SEC Filing | Merit Medical Systems, Inc.

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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 25, 2018

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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:

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

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

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

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

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 o

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. o

Item 2.02. Results of Operations and Financial Condition.

On October 25, 2018, Merit Medical Systems, Inc. (the "Company") issued a press release announcing its operating and financial results for the quarter and nine months ended September 30, 2018. The full text of the Company's press release, including unaudited financial information, is furnished herewith as Exhibit 99.1. The Company’s Annual Report on Form 10-K for the year ended December 31, 2017, Quarterly Report for the quarter ended June 30, 2018, Form 8-K filed October 1, 2018 and other filings with the Securities and Exchange Commission should also be consulted for other important information about the Company.

The information in 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 (the "Securities Act"), or the Exchange Act, except as expressly set forth by specific reference in such a filing.

Item 7.01. Regulation FD Disclosure.

On October 25, 2018, the Company is scheduled to conduct a conference call for the purpose of discussing its operating and financial results for the quarter and nine months ended September 30, 2018. In connection with that call, the Company posted a slide presentation to its website. The presentation discusses the Company's operating and financial results for the quarter and nine months ended September 30, 2018. A copy of the presentation is attached herewith as Exhibit 99.2.

The Company is furnishing the information in this Item 7.01 (including Exhibit 99.2 attached hereto) pursuant to Regulation FD promulgated under the Exchange Act. Such information shall not be deemed “filed” for purposes of the Exchange Act or otherwise subject to the liabilities of that section, and is not deemed incorporated by reference into any filing under the Securities Act, except as expressly set forth by specific reference in such a filing.

Item 9.01. Financial Statements and Exhibits.

(d) Exhibits



EXHIBIT NUMBER		DESCRIPTION

99.1		Press Release, dated October 25, 2018, entitled "Merit Medical Reports Earnings for Third Quarter of 2018,” including unaudited financial information.
99.2		Conference Call Presentation.

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 25, 2018	By:	/s/ Brian G. Lloyd
		Brian G. Lloyd
		Chief Legal Officer and Corporate Secretary

EXHIBIT INDEX



EXHIBIT NUMBER		DESCRIPTION

99.1		Press Release, dated October 25, 2018, entitled "Merit Medical Reports Earnings for Third Quarter of 2018,” including unaudited financial information.
99.2		Conference Call Presentation.

Exhibit

Exhibit 99.1

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FOR IMMEDIATE RELEASE


Date:	October 25, 2018


Contact:	Anne-Marie Wright, Vice President, Corporate Communications


Phone:	(801) 208-4167 e-mail: awright@merit.com Fax: (801) 253-1688

MERIT MEDICAL REPORTS EARNINGS

FOR THIRD QUARTER OF 2018


•	Q3 2018 worldwide revenue of $221.7 million ($223.1 million on a comparable, constant currency* basis), up 23.6% as reported (up 24.4% on a comparable, constant currency* basis) over Q3 2017


•	Q3 2018 core revenue* up 14.6% over Q3 2017 core revenue* (core revenue* up 15.4% on a comparable, constant currency* basis)


•	Q3 2018 GAAP EPS was $0.30, compared to $(0.07) in Q3 2017


•	Q3 2018 non-GAAP EPS* was $0.47, compared to $0.32 in Q3 2017


•	Q3 2018 GAAP gross margin was 46.0%, compared to 44.5% in Q2 2018 and 44.9% in Q3 2017


•	Q3 2018 non-GAAP gross margin* was 49.8%, compared to 48.9% in Q2 2018 and 48.1% in Q3 2017

* Constant currency revenue, core revenue, core revenue on a constant currency basis, non-GAAP EPS, non-GAAP gross margin and non-GAAP net income (referenced on the following page) are non-GAAP financial measures. A reconciliation of these and other non-GAAP financial measures used in this release to their most directly comparable GAAP financial measures is included under the heading “Non-GAAP Financial Measures” below.

SOUTH JORDAN, UTAH - Merit Medical Systems, Inc. (NASDAQ: MMSI), a leading manufacturer and marketer of proprietary disposable devices used in interventional, diagnostic and therapeutic procedures, particularly in cardiology, radiology, oncology, critical care and endoscopy, today announced revenue of $221.7 million for the quarter ended September 30, 2018, an increase of 23.6% over revenue of $179.3 million for the quarter ended September 30, 2017. On a comparable, constant currency basis, revenue for the third quarter of 2018 would have been up 24.4% over revenue for the comparable quarter of 2017.

Merit’s GAAP net income for the third quarter of 2018 was $16.6 million, or $0.30 per share, compared to a GAAP net loss of $(3.6) million, or $(0.07) per share, for the third quarter of 2017. Merit’s non-GAAP net income* for the

quarter ended September 30, 2018 was $26.0 million, or $0.47 per share, compared to $16.5 million, or $0.32 per share, for the quarter ended September 30, 2017.

Merit’s revenue by category for the three and nine months ended September 30, 2018, compared to the corresponding periods in 2017, was as follows (unaudited, in thousands, except for percentages):



		Three Months Ended					Nine Months Ended
		September 30,					September 30,
	% Change	2018		2017		% Change	2018		2017
Cardiovascular
Stand-alone devices	32.3%	$	90,975	$	68,749	31.1%	$	266,717	$	203,459
Custom kits and procedure trays	8.8%	33,095		30,411		10.2%	100,359		91,082
Inflation devices	14.3%	22,893		20,033		17.3%	69,617		59,329
Catheters	27.8%	40,591		31,751		20.6%	113,830		94,357
Embolization devices	1.2%	12,395		12,252		2.1%	37,706		36,936
CRM/EP	28.1%	12,201		9,527		13.1%	36,163		31,977
Total	22.8%	212,150		172,723		20.7%	624,392		517,140

Endoscopy
Endoscopy devices	43.8%	9,509		6,614		26.7%	25,112		19,815

Grand Total	23.6%	$	221,659	$	179,337	21.0%	$	649,504	$	536,955

Note: Certain revenue categories for 2017 have been adjusted from prior disclosures to reflect changes in product classifications to be consistent with updates in Merit's management of its product portfolios during 2018.

“By many measures Merit had an outstanding third quarter,” said Fred P. Lampropoulos, Merit’s Chairman and Chief Executive Officer. “All geographic areas and all reporting product groups met or exceeded our expectations. Of note were the stand-alone devices, catheters, CRM/EP and endoscopy devices.”

“Gross margin improved 90 basis points on a non-GAAP basis sequentially from the second quarter and are on track as previously presented for the last half of 2018 to improve for the year in the range of 80-130 basis points,” Lampropoulos continued. “Although we benefited from a shortage situation experienced by a major competitor, we believe that much of the improvement came from the execution of our sales plan and the efforts of our operations group to meet the product mix requirements of our customers.”

“We recently received FDA 510(k) clearance for a series of new tracheal/bronchial mini-stents,” Lampropoulos said. “We also received 510(k) clearance for our EmboCube™ product line which we believe will improve the performance of our embolization devices group.”

“Our core revenue growth continues to reflect our commitment to internal development as well as our practice of engaging new employees retained through our merger and acquisition strategy to improve acquired products and join our vision for new innovations within their expertise,” Lampropoulos said. “To that point, sales of the products we

acquired from BD continue to exceed our expectation, our transition plans are on schedule and several new biopsy products are in development.”

“Finally, the Cianna acquisition is on track to close during the fourth quarter of 2018,” Lampropoulos continued. “We continue to be very excited about the prospects for the business and the addition of the Cianna R&D team as well as most of the Cianna sales force.”

CONFERENCE CALL

Merit will hold its investor conference call (conference ID 6976085) today, Thursday, October 25, 2018, at 5:00 p.m. Eastern (4:00 p.m. Central, 3:00 p.m. Mountain, and 2:00 p.m. Pacific). The domestic telephone number is (844) 578-9672 and the international number is (508) 637-5656. A live webcast and slide deck will also be available at merit.com.



CONSOLIDATED BALANCE SHEETS
(In thousands)
	September 30,		December 31,
	2018		2017
	(Unaudited)
ASSETS
Current Assets
Cash and cash equivalents	$	51,955	$	32,336
Trade receivables, net	129,282		105,536
Other receivables	8,903		9,429
Inventories	181,439		155,288
Prepaid expenses and other assets	11,720		9,096
Prepaid income taxes	3,307		3,225
Income tax refund receivables	1,043		1,211
Total current assets	387,649		316,121

Property and equipment, net	319,925		292,820
Intangible assets, net	289,105		227,324
Goodwill	249,023		238,147
Deferred income tax assets	2,254		2,359
Other assets	61,927		35,040
Total Assets	$	1,309,883	$	1,111,811

LIABILITIES AND STOCKHOLDERS' EQUITY
Current Liabilities
Trade payables	$	50,697	$	34,931
Accrued expenses	65,530		58,932
Current portion of long-term debt	22,000		19,459
Income taxes payable	1,598		2,298
Total current liabilities	139,825		115,620

Long-term debt	186,867		259,013
Deferred income tax liabilities	23,102		23,289
Long-term income taxes payable	4,846		4,846
Liabilities related to unrecognized tax benefits	2,746		2,746
Deferred compensation payable	12,176		11,181
Deferred credits	2,296		2,403
Other long-term obligations	14,814		16,379
Total liabilities	386,672		435,477

Stockholders' Equity
Common stock	568,051		353,392
Retained earnings	354,236		321,408
Accumulated other comprehensive income	924		1,534
Total stockholders' equity	923,211		676,334
Total Liabilities and Stockholders' Equity	$	1,309,883	$	1,111,811



CONSOLIDATED STATEMENTS OF INCOME
(Unaudited, in thousands except per share amounts)
	Three Months Ended						Nine Months Ended
	September 30,						September 30,
	2018			2017			2018			2017

NET SALES	$	221,659		$	179,337		$	649,504		$	536,955

COST OF SALES	119,620			98,823			$	359,400		$	296,358

GROSS PROFIT	102,039			80,514			290,104			240,597

OPERATING EXPENSES
Selling, general and administrative	66,382			54,716			200,389			169,896
Research and development	14,525			12,838			44,163			38,676
Acquired in-process research and development	75			12,061			382			12,136
Intangible asset impairment charge	657			—			657			—
Contingent consideration expense (benefit)	(661		)	20			(442		)	39
Total	80,978			79,635			245,149			220,747

INCOME FROM OPERATIONS	21,061			879			44,955			19,850

OTHER INCOME (EXPENSE)
Interest income	359			94			847			266
Interest expense	(2,329		)	(1,590		)	(8,064		)	(5,935		)
Gain on bargain purchase	—			(778		)	—			10,796
Other income (expense) - net	294			(810		)	(429		)	(376		)
Total other income (expense) - net	(1,676		)	(3,084		)	(7,646		)	4,751

INCOME (LOSS) BEFORE INCOME TAXES	19,385			(2,205		)	37,309			24,601

INCOME TAX EXPENSE	2,766			1,364			4,481			3,884

NET INCOME (LOSS)	$	16,619		$	(3,569	)	$	32,828		$	20,717

EARNINGS PER COMMON SHARE:
Basic	$	0.31		$	(0.07	)	$	0.64		$	0.43

Diluted	$	0.30		$	(0.07	)	$	0.62		$	0.42

AVERAGE COMMON SHARES:
Basic	53,431			50,150			51,434			48,332

Diluted	55,103			51,599			53,096			49,555

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 referred to 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;


•	core revenue;


•	core revenue on a constant currency basis;


•	non-GAAP gross margin;


•	non-GAAP net income; and


•	non-GAAP earnings per share.

Merit’s management team uses these non-GAAP financial measures to evaluate Merit’s profitability and efficiency, to compare operating results to prior periods, to evaluate changes in the operating 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 such 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 earnings per share, non-GAAP gross margin and non-GAAP net income (in each case, as further illustrated in the reconciliation table 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 new acquisitions, non-cash expenses related to amortization of previously acquired tangible and intangible assets, unusual compensation expenses or expenses resulting from non-ordinary course litigation, governmental proceedings or changes in tax regulations. 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 investors and potential investors 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.

Constant Currency Revenue

Merit’s revenue on a constant currency basis is prepared by translating the current-period reported revenue of subsidiaries whose functional currency is other than the U.S. dollar at the applicable foreign exchange rates in effect

during the comparable prior-year period. The constant currency revenue adjustments of $1.4 million and $(7.4) million for the three and nine-month periods ended September 30, 2018, respectively, were calculated using the applicable average foreign exchange rates for the three and nine-month periods ended September 30, 2017, respectively.

Core Revenue and Core Revenue on a Constant Currency Basis

Merit’s core revenue is defined (a) with respect to prior fiscal year periods, as GAAP revenue, and (b) with respect to current fiscal year periods, as GAAP revenue, less revenue from certain acquisitions and strategic transactions. For the three and nine-month periods ended September 30, 2018, Merit’s core revenue excludes revenues from (i) the acquisition of (1) the assets of Catheter Connections, Inc. in January 2017 (excluded January 2018 only), (2) the critical care division of Argon Medical Devices, Inc. in January 2017 (excluded January 2018 only), (3) Osseon LLC in July 2017 (excluded through June 2018 only), (4) Laurane Medical S.A.S. in August 2017 (excluded through July 2018 only), (5) ITL Healthcare Pty. Ltd. in October 2017, (6) certain divested assets of Becton, Dickinson and Company in February 2018, (7) the assets of DirectACCESS Medical, LLC in May 2018, and (ii) revenues from (1) the distribution arrangement with NinePoint Medical, Inc. executed in April 2018 and (2) the distribution arrangement with QXMedical, LLC executed in May 2018. Core revenue on a constant currency basis is defined as core revenue (as described in the first sentence of this paragraph) plus the foreign exchange impact related to those core sales, using the applicable foreign exchange rates in effect for the comparable prior-year periods presented.

Non-GAAP Gross Margin

Non-GAAP gross margin 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 Net Income

Non-GAAP net income is calculated by adjusting GAAP net 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 new acquisitions, non-cash expenses related to amortization of previously acquired tangible and intangible assets, unusual compensation expenses or expenses resulting from non-ordinary course litigation, governmental proceedings or changes in tax regulations, as well as other items set forth in the table below.

Non-GAAP EPS

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

Other Non-GAAP Financial Measure Reconciliation

The following table sets forth supplemental financial data and corresponding reconciliations of non-GAAP net income and non-GAAP earnings per share to Merit’s net income and earnings per share prepared in accordance with GAAP for the three and nine-month periods ended September 30, 2018 and 2017. The non-GAAP income adjustments

referenced in the following table do not reflect stock-based compensation expense of approximately $1.7 million and $1.2 million for the three-month periods ended September 30, 2018 and 2017, respectively, and approximately $4.5 million and $2.9 million for the nine-month periods ended September 30, 2018 and 2017, respectively.



Reconciliation of GAAP Net Income to Non-GAAP Net Income
(Unaudited, in thousands except per share amounts)
	Three Months Ended
	September 30, 2018
	Pre-Tax			Tax Impact (a)			After-Tax			Per Share Impact
GAAP net income	$	19,385		$	(2,766	)	$	16,619		$	0.30

Non-GAAP adjustments:
Cost of Sales
Amortization of intangibles	8,150			(2,083		)	6,067			0.12
Inventory mark-up related to acquisitions	216			(56		)	160			0.00
Operating Expenses
Severance	318			(49		)	269			0.00
Acquisition-related (b)	529			(136		)	393			0.01
Fair value adjustment to contingent consideration (c)	(661		)	(32		)	(693		)	(0.01		)
Acquired in-process research and development	75			(19		)	56			0.00
Intangible asset impairment charge (e)	658			(169		)	489			0.01
Amortization of intangibles	2,399			(636		)	1,763			0.03
Special legal expense (f)	946			(243		)	703			0.01
Other (Income) Expense
Amortization of long-term debt issuance costs	201			(52		)	149			0.00

Non-GAAP net income	$	32,216		$	(6,241	)	$	25,975		$	0.47

Diluted shares										55,103

	Three Months Ended
	September 30, 2017
	Pre-Tax			Tax Impact (a)			After-Tax			Per Share Impact
GAAP net income	$	(2,205	)	$	(1,364	)	$	(3,569	)	$	(0.07	)

Non-GAAP adjustments:
Cost of Sales
Amortization of intangibles	5,472			(2,056		)	3,416			0.07
Inventory mark-up related to acquisitions	242			(94		)	148			0.00
Operating Expenses
Severance	396			(154		)	242			0.00
Acquisition-related (b)	1,729			(666		)	1,063			0.02
Fair value adjustment to contingent consideration (c)	20			(8		)	12			0.00
Long-term asset impairment charge (d)	67			(26		)	41			0.00
Acquired in-process research and development	12,061			(68		)	11,993			0.23
Amortization of intangibles	1,530			(591		)	939			0.02
Special legal expense (f)	2,118			(824		)	1,294			0.03
Other (Income) Expense
Gain on bargain purchase (g)	778			—			778			0.02
Amortization of long-term debt issuance costs	171			(67		)	104			0.00

Non-GAAP net income	$	22,379		$	(5,918	)	$	16,461		$	0.32

Diluted shares										51,599



Reconciliation of GAAP Net Income to Non-GAAP Net Income
(Unaudited, in thousands except per share amounts)

	Nine Months Ended
	September 30, 2018
	Pre-Tax			Tax Impact (a)			After-Tax			Per Share Impact
GAAP net income	$	37,309		$	(4,481	)	$	32,828		$	0.62

Non-GAAP adjustments:
Cost of Sales
Amortization of intangibles	22,550			(5,759		)	16,791			0.31
Inventory mark-up related to acquisitions	3,978			(1,024		)	2,954			0.06
Operating expenses
Severance	480			(91		)	389			0.01
Acquisition-related (b)	3,119			(803		)	2,316			0.04
Fair value adjustment to contingent consideration (c)	(442		)	(88		)	(530		)	(0.01		)
Long-term asset impairment charge (d)	86			(22		)	64			0.00
Acquired in-process research and development	381			(98		)	283			0.01
Intangible asset impairment charge (e)	657			(169		)	488			0.01
Amortization of intangibles	6,864			(1,824		)	5,040			0.09
Special legal expense (f)	4,283			(1,102		)	3,181			0.06
Other (Income) Expense
Amortization of long-term debt issuance costs	603			(155		)	448			0.01

Non-GAAP net income	$	79,868		$	(15,616	)	$	64,252		$	1.21

Diluted shares										53,096

	Nine Months Ended
	September 30, 2017
	Pre-Tax			Tax Impact (a)			After-Tax			Per Share Impact
GAAP net income	$	24,601		$	(3,884	)	$	20,717		$	0.42

Non-GAAP adjustments:
Cost of Sales
Amortization of intangibles	15,215			(5,702		)	9,513			0.19
Inventory mark-up related to acquisitions	3,121			(1,214		)	1,907			0.04
Operating Expenses
Severance	1,740			(677		)	1,063			0.02
Acquisition-related (b)	5,017			(1,501		)	3,516			0.07
Fair value adjustment to contingent consideration (c)	39			(15		)	24			0.00
Long-term asset impairment charge (d)	86			(33		)	53			0.00
Acquired in-process research and development	12,136			(97		)	12,039			0.25
Amortization of intangibles	4,202			(1,621		)	2,581			0.05
Special legal expense (f)	10,615			(4,129		)	6,486			0.13
Other (Income) Expense
Gain on bargain purchase (g)	(10,796		)	—			(10,796		)	(0.22		)
Amortization of long-term debt issuance costs	514			(200		)	314			0.01

Non-GAAP net income	$	66,490		$	(19,073	)	$	47,417		$	0.96

Diluted shares										49,555

(a) Reflects the tax effect associated with pre-tax income and the tax effect of non-GAAP adjustments based on statutory tax rates within the applicable markets with adjustments.

(b) Represents transaction costs related to acquisitions.

(c) Represents changes in the fair value of contingent consideration liabilities and contingent receivables associated with prior acquisitions.

(d) Represents abandoned patents.

(e) Represents impairment charges related to certain acquired intangible assets.

(f) Costs incurred in responding to an inquiry from the U.S. Department of Justice.

(g) Represents the gain on bargain purchase realized from the acquisition of the critical care division of Argon Medical Devices, Inc.



Reconciliation of Reported Revenue to Core Revenue (Non-GAAP), Constant Currency Revenue (Non-GAAP), and Core Revenue on a Constant Currency Basis (Non-GAAP)
(Unaudited; in thousands except percentages)
		Three Months Ended						Nine Months Ended
		September 30,						September 30,
	% Change	2018			2017		% Change	2018			2017
Reported Revenue	23.6%	$	221,659		$	179,337	21.0%	$	649,504		$	536,955

Add: Impact of foreign exchange (a)		1,418			—			(7,380		)	—

Constant Currency Revenue	24.4%	$	223,077		$	179,337	19.6%	$	642,124		$	536,955

		Three Months Ended						Nine Months Ended
		September 30,						September 30,
	% Change	2018			2017		% Change	2018			2017
Reported Revenue	23.6%	$	221,659		$	179,337	21.0%	$	649,504		$	536,955

Less: Revenue from certain acquisitions (b)		(16,096		)	—			(47,094		)	—

Core Revenue	14.6%	$	205,563		$	179,337	12.2%	$	602,410		$	536,955

Add: Impact of foreign exchange (a)		1,418			—			(7,380		)	—

Core Revenue on a Constant Currency Basis	15.4%	$	206,981		$	179,337	10.8%	$	595,030		$	536,955

(a) The constant currency revenue adjustments of $1.4 million and $(7.4) million to reported revenue and to core revenue, for the three and nine months ended September 30, 2018, respectively, were calculated using the applicable average foreign exchange rates for the three and nine months ended September 30, 2017, respectively.

(b) Merit’s core revenue is defined (a) with respect to prior fiscal year periods, as GAAP revenue, and (b) with respect to current fiscal year periods, as GAAP revenue, less revenue from certain acquisitions and strategic transactions. For the three and nine-month periods ended September 30, 2018, Merit’s core revenue excludes revenues from (i) the acquisitions of (1) the assets of Catheter Connections, Inc. in January 2017 (excluded January 2018 only), (2) the critical care division of Argon Medical Devices, Inc. in January 2017 (excluded January 2018 only), (3) Osseon LLC in July 2017 (excluded through June 2018 only), (4) Laurane Medical S.A.S. in August 2017 (excluded through July 2018 only), (5) ITL Healthcare Pty. Ltd. in October 2017, (6) certain divested assets of Becton, Dickinson and Company in February 2018, (7) the assets of DirectACCESS Medical, LLC in May 2018, and (ii) revenues from (1) the distribution arrangement with NinePoint Medical, Inc. executed in April 2018 and (2) the distribution arrangement with QXMedical, LLC executed in May 2018.



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				Three months ended
	September 30,				September 30,				June 30,
	2018		2017		2018		2017		2018
Reported Gross Margin	46.0	%	44.9	%	44.7	%	44.8	%	44.5	%

Add back impact of:
Amortization of intangibles	3.7	%	3.1	%	3.4	%	2.8	%	3.5	%
Inventory mark-up related to acquisitions	0.1	%	0.1	%	0.6	%	0.6	%	0.9	%

Non-GAAP Gross Margin	49.8	%	48.1	%	48.7	%	48.2	%	48.9	%

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 in excess of 300 individuals. Merit employs approximately 5,600 people worldwide with facilities in South Jordan, Utah; Pearland, Texas; Richmond, Virginia; Malvern, Pennsylvania; Rockland, Massachusetts; San Jose, California; Maastricht and Venlo, The Netherlands; Paris, France; Galway, Ireland; Beijing, China; Tijuana, Mexico; Joinville, Brazil; Markham, Ontario, Canada; Melbourne, Australia; Tokyo, Japan; and Singapore.

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), gross margin (GAAP and non-GAAP), earnings per share (GAAP and non-GAAP) and other financial results or anticipated or completed acquisitions, are forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 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, 2017 and subsequent filings with the Securities and Exchange Commission. Such risks and uncertainties include the possibility that conditions to the closing of the proposed Cianna acquisition, including regulatory approval, will not be satisfied; Merit's potential inability to successfully manage the proposed Cianna acquisition, integrate the acquired operations and achieve projected financial results, product development and other anticipated benefits of the proposed acquisition; uncertainties as to whether Merit will achieve sales, gross margin, cost of goods sold, cash flow and other results from the proposed acquisition which are consistent with Cianna’s historical performance or Merit's expectations as to future performance; unknown costs and risks associated with Cianna’s business and operations; inherent risks and uncertainties relating Merit’s internal models or the projections in this release; risks relating to Merit's potential inability to successfully manage growth through acquisitions generally, including the inability to commercialize technology acquired through completed, proposed or future transactions; expenditures relating to research, development, testing and regulatory approval or clearance of Merit's products and risks that such products may not be developed successfully or approved for commercial use; governmental scrutiny and regulation of the medical device industry, including governmental inquiries, investigations and proceedings involving Merit; 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; 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; 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 countries; increases in the prices of commodity components; negative

changes in economic and industry conditions in the United States or other countries; termination or interruption of relationships with Merit's suppliers, or failure of such suppliers to perform; fluctuations in exchange rates; 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 products obsolete; market acceptance of new products; 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; introduction of products in a timely fashion; price and product competition; availability of labor and materials; fluctuations in and obsolescence of inventory; and other factors referred to in Merit's Annual Report on Form 10-K for the year ended December 31, 2017 and other materials filed with the Securities and Exchange Commission. 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, and Merit assumes no obligation to update or disclose revisions to those estimates.

TRADEMARKS

Unless noted otherwise, trademarks and registered trademarks used in this release are the property of Merit Medical Systems, Inc., in the United States and other jurisdictions.

# # #

investorpresentationq320

Exhibit 99.2 Third Quarter 2018 Results FRED LAMPROPOULOS Chairman & CEO Raul Parra CFO

DISCLOSURE 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), gross margin (GAAP and non-GAAP), earnings per share (GAAP and non-GAAP) and other financial results or anticipated or completed acquisitions. All forward-looking statements, including financial projections, included in this presentation are made as of the date of this presentation, and are based on information available to us as of such date. We assume no obligation to update or disclose revisions to any forward-looking statement, except as required by law or regulation. In some cases, forward-looking statements can be identified by the use of terminology such as “may,” “will,” “likely,” “expects,” “plans,” “anticipates,” “intends,” “believes,” “estimates,” “projects,” ”forecast,” “potential,” “plan,” or other comparable terminology. Forward-looking statements are based on our current beliefs, expectations and assumptions regarding our business, domestic and global economies, regulatory and competitive environments and other conditions. There can be no assurance that such beliefs, expectations or assumptions or any of the forward-looking statements will prove to be correct. Actual results will likely differ, and may differ materially, from those projected or assumed in the forward-looking statements. Financial estimates are subject to change and are not intended to be relied upon as predictions of future operating results, and Merit assumes no obligation to update or disclose revisions to those estimates. Merit’s future financial and operating results and condition, as well as any forward-looking statements, are subject to inherent risks and uncertainties such as those described in its Annual Report on Form 10-K for the year ended December 31, 2017 (the “Annual Report”) and other filings with the U.S. Securities and Exchange Commission. Such risks and uncertainties include the possibility that conditions to the closing of the proposed acquisition of Cianna Medical, Inc. (“Cianna”), including regulatory approval, will not be satisfied; Merit's potential inability to successfully manage the proposed Cianna acquisition, integrate the acquired operations and achieve projected financial results, product development and other anticipated benefits of the proposed acquisition; uncertainties as to whether Merit will achieve sales, gross margin, cost of goods sold, cash flow and other results from the proposed acquisition which are consistent with Cianna’s historical performance or Merit’s expectations as to future performance; unknown costs and risks associated with Cianna’s business and operations; inherent risks and uncertainties relating Merit’s internal models or the projections in this presentation; risks relating to Merit's potential inability to successfully manage growth through acquisitions generally, including the inability to commercialize technology acquired through completed, proposed or future transactions; expenditures relating to research, development, testing and regulatory approval or clearance of Merit's products and risks that such products may not be developed successfully or approved for commercial use; governmental scrutiny and regulation of the medical device industry, including governmental inquiries, investigations and proceedings involving Merit; 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; 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; 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 countries; increases in the prices of commodity components; negative changes in economic and industry conditions in the United States or other countries; termination or interruption of relationships with Merit's suppliers, or failure of such suppliers to perform; fluctuations in exchange rates; 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 products obsolete; market acceptance of new products; 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; introduction of products in a timely fashion; price and product competition; availability of labor and materials; fluctuations in and obsolescence of inventory; and other factors referenced in Merit’s Annual Report. 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 results, and Merit assumes no obligation to update or disclose revisions to those estimates.

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 investors and potential investors 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 used in this presentation are the property of Merit Medical Systems, Inc., in the United States and other jurisdictions. 3

Financial Summary GAAP Q3 2018 Q3 2017 YTD 2018 YTD 2017 Revenue $221.7M $179.3M $649.5M $537.0M Gross Margin 46.0% 44.9% 44.7% 44.8% Net Income $16.6M $(3.6)M $32.8M $20.7M EPS $0.30 $(0.07) $0.62 $0.42 4

Financial Summary Non-GAAP Q3 2018 Q3 2017 YTD 2018 YTD 2017 Revenue (Constant Currency) $223.1M $179.3M $642.1M $537.0M Non-GAAP Gross Margin 49.8% 48.1% 48.7% 48.2% Non-GAAP Net Income $26.0M $16.5M $64.3M $47.4M Non-GAAP EPS $0.47 $0.32 $1.21 $0.96 5

Q3 2018 Revenue by Market (Non-GAAP 18.7%) (Non-GAAP 24.8%) (Non-GAAP 56.5%) 6

YTD 2018 Revenue by Market (Non-GAAP 18.5%) (Non-GAAP 25.3%) (Non-GAAP 56.2%) 7

New Products in 2018 – AEROmini® Tracheobronchial Stent – EmboCube™ Embolization Gelatin – basixTAU™ Inflation Device – Merit Pursue™ Microcatheter – Prelude Prestige™ Splittable Sheath Introducer 8

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; • core revenue; • core revenue on a constant currency basis; • non-GAAP gross margin; • non-GAAP net income; and • non-GAAP earnings per share. Merit’s management team uses these non-GAAP financial measures to evaluate Merit’s profitability and efficiency, to compare operating results to prior periods, to evaluate changes in the operating results of each segment, 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 such measures determined in accordance with GAAP. Readers should consider non-GAAP measures 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 net income, non-GAAP earnings per share and non-GAAP gross margin (in each case, as further illustrated in the reconciliation table 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 new acquisitions, non-cash expense related to amortization of previously acquired tangible and intangible assets, unusual compensation expenses or expenses resulting from non-ordinary course litigation, governmental proceedings, or changes in tax regulations. 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 the comparable GAAP financial measures, and not to rely on any single financial measure to evaluate Merit’s business or results of operations. 9

NOTES TO NON-GAAP FINANCIAL MEASURES (cont.) Constant Currency Revenue Merit’s revenue on a constant currency basis is prepared by translating the current-period reported sales of subsidiaries whose functional currency is other than the U.S. dollar at the applicable foreign exchange rates in effect during the comparable prior-year period. The constant currency revenue adjustments of $1.4 million and $(7.4) million for the three and nine-month periods ended September 30, 2018, respectively, were calculated using the applicable average foreign exchange rates for the three and nine-month periods ended September 30, 2017, respectively. Core Revenue and Core Revenue on a Constant Currency Basis Merit’s core revenue is defined (a) with respect to prior fiscal year periods, as GAAP revenue, and (b) with respect to current fiscal year periods, as GAAP revenue, less revenue from certain acquisitions and strategic transactions. For the three and nine-month periods ended September 30, 2018, Merit’s core revenue excludes revenues from (i) the acquisitions of (1) the assets of Catheter Connections, Inc. in January 2017 (excluded January 2018 only), (2) the critical care division of Argon Medical Devices, Inc. in January 2017 (excluded January 2018 only), (3) Osseon LLC in July 2017 (excluded through June 2018 only), (4) Laurane Medical S.A.S. in August 2017 (excluded through July 2018 only), (5) ITL Healthcare Pty. Ltd. in October 2017, (6) certain divested assets of Becton, Dickinson and Company in February 2018, (7) the assets of DirectACCESS Medical, LLC in May 2018, and (ii) revenues from (1) the distribution arrangement with NinePoint Medical, Inc. executed in April 2018 and (2) the distribution arrangement with QXMedical, LLC executed in May 2018. Non-GAAP Gross Margin Non-GAAP gross margin 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 Net Income Non-GAAP net income is calculated by adjusting GAAP net 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 new acquisitions, non-cash expenses related to amortization of previously acquired tangible and intangible assets, unusual compensation expenses or expenses resulting from non-ordinary course litigation, governmental proceedings or changes in tax regulations, as well as other items set forth in the table below. Non-GAAP EPS Non-GAAP EPS is defined as non-GAAP net income divided by the diluted shares outstanding for the corresponding period. Other Non-GAAP Financial Measure Reconciliation The following table sets forth supplemental financial data and corresponding reconciliations of non-GAAP net income and non-GAAP earnings per share to Merit’s net income and earnings per share prepared in accordance with GAAP, in each case, for the three and nine months ended September 30, 2018 and 2017. The non-GAAP income adjustments referenced in the following table do not reflect stock-based compensation expense of approximately $1.7 million and $1.2 million for the three-month periods ended September 30, 2018 and 2017, respectively, and approximately $4.5 million and $2.9 million for the nine-month periods ended September 30, 2018 and 2017, respectively. 10

Reconciliation of GAAP Net Income to Non-GAAP Net Income (Unaudited, in thousands except per share amounts) Three Months Ended Three Months Ended September 30, 2018 September 30, 2017 Pre-Tax Tax Impact (a) After-Tax Per Share Impact Pre-Tax Tax Impact (a) After-Tax Per Share Impact GAAP net income $ 19,385 $ (2,766) $ 16,619 $ 0.30 $ (2,205) $ (1,364) $ (3,569) $ (0.07) Non-GAAP adjustments: Cost of Sales Amortization of intangibles 8,150 (2,083) 6,067 0.12 5,472 (2,056) 3,416 0.07 Inventory mark-up related to acquisitions 216 (56) 160 0.00 242 (94) 148 0.00 Operating Expenses Severance 318 (49) 269 0.00 396 (154) 242 0.00 Acquisition-related (b) 529 (136) 393 0.01 1,729 (666) 1,063 0.02 Fair value adjustment to contingent consideration (c) (661) (32) (693) (0.01) 20 (8) 12 0.00 Long-term asset impairment charge (d) — — — — 67 (26) 41 0.00 Acquired in-process research and development 75 (19) 56 0.00 12,061 (68) 11,993 0.23 Intangible asset impairment charge (e) 658 (169) 489 0.01 — — — — Amortization of intangibles 2,399 (636) 1,763 0.03 1,530 (591) 939 0.02 Special legal expense (f) 946 (243) 703 0.01 2,118 (824) 1,294 0.03 Other (Income) Expense Gain on bargain purchase (g) — — — — 778 — 778 0.02 Amortization of long-term debt issuance costs 201 (52) 149 0.00 171 (67) 104 0.00 Non-GAAP net income $ 32,216 $ (6,241) $ 25,975 $ 0.47 $ 22,379 $ (5,918) $ 16,461 $ 0.32 Diluted shares 55,103 51,599 (a) Reflects the tax effect associated with pre-tax income and the tax effect of non-GAAP adjustments based on statutory tax rates within the applicable markets with adjustments (b) Represents transaction costs related to acquisitions (c) Represents changes in the fair value of contingent consideration liabilities and contingent receivables associated with prior acquisitions (d) Represents abandoned patents (e) Represents impairment charges related to certain acquired intangible assets (f) Costs incurred in responding to an inquiry from the U.S. Department of Justice (g) Represents the gain on bargain purchase realized from the acquisition of the critical care division of Argon Medical Devices, Inc. 11

Reconciliation of GAAP Net Income to Non-GAAP Net Income (Unaudited, in thousands except per share amounts) Nine Months Ended Nine Months Ended September 30, 2018 September 30, 2017 Pre-Tax Tax Impact (a) After-Tax Per Share Impact Pre-Tax Tax Impact (a) After-Tax Per Share Impact GAAP net income $ 37,309 $ (4,481) $ 32,828 $ 0.62 $ 24,601 $ (3,884) $ 20,717 $ 0.42 Non-GAAP adjustments: Cost of Sales Amortization of intangibles 22,550 (5,759) 16,791 0.31 15,215 (5,702) 9,513 0.19 Inventory mark-up related to acquisitions 3,978 (1,024) 2,954 0.06 3,121 (1,214) 1,907 0.04 Operating expenses Severance 480 (91) 389 0.01 1,740 (677) 1,063 0.02 Acquisition-related (b) 3,119 (803) 2,316 0.04 5,017 (1,501) 3,516 0.07 Fair value adjustment to contingent consideration (c) (442) (88) (530) (0.01) 39 (15) 24 0.00 Long-term asset impairment charge (d) 86 (22) 64 0.00 86 (33) 53 0.00 Acquired in-process research and development 381 (98) 283 0.01 12,136 (97) 12,039 0.25 Intangible asset impairment charge (e) 657 (169) 488 0.01 — — — — Amortization of intangibles 6,864 (1,824) 5,040 0.09 4,202 (1,621) 2,581 0.05 Special legal expense (f) 4,283 (1,102) 3,181 0.06 10,615 (4,129) 6,486 0.13 Other (Income) Expense Gain on bargain purchase (g) — — — — (10,796) — (10,796) (0.22) Amortization of long-term debt issuance costs 603 (155) 448 0.01 514 (200) 314 0.01 Non-GAAP net income $ 79,868 $ (15,616) $ 64,252 $ 1.21 $ 66,490 $ (19,073) $ 47,417 $ 0.96 Diluted shares 53,096 49,555 (a) Reflects the tax effect associated with pre-tax income and the tax effect of non-GAAP adjustments based on statutory tax rates within the applicable markets with adjustments (b) Represents transaction costs related to acquisitions (c) Represents changes in the fair value of contingent consideration liabilities and contingent receivables associated with prior acquisitions (d) Represents abandoned patents (e) Represents impairment charges related to certain acquired intangible assets (f) Costs incurred in responding to an inquiry from the U.S. Department of Justice (g) Represents the gain on bargain purchase realized from the acquisition of the critical care division of Argon Medical Devices, Inc. 12

Reconciliation of Reported Revenue to Core Revenue (Non-GAAP), Constant Currency Revenue (Non-GAAP), and Core Revenue on a Constant Currency Basis (Non-GAAP) (Unaudited; in thousands, except percentages) Three Months Ended Nine Months Ended September 30, September 30, % Change 2018 2017 % Change 2018 2017 Reported Revenue 23.6% $ 221,659 $ 179,337 21.0% $ 649,504 $ 536,955 Add: Impact of foreign exchange (a) 1,418 — (7,380) — Constant Currency Revenue 24.4% $ 223,077 $ 179,337 19.6% $ 642,124 $ 536,955 Three Months Ended Nine Months Ended September 30, September 30, % Change 2018 2017 % Change 2018 2017 Reported Revenue 23.6% $ 221,659 $ 179,337 21.0% $ 649,504 $ 536,955 Less: Revenue from certain acquisitions (b) (16,096) — (47,094) — Core Revenue 14.6% $ 205,563 $ 179,337 12.2% $ 602,410 $ 536,955 Add: Impact of foreign exchange (a) 1,418 — (7,380) — Core Revenue on a Constant Currency Basis 15.4% $ 206,981 $ 179,337 10.8% $ 595,030 $ 536,955 (a) The constant currency revenue adjustments of $1.4 million and $(7.4) million to reported revenue and to core revenue for the three and nine-months ended September 30, 2018, respectively were calculated using the applicable average foreign exchange rates for the three and nine-months ended September 30, 2017, respectively. (b) Merit’s core revenue is defined (a) with respect to prior fiscal year periods, as GAAP revenue, and (b) with respect to current fiscal year periods, as GAAP revenue, less revenue from certain acquisitions and strategic transactions. For the three and nine-month periods ended September 30, 2018, Merit’s core revenue excludes revenues from (i) the acquisitions of (1) the assets of Catheter Connections, Inc. in January 2017 (excluded January 2018 only), (2) the critical care division of Argon Medical Devices, Inc. in January 2017 (excluded January 2018 only), (3) Osseon LLC in July 2017 (excluded through June 2018 only), (4) Laurane Medical S.A.S. in August 2017 (excluded through July 2018 only), (5) ITL Healthcare Pty. Ltd. in October 2017, (6) certain divested assets of Becton, Dickinson and Company in February 2018, (7) the assets of DirectACCESS Medical, LLC, and (ii) revenues from (1) the distribution arrangement with NinePoint Medical, Inc. executed in April 2018 and (2) the distribution arrangement with QXMedical, LLC executed in May 2018. 13

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 Three Months Ended September 30, September 30, June 30, 2018 2017 2018 2017 2018 Reported Gross Margin 46.0% 44.9% 44.7% 44.8% 44.5% Add back impact of: Amortization of intangibles 3.7% 3.1% 3.4% 2.8% 3.5% Inventory mark-up related to acquisitions 0.1% 0.1% 0.6% 0.6% 0.9% Non-GAAP Gross Margin 49.8% 48.1% 48.7% 48.2% 48.9% 14