10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

☒    QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended June 30, 2024

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   0-18592

MERIT MEDICAL SYSTEMS, INC.

(Exact name of registrant as specified in its charter)

Utah	87-0447695
(State or other jurisdiction of incorporation or organization)	(IRS Employer Identification No.)

1600 West Merit Parkway, South Jordan, Utah 84095

(Address of principal executive offices, including zip code)

Registrant’s telephone number, including area code: (801) 253-1600

Securities registered pursuant to Section 12(b) of the Act:

Title of each class	Trading Symbol	Name of exchange on which registered
Common Stock, no par value	MMSI	NASDAQ Global Select Market

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 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 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, a smaller reporting company or an emerging growth 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  ☐ Smaller Reporting Company ☐ Emerging Growth Company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐  No ☒

Indicate the number of shares outstanding of each of the Registrant’s classes of common stock, as of the latest practicable date.

Title or class	Shares outstanding as of July 30, 2024
Common Stock, no par value	58,208,536

TABLE OF CONTENTS

PART I.	FINANCIAL INFORMATION	3
Item 1.	Financial Statements (Unaudited)	3
	Consolidated Balance Sheets	3
	Consolidated Statements of Income	5
	Consolidated Statements of Comprehensive Income	6
	Consolidated Statements of Stockholders’ Equity	7
	Consolidated Statements of Cash Flows	9
	Condensed Notes to Consolidated Financial Statements	11
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	32
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	40
Item 4.	Controls and Procedures	41
PART II.	OTHER INFORMATION	41
Item 1.	Legal Proceedings	41
Item 1A.	Risk Factors	41
Item 5.	Other information	43
Item 6.	Exhibits	44
SIGNATURES		45

PART I - FINANCIAL INFORMATION

ITEM 1. FINANCIAL STATEMENTS

MERIT MEDICAL SYSTEMS, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(In thousands)

	June 30,		December 31,
ASSETS	2024		2023
		(unaudited)
Current assets:
Cash and cash equivalents	$	636,658	$	587,036
Trade receivables — net of allowance for credit losses — 2024 — $9,276 and 2023 — $9,023		182,415		177,885
Other receivables		10,612		10,517
Inventories		298,224		303,871
Prepaid expenses and other current assets		26,179		24,286
Prepaid income taxes		4,123		4,016
Income tax refund receivables		4,335		859
Total current assets		1,162,546		1,108,470
Property and equipment:
Land and land improvements		25,952		26,017
Buildings		191,030		191,491
Manufacturing equipment		330,290		316,930
Furniture and fixtures		64,755		63,044
Leasehold improvements		58,595		53,638
Construction-in-progress		61,060		61,439
Total property and equipment		731,682		712,559
Less accumulated depreciation		(345,743)		(329,036)
Property and equipment — net		385,939		383,523
Other assets:
Intangible assets:
Developed technology — net of accumulated amortization — 2024 — $346,763 and 2023 — $321,488		264,195		283,999
Other — net of accumulated amortization — 2024 — $80,628 and 2023 — $76,887		39,227		41,884
Goodwill		381,433		382,240
Deferred income tax assets		7,013		7,288
Right-of-use operating lease assets		69,903		63,047
Other assets		61,583		54,793
Total other assets		823,354		833,251
Total assets	$	2,371,839	$	2,325,244

See condensed notes to consolidated financial statements. (continued)

3

MERIT MEDICAL SYSTEMS, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(In thousands)

	June 30,		December 31,
LIABILITIES AND STOCKHOLDERS’ EQUITY	2024		2023
		(unaudited)
Current liabilities:
Trade payables	$	55,573	$	65,944
Accrued expenses		117,574		120,447
Short-term operating lease liabilities		11,743		12,087
Income taxes payable		1,325		5,086
Total current liabilities		186,215		203,564
Long-term debt		801,321		823,013
Deferred income tax liabilities		5,510		5,547
Long-term income taxes payable		347		347
Liabilities related to unrecognized tax benefits		1,912		1,912
Deferred compensation payable		18,588		17,167
Deferred credits		1,553		1,605
Long-term operating lease liabilities		58,036		56,259
Other long-term obligations		15,912		13,830
Total liabilities		1,089,394		1,123,244
Commitments and contingencies
Stockholders' equity:
Preferred stock — 5,000 shares authorized; no shares issued as of June 30, 2024 and December 31, 2023		—		—
Common stock, no par value — 100,000 shares authorized; issued and outstanding as of June 30, 2024 - 58,192 and December 31, 2023 - 57,858		658,724		638,150
Retained earnings		639,150		575,184
Accumulated other comprehensive loss		(15,429)		(11,334)
Total stockholders’ equity		1,282,445		1,202,000
Total liabilities and stockholders’ equity	$	2,371,839	$	2,325,244

See condensed notes to consolidated financial statements. (concluded)

4

MERIT MEDICAL SYSTEMS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF INCOME

(In thousands, except per share amounts - unaudited)

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2024		2023		2024		2023
Net sales	$	338,003	$	320,056	$	661,511	$	617,621
Cost of sales		176,903		167,274		348,696		326,477
Gross profit		161,100		152,782		312,815		291,144
Operating expenses:
Selling, general and administrative		94,585		100,927		189,013		191,071
Research and development		20,263		20,129		41,745		41,443
Impairment charges		—		270		—		270
Contingent consideration expense		306		1,094		189		1,615
Acquired in-process research and development		—		1,550		—		1,550
Total operating expenses		115,154		123,970		230,947		235,949
Income from operations		45,946		28,812		81,868		55,195
Other income (expense):
Interest income		7,561		221		14,837		352
Interest expense		(7,679)		(3,682)		(15,725)		(5,693)
Other income (expense) — net		15		(451)		(789)		546
Total other expense — net		(103)		(3,912)		(1,677)		(4,795)
Income before income taxes		45,843		24,900		80,191		50,400
Income tax expense		10,117		4,655		16,225		9,452
Net income	$	35,726	$	20,245	$	63,966	$	40,948
Earnings per common share
Basic	$	0.61	$	0.35	$	1.10	$	0.71
Diluted	$	0.61	$	0.35	$	1.09	$	0.70
Weighted average shares outstanding
Basic		58,139		57,537		58,049		57,445
Diluted		58,740		58,473		58,653		58,329

See condensed notes to consolidated financial statements.

5

MERIT MEDICAL SYSTEMS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(In thousands - unaudited)

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2024		2023		2024		2023
Net income	$	35,726	$	20,245	$	63,966	$	40,948
Other comprehensive income (loss):
Cash flow hedges		(1,711)		3,422		1,261		1,731
Income tax benefit (expense)		404		(821)		(298)		(415)
Foreign currency translation adjustment		(1,688)		(1,201)		(5,092)		724
Income tax benefit (expense)		22		(15)		34		(34)
Total other comprehensive income (loss)		(2,973)		1,385		(4,095)		2,006
Total comprehensive income	$	32,753	$	21,630	$	59,871	$	42,954

See condensed notes to consolidated financial statements.

6

MERIT MEDICAL SYSTEMS, INC.

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

(In thousands - unaudited)

	Common Stock			Retained		Accumulated Other
	Shares	Amount		Earnings		Comprehensive Loss		Total
Balance — January 1, 2024	57,858	$	638,150	$	575,184	$	(11,334)	$	1,202,000
Net income					28,240				28,240
Other comprehensive loss							(1,122)		(1,122)
Stock-based compensation expense			4,934						4,934
Options exercised	213		7,394						7,394
Issuance of common stock under Employee Stock Purchase Plan	5		336						336
Shares issued from time-vested restricted stock units	47		—						—
Shares surrendered in exchange for payment of payroll tax liabilities	(21)		(1,592)						(1,592)
Balance — March 31, 2024	58,102		649,222		603,424		(12,456)		1,240,190
Net income					35,726				35,726
Other comprehensive loss							(2,973)		(2,973)
Stock-based compensation expense			6,301						6,301
Options exercised	66		2,913						2,913
Issuance of common stock under Employee Stock Purchase Plan	4		288						288
Shares issued from time-vested restricted stock units	20		—						—
Balance — June 30, 2024	58,192	$	658,724	$	639,150	$	(15,429)	$	1,282,445

See condensed notes to consolidated financial statements. (continued)

7

MERIT MEDICAL SYSTEMS, INC.

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

(In thousands - unaudited)

	Common Stock			Retained		Accumulated Other
	Shares	Amount		Earnings		Comprehensive Loss		Total
Balance — January 1, 2023	57,306	$	675,174	$	480,773	$	(11,550)	$	1,144,397
Net income					20,703				20,703
Other comprehensive income							621		621
Stock-based compensation expense			3,498						3,498
Options exercised	123		3,726						3,726
Issuance of common stock under Employee Stock Purchase Plan	4		302						302
Shares issued from time-vested restricted stock units	61		—						—
Shares surrendered in exchange for payment of payroll tax liabilities	(22)		(1,592)						(1,592)
Balance — March 31, 2023	57,472		681,108		501,476		(10,929)		1,171,655
Net income					20,245				20,245
Other comprehensive income							1,385		1,385
Stock-based compensation expense			4,980						4,980
Options exercised	128		5,154						5,154
Issuance of common stock under Employee Stock Purchase Plan	4		281						281
Shares issued from time-vested restricted stock units	30		—						—
Balance — June 30, 2023	57,634	$	691,523	$	521,721	$	(9,544)	$	1,203,700

​ See condensed notes to consolidated financial statements. (concluded)

8

MERIT MEDICAL SYSTEMS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands - unaudited)

	Six Months Ended
	June 30,
	2024		2023
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income	$	63,966	$	40,948
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization		47,690		42,316
Loss on sale or abandonment of property and equipment		79		4,677
Write-off of certain intangible assets and other long-term assets		280		328
Acquired in-process research and development		—		1,550
Amortization of right-of-use operating lease assets		6,063		5,935
Fair value adjustments related to contingent consideration liabilities		189		1,615
Amortization of deferred credits		(52)		(52)
Amortization of long-term debt issuance costs		2,954		462
Stock-based compensation expense		12,245		9,549
Changes in operating assets and liabilities, net of acquisitions and divestitures:
Trade receivables		(6,901)		(5,980)
Other receivables		(499)		287
Inventories		3,119		(35,502)
Prepaid expenses and other current assets		(2,306)		78
Income tax refund receivables		(3,621)		(3,577)
Other assets		(2,968)		(1,558)
Trade payables		(7,096)		(7,253)
Accrued expenses		(2,804)		(10,295)
Income taxes payable		(3,869)		(4,896)
Deferred compensation payable		1,421		1,154
Operating lease liabilities		(5,962)		(5,711)
Other long-term obligations		2,794		(2,244)
Total adjustments		40,756		(9,117)
Net cash, cash equivalents, and restricted cash provided by operating activities		104,722		31,831
CASH FLOWS FROM INVESTING ACTIVITIES:
Capital expenditures for:
Property and equipment		(22,309)		(18,556)
Intangible assets		(1,576)		(1,047)
Proceeds from the sale of property and equipment		2		201
Issuance of note receivables		(6,162)		—
Cash paid in acquisitions and investments, net of cash acquired		(8,493)		(138,349)
Net cash, cash equivalents, and restricted cash used in investing activities	$	(38,538)	$	(157,751)

See condensed notes to consolidated financial statements. (continued)

9

MERIT MEDICAL SYSTEMS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands - unaudited)

	Six Months Ended
	June 30,
	2024		2023
CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from issuance of common stock	$	10,931	$	9,463
Proceeds from issuance of long-term debt		—		460,283
Payments on long-term debt		(24,063)		(318,471)
Long-term debt issuance costs		—		(5,240)
Contingent payments related to acquisitions		(142)		(3,434)
Payment of taxes related to an exchange of common stock		(1,592)		(1,592)
Net cash, cash equivalents, and restricted cash (used in) provided by financing activities		(14,866)		141,009
Effect of exchange rates on cash, cash equivalents, and restricted cash		(1,750)		(1,497)
Net increase in cash, cash equivalents and restricted cash		49,568		13,592
CASH, CASH EQUIVALENTS AND RESTRICTED CASH:
Beginning of period		589,144		60,558
End of period	$	638,712	$	74,150
RECONCILIATION OF CASH, CASH EQUIVALENTS AND RESTRICTED CASH TO THE CONSOLIDATED BALANCE SHEETS:
Cash and cash equivalents		636,658		72,084
Restricted cash reported in prepaid expenses and other current assets		2,054		2,066
Total cash, cash equivalents and restricted cash	$	638,712	$	74,150
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION
Cash paid during the period for:
Interest (net of capitalized interest of $428 and $597, respectively)	$	4,404	$	3,681
Income taxes		22,619		17,787
SUPPLEMENTAL DISCLOSURES OF NON-CASH INVESTING AND FINANCING ACTIVITIES
Property and equipment purchases in accounts payable	$	5,411	$	4,291
Acquisition purchases in accrued expenses and other long-term obligations		4,553		3,635
Right-of-use operating lease assets obtained in exchange for operating lease liabilities		8,167		3,399

See condensed notes to consolidated financial statements. (concluded)

10

MERIT MEDICAL SYSTEMS, INC. AND SUBSIDIARIES

CONDENSED NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

1.   Basis of Presentation and Other Items. The interim consolidated financial statements of Merit Medical Systems, Inc. ("Merit," "we" or "us") for the three and six-month periods ended June 30, 2024 and 2023 are not audited. Our consolidated financial statements are prepared in accordance with the requirements for unaudited interim periods and, consequently, do not include all disclosures required to be made in conformity with accounting principles generally accepted in the United States of America. In the opinion of our management, the accompanying consolidated financial statements contain all adjustments, consisting of normal recurring accruals, necessary for a fair presentation of our financial position as of June 30, 2024 and December 31, 2023, and our results of operations and cash flows for the three and six-month periods ended June 30, 2024 and 2023. The results of operations for the three and six-month periods ended June 30, 2024 and 2023 are not necessarily indicative of the results for a full-year period. Amounts presented in this report are rounded, while percentages and earnings per share amounts presented are calculated from the underlying amounts. These interim consolidated financial statements should be read in conjunction with the financial statements and risk factors included in our Annual Report on Form 10-K for the year ended December 31, 2023 (the “2023 Annual Report on Form 10-K”).

2.   Recently Issued Accounting Standards. In November 2023, the Financial Accounting Standards Board (“FASB’) issued Accounting Standard Update (“ASU”) 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures, which requires a public entity to disclose significant segment expenses and other segment items on an annual and interim basis and to provide in interim periods all disclosures about reportable segment’s profit or loss and assets that are currently required annually. ASU 2023-07 is effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. Early adoption is permitted. The provisions of this update must be applied retrospectively to all periods presented in the financial statements. We are currently assessing the anticipated impact of this standard on our consolidated financial statements.

In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, to improve annual basis income tax disclosures related to (1) rate reconciliation, (2) income taxes paid, and (3) other disclosures related to pretax income (or loss) and income tax expense (or benefit) from continuing operations. ASU 2023-09 is effective for fiscal years beginning after December 15, 2025, with early adoption permitted. These amendments are to be applied on a prospective basis. Retrospective application is permitted. We are currently evaluating the impact this standard will have on our consolidated financial statement disclosures.

We currently believe there are no other issued and not yet effective accounting standards that are materially relevant to our financial statements.

3.   Revenue from Contracts with Customers. We recognize revenue when a customer obtains control of promised goods. The amount of revenue recognized reflects the consideration we expect to receive in exchange for these goods. Our revenue recognition policies have not changed from those disclosed in Note 1 to our consolidated financial statements in Item 8 of the 2023 Annual Report on Form 10-K.

Disaggregation of Revenue

Our revenue is disaggregated based on reporting segment, product category and geographic region. We design, develop, manufacture and market medical products for interventional, diagnostic and therapeutic procedures. For financial reporting purposes, we report our operations in two operating segments: cardiovascular and endoscopy. Our cardiovascular segment consists of four product categories: peripheral intervention, cardiac intervention, custom procedural solutions, and original equipment manufacturer (“OEM”). Within these product categories, we sell a variety of products, including cardiology and radiology devices (which assist in diagnosing and treating coronary arterial disease, peripheral vascular disease and other non-vascular diseases), as well as embolotherapeutic, cardiac rhythm management, electrophysiology, critical care, breast cancer localization and guidance, biopsy, and interventional oncology and spine devices. Our endoscopy segment consists of gastroenterology and pulmonology devices which assist in the palliative treatment of expanding esophageal, tracheobronchial and biliary strictures.

11

The following table presents revenue from contracts with customers by reporting segment, product category and geographic region for the three and six-month periods ended June 30, 2024 and 2023 (in thousands):

	Three Months Ended						Three Months Ended
	June 30, 2024						June 30, 2023
	United States		International		Total		United States		International		Total
Cardiovascular
Peripheral Intervention	$	82,356	$	56,891	$	139,247	$	71,973	$	53,936	$	125,909
Cardiac Intervention		36,840		57,023		93,863		35,690		58,085		93,775
Custom Procedural Solutions		30,496		19,920		50,416		29,155		20,229		49,384
OEM		35,460		8,829		44,289		34,570		7,637		42,207
Total		185,152		142,663		327,815		171,388		139,887		311,275
Endoscopy
Endoscopy Devices		9,512		676		10,188		8,194		587		8,781
Total	$	194,664	$	143,339	$	338,003	$	179,582	$	140,474	$	320,056

	Six Months Ended						Six Months Ended
	June 30, 2024						June 30, 2023
	United States		International		Total		United States		International		Total
Cardiovascular
Peripheral Intervention	$	161,615	$	112,258	$	273,873	$	140,640	$	99,052	$	239,692
Cardiac Intervention		72,183		112,368		184,551		69,995		109,108		179,103
Custom Procedural Solutions		59,790		39,420		99,210		55,954		41,131		97,085
OEM		68,109		15,446		83,555		67,134		16,237		83,371
Total		361,697		279,492		641,189		333,723		265,528		599,251
Endoscopy
Endoscopy Devices		19,061		1,261		20,322		17,219		1,151		18,370
Total	$	380,758	$	280,753	$	661,511	$	350,942	$	266,679	$	617,621

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4.   Acquisitions and Investments. On May 17, 2024, Merit Medical Ireland Limited (“MM Ireland”), our indirect wholly-owned subsidiary, entered into a Subscription and Shareholder Agreement (the “CrannMed Agreement”) with CrannMed Limited, a company organized under the laws of Ireland (“CrannMed”). Pursuant to the terms of the CrannMed Agreement, MM Ireland paid €3.0 million to purchase preferred shares of CrannMed. At CrannMed’s election at any time after August 16, 2024, MM Ireland is obligated to pay an additional €3.0 million to acquire additional preferred shares of CrannMed, subject to certain conditions (the “Second Tranche Investment”). Additionally, upon the request of CrannMed and subject to the completion of the Second Tranche Investment and other conditions, MM Ireland may pay to CrannMed up to an additional €2.0 million in the form of equity, debt or other investment for the purpose of funding clinical trial activities of CrannMed. MM Ireland’s investment in CrannMed has been recorded as an equity investment accounted for at cost and reflected within other assets in the accompanying consolidated balance sheets because MM Ireland is not able to exercise significant influence over the operations of CrannMed. MM Ireland’s total current investment in CrannMed represented an ownership interest of approximately 10.8% of the outstanding capital stock of CrannMed at the date of the initial purchase.

On March 8, 2024, we entered into an asset purchase agreement with Scholten Surgical Instruments, Inc. (“SSI”) to acquire the assets associated with the Bioptome, Novatome, and Sensatome devices. The total purchase price of the SSI assets included an up-front payment of $3 million, and three deferred payments, including (i) $1 million payable upon the earlier of (a) the first anniversary of the closing date or (b) the date on which Merit can independently manufacture the purchased devices (“Deferred Payment Date”), (ii) $1 million payable upon the first anniversary of the Deferred Payment Date, and (iii) $1 million payable upon the second anniversary of the Deferred Payment Date. We have accounted for this transaction as an asset purchase, and recorded the amount paid and deferred payments as a developed technology intangible asset, which we are amortizing over eight years.

During March 2024, we paid $0.3 million to acquire additional Series A Preferred Stock of Fluidx Medical Technology, Inc. ("Fluidx"), owner of certain technology proposed to be used in the development of embolic and adhesive agents for use in arterial, venous, vascular graft and cardiovascular applications inside and outside the heart and related appendages. We had previously purchased and continue to hold $4.7 million of participating preferred shares of Fluidx. Our investment has been recorded as an equity investment accounted for at cost and reflected within other assets in the accompanying consolidated balance sheets because we are not able to exercise significant influence over the operations of Fluidx. Our total current investment in Fluidx represented an ownership interest of approximately 19.9% of the outstanding capital stock of Fluidx at the date of this investment.

On June 8, 2023, we entered into an asset purchase agreement with AngioDynamics, Inc. (“AngioDynamics”) to acquire the assets associated with a portfolio of dialysis catheter products and the BioSentry® Biopsy Tract Sealant System for a purchase price of $100 million. We accounted for this transaction under the acquisition method of accounting as a business combination. The sales related to the acquisition have been included in our cardiovascular segment since the acquisition date and were $11.6 million and $0.9 million for the six-month periods ended June 30, 2024 and 2023, respectively. It is not practical to separately report earnings related to the acquisition, as we began to immediately integrate the acquisition into the existing operations, sales distribution networks and management structure of our cardiovascular business segment. Acquisition-related costs associated with the AngioDynamics acquisition, which were included in selling, general and administrative expenses in the consolidated statements of income included in the 2023 Annual Report on Form 10-K, were approximately $4.9 million. The purchase price was allocated as follows (in thousands):

Assets Acquired
Prepaid expenses	$	2,000
Inventories		5,254
Property and equipment		108
Intangible assets
Developed technology		65,200
Trademarks		4,000
Customer list		5,800
Goodwill		17,638
Total net assets acquired	$	100,000

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We are amortizing the AngioDynamics developed technology intangible assets over ten years, the trademark intangible assets over 11 years, and the customer list intangible asset on an accelerated basis over ten years. We have estimated the weighted average life of the intangible assets acquired from AngioDynamics to be 10.5 years. The goodwill consists largely of the synergies expected from combining operations and is expected to be deductible for income tax purposes. The pro forma effects to our consolidated results of operations of the AngioDynamics acquisition are not material in relation to reported sales and it was deemed impracticable to obtain information to determine earnings associated with the acquired product lines which represent only a small portion of the product lines of a large, consolidated company without standalone financial information.

On May 4, 2023, we entered into an asset purchase agreement to acquire the assets associated with the Surfacer® Inside-Out® Access Catheter System from Bluegrass Vascular Technologies, Inc. (“Bluegrass”), for a purchase price of $32.7 million. Prior to the acquisition, we held an equity investment of 1,251,878 Bluegrass common shares, representing an approximately 19.5% ownership interest in Bluegrass. The fair value of this previously-held equity investment of approximately $245,000 is included in the purchase price allocation. We accounted for this transaction under the acquisition method of accounting as a business combination. The sales and results of operations related to the acquisition have been included in our cardiovascular segment since the acquisition date and were not material. Acquisition-related costs associated with the Bluegrass acquisition, which were included in selling, general and administrative expenses in the consolidated statements of income included in the 2023 Annual Report on Form 10-K, were not material. The purchase price was allocated as follows (in thousands):    

Assets Acquired
Inventories	$	175
Intangible assets
Developed technology		28,000
Trademarks		900
Goodwill		3,898
Total net assets acquired	$	32,973

We are amortizing the Bluegrass developed technology intangible asset over 15 years and the related trademarks over 13 years. We have estimated the weighted average life of the intangible assets acquired from Bluegrass to be 14.9 years. The goodwill consists largely of the synergies expected from combining operations and is expected to be deductible for income tax purposes. The pro forma effects to our consolidated results of operations of the Bluegrass acquisition are not material.

5. Inventories. Inventories at June 30, 2024 and December 31, 2023 consisted of the following (in thousands):

	June 30, 2024		December 31, 2023
Finished goods	$	152,180	$	158,893
Work-in-process		38,049		25,420
Raw materials		107,995		119,558
Total inventories	$	298,224	$	303,871

6.   Goodwill and Intangible Assets. The change in the carrying amount of goodwill for the six-month period ended June 30, 2024 is detailed as follows (in thousands):

	2024
Goodwill balance at January 1	$	382,240
Effect of foreign exchange		(807)
Goodwill balance at June 30	$	381,433

Total accumulated goodwill impairment losses aggregated to $8.3 million as of June 30, 2024 and December 31, 2023, respectively. We did not have any goodwill impairments for the six-month periods ended June 30, 2024 or 2023. The total goodwill balances as of June 30, 2024 and December 31, 2023 were related to our cardiovascular segment.

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Other intangible assets at June 30, 2024 and December 31, 2023 consisted of the following (in thousands):

	June 30, 2024
	Gross Carrying		Accumulated		Net Carrying
	Amount		Amortization		Amount
Patents	$	30,163	$	(11,876)	$	18,287
Distribution agreements		3,250		(2,956)		294
License agreements		11,094		(8,759)		2,335
Trademarks		35,123		(22,343)		12,780
Customer lists		40,225		(34,694)		5,531
Total	$	119,855	$	(80,628)	$	39,227

	December 31, 2023
	Gross Carrying		Accumulated		Net Carrying
	Amount		Amortization		Amount
Patents	$	28,877	$	(10,916)	$	17,961
Distribution agreements		3,250		(2,919)		331
License agreements		11,142		(8,327)		2,815
Trademarks		35,135		(20,804)		14,331
Customer lists		40,367		(33,921)		6,446
Total	$	118,771	$	(76,887)	$	41,884

Aggregate amortization expense for the three and six-month periods ended June 30, 2024 was $14.8 million and $29.4 million, respectively. Aggregate amortization expense for the three and six-month periods ended June 30, 2023 was $13.4 million and $25.7 million, respectively.

We evaluate long-lived assets, including amortizing intangible assets, for impairment whenever events or changes in circumstances indicate that their carrying amounts may not be recoverable. We perform the impairment analysis at the asset group for which the lowest level of identifiable cash flows is largely independent of the cash flows of other assets and liabilities. We determine the fair value of our amortizing assets based on estimated future cash flows discounted back to their present value using a discount rate that reflects the risk profiles of the underlying activities. We did not identify indicators of impairment for our intangible assets based on our consideration of triggering events for the six-month periods ended June 30, 2024 and 2023, respectively.

Estimated amortization expense for developed technology and other intangible assets for the next five years consisted of the following as of June 30, 2024 (in thousands):

	Estimated Amortization Expense
Remaining 2024	$	31,367
2025		60,826
2026		49,776
2027		46,440
2028		45,024

7.   Income Taxes. Our provision for income taxes for the three-month periods ended June 30, 2024 and 2023 was a tax expense of $10.1 million and $4.7 million, respectively, which resulted in an effective tax rate of 22.1% and 18.7%, respectively. Our provision for income taxes for the six-month periods ended June 30, 2024 and 2023 was a tax expense of $16.2 million and $9.5 million, respectively, which resulted in an effective tax rate of 20.2% and 18.8%, respectively. The increase in the effective income tax rate for the three and six-month periods ended June 30, 2024, when compared to the prior-year periods, was primarily due to decreased benefit from discrete items such as share-based compensation and deferred compensation and decreased foreign tax credit utilization. The increase in the income tax expense for the six-month period ended June 30, 2024, when compared to the prior-year period, was primarily due to increased pre-tax book income. Our effective tax rate differs from the U.S. statutory rate primarily due to the impact of global intangible low-taxed income (“GILTI”) inclusions, state income taxes, foreign taxes, other nondeductible permanent items and discrete items (such as share-based compensation).

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The Organization for Economic Cooperation and Development (“OECD”) Pillar Two global minimum tax rules, which generally provide for a minimum effective tax rate of 15%, are intended to apply for tax years beginning in 2024. On February 2, 2023, the OECD issued administrative guidance providing transition and safe harbor rules around the implementation of the Pillar Two global minimum tax. Under a transitional safe harbor released July 17, 2023, the undertaxed profits rule top-up tax in the jurisdiction of a company's ultimate parent entity will be zero for each fiscal year of the transition period, if that jurisdiction has a corporate tax rate of at least 20%. The safe harbor transition period will apply to fiscal years beginning on or before December 31, 2025 and ending before December 31, 2026. While we expect our effective income tax rate and cash income tax payments could increase in future years as a result of the global minimum tax, we do not anticipate a material impact to our fiscal 2024 consolidated results of operations. Our assessment could be affected by legislative guidance and future enactment of additional provisions within the Pillar Two framework. We are closely monitoring developments and evaluating the impact these new rules are anticipated to have on our tax rate, including eligibility to qualify for these safe harbor rules.

8.   Debt. Principal balances outstanding under our long-term debt obligations as of June 30, 2024 and December 31, 2023 consisted of the following (in thousands):

	June 30, 2024		December 31, 2023
Term loans	$	75,000	$	99,063
Convertible notes		747,500		747,500
Less unamortized debt issuance costs		(21,179)		(23,550)
Total long-term debt		801,321		823,013
Less current portion		—		—
Long-term portion	$	801,321	$	823,013

Future minimum principal payments on our long-term debt, as of June 30, 2024, were as follows (in thousands):

Years Ending	Future Minimum
December 31,	Principal Payments
Remaining 2024	$	—
2025		—
2026		—
2027		—
2028		75,000
Thereafter		747,500
Total future minimum principal payments	$	822,500

Fourth Amended and Restated Credit Agreement

On June 6, 2023, we entered into a Fourth Amended and Restated Credit Agreement (the "Fourth A&R Credit Agreement"). The Fourth A&R Credit Agreement is a syndicated loan agreement with Wells Fargo Bank, National Association and other parties. The Fourth A&R Credit Agreement amended and restated in its entirety our previously outstanding Third Amended and Restated Credit Agreement and all amendments thereto. The Fourth A&R Credit Agreement provides for a term loan of $150 million and a revolving credit commitment of up to an aggregate amount of $700 million, inclusive of sub-facilities for multicurrency borrowings, standby letters of credit and swingline loans. On June 6, 2028, all principal, interest and other amounts outstanding under the Fourth Amended Credit Agreement are payable in full. At any time prior to the maturity date, we may repay any amounts owing under all term loans and revolving credit loans in whole or in part, without premium or penalty.

On December 5, 2023, we executed an amendment to the Fourth Amended Credit Agreement (as amended, the "Amended Fourth A&R Credit Agreement") to facilitate the issuance of our Convertible Notes described below. Among other things, the amendment also updated the definition of the “Applicable Margin” as used in the Amended Fourth A&R Credit Agreement to determine the interest rates and amended the financial covenants, all as described below.

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Term loans made under the Amended Fourth A&R Credit Agreement bear interest, at our election, at either (i) the Base Rate plus the Applicable Margin (as defined in the Amended Fourth A&R Credit Agreement) or, (ii) Adjusted Term SOFR plus the Applicable Margin (as defined in the Amended Fourth A&R Credit Agreement). Revolving credit loans bear interest, at our election, at either (a) the Base Rate plus the Applicable Margin, (b) Adjusted Term SOFR plus the Applicable Margin, (c) Adjusted Eurocurrency Rate plus the Applicable Margin (as defined in the Amended Fourth A&R Credit Agreement), or (d) Adjusted Daily Simple SONIA plus the Applicable Margin (as defined in the Amended Fourth A&R Credit Agreement). Swingline loans bear interest at the Base Rate plus the Applicable Margin. Interest on each loan featuring the Base Rate and each Daily Simple SONIA Loan is due and payable on the last business day of each calendar month; interest on each loan featuring the Eurocurrency Rate and each Term SOFR Loan is due and payable on the last day of each interest period applicable thereto, and if such interest period extends over three months, at the end of each three-month interval during such interest period.

The Amended Fourth A&R Credit Agreement is collateralized by substantially all of our assets. The Amended Fourth A&R Credit Agreement contains affirmative and negative covenants, representations and warranties, events of default and other terms customary for loans of this nature. In particular, the Amended Fourth A&R Credit Agreement requires that we maintain certain financial covenants, as follows:

	Covenant Requirement
Consolidated Total Net Leverage Ratio (1)		5.0 to 1.0
Consolidated Senior Secured Net Leverage Ratio (2)		3.0 to 1.0
Consolidated Interest Coverage Ratio (3)		3.0 to 1.0

(1) Maximum Consolidated Total Net Leverage Ratio (as defined in the Amended Fourth A&R Credit Agreement) as of any fiscal quarter end.

(2) Maximum Consolidated Senior Secured Net Leverage Ratio (as defined in the Amended Fourth A&R Credit Agreement) as of any fiscal quarter end.

(3) Minimum ratio of Consolidated EBITDA (as defined in the Amended Fourth A&R Credit Agreement and adjusted for certain expenditures) to Consolidated Interest Expense (as defined in the Amended Fourth A&R Credit Agreement) for any period of four consecutive fiscal quarters.

We believe we were in compliance with all covenants set forth in the Amended Fourth A&R Credit Agreement as of June 30, 2024.

As of June 30, 2024, we had outstanding borrowings of $75.0 million and issued letter of credit guarantees of $2.4 million under the Amended Fourth A&R Credit Agreement, with additional available borrowings of approximately $680 million, based on the maximum net leverage ratio and the aggregate revolving credit commitment pursuant to the Amended Fourth A&R Credit Agreement. Our interest rate as of June 30, 2024 was a fixed rate of 3.39% with respect to the outstanding principal amount as a result of an interest rate swap (see Note 9). Our interest rate as of December 31, 2023 was a fixed rate of 3.39% on $75 million as a result of an interest rate swap and a variable floating rate of 7.21% on $24.1 million. The foregoing fixed rates do not reflect potential future changes in the Applicable Margin.

Convertible Notes

In December 2023, we issued convertible notes which bear interest at 3.00% per year, payable semi-annually in arrears on February 1 and August 1 of each year, beginning on August 1, 2024 (the “Convertible Notes”). The Convertible Notes are senior unsecured obligations (as defined in the indenture governing the Convertible Notes (the “Indenture”)) of Merit and will mature on February 1, 2029, unless repurchased, redeemed or converted in accordance with their terms prior to such date. The net proceeds from the sale of the Convertible Notes were approximately $724.8 million after deducting offering and issuance costs and before the costs of the Capped Call Transactions, as described below.

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The initial conversion rate of the notes will be 11.5171 shares of our common stock (the “Common Stock”) per $1,000 principal amount of notes, which equates to an initial conversion price of approximately $86.83 per share of Common Stock, subject to adjustments as provided in the Indenture upon the occurrence of certain specified events. In addition, holders of the Convertible Notes (“Holders”) will have the right to require Merit to repurchase all or a part of their notes upon the occurrence of a “fundamental change” (as defined in the Indenture) in cash at a fundamental change repurchase price of 100% of their principal amount plus accrued and unpaid interest up to, but excluding, the fundamental change repurchase date.

Conversion can occur at the option of the Holders at any time on or after October 1, 2028. Prior to October 1, 2028, Holders may only elect to convert the Convertible Notes under the following circumstances: (1) During the five business day period after any ten consecutive trading day period in which, for each day of that period, the trading price per $1,000 principal amount of the Convertible Notes for such trading day was less than 98% of the product of the last reported sale price of the Common Stock and the applicable conversion rate on such trading day; (2) Merit issues to common stockholders any rights, options, or warrants, entitling them, for a period of not more than 60 days, to purchase shares of Common Stock at a price per share less than the average closing sale price of 10 consecutive trading days, or Merit’s election to make a distribution to common stockholders exceeding 10% of the previous day’s closing sale price; (3) Upon the occurrence of a Fundamental Change, as set forth in the Indenture; (4) During any calendar quarter (and only during such calendar quarter) beginning after March 31, 2024, if, the last reported sale price per share of the Common Stock exceeds 130% of the applicable conversion price on each applicable trading day for at least 20 trading days (whether or not consecutive) in the period of the 30 consecutive trading day period ending on, and including, the last trading day of the immediately preceding calendar quarter; or (5) Prior to the related redemption date if Merit calls any Convertible Notes for redemption. As of June 30, 2024, none of the conditions permitting the Holders to convert their Convertible Notes early had been met. Therefore, the Convertible Notes are classified as long-term debt obligations.

On or after February 7, 2027, we may redeem for cash all or part of the Convertible Notes, at our option, if the last reported sales price of Common Stock has been at least 130% of the conversion price then in effect for at least 20 trading days (whether or not consecutive), including the trading day immediately preceding the date on which we provide notice of redemption, during any 30 consecutive trading days ending on, and including, the trading day immediately before the date we send the related notice of the redemption.

Upon conversion, Merit will (1) pay cash up to the aggregate principal amount of the Convertible Notes to be converted and (2) pay or deliver, as the case may be, cash, shares of Common Stock, or a combination of cash and shares of Common Stock, at Merit’s election, in respect of the remainder, if any, of its conversion obligation in excess of the aggregate principal amount of the Convertible Notes being converted.

Capped Call Transactions

In December 2023, in connection with the pricing of the Convertible Notes, Merit entered into privately negotiated capped call transactions (“Capped Call Transactions”) with certain of the initial purchasers and/or their respective affiliates and certain other financial institutions. The Capped Call Transactions cover, subject to customary anti-dilution adjustments, the number of shares of Common Stock initially underlying the Convertible Notes and are generally expected to reduce potential dilution to the Common Stock upon any conversion of Convertible Notes and/or offset any cash payments Merit is required to make in excess of the principal amount of converted Convertible Notes, as the case may be, with such reduction and/or offset subject to a cap, based on a cap price initially equal to approximately $114.68 per share of Common Stock, subject to certain adjustments under the terms of the Capped Call Transactions. The cost of the Capped Call Transactions was approximately $66.5 million. The Capped Call Transactions do not meet the criteria for separate accounting as a derivative as they are indexed to the Common Stock. The premiums paid for the Capped Call Transactions have been included as a net reduction to Common Stock within stockholders' equity.

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9.   Derivatives.

General. Our earnings and cash flows are subject to fluctuations due to changes in interest rates and foreign currency exchange rates, and we seek to mitigate a portion of the risks attributable to those fluctuations by entering into derivative contracts. The derivative instruments we use are interest rate swaps and foreign currency forward contracts. We recognize derivative instruments as either assets or liabilities at fair value in the accompanying consolidated balance sheets, regardless of whether hedge accounting is applied. We report cash flows arising from our hedging instruments consistent with the classification of cash flows from the underlying hedged items. Accordingly, cash flows associated with our derivative contracts are classified as operating activities in the accompanying consolidated statements of cash flows.

We formally document, designate and assess the effectiveness of transactions that receive hedge accounting treatment initially and on an ongoing basis. For qualifying hedges, the change in fair value is deferred in accumulated other comprehensive income, a component of stockholders’ equity in the accompanying consolidated balance sheets, and recognized in earnings at the same time the hedged item affects earnings. Changes in the fair value of derivative instruments not designated as hedging instruments are recorded in earnings throughout the term of the derivative.

Interest Rate Risk. Our debt bears interest at variable interest rates. Therefore, we are subject to variability in the cash payable for interest expense. In order to mitigate a portion of the risk attributable to such variability, we use a hedging strategy to reduce the variability of cash flows in the interest payments associated with a portion of the variable-rate debt outstanding under our Amended Fourth A&R Credit Agreement that varies in accordance with changes in the benchmark interest rate.

Derivatives Designated as Cash Flow Hedges

On December 23, 2019, we entered into a pay-fixed, receive-variable interest rate swap with a notional amount of $75 million with Wells Fargo. In June 2023, certain terms under the swap agreement were amended to reflect the transition from LIBOR to SOFR, an alternative reference rate. Under the interest rate swap agreement, we fixed the one-month SOFR rate on that portion of our borrowings under the Amended Fourth A&R Credit Agreement at 1.64% for the period from June 1, 2023 to July 31, 2024. The variable portion of the interest rate swap is tied to the one-month SOFR rate (the benchmark interest rate). On a monthly basis, the interest rates under both the interest rate swap and the underlying debt reset, the swap is settled with the counterparty, and interest is paid.

On June 30, 2024 and December 31, 2023, our interest rate swap qualified as a cash flow hedge. The fair value of our interest rate swap as of June 30, 2024 was an asset of $0.3 million, which was partially offset by $0.1 million in deferred taxes. The fair value of our interest rate swap as of December 31, 2023 was an asset of $1.5 million, partially offset by $0.4 million in deferred taxes.

Foreign Currency Risk. We operate on a global basis and are exposed to the risk that our financial condition, results of operations, and cash flows could be adversely affected by changes in foreign currency exchange rates. To reduce the potential effects of foreign currency exchange rate movements on net earnings, we enter into derivative financial instruments in the form of foreign currency exchange forward contracts with major financial institutions. Our policy is to enter into foreign currency derivative contracts with maturities of up to two years. We are exposed to foreign currency exchange rate risk with respect to transactions and balances denominated in various currencies, with our most significant exposure related to transactions and balances denominated in Chinese Renminbi and Euros, among others. We do not use derivative financial instruments for trading or speculative purposes. We do not believe we are subject to any credit risk contingent features related to our derivative contracts, and we seek to manage counterparty risk by allocating derivative contracts among several major financial institutions.

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Derivatives Designated as Cash Flow Hedges

For derivative instruments that are designated and qualify as cash flow hedges, the gain or loss on the derivative instrument is temporarily reported as a component of other comprehensive income and then reclassified into earnings in the same line item associated with the forecasted transaction and in the same period or periods during which the hedged transaction affects earnings. We entered into forward contracts on various foreign currencies to manage the risk associated with forecasted exchange rates which impact revenues, cost of sales, and operating expenses in various international markets. The objective of the forward contracts is to reduce the variability of cash flows associated with the forecasted purchase or sale of the foreign currencies. As of June 30, 2024 and December 31, 2023, we had entered into foreign currency forward contracts, which qualified as cash flow hedges, with aggregate notional amounts of $134.0 million and $141.1 million, respectively.

Derivatives Not Designated as Cash Flow Hedges

We forecast our net exposure in various receivables and payables to fluctuations in the value of various currencies, and we enter into foreign currency forward contracts to mitigate that exposure. As of June 30, 2024 and December 31, 2023, we had entered into foreign currency forward contracts related to those balance sheet accounts with aggregate notional amounts of $110.8 million and $108.4 million, respectively.

Balance Sheet Presentation of Derivative Instruments. As of June 30, 2024 and December 31, 2023, all derivative instruments, both those designated as hedging instruments and those that were not designated as hedging instruments, were recorded at fair value on a gross basis on our consolidated balance sheets. We are not subject to any master netting agreements.

The fair value of derivative instruments on a gross basis was as follows on the dates indicated (in thousands):

Fair Value of Derivative Instruments Designated as Hedging Instruments	Balance Sheet Location	June 30, 2024		December 31, 2023
Assets
Interest rate swap	Prepaid expenses and other assets	$	254	$	1,503
Foreign currency forward contracts	Prepaid expenses and other assets		2,877		2,061
Foreign currency forward contracts	Other assets (long-term)		497		216
(Liabilities)
Foreign currency forward contracts	Accrued expenses		(954)		(1,898)
Foreign currency forward contracts	Other long-term obligations		(343)		(499)
Fair Value of Derivative Instruments Not Designated as Hedging Instruments	Balance Sheet Location	June 30, 2024		December 31, 2023
Assets
Foreign currency forward contracts	Prepaid expenses and other assets	$	1,572	$	828
(Liabilities)
Foreign currency forward contracts	Accrued expenses		(953)		(1,463)

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Income Statement Presentation of Derivative Instruments.

Derivative Instruments Designated as Cash Flow Hedges

Derivative instruments designated as cash flow hedges had the following effects, before income taxes, on other comprehensive income (“OCI”), accumulated other comprehensive income (“AOCI”), and net earnings in our consolidated statements of income, consolidated statements of comprehensive income and consolidated balance sheets (in thousands):

	Amount of Gain/(Loss)					Consolidated Statements				Amount of Gain/(Loss)
	Recognized in OCI					of Income				Reclassified from AOCI
	Three Months Ended June 30,					Three Months Ended June 30,				Three Months Ended June 30,
Derivative instrument	2024		2023		Location in statements of income	2024			2023	2024			2023
Interest rate swap	$	(197)	$	719	Interest expense	$	(7,679)	$	(3,682)	$	699	$	631
Foreign currency forward contracts		(31)		4,325	Revenue		338,003		320,056		427		658
					Cost of sales		(176,903)		(167,274)		357		333

	Amount of Gain/(Loss)					Consolidated Statements				Amount of Gain/(Loss)
	Recognized in OCI					of Income				Reclassified from AOCI
	Six Months Ended June 30,					Six Months Ended June 30,				Six Months Ended June 30,
Derivative instrument	2024		2023		Location in statements of income	2024			2023	2024			2023
Interest rate swap	$	151	$	600	Interest expense	$	(15,725)	$	(5,693)	$	1,401	$	1,165
Foreign currency forward contracts		4,135		4,564	Revenue		661,511		617,621		840		1,985
					Cost of sales		(348,696)		(326,477)		784		283

As of June 30, 2024, $2.9 million, or $2.2 million after taxes, was expected to be reclassified from AOCI to earnings in revenue and cost of sales over the succeeding twelve months. As of June 30, 2024, $0.3 million, or $0.2 million after taxes, was expected to be reclassified from AOCI to earnings in interest expense over the succeeding twelve months.

Derivative Instruments Not Designated as Hedging Instruments

The following gains/(losses) from these derivative instruments were recognized in our consolidated statements of income for the periods presented (in thousands):

		Three Months Ended June 30,				Six Months Ended June 30,
Derivative Instrument	Location in statements of income	2024		2023		2024		2023
Foreign currency forward contracts	Other income (expense) — net	$	645	$	2,141	$	1,528	$	3,200

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10.   Commitments and Contingencies.

Litigation. In the ordinary course of business, we are involved in various claims and litigation matters. These proceedings, actions and claims may involve product liability, intellectual property, contract disputes, employment, governmental inquiries or other matters, including the matter described below. These matters generally involve inherent uncertainties and often require prolonged periods of time to resolve. In certain proceedings, the claimants may seek damages, as well as other compensatory and equitable relief that could result in the payment of significant claims and settlements and/or the imposition of injunctions or other equitable relief. For legal matters for which our management had sufficient information to reasonably estimate our future obligations, a liability representing management’s best estimate of the probable loss, or the minimum of the range of probable losses when a best estimate within the range is not known, is recorded. The estimates are based on consultation with legal counsel, previous settlement experience and settlement strategies. If actual outcomes are less favorable than those estimated by management, additional expense may be incurred, which could unfavorably affect our financial position, results of operations and cash flows. The ultimate cost to us with respect to actions and claims could be materially different than the amount of the current estimates and accruals and could have a material adverse effect on our financial position, results of operations and cash flows. Unless included in our legal accrual, we are unable to estimate a reasonably possible loss or range of loss associated with any individual material legal proceeding. Legal costs for these matters, such as outside counsel fees and expenses, are charged to expense in the period incurred.

SEC Inquiry

We have received requests from the Division of Enforcement of the U.S. Securities and Exchange Commission (“SEC”) seeking the voluntary production of information relating to the business activities of Merit’s subsidiary in China, including interactions with hospitals and health care officials in China (the “SEC Inquiry”). We are cooperating with the requests and investigating the matter. Currently, we are unable to predict the scope, timing, significance or outcome of the SEC Inquiry or estimate a reasonably possible loss or range of loss associated with the matter. It is possible that the ultimate resolution of the SEC Inquiry, if resolved in a manner unfavorable to us, may be materially adverse to our business, financial position, results of operations or liquidity.

In management's opinion, based on its examination of these matters, its experience to date and discussions with counsel, other than the SEC Inquiry, we are not currently involved in any legal proceedings which, individually or in the aggregate, could have a material adverse effect on our financial position, results of operations or cash flows. Our management regularly assesses the risks of legal proceedings in which we are involved, and management’s view of these matters may change in the future.

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11.   Earnings Per Common Share (EPS). The computation of weighted average shares outstanding and the basic and diluted earnings per common share for the three and six-month periods ended June 30, 2024 and 2023 consisted of the following (in thousands, except per share amounts):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2024		2023		2024		2023
Net income	$	35,726	$	20,245	$	63,966	$	40,948
Average common shares outstanding		58,139		57,537		58,049		57,445
Basic EPS	$	0.61	$	0.35	$	1.10	$	0.71
Average common shares outstanding		58,139		57,537		58,049		57,445
Effect of dilutive stock awards		601		936		604		884
Total potential shares outstanding		58,740		58,473		58,653		58,329
Diluted EPS	$	0.61	$	0.35	$	1.09	$	0.70
Equity awards excluded as the impact was anti-dilutive (1)		802		1,114		1,009		1,014

(1) Does not reflect the impact of incremental repurchases under the treasury stock method.

Convertible Notes

For our Convertible Notes, the dilutive effect is calculated using the if-converted method. Upon surrender of the Convertible Notes for conversion, Merit will pay cash up to the aggregate principal amount of the Notes to be converted and pay or deliver, as the case may be, cash, shares of Common Stock or a combination of cash and shares of Common Stock, at Merit’s election, in respect of the remainder, if any, of Merit’s conversion obligation in excess of the aggregate principal amount of the Convertible Notes being converted. Under the if-converted method, we include the number of shares required to satisfy the remaining conversion obligation, assuming all the Convertible Notes were converted. The average closing price of the Common Stock for the period ended June 30, 2024 was used as the basis for determining the dilutive effect on EPS. The average closing price for the Common Stock on June 30, 2024 did not exceed the conversion price of $86.83, and therefore all associated shares were deemed anti-dilutive.

12.   Stock-Based Compensation Expense. Stock-based compensation expense before income tax expense for the three and six-month periods ended June 30, 2024 and 2023 consisted of the following (in thousands):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2024		2023		2024		2023
Cost of sales
Nonqualified stock options	$	363	$	432	$	725	$	873
Research and development
Nonqualified stock options		345		413		781		841
Selling, general and administrative
Nonqualified stock options		1,565		1,851		3,247		3,221
Performance-based restricted stock units		2,897		1,817		4,764		2,632
Restricted stock units		1,131		467		1,718		911
Cash-settled performance-based awards		710		600		1,010		1,071
Total selling, general and administrative		6,303		4,735		10,739		7,835
Stock-based compensation expense before taxes	$	7,011	$	5,580	$	12,245	$	9,549

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We recognize stock-based compensation expense (net of a forfeiture rate), for those awards which are expected to vest, on a straight-line basis over the requisite service period. We estimate the forfeiture rate based on our historical experience and expectations about future forfeitures.

Nonqualified Stock Options

During the six-month period ended June 30, 2023, we granted stock options representing 327,294 shares of our Common Stock. We did not grant any stock options during the six-month period ended June 30, 2024. We use the Black-Scholes methodology to value the stock-based compensation expense for options. In applying the Black-Scholes methodology to the option grants, the fair value of our stock-based awards granted was estimated using the following assumptions for the periods indicated below:

	Six Months Ended
	June 30,
	2023
Risk-free interest rate	3.6% - 4.5%
Expected option term	4.0 years
Expected dividend yield	—
Expected price volatility	46.7% - 47.1%

The average risk-free interest rate is determined using the U.S. Treasury rate in effect as of the date of grant, based on the expected term of the stock award. We determine the expected term of stock options using the historical exercise behavior of employees. The expected price volatility was determined using a weighted average of daily historical volatility of our stock price over the corresponding expected option term and implied volatility based on recent trends of the daily historical volatility. For awards with a vesting period, compensation expense is recognized on a straight-line basis over the service period, which corresponds to the vesting period.

As of June 30, 2024, the total remaining unrecognized compensation cost related to non-vested stock options was $15.4 million, which was expected to be recognized over a weighted average period of 2.0 years.

Stock-Settled Performance-Based Restricted Stock Units (“Performance Stock Units”)

During the six-month periods ended June 30, 2024 and 2023, we granted performance stock units which represented up to 364,810 and 286,863 shares of Common Stock, respectively. Conversion of the performance stock units occurs at the end of the relevant performance periods, or one year after the agreement date, whichever is later. The number of shares delivered upon vesting at the end of the performance periods are based upon performance against specified financial performance metrics and relative total shareholder return as compared to the Russell 2000 Index (“rTSR”), as defined in the award agreements.

We use Monte-Carlo simulations to estimate the grant-date fair value of the performance stock units linked to total shareholder return. The fair value of each performance stock unit was estimated as of the grant date using the following assumptions for awards granted in the periods indicated below:

	Six Months Ended
	June 30,
	2024	2023
Risk-free interest rate	4.4%	3.9% - 4.6%
Performance period	2.8 years	2.8 years
Expected dividend yield	—	—
Expected price volatility	31.1%	31.4% - 32.6%

The risk-free interest rate of return was determined using the U.S. Treasury rate at the time of grant with a term equal to the expected term of the award. The expected volatility was based on the weighted average volatility of our stock price and the average volatility of our compensation peer group's stock price. The expected dividend yield was assumed to be zero because, at the time of the grant, we had no plans to declare a dividend.

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Compensation expense is recognized using the grant-date fair value for the number of shares that are likely to be awarded based on the performance metrics. Each reporting period, this probability assessment is updated, and cumulative adjustments are recorded based on the financial performance metrics expected to be achieved. At the end of the performance period, cumulative expense is calculated based on the actual performance metrics achieved. As of June 30, 2024, the total remaining unrecognized compensation cost related to stock-settled performance stock units was $20.3 million, which is expected to be recognized over a weighted average period of 2.1 years.

Cash-Settled Performance-Based Awards

During the six-month periods ended June 30, 2024 and 2023, we granted performance stock units to our Chief Executive Officer that provide for settlement in cash upon achievement of specific metrics (“Liability Awards”), with total target cash incentives in the amount of $1.6 million and $1.3 million, respectively. The Liability Awards entitle him to a target cash payment based upon our level of rTSR performance and achievement of other performance metrics, as defined in the award agreements.

During the six-month periods ended June 30, 2024 and 2023, we granted additional performance stock units to certain employees that provide for settlement in cash upon our achievement of specified financial metrics. The cash payable upon vesting at the end of the service period is based upon performance against specified financial performance metrics and relative total shareholder return as compared to the rTSR, as defined in the award agreements. Compensation expense is recognized for the cash payment likely to be awarded based on the performance metrics.

The potential maximum payout of these Liability Awards is 250% of the target cash incentive, resulting in a total potential maximum payout of $4.4 million and $4.4 million for Liability Awards granted during the six-month periods ended June 30, 2024 and 2023, respectively. The settlement generally occurs at the end of three-year performance periods based upon the same performance metrics and vesting period as our performance stock units.

The fair value of these Liability Awards is measured at each reporting period until the awards are settled. As of June 30, 2024 and December 31, 2023, the recorded balance associated with these Liability Awards is $3.4 million and $3.4 million, respectively, which are classified as liabilities and reported in accrued expenses and other long-term obligations within our consolidated balance sheets. As of June 30, 2024, the total remaining unrecognized compensation cost related to Liability Awards was $4.4 million, which is expected to be recognized over a weighted average period of 2.0 years.

Restricted Stock Units

During the six-month periods ended June 30, 2024 and 2023, we granted restricted stock units to certain employees and and non-employee directors representing 158,719 and 20,358 shares of Common Stock, respectively. The expense recognized for restricted stock units is equal to the closing stock price on the date of grant, which is recognized over the vesting period. Restricted stock units granted to each employee are subject to such employee’s continued employment through the vesting date, which is four years from the date of grant. Restricted stock units granted to each non-employee director are subject to such director’s continued service through the vesting date, which is one year from the grant date. As of June 30, 2024, the total remaining unrecognized compensation cost related to restricted stock units was $10.2 million, which will be recognized over a weighted average period of 3.3 years.

13.   Segment Reporting. We report our operations in two operating segments: cardiovascular and endoscopy. Our cardiovascular segment consists of four product categories: peripheral intervention, cardiac intervention, custom procedural solutions, and OEM. Within these product categories, we sell a variety of products, including cardiology and radiology devices (which assist in diagnosing and treating coronary arterial disease, peripheral vascular disease and other non-vascular diseases), as well as embolotherapeutic, cardiac rhythm management, electrophysiology, critical care, breast cancer localization and guidance, biopsy, and interventional oncology and spine devices. Our endoscopy segment consists of gastroenterology and pulmonology devices which assist in the palliative treatment of expanding esophageal, tracheobronchial and biliary strictures. Our chief operating decision maker is our Chief Executive Officer. We evaluate the performance of our operating segments based on net sales and income from operations.

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Financial information relating to our reportable operating segments and reconciliations to the consolidated totals for the three and six-month periods ended June 30, 2024 and 2023, were as follows (in thousands):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2024		2023		2024		2023
Net sales
Cardiovascular	$	327,815	$	311,275	$	641,189	$	599,251
Endoscopy		10,188		8,781		20,322		18,370
Total net sales		338,003		320,056		661,511		617,621
Income from operations
Cardiovascular		42,912		26,464		75,819		50,398
Endoscopy		3,034		2,348		6,049		4,797
Total income from operations		45,946		28,812		81,868		55,195
Total other expense — net		(103)		(3,912)		(1,677)		(4,795)
Income tax expense		10,117		4,655		16,225		9,452
Net income	$	35,726	$	20,245	$	63,966	$	40,948

14.   Fair Value Measurements.

Assets (Liabilities) Measured at Fair Value on a Recurring Basis

Our financial assets and (liabilities) carried at fair value and measured on a recurring basis as of June 30, 2024 and December 31, 2023 consisted of the following (in thousands):

			Fair Value Measurements Using
	Total Fair		Quoted prices in		Significant other		Significant
	Value at		active markets		observable inputs		unobservable inputs
	June 30, 2024		(Level 1)		(Level 2)		(Level 3)
Marketable securities (1)	$	61	$	61	$	—	$	—
Interest rate contract asset, current (2)	$	254	$	—	$	254	$	—
Foreign currency contract assets, current and long-term (3)	$	4,946	$	—	$	4,946	$	—
Foreign currency contract liabilities, current and long-term (4)	$	(2,250)	$	—	$	(2,250)	$	—
Contingent consideration liabilities	$	(3,435)	$	—	$	—	$	(3,435)

			Fair Value Measurements Using
	Total Fair		Quoted prices in		Significant other		Significant
	Value at		active markets		observable inputs		unobservable inputs
	December 31, 2023		(Level 1)		(Level 2)		(Level 3)
Marketable securities (1)	$	78	$	78	$	—		—
Interest rate contract asset, current (2)	$	1,503	$	—	$	1,503	$	—
Foreign currency contract assets, current and long-term (3)	$	3,105	$	—	$	3,105	$	—
Foreign currency contract liabilities, current and long-term (4)	$	(3,860)	$	—	$	(3,860)	$	—
Contingent consideration liabilities	$	(3,447)	$	—	$	—	$	(3,447)

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(1) Our marketable securities, which consist entirely of available-for-sale equity securities, are valued using market prices in active markets. Level 1 instrument valuations are obtained from real-time quotes for transactions in active exchange markets involving identical assets.

(2) The fair value of the interest rate contract is determined using Level 2 fair value inputs and is recorded as prepaid and other current assets in the consolidated balance sheets.

(3) The fair value of the foreign currency contract assets (including those designated as hedging instruments and those not designated as hedging instruments) is determined using Level 2 fair value inputs and is recorded as a prepaid expense and other current asset or other long-term asset in the consolidated balance sheets.

(4) The fair value of the foreign currency contract liabilities (including those designated as hedging instruments and those not designated as hedging instruments) is determined using Level 2 fair value inputs and is recorded as accrued expense or other long-term obligation in the consolidated balance sheets.

Certain of our past business combinations involve the potential for the payment of future contingent consideration, generally based on a percentage of future product sales or upon attaining specified future revenue or other milestones. The contingent consideration liability is re-measured at the estimated fair value at the end of each reporting period with the change in fair value recognized within operating expenses in the accompanying consolidated statements of income for such period. We measure the initial liability and re-measure the liability on a recurring basis using Level 3 inputs as defined under authoritative guidance for fair value measurements. Changes in the fair value of our contingent consideration liabilities during the three and six-month periods ended June 30, 2024 and 2023 consisted of the following (in thousands):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2024		2023		2024		2023
Beginning balance	$	3,225	$	16,000	$	3,447	$	18,073
Contingent consideration expense		305		1,094		188		1,615
Contingent payments made		(95)		(13,513)		(200)		(16,107)
Ending balance	$	3,435	$	3,581	$	3,435	$	3,581

As of June 30, 2024, $3.0 million in contingent consideration liability was included in other long-term obligations and $0.4 million in contingent consideration liability was included in accrued expenses in our consolidated balance sheet. As of December 31, 2023, $3.0 million in contingent consideration liability was included in other long-term obligations and $0.4 million in contingent consideration liability was included in accrued expenses in our consolidated balance sheet.

Payments related to the settlement of the contingent consideration liability recognized at fair value as of the applicable acquisition date of $0.1 million and $3.4 million for the six-month periods ended June 30, 2024 and 2023, respectively, have been reflected as a cash outflow from financing activities in the accompanying consolidated statements of cash flows. Payments related to increases in the contingent consideration liability subsequent to the date of acquisition of $0.1 million and $12.7 million for the six-month periods ended June 30, 2024 and 2023, respectively, are reflected as operating cash flows.

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The recurring Level 3 measurement of our contingent consideration liabilities included the following significant unobservable inputs at June 30, 2024 and December 31, 2023 (amounts in thousands):

	Fair value at
	June 30,		Valuation			Weighted
Contingent consideration liability	2024		technique	Unobservable inputs	Range	Average(1)
Revenue-based royalty payments contingent liability	$	2,937	Discounted cash flow	Discount rate	12% - 16%	14.6%
				Projected year of payments	2024-2034	2028
Revenue milestones contingent liability	$	91	Monte Carlo simulation	Discount rate	13.0%
				Projected year of payments	2024-2040	2040
Regulatory approval contingent liability	$	407	Scenario-based method	Discount rate	6.1%
				Probability of milestone payment	50.0%
				Projected year of payment	2024-2030	2030

	Fair value at
	December 31,		Valuation			Weighted
Contingent consideration liability	2023		technique	Unobservable inputs	Range	Average(1)
Revenue-based royalty payments contingent liability	$	2,945	Discounted cash flow	Discount rate	12.0% - 16.0%	14.6%
				Projected year of payments	2024-2034	2028
Revenue milestones contingent liability	$	93	Monte Carlo simulation	Discount rate	13.0%
				Projected year of payments	2024-2039	2039
Regulatory approval contingent liability	$	409	Scenario-based method	Discount rate	5.5%
				Probability of milestone payment	50.0%
				Projected year of payment	2024-2030	2030

(1) Unobservable inputs were weighted by the relative fair value of the instruments. No weighted average is reported for contingent consideration liabilities without a range of unobservable inputs.

The contingent consideration liability is re-measured to fair value each reporting period. Significant increases or decreases in projected revenues, based on our most recent internal operational budgets and long-range strategic plans, discount rates or the time until payment is made would have resulted in a significantly lower or higher fair value measurement. Our determination of the fair value of the contingent consideration liability could change in future periods based upon our ongoing evaluation of these significant unobservable inputs. We intend to record any such change in fair value to operating expenses in our consolidated statements of income.

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Fair Value of Other Assets (Liabilities)

The carrying amount of cash and cash equivalents, receivables, and trade payables approximate fair value because of the immediate, short-term maturity of these financial instruments. Our long-term debt under our Amended Fourth A&R Credit Agreement re-prices frequently due to variable rates and entails no significant changes in credit risk and, as a result, we believe the fair value of long-term debt approximates carrying value. We believe the fair value our long-term debt under our Convertible Notes approximates carrying value as the notes were issued in December 2023. The fair value of assets and liabilities whose carrying value approximates fair value is determined using Level 2 inputs, with the exception of cash and cash equivalents, which use Level 1 inputs.

We recognize or disclose the fair value of certain assets, such as non-financial assets, primarily property and equipment, right-of-use operating lease assets, equity investments, intangible assets and goodwill in connection with impairment evaluations. Such assets are reported at carrying value and are not subject to recurring fair value measurements. We review our long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Fair value is generally determined based on discounted future cash flow. All our nonrecurring valuations use significant unobservable inputs and therefore fall under Level 3 of the fair value hierarchy.

Our equity investments in privately-held companies were $22.6 million and $19.1 million at June 30, 2024 and December 31, 2023, respectively, which are included within other long-term assets in our consolidated balance sheets. We analyze our investments in privately-held companies to determine if they should be accounted for using the equity method based on our ability to exercise significant influence over operating and financial policies of the investment. Investments not accounted for under the equity method of accounting are accounted for at cost minus impairment, if applicable, plus or minus changes in valuation resulting from observable transactions for identical or similar investments. During the six-month period ended June 30, 2023, we recorded impairment charges of $0.3 million associated with our previously-held equity investment in Bluegrass in connection with the asset acquisition completed on May 4, 2023 (see Note 4). During the six-month period ended June 30, 2024, we recorded no impairment charges related to our equity investments.

Current Expected Credit Losses

Our outstanding long-term notes receivable, including accrued interest and an allowance for current expected credit losses, were $8.7 million and $3.2 million as of June 30, 2024 and December 31, 2023, respectively. Long-term notes receivable issued were $6.2 million for the six-month period ended June 30, 2024 and were related to loans issued to Selio Medical Limited (“Selio”) of $1.7 million, Solo Pace Inc. (“Solo Pace”) of $1.5 million and Fluidx of $3.0 million. As of June 30, 2024 and December 31, 2023, we had an allowance for current expected credit losses of $1.4 million and $0.6 million, respectively, associated with these notes receivable. We assess the allowance for current expected credit losses on an individual security basis, due to the limited number of securities, using a probability of default model, which is based on relevant information about past events, including historical experience, current conditions and reasonable and supportable forecasts that affect the expected collectability of securities, and other security specific factors.

The table below presents a roll-forward of the allowance for current expected credit losses on our notes receivable for the three and six-month periods ended June 30, 2024 and 2023 (in thousands):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2024		2023		2024		2023
Beginning balance	$	1,388	$	290	$	568	$	281
Provision for credit loss expense		18		6		838		15
Ending balance	$	1,406	$	296	$	1,406	$	296

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15. Accumulated Other Comprehensive Income (Loss). The changes in each component of accumulated other comprehensive income (loss) for the three and six-month periods ended June 30, 2024 and 2023 were as follows:

	Cash Flow Hedges		Foreign Currency Translation		Total
Balance as of April 1, 2024	$	3,932	$	(16,388)	$	(12,456)
Other comprehensive loss		(228)		(1,688)		(1,916)
Income taxes		404		22		426
Reclassifications to:
Revenue		(427)				(427)
Cost of sales		(357)				(357)
Interest expense		(699)				(699)
Net other comprehensive loss		(1,307)		(1,666)		(2,973)
Balance as of June 30, 2024	$	2,625	$	(18,054)	$	(15,429)

	Cash Flow Hedges		Foreign Currency Translation		Total
Balance as of April 1, 2023	$	3,081	$	(14,010)	$	(10,929)
Other comprehensive income (loss)		5,044		(1,201)		3,843
Income taxes		(821)		(15)		(836)
Reclassifications to:
Revenue		(658)				(658)
Cost of sales		(333)				(333)
Interest expense		(631)				(631)
Net other comprehensive income (loss)		2,601		(1,216)		1,385
Balance as of June 30, 2023	$	5,682	$	(15,226)	$	(9,544)

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	Cash Flow Hedges		Foreign Currency Translation		Total
Balance as of January 1, 2024	$	1,662	$	(12,996)	$	(11,334)
Other comprehensive income (loss)		4,286		(5,092)		(806)
Income taxes		(298)		34		(264)
Reclassifications to:
Revenue		(840)				(840)
Cost of sales		(784)				(784)
Interest expense		(1,401)				(1,401)
Net other comprehensive income (loss)		963		(5,058)		(4,095)
Balance as of June 30, 2024	$	2,625	$	(18,054)	$	(15,429)

	Cash Flow Hedges		Foreign Currency Translation		Total
Balance as of January 1, 2023	$	4,366	$	(15,916)	$	(11,550)
Other comprehensive income		5,164		724		5,888
Income taxes		(415)		(34)		(449)
Reclassifications to:
Revenue		(1,985)				(1,985)
Cost of sales		(283)				(283)
Interest expense		(1,165)				(1,165)
Net other comprehensive income		1,316		690		2,006
Balance as of June 30, 2023	$	5,682	$	(15,226)	$	(9,544)

16. Subsequent Events. On July 1, 2024, we entered into an Asset Purchase Agreement (the “EGS Purchase Agreement”) with EndoGastric Solutions, Inc., a Delaware corporation (“EGS”), pursuant to which we acquired the EsophyX® Z+ device and various assets related thereto (collectively, the “EGS Acquisition”), which are designed to deliver a durable, minimally invasive non-pharmacological treatment option for patients suffering from gastroesophageal reflux disease. We acquired the purchased assets identified under the EGS Purchase Agreement for a purchase price of $105 million, which amount we financed at closing through current borrowings under our long-term debt obligations, plus the assumption or reimbursement of certain liabilities of EGS. We are currently evaluating the accounting treatment of the EGS Acquisition, as well as performing the valuation of the assets acquired and the related purchase price allocation.

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ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

The following discussion and analysis of our financial condition and results of operations should be read in conjunction with the consolidated financial statements and related condensed notes thereto, which are included in Part I of this report. Our future financial condition and results of operations, as well as any forward-looking statements, are subject to inherent risks and uncertainties that may adversely impact our operations and financial results. These risks and uncertainties are discussed in Part I, Item 1A “Risk Factors” in the 2023 Annual Report on Form 10-K and in Part II, Item 1A “Risk Factors” in this report.

OVERVIEW

We are a leading manufacturer and marketer of proprietary medical devices used in interventional, diagnostic and therapeutic procedures, particularly in cardiology, radiology, oncology, critical care and endoscopy. Our cardiovascular segment consists of four product categories: peripheral intervention, cardiac intervention, custom procedural solutions, and OEM. Within these product categories, we sell a variety of products, including cardiology and radiology devices (which assist in diagnosing and treating coronary arterial disease, peripheral vascular disease and other non-vascular diseases), as well as embolotherapeutic, cardiac rhythm management, electrophysiology, critical care, breast cancer localization and guidance, biopsy, and interventional oncology and spine devices. Our endoscopy segment consists of gastroenterology and pulmonology devices which assist in the palliative treatment of expanding esophageal, tracheobronchial and biliary strictures.

For the three-month period ended June 30, 2024, we reported sales of $338.0 million, an increase of $17.9 million or 5.6% compared to sales for the three-month period ended June 30, 2023 of $320.1 million. For the six-month period ended June 30, 2024, we reported sales of $661.5 million, an increase of $43.9 million or 7.1% compared to sales for the six-month period ended June 30, 2023 of $617.6 million. Foreign currency fluctuations (net of hedging) decreased our net sales by ($3.0) million and ($4.7) million, respectively, for the three and six-month periods ended June 30, 2024, assuming applicable foreign exchange rates in effect during the comparable prior-year periods.

Gross profit as a percentage of sales was 47.7% for the three-month periods ending June 30, 2023 and 2024. Gross profit as a percentage of sales increased to 47.3% for the six-month period ended June 30, 2024 compared to 47.1% for the six-month period ended June 30, 2023.

Net income for the three-month period ended June 30, 2024 was $35.7 million, or $0.61 per share, compared to net income of $20.2 million, or $0.35 per share, for the three-month period ended June 30, 2023. Net income for the six-month period ended June 30, 2024 was $64.0 million, or $1.09 per share, compared to net income of $40.9 million, or $0.70 per share, for the six-month period ended June 30, 2023.

Recent Developments and Trends

In addition to the trends identified in the 2023 Annual Report on Form 10-K under the heading “Management’s Discussion and Analysis of Financial Condition and Results of Operations - Overview,” our business in 2024 has been impacted, and we believe will continue to be impacted, by the following recent developments and trends:

● Our revenue results during the three-month period ended June 30, 2024 were driven primarily by demand in the U.S. and favorable international sales trends, particularly in our Europe, Middle East and Africa (“EMEA”) and Rest of World (“ROW”) regions.

● On February 28, 2024, we introduced our “Continued Growth Initiatives” Program and related financial targets for the three-year period ending December 31, 2026, which reflects our commitment to better-position Merit for long-term, sustainable growth and enhanced profitability.

● As of June 30, 2024, we had cash, cash equivalents, and restricted cash of $638.7 million and net available borrowing capacity of approximately $680 million.

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RESULTS OF OPERATIONS

The following table sets forth certain operational data as a percentage of sales for the periods indicated:

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2024		2023		2024		2023
Net sales	100	%	100	%	100	%	100	%
Gross profit	47.7		47.7		47.3		47.1
Selling, general and administrative expenses	28.0		31.5		28.6		30.9
Research and development expenses	6.0		6.3		6.3		6.7
Impairment charges	—		0.1		—		0.0
Contingent consideration expense	0.1		0.3		0.0		0.3
Acquired in-process research and development expense	—		0.5		—		0.3
Income from operations	13.6		9.0		12.4		8.9
Other expense — net	(0.0)		(1.2)		(0.3)		(0.8)
Income before income taxes	13.6		7.8		12.1		8.2
Net income	10.6		6.3		9.7		6.6

Sales

Sales for the three-month period ended June 30, 2024 increased by 5.6%, or $17.9 million, compared to the corresponding period in 2023. Sales for the six-month period ended June 30, 2024 increased by 7.1%, or $43.9 million, compared to the corresponding period in 2023. Listed below are the sales by product category within each of our financial reporting segments for the three and six-month periods ended June 30, 2024 and 2023 (in thousands, other than percentage changes):

			Three Months Ended						Six Months Ended
			June 30,						June 30,
	% Change		2024		2023		% Change		2024		2023
Cardiovascular
Peripheral Intervention	10.6	%	$	139,247	$	125,909	14.3	%	$	273,873	$	239,692
Cardiac Intervention	0.1	%		93,863		93,775	3.0	%		184,551		179,103
Custom Procedural Solutions	2.1	%		50,416		49,384	2.2	%		99,210		97,085
OEM	4.9	%		44,289		42,207	0.2	%		83,555		83,371
Total	5.3	%		327,815		311,275	7.0	%		641,189		599,251
Endoscopy
Endoscopy Devices	16.0	%		10,188		8,781	10.6	%		20,322		18,370
Total	5.6	%	$	338,003	$	320,056	7.1	%	$	661,511	$	617,621

Cardiovascular Sales. Our cardiovascular sales for the three-month period ended June 30, 2024 were $327.8 million, up 5.3% when compared to the corresponding period of 2023 of $311.3 million. Sales for the three-month period ended June 30, 2024 were favorably affected by increased sales of:

(a) Peripheral intervention products, which increased by $13.3 million, or 10.6%, from the corresponding period of 2023. This increase was driven primarily by increased sales of our access, biopsy, radar localization, delivery systems, and drainage products.

(b) Cardiac intervention products, which increased by $0.1 million, or 0.1%, from the corresponding period of 2023. This increase was driven primarily by increased sales of our cardiac rhythm management/electrophysiology (“CRM/EP”) and fluid management products, offset partially by decreased sales of our angiography and hemostasis products.

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(c) Custom procedural solutions products, which increased by $1.0 million, or 2.1%, from the corresponding period of 2023. This increase was driven primarily by increased sales of our kits, offset partially by decreased sales of our critical care products and procedure trays.

(d) OEM products, which increased by $2.1 million, or 4.9%, from the corresponding period of 2023. This increase was driven primarily by increased sales of our kits and access, fluid management, intervention, and angiography products, offset partially by decreased sales of our CRM/EP products.

Our cardiovascular sales for the six-month period ended June 30, 2024 were $641.2 million, up 7.0% when compared to the corresponding period of 2023 of $599.3 million. Sales for the six-month period ended June 30, 2024 were favorably affected by increased sales of:

(a) Peripheral intervention products, which increased by $34.2 million, or 14.3%, from the corresponding period of 2023. This increase was driven primarily by increased sales of our access, biopsy, delivery systems, radar localization, drainage, embolotherapy, and angiography products.

(b) Cardiac intervention products, which increased by $5.4 million, or 3.0%, from the corresponding period of 2023. This increase was driven primarily by increased sales of our CRM/EP, intervention, and access products, offset partially by decreased sales of our angiography products.

(c) Custom procedural solutions products, which increased by $2.1 million, or 2.2%, from the corresponding period of 2023. This increase was driven primarily by increased sales of our kits, offset partially by decreased sales of our procedure trays.

(d) OEM products, which increased by $0.2 million, or 0.2%, from the corresponding period of 2023. This increase was driven primarily by increased sales of our kits and access products, offset partially by decreased sales of our CRM/EP products.

Endoscopy Sales. Our endoscopy sales for the three-month period ended June 30, 2024 were $10.2 million, up 16.0% when compared to sales in the corresponding period of 2023 of $8.8 million. Sales for the three-month period ended June 30, 2024 compared to the corresponding period in 2023 were favorably affected by increased sales of our EndoMAXX fully covered esophageal stent, other stents, Elation Pulmonary Balloon Dilators, and ReSolve Thoracostomy Trays.

Our endoscopy sales for the six-month period ended June 30, 2024 were $20.3 million, up 10.6%, when compared to sales in the corresponding period of 2023 of $18.4 million. Sales for the six-month period ended June 30, 2024 compared to the corresponding period in 2023 were favorably affected by increased sales of our other stents, ReSolve Thoracostomy Trays, and Elation Pulmonary Balloon Dilators, offset partially by decreased sales of our AERO Tracheobronchial Stent and probes.

Geographic Sales

Listed below are sales by geography for the three and six-month periods ended June 30, 2024 and 2023 (in thousands, other than percentage changes):

			Three Months Ended						Six Months Ended
			June 30,						June 30,
	% Change		2024		2023		% Change		2024		2023
United States	8.4	%	$	194,664	$	179,582	8.5	%	$	380,758	$	350,942
International	2.0	%		143,339		140,474	5.3	%		280,753		266,679
Total	5.6	%	$	338,003	$	320,056	7.1	%	$	661,511	$	617,621

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United States Sales. U.S. sales for the three-month period ended June 30, 2024 were $194.7 million, or 57.6% of net sales, up 8.4% when compared to the corresponding period of 2023. The increase in our domestic sales for the three-month period ended June 30, 2024, compared to the corresponding period of 2023 was driven primarily by our U.S. Direct and Endoscopy businesses.

U.S. sales for the six-month period ended June 30, 2024 were $380.8 million, or 57.6% of net sales, up 8.5% when compared to the corresponding period of 2023. The increase in our domestic sales for the six-month period ended June 30, 2024, compared to the corresponding period of 2023 was driven primarily by our U.S. Direct, Oncology and Endoscopy businesses.

International Sales. International sales for the three-month period ended June 30, 2024 were $143.3 million, or 42.4% of net sales, up 2.0% when compared to the corresponding period of 2023 of $140.5 million. The increase in our international sales for the three-month period ended June 30, 2024, compared to the corresponding period of 2023 included increased sales in our EMEA operations of $2.7 million or 4.5% and in our ROW operations of $2.1 million or 17.1%, offset partially by decreased sales in our Asia Pacific (“APAC”) operations of ($1.9) million or (2.8%).

International sales for the six-month period ended June 30, 2024 were $280.8 million, or 42.4% of net sales, up 5.3% when compared to the corresponding period of 2023 of $266.7 million. The increase in our international sales for the six-month period ended June 30, 2024, compared to the six-month period ended June 30, 2023, included increased sales in our EMEA operations of $5.7 million or 4.8%, in our ROW operations of $5.0 million or 22.0%, and in our APAC operations of $3.4 million or 2.7%.

Gross Profit

Our gross profit as a percentage of sales was 47.7% for both the three-month periods ended June 30, 2024 and 2023. The consistency in gross profit percentage was primarily due to increased sales combined with favorable changes in standard cost and product mix and lower obsolescence expense, offset by higher intangible amortization expense as a percentage of sales associated with acquisitions.

Our gross profit as a percentage of sales increased to 47.3% for the six-month period ended June 30, 2024, compared to  47.1% for the six-month period ended June 30, 2023. The increase in gross profit percentage was primarily due to an increase in sales combined with favorable changes in standard cost and product mix, partially offset by unfavorable manufacturing variances and higher intangible amortization expense as a percentage of sales associated with acquisitions.

Operating Expenses

Selling, General and Administrative Expense. Selling, general and administrative ("SG&A") expenses decreased ($6.3) million, or (6.3)%, for the three-month period ended June 30, 2024 compared to the corresponding period of 2023. As a percentage of sales, SG&A expenses were 28.0% for the three-month period ended June 30, 2024, compared to 31.5% for the corresponding period of 2023. For the three-month period ended June 30, 2024, SG&A expenses decreased compared to the corresponding period of 2023, primarily due to a decrease in loss on abandonment of property and equipment expense associated with the 2023 write-off of equipment related to our Spine business, a decrease in consulting costs in connection with the Foundations for Growth Program which was completed in 2023, a decrease in acquisition-related expenses associated with due diligence projects, and a decrease in costs associated with idle facilities during line transfers, offset partially by increased labor costs in our sales and marketing operations due to increased headcount to support growth and increased advertising and promotional expenses.

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SG&A expenses decreased ($2.1) million, or (1.1)%, for the six-month period ended June 30, 2024 compared to the corresponding period of 2023. As a percentage of sales, SG&A expenses were 28.6% for the six-month period ended June 30, 2024, compared to 30.9% for the corresponding period of 2023. For the six-month period ended June 30, 2024, SG&A expenses decreased compared to the corresponding period of 2023 primarily due to a decrease in loss on abandonment of property and equipment expense associated with the 2023 write-off of equipment related to our Spine business, a decrease in consulting costs in connection with the Foundations for Growth Program which was completed in 2023, and a decrease in acquisition-related expenses associated with due diligence projects, offset partially by an increase in labor-related costs in our sales and marketing operations due to increased headcount to support growth, an increase of variable compensation linked to company performance, an increase of stock-based compensation expense associated with new equity grants, and an increased investment in advertising and promotional expenses.

Research and Development Expenses. Research and development (”R&D”) expenses for the three-month period ended June 30, 2024 were $20.3 million, up 0.7%, when compared to R&D expenses in the corresponding period of 2023 of $20.1 million. For the three-month period ended June 30, 2024, R&D expenses increased compared to the corresponding period of 2023 primarily due to increased facility and support costs and increased materials for projects, offset partially by decreased regulatory costs related to implementation of the Medical Device Regulation in the E.U. and decreased costs related to clinical studies.

R&D expenses for the six-month period ended June 30, 2024 were $41.7 million, up 0.7%, when compared to R&D expenses in the corresponding period of 2023 of $41.4 million. For the six-month period ended June 30, 2024, R&D expenses increased compared to the corresponding period of 2023 primarily due to increased labor costs due to increased headcount, increased materials for projects, and increased costs related to clinical studies, offset partially by lower regulatory costs related to implementation of the Medical Device Regulation in the E.U.

Impairment Charges. For the three and six-month periods ended June 30, 2024, we recognized no impairment charges. For the three and six-month periods ended June 30, 2023, we recorded impairment charges of $270 thousand due to the acquisition and subsequent write-off of our equity investment in Bluegrass.

Contingent Consideration Expense. For the three and six-month periods ended June 30, 2024, we recognized contingent consideration expense from changes in the estimated fair value of our contingent consideration obligations stemming from our previously disclosed business acquisitions of $0.3 million and $0.2 million compared to contingent consideration expense of $1.1 million and $1.6 million for the three and six-month periods ended June 30, 2023, respectively. Expense in each period related to changes in the probability and timing of achieving certain revenue and operational milestones, as well as expense for the passage of time.

Acquired In-process Research and Development. For the three and six-month periods ended June 30, 2024, we recognized no acquired in-process research and development costs. For the three and six-month periods ended June 30, 2023 we recognized $1.6 million in acquired in-process research and development costs primarily associated with the assets we acquired from Advanced Radiation Therapy, LLC (“ART”) on May 1, 2023.

Operating Income

The following table sets forth our operating income by financial reporting segment for the three and six-month periods ended June 30, 2024 and 2023 (in thousands):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2024		2023		2024		2023
Operating Income
Cardiovascular	$	42,912	$	26,464	$	75,819	$	50,398
Endoscopy		3,034		2,348		6,049		4,797
Total operating income	$	45,946	$	28,812	$	81,868	$	55,195

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Cardiovascular Operating Income. Our cardiovascular operating income for the three-month period ended June 30, 2024 was $42.9 million, compared to cardiovascular operating income in the corresponding period of 2023 of $26.5 million. The increase in cardiovascular operating income during the three-month period ended June 30, 2024 compared to the corresponding period of 2023 was primarily a result of higher sales ($327.8 million compared to $311,3 million), lower SG&A expenses, lower acquired in-process research and development charges, lower impairment charges, and lower contingent consideration expense, partially offset by higher R&D expenses.

Our cardiovascular operating income for the six-month period ended June 30, 2024 was $75.8 million, compared to cardiovascular operating income in the corresponding period of 2023 of $50.4 million. The increase in cardiovascular operating income during the six-month period ended June 30, 2024 compared to the corresponding period of 2023 was primarily a result of higher sales ($641.2 million compared to $599.3 million), higher gross margin, lower SG&A, lower acquired in-process research and development charges, lower impairment charges, and lower contingent consideration expense, partially offset by higher R&D expenses.

Endoscopy Operating Income. Our endoscopy operating income for the three-month period ended June 30, 2024 was $3.0 million, compared to endoscopy operating income of $2.3 million for the corresponding period of 2023. Our endoscopy operating income for the six-month period ended June 30, 2024 was $6.0 million, compared to endoscopy operating income of $4.8 million for the corresponding period of 2023. The increase in endoscopy operating income for the three and six-month periods ended June 30, 2024 compared to the corresponding periods of 2023 was primarily a result of increased sales and lower SG&A expenses as a percentage of sales.

Other Expense – Net

Our other expense for the three-month periods ended June 30, 2024 and 2023 was $0.1 million and $3.9 million, respectively. Our other expense for the six-month periods ended June 30, 2024 and 2023 was $1.7 million and $4.8 million, respectively. The changes in other expense for the three and six-month periods ended June 30, 2024 compared to the corresponding periods of 2023 were primarily related to increased interest expense associated with the Convertible Note offering completed in December 2023, partially offset by an increase in interest income associated with higher cash and cash equivalents balances.

Effective Tax Rate

Our provision for income taxes for the three-month periods ended June 30, 2024 and 2023 was a tax expense of $10.1 million and $4.7 million, respectively, which resulted in an effective tax rate of 22.1% and 18.7%, respectively. Our provision for income taxes for the six-month periods ended June 30, 2024 and 2023 was a tax expense of $16.2 million and $9.5 million, respectively, which resulted in an effective tax rate of 20.2% and 18.8%, respectively. The increase in the effective income tax rate for the three and six-month periods ended June 30, 2024, when compared to the prior-year periods, was primarily due to decreased benefit from discrete items such as share-based compensation and deferred compensation and decreased foreign tax credit utilization. The increase in the income tax expense for the three and six-month periods ended June 30, 2024, when compared to the prior-year period, was primarily due to increased pre-tax book income.

Net Income

Our net income for the three-month periods ended June 30, 2024 and 2023 was $35.7 million and $20.2 million, respectively. The increase in our net income for the three-month period ended June 30, 2024 was primarily the result of higher sales, lower SG&A expenses, lower impairment charges, lower acquired in-process research and development charges, and lower contingent consideration expense, partially offset by higher R&D expenses and higher income tax expense.

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Our net income for the six-month periods ended June 30, 2024 and 2023 was $64.0 million and $40.9 million, respectively. The increase in our net income for the six-month period ended June 30, 2024 was the result of several principal factors, including higher sales and gross margin, lower SG&A expenses, lower impairment charges, lower acquired in-process research and development charges, and lower contingent consideration expense, partially offset by higher R&D expenses and higher income tax expense.

LIQUIDITY AND CAPITAL RESOURCES

Capital Commitments, Contractual Obligations and Cash Flows

As of June 30, 2024 and December 31, 2023, our current assets exceeded current liabilities by $976.3 million and $904.9 million, respectively, and we had cash, cash equivalents and restricted cash of $638.7 million and $589.1 million, respectively, of which $54.0 million and $48.7 million, respectively, were held by foreign subsidiaries. We currently believe future repatriation of cash and other property held by our foreign subsidiaries will generally not be subject to U.S. federal income tax. As a result, we are not permanently reinvested with respect to our historic unremitted foreign earnings. In addition, cash held by our subsidiary in China is subject to local laws and regulations that require government approval for the transfer of such funds to entities located outside of China. As of June 30, 2024, and December 31, 2023, we had cash, cash equivalents and restricted cash of $22.0 million and $17.6 million, respectively, within our subsidiary in China.

Cash flows provided by operating activities. We generated cash from operating activities of $104.7 million and $31.8 million during the six-month periods ended June 30, 2024 and 2023, respectively. Significant factors affecting operating cash flows during these periods included:

● Net income was $64.0 million and $40.9 million for the six-month periods ended June 30, 2024 and 2023, respectively.

● Cash provided by (used for) inventories was approximately $3.1 million and ($35.5) million for the six-month periods ended June 30, 2024 and 2023, respectively. The increase in inventories during 2023 was principally associated with our strategy to proactively invest in our inventory balances to encourage high customer service levels, as well as to build bridge inventory for production line transfers and increases in safety stock due to vendor supply delays.

● Cash used for accrued expenses was ($2.8) million and ($10.3) million for the six-month periods ended June 30, 2024 and 2023, respectively, due primarily to the timing and payment of compensation-related accruals, partially offset by an increase in accrued interest associated with the convertible debt.

● Cash paid for income taxes was $(22.6) million and $(17.8) million for the six-month periods ended June 30, 2024 and 2023, respectively, due primarily due to an increase in the income tax expense related to increased pre-tax book income.

Cash flows used in investing activities. We used cash in investing activities of $38.5 million and $157.8 million for the six-month periods ended June 30, 2024 and 2023, respectively. We used cash for capital expenditures of property and equipment of $22.3 million and $18.6 million in the six-month periods ended June 30, 2024 and 2023, respectively. Capital expenditures in each period were primarily related to investments in property and equipment to support development and production of our products. Historically, we have incurred significant expenses in connection with facility construction, production automation, product development and the introduction of new products. We anticipate that we will spend approximately $50 to $60 million in 2024 for property and equipment.

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Cash outflows for the issuance of notes receivable were $6.2 million for the six-month period ended June 30, 2024 and were related to loans issued to Selio of $1.7 million, Solo Pace of $1.5 million and Fluidx of $3.0 million. Cash outflows invested in acquisitions for the six-month period ended June 30, 2024 were $8.5 million and were related to assets acquired from SSI ($3.0 million), our investments in Fluidx ($0.3 million) and CrannMed ($3.2 million), and payment of the first deferred payment from our asset purchase agreement with Restore Endosystems, LLC ($2.0 million). Cash outflows invested in acquisitions for the six-month period ended June 30, 2023 were $138.3 million and were primarily related to payments in our asset purchase agreements with AngioDynamics ($100 million), Bluegrass ($32.7 million) and ART ($1.5 million), and our investment in Solo Pace ($4.0 million).

Cash flows used in financing activities. Cash (used in) provided by financing activities for the six-month periods ended June 30, 2024 and 2023 was ($14.9) million and $141.0 million, respectively. For the six-month period ended June 30, 2024, we decreased our net borrowings under our Amended Fourth A&R Credit Agreement by ($24.1) million. During the six-month period ended June 30, 2023 we increased our net borrowings by approximately $141.8 million to finance the acquisitions of AngioDynamics and Bluegrass. We had cash proceeds from the issuance of common stock of $10.9 million and $9.5 million for the six-month periods ended June 30, 2024 and 2023, respectively, related to the exercise of non-qualified stock options. We completed payment of contingent consideration of ($0.1) million and ($3.4) million for the six-month periods ended June 30, 2024 and 2023, respectively, principally related to sales milestone payments connected to our acquisition of Brightwater Medical, Inc. in 2019.

As of June 30, 2024, we had outstanding borrowings of $822.5 million and had issued letter of credit guarantees of $2.4 million, with additional available borrowings of approximately $680 million under the Amended Fourth A&R Credit Agreement, based on the maximum net leverage ratio and the aggregate revolving credit commitment pursuant to the Amended Fourth A&R Credit Agreement. Our interest rate as of June 30, 2024 was a fixed rate of 3.0% on our Convertible Notes and a fixed rate of 3.39% with respect to the principal amount outstanding under the Amended Fourth A&R Credit Agreement as a result of an interest rate swap. Our interest rate as of December 31, 2023 was a fixed rate of 3.0% on our Convertible Notes, a fixed rate of 3.39% on $75 million as a result of an interest rate swap, and a variable floating rate of 7.21% on $24.1 million.

We currently believe that our existing cash balances, anticipated future cash flows from operations and borrowings under our long-term debt agreements will be adequate to fund our current and currently planned future operations for the next twelve months and the foreseeable future. In the event we pursue and complete significant transactions or acquisitions in the future, additional funds may be required to meet our strategic needs, which may require us to raise additional funds in the debt or equity markets.

CRITICAL ACCOUNTING POLICIES AND ESTIMATES

Our financial results are affected by the selection and application of accounting policies and methods. In the six-month period ended June 30, 2024 there were no changes to the application of critical accounting policies previously disclosed in Part II, Item 7 of the 2023 Annual Report on Form 10-K.

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CAUTIONARY NOTICE REGARDING FORWARD-LOOKING STATEMENTS

This report includes “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). All statements in this report, other than statements of historical fact, are “forward-looking statements” for purposes of these provisions, including any projections of earnings, revenues or other financial items, any statements of the plans and objectives of our management for future operations, any statements concerning proposed new products or services, any statements regarding the integration, development or commercialization of the business or any assets acquired from other parties, any statements regarding future economic conditions or performance, and any statements of assumptions underlying any of the foregoing. In some cases, forward-looking statements can be identified by the use of terminology such as “may,” “will,” “expects,” “plans,” “anticipates,” “intends,” “seeks,” “believes,” “estimates,” “potential,” “forecasts,” “continue,” or other forms of these words or similar words or expressions, or the negative thereof or other comparable terminology. Although we believe that the expectations reflected in the forward-looking statements contained herein are reasonable, there can be no assurance that such expectations or any of the forward-looking statements will prove to be correct, and actual results will likely differ, and could differ materially, from those projected or assumed in the forward-looking statements. Investors are cautioned not to unduly rely on any such forward-looking statements.

All subsequent forward-looking statements attributable to us or persons acting on our behalf are expressly qualified in their entirety by these cautionary statements. Financial estimates are subject to change and are not intended to be relied upon as predictions of future operating results. All forward-looking statements included in this report are made as of the date hereof and are based on information available to us as of such date. We assume no obligation to update any forward-looking statement. If we do update or correct one or more forward-looking statements, investors and others should not conclude that we will make additional updates or corrections.

NOTICE REGARDING TRADEMARKS

This report includes trademarks, tradenames and service marks that are our property or the property of others. Solely for convenience, such trademarks and tradenames sometimes appear without any “™” or “®” symbol. However, failure to include such symbols is not intended to suggest, in any way, that we will not assert our rights or the rights of any applicable licensor, to these trademarks and tradenames.

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Quantitative and qualitative disclosures about currency exchange rate risk and interest rate risk are included in Part II, Item 7A "Quantitative and Qualitative Disclosures About Market Risk" in the 2023 Annual Report on Form 10-K. In the six-month period ended June 30, 2024, there were no material changes from the information provided therein.

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ITEM 4. CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

Our management is responsible for establishing and maintaining adequate disclosure controls and procedures for our company. Consequently, our management, with the participation of our chief executive officer and chief financial officer, evaluated the effectiveness of our disclosure controls and procedures pursuant to Rule 13a-15 under the Exchange Act as of June 30, 2024. In designing and evaluating the disclosure controls and procedures, management recognized that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives. In addition, the design of disclosure controls and procedures must reflect the fact that there are resource constraints, and that management is required to apply its judgment in evaluating the benefits of possible controls and procedures relative to their costs. Based on that evaluation, our chief executive officer and chief financial officer concluded that our disclosure controls and procedures are designed at a reasonable assurance level and are effective to provide reasonable assurance that information we are required to disclose in reports that we file or submit under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in Securities and Exchange Commission rules and forms, and that such information is accumulated and communicated to our management, including our chief executive officer and chief financial officer, as appropriate, to allow timely decisions regarding required disclosure.

Changes in Internal Control Over Financial Reporting

During the six-month period ended June 30, 2024, there were no changes in our internal control over financial reporting that materially affected, or were reasonably likely to materially affect, our internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f) under the Securities Exchange Act of 1934).

PART II - OTHER INFORMATION

ITEM 1. LEGAL PROCEEDINGS

See Note 10 “Commitments and Contingencies” set forth in the notes to our consolidated financial statements included in Part I, Item 1 of this report.

ITEM 1A. RISK FACTORS

In addition to other information set forth in this report, readers should carefully consider the factors discussed in Part I, Item 1A. "Risk Factors" of our 2023 Annual Report on Form 10-K, as updated and supplemented below. Any of the risk factors disclosed in our reports could materially affect our business, financial condition or future results. The risks described here and in our 2023 Annual Report on Form 10-K are not the only risks we face. Additional risks and uncertainties not currently known to us or that we currently deem to be immaterial also may materially and adversely affect our business, financial condition and/or operating results. The discussion of the risk factors below updates the corresponding disclosure under the same headings in the 2023 Annual Report on Form 10-K and may contain material changes to the corresponding risk factor discussion in our 2023 Annual Report on Form 10-K.

We may be unable to compete in our markets, particularly if there is a significant change in practices or technology.

The markets in which our products compete are highly competitive. We face competition from many companies which are larger, better established, have greater financial, technical and other resources and possess a greater market presence than we do. Such resources and market presence may enable our competitors to more effectively market competing products or to market competing products at reduced prices in order to gain market share.

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In addition, our ability to compete successfully is dependent, in part, upon our response to changes in technology and upon our efforts to develop and market new products which achieve significant market acceptance. Companies with substantially greater resources than us are actively engaged in research and development of new methods, treatments, drugs, and procedures to treat or prevent cardiovascular disease that could limit the market for our products and eventually make some of our products obsolete. Furthermore, our existing competitors and new market entrants may respond more quickly to or integrate new or emerging technologies such as artificial intelligence and machine learning in their product offerings, which could also limit the market for our products. A reduction in demand for our products could have a material adverse effect on our business, operations or financial condition.

We rely on the proper function, availability and security of information technology systems to operate our business, and a material disruption of critical information systems or a material breach in the security of our systems may adversely affect our business and customer relationships.

We rely on information technology systems (including technology from third-party providers) to process, transmit, and store electronic information in our day-to-day operations, including sensitive personal information and proprietary or confidential information. We also rely on our technology infrastructure, among other functions, to interact with customers and suppliers, fulfill orders and bill, collect and make payments, ship products, provide support to customers, fulfill contractual obligations and otherwise conduct business. Our internal information technology systems, as well as those systems maintained by third-party providers, may be subjected to inadvertent leaks, computer viruses or other malicious code, unauthorized access attempts, and ransom or other cyber-attacks (including through phishing emails, attempts to fraudulently induce employees or others to disclose information, and the exploitation of software and operating vulnerabilities), any of which could result in data leaks or otherwise compromise our confidential or proprietary information and disrupt our operations. Cyber-attacks continue to increase in frequency, sophistication and intensity, and are becoming increasingly difficult to detect, especially as they relate to attacks on third-party providers or their vendors. Such attacks are often carried out by motivated and highly skilled actors, who are increasingly well-resourced. Geopolitical events have also increased cybersecurity risks on a global basis. Additionally, the continuing evolution of technology used by us and the third-party providers we rely upon, including cloud-based computing, data hosting and artificial intelligence, create additional exposure to security breaches and loss of access to our confidential or proprietary information. There can be no assurance that our protective measures have prevented or will prevent security breaches, any of which could have a significant impact on our business, reputation and financial condition, particularly attacks that result in our intellectual property and other confidential information being accessed or stolen.

We rely on third-party vendors to supply and support certain aspects of our information technology systems. These vendors could become vulnerable to cyber-attacks, malicious intrusions, breakdowns, interference or other significant disruptions, and their systems may contain defects in design or manufacture or other problems that could result in system disruption or compromise the information security of our own systems. In addition, we continue to grow in part through business and product acquisitions and may face risks associated with defects and vulnerabilities in the systems operated by the other parties to those transactions, or difficulties or other breakdowns or disruptions in connection with the integration of the acquired businesses and products into our information technology systems.

Cyber-attacks could also result in unauthorized access to our systems and products, including personal information of individuals, which could trigger notification requirements, encourage actions by regulatory bodies, result in adverse publicity, prompt us to offer credit support products or services to affected individuals and lead to class action or other civil litigation. If we fail to monitor, maintain or protect our information technology systems and data integrity effectively or fail to anticipate, plan for or manage significant disruptions to these systems, we could (i) lose customers, (ii) be subject to fraud, (iii) breach our agreements with or duties toward customers, physicians, other health care professionals and employees, (iv) be subject to regulatory sanctions or penalties, (v) incur expenses or lose revenues, (vi) sustain damage to our reputation, or (vii) suffer other adverse consequences. Unauthorized tampering, adulteration or interference with our products may also create issues with product functionality that could result in a loss of data, risk to patient safety, and product recalls or field actions. Any of these events could have a material adverse effect on our business, operations or financial condition.

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The SEC has adopted new rules that require us to provide greater disclosure regarding cybersecurity risk management, strategy and governance, as well as disclosure of material cybersecurity incidents. We cannot predict or estimate the amount of additional costs we will incur in order to comply with these rules or the timing of such costs. These rules may also require us to report a cybersecurity incident before we have been able to fully assess its impact or remediate the underlying issue. Efforts to comply with such reporting requirements could divert management's attention from our incident response and could potentially reveal system vulnerabilities to threat actors. Failure to timely report incidents under these or other similar rules could also result in monetary fines, sanctions or subject us to other forms of liability.

ITEM 5. OTHER INFORMATION

During the fiscal quarter ended June 30, 2024, none of our directors or officers informed us of the adoption or termination of a “Rule 10b5-1 trading arrangement” or “non-Rule 10b5-1 trading arrangement,” as those terms are defined in Regulation S-K, Item 408.

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ITEM 6. EXHIBITS

Exhibit No.	Description
2.1	Asset Purchase Agreement, dated July 1, 2024, by and between Merit Medical Systems, Inc. and Endogastric Solutions, Inc.
3.1	Second Amended and Restated Articles of Incorporation.*
3.2	Fourth Amended and Restated Bylaws.*
10.1	Indemnification Agreement dated May 15, 2024 between Merit Medical Systems, Inc. and Silvia M. Perez.*
10.2	Form of Restricted Stock Unit Award Agreement, dated May 16, 2024, by and between Merit Medical Systems, Inc. and each of the following individuals: Lonny J. Carpenter, Stephen C. Evans, David K. Floyd, Thomas J. Gunderson, Laura S. Kaiser, Michael R. McDonnell, F. Ann Millner, Lynne N. Ward and Silvia M. Perez.†
31.1	Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.2	Certification of Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
32.1	Certification of Chief Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
32.2	Certification of Chief Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101	The following financial information from the quarterly report on Form 10-Q for the quarter ended June 30, 2024, formatted in Inline Extensible Business Reporting Language (iXBRL): (i) Consolidated Balance Sheets, (ii) Consolidated Statements of Income, (iii) Consolidated Statements of Comprehensive Income (iv) Consolidated Statements of Stockholders’ Equity, (v) Consolidated Statements of Cash Flows, and (vi) related Condensed Notes to the Unaudited Consolidated Financial Statements, tagged in detail.
104	Cover Page Interactive Data File (the cover page XBRL tags are embedded within the Inline XBRL document).

* These exhibits are incorporated herein by reference.

† Indicates management contract or compensatory plan or arrangement.

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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.

	MERIT MEDICAL SYSTEMS, INC.
Date: August 1, 2024	By:	/s/ FRED P. LAMPROPOULOS
		Fred P. Lampropoulos, President and
		Chief Executive Officer
Date: August 1, 2024	By:	/s/ RAUL PARRA
		Raul Parra
		Chief Financial Officer and Treasurer

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EX-2.1

EXHIBIT 2.1

ASSET PURCHASE AGREEMENT

BY AND BETWEEN

MERIT MEDICAL SYSTEMS, INC.

AND

ENDOGASTRIC SOLUTIONS, INC.

Dated as of July 1, 2024

TABLE OF CONTENTS

1.1Purchased Assets‌1

1.2Excluded Assets‌2

1.3Assumed Liabilities‌2

1.4Excluded Liabilities‌3

1.5Non-Assignable Assets‌3

2.1Purchase Price and Assumption of Assumed Liabilities‌4

2.2Purchase Price Adjustment.‌4

2.3Withholding Taxes‌6

3.1Closing; Time and Place‌7

3.2Deliveries by Seller‌7

3.3Deliveries by Purchaser‌8

4.1Organization and Good Standing‌8

4.2Authority; Binding Nature of Agreements‌8

4.3No Conflicts; Required Consents‌9

4.4Financial Statements; No Undisclosed Liabilities‌9

4.5Purchased Inventory‌10

4.6Absence of Changes‌10

4.7Taxes‌11

4.8Intellectual Property‌12

4.9Material Contracts‌14

4.10Insurance‌15

4.11Compliance with Laws‌16

4.12Governmental Approvals; Product Liability‌16

4.13Proceedings and Orders‌17

4.14Title, Condition and Sufficiency of Assets.‌17

4.15Brokers‌17

4.16Trade Control Laws‌18

4.17Anti-Corruption Laws‌18

4.18Distributors, Customers and Suppliers‌18

4.19Bankruptcy‌18

4.20Data Privacyand Security.‌19

4.21Personnel.‌19

4.22Employee Benefit Matters.‌20

4.23Related Party Transactions‌21

4.24Product Warranties‌22

4.25FDA and Regulatory Matters.‌22

4.26Environmental, Health, and Safety Matters‌22

4.27Leased Real Property‌22

4.28CARES Act Matters‌23

5.1Organization and Good Standing‌23

5.2Authority; Binding Nature of Agreements‌23

5.3No Conflicts; Required Consents‌24

5.4Brokers‌24

6.1Cooperation‌24

6.2Return of Assets; Transfer of Purchased Assets‌25

6.3Records and Documents‌25

6.4Confidentiality‌26

6.5Non-Competition; Non-Solicitation.‌26

6.6Product Recalls‌27

6.7Production of Witnesses and Individuals: Privilege Matters.‌28

6.8Customer Inquiries‌28

6.9R&W Insurance Policy Claims‌28

6.10Misplaced Mail and Communications‌28

6.11Employee Matters.‌29

7.1Purchase Price Allocation‌30

7.2Transfer Taxes‌30

7.3Property Taxes‌31

7.4Tax Contests‌31

7.5Tax Cooperation‌31

ii

7.6Tax Deficiencies‌32

8.1Indemnification by Seller‌32

8.2Indemnification by Purchaser‌32

8.3Time for Claims‌32

8.4Procedures for Indemnification‌32

8.5Remedies Exclusive‌34

8.6Tax Treatment of Indemnification‌34

8.7Reimbursement‌34

9.1Expenses‌34

9.2Interpretation‌34

9.3Entire Agreement‌34

9.4Amendment, Waivers and Consents‌35

9.5Successors and Assigns‌35

9.6Governing Law‌35

9.7Jurisdiction; Waiver of Jury Trial‌35

9.8Rules of Construction‌35

9.9Severability‌35

9.10Exhibits and Schedules‌36

9.11Notices‌36

9.12Rights of Parties‌36

9.13Public Announcements‌37

9.14Counterparts‌37

9.15Specific Performance‌37

9.16Electronic Data Room Materials‌37

9.17Further Assurances‌37

EXHIBITS

Exhibit ACertain Definitions

Exhibit BProducts

Exhibit CGeneral Assignment and Bill of Sale

Exhibit DPatent Assignment

Exhibit ETrademark Assignment

Exhibit FTransition Services Agreement

Exhibit GContract Manufacturing Agreement

Exhibit HTransition Distribution Agreement

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ASSET PURCHASE AGREEMENT

THIS ASSET PURCHASE AGREEMENT (this “Agreement”) is dated as of July 1, 2024, by and between MERIT MEDICAL SYSTEMS, INC., a Utah corporation (“Purchaser”), and ENDOGASTRIC SOLUTIONS, INC., a Delaware corporation (“Seller”).  The capitalized terms used in this Agreement are defined in Exhibit A hereto, unless otherwise defined herein.

RECITALS

WHEREAS, Seller is engaged in the business of developing, manufacturing and commercializing products associated with the transoral incisionless fundoplication procedure (the “Business”), as identified on Exhibit B hereto (together, the “Products”); and

WHEREAS, Seller desires to sell to Purchaser, and Purchaser desires to purchase from Seller, substantially all of Seller’s assets, including, but not limited to, all assets related to the Products, on the terms and conditions set forth herein.

NOW, THEREFORE, in consideration of the foregoing recitals and the mutual representations, warranties, covenants and promises contained herein, the adequacy and legal sufficiency of which are hereby acknowledged, the parties hereto agree as follows:

Article 1THE TRANSACTIONs

1.1Purchased Assets.  Subject to the terms and conditions of this Agreement, at the Closing Seller shall sell, transfer, convey, assign and deliver (solely to the extent set forth in this Section 1.1) to Purchaser, and Purchaser shall purchase from Seller, all of the assets of Seller, except for the Excluded Assets, including, without limitation, each of the following assets, free and clear of any Encumbrances (collectively, the “Purchased Assets”):

(a)Purchased Inventory.  All inventories, including raw materials, works in process, semi-finished and finished products, stores, replacement and spare parts, packaging materials, operating supplies, inventory on consignment, and other inventories, in transit or deposited in warehouse, and any and all rights to market, distribute and sell the foregoing (collectively, the “Purchased Inventory”); provided that any Purchased Inventory may remain on Seller’s leased premises after Closing only until the termination or expiration of the transition services set forth in the Transition Services Agreement (as defined below);

(b)Intellectual Property. The Purchased Intellectual Property;

(c)Contracts.  The Contracts identified on Schedule 1.1(c), and Licenses identified on Schedule 4.8(c)(ii) (collectively, the “Assigned Contracts”);

(d)Contract Claims.  All claims and other rights arising under the Assigned Contracts and all rights under or pursuant to warranties, representations, covenants, indemnities or guarantees related to Assigned Contracts made by suppliers, manufacturers or contractors in connection with products or services provided to Seller from third parties, including any rights to credits, deposits, pre-payments or any claims for refunds or reimbursements under Assigned Contracts, or any other amounts attributable in any manner to Seller related to Assigned Contracts;

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(e)Governmental Approvals.  All Governmental Approvals (and pending applications therefor), filings and notifications, including for the manufacturing, marketing, distribution and sale of the Products in all countries in which such Products are used, made, marketed, distributed or sold, as identified on Schedule 1.1(e);  

(f)Books and Records.  Copies of all information, including customer and supplier lists and details (including information reasonably necessary to enable Purchaser to fulfill any supplier due diligence obligations related to the Products with respect to conflict minerals and supply chain management), product and pricing information, account histories, research data and commercial data on whatever medium (including paper and electronic media) and all general, financial, quality system, regulatory records of Seller and copies of Seller’s Tax returns and records provided pursuant to Section 7.5 (collectively, the “Books and Records”), but which shall not include minute books, organizational documents, stock records, books of account, original Tax returns or other tax records, and similar records of Seller, which shall remain with Seller;

(g)Equipment and Machinery.  All tools, supplies, machinery (and the spare parts related to such machinery), equipment, dies, molds, inventory, technology, prototypes, plans, drawings, specifications and other tangible and intangible personal property (collectively, “Equipment”); provided that any tangible Equipment may remain on Seller’s leased premises after Closing only until the termination or expiration of the transition services set forth in the Transition Services Agreement;

(h)Sales, Promotional and Training Items.  All sales and promotional literature and other sales-related materials, all training videos and other training-related materials, and all patient forms and other patient-related materials;

(i)Goodwill.  All goodwill of Seller of every kind and description, together with the exclusive right of Purchaser to represent itself as carrying on the Business, including with respect to the Products, in succession to Seller;

(j)Claims.  All of Seller’s rights, causes of action, claims, defenses, counterclaims, rights of offset, deposits, prepayments, refunds, judgments, deductions, accounting rights, and demands of whatever nature, known or unknown (“Claims”), except for Claims that are Excluded Assets; and

(k)Other Assets.  The other assets of Seller identified on Schedule 1.1(k).

1.2Excluded Assets. Notwithstanding any other provision of this Agreement, the Purchased Assets shall not include, and Seller hereby retains and shall not sell, transfer, convey, assign or deliver to Purchaser, any property or assets of Seller identified on Schedule 1.2 (collectively, the “Excluded Assets”).

1.3Assumed Liabilities.  Notwithstanding anything to the contrary in this Agreement, Purchaser shall assume, and shall be responsible for paying, performing and discharging when due, and Seller shall not have any responsibility for, any and all Assumed Liabilities; provided, however, that in the event Seller is obligated to pay any Assumed Liability directly for any reason (a “Seller Paid Assumed Liability”), Purchaser shall pay Seller an amount in cash equal to such Seller Paid Assumed Liability (a) with respect to any Seller Paid Assumed Liability to be paid by Seller on the Closing Date, at the Closing, and (b) with respect to any Seller Paid Assumed Liability to be paid by Seller following the Closing Date, and except to the extent set forth in the Transition Services Agreement, on or before the date Seller is obligated to pay such Seller Paid Assumed Liability, provided that Seller shall provide Purchaser at least five days advance notice of such Seller Paid Assumed Liability.

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1.4Excluded Liabilities.  Notwithstanding anything to the contrary in this Agreement and except to the extent any of the foregoing is an Assumed Liability, Seller shall retain, and shall be responsible for paying, performing and discharging when due, and Purchaser shall not assume or have any responsibility for, any and all Liabilities of Seller resulting from the operation of the Business prior to the Closing, the Products prior to the Closing, or the ownership of the Purchased Assets prior to the Closing, other than the Assumed Liabilities, including the following Liabilities (collectively, the “Excluded Liabilities”):

(a)all Liabilities, whether arising before, on or after the Closing arising out of, resulting from or related to the Excluded Assets (except to the extent explicitly identified as an Assumed Liability);

(b)all Liabilities arising out of, resulting from or related to the Products prior to the Closing or ownership or use of any of the Purchased Assets prior to the Closing, other than any Liabilities arising out of Purchased Inventory;

(c)all Liabilities relating to any claim of any third party arising out of the manufacture or sale of Products prior to Closing, including any Liabilities for any returns and any warranty claims made prior to the Closing (regardless of whether the applicable warranty is express or implied);

(d)all Liabilities of Seller for Indebtedness;

(e)all Liabilities under any Assigned Contract that arise out of or relate to (i) any breach of, or failure to comply with, prior to the Closing, any covenant or obligation in any such Assigned Contract or (ii) any event that occurred prior to the Closing which, with or without notice, lapse of time or both, would constitute such a breach or failure;

(f)all Damages and other Liabilities arising with respect to or related to any Recall with respect to any units of Product manufactured prior to the Closing;

(g)all Liabilities of Seller and its Affiliates for Taxes that are not Assumed Liabilities, including but not limited to (i) all Liabilities for Taxes related to the Purchased Assets or the Assumed Liabilities that are attributable to a Pre-Closing Tax Period; and (ii) for the portion of Transfer Taxes allocated to Seller pursuant to Section 7.2;

(h)all Liabilities arising under or in connection with any Benefit Plan including but not limited to, (A) any Liability for commissions, bonuses, continuing welfare plan coverage or similar remuneration or benefits payable to employees of Seller or its Affiliates vested prior to Closing (but excluding any Liability for severance payments or accrued but unpaid wages, in each case, that are Assumed Liabilities); and (B) any liability imposed on Purchaser or any of its Affiliates by a Governmental Authority or any other Person resulting from successor liability or similar concepts;

(i)subject to the terms of the Transition Services Agreement or as otherwise set forth herein, all Liabilities in any way related to the employment of any employees, former employees, directors or independent contractors of Seller;

(j)all Liabilities arising under or in connection with any Environmental Law resulting from the operation of the Business, the Products, or the ownership of the Purchased Assets, in each case  prior to Closing; and

(k)all obligations of Seller under this Agreement or any other Transaction Agreement.

1.5Non-Assignable Assets.

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(a)Notwithstanding the foregoing, if any Material Assigned Contract or other Purchased Asset, including any Governmental Approval identified on Schedule 1.1(e), is not assignable or transferable (each, a “Non-Assignable Asset”) without the Consent of, or waiver by, a third party or action by a Governmental Authority (each, an “Assignment Consent”), either as a result of the provisions thereof or applicable Laws, and any such Assignment Consent is not obtained on or prior to the Closing Date, this Agreement and the related instruments of transfer shall not constitute an assignment or transfer of such Non-Assignable Asset, and such Non-Assignable Asset shall not be included in the Purchased Assets.  After the Closing, each of Seller and Purchaser shall use best efforts to obtain any such Assignment Consent after the Closing Date; provided, however, that in connection therewith Purchaser shall not be required to pay any sums of money (other than customary filing and application fees typically paid by a transferee) or make any concession therefor.  After any such Assignment Consents are obtained Seller shall assign to Purchaser or its designee such Non-Assignable Assets for no additional consideration.  Following any such assignment, such assets shall be deemed Purchased Assets for purposes of this Agreement.

(b)After the Closing and subject to payment of the Purchase Price by Purchaser pursuant to Section 2.1, Seller shall cooperate with Purchaser or its designees in any commercially reasonable arrangement designed to provide Purchaser or its designee with all of the rights and benefits of the Non-Assignable Assets after the Closing as if the appropriate Assignment Consents had been obtained (including enforcement for the benefit of Purchaser, at Seller’s expense, of any and all rights of Seller or any of its Affiliates against any other party arising out of any breach or cancellation of any such Non-Assignable Assets by such other party and, if requested by Purchaser, acting as an agent on behalf of Purchaser, at Seller’s expense, or as Purchaser shall otherwise reasonably require), including by granting subleases or other rights and establishing arrangements whereby Purchaser or its designee shall undertake the obligation to perform under Assigned Contracts.

Article 2CONSIDERATION FOR TRANSFER

2.1Purchase Price and Assumption of Assumed Liabilities.  As full consideration for the sale, transfer, conveyance, assignment and delivery to Purchaser of the Purchased Assets by Seller, Purchaser shall (i) pay to Seller at the Closing an aggregate amount equal to One Hundred Five Million Dollars ($105,000,000) (the “Purchase Price”), minus the Discharged Indebtedness set forth on the Closing Statement (the “Closing Consideration”); (ii) pay on behalf of Seller the Discharged Indebtedness to the creditor accounts and in the amounts set forth in the Closing Statement; and (iii) assume the Assumed Liabilities. The Closing Consideration shall be paid by wire transfer of immediately available funds to the wire transfer address of Seller, as provided to Purchaser on or before the third (3^rd) Business Day prior to the Closing Date.

2.2Purchase Price Adjustment.

(a)Within ninety (90) days after the Closing Date, Purchaser shall prepare and deliver toSeller a statement (the “Closing Working Capital Statement”), which shall set forth Purchaser’s good faith calculation of (i) Closing Working Capital as of the Reference Time (the “Actual Closing Working Capital”), and (ii) the resulting calculation of the Adjusted Purchase Price, in each case, together with supporting calculations and prepared in a manner consistent with the Accounting Principles.

(b)After receipt of the Closing Working Capital Statement, Seller shall have thirty (30) days to review the Closing Working Capital Statement following its delivery to Seller (the “Review Period”).  During the Review Period, Seller shall have access to the relevant books and records of Purchaser, the personnel of, and work papers prepared by, Purchaser to the extent that they relate to the Closing

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Working Capital Statement and to such historical financial information (to the extent in Purchaser’s possession) relating to the Closing Working Capital Statement as Seller may reasonably request for the purpose of reviewing the Closing Working Capital Statement and to prepare a Statement of Objections (defined below), provided, that such access shall be in a manner that does not interfere with the normal business operations of Purchaser.

(c)On or prior to the last day of the Review Period, Seller may object to any of the calculations set forth on the Closing Working Capital Statement by delivering to Purchaser a single written statement setting forth Seller’s objections in reasonable detail, indicating each disputed item or amount and the basis for Seller’s disagreement therewith (a “Statement of Objections”). In the event such Statement of Objections is not delivered to Purchaser before the end of the Review Period, Seller will be deemed to have agreed with the calculations set forth in the Closing Working Capital Statement as provided by Purchaser.  All items and amounts contained in the Closing Working Capital Statement that are not objected to in the Statement of Objections shall be deemed to be agreed by Seller and shall be final and binding on Seller.

(d)During the fifteen (15) Business-Day period following delivery of any Statement of Objections, Seller and Purchaser shall in good faith seek to resolve any such disagreement. Any disputed items resolved in writing between Seller and Purchaser within such fifteen (15) Business-Day period shall be final and binding with respect to such items, and if Seller and Purchaser agree in writing on the resolution of all disagreements with respect to the amount of the Adjusted Purchase Price (as defined below), the amount so determined shall be final and binding on Seller and Purchaser for all purposes hereunder.

(e)If Purchaser and Seller are unable to resolve all disagreements with any of the calculations set forth on the Closing Working Capital Statement and which disagreements are set forth in such Statement of Objections within such fifteen (15) Business Days (or such longer period as Purchaser and the Seller may mutually agree in writing), all such matters that remain in dispute shall be referred to and resolved by the Accounting Mediator. The Accounting Mediator shall act as an expert ‎and not as an arbitrator in performing the duties assigned to it by Seller and Purchaser under this Section 2.2. Purchaser and Seller shall instruct the Accounting Mediator to select an individual who is a partner at such Accounting Mediator, who is experienced in purchase price adjustment disputes and who has not performed any prior work for Purchaser or Seller to make a final determination regarding the disputed items set forth in the Statement of Objections. Each of Purchaser and Seller shall provide copies to the other of any materials provided to the Accounting Mediator and shall not have any discussions with the Accounting Mediator without the other present. Purchaser and Seller shall further instruct the Accounting Mediator that, in resolving the items in the Statement of Objections that are still in dispute and in determining the final calculations thereof, the Accounting Mediator shall (i) not assign to any item in dispute a value that is (A) greater than the greatest value for such item assigned by Purchaser, on the one hand, or Seller, on the other hand, or (B) less than the smallest value for such item assigned by Purchaser, on the one hand, or Seller, on the other hand, (ii) make its determination based on (A) the Accounting Principles and the applicable definitions, guidelines and procedures set forth in this Agreement (i.e., not on the basis of independent review) and (B) a single written report made by each of Purchaser and Seller presented at a conference concerning all such unresolved disputes, at which conference each of Purchaser and Seller shall have the right to present their respective positions with respect to the dispute and have present their respective advisors, counsel and accountants, (iii) render a final resolution in writing to Purchaser and Seller setting forth (A) the Accounting Mediator’s determination of each item in dispute and the resulting calculation of the Adjusted Purchase Price and (B) the apportionment of the fees of the Accounting Mediator as between Purchaser and Seller calculated in accordance with this Section 2.2(e), which final resolution shall be requested by Purchaser and Seller to be delivered not more than thirty (30) days following submission of such disputed matters to the Accounting Mediator and shall be final, conclusive and binding on the Parties with respect to the disputed items and enforceable by a court of competent jurisdiction pursuant to Section 9.7, and (iv) provide a written report to Purchaser and Seller, if requested by either of them, which sets forth

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in reasonable detail the basis for the Accounting Mediator’s final determination. The fees and expenses of the Accounting Mediator shall be allocated between Purchaser, on the one hand, and Seller, on the other hand, based upon the percentage by which the portion of the contested amount not awarded to each of Purchaser and Seller bears to the amount actually contested (for example, if a total of $1,000 is in dispute and a total of $600 is awarded to Seller, then Purchaser pays sixty percent (60%) of the Accounting Mediator’s fees and Seller pays forty percent (40%)).

(f)Following the determination of Actual Closing Working Capital in accordance with this Section 2.2, the Purchase Price shall be adjusted as set forth below (the Purchase Price, as adjusted pursuant to the immediately preceding sentence, is referred to herein as the “Adjusted Purchase Price”):

(A)To the extent the Actual Closing Working Capital is greater than the Target Working Capital (the amount of such excess, the “Upward Adjustment Amount”), the Purchase Price shall be increased by an amount equal to the Upward Adjustment Amount, provided, however, for purposes of this Section 2.2(f)(A), the Upward Adjustment Amount shall be deemed to be zero (0) in the event the Closing Working Capital is equal to or less than an amount equal to (x) the Target Working Capital plus (y) the Collar Threshold.  In the event that an Upward Adjustment Amount exists following application of the Collar Threshold, then the amount of such Upward Adjustment Amount shall be the amount thereof following application of the Collar Threshold.  In the event that an Upward Adjustment Amount shall be paid by Purchaser to Seller within five (5) Business Days after the first to occur of (i) notification from Seller to Purchaser that Seller has waived the Review Period and agrees with Purchaser’s calculation of the Closing Working Capital, (ii) the end of the Review Period if Seller does not deliver such a waiver or a Statement of Objections prior to the end of such Review Period, or (iii) final calculation of the amount of the Adjusted Purchase Price in accordance with Section 2.2(d) or Section 2.2(e). Any such payment shall be made by wire transfer of U.S. dollars in immediately available funds to such accounts as may be designated in writing by Seller at least three (3) Business Days prior to such payment date.

(B)To the extent the Actual Closing Working Capital is less than the Target Working Capital (the amount of such excess, the “Downward Adjustment Amount”), the Purchase Price shall be decreased by an amount equal to such Downward Adjustment Amount, provided, however, for purposes of this Section 2.2(f)(B), the Downward Adjustment Amount shall be deemed to be zero (0) in the event the Closing Working Capital is equal to or greater than an amount equal to (x) the Target Working Capital minus (y) the Collar Threshold. In the event that a Downward Adjustment Amount exists following application of the Collar Threshold, then the amount of such Downward Adjustment Amount shall be the amount thereof following application of the Collar Threshold.  The Downward Adjustment Amount shall be paid by Seller to Purchaser within five (5) Business Days after the first to occur of (i) notification from Seller to Purchaser that Seller has waived the Review Period and agrees with Purchaser’s calculation of the Adjusted Purchase Price, (ii) the end of the Review Period if Seller does not deliver such a waiver or a Statement of Objections prior to the end of such Review Period, or (iii) final calculation of the amount of the Adjusted Purchase Price in accordance with Section 2.2(d) or Section 2.2(e). Any such payment shall be made by wire transfer of U.S. dollars in immediately available funds to such accounts as may be designated in writing by Purchaser at least three (3) Business Days prior to such payment date.

2.3Withholding Taxes. Purchaser or any of its designated Affiliates shall be entitled to deduct and withhold (without duplication) from the Purchase Price or other payments required to be made in accordance with this Agreement, such amounts as Purchaser is required to deduct and withhold from such payment under any provision of federal, state, local or foreign Tax Law.  If Purchaser and any of its

37

designated Affiliates determines that any such deduction or withholding is required by applicable Tax Law, Purchaser shall notify Seller at least three (3) days before such deduction or withholding is imposed, and shall reasonably cooperate in good faith to reduce or eliminate such deduction or withholding. Any such withheld Taxes remitted to the appropriate Governmental Authority in accordance with applicable Laws shall be treated as having been paid to Seller as part of the Purchase Price.

Article 3CLOSING AND CLOSING DELIVERIES

3.1Closing; Time and Place.  The closing of the Transactions (the “Closing”) shall occur remotely by the exchange of documents and signatures (or their electronic counterparts) on the date of this Agreement (the “Closing Date”).  The Closing shall be effective as of 12:01 a.m. Mountain Time on the Closing Date.

3.2Deliveries by Seller.  At the Closing, Seller shall deliver, or cause to be delivered, to Purchaser, each of the following items, duly executed and delivered by Seller:

(a)General Assignment and Bill of Sale.  General Assignment and Bill of Sale covering all of the applicable Purchased Assets, substantially in the form attached hereto as Exhibit C (the “General Assignment and Bill of Sale”);

(b)Purchaser Assignment and Assumption Agreements.  A Purchaser Assignment and Assumption Agreement between Seller and Purchaser in forms to be mutually agreed upon by the parties (“Purchaser Assignment and Assumption Agreements”);

(c)Intellectual Property Assignments.  (i) A patent assignment (the “Patent Assignment”) substantially in the form of Exhibit D hereto, for all of the Patents listed on Schedule 4.8(a) and (ii) a trademark assignment (the “Trademark Assignment”), substantially in the form of Exhibit E attached hereto, for all of the Trademarks listed on Schedule 4.8(a);

(d)Transition Services Agreement.  A transition services agreement, substantially in the form attached hereto as Exhibit F (the “Transition Services Agreement”), obligating Seller and certain of its Affiliates to provide certain transition services to Purchaser and certain of its Affiliates after the Closing;

(e)Contract Manufacturing Agreement.  A contract manufacturing agreement, substantially in the form attached hereto as Exhibit G (the “Contract Manufacturing Agreement”) obligating Seller to supply Purchaser certain products;

(f)Transition Distribution Agreement. The transition distribution agreement, substantially in the form of Exhibit H (the “Transition Distribution Agreement”);

(g)Closing Statement. The Closing Statement;

(h)Books and Records. The Books and Records;

(i)Officer Certificate.  A certificate executed by an executive officer of Seller certifying that attached thereto are true and complete copies of all resolutions adopted by the board of directors of Seller authorizing the execution, delivery and performance of this Agreement and the consummation of the transactions contemplated hereby and thereby, and that all such resolutions are in full

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force and effect and are all resolutions adopted in connection with the transaction contemplated hereby and thereby; and

(j)Tax Forms.  A properly completed and executed IRS Form W-9, or the appropriate version of IRS Form W-8, as applicable, from Seller and each person receiving a payment of Discharged Indebtedness in connection with the Closing.

3.3Deliveries by Purchaser.  At the Closing, Purchaser shall deliver to Seller the following items, duly executed by Purchaser as applicable:

(a)Wire Transfer.  A wire transfer in the aggregate amount of the Closing Consideration in immediately available funds in accordance with Section 2.1;

(b)General Assignment and Bill of Sale.  The General Assignment and Bill of Sale;

(c)Purchaser Assignment and Assumption Agreement.  The Purchaser Assignment and Assumption Agreement;

(d)Intellectual Property Assignments.  The Patent Assignment and the Trademark Assignment;

(e)Transition Services Agreement.  The Transition Services Agreement;

(f)Contract Manufacturing Agreement.  The Contract Manufacturing Agreement; and

(g)Transition Distribution Agreement.  The Transition Distribution Agreement.

Article 4REPRESENTATIONS AND WARRANTIES OF SELLER

Except as set forth in the disclosure schedule delivered by Seller to Purchaser on the date hereof (the “Disclosure Schedule”), Seller hereby represents and warrants to Purchaser as follows as of the date hereof and as of the Closing (except for those representations and warranties made as of a particular date, in which case Seller represents to Purchaser as follows as of such date):

4.1Organization and Good Standing.  Seller is a corporation duly incorporated, validly existing and in good standing under the Laws of Delaware.  Seller has full power and authority to carry on the Business, and to own and use the properties owned and used by it.  Seller is duly licensed or qualified to do business and is in good standing in each jurisdiction in which the ownership of the Purchased Assets or the operation of the Business as currently conducted makes such licensing or qualification necessary.  Seller has no subsidiaries and Seller does not own equity securities in any other entity.

4.2Authority; Binding Nature of Agreements.  Seller has all requisite corporate power and authority to execute and deliver this Agreement and the other Transaction Agreements to which Seller is a party. The execution, delivery and performance by Seller of this Agreement and the other Transaction Agreements to which Seller is a party has been duly and validly authorized and approved by all requisite corporate action on the part of Seller.  The execution, delivery and performance by Seller of this Agreement and the other Transaction Agreements does not require the approval of any shareholders of Seller. This Agreement has been duly and validly executed and delivered by Seller.  Each of this Agreement and the other Transaction Agreements to which Seller is a party constitutes, or upon execution and delivery will (assuming due authorization, execution and delivery by Purchaser or its Affiliates, as applicable) constitute,

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the legal, valid and binding obligation of Seller, enforceable against Seller in accordance with its terms, except as may be limited by bankruptcy, insolvency, reorganization, moratorium and other similar laws and equitable principles related to or limiting creditors’ rights generally and by general principles of equity.

4.3No Conflicts; Required Consents.  Neither the execution, delivery or performance of this Agreement nor any other Transaction Agreement by Seller nor the consummation of any of the Transactions will:

(a)conflict with, violate, result in any breach of or constitute a default under (with or without notice or lapse of time) (i) any of the provisions of the organizational documents of Seller, or (ii) any provision of any Material Contract, or require a Consent under any Material Contract;

(b)(i) give any Governmental Authority or other Person the right to exercise any remedy or obtain any relief under any Law or any Order to which Seller is bound or any of the Purchased Assets is subject (ii) violate or conflict with any provision of, or result in the breach of, any Law applicable to Seller or require any Consent of any Person under any Law, or (iii) constitute a default under or give any Person the right to declare a default of, exercise any remedy under, accelerate the performance of, cancel, terminate, modify or receive any payment under any Material Contract or otherwise result in the termination of a Material Contract;  

(c)result in the imposition or creation of any Encumbrance upon or with respect to, or result in the imposition of additional obligations or loss of rights under, any Purchased Asset; or

(d)require Seller to make or deliver any filing or notice to a Governmental Authority.

4.4Financial Statements; No Undisclosed Liabilities.

(a)Seller has delivered to Purchaser: (a) balance sheets of Seller dated as of December 31, 2021, December 31, 2022, and December 31, 2023 and the related unaudited combined statements of operations, statement of changes in stockholders’ equity and statement of  cash flows for each of the three fiscal years then ended, including the notes thereto, and (b) the unaudited balance sheet for Seller as of May 31, 2024 (the “Most Recent Balance Sheet”), and the related unaudited combined statement of operations, statement of changes in stockholders’ equity and statement of cash flows for the period then ended ((a) and (b), collectively, the “Financial Statements”). The Financial Statements have been prepared in accordance with GAAP applied on a consistent basis throughout the period involved; provided, however, that the unaudited Financial Statements are subject to normal recurring year-end audit adjustments and do not contain all footnotes required under GAAP.  The Financial Statements fairly present the financial condition of the Business as of the respective dates they were prepared and the results of the operations of the Business for the periods indicated.  Seller maintains a standard system of accounting for the Business established and administered in accordance with GAAP.

(b)Except (i) as set forth on Schedule 4.4(b), (ii) Liabilities reflected in the Most Recent Balance Sheet, (iii) Liabilities incurred by Seller in the ordinary course of business since the date of the Most Recent Balance Sheet (the “Balance Sheet Date”) and which are not, individually or in the aggregate, material, (iv) Liabilities which are set forth on the Closing Statement, and (v) accounts payable or accrued salaries and other employee compensation that have been incurred by Seller since the Balance Sheet Date in the ordinary course of business and consistent with Seller’s past practice, Seller has no Liabilities, obligations or commitments of any nature whatsoever, asserted or unasserted, known or unknown, absolute or contingent, accrued or unaccrued, matured or unmatured, or otherwise (and whether due or as may become due).Seller is not in default with respect to any Indebtedness or any instrument relating thereto.

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(c)Seller maintains a system of internal accounting controls sufficient to provide reasonable assurance that transactions are recorded in a timely manner and as necessary to permit preparation of Financial Statements in accordance with GAAP and to maintain accountability for earnings and assets.

(d)The Accounts Receivable reflected on the Most Recent Balance Sheet and the Accounts Receivable arising from the date of the Most Recent Balance Sheet until the date hereof are good and valid receivables (subject to no counterclaims or offset) and are collectible in the ordinary course of business (net of the allowance for doubtful accounts recorded on the Most Recent Balance Sheet).  Except as set forth on Schedule 4.4(d) there are no individual notes or accounts receivable which are over $10,000 and 90 days past due.  The reserve for bad debts shown on the Most Recent Balance Sheet have been determined in accordance with GAAP, consistently applied, subject to normal year-end adjustments and the absence of disclosures normally made in footnotes.

4.5Purchased Inventory. Schedule 4.5 is a complete and accurate list of the Purchased Inventory.  All of the items in the Purchased Inventory are (a) of a quality and quantity saleable in the ordinary course of business, (b) meet current industry standards and specifications, in all material respects, (c) are not adulterated or misbranded and are in compliance with all Laws (including the Federal Food, Drug and Cosmetic Act (21 U.S.C. § 301 et seq.)), and (d) have been acquired in bona fide transactions in the ordinary course of business. All Purchased Inventory is owned by Seller free and clear of all Encumbrances (other than Permitted Encumbrances), and no Purchased Inventory is held on a consignment basis. The quantities of each item of Purchased Inventory (whether raw materials, work-in-process or finished goods) are reasonable and sufficient for the manufacture and commercialization of the Products under present circumstances. No items of Purchased Inventory are held by any bailee, warehouseman or other third party (other than inventory in route for delivery in the ordinary course of business).  

4.6Absence of Changes.

(a)Since December 31, 2023, Seller has conducted the Business in the ordinary course of business.  Without limiting the generality of the foregoing, since December 31, 2023, Seller has not:

(i)made any capital expenditures or entered into any commitment therefore with respect to the Products in an amount greater than $100,000, except in the ordinary course of business;

(ii)mortgaged, pledged or subjected to any Encumbrance any of its assets (whether tangible or intangible) or properties with a fair market value in excess of $100,000 in the aggregate (except for Permitted Encumbrances);

(iii)incurred, assumed or guaranteed any indebtedness for borrowed money;

(iv)made any loan (or forgiven any loan to), or entered into any other transaction with, any of its current or former Representatives other than employment or consulting relationships in the ordinary course of business;

(v)sold, assigned, transferred, conveyed, licensed, leased or otherwise disposed of or agreed to sell, assign, transfer, convey, license, lease or otherwise dispose of any material portion of its assets or properties, except for the sale of inventories in the ordinary course of business;

(vi)cancelled or compromised any material debt or material claim, or waived, compromised or released any material right;

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(vii)entered into, accelerated, terminated, materially modified or cancelled any Material Contract or Governmental Approval, other than in the ordinary course of business;

(viii)(A) changed any material Tax election or accounting method, (B) consented to the extension of any waiver of the limitation period applicable to any  claim or assessment in respect of material Taxes, or (C) settled or comprised any claim or assessment in respect of material Taxes; or

(ix)executed any Contract or letter of intent (whether or not binding) relating to any of the foregoing.

(b)Since December 31, 2023, (x) no event, development or circumstance has occurred, or could reasonably be expected to occur, that has had a Material Adverse Effect and (y) no material damage, destruction, loss or casualty of or to any of the Purchased Assets has occurred.

4.7Taxes. Seller has filed or caused to be filed on a timely basis all income and other material Tax Returns that are or were required to be filed by Seller or with respect to Seller, pursuant to the Laws of each Governmental Authority with taxing power over Seller or the Purchased Assets, except such Taxes, if any, as are set forth in the Financial Statements and are being contested in good faith and as to which adequate reserves have been provided in the most recent balance sheet included in the Financial Statements. All Taxes owed by Seller (whether or not shown on any Tax Return) have been paid. Seller has complied with all applicable Laws relating to unclaimed property and timely filed all required documentation and paid all required amounts to the appropriate Governmental Authority with respect to such Laws. There have been no audits, proceedings or investigations by the Internal Revenue Service or relevant state or local Tax Authorities of federal or state income or employment, or state franchise or sales Tax Returns of Seller. There are no Encumbrances for Taxes upon any of the Purchased Assets other than statutory liens for Taxes not yet due and payable. Seller has not given or been requested to give waivers or extensions (or is or would be subject to a waiver or extension given by any other entity) of any statute of limitations relating to the payment of Taxes of Seller or for which Seller may be liable (other than in connection with automatic extensions of the due date for filing a Tax Return obtained in the ordinary course of business). There is no power of attorney that is currently or that will be in effect following the Closing Date given by or binding upon Seller or its Affiliates with respect to Taxes related to the Purchased Assets for any period for which the statute of limitations (including any waivers or extensions) has not yet expired, other than powers of attorney granted in the ordinary course of business that will have no further effect after the Closing. No tax assessment has been proposed in writing against Seller, except as disclosed in the Financial Statements.  All Taxes that Seller is or was required by law to withhold or collect have been withheld or collected and, to the extent required, have been timely paid to the proper Governmental Authority or other Person.  All Tax Returns filed by or on behalf of Seller are true, correct and complete. Seller has never received any claim in writing from a Governmental Authority or social security administration in a jurisdiction where Seller does not file Tax Returns that Seller is or may be subject to taxation by that jurisdiction. The Financial Statements accrue all of Seller’s Liability for Taxes of any nature relating to periods through the date of such Financial Statements in accordance with GAAP, and Seller has not incurred any Liability for Taxes since the date of the Most Recent Balance Sheet outside the ordinary course of business, except in connection with the Transactions.  Seller is not a “foreign person” as that term is used in Treasury Regulations 1.1445-2.  Seller is not, and has not been, a party to any ‘‘reportable transaction,’’ as defined in Section 6707A(c)(1) of the Code. None of the Purchased Assets (i) is property required to be treated as owned by another person pursuant to the provisions of Section 168(f)(8) of the U.S. Internal Revenue Code of 1954, as amended and in effect immediately before the enactment of the Tax Reform Act of 1986, (ii) constitutes “tax-exempt use property” or “tax-exempt bond financed property” within the meaning of

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Section 168 of the Code, (iii) secures any debt the interest of which is tax-exempt under Section 103(a) of the Code, or (iv) is subject to a 467 rental agreement as defined in Section 467 of the Code.

4.8Intellectual Property.

(a)Schedule 4.8(a) sets forth a correct and complete list of the following, in each case that Seller owns or purports to own: (i) Registered Intellectual Property Rights; (ii) unregistered Trademarks; (iii) domain name registrations; and (iv) material unregistered Copyrights (collectively, “Product Intellectual Property”), and in each case setting forth, for each item: the title; full legal name of the owner(s) of record; jurisdiction in which such item has been issued or registered or filed or applied for; status; registration number, serial number, or application number; and date of application, registration, or issuance, as applicable. Seller solely owns, and possesses all rights, titles and interests in and to all Purchased Intellectual Property, free and clear of all Encumbrances. Immediately after the Closing, Purchaser will be the sole owner of, and will have valid title to, and will have the full right to use, license, and transfer, all of the Purchased Intellectual Property.    

(b)All of the Purchased Intellectual Property is valid, subsisting, enforceable and in full force and effect.  Seller has taken all steps to maintain its right, title and interest in and to all Purchased Intellectual Property as required, including paying any and all renewal and maintenance fees, annuities or other fees to any Governmental Authority or other organization.  Any and all filings, submissions and responses to any Governmental Authority or other organization necessary to maintain the Purchased Intellectual Property have been timely made with such Governmental Authority or organization.  Other than as set forth on Schedule 4.8(b), no payments are owed, and no filings, submissions, or responses must be made, during the period of ninety (90) days following the Closing Date for any Product Intellectual Property. No loss, challenge or expiration of any Purchased Intellectual Property is pending or threatened as of the Closing Date, nor to the Seller’s knowledge is there a reasonable basis for any such loss, challenge or expiration.

(c)Schedule 4.8(c)(i) sets forth a correct and complete list of the following, in each case that are licensed to or used by, but not owned by Seller: (i) Registered Intellectual Property Rights; (ii) unregistered Trademarks; and (iii) material unregistered Copyrights (“Third-Party Intellectual Property”).  Seller has a valid and enforceable license to all of the Third-Party Intellectual Property as necessary in connection with the development, design, making, use, offer, sale, service, importation, or exportation of any Products pursuant to the Contracts set forth on Schedule 4.8(c)(ii) (“Licenses”).  All Licenses will be fully transferred to Purchaser, and such transfer of Licenses will be valid and effective (with any and all approvals and consents necessary for such transfer having been obtained by Seller in the necessary form and provided to Purchaser), and neither this Agreement nor the Closing will in any way terminate, give another Person the right to terminate, modify the terms of a License, or otherwise affect any right of Purchaser under such transferred Licenses to use, utilize, or exploit any Third-Party Intellectual Property licensed thereunder.  Each party to a License is and has been in compliance with, and has not breached or defaulted under, any of such License.  No License is subject to termination or has been threatened to be terminated. Seller does not owe any royalties, fees, honoraria, or other payment to any Person by reason of the ownership, development, modification, use, license, sublicense, sale, distribution or other disposition of Products or Intellectual Property Rights, other than fees set forth in Licenses.

(d)Other than Purchased Intellectual Property and Third-Party Intellectual Property, Seller has not used, utilized, or exploited any Intellectual Property Rights in connection with any Product.    The Purchased Intellectual Property and the Third-Party Intellectual Property constitute all of the Intellectual Property Rights necessary for any use, manufacturing, development, selling, offering for sale, importation, exportation, marketing, or exploitation of any Product.

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(e)Seller has not licensed, agreed to license or granted any other rights in or to any Purchased Intellectual Property or Third-Party Intellectual Property to any Person except as listed on Schedule 4.9(vii).    

(f)As of the date hereof, no Product, no use, manufacture, development, sale, offer for sale, importation, exportation, marketing, or exploitation of any Product, and no Purchased Intellectual Property (i) infringes, misappropriates, dilutes, or otherwise violates any Intellectual Property Right of any third party and there is no valid basis for any such claim, (ii) Seller has not received notice of any allegation of any such infringement, misappropriation, or violation, (iii) no investigation is pending or threatened with respect to any possible infringement, misappropriation, dilution, or other violation of any Intellectual Property Right of any third party, and (iv) Seller has not requested or received any opinions of counsel related to any of the foregoing.

(g)As of the date hereof, no Person is, or has been, infringing, misappropriating, diluting, or otherwise violating any Purchased Intellectual Property.  Seller has not given notice to any third party, and no Proceeding has been initiated, threatened, or is pending against any third party, asserting any infringement, misappropriation, dilution, or violation of any Purchased Intellectual Property. Seller is not subject to any claim by any other Person seeking indemnification, defense or otherwise to be held harmless, and has not agreed to indemnify, defend or otherwise hold harmless any other Person, with respect to any Purchased Intellectual Property.

(h)As of the date hereof, other than applications for Patents, Copyrights, Trademarks or other Intellectual Property Rights listed on Schedule 4.8(a), (i) there are no Proceedings before any Governmental Authority (including before the United States Patent and Trademark Office or Copyright Office) in any jurisdiction related to any of the Purchased Intellectual Property, and (ii) to Seller’s knowledge, no Proceeding has been initiated, threatened, or is pending against Seller, and no notice by any Person has been received by Seller, that challenges the validity, enforceability or use of, or any ownership or right of Seller regarding, any Purchased Intellectual Property, nor is there a reasonable basis for any such Proceeding.

(i)Each current and former employee and contractor of Seller involved in the invention, development, creation, reduction to practice, or discovery of any Purchased Intellectual Property has signed and executed a valid and enforceable assignment irrevocably transferring all rights, title, and interest of such employee or contractor in or to such Purchased Intellectual Property to Seller.  Seller has made commercially reasonable efforts to ensure each current and former employee and contractor of Seller who has assigned Intellectual Property Rights in Purchased Intellectual Property has also agreed to undertake in the future all steps necessary to assign all ownership and other rights in any Purchased Intellectual Property. Seller has taken commercially reasonable measures to preserve and maintain the confidentiality of all Trade Secrets and other information of Seller included in the Purchased Assets that is confidential, secret, or subject to any disclosure limitation.  Seller has taken commercially reasonable measures to preserve and maintain the confidentiality of all Trade Secrets and other confidential information of any other Person in the possession and control of Seller in connection with the Products, including in compliance with all confidentiality, non-disclosure, and similar Contracts, duties, and obligations of Seller related thereto.  All Persons that have received Trade Secrets and other information of Seller included in the Purchased Assets that is confidential, secret, or subject to any disclosure limitation have first entered into a written Contract with Seller to preserve and maintain the confidentiality thereof, and no Person has defaulted under or breached any such Contract.  To Seller’s knowledge, no current or former employee or contractor has any patents issued or applications pending for any device, process, design, or invention of any kind now used or needed by Seller in furtherance of the Business or the Products, which patents or applications are not part of the Purchased Intellectual Property.

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(a)Schedule 4.8(j) sets forth a complete, true and correct list of all software or other materials that are downloadable, licensed and/or distributed as “free software” (as defined by the Free Software Foundation) or “open source software” (meaning software distributed under any license approved by the Open Source Initiative as set forth at www.opensource.org) and/or conditioned on acceptance of a Contract such as the GNU General Public License, GNU Lesser General Public License, GNU Affero General Public License, BSD License, MIT License, Common Public License or under a similar licensing or distribution model (“Open Source”) that is incorporated into, integrated or bundled with, or otherwise used or distributed in or with any Purchased Intellectual Property, identification of the applicable Open Source license and a description of the manner in which such Open Source has been used, modified, linked or distributed in, to or with Purchased Intellectual Property. The Company is in compliance with each license listed in Schedule 4.8(j).  No Open Source, public source or freeware software, code or other technology, or any modification or derivative thereof, was or is incorporated into, integrated or bundled with, or otherwise used or distributed in or with the Purchased Intellectual Property in any manner or under any terms that would obligate the Company to: (i) make available, offer, deliver, disclose or distribute software in source code form; (ii) license software for the purpose of making derivative works; or (iii) otherwise distribute or license without charge to any Person any portion of any of the Purchased Intellectual Property.

4.9Material Contracts.

(a)Schedule 4.9(a) sets forth an accurate, correct and complete list of each of the following Assigned Contracts entered into by Seller to which any of the descriptions set forth below apply (the Contracts required to be so listed, the “Material Contracts”):

(i)any Contract for capital expenditures in excess of $50,000 individually, or $100,000 in the aggregate;

(ii)any Contract with an agent, customer or distributor that resulted or could reasonably be expected to result in sales of greater than $75,000;

(iii)any Contract with a vendor or supplier that resulted or could reasonably be expected to result in payments by Seller of greater than $75,000;

(iv)any lease or other Contract under which Seller, with respect to the Products, is a lessee of, or holds or operates, any machinery, equipment, vehicle or other tangible personal property owned by a third party that requires rental payments in excess of $75,000 per annum;

(v)any mortgage, indenture, security agreement, pledge, note, loan agreement or guarantee in respect of indebtedness for borrowed money or any agreement that creates an Encumbrance (other than a Permitted Encumbrance) on any Product or Purchased Asset;

(vi)any Contract that limits or purports to limit the ability of Seller to compete in any line of business or with any Person or in any geographic area or during any period of time;

(vii)any Contract that is a license of Purchased Intellectual Property, including the Licenses;

(viii)any Contract related to the acquisition of a business or the equity of, or joint venture with, any other Entity;

(ix)any Contract for the joint development of any Product;

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(x)any Contract for the sale of any of the Purchased Assets or for the grant to any Person of any option, right of first refusal or preferential or similar right to purchase any of the Purchased Assets;

(xi)any broker, distributor, dealer, manufacturer’s representative, franchise, agency, sales promotion, market research, marketing consulting and advertising Contracts to which Seller is a party;

(xii)any employment agreements and Contracts with independent contractors or consultants (or similar arrangements) to which Seller is a party and which are not cancellable without penalty or without more than 30 days’ notice;

(xiii)any Contract between or among Seller on the one hand and an Affiliate of Seller on the other hand;

(xiv)any Contract with a Governmental Authority;

(xv)any collective bargaining agreements or Contracts with any Union to which Seller is a party;

(xvi)any Contract for the distribution of any of the Products in any jurisdiction;

(xvii)any other Contract which provides for payment or performance by either party thereto having an aggregate value of $75,000 or more on an annual basis, other than any employment agreements or offer letters or any Contract with an agent or distributor that is not required to be disclosed pursuant to Section 4.9(a)(ii); and

(xviii)any proposed arrangement of a type that, if entered into, would be a Contract described in any of (i) through (xvii) above.

(b)Each Material Contract and each Assigned Contract is, assuming the due execution and delivery of the counterparties thereto, valid and binding on Seller in accordance with its terms and is in full force and effect. None of Seller or, to Seller’s knowledge, any other party thereto is in breach of or default under (or, to Seller’s knowledge, is alleged to be in breach of or default under) in any material respect, or has provided or received any notice of any intention to terminate, any Material Contract. Since December 31, 2022, no event or circumstance has occurred that, with notice or lapse of time or both, would constitute an event of default under any Material Contract or result in a termination thereof or would cause or permit the acceleration or other changes of any right or obligation or the loss of any benefit thereunder. Complete and correct copies of each Material Contract (including all modifications, amendments, and supplements thereto and waivers thereunder) have been made available to Purchaser.

4.10Insurance.  Schedule 4.10 sets forth a true and complete list of all current policies or binders of fire, liability, product liability, umbrella liability, real and personal property, workers’ compensation, vehicular, directors’ and officers’ liability, fiduciary liability and other casualty and property insurance relating to the assets, business, operations, employees, officers and managers of Seller that insure any portion of the Purchased Assets (collectively, the “Insurance Policies”) and true and complete copies of such Insurance Policies have been made available to Purchaser. Such Insurance Policies are in full force and effect immediately prior to the consummation of the transactions contemplated by this Agreement. Seller has not received any written notice of cancellation of, premium increase with respect to, or alteration of coverage under, any of such Insurance Policies within the past 12 months. All premiums due on such Insurance Policies have been paid in accordance with the payment terms of each Insurance Policy. The Insurance Policies do not provide for any retrospective premium adjustment or other experience-based

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liability on the part of Seller. All such Insurance Policies (a) are valid and binding in accordance with their terms; (b) are provided by carriers who are financially solvent; and (c) have not been subject to any lapse in coverage.  There are no claims pending under any such Insurance Policies as to which coverage has been questioned, denied or disputed or in respect of which there is an outstanding reservation of rights. Seller is not in default under, or has otherwise failed to comply with, in any material respect, any provision contained in any such Insurance Policy. The Insurance Policies are of the type and in the amounts customarily carried by Persons conducting a business similar to Seller and are sufficient for compliance with all applicable Laws and Contracts to which Seller is a party or by which it is bound.

4.11Compliance with Laws

.  Seller has been, and is now, in compliance in all respects with all applicable Laws and Orders (including all applicable environmental, health, and safety Laws).  Seller has in effect all Governmental Approvals that are required for the operation of the Business.  Schedule  1.1(e) contains a complete listing of all material Permits required for the conduct of the Business as currently conducted.  No violation, loss or expiration of any of such Permits is pending or threatened other than expiration in accordance with the terms thereof.  No event has occurred that, with or without notice or lapse of time or both, would reasonably be expected to result in the revocation, suspension, lapse or limitation of any Permit.  No notice, citation, summons or order has been issued to Seller, no complaint has been filed with Seller, no penalty has been assessed against Seller and, to Seller’s knowledge, no review or investigation, is pending or threatened, by any Governmental Authority with respect to any alleged failure by Seller to have any such Permit.

4.12Governmental Approvals; Product Liability.

(a)Since January 1, 2019 (i) there has not been conducted or requested in writing, nor, to the knowledge of Seller, is there any current consideration by Seller or any Governmental Authority of, any Recall in respect of any Product and (ii) no report of any death, injury, material defect or malfunction involving any Product has been filed or is required to have been filed with any Regulatory Authority under any United States or foreign Law.  There are no pending, and within the last five (5) years prior to the date of this Agreement, there have not been any, Proceedings or written threats thereof related to product liability involving any Products, and no such Proceedings or written threats have been settled, adjudicated or otherwise disposed of within the five years prior to the date of this Agreement.  Seller does not have any Liability and there is no basis for any Proceeding arising out of any injury to individual as a result of such individual’s use of any Product.

(b)There are no citations, decisions, adjudications or statements, in each case issued by any Regulatory Authority, and Seller is not subject to any Order, asserting that any Product is defective or unsafe in any material respect or fails in any material respect to meet any Law.  Seller has no knowledge of any fact or condition related to any Product that would reasonably be expected to impose upon Seller a duty to recall or correct any Product in the field or material Liabilities for returns or other product liability claims with respect to any Product.  Seller, with respect to the Products, (i) has obtained all applicable Governmental Approvals required by any Regulatory Authority to develop, test, manufacture, market, store, distribute and sell each of the Products in compliance with applicable Laws, including all clearances under the Federal Food, Drug, and Cosmetic Act § 510(k), and all approvals, authorizations, registrations, or clearances in any jurisdiction where the Seller currently conducts such activities with respect to each of the Products, (ii) maintains all necessary FDA registrations, (iii) has made all filings with, and given all notifications to, all Regulatory Authorities in all material respects as required by all applicable Laws, and all such filings, reports and notifications were complete and accurate on the date filed (or were corrected in or supplemented by a subsequent filing), and (iv) there have been no changes made to the Product for which any filing or notification should have been made with any Regulatory Authority.  All Governmental Approvals set forth on Schedule 1.1(e) are all Governmental Approvals that are necessary to the

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manufacture or commercialization of the Products and operation of the Business and all such Governmental Approvals remain valid and in full force and effect.

(c)There is no Proceeding pending or, to the knowledge of Seller, threatened in writing that could result in the suspension, termination, revocation, cancellation, limitation or impairment of any Governmental Approval, filing or notification, or Product research, development, testing, manufacturing, marketing, distribution or sales activities.  

(d)Seller has made available to Purchaser accurate and complete copies of all of the Governmental Approvals, filings and notifications identified on Schedule 1.1(e) (which includes all Governmental Approvals, filings and notifications necessary to operate the Business), including all renewals thereof and all amendments thereto.

(e)Seller, and, to the knowledge of Seller, any officer, employee or agent of Seller, has not been excluded or threatened with exclusion from participation in any federal health care program or convicted of any crime or engaged in any conduct for which a person could be excluded from participating in any federal healthcare program under Section 1128 of the Social Security Act.

4.13Proceedings and Orders.  There is no Proceeding pending or, to the knowledge of Seller, threatened against Seller or any of its Affiliates with respect to the Purchased Assets, including the Products. No event has occurred, and no condition or circumstance exists, that may directly or indirectly give rise to or serve as a basis for the commencement of any such Proceeding.  Neither Seller nor any of its Affiliates is in default with respect to any Order related to the Products or the Purchased Assets. None of Seller’s properties, assets, operations or businesses, nor any of the Purchased Assets or Assumed Liabilities, is subject to any Order or any proposed Order. There are no Proceedings pending or, to the knowledge of Seller, threatened relating to the Business, the Purchased Assets or the Assumed Liabilities.  The foregoing sentences include, without limiting their generality, actions pending or threatened against Seller involving any of Seller’s officers’ or employees’ (prior or present) use of any information or techniques related to the Business, Purchased Assets or the Assumed Liabilities allegedly proprietary to such officer or employee.

4.14Title, Condition and Sufficiency of Assets.

(a)Seller is the sole and exclusive owner of, and has good, valid and marketable title to, all Purchased Assets, free and clear of all Encumbrances or other restriction on transfer, other than Permitted Encumbrances.At the Closing, Seller will convey to Purchaser good, valid and marketable title to all of the Purchased Assets, free and clear of any Encumbrance or other restriction on transfer.  The Seller is the sole and exclusive owner of all Governmental Approvals, and the Seller has not previously sold or transferred in any manner, in whole or in part, directly or indirectly, any of the Governmental Approvals.

(b)Each piece of machinery and equipment included in the Purchased Assets is merchantable, in good operating condition and repair, is adequate and suitable for its intended purpose, meets current industry standards and specifications, and is in compliance with all Laws.

(c)The Purchased Assets are sufficient for the continued conduct of the Business after the Closing in the same manner as conducted during the twelve (12) months prior to the date hereof by Seller. Other than Seller’s cash and cash equivalents, none of the Excluded Assets are used in connection with the operation of the Business or manufacture or distribution of the Products.

4.15Brokers.  Seller has not retained any broker or finder or incurred any Liabilities for any brokerage fees, commissions or finders fees with respect to this Agreement or the Transactions, and no broker, finder, investment banker or other Person is entitled to any fees or commissions in connection with the Transactions.

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4.16Trade Control Laws.  Neither Seller, nor any of its officers, directors or employees, nor any Representative of Seller, is currently, or has been: (a) a Sanctioned Person, (b) organized or resident in a Sanctioned Country, (c) engaged in any dealings or transactions, directly or indirectly, with any Sanctioned Person or in or with any Sanctioned Country, or (d) otherwise in violation of applicable Sanctions Laws, Export-Import Laws, or the anti-boycott Laws administered by the United States Department of Commerce, the United States Customs and Border Protection and the United States Department of Treasury’s Office of Foreign Assets Control (collectively, “Trade Control Laws”).  All exports, re-exports, imports and transfers by Seller have been effected in full compliance with Export-Import Laws. Seller has not (with respect to the Products) received from any Governmental Authority or, to Seller’s knowledge, any other Person any notice, inquiry, or internal or external allegation; made any voluntary or involuntary disclosure to a Governmental Authority; or conducted any internal investigation or audit, in each case concerning any actual or potential violation of any Trade Control Laws.

4.17Anti-Corruption Laws.  Neither Seller, nor any of its directors, officers or employees, nor to Seller’s knowledge, any agent or other third-party representative acting on behalf of Seller, (a) has made any unlawful payment or given, offered, promised, or authorized or agreed to give, any money or anything of value, directly or indirectly, to any Governmental Authority or other Person in violation of any applicable Anti-Corruption Laws, (b) otherwise violated any applicable Anti-Corruption Laws, or (c) engaged in off-label, false or misleading  promotion, advertising  or marketing of medical devices.  Seller (with respect to the Products) has not received from any Governmental Authority or, to Seller’s knowledge, any other Person, any notice, inquiry, or internal or external allegation; made any voluntary or involuntary disclosure to a Governmental Authority; or conducted any internal investigation or audit, in each case concerning any actual or potential violation of any Trade Control Laws or Anti-Corruption Laws.

4.18Distributors, Customers and Suppliers.  Schedule 4.18(a) sets forth a list of the names of the top ten (10) distributors of each product included in the Products, each by dollar value of sales to such distributors for the fiscal year ended December 31, 2023.  Schedule 4.18(b) sets forth a list of the names of the top ten (10) customers of each product included in the Products, each by dollar value of sales to such customers for the fiscal year ended December 31, 2023.  Schedule 4.18(c) sets forth a list of the names of the top ten (10) suppliers of each product included in the Products, each by dollar value of net purchases from such suppliers, for the fiscal year ended December 31, 2023.  Seller has not received any notice (a) from any of the distributors listed on Schedule 4.18(a) that any such distributor intends to stop, materially decrease the rate of, or materially change the payment or price terms with respect to distributing or purchasing any products included in the Products (b) from any of the customers listed on Schedule 4.18(b) that any such customer intends to stop, materially decrease the rate of, or materially change the payment or price terms with respect to, buying any products included in the Products, or (c) from any of the suppliers listed on Schedule 4.18(c) that any such supplier intends to stop, materially decrease the rate of, or materially change the payment or price terms with respect to, supplying any products included in the Products.

4.19Bankruptcy.  Seller is Solvent, and upon the consummation of the Closing, Seller will be Solvent.  No insolvency proceeding of any character including bankruptcy, winding-up, liquidation, administration, administrative receivership, reorganization, moratorium, stay or limitation of creditors’ rights, composition, scheme or arrangement with creditors, voluntary or involuntary, affecting Seller has been filed by Seller or is being contemplated by Seller or to Seller’s knowledge, has been threatened against Seller by any other Person, and Seller has not made any assignment for the benefit of creditors or taken any action in contemplation of, or that would constitute the basis for the institution of, such insolvency proceedings.  Additionally, Seller has not at any time made any assignment for the benefit of creditors, filed any petition in bankruptcy, been adjudicated insolvent or bankrupt, petitioned or applied to any tribunal for any receiver, conservator or trustee for itself or any of its property or assets, or commenced any action or proceeding under any reorganization arrangement, readjustment of debt, conservation, dissolution or

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liquidation law or statute or any jurisdiction; and no such action or proceeding has been commenced or threatened against Seller or its members by any creditor, claimant, Governmental Authority or any other Person.  No transfer of property is being made and no obligation is being incurred in connection with the transactions contemplated by this Agreement with the intent to hinder, delay, or defraud either present or future creditors of Seller.

4.20Data Privacy and Security.

(a)All Seller IT Systems are in good working condition and are sufficient for the operation of Seller’s business as currently conducted. There has been no malfunction, failure, continued substandard performance, denial-of-service, or other cyber incident, including any cyberattack, or other impairment of the Seller IT Systems. Seller has taken all commercially reasonable steps to safeguard the confidentiality, availability, security, and integrity of the Seller IT Systems, including implementing and maintaining appropriate backup, disaster recovery, and software and hardware support arrangements.

(b)Seller is in compliance in all material respects with all applicable Laws and their posted privacy policies regarding the collection, receipt, use, privacy and protection of any information and data from customers or other Persons (including personally identifiable information and data) collected or otherwise obtained by Seller that are part of the Purchased Assets (the “Collected Information”).  Seller has continuously used commercially reasonable security measures and safeguards in place to detect and prevent any security breaches and to protect the Collected Information from illegal or unauthorized access, use or processing by its personnel or third parties, or access, use, or processing by its personnel or third parties in a manner in violation of, or inconsistent with applicable law and the applicable posted privacy policies of Seller.  No Person has gained unauthorized access to or made any unauthorized use or processing of any Collected Information.  Without limiting the foregoing, Seller has implemented and fully documented commercially reasonable information security, backup, disaster recovery, vendor management, support and maintenance and incident response controls, processes, safeguards and policies with respect to any company system on which any Collected Information was stored.  No claims have been asserted or threatened against Seller by any Person alleging any material violation of any individual’s privacy, personal or confidentiality rights related to any Collected Information.

4.21Personnel.

(a)Schedule 4.21 contains a complete and accurate list of all the employees and independent contractors of Seller, showing for each such service provider his or her (i) name, (ii) job title, (iii) primary work location (state and city), (vi) date of hire or service commencement date, (v) whether paid on a salary, hourly or other basis, (vi) current annual base salary, base wage rate or other wage, (vii) immigration status, if any, (viii) classification status under the Fair Labor Standards Act and applicable state or local Law (i.e., exempt or non-exempt), (ix) leave of absence status, if any (including, but not limited to, short- or long-term disability leave, military leave, maternity leave, family leave, and/or other administrative leave), (x) full-time or part-time status, (xi) general eligibility for current annual incentive/bonus or commission opportunity, and (xi) accrued, but unused, paid time off, sick leave and other leave.  

(b)Seller has no fixed or contingent liability or obligation to or in respect of any person now or formerly employed by Seller that could become a liability of Purchaser.  As of the Closing Date, all compensation, including wages, commissions, and bonuses payable to any and all employees, independent contractors, or consultants of Seller or the Business for services performed on or prior to the Closing Date hereof have been paid in full. Seller is in compliance with all employment contracts, offer letters and employment agreements that it has with any employee.  Seller has complied at all times with all applicable employment and labor Laws, including all applicable Law regarding terms and conditions of

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employment, health and safety, wages and hours, immigration (including the completion of Forms I-9 for all employees and the proper confirmation of employee visas), harassment, discrimination, retaliation, whistleblowing, disability rights and benefits, equal opportunity, plant closures and layoffs, employee trainings and notices, workers’ compensation, labor relations, leaves of absences, COVID-19, affirmative action and/or unemployment insurance.  Seller has not misclassified any of its personnel as non-employees or, for purposes of wage and hour Laws, as exempt employees. Each employee of Seller is lawfully authorized and has provided appropriate documentation to work in the jurisdiction in which such employee is working.

(c)Seller has not, in the past three (3) years, become a party to a settlement agreement resolving claims or allegations made of sexual harassment or sexual misconduct against a current executive-level employee or former executive-level employee of Seller.

(d)Seller has not experienced or implemented a “plant closing” or “mass layoff” as defined in the WARN Act affecting any single site of employment or one or more facilities or operating units within any single site of employment of Seller during the past three (3) years.  In the twelve (12) months prior to the date of this Agreement, Seller and its Subsidiaries have not carried out any “employment loss” (as such term is defined in the WARN Act), temporary layoffs, or hours or pay reductions that would, in the aggregate, require notice under the WARN Act.

(e)No litigation or governmental proceeding or investigation against Seller has occurred within the last five (5) years or is pending, or to the Seller’s knowledge, threatened to be brought or filed, by or with any Governmental Authority or arbitrator in connection with the employment of any current or former applicant, employee, consultant or independent contractor of Seller, including any charge or claim relating to unfair labor practices, equal employment opportunities, fair employment practices, employment discrimination, harassment, retaliation, reasonable accommodation, disability rights or benefits, immigration, wages, hours, overtime compensation, employee classification, child labor, hiring, promotion and termination of employees, working conditions, meal and break periods, privacy, health and safety, workers compensation, leaves of absence, paid sick leave, unemployment insurance or any other employment related matter arising under applicable Laws.

(f)No employee or independent contractor of Seller is covered by any union, collective bargaining or other similar labor agreement to which Seller is a party or otherwise subject (including any agreement with any works council, labor or trade union or other similar labor-relations entity). With respect to the Seller, there is not presently pending, existing or, to Seller’s Knowledge, threatened, (i) any strike, slowdown, picketing, or work stoppage, (ii) any application for certification of a collective bargaining agent, (iii) any material controversies or material disputes pending or to Seller’s Knowledge threatened between Seller and any of its employees, or (iv) any material claims, material litigation or material disputes by a works council or other employee representative body, or an applicable Governmental Authority against Seller.

4.22Employee Benefit Matters.

(a)As of 9:00 a.m. (Eastern time) on the Business Day prior to the Closing Date, folder 6.5 of the Data Room contains a complete and accurate copy of each Benefit Plan of Seller.  

(b)With respect to each Benefit Plan, Seller has made available to Purchaser true and complete copies of, to the extent applicable, (i) the plan document (including all amendments thereto) or, if a written plan document does not exist, a written description describing all material terms thereof, (ii) the applicable trust agreement, insurance contract or other funding arrangement, (iii) the most recent letter received from a Governmental Authority regarding the tax-qualified status of such Benefit Plan (including any IRS determination or opinion letter), (iv) the three most recent annual reports (including on Form 5500),

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financial statements and actuarial valuation report, (v) any material, non-routine correspondence with a Governmental Authority during the past five (5) years, and (vi) any summary plan descriptions, summaries of material modifications, and summaries of benefits and coverage.

(c)Each Benefit Plan and related trust that is intended to be qualified under Section 401(a) of the Code is so qualified and has received a favorable determination letter or may rely on an opinion letter from the IRS as to its qualification in form under the Code, and, to Seller’s Knowledge, no event has occurred or conditions exist that could reasonably be expected to cause the loss of such qualified status. Nothing has occurred with respect to any Benefit Plan that has subjected or could reasonably be expected to subject the Seller or, with respect to any period on or after the Closing Date, Purchaser or any of its Affiliates, to a penalty under Section 502 of ERISA or Tax under Sections 4975 or 4980H of the Code.

(d)Each Benefit Plan has been established, administered, and maintained in compliance with its terms and with the requirements prescribed by all applicable Laws (including ERISA and the Code, and any special provisions relating to the tax status of contributions to, earnings of or distributions from such Benefit Plan where each such Benefit Plan was intended to have such tax status).  

(e)Neither Seller nor any ERISA Affiliate of Seller currently or has within the past six years maintained, participated in, contributed to or incurred any Liability under any: (i) “defined benefit plan” (as defined in Section 3(35) of ERISA) or a plan that is or was subject to Title IV of ERISA, Part 3 of Title I of ERISA, or Section 412 or 430 of the Code; (ii) “multiemployer plan” (as defined in Section 3(37) of ERISA); (iii) “multiple employer plan” (within the meaning of Section 413(c) of the Code or Section 210 of ERISA); or (iv) “multiple employer welfare arrangement” (as defined in Section 3(40) of ERISA).

(f)No Benefit Plan provides post-employment or post-service health, welfare, or life insurance benefits except as required under COBRA or other similar applicable Law.  

(g)Neither Seller nor any ERISA Affiliate is a party to any agreement, contract or arrangement that provides for, or is otherwise required or obligated to make a payment that would constitute, nonqualified deferred compensation (as defined in Section 409A(d)(1) of the Code) that does not comply with or satisfy an exemption from Code Section 409A.

(h)No Benefit Plan is subject to the Law of any jurisdiction outside the United States or covers employees or other service providers in any jurisdiction outside the United States.

(i)Except as provided in Schedule 4.22(i), neither the execution of this Agreement nor any of the transactions contemplated by this Agreement will (either alone or upon the occurrence of any additional or subsequent events): (i) entitle any current or former manager, officer, employee or independent contractor of Seller to severance pay, loan forgiveness or any other payment or benefit; (ii) accelerate the time of payment, funding or vesting, or increase the amount of compensation (including stock-based compensation) due to any such individual, (iii) result in “excess parachute payments” within the meaning of Section 280G(b) of the Code; or (iv) require a “gross-up” or other payment to any “disqualified individual” within the meaning of Section 280G(c) of the Code.

(j)There is no pending action, suit, consent decree, proceeding, arbitration or governmental investigation pending or, to Seller’s Knowledge, threatened relating to a Benefit Plan (other than routine claims for benefits).

4.23Related Party Transactions.  No officer, director, or shareholder of Seller or any person owning 2% or more of Seller’s equity interests (or any of such person's immediate family members or

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affiliates or associates) is a party to any Assigned Contract or has any interest in any property owned by Seller or has engaged in any transaction with any of the foregoing within the last twelve (12) months other than the purchase of equity or debt securities of the Company.

4.24Product Warranties.  Each Product sold by Seller prior to the Closing has been manufactured, sold, and delivered in conformity with all Laws, contractual commitments, and all warranties to which such Products are subject. Seller has furnished or made available to Purchaser complete and correct copies of the standard terms and conditions of sale for each Product (containing applicable guaranty, warranty and indemnity provisions).  Except for the written warranties set forth in the agreements furnished or made available to Purchaser, there are no legally binding warranties (written or oral) granted by Seller.

4.25FDA and Regulatory Matters.

(a)Seller is in compliance in all material respects with all applicable Laws regarding registration, license and certification for each site at which a Product is manufactured, labeled, sold, or distributed.  To the extent that any Product is exported from the United States, Seller has exported such Product in compliance in all material respects with applicable Laws.  All design, development and manufacturing operations performed by or on behalf of Seller are being conducted in material compliance with the Quality Systems Regulations of the FDA (21 C.F.R. Part 820), and, to the extent applicable to Seller, counterpart regulations in the European Union and all other countries where compliance is required.  Seller is in material compliance with all applicable Laws applicable to the maintenance, compilation and filing of reports, including Medical Device Reports (as defined in 21 CFR Part 803), with regard to the Products.  Seller has not received from the FDA or any other Governmental Authority (i) any written notice contesting the pre-market clearance or approval of, the uses of or the labeling and promotion of any of the Products, or (ii) any notice of adverse findings, FDA Form 483s, notices of violations, warning letters, criminal proceeding notices under any Law, or other similar communication from the FDA or other Governmental Authority alleging or asserting material noncompliance with any Law.

(b)All of the Seller’s labeling or other promotional or informational material regarding coding or billing relating to any Product is accurate and thorough, and the Seller has not caused any health care provider or other entity to submit any false claims under 31 U.S.C. §§ 3729-3733 or any similar Law.  The Seller’s marketing practices regarding any Product is in compliance with the federal open payments rules, 42 U.S.C. § 1320a-7h and 42 C.F.R Part 403, Subpart I, and any similar medical device marketing Laws or any other jurisdiction in which the Seller does business.  Seller has not been excluded, suspended or debarred from participating in any federal health care program (as defined in 42 U.S.C. §1320a-7b(f)) or been subject to sanction pursuant to 42 U.S.C. §1320a-7a or 1320a-8 or been convicted of a crime described at 42 U.S.C. §1320a-7b.  To Seller’s knowledge, no such exclusions are threatened nor is there any basis for such exclusions.

(c)Seller has reconciled all obligations under the Corporate Integrity Agreement. Seller and Seller’s practices are in compliance with the Corporate Integrity Agreement, including any covenants contained therein.

4.26Environmental, Health, and Safety Matters.  Seller and its predecessors and Affiliates have complied with all applicable environmental, health, and safety Laws the failure of which to comply with would have an adverse effect on the Purchased Assets or which could create any Encumbrance on the Purchased Assets.  Without limiting the generality of the foregoing, Seller and its predecessors and Affiliates have obtained and complied with all Governmental Approvals of any Governmental Authority that are required pursuant to any applicable, environmental, health, and safety Laws for Seller’s operation of the Business.

4.27Leased Real Property.Schedule 4.27 lists (i) the street address of each parcel of Leased

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Real Property leased by Seller; (ii) the landlord under the lease, the rental amount currently being paid, and the expiration of the term of such lease or sublease for each leased or subleased property; and (iii) the current use of such property. Seller has delivered or made available to Purchaser true, complete and correct copies of any leases affecting the Leased Real Property. The Company is not a sublessor or grantor under any sublease or other instrument granting to any other Person any right to the possession, lease, occupancy, or enjoyment of any Leased Real Property. The use and operation of the Leased Real Property in the conduct of the Business do not violate in any material respect any Law, covenant, condition, restriction, easement, license, permit or Contract. No material improvements constituting a part of the Leased Real Property encroach on real property owned or leased by a Person other than Seller. There are no Proceedings pending nor, to Sellers’ knowledge, threatened against or affecting the Leased Real Property or any portion thereof or interest therein in the nature or in lieu of condemnation or eminent domain proceedings.  Seller has good and valid title to, or a valid leasehold interest in, all Leased Real Property.  Seller does not own and has never owned any real property.

4.28CARES Act Matters.  Schedule 4.28 sets forth a complete and correct list of the Coronavirus Aid, Relief, and Economic Security Act, as modified by the Paycheck Protection Program Flexibility Act (the “CARES Act”), stimulus or relief programs (the “CARES Act Programs”) in which Seller is participating, or in which it has participated, and the amount of funds requested or received by Seller under each such program. Seller has made available to the Purchaser complete and correct copies of all material applications, forms and other documents filed or submitted by Seller relating to any CARES Act Program, and all statements and information contained in such applications, forms, and other documents are complete and correct. The proceeds received from any CARES Act Program, including the PPP Loan (as hereinafter defined), were not used by Seller in violation of the CARES Act, the Paycheck Protection Program, or similar Laws, or the terms and conditions of the PPP Loan. Seller has maintained accounting and other records relating to each such CARES Act Program, including the PPP Loan, and the use thereof that comply in all material respects with the CARES Act, the Paycheck Protection Program, and similar Laws and the PPP Loan (including records that track the costs and other expenses for which the proceeds of the PPP Loan have been used), complete and correct copies of which have been made available to the Purchaser, and no act or failure to act on the part of Seller or any other Person prior to the Closing has resulted in the failure of any portion of the PPP Loan eligible for forgiveness under the CARES Act to be so forgiven in accordance with the CARES Act, the Paycheck Protection Program, or similar Laws and the PPP Loan. Other than the PPP Loan, Seller has not received, obtained, or applied for any loan, exclusion, forgiveness, deferral, credit, or other item pursuant to the CARES Act or any other Law, directive, guidelines, or recommendations by any Governmental Authority in connection with or in response to COVID-19. Seller has applied for and been granted forgiveness of the PPP Loan.

Article 5REPRESENTATIONS AND WARRANTIES OF PURCHASER

Purchaser hereby represents and warrants to Seller as follows:

5.1Organization and Good Standing.  Purchaser (a) is duly organized, validly existing and in good standing under the Laws of Utah; (b) is duly qualified to conduct business under the Laws of each jurisdiction in which the nature of its business, the operation of its assets or the ownership or leasing of its properties requires such qualification; and (c) has full power and authority required to carry on its business as now being conducted.

5.2Authority; Binding Nature of Agreements. Purchaser has all requisite corporate and other power and authority to execute and deliver this Agreement and all other Transaction Agreements to which it is a party and to carry out the provisions of this Agreement and the other Transaction Agreements.

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(a)The execution, delivery and performance by Purchaser of this Agreement and the other Transaction Agreements have been duly and validly authorized and approved by all requisite action on the part of Purchaser.  The execution, delivery and performance by Purchaser of this Agreement and the other Transaction Agreements does not require the approval of the shareholders of Purchaser.

(b)This Agreement has been duly and validly executed and delivered by Purchaser.  Each of this Agreement and the other Transaction Agreements to which Purchaser is a party constitutes, or upon execution and delivery will (assuming due authorization, execution and delivery by Seller, as applicable) constitute, the legal, valid and binding obligation of Purchaser, enforceable against Purchaser in accordance with its terms, except as may be limited by bankruptcy, insolvency, reorganization, moratorium and other similar laws and equitable principles related to or limiting creditors’ rights generally and by general principles of equity.

5.3No Conflicts; Required Consents.  Neither the execution, delivery or performance of this Agreement nor any other Transaction Agreement by Purchaser will:

(a)conflict with, violate, result in any breach of or constitute a default under (i) any of the provisions of the organizational documents of Purchaser; (ii) any resolution or corporate action of Purchaser; (iii) any of the terms or requirements of any Governmental Approval held by Purchaser or that otherwise relates to the Transactions; or (iv) any provision of any Contract binding upon Purchaser, other than such conflicts, violations, breaches or defaults that, alone or in the aggregate, would not have a material adverse impact on the Purchased Assets, the Products or the ability of Purchaser to timely consummate the Transactions;

(b)(i) give any Governmental Authority or other Person the right to exercise any remedy or obtain any relief under any Law or any Order to which Purchaser or any of its assets is bound (ii) violate or conflict with any provision of, or result in the breach of, any Law applicable to Purchaser or require any Consent of any Person; or (iii) constitute a default under or give any Person the right to declare a default of, exercise any remedy under, accelerate the performance of, cancel, terminate, modify or receive any payment under any Contract binding upon Purchaser, other than any remedy, relief, violations, breaches or defaults that, alone or in the aggregate, would not have a material adverse impact on the Purchased Assets, the Products or the ability of Purchaser to timely consummate the Transactions; or

(c)require Purchaser to make or deliver any filing or notice to a Governmental Authority, other than reporting under the Securities Exchange Act of 1934, as amended.

5.4Brokers.  Other than Oppenheimer & Co. Inc., Purchaser has not retained any broker or finder or incurred any Liabilities for any brokerage fees, commissions or finder’s fees with respect to this Agreement or the Transactions for which Seller is liable.

Article 6POST-CLOSING COVENANTS

6.1Cooperation.  For a period of nine months following the Closing, upon the request of Purchaser, Seller shall use commercially reasonable efforts to (i) execute and deliver any and all further materials, documents and instruments of conveyance, transfer or assignment as may reasonably be requested by Purchaser to effect, record or verify the transfer to, and vesting in Purchaser of, Seller’s right, title and interest in and to the Purchased Assets, free and clear of all Encumbrances, in accordance with the terms of this Agreement, (ii) cooperate with Purchaser, at Purchaser’s expense, to enforce the terms of any Assigned Contracts, including terms relating to confidentiality and Intellectual Property Rights, and to

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transfer all Governmental Approvals (to the extent transferable) to Purchaser, and (iii) cooperate with reasonable requests from Purchaser to ensure an orderly transfer of customer relationships involving the Products to Purchaser.  For a period of nine months following the Closing, Seller shall promptly deliver to Purchaser (w) any mail, packages, orders, inquiries and other communications addressed to Seller and relating to the Products and (x) any property that Seller receives and that properly belongs to Purchaser or any of its Affiliates.  For a period of nine months following the Closing, Purchaser shall promptly deliver to Seller (y) any mail, packages, orders, inquiries and other communications addressed to a Seller or any of its Affiliates and relating to a business of Seller or its Affiliates other than the Products and (z) any property that Purchaser receives and that properly belongs to Seller or any of its Affiliates.  The provisions of this Section 6.1 are not intended to, and shall not be deemed to, constitute an authorization by a party to permit another party to accept service of process on its behalf, and no party is or shall be deemed to be the agent of another party for service of process purposes. Promptly upon the Closing, Seller shall update its FDA registration and medical device listing to de-list the Seller as the manufacturer or distributor of any of the Products, and shall cooperate with Purchaser to facilitate Purchaser updating its FDA registration and listing to list Purchaser as the manufacturer or distributor of each of the Products.

6.2Return of Assets; Transfer of Purchased Assets.

(a)In the event that any Excluded Asset or Excluded Liability is discovered by Purchaser or any of its Affiliates or identified to Purchaser in writing by Seller, in each case within nine months after the Closing Date, possession or ownership of which or responsibility for which previously has been transferred to, or assumed by, Purchaser or any of its Affiliates in connection with the Transactions, then (i) Purchaser shall return or transfer and convey or assign (without further consideration) to the Seller, and Seller shall accept or assume, as applicable, such Excluded Asset or Excluded Liability; (ii) Seller shall assume (without further consideration) any Liabilities associated with such Excluded Assets or Excluded Liabilities; and (iii) Purchaser and Seller shall execute such documents or instruments of conveyance or assumption and take such further acts which are reasonably necessary or desirable to effect the transfer or assignment of such Excluded Asset or Excluded Liability back to, or assumption of such Excluded Liability by, Seller.

(b)In the event that any Purchased Asset or Assumed Liability is discovered by Seller or any of its Affiliates or identified to Seller in writing by Purchaser in each case within 6 months  after the Closing Date, possession or ownership of which has not been transferred to, or assumed by, either Purchaser or its Affiliates at such time, Seller shall promptly take such steps as may be required to transfer or assign, or cause to be transferred or assigned, such Purchased Assets or Assumed Liabilities to Purchaser or the applicable Affiliate of Purchaser, in accordance with the terms of this Agreement, at no additional charge to Purchaser or its Affiliates, and Purchaser or its Affiliates shall accept such Purchased Assets or assume such Assumed Liabilities, as the case may be.

6.3Records and Documents.  For a period of nine months after the Closing, at the other party’s request, each party shall provide the other party and its Representatives with access to and the right to make copies of those records and documents related to the Business, the Products, or the Purchased Assets (possession of which is retained by Seller or transferred to Purchaser, as applicable), as may be necessary in connection with any third-party litigation, the preparation of financial statements, any accounting or Tax purposes, or the conduct of any audit or investigation by a Governmental Authority (excluding claims under this Agreement in which case the parties shall comply with Article 9 and Article 11, as applicable, instead of this Section 6.3); provided, however, that no party shall be required to violate any obligation of confidentiality to which such party or any of its Affiliates is subject or to waive any privilege which any of them may possess in discharging its obligations pursuant to this Section 6.3; provided, further, however, that in any such case, each party shall, and shall cause its Affiliates and Representatives to, reasonably cooperate with the requesting party to implement alternative arrangements to permit the access

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contemplated hereby.  The foregoing will not require any party to permit any inspection, or to disclose any information, that in its reasonable judgment, upon the advice of outside counsel, is commercially sensitive or reasonably likely to result in the waiver of any attorney-client privilege.  If within nine months following the Closing, Seller becomes aware that it or any of its Affiliates has in its or their possession any business records, financial books and records, sales order files, purchase order files, engineering order files, warranty and repair files, supplier lists, customer lists, dealer, representative and distributor lists, studies, surveys, analyses, strategies, plans, forms, designs, diagrams, drawings, specifications, technical data, information relating to any Governmental Approvals, or production and quality control records and formulations, in each case that are Purchased Assets (collectively “Business Records”), Seller shall promptly forward such Business Records to Purchaser.  If, within nine months following the Closing, Purchaser contacts Seller to inquire as to whether any specific Business Records are in the possession of Seller or any of its Affiliates, Seller will use its good faith efforts to determine whether such Business Records are in its possession or the possession of any of its Affiliates and, to the extent Seller locates any such Business Records, Seller will promptly forward such Business Records to Purchaser.

6.4Confidentiality.

(a)Except as required by law or administrative process and except for information which is now or hereafter becomes public other than as a result of a breach of this Section 6.4, without limitation to any other rights or obligations under the Confidentiality Agreement, after the Closing Date, any Confidential Information used by Seller in or relating to the Business, the Products, the Purchased Assets, Purchaser or Purchaser’s business, whether in written, oral or other form shall be deemed Confidential Information under the Confidentiality Agreement; provided that nothing in this Section 6.4 shall in any way limit the disclosure of any such information to the Representatives of Seller in order to assist Seller with respect to the Transactions and the Transaction Agreements.

(b)Effective as of the Closing, (i) to the extent any right or interest of Seller or any of its Affiliates under any Transaction Confidentiality Agreement is assignable without the consent of a third party, Seller hereby assigns to Purchaser all rights and interests of such Person under any Transaction Confidentiality Agreement to which such Person is a party to the extent of such Person’s rights thereunder, and (ii) to the extent any right or interest of such Person under a Transaction Confidentiality Agreement is not assignable without the consent of a third party, Seller agrees to, and to cause its Affiliates to, use its commercially reasonable efforts to enforce its rights under any such Transaction Confidentiality Agreement for the benefit of Purchaser, as Purchaser reasonably requests and at the sole cost and expense of Purchaser.

6.5Non-Competition; Non-Solicitation.

(a)During the applicable Restricted Period, no Restricted Party shall, directly or indirectly, (i) engage in or assist others in engaging in the Restricted Business in the Territory; (ii) have an interest in any Person that engages directly or indirectly in the Restricted Business in the Territory in any capacity, including as a partner, shareholder, member, employee, principal, agent, trustee or consultant; or (iii) cause, induce or encourage any material actual or prospective client, customer, supplier or licensor of Seller or the Restricted Business (including any existing or former client or customer of Seller or the Restricted Business and any Person that becomes a client or customer of the Business after the Closing), or any other Person who has a material business relationship with Seller or the Restricted Business, to terminate or modify any such actual or prospective relationship. Notwithstanding the foregoing, a Restricted Party may own, directly or indirectly, solely as an investment, securities of any Person traded on any national securities exchange if such Restricted Party is not a controlling Person of, or a member of a group which controls, such Person and does not, directly or indirectly, own 5% or more of any class of securities of such Person.

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(b)Without limiting the generality of the provisions of Section 6.5(a), each Restricted Party hereby agrees that during the Restricted Period, such Restricted Party will not directly or indirectly, through another Person, as employee, agent, consultant, director, equity holder, manager, co-partner or in any other capacity without Purchaser’s prior written consent, (i) solicit or otherwise deal with any clients, purchasers or suppliers of Purchaser in any manner designed to take business away from Purchaser with respect to the Restricted Business; or (ii) discuss or otherwise deal with any client, supplier, purchaser or employee of Purchaser regarding the extent or nature of the present or future business of such Person with anyone other than Purchaser regarding any product that is competitive with the Restricted Business.

(c)Each Restricted Party acknowledges and agrees that the territorial, time and scope limitations set forth in this Section 6.5 are reasonable and are properly required to protect Purchaser’s substantial investment hereunder and for the protection of Purchaser’s legitimate interest in client relationships, goodwill and trade secrets related to the Products and Purchased Assets, and that such limitations do not impose any undue burden upon such Restricted Party.  In the event that any such territorial, time or scope limitation is deemed to be invalid, prohibited or unenforceable by a court of competent jurisdiction, each Restricted Party agrees, and each Restricted Party submits, to the reduction of any or all of said territorial, time or scope limitations to such an area, period or scope as said court deems reasonable or enforceable under the circumstances.  If such partial enforcement is not possible in such jurisdiction, the provision will be deemed severed as to such jurisdiction, and the remaining provisions of this Agreement will remain in full force and effect.

(d)Each Restricted Party acknowledges and agrees that in the event of such Restricted Party’s actual or threatened breach of any of the provisions contained in this Section 6.5, Purchaser will have no adequate remedy at law.  Each Restricted Party accordingly agrees that in the event of any actual or threatened breach of any of the provisions contained in this Section 6.5, Purchaser will be entitled to the following rights and remedies, without the need of posting bond or proving actual damages, each of which rights and remedies will be independent of the others and is severally enforceable: (i) such injunctive and other equitable relief as may be deemed necessary or appropriate by a court of competent jurisdiction; and (ii) the right and remedy to require a Restricted Party to account for and pay over to Purchaser any profits, monies, accruals, increments or other benefits derived or received by such Restricted Party or any if its Affiliates as the result of any transactions or conduct constituting a breach of any of the provisions contained in this Section 6.5. Nothing contained herein will be construed as prohibiting Purchaser from pursuing any other remedies available to it for such breach or threatened breach, including the recovery of any damages that it is able to prove.

(e)Each Restricted Party further covenants and agrees that, as a material term of this Agreement, such Restricted Party will not make any disparaging remarks (whether or not such Restricted Party deems such comments to be true and accurate) about Purchaser or its Affiliates or Representatives and shall refrain from saying or doing anything that reasonably could hold Purchaser or its Affiliates or Representatives up to disrepute in the eyes of any other person or entity or that reasonably could interfere with Purchaser’s current or future business plans or activities, including with respect to the Products or Purchased Assets.  This subsection (e) does not, in any way, (i) restrict or impede a Restricted Party from exercising protected rights to the extent that such rights cannot be waived by agreement or from complying with any applicable Law or valid order of a court of competent jurisdiction or an authorized government agency, provided that such compliance does not exceed that required by the Law, or (ii) apply to a Restricted Party’s exercise of its rights under this Agreement or the Transaction Agreements.

6.6Product Recalls.  Subject to the terms of the Transaction Agreements, from and after the Closing Date, Purchaser shall have the sole right to conduct all voluntary and involuntary recalls, corrections, market withdrawals, market refunds or replacements, “dear doctor” letters, investigator notices, stock recoveries and other field actions or notices relating to an alleged lack of safety, efficacy or regulatory

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compliance (“Recalls”) of Products (whether Products were made before or after Closing), including Recalls required by any Governmental Authority and voluntary Recalls of Products.  To the extent that one or more units of Product made by Seller or any of its Affiliates prior to the Closing Date are subject to a Recall, any Damages or other Liabilities arising with respect to or related to any Recall with respect to such units of Product made by Seller or its Affiliates prior to the Closing Date shall be Excluded Liabilities. Without limitation of, and subject to, Purchaser’s rights under the Contract Manufacturing Agreement, any Damages or other Liabilities arising with respect to or related to any Recall of any units of Product made on or after the Closing Date (including Products purchased under the Contract Manufacturing Agreement) shall be Assumed Liabilities.  Upon the reasonable request of Purchaser, Seller shall cooperate and assist, and shall cause its Affiliates to cooperate and assist, Purchaser in implementing and effecting a Recall with respect to all such affected Products.

6.7Production of Witnesses and Individuals: Privilege Matters.

(a)For nine months after the Closing, Seller, on the one hand, and Purchaser, on the other hand, shall use commercially reasonable efforts to make available to each other, upon reasonable written request, their (and its Affiliates’) respective Representatives for fact-finding, consultation and interviews and as witnesses to the extent that any such Person may reasonably be required in connection with any Proceedings in which the requesting party may from time to time be involved relating to the operation of the Business prior to or after the Closing.  Access to such Persons shall be granted during normal business hours at a location and in a manner reasonably calculated to minimize disruption to such Persons.  Seller and Purchaser agree to reimburse each other for reasonable out-of-pocket expenses, including reasonable attorneys’ fees, but excluding officers’ or other employees’ salaries, incurred by the other in connection with providing Representatives to the other party pursuant to this Section 6.7.

(b)For nine months after the Closing, except to the extent required by Law or Governmental Authority, no party shall intentionally disclose to any third party, and no party shall permit any of its respective Affiliates to intentionally disclose to any third party, any documents or other information that, if disclosed, would cause a waiver of any privilege that can be asserted under any Law by the other party (i) if such waiver could reasonably be expected to have an adverse effect on the other party or any of its Affiliates, or (ii) with respect to (A) the Products, the Purchased Assets or the Assumed Liabilities, or (B) the process relating to the sale of the Products.

6.8Customer Inquiries. For nine months after the Closing, Seller shall promptly notify Purchaser of each inquiry that Seller or any of its Affiliates receives relating to the Products from an existing customer of a Product or any other Person that states its desire to explore a commercial relationship related to any Product or any interest in any Product.

6.9R&W Insurance Policy Claims.  For nine months after the Closing, Seller shall provide all assistance requested by Purchaser to file any claims under the R&W Insurance Policy.

6.10Misplaced Mail and Communications.  After the Closing Date, each party to this Agreement and its Affiliates may receive mail, packages, and other communications (including electronic communications) properly belonging to the other party (or the other party’s Affiliates). Accordingly, at all times after the Closing Date, each party authorizes the other party and its Affiliates to receive and open all mail, packages and other communications received by it and not unambiguously intended for the other party (or its Affiliates) or any of the other party’s (or its Affiliates’) officers or directors, and to retain the same to the extent that they relate to the Business (in the case of receipt by Purchaser or its Affiliates) or Seller’s other businesses (in the case of receipt by Seller or its Affiliates), or to the extent that they do not relate to the Business (in the case of receipt by the Purchaser or its Affiliates) or Seller’s other businesses (in the case of receipt by Seller or its Affiliates), the receiving party shall promptly after becoming aware thereof

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refer, forward or otherwise deliver such mail, packages, or other communications (or, in case the same relate to both the Products and Seller’s other businesses, copies thereof) to the other party. The provisions of this Section 6.10 are not intended to, and shall not be deemed to, constitute an authorization by either party to permit the other party to accept service of process on its behalf and neither party is or shall be deemed to be the agent of the other for service of process purposes.

6.11Employee Matters.

(a)Effective as of the Closing Date, Seller shall terminate the employment of the employees of Seller set forth on Schedule 6.11(a).  Seller shall pay (or cause to be paid) to all terminated employees of Seller (regardless of whether hired by Purchaser) all accrued wages, salary, termination payments, and benefits (including, but not limited to, accrued sick, vacation and personal leave) through the Closing Date, provided that Purchaser shall pay to Seller at Closing an amount equal to any and all amounts paid or to be paid to such employees by Seller (except to the extent any such payment is an Excluded Liability).  Seller shall have sole responsibility for any required “continuation coverage” under COBRA and any other similar applicable Law for any current or former employee of Seller and all “qualified beneficiaries” of any such employee for whom a “qualifying event” occurs on or prior to the Closing Date (including all qualifying events that occur in connection with the consummation of the Transactions), Seller shall notify all terminated employees in writing of their rights with regard to any group health plan coverage, shall timely collect and remit all premiums to the appropriate party, and perform all other actions mandated by COBRA and that are required to be given, collected or otherwise performed as a result of the transactions contemplated by this Agreement.  Seller shall provide certification of creditable coverage to the Offered Employees. The terms “continuation coverage,” “qualified beneficiaries” and “qualifying event” shall have the meanings ascribed to them under COBRA or to similar terms under other similar applicable Law.  

(b)As of the Closing Date, Purchaser shall extend offers of employment to those employees of Seller set forth on Schedule 6.11(b), on an “at-will” basis (the “Offered Employees”) on terms and conditions generally applicable to employees of Purchaser, and Purchaser shall be obligated to pay the accrued bonuses in the amounts and on the time schedule set forth on Schedule 6.11(a) for the Offered Employees that actually become Transferred Employees. Purchaser’s offer of employment to each Offered Employee shall provide for the same or better salary or wage rate compared to those in effect for such Offered Employee immediately prior to the Closing. Seller shall cooperate and assist in facilitating Purchaser’s offers to the Offered Employees and will not take any action, or cause any of its Affiliates to take any action, which would impede, hinder, interfere or otherwise compete with Purchaser’s effort to hire any Offered Employee. Seller will provide any and all information Seller is legally permitted to share with Purchaser reasonably required by Purchaser in order for Purchaser to hire the Offered Employees. The Offered Employees who accept employment with Purchaser shall be referred to after the Closing Date as “Transferred Employees.”  Seller shall use its commercially reasonable efforts to assist Purchaser with the transfer of visas or work permits related to the Transferred Employees.

(c)As of the Closing Date, Purchaser agrees to the continued employment of the employees of Seller set forth on Schedule 6.11(c) (the “Transition Employees”) on the terms and conditions, and with the severance, retention, bonus and other benefits, set forth on Schedule 6.11(c), and Purchaser acknowledges and agrees that Purchaser shall be obligated to pay Seller for any and all costs incurred by Seller in connection with the employment of the Transition Employees pursuant to the terms of the Transition Services Agreement.

(d)No provision of this Section 6.11 shall create any third-party beneficiary or other rights in any Offered Employee or former employee in respect of continued or resumed employment in Seller’s business, or with Purchaser, and no provision of this Section 6.11 shall create any rights in any

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such persons in respect of any benefits that may be provided under any plan or arrangement which may be established by Purchaser.  Nothing contained herein shall be construed as requiring, and Seller, Purchaser and their Affiliates shall take no action that would have the effect of requiring, Seller, Purchaser, or any of their respective Affiliates to continue any specific Benefit Plan.  The provisions of this Section 6.11 are for the sole benefit of Seller and Purchaser and nothing in this Section 6.11, expressed or implied, is intended or shall be construed to constitute an amendment of any Benefit Plan or any similar benefit plan of Purchaser (or an undertaking to amend any such plan) or other compensation and benefits plan maintained for or provided to Offered Employees, including Transferred Employees, prior to, on or following the Closing.

(e)To the extent to which a Transferred Employee would be in breach of any obligation owed to Seller or one of its Affiliates by reason of becoming employed by Purchaser (for example, a noncompete obligation), Seller and its Affiliates will waive such obligation.

(f)Subject to applicable Law, nothing in this Agreement shall require Purchaser to employ any employees of Seller, or any Transferred Employee on anything other than an at-will basis, terminable at any time with or without cause.

(g)Purchaser and Seller agree to utilize or cause their respective Affiliates to utilize, the standard procedure set forth in Revenue Procedure 2004-53, 2004-2 C.B. 320, with respect to wage reporting for Transferred Employees.

Article 7TAX MATTERS

7.1Purchase Price Allocation.  No later than one hundred twenty (120) days after the date hereof, Purchaser shall provide Seller with an allocation of the Purchase Price (plus the Assumed Liabilities and any other Liabilities deemed assumed by Purchaser for United States federal income Tax purposes) among the Purchased Assets in accordance with Section 1060 of the Code and the Treasury Regulations promulgated thereunder and methodologies set forth on Schedule 7.1 (the “Purchase Price Allocation”).  If Seller provides no comments with respect to the Purchase Price Allocation by written notice to Seller within thirty (30) days after receipt by Seller of the Purchase Price Allocation, then the Purchase Price Allocation shall be deemed final, binding and conclusive for all purposes of this Agreement and with respect to any Tax filings made in connection with the actions and transactions contemplated by this Agreement.  If Seller provides any comments with respect to the Purchase Price Allocation by written notice to Purchaser within thirty (30) days after receipt by Seller of the Purchase Price Allocation, and sets forth in such written notice the disputed item or items and the basis for its objection in reasonable detail, then Seller and Purchaser shall negotiate in good faith to resolve any such dispute for a period of fifteen (15) days thereafter.  If, within fifteen (15) days of Purchaser’s receipt of a valid written notice of objection to the Purchase Price Allocation, Purchaser and Seller have not reached an agreement regarding the disputed item or items specified in such written notice, Purchaser and Seller shall submit (at the expiration of such fifteen (15) day period) all disputed items for resolution to an Accounting Mediator.  The Accounting Mediator shall deliver to Purchaser and Seller a written determination of any disputed item within twenty (20) days of submission of the dispute to the Accounting Mediator, which determination shall be final, binding and conclusive on the parties hereto.  The fees and expenses of the Accounting Mediator will be shared equally by Seller and Purchaser.

7.2Transfer Taxes. Each of Purchaser and Seller shall be responsible for fifty-percent (50%) of any Transfer Taxes incurred in connection with this Agreement and the transactions contemplated hereby when due.  All Tax Returns and other documentation with respect to all Transfer Taxes shall be timely filed by the party responsible under applicable Laws.  Seller and Purchaser shall reasonably cooperate to

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facilitate filing all necessary documents (including all Tax Returns) with respect to all such Transfer Taxes in a timely manner. Purchaser and Seller will cooperate to minimize Transfer Taxes imposed as a result of the transactions contemplated by this Agreement. To the extent practicable, Seller shall deliver all of the Purchased Assets through electronic delivery or in another manner reasonably calculated and legally permitted to minimize or avoid the incurrence of any Transfer Taxes if such method of delivery does not adversely affect the condition, operability or usefulness of any Purchased Asset.

7.3Property Taxes. With the exception of Transfer Taxes which are addressed in Section 7.2, all personal property Taxes and similar ad valorem obligations (“Property Taxes”) levied with respect to the Purchased Assets for a Straddle Period shall be apportioned between Seller and Purchaser based on the number of days of such Straddle Period, and Seller shall be liable for the proportionate amount of Property Taxes that is attributable to the Pre-Closing Tax Period within such Straddle Period, and Purchaser shall be liable for the proportionate amount of Property Taxes that is attributable to the Post-Closing Tax Period within such Straddle Period. Any refund, rebate, abatement or other recovery of Property Taxes attributable to the Pre-Closing Tax Period shall be for the account of Seller, and any refund, rebate, abatement or other recovery of Property Taxes attributable to the Post-Closing Tax Period shall be for the account of Purchaser. For the avoidance of doubt, Seller shall be responsible for and shall promptly pay when due all Property Taxes (not including any Transfer Taxes) levied with respect to the Purchased Assets attributable to a Pre-Closing Tax Period.

7.4Tax Contests. Purchaser shall promptly notify Seller in writing upon receipt by Purchaser or any of its Affiliates of notice of any pending or threatened Tax audits, examinations or assessments which may materially affect the amount of any Tax which is, in whole or in part, an Excluded Liability; provided, that Purchaser’s failure to provide such timely notice shall not negate Purchaser’s right to indemnity for such Taxes unless it materially impairs Seller’s legal right to contest such Taxes.  Notwithstanding anything to the contrary in Section 8.4, Seller shall have the sole right to control the contest and resolution of any Tax audit, examination, assessment or other administrative or court proceeding relating to (each a “Tax Contest”) any Tax which is, in whole or in part, an Excluded Liability, and in each case to employ counsel of its choice at its expense, provided that, if the resolution of such Tax Contest could increase the Tax liability of, or reduce any net operating loss or similar Tax assets of, Purchaser or any of its Affiliates for any Post-Closing Tax Period, or if such disposition would result in, or otherwise involve, shifting any receipts, revenues, income, or profits, from a Pre-Closing Tax Period to a Post-Closing Tax Period or otherwise could reasonably be expected to have a material adverse consequence to Purchaser or any of its Affiliates Seller shall not settle, discharge, compromise, or otherwise dispose of such Tax Contest without obtaining the prior written consent of Purchaser, which consent shall not be unreasonably withheld, conditioned or delayed.  Neither Purchaser nor any of its Affiliates may settle any Tax Claim relating, in whole or in part, to any Tax which is an Excluded Liability without the prior written consent of Seller, which consent may be withheld in the sole discretion of Seller.

7.5Tax Cooperation. After the Closing, each of Purchaser and Seller shall furnish, and cause their respective Affiliates to furnish, to each other, upon request, as promptly as practicable, such information, including copies of Seller’s Tax Returns and Tax records, and assistance relating to the Purchased Assets as is reasonably necessary for the preparation or filing of all Tax Returns, the making of any election related to Taxes, the preparation for any audit by or dispute with any Tax Authority and the prosecution or defense of any claim, suit or proceeding relating to any Tax Return.  Subject to Section 7.4, each of Purchaser and Seller shall use commercially reasonable efforts to provide, or cause their respective Affiliates to provide, timely notice to each other in writing of any pending or threatened Tax audit, examination, assessment or other administrative or court proceeding with respect to the Purchased Assets for any Taxable period for which the other party could reasonably be expected to have Liability under this Agreement, and furnish to each other copies of all correspondence received from any Tax Authority in connection with any Tax audit or information request with respect to any Taxable period for which the

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other party or its Affiliates may have Liability under this Agreement. Notwithstanding anything to the contrary in this Agreement, Purchaser shall not be entitled to take possession of the original income Tax Returns of Seller.

7.6Tax Deficiencies. Seller and its Affiliates shall take actions reasonably requested by Purchaser to rectify any existing Tax deficiencies (including penalties and interest) of any kind assessed against or relating to Seller and its Affiliates with respect to any taxable periods ending on or before, or including, the Closing Date of a character or nature that would reasonably be expected to result in Encumbrances (other than any Encumbrance for Taxes that are not yet delinquent) or claims on any of the Purchased Assets or on Purchaser’s title or use of the Purchased Assets following the Closing or that would reasonably be expected to result in any claim against or Liability of Purchaser.

Article 8INDEMNIFICATION

8.1Indemnification by Seller.  Subject to the limitations set forth in this Article 8, from and after the Closing, Seller shall indemnify, defend, compensate, reimburse and hold harmless Purchaser and its Representatives and Affiliates (collectively, the “Purchaser Indemnified Persons”) from and against any and all Damages, including reasonable attorneys’ fees (collectively, “Purchaser Damages”), arising out of, relating to or resulting from (a) any breach or failure to perform a covenant of Seller contained in this Agreement; (b) any personal injury claims related to the use of any of the Products manufactured prior to the Closing; (c) any Proceeding commenced against any Purchaser Indemnified Person by a third party arising out of, relating to or resulting from the business operations, properties, assets or obligations of Seller of any of its Affiliates (other than the Purchased Assets or Assumed Liabilities) existing or arising on or prior to the Closing Date; and (d) any Excluded Asset or Excluded Liability.

8.2Indemnification by Purchaser.  Subject to the limitations set forth in this Article 8, from and after the Closing, Purchaser shall indemnify, defend, compensate, reimburse, and hold harmless Seller and their respective Representatives and Affiliates (collectively, the “Seller Indemnified Persons”) from and against any and all Damages, including reasonable attorneys’ fees, arising out of, relating to or resulting from (a) any breach of or inaccuracy in a representation or warranty of Purchaser contained in this Agreement; (b) any breach of a covenant of Purchaser contained in this Agreement; or (c) any Assumed Liability.

8.3Time for Claims.  Seller and Purchaser, intending to modify any applicable statute of limitations, agree that (a) none of the representations and warranties contained in this Agreement shall survive Closing and all such provisions shall terminate at Closing and (b) after Closing there shall be no liability or obligation on the part of, nor shall any claim be made by, Seller or Purchaser or any of their respective Affiliates in respect of or relating to the representations and warranties contained in this Agreement.  This Section 8.3 does not limit (x) any covenants and agreements of Seller or Purchaser contained in this Agreement, which shall survive Closing in accordance with their respective terms, (y) Purchaser’s ability to recover under the R&W Insurance Policy or (z) any claims of fraud or intentional misrepresentation.

8.4Procedures for Indemnification

(a)Promptly after receipt by a party entitled to indemnification under Sections 8.1 or 8.2 (the “Indemnitee”) of written notice of the assertion or the commencement of any Proceeding with

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respect to any matter referred to in Sections 8.1 or 8.2, the Indemnitee shall give written notice describing such claim or Proceeding in reasonable detail in light of the circumstances then known to the Indemnitee to the party obligated to indemnify Indemnitee (the “Indemnitor”), provided, however, that failure of the Indemnitee to give such written notice to Indemnitor as provided herein shall not relieve the Indemnitor of its obligations hereunder except to the extent that the Indemnitor is materially prejudiced thereby.  If any Proceeding with respect to any matter referred to in Sections 8.1 or 8.2 shall be commenced against any Indemnitee by a third party, the Indemnitor shall be entitled to participate in such Proceeding by giving written notice to the Indemnitee stating that the Indemnitor will, and thereby covenants to, indemnify, defend and hold harmless the Indemnitee from, against and in respect of any and all Damages the Indemnitee may suffer, accrue, incur, sustain or become subject to as a result of, arising out of, or relating to the Third-Party Claim (subject to the monetary limitations contained herein) and to assume the defense thereof with counsel reasonably satisfactory to the Indemnitee, at the Indemnitor’s sole expense, so long as it conducts the defense with reasonable diligence; provided, however, that the Indemnitor shall not have the right to assume or control the defense of any Proceeding with respect to any matter referred to in Sections 8.1 or 8.2 if at any time (i) the Indemnitee shall have one or more legal or equitable defenses available to it which are different from or in addition to those available to the Indemnitor, and, in the reasonable opinion of the Indemnitee, counsel for the Indemnitor could not adequately represent the interests of the Indemnitee because such interests could be in conflict with those of the Indemnitor; (ii) such litigation is reasonably likely to have a material adverse effect on any other matter beyond the scope or limits of the indemnification obligation of the Indemnitor; (iii) the claim involves any criminal proceeding against an Indemnitee; or (iv) the claim seeks an injunction, equitable relief or other non-monetary relief against any Indemnitee.  Notwithstanding anything to the contrary contained in this Section 8.4, if the Indemnified Party is a Purchaser Indemnified Person, then the Indemnifying Party shall not have the option to assume the defense of any such Third-Party Claim (i) which seeks any remedy other than monetary damages, or (ii) which claim, or the assumption by Seller of the defense of which claim, Purchaser Indemnified Person reasonably determines (A) could materially adversely affect the continuing business operations of Purchaser Indemnified Person or any of its Affiliates or their relationships with customers, clients, suppliers or other third parties with whom Purchaser Indemnified Person or any of its Affiliates has a material business relationship, (B) would reasonably pose significant regulatory or reputational risk or exposure to Purchaser Indemnified Person or (C) is a claim involving a criminal matter or litigation in which the third party is a governmental body (in which case Purchaser Indemnified Person shall have the right to control the defense of such matter and Seller shall have the right to participate in the defense of such matter at their own cost and expense).

(b)If the Indemnitor shall assume the defense of any Proceeding with respect to any matter referred to in Sections 8.1 or 8.2, the Indemnitee shall be entitled to participate in any such Proceeding at its expense, and the Indemnitor shall not settle such Proceeding unless (i) the settlement shall include as an unconditional term thereof the giving by the claimant or the plaintiff of a full and unconditional release of the Indemnitee from all liability with respect to the matters that are subject to such Proceeding, the settlement does not contain any sanction or restriction upon the conduct of any business by the Indemnitee or its Affiliates and the settlement does not include any admission of wrongdoing or misconduct by any Indemnitee or its Affiliate, or (ii) the settlement otherwise shall have been approved in advance in writing by the Indemnitee, such approval not to be unreasonably withheld or delayed.  The Indemnitor shall afford the Indemnitee the opportunity to participate in, through counsel chosen by the Indemnitee, but not control, any defense or settlement of any Proceeding controlled by the Indemnitor pursuant to this Section 8.4.

(c)If the Indemnitor fails to notify the Indemnitee within twenty (20) days after receipt of notice of such Proceeding pursuant to Section 8.4(a) that the Indemnitor elects to assume the defense of the Proceeding, or to the extent that the Indemnitor elects not to assume the defense or is not entitled to assume or control the defense in accordance with this Section 8.4, then the Indemnitee shall have the right

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to assume and control the defense of the Proceeding and shall be reimbursed for its reasonable costs and expenses (including attorney’s fees) incurred in connection therewith.  In such event, the Indemnitee shall have full control of such defense.

8.5Remedies Exclusive.  With the exception of the rights of the parties under Section 9.15 and any claims of fraud which are proven and upon which a judgment entered in the involved proceeding shall be expressly based, Seller and Purchaser expressly agree that from and after the Closing the provisions of this Article 8 shall be the sole and exclusive remedy for all claims of breach or indemnification pursuant to this Agreement; provided, however, that the foregoing shall not limit any rights or remedies and shall not limit any claims pursuant to the other Transaction Agreements.

8.6Tax Treatment of Indemnification.  For all Tax purposes, Purchaser and Seller agree to treat any indemnity payment (including all payments under the R&W Insurance Policy, which is an integral term of this transaction) under this Agreement as an adjustment to the Purchase Price unless otherwise required by law.

8.7Reimbursement.  In the event the R&W Insurance Company determines that Purchaser is entitled to indemnification under the R&W Insurance Policy with respect to any Damages, but that the retention under such R&W Insurance Policy is not yet satisfied, then upon Purchaser’s delivery of written notice of such to Seller, Seller shall promptly pay to Purchaser an amount equal to one-half of such indemnifiable Damages in immediately available funds; provided, that in no event shall Seller be responsible for an amount exceeding one-half of the R&W Policy Retention Amount.

Article 9MISCELLANEOUS PROVISIONS

9.1Expenses.  Whether or not the Transactions are consummated, unless otherwise indicated expressly herein, each party shall pay its own costs and expenses in connection with this Agreement and the Transactions, including the fees and expenses of its advisers, accountants and legal counsel.

9.2Interpretation.  Except as otherwise explicitly specified to the contrary, (a) references to a Section, Article, Exhibit or Schedule means a Section or Article of, or Schedule or Exhibit to, this Agreement, unless another agreement is specified, (b) the word “including” (in its various forms) means “including without limitation,” (c) references to a particular statute or regulation include all rules and regulations thereunder and any predecessor or successor statute, rules or regulation, in each case as amended or otherwise modified from time to time, (d) words in the singular or plural form include the plural and singular form, respectively, (e) references to a particular Person include such Person’s successors and assigns to the extent not prohibited by this Agreement, (f) “extent” in the phrase “to the extent” means the degree to which a subject or other thing extends, and such phrase does not mean simply “if,” (g) the headings contained in this Agreement, in any Exhibit or Schedule hereto and in the table of contents to this Agreement are for reference purposes only and shall not affect in any way the meaning or interpretation of this Agreement, (h) references to “$” shall mean United States dollars and (i) the word “or” is not exclusive.

9.3Entire Agreement.  This Agreement, including the other documents, agreements, Exhibits and Schedules specifically referred to herein, constitutes the entire agreement between and among the parties hereto with regard to the subject matter hereof, and supersedes all prior agreements and understandings by or among the parties hereto or any of their respective Affiliates with regard to such subject matter, whether written or oral.  Except for the Confidentiality Agreement, there are now no agreements, representations or warranties between or among the parties other than those set forth in this Agreement or the documents and agreements contemplated in this Agreement.  

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9.4Amendment, Waivers and Consents.  This Agreement shall not be changed or modified, in whole or in part, except by supplemental agreement or amendment signed by the parties.  Any party may waive compliance by any other party with any of the covenants or conditions of this Agreement, but no waiver shall be binding unless executed in writing by the party making the waiver.  No waiver of any provision of this Agreement shall be deemed, or shall constitute, a waiver of any other provision, whether or not similar, nor shall any waiver constitute a continuing waiver.  Any consent under this Agreement shall be in writing and shall be effective only to the extent specifically set forth in such writing.

9.5Successors and Assigns.  This Agreement shall bind and inure to the benefit of the parties hereto and their respective successors and permitted assigns, provided, however, that no party hereto may assign any right or obligation hereunder without the prior written consent of all other parties hereto.  Notwithstanding the foregoing, Purchaser may assign this Agreement or any of its rights or obligations hereunder to any Affiliate of Purchaser without Seller’s prior written consent (but with notice to Seller).  Notwithstanding anything in this Section 9.5 to the contrary, no assignment shall relieve the assigning party of its obligations hereunder.

9.6Governing Law.  The rights and obligations of the parties shall be governed by, and this Agreement shall be interpreted, construed and enforced in accordance with, the laws of the State of Delaware, excluding its conflict of laws rules to the extent such rules would apply the law of another jurisdiction.

9.7Jurisdiction; Waiver of Jury Trial

(a)Any judicial proceeding brought against any of the parties to this Agreement or any dispute arising out of this Agreement or related hereto shall be brought in the courts of the State of Delaware, or in the United States District Court for the District of Delaware, and, by execution and delivery of this Agreement, each of the parties to this Agreement accepts the exclusive jurisdiction of such courts and irrevocably agrees to be bound by any judgment rendered thereby in connection with this Agreement.  The foregoing consents to jurisdiction shall not constitute general consents to service of process in the State of Delaware for any purpose except as provided above and shall not be deemed to confer rights on any Person other than the parties to this Agreement.  Each of the parties to this Agreement agree that service of any process, summons, notice or document by United States mail to such party’s address for notice hereunder shall be effective service of process for any action, suit or proceeding in Delaware with respect to any matters for which it has submitted to jurisdiction pursuant to this Section 9.7.

(b)EACH OF THE PARTIES HERETO HEREBY IRREVOCABLY WAIVES ITS RIGHT TO A JURY TRIAL IN CONNECTION WITH ANY ACTION, PROCEEDING OR CLAIM ARISING OUT OF OR RELATING TO THIS AGREEMENT OR ANY TRANSACTION CONTEMPLATED HEREBY.

9.8Rules of Construction.  The parties acknowledge that each party has read and negotiated the language used in this Agreement.  The parties agree that, because all parties participated in negotiating and drafting this Agreement, no rule of construction shall apply to this Agreement which construes ambiguous language in favor of or against any party by reason of that party’s role in drafting this Agreement.

9.9Severability.  If any provision of this Agreement, as applied to either party or to any circumstance, is declared by a court of competent jurisdiction to be illegal, unenforceable or void, this Agreement shall continue in full force and effect without said provision, and the Parties agree to negotiate in good faith to replace such illegal, unenforceable or void provision with a valid, legal and enforceable provision that achieves, to the greatest lawful extent under this Agreement, the economic, business and other purposes of such invalid, illegal or unenforceable provision.

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9.10Exhibits and Schedules.  All Exhibits and Schedules attached hereto shall be deemed to be a part of this Agreement and are fully incorporated in this Agreement by this reference.  Disclosure in any Schedule shall qualify (a) the corresponding Section of the Agreement to which such Schedule refers and (b) any other Sections of this Agreement to the extent that it is reasonably apparent on the face of such disclosure that such disclosure also qualifies or applies to such other Sections.

9.11Notices.  Any notice required or permitted to be given hereunder shall be sufficient if in writing and (a) delivered in person or by express delivery or internationally recognized overnight courier service, (b) sent by facsimile or email of a PDF document (with written confirmation of receipt) or (c) deposited in the mail registered or certified first class, postage prepaid and return receipt requested.  Each notice shall be deemed given when so delivered personally, or sent by email transmission, or, if sent by express delivery or internationally recognized courier service one (1) Business Day after being sent, or if mailed, five (5) Business Days after the date of deposit in the mail.  A notice of change of address or email address shall be effective only when done in accordance with this Section 9.11.

To Purchaser at:

Merit Medical Systems, Inc.
1600 West Merit Parkway
South Jordan, UT 84095
Email: Brian.Lloyd@merit.com

Attention: Brian Lloyd, Chief Legal Officer

With copies to: (which shall not constitute notice to Purchaser):

Parr Brown Gee & Loveless

101 South 200 East, Suite 700

Salt Lake City, Utah 84111

Email: mschefer@parrbrown.com

Attention: Michael J. Schefer

To Seller at:

EndoGastric Solutions, Inc.

18109 Northeast 76^th Street

Suite 100

Redmond, WA 98052

Email: dhammers@endogastricsolutions.com

Attention: Darin Hammers

With copies to: (which shall not constitute notice to Seller):

Cooley LLP

1700 Seventh Avenue, Suite 1900

Seattle, WA 98101

Email: serickson@cooley.com

Attention: Sonya Erickson

9.12Rights of Parties.  Except for Purchaser Indemnified Persons and Seller Indemnified Persons, nothing in this Agreement, whether express or implied, is intended to confer any rights or remedies under or by reason of this Agreement on any persons other than the parties to it and their respective successors and permitted assigns, nor is anything in this Agreement intended to relieve or discharge the Liabilities of any third person to any party to this Agreement, nor shall any provision give any third person any right of subrogation or action over or against any party to this Agreement.

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9.13Public Announcements.  Seller shall not make any public release or announcement concerning the transactions contemplated hereby without the prior written consent of Purchaser.  Purchaser shall provide Seller with an opportunity to review and provide comments on the press release pursuant to which Purchaser announces the transactions contemplated hereby, but shall not be otherwise prohibited with respect to releases or announcements regarding this Agreement or the transactions contemplated hereby.

9.14Counterparts.  This Agreement may be executed in counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument.  Counterparts may be delivered via electronic mail or electronically by use of DocuSign or other similar method,  or other transmission method and any counterpart so delivered shall be deemed to have been duly and validly delivered and be valid and effective for all purposes.

9.15Specific Performance.  The parties hereby expressly recognize and acknowledge that immediate, extensive and irreparable damage would result, no adequate remedy at law would exist and damages would be difficult to determine in the event that any provision of this Agreement is not performed in accordance with its specific terms or otherwise breached.  It is hereby agreed that the parties shall be entitled to specific performance of the terms hereof and immediate injunctive relief and other equitable relief, without the necessity of proving the inadequacy of money damages as a remedy, and the parties further hereby agree to waive any requirement for the securing or posting of a bond in connection with the obtaining of such injunctive or other equitable relief.  Such remedies, and any and all other remedies provided for in this Agreement, shall, however, be cumulative in nature and not exclusive and shall be in addition to any other remedies whatsoever which any party may otherwise have. Each of the parties hereby acknowledges that the existence of any other remedy contemplated by this Agreement does not diminish the availability of specific performance of the obligations hereunder or any other injunctive relief.  Each of the parties further acknowledges and agrees that injunctive relief and/or specific performance will not cause an undue hardship to such party.

9.16Electronic Data Room Materials.  No information or document will be considered to have been “made available” to Purchaser unless it was uploaded no later than 9:00 a.m. (Eastern time) on the Business Day prior to the Closing Date to the Data Room and which was fully accessible to Purchaser and its Representatives through the earlier of the Closing or the termination of this Agreement.  Seller shall deliver a complete copy of the Data Room to Purchaser at Closing on one or more mobile drives (or other digital storage device as Purchaser and Seller agree).

9.17Further Assurances.  Subject to the terms and conditions of this Agreement, prior to and after the Closing, each party shall prepare, execute and deliver, at the preparer’s expense, such further instruments and shall use its commercially reasonable efforts to take or cause to be taken such other further action, as any party shall reasonably request of any other party at any time or from time to time to consummate, in any other manner, the terms and provisions of this Agreement.

[Signatures Follow On a Separate Page]

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IN WITNESS WHEREOF, the Parties hereto have executed this Asset Purchase Agreement on as of the date first above written.

PURCHASER:

MERIT MEDICAL SYSTEMS, INC.

By: /s/ Fred P. Lampropoulos_______________

Name: Fred P. Lampropoulos
Title: Chairman and Chief Executive Officer

SELLER:

ENDOGASTRIC SOLUTIONS, INC.

By: /s/ Darin Hammers_____________________

Name: Darin Hammers

Title: President and Chief Executive Officer

Solely for purposes of Section 6.5:

/s/ Darin Hammers___________________

Darin Hammers, an individual

/s/ Brett Reynolds___________________

Brett Reynolds, an individual

/s/ Darren Crow____________________

Darren Crow, an individual

[Signature Page to Asset Purchase Agreement]

EXHIBIT A

CERTAIN DEFINITIONS

“Accounting Mediator” shall mean the Salt Lake City office of Grant Thornton LLP.

“Accounting Principles” shall mean GAAP applied using the same accounting methods, practices, principles, policies and procedures, with consistent classifications, conventions, categorizations, definitions, elections, assumptions, inclusions, exclusions, judgments and valuation and estimation methodologies that were used in the preparation of the Financial Statements for the most recent fiscal year end.

“Accounts Receivable” shall mean all accounts or notes receivable held by Seller, and any security, claim, remedy or other right related to any of the foregoing.

“Actual Closing Working Capital” shall have the meaning specified in Section 2.2(a).

“Adjusted Purchase Price” shall have the meaning specified in Section 2.2(f).

“Affiliate” of any Person shall mean any Person directly or indirectly controlling, controlled by, or under common control with, such Person; provided, however, that, for the purposes of this definition, “control” (including, with correlative meanings, the terms “controlled by” and “under common control with”), as used with respect to any Person, shall mean the possession, directly or indirectly, of the power to direct or cause the direction of the management and policies of such Person, whether through the ownership of voting securities, by Contract, or otherwise.

“Agreement” shall have the meaning specified in the Preamble.

“Anti-Corruption Laws” shall mean all applicable federal, state and foreign Laws relating to the prevention or prohibition of corruption, bribery, kickbacks, conflicts of interest and off-label, false or misleading promotion, advertising or marketing of medical devices, including the United States Foreign Corrupt Practices Act of 1977, the UK Bribery Act of 2010, the United States Anti-Kickback Statute, the United States Stark Law, the United States Physician Payments Sunshine Act, and implementing regulations of these acts, statutes and similar laws.

“Assigned Contracts” shall have the meaning specified in Section 1.1(c).

“Assignment Consent” shall have the meaning specified in Section 1.5(a).

“Assumed Liabilities” shall mean only the (i) Liabilities of Seller or its Affiliates, as applicable, under the Assigned Contracts arising after the Closing; (ii) Liabilities related to Product warranty claims with respect to Purchased Inventory or Products arising after the Closing (regardless of whether the applicable warranty is express or implied); (iii) obligations of Purchaser under this Agreement or any other Transaction Agreement; (iv) Liabilities for any returns with respect to Products; (v) Liabilities for Taxes related to the Purchased Assets or the Assumed Liabilities that are attributable to a Post-Closing Tax Period; (vi) Purchaser’s share of Transfer Taxes pursuant to Section 7.2, and Taxes allocated to Purchaser pursuant to Section 7.3; (vii) Damages and other Liabilities arising with respect to or related to any Recall of any units of Product manufactured on or after the Closing, without limitation of and subject to Purchaser’s rights under the Contract Manufacturing Agreement; (viii) the Liabilities set forth on Schedule 1.3; and (viii) all other Liabilities arising from or relating to the Purchased Assets or the Products after the Closing; provided

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that Assumed Liabilities shall not include any Liabilities of Seller for Taxes (other than Transfer Taxes and Property Taxes, the allocation of which is addressed by Section 7.2 and 7.3, respectively).

“Benefit Plan” shall mean any “employee benefit plan” (as defined in section 3(3) of ERISA, regardless of whether subject to ERISA or tax qualified), and each other material agreement, plan, program, fund, policy, contract or arrangement (whether written or unwritten) providing employment, consulting, compensation, benefits, pension, retirement, profit sharing, stock bonus, stock option, stock ownership, stock appreciation right, stock purchase, phantom or stock equivalent or other equity or equity-based compensation, performance, bonus, retention, incentive, change in control, transition, “stay,” tax gross-up, deferred compensation, paid time off, vacation, life insurance, medical, vision, dental, disability, Code Section 125 cafeteria, death benefit, sick pay, thrift, perquisite, educational, employee assistance, savings, employee loan, disability, severance, termination indemnity, seniority pay, holiday pay, fringe benefit or similar employee benefits maintained, sponsored or contributed to or required to be maintained or contributed to by Seller or any ERISA Affiliate of Seller covering any employee, former employee, or other service provider or former service provider of Seller or any ERISA Affiliate of Seller, or the beneficiaries and dependents of any employee or former employee or other service provider or former service provider of Seller any ERISA Affiliate of Seller.

“Books and Records” shall have the meaning specified in Section 1.1(f).

“Business Day” shall mean any day other than (i) a Saturday or a Sunday or (ii) a day on which banking institutions are generally closed in Salt Lake City, Utah.

“Business Records” shall have the meaning specified in Section 6.3.

“CARES Act” shall have the meaning specified in Section 4.28.

“CARES Act Matters” shall have the meaning specified in Section 4.28.

“Cash” shall mean, calculated on a consolidated basis, as of the Reference Time, the amount of all cash, ‎petty cash, cash equivalents, marketable securities, marketing deposits, certificates of deposit, security deposits, deposits with banks and financial institutions, liquid instruments, and including any (i) cash deposited with third parties to secure surety ‎bonds, performance bonds, letters of credit and property leases or other utility deposits, (ii) short-term investments, (iii) cash in transit (including any credit card receivables and ACH ‎deposits), and (iv) any of the items in subsections (i) through (iii) held by any Subsidiaries of the Company. Cash shall be increased by any deposited ‎checks, wires or drafts, checks on hand and available for deposits, or other payments received, ‎but which have not yet cleared as of the Reference Time but which do clear prior to preparation of the Closing Working Capital Statement, and shall be reduced by any overdrafts, uncleared outbound checks, wires ‎or drafts. Cash (and all components thereof) shall ‎be calculated in accordance with the Accounting Principles‎.

“Closing” shall have the meaning specified in Section 3.1.

“Closing Consideration” shall have the meaning specified in Section 2.1.

“Closing Date” shall have the meaning specified in Section 3.1.

“Closing Statement” shall mean a certificate executed by the chief executive officer of Seller certifying on behalf of Seller, an itemized list of outstanding Discharged Indebtedness as of the Reference Time, the Person to whom such outstanding Discharged Indebtedness is owed, and payment instructions for each such creditor’s account.

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“Closing Working Capital” shall mean: (a) Current Assets, less (b) Current Liabilities, in each case determined as of 12:01 a.m. Pacific time on the Closing Date.

“Closing Working Capital Statement” shall have the meaning specified in Section 2.2(a).

“COBRA” shall mean the Consolidated Omnibus Budget Reconciliation Act of 1985, as amended, and the rules and regulations promulgated thereunder.

“Code” shall mean the United States Internal Revenue Code of 1986, as amended.

“Collar Threshold” shall mean an amount equal to (a) Target Working Capital, multiplied by (b) 5%.

“Collected Information” shall have the meaning specified in Section 4.20(b).

“Confidential Information” shall mean all Trade Secrets and other confidential and/or proprietary information of a Person, including information derived from reports, investigations, research, work in progress, codes, marketing and sales programs, financial projections, cost summaries, pricing formulae, contract analyses, financial information, projections, confidential filings with any state or federal agency, and all other confidential concepts, methods of doing business, ideas, materials or information prepared or performed for, by or on behalf of such Person by its employees, officers, directors, agents, representatives, or consultants.

“Confidentiality Agreement” shall mean that certain confidentiality agreement between Purchaser and Seller, dated March 20, 2024.

“Consent” shall mean any approval, consent, ratification, permission, waiver or authorization (including any Governmental Approval).

“Contract” shall mean any agreement, contract, obligation, promise, understanding, arrangement, commitment, lease, license or undertaking of any nature, whether in written, oral, electronic or other form.

“Contract Manufacturing Agreement” shall have the meaning specified in Section 3.2(e).

“Copyrights” shall mean all rights in works of authorship, including all copyrights, mask works, and all registrations and applications for the foregoing and all statutory and common law rights related thereto, in any jurisdiction, including any prosecution and litigation files, extension, modification, or renewal of any such registration or application.

“Corporate Integrity Agreement” shall mean that certain Corporate Integrity Agreement between the Office of Inspector General of the Department of Health and Human Services and Endogastric Solutions, Inc., effective February 11, 2014.

“Current Assets” shall mean accounts receivable, inventory and prepaid expenses, in each case that are Purchased Assets, but excluding (a) the portion of any prepaid expense of which Purchaser will not receive the benefit following the Closing, (b) all Tax assets and (c) receivables from any of the Sellers’ Affiliates, directors, employees, officers or stockholders and any of their respective Affiliates, determined in accordance with Accounting Principles.

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“Current Liabilities” shall mean accounts payable, accrued salaries and benefits, and accrued expenses, but excluding Excluded Liabilities, all income Tax liabilities, and the accrued, but unpaid, bonuses owed to the employees of Seller set forth on Schedule 6.11(a).

“Damages” shall mean and include any Liability, loss, damage, injury, settlement, judgment, award, fine, penalty, Tax, Proceeding, cost, fee or expense of any nature, including the cost of enforcing any right to indemnification hereunder (including reasonable fees and expenses of counsel, consultants, experts and other professional fees), irrespective of whether arising directly or indirectly from third-party claims and the cost of pursuing insurance providers.

“Data Room” shall mean the electronic data room hosted by Datasite LLC for “Project Escalus” (available through the Closing Date at https://login.global.datasite.com/).

“Discharged Indebtedness” shall mean indebtedness for borrowed money pursuant to that certain Term Loan Agreement among the Company, the Administrative Agent (as defined therein) and the Lenders (as defined therein), dated November 25, 2015 (as amended to date).

“Disclosure Schedule” shall have the meaning specified in Article 4.

“Downward Adjustment Amount” shall have the meaning specified in Section 2.2(f)(B).

“Encumbrance” shall mean any lien, pledge, hypothecation, charge, mortgage, security interest, deed of trust, covenant, option, right of first refusal or other encumbrance of any kind.

“Entity” shall mean any corporation (including any non-profit corporation), general partnership, limited partnership, limited liability partnership, joint venture, estate, trust or company (including any limited liability company or joint stock company) or other similar entity.

“Environmental Law” shall mean any Law relating to the environment, natural resources, pollutants, contaminants, wastes, chemicals or public health and safety, including any Law pertaining to (a) treatment, storage, disposal, generation and transportation of toxic or hazardous substances or solid or hazardous waste, (b) air, water and noise pollution, (c) groundwater or soil contamination, (d) the release or threatened release into the environment of toxic or hazardous substances or solid or hazardous waste, including emissions, discharges, injections, spills, escapes or dumping of pollutants, contaminants or chemicals, (e) manufacture, processing, use, distribution, treatment, storage, disposal, transportation or handling of pollutants, contaminants, chemicals or industrial, toxic or hazardous substances or oil or petroleum products or solid or hazardous waste, (f) underground and other storage tanks or vessels, abandoned, disposed or discarded barrels, containers and other closed receptacles, (g) public health and safety or (h) the protection of wildlife, marine sanctuaries and wetlands, including all endangered and threatened species.

“ERISA” shall mean the Employee Retirement Income Security Act of 1974.

“ERISA Affiliate” shall mean any other Person that, together with Seller, would be treated as a single employer under section 414 of the Code.

“Excluded Assets” shall have the meaning specified in Section 1.2.

“Excluded Liability” shall have the meaning specified in Section 1.4.

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“Export-Import Laws” shall mean all applicable United States and foreign Laws relating to export, reexport, transfer, and import controls, including the Export Administration Regulations and the EU Dual Use Regulation.

“FDA” shall mean the United States Food and Drug Administration or any successor agency.

“Financial Statements” shall have the meaning specified in Section 4.4(a).

“GAAP” shall mean United States generally accepted accounting principles consistently applied.

“General Assignment and Bill of Sale” shall have the meaning specified in Section 3.2(a).

“Governmental Approval” shall mean any: (a) permit, license, certificate, concession, approval, consent, ratification, permission, clearance, confirmation, exemption, waiver, franchise, certification, designation, rating, registration, notice, filing, variance, qualification, accreditation or authorization issued, granted, given or otherwise made available by or under the authority of any Governmental Authority or pursuant to any Law; or (b) right under any Contract with any Governmental Authority.

“Governmental Authority” shall mean any: (a) nation, principality, state, commonwealth, province, territory, county, municipality, district or other jurisdiction of any nature; (b) federal, state, local, municipal, foreign or other government; (c) governmental or quasi-governmental authority of any nature (including any governmental division, subdivision, department, agency, bureau, branch, office, commission, council, board, instrumentality, officer, official, representative, organization, unit, body or Entity and any court or other tribunal); (d) multinational organization or body; or (e) United States or non-United States, individual, Entity or body exercising, or entitled to exercise, any executive, legislative, judicial, administrative, arbitral, regulatory, police, military or taxing authority or power.

“Indebtedness” shall mean all (a) indebtedness for borrowed money; (b) long or short-term obligations evidenced by notes, bonds, debentures or other similar instruments; (c) obligations under any interest rate, currency swap or other hedging agreement or arrangement; (d) capital lease obligations; (e) reimbursement obligations under any letter of credit, banker's acceptance or similar credit transactions; (f) guarantees made by Seller on behalf of any third party in respect of obligations of the kind referred to in the foregoing clauses (a) through (e); and (g) any unpaid interest, prepayment penalties, premiums, costs and fees that would arise or become due as a result of the prepayment of any of the obligations referred to in the foregoing clauses (a) through (f).

“Indemnitee” shall have the meaning specified in Section 8.4(a).

“Indemnitor” shall have the meaning specified in Section 8.4(a).

“Intellectual Property Rights” shall mean any or all rights in and to intellectual property anywhere in and throughout the world, including (i) Patent Rights, Trade Secrets, Copyrights, and Trademarks, (ii) any rights similar, corresponding or equivalent to any of the foregoing anywhere in the world, (iii) any rights in computer software, data, and databases, (iv) all other proprietary rights, and (v) any claims or causes of action, including the right to sue, for past, present and future infringement, misappropriation, dilution, or any other violation of any of the foregoing.

“Law” shall mean any law, statute, legislation, constitution, principle of common law, resolution, ordinance, code, edict, decree, proclamation, treaty, convention, rule, regulation, permit, ruling, directive, pronouncement, requirement (licensing or otherwise), specification, determination, decision, opinion Order, regulatory guidance or interpretation issued, enacted, adopted, passed, approved, promulgated, made,

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implemented or otherwise put into effect by or under the authority of any Governmental Authority including any (a) technical or scientific standard to which adherence is required by any Governmental Authority and (b) any rules or policies of non-governmental accreditation or oversight bodies applicable to medical devices and related accessories, including the Products.

“Leased Real Property” shall mean the real property leased or subleased by Seller, together with all buildings, structures and facilities located thereon that constitutes a Purchased Asset.

“Liabilities” shall mean any and all liabilities and obligations, whether accrued, fixed or contingent, mature or inchoate, known or unknown, reflected on a balance sheet or otherwise, including those arising under any Proceeding or Law, and those arising under any Contract.

“Licenses” shall have the meaning specified in Section 4.8(c).

“Material Adverse Effect” shall mean, any event, change or effect that, when taken individually or together with all other adverse events, changes and effects, (a) is or could reasonably be expected to be materially adverse to the Purchased Assets, Assumed Liabilities, Products or the financial or other condition, assets, business, operations or prospects of the Business, (b) could or could reasonably be expected to prevent or materially delay or impair consummation of the Transactions or (c) could or could reasonably be expected to have a materially adverse effect on Purchaser’s ability to operate the Business immediately after Closing in substantially the same manner as operated by Seller during the twelve (12) month period before Closing; provided, however, that any events, changes or effects will not be deemed to constitute a Material Adverse Effect to the extent resulting from (i) general changes or conditions in general economic, political or market conditions or in the industries (or therapeutic areas) in which the Business operates, except to the extent that such changes or conditions in the industries (or therapeutic areas) in which the Business operates have a disproportionate effect on the Business compared with other companies or businesses operating in such industries (or therapeutic areas); (ii) any failure by Seller, the Business, or the Products to meet internal projections or forecasts for any period (provided that the underlying causes of such failure may be taken into account in determining whether there has been a Material Adverse Effect); (iii)  acts of war or terrorism (or the escalation of the foregoing); and (iv) changes in any Laws applicable to the Business or applicable accounting regulations or principles, except to the extent that such changes in the industries (or therapeutic areas) in which the Business operates have a disproportionate effect on the Business compared with other companies or businesses operating in such industries (or therapeutic areas).

“Material Contracts” shall have the meaning specified in Section 4.9(a).

“Most Recent Balance Sheet” shall have the meaning specified in Section 4.4(a)

“Non-Assignable Asset” shall have the meaning specified in Section 1.5(a).

“Offered Employees” shall have the meaning specified in Section 6.11(a).

“Open Source” shall have the meaning specified in Section 4.8(j).

“Order” shall mean any: (a) temporary, preliminary or permanent order, judgment, injunction, edict, decree, ruling, pronouncement, determination, decision, opinion, verdict, sentence, stipulation, subpoena, writ or award that is or has been issued, made, entered, rendered or otherwise put into effect by or under the authority of any court, administrative agency or other Governmental Authority or any arbitrator or arbitration panel; or (b) Contract with any Governmental Authority that is or has been entered into in connection with any Proceeding.

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“Patent Assignment” shall have the meaning specified in Section 3.2(c).

“Patent Rights” shall mean all patents, utility models, and industrial designs, and applications therefor, and all reissues, divisions, re-examinations, revisions, renewals, extensions, adjustments, reissues, provisionals, continuations, continuations-in-part thereof, and counterparts, invention disclosures, and all rights of priority related to any of the foregoing in any jurisdiction, including any prosecution and litigation files for any of the foregoing.

“Permitted Encumbrance” shall mean (a) statutory Encumbrances for Taxes or other governmental charges not yet due and payable or the amount or validity of which is being contested in good faith by appropriate proceedings; (b) mechanics’, materialmen’s, architects’, warehousemen’s, landlords’ and other like statutory Encumbrances arising or incurred in the ordinary course of business, either securing payments not yet due or that are being contested in good faith by appropriate proceedings and for which appropriate reserves have been set aside; (c)  zoning, building codes and other land use laws that do not materially impair the value, merchantability or continued use of the Purchased Assets, and (d) Encumbrances that will be discharged upon payment of the Discharged Indebtedness in full.  For the avoidance of doubt, any Encumbrance arising under the Code or ERISA in connection with any Benefit Plan is not a Permitted Encumbrance.

“Person” shall mean any individual, Entity or Governmental Authority.

“Policy Excluded Loss” shall mean Damages that arise or result from or are based on (a) the breach of a representation or warranty that is excluded from coverage under the R&W Insurance Policy, or (b) with respect to which the R&W Insurance Company otherwise denies coverage under the R&W Insurance Policy.

“Post-Closing Tax Period” shall mean any Tax period beginning after the close of business on the Closing Date or, in the case of any Tax period that includes, but does not begin, after the close of business on the Closing Date, the portion of such period beginning after the close of business on the Closing Date.

“PPP Loan” shall mean that certain loan received by the Company on April 30, 2020 from Bank of America, N.A. under the Paycheck Protection Program established by the CARES Act in the original principal amount of $2,095,497 and bearing interest of 1% per annum.

“Pre-Closing Tax Period” shall mean any Tax period ending on or before the close of business on the Closing Date or, in the case of any Tax period that includes, but does not end on, the Closing Date, the portion of such period ending on the Closing Date.

“Proceeding” shall mean any action, claim, charge, complaint, demand, suit, litigation, arbitration, proceeding (including any civil, criminal, administrative, investigative or appellate proceeding), prosecution, contest, hearing, inquiry, inquest, audit, examination or investigation that is, has been or may in the future be commenced, brought, conducted or heard at law or in equity or before any Governmental Authority.

“Products” shall have the meaning specified in the Recitals.

“Purchase Price” shall have the meaning specified in Section 2.1.

“Purchase Price Allocation” shall have the meaning specified in Section 7.1.

“Purchased Assets” shall have the meaning specified in Section 1.1.

B-7

“Purchased Intellectual Property” shall mean (a) the Product Intellectual Property, (b) Tangible Embodiments and (c) to the extent owned by Seller and used in connection with any Product: (i) any Patent Right anywhere in any jurisdiction that is derived from or claiming priority to any Patent Right on Schedule 4.8(a) but not listed on Schedule 4.8(a), and (ii) all other Intellectual Property Rights, including all rights in any labels, product inserts and training manuals used by Seller in connection with or related to the Business, the Products, or any Purchased Assets.

“Purchased Inventory” shall have the meaning specified in Section 1.1(a).

“Purchaser” shall have the meaning specified in the Preamble.

“Purchaser Assignment and Assumption Agreements” shall have the meaning specified in Section 3.2(b).

“Purchaser Damages” shall have the meaning specified in Section 8.1.

“Purchaser Indemnified Persons” shall have the meaning specified in Section 8.1.

“Purchaser’s Fundamental Representations” shall mean the representations and warranties set forth in Article 5.

“Recalls” shall have the meaning specified in Section 6.6.

“Reference Time” shall mean as of immediately prior to the Closing.

“Registered Intellectual Property Rights” shall mean, in any jurisdiction, all: (i) Patent Rights; (ii) registered Trademarks and pending applications to register Trademarks; (iii) Copyright registrations, pending applications to register Copyrights, and Copyright renewals; (iv) domain name registrations; (v) branded accounts on any social medial networks; and (vi) any other Intellectual Property Rights that are the subject of a pending application, certificate, filing, registration or other document issued by, filed with, or recorded by, any Government Authority or other organization at any time.

“Regulatory Authority” shall mean any federal, national, state, foreign or multinational Governmental Authority (including the FDA) that has jurisdiction or oversight over (a) the research, development, approval, clearance, marketing, manufacture, labeling, sale, import, export and distribution of medical devices and technology, (b) federal healthcare programs under which such medical devices are purchased or reimbursed, or (c) the protection of personal healthcare information.

“Representatives” shall mean, as to any Person, its officers, directors, employees, counsel, accountants, financial advisers, consultants, financing sources and agents.

“Restricted Business” shall mean the business of developing and/or marketing an anti-reflux procedure or product for prevention, control, or treatment of gastroesophageal reflux disease.

“Restricted Parties” shall mean each of Darin Hammers, Brett Reynolds, and Darren Crow.

“Restricted Period” shall mean, (i) with respect to Darin Hammers and Brett Reynolds, a period of two (2) years commencing on the Closing Date, and (ii) with respect to Darren Crow, a period of one (1) year commencing on the Closing Date.

“Review Period” shall have the meaning specified in Section 2.2(b).

B-8

“R&W Insurance Company” shall mean the provider of R&W Insurance Policy selected by Purchaser, prior to Closing on the terms and subject to the conditions set forth herein.

“R&W Insurance Policy” shall mean the Purchaser-side representation and warranty insurance policy obtained by Purchaser; provided, however that each of Purchaser and Seller shall be responsible for fifty percent (50%) of the R&W Insurance Policy Premium.

“R&W Insurance Policy Premium” shall mean the premium and related fees and expenses payable to the underwriter and the broker with respect to the R&W Insurance Policy.

“R&W Policy Retention Amount” shall mean the aggregate amount of retention set forth in the R&W Insurance Policy.

“Sanctioned Country” shall mean any country or region that is the target of comprehensive United States economic sanctions, including currently Cuba, Iran, Sudan, Syria, North Korea, and the Crimea region of Ukraine.

“Sanctioned Person” shall mean any Person that is the subject or target of sanctions or restrictions under Sanctions Laws or Export-Import Laws, including: (a) any Person listed on any applicable United States or foreign sanctions- or export-related restricted party list, including OFAC’s Specially Designated Nationals and Blocked Persons List and the EU Consolidated List; (b) any entity that is, in the aggregate, fifty percent (50%) or greater owned, directly or indirectly, or otherwise Controlled by a Person or Persons described in clause (a); or (c) any national of a Sanctioned Country.

“Sanctions Laws” shall mean all United States and foreign Laws relating to economic sanctions, including those administered or enforced by the United States (including by OFAC or the United States Department of State), the United Nations Security Council, and the European Union.

“Seller” shall have the meaning specified in the Preamble.

“Seller Indemnified Persons” shall have the meaning specified in Section 8.2.

“Seller’s Fundamental Representations” shall mean the representations and warranties in Section 4.1, Section 4.2, Section 4.3, Section 4.8, Section 4.11, Section 4.14 and Section 4.15.

“Seller’s knowledge”, “knowledge of Seller” or any other similar knowledge qualification, shall mean the actual or constructive knowledge of any manager, director, officer or person fulfilling similar roles of Seller, after due inquiry.

“Solvent” when used with respect to any Person, shall mean that, as of any date of determination, (a) the amount of the “fair saleable value” of the assets of such Person will, as of such date, exceed (i) the value of all “liabilities of such Person, including contingent and other liabilities,” as of such date, as such quoted terms are generally determined in accordance with applicable Laws governing determinations of the insolvency of debtors, and (ii) the amount that will be required to pay the probable liabilities of such Person on its existing debts (including contingent liabilities) as such debts become absolute and matured, (b) such Person will not have, as of such date, an unreasonably small amount of capital for the operation of the businesses in which it is engaged or proposed to be engaged following such date and (c) such Person will be able to pay its liabilities, including contingent and other liabilities, as they mature.

“Statement of Objections” shall have the meaning specified in Section 2.2(c).

B-9

“Straddle Period” shall mean any Tax period that begins on or before and ends after the Closing Date.

“Tangible Embodiments” shall mean all tangible embodiments of the material unregistered Copyrights, including all software source code and object code, and all website content in any form or media.

“Target Working Capital” shall mean an amount equal to $2,825,000.

“Tax” (and, with correlative meaning, “Taxes” and “Taxable”) shall mean all forms of taxation imposed by any Tax Authority, including all national, state or local taxation (including income, value added, goods and services, occupation, real and personal property, social security, gross receipts, sales, use, ad valorem, franchise, profits, license, withholding, payroll, employment, employer shared responsibility, excise, severance, occupation, premium or windfall profit taxes, stamp duty, customs and other import or export duties, estimated and other taxes), together with any interest, penalties, and additions to tax related thereto. For clarity, Taxes include any amounts described in the immediately preceding sentence imposed on or assessed against any Person for which Seller or its Affiliates have Liability by Contract, as successor or transferee, or otherwise under applicable Laws.

“Tax Authority” shall mean a Governmental Authority responsible for the imposition, assessment or collection of any Tax (domestic or foreign).

“Tax Claim” shall mean any action, suit, proceeding, investigation, audit or claim with respect to Taxes made or initiated by any Tax Authority.

“Tax Contest” shall have the meaning specified in Section 9.4.

“Tax Return” shall mean any report, return, statement, declaration, notice, certificate or other document filed or required to be filed with any Tax Authority in connection with the determination, assessment, collection or payment of any Tax.

“Territory” shall mean anywhere in the world.

“Third-Party Intellectual Property” shall have the meaning specified in Section 4.8(c).

“Trade Control Laws” shall have the meaning specified in Section 4.16.

“Trade Secrets” shall mean all trade secrets under applicable law and other rights in know-how and confidential or proprietary information, clinical study data, formulae, processes, manufacturing information, procedures, inventions, or marketing information, and all other non-public information with regard to the Products, and all claims and rights related thereto.

“Trademark Assignment” shall have the meaning specified in Section 3.2(c).

“Trademarks” shall mean any and all trademarks, service marks, trade dress, logos, slogans, trade names, and other source identifiers, all applications and registrations therefor, all common law rights therein and thereto, and all goodwill associated with any of the foregoing in any jurisdiction, including any prosecution and litigation files, extension, modification, or renewal of any such registration or application.

“Transaction Agreements” shall mean this Agreement and the General Assignment and Bill of Sale, the Purchaser Assignment and Assumption Agreements, the Parent Assignment, the Trademark

B-10

Assignment, the Transition Services Agreement, the Contract Manufacturing Agreement, the Transition Distribution Agreement and any other agreements or instruments executed pursuant hereto.

“Transaction Confidentiality Agreement” shall mean any right or interest of Seller or any Affiliate of Seller under any confidentiality agreement entered into by Seller or any Affiliate of Seller, solely to the extent relating to information of a proprietary or confidential nature concerning the Products.

“Transaction(s)” shall mean, collectively, the transactions contemplated by this Agreement.

“Transfer Taxes” shall mean all federal, state, local or foreign sales, use, transfer, real property transfer, mortgage recording, stamp duty, value-added or similar Taxes that may be imposed in connection with the transfer of Purchased Assets.

“Transferred Employees” shall have the meaning specified in Section 6.11(a).

“Transition Services Agreement” shall have the meaning specified in Section 3.2(d).

“Treasury Regulation” shall mean the regulations promulgated under the Code by the United States Treasury and Internal Revenue Service.

“Upward Adjustment Amount” shall have the meaning specified in Section 2.2(f)(A).

“USPTO” shall mean the United States Patent and Trademark Office.

“WARN Act” shall mean the Worker Adjustment and Retraining Notification Act or similar state or local law.

B-11

EX-10.2

EXHIBIT 10.2

MERIT MEDICAL SYSTEMS, INC 2018 LONG-TERM INCENTIVE PLAN

RESTRICTED STOCK UNIT AWARD AGREEMENT

This Restricted Stock Unit Award Agreement (this “Award Agreement”), dated effective as May 16, 2024 (the “Grant Date”), is made by and between Merit Medical Systems, Inc. (the “Company”), and ___________, a director of the Company (“you”).

1. Award of Restricted Stock Units

The Company hereby grants to you an award of restricted stock units (“RSUs”) with respect to its common stock, no par value (the “Shares”), pursuant to the Merit Medical Systems, Inc. 2018 Long-Term Incentive Plan (as amended from time to time, the “Plan”), subject to the terms and conditions set forth in this Award Agreement and the Plan. The RSUs constitute Restricted Stock Units and this Award Agreement constitutes an “Award Agreement” under the Plan. Capitalized terms used but not otherwise defined in this Award Agreement and the Appendix A attached hereto have the applicable meanings set forth in the Plan. With respect to your RSUs granted hereunder, the applicable Total Number of Shares are as follows:

Total Number of Shares 2,431

2. Vesting Conditions to Award

Subject to the other terms and conditions of this Award Agreement and the Plan, you will be entitled to a payment in Shares with respect to your RSUs based on your Total Number of Shares set forth above and the vesting provisions contained herein. Except as otherwise provided in Section 3 below, you shall become vested in the RSUs on the one (1) year anniversary of the Grant Date (the “Vesting Date”) and in accordance with the Plan, subject to your Continuous Service with the Company through the Vesting Date. Failure to satisfy the foregoing service-based vesting condition will result in total forfeiture of your RSUs and all rights to payment hereunder.

3. Effect of a Change in Control

If a Change in Control occurs prior to the Vesting Date, then you will be entitled to receive, no later than thirty (30) days following the effective date of the Change in Control, the Total Number of Shares covered by this Award Agreement.

4. Payment

(a)Timing of Settlement. Subject to Section 2 of this Award Agreement, promptly following the Vesting Date the Company will issue to you the Total Number of Shares. Such issuance and payment will be made in accordance with Section 4(c) below within the thirty (30) day period following the Vesting Date; provided, however, that in the event of a Change in Control, your RSUs will be settled and paid within the thirty (30) day period specified in Section 3 above.

(b) No Dividend Equivalents. No Dividend Equivalents will be paid on or with respect to the RSUs.

(c) Form of Payment. All amounts payable with respect to your RSUs will be paid in the form of Shares. RSUs will not be settled or paid in cash.

(d) Taxes. Taxes may be assessed and/or withheld as required by law at applicable United States federal, state and/or other tax rates (under the laws of the jurisdictions in which you reside or that may otherwise be applicable to you) with respect to your RSUs and the issuance of Shares in payment of your RSUs. Notwithstanding anything in this Award Agreement to the contrary, the issuance of Shares in payment of your RSUs described in this Award

Agreement will be reduced by a number of Shares having a then Fair Market Value equal to the amount necessary to satisfy the minimum tax withholding obligations applicable to such RSUs and Share issuance.

5. Other Provisions

(a) Future Adjustments. In the event of any merger, acquisition, disposition or other corporate event affecting the Company prior to the Vesting Date, the Committee may make such adjustments to the Total Number of Shares subject to this Award Agreement pursuant to Section 12.2 of the Plan.

(b) No Guaranty of Future Awards. This Award Agreement in no way guarantees you the right to or expectation that you may receive similar awards with respect to any other period which the Committee may, in its discretion, establish and as to which the Committee may elect to grant Awards under the Plan.

(c) No Rights as Shareholder. You will not be considered a shareholder of the Company with respect to the Shares covered by this Award Agreement unless and until such underlying Shares are issued to you in settlement of your RSUs.

(d) No Rights to Continued Service. This Award Agreement will not be deemed to create a contract or other promise of continued service as a director or otherwise with the Company and will not in any way prohibit or restrict the ability of the Company to terminate your service at any time for any reason, with or without cause, at will with or without notice.

(e) Compliance with Section 409A of the Code. This Award Agreement and your RSUs are intended to constitute and result in a “short-term deferral” that is exempt from the definition of a “nonqualified deferred compensation plan” under Section 409A of the Code.

(f) Plan. All terms and conditions of the Plan are incorporated herein by reference and constitute an integral part hereof. In the event of any conflict between the provisions of this Award Agreement and the Plan, the provisions of the Plan, including without limitation Sections 4.2, 13.5, 13.6 and 13.15 of the Plan, will govern and be controlling.

(g)Transfers. Neither the RSUs nor the right to receive Shares hereunder may be assigned, alienated, pledged, attached, sold or otherwise transferred or encumbered by you. Any attempt to assign, alienate, pledge, attach, sell or otherwise transfer or encumber the RSUs or the rights relating thereto will be wholly ineffective. Notwithstanding the foregoing, in the event of your death, Shares deliverable with respect to the vested RSUs will be delivered to your designated beneficiary under the Plan (or if none, to your estate).

(h)Securities Law Restrictions. The issuance of Shares hereunder is conditioned upon compliance by the Company and you with all applicable requirements of federal and state securities laws and with all applicable requirements of any stock exchange on which the Company's Shares may be listed. No Shares will be issued or transferred unless and until any then applicable requirements of state and federal laws and regulatory agencies have been fully complied with to the satisfaction of the Company and its counsel.In addition, the Company may require that prior to the issuance of Shares hereunder you enter into a written agreement to comply with any restrictions on subsequent disposition that the Company deems necessary or advisable under any applicable federal and state securities laws. The Shares issued hereunder may be legended to reflect such restrictions.

(i)Governing Law. This Award Agreement will be construed and interpreted in accordance with the laws of the State of Utah without regard to conflict of law principles.

(j)Effect on Other Benefits. Participation in the Plan is voluntary. The value of the RSUs is an extraordinary item of compensation outside the scope of your normal service and compensation rights, if any. As such, the RSUs are not part of normal or expected compensation for purposes of calculating any severance, bonuses, awards, or retirement benefits or similar payments unless specifically and otherwise provided in the plans or agreements governing such compensation.

2

(k) Entire Agreement. This Award Agreement supersedes in its entirety all prior undertakings and agreements of the Company and you, whether oral or written, with respect to the RSUs granted hereunder.

By executing and accepting this Award Agreement, you agree to be bound as a Participant by the terms and conditions herein, the Plan and all conditions established by the Committee and the Company in connection with Awards issued under the Plan.

MERIT MEDICAL SYSTEMS, INC.
/s/ Fred P. Lampropoulos _ Fred P. Lampropoulos	_________________________________________________ [Director name]
President and Chief Executive Officer

3

APPENDIX A

(Definitions)

For purposes of this Award Agreement, the following terms have the following meanings:

“Change in Control” has the meaning set forth in the Plan; provided, that no event will constitute a Change of Control unless it is described in Code Section 409A(a)(2)(A)(v) and the Treasury Regulations thereunder.

“Continuous Service” has the meaning set forth in the Plan and includes service with the Company as an employee or Director of the Company.

“Total Number of Shares” means the number of Shares specified in Section 1 of this Award Agreement.

4

EX-31.1

EXHIBIT 31.1

CERTIFICATION

I, Fred P. Lampropoulos, certify that:

1.      I have reviewed this Quarterly Report on Form 10-Q (the “Report”) of Merit Medical Systems, Inc. (the “Registrant”);

2.      Based on my knowledge, this Report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this Report;

3.      Based on my knowledge, the financial statements, and other financial information included in this Report, fairly present in all material respects the financial condition, results of operations and cash flows of the Registrant as of, and for, the periods presented in this Report;

4.      The Registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the Registrant and have:

a) designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the Registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this Report is being prepared;

b) designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with general accepted accounting principles;

c) evaluated the effectiveness of the Registrant’s disclosure controls and procedures and presented in this Report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this Report based on such evaluation; and

d) disclosed in this Report any change in the Registrant’s internal control over financial reporting that occurred during the Registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in case of an annual report) that has materially affected, or is reasonably likely to materially affect, the Registrant’s internal control over financial reporting; and

5.      The Registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the Registrant’s auditors and the audit committee of the Registrant’s board of directors (or persons performing the equivalent functions):

a) all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the Registrant’s ability to record, process, summarize and report financial information; and

b) any fraud, whether or not material, that involves management or other employees who have a significant role in the Registrant’s internal control over financial reporting.

Date: August 1, 2024	/s/ Fred P. Lampropoulos
	Fred P. Lampropoulos
	President and Chief Executive Officer
	(principal executive officer)

EX-31.2

EXHIBIT 31.2

CERTIFICATION

I, Raul Parra, certify that:

1.      I have reviewed this Quarterly Report on Form 10-Q (the “Report”) of Merit Medical Systems, Inc. (the “Registrant”);

2.      Based on my knowledge, this Report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this Report;

3.      Based on my knowledge, the financial statements, and other financial information included in this Report, fairly present in all material respects the financial condition, results of operations and cash flows of the Registrant as of, and for, the periods presented in this Report;

4.      The Registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal controls over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the Registrant and have:

a) designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the Registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this Report is being prepared;

b) designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with general accepted accounting principles;

c) evaluated the effectiveness of the Registrant’s disclosure controls and procedures and presented in this Report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this Report based on such evaluation; and

d) disclosed in this Report any change in the Registrant’s internal control over financial reporting that occurred during the Registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in case of an annual report) that has materially affected, or is reasonably likely to materially affect, the Registrant’s internal control over financial reporting; and

5.      The Registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the Registrant’s auditors and the audit committee of the Registrant’s board of directors (or persons performing the equivalent functions):

a) all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the Registrant’s ability to record, process, summarize and report financial information; and

b) any fraud, whether or not material, that involves management or other employees who have a significant role in the Registrant’s internal control over financial reporting.

Date: August 1, 2024	/s/ Raul Parra
	Raul Parra
	Chief Financial Officer
	(principal financial officer)

EX-32.1

EXHIBIT 32.1

Certification of Principal Executive Officer

Pursuant to 18 U.S.C. Section 1350, as Adopted

Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

In connection with the Quarterly Report on Form 10-Q of Merit Medical Systems, Inc. (the “Company”) for the quarter ended June 30, 2024, as filed with the Securities and Exchange Commission (the “Report”), I, Fred P. Lampropoulos, Chief Executive Officer of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that, to the best of my knowledge:

(1)   The Report fully complies with the requirements of Section 13(a) or 15 (d) of the Securities Exchange Act of 1934; and

(2)   The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date: August 1, 2024	/s/ Fred P. Lampropoulos
	Fred P. Lampropoulos
	President and Chief Executive Officer
	(principal executive officer)

This certification accompanies the foregoing Report pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 and shall not, except to the extent required by the Sarbanes-Oxley Act of 2002, be deemed filed by the Registrant for purposes of Section 18 of the Securities Exchange Act of 1934, as amended. A signed original of this certification has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request.

EX-32.2

EXHIBIT 32.2

Certification of Chief Financial Officer

Pursuant to 18 U.S.C. Section 1350, as Adopted

Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

In connection with the Quarterly Report on Form 10-Q of Merit Medical Systems, Inc. (the “Company”) for the quarter ended June 30, 2024, as filed with the Securities and Exchange Commission (the “Report”), I, Raul Parra, Chief Financial Officer of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that, to the best of my knowledge:

(1)   The Report fully complies with the requirements of Section 13(a) or 15 (d) of the Securities Exchange Act of 1934; and

(2)   The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date: August 1, 2024	/s/ Raul Parra
	Raul Parra
	Chief Financial Officer
	(principal financial officer)

This certification accompanies the foregoing Report pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 and shall not, except to the extent required by the Sarbanes-Oxley Act of 2002, be deemed filed by the Registrant for purposes of Section 18 of the Securities Exchange Act of 1934, as amended. A signed original of this certification has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request.

XML

Cover Page - shares	6 Months Ended
	Jun. 30, 2024	Jul. 30, 2024
Cover page.
Document Type	10-Q
Document Quarterly Report	true
Document Transition Report	false
Document Period End Date	Jun. 30, 2024
Entity File Number	0-18592
Entity Registrant Name	MERIT MEDICAL SYSTEMS INC
Entity Incorporation, State or Country Code	UT
Entity Central Index Key	0000856982
Entity Tax Identification Number	87-0447695
Entity Address, Address Line One	1600 West Merit Parkway
Entity Address, City or Town	South Jordan
Entity Address, State or Province	UT
Entity Address, Postal Zip Code	84095
City Area Code	801
Local Phone Number	253-1600
Title of 12(b) Security	Common Stock, no par value
Trading Symbol	MMSI
Security Exchange Name	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		58,208,536
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2024
Document Fiscal Period Focus	Q2
Amendment Flag	false

XML

CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Current assets:
Cash and cash equivalents	$ 636,658	$ 587,036
Trade receivables - net of allowance for credit losses - 2024 - $9,276 and 2023 - $9,023	182,415	177,885
Other receivables	10,612	10,517
Inventories	298,224	303,871
Prepaid expenses and other current assets	26,179	24,286
Prepaid income taxes	4,123	4,016
Income tax refund receivables	4,335	859
Total current assets	1,162,546	1,108,470
Property and equipment:
Land and land improvements	25,952	26,017
Buildings	191,030	191,491
Manufacturing equipment	330,290	316,930
Furniture and fixtures	64,755	63,044
Leasehold improvements	58,595	53,638
Construction-in-progress	61,060	61,439
Total property and equipment	731,682	712,559
Less accumulated depreciation	(345,743)	(329,036)
Property and equipment - net	385,939	383,523
Other assets:
Goodwill	381,433	382,240
Deferred income tax assets	7,013	7,288
Right-of-use operating lease assets	69,903	63,047
Other assets	61,583	54,793
Total other assets	823,354	833,251
Total assets	2,371,839	2,325,244
Current liabilities:
Trade payables	55,573	65,944
Accrued expenses	117,574	120,447
Short-term operating lease liabilities	11,743	12,087
Income taxes payable	1,325	5,086
Total current liabilities	186,215	203,564
Long-term debt	801,321	823,013
Deferred income tax liabilities	5,510	5,547
Long-term income taxes payable	347	347
Liabilities related to unrecognized tax benefits	1,912	1,912
Deferred compensation payable	18,588	17,167
Deferred credits	1,553	1,605
Long-term operating lease liabilities	58,036	56,259
Other long-term obligations	15,912	13,830
Total liabilities	1,089,394	1,123,244
Commitments and contingencies
Stockholders' equity:
Preferred stock - 5,000 shares authorized; no shares issued as of June 30, 2024 and December 31, 2023
Common stock, no par value - 100,000 shares authorized; issued and outstanding as of June 30, 2024 - 58,192 and December 31, 2023 - 57,858	658,724	638,150
Retained earnings	639,150	575,184
Accumulated other comprehensive loss	(15,429)	(11,334)
Total stockholders' equity	1,282,445	1,202,000
Total liabilities and stockholders' equity	2,371,839	2,325,244
Developed technology
Other assets:
Intangible assets:	264,195	283,999
Other
Other assets:
Intangible assets:	$ 39,227	$ 41,884

XML

CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($) shares in Thousands, $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Current assets:
Trade receivables, allowances	$ 9,276	$ 9,023
Stockholders' equity:
Preferred stock shares authorized (in shares)	5,000	5,000
Preferred stock shares issued (in shares)	0	0
Common stock, par value (in dollars per share)	$ 0	$ 0
Common stock shares authorized (in shares)	100,000	100,000
Common stock shares issued (in shares)	58,192	57,858
Common stock shares outstanding (in shares)	58,192	57,858
Developed technology
Other assets:
Intangibles, accumulated amortization	$ 346,763	$ 321,488
Other
Other assets:
Intangibles, accumulated amortization	$ 80,628	$ 76,887

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CONSOLIDATED STATEMENTS OF INCOME - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Income Statement [Abstract]
Net sales	$ 338,003	$ 320,056	$ 661,511	$ 617,621
Cost of sales	176,903	167,274	348,696	326,477
Gross profit	161,100	152,782	312,815	291,144
Operating expenses:
Selling, general and administrative	94,585	100,927	189,013	191,071
Research and development	20,263	20,129	41,745	41,443
Impairment charges		270		270
Contingent consideration expense	306	1,094	189	1,615
Acquired in-process research and development		1,550		1,550
Total operating expenses	115,154	123,970	230,947	235,949
Income from operations	45,946	28,812	81,868	55,195
Other income (expense):
Interest income	7,561	221	14,837	352
Interest expense	(7,679)	(3,682)	(15,725)	(5,693)
Other income (expense) - net	15	(451)	(789)	546
Total other expense - net	(103)	(3,912)	(1,677)	(4,795)
Income before income taxes	45,843	24,900	80,191	50,400
Income tax expense	10,117	4,655	16,225	9,452
Net income	$ 35,726	$ 20,245	$ 63,966	$ 40,948
Earnings per common share
Basic (in dollars per share)	$ 0.61	$ 0.35	$ 1.10	$ 0.71
Diluted (in dollars per share)	$ 0.61	$ 0.35	$ 1.09	$ 0.70
Weighted average shares outstanding
Basic (in shares)	58,139	57,537	58,049	57,445
Diluted (in shares)	58,740	58,473	58,653	58,329

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CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
Net income	$ 35,726	$ 20,245	$ 63,966	$ 40,948
Other comprehensive income (loss):
Cash flow hedges	(1,711)	3,422	1,261	1,731
Income tax benefit (expense)	404	(821)	(298)	(415)
Foreign currency translation adjustment	(1,688)	(1,201)	(5,092)	724
Income tax benefit (expense)	22	(15)	34	(34)
Total other comprehensive income (loss)	(2,973)	1,385	(4,095)	2,006
Total comprehensive income	$ 32,753	$ 21,630	$ 59,871	$ 42,954

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CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY - USD ($) shares in Thousands, $ in Thousands	Common Stock	Retained Earnings	Accumulated Other Comprehensive Loss	Total
Beginning balance at Dec. 31, 2022	$ 675,174	$ 480,773	$ (11,550)	$ 1,144,397
Beginning balance (in shares) at Dec. 31, 2022	57,306
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income		20,703		20,703
Other comprehensive income (loss)			621	621
Stock-based compensation expense	$ 3,498			3,498
Options exercised	$ 3,726			3,726
Options exercised (in shares)	123
Issuance of common stock under Employee Stock Purchase Plan	$ 302			302
Issuance of common stock under Employee Stock Purchase Plan (in shares)	4
Shares issued from time-vested restricted stock units (in shares)	61
Shares surrendered in exchange for payment of payroll tax liabilities	$ (1,592)			(1,592)
Shares surrendered in exchange for payment of payroll tax liabilities (in shares)	(22)
Ending balance at Mar. 31, 2023	$ 681,108	501,476	(10,929)	1,171,655
Ending balance (in shares) at Mar. 31, 2023	57,472
Beginning balance at Dec. 31, 2022	$ 675,174	480,773	(11,550)	1,144,397
Beginning balance (in shares) at Dec. 31, 2022	57,306
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income				40,948
Other comprehensive income (loss)				2,006
Ending balance at Jun. 30, 2023	$ 691,523	521,721	(9,544)	1,203,700
Ending balance (in shares) at Jun. 30, 2023	57,634
Beginning balance at Mar. 31, 2023	$ 681,108	501,476	(10,929)	1,171,655
Beginning balance (in shares) at Mar. 31, 2023	57,472
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income		20,245		20,245
Other comprehensive income (loss)			1,385	1,385
Stock-based compensation expense	$ 4,980			4,980
Options exercised	$ 5,154			5,154
Options exercised (in shares)	128
Issuance of common stock under Employee Stock Purchase Plan	$ 281			281
Issuance of common stock under Employee Stock Purchase Plan (in shares)	4
Shares issued from time-vested restricted stock units (in shares)	30
Ending balance at Jun. 30, 2023	$ 691,523	521,721	(9,544)	1,203,700
Ending balance (in shares) at Jun. 30, 2023	57,634
Beginning balance at Dec. 31, 2023	$ 638,150	575,184	(11,334)	$ 1,202,000
Beginning balance (in shares) at Dec. 31, 2023	57,858			57,858
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income		28,240		$ 28,240
Other comprehensive income (loss)			(1,122)	(1,122)
Stock-based compensation expense	$ 4,934			4,934
Options exercised	$ 7,394			7,394
Options exercised (in shares)	213
Issuance of common stock under Employee Stock Purchase Plan	$ 336			336
Issuance of common stock under Employee Stock Purchase Plan (in shares)	5
Shares issued from time-vested restricted stock units (in shares)	47
Shares surrendered in exchange for payment of payroll tax liabilities	$ (1,592)			(1,592)
Shares surrendered in exchange for payment of payroll tax liabilities (in shares)	(21)
Ending balance at Mar. 31, 2024	$ 649,222	603,424	(12,456)	1,240,190
Ending balance (in shares) at Mar. 31, 2024	58,102
Beginning balance at Dec. 31, 2023	$ 638,150	575,184	(11,334)	$ 1,202,000
Beginning balance (in shares) at Dec. 31, 2023	57,858			57,858
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income				$ 63,966
Other comprehensive income (loss)				(4,095)
Ending balance at Jun. 30, 2024	$ 658,724	639,150	(15,429)	$ 1,282,445
Ending balance (in shares) at Jun. 30, 2024	58,192			58,192
Beginning balance at Mar. 31, 2024	$ 649,222	603,424	(12,456)	$ 1,240,190
Beginning balance (in shares) at Mar. 31, 2024	58,102
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income		35,726		35,726
Other comprehensive income (loss)			(2,973)	(2,973)
Stock-based compensation expense	$ 6,301			6,301
Options exercised	$ 2,913			2,913
Options exercised (in shares)	66
Issuance of common stock under Employee Stock Purchase Plan	$ 288			288
Issuance of common stock under Employee Stock Purchase Plan (in shares)	4
Shares issued from time-vested restricted stock units (in shares)	20
Ending balance at Jun. 30, 2024	$ 658,724	$ 639,150	$ (15,429)	$ 1,282,445
Ending balance (in shares) at Jun. 30, 2024	58,192			58,192

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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income	$ 63,966	$ 40,948
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	47,690	42,316
Loss on sale or abandonment of property and equipment	79	4,677
Write-off of certain intangible assets and other long-term assets	280	328
Acquired in-process research and development		1,550
Amortization of right-of-use operating lease assets	6,063	5,935
Fair value adjustments related to contingent consideration liabilities	189	1,615
Amortization of deferred credits	(52)	(52)
Amortization of long-term debt issuance costs	2,954	462
Stock-based compensation expense	12,245	9,549
Changes in operating assets and liabilities, net of acquisitions and divestitures:
Trade receivables	(6,901)	(5,980)
Other receivables	(499)	287
Inventories	3,119	(35,502)
Prepaid expenses and other current assets	(2,306)	78
Income tax refund receivables	(3,621)	(3,577)
Other assets	(2,968)	(1,558)
Trade payables	(7,096)	(7,253)
Accrued expenses	(2,804)	(10,295)
Income taxes payable	(3,869)	(4,896)
Deferred compensation payable	1,421	1,154
Operating lease liabilities	(5,962)	(5,711)
Other long-term obligations	2,794	(2,244)
Total adjustments	40,756	(9,117)
Net cash, cash equivalents, and restricted cash provided by operating activities	104,722	31,831
Capital expenditures for:
Property and equipment	(22,309)	(18,556)
Intangible assets	(1,576)	(1,047)
Proceeds from the sale of property and equipment	2	201
Issuance of note receivables	(6,162)
Cash paid in acquisitions and investments, net of cash acquired	(8,493)	(138,349)
Net cash, cash equivalents, and restricted cash used in investing activities	(38,538)	(157,751)
CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from issuance of common stock	10,931	9,463
Proceeds from issuance of long-term debt		460,283
Payments on long-term debt	(24,063)	(318,471)
Long-term debt issuance costs		(5,240)
Contingent payments related to acquisitions	(142)	(3,434)
Payment of taxes related to an exchange of common stock	(1,592)	(1,592)
Net cash, cash equivalents, and restricted cash (used in) provided by financing activities	(14,866)	141,009
Effect of exchange rates on cash, cash equivalents, and restricted cash	(1,750)	(1,497)
Net increase in cash, cash equivalents and restricted cash	49,568	13,592
CASH, CASH EQUIVALENTS AND RESTRICTED CASH:
Beginning of period	589,144	60,558
End of period	638,712	74,150
RECONCILIATION OF CASH, CASH EQUIVALENTS AND RESTRICTED CASH TO THE CONSOLIDATED BALANCE SHEETS:
Cash and cash equivalents	636,658	72,084
Restricted cash reported in prepaid expenses and other current assets	$ 2,054	$ 2,066
Restricted Cash and Cash Equivalents, Current, Statement of Financial Position [Extensible Enumeration]	Prepaid Expense and Other Assets, Current	Prepaid Expense and Other Assets, Current
Total cash, cash equivalents and restricted cash	$ 638,712	$ 74,150
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION
Interest (net of capitalized interest of $428 and $597, respectively)	4,404	3,681
Income taxes	22,619	17,787
SUPPLEMENTAL DISCLOSURES OF NON-CASH INVESTING AND FINANCING ACTIVITIES
Property and equipment purchases in accounts payable	5,411	4,291
Acquisition purchases in accrued expenses and other long-term obligations	4,553	3,635
Right-of-use operating lease assets obtained in exchange for operating lease liabilities	$ 8,167	$ 3,399

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CONSOLIDATED STATEMENTS OF CASH FLOWS (Parenthetical) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023
CONSOLIDATED STATEMENTS OF CASH FLOWS
Net capitalized interest	$ 428	$ 597

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Basis of Presentation and Other Items

6 Months Ended

Jun. 30, 2024

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Basis of Presentation and Other Items

1.   Basis of Presentation and Other Items. The interim consolidated financial statements of Merit Medical Systems, Inc. ("Merit," "we" or "us") for the three and six-month periods ended June 30, 2024 and 2023 are not audited. Our consolidated financial statements are prepared in accordance with the requirements for unaudited interim periods and, consequently, do not include all disclosures required to be made in conformity with accounting principles generally accepted in the United States of America. In the opinion of our management, the accompanying consolidated financial statements contain all adjustments, consisting of normal recurring accruals, necessary for a fair presentation of our financial position as of June 30, 2024 and December 31, 2023, and our results of operations and cash flows for the three and six-month periods ended June 30, 2024 and 2023. The results of operations for the three and six-month periods ended June 30, 2024 and 2023 are not necessarily indicative of the results for a full-year period. Amounts presented in this report are rounded, while percentages and earnings per share amounts presented are calculated from the underlying amounts. These interim consolidated financial statements should be read in conjunction with the financial statements and risk factors included in our Annual Report on Form 10-K for the year ended December 31, 2023 (the “2023 Annual Report on Form 10-K”).

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Recently Issued Accounting Standards

6 Months Ended

Jun. 30, 2024

Accounting Policies [Abstract]

Recently Issued Accounting Standards

2.   Recently Issued Accounting Standards. In November 2023, the Financial Accounting Standards Board (“FASB’) issued Accounting Standard Update (“ASU”) 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures, which requires a public entity to disclose significant segment expenses and other segment items on an annual and interim basis and to provide in interim periods all disclosures about reportable segment’s profit or loss and assets that are currently required annually. ASU 2023-07 is effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. Early adoption is permitted. The provisions of this update must be applied retrospectively to all periods presented in the financial statements. We are currently assessing the anticipated impact of this standard on our consolidated financial statements.

In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, to improve annual basis income tax disclosures related to (1) rate reconciliation, (2) income taxes paid, and (3) other disclosures related to pretax income (or loss) and income tax expense (or benefit) from continuing operations. ASU 2023-09 is effective for fiscal years beginning after December 15, 2025, with early adoption permitted. These amendments are to be applied on a prospective basis. Retrospective application is permitted. We are currently evaluating the impact this standard will have on our consolidated financial statement disclosures.

We currently believe there are no other issued and not yet effective accounting standards that are materially relevant to our financial statements.

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Revenue from Contracts with Customers

6 Months Ended

Jun. 30, 2024

Revenue from Contract with Customer [Abstract]

Revenue from Contracts with Customers

3.   Revenue from Contracts with Customers. We recognize revenue when a customer obtains control of promised goods. The amount of revenue recognized reflects the consideration we expect to receive in exchange for these goods. Our revenue recognition policies have not changed from those disclosed in Note 1 to our consolidated financial statements in Item 8 of the 2023 Annual Report on Form 10-K.

Disaggregation of Revenue

Our revenue is disaggregated based on reporting segment, product category and geographic region. We design, develop, manufacture and market medical products for interventional, diagnostic and therapeutic procedures. For financial reporting purposes, we report our operations in two operating segments: cardiovascular and endoscopy. Our cardiovascular segment consists of four product categories: peripheral intervention, cardiac intervention, custom procedural solutions, and original equipment manufacturer (“OEM”). Within these product categories, we sell a variety of products, including cardiology and radiology devices (which assist in diagnosing and treating coronary arterial disease, peripheral vascular disease and other non-vascular diseases), as well as embolotherapeutic, cardiac rhythm management, electrophysiology, critical care, breast cancer localization and guidance, biopsy, and interventional oncology and spine devices. Our endoscopy segment consists of gastroenterology and pulmonology devices which assist in the palliative treatment of expanding esophageal, tracheobronchial and biliary strictures.

The following table presents revenue from contracts with customers by reporting segment, product category and geographic region for the three and six-month periods ended June 30, 2024 and 2023 (in thousands):

	Three Months Ended						Three Months Ended
	June 30, 2024						June 30, 2023
	United States		International		Total		United States		International		Total
Cardiovascular
Peripheral Intervention	$	82,356	$	56,891	$	139,247	$	71,973	$	53,936	$	125,909
Cardiac Intervention		36,840		57,023		93,863		35,690		58,085		93,775
Custom Procedural Solutions		30,496		19,920		50,416		29,155		20,229		49,384
OEM		35,460		8,829		44,289		34,570		7,637		42,207
Total		185,152		142,663		327,815		171,388		139,887		311,275
Endoscopy
Endoscopy Devices		9,512		676		10,188		8,194		587		8,781
Total	$	194,664	$	143,339	$	338,003	$	179,582	$	140,474	$	320,056

	Six Months Ended						Six Months Ended
	June 30, 2024						June 30, 2023
	United States		International		Total		United States		International		Total
Cardiovascular
Peripheral Intervention	$	161,615	$	112,258	$	273,873	$	140,640	$	99,052	$	239,692
Cardiac Intervention		72,183		112,368		184,551		69,995		109,108		179,103
Custom Procedural Solutions		59,790		39,420		99,210		55,954		41,131		97,085
OEM		68,109		15,446		83,555		67,134		16,237		83,371
Total		361,697		279,492		641,189		333,723		265,528		599,251
Endoscopy
Endoscopy Devices		19,061		1,261		20,322		17,219		1,151		18,370
Total	$	380,758	$	280,753	$	661,511	$	350,942	$	266,679	$	617,621

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Acquisitions

6 Months Ended

Jun. 30, 2024

Business Combinations [Abstract]

Acquisitions

4.   Acquisitions and Investments. On May 17, 2024, Merit Medical Ireland Limited (“MM Ireland”), our indirect wholly-owned subsidiary, entered into a Subscription and Shareholder Agreement (the “CrannMed Agreement”) with CrannMed Limited, a company organized under the laws of Ireland (“CrannMed”). Pursuant to the terms of the CrannMed Agreement, MM Ireland paid €3.0 million to purchase preferred shares of CrannMed. At CrannMed’s election at any time after August 16, 2024, MM Ireland is obligated to pay an additional €3.0 million to acquire additional preferred shares of CrannMed, subject to certain conditions (the “Second Tranche Investment”). Additionally, upon the request of CrannMed and subject to the completion of the Second Tranche Investment and other conditions, MM Ireland may pay to CrannMed up to an additional €2.0 million in the form of equity, debt or other investment for the purpose of funding clinical trial activities of CrannMed. MM Ireland’s investment in CrannMed has been recorded as an equity investment accounted for at cost and reflected within other assets in the accompanying consolidated balance sheets because MM Ireland is not able to exercise significant influence over the operations of CrannMed. MM Ireland’s total current investment in CrannMed represented an ownership interest of approximately 10.8% of the outstanding capital stock of CrannMed at the date of the initial purchase.

On March 8, 2024, we entered into an asset purchase agreement with Scholten Surgical Instruments, Inc. (“SSI”) to acquire the assets associated with the Bioptome, Novatome, and Sensatome devices. The total purchase price of the SSI assets included an up-front payment of $3 million, and three deferred payments, including (i) $1 million payable upon the earlier of (a) the first anniversary of the closing date or (b) the date on which Merit can independently manufacture the purchased devices (“Deferred Payment Date”), (ii) $1 million payable upon the first anniversary of the Deferred Payment Date, and (iii) $1 million payable upon the second anniversary of the Deferred Payment Date. We have accounted for this transaction as an asset purchase, and recorded the amount paid and deferred payments as a developed technology intangible asset, which we are amortizing over eight years.

During March 2024, we paid $0.3 million to acquire additional Series A Preferred Stock of Fluidx Medical Technology, Inc. ("Fluidx"), owner of certain technology proposed to be used in the development of embolic and adhesive agents for use in arterial, venous, vascular graft and cardiovascular applications inside and outside the heart and related appendages. We had previously purchased and continue to hold $4.7 million of participating preferred shares of Fluidx. Our investment has been recorded as an equity investment accounted for at cost and reflected within other assets in the accompanying consolidated balance sheets because we are not able to exercise significant influence over the operations of Fluidx. Our total current investment in Fluidx represented an ownership interest of approximately 19.9% of the outstanding capital stock of Fluidx at the date of this investment.

On June 8, 2023, we entered into an asset purchase agreement with AngioDynamics, Inc. (“AngioDynamics”) to acquire the assets associated with a portfolio of dialysis catheter products and the BioSentry® Biopsy Tract Sealant System for a purchase price of $100 million. We accounted for this transaction under the acquisition method of accounting as a business combination. The sales related to the acquisition have been included in our cardiovascular segment since the acquisition date and were $11.6 million and $0.9 million for the six-month periods ended June 30, 2024 and 2023, respectively. It is not practical to separately report earnings related to the acquisition, as we began to immediately integrate the acquisition into the existing operations, sales distribution networks and management structure of our cardiovascular business segment. Acquisition-related costs associated with the AngioDynamics acquisition, which were included in selling, general and administrative expenses in the consolidated statements of income included in the 2023 Annual Report on Form 10-K, were approximately $4.9 million. The purchase price was allocated as follows (in thousands):

Assets Acquired
Prepaid expenses	$	2,000
Inventories		5,254
Property and equipment		108
Intangible assets
Developed technology		65,200
Trademarks		4,000
Customer list		5,800
Goodwill		17,638
Total net assets acquired	$	100,000

We are amortizing the AngioDynamics developed technology intangible assets over ten years, the trademark intangible assets over 11 years, and the customer list intangible asset on an accelerated basis over ten years. We have estimated the weighted average life of the intangible assets acquired from AngioDynamics to be 10.5 years. The goodwill consists largely of the synergies expected from combining operations and is expected to be deductible for income tax purposes. The pro forma effects to our consolidated results of operations of the AngioDynamics acquisition are not material in relation to reported sales and it was deemed impracticable to obtain information to determine earnings associated with the acquired product lines which represent only a small portion of the product lines of a large, consolidated company without standalone financial information.

On May 4, 2023, we entered into an asset purchase agreement to acquire the assets associated with the Surfacer® Inside-Out® Access Catheter System from Bluegrass Vascular Technologies, Inc. (“Bluegrass”), for a purchase price of $32.7 million. Prior to the acquisition, we held an equity investment of 1,251,878 Bluegrass common shares, representing an approximately 19.5% ownership interest in Bluegrass. The fair value of this previously-held equity investment of approximately $245,000 is included in the purchase price allocation. We accounted for this transaction under the acquisition method of accounting as a business combination. The sales and results of operations related to the acquisition have been included in our cardiovascular segment since the acquisition date and were not material. Acquisition-related costs associated with the Bluegrass acquisition, which were included in selling, general and administrative expenses in the consolidated statements of income included in the 2023 Annual Report on Form 10-K, were not material. The purchase price was allocated as follows (in thousands):    

Assets Acquired
Inventories	$	175
Intangible assets
Developed technology		28,000
Trademarks		900
Goodwill		3,898
Total net assets acquired	$	32,973

We are amortizing the Bluegrass developed technology intangible asset over 15 years and the related trademarks over 13 years. We have estimated the weighted average life of the intangible assets acquired from Bluegrass to be 14.9 years. The goodwill consists largely of the synergies expected from combining operations and is expected to be deductible for income tax purposes. The pro forma effects to our consolidated results of operations of the Bluegrass acquisition are not material.

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Inventories

6 Months Ended

Jun. 30, 2024

Inventory Disclosure [Abstract]

Inventories

5. Inventories. Inventories at June 30, 2024 and December 31, 2023 consisted of the following (in thousands):

	June 30, 2024		December 31, 2023
Finished goods	$	152,180	$	158,893
Work-in-process		38,049		25,420
Raw materials		107,995		119,558
Total inventories	$	298,224	$	303,871

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Goodwill and Intangible Assets

6 Months Ended

Jun. 30, 2024

Goodwill and Intangible Assets Disclosure [Abstract]

Goodwill and Intangible Assets

6.   Goodwill and Intangible Assets. The change in the carrying amount of goodwill for the six-month period ended June 30, 2024 is detailed as follows (in thousands):

	2024
Goodwill balance at January 1	$	382,240
Effect of foreign exchange		(807)
Goodwill balance at June 30	$	381,433

Total accumulated goodwill impairment losses aggregated to $8.3 million as of June 30, 2024 and December 31, 2023, respectively. We did not have any goodwill impairments for the six-month periods ended June 30, 2024 or 2023. The total goodwill balances as of June 30, 2024 and December 31, 2023 were related to our cardiovascular segment.

Other intangible assets at June 30, 2024 and December 31, 2023 consisted of the following (in thousands):

	June 30, 2024
	Gross Carrying		Accumulated		Net Carrying
	Amount		Amortization		Amount
Patents	$	30,163	$	(11,876)	$	18,287
Distribution agreements		3,250		(2,956)		294
License agreements		11,094		(8,759)		2,335
Trademarks		35,123		(22,343)		12,780
Customer lists		40,225		(34,694)		5,531
Total	$	119,855	$	(80,628)	$	39,227

	December 31, 2023
	Gross Carrying		Accumulated		Net Carrying
	Amount		Amortization		Amount
Patents	$	28,877	$	(10,916)	$	17,961
Distribution agreements		3,250		(2,919)		331
License agreements		11,142		(8,327)		2,815
Trademarks		35,135		(20,804)		14,331
Customer lists		40,367		(33,921)		6,446
Total	$	118,771	$	(76,887)	$	41,884

Aggregate amortization expense for the three and six-month periods ended June 30, 2024 was $14.8 million and $29.4 million, respectively. Aggregate amortization expense for the three and six-month periods ended June 30, 2023 was $13.4 million and $25.7 million, respectively.

We evaluate long-lived assets, including amortizing intangible assets, for impairment whenever events or changes in circumstances indicate that their carrying amounts may not be recoverable. We perform the impairment analysis at the asset group for which the lowest level of identifiable cash flows is largely independent of the cash flows of other assets and liabilities. We determine the fair value of our amortizing assets based on estimated future cash flows discounted back to their present value using a discount rate that reflects the risk profiles of the underlying activities. We did not identify indicators of impairment for our intangible assets based on our consideration of triggering events for the six-month periods ended June 30, 2024 and 2023, respectively.

Estimated amortization expense for developed technology and other intangible assets for the next five years consisted of the following as of June 30, 2024 (in thousands):

	Estimated Amortization Expense
Remaining 2024	$	31,367
2025		60,826
2026		49,776
2027		46,440
2028		45,024

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Income Taxes

6 Months Ended

Jun. 30, 2024

Income Tax Disclosure [Abstract]

Income Taxes

7.   Income Taxes. Our provision for income taxes for the three-month periods ended June 30, 2024 and 2023 was a tax expense of $10.1 million and $4.7 million, respectively, which resulted in an effective tax rate of 22.1% and 18.7%, respectively. Our provision for income taxes for the six-month periods ended June 30, 2024 and 2023 was a tax expense of $16.2 million and $9.5 million, respectively, which resulted in an effective tax rate of 20.2% and 18.8%, respectively. The increase in the effective income tax rate for the three and six-month periods ended June 30, 2024, when compared to the prior-year periods, was primarily due to decreased benefit from discrete items such as share-based compensation and deferred compensation and decreased foreign tax credit utilization. The increase in the income tax expense for the six-month period ended June 30, 2024, when compared to the prior-year period, was primarily due to increased pre-tax book income. Our effective tax rate differs from the U.S. statutory rate primarily due to the impact of global intangible low-taxed income (“GILTI”) inclusions, state income taxes, foreign taxes, other nondeductible permanent items and discrete items (such as share-based compensation).

The Organization for Economic Cooperation and Development (“OECD”) Pillar Two global minimum tax rules, which generally provide for a minimum effective tax rate of 15%, are intended to apply for tax years beginning in 2024. On February 2, 2023, the OECD issued administrative guidance providing transition and safe harbor rules around the implementation of the Pillar Two global minimum tax. Under a transitional safe harbor released July 17, 2023, the undertaxed profits rule top-up tax in the jurisdiction of a company's ultimate parent entity will be zero for each fiscal year of the transition period, if that jurisdiction has a corporate tax rate of at least 20%. The safe harbor transition period will apply to fiscal years beginning on or before December 31, 2025 and ending before December 31, 2026. While we expect our effective income tax rate and cash income tax payments could increase in future years as a result of the global minimum tax, we do not anticipate a material impact to our fiscal 2024 consolidated results of operations. Our assessment could be affected by legislative guidance and future enactment of additional provisions within the Pillar Two framework. We are closely monitoring developments and evaluating the impact these new rules are anticipated to have on our tax rate, including eligibility to qualify for these safe harbor rules.

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Debt

6 Months Ended

Jun. 30, 2024

Debt Disclosure [Abstract]

Debt

8.   Debt. Principal balances outstanding under our long-term debt obligations as of June 30, 2024 and December 31, 2023 consisted of the following (in thousands):

	June 30, 2024		December 31, 2023
Term loans	$	75,000	$	99,063
Convertible notes		747,500		747,500
Less unamortized debt issuance costs		(21,179)		(23,550)
Total long-term debt		801,321		823,013
Less current portion		—		—
Long-term portion	$	801,321	$	823,013

Future minimum principal payments on our long-term debt, as of June 30, 2024, were as follows (in thousands):

Years Ending	Future Minimum
December 31,	Principal Payments
Remaining 2024	$	—
2025		—
2026		—
2027		—
2028		75,000
Thereafter		747,500
Total future minimum principal payments	$	822,500

Fourth Amended and Restated Credit Agreement

On June 6, 2023, we entered into a Fourth Amended and Restated Credit Agreement (the "Fourth A&R Credit Agreement"). The Fourth A&R Credit Agreement is a syndicated loan agreement with Wells Fargo Bank, National Association and other parties. The Fourth A&R Credit Agreement amended and restated in its entirety our previously outstanding Third Amended and Restated Credit Agreement and all amendments thereto. The Fourth A&R Credit Agreement provides for a term loan of $150 million and a revolving credit commitment of up to an aggregate amount of $700 million, inclusive of sub-facilities for multicurrency borrowings, standby letters of credit and swingline loans. On June 6, 2028, all principal, interest and other amounts outstanding under the Fourth Amended Credit Agreement are payable in full. At any time prior to the maturity date, we may repay any amounts owing under all term loans and revolving credit loans in whole or in part, without premium or penalty.

On December 5, 2023, we executed an amendment to the Fourth Amended Credit Agreement (as amended, the "Amended Fourth A&R Credit Agreement") to facilitate the issuance of our Convertible Notes described below. Among other things, the amendment also updated the definition of the “Applicable Margin” as used in the Amended Fourth A&R Credit Agreement to determine the interest rates and amended the financial covenants, all as described below.

Term loans made under the Amended Fourth A&R Credit Agreement bear interest, at our election, at either (i) the Base Rate plus the Applicable Margin (as defined in the Amended Fourth A&R Credit Agreement) or, (ii) Adjusted Term SOFR plus the Applicable Margin (as defined in the Amended Fourth A&R Credit Agreement). Revolving credit loans bear interest, at our election, at either (a) the Base Rate plus the Applicable Margin, (b) Adjusted Term SOFR plus the Applicable Margin, (c) Adjusted Eurocurrency Rate plus the Applicable Margin (as defined in the Amended Fourth A&R Credit Agreement), or (d) Adjusted Daily Simple SONIA plus the Applicable Margin (as defined in the Amended Fourth A&R Credit Agreement). Swingline loans bear interest at the Base Rate plus the Applicable Margin. Interest on each loan featuring the Base Rate and each Daily Simple SONIA Loan is due and payable on the last business day of each calendar month; interest on each loan featuring the Eurocurrency Rate and each Term SOFR Loan is due and payable on the last day of each interest period applicable thereto, and if such interest period extends over three months, at the end of each three-month interval during such interest period.

The Amended Fourth A&R Credit Agreement is collateralized by substantially all of our assets. The Amended Fourth A&R Credit Agreement contains affirmative and negative covenants, representations and warranties, events of default and other terms customary for loans of this nature. In particular, the Amended Fourth A&R Credit Agreement requires that we maintain certain financial covenants, as follows:

	Covenant Requirement
Consolidated Total Net Leverage Ratio (1)		5.0 to 1.0
Consolidated Senior Secured Net Leverage Ratio (2)		3.0 to 1.0
Consolidated Interest Coverage Ratio (3)		3.0 to 1.0

(1) Maximum Consolidated Total Net Leverage Ratio (as defined in the Amended Fourth A&R Credit Agreement) as of any fiscal quarter end.

(2) Maximum Consolidated Senior Secured Net Leverage Ratio (as defined in the Amended Fourth A&R Credit Agreement) as of any fiscal quarter end.

(3) Minimum ratio of Consolidated EBITDA (as defined in the Amended Fourth A&R Credit Agreement and adjusted for certain expenditures) to Consolidated Interest Expense (as defined in the Amended Fourth A&R Credit Agreement) for any period of four consecutive fiscal quarters.

We believe we were in compliance with all covenants set forth in the Amended Fourth A&R Credit Agreement as of June 30, 2024.

As of June 30, 2024, we had outstanding borrowings of $75.0 million and issued letter of credit guarantees of $2.4 million under the Amended Fourth A&R Credit Agreement, with additional available borrowings of approximately $680 million, based on the maximum net leverage ratio and the aggregate revolving credit commitment pursuant to the Amended Fourth A&R Credit Agreement. Our interest rate as of June 30, 2024 was a fixed rate of 3.39% with respect to the outstanding principal amount as a result of an interest rate swap (see Note 9). Our interest rate as of December 31, 2023 was a fixed rate of 3.39% on $75 million as a result of an interest rate swap and a variable floating rate of 7.21% on $24.1 million. The foregoing fixed rates do not reflect potential future changes in the Applicable Margin.

Convertible Notes

In December 2023, we issued convertible notes which bear interest at 3.00% per year, payable semi-annually in arrears on February 1 and August 1 of each year, beginning on August 1, 2024 (the “Convertible Notes”). The Convertible Notes are senior unsecured obligations (as defined in the indenture governing the Convertible Notes (the “Indenture”)) of Merit and will mature on February 1, 2029, unless repurchased, redeemed or converted in accordance with their terms prior to such date. The net proceeds from the sale of the Convertible Notes were approximately $724.8 million after deducting offering and issuance costs and before the costs of the Capped Call Transactions, as described below.

The initial conversion rate of the notes will be 11.5171 shares of our common stock (the “Common Stock”) per $1,000 principal amount of notes, which equates to an initial conversion price of approximately $86.83 per share of Common Stock, subject to adjustments as provided in the Indenture upon the occurrence of certain specified events. In addition, holders of the Convertible Notes (“Holders”) will have the right to require Merit to repurchase all or a part of their notes upon the occurrence of a “fundamental change” (as defined in the Indenture) in cash at a fundamental change repurchase price of 100% of their principal amount plus accrued and unpaid interest up to, but excluding, the fundamental change repurchase date.

Conversion can occur at the option of the Holders at any time on or after October 1, 2028. Prior to October 1, 2028, Holders may only elect to convert the Convertible Notes under the following circumstances: (1) During the five business day period after any ten consecutive trading day period in which, for each day of that period, the trading price per $1,000 principal amount of the Convertible Notes for such trading day was less than 98% of the product of the last reported sale price of the Common Stock and the applicable conversion rate on such trading day; (2) Merit issues to common stockholders any rights, options, or warrants, entitling them, for a period of not more than 60 days, to purchase shares of Common Stock at a price per share less than the average closing sale price of 10 consecutive trading days, or Merit’s election to make a distribution to common stockholders exceeding 10% of the previous day’s closing sale price; (3) Upon the occurrence of a Fundamental Change, as set forth in the Indenture; (4) During any calendar quarter (and only during such calendar quarter) beginning after March 31, 2024, if, the last reported sale price per share of the Common Stock exceeds 130% of the applicable conversion price on each applicable trading day for at least 20 trading days (whether or not consecutive) in the period of the 30 consecutive trading day period ending on, and including, the last trading day of the immediately preceding calendar quarter; or (5) Prior to the related redemption date if Merit calls any Convertible Notes for redemption. As of June 30, 2024, none of the conditions permitting the Holders to convert their Convertible Notes early had been met. Therefore, the Convertible Notes are classified as long-term debt obligations.

On or after February 7, 2027, we may redeem for cash all or part of the Convertible Notes, at our option, if the last reported sales price of Common Stock has been at least 130% of the conversion price then in effect for at least 20 trading days (whether or not consecutive), including the trading day immediately preceding the date on which we provide notice of redemption, during any 30 consecutive trading days ending on, and including, the trading day immediately before the date we send the related notice of the redemption.

Upon conversion, Merit will (1) pay cash up to the aggregate principal amount of the Convertible Notes to be converted and (2) pay or deliver, as the case may be, cash, shares of Common Stock, or a combination of cash and shares of Common Stock, at Merit’s election, in respect of the remainder, if any, of its conversion obligation in excess of the aggregate principal amount of the Convertible Notes being converted.

Capped Call Transactions

In December 2023, in connection with the pricing of the Convertible Notes, Merit entered into privately negotiated capped call transactions (“Capped Call Transactions”) with certain of the initial purchasers and/or their respective affiliates and certain other financial institutions. The Capped Call Transactions cover, subject to customary anti-dilution adjustments, the number of shares of Common Stock initially underlying the Convertible Notes and are generally expected to reduce potential dilution to the Common Stock upon any conversion of Convertible Notes and/or offset any cash payments Merit is required to make in excess of the principal amount of converted Convertible Notes, as the case may be, with such reduction and/or offset subject to a cap, based on a cap price initially equal to approximately $114.68 per share of Common Stock, subject to certain adjustments under the terms of the Capped Call Transactions. The cost of the Capped Call Transactions was approximately $66.5 million. The Capped Call Transactions do not meet the criteria for separate accounting as a derivative as they are indexed to the Common Stock. The premiums paid for the Capped Call Transactions have been included as a net reduction to Common Stock within stockholders' equity.

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Derivatives

6 Months Ended

Jun. 30, 2024

Derivative Instruments and Hedging Activities Disclosure [Abstract]

Derivatives

9.   Derivatives.

General. Our earnings and cash flows are subject to fluctuations due to changes in interest rates and foreign currency exchange rates, and we seek to mitigate a portion of the risks attributable to those fluctuations by entering into derivative contracts. The derivative instruments we use are interest rate swaps and foreign currency forward contracts. We recognize derivative instruments as either assets or liabilities at fair value in the accompanying consolidated balance sheets, regardless of whether hedge accounting is applied. We report cash flows arising from our hedging instruments consistent with the classification of cash flows from the underlying hedged items. Accordingly, cash flows associated with our derivative contracts are classified as operating activities in the accompanying consolidated statements of cash flows.

We formally document, designate and assess the effectiveness of transactions that receive hedge accounting treatment initially and on an ongoing basis. For qualifying hedges, the change in fair value is deferred in accumulated other comprehensive income, a component of stockholders’ equity in the accompanying consolidated balance sheets, and recognized in earnings at the same time the hedged item affects earnings. Changes in the fair value of derivative instruments not designated as hedging instruments are recorded in earnings throughout the term of the derivative.

Interest Rate Risk. Our debt bears interest at variable interest rates. Therefore, we are subject to variability in the cash payable for interest expense. In order to mitigate a portion of the risk attributable to such variability, we use a hedging strategy to reduce the variability of cash flows in the interest payments associated with a portion of the variable-rate debt outstanding under our Amended Fourth A&R Credit Agreement that varies in accordance with changes in the benchmark interest rate.

Derivatives Designated as Cash Flow Hedges

On December 23, 2019, we entered into a pay-fixed, receive-variable interest rate swap with a notional amount of $75 million with Wells Fargo. In June 2023, certain terms under the swap agreement were amended to reflect the transition from LIBOR to SOFR, an alternative reference rate. Under the interest rate swap agreement, we fixed the one-month SOFR rate on that portion of our borrowings under the Amended Fourth A&R Credit Agreement at 1.64% for the period from June 1, 2023 to July 31, 2024. The variable portion of the interest rate swap is tied to the one-month SOFR rate (the benchmark interest rate). On a monthly basis, the interest rates under both the interest rate swap and the underlying debt reset, the swap is settled with the counterparty, and interest is paid.

On June 30, 2024 and December 31, 2023, our interest rate swap qualified as a cash flow hedge. The fair value of our interest rate swap as of June 30, 2024 was an asset of $0.3 million, which was partially offset by $0.1 million in deferred taxes. The fair value of our interest rate swap as of December 31, 2023 was an asset of $1.5 million, partially offset by $0.4 million in deferred taxes.

Foreign Currency Risk. We operate on a global basis and are exposed to the risk that our financial condition, results of operations, and cash flows could be adversely affected by changes in foreign currency exchange rates. To reduce the potential effects of foreign currency exchange rate movements on net earnings, we enter into derivative financial instruments in the form of foreign currency exchange forward contracts with major financial institutions. Our policy is to enter into foreign currency derivative contracts with maturities of up to two years. We are exposed to foreign currency exchange rate risk with respect to transactions and balances denominated in various currencies, with our most significant exposure related to transactions and balances denominated in Chinese Renminbi and Euros, among others. We do not use derivative financial instruments for trading or speculative purposes. We do not believe we are subject to any credit risk contingent features related to our derivative contracts, and we seek to manage counterparty risk by allocating derivative contracts among several major financial institutions.

Derivatives Designated as Cash Flow Hedges

For derivative instruments that are designated and qualify as cash flow hedges, the gain or loss on the derivative instrument is temporarily reported as a component of other comprehensive income and then reclassified into earnings in the same line item associated with the forecasted transaction and in the same period or periods during which the hedged transaction affects earnings. We entered into forward contracts on various foreign currencies to manage the risk associated with forecasted exchange rates which impact revenues, cost of sales, and operating expenses in various international markets. The objective of the forward contracts is to reduce the variability of cash flows associated with the forecasted purchase or sale of the foreign currencies. As of June 30, 2024 and December 31, 2023, we had entered into foreign currency forward contracts, which qualified as cash flow hedges, with aggregate notional amounts of $134.0 million and $141.1 million, respectively.

Derivatives Not Designated as Cash Flow Hedges

We forecast our net exposure in various receivables and payables to fluctuations in the value of various currencies, and we enter into foreign currency forward contracts to mitigate that exposure. As of June 30, 2024 and December 31, 2023, we had entered into foreign currency forward contracts related to those balance sheet accounts with aggregate notional amounts of $110.8 million and $108.4 million, respectively.

Balance Sheet Presentation of Derivative Instruments. As of June 30, 2024 and December 31, 2023, all derivative instruments, both those designated as hedging instruments and those that were not designated as hedging instruments, were recorded at fair value on a gross basis on our consolidated balance sheets. We are not subject to any master netting agreements.

The fair value of derivative instruments on a gross basis was as follows on the dates indicated (in thousands):

Fair Value of Derivative Instruments Designated as Hedging Instruments	Balance Sheet Location	June 30, 2024		December 31, 2023
Assets
Interest rate swap	Prepaid expenses and other assets	$	254	$	1,503
Foreign currency forward contracts	Prepaid expenses and other assets		2,877		2,061
Foreign currency forward contracts	Other assets (long-term)		497		216
(Liabilities)
Foreign currency forward contracts	Accrued expenses		(954)		(1,898)
Foreign currency forward contracts	Other long-term obligations		(343)		(499)
Fair Value of Derivative Instruments Not Designated as Hedging Instruments	Balance Sheet Location	June 30, 2024		December 31, 2023
Assets
Foreign currency forward contracts	Prepaid expenses and other assets	$	1,572	$	828
(Liabilities)
Foreign currency forward contracts	Accrued expenses		(953)		(1,463)

Income Statement Presentation of Derivative Instruments.

Derivative Instruments Designated as Cash Flow Hedges

Derivative instruments designated as cash flow hedges had the following effects, before income taxes, on other comprehensive income (“OCI”), accumulated other comprehensive income (“AOCI”), and net earnings in our consolidated statements of income, consolidated statements of comprehensive income and consolidated balance sheets (in thousands):

	Amount of Gain/(Loss)					Consolidated Statements				Amount of Gain/(Loss)
	Recognized in OCI					of Income				Reclassified from AOCI
	Three Months Ended June 30,					Three Months Ended June 30,				Three Months Ended June 30,
Derivative instrument	2024		2023		Location in statements of income	2024			2023	2024			2023
Interest rate swap	$	(197)	$	719	Interest expense	$	(7,679)	$	(3,682)	$	699	$	631
Foreign currency forward contracts		(31)		4,325	Revenue		338,003		320,056		427		658
					Cost of sales		(176,903)		(167,274)		357		333

	Amount of Gain/(Loss)					Consolidated Statements				Amount of Gain/(Loss)
	Recognized in OCI					of Income				Reclassified from AOCI
	Six Months Ended June 30,					Six Months Ended June 30,				Six Months Ended June 30,
Derivative instrument	2024		2023		Location in statements of income	2024			2023	2024			2023
Interest rate swap	$	151	$	600	Interest expense	$	(15,725)	$	(5,693)	$	1,401	$	1,165
Foreign currency forward contracts		4,135		4,564	Revenue		661,511		617,621		840		1,985
					Cost of sales		(348,696)		(326,477)		784		283

As of June 30, 2024, $2.9 million, or $2.2 million after taxes, was expected to be reclassified from AOCI to earnings in revenue and cost of sales over the succeeding twelve months. As of June 30, 2024, $0.3 million, or $0.2 million after taxes, was expected to be reclassified from AOCI to earnings in interest expense over the succeeding twelve months.

Derivative Instruments Not Designated as Hedging Instruments

The following gains/(losses) from these derivative instruments were recognized in our consolidated statements of income for the periods presented (in thousands):

		Three Months Ended June 30,				Six Months Ended June 30,
Derivative Instrument	Location in statements of income	2024		2023		2024		2023
Foreign currency forward contracts	Other income (expense) — net	$	645	$	2,141	$	1,528	$	3,200

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Commitments and Contingencies

6 Months Ended

Jun. 30, 2024

Commitments and Contingencies Disclosure [Abstract]

Commitments and Contingencies

10.   Commitments and Contingencies.

Litigation. In the ordinary course of business, we are involved in various claims and litigation matters. These proceedings, actions and claims may involve product liability, intellectual property, contract disputes, employment, governmental inquiries or other matters, including the matter described below. These matters generally involve inherent uncertainties and often require prolonged periods of time to resolve. In certain proceedings, the claimants may seek damages, as well as other compensatory and equitable relief that could result in the payment of significant claims and settlements and/or the imposition of injunctions or other equitable relief. For legal matters for which our management had sufficient information to reasonably estimate our future obligations, a liability representing management’s best estimate of the probable loss, or the minimum of the range of probable losses when a best estimate within the range is not known, is recorded. The estimates are based on consultation with legal counsel, previous settlement experience and settlement strategies. If actual outcomes are less favorable than those estimated by management, additional expense may be incurred, which could unfavorably affect our financial position, results of operations and cash flows. The ultimate cost to us with respect to actions and claims could be materially different than the amount of the current estimates and accruals and could have a material adverse effect on our financial position, results of operations and cash flows. Unless included in our legal accrual, we are unable to estimate a reasonably possible loss or range of loss associated with any individual material legal proceeding. Legal costs for these matters, such as outside counsel fees and expenses, are charged to expense in the period incurred.

SEC Inquiry

We have received requests from the Division of Enforcement of the U.S. Securities and Exchange Commission (“SEC”) seeking the voluntary production of information relating to the business activities of Merit’s subsidiary in China, including interactions with hospitals and health care officials in China (the “SEC Inquiry”). We are cooperating with the requests and investigating the matter. Currently, we are unable to predict the scope, timing, significance or outcome of the SEC Inquiry or estimate a reasonably possible loss or range of loss associated with the matter. It is possible that the ultimate resolution of the SEC Inquiry, if resolved in a manner unfavorable to us, may be materially adverse to our business, financial position, results of operations or liquidity.

In management's opinion, based on its examination of these matters, its experience to date and discussions with counsel, other than the SEC Inquiry, we are not currently involved in any legal proceedings which, individually or in the aggregate, could have a material adverse effect on our financial position, results of operations or cash flows. Our management regularly assesses the risks of legal proceedings in which we are involved, and management’s view of these matters may change in the future.

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Earnings Per Common Share (EPS)

6 Months Ended

Jun. 30, 2024

Earnings Per Share [Abstract]

Earnings Per Common Share (EPS)

11.   Earnings Per Common Share (EPS). The computation of weighted average shares outstanding and the basic and diluted earnings per common share for the three and six-month periods ended June 30, 2024 and 2023 consisted of the following (in thousands, except per share amounts):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2024		2023		2024		2023
Net income	$	35,726	$	20,245	$	63,966	$	40,948
Average common shares outstanding		58,139		57,537		58,049		57,445
Basic EPS	$	0.61	$	0.35	$	1.10	$	0.71
Average common shares outstanding		58,139		57,537		58,049		57,445
Effect of dilutive stock awards		601		936		604		884
Total potential shares outstanding		58,740		58,473		58,653		58,329
Diluted EPS	$	0.61	$	0.35	$	1.09	$	0.70
Equity awards excluded as the impact was anti-dilutive (1)		802		1,114		1,009		1,014

(1) Does not reflect the impact of incremental repurchases under the treasury stock method.

Convertible Notes

For our Convertible Notes, the dilutive effect is calculated using the if-converted method. Upon surrender of the Convertible Notes for conversion, Merit will pay cash up to the aggregate principal amount of the Notes to be converted and pay or deliver, as the case may be, cash, shares of Common Stock or a combination of cash and shares of Common Stock, at Merit’s election, in respect of the remainder, if any, of Merit’s conversion obligation in excess of the aggregate principal amount of the Convertible Notes being converted. Under the if-converted method, we include the number of shares required to satisfy the remaining conversion obligation, assuming all the Convertible Notes were converted. The average closing price of the Common Stock for the period ended June 30, 2024 was used as the basis for determining the dilutive effect on EPS. The average closing price for the Common Stock on June 30, 2024 did not exceed the conversion price of $86.83, and therefore all associated shares were deemed anti-dilutive.

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Stock-Based Compensation Expense

6 Months Ended

Jun. 30, 2024

Share-based Payment Arrangement [Abstract]

Stock-Based Compensation Expense

12.   Stock-Based Compensation Expense. Stock-based compensation expense before income tax expense for the three and six-month periods ended June 30, 2024 and 2023 consisted of the following (in thousands):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2024		2023		2024		2023
Cost of sales
Nonqualified stock options	$	363	$	432	$	725	$	873
Research and development
Nonqualified stock options		345		413		781		841
Selling, general and administrative
Nonqualified stock options		1,565		1,851		3,247		3,221
Performance-based restricted stock units		2,897		1,817		4,764		2,632
Restricted stock units		1,131		467		1,718		911
Cash-settled performance-based awards		710		600		1,010		1,071
Total selling, general and administrative		6,303		4,735		10,739		7,835
Stock-based compensation expense before taxes	$	7,011	$	5,580	$	12,245	$	9,549

We recognize stock-based compensation expense (net of a forfeiture rate), for those awards which are expected to vest, on a straight-line basis over the requisite service period. We estimate the forfeiture rate based on our historical experience and expectations about future forfeitures.

Nonqualified Stock Options

During the six-month period ended June 30, 2023, we granted stock options representing 327,294 shares of our Common Stock. We did not grant any stock options during the six-month period ended June 30, 2024. We use the Black-Scholes methodology to value the stock-based compensation expense for options. In applying the Black-Scholes methodology to the option grants, the fair value of our stock-based awards granted was estimated using the following assumptions for the periods indicated below:

	Six Months Ended
	June 30,
	2023
Risk-free interest rate	3.6% - 4.5%
Expected option term	4.0 years
Expected dividend yield	—
Expected price volatility	46.7% - 47.1%

The average risk-free interest rate is determined using the U.S. Treasury rate in effect as of the date of grant, based on the expected term of the stock award. We determine the expected term of stock options using the historical exercise behavior of employees. The expected price volatility was determined using a weighted average of daily historical volatility of our stock price over the corresponding expected option term and implied volatility based on recent trends of the daily historical volatility. For awards with a vesting period, compensation expense is recognized on a straight-line basis over the service period, which corresponds to the vesting period.

As of June 30, 2024, the total remaining unrecognized compensation cost related to non-vested stock options was $15.4 million, which was expected to be recognized over a weighted average period of 2.0 years.

Stock-Settled Performance-Based Restricted Stock Units (“Performance Stock Units”)

During the six-month periods ended June 30, 2024 and 2023, we granted performance stock units which represented up to 364,810 and 286,863 shares of Common Stock, respectively. Conversion of the performance stock units occurs at the end of the relevant performance periods, or one year after the agreement date, whichever is later. The number of shares delivered upon vesting at the end of the performance periods are based upon performance against specified financial performance metrics and relative total shareholder return as compared to the Russell 2000 Index (“rTSR”), as defined in the award agreements.

We use Monte-Carlo simulations to estimate the grant-date fair value of the performance stock units linked to total shareholder return. The fair value of each performance stock unit was estimated as of the grant date using the following assumptions for awards granted in the periods indicated below:

	Six Months Ended
	June 30,
	2024	2023
Risk-free interest rate	4.4%	3.9% - 4.6%
Performance period	2.8 years	2.8 years
Expected dividend yield	—	—
Expected price volatility	31.1%	31.4% - 32.6%

The risk-free interest rate of return was determined using the U.S. Treasury rate at the time of grant with a term equal to the expected term of the award. The expected volatility was based on the weighted average volatility of our stock price and the average volatility of our compensation peer group's stock price. The expected dividend yield was assumed to be zero because, at the time of the grant, we had no plans to declare a dividend.

Compensation expense is recognized using the grant-date fair value for the number of shares that are likely to be awarded based on the performance metrics. Each reporting period, this probability assessment is updated, and cumulative adjustments are recorded based on the financial performance metrics expected to be achieved. At the end of the performance period, cumulative expense is calculated based on the actual performance metrics achieved. As of June 30, 2024, the total remaining unrecognized compensation cost related to stock-settled performance stock units was $20.3 million, which is expected to be recognized over a weighted average period of 2.1 years.

Cash-Settled Performance-Based Awards

During the six-month periods ended June 30, 2024 and 2023, we granted performance stock units to our Chief Executive Officer that provide for settlement in cash upon achievement of specific metrics (“Liability Awards”), with total target cash incentives in the amount of $1.6 million and $1.3 million, respectively. The Liability Awards entitle him to a target cash payment based upon our level of rTSR performance and achievement of other performance metrics, as defined in the award agreements.

During the six-month periods ended June 30, 2024 and 2023, we granted additional performance stock units to certain employees that provide for settlement in cash upon our achievement of specified financial metrics. The cash payable upon vesting at the end of the service period is based upon performance against specified financial performance metrics and relative total shareholder return as compared to the rTSR, as defined in the award agreements. Compensation expense is recognized for the cash payment likely to be awarded based on the performance metrics.

The potential maximum payout of these Liability Awards is 250% of the target cash incentive, resulting in a total potential maximum payout of $4.4 million and $4.4 million for Liability Awards granted during the six-month periods ended June 30, 2024 and 2023, respectively. The settlement generally occurs at the end of three-year performance periods based upon the same performance metrics and vesting period as our performance stock units.

The fair value of these Liability Awards is measured at each reporting period until the awards are settled. As of June 30, 2024 and December 31, 2023, the recorded balance associated with these Liability Awards is $3.4 million and $3.4 million, respectively, which are classified as liabilities and reported in accrued expenses and other long-term obligations within our consolidated balance sheets. As of June 30, 2024, the total remaining unrecognized compensation cost related to Liability Awards was $4.4 million, which is expected to be recognized over a weighted average period of 2.0 years.

Restricted Stock Units

During the six-month periods ended June 30, 2024 and 2023, we granted restricted stock units to certain employees and and non-employee directors representing 158,719 and 20,358 shares of Common Stock, respectively. The expense recognized for restricted stock units is equal to the closing stock price on the date of grant, which is recognized over the vesting period. Restricted stock units granted to each employee are subject to such employee’s continued employment through the vesting date, which is four years from the date of grant. Restricted stock units granted to each non-employee director are subject to such director’s continued service through the vesting date, which is one year from the grant date. As of June 30, 2024, the total remaining unrecognized compensation cost related to restricted stock units was $10.2 million, which will be recognized over a weighted average period of 3.3 years.

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Segment Reporting

6 Months Ended

Jun. 30, 2024

Segment Reporting [Abstract]

Segment Reporting

13.   Segment Reporting. We report our operations in two operating segments: cardiovascular and endoscopy. Our cardiovascular segment consists of four product categories: peripheral intervention, cardiac intervention, custom procedural solutions, and OEM. Within these product categories, we sell a variety of products, including cardiology and radiology devices (which assist in diagnosing and treating coronary arterial disease, peripheral vascular disease and other non-vascular diseases), as well as embolotherapeutic, cardiac rhythm management, electrophysiology, critical care, breast cancer localization and guidance, biopsy, and interventional oncology and spine devices. Our endoscopy segment consists of gastroenterology and pulmonology devices which assist in the palliative treatment of expanding esophageal, tracheobronchial and biliary strictures. Our chief operating decision maker is our Chief Executive Officer. We evaluate the performance of our operating segments based on net sales and income from operations.

Financial information relating to our reportable operating segments and reconciliations to the consolidated totals for the three and six-month periods ended June 30, 2024 and 2023, were as follows (in thousands):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2024		2023		2024		2023
Net sales
Cardiovascular	$	327,815	$	311,275	$	641,189	$	599,251
Endoscopy		10,188		8,781		20,322		18,370
Total net sales		338,003		320,056		661,511		617,621
Income from operations
Cardiovascular		42,912		26,464		75,819		50,398
Endoscopy		3,034		2,348		6,049		4,797
Total income from operations		45,946		28,812		81,868		55,195
Total other expense — net		(103)		(3,912)		(1,677)		(4,795)
Income tax expense		10,117		4,655		16,225		9,452
Net income	$	35,726	$	20,245	$	63,966	$	40,948

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Fair Value Measurements

6 Months Ended

Jun. 30, 2024

Fair Value Disclosures [Abstract]

Fair Value Measurements

14.   Fair Value Measurements.

Assets (Liabilities) Measured at Fair Value on a Recurring Basis

Our financial assets and (liabilities) carried at fair value and measured on a recurring basis as of June 30, 2024 and December 31, 2023 consisted of the following (in thousands):

			Fair Value Measurements Using
	Total Fair		Quoted prices in		Significant other		Significant
	Value at		active markets		observable inputs		unobservable inputs
	June 30, 2024		(Level 1)		(Level 2)		(Level 3)
Marketable securities (1)	$	61	$	61	$	—	$	—
Interest rate contract asset, current (2)	$	254	$	—	$	254	$	—
Foreign currency contract assets, current and long-term (3)	$	4,946	$	—	$	4,946	$	—
Foreign currency contract liabilities, current and long-term (4)	$	(2,250)	$	—	$	(2,250)	$	—
Contingent consideration liabilities	$	(3,435)	$	—	$	—	$	(3,435)

			Fair Value Measurements Using
	Total Fair		Quoted prices in		Significant other		Significant
	Value at		active markets		observable inputs		unobservable inputs
	December 31, 2023		(Level 1)		(Level 2)		(Level 3)
Marketable securities (1)	$	78	$	78	$	—		—
Interest rate contract asset, current (2)	$	1,503	$	—	$	1,503	$	—
Foreign currency contract assets, current and long-term (3)	$	3,105	$	—	$	3,105	$	—
Foreign currency contract liabilities, current and long-term (4)	$	(3,860)	$	—	$	(3,860)	$	—
Contingent consideration liabilities	$	(3,447)	$	—	$	—	$	(3,447)

(1) Our marketable securities, which consist entirely of available-for-sale equity securities, are valued using market prices in active markets. Level 1 instrument valuations are obtained from real-time quotes for transactions in active exchange markets involving identical assets.

(2) The fair value of the interest rate contract is determined using Level 2 fair value inputs and is recorded as prepaid and other current assets in the consolidated balance sheets.

(3) The fair value of the foreign currency contract assets (including those designated as hedging instruments and those not designated as hedging instruments) is determined using Level 2 fair value inputs and is recorded as a prepaid expense and other current asset or other long-term asset in the consolidated balance sheets.

(4) The fair value of the foreign currency contract liabilities (including those designated as hedging instruments and those not designated as hedging instruments) is determined using Level 2 fair value inputs and is recorded as accrued expense or other long-term obligation in the consolidated balance sheets.

Certain of our past business combinations involve the potential for the payment of future contingent consideration, generally based on a percentage of future product sales or upon attaining specified future revenue or other milestones. The contingent consideration liability is re-measured at the estimated fair value at the end of each reporting period with the change in fair value recognized within operating expenses in the accompanying consolidated statements of income for such period. We measure the initial liability and re-measure the liability on a recurring basis using Level 3 inputs as defined under authoritative guidance for fair value measurements. Changes in the fair value of our contingent consideration liabilities during the three and six-month periods ended June 30, 2024 and 2023 consisted of the following (in thousands):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2024		2023		2024		2023
Beginning balance	$	3,225	$	16,000	$	3,447	$	18,073
Contingent consideration expense		305		1,094		188		1,615
Contingent payments made		(95)		(13,513)		(200)		(16,107)
Ending balance	$	3,435	$	3,581	$	3,435	$	3,581

As of June 30, 2024, $3.0 million in contingent consideration liability was included in other long-term obligations and $0.4 million in contingent consideration liability was included in accrued expenses in our consolidated balance sheet. As of December 31, 2023, $3.0 million in contingent consideration liability was included in other long-term obligations and $0.4 million in contingent consideration liability was included in accrued expenses in our consolidated balance sheet.

Payments related to the settlement of the contingent consideration liability recognized at fair value as of the applicable acquisition date of $0.1 million and $3.4 million for the six-month periods ended June 30, 2024 and 2023, respectively, have been reflected as a cash outflow from financing activities in the accompanying consolidated statements of cash flows. Payments related to increases in the contingent consideration liability subsequent to the date of acquisition of $0.1 million and $12.7 million for the six-month periods ended June 30, 2024 and 2023, respectively, are reflected as operating cash flows.

The recurring Level 3 measurement of our contingent consideration liabilities included the following significant unobservable inputs at June 30, 2024 and December 31, 2023 (amounts in thousands):

	Fair value at
	June 30,		Valuation			Weighted
Contingent consideration liability	2024		technique	Unobservable inputs	Range	Average(1)
Revenue-based royalty payments contingent liability	$	2,937	Discounted cash flow	Discount rate	12% - 16%	14.6%
				Projected year of payments	2024-2034	2028
Revenue milestones contingent liability	$	91	Monte Carlo simulation	Discount rate	13.0%
				Projected year of payments	2024-2040	2040
Regulatory approval contingent liability	$	407	Scenario-based method	Discount rate	6.1%
				Probability of milestone payment	50.0%
				Projected year of payment	2024-2030	2030

	Fair value at
	December 31,		Valuation			Weighted
Contingent consideration liability	2023		technique	Unobservable inputs	Range	Average(1)
Revenue-based royalty payments contingent liability	$	2,945	Discounted cash flow	Discount rate	12.0% - 16.0%	14.6%
				Projected year of payments	2024-2034	2028
Revenue milestones contingent liability	$	93	Monte Carlo simulation	Discount rate	13.0%
				Projected year of payments	2024-2039	2039
Regulatory approval contingent liability	$	409	Scenario-based method	Discount rate	5.5%
				Probability of milestone payment	50.0%
				Projected year of payment	2024-2030	2030

(1) Unobservable inputs were weighted by the relative fair value of the instruments. No weighted average is reported for contingent consideration liabilities without a range of unobservable inputs.

The contingent consideration liability is re-measured to fair value each reporting period. Significant increases or decreases in projected revenues, based on our most recent internal operational budgets and long-range strategic plans, discount rates or the time until payment is made would have resulted in a significantly lower or higher fair value measurement. Our determination of the fair value of the contingent consideration liability could change in future periods based upon our ongoing evaluation of these significant unobservable inputs. We intend to record any such change in fair value to operating expenses in our consolidated statements of income.

Fair Value of Other Assets (Liabilities)

The carrying amount of cash and cash equivalents, receivables, and trade payables approximate fair value because of the immediate, short-term maturity of these financial instruments. Our long-term debt under our Amended Fourth A&R Credit Agreement re-prices frequently due to variable rates and entails no significant changes in credit risk and, as a result, we believe the fair value of long-term debt approximates carrying value. We believe the fair value our long-term debt under our Convertible Notes approximates carrying value as the notes were issued in December 2023. The fair value of assets and liabilities whose carrying value approximates fair value is determined using Level 2 inputs, with the exception of cash and cash equivalents, which use Level 1 inputs.

We recognize or disclose the fair value of certain assets, such as non-financial assets, primarily property and equipment, right-of-use operating lease assets, equity investments, intangible assets and goodwill in connection with impairment evaluations. Such assets are reported at carrying value and are not subject to recurring fair value measurements. We review our long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Fair value is generally determined based on discounted future cash flow. All our nonrecurring valuations use significant unobservable inputs and therefore fall under Level 3 of the fair value hierarchy.

Our equity investments in privately-held companies were $22.6 million and $19.1 million at June 30, 2024 and December 31, 2023, respectively, which are included within other long-term assets in our consolidated balance sheets. We analyze our investments in privately-held companies to determine if they should be accounted for using the equity method based on our ability to exercise significant influence over operating and financial policies of the investment. Investments not accounted for under the equity method of accounting are accounted for at cost minus impairment, if applicable, plus or minus changes in valuation resulting from observable transactions for identical or similar investments. During the six-month period ended June 30, 2023, we recorded impairment charges of $0.3 million associated with our previously-held equity investment in Bluegrass in connection with the asset acquisition completed on May 4, 2023 (see Note 4). During the six-month period ended June 30, 2024, we recorded no impairment charges related to our equity investments.

Current Expected Credit Losses

Our outstanding long-term notes receivable, including accrued interest and an allowance for current expected credit losses, were $8.7 million and $3.2 million as of June 30, 2024 and December 31, 2023, respectively. Long-term notes receivable issued were $6.2 million for the six-month period ended June 30, 2024 and were related to loans issued to Selio Medical Limited (“Selio”) of $1.7 million, Solo Pace Inc. (“Solo Pace”) of $1.5 million and Fluidx of $3.0 million. As of June 30, 2024 and December 31, 2023, we had an allowance for current expected credit losses of $1.4 million and $0.6 million, respectively, associated with these notes receivable. We assess the allowance for current expected credit losses on an individual security basis, due to the limited number of securities, using a probability of default model, which is based on relevant information about past events, including historical experience, current conditions and reasonable and supportable forecasts that affect the expected collectability of securities, and other security specific factors.

The table below presents a roll-forward of the allowance for current expected credit losses on our notes receivable for the three and six-month periods ended June 30, 2024 and 2023 (in thousands):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2024		2023		2024		2023
Beginning balance	$	1,388	$	290	$	568	$	281
Provision for credit loss expense		18		6		838		15
Ending balance	$	1,406	$	296	$	1,406	$	296

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Accumulated Other Comprehensive Income (Loss)

6 Months Ended

Jun. 30, 2024

Comprehensive Income (Loss), Net of Tax, Including Portion Attributable to Noncontrolling Interest [Abstract]

Accumulated Other Comprehensive Income (Loss)

15. Accumulated Other Comprehensive Income (Loss). The changes in each component of accumulated other comprehensive income (loss) for the three and six-month periods ended June 30, 2024 and 2023 were as follows:

	Cash Flow Hedges		Foreign Currency Translation		Total
Balance as of April 1, 2024	$	3,932	$	(16,388)	$	(12,456)
Other comprehensive loss		(228)		(1,688)		(1,916)
Income taxes		404		22		426
Reclassifications to:
Revenue		(427)				(427)
Cost of sales		(357)				(357)
Interest expense		(699)				(699)
Net other comprehensive loss		(1,307)		(1,666)		(2,973)
Balance as of June 30, 2024	$	2,625	$	(18,054)	$	(15,429)

	Cash Flow Hedges		Foreign Currency Translation		Total
Balance as of April 1, 2023	$	3,081	$	(14,010)	$	(10,929)
Other comprehensive income (loss)		5,044		(1,201)		3,843
Income taxes		(821)		(15)		(836)
Reclassifications to:
Revenue		(658)				(658)
Cost of sales		(333)				(333)
Interest expense		(631)				(631)
Net other comprehensive income (loss)		2,601		(1,216)		1,385
Balance as of June 30, 2023	$	5,682	$	(15,226)	$	(9,544)

	Cash Flow Hedges		Foreign Currency Translation		Total
Balance as of January 1, 2024	$	1,662	$	(12,996)	$	(11,334)
Other comprehensive income (loss)		4,286		(5,092)		(806)
Income taxes		(298)		34		(264)
Reclassifications to:
Revenue		(840)				(840)
Cost of sales		(784)				(784)
Interest expense		(1,401)				(1,401)
Net other comprehensive income (loss)		963		(5,058)		(4,095)
Balance as of June 30, 2024	$	2,625	$	(18,054)	$	(15,429)

	Cash Flow Hedges		Foreign Currency Translation		Total
Balance as of January 1, 2023	$	4,366	$	(15,916)	$	(11,550)
Other comprehensive income		5,164		724		5,888
Income taxes		(415)		(34)		(449)
Reclassifications to:
Revenue		(1,985)				(1,985)
Cost of sales		(283)				(283)
Interest expense		(1,165)				(1,165)
Net other comprehensive income		1,316		690		2,006
Balance as of June 30, 2023	$	5,682	$	(15,226)	$	(9,544)

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Subsequent Events

6 Months Ended

Jun. 30, 2024

Subsequent Events [Abstract]

Subsequent Events

16. Subsequent Events. On July 1, 2024, we entered into an Asset Purchase Agreement (the “EGS Purchase Agreement”) with EndoGastric Solutions, Inc., a Delaware corporation (“EGS”), pursuant to which we acquired the EsophyX® Z+ device and various assets related thereto (collectively, the “EGS Acquisition”), which are designed to deliver a durable, minimally invasive non-pharmacological treatment option for patients suffering from gastroesophageal reflux disease. We acquired the purchased assets identified under the EGS Purchase Agreement for a purchase price of $105 million, which amount we financed at closing through current borrowings under our long-term debt obligations, plus the assumption or reimbursement of certain liabilities of EGS. We are currently evaluating the accounting treatment of the EGS Acquisition, as well as performing the valuation of the assets acquired and the related purchase price allocation.

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Pay vs Performance Disclosure - USD ($) $ in Thousands	3 Months Ended				6 Months Ended
	Jun. 30, 2024	Mar. 31, 2024	Jun. 30, 2023	Mar. 31, 2023	Jun. 30, 2024	Jun. 30, 2023
Pay vs Performance Disclosure
Net Income (Loss)	$ 35,726	$ 28,240	$ 20,245	$ 20,703	$ 63,966	$ 40,948

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Insider Trading Arrangements	3 Months Ended
	Jun. 30, 2024
Trading Arrangements, by Individual
Rule 10b5-1 Arrangement Adopted	false
Non-Rule 10b5-1 Arrangement Adopted	false
Rule 10b5-1 Arrangement Terminated	false
Non-Rule 10b5-1 Arrangement Terminated	false

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Basis of Presentation and Other Items (Policies)

6 Months Ended

Jun. 30, 2024

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Basis of Presentation and Other Items

1.   Basis of Presentation and Other Items. The interim consolidated financial statements of Merit Medical Systems, Inc. ("Merit," "we" or "us") for the three and six-month periods ended June 30, 2024 and 2023 are not audited. Our consolidated financial statements are prepared in accordance with the requirements for unaudited interim periods and, consequently, do not include all disclosures required to be made in conformity with accounting principles generally accepted in the United States of America. In the opinion of our management, the accompanying consolidated financial statements contain all adjustments, consisting of normal recurring accruals, necessary for a fair presentation of our financial position as of June 30, 2024 and December 31, 2023, and our results of operations and cash flows for the three and six-month periods ended June 30, 2024 and 2023. The results of operations for the three and six-month periods ended June 30, 2024 and 2023 are not necessarily indicative of the results for a full-year period. Amounts presented in this report are rounded, while percentages and earnings per share amounts presented are calculated from the underlying amounts. These interim consolidated financial statements should be read in conjunction with the financial statements and risk factors included in our Annual Report on Form 10-K for the year ended December 31, 2023 (the “2023 Annual Report on Form 10-K”).

Recently Issued Accounting Standards

2.   Recently Issued Accounting Standards. In November 2023, the Financial Accounting Standards Board (“FASB’) issued Accounting Standard Update (“ASU”) 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures, which requires a public entity to disclose significant segment expenses and other segment items on an annual and interim basis and to provide in interim periods all disclosures about reportable segment’s profit or loss and assets that are currently required annually. ASU 2023-07 is effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. Early adoption is permitted. The provisions of this update must be applied retrospectively to all periods presented in the financial statements. We are currently assessing the anticipated impact of this standard on our consolidated financial statements.

In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, to improve annual basis income tax disclosures related to (1) rate reconciliation, (2) income taxes paid, and (3) other disclosures related to pretax income (or loss) and income tax expense (or benefit) from continuing operations. ASU 2023-09 is effective for fiscal years beginning after December 15, 2025, with early adoption permitted. These amendments are to be applied on a prospective basis. Retrospective application is permitted. We are currently evaluating the impact this standard will have on our consolidated financial statement disclosures.

We currently believe there are no other issued and not yet effective accounting standards that are materially relevant to our financial statements.

Revenue from Contracts with Customers

Revenue from Contracts with Customers. We recognize revenue when a customer obtains control of promised goods. The amount of revenue recognized reflects the consideration we expect to receive in exchange for these goods. Our revenue recognition policies have not changed from those disclosed in Note 1 to our consolidated financial statements in Item 8 of the 2023 Annual Report on Form 10-K.

Derivatives

Derivatives.

General. Our earnings and cash flows are subject to fluctuations due to changes in interest rates and foreign currency exchange rates, and we seek to mitigate a portion of the risks attributable to those fluctuations by entering into derivative contracts. The derivative instruments we use are interest rate swaps and foreign currency forward contracts. We recognize derivative instruments as either assets or liabilities at fair value in the accompanying consolidated balance sheets, regardless of whether hedge accounting is applied. We report cash flows arising from our hedging instruments consistent with the classification of cash flows from the underlying hedged items. Accordingly, cash flows associated with our derivative contracts are classified as operating activities in the accompanying consolidated statements of cash flows.

We formally document, designate and assess the effectiveness of transactions that receive hedge accounting treatment initially and on an ongoing basis. For qualifying hedges, the change in fair value is deferred in accumulated other comprehensive income, a component of stockholders’ equity in the accompanying consolidated balance sheets, and recognized in earnings at the same time the hedged item affects earnings. Changes in the fair value of derivative instruments not designated as hedging instruments are recorded in earnings throughout the term of the derivative.

Interest Rate Risk. Our debt bears interest at variable interest rates. Therefore, we are subject to variability in the cash payable for interest expense. In order to mitigate a portion of the risk attributable to such variability, we use a hedging strategy to reduce the variability of cash flows in the interest payments associated with a portion of the variable-rate debt outstanding under our Amended Fourth A&R Credit Agreement that varies in accordance with changes in the benchmark interest rate.

Derivatives Designated as Cash Flow Hedges

On December 23, 2019, we entered into a pay-fixed, receive-variable interest rate swap with a notional amount of $75 million with Wells Fargo. In June 2023, certain terms under the swap agreement were amended to reflect the transition from LIBOR to SOFR, an alternative reference rate. Under the interest rate swap agreement, we fixed the one-month SOFR rate on that portion of our borrowings under the Amended Fourth A&R Credit Agreement at 1.64% for the period from June 1, 2023 to July 31, 2024. The variable portion of the interest rate swap is tied to the one-month SOFR rate (the benchmark interest rate). On a monthly basis, the interest rates under both the interest rate swap and the underlying debt reset, the swap is settled with the counterparty, and interest is paid.

On June 30, 2024 and December 31, 2023, our interest rate swap qualified as a cash flow hedge. The fair value of our interest rate swap as of June 30, 2024 was an asset of $0.3 million, which was partially offset by $0.1 million in deferred taxes. The fair value of our interest rate swap as of December 31, 2023 was an asset of $1.5 million, partially offset by $0.4 million in deferred taxes.

Foreign Currency Risk. We operate on a global basis and are exposed to the risk that our financial condition, results of operations, and cash flows could be adversely affected by changes in foreign currency exchange rates. To reduce the potential effects of foreign currency exchange rate movements on net earnings, we enter into derivative financial instruments in the form of foreign currency exchange forward contracts with major financial institutions. Our policy is to enter into foreign currency derivative contracts with maturities of up to two years. We are exposed to foreign currency exchange rate risk with respect to transactions and balances denominated in various currencies, with our most significant exposure related to transactions and balances denominated in Chinese Renminbi and Euros, among others. We do not use derivative financial instruments for trading or speculative purposes. We do not believe we are subject to any credit risk contingent features related to our derivative contracts, and we seek to manage counterparty risk by allocating derivative contracts among several major financial institutions.

Derivatives Designated as Cash Flow Hedges

For derivative instruments that are designated and qualify as cash flow hedges, the gain or loss on the derivative instrument is temporarily reported as a component of other comprehensive income and then reclassified into earnings in the same line item associated with the forecasted transaction and in the same period or periods during which the hedged transaction affects earnings. We entered into forward contracts on various foreign currencies to manage the risk associated with forecasted exchange rates which impact revenues, cost of sales, and operating expenses in various international markets. The objective of the forward contracts is to reduce the variability of cash flows associated with the forecasted purchase or sale of the foreign currencies.

Derivatives Not Designated as Cash Flow Hedges

We forecast our net exposure in various receivables and payables to fluctuations in the value of various currencies, and we enter into foreign currency forward contracts to mitigate that exposure.

Balance Sheet Presentation of Derivative Instruments. As of June 30, 2024 and December 31, 2023, all derivative instruments, both those designated as hedging instruments and those that were not designated as hedging instruments, were recorded at fair value on a gross basis on our consolidated balance sheets. We are not subject to any master netting agreements.

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Revenue from Contracts with Customers (Tables)

6 Months Ended

Jun. 30, 2024

Revenue from Contract with Customer [Abstract]

Schedule of Disaggregation of Revenue

The following table presents revenue from contracts with customers by reporting segment, product category and geographic region for the three and six-month periods ended June 30, 2024 and 2023 (in thousands):

	Three Months Ended						Three Months Ended
	June 30, 2024						June 30, 2023
	United States		International		Total		United States		International		Total
Cardiovascular
Peripheral Intervention	$	82,356	$	56,891	$	139,247	$	71,973	$	53,936	$	125,909
Cardiac Intervention		36,840		57,023		93,863		35,690		58,085		93,775
Custom Procedural Solutions		30,496		19,920		50,416		29,155		20,229		49,384
OEM		35,460		8,829		44,289		34,570		7,637		42,207
Total		185,152		142,663		327,815		171,388		139,887		311,275
Endoscopy
Endoscopy Devices		9,512		676		10,188		8,194		587		8,781
Total	$	194,664	$	143,339	$	338,003	$	179,582	$	140,474	$	320,056

	Six Months Ended						Six Months Ended
	June 30, 2024						June 30, 2023
	United States		International		Total		United States		International		Total
Cardiovascular
Peripheral Intervention	$	161,615	$	112,258	$	273,873	$	140,640	$	99,052	$	239,692
Cardiac Intervention		72,183		112,368		184,551		69,995		109,108		179,103
Custom Procedural Solutions		59,790		39,420		99,210		55,954		41,131		97,085
OEM		68,109		15,446		83,555		67,134		16,237		83,371
Total		361,697		279,492		641,189		333,723		265,528		599,251
Endoscopy
Endoscopy Devices		19,061		1,261		20,322		17,219		1,151		18,370
Total	$	380,758	$	280,753	$	661,511	$	350,942	$	266,679	$	617,621

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Acquisitions (Tables)

6 Months Ended

Jun. 30, 2024

Angio Dynamics Inc

Business Acquisition [Line Items]

Schedule of Purchase price allocation

The purchase price was allocated as follows (in thousands):

Assets Acquired
Prepaid expenses	$	2,000
Inventories		5,254
Property and equipment		108
Intangible assets
Developed technology		65,200
Trademarks		4,000
Customer list		5,800
Goodwill		17,638
Total net assets acquired	$	100,000

Bluegrass Vascular Technologies, Inc

Business Acquisition [Line Items]

Schedule of Purchase price allocation

The purchase price was allocated as follows (in thousands):

Assets Acquired
Inventories	$	175
Intangible assets
Developed technology		28,000
Trademarks		900
Goodwill		3,898
Total net assets acquired	$	32,973

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Inventories (Tables)

6 Months Ended

Jun. 30, 2024

Inventory Disclosure [Abstract]

Schedule of Inventory

Inventories at June 30, 2024 and December 31, 2023 consisted of the following (in thousands):

	June 30, 2024		December 31, 2023
Finished goods	$	152,180	$	158,893
Work-in-process		38,049		25,420
Raw materials		107,995		119,558
Total inventories	$	298,224	$	303,871

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Goodwill and Intangible Assets (Tables)

6 Months Ended

Jun. 30, 2024

Goodwill and Intangible Assets Disclosure [Abstract]

Changes in carrying amount of goodwill

The change in the carrying amount of goodwill for the six-month period ended June 30, 2024 is detailed as follows (in thousands):

	2024
Goodwill balance at January 1	$	382,240
Effect of foreign exchange		(807)
Goodwill balance at June 30	$	381,433

Other intangible assets

Other intangible assets at June 30, 2024 and December 31, 2023 consisted of the following (in thousands):

	June 30, 2024
	Gross Carrying		Accumulated		Net Carrying
	Amount		Amortization		Amount
Patents	$	30,163	$	(11,876)	$	18,287
Distribution agreements		3,250		(2,956)		294
License agreements		11,094		(8,759)		2,335
Trademarks		35,123		(22,343)		12,780
Customer lists		40,225		(34,694)		5,531
Total	$	119,855	$	(80,628)	$	39,227

	December 31, 2023
	Gross Carrying		Accumulated		Net Carrying
	Amount		Amortization		Amount
Patents	$	28,877	$	(10,916)	$	17,961
Distribution agreements		3,250		(2,919)		331
License agreements		11,142		(8,327)		2,815
Trademarks		35,135		(20,804)		14,331
Customer lists		40,367		(33,921)		6,446
Total	$	118,771	$	(76,887)	$	41,884

Estimated amortization expense

Estimated amortization expense for developed technology and other intangible assets for the next five years consisted of the following as of June 30, 2024 (in thousands):

	Estimated Amortization Expense
Remaining 2024	$	31,367
2025		60,826
2026		49,776
2027		46,440
2028		45,024

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Debt (Tables)

6 Months Ended

Jun. 30, 2024

Debt Disclosure [Abstract]

Schedule of Long-term Debt Instruments

Principal balances outstanding under our long-term debt obligations as of June 30, 2024 and December 31, 2023 consisted of the following (in thousands):

	June 30, 2024		December 31, 2023
Term loans	$	75,000	$	99,063
Convertible notes		747,500		747,500
Less unamortized debt issuance costs		(21,179)		(23,550)
Total long-term debt		801,321		823,013
Less current portion		—		—
Long-term portion	$	801,321	$	823,013

Schedule of Maturities of Long-term Debt

Future minimum principal payments on our long-term debt, as of June 30, 2024, were as follows (in thousands):

Years Ending	Future Minimum
December 31,	Principal Payments
Remaining 2024	$	—
2025		—
2026		—
2027		—
2028		75,000
Thereafter		747,500
Total future minimum principal payments	$	822,500

Schedule of Long-term Debt Covenants

The Amended Fourth A&R Credit Agreement is collateralized by substantially all of our assets. The Amended Fourth A&R Credit Agreement contains affirmative and negative covenants, representations and warranties, events of default and other terms customary for loans of this nature. In particular, the Amended Fourth A&R Credit Agreement requires that we maintain certain financial covenants, as follows:

	Covenant Requirement
Consolidated Total Net Leverage Ratio (1)		5.0 to 1.0
Consolidated Senior Secured Net Leverage Ratio (2)		3.0 to 1.0
Consolidated Interest Coverage Ratio (3)		3.0 to 1.0

(1) Maximum Consolidated Total Net Leverage Ratio (as defined in the Amended Fourth A&R Credit Agreement) as of any fiscal quarter end.

(2) Maximum Consolidated Senior Secured Net Leverage Ratio (as defined in the Amended Fourth A&R Credit Agreement) as of any fiscal quarter end.

(3) Minimum ratio of Consolidated EBITDA (as defined in the Amended Fourth A&R Credit Agreement and adjusted for certain expenditures) to Consolidated Interest Expense (as defined in the Amended Fourth A&R Credit Agreement) for any period of four consecutive fiscal quarters.

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Derivatives (Tables)

6 Months Ended

Jun. 30, 2024

Derivative Instruments and Hedging Activities Disclosure [Abstract]

Schedule of Derivative Instruments in Statement of Financial Position, Fair Value

The fair value of derivative instruments on a gross basis was as follows on the dates indicated (in thousands):

Fair Value of Derivative Instruments Designated as Hedging Instruments	Balance Sheet Location	June 30, 2024		December 31, 2023
Assets
Interest rate swap	Prepaid expenses and other assets	$	254	$	1,503
Foreign currency forward contracts	Prepaid expenses and other assets		2,877		2,061
Foreign currency forward contracts	Other assets (long-term)		497		216
(Liabilities)
Foreign currency forward contracts	Accrued expenses		(954)		(1,898)
Foreign currency forward contracts	Other long-term obligations		(343)		(499)
Fair Value of Derivative Instruments Not Designated as Hedging Instruments	Balance Sheet Location	June 30, 2024		December 31, 2023
Assets
Foreign currency forward contracts	Prepaid expenses and other assets	$	1,572	$	828
(Liabilities)
Foreign currency forward contracts	Accrued expenses		(953)		(1,463)

Schedule of Cash Flow Hedges Included in Accumulated Other Comprehensive Income (Loss)

Derivative instruments designated as cash flow hedges had the following effects, before income taxes, on other comprehensive income (“OCI”), accumulated other comprehensive income (“AOCI”), and net earnings in our consolidated statements of income, consolidated statements of comprehensive income and consolidated balance sheets (in thousands):

	Amount of Gain/(Loss)					Consolidated Statements				Amount of Gain/(Loss)
	Recognized in OCI					of Income				Reclassified from AOCI
	Three Months Ended June 30,					Three Months Ended June 30,				Three Months Ended June 30,
Derivative instrument	2024		2023		Location in statements of income	2024			2023	2024			2023
Interest rate swap	$	(197)	$	719	Interest expense	$	(7,679)	$	(3,682)	$	699	$	631
Foreign currency forward contracts		(31)		4,325	Revenue		338,003		320,056		427		658
					Cost of sales		(176,903)		(167,274)		357		333

	Amount of Gain/(Loss)					Consolidated Statements				Amount of Gain/(Loss)
	Recognized in OCI					of Income				Reclassified from AOCI
	Six Months Ended June 30,					Six Months Ended June 30,				Six Months Ended June 30,
Derivative instrument	2024		2023		Location in statements of income	2024			2023	2024			2023
Interest rate swap	$	151	$	600	Interest expense	$	(15,725)	$	(5,693)	$	1,401	$	1,165
Foreign currency forward contracts		4,135		4,564	Revenue		661,511		617,621		840		1,985
					Cost of sales		(348,696)		(326,477)		784		283

Derivative Instruments, Gain (Loss)

The following gains/(losses) from these derivative instruments were recognized in our consolidated statements of income for the periods presented (in thousands):

		Three Months Ended June 30,				Six Months Ended June 30,
Derivative Instrument	Location in statements of income	2024		2023		2024		2023
Foreign currency forward contracts	Other income (expense) — net	$	645	$	2,141	$	1,528	$	3,200

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Earnings Per Common Share (EPS) (Tables)

6 Months Ended

Jun. 30, 2024

Earnings Per Share [Abstract]

Schedule of Earnings (Loss) Per Share, Basic and Diluted

The computation of weighted average shares outstanding and the basic and diluted earnings per common share for the three and six-month periods ended June 30, 2024 and 2023 consisted of the following (in thousands, except per share amounts):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2024		2023		2024		2023
Net income	$	35,726	$	20,245	$	63,966	$	40,948
Average common shares outstanding		58,139		57,537		58,049		57,445
Basic EPS	$	0.61	$	0.35	$	1.10	$	0.71
Average common shares outstanding		58,139		57,537		58,049		57,445
Effect of dilutive stock awards		601		936		604		884
Total potential shares outstanding		58,740		58,473		58,653		58,329
Diluted EPS	$	0.61	$	0.35	$	1.09	$	0.70
Equity awards excluded as the impact was anti-dilutive (1)		802		1,114		1,009		1,014

(1) Does not reflect the impact of incremental repurchases under the treasury stock method.

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Stock-Based Compensation Expense (Tables)

6 Months Ended

Jun. 30, 2024

Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]

Schedule of Employee Service Share-based Compensation, Allocation of Recognized Period Costs

Stock-based compensation expense before income tax expense for the three and six-month periods ended June 30, 2024 and 2023 consisted of the following (in thousands):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2024		2023		2024		2023
Cost of sales
Nonqualified stock options	$	363	$	432	$	725	$	873
Research and development
Nonqualified stock options		345		413		781		841
Selling, general and administrative
Nonqualified stock options		1,565		1,851		3,247		3,221
Performance-based restricted stock units		2,897		1,817		4,764		2,632
Restricted stock units		1,131		467		1,718		911
Cash-settled performance-based awards		710		600		1,010		1,071
Total selling, general and administrative		6,303		4,735		10,739		7,835
Stock-based compensation expense before taxes	$	7,011	$	5,580	$	12,245	$	9,549

Employee Stock Option

Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]

Schedule of Share-based Payment Award, Stock Options, Valuation Assumptions

	Six Months Ended
	June 30,
	2023
Risk-free interest rate	3.6% - 4.5%
Expected option term	4.0 years
Expected dividend yield	—
Expected price volatility	46.7% - 47.1%

Stock-Settled Performance-Based Restricted Stock Units

Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]

Schedule of Share-based Payment Award, Stock Options, Valuation Assumptions

	Six Months Ended
	June 30,
	2024	2023
Risk-free interest rate	4.4%	3.9% - 4.6%
Performance period	2.8 years	2.8 years
Expected dividend yield	—	—
Expected price volatility	31.1%	31.4% - 32.6%

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Fair Value Measurements (Tables)

6 Months Ended

Jun. 30, 2024

Fair Value Disclosures [Abstract]

Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis

Our financial assets and (liabilities) carried at fair value and measured on a recurring basis as of June 30, 2024 and December 31, 2023 consisted of the following (in thousands):

			Fair Value Measurements Using
	Total Fair		Quoted prices in		Significant other		Significant
	Value at		active markets		observable inputs		unobservable inputs
	June 30, 2024		(Level 1)		(Level 2)		(Level 3)
Marketable securities (1)	$	61	$	61	$	—	$	—
Interest rate contract asset, current (2)	$	254	$	—	$	254	$	—
Foreign currency contract assets, current and long-term (3)	$	4,946	$	—	$	4,946	$	—
Foreign currency contract liabilities, current and long-term (4)	$	(2,250)	$	—	$	(2,250)	$	—
Contingent consideration liabilities	$	(3,435)	$	—	$	—	$	(3,435)

			Fair Value Measurements Using
	Total Fair		Quoted prices in		Significant other		Significant
	Value at		active markets		observable inputs		unobservable inputs
	December 31, 2023		(Level 1)		(Level 2)		(Level 3)
Marketable securities (1)	$	78	$	78	$	—		—
Interest rate contract asset, current (2)	$	1,503	$	—	$	1,503	$	—
Foreign currency contract assets, current and long-term (3)	$	3,105	$	—	$	3,105	$	—
Foreign currency contract liabilities, current and long-term (4)	$	(3,860)	$	—	$	(3,860)	$	—
Contingent consideration liabilities	$	(3,447)	$	—	$	—	$	(3,447)

(1) Our marketable securities, which consist entirely of available-for-sale equity securities, are valued using market prices in active markets. Level 1 instrument valuations are obtained from real-time quotes for transactions in active exchange markets involving identical assets.

(2) The fair value of the interest rate contract is determined using Level 2 fair value inputs and is recorded as prepaid and other current assets in the consolidated balance sheets.

(3) The fair value of the foreign currency contract assets (including those designated as hedging instruments and those not designated as hedging instruments) is determined using Level 2 fair value inputs and is recorded as a prepaid expense and other current asset or other long-term asset in the consolidated balance sheets.

(4) The fair value of the foreign currency contract liabilities (including those designated as hedging instruments and those not designated as hedging instruments) is determined using Level 2 fair value inputs and is recorded as accrued expense or other long-term obligation in the consolidated balance sheets.

Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation

Changes in the fair value of our contingent consideration liabilities during the three and six-month periods ended June 30, 2024 and 2023 consisted of the following (in thousands):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2024		2023		2024		2023
Beginning balance	$	3,225	$	16,000	$	3,447	$	18,073
Contingent consideration expense		305		1,094		188		1,615
Contingent payments made		(95)		(13,513)		(200)		(16,107)
Ending balance	$	3,435	$	3,581	$	3,435	$	3,581

Fair Value Inputs, Liabilities, Quantitative Information

The recurring Level 3 measurement of our contingent consideration liabilities included the following significant unobservable inputs at June 30, 2024 and December 31, 2023 (amounts in thousands):

	Fair value at
	June 30,		Valuation			Weighted
Contingent consideration liability	2024		technique	Unobservable inputs	Range	Average(1)
Revenue-based royalty payments contingent liability	$	2,937	Discounted cash flow	Discount rate	12% - 16%	14.6%
				Projected year of payments	2024-2034	2028
Revenue milestones contingent liability	$	91	Monte Carlo simulation	Discount rate	13.0%
				Projected year of payments	2024-2040	2040
Regulatory approval contingent liability	$	407	Scenario-based method	Discount rate	6.1%
				Probability of milestone payment	50.0%
				Projected year of payment	2024-2030	2030

	Fair value at
	December 31,		Valuation			Weighted
Contingent consideration liability	2023		technique	Unobservable inputs	Range	Average(1)
Revenue-based royalty payments contingent liability	$	2,945	Discounted cash flow	Discount rate	12.0% - 16.0%	14.6%
				Projected year of payments	2024-2034	2028
Revenue milestones contingent liability	$	93	Monte Carlo simulation	Discount rate	13.0%
				Projected year of payments	2024-2039	2039
Regulatory approval contingent liability	$	409	Scenario-based method	Discount rate	5.5%
				Probability of milestone payment	50.0%
				Projected year of payment	2024-2030	2030

(1) Unobservable inputs were weighted by the relative fair value of the instruments. No weighted average is reported for contingent consideration liabilities without a range of unobservable inputs.

Schedule of Rollforward of Allowance for Credit Losses

The table below presents a roll-forward of the allowance for current expected credit losses on our notes receivable for the three and six-month periods ended June 30, 2024 and 2023 (in thousands):

	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2024		2023		2024		2023
Beginning balance	$	1,388	$	290	$	568	$	281
Provision for credit loss expense		18		6		838		15
Ending balance	$	1,406	$	296	$	1,406	$	296

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Accumulated Other Comprehensive Income (Loss) (Tables)

6 Months Ended

Jun. 30, 2024

Comprehensive Income (Loss), Net of Tax, Including Portion Attributable to Noncontrolling Interest [Abstract]

Schedule of Components of Accumulated Other Comprehensive Income (Loss)

The changes in each component of accumulated other comprehensive income (loss) for the three and six-month periods ended June 30, 2024 and 2023 were as follows:

	Cash Flow Hedges		Foreign Currency Translation		Total
Balance as of April 1, 2024	$	3,932	$	(16,388)	$	(12,456)
Other comprehensive loss		(228)		(1,688)		(1,916)
Income taxes		404		22		426
Reclassifications to:
Revenue		(427)				(427)
Cost of sales		(357)				(357)
Interest expense		(699)				(699)
Net other comprehensive loss		(1,307)		(1,666)		(2,973)
Balance as of June 30, 2024	$	2,625	$	(18,054)	$	(15,429)

	Cash Flow Hedges		Foreign Currency Translation		Total
Balance as of April 1, 2023	$	3,081	$	(14,010)	$	(10,929)
Other comprehensive income (loss)		5,044		(1,201)		3,843
Income taxes		(821)		(15)		(836)
Reclassifications to:
Revenue		(658)				(658)
Cost of sales		(333)				(333)
Interest expense		(631)				(631)
Net other comprehensive income (loss)		2,601		(1,216)		1,385
Balance as of June 30, 2023	$	5,682	$	(15,226)	$	(9,544)

	Cash Flow Hedges		Foreign Currency Translation		Total
Balance as of January 1, 2024	$	1,662	$	(12,996)	$	(11,334)
Other comprehensive income (loss)		4,286		(5,092)		(806)
Income taxes		(298)		34		(264)
Reclassifications to:
Revenue		(840)				(840)
Cost of sales		(784)				(784)
Interest expense		(1,401)				(1,401)
Net other comprehensive income (loss)		963		(5,058)		(4,095)
Balance as of June 30, 2024	$	2,625	$	(18,054)	$	(15,429)

	Cash Flow Hedges		Foreign Currency Translation		Total
Balance as of January 1, 2023	$	4,366	$	(15,916)	$	(11,550)
Other comprehensive income		5,164		724		5,888
Income taxes		(415)		(34)		(449)
Reclassifications to:
Revenue		(1,985)				(1,985)
Cost of sales		(283)				(283)
Interest expense		(1,165)				(1,165)
Net other comprehensive income		1,316		690		2,006
Balance as of June 30, 2023	$	5,682	$	(15,226)	$	(9,544)

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Revenue from Contracts with Customers - Disaggregation of Revenue (Details) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024 USD ($)	Jun. 30, 2023 USD ($)	Jun. 30, 2024 USD ($) segment item	Jun. 30, 2023 USD ($)
Disaggregation of Revenue [Line Items]
Number of operating segments | segment			2
Net sales	$ 338,003	$ 320,056	$ 661,511	$ 617,621
United States
Disaggregation of Revenue [Line Items]
Net sales	194,664	179,582	380,758	350,942
International
Disaggregation of Revenue [Line Items]
Net sales	143,339	140,474	$ 280,753	266,679
Cardiovascular
Disaggregation of Revenue [Line Items]
Number of product categories | item			4
Net sales	327,815	311,275	$ 641,189	599,251
Cardiovascular | Peripheral Intervention
Disaggregation of Revenue [Line Items]
Net sales	139,247	125,909	273,873	239,692
Cardiovascular | Cardiac Intervention
Disaggregation of Revenue [Line Items]
Net sales	93,863	93,775	184,551	179,103
Cardiovascular | Custom Procedural Solutions
Disaggregation of Revenue [Line Items]
Net sales	50,416	49,384	99,210	97,085
Cardiovascular | OEM
Disaggregation of Revenue [Line Items]
Net sales	44,289	42,207	83,555	83,371
Cardiovascular | United States
Disaggregation of Revenue [Line Items]
Net sales	185,152	171,388	361,697	333,723
Cardiovascular | United States | Peripheral Intervention
Disaggregation of Revenue [Line Items]
Net sales	82,356	71,973	161,615	140,640
Cardiovascular | United States | Cardiac Intervention
Disaggregation of Revenue [Line Items]
Net sales	36,840	35,690	72,183	69,995
Cardiovascular | United States | Custom Procedural Solutions
Disaggregation of Revenue [Line Items]
Net sales	30,496	29,155	59,790	55,954
Cardiovascular | United States | OEM
Disaggregation of Revenue [Line Items]
Net sales	35,460	34,570	68,109	67,134
Cardiovascular | International
Disaggregation of Revenue [Line Items]
Net sales	142,663	139,887	279,492	265,528
Cardiovascular | International | Peripheral Intervention
Disaggregation of Revenue [Line Items]
Net sales	56,891	53,936	112,258	99,052
Cardiovascular | International | Cardiac Intervention
Disaggregation of Revenue [Line Items]
Net sales	57,023	58,085	112,368	109,108
Cardiovascular | International | Custom Procedural Solutions
Disaggregation of Revenue [Line Items]
Net sales	19,920	20,229	39,420	41,131
Cardiovascular | International | OEM
Disaggregation of Revenue [Line Items]
Net sales	8,829	7,637	15,446	16,237
Endoscopy
Disaggregation of Revenue [Line Items]
Net sales	10,188	8,781	20,322	18,370
Endoscopy | Endoscopy Devices
Disaggregation of Revenue [Line Items]
Net sales	10,188	8,781	20,322	18,370
Endoscopy | United States | Endoscopy Devices
Disaggregation of Revenue [Line Items]
Net sales	9,512	8,194	19,061	17,219
Endoscopy | International | Endoscopy Devices
Disaggregation of Revenue [Line Items]
Net sales	$ 676	$ 587	$ 1,261	$ 1,151

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Acquisitions - CrannMed Limited (Details) - MM Ireland - CrannMed € in Millions	May 17, 2024 EUR (€)
Business Acquisition [Line Items]
Payments to acquire shares	€ 3.0
Ownership percentage	10.80%
Commitment to Invest in Preference Shares
Business Acquisition [Line Items]
Additional funding commitment	€ 3.0
Additional Funding
Business Acquisition [Line Items]
Additional funding commitment	€ 2.0

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Acquisitions - SSI (Details) - SSI $ in Millions	Mar. 08, 2024 USD ($) item
Asset Acquisition [Line Items]
Purchase price	$ 3
Number of annual payments | item	3
Amortization period	8 years
First Payment
Asset Acquisition [Line Items]
Additional payments upon the achievement of specified milestones	$ 1
Second Payment
Asset Acquisition [Line Items]
Additional payments upon the achievement of specified milestones	1
Third Payment
Asset Acquisition [Line Items]
Additional payments upon the achievement of specified milestones	$ 1

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Acquisitions - Fluidx Medical Technology, Inc (Details) - Fluidx - USD ($) $ in Millions	1 Months Ended	36 Months Ended
	Mar. 31, 2024	Dec. 31, 2021
Business Acquisition [Line Items]
Payments to acquire shares	$ 0.3	$ 4.7
Ownership percentage	19.90%

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Acquisitions - Angio Dynamics, Inc (Details) - Angio Dynamics Inc - USD ($) $ in Millions		6 Months Ended		12 Months Ended
	Jun. 08, 2023	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
Asset Acquisition [Line Items]
Total purchase price	$ 100.0
Net sales related to acquisition		$ 11.6	$ 0.9
Acquisition-related costs				$ 4.9
Weighted Average
Asset Acquisition [Line Items]
Amortization period	10 years 6 months
Developed technology
Asset Acquisition [Line Items]
Amortization period	10 years
Trade Names
Asset Acquisition [Line Items]
Amortization period	11 years
Customer Lists
Asset Acquisition [Line Items]
Amortization period	10 years

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Acquisitions - Bluegrass Vascular Technologies (Details) - USD ($) $ in Thousands	May 04, 2023	May 03, 2023
Bluegrass Vascular Technologies, Inc
Business Acquisition [Line Items]
Total purchase price	$ 32,700
Bluegrass Vascular Technologies, Inc | Weighted Average
Business Acquisition [Line Items]
Amortization period	14 years 10 months 24 days
Bluegrass Vascular Technologies, Inc | Developed technology
Business Acquisition [Line Items]
Amortization period	15 years
Bluegrass Vascular Technologies, Inc | Trademarks
Business Acquisition [Line Items]
Amortization period	13 years
Bluegrass Vascular Technologies, Inc
Business Acquisition [Line Items]
Ownership percentage		19.50%
Investment of common shares		1,251,878
Equity method investment		$ 245

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Acquisitions - Purchase Price Allocation (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023	Jun. 08, 2023	May 04, 2023
Assets Acquired
Goodwill	$ 381,433	$ 382,240
Angio Dynamics Inc
Assets Acquired
Prepaid expenses			$ 2,000
Inventories			5,254
Property and equipment			108
Goodwill			17,638
Total net assets acquired			100,000
Angio Dynamics Inc | Developed technology
Assets Acquired
Intangible assets			65,200
Angio Dynamics Inc | Trade Names
Assets Acquired
Intangible assets			4,000
Angio Dynamics Inc | Customer Lists
Assets Acquired
Intangible assets			$ 5,800
Bluegrass Vascular Technologies, Inc
Assets Acquired
Inventories				$ 175
Goodwill				3,898
Total net assets acquired				32,973
Bluegrass Vascular Technologies, Inc | Developed technology
Assets Acquired
Intangible assets				28,000
Bluegrass Vascular Technologies, Inc | Trade Names
Assets Acquired
Intangible assets				$ 900

XML

Inventories (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Inventory Disclosure [Abstract]
Finished goods	$ 152,180	$ 158,893
Work-in-process	38,049	25,420
Raw materials	107,995	119,558
Total Inventories	$ 298,224	$ 303,871

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Goodwill and Intangible Assets - Goodwill (Details) $ in Thousands	6 Months Ended
	Jun. 30, 2024 USD ($)
Goodwill [Roll Forward]
Goodwill balance at beginning of period	$ 382,240
Effect of foreign exchange	807
Goodwill balance at end of period	$ 381,433

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Goodwill and Intangible Assets - Other Intangible Assets (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Other
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	$ 119,855	$ 118,771
Accumulated Amortization	(80,628)	(76,887)
Net Carrying Amount	39,227	41,884
Patents
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	30,163	28,877
Accumulated Amortization	(11,876)	(10,916)
Net Carrying Amount	18,287	17,961
Distribution agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	3,250	3,250
Accumulated Amortization	(2,956)	(2,919)
Net Carrying Amount	294	331
License agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	11,094	11,142
Accumulated Amortization	(8,759)	(8,327)
Net Carrying Amount	2,335	2,815
Trademarks
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	35,123	35,135
Accumulated Amortization	(22,343)	(20,804)
Net Carrying Amount	12,780	14,331
Customer Lists
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	40,225	40,367
Accumulated Amortization	(34,694)	(33,921)
Net Carrying Amount	$ 5,531	$ 6,446

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Goodwill and Intangible Assets - Narrative (Details) - USD ($) $ in Millions	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
Goodwill and Intangible Assets Disclosure [Abstract]
Accumulated goodwill impairment losses	$ 8.3		$ 8.3		$ 8.3
Goodwill impairment loss			0.0	$ 0.0
Aggregate amortization expense	$ 14.8	$ 13.4	29.4	25.7
Impairment of intangible assets			$ 0.0	$ 0.0

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Goodwill and Intangible Assets - Future Amortization Expense (Details) $ in Thousands	Jun. 30, 2024 USD ($)
Goodwill and Intangible Assets Disclosure [Abstract]
Remaining 2024	$ 31,367
2025	60,826
2026	49,776
2027	46,440
2028	$ 45,024

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Income Taxes - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Income Tax Disclosure [Abstract]
Income tax expense	$ 10,117	$ 4,655	$ 16,225	$ 9,452
Effective tax rate	22.10%	18.70%	20.20%	18.80%

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Debt - Principal Balances under Long-term Debt (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Debt Instrument [Line Items]
Long-term debt	$ 822,500
Less unamortized debt issuance costs	(21,179)	$ (23,550)
Total long-term debt	801,321	823,013
Long-term portion	801,321	823,013
Term Loan
Debt Instrument [Line Items]
Long-term debt	75,000	99,063
Convertible Notes
Debt Instrument [Line Items]
Long-term debt	$ 747,500	$ 747,500

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Debt - Future Minimum Payments on Long-term Debt (Details) $ in Thousands	Jun. 30, 2024 USD ($)
Debt Disclosure [Abstract]
2028	$ 75,000
Thereafter	747,500
Total future minimum principal payments	$ 822,500

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Debt - Narrative (Details)	1 Months Ended
	Dec. 31, 2023 USD ($) $ / shares $ / derivative shares	Jun. 30, 2024 USD ($) $ / shares	Jun. 06, 2023 USD ($)
Debt Instrument [Line Items]
Outstanding borrowings		$ 822,500,000
Credit Agreement
Debt Instrument [Line Items]
Outstanding borrowings		75,000,000.0
Letter of credit guarantees		2,400,000
Available borrowing capacity		$ 680,000,000
Fixed interest rate percent	3.39%	3.39%
Debt subject to fixed interest rate	$ 75,000,000
Variable interest rate percent	7.21%
Debt subject to variable interest rate	$ 24,100,000
Term Loan
Debt Instrument [Line Items]
Outstanding borrowings	$ 99,063,000	$ 75,000,000
Term Loan | Credit Agreement
Debt Instrument [Line Items]
Debt instrument, face amount			$ 150,000,000
Revolving Credit Facility | Credit Agreement
Debt Instrument [Line Items]
Maximum borrowing capacity			$ 700,000,000
Senior unsecured convertible notes | Convertible debt
Debt Instrument [Line Items]
Interest rate	3.00%
Net proceeds from convertible notes	$ 724,800,000
Shares issued upon conversion | shares	11.5171
Debt instrument conversion ratio multiple of principal	$ 1,000
Repurchase percentage on principal, accrued and unpaid interest	100.00%
Number of business days period after consecutive trading days	5 days
Consecutive trading days, trading price per share after which to be observed for conversion	10 days
Percentage of sale price	98.00%
Common stock at a price per share less than the average closing sale price	60 days
Purchase shares of common stock at a price per share less than the average closing sale price of consecutive trading days	10 days
Percentage of distribution to common stockholders	10.00%
Percentage of applicable conversion price	130.00%
Percentage of applicable conversion price on each applicable trading day	20 days
Consecutive trading day period ending	30 days
Senior unsecured convertible notes | Convertible debt | Call option
Debt Instrument [Line Items]
Cap price | $ / derivative	114.68
Capped call transaction cost	$ 66,500,000
Senior unsecured convertible notes | Convertible debt | Common Stock
Debt Instrument [Line Items]
Conversion price | $ / shares	$ 86.83	$ 86.83
Senior unsecured convertible notes | Convertible debt | Minimum
Debt Instrument [Line Items]
Reported sales price of common stock	130.00%
Conversion price then in effect for at least number of trading days	20 days

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Debt - Financial Covenants (Details) - Credit Agreement	6 Months Ended
	Jun. 30, 2024
Debt Instrument [Line Items]
Consolidated Total Leverage Ratio	5.0
Consolidated Senior Secured Net Leverage Ratio	3.0
Consolidated Interest Coverage Ratio	3.0

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Derivatives - Narrative (Details) - USD ($) $ in Millions	6 Months Ended
	Jun. 30, 2024	Dec. 31, 2023	Dec. 23, 2019
Revenue and cost of sales
Derivative [Line Items]
Amount expected to be reclassified from accumulated other comprehensive income (loss) to earnings in next twelve months, gross	$ 2.9
Amount expected to be reclassified from accumulated other comprehensive income to earnings (loss) in next twelve months, net of tax	2.2
Interest expense
Derivative [Line Items]
Amount expected to be reclassified from accumulated other comprehensive income (loss) to earnings in next twelve months, gross	0.3
Amount expected to be reclassified from accumulated other comprehensive income to earnings (loss) in next twelve months, net of tax	0.2
Interest rate swap | Designated as hedging instrument
Derivative [Line Items]
Fair value of derivative asset	0.3	$ 1.5
Deferred tax liability used to offset fair value of interest rate swap	$ (0.1)	$ (0.4)
Interest rate swap | Wells Fargo 1.71% one-month LIBOR | Designated as hedging instrument
Derivative [Line Items]
Notional amount of derivative			$ 75.0
Fixed rate			1.64%
Investment, Variable Interest Rate, Type [Extensible Enumeration]			us-gaap:SecuredOvernightFinancingRateSofrMember
Foreign currency forward contracts
Derivative [Line Items]
Maturity of derivative contract (up to)	2 years

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Derivatives - Forward Notional Contracts (Details) - Foreign currency forward contracts - USD ($) $ in Millions	Jun. 30, 2024	Dec. 31, 2023
Designated as hedging instrument | Derivatives designated as cash flow hedges
Derivative [Line Items]
Aggregate notional amount of derivative	$ 134.0	$ 141.1
Not designated as hedging instrument | Fair Value Hedging
Derivative [Line Items]
Aggregate notional amount of derivative	$ 110.8	$ 108.4

XML

Derivatives - Fair Value of Derivative Instruments (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Designated as hedging instrument | Interest rate swap
Derivatives, Fair Value [Line Items]
Fair value of derivative asset	$ 300	$ 1,500
Designated as hedging instrument | Interest rate swap | Prepaid expenses and other assets
Derivatives, Fair Value [Line Items]
Fair value of derivative asset	254	1,503
Designated as hedging instrument | Foreign currency forward contracts | Prepaid expenses and other assets
Derivatives, Fair Value [Line Items]
Fair value of derivative asset	2,877	2,061
Designated as hedging instrument | Foreign currency forward contracts | Other assets (long-term)
Derivatives, Fair Value [Line Items]
Fair value of derivative asset	497	216
Designated as hedging instrument | Foreign currency forward contracts | Accrued expenses
Derivatives, Fair Value [Line Items]
Total Liability Derivatives	(954)	(1,898)
Designated as hedging instrument | Foreign currency forward contracts | Other long-term obligations
Derivatives, Fair Value [Line Items]
Total Liability Derivatives	(343)	(499)
Not designated as hedging instrument | Foreign currency forward contracts | Prepaid expenses and other assets
Derivatives, Fair Value [Line Items]
Fair value of derivative asset	1,572	828
Not designated as hedging instrument | Foreign currency forward contracts | Accrued expenses
Derivatives, Fair Value [Line Items]
Total Liability Derivatives	$ (953)	$ (1,463)

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Derivatives - Amount of Gain (Loss) Recognized in OCI and Income Statement (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Derivative Instruments, Gain (Loss) [Line Items]
Amount of Gain/(Loss) recognized in OCI	$ (1,711)	$ 3,422	$ 1,261	$ 1,731
Interest expense	(7,679)	(3,682)	(15,725)	(5,693)
Net sales	338,003	320,056	661,511	617,621
Cost of sales	(176,903)	(167,274)	(348,696)	(326,477)
Derivatives designated as cash flow hedges | Interest rate swap
Derivative Instruments, Gain (Loss) [Line Items]
Amount of Gain/(Loss) recognized in OCI	(197)	719	151	600
Derivatives designated as cash flow hedges | Interest rate swap | Interest expense
Derivative Instruments, Gain (Loss) [Line Items]
Amount of Gain/(Loss) reclassified from AOCI	699	631	1,401	1,165
Derivatives designated as cash flow hedges | Foreign currency forward contracts
Derivative Instruments, Gain (Loss) [Line Items]
Amount of Gain/(Loss) recognized in OCI	(31)	4,325	4,135	4,564
Derivatives designated as cash flow hedges | Foreign currency forward contracts | Revenue
Derivative Instruments, Gain (Loss) [Line Items]
Amount of Gain/(Loss) reclassified from AOCI	427	658	840	1,985
Derivatives designated as cash flow hedges | Foreign currency forward contracts | Cost of sales
Derivative Instruments, Gain (Loss) [Line Items]
Amount of Gain/(Loss) reclassified from AOCI	$ 357	$ 333	$ 784	$ 283

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Derivatives - Gain (Loss) in the Consolidated Statements of Income (Details) - Not designated as hedging instrument - Foreign currency forward contracts - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Derivative [Line Items]
Gain (loss) on derivative	$ 645	$ 2,141	$ 1,528	$ 3,200
Derivative, Gain (Loss), Statement of Income or Comprehensive Income [Extensible Enumeration]	Other Nonoperating Income (Expense)	Other Nonoperating Income (Expense)	Other Nonoperating Income (Expense)	Other Nonoperating Income (Expense)

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Earnings Per Common Share (EPS) - Basic EPS (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended				6 Months Ended
	Jun. 30, 2024	Mar. 31, 2024	Jun. 30, 2023	Mar. 31, 2023	Jun. 30, 2024	Jun. 30, 2023
Earnings Per Share [Abstract]
Net income	$ 35,726	$ 28,240	$ 20,245	$ 20,703	$ 63,966	$ 40,948
Average common shares outstanding (in shares)	58,139		57,537		58,049	57,445
Basic EPS (in dollars per share)	$ 0.61		$ 0.35		$ 1.10	$ 0.71

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Earnings Per Common Share (EPS) - Diluted EPS (Details) - $ / shares shares in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Earnings Per Share [Abstract]
Average common shares outstanding (in shares)	58,139	57,537	58,049	57,445
Effect of dilutive stock awards (in shares)	601	936	604	884
Total potential shares outstanding (in shares)	58,740	58,473	58,653	58,329
Diluted EPS (in dollars per share)	$ 0.61	$ 0.35	$ 1.09	$ 0.70
Equity awards excluded as the impact was anti-dilutive (in shares)	802	1,114	1,009	1,014

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Earnings Per Common Share (EPS) - Convertible Noes (Details) - $ / shares	Jun. 30, 2024	Dec. 31, 2023
Convertible Notes | Senior unsecured convertible notes | Common Stock
Debt Instrument [Line Items]
Conversion price	$ 86.83	$ 86.83

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Stock-Based Compensation Expense - Allocation of Recognized Period Costs (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Allocated share-based compensation	$ 7,011	$ 5,580	$ 12,245	$ 9,549
Cost of sales | Employee Stock Option
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Allocated share-based compensation	363	432	725	873
Research and development | Employee Stock Option
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Allocated share-based compensation	345	413	781	841
Selling, general and administrative
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Allocated share-based compensation	6,303	4,735	10,739	7,835
Selling, general and administrative | Employee Stock Option
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Allocated share-based compensation	1,565	1,851	3,247	3,221
Selling, general and administrative | Stock-Settled Performance-Based Restricted Stock Units
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Allocated share-based compensation	2,897	1,817	4,764	2,632
Selling, general and administrative | Restricted Stock Units
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Allocated share-based compensation	1,131	467	1,718	911
Selling, general and administrative | Cash-Settled Performance-Based Share-Based Awards (Liability Awards)
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Allocated share-based compensation	$ 710	$ 600	$ 1,010	$ 1,071

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Stock-Based Compensation Expense - Narrative (Details) - USD ($) $ in Millions	3 Months Ended	6 Months Ended
	Jun. 30, 2024	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Restricted stock units granted (in shares)			20,358
Employee Stock Option
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Options granted in period (in shares)		0	327,294
Compensation cost not yet recognized	$ 15.4	$ 15.4
Compensation cost not yet recognized, period of recognition		2 years
Stock-Settled Performance-Based Restricted Stock Units
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Compensation cost not yet recognized	20.3	$ 20.3
Compensation cost not yet recognized, period of recognition		2 years 1 month 6 days
Award vesting period		1 year
Stock-Settled Performance-Based Restricted Stock Units | Maximum
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Stock units granted in period (in shares)		364,810	286,863
Cash-Settled Performance-Based Share-Based Awards (Liability Awards)
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Target cash incentive		$ 1.6	$ 1.3
Compensation cost not yet recognized	4.4	$ 4.4
Compensation cost not yet recognized, period of recognition		2 years
Fair value of awards	$ 3.4	$ 3.4		$ 3.4
Cash-Settled Performance-Based Share-Based Awards (Liability Awards) | Maximum
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Target cash incentive		$ 4.4	$ 4.4
Multiplying factor		250.00%	250.00%
Restricted Stock Units
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Restricted stock units granted (in shares)	158,719
Compensation cost not yet recognized	$ 10.2	$ 10.2
Compensation cost not yet recognized, period of recognition		3 years 3 months 18 days
Restricted Stock Units | Employee
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Award vesting period		4 years
Restricted Stock Units | Non-employee members
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Award vesting period		1 year

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Stock-Based Compensation Expense - Option Granted Fair Value Calculation Assumptions (Details) - Employee Stock Option	6 Months Ended
	Jun. 30, 2023
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Risk-free interest rate, minimum	3.60%
Risk-free interest rate, maximum	4.50%
Expected option term / Performance Period	4 years
Expected price volatility, minimum	46.70%
Expected price volatility, maximum	47.10%

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Stock-Based Compensation Expense - PSUs Fair Value Calculation Assumptions (Details) - Stock-Settled Performance-Based Restricted Stock Units	6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Risk-free interest rate, minimum		3.90%
Risk-free interest rate, maximum		4.60%
Risk-free interest rate	4.40%
Expected option term / Performance Period	2 years 9 months 18 days	2 years 9 months 18 days
Expected dividend yield	0.00%	0.00%
Expected price volatility, minimum		31.40%
Expected price volatility, maximum		32.60%
Expected price volatility	31.10%

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Segment Reporting - Narrative (Details)	6 Months Ended
	Jun. 30, 2024 segment item
Segment Reporting Information [Line Items]
Number of operating segments | segment	2
Cardiovascular
Segment Reporting Information [Line Items]
Number of Product Categories | item	4

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Segment Reporting - Operating Income (Details) - USD ($) $ in Thousands	3 Months Ended				6 Months Ended
	Jun. 30, 2024	Mar. 31, 2024	Jun. 30, 2023	Mar. 31, 2023	Jun. 30, 2024	Jun. 30, 2023
Segment Reporting Information [Line Items]
Net sales	$ 338,003		$ 320,056		$ 661,511	$ 617,621
Income from operations	45,946		28,812		81,868	55,195
Total other expense - net	(103)		(3,912)		(1,677)	(4,795)
Income tax expense	10,117		4,655		16,225	9,452
Net income	35,726	$ 28,240	20,245	$ 20,703	63,966	40,948
Cardiovascular
Segment Reporting Information [Line Items]
Net sales	327,815		311,275		641,189	599,251
Income from operations	42,912		26,464		75,819	50,398
Endoscopy
Segment Reporting Information [Line Items]
Net sales	10,188		8,781		20,322	18,370
Income from operations	$ 3,034		$ 2,348		$ 6,049	$ 4,797

XML

Fair Value Measurements - Financial Assets and (Liabilities) Carried at Fair Value (Details) - Fair Value, Measurements, Recurring - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Fair Value, Inputs, Level 1
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Marketable securities	$ 61	$ 78
Fair Value, Inputs, Level 2
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Interest rate contract asset, current	254	1,503
Foreign currency contract assets, current and long-term	4,946	3,105
Foreign currency contract liabilities, current and long-term	(2,250)	(3,860)
Fair Value, Inputs, Level 3
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Contingent consideration liabilities	(3,435)	(3,447)
Estimate of Fair Value, Fair Value Disclosure
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Marketable securities	61	78
Interest rate contract asset, current	254	1,503
Foreign currency contract assets, current and long-term	4,946	3,105
Foreign currency contract liabilities, current and long-term	(2,250)	(3,860)
Contingent consideration liabilities	$ (3,435)	$ (3,447)

XML

Fair Value Measurements - Liability Measured on Recurring Basis, Unobservable Input Reconciliation (Details) - Contingent Consideration - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Beginning balance	$ 3,225	$ 16,000	$ 3,447	$ 18,073
Contingent consideration expense	$ 305	$ 1,094	$ 188	$ 1,615
Fair Value, Liability, Recurring Basis, Unobservable Input Reconciliation, Gain (Loss), Statement of Income or Comprehensive Income [Extensible Enumeration]	Business Combination, Contingent Consideration Arrangements, Contingent Consideration Benefit	Business Combination, Contingent Consideration Arrangements, Contingent Consideration Benefit	Business Combination, Contingent Consideration Arrangements, Contingent Consideration Benefit	Business Combination, Contingent Consideration Arrangements, Contingent Consideration Benefit
Contingent payments made	$ (95)	$ (13,513)	$ (200)	$ (16,107)
Ending balance	$ 3,435	$ 3,581	$ 3,435	$ 3,581

XML

Fair Value Measurements - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023	Mar. 31, 2024	Dec. 31, 2023	May 03, 2023	Mar. 31, 2023	Dec. 31, 2022
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Payments related to the settlement of the contingent consideration liability, Financing activities			$ 142	$ 3,434
Payments related to the settlement of the contingent consideration liability, Operating activities			100	12,700
Impairment of equity method investment			0
Impairment of intangible assets			0	0
Interest income	$ 7,561	$ 221	14,837	352
Investments in privately held companies	22,600		22,600			$ 19,100
Long-term notes receivable, net	8,700		8,700			3,200
Long-term notes receivable issued			6,200
Allowance for expected credit losses	1,406	$ 296	1,406	296	$ 1,388	568		$ 290	$ 281
Solo Pace
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Long-term notes receivable issued			1,500
Fluidx
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Ownership percentage					19.90%
Long-term notes receivable issued			3,000
Bluegrass Vascular Technologies, Inc
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Impairment of equity method investment				$ 300
Ownership percentage							19.50%
Equity method investment							$ 245
Selio
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Long-term notes receivable issued			1,700
Allowance for expected credit losses	1,400		1,400			600
Other long-term obligations
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Contingent consideration liability, noncurrent	3,000		3,000			3,000
Accrued expenses
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Contingent consideration liability, current	$ 400		$ 400			$ 400

XML

Fair Value Measurements - Fair Value Inputs, Liabilities, Quantitative Information (Details) - Fair Value, Inputs, Level 3 $ in Thousands	Jun. 30, 2024 USD ($)	Dec. 31, 2023 USD ($)
Revenue-based royalty
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Contingent consideration liabilities	$ 2,937	$ 2,945
Revenue milestones
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Contingent consideration liabilities	91	93
Regulatory approval
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Contingent consideration liabilities	$ 407	$ 409
Discount rate | Revenue-based royalty | Minimum | Discounted Cash Flow
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Unobservable inputs, contingent liability	0.12	0.120
Discount rate | Revenue-based royalty | Maximum | Discounted Cash Flow
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Unobservable inputs, contingent liability	0.16	0.160
Discount rate | Revenue-based royalty | Weighted Average | Discounted Cash Flow
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Unobservable inputs, contingent liability	0.146	0.146
Discount rate | Revenue milestones | Discounted Cash Flow
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Unobservable inputs, contingent liability	0.130
Discount rate | Revenue milestones | Minimum | Discounted Cash Flow
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Unobservable inputs, contingent liability		0.130
Discount rate | Regulatory approval | Discounted Cash Flow
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Unobservable inputs, contingent liability	0.061	0.055
Probability of milestone payment | Regulatory approval | Discounted Cash Flow
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Unobservable inputs, contingent liability	0.500	0.500

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Fair Value Measurements - Allowance for Credit Losses (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Financing Receivable, Allowance for Credit Loss [Roll Forward]
Beginning balance	$ 1,388	$ 290	$ 568	$ 281
Provision for credit loss expense	18	6	838	15
Ending balance	$ 1,406	$ 296	$ 1,406	$ 296

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Accumulated Other Comprehensive Income (Loss) - Changes in AOCI (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Accumulated other comprehensive income (loss)
Beginning balance	$ 1,240,190	$ 1,171,655	$ 1,202,000	$ 1,144,397
Reclassifications to:
Cost of sales	(176,903)	(167,274)	(348,696)	(326,477)
Interest expense	(7,679)	(3,682)	(15,725)	(5,693)
Ending balance	1,282,445	1,203,700	1,282,445	1,203,700
Accumulated Other Comprehensive Loss
Accumulated other comprehensive income (loss)
Beginning balance	(12,456)	(10,929)	(11,334)	(11,550)
Other comprehensive income (loss)	(1,916)	3,843	(806)	5,888
Income taxes	426	(836)	(264)	(449)
Reclassifications to:
Net other comprehensive income (loss)	(2,973)	1,385	(4,095)	2,006
Ending balance	(15,429)	(9,544)	(15,429)	(9,544)
Accumulated Other Comprehensive Loss | Reclassification out of Accumulated Other Comprehensive Income
Reclassifications to:
Revenue	(427)	(658)	(840)	(1,985)
Cost of sales	(357)	(333)	(784)	(283)
Interest expense	(699)	(631)	(1,401)	(1,165)
Cash Flow Hedges
Accumulated other comprehensive income (loss)
Beginning balance	3,932	3,081	1,662	4,366
Other comprehensive income (loss)	(228)	5,044	4,286	5,164
Income taxes	404	(821)	(298)	(415)
Reclassifications to:
Net other comprehensive income (loss)	(1,307)	2,601	963	1,316
Ending balance	2,625	5,682	2,625	5,682
Cash Flow Hedges | Reclassification out of Accumulated Other Comprehensive Income
Reclassifications to:
Revenue	(427)	(658)	(840)	(1,985)
Cost of sales	(357)	(333)	(784)	(283)
Interest expense	(699)	(631)	(1,401)	(1,165)
Foreign Currency Translation
Accumulated other comprehensive income (loss)
Beginning balance	(16,388)	(14,010)	(12,996)	(15,916)
Other comprehensive income (loss)	(1,688)	(1,201)	(5,092)	724
Income taxes	22	(15)	34	(34)
Reclassifications to:
Net other comprehensive income (loss)	(1,666)	(1,216)	(5,058)	690
Ending balance	$ (18,054)	$ (15,226)	$ (18,054)	$ (15,226)

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Subsequent Events (Details) $ in Millions	Jul. 01, 2024 USD ($)
Subsequent Event | EGS Purchase Agreement
Subsequent Event [Line Items]
Purchase price	$ 105