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Stronger 2025 lifts Sotera Health (NASDAQ: SHC) guidance for 2026

Filing Impact
(High)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Sotera Health Company reported another year of growth in 2025 and issued its 2026 outlook. Full‑year 2025 net revenues rose 5.7% to $1.164 billion, with net income increasing to $78 million or $0.27 per diluted share. Adjusted EBITDA grew 8.2% to $594 million and Adjusted EPS reached $0.86.

Leverage improved as the Net Leverage Ratio fell to 3.2x with cash of $345 million and total debt of $2.2 billion. For 2026, the company targets net revenues of $1.233–$1.251 billion and Adjusted EBITDA of $632–$641 million. The filing also details a planned transition of General Counsel, with Alex Dimitrief retiring from the role and becoming an advisor while Erika Ostrowski is promoted to Senior Vice President and General Counsel effective April 1, 2026.

Positive

  • Stronger profitability and cash generation: 2025 net revenues grew 5.7% to $1.164 billion, Adjusted EBITDA rose 8.2% to $594 million, and Adjusted EPS increased to $0.86, while Net Leverage Ratio improved from 3.7x to 3.2x.

Negative

  • None.

Insights

Stronger 2025 results, lower leverage and steady 2026 growth targets.

Sotera Health delivered solid 2025 performance with net revenues of $1.164 billion up 5.7% and Adjusted EBITDA of $594 million up 8.2%. Net income rose to $78 million, and Adjusted EPS increased to $0.86, indicating improved profitability versus 2024.

Balance sheet metrics also improved, with Net Leverage Ratio declining to 3.2x from 3.7x, supported by higher cash and slightly lower total debt of $2.2 billion. Segment data show particularly strong Sterigenics growth and full‑year gains at Nordion, while Nelson Labs faced modest revenue pressure but higher segment income.

The 2026 outlook calls for net revenues of $1.233–$1.251 billion and Adjusted EBITDA of $632–$641 million, implying mid‑single‑digit growth on a constant currency basis. Management also outlines capital expenditures of $175–$225 million and interest expense of $135–$145 million, framing expectations for cash generation and investment in the business.

0001822479FALSE00018224792026-02-182026-02-18

 
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): February 18, 2026
_______________________
SOTERA HEALTH COMPANY
(Exact Name of Registrant as Specified in Charter)
_______________________
Delaware001-3972947-3531161
(State or Other Jurisdiction of Incorporation)
(Commission File Number)
(IRS Employer Identification No.)
9100 South Hills Blvd, Suite 300
Broadview Heights, Ohio 44147
(Address of Principal Executive Offices) (Zip Code)
(440) 262-1410
(Registrant’s telephone number, including area code)
Not Applicable
(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 (see General Instruction A.2. below):
 
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
Name of Exchange
on which registered
Common stock, $0.01 par value per shareSHCThe Nasdaq Stock Market LLC
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (17 CFR 230.405) or Rule 12b-2 of the Securities Exchange Act of 1934 (17 CFR 240.12b-2).
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 February 24, 2026, Sotera Health Company (the “Company”) issued a press release (the “Press Release”) announcing its financial results for the quarter and year ended December 31, 2025. The Company will hold its previously announced conference call on February 24, 2026, at 9:00 a.m. Eastern Time to discuss its financial results and full-year 2026 outlook. A copy of the Press Release is attached to this Current Report on Form 8-K as Exhibit 99.1 and is incorporated herein by reference.
The information in this Item 2.02, including Exhibit 99.1, is being furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to liability under that section, and shall not be deemed to be incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, unless expressly incorporated by specific reference in such filing.
Item 5.02. Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers.
On February 18, 2026, Alex Dimitrief, Senior Vice President and General Counsel of the Company, provided notice to the Company that he will retire on March 31, 2026. Beginning on April 1, 2026, Mr. Dimitrief is expected to be retained by the Company as an advisor to assist the Company with ethylene oxide litigation matters. Erika Ostrowski, who has served as the Company’s Vice President, Deputy General Counsel and Corporate Secretary for the last two years under Mr. Dimitrief’s leadership, will be promoted to Senior Vice President and General Counsel effective April 1, 2026.
Mr. Dimitrief is expected to enter into an advisory agreement with the Company to memorialize the terms of his advisor service to the Company (the “Advisory Agreement”). Under the Advisory Agreement, it is expected that Mr. Dimitrief will provide advisory services for a term of up to 12 months, and will receive advisory fees equal to $22,500 per month, plus reasonable expense reimbursement.
Item 9.01. Financial Statements and Exhibits.
(d) Exhibits  
Exhibit NumberDescription
99.1
Press Release, dated February 24, 2026
104Cover Page Interactive Data File (embedded within the inline XBRL document)



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 hereunto duly authorized.
 
Sotera Health Company
(Registrant)
Date: February 24, 2026By:/s/ Jonathan M. Lyons
Jonathan M. Lyons
Senior Vice President and Chief Financial Officer

Exhibit 99.1                
soterahealth_vxclrxrgbxreg.jpg

Sotera Health Delivers 20th Consecutive Year
of Revenue Growth and Provides 2026 Outlook
2025 net revenues increased 5.7% to $1.164 billion, compared to 2024, or 5.2% on a constant currency basis
2025 net income increased to $78 million or $0.27 per diluted share, compared to net income of $44 million, or $0.16 per diluted share, in 2024
2025 Adjusted EBITDA(1) increased 8.2% to $594 million, compared to 2024, or 7.8% on a constant currency basis
2025 Adjusted EPS(1) of $0.86, an increase of $0.16 per diluted share, compared to 2024
Full-year 2026 outlook: net revenues growth of 5.0% to 6.5% and Adjusted EBITDA growth of 5.5% to 7.0%, on a constant currency basis
CLEVELAND, OH, February 24, 2026Sotera Health Company (“Sotera Health” or the “Company”) (Nasdaq: SHC), a leading global provider of mission-critical end-to-end sterilization solutions, lab testing and advisory services for the healthcare industry, today announced financial results for the fourth-quarter and full-year 2025 and its initial 2026 outlook.
Fourth-quarter 2025 net revenues increased 4.6% to $303 million, compared to $290 million in the fourth-quarter 2024. Net revenues increased 2.5% on a constant currency basis. Net income attributable to the Company (“net income”) was $35 million, or $0.12 per diluted share, compared to net income of $12 million, or $0.04 per diluted share for the fourth-quarter 2024. Adjusted EBITDA increased by 2.7%, to $157 million, or 0.5% on a constant currency basis, compared to the fourth-quarter 2024. Fourth-quarter 2025 adjusted earnings per diluted share (“Adjusted EPS”) was $0.26, an increase of $0.05 per diluted share, compared to the fourth quarter of 2024.
Full-year 2025 net revenues increased 5.7% to $1.164 billion, compared to $1.100 billion for 2024. Net revenues increased 5.2% on a constant currency basis. Net income was $78 million, or $0.27 per diluted share, compared to net income of $44 million, or $0.16 per diluted share, for 2024. Adjusted EBITDA increased 8.2% to $594 million, or 7.8% on a constant currency basis, compared to 2024. Adjusted EPS was $0.86 in 2025, an increase of $0.16 per diluted share from 2024.
“The Company delivered strong results in 2025, driven by solid execution, increased demand for our mission‑critical services, and disciplined financial management,” said Michael B. Petras, Jr., Chairman and Chief Executive Officer. “Sterigenics and Nordion delivered strong performance, each achieving high-single digit revenue growth for the year. Nelson Labs delivered growth in core lab testing, while disciplined operational execution drove meaningful margin improvement. This marks two decades of year-over-year revenue growth for the Company, which underscores the strength and resiliency of our business model.”
Petras continued, “As we enter 2026, we are encouraged by our momentum and strengthened balance sheet, and we are confident in our ability to drive long‑term growth, strong free cash flow, and shareholder value as we remain on track to meet the financial goals presented at our November 2024 investor day.”
(1) This is a non-GAAP financial measure used throughout this press release; please refer to the section “Non-GAAP Financial Measures” for explanations of our Non-GAAP financial measures and the schedules provided later in this release for reconciliations of reported GAAP to Non-GAAP financial measures.
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Management Transition
Effective April 1, 2026, Alex Dimitrief, Senior Vice President and General Counsel, will transition to an outside advisor to the Company. Erika Ostrowski, who has served as Sotera Health’s Vice President, Deputy General Counsel and Corporate Secretary for the last two years under Alex’s leadership, will be promoted to Senior Vice President and General Counsel, effective April 1, 2026.
“I would like to thank Alex for his leadership and service the past three years. We are grateful that he will continue to support the Company in an advisory role,” said Mr. Petras. “We are excited to announce Erika’s promotion to General Counsel after demonstrating strong leadership, sound judgment and a deep understanding of our business. Erika is well positioned for continued success in her new role.”
Fourth-Quarter and Full-Year 2025 Review by Business Segment
Sterigenics
Sterigenics delivered strong fourth-quarter 2025 results, with net revenues up 10.6% to $198 million, or 8.0% on a constant currency basis, compared to the fourth-quarter of 2024. Segment income was $110 million, a double-digit increase of 10.4%.
The growth in fourth quarter net revenues and segment income was driven by favorable pricing, volume/mix and changes in foreign currency exchange rates, with segment income growth partially offset by inflation.
Sterigenics delivered strong full-year 2025 performance, with net revenues up 8.3% to $756 million, or 7.7% on a constant currency basis, compared to 2024. Segment income grew 9.2% to $413 million, reflecting strong operating performance.
Nordion
Nordion fourth-quarter 2025 net revenues were $50 million, an expected decrease of 12.3%, or 12.6% on a constant currency basis, due to the timing of cobalt-60 harvest schedules, compared to the fourth quarter 2024. Segment income decreased 18.9% to $29 million.
The change in fourth quarter net revenues and segment income was primarily driven by unfavorable volume/mix due to the timing of cobalt-60 harvest schedules, partially offset by favorable pricing. Segment income margin was also impacted by unfavorable product mix.
Nordion delivered strong full-year 2025 performance, with net revenues up 8.2% to $188 million, or 9.1% on a constant currency basis, compared to 2024. Segment income increased by 6.3% to $108 million.
Nelson Labs
Nelson Labs fourth-quarter 2025 net revenues increased 2.3% to $55 million, or a 0.2% decrease on a constant currency basis, compared to the fourth-quarter 2024. Segment income increased 1.9% to $18 million.
The increase in fourth quarter net revenues and segment income was driven by favorable pricing, improvement in core lab testing services and changes in foreign currency exchange rates, partially offset by a decline in Expert Advisory Services. Segment income growth was also partially offset by higher costs.
Nelson Labs full-year 2025 net revenues decreased 3.9% to $220 million, or 5.0% on a constant currency basis, compared to 2024. Segment income increased 6.0% to $73 million.




(1) This is a non-GAAP financial measure used throughout this press release; please refer to the section “Non-GAAP Financial Measures” for explanations of our Non-GAAP financial measures and the schedules provided later in this release for reconciliations of reported GAAP to Non-GAAP financial measures.
2


Balance Sheet and Liquidity
As of December 31, 2025, Sotera Health had $2.2 billion in total debt, and $345 million in cash and cash equivalents, compared to $2.3 billion in total debt and $277 million in cash and cash equivalents as of December 31, 2024. Sotera Health’s Net Leverage Ratio(1) as of December 31, 2025 improved to 3.2x, compared to 3.7x as of December 31, 2024. The Company had no outstanding borrowings on its revolving credit facility as of December 31, 2025.
In 2025, Warburg Pincus LLC and GTCR, LLC completed three secondary share sales increasing public float to 80% of outstanding shares. These transactions did not impact the company’s liquidity or net leverage metrics.
Full-Year 2026 Outlook
Net revenues in the range of $1.233 billion to $1.251 billion, representing constant currency growth of 5.0% to 6.5% and an estimated 100bps foreign currency benefit
Adjusted EBITDA in the range of $632 million to $641 million, representing constant currency growth of 5.5% to 7.0% and an estimated 100bps foreign currency benefit
Interest expense in the range of $135 million to $145 million
Tax rate applicable to Adjusted Net Income(1) in the range of 27.0% to 29.0%
Adjusted EPS in the range of $0.93 to $1.01
A weighted-average fully diluted share count in the range of 289 million to 291 million shares
Capital expenditures in the range of $175 million to $225 million
The Company does not provide a reconciliation for non-GAAP financial measures on a forward-looking basis where it is unable to provide a meaningful or accurate calculation or estimation of reconciling items without unreasonable effort. The Company cannot reconcile its expected Adjusted EBITDA,
Adjusted Net Income Tax Rate, Adjusted Net Income and Adjusted EPS without unreasonable effort because certain items that impact net income, earnings per share and other reconciling metrics are out of the Company’s control and/or cannot be reasonably predicted at this time, including uncertainties caused by changes to the regulatory landscape, restructuring items and certain fair value measurements, all of which are potential adjustments for future earnings.
The outlook provided above contains a number of assumptions, including, among others, the Company’s current expectations regarding supply chain continuity, particularly for the supply of ethylene oxide (“EO”) and Cobalt-60, and the impact of inflationary trends including their impact on energy prices and the supply of labor. Our outlook is based on current plans and expectations and is subject to several known and unknown risks and uncertainties, including those set forth below under “Cautionary Note Regarding Forward-Looking Statements.”
Earnings Webcast
Sotera Health management will host a conference call and webcast to discuss the Company’s operating highlights and financial results at 9:00 a.m. Eastern Time today. A live webcast of the conference call and accompanying materials can be accessed via the Investor Relations section of the Company’s website at Presentation & Events | Sotera Health. A replay of the webcast will be archived on the Company’s website.
Upcoming Investor Events
Barclay’s 28th Annual Global Healthcare Conference at 9:30 a.m. Eastern Time, March 11, 2026
KeyBanc Healthcare Forum at 9:45 a.m. Eastern Time, March 17, 2026
(1) This is a non-GAAP financial measure used throughout this press release; please refer to the section “Non-GAAP Financial Measures” for explanations of our Non-GAAP financial measures and the schedules provided later in this release for reconciliations of reported GAAP to Non-GAAP financial measures.
3


Cautionary Note Regarding Forward-Looking Statements
Unless expressly indicated or the context requires otherwise, the terms “Sotera Health,” “Company,” “we,” “us,” and “our” in this release refer to Sotera Health Company, a Delaware corporation, and, where appropriate, its subsidiaries on a consolidated basis. This release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 and reflects management’s expectations about future events and the Company’s operating plans and performance and speak only as of the date hereof. Forward-looking statements present our current forecasts and estimates of future events. These statements do not strictly relate to historical or current results and can be identified by words such as “anticipate,” “appear,” “assume,” “believe,” “estimate,” “expect,” “forecast,” “intend,” “likely,” “may,” “plan,” “project,” “seek,” “should,” “strategy,” “will” and other terms of similar meaning or import in connection with any discussion of future operating, financial or other performance. These forward-looking statements are subject to risks, uncertainties and other factors and actual results may differ materially from those results projected in the statements. These forward-looking statements are subject to various risks, uncertainties and assumptions relating to our operations, financial results, financial condition, business, prospects, growth strategy and liquidity. These risks and uncertainties include, but are not limited to, a disruption in the availability or supply of, or increases in the price of, EO, Co-60 or our other direct materials, services and supplies, including as a result of geopolitical instability and/or sanctions against Russia by the United States, Canada, the United Kingdom and/or the European Union; fluctuations in foreign currency exchange rates; evolving changes in environmental, health and safety regulations or preferences; health and safety risks associated with the use, storage, transportation and disposal of potentially hazardous materials such as EO and Co-60; the impact and outcome of current and future legal proceedings and liability claims, including litigation related to the use, emissions and releases of EO from our EO sterilization facilities and the possibility that additional claims will be made in the future; allegations of our failure to properly perform services and potential product liability claims, recalls, penalties and reputational harm; compliance with the extensive regulatory requirements to which we are subject, the related costs, and any failures to receive or maintain, or delays in receiving, required clearances or approvals; adverse changes in industry trends; competition we face; market conditions and changes, including inflationary trends and the impact of tariffs, that impact our long-term supply contracts with variable price clauses and increase our cost of revenues; business continuity hazards, including supply chain disruptions, federal government shutdowns, and other risks associated with our operations; the risks of doing business internationally, including global and regional economic and political instability and compliance with various applicable laws and potentially inconsistent laws and regulations in multiple jurisdictions; our ability to increase capacity at existing facilities, build new facilities in a timely and cost-effective manner and renew leases for our leased facilities; our ability to attract and retain qualified employees; severe health events or environmental events; cybersecurity incidents, unauthorized data disclosures, and our dependence on information technology systems; the risks associates with the introduction of artificial intelligence technology; an inability to pursue strategic transactions, find suitable acquisition targets, or integrate strategic acquisitions into our business successfully; our ability to maintain effective internal control over financial reporting; our reliance on intellectual property rights to maintain our competitive position and the risk of claims from third parties that we have infringed or misappropriated, or are infringing or misappropriating, their intellectual property rights; our ability to comply with rapidly evolving data privacy and security laws and regulations in various jurisdictions and any ineffective compliance efforts with such laws and regulations; our ability to generate profitability in future periods; impairment charges on our goodwill and other intangible assets with indefinite lives, as well as other long-lived assets and intangible assets with definite lives; the effects of unionization efforts and labor regulations in countries in which we operate; adverse changes to our tax positions in U.S. or non-U.S. jurisdictions or the interpretation and application of U.S. tax legislation or other changes in U.S. or non-U.S. taxation of our operations; and our significant leverage and how this significant leverage could adversely affect our ability to raise additional capital, limit our ability to react to challenges facing our Company or broader changes in our industry or the economy, limit our flexibility in operating our business through restrictions contained in our debt agreements and/or prevent us from meeting our obligations under
4


our existing and future agreements governing our indebtedness. For additional discussion of these risks and uncertainties, please refer to the Company’s filings with the Securities and Exchange Commission, such as its Annual Report on Form 10-K and quarterly reports. We do not undertake any obligation to publicly update or revise these forward-looking statements, except as otherwise required by law.
Non-GAAP Financial Measures
To supplement our consolidated financial statements presented in accordance with GAAP, we consider Adjusted EBITDA, Adjusted EBITDA margin, Adjusted Tax Rate, Adjusted Net Income, Adjusted EPS, Segment income margin, Net Debt and Net Leverage Ratio and constant currency, financial measures that are not based on any standardized methodology prescribed by GAAP.
We define Adjusted Net Income as net income (loss) before amortization and certain other adjustments that we do not consider in our evaluation of our ongoing operating performance from period to period.
We define Adjusted EBITDA as Adjusted Net Income before interest expense, depreciation (including depreciation of Cobalt-60 used in our operations) and income tax provision applicable to Adjusted Net Income.
Adjusted EBITDA margin is equal to Adjusted EBITDA divided by net revenues.
Segment income margin is equal to segment income divided by net segment revenues.
We define Adjusted EPS as Adjusted Net Income divided by the weighted average number of diluted shares outstanding.
Our Net Debt is equal to our total debt, plus unamortized debt issuance costs and debt discounts, less cash and cash equivalents.
Our Net Leverage Ratio is equal to Net Debt divided by Adjusted EBITDA.
Constant currency is a non-GAAP financial measure we use to assess performance excluding the impact of foreign currency exchange rate changes. We calculate constant currency net revenues by translating prior year net revenues in local currency at the average exchange rates applicable for the current period. The translated results are then used to determine year-over-year percentage increases or decreases. We generally refer to such amounts calculated on a constant currency basis as excluding the impact of foreign currency exchange rates. These results should be considered in addition to, not as a substitute for, results reported in accordance with GAAP. Results on a constant currency basis, as we present them, may not be comparable to similarly titled measures used by other companies and are not measures of performance presented in accordance with GAAP.
We use these non-GAAP financial measures as the principal measures of our operating performance. Management believes these measures allow management to more effectively evaluate our operating performance and compare the results of our operations from period to period without the impact of certain non-cash items and non-routine items that we do not expect to continue at the same level in the future and other items that are not core to our operations. We believe that these measures are useful to our investors because they provide a more complete understanding of the factors and trends affecting our business than could be obtained without these measures and their disclosure. In addition, we believe these measures will assist investors in making comparisons to our historical operating results and analyzing the underlying performance of our operations for the periods presented. Our management also uses these measurements in their financial analysis and operational decision-making and Adjusted EBITDA serves as the key metric for the attainment of our primary annual incentive program. These measures may be calculated differently from, and therefore may not be comparable to, a similarly titled measure used by other companies.



5


About Sotera Health
Sotera Health Company is a leading global provider of mission-critical end-to-end sterilization solutions, lab testing and advisory services for the healthcare industry. Sotera Health goes to market through three businesses – Sterigenics®, Nordion® and Nelson Labs®. Sotera Health is committed to its mission, Safeguarding Global Health®.
Updates on recent developments in matters relevant to investors can be found on the Investor Relations section of the Sotera Health website at Investor Relations | Sotera Health. For developments related to EO, updates can be found at Ethylene Oxide | Sotera Health.
Contacts:
Jason Peterson
Vice President, Investor Relations
IR@soterahealth.com
Kristin Gibbs
Chief Marketing Officer
kgibbs@soterahealth.com
Source: Sotera Health Company

###
6

Sotera Health Company
Consolidated Statements of Operations
(in thousands, except per share amounts)
(unaudited)
Three Months Ended December 31,Year Ended December 31,
2025202420252024
Revenues:
Service$259,043 $238,795 $995,756 $941,822 
Product44,398 51,408 167,861 158,619 
Total net revenues
303,441 290,203 1,163,617 1,100,441 
Cost of revenues:
Service121,052 108,475 456,311 439,543 
Product16,469 17,363 61,772 58,603 
Total cost of revenues
137,521 125,838 518,083 498,146 
Gross profit
165,920 164,365 645,534 602,295 
Selling, general and administrative expenses57,514 61,837 252,762 242,630 
Amortization of intangible assets3,023 15,382 30,738 62,039 
Interest expense, net35,048 40,960 155,722 164,691 
Loss on refinancing of debt295 1,462 24,168 
Illinois EO litigation settlements — 64,943 — 
Foreign exchange loss1,559 2,436 947 199 
Other income, net
(2,016)(1,222)(8,546)(5,306)
Income before income taxes
70,497 44,964 147,506 113,874 
Provision for income taxes35,650 32,641 69,557 69,476 
Net income
$34,847 $12,323 $77,949 $44,398 
Earnings per share:
Basic$0.12 $0.04 $0.27 $0.16 
Diluted0.12 0.04 0.27 0.16 
Weighted average number of shares outstanding:
Basic284,256 283,260 283,956 282,784 
Diluted287,554 285,817 286,421 284,906 

7

Sotera Health Company
Segment Data
(in thousands)
(unaudited)
Three Months Ended December 31,Year Ended December 31,
2025202420252024
Segment revenues:
Sterigenics$198,412 $179,428 $755,780 $697,853 
Nordion49,825 56,791 187,618 173,355 
Nelson Labs55,204 53,984 220,219 229,233 
Total net revenues
$303,441 $290,203 $1,163,617 $1,100,441 
Segment income:
Sterigenics$109,989 $99,586 $412,893 $378,171 
Nordion28,631 35,282 107,578 101,220 
Nelson Labs18,417 18,066 73,330 69,183 
Total segment income
157,037 152,934 593,801 548,574 
Less adjustments:
Interest expense, net35,048 40,960 155,722 164,691 
Depreciation and amortization(a)
32,456 38,986 136,428 161,797 
Share-based compensation(b)
7,603 8,173 31,068 36,896 
Loss on refinancing of debt(c)
295 1,462 24,168 
Loss on foreign currency and derivatives not designated as hedging instruments, net(d)
1,352 4,147 58 2,448 
Business optimization expenses(e)
493 4,635 8,068 9,368 
Professional services relating to EO sterilization facilities(f)
8,710 10,337 46,225 32,694 
Illinois EO litigation settlements(g)
 — 64,943 — 
Accretion of asset retirement obligation(h)
583 724 2,321 2,638 
Consolidated income before income taxes$70,497 $44,964 $147,506 $113,874 
(a)Includes depreciation of Co-60 held at gamma irradiation sites, and excludes accelerated depreciation associated with business optimization activities.
(b)Represents share-based compensation expense related to employees and Non-Employee Directors.
(c)Represents the write-off of unamortized debt issuance costs and discounts, as well as certain other costs incurred related to the refinancing activity for the Term Loans, the Secured Notes and the Revolving Credit Facility.
(d)Represents the effects of (i) fluctuations in foreign currency exchange rates and (ii) non-cash mark-to-fair value of embedded derivatives relating to certain customer and supply contracts at Nordion.
(e)Represents (i) certain costs related to divestitures, acquisitions and the integration of acquisitions, (ii) professional fees and other costs associated with business optimization, cost saving and other process enhancement projects, and (iii) legal, consulting, and other fees associated with secondary offerings and shareholder engagement.
(f)Represents litigation and other professional fees associated with our EO sterilization facilities.
(g)Represents (i) the cost to settle 97 pending and threatened EO claims against Sterigenics in Illinois pursuant to the term sheet entered into on April 3, 2025 and (ii) the cost to settle 129 pending and threatened EO claims against Sterigenics in Illinois pursuant to the term sheet entered into on July 23, 2025.
(h)Represents non-cash accretion of asset retirement obligations (“ARO”) related to Co-60 gamma and EO processing facilities, which are based on estimated site remediation costs for any future decommissioning of these facilities and are accreted over the life of the asset.
8

Sotera Health Company
Condensed Consolidated Balance Sheets
(in thousands)
(unaudited)
As of December 31,
20252024
Assets
Current assets:
Cash and cash equivalents$346,456 $278,865 
Accounts receivable, net 139,329 140,327 
Inventories, net54,375 49,158 
Other current assets73,250 57,687 
Total current assets613,410 526,037 
Property, plant, and equipment, net1,130,564 1,036,892 
Operating lease assets33,393 27,551 
Other intangible assets, net288,227 317,653 
Goodwill1,103,232 1,081,073 
Other assets94,364 82,442 
Total assets$3,263,190 $3,071,648 
Liabilities and equity
Total current liabilities$249,584 $191,002 
Long-term debt, less current portion2,126,724 2,208,100 
Other noncurrent liabilities209,772 198,135 
Deferred income taxes71,075 69,500 
Total liabilities2,657,155 2,666,737 
Total equity606,035404,911 
Total liabilities and equity$3,263,190$3,071,648 
9

Sotera Health Company
Condensed Consolidated Statements of Cash Flows
(in thousands)
(unaudited)

Year Ended December 31,
20252024
Operating activities:
Net income$77,949 $44,398 
Adjustments to reconcile net income to net cash provided by operating activities:
Non-cash items181,202 222,400 
Changes in operating assets and liabilities28,044 (42,634)
Net cash provided by operating activities287,195 224,164 
Investing activities:
Purchases of property, plant and equipment(138,018)(179,070)
Other investing activities2,874 74 
Net cash used in investing activities(135,144)(178,996)
Financing activities:
Proceeds from long-term borrowings 2,259,350 
Payments on long-term borrowings(86,104)(2,264,373)
Payments of debt issuance costs and debt discount
(4,374)(32,071)
Buyout of leased facility (6,736)
Shares withheld for employee taxes on equity awards(6,568)(4,428)
Other financing activities(3,488)(2,306)
Net cash used in financing activities(100,534)(50,564)
Effect of exchange rate changes on cash and cash equivalents16,074 (17,393)
Net increase (decrease) in cash and cash equivalents, including restricted cash
67,591 (22,789)
Cash and cash equivalents, including restricted cash, at beginning of period278,865 301,654 
Cash and cash equivalents, including restricted cash, at end of period$346,456$278,865 
Supplemental disclosures of cash flow information:
Cash paid during the period for interest$164,015$179,924 
Cash paid during the period for income taxes, net of tax refunds received60,873 65,829 
Purchases of property, plant and equipment included in accounts payable25,330 10,180 
10

Sotera Health Company
Non-GAAP Financial Measures
(in thousands, except per share amounts)
(unaudited)
Three Months Ended December 31,Year Ended December 31,
2025202420252024
Net income$34,847 $12,323 $77,949 $44,398 
Amortization of intangible assets5,552 19,640 41,798 79,377 
Share-based compensation(a)
7,603 8,173 31,068 36,896 
Loss on refinancing of debt(b)
295 1,462 24,168 
Loss on foreign currency and derivatives not designated as hedging instruments, net(c)
1,352 4,147 58 2,448 
Business optimization expenses(d)
493 4,635 8,068 9,368 
Professional services relating to EO sterilization facilities(e)
8,710 10,337 46,225 32,694 
Illinois EO litigation settlements(f)
— — 64,943 — 
Accretion of asset retirement obligation(g)
583 724 2,321 2,638 
Income tax provision (benefit) associated with pre-tax adjustments(h)
15,603 (1,246)(28,478)(33,487)
Adjusted Net Income75,038 58,741 245,414 198,500 
Interest expense, net35,048 40,960 155,722 164,691 
Depreciation(i)
26,904 19,346 94,630 82,420 
Income tax provision applicable to Adjusted Net Income(j)
20,047 33,887 98,035 102,963 
Adjusted EBITDA(k)
$157,037 $152,934 $593,801 $548,574 
Net Revenues$303,441 $290,203 $1,163,617 $1,100,441 
Adjusted EBITDA Margin51.8 %52.7 %51.0 %49.9 %
Weighted average number of shares outstanding
Basic284,256 283,260 283,956 282,784 
Diluted287,554 285,817 286,421 284,906 
Earnings per share
Basic$0.12 $0.04 $0.27 $0.16 
Diluted0.12 0.04 0.27 0.16 
Adjusted earnings per share
Basic$0.26 $0.21 $0.86 $0.70 
Diluted0.26 0.21 0.86 0.70 
(a)Represents share-based compensation expense related to employees and Non-Employee Directors.
(b)Represents the write-off of unamortized debt issuance costs and discounts, as well as certain other costs incurred related to the refinancing activity for the Term Loans, the Secured Notes and the Revolving Credit Facility.
(c)Represents the effects of (i) fluctuations in foreign currency exchange rates and (ii) non-cash mark-to-fair value of embedded derivatives relating to certain customer and supply contracts at Nordion.
(d)Represents (i) certain costs related to divestitures, acquisitions and the integration of acquisitions, (ii) professional fees and other costs associated with business optimization, cost saving and other process enhancement projects, and (iii) legal, consulting, and other fees associated with secondary offerings and shareholder engagement.
(e)Represents litigation and other professional fees associated with our EO sterilization facilities.
(f)Represents (i) the cost to settle 97 pending and threatened EO claims against Sterigenics in Illinois pursuant to the term sheet entered into on April 3, 2025 and (ii) the cost to settle 129 pending and threatened EO claims against Sterigenics in Illinois pursuant to the term sheet entered into on July 23, 2025.
(g)Represents non-cash accretion of ARO related to Co-60 gamma and EO processing facilities, which are based on estimated site remediation costs for any future decommissioning of these facilities and are accreted over the life of the asset.
(h)Represents the income tax impact of adjustments calculated based on the tax rate applicable to each item. We eliminate the effect of tax rate changes as applied to tax assets and liabilities, and unusual items from our presentation of adjusted net income.
(i)Includes depreciation of Co-60 held at gamma irradiation sites and excludes accelerated depreciation associated with business optimization activities.
(j)Represents the difference between the income tax provision as determined under U.S. GAAP and the income tax provision (benefit) associated with pre-tax adjustments described in footnote (h).
(k)$27.2 million and $24.1 million of the adjustments for the three months ended December 31, 2025 and 2024, respectively, and $99.9 million and $97.1 million of the adjustments for the year ended December 31, 2025 and 2024, respectively, are included in cost of revenues, primarily consisting of amortization of intangible assets, depreciation, and accretion of asset retirement obligations.
11

Sotera Health Company
Non-GAAP Financial Measures
(in thousands, except Net Leverage)
(unaudited)
Year Ended December 31,
20252024
Current portion of long-term debt$13,973 $14,803 
Long-term debt2,126,724 2,208,100 
Current portion of finance leases3,465 2,923 
Finance leases less current portion93,835 95,286 
Total Debt2,237,997 2,321,112 
Less: cash and cash equivalents(344,621)(277,242)
Net Debt$1,893,376 $2,043,870 
Adjusted EBITDA$593,801 $548,574 
Net Leverage3.2x3.7x

12

FAQ

How did Sotera Health (SHC) perform financially in 2025?

Sotera Health reported 2025 net revenues of $1.164 billion, up 5.7% from 2024. Net income increased to $78 million or $0.27 per diluted share, while Adjusted EBITDA rose 8.2% to $594 million and Adjusted EPS reached $0.86.

What is Sotera Health’s 2026 financial outlook?

For 2026, Sotera Health expects net revenues of $1.233–$1.251 billion, reflecting 5.0–6.5% constant currency growth. It guides to Adjusted EBITDA of $632–$641 million, 5.5–7.0% constant currency growth, and Adjusted EPS in a $0.93–$1.01 range.

How has Sotera Health’s leverage and liquidity changed?

As of December 31, 2025, Sotera Health had $2.2 billion in total debt and $345 million in cash and cash equivalents. Its Net Leverage Ratio improved to 3.2x, down from 3.7x a year earlier, with no borrowings outstanding on its revolving credit facility.

What were the key segment results for Sotera Health in 2025?

In 2025, Sterigenics net revenues grew 8.3% to $756 million, and segment income rose 9.2% to $413 million. Nordion net revenues increased 8.2% to $188 million, while Nelson Labs saw net revenues decline 3.9% to $220 million but segment income increase 6.0% to $73 million.

What management changes did Sotera Health announce in this filing?

The company announced that Alex Dimitrief, Senior Vice President and General Counsel, will retire from his role on March 31, 2026. Erika Ostrowski will become Senior Vice President and General Counsel on April 1, 2026, while Dimitrief will serve as an advisor with monthly fees of $22,500.

What capital spending and interest costs does Sotera Health project for 2026?

For 2026, Sotera Health forecasts capital expenditures of $175–$225 million, supporting capacity and growth initiatives. It also expects interest expense in the $135–$145 million range, consistent with its existing debt structure and improved leverage metrics.

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Sotera Health Co

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4.59B
220.60M
Diagnostics & Research
Services-misc Health & Allied Services, Nec
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United States
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