Form 8-K - Current report

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 8-K

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

Date of Report (date of earliest event reported): October 26, 2023

Merit Medical Systems, Inc.

(Exact name of registrant as specified in its charter)


Utah	0-18592	87-0447695
(State or other jurisdiction of	(Commission	(I.R.S. Employer
incorporation or organization)	File Number)	Identification No.)


1600 West Merit Parkway
South Jordan, Utah		84095
(Address of principal executive offices)		(Zip Code)

(801) 253-1600

(Registrant's telephone number, including area code)

N/A

(Former name or former address, if changed since last report)

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

☐ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

☐ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

☐ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

☐ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

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

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

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

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. ☐

Item 2.02. Results of Operations and Financial Condition.

On October 26, 2023, Merit Medical Systems, Inc. (the “Company”) issued a press release announcing its operating and financial results for the quarter ended September 30, 2023. A copy of the press release is furnished as Exhibit 99.1 to this report and incorporated herein by reference.

Item 7.01. Regulation FD Disclosure.

On October 26, 2023, the Company is conducting a conference call to discuss its operating and financial results for the quarter ended September 30, 2023. A live webcast and slide presentation will also be available for the conference call on the Company’s website. A copy of the slide presentation is furnished as Exhibit 99.2 to this report.

The information contained in Item 2.02 and Item 7.01 of this Current Report on Form 8-K (including the exhibits attached hereto) is furnished pursuant to General Instruction B.2. of Form 8-K and shall not be deemed to be “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing made by the Company under the Securities Act of 1933, as amended, or the Exchange Act.

The Company is making reference to non-GAAP financial measures in both the press release attached as Exhibit 99.1 to this report and the conference call presentation attached as Exhibit 99.2 to this report. Reconciliations of these non-GAAP financial measures to the comparable GAAP financial measures are included in both the press release and the conference call presentation.

Item 9.01. Financial Statements and Exhibits.

(d) Exhibits

EXHIBIT NUMBER		DESCRIPTION

99.1		Press Release, dated October 26, 2023, entitled “Merit Medical Reports Results for Third Quarter Ended September 30, 2023”.
99.2		Conference Call Presentation.
104		The cover page from this Current Report on Form 8-K, formatted in Inline XBRL.

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

	MERIT MEDICAL SYSTEMS, INC.


Date: October 26, 2023	By:	/s/ Brian G. Lloyd
		Brian G. Lloyd
		Chief Legal Officer and Corporate Secretary

Exhibit 99.1


				Contacts:
				PR/Media Inquiries: Teresa Johnson Merit Medical	Investor Inquiries: Mike Piccinino, CFA, IRC Westwicke - ICR
				+1-801-208-4295	+1-443-213-0509
				tjohnson@merit.com	mike.piccinino@westwicke.com

FOR IMMEDIATE RELEASE

MERIT MEDICAL REPORTS RESULTS FOR
THIRD QUARTER ENDED SEPTEMBER 30, 2023

●

Q3 2023 reported revenue of $315.2 million, up 9.8% year-over-year

●

Q3 2023 constant currency revenue* up 9.7% year over year

●

Q3 2023 constant currency revenue, organic* up 7.1% year-over-year

●

Q3 2023 GAAP operating margin of 11.1%, compared to 6.5% in Q3 2022

●

Q3 2023 non-GAAP operating margin* of 18.3%, compared to 16.1% in Q3 2022

●

Q3 2023 GAAP EPS $0.44, compared to $0.27 in Q3 2022

●

Q3 2023 non-GAAP EPS* of $0.75, compared to $0.64 in Q3 2022

●

Raises fiscal year 2023 financial guidance

* Constant currency revenue; constant currency revenue, organic; non-GAAP EPS; non-GAAP net income; non-GAAP operating income and margin; non-GAAP gross profit and margin; and free cash flow are non-GAAP financial measures. A reconciliation of these financial measures to their most directly comparable GAAP financial measures is included under the heading “Non-GAAP Financial Measures” below.

SOUTH JORDAN, Utah, October 26, 2023 -- Merit Medical Systems, Inc. (NASDAQ: MMSI), a leading global manufacturer and marketer of healthcare technology, today announced revenue of $315.2 million for the quarter ended September 30, 2023, an increase of 9.8% compared to the quarter ended September 30, 2022. Constant currency revenue, organic, for the third quarter of 2023 increased 7.1% compared to the prior year period.

Merit’s revenue by operating segment and product category for the three and nine-month periods ended September 30, 2023 and 2022 was as follows (unaudited; in thousands, except for percentages):


	Three Months Ended
	Reported								Constant Currency *
	September 30,						Impact of foreign		September 30,
	2023		2022		% Change		exchange		2023		% Change
Cardiovascular
Peripheral Intervention	$	128,385	$	110,698	16.0	%	$	(98)	$	128,287	15.9	%
Cardiac Intervention		89,106		86,848	2.6	%		202		89,308	2.8	%
Custom Procedural Solutions		48,624		45,692	6.4	%		(63)		48,561	6.3	%
OEM		39,969		35,711	11.9	%		(223)		39,746	11.3	%
Total		306,084		278,949	9.7	%		(182)		305,902	9.7	%

Endoscopy
Endoscopy Devices		9,146		8,226	11.2	%		1		9,147	11.2	%

Total	$	315,230	$	287,175	9.8	%	$	(181)	$	315,049	9.7	%


	Nine Months Ended
	Reported								Constant Currency *
	September 30,						Impact of foreign		September 30,
	2023		2022		% Change		exchange		2023		% Change
Cardiovascular
Peripheral Intervention	$	368,077	$	327,426	12.4	%	$	2,584	$	370,661	13.2	%
Cardiac Intervention		268,209		257,909	4.0	%		3,214		271,423	5.2	%
Custom Procedural Solutions		145,709		141,047	3.3	%		1,545		147,254	4.4	%
OEM		123,340		106,173	16.2	%		(163)		123,177	16.0	%
Total		905,335		832,555	8.7	%		7,180		912,515	9.6	%

Endoscopy
Endoscopy Devices		27,516		25,011	10.0	%		71		27,587	10.3	%

Total	$	932,851	$	857,566	8.8	%	$	7,251	$	940,102	9.6	%

Merit’s GAAP gross margin for the third quarter of 2023 was 45.1%, compared to GAAP gross margin of 44.8% for the prior year period. Merit’s non-GAAP gross margin* for the third quarter of 2023 was 49.8%, compared to non-GAAP gross margin* of 48.4% for the third quarter of 2022.

Merit’s GAAP net income for the third quarter of 2023 was $25.8 million, or $0.44 per share, compared to GAAP net income of $15.3 million, or $0.27 per share, for the third quarter of 2022. Merit’s non-GAAP net income* for the third quarter of 2023 was $43.5 million, or $0.75 per share, compared to non-GAAP net income* of $37.0 million, or $0.64 per share, for the third quarter of 2022.

“We delivered 7.1% constant currency, organic, revenue growth and 9.7% constant currency total revenue growth in the third quarter of 2023, including the contributions of our recently acquired interventional solutions from AngioDynamics,” said Fred P. Lampropoulos, Merit’s Chairman and Chief Executive Officer. “Our third quarter revenue results exceeded the high end of our expectations, reflecting broad-based strength across each of our primary product categories, particularly in the U.S. We also delivered significant year-over-year improvements in profitability with non-GAAP operating income, net income and earnings per share increasing 25%, 18% and 16%, respectively, year-over-year. We are comfortable with our team’s ability to achieve our financial guidance for fiscal year 2023 – which we updated this afternoon - and expect continued progress in year three of our Foundations for Growth Program and the related financial targets for the three-year period ending December 31, 2023.”

As of September 30, 2023, Merit had cash and cash equivalents of $58.7 million, total debt obligations of $287.1 million, and available borrowing capacity of approximately $558 million, compared to cash and cash equivalents of $58.4 million, total debt obligations of $198.2 million, and available borrowing capacity of approximately $523 million as of December 31, 2022.

Updated Fiscal Year 2023 Financial Guidance

Based upon the information currently available to Merit’s management, for the year ending December 31, 2023, absent material acquisitions, non-recurring transactions or other factors beyond Merit’s current expectations, Merit now expects the following:

Revenue and Earnings Guidance*


	Prior Year (As Reported)	Updated Guidance		Prior Guidance⁽¹⁾
	Year Ended	Year Ending	% Change	Year Ending	% Change
Financial Measure	December 31, 2022	December 31, 2023	Y/Y	December 31, 2023	Y/Y

Net Sales	$1.151 billion	$1.242 - $1.251 billion	8% - 9%	$1.230 - $1.244 billion	7% - 8%
Cardiovascular Segment	$1.118 billion	$1.205 - $1.214 billion	8% - 9%	$1.193 - $1.207 billion	7% - 8%
Endoscopy Segment	$32.8 million	$36.9 - $37.0 million	13%	$36.8 - $37.0 million	12% - 13%

GAAP
Net Income	$74.5 million	$89 - $92 million		$76 - $81 million
Earnings Per Share	$1.29	$1.52 - $1.58		$1.30 - $1.39

Non-GAAP
Net Income	$155.8 million	$171 - $174 million		$164 - $170 million
Earnings Per Share	$2.70	$2.93 - $2.99		$2.81 - $2.92

*Percentage figures approximated; dollar figures may not foot due to rounding

2023 Net Sales Guidance - % Change from Prior Year (Constant Currency) Reconciliation*


	Updated Guidance
	Low	High
2023 Net Sales Guidance - % Change from Prior Year (GAAP)	7.9%	8.7%
Estimated impact of foreign currency exchange rate fluctuations	-0.5%	-0.4%
2023 Net Sales Guidance - % Change from Prior Year (Constant Currency)	8.4%	9.1%

*Percentage figures approximated and may not foot due to rounding

(1)

“Prior Guidance” refers to Merit’s full-year 2023 financial guidance on a stand-alone basis originally issued on February 22, 2023 and as subsequently supplemented on April 26, 2023, June 8, 2023 and July 25, 2023, primarily to (i) reflect the forecasted financial impacts of the acquisition of the dialysis catheter portfolio and BioSentry® Biopsy Tract Sealant System from AngioDynamics, Inc. (“AngioDynamics”) and the acquisition of the Surfacer® Inside-Out® Access Catheter System from Bluegrass Vascular Technologies, Inc. (“BVT”) from their respective acquisition closing dates through December 31, 2023 and (ii) adjust for Merit’s quarterly financial results.

Merit’s financial guidance for the year ending December 31, 2023 is subject to risks and uncertainties identified in this release and Merit’s filings with the U.S. Securities and Exchange Commission (the “SEC”).

CONFERENCE CALL

Merit will hold its investor conference call today, Thursday, October 26, 2023, at 5:00 p.m. Eastern (4:00 p.m. Central, 3:00 p.m. Mountain, and 2:00 p.m. Pacific). To access the conference call, please pre-register using the following link. Registrants will receive confirmation with dial-in details. A live webcast and slide deck will also be available at merit.com.

CONSOLIDATED BALANCE SHEETS

(in thousands)


	September 30,
	2023		December 31,
	(Unaudited)		2022
ASSETS
Current Assets
Cash and cash equivalents	$	58,673	$	58,408
Trade receivables, net		167,824		164,677
Other receivables		13,576		12,992
Inventories		303,923		265,991
Prepaid expenses and other assets		27,954		22,324
Prepaid income taxes		3,936		3,913
Income tax refund receivables		9,432		779
Total current assets		585,318		529,084

Property and equipment, net		383,326		382,976
Intangible assets, net		340,193		275,872
Goodwill		381,052		359,821
Deferred income tax assets		6,438		6,599
Operating lease right-of-use assets		63,633		65,262
Other assets		48,545		44,352
Total Assets	$	1,808,505	$	1,663,966

LIABILITIES AND STOCKHOLDERS' EQUITY
Current Liabilities
Trade payables	$	48,862	$	68,504
Accrued expenses		119,291		123,189
Current portion of long-term debt		3,750		11,250
Current operating lease liabilities		11,688		11,005
Income taxes payable		3,542		6,697
Total current liabilities		187,133		220,645

Long-term debt		282,370		186,759
Deferred income tax liabilities		18,458		18,462
Long-term income taxes payable		347		347
Liabilities related to unrecognized tax benefits		1,912		1,912
Deferred compensation payable		15,508		15,264
Deferred credits		1,631		1,708
Long-term operating lease liabilities		57,455		59,736
Other long-term obligations		13,806		14,736
Total liabilities		578,620		519,569

Stockholders' Equity
Common stock		695,181		675,174
Retained earnings		547,555		480,773
Accumulated other comprehensive loss		(12,851)		(11,550)
Total stockholders' equity		1,229,885		1,144,397
Total Liabilities and Stockholders' Equity	$	1,808,505	$	1,663,966

CONSOLIDATED STATEMENTS OF INCOME

(Unaudited; in thousands except per share amounts)


	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Net sales	$	315,230	$	287,175	$	932,851	$	857,566
Cost of sales		173,031		158,602		499,508		473,019
Gross profit		142,199		128,573		433,343		384,547

Operating expenses:
Selling, general and administrative		86,854		89,780		277,925		259,282
Research and development		19,646		19,221		61,089		55,074
Impairment charges		—		—		270		1,672
Contingent consideration expense		562		915		2,177		4,702
Acquired in-process research and development		—		—		1,550		6,671
Total operating expenses		107,062		109,916		343,011		327,401

Income from operations		35,137		18,657		90,332		57,146

Other income (expense):
Interest income		181		116		533		316
Interest expense		(4,841)		(1,831)		(10,534)		(4,180)
Other income (expense) — net		(255)		660		291		(808)
Total other expense — net		(4,915)		(1,055)		(9,710)		(4,672)

Income before income taxes		30,222		17,602		80,622		52,474

Income tax expense		4,388		2,330		13,840		11,359

Net income	$	25,834	$	15,272	$	66,782	$	41,115

Earnings per common share
Basic	$	0.45	$	0.27	$	1.16	$	0.73
Diluted	$	0.44	$	0.27	$	1.14	$	0.71

Weighted average shares outstanding
Basic		57,682		56,835		57,525		56,707
Diluted		58,375		57,586		58,345		57,573

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands - unaudited)


	Nine Months Ended
	September 30,
	2023		2022
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income	$	66,782	$	41,115
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization		66,359		61,312
Loss on disposition of business		—		1,389
Write-off of certain intangible assets and other long-term assets		461		1,733
Amortization of right-of-use operating lease assets		8,621		7,819
Adjustments related to contingent consideration liabilities		2,177		2,888
Acquired in-process research and development		1,550		6,671
Stock-based compensation expense		15,346		13,691
Other adjustments		5,427		568
Changes in operating assets and liabilities, net of acquisitions and divestitures		(83,823)		(50,903)
Total adjustments		16,118		45,168
Net cash, cash equivalents, and restricted cash provided by operating activities		82,900		86,283

CASH FLOWS FROM INVESTING ACTIVITIES:
Capital expenditures for property and equipment		(27,151)		(32,539)
Cash paid in acquisitions, net of cash acquired		(138,278)		(4,712)
Other investing, net		(1,575)		(2,817)
Net cash, cash equivalents, and restricted cash used in investing activities		(167,004)		(40,068)

CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from issuance of common stock		11,446		6,733
Proceeds from issuance of long-term debt		88,875		(26,257)
Long-term debt issuance costs		(5,240)		—
Contingent payments related to acquisitions		(3,502)		(32,862)
Payment of taxes related to an exchange of common stock		(5,123)		(2,125)
Net cash, cash equivalents, and restricted cash provided by (used in) financing activities		86,456		(54,511)
Effect of exchange rates on cash		(2,181)		(5,862)
Net increase (decrease) in cash, cash equivalents and restricted cash		171		(14,158)

CASH, CASH EQUIVALENTS AND RESTRICTED CASH:
Beginning of period		60,558		67,750
End of period	$	60,729	$	53,592

RECONCILIATION OF CASH, CASH EQUIVALENTS AND RESTRICTED CASH TO THE CONSOLIDATED BALANCE SHEETS:
Cash and cash equivalents		58,673		51,481
Restricted cash reported in prepaid expenses and other current assets		2,056		2,111
Total cash, cash equivalents and restricted cash	$	60,729	$	53,592

Non-GAAP Financial Measures

Although Merit’s financial statements are prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”), Merit’s management believes that the non-GAAP financial measures referenced in this release provide investors with useful information regarding the underlying business trends and performance of Merit’s ongoing operations and can be useful for period-over-period comparisons of such operations. Non-GAAP financial measures used in this release include:

●

constant currency revenue;

●

constant currency revenue, organic;

●

non-GAAP gross profit and margin;

●

non-GAAP operating income and margin;

●

non-GAAP net income;

●

non-GAAP earnings per share; and

●

free cash flow.

Merit’s management team uses these non-GAAP financial measures to evaluate Merit’s profitability and efficiency, to compare operating and financial results to prior periods, to evaluate changes in the results of its operating segments, and to measure and allocate financial resources internally. However, Merit’s management does not consider such non-GAAP measures in isolation or as an alternative to measures determined in accordance with GAAP.

Readers should consider non-GAAP measures used in this release in addition to, not as a substitute for, financial reporting measures prepared in accordance with GAAP. These non-GAAP financial measures generally exclude some, but not all, items that may affect Merit’s net income. In addition, they are subject to inherent limitations as they reflect the exercise of judgment by management about which items are excluded. Merit believes it is useful to exclude such items in the calculation of non-GAAP gross profit and margin, non-GAAP operating income and margin, non-GAAP net income, and non-GAAP earnings per share (in each case, as further illustrated in the reconciliation tables below) because such amounts in any specific period may not directly correlate to the underlying performance of Merit’s business operations and can vary significantly between periods as a result of factors such as acquisition or other extraordinary transactions, non-cash expenses related to amortization or write-off of previously acquired tangible and intangible assets, certain severance expenses, expenses resulting from non-ordinary course litigation or administrative proceedings and resulting settlements, corporate transformation expenses, governmental proceedings or changes in tax or industry regulations, gains or losses on disposal of certain assets, and debt issuance costs. Merit may incur similar types of expenses in the future, and the non-GAAP financial information included in this release should not be viewed as a statement or indication that these types of expenses will not recur. Additionally, the non-GAAP financial measures used in this release may not be comparable with similarly titled measures of other companies. Merit urges readers to review the reconciliations of its non-GAAP financial measures to their most directly comparable GAAP financial measures included herein, and not to rely on any single financial measure to evaluate Merit’s business or results of operations.

Constant Currency Revenue

Merit’s constant currency revenue is prepared by converting the current-period reported revenue of subsidiaries whose functional currency is a currency other than the U.S. dollar at the applicable foreign exchange rates in effect during the comparable prior-year period and adjusting for the effects of hedging transactions on reported revenue, which are recorded in the U.S. dollar. The constant currency revenue adjustments of ($0.2) million and $7.3 million to reported revenue for the three and nine-month periods ended September 30, 2023 were calculated using the applicable average foreign exchange rates for the three and nine-month periods ended September 30, 2022.

Constant Currency Revenue, Organic

Merit’s constant currency revenue, organic, is defined, with respect to prior fiscal year periods, as GAAP revenue. With respect to current fiscal year periods, constant currency revenue, organic, is defined as constant currency revenue (as defined above), less revenue from certain acquisitions. For the three and nine-month periods ended September 30, 2023, Merit’s constant

currency revenue, organic, excludes revenues attributable to certain assets acquired from AngioDynamics in June 2023 and BVT in May 2023.

Non-GAAP Gross Profit and Margin

Non-GAAP gross profit is calculated by reducing GAAP cost of sales by amounts recorded for amortization of intangible assets and inventory mark-up related to acquisitions. Non-GAAP gross margin is calculated by dividing non-GAAP gross profit by reported net sales.

Non-GAAP Operating Income and Margin

Non-GAAP operating income is calculated by adjusting GAAP operating income for certain items which are deemed by Merit’s management to be outside of core operations and vary in amount and frequency among periods, such as expenses related to acquisitions or other extraordinary transactions, non-cash expenses related to amortization or write-off of previously acquired tangible and intangible assets, certain severance expenses, performance-based stock compensation expenses, corporate transformation expenses, expenses resulting from non-ordinary course litigation or administrative proceedings and resulting settlements, governmental proceedings, and changes in governmental or industry regulations, as well as other items referenced in the tables below. Non-GAAP operating margin is calculated by dividing non-GAAP operating income by reported net sales.

Non-GAAP Net Income

Non-GAAP net income is calculated by adjusting GAAP net income for the items set forth in the definition of non-GAAP operating income above, as well as for expenses related to debt issuance costs, gains or losses on disposal of certain assets, changes in tax regulations, and other items set forth in the tables below.

Non-GAAP EPS

Non-GAAP EPS is defined as non-GAAP net income divided by the diluted shares outstanding for the corresponding period.

Free Cash Flow

Free cash flow is defined as cash flow from operations calculated in accordance with GAAP, less capital expenditures for property and equipment calculated in accordance with GAAP, as set forth in the consolidated statement of cash flows.

Non-GAAP Financial Measure Reconciliations

The following tables set forth supplemental financial data and corresponding reconciliations of non-GAAP financial measures to Merit’s corresponding financial measures prepared in accordance with GAAP, in each case, for the three and nine-month periods ended September 30, 2023 and 2022. The non-GAAP income adjustments referenced in the following tables do not reflect non-performance-based stock compensation expense of approximately $3.4 million and $3.2 million for the three-month periods ended September 30, 2023 and 2022, respectively and $9.2 million and $9.3 million for the nine-month periods ended September 30, 2023 and 2022, respectively.

Reconciliation of GAAP Net Income to Non-GAAP Net Income

(Unaudited; in thousands except per share amounts)


	Three Months Ended
	September 30, 2023
	Pre-Tax		Tax Impact		After-Tax		Per Share Impact
GAAP net income	$	30,222	$	(4,388)	$	25,834	$	0.44

Non-GAAP adjustments:
Cost of Sales
Amortization of intangibles		13,120		(3,154)		9,966		0.17
Inventory mark-up related to acquisitions		1,741		(418)		1,323		0.02
Operating Expenses
Contingent consideration expense		562		(123)		439		0.01
Amortization of intangibles		2,329		(560)		1,769		0.03
Performance-based share-based compensation (a)		2,403		(344)		2,059		0.04
Corporate transformation and restructuring (b)		2,790		(670)		2,120		0.04
Acquisition-related		107		(26)		81		0.00
Medical Device Regulation expenses (c)		2,444		(587)		1,857		0.03
Other (d)		(2,946)		707		(2,239)		(0.04)
Other (Income) Expense
Amortization of long-term debt issuance costs		425		(102)		323		0.01

Non-GAAP net income	$	53,197	$	(9,665)	$	43,532	$	0.75

Diluted shares								58,375


	Three Months Ended
	September 30, 2022
	Pre-Tax		Tax Impact		After-Tax		Per Share Impact
GAAP net income	$	17,602	$	(2,330)	$	15,272	$	0.27

Non-GAAP adjustments:
Cost of Sales
Amortization of intangibles		10,487		(2,571)		7,916		0.14
Operating Expenses
Contingent consideration expense		915		—		915		0.02
Amortization of intangibles		1,554		(384)		1,170		0.02
Performance-based share-based compensation (a)		1,353		(70)		1,283		0.02
Corporate transformation and restructuring (b)		8,535		(1,796)		6,739		0.12
Acquisition-related		667		(163)		504		0.01
Medical Device Regulation expenses (c)		3,873		(948)		2,925		0.05
Other (d)		116		(28)		88		0.00
Other (Income) Expense
Amortization of long-term debt issuance costs		151		(37)		114		0.00
Loss on disposal of business unit		135		(32)		103		0.00

Non-GAAP net income	$	45,388	$	(8,359)	$	37,029	$	0.64

Diluted shares								57,586

Note: Certain per share impacts may not sum to totals due to rounding.

Reconciliation of GAAP Net Income to Non-GAAP Net Income

(Unaudited; in thousands except per share amounts)


	Nine Months Ended
	September 30, 2023
	Pre-Tax		Tax Impact		After-Tax		Per Share Impact
GAAP net income	$	80,622	$	(13,840)	$	66,782	$	1.14

Non-GAAP adjustments:
Cost of Sales
Amortization of intangibles		35,184		(8,460)		26,724		0.46
Inventory mark-up related to acquisitions		2,001		(480)		1,521		0.03
Operating Expenses
Contingent consideration expense		2,177		(121)		2,056		0.04
Impairment charges		270		—		270		0.00
Amortization of intangibles		5,959		(1,436)		4,523		0.08
Performance-based share-based compensation (a)		6,067		(771)		5,296		0.09
Corporate transformation and restructuring (b)		14,203		(3,409)		10,794		0.19
Acquisition-related		5,218		(1,253)		3,965		0.07
Medical Device Regulation expenses (c)		9,112		(2,187)		6,925		0.12
Other (d)		(1,309)		314		(995)		(0.02)
Other (Income) Expense
Amortization of long-term debt issuance costs		1,054		(253)		801		0.01

Non-GAAP net income	$	160,558	$	(31,896)	$	128,662	$	2.21

Diluted shares								58,345


	Nine Months Ended
	September 30, 2022
	Pre-Tax		Tax Impact		After-Tax		Per Share Impact
GAAP net income	$	52,474	$	(11,359)	$	41,115	$	0.71

Non-GAAP adjustments:
Cost of Sales
Amortization of intangibles		31,539		(7,733)		23,806		0.41
Operating Expenses
Contingent consideration expense		4,702		(17)		4,685		0.08
Impairment charges		1,672		(318)		1,354		0.02
Amortization of intangibles		4,749		(1,176)		3,573		0.06
Performance-based share-based compensation (a)		4,354		(413)		3,941		0.07
Corporate transformation and restructuring (b)		20,432		(4,702)		15,730		0.27
Acquisition-related		1,901		(465)		1,436		0.02
Medical Device Regulation expenses (c)		8,451		(2,069)		6,382		0.11
Other (d)		7,845		(1,863)		5,982		0.10
Other (Income) Expense
Amortization of long-term debt issuance costs		453		(111)		342		0.01
Loss on disposal of business unit		1,390		(32)		1,358		0.02

Non-GAAP net income	$	139,962	$	(30,258)	$	109,704	$	1.91

Diluted shares								57,573

Note: Certain per share impacts may not sum to totals due to rounding.

Reconciliation of Reported Operating Income to Non-GAAP Operating Income

(Unaudited; in thousands except percentages)


	Three Months Ended				Three Months Ended				Nine Months Ended				Nine Months Ended
	September 30, 2023				September 30, 2022				September 30, 2023				September 30, 2022
	Amounts		% Sales		Amounts		% Sales		Amounts		% Sales		Amounts		% Sales
Net Sales as Reported	$	315,230			$	287,175			$	932,851			$	857,566

GAAP Operating Income		35,137	11.1	%		18,657	6.5	%		90,332	9.7	%		57,146	6.7	%
Cost of Sales
Amortization of intangibles		13,120	4.2	%		10,487	3.7	%		35,184	3.8	%		31,539	3.7	%
Inventory mark-up related to acquisitions		1,741	0.6	%		—	—			2,001	0.2	%		—	—
Operating Expenses
Contingent consideration expense		562	0.2	%		915	0.3	%		2,177	0.2	%		4,702	0.5	%
Impairment charges		—	—			—	—			270	0.0	%		1,672	0.2	%
Amortization of intangibles		2,329	0.7	%		1,554	0.5	%		5,959	0.6	%		4,749	0.6	%
Performance-based share-based compensation (a)		2,403	0.8	%		1,353	0.5	%		6,067	0.7	%		4,354	0.5	%
Corporate transformation and restructuring (b)		2,790	0.9	%		8,535	3.0	%		14,203	1.5	%		20,432	2.4	%
Acquisition-related		107	0.0	%		667	0.2	%		5,218	0.6	%		1,901	0.2	%
Medical Device Regulation expenses (c)		2,444	0.8	%		3,873	1.3	%		9,112	1.0	%		8,451	1.0	%
Other (d)		(2,946)	(0.9)	%		116	0.0	%		(1,309)	(0.1)	%		7,845	0.9	%

Non-GAAP Operating Income	$	57,687	18.3	%	$	46,157	16.1	%	$	169,214	18.1	%	$	142,791	16.7	%

Note: Certain percentages may not sum to totals due to rounding.

a)	Represents performance-based share-based compensation expense, including stock-settled and cash-settled awards.

Includes consulting expenses related to the Foundations for Growth Program, $4.3 million for write-offs of other long-term assets associated with restructuring activities in the nine-month period ended September 30, 2023, and other transformation costs, including severance related to corporate initiatives.

c)	Represents incremental expenses incurred to comply with the E.U. Medical Device Regulation (“MDR”).

The three-month period ended September 30, 2023 includes an insurance reimbursement of approximately $(3.0) million for costs incurred in responding to an inquiry by the U.S. Department of Justice (the “DOJ”) which was settled in 2020. The nine-month period ended September 30, 2023 also includes acquired in-process research and development charges of $1.6 million. The three-month period ended September 30, 2022 includes costs to comply with Merit’s corporate integrity agreement with the DOJ. The nine-month period ended September 30, 2022 also includes acquired in-process research and development charges of $6.7 million and legal costs associated with a shareholder derivative proceeding.

Reconciliation of Reported Revenue to Constant Currency Revenue (Non-GAAP), and Constant Currency Revenue, Organic (Non-GAAP)

(Unaudited; in thousands except percentages)


			Three Months Ended						Nine Months Ended
			September 30,						September 30,
	% Change		2023		2022		% Change		2023		2022
Reported Revenue	9.8	%	$	315,230	$	287,175	8.8	%	$	932,851	$	857,566

Add: Impact of foreign exchange				(181)		—				7,251		—

Constant Currency Revenue (a)	9.7	%	$	315,049	$	287,175	9.6	%	$	940,102	$	857,566

Less: Revenue from certain acquisitions				(7,344)		—				(8,286)		—

Constant Currency Revenue, Organic (a)	7.1	%	$	307,705	$	287,175	8.7	%	$	931,816	$	857,566

(a)	A non-GAAP financial measure. For a definition of this and other non-GAAP financial measures, see the section of this release entitled “Non-GAAP Financial Measures.”

Reconciliation of Reported Gross Margin to Non-GAAP Gross Margin (Non-GAAP)

(Unaudited; as a percentage of reported revenue)


	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2023		2022		2023		2022
Reported Gross Margin	45.1	%	44.8	%	46.5	%	44.8	%

Add back impact of:
Amortization of intangibles	4.2	%	3.7	%	3.8	%	3.7	%
Inventory mark-up related to acquisitions	0.6	%	—	%	0.2	%	—	%

Non-GAAP Gross Margin	49.8	%	48.4	%	50.4	%	48.5	%

Note: Certain percentages may not sum to totals due to rounding.

ABOUT MERIT

Founded in 1987, Merit Medical Systems, Inc. is engaged in the development, manufacture, and distribution of proprietary disposable medical devices used in interventional, diagnostic, and therapeutic procedures, particularly in cardiology, radiology, oncology, critical care, and endoscopy. Merit serves client hospitals worldwide with a domestic and international sales force and clinical support team totaling more than 700 individuals. Merit employs approximately 7,100 people worldwide.

CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS

Statements contained in this release which are not purely historical, including, without limitation, statements regarding Merit’s forecasted plans, revenues, net sales, net income (GAAP and non-GAAP), operating income and margin (GAAP and non-GAAP), gross profit and margin (GAAP and non-GAAP), earnings per share (GAAP and non-GAAP) and other financial measures, future growth and profit expectations or forecasted economic conditions, or the implementation of, and results which may be achieved through, Merit’s Foundations for Growth Program or other expense reduction initiatives, or the development or commercialization of new products, are 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, and are subject to risks and uncertainties such as those described in Merit’s Annual Report on Form 10-K for the year ended December 31, 2022 (the “2022 Annual Report”) and other filings with the SEC. Such risks and uncertainties include inherent risks and uncertainties associated with Merit’s integration of products acquired from AngioDynamics and BVT and its ability to achieve anticipated financial results, product development and other anticipated benefits of the AngioDynamics and BVT acquisitions; uncertainties as to whether Merit will achieve sales, gross and operating margins, net income and earnings per share performance consistent with its forecasts associated with those acquisitions; disruptions in Merit’s supply chain, manufacturing or sterilization processes; reduced availability of, and price increases associated with, commodity components and other raw materials; adverse changes in freight, shipping and transportation expenses; negative changes in economic and industry conditions in the United States or other countries, including inflation; risks relating to Merit’s potential inability to successfully manage growth through acquisitions generally, including the inability to effectively integrate acquired operations or products or commercialize technology developed internally or acquired through completed, proposed or future transactions; risks associated with Merit’s ongoing or prospective manufacturing transfers and facility consolidations; fluctuations in interest or foreign currency exchange rates; risks and uncertainties associated with Merit’s information technology systems, including the potential for breaches of security and evolving regulations regarding privacy and data protection; governmental scrutiny and regulation of the medical device industry, including governmental inquiries, investigations and proceedings involving Merit; consequences associated with a Corporate Integrity Agreement executed between Merit and the U.S. Office of Inspector General; difficulties, delays and expenditures relating to development, testing and regulatory approval or clearance of Merit’s products, including the pursuit of approvals under the MDR, and risks that such products may not be developed successfully or approved for commercial use; litigation and other judicial proceedings affecting Merit; the potential of fines, penalties or other adverse consequences if Merit’s employees or agents violate the U.S. Foreign Corrupt Practices Act or other laws or regulations; restrictions on Merit’s liquidity or business operations resulting from its debt agreements; infringement of Merit’s technology or the assertion that Merit’s technology infringes the rights of other parties; product recalls and product liability claims; changes in customer purchasing patterns or the mix of products Merit sells; laws and regulations targeting fraud and abuse in the healthcare industry; potential for significant adverse changes in governing regulations, including reforms to the procedures for approval or clearance of Merit’s products by the U.S. Food & Drug Administration or comparable regulatory authorities in other jurisdictions; changes in tax laws and regulations in the United States or other jurisdictions; termination of relationships with Merit’s suppliers, or failure of such suppliers to perform; concentration of a substantial portion of Merit’s revenues among a few products and procedures; development of new products and technology that could render Merit’s existing or future products obsolete; market acceptance of new products; dependance on distributors to commercialize Merit’s products in various jurisdictions outside the United States; volatility in the market price of Merit’s common stock; modification or limitation of governmental or private insurance reimbursement policies; changes in healthcare policies or markets related to healthcare reform initiatives; failure to comply with applicable environmental laws; changes in key personnel; work stoppage or transportation risks; failure to introduce products in a timely fashion; price and product competition; fluctuations in and obsolescence of inventory; and other factors referenced in the 2022 Annual Report and other materials filed with the SEC.

All subsequent forward-looking statements attributable to Merit or persons acting on its behalf are expressly qualified in their entirety by these cautionary statements. Actual results will likely differ, and may differ materially, from anticipated results. Financial estimates are subject to change and are not intended to be relied upon as predictions of future operating results. Those estimates and all other forward-looking statements included in this document are made only as of the date of this document, and except as otherwise required by applicable law, Merit assumes no obligation to update or disclose revisions to estimates and all other forward-looking statements.

TRADEMARKS

Unless noted otherwise, trademarks and registered trademarks used in this release are the property of Merit Medical Systems, Inc., its subsidiaries, or its licensors.

# # #

Exhibit 99.2

1 Merit Medical Investor Call October 26, 2023 Third Quarter 2023 Results Fred Lampropoulos Chairman and CEO Raul Parra CFO

2 CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS This presentation and any accompanying management commentary include “forward-looking statements,” as defined within applicable securities laws and regulations. All statements in this presentation, other than statements of historical fact, are “forward-looking statements”, including, without limitation, statements regarding Merit’s forecasted plans, revenues, net sales, net income (GAAP and non-GAAP), operating income and margin (GAAP and non-GAAP), gross profit and margin (GAAP and non-GAAP), earnings per share (GAAP and non-GAAP), and other financial measures, future growth and profit expectations or forecasted economic conditions, or the implementation of, and results which may be achieved through, Merit’s Foundations for Growth Program or other expense reduction initiatives, or the development or commercialization of new products, are 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, and are subject to risks and uncertainties such as those described in Merit’s Annual Report on Form 10-K for the year ended December 31, 2022 (the “2022 Annual Report”) and other filings with the SEC. Such risks and uncertainties include inherent risks and uncertainties associated with Merit’s integration of products acquired from AngioDynamics, Inc. (“AngioDynamics”) and Bluegrass Vascular Technologies, Inc. (“BVT”) and its ability to achieve anticipated financial results, product development and other anticipated benefits of the AngioDynamics and BVT acquisitions; uncertainties as to whether Merit will achieve sales, gross and operating margins, net income and earnings per share performance consistent with its forecasts associated with those acquisitions; disruptions in Merit’s supply chain, manufacturing or sterilization processes; reduced availability of, and price increases associated with, commodity components and other raw materials; adverse changes in freight, shipping and transportation expenses; negative changes in economic and industry conditions in the United States or other countries, including inflation; risks relating to Merit’s potential inability to successfully manage growth through acquisitions generally, including the inability to effectively integrate acquired operations or products or commercialize technology developed internally or acquired through completed, proposed or future transactions; risks associated with Merit’s ongoing or prospective manufacturing transfers and facility consolidations; fluctuations in interest or foreign currency exchange rates; risks and uncertainties associated with Merit’s information technology systems, including the potential for breaches of security and evolving regulations regarding privacy and data protection; governmental scrutiny and regulation of the medical device industry, including governmental inquiries, investigations and proceedings involving Merit; consequences associated with a Corporate Integrity Agreement executed between Merit and the U.S. Office of Inspector General; difficulties, delays and expenditures relating to development, testing and regulatory approval or clearance of Merit’s products, including the pursuit of approvals under the E.U. Medical Device Regulation (“MDR”), and risks that such products may not be developed successfully or approved for commercial use; litigation and other judicial proceedings affecting Merit; the potential of fines, penalties or other adverse consequences if Merit’s employees or agents violate the U.S. Foreign Corrupt Practices Act or other laws or regulations; restrictions on Merit’s liquidity or business operations resulting from its debt agreements; infringement of Merit’s technology or the assertion that Merit’s technology infringes the rights of other parties; product recalls and product liability claims; changes in customer purchasing patterns or the mix of products Merit sells; laws and regulations targeting fraud and abuse in the healthcare industry; potential for significant adverse changes in governing regulations, including reforms to the procedures for approval or clearance of Merit’s products by the U.S. Food & Drug Administration or comparable regulatory authorities in other jurisdictions; changes in tax laws and regulations in the United States or other jurisdictions; termination of relationships with Merit’s suppliers, or failure of such suppliers to perform; concentration of a substantial portion of Merit’s revenues among a few products and procedures; development of new products and technology that could render Merit’s existing or future products obsolete; market acceptance of new products; dependance on distributors to commercialize Merit’s products in various jurisdictions outside the United States; volatility in the market price of Merit’s common stock; modification or limitation of governmental or private insurance reimbursement policies; changes in healthcare policies or markets related to healthcare reform initiatives; failure to comply with applicable environmental laws; changes in key personnel; work stoppage or transportation risks; failure to introduce products in a timely fashion; price and product competition; fluctuations in and obsolescence of inventory; and other factors referenced in the 2022 Annual Report and other materials filed with the SEC. All subsequent forward-looking statements attributable to Merit or persons acting on its behalf are expressly qualified in their entirety by these cautionary statements. Actual results will likely differ, and may differ materially, from anticipated results. Financial estimates are subject to change and are not intended to be relied upon as predictions of future operating results. Those estimates and all other forward-looking statements included in this document are made only as of the date of this document, and except as otherwise required by applicable law, Merit assumes no obligation to update or disclose revisions to estimates and all other forward-looking statements. 2

3 NON-GAAP FINANCIAL MEASURES Although Merit’s financial statements are prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”), Merit’s management believes that certain non-GAAP financial measures provide investors with useful information regarding the underlying business trends and performance of Merit’s ongoing operations and can be useful for period-over-period comparisons of such operations. Certain financial measures included in this presentation, or which may be referenced in management’s discussion of Merit’s historical and future operations and financial results, have not been calculated in accordance with GAAP, and, therefore, are referenced as non-GAAP financial measures. Readers should consider non-GAAP measures used in this presentation in addition to, not as a substitute for, financial reporting measures prepared in accordance with GAAP. These non-GAAP financial measures generally exclude some, but not all, items that may affect Merit's net income. In addition, they are subject to inherent limitations as they reflect the exercise of judgment by management about which items are excluded. Additionally, non-GAAP financial measures used in this presentation may not be comparable with similarly titled measures of other companies. Merit urges readers to review the reconciliations of its non-GAAP financial measures to the comparable GAAP financial measures, and not to rely on any single financial measure to evaluate Merit’s business or results of operations. Please refer to “Notes to Non-GAAP Financial Measures” at the end of these materials for more information. TRADEMARKS Unless noted otherwise, trademarks and registered trademarks used in this release are the property of Merit Medical Systems, Inc., its subsidiaries, or its licensors. 3

4 Q3 2023 Q3 2022 % Change YTD 2023 YTD 2022 % Change Revenue $315.2M $287.2M 9.8% $932.9M $857.6M 8.8% Gross Margin 45.1% 44.8% 0.8% 46.5% 44.8% 3.6% 11.1% 6.5% 71.6% 9.7% 6.7% 45.3% Operating Margin Net Income $25.8M $15.3M 69.2% $66.8M $41.1M 62.4% $0.44 $0.27 66.9% $1.14 $0.71 60.3% Earnings per Share Financial Summary: GAAP 4 Note: Amounts in this presentation are rounded while percentages are calculated from the underlying amounts. In thousands, except per share amounts and percentages

5 Q3 2023 Q3 2022 % Change YTD 2023 YTD 2022 % Change $307.7M $287.2M 7.1% $931.8M $857.6M 8.7% Revenue (constant currency, organic) † Gross Margin 49.8% 48.4% 2.9% 50.4% 48.5% 4.0% Operating Margin 18.3% 16.1% 13.9% 18.1% 16.7% 8.9% Net Income $43.5M $37.0M 17.6% $128.7M $109.7M 17.3% $0.75 $0.64 16.0% $2.21 $1.91 15.7% Earnings per Share Financial Summary: Non-GAAP* 5 Note: Amounts in this presentation are rounded while percentages are calculated from the underlying amounts. * See "Notes to Non-GAAP Financial Measures" below for additional information regarding non-GAAP measures used in this presentation. † A non-GAAP financial measure, representing constant currency revenue, organic. In thousands, except per share amounts and percentages

6 Revenue Breakdown – Q3 Region Q3 2023 Q3 2022 $ Change % Change CC % Change* U.S. $187,505 $164,571 $22,934 13.9% 14.3% APAC 59,831 60,175 (344) -0.6% 3.2% EMEA 55,206 52,060 3,146 6.0% 1.1% Rest of World 12,688 10,369 2,319 22.4% 17.8% Total International 127,725 122,604 5,121 4.2% 3.5% Total $315,230 $287,175 $28,055 9.8% 9.7% 6 * A non-GAAP financial measure, representing revenue growth on a constant currency (“CC”) basis. See "Notes to Non-GAAP Financial Measures" below for additional information regarding non-GAAP measures used in this presentation. In thousands, except percentages

7 Revenue Breakdown – YTD Region YTD 2023 YTD 2022 $ Change % Change CC % Change* U.S. $538,447 $482,237 $56,210 11.7% 11.3% APAC 186,081 182,656 3,425 1.9% 7.1% EMEA 172,882 160,743 12,139 7.6% 7.4% Rest of World 35,441 31,930 3,511 11.0% 9.7% Total International 394,404 375,329 19,075 5.1% 7.4% Total $932,851 $857,566 $75,285 8.8% 9.6% 7 * A non-GAAP financial measure, representing revenue growth on a constant currency (“CC”) basis. See "Notes to Non-GAAP Financial Measures" below for additional information regarding non-GAAP measures used in this presentation. In thousands, except percentages

8 Financial Metrics Metric Q3 2023 Q3 2022 YTD 2023 YTD 2022 Depreciation & Amortization $24.0M $20.4M $66.4M $61.3M Stock Comp (performance-based) 2.4M 1.4M 6.1M 4.4M Stock Comp (not performance-based) 3.4M 3.2M 9.2M 9.3M Operating Cash Flow 51.1M 35.5M 82.9M 86.3M Capital Expenditures-Property and Equipment 8.6M 15.8M 27.2M 32.5M 8

9 (1) “Prior Guidance” refers to Merit’s full-year 2023 financial guidance on a stand-alone basis originally issued on February 22, 2023 and as subsequently supplemented on April 26, 2023, June 8, 2023 and July 25, 2023, primarily to (i) reflect the forecasted financial impacts of the acquisition of the dialysis catheter portfolio and BioSentry® Biopsy Tract Sealant System from AngioDynamics, Inc. (“AngioDynamics”) and the acquisition of the Surfacer® Inside-Out® Access Catheter System from Bluegrass Vascular Technologies, Inc. (“BVT”) from their respective acquisition closing dates through December 31, 2023 and (ii) adjust for Merit’s quarterly financial results. Updated 2023 Financial Guidance Prior Year (As Reported) Year Ended Year Ending % Change Year Ending % Change Financial Measure December 31, 2022 December 31, 2023 Y/Y December 31, 2023 Y/Y Net Sales $1.151 billion $1.242 - $1.251 billion 8% - 9% $1.230 - $1.244 billion 7% - 8% Cardiovascular Segment $1.118 billion $1.205 - $1.214 billion 8% - 9% $1.193 - $1.207 billion 7% - 8% Endoscopy Segment $32.8 million $36.9 - $37.0 million 13% $36.8 - $37.0 million 12% - 13% GAAP Net Income $74.5 million $89 - $92 million $76 - $81 million Earnings Per Share $1.29 $1.52 - $1.58 $1.30 - $1.39 Non-GAAP Net Income $155.8 million $171 - $174 million $164 - $170 million Earnings Per Share $2.70 $2.93 - $2.99 $2.81 - $2.92 Updated Guidance Prior Guidance(1) Low High 2023 Net Sales Guidance - % Change from Prior Year (GAAP) 7.9% 8.7% Estimated impact of foreign currency exchange rate fluctuations -0.5% -0.4% 2023 Net Sales Guidance - % Change from Prior Year (Constant Currency) 8.4% 9.1% Updated Guidance

10 Appendix

11 Notes to Non-GAAP Financial Measures For additional details, please see the accompanying press release and forward-looking statement disclosure. These presentation materials and associated commentary from Merit’s management, as well as the press release issued today, use non-GAAP financial measures, including: • constant currency revenue; • constant currency revenue, organic; • non-GAAP gross profit and margin; • non-GAAP operating income and margin; • non-GAAP net income; • non-GAAP earnings per share; and • free cash flow. Merit’s management team uses these non-GAAP financial measures to evaluate Merit’s profitability and efficiency, to compare operating and financial results to prior periods, to evaluate changes in the results of its operating segments, and to measure and allocate financial resources internally. However, Merit’s management does not consider such non-GAAP measures in isolation or as an alternative to measures determined in accordance with GAAP. Readers should consider non-GAAP measures used in this presentation in addition to, not as a substitute for, financial reporting measures prepared in accordance with GAAP. These non-GAAP financial measures generally exclude some, but not all, items that may affect Merit’s net income. In addition, they are subject to inherent limitations as they reflect the exercise of judgment by management about which items are excluded. Merit believes it is useful to exclude such items in the calculation of non-GAAP gross profit and margin, non-GAAP operating income and margin, non-GAAP net income, and non-GAAP earnings per share (in each case, as further illustrated in the reconciliation tables below) because such amounts in any specific period may not directly correlate to the underlying performance of Merit’s business operations and can vary significantly between periods as a result of factors such as acquisition or other extraordinary transactions, non-cash expenses related to amortization or write-off of previously acquired tangible and intangible assets, severance expenses, expenses resulting from non-ordinary course litigation or administrative proceedings and resulting settlements, corporate transformation expenses, governmental proceedings or changes in tax or industry regulations, gains or losses on disposal of certain assets, and debt issuance costs. Merit may incur similar types of expenses in the future, and the non-GAAP financial information included in this presentation should not be viewed as a statement or indication that these types of expenses will not recur. Additionally, the non-GAAP financial measures used in this presentation may not be comparable with similarly titled measures of other companies. Merit urges investors and potential investors to review the reconciliations of its non-GAAP financial measures to their most directly comparable GAAP financial measures included herein, and not to rely on any single financial measure to evaluate Merit’s business or results of operations.

12 Notes to Non-GAAP Financial Measures (cont.) Constant Currency Revenue Merit’s constant currency revenue is prepared by converting the current-period reported revenue of subsidiaries whose functional currency is a currency other than the U.S. dollar at the applicable foreign exchange rates in effect during the comparable prior-year period, and adjusting for the effects of hedging transactions on reported revenue, which are recorded in the U.S. The constant currency revenue adjustments of ($0.2) million and $7.3 million to reported revenue for the three and nine-month periods ended September 30, 2023, respectively, were calculated using the applicable average foreign exchange rates for the three and nine-month periods ended September 30, 2022. Constant Currency Revenue, Organic Merit’s constant currency revenue, organic, is defined, with respect to prior fiscal year periods, as GAAP revenue. With respect to current fiscal year periods, constant currency revenue, organic, is defined as constant currency revenue (as defined above), less revenue from certain acquisitions. For the three and nine-month periods ended September 30, 2023, Merit’s constant currency revenue, organic, excludes revenues attributable to certain assets acquired from AngioDynamics in June 2023. Non-GAAP Gross Profit and Margin Non-GAAP gross profit is calculated by reducing GAAP cost of sales by amounts recorded for amortization of intangible assets and inventory mark-up related to acquisitions. Non-GAAP gross margin is calculated by dividing non-GAAP gross profit by reported net sales. Non-GAAP Operating Income and Margin Non-GAAP operating income is calculated by adjusting GAAP operating income for certain items which are deemed by Merit’s management to be outside of core operations and vary in amount and frequency among periods, such as expenses related to acquisitions or other extraordinary transactions, non-cash expenses related to amortization or write-off of previously acquired tangible and intangible assets, certain severance expenses, performance-based stock compensation expenses, corporate transformation expenses, expenses resulting from non-ordinary course litigation or administrative proceedings and resulting settlements, governmental proceedings or changes in industry regulations, as well as other items referenced in the tables below. Non-GAAP operating margin is calculated by dividing non-GAAP operating income by reported net sales.

13 Notes to Non-GAAP Financial Measures (cont.) Non-GAAP Net Income Non-GAAP net income is calculated by adjusting GAAP net income for the items set forth in the definition of non-GAAP operating income above, as well as for expenses related to debt issuance costs, gains or losses on disposal of certain assets, changes in tax regulations, as well as other items set forth in the tables below. Non-GAAP EPS Non-GAAP EPS is defined as non-GAAP net income divided by the diluted shares outstanding for the corresponding period. Free Cash Flow Free cash flow is defined as cash flow from operations calculated in accordance with GAAP, less capital expenditures for property and equipment calculated in accordance with GAAP, as set forth in the consolidated statement of cash flows. Other Non-GAAP Financial Measure Reconciliation The following tables set forth supplemental financial data and corresponding reconciliations of non-GAAP financial measures to Merit’s corresponding financial measures prepared in accordance with GAAP, in each case, for the three and nine-month periods ended September 30, 2023 and 2022. The non-GAAP income adjustments referenced in the following tables do not reflect non-performance-based stock compensation expense of $3.4 million and $3.2 million for the three-month periods ended September 30, 2023 and 2022, respectively, and $9.2 million and $9.3 million for the nine-month periods ended September 30, 2023 and 2022, respectively.

14 Reconciliation of GAAP Net Income to Non-GAAP Net Income (Unaudited; in thousands except per share amounts) Note: Certain per share impacts may not sum to totals due to rounding. GAAP net income $ 30,222 $ (4,388) $ 25,834 $ 0.44 $ 17,602 $ (2,330) $ 15,272 $ 0.27 Non-GAAP adjustments: Cost of Sales Amortization of intangibles 13,120 (3,154) 9,966 0.17 10,487 (2,571) 7,916 0.14 Inventory mark-up related to acquisitions 1,741 (418) 1,323 0.02 — — — — Operating Expenses Contingent consideration expense 562 (123) 439 0.01 915 — 915 0.02 Amortization of intangibles 2,329 (560) 1,769 0.03 1,554 (384) 1,170 0.02 Performance-based share-based compensation (a) 2,403 (344) 2,059 0.04 1,353 (70) 1,283 0.02 Corporate transformation and restructuring (b) 2,790 (670) 2,120 0.04 8,535 (1,796) 6,739 0.12 Acquisition-related 107 (26) 81 0.00 667 (163) 504 0.01 Medical Device Regulation expenses (c) 2,444 (587) 1,857 0.03 3,873 (948) 2,925 0.05 Other (d) (2,946) 707 (2,239) (0.04) 116 (28) 88 0.00 Other (Income) Expense Amortization of long-term debt issuance costs 425 (102) 323 0.01 151 (37) 114 0.00 Loss on disposal of business unit — — — — 135 (32) 103 0.00 Non-GAAP net income $ 53,197 $ (9,665) $ 43,532 $ 0.75 $ 45,388 $ (8,359) $ 37,029 $ 0.64 Diluted shares 58,375 57,586 Pre-Tax Tax Impact After-Tax Per Share Impact Pre-Tax Tax Impact After-Tax Per Share Impact Three Months Ended Three Months Ended September 30, 2023 September 30, 2022

15 Reconciliation of GAAP Net Income to Non-GAAP Net Income (Unaudited; in thousands except per share amounts) Note: Certain per share impacts may not sum to totals due to rounding. GAAP net income $ 80,622 $ (13,840) $ 66,782 $ 1.14 $ 52,474 $ (11,359) $ 41,115 $ 0.71 Non-GAAP adjustments: Cost of Sales Amortization of intangibles 35,184 (8,460) 26,724 0.46 31,539 (7,733) 23,806 0.41 Inventory mark-up related to acquisitions 2,001 (480) 1,521 0.03 — — — — Operating Expenses Contingent consideration expense 2,177 (121) 2,056 0.04 4,702 (17) 4,685 0.08 Impairment charges 270 — 270 0.00 1,672 (318) 1,354 0.02 Amortization of intangibles 5,959 (1,436) 4,523 0.08 4,749 (1,176) 3,573 0.06 Performance-based share-based compensation (a) 6,067 (771) 5,296 0.09 4,354 (413) 3,941 0.07 Corporate transformation and restructuring (b) 14,203 (3,409) 10,794 0.19 20,432 (4,702) 15,730 0.27 Acquisition-related 5,218 (1,253) 3,965 0.07 1,901 (465) 1,436 0.02 Medical Device Regulation expenses (c) 9,112 (2,187) 6,925 0.12 8,451 (2,069) 6,382 0.11 Other (d) (1,309) 314 (995) (0.02) 7,845 (1,863) 5,982 0.10 Other (Income) Expense Amortization of long-term debt issuance costs 1,054 (253) 801 0.01 453 (111) 342 0.01 Loss on disposal of business unit — — — — 1,390 (32) 1,358 0.02 Non-GAAP net income $ 160,558 $ (31,896) $ 128,662 $ 2.21 $ 139,962 $ (30,258) $ 109,704 $ 1.91 Diluted shares 58,345 57,573 Pre-Tax Tax Impact After-Tax Per Share Impact Pre-Tax Tax Impact After-Tax Per Share Impact Nine Months Ended Nine Months Ended September 30, 2023 September 30, 2022

16 Reconciliation of GAAP Operating Income to Non-GAAP Operating Income (Unaudited; in thousands except percentages) Note: Certain percentages may not sum to totals due to rounding. Net Sales as Reported $ 315,230 $ 287,175 $ 932,851 $ 857,566 GAAP Operating Income 35,137 11.1 % 18,657 6.5 % 90,332 9.7 % 57,146 6.7 % Cost of Sales Amortization of intangibles 13,120 4.2 % 10,487 3.7 % 35,184 3.8 % 31,539 3.7 % Inventory mark-up related to acquisitions 1,741 0.6 % — — 2,001 0.2 % — — Operating Expenses Contingent consideration expense 562 0.2 % 915 0.3 % 2,177 0.2 % 4,702 0.5 % Impairment charges — — — — 270 0.0 % 1,672 0.2 % Amortization of intangibles 2,329 0.7 % 1,554 0.5 % 5,959 0.6 % 4,749 0.6 % Performance-based share-based compensation (a) 2,403 0.8 % 1,353 0.5 % 6,067 0.7 % 4,354 0.5 % Corporate transformation and restructuring (b) 2,790 0.9 % 8,535 3.0 % 14,203 1.5 % 20,432 2.4 % Acquisition-related 107 0.0 % 667 0.2 % 5,218 0.6 % 1,901 0.2 % Medical Device Regulation expenses (c) 2,444 0.8 % 3,873 1.3 % 9,112 1.0 % 8,451 1.0 % Other (d) (2,946) (0.9) % 116 0.0 % (1,309) (0.1) % 7,845 0.9 % Non-GAAP Operating Income $ 57,687 18.3 % $ 46,157 16.1 % $ 169,214 18.1 % $ 142,791 16.7 % Three Months Ended Three Months Ended Nine Months Ended Nine Months Ended September 30, 2023 September 30, 2022 September 30, 2023 September 30, 2022 Amounts % Sales Amounts % Sales Amounts % Sales Amounts % Sales

17 Footnotes to Reconciliations of GAAP Net Income to Non-GAAP Net Income and GAAP Operating Income to Non-GAAP Operating Income a) Represents performance-based share-based compensation expense, including stock-settled and cash-settled awards. b) Includes consulting expenses related to the Foundations for Growth Program, $4.3 million for write-offs of other long-term assets associated with restructuring activities in the nine-month period ended September 30, 2023, and other transformation costs, including severance related to corporate initiatives. c) Represents incremental expenses incurred to comply with the E.U. Medical Device Regulation (“MDR”). d) The three-month period ended September 30, 2023 includes an insurance reimbursement of approximately $(3.0) million for costs incurred in responding to an inquiry by the U.S. Department of Justice (the “DOJ”) which was settled in 2020. The nine-month period ended September 30, 2023 also includes acquired in-process research and development charges of $1.6 million. The three-month period ended September 30, 2022 includes costs to comply with Merit’s corporate integrity agreement with the DOJ. The nine-month period ended September 30, 2022 also includes acquired in-process research and development charges of $6.7 million and legal costs associated with a shareholder derivative proceeding.

18 Reconciliation of Reported Revenue to Constant Currency Revenue (Non-GAAP), and Constant Currency Revenue, Organic (Non-GAAP) (Unaudited; in thousands except percentages) (a) A non-GAAP financial measure. For a definition of this and other non-GAAP financial measures, see the section of this presentation entitled “Notes to Non-GAAP Financial Measures.” % Change % Change Reported Revenue 9.8 % $ 315,230 $ 287,175 8.8 % $ 932,851 $ 857,566 Add: Impact of foreign exchange (181) — 7,251 — Constant Currency Revenue (a) 9.7 % $ 315,049 $ 287,175 9.6 % $ 940,102 $ 857,566 Less: Revenue from certain acquisitions — (7,344) (8,286) — Constant Currency Revenue, Organic (a) 7.1 % $ 307,705 $ 287,175 8.7 % $ 931,816 $ 857,566 Three Months Ended Nine Months Ended September 30, September 30, 2023 2022 2023 2022

19 Reconciliation of GAAP Gross Margin to Non-GAAP Gross Margin (Unaudited; as a percentage of reported revenue) Note: Certain percentages may not sum to totals due to rounding. 2023 2022 2023 2022 Reported Gross Margin 45.1 % 44.8 % 46.5 % 44.8 % Add back impact of: Amortization of intangibles 4.2 % 3.7 % 3.8 % 3.7 % Inventory mark-up related to acquisitions 0.6 % — % 0.2 % — % Non-GAAP Gross Margin 49.8 % 48.4 % 50.4 % 48.5 % Three Months Ended Nine Months Ended September 30, September 30,

Document and Entity Information	Oct. 26, 2023
Document and Entity Information [Abstract]
Document Type	8-K
Document Period End Date	Oct. 26, 2023
Entity File Number	0-18592
Entity Registrant Name	MERIT MEDICAL SYSTEMS INC
Entity Incorporation, State or Country Code	UT
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
Written Communications	false
Soliciting Material	false
Pre-commencement Tender Offer	false
Pre-commencement Issuer Tender Offer	false
Title of 12(b) Security	Common Stock, no par value
Trading Symbol	MMSI
Security Exchange Name	NASDAQ
Entity Emerging Growth Company	false
Entity Central Index Key	0000856982
Amendment Flag	false