| (State or other jurisdiction of incorporation or organization) | (Commission File Number) | (I.R.S. Employer Identification No.) | ||||||
| (Address of principal executive offices) | (Zip code) | ||||
| Title of each class | Trading Symbol | Name of each exchange on which registered | ||||||
| Exhibit No. | Description of Exhibit | ||||
| 99.1 | |||||
| 104 | Cover Page Interactive Data File (embedded within the Inline XBRL Document). | ||||
Date: July 29, 2026 | CONMED CORPORATION | ||||
| (Registrant) | |||||
| By: | /s/ John E. Gallagher | ||||
| Name: | John E. Gallagher | ||||
| Title: | Executive Vice President, Finance & Chief Financial Officer | ||||

CONTACT: | ||
CONMED Corporation | ||
| Investor Relations | ||
| Dollars in millions, except per share figures Percentages on a year-over-year basis, may not foot due to rounding | Twelve Months Ending December 31, 2026 | |||||||||||||
| Updated Financial Guidance | Prior Financial Guidance(5) | |||||||||||||
| Low | High | Low | High | |||||||||||
| Net Sales (GAAP) | $ | 1,358 | $ | 1,373 | $ | 1,350 | $ | 1,375 | ||||||
| Net Sales Growth, as reported | (1.2) | % | (0.1) | % | (1.8) | % | 0.0 | % | ||||||
| Estimated impact of foreign currency exchange rate fluctuations | (0.5) | % | (0.5) | % | (0.3) | % | (0.5) | % | ||||||
| Net Sales Growth, Constant Currency | (1.7) | % | (0.7) | % | (2.1) | % | (0.5) | % | ||||||
Estimated impact of strategic product offering exits(3) | 6.7 | % | 6.7 | % | 7.1 | % | 7.0 | % | ||||||
| Net Sales Growth, Organic Constant Currency | 5.0 | % | 6.0 | % | 5.0 | % | 6.5 | % | ||||||
Adjusted Diluted EPS(4) | $ | 4.48 | $ | 4.60 | $ | 4.30 | $ | 4.45 | ||||||
| Percentage Change | (2.4) | % | 0.2 | % | (6.3) | % | (3.1) | % | ||||||
| Consolidated Condensed Statements of Income | ||||||||||||||||||||||||||
| (in thousands except per share amounts, unaudited) | ||||||||||||||||||||||||||
| Three Months Ended | Six Months Ended | |||||||||||||||||||||||||
| June 30, | June 30, | |||||||||||||||||||||||||
| 2026 | 2025 | 2026 | 2025 | |||||||||||||||||||||||
| Net sales | $ | 343,488 | $ | 342,345 | $ | 660,534 | $ | 663,600 | ||||||||||||||||||
| Cost of sales | 146,030 | 154,025 | 279,629 | 297,529 | ||||||||||||||||||||||
| Gross profit | 197,458 | 188,320 | 380,905 | 366,071 | ||||||||||||||||||||||
| % of sales | 57.5 | % | 55.0 | % | 57.7 | % | 55.2 | % | ||||||||||||||||||
| Selling & administrative expense | 145,553 | 136,021 | 287,252 | 284,868 | ||||||||||||||||||||||
| Research & development expense | 15,500 | 14,138 | 31,833 | 27,084 | ||||||||||||||||||||||
| Income from operations | 36,405 | 38,161 | 61,820 | 54,119 | ||||||||||||||||||||||
| % of sales | 10.6 | % | 11.1 | % | 9.4 | % | 8.2 | % | ||||||||||||||||||
| Interest expense | 7,883 | 7,824 | 14,943 | 16,110 | ||||||||||||||||||||||
| Other (income) / expense | (2,825) | 418 | (2,825) | 418 | ||||||||||||||||||||||
| Income before income taxes | 31,347 | 29,919 | 49,702 | 37,591 | ||||||||||||||||||||||
| Provision for income taxes | 8,276 | 8,498 | 12,803 | 10,134 | ||||||||||||||||||||||
| Net income | $ | 23,071 | $ | 21,421 | $ | 36,899 | $ | 27,457 | ||||||||||||||||||
| Basic EPS | $ | 0.77 | $ | 0.69 | $ | 1.22 | $ | 0.89 | ||||||||||||||||||
| Diluted EPS | 0.77 | 0.69 | 1.22 | 0.88 | ||||||||||||||||||||||
| Basic shares | 30,069 | 30,949 | 30,315 | 31,011 | ||||||||||||||||||||||
| Diluted shares | 30,117 | 31,054 | 30,357 | 31,142 | ||||||||||||||||||||||
Sales Summary | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| (in millions, unaudited) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Three Months Ended June 30, | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| % Change | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Domestic | International | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2026 | 2025 | As Reported | Impact of Foreign Currency | Constant Currency | Impact of GI(1) | Organic(1) Constant Currency | As Reported | Impact of GI(1) | Organic(1) | As Reported | Impact of Foreign Currency | Constant Currency | Impact of GI(1) | Organic(1) Constant Currency | ||||||||||||||||||||||||||||||||||||||||||
| Orthopedic Surgery | $ | 152.3 | $ | 140.7 | 8.2 | % | -1.4 | % | 6.8 | % | 0.0 | % | 6.8 | % | -0.1 | % | 0.0 | % | -0.1 | % | 13.0 | % | -2.2 | % | 10.8 | % | 0.0 | % | 10.8 | % | ||||||||||||||||||||||||||
| General Surgery | 191.2 | 201.6 | -5.2 | % | -0.4 | % | -5.6 | % | 10.9 | % | 5.3 | % | -10.9 | % | 14.5 | % | 3.6 | % | 7.6 | % | -1.4 | % | 6.2 | % | 2.4 | % | 8.6 | % | ||||||||||||||||||||||||||||
| $ | 343.5 | $ | 342.3 | 0.3 | % | -0.8 | % | -0.5 | % | 6.5 | % | 6.0 | % | -8.0 | % | 10.5 | % | 2.5 | % | 10.8 | % | -1.9 | % | 8.9 | % | 1.0 | % | 9.9 | % | |||||||||||||||||||||||||||
| Domestic | $ | 175.4 | $ | 190.6 | -8.0 | % | 0.0 | % | -8.0 | % | 10.5 | % | 2.5 | % | ||||||||||||||||||||||||||||||||||||||||||
| International | 168.1 | 151.7 | 10.8 | % | -1.9 | % | 8.9 | % | 1.0 | % | 9.9 | % | ||||||||||||||||||||||||||||||||||||||||||||
| $ | 343.5 | $ | 342.3 | 0.3 | % | -0.8 | % | -0.5 | % | 6.5 | % | 6.0 | % | |||||||||||||||||||||||||||||||||||||||||||
| Three Months Ended June 30, | ||||||||||||||||||||||||||||||||||||||
| % Change | ||||||||||||||||||||||||||||||||||||||
| Domestic | International | |||||||||||||||||||||||||||||||||||||
| 2026 | 2025 | As Reported | Impact of Foreign Currency | Constant Currency | As Reported | As Reported | Impact of Foreign Currency | Constant Currency | ||||||||||||||||||||||||||||||
| Single-use Products | $ | 295.1 | $ | 297.8 | -0.9 | % | -0.8 | % | -1.7 | % | -9.2 | % | 10.0 | % | -1.8 | % | 8.2 | % | ||||||||||||||||||||
| Capital Products | 48.4 | 44.5 | 8.6 | % | -1.0 | % | 7.6 | % | 1.5 | % | 15.0 | % | -1.8 | % | 13.2 | % | ||||||||||||||||||||||
| $ | 343.5 | $ | 342.3 | 0.3 | % | -0.8 | % | -0.5 | % | -8.0 | % | 10.8 | % | -1.9 | % | 8.9 | % | |||||||||||||||||||||
Sales Summary | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| (in millions, unaudited) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Six Months Ended June 30, | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| % Change | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Domestic | International | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2026 | 2025 | As Reported | Impact of Foreign Currency | Constant Currency | Impact of GI(1) | Organic(1) Constant Currency | As Reported | Impact of GI(1) | Organic(1) | As Reported | Impact of Foreign Currency | Constant Currency | Impact of GI(1) | Organic(1) Constant Currency | ||||||||||||||||||||||||||||||||||||||||||
| Orthopedic Surgery | $ | 300.0 | $ | 279.0 | 7.5 | % | -1.8 | % | 5.7 | % | 0.0 | % | 5.7 | % | 2.8 | % | 0.0 | % | 2.8 | % | 10.4 | % | -2.9 | % | 7.5 | % | 0.0 | % | 7.5 | % | ||||||||||||||||||||||||||
| General Surgery | 360.5 | 384.6 | -6.2 | % | -0.8 | % | -7.0 | % | 9.8 | % | 2.8 | % | -10.7 | % | 13.3 | % | 2.6 | % | 4.2 | % | -2.5 | % | 1.7 | % | 1.6 | % | 3.3 | % | ||||||||||||||||||||||||||||
| $ | 660.5 | $ | 663.6 | -0.5 | % | -1.2 | % | -1.7 | % | 5.8 | % | 4.1 | % | -6.9 | % | 9.6 | % | 2.7 | % | 7.9 | % | -2.7 | % | 5.2 | % | 0.6 | % | 5.8 | % | |||||||||||||||||||||||||||
| Domestic | $ | 348.4 | $ | 374.4 | -6.9 | % | 0.0 | % | -6.9 | % | 9.6 | % | 2.7 | % | ||||||||||||||||||||||||||||||||||||||||||
| International | 312.1 | 289.2 | 7.9 | % | -2.7 | % | 5.2 | % | 0.6 | % | 5.8 | % | ||||||||||||||||||||||||||||||||||||||||||||
| $ | 660.5 | $ | 663.6 | -0.5 | % | -1.2 | % | -1.7 | % | 5.8 | % | 4.1 | % | |||||||||||||||||||||||||||||||||||||||||||
| Six Months Ended June 30, | ||||||||||||||||||||||||||||||||||||||
| % Change | ||||||||||||||||||||||||||||||||||||||
| Domestic | International | |||||||||||||||||||||||||||||||||||||
| 2026 | 2025 | As Reported | Impact of Foreign Currency | Constant Currency | As Reported | As Reported | Impact of Foreign Currency | Constant Currency | ||||||||||||||||||||||||||||||
| Single-use Products | $ | 565.1 | $ | 574.1 | -1.6 | % | -1.2 | % | -2.8 | % | -8.7 | % | 8.2 | % | -2.8 | % | 5.4 | % | ||||||||||||||||||||
| Capital Products | 95.4 | 89.5 | 6.6 | % | -1.2 | % | 5.4 | % | 6.9 | % | 6.3 | % | -2.2 | % | 4.1 | % | ||||||||||||||||||||||
| $ | 660.5 | $ | 663.6 | -0.5 | % | -1.2 | % | -1.7 | % | -6.9 | % | 7.9 | % | -2.7 | % | 5.2 | % | |||||||||||||||||||||
| Reconciliation of Reported Net Income to Adjusted Net Income | |||||||||||||||||||||||||||||||||||
| (in thousands, except per share amounts, unaudited) | |||||||||||||||||||||||||||||||||||
| Three Months Ended June 30, 2026 | |||||||||||||||||||||||||||||||||||
| Gross Profit | Selling & Administrative Expense | Research & Development Expense | Operating Income | Interest Expense | Other (Income) / Expense | Tax Expense | Effective Tax Rate | Net Income | Diluted EPS | ||||||||||||||||||||||||||
| As reported | $ | 197,458 | $ | 145,553 | $ | 15,500 | $ | 36,405 | $ | 7,883 | $ | (2,825) | $ | 8,276 | 26.4 | % | $ | 23,071 | $ | 0.77 | |||||||||||||||
| % of sales | 57.5 | % | 42.4 | % | 4.5 | % | 10.6 | % | |||||||||||||||||||||||||||
Operational optimization costs(1) | - | (7,073) | - | 7,073 | - | - | 1,651 | 5,422 | |||||||||||||||||||||||||||
Product rationalization costs(2) | 6,911 | - | - | 6,911 | - | - | 1,614 | 5,297 | |||||||||||||||||||||||||||
Loss on sale of product offering(3) | - | (4,425) | - | 4,425 | - | - | 1,033 | 3,392 | |||||||||||||||||||||||||||
EU medical device regulations(4) | - | - | (1,083) | 1,083 | - | - | 253 | 830 | |||||||||||||||||||||||||||
Gain on early extinguishment of debt, net(5) | - | - | - | - | - | 2,825 | (660) | (2,165) | |||||||||||||||||||||||||||
Contingent consideration fair value adjustments(6) | - | 113 | - | (113) | - | - | (26) | (87) | |||||||||||||||||||||||||||
Gain on sale of product offering(7) | - | 1,937 | - | (1,937) | - | - | (452) | (1,485) | |||||||||||||||||||||||||||
| $ | 204,369 | $ | 136,105 | $ | 14,417 | $ | 53,847 | $ | 7,883 | $ | - | $ | 11,689 | $ | 34,275 | ||||||||||||||||||||
| Adjusted gross profit % | 59.5 | % | |||||||||||||||||||||||||||||||||
Amortization(8) | $ | 1,500 | (7,237) | - | 8,737 | (1,054) | - | 2,364 | 7,427 | ||||||||||||||||||||||||||
| As adjusted | $ | 128,868 | $ | 14,417 | $ | 62,584 | $ | 6,829 | $ | - | $ | 14,053 | 25.2 | % | $ | 41,702 | $ | 1.38 | |||||||||||||||||
| % of sales | 37.5 | % | 4.2 | % | 18.2 | % | |||||||||||||||||||||||||||||
| Three Months Ended June 30, 2025 | |||||||||||||||||||||||||||||||||||
| Gross Profit | Selling & Administrative Expense | Research & Development Expense | Operating Income | Interest Expense | Other (Income) / Expense | Tax Expense | Effective Tax Rate | Net Income | Diluted EPS | ||||||||||||||||||||||||||
| As reported | $ | 188,320 | $ | 136,021 | $ | 14,138 | $ | 38,161 | $ | 7,824 | $ | 418 | $ | 8,498 | 28.4 | % | $ | 21,421 | $ | 0.69 | |||||||||||||||
| % of sales | 55.0 | % | 39.7 | % | 4.1 | % | 11.1 | % | |||||||||||||||||||||||||||
Operational optimization costs(1) | 5,122 | (2,450) | - | 7,572 | - | - | 852 | 6,720 | |||||||||||||||||||||||||||
Legal matters(9) | - | (1,192) | - | 1,192 | - | - | 134 | 1,058 | |||||||||||||||||||||||||||
Loss on early extinguishment of debt, net(5) | - | - | - | - | - | (418) | 47 | 371 | |||||||||||||||||||||||||||
Contingent consideration fair value adjustments(6) | - | 1,799 | - | (1,799) | - | - | (202) | (1,597) | |||||||||||||||||||||||||||
| $ | 193,442 | $ | 134,178 | $ | 14,138 | $ | 45,126 | $ | 7,824 | $ | - | $ | 9,329 | $ | 27,973 | ||||||||||||||||||||
| Adjusted gross profit % | 56.5 | % | |||||||||||||||||||||||||||||||||
Amortization(8) | $ | 1,500 | (7,192) | - | 8,692 | (1,388) | - | 2,441 | 7,639 | ||||||||||||||||||||||||||
| As adjusted | $ | 126,986 | $ | 14,138 | $ | 53,818 | $ | 6,436 | $ | - | $ | 11,770 | 24.8 | % | $ | 35,612 | $ | 1.15 | |||||||||||||||||
| % of sales | 37.1 | % | 4.1 | % | 15.7 | % | |||||||||||||||||||||||||||||
| (1) In 2025, the Company incurred costs related to the engagement of a consulting firm to evaluate and propose improvements to our manufacturing operations and other operational optimization charges which are included in cost of sales. In 2026 and 2025, we incurred consulting fees, legal fees and other charges related to operational optimization which are included in selling & administrative expense. | |||||||||||||||||||||||||||||||||||
| (2) In 2026, the Company wrote off inventory, equipment and tooling to cost of goods sold related to the discontinuation of certain products. | |||||||||||||||||||||||||||||||||||
| (3) In 2026, the Company recognized a loss on the sale of certain assets related to gastroenterology products that was recorded as a sale of a business. | |||||||||||||||||||||||||||||||||||
| (4) In 2026, the Company incurred costs to comply with the European Union's Medical Device Regulations (MDR). | |||||||||||||||||||||||||||||||||||
| (5) In 2026, the Company recorded income for the difference between the principal value and purchase price of extinguished debt, and recorded expense for the write-off of deferred financing fees and related professional fees. In 2025, the Company incurred costs related to a loss on early extinguishment and third-party fees associated with the eighth amended and restated senior credit agreement. | |||||||||||||||||||||||||||||||||||
| (6) In 2026 and 2025, the Company recorded income related to the fair value adjustments of contingent consideration. | |||||||||||||||||||||||||||||||||||
| (7) In 2026, the Company recognized a gain on the sale of certain assets related to gastroenterology products. | |||||||||||||||||||||||||||||||||||
| (8) Includes amortization of intangible assets and deferred financing fees. | |||||||||||||||||||||||||||||||||||
| (9) In 2025, the Company incurred costs for third party services pertaining to potential issues with certain royalty payments to design surgeons. | |||||||||||||||||||||||||||||||||||
| Reconciliation of Reported Net Income to Adjusted Net Income | |||||||||||||||||||||||||||||||||||
| (in thousands, except per share amounts, unaudited) | |||||||||||||||||||||||||||||||||||
| Six Months Ended June 30, 2026 | |||||||||||||||||||||||||||||||||||
| Gross Profit | Selling & Administrative Expense | Research & Development Expense | Operating Income | Interest Expense | Other (Income) / Expense | Tax Expense | Effective Tax Rate | Net Income | Diluted EPS | ||||||||||||||||||||||||||
| As reported | $ | 380,905 | $ | 287,252 | $ | 31,833 | $ | 61,820 | $ | 14,943 | $ | (2,825) | $ | 12,803 | 25.8 | % | $ | 36,899 | $ | 1.22 | |||||||||||||||
| % of sales | 57.7 | % | 43.5 | % | 4.8 | % | 9.4 | % | |||||||||||||||||||||||||||
Operational optimization costs(1) | 379 | (14,599) | - | 14,978 | - | - | 3,454 | 11,524 | |||||||||||||||||||||||||||
Product rationalization costs(2) | 6,911 | - | - | 6,911 | - | - | 1,614 | 5,297 | |||||||||||||||||||||||||||
Loss on sale of product offering(3) | - | (4,425) | - | 4,425 | - | - | 1,033 | 3,392 | |||||||||||||||||||||||||||
EU medical device regulations(4) | - | - | (2,250) | 2,250 | - | - | 519 | 1,731 | |||||||||||||||||||||||||||
Executive transition costs(5) | - | (3,342) | - | 3,342 | - | - | 761 | 2,581 | |||||||||||||||||||||||||||
Contingent consideration fair value adjustments(6) | - | (610) | - | 610 | - | - | 138 | 472 | |||||||||||||||||||||||||||
Gain on early extinguishment of debt, net(7) | - | - | - | - | - | 2,825 | (660) | (2,165) | |||||||||||||||||||||||||||
Termination of distribution agreement(8) | (1,864) | - | - | (1,864) | - | - | (425) | (1,439) | |||||||||||||||||||||||||||
Gain on sale of product offering(9) | - | 5,853 | - | (5,853) | - | - | (1,344) | (4,509) | |||||||||||||||||||||||||||
| $ | 386,331 | $ | 270,129 | $ | 29,583 | $ | 86,619 | $ | 14,943 | $ | - | $ | 17,893 | $ | 53,783 | ||||||||||||||||||||
| Adjusted gross profit % | 58.5 | % | |||||||||||||||||||||||||||||||||
Amortization(10) | $ | 3,000 | (14,498) | - | 17,498 | (2,330) | - | 4,806 | 15,022 | ||||||||||||||||||||||||||
| As adjusted | $ | 255,631 | $ | 29,583 | $ | 104,117 | $ | 12,613 | $ | - | $ | 22,699 | 24.8 | % | $ | 68,805 | $ | 2.27 | |||||||||||||||||
| % of sales | 38.7 | % | 4.5 | % | 15.8 | % | |||||||||||||||||||||||||||||
| Six Months Ended June 30, 2025 | |||||||||||||||||||||||||||||||||||
| Gross Profit | Selling & Administrative Expense | Research & Development Expense | Operating Income | Interest Expense | Other (Income) / Expense | Tax Expense | Effective Tax Rate | Net Income | Diluted EPS | ||||||||||||||||||||||||||
| As reported | $ | 366,071 | $ | 284,868 | $ | 27,084 | $ | 54,119 | $ | 16,110 | $ | 418 | $ | 10,134 | 27.0 | % | $ | 27,457 | $ | 0.88 | |||||||||||||||
| % of sales | 55.2 | % | 42.9 | % | 4.1 | % | 8.2 | % | |||||||||||||||||||||||||||
Operational optimization costs(1) | 8,532 | (2,940) | - | 11,472 | - | - | 1,754 | 9,718 | |||||||||||||||||||||||||||
Executive transition costs(5) | - | (12,165) | - | 12,165 | - | - | 2,812 | 9,353 | |||||||||||||||||||||||||||
Legal matters(11) | - | (2,229) | - | 2,229 | - | - | 374 | 1,855 | |||||||||||||||||||||||||||
Contingent consideration fair value adjustments(6) | - | (2,163) | - | 2,163 | - | - | 714 | 1,449 | |||||||||||||||||||||||||||
Loss on early extinguishment of debt, net(7) | - | - | - | - | - | (418) | 47 | 371 | |||||||||||||||||||||||||||
Gain on sale of product offering(9) | - | 354 | - | (354) | - | - | (82) | (272) | |||||||||||||||||||||||||||
| $ | 374,603 | $ | 265,725 | $ | 27,084 | $ | 81,794 | $ | 16,110 | $ | - | $ | 15,753 | $ | 49,931 | ||||||||||||||||||||
| Adjusted gross profit % | 56.5 | % | |||||||||||||||||||||||||||||||||
Amortization(10) | $ | 3,000 | (14,364) | - | 17,364 | (2,831) | - | 4,897 | 15,298 | ||||||||||||||||||||||||||
| As adjusted | $ | 251,361 | $ | 27,084 | $ | 99,158 | $ | 13,279 | $ | - | $ | 20,650 | 24.0 | % | $ | 65,229 | $ | 2.09 | |||||||||||||||||
| % of sales | 37.9 | % | 4.1 | % | 14.9 | % | |||||||||||||||||||||||||||||
| (1) In 2026 and 2025, the Company incurred costs related to the engagement of a consulting firm to evaluate and propose improvements to our manufacturing operations and other operational optimization charges which are included in cost of sales. In addition, we incurred consulting fees, legal fees and other charges related to operational optimization which are included in selling & administrative expense. | |||||||||||||||||||||||||||||||||||
| (2) In 2026, the Company wrote off inventory, equipment and tooling to cost of goods sold related to the discontinuation of certain products. | |||||||||||||||||||||||||||||||||||
| (3) In 2026, the Company recognized a loss on the sale of certain assets related to gastroenterology products that was recorded as a sale of a business. | |||||||||||||||||||||||||||||||||||
| (4) In 2026, the Company incurred costs to comply with the European Union's Medical Device Regulations (MDR). | |||||||||||||||||||||||||||||||||||
| (5) The Company incurred cash and stock-based compensation costs related to advisory services provided by our former Chief Financial Officer and Chief Executive Officer in 2026 and 2025, respectively. | |||||||||||||||||||||||||||||||||||
| (6) In 2026 and 2025, the Company recorded expense related to the fair value adjustments of contingent consideration. | |||||||||||||||||||||||||||||||||||
| (7) In 2026, the Company recorded income for the difference between the principal value and purchase price of extinguished debt, and recorded expense for the write-off of deferred financing fees and related professional fees. In 2025, the Company incurred costs related to a loss on early extinguishment and third-party fees associated with the eighth amended and restated senior credit agreement. | |||||||||||||||||||||||||||||||||||
| (8) In 2026, the Company recognized income related to the early termination of an agreement granting the Company exclusive distribution rights. | |||||||||||||||||||||||||||||||||||
| (9) In 2026, the Company recognized a gain on the sale of certain assets related to gastroenterology products. In 2025, the Company recognized a gain on the sale of a product offering. | |||||||||||||||||||||||||||||||||||
| (10) Includes amortization of intangible assets and deferred financing fees. | |||||||||||||||||||||||||||||||||||
| (11) In 2025, the Company incurred costs for third party services pertaining to potential issues with certain royalty payments to surgeons involved in design teams. | |||||||||||||||||||||||||||||||||||
| Reconciliation of Reported Net Income to EBITDA & Adjusted EBITDA | |||||||||||||||||||||||
| (in thousands, unaudited) | |||||||||||||||||||||||
| Three Months Ended | Six Months Ended | ||||||||||||||||||||||
| June 30, | June 30, | ||||||||||||||||||||||
| 2026 | 2025 | 2026 | 2025 | ||||||||||||||||||||
| Net income | $ | 23,071 | $ | 21,421 | $ | 36,899 | $ | 27,457 | |||||||||||||||
| Provision for income taxes | 8,276 | 8,498 | 12,803 | 10,134 | |||||||||||||||||||
| Interest expense | 7,883 | 7,824 | 14,943 | 16,110 | |||||||||||||||||||
| Depreciation | 4,079 | 4,467 | 8,253 | 8,701 | |||||||||||||||||||
| Amortization | 14,967 | 14,105 | 29,630 | 28,123 | |||||||||||||||||||
| EBITDA | $ | 58,276 | $ | 56,315 | $ | 102,528 | $ | 90,525 | |||||||||||||||
| Stock based compensation | 5,230 | 4,903 | 10,013 | 11,284 | |||||||||||||||||||
| Operational optimization costs | 7,073 | 7,572 | 14,978 | 11,472 | |||||||||||||||||||
| Product rationalization costs | 6,911 | - | 6,911 | - | |||||||||||||||||||
| Loss on sale of product offering | 4,425 | - | 4,425 | - | |||||||||||||||||||
| EU medical device regulations | 1,083 | - | 2,250 | - | |||||||||||||||||||
| Contingent consideration fair value adjustments | (113) | (1,799) | 610 | 2,163 | |||||||||||||||||||
| Gain on sale of product offering | (1,937) | - | (5,853) | (354) | |||||||||||||||||||
| (Gain) / loss on early extinguishment of debt, net | (2,825) | 418 | (2,825) | 418 | |||||||||||||||||||
| Executive transition costs | - | - | 3,342 | 12,165 | |||||||||||||||||||
| Termination of distribution agreement | - | - | (1,864) | - | |||||||||||||||||||
| Legal matters | - | 1,192 | - | 2,229 | |||||||||||||||||||
| Adjusted EBITDA | $ | 78,123 | $ | 68,601 | $ | 134,515 | $ | 129,902 | |||||||||||||||
| EBITDA Margin | |||||||||||||||||||||||
| EBITDA | 17.0 | % | 16.4 | % | 15.5 | % | 13.6 | % | |||||||||||||||
| Adjusted EBITDA | 22.7 | % | 20.0 | % | 20.4 | % | 19.6 | % | |||||||||||||||