | | | | | | | $ | (0.03) | |
In accordance with GAAP, only expenses specifically identifiable and related to a business to be disposed may be allocated to discontinued operations. Accordingly, the cost of products sold, research and development, selling and general expenses and other expense, net in discontinued operations include expenses incurred directly to solely support our respiratory health business.
The following table provides operating and investing cash flow information for our discontinued operations for the three months ended March 31, 2024 (in millions): | | | | | | | |
| | | Three Months Ended March 31, |
| | | 2024 |
Operating Activities: | | | |
Depreciation and amortization | | | $ | — | |
Stock-based compensation expense | | | — | |
Investing Activities: | | | |
Capital expenditures | | | 0.4 | |
Note 6. Fair Value Information
The following fair value information is based on a fair value hierarchy that prioritizes the inputs to valuation techniques used to measure fair value. The three levels in the hierarchy used to measure fair value are:
Level 1: Unadjusted quoted prices in active markets accessible at the reporting date for identical assets and liabilities.
Level 2: Quoted prices for similar assets or liabilities in active markets. Quoted prices for identical or similar assets and liabilities in markets that are not considered active or financial instruments for which all significant inputs are observable, either directly or indirectly.
Level 3: Prices or valuations that require inputs that are significant to the valuation and are unobservable.
A financial instrument’s level within the fair value hierarchy is based on the lowest level of any input that is significant to the fair value measurement. The following table includes the fair value of our financial instruments for which disclosure of fair
value is required (in millions): | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | March 31, 2025 | | December 31, 2024 |
| Fair Value Hierarchy Level | | Carrying Amount | | Estimated Fair Value | | Carrying Amount | | Estimated Fair Value |
Assets | | | | | | | | | |
Cash and cash equivalents | 1 | | $ | 97.0 | | | $ | 97.0 | | | $ | 107.7 | | | $ | 107.7 | |
Liabilities | | | | | | | | | |
Revolving Credit Facility | 2 | | $ | — | | | $ | — | | | $ | 25.0 | | | $ | 25.0 | |
Term Loan Facility | 2 | | 107.4 | | | 107.4 | | | 109.7 | | | 109.7 | |
| | | | | | | | | |
Cash equivalents are recorded at cost, which approximates fair value due to their short-term nature. The fair value of amounts borrowed under our Revolving Credit Facility and Term Loan Facility approximates carrying value because borrowings are subject to a variable rate as described in Note 7, “Debt”.
Note 7. Debt
As of March 31, 2025 and December 31, 2024, our respective debt balances were as follows (in millions): | | | | | | | | | | | | | | | | | | | | | | | |
| Weighted-Average Interest Rate | | Maturity | | March 31, 2025 | | December 31, 2024 |
Revolving Credit Facility | 5.94 | % | | 2027 | | $ | — | | | $ | 25.0 | |
Term Loan Facility | 5.92 | % | | 2027 | | 107.8 | | | 110.2 | |
| | | | | 107.8 | | | 135.2 | |
Unamortized debt issuance costs | | | | | (0.4) | | | (0.5) | |
Current portion of long-term debt | | | | | (9.4) | | | (9.4) | |
Total Long-Term Debt, net | | | | | $ | 98.0 | | | $ | 125.3 | |
On June 24, 2022, we entered into a credit agreement (the “Credit Agreement”) with certain lenders which established credit facilities in an aggregate principal amount of $500.0 million, consisting of a five-year senior secured term loan of $125.0 million (the “Term Loan Facility”) and a five-year senior secured revolving credit facility allowing borrowings of up to $375.0 million, with a letter of credit sub-facility in an amount of $75.0 million (the “Revolving Credit Facility”). All obligations under the Credit Agreement and certain hedging agreements and cash management arrangements thereunder are: (i) guaranteed by each of the Company’s direct and indirect, existing and future, material wholly owned domestic subsidiaries (“Guarantors”) and (ii) secured by a first priority lien on substantially all the assets of the Company and the Guarantors. The Credit Agreement contains an accordion feature that allows us to incur incremental term loans under the Term Loan Facility or under new term loan facilities or to increase the amount of the commitments under the Revolving Credit Facility, including through the establishment of one or more tranches under the Revolving Credit Facility. The Credit Agreement will mature on June 24, 2027.
Borrowings under the Term Loan Facility and Revolving Credit Facility bear interest at our option at either: (i) an adjusted term secured overnight financing rate (“SOFR”), plus a margin ranging between 1.50% to 2.00% per annum, depending on our consolidated total leverage ratio; (ii) an adjusted daily simple SOFR rate, plus a margin ranging between 1.50% to 2.00% per annum, depending on our consolidated total leverage ratio; or (iii) a base rate (calculated as the greatest of (a) the prime rate, (b) the NYFRB rate (being the greater of the federal funds effective rate or the overnight bank funding rate) plus 0.50%, and (c) the one month adjusted term SOFR rate plus 1.00%), plus a margin ranging between 0.50% to 1.00% per annum, depending on our consolidated total leverage ratio. The unused portion of the Revolving Credit Facility will be subject to a commitment fee ranging between 0.20% to 0.25% per annum, depending on our consolidated total leverage ratio. Unamortized debt discount and issuance costs are being amortized to interest expense over the life of the Term Loan Facility using the interest method, resulting in an effective interest rate of 6.0% as of March 31, 2025.
The Credit Agreement requires compliance with certain customary operational and financial covenants. As of March 31, 2025, we were in compliance with these covenants. In addition, the Credit Agreement contains certain other customary limitations on our ability to, among other things: incur additional indebtedness; pay dividends on or repurchase or redeem our capital stock; make loans, investments and acquisitions; sell, transfer or otherwise dispose of assets; guarantee other obligations; create or grant liens; and enter into certain types of transactions with affiliates. Notwithstanding such limitations, the Credit Agreement allows us to pay dividends, repurchase stock and make investments up to an “Available Amount,” as defined in the Credit Agreement, provided no event of default has occurred and certain financial ratios have been achieved on a pro forma basis. We
are permitted to prepay all or a portion of the Term Loan Facility and the Revolving Credit Facility at any time without premium or penalty.
Debt Payments
The Credit Agreement requires quarterly principal installment payments on the Term Loan Facility of 10% of the total principal borrowed for the first eight quarters following funding and then quarterly installment payments of 20% of the total principal borrowed, at which time the remaining unpaid principal amount of the Term Loan Facility is due and payable by the Company upon the maturity date of June 24, 2027. The current portion of the Term Loan Facility is $9.4 million. Interest is payable quarterly. We have the right to voluntarily prepay the Term Loan Facility in accordance with the terms of the Credit Agreement. Interest is payable at the same rates set forth above for the Revolving Credit Facility.
During the three months ended March 31, 2025, we repaid $2.3 million of the Term Loan Facility. During the three months ended March 31, 2025, we repaid $25.0 million of the Revolving Credit Facility. As of March 31, 2025, we had letters of credit outstanding of $4.0 million.
As of March 31, 2025, the aggregate amounts of long-term debt that will mature during each of the next four years are as follows (in millions):
| | | | | | | | |
| | Amount |
Remainder of 2025 | | $ | 7.0 | |
2026 | | 10.2 | |
2027 | | 90.6 | |
2028 | | — | |
2029 | | — | |
Total | | $ | 107.8 | |
Note 8. Accumulated Other Comprehensive Loss
The changes in the components of Accumulated Other Comprehensive Loss (“AOCL”), net of tax, are as follows (in millions):
| | | | | | | | | | | | | | | | | | | | | | | |
| Unrealized Currency Translation | | Cash Flow Hedges | | Defined Benefit Plans | | Accumulated Other Comprehensive Loss |
Balance, December 31, 2024 | $ | (44.9) | | | $ | — | | | $ | 0.3 | | | $ | (44.6) | |
Other comprehensive income | 2.3 | | | (0.1) | | | 0.1 | | | 2.3 | |
Balance, March 31, 2025 | $ | (42.6) | | | $ | (0.1) | | | $ | 0.4 | | | $ | (42.3) | |
The net changes in the components of AOCL, including the tax effect, are as follows (in millions):
| | | | | | | | | | | | | | | |
| | | Three Months Ended March 31, |
| | | | | 2025 | | 2024 |
Unrealized currency translation | | | | | $ | 2.3 | | | $ | (2.2) | |
Defined benefit pension plans | | | | | 0.1 | | | (0.3) | |
| | | | | | | |
Defined benefit pension plans, net of tax | | | | | 0.1 | | | (0.3) | |
Cash flow hedges | | | | | (0.1) | | | — | |
| | | | | | | |
Cash flow hedges, net of tax | | | | | (0.1) | | | — | |
Change in AOCL | | | | | $ | 2.3 | | | $ | (2.5) | |
Note 9. Stock-Based Compensation
Stock-based compensation expense is included in “Cost of products sold,” “Research and development,” and “Sales and general expenses.” Stock-based compensation expense for the three months ended March 31, 2025 and 2024 is shown in the table below (in millions):
| | | | | | | | | | | | | | | |
| | | Three Months Ended March 31, |
| | | | | 2025 | | 2024 |
Stock options | | | | | $ | — | | | $ | — | |
Time-based restricted share units | | | | | 3.1 | | | 2.5 | |
Performance-based restricted share units | | | | | 0.7 | | | 1.0 | |
Employee stock purchase plan | | | | | — | | | 0.1 | |
Total stock-based compensation | | | | | $ | 3.8 | | | $ | 3.6 | |
Note 10. Commitments and Contingencies
Legal Matters
We are subject to various legal proceedings, claims and governmental inspections, audits or investigations pertaining to issues such as contract disputes, product liability, tax matters, patents and trademarks, advertising, governmental regulations, employment and other matters. Under the terms of the distribution agreement we entered into with Kimberly-Clark Corporation (“Kimberly-Clark”) prior to our 2014 spin-off from Kimberly-Clark, legal proceedings, claims and other liabilities that are primarily related to our business are our responsibility and we are obligated to indemnify and hold Kimberly-Clark harmless for such matters. For the three months ended March 31, 2025 and 2024, we incurred no costs with respect to such indemnification matters.
Government Investigation
In June 2015, we were served with a subpoena from the Department of Veterans Affairs Office of the Inspector General (“VA OIG”) seeking information related to the design, manufacture, testing, sale and promotion of MicroCool and other surgical gowns produced by the Company. In July 2015, we became aware that the VA OIG subpoena and an earlier VA OIG subpoena served on Kimberly-Clark requesting information about gown sales to the federal government were related to a United States Department of Justice (“DOJ”) investigation. In May 2016, April 2017 and September 2018, we received additional subpoenas from the DOJ seeking further information related to the Company’s surgical gowns.
On July 6, 2021, we entered into a Deferred Prosecution Agreement (“DPA”) with the DOJ that resolved their criminal investigation related to our MicroCool surgical gowns. Pursuant to the terms of the DPA, in July 2021 the Company made a payment of $22.2 million. The DPA term expired on July 7, 2024 and in January 2025, the United States District Court for the Northern District of Texas dismissed the DOJ’s case against the Company.
Patent Litigation
We operate in an industry characterized by extensive patent litigation. Competitors may claim that our products infringe upon their intellectual property. Resolution of patent litigation or other intellectual property claims is typically time consuming and costly and can result in significant damage awards and injunctions that could prevent the manufacture and sale of the affected products or require us to make significant royalty payments in order to continue selling the affected products.
At any given time, we may be involved as either a plaintiff or a defendant in a number of patent infringement actions, the outcomes of which may not be known for prolonged periods of time.
General
While we maintain general and professional liability, product liability and other insurance, our insurance policies may not cover all of these matters and may not fully cover liabilities arising out of these matters. In addition, we may be obligated to indemnify our directors and officers against these matters.
We record provisions in the consolidated financial statements for pending litigation when we determine that an unfavorable outcome is probable and the amount of the loss can be reasonably estimated. For any matters that are reasonably possible to result in loss and for which no possible loss or range of loss is disclosed in this Form 10-Q, management has determined that it is unable to estimate the possible loss or range of loss because, in each case, at least the following facts applied: (a) the matter is at an early stage of the proceedings; (b) the damages are indeterminate, unspecified or determined to be immaterial; and (c) significant factual issues have yet to be resolved. At present, although the results of litigation and claims cannot be predicted with certainty, we believe that the ultimate resolution of any pending legal proceeding to which we are a party will not have a material adverse effect on our business, financial condition, results of operations or liquidity.
Environmental Compliance
We are subject to federal, state and local environmental protection laws and regulations with respect to our business operations. We believe we are operating in compliance with, or are taking action aimed at ensuring compliance with, these laws and regulations. None of our compliance obligations with environmental protection laws and regulations, individually or in the aggregate, is expected to have a material adverse effect on our business, financial condition, results of operations or liquidity.
Note 11. Derivative Financial Instruments
During the second quarter of 2024, we began to enter into derivative instruments to hedge a portion of forecasted cash flows denominated in Mexican pesos. The derivative instruments used to manage these exposures are designated and qualify as cash flow hedges. The derivative liability for foreign exchange contracts was $0.1 million as of March 31, 2025 and is included in the condensed consolidated balance sheet in accrued expenses.
The effective portion of the gain or loss on a derivative instrument is initially recorded in AOCI, net of related income taxes, and recognized in earnings in the same period that the hedged exposure affects earnings. The loss recognized in earnings was not material in the three months ended March 31, 2025. As of March 31, 2025, the aggregate notional values of outstanding foreign currency swap contracts designated as cash flow hedges were $30.8 million.
Note 12. Earnings Per Share (“EPS”)
Basic EPS is calculated by dividing net income by the weighted average number of common shares outstanding during each period. Diluted earnings per share is calculated by dividing net income by the number of common shares outstanding and the effect of all dilutive common stock equivalents outstanding during each period, as determined using the treasury stock method.
The calculation of basic and diluted earnings (loss) per share for the three months ended March 31, 2025 and 2024 is set forth in the following table (in millions, except per share amounts): | | | | | | | | | | | | | | | |
| | | Three Months Ended March 31, |
| | | | | 2025 | | 2024 |
Net income (loss) from continuing operations | | | | | $ | 6.6 | | | $ | 0.5 | |
Net (loss) income from discontinued operations | | | | | — | | | (1.4) | |
Net Income (Loss) | | | | | $ | 6.6 | | | $ | (0.9) | |
| | | | | | | |
Weighted Average Shares Outstanding: | | | | | | | |
Basic weighted average shares outstanding | | | | | 46.1 | | | 46.2 | |
Dilutive effect of stock options and restricted share unit awards | | | | | 0.7 | | | 0.5 | |
Diluted weighted average shares outstanding | | | | | 46.8 | | | 46.7 | |
Earnings (Loss) Per Share | | | | | | | |
Basic: | | | | | | | |
Continuing Operations | | | | | $ | 0.14 | | | $ | 0.01 | |
Discontinued Operations | | | | | — | | | (0.03) | |
Basic Earnings (Loss) Per Share | | | | | $ | 0.14 | | | $ | (0.02) | |
| | | | | | | |
Diluted: | | | | | | | |
Continuing Operations | | | | | $ | 0.14 | | | $ | 0.01 | |
Discontinued Operations | | | | | — | | | (0.03) | |
Diluted Earnings (Loss) Per Share | | | | | $ | 0.14 | | | $ | (0.02) | |
Restricted share units (“RSUs”) contain provisions allowing for the equivalent of any dividends paid on common stock during the restricted period to be reinvested into additional RSUs at the then fair market value of the common stock on the date the dividends are paid. Such awards are to be included in the EPS calculation under the two-class method. Currently, we do not anticipate any cash dividends for the foreseeable future and our outstanding RSU awards are not material in comparison to our weighted average shares outstanding. Accordingly, all EPS amounts reflect shares as if they were fully vested and the disclosures associated with the two-class method are not presented herein.
For the three months ended March 31, 2025, 1.5 million of potentially dilutive stock options and RSU awards were excluded from the computation of earnings per share as their effect would have been anti-dilutive.
Note 13. Revenue
Sales revenue is recognized when control of the products transfers to the customer, in an amount that represents the consideration that we expect to be entitled to receive in exchange for our products.
We provide a portfolio of innovative product offerings within our Specialty Nutrition Systems and Pain Management and Recovery segments to improve patient outcomes and reduce the cost of care. Our management evaluates net sales disaggregated by product category within these two reportable segments as follows (in millions):
| | | | | | | | | | | | | | | |
| | | Three Months Ended March 31, |
| | | | | 2025 | | 2024 |
Specialty Nutrition Systems: | | | | | | | |
Enteral feeding | | | | | $ | 74.5 | | | $ | 70.0 | |
Neonate solutions | | | | | 26.6 | | | 24.6 | |
Total Specialty Nutrition Systems | | | | | 101.1 | | | 94.6 | |
Pain Management and Recovery: | | | | | | | |
Surgical pain and recovery | | | | | 24.5 | | | 27.0 | |
Radiofrequency ablation | | | | | 31.7 | | | 29.3 | |
Total Pain Management and Recovery | | | | | 56.2 | | | 56.3 | |
Corporate and Other | | | | | 10.2 | | | 15.2 | |
Total Net Sales | | | | | $ | 167.5 | | | $ | 166.1 | |
Liabilities for estimated returns, rebates and incentives are presented in the table below (in millions):
| | | | | | | | | | | |
| March 31, 2025 | | December 31, 2024 |
Accrued rebates | $ | 12.0 | | | $ | 13.3 | |
Accrued customer incentives | 10.1 | | | 10.9 | |
Accrued rebates and customer incentives | 22.1 | | | 24.2 | |
Accrued sales returns(a) | 0.1 | | | 0.1 | |
Total estimated liabilities | $ | 22.2 | | | $ | 24.3 | |
__________________________________________________
(a)Accrued sales returns are included in “Other” in the accrued expenses table in Note 4, “Supplemental Balance Sheet Information”.
Due to the nature of our business, we receive purchase orders for products under supply agreements which are normally fulfilled within three to four weeks. Our performance obligations under purchase orders are satisfied and revenue is recognized at a point in time, which is upon shipment or upon delivery of our products, depending on shipping terms. Accordingly, we normally do not have transactions that give rise to material unfulfilled performance obligations.
Note 14. Share Repurchase Program
On July 28, 2023, the Board of Directors approved a one-year program under which we repurchased $25.0 million of our common stock. Repurchases under this program were made from time to time at management’s discretion on the open market or through privately negotiated transactions in compliance with Rule 10b-18 under the Exchange Act, subject to market conditions, applicable legal requirements and other relevant factors. We have established a pre-arranged trading plan under Rule 10b5-1 of the Exchange Act in connection with this share repurchase program. This share repurchase program did not obligate us to purchase any particular amount of common stock.
On November 1, 2024, the Board of Directors approved a new one-year program under which we may repurchase up to $25.0 million of our common stock. Repurchases under this program will be made from time to time at management’s discretion on the open market or through privately negotiated transactions in compliance with Rule 10b-18 under the Exchange Act, subject to market conditions, applicable legal requirements and other relevant factors. We have established a pre-arranged trading plan under Rule 10b5-1 of the Exchange Act in connection with this share repurchase program. This share repurchase program does not obligate us to purchase any particular amount of common stock and may be suspended, modified or discontinued by us without prior notice.
We had no repurchases of our common stock in the three months ended March 31, 2025. For the three months ended March 31, 2024, our repurchases of our common stock were as summarized in the table below.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Shares Repurchased | | Aggregate Purchase Price (in millions) | | Average Price per Share | | Amount Remaining in Program for Purchase (in millions) |
| | # of Shares | | Program to Date | | | |
First quarter of 2024 | | 342,680 | | | 1,085,333 | | | $ | 6.7 | | | $ | 19.45 | | | $ | 3.3 | |
| | | | | | | | | | |
In addition to the share repurchase program, we withheld 143,697 shares of common stock for $2.2 million in taxes associated with stock-based compensation transactions for the three months ended March 31, 2025.
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
Introduction
Avanos is a medical technology company focused on delivering clinically superior medical device solutions that help patients get back to the things that matter. We are committed to addressing some of today’s most important healthcare needs, including providing a vital lifeline for nutrition to patients from hospital to home, and reducing the use of opioids while helping patients move from surgery to recovery. We develop, manufacture and market our recognized brands globally and hold leading market positions in multiple categories across our portfolio.
This Management’s Discussion and Analysis of Financial Condition and Results of Operations (“MD&A”) is intended to provide investors with an understanding of our recent performance, and should be read in conjunction with the condensed consolidated financial statements contained in Item 1, “Financial Statements” in this Form 10-Q and our audited consolidated financial statements and related notes included in the Form 10-K. This MD&A contains forward-looking statements. Refer to “Information Concerning Forward-Looking Statements” at the beginning of this Form 10-Q for an explanation of these types of statements.
The following will be discussed and analyzed:
•Divestiture of the Respiratory Health Business;
•Restructuring Activities;
•Discontinued Operations;
•Risks Related to Tariffs;
•Results of Operations and Related Information;
•Liquidity and Capital Resources; and
•Critical Accounting Policies and Use of Estimates.
Divestiture of the Respiratory Health Business
On October 2, 2023 (the “Initial Closing”), we closed the sale of our respiratory health (“RH”) business to SunMed Group Holdings, LLC (“Buyer”) (the “RH Divestiture”). The total purchase price for our RH business was $110 million in cash, subject to certain adjustments as provided in the Purchase Agreement based on the indebtedness and inventory transferred to Buyer at the closing and the chargebacks assumed by Buyer but that would otherwise have been payable by the Company and its subsidiaries on or after October 2, 2023 to distributors of the Company’s RH products located in the United States.
On October 1, 2024, we finalized the RH Divestiture and completed the transfer of certain manufacturing facilities and equipment that had not transferred to Buyer upon the Initial Closing. Accordingly, our obligation to manufacture products on behalf of Buyer terminated and the corresponding liability was extinguished on October 1, 2024.
In conjunction with the RH Divestiture, we and Buyer entered into various transition services agreements pursuant to which we, Buyer and each company’s respective affiliates will provide to each other various transitional services, including, but not limited to, product manufacturing and distribution, facilities, order fulfillment, invoicing, quality assurance, regulatory support, audit support and other services. The remaining limited support services being performed will terminate no later than three years following the closing.
Restructuring Activities
Post-RH Divestiture Restructuring Plan
During 2024, we initiated a post-RH Divestiture restructuring plan (the “Plan”). The Plan is intended to align our organizational structure and operational footprint with our remaining business. During the first quarter of 2025, the scope of the Plan was expanded to accommodate incremental costs expected for optimization of our manufacturing and operational footprint, and may be expanded further in the second quarter of 2025 for other initiatives that have not been finalized. We expect the Plan, regardless of scope, will be substantially complete by the end of 2025 and, under the current scope, expect to incur up to $16.0 million of cash expenses in connection with the Plan, primarily for employee termination benefits. In the three months ended March 31, 2025, we incurred $3.1 million of costs related to the Plan, compared to $0.7 million in the three months ended
March 31, 2024. These costs were included in “Cost of products sold” and “Selling and general expenses” in the accompanying condensed consolidated income statements.
Transformation Process
In January 2023, we initiated a three-year restructuring initiative pursuant to which we have: (i) combined our Chronic Care and Pain Management franchises into a single commercial organization focused on the Specialty Nutrition Systems and Pain Management & Recovery product categories; (ii) rationalized our product portfolio including certain low-margin, low-growth product categories through targeted divestitures; (iii) undertaken additional cost management activities to enhance the Company’s operating profitability; and (iv) pursued efficient capital allocation strategies, including through acquisitions that meet the Company’s strategic and financial criteria (the “Transformation Process”). The Transformation Process was complete at the end of 2024. The accompanying condensed consolidated income statements for the three months ended March 31, 2024 include costs of $2.9 million, incurred in connection with the Transformation Process in “Cost of products sold” and “Selling and general expenses.”
Discontinued Operations
As a result of the RH Divestiture, the results of operations from our RH business are reported as “Loss from discontinued operations, net of tax” in the condensed consolidated income statements. We did not have Net sales from discontinued operations for the three months ended March 31, 2025. Net sales from discontinued operations were $16.9 million in the three months ended March 31, 2024.
Risks Related to Tariffs
The imposition of new U.S. tariffs and retaliatory trade measures by other countries poses significant risks to our global operations, particularly given our reliance on manufacturing facilities in Mexico and Canada, and on raw materials and components sourced from foreign suppliers, including suppliers in China and Mexico. In addition, we distribute and sell our products globally. These tariffs have increased the cost of imported goods and may disrupt our established supply chains. While we are working to mitigate these impacts, our inability to offset increased costs of, or a drop in demand for, our products, would negatively affect our financial performance. Uncertainty surrounding future tariffs, trade agreements, supply chain disruptions, and potential retaliatory actions adds further risk to our business, financial condition, results of operations and cash flows. See Part II, Item 1A, “Risk Factors” for a more detailed description of the risks related to the imposition of new and retaliatory tariffs.
Results of Operations and Related Information
Use of Non-GAAP Measures
In this section, we present “Adjusted operating income,” which is a profitability measure that is not calculated in accordance with accounting principles generally accepted in the United States (“GAAP”) and is therefore referred to as non-GAAP financial measure. We provide this non-GAAP measure because we use it to measure our operational performance and provide greater insight into our ongoing business operations. This measure is not intended to be, and should not be, considered separately from, or an alternative to, the most directly comparable GAAP financial measures. A reconciliation of the non-GAAP measure to the most directly comparable GAAP financial measures is provided below under “Adjusted operating profit.”
Net Sales
Our net sales are summarized in the following table for the three months ended March 31, 2025 and 2024 (in millions):
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | Three Months Ended March 31, | | |
| | | | | | | | | | | 2025 | | 2024 | | Change |
Specialty Nutrition Systems: | | | | | | | | | | | | | | | |
Enteral feeding | | | | | | | | | | | $ | 74.5 | | | $ | 70.0 | | | 6.4 | % |
Neonate solutions | | | | | | | | | | | 26.6 | | | 24.6 | | | 8.1 | % |
Total Specialty Nutrition Systems | | | | | | | | | | | 101.1 | | | 94.6 | | | 6.9 | % |
Pain Management and Recovery: | | | | | | | | | | | | | | | |
Surgical pain and recovery | | | | | | | | | | | 24.5 | | | 27.0 | | | (9.3) | % |
Radiofrequency ablation | | | | | | | | | | | 31.7 | | | 29.3 | | | 8.2 | % |
Total Pain Management and Recovery | | | | | | | | | | | 56.2 | | | 56.3 | | | (0.2) | % |
Segment Net Sales | | | | | | | | | | | 157.3 | | | 150.9 | | | 4.2 | % |
Corporate and Other | | | | | | | | | | | 10.2 | | | 15.2 | | | (32.9) | % |
Total Net Sales | | | | | | | | | | | $ | 167.5 | | | $ | 166.1 | | | 0.8 | % |
| | | | | | | | | | | | | | | |
Net Sales - Percentage Change: | | | | | | | Total | | Volume | | Pricing/Mix | | Currency | | Other(a) |
Specialty Nutrition Systems | | | | | | | 6.9 | % | | 8.7 | % | | 0.2 | % | | (1.2) | % | | (0.8) | % |
Pain Management and Recovery | | | | | | | (0.2) | % | | 2.0 | % | | 0.4 | % | | (0.7) | % | | (1.9) | % |
Corporate and Other | | | | | | | (32.9) | % | | (11.3) | % | | (28.0) | % | | — | % | | 6.4 | % |
___________________________________________________________________________
(a)Other includes the effects of our withdrawal from certain revenue streams that did not meet our return criteria and rounding.
Segment and Product Category Descriptions
Specialty Nutrition Systems is a portfolio of products including:
•Enteral feeding, which includes products such as our MIC-KEY enteral feeding tubes and Corpak patient feeding solutions; and
•Neonate solutions feeding products comprised of our NeoMed neonatal and pediatric feeding solutions.
Pain Management and Recovery is a portfolio of products including:
•Surgical pain and recovery products such as ON-Q and ambIT surgical pain pumps and Game Ready cold and compression therapy systems; and
•Radiofrequency Ablation (“RFA”) solutions, which provide minimally invasive pain relief therapies, such as our COOLIEF pain therapy and our Trident and ESENTEC RFA products used to treat chronic pain conditions.
Net Sales by Segment - First Three Months of 2025 Compared to the First Three Months of 2024
Specialty Nutrition Systems
For the three months ended March 31, 2025, Specialty Nutrition Systems net sales were $101.1 million, an increase of 6.9% compared to the prior year period. Volume growth was 8.7%, primarily driven by continued strong demand across both our Enteral feeding and neonate solutions.
Pain Management and Recovery
For the three months ended March 31, 2025, Pain Management and Recovery net sales were $56.2 million, a decrease of 0.2% compared to the prior year period. Volume growth was offset by unfavorable currency effects and the effects of the elimination of certain products from our portfolio in 2025. RFA solution net sales grew 8.2% as the result of positive momentum in RFA generator sales, which resulted in more RFA procedures, especially in the ESENTEC and TRIDENT product lines. Surgical pain and recovery net sales decreased by 9.3% in the first quarter of 2025, primarily driven by lower volume.
Net Sales by Geographic Region
Net sales by region is presented in the table below (in millions):
| | | | | | | | | | | | | | | | | | | | | | | |
| | | | | Three Months Ended March 31, |
| | | | | | | 2025 | | 2024 | | % Change |
North America | | | | | | | $ | 130.8 | | | $ | 132.1 | | | (1.0) | % |
Europe, Middle East and Africa | | | | | | | 23.7 | | | 23.0 | | | 3.0 | |
Asia Pacific and Latin America | | | | | | | 13.0 | | | 11.0 | | | 18.2 | |
Total net sales | | | | | | | $ | 167.5 | | | $ | 166.1 | | | 0.8 | % |
Cost of Products Sold (in millions):
| | | | | | | | | | | | | | | |
| | | Three Months Ended March 31, |
| | | | | 2025 | | 2024 |
Specialty Nutrition Systems | | | | | $ | 43.4 | | | $ | 40.2 | |
Pain Management and Recovery | | | | | 24.9 | | | 24.0 | |
Segment Cost of Products Sold(a) | | | | | 68.3 | | | 64.2 | |
Corporate and Other | | | | | 9.4 | | | 7.1 | |
Total Cost of Products Sold | | | | | $ | 77.7 | | | $ | 71.3 | |
__________________________________________________
(a) Segment Cost of Products Sold includes the “Cost of goods sold” and “Distribution” line items in “Segment Information” in Note 2 to the condensed consolidated financial statements and $3.4 million of depreciation and amortization expense in the three months ended March 31, 2025 and $3.0 million of depreciation and amortization expense in the three months ended March 31, 2024.
For the three months ended March 31, 2025 compared to the prior year period, cost of products sold increased primarily due to costs related to our restructuring initiatives following the RH Divestiture, which are included in Corporate and Other, and a corresponding increase in net sales in the Specialty Nutrition Systems and Pain Management and Recovery segments.
Research and Development (in millions):
| | | | | | | | | | | | | | | |
| | | Three Months Ended March 31, |
| | | | | 2025 | | 2024 |
Specialty Nutrition Systems | | | | | $ | 4.2 | | | $ | 4.2 | |
Pain Management and Recovery | | | | | 1.2 | | | 2.0 | |
Segment Research and Development | | | | | 5.4 | | | 6.2 | |
Corporate and Other | | | | | — | | | 0.8 | |
Total Research and Development | | | | | $ | 5.4 | | | $ | 7.0 | |
__________________________________________________
(a) Segment Research and Development includes $0.2 million of depreciation and amortization expense in the three months ended March 31, 2025 and no depreciation and amortization expense in the three months ended March 31, 2024.
Research and development consists primarily of compensation for personnel and expenses for product trial costs, outside laboratory and license fees, the cost of laboratory equipment and facilities and asset write-offs for equipment associated with unsuccessful product launches.
Selling and General Expenses (in millions):
| | | | | | | | | | | | | | | |
| | | Three Months Ended March 31, |
| | | | | 2025 | | 2024 |
Specialty Nutrition Systems | | | | | $ | 32.3 | | | $ | 34.8 | |
Pain Management and Recovery | | | | | 29.9 | | | 32.4 | |
Segment Selling and General Expenses | | | | | 62.2 | | | 67.2 | |
Corporate and Other | | | | | 13.5 | | | 16.4 | |
Total Selling and General Expenses | | | | | $ | 75.7 | | | $ | 83.6 | |
__________________________________________________
(a) Segment Selling and General Expenses includes the “Advertising, promotion and selling expenses” and “General expenses” line items in “Segment Information” in Note 2 to the condensed consolidated financial statements and $5.3 million of depreciation and amortization expense in the three months ended March 31, 2025 and $4.6 million of depreciation and amortization expenses in the three months ended March 31, 2024.
Selling and general expenses decreased in the three months ended March 31, 2025 as compared to the prior year period, driven by lower costs associated with the post-RH Divestiture transition, savings realized from the execution on the Transformation Process and increased spending discipline.
Other (Income) Expense, net (in millions):
| | | | | | | | | | | | | | | |
| | | Three Months Ended March 31, |
| | | | | 2025 | | 2024 |
Specialty Nutrition Systems | | | | | $ | 0.1 | | | $ | — | |
Pain Management and Recovery | | | | | 0.1 | | | — | |
Segment Other (Income) Expense, net | | | | | 0.2 | | | — | |
Corporate and Other | | | | | (1.8) | | | 0.2 | |
Total Other (Income) Expense, net | | | | | $ | (1.6) | | | $ | 0.2 | |
Other income, net was $1.6 million for the three months ended March 31, 2025, compared to other expense, net of $0.2 million in the three months ended March 31, 2024. The other income in 2025 relates primarily to a recovery of $1.4 million related to a customer claim in 2023.
Operating Income (in millions):
| | | | | | | | | | | | | | | |
| | | Three Months Ended March 31, |
| | | | | 2025 | | 2024 |
Specialty Nutrition Systems | | | | | $ | 21.1 | | | $ | 15.4 | |
Pain Management and Recovery | | | | | 0.2 | | | (2.1) | |
Segment Operating Income | | | | | 21.3 | | | 13.3 | |
Corporate and Other | | | | | (11.0) | | | (9.3) | |
Total Operating Income | | | | | $ | 10.3 | | | $ | 4.0 | |
The above described items drove segment operating income to $21.3 million for the three months ended March 31, 2025, compared to $13.3 million for the three months ended March 31, 2024. Consolidated operating profit was $10.3 million for the three months ended March 31, 2025 compared to $4.0 million in the three months ended March 31, 2024
Adjusted Operating Income
A reconciliation of adjusted operating income, a non-GAAP measure, to operating income is provided in the table below (in millions):
| | | | | | | | | | | | | | | | |
| | | Three Months Ended March 31, | |
| | | | | 2025 | | 2024 | |
Operating income, as reported (GAAP) | | | | | $ | 10.3 | | | $ | 4.0 | | |
Acquisition and integration-related charges | | | | | — | | | 0.3 | | |
Restructuring and transformation charges | | | | | — | | | 2.9 | | |
Post-RH Divestiture transition charges | | | | | — | | | 1.0 | | |
Post-RH Divestiture restructuring | | | | | 3.1 | | | 0.7 | | |
EU MDR Compliance | | | | | — | | | 1.3 | | |
Litigation and legal | | | | | (1.4) | | | — | | |
Intangibles amortization | | | | | 5.1 | | | 6.1 | | |
Adjusted operating income (non-GAAP) | | | | | $ | 17.1 | | | $ | 16.3 | | |
The items noted in the table above are described below:
Acquisition and integration-related charges: We had no acquisition and integration-related charges for the three months ended March 31, 2025. Acquisition and integration related charges were $0.3 million for the three months ended March 31, 2024. Expenses in the three months ended March 31, 2024 related to our acquisition of Diros Technology Inc. in July 2023.
Restructuring and transformation charges: In January 2023, we initiated the Transformation Process, a three-year restructuring initiative intended to align the Company under a single commercial organization, rationalize our product portfolio, undertake additional cost management activities to enhance the Company’s operating profitability and pursue efficient capital allocation strategies. We had no expenses related to the Transformation Process in the three months ended March 31, 2025 and $2.9 million of expenses in the three months ended March 31, 2024 related to the Transformation Process, which consisted of costs associated with program management consulting and employee retention expenses and employee severance and benefits costs.
Post-RH Divestiture restructuring charges: During 2024 we initiated the Plan, a post-RH Divestiture restructuring plan intended to align our organizational structure and operational footprint with our remaining business. Additionally, in conjunction with the divestiture of our RH business, we incurred professional services fees, equipment write-offs and incremental labor charges. In the three months ended March 31, 2025 and 2024, we incurred expenses of $3.1 million and $0.7 million, respectively, related to the Plan, which primarily consisted of employee severance and benefits costs, professional services fees and equipment write-offs.
EU MDR Compliance: The European Union Medical Device Regulation (the “EU MDR”) brings significant new requirements for our medical devices sold in the European Union. Incremental costs associated with EU MDR compliance are primarily related to re-certification of our products under the enhanced standards. We incurred no costs for EU MDR compliance for the three months ended March 31, 2025, and $1.3 million of costs for EU MDR compliance for the three months ended March 31, 2024. In early 2023, the deadlines for compliance were extended after compliance was proceeding slower than expected by the EEuropean Commission due to a number of factors, including insufficient capacity for timely issuance of device certifications under the new requirements.
Litigation and legal: In the three months ended March 31, 2025, we recovered $1.4 million related to a settlement for a customer claim from 2023. We had no costs for litigation matters in the three months ended March 31, 2024.
Intangibles amortization: Intangibles amortization is related primarily to intangibles acquired in business acquisitions and was $5.1 million for the three months ended March 31, 2025 and $6.1 million for the three months ended March 31, 2024.
Interest Expense
Interest expense consists of interest accrued and amortization of debt issuance costs on our revolving credit facility net of interest capitalized on long-term capital projects. See Note 7, “Debt” in Item 1 of this Form 10-Q. Interest expense was $2.1 million for the three months ended March 31, 2025, compared to $3.1 million in the three months ended March 31, 2024. Our outstanding debt balances, net of unamortized discounts, were $107.4 million and $134.7 million as of March 31, 2025 and December 31, 2024, respectively.
Income Taxes
The income tax provision was $3.1 million in the three months ended March 31, 2025, compared to $1.0 million in the three months ended March 31, 2024. Our effective tax rate was 32.0% in the three months ended March 31, 2025. For the three months ended March 31, 2024, our effective tax rate was 66.7%.
Liquidity and Capital Resources
General
Our primary sources of liquidity are cash on hand provided by operating activities and amounts available with our Revolving Credit Facility under our Credit Agreement. We expect our operating cash flow will be sufficient to meet our working capital requirements and fund capital expenditures in the next twelve months. In addition, with our borrowing capacity, we expect to have the ability to fund capital expenditures and other investments necessary to grow our business for the foreseeable future for both our domestic and international operations.
As of March 31, 2025, $48.1 million of our $97.0 million of cash and cash equivalents was held by foreign subsidiaries. We consider the undistributed earnings of our foreign subsidiaries to be indefinitely reinvested overseas and currently do not have plans to repatriate such earnings. We do not expect restrictions on repatriation of cash held outside of the United States to have a material effect on our overall liquidity, financial condition or results of operations for the foreseeable future.
Cash and cash equivalents decreased by $10.7 million to $97.0 million as of March 31, 2025, compared to $107.7 million as of December 31, 2024. The decrease was primarily driven by payments of $25.0 million on our revolving credit facility, $6.7 million of capital expenditures, $2.4 million of investments in non-affiliates, and payments of $2.3 million on our term loan. This was partially offset by $25.7 million of cash provided by operations.
In the prior year, cash and cash equivalents decreased by $11.9 million to $75.8 million as of March 31, 2024. The decrease was primarily driven by $8.0 million of cash used in operations, $4.1 million of capital expenditures, payments of $10.0 million on our revolving credit facility and $9.1 million used to repurchase shares of our common stock. This was partially offset by $20.0 million in proceeds from our revolving credit facility.
Long-Term Debt
On June 24, 2022, we entered into a credit agreement (the “Credit Agreement”) with certain lenders which established credit facilities in an aggregate principal amount of $500.0 million, consisting of a five-year senior secured term loan of $125.0 million (the “Term Loan Facility”) and a five-year senior secured revolving credit facility allowing borrowings of up to $375.0 million, with a letter of credit sub-facility in an amount of $75.0 million (the “Revolving Credit Facility”). All obligations under the Credit Agreement and certain hedging agreements and cash management arrangements thereunder are: (i) guaranteed by each of the Company’s direct and indirect, existing and future, material wholly owned domestic subsidiaries (“Guarantors”) and (ii) secured by a first priority lien on substantially all the assets of the Company and the Guarantors. The Credit Agreement contains an accordion feature that allows us to incur incremental term loans under the Term Loan Facility or under new term loan facilities or to increase the amount of the commitments under the Revolving Credit Facility, including through the establishment of one or more tranches under the Revolving Credit Facility. The Credit Agreement will mature on June 24, 2027.
Borrowings under the Term Loan Facility and Revolving Credit Facility bear interest at our option at either: (i) an adjusted term secured overnight financing rate (“SOFR”), plus a margin ranging between 1.50% to 2.00% per annum, depending on our consolidated total leverage ratio; (ii) an adjusted daily simple SOFR rate, plus a margin ranging between 1.50% to 2.00% per annum, depending on our consolidated total leverage ratio; or (iii) a base rate (calculated as the greatest of (a) the prime rate, (b) the NYFRB rate (being the greater of the federal funds effective rate or the overnight bank funding rate) plus 0.50%, and (c) the one month adjusted term SOFR rate plus 1.00%), plus a margin ranging between 0.50% to 1.00% per annum, depending on our consolidated total leverage ratio. The unused portion of the Revolving Credit Facility will be subject to a commitment fee ranging between 0.20% to 0.25% per annum, depending on our consolidated total leverage ratio.
The Credit Agreement requires compliance with certain customary operational and financial covenants. As of March 31, 2025, we were in compliance with these covenants. In addition, the Credit Agreement contains certain other customary limitations on our ability to, among other things: incur additional indebtedness; pay dividends on or repurchase or redeem our capital stock; make loans, investments and acquisitions; sell, transfer or otherwise dispose of assets; guarantee other obligations; create or grant liens; and enter into certain types of transactions with affiliates. Notwithstanding such limitations, the Credit Agreement allows us to pay dividends, repurchase stock and make investments up to an “Available Amount,” as defined in the Credit Agreement, provided no event of default has occurred and certain financial ratios have been achieved on a pro forma basis.
See Note 7, “Debt” in Item 1 of this Form 10-Q for further details regarding our debt agreements.
Critical Accounting Policies and Use of Estimates
Our financial statements are prepared by applying certain accounting policies. See Note 1, “Accounting Policies” in Item 8, “Financial Statements and Supplementary Data” in the Form 10-K, which describes our most significant accounting policies. In addition, our critical accounting policies and estimates are presented under the caption “Critical Accounting Policies and Use of Estimates” in Item 7, “Management's Discussion and Analysis of Financial Condition and Results of Operation” in the Form 10-K. Certain of these policies require management to make estimates or assumptions that may prove inaccurate or be subject to variations that may significantly affect our reported results and financial position for the period or in future periods. Management views these policies as critical accounting policies. See Note 1, “Accounting Policies” in Item 1 of this Form 10-Q for updates to our critical accounting policies and a discussion of recent accounting pronouncements. In the three months ended March 31, 2025, there were no significant changes to our critical accounting estimates from those disclosed in Item 7, “Management's Discussion and Analysis of Financial Condition and Results of Operation” in the Form 10-K.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
There have been no material changes regarding our market risk position from the information provided under Item 7A – “Quantitative and Qualitative Disclosures About Market Risk” in the Form 10-K.
Item 4. Controls and Procedures
With the participation of management, our Chief Executive Officer (principal executive officer) and our Senior Vice President, and Chief Financial Officer (principal financial officer) carried out an evaluation, pursuant to Rule 13a-15(b) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), of the effectiveness of our disclosure controls and procedures (as defined in Rule 13a-15(e) of the Exchange Act) as of the end of the period covered by this report. Based upon that evaluation, our Chief Executive Officer and our Senior Vice President and Chief Financial Officer concluded that our disclosure controls and procedures were operating effectively as of March 31, 2025.
Changes in Internal Control Over Financial Reporting
There have been no changes in our internal control over financial reporting that occurred during the three months ended March 31, 2025 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
PART II – OTHER INFORMATION
Item 1. Legal Proceedings
We are subject to various legal proceedings, claims and governmental inspections, audits or investigations pertaining to issues such as contract disputes, product liability, tax matters, patents and trademarks, advertising, governmental regulations, employment and other matters. At present, although the results of litigation and claims cannot be predicted with certainty, we believe that the ultimate resolution of any pending legal proceeding to which we are a party will not have a material adverse effect on our business, financial condition, results of operations or liquidity.
Item 1A. Risk Factors
There have been no changes to the risk factors described in Part I, Item 1A, “Risk Factors,” of the Form 10-K, except as follows:
The recent imposition of new tariffs by the United States, along with retaliatory tariffs and other trade restrictions imposed by other countries, could have a material adverse effect on our business, financial condition, results of operations and cash flows.
Most of our manufacturing facilities are located in Mexico. In addition, we have a manufacturing facility located in Canada and use contract manufacturers outside the United States. Further, we source many of our raw materials and components from foreign suppliers, including suppliers in China and Mexico. We distribute and sell our products globally.
We are subject to tariffs and taxes in the United States and numerous foreign jurisdictions. Since February 2025, the United States has imposed a number of new tariffs on goods originating from many countries in the world, including: (i) tariffs totaling 145% on Chinese-origin goods; (ii) a 25% tariff on Mexican-origin goods; (iii) a 10% global tariff imposed on the entire world, including Korean-origin goods (which affects imports of certain of our products from Canada); and (iv) reciprocal tariffs on goods from most of the countries in the world, which reciprocal tariffs have been paused through mid-July 2025 and which, if implemented, would increase the total tariff on Korean-origin goods to 25%. Additional tariffs have been threatened by President Trump. As of the date of this Form 10-Q, it remains unclear what additional new tariffs, if any, will be imposed on imported goods and, if so, at what level and for how long. These tariffs, for so long as they remain in effect, will increase the costs of the foreign-origin goods that are incorporated in our products and may disrupt our established supply chains. We are taking steps to mitigate the impact of these tariffs. However, if we are unable to successfully pass through the additional cost of these tariffs to our customers, or if higher prices reduce demand for our products, or if we are unable to mitigate tariff-related risks through supply chain adjustments, it would have a material adverse effect on our business, financial condition, results of operations and cash flows.
President Trump has also expressed his antipathy towards certain existing international trade agreements and organizations, including the United States-Mexico-Canada Agreement (the “USMCA”) and the United States’ membership in the World Trade Organization (the “WTO”). An amendment to or the United States’ withdrawal from the USMCA or the WTO could result in additional increased tariffs or other new trade restrictions on imports from Mexico, Canada, China and other countries.
In addition, we generate a significant portion of our revenues from sales to customers located outside the United States, including in Europe, Asia and Latin America. Many of these countries have implemented, or may implement, retaliatory tariffs in response to the tariffs imposed by the United States. The imposition of such retaliatory tariffs will likely increase the cost of our products in those countries, which would negatively impact customer demand for such products and our revenues.
The ultimate impact of these trade measures on our business, financial condition, results of operations and cash flows is uncertain and may be affected by various factors, including the amount, scope and nature of such trade measures, the timing of when such measures become implemented, and our ability to execute strategies to mitigate the negative impacts of such trade measures.
These developments, along with other new or increased tariffs and trade restrictions, may have a material adverse effect on our business, financial condition, results of operations and cash flows.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
Not applicable
Item 3. Defaults Upon Senior Securities
Not applicable
Item 4. Mine Safety Disclosures
Not applicable
Item 5. Other Information
None.
Item 6. Exhibits
(a)Exhibits
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Exhibit Number | | Description |
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101.INS | | XBRL Instance Document - The instance document does not appear in the interactive data file because its XBRL tags are embedded within the inline XBRL document |
101.SCH | | XBRL Taxonomy Extension Schema Document |
101.CAL | | XBRL Taxonomy Extension Calculation Linkbase Document |
101.DEF | | XBRL Taxonomy Extension Definition Linkbase Document |
101.LAB | | XBRL Taxonomy Extension Label Linkbase Document |
101.PRE | | XBRL Taxonomy Extension Presentation Linkbase Document |
104 | | Cover Page Interactive Data File (formatted as inline XBRL and contained in Exhibit 101) |
* The certifications attached as Exhibit 32(a) and 32(b) that accompany this Form 10-Q are not deemed filed with the Securities and Exchange Commission and are not to be incorporated by reference into any filing of Avanos Medical, Inc. under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended, whether made before or after the date of this Form 10-Q, irrespective of any general incorporation language contained in such filing.
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 thereunto duly authorized.
| | | | | | | | | | | |
| AVANOS MEDICAL, INC. |
| (Registrant) |
| | |
May 6, 2025 | By: | | /s/ Jason M. Pickett |
| | | Jason M. Pickett |
| | | Vice President, |
| | | Interim Chief Financial Officer and Treasurer |
| | | (Principal Financial Officer) |
| | | |
May 6, 2025 | By: | | /s/ John J. Hurley |
| | | John J. Hurley |
| | | Controller |
| | | (Principal Accounting Officer) |