STERIS PLC MANAGEMENT DISCUSSION AND ANALYSIS OF FINANCIAL POSITION AND RESULTS OF OPERATIONS (Form 10-K)

INTRODUCTION

In the MD&A, we discuss the general financial condition and results of operations of STERIS and its subsidiaries, including:

•what factors affect our business;
•what our earnings and costs were;
•why those earnings and costs were different from the year before;
•where our earnings came from;
•how this affects our overall financial condition;
•what our expenditures for capital projects were; and
•where cash will come from to fund future debt principal repayments, growth
outside of core operations, repurchase ordinary shares, pay cash dividends and
fund future working capital needs.

The MD&A also analyzes and explains the annual changes in the specific line
items in the Consolidated Statements of Income. As you read the MD&A, it may be
helpful to refer to information in Item 1, "Business", Part I, Item 1A, "Risk
Factors" and Note 10 of our consolidated financial statements titled,
"Commitments and Contingencies" for a discussion of some of the matters that can
adversely affect our business and results of operations. This information,
discussion, and disclosure may be important to you in making decisions about
your investments in STERIS.

FINANCIAL MEASURES

In the following sections of the MD&A, we may, at times, refer to financial
measures that are not required to be presented in the consolidated financial
statements under U.S. GAAP. We sometimes use the following financial measures in
the context of this report: backlog; debt-to-total capital; and days sales
outstanding. We define these financial measures as follows:

•Backlog - We define backlog as the amount of unfilled capital equipment
purchase orders at a point in time. We use this figure as a measure to assist in
the projection of short-term financial results and inventory requirements.
•Debt-to-total capital - We define debt-to-total capital as total debt divided
by the sum of total debt and shareholders' equity. We use this figure as a
financial liquidity measure to gauge our ability to borrow and fund growth.
•Days sales outstanding ("DSO") - We define DSO as the average collection period
for accounts receivable. It is calculated as net accounts receivable divided by
the trailing four quarters' revenues, multiplied by 365 days. We use this figure
to help gauge the quality of accounts receivable and expected time to collect.

We, at times, may also refer to financial measures which are considered to be
"non-GAAP financial measures" under SEC rules. We have presented these financial
measures because we believe that meaningful analysis of our financial
performance is enhanced by an understanding of certain additional factors
underlying that performance. These financial measures should not be considered
an alternative to measures required by accounting principles generally accepted
in the United States. Our calculations of these measures may differ from
calculations of similar measures used by other companies and you should be
careful when comparing these financial measures to those of other companies.
Additional information regarding these financial measures, including
reconciliations of each non- GAAP financial measure, is available in the
subsection of MD&A titled, "Non-GAAP Financial Measures."


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INCOME – DEFINITION

As required by Regulation S-X, we separately present revenues generated as
either product revenues or service revenues on our Consolidated Statements of
Income for each period presented. When we discuss revenues, we may, at times,
refer to revenues summarized differently than the Regulation S-X requirements.
The terminology, definitions, and applications of terms that we use to describe
revenues may be different from terms used by other companies. We use the
following terms to describe revenues:

•Revenues - Our revenues are presented net of sales returns and allowances.
•Product Revenues - We define product revenues as revenues generated from sales
of consumable and capital equipment products.
•Service Revenues - We define service revenues as revenues generated from parts
and labor associated with the maintenance, repair, and installation of our
capital equipment. Service revenues also include outsourced reprocessing
services and instrument and scope repairs, as well as revenues generated from
contract sterilization and laboratory services offered through our Applied
Sterilization Technologies segment.
•Capital Equipment Revenues - We define capital equipment revenues as revenues
generated from sales of capital equipment, which includes: steam and gas
sterilizers, low temperature liquid chemical sterilant processing systems, pure
steam/water systems, surgical lights and tables, and integrated OR.
•Consumable Revenues - We define consumable revenues as revenues generated from
sales of the consumable family of products, which includes dedicated consumables
including V-PRO, SYSTEM 1 and 1E consumables, gastrointestinal endoscopy
accessories, sterility assurance products, barrier protection solutions,
cleaning consumables, dental and surgical instruments.
•Recurring Revenues - We define recurring revenues as revenues generated from
sales of consumable products and service revenues.

OVERVIEW AND EXECUTIVE SUMMARY

STERIS is a leading global provider of products and services that support
patient care with an emphasis on infection prevention. WE HELP OUR CUSTOMERS
CREATE A HEALTHIER AND SAFER WORLD by providing innovative healthcare, life
sciences and dental products and services. We offer our Customers a unique mix
of innovative consumable products, such as detergents, gastrointestinal ("GI")
endoscopy accessories, barrier product solutions, and other products and
services, including: equipment installation and maintenance, microbial reduction
of medical devices, dental instruments and tools, instrument and scope repair,
laboratory testing services, outsourced reprocessing, and capital equipment
products, such as sterilizers and surgical tables, automated endoscope
reprocessors, and connectivity solutions such as operating room ("OR")
integration.

As a result of the acquisition of Cantel, we have reassessed the organization of
our business and have added a new segment called Dental. We now operate and
report our financial information in four reportable business segments:
Healthcare, Applied Sterilization Technologies, Life Sciences and Dental.
Non-allocated operating costs that support the entire Company and items not
indicative of operating trends are excluded from segment operating income. We
describe our business segments in Note 11 to our consolidated financial
statements, titled "Business Segment Information."

The bulk of our revenues are derived from the healthcare and pharmaceutical
industries. Much of the growth in these industries is driven by the aging of the
population throughout the world, as an increasing number of individuals are
entering their prime healthcare consumption years, and is dependent upon
advancement in healthcare delivery, acceptance of new technologies, government
policies, and general economic conditions. The pharmaceutical industry has been
impacted by increased regulatory scrutiny of cleaning and validation processes,
mandating that manufacturers improve their processes. Within healthcare, there
is increased concern regarding the level of hospital acquired infections around
the world; increased demand for medical procedures, including preventive
screenings such as endoscopies and colonoscopies; and a desire by our Customers
to operate more efficiently, all which are driving increased demand for many of
our products and services.

Acquisitions. On June 2, 2021, we acquired all outstanding equity interests in
Cantel Medical LLC ("Cantel") through a U.S. subsidiary. Cantel, formerly
headquartered in Little Falls, New Jersey, with approximately 3,700 employees,
is a global provider of infection prevention products and services primarily to
endoscopy and dental Customers. The total consideration for Cantel Common Stock
and stock equivalents was $3.6 billion.

We believe that the acquisition will strengthen STERIS's leadership in infection
prevention by bringing together two complementary businesses able to offer a
broader set of Customers a more diversified selection of infection prevention,
endoscopy and sterilization products and services. Cantel's Dental business
extends our business into a new Customer segment where there is an increasing
focus on infection prevention protocols and processes. This business is reported
as the Dental segment. The rest of Cantel was integrated into our existing
Healthcare and Life Sciences segments. Additionally, the acquisition is expected
to result in cost savings from optimizing global back-office infrastructure,
leveraging best-demonstrated practices across locations and eliminating
redundant public company costs.

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The results of Cantel are only reflected in the results of operations and cash
flows from June 2, 2021 forward, which will affect results of comparability to
the prior period operations and cash flows.

In addition to the acquisition of Cantel, we completed three other add-on acquisitions in fiscal 2022, which continued to expand our product and service offerings in the healthcare industry. The total aggregate consideration for these transactions was approximately $3.1 millionnet of cash acquired and including the deferred consideration of $0.1 million.

On January 4, 2021, we purchased the remaining outstanding shares of an entity
in which we had initially made an equity investment in fiscal 2019. Total
consideration was approximately $78.0 million, net of cash acquired and subject
to any working capital adjustments. Total non-cash consideration for this
transaction was $41.8 million, which consisted of the settlement of outstanding
principal and interest on a loan receivable, the initial equity investment, and
receivables related to capital equipment purchases that existed at the
acquisition date. The business has been integrated into our Applied
Sterilization Technologies business segment and we funded the transaction
through a combination of cash on hand and credit facility borrowings.

On November 18, 2020, we acquired all of the outstanding units and equity of Key
Surgical, LLC ("Key Surgical"). Key Surgical is a global provider of sterile
processing, operating room and endoscopy consumable products serving hospitals
and surgical facilities. Key Surgical has been integrated into our Healthcare
segment. The total purchase price of the acquisition was $853.2 million, net of
cash acquired and remains subject to customary working capital adjustments.

We also completed two other tuck-in acquisitions during fiscal 2021, which
continued to expand our product and service offerings in the Healthcare segment.
Total aggregate consideration for these transactions was approximately $20.9
million, net of cash acquired and including deferred consideration of
approximately $1.2 million.

Divestitures. In December 2021, we entered into an Asset Purchase Agreement to
sell our Renal Care business to Evoqua Water Technologies Corp., for cash
consideration of approximately $196.0 million, subject to certain potential
adjustments, including a customary working capital adjustment and contingent
consideration of $12.3 million. We recognized a gain on the sale of $1.0
million. The transaction closed on January 3, 2022. We acquired the Renal Care
business as part of the Cantel transaction, which closed on June 2, 2021, and
had been integrated into STERIS's Healthcare segment. The Renal Care business
generated annual revenues of approximately $180.0 million. The proceeds from the
sale received at closing were used to repay outstanding debt.

During fiscal 2021, we sold an Applied Sterilization Technologies laboratory
that was located in the Netherlands. We recorded proceeds of $0.5 million, net
of cash divested, and recognized a pre-tax loss on the sale of $2.0 million in
the selling, general and administrative expense line of the Consolidated
Statements of Income. The business generated annual revenues of approximately
$6.0 million.

For more information about our recent acquisitions and divestitures, see note 2 entitled “Business acquisitions and divestitures”.

COVID-19 Pandemic. We do not believe that the COVID-19 pandemic has had a
material impact on our operations, as we have been able to continue to operate
our manufacturing facilities and meet the demand for essential products and
services of our Customers. In response to the COVID-19 pandemic, we implemented
several measures that we believe helped us protect the health and safety of our
employees, preserve liquidity and enhance our financial flexibility. We have
successfully managed our liquidity throughout the COVID-19 pandemic and continue
to invest in expansion projects as planned. We obtained additional funding in
the second half of fiscal 2021 to continue to advance our growth strategy to
supplement organic growth with acquisitions. As a result, we do not believe that
the COVID-19 pandemic or the actions we took in response to the pandemic will
negatively impact our long-term ability to generate revenues or meet existing
and future financial obligations. For additional information on our risk factors
related to the COVID-19 pandemic please refer to Item 1A. titled, "Risk
Factors."

Highlights. Revenues increased $1,477.5 million, or 47.5%, to $4,585.1 million
for the year ended March 31, 2022, as compared to $3,107.5 million for the year
ended March 31, 2021. These increases reflect added volume from Cantel and other
recent acquisitions, organic growth in the Healthcare, Applied Sterilization
Technologies and Life Sciences segments, and favorable fluctuations in
currencies.

Our gross profit percentage increased to 44.0% for fiscal 2022 as compared to
43.2% for fiscal 2021. Favorable impact from productivity, pricing, and the
decline in COVID-19 incremental costs, were partially offset by unfavorable
impact from our recent acquisitions, material costs, inflation, fluctuations in
currencies, and mix and other adjustments.

Fiscal 2022 operating income decreased 22.4% to $425.6 million over fiscal 2021
operating income of $548.4 million. This decline was primarily due to additional
acquisition and integration expenses and incremental amortization expense
primarily related to the acquisition of Cantel. Unplanned supply chain and
inflation of approximately $45.0 million also contributed to the decline in
fiscal 2022.

Net cash flows from operations were $684.8 million and free cash flow was $399.0
million in fiscal 2022 compared to net cash flows from operations of $689.6
million and free cash flow of $450.9 million in fiscal 2021 (see subsection of
MD&A

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titled, "Non-GAAP Financial Measures" for additional information and related
reconciliation of non-GAAP financial measures to the most comparable GAAP
measures). The fiscal 2022 decrease in free cash flow was anticipated and was
primarily due to costs associated with the acquisition and integration of Cantel
and higher capital expenditures in fiscal 2022.

Our debt-to-total capital ratio was 32.1% at March 31, 2022. During the year, we
increased our quarterly dividend for the sixteenth consecutive year to $0.43 per
share per quarter.

Outlook. In fiscal 2023 and beyond, we expect to continue to realize incremental
cost synergies as a result of the integration of Cantel, manage our costs, grow
our business with internal product and service development, invest in greater
capacity, and augment these value creating methods with potential acquisitions
of additional products and services. We anticipate continued supply chain and
inflation pressures in fiscal 2023. Please refer to "Information With Respect to
Our Business In General" in Item 1."Business" to this Annual Report on Form
10-K.

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NON-GAAP FINANCIAL MEASURES

We, at times, refer to financial measures which are considered to be "non-GAAP
financial measures" under SEC rules. We, at times, also refer to our results of
operations excluding certain transactions or amounts that are non-recurring or
are not indicative of future results, in order to provide meaningful comparisons
between the periods presented.

These non-GAAP financial measures are not intended to be, and should not be,
considered separately from or as an alternative to the most directly comparable
GAAP financial measures.

These non-GAAP financial measures are presented with the intent of providing
greater transparency to supplemental financial information used by management
and the Board of Directors in their financial analysis and operational
decision-making. These amounts are disclosed so that the reader has the same
financial data that management uses with the belief that it will assist
investors and other readers in making comparisons to our historical operating
results and analyzing the underlying performance of our operations for the
periods presented.

We believe that the presentation of these non-GAAP financial measures, when
considered along with our GAAP financial measures and the reconciliation to the
corresponding GAAP financial measures, provide the reader with a more complete
understanding of the factors and trends affecting our business than could be
obtained absent this disclosure. It is important for the reader to note that the
non-GAAP financial measure used may be calculated differently from, and
therefore may not be comparable to, a similarly titled measure used by other
companies.

We define free cash flow as net cash provided by operating activities as
presented in the Consolidated Statements of Cash Flows less purchases of
property, plant, equipment, and intangibles plus proceeds from the sale of
property, plant, equipment, and intangibles, which are also presented within
investing activities in the Consolidated Statements of Cash Flows. We use this
as a measure to gauge our ability to pay cash dividends, fund growth outside of
core operations, fund future debt principal repayments, and repurchase shares.
The following table summarizes the calculation of our free cash flow for the
years ended March 31, 2022 and 2021:
                                                                                Years Ended March 31,
(dollars in thousands)                                                         2022                 2021
Net cash flows provided by operating activities                           $    684,811          $ 689,640
Purchases of property, plant, equipment and intangibles, net                  (287,563)          (239,262)
Proceeds from the sale of property, plant, equipment and
intangibles                                                                      1,741                569
Free cash flow                                                            $    398,989          $ 450,947

RESULTS OF OPERATIONS

In the following subsections, we discuss our performance and the factors that affect it. We begin with a general overview of our operating results and then discuss separately the earnings of our operating segments.

The discussion of and factors affecting our performance for the year ended March
31, 2021 compared to the fiscal year ended March 31, 2020 is included in Item 7.
Management's Discussion and Analysis of Financial Condition and Results of
Operations in Part II of our Annual Report on Form 10-K for the year ended March
31, 2021.

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FISCAL YEAR 2022 COMPARED TO FISCAL YEAR 2021

Revenues. The following table compares our revenues, in total and by type and
geography, for the year ended March 31, 2022 to the year ended March 31, 2021:
                                    Years Ended March 31,                           Percent
(dollars in thousands)              2022             2021            Change         Change
Total revenues                  $ 4,585,064      $ 3,107,519      $ 1,477,545        47.5  %

Revenues by type:
Service revenues                  2,028,783        1,663,979          364,804        21.9  %
Consumable revenues               1,607,101          725,951          881,150       121.4  %
Capital equipment revenues          949,180          717,589          231,591        32.3  %

Revenues by geography:
Ireland revenues                     82,011           71,905           10,106        14.1  %
United States revenues            3,228,864        2,227,038        1,001,826        45.0  %
Other foreign revenues            1,274,189          808,576          465,613        57.6  %


Revenues increased $1,477.5 million, or 47.5%, to $4,585.1 million for the year
ended March 31, 2022, as compared to $3,107.5 million for the year ended
March 31, 2021. The increase reflects added volume of $1,073.1 million from
Cantel and other recent acquisitions, organic growth in the Healthcare, Applied
Sterilization Technologies and Life Sciences segments and favorable fluctuations
in currencies.

Service revenues for fiscal 2022 increased $364.8 million, or 21.9% over fiscal
2021, reflecting growth in the Healthcare, Life Sciences and Applied
Sterilization Technologies business segments. Consumable revenues for fiscal
2022 increased $881.2 million, or 121.4%, over fiscal 2021, reflecting growth in
the Healthcare and Life Sciences segments and added volume from the addition of
our new Dental segment. Capital equipment revenues for fiscal 2022 increased by
$231.6 million, or 32.3%, over fiscal 2021, reflecting growth in the Healthcare
and Life Sciences segments.

Ireland revenues for fiscal 2022 were $82.0 million, representing an increase of
$10.1 million, or 14.1%, over fiscal 2021 revenues of $71.9 million, reflecting
growth in service and consumable revenues, which were partially offset by a
decline in capital equipment revenues.

United States revenues for fiscal 2022 were $3,228.9 million, representing an
increase of $1,001.8 million, or 45.0%, over fiscal 2021 revenues of $2,227.0
million, reflecting growth in consumable, service and capital equipment
revenues. These increases represent both organic growth and the impact of Cantel
and our other recent acquisitions.

Revenues from other foreign locations for fiscal 2022 were $1,274.2 million,
representing an increase of $465.6 million, or 57.6% over the fiscal 2021
revenues of $808.6 million, reflecting strength in Canada and the Europe, Middle
East and Africa ("EMEA"), Asia Pacific and Latin American regions. These
increases represent both organic growth and the impact of Cantel and our other
recent acquisitions.

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Gross profit. The following table compares our gross profit for the year ended
March 31, 2022 to the year ended March 31, 2021:

                                        Years Ended March 31,                          Percent
(dollars in thousands)                  2022              2021           Change        Change
Gross profit:
Product                            $ 1,136,356       $   678,464       $ 457,892        67.5  %
Service                                880,006           664,636         215,370        32.4  %
Total gross profit                 $ 2,016,362       $ 1,343,100       $ 673,262        50.1  %
Gross profit percentage:
Product                                   44.5  %           47.0  %
Service                                   43.4  %           39.9  %
Total gross profit percentage             44.0  %           43.2  %


Our gross profit is affected by the volume, pricing and mix of sales of our
products and services, as well as the costs associated with the products and
services that are sold. Our gross profit percentage increased to 44.0% for
fiscal 2022 as compared to 43.2% for fiscal 2021. Favorable impact from
productivity (170 basis points), pricing (70 basis points), and the decline in
COVID-19 incremental costs (60 basis points) were partially offset by
unfavorable impact from our recent acquisitions (80 basis points), material
costs (70 basis points), inflation (50 basis points), fluctuations in currencies
(10 basis points) and mix and other adjustments (10 basis points).

Operating Expenses. The following table compares our operating expenses for the year ended March 31, 2022 to the year ended March 31, 2021:

                                              Years Ended March 31,                        Percent
(dollars in thousands)                         2022            2021          Change        Change
Operating expenses:
Selling, general, and administrative      $  1,502,752      $ 731,320      $ 771,432       105.5  %
Research and development                        87,944         66,326         21,618        32.6  %
Restructuring expenses                              48         (2,914)         2,962             NM
Total operating expenses                  $  1,590,744      $ 794,732      $ 796,012       100.2  %


NM - Not meaningful

Selling, General, and Administrative Expenses. Significant components of total
selling, general, and administrative expenses ("SG&A") are compensation and
benefit costs, fees for professional services, travel and entertainment,
facilities costs, gains or losses from divestitures, and other general and
administrative expenses. SG&A increased 105.5% in fiscal 2022 over fiscal 2021.
During the fiscal 2022 period we had significant increases in acquisition
related costs, which included amortization of acquired intangible assets,
"step-up" of plant, property and equipment to fair value, and acquisition and
integration expenses, which were primarily related to the acquisition of Cantel.
The increase also reflects the addition of expenses associated with the
operations of Cantel and our other recent acquisitions.

Research and Development. Research and development expenses increased $21.6
million during fiscal 2022, as compared to fiscal 2021, primarily due to the
addition of Cantel and our other recent acquisitions. Research and development
expenses are influenced by the number and timing of in-process projects and
labor hours and other costs associated with these projects. Our research and
development initiatives continue to emphasize new product development, product
improvements, and the development of new technological platform innovations.
During fiscal 2022, our investments in research and development continued to be
focused on, but were not limited to, enhancing capabilities of sterile
processing combination technologies, procedural products and accessories, and
devices and support accessories used in gastrointestinal endoscopy procedures.

Restructuring Expenses. During the third quarter of fiscal 2019, we adopted and
announced a targeted restructuring plan (the "Fiscal 2019 Restructuring Plan"),
which included the closure of two manufacturing facilities, one in Brazil and
one in England, as well as other actions including the rationalization of
certain products. Fewer than 200 positions were eliminated. The Company
relocated the production of certain impacted products to other existing
manufacturing operations during fiscal 2020. These restructuring actions were
designed to enhance profitability and improve efficiency. Restructuring expenses
incurred in fiscal 2022 and fiscal 2021 were not material. For information on
our restructuring efforts, refer to our Annual Report on Form 10-K filed with
the SEC on May 28, 2021.

Non-Operating Expenses, Net. Non-operating expense (income), net consists of
interest expense on debt, offset by interest earned on cash, cash equivalents,
short-term investment balances, a fair value adjustment related to convertible
debt, and other

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Miscellaneous expense. The following table compares our non-operating expenses (revenues), net for the year ended March 31, 2022 to the year ended March 31, 2021:

                                                                         Years Ended March 31,
(dollars in thousands)                                                  2022                  2021             Change
Non-operating expenses, net:
Interest expense                                                 $     89,593             $  37,180          $ 52,413

Fair value adjustment related to convertible debt, premium liabilities

                                                              27,806                     -            27,806
Interest income and miscellaneous expense                              (6,284)               (6,345)               61
Non-operating expenses, net                                      $    111,115             $  30,835          $ 80,280


Interest expense increased $52.4 million during fiscal 2022, as compared to
fiscal 2021, primarily due to debt incurred for acquisition financing including
term loans and Senior Public Notes (as defined below). During fiscal 2022, we
recorded fair value adjustments of $27.8 million, based on appreciation in our
share price related to premium liability associated with the convertible debt
assumed in the acquisition of Cantel. Interest (income) and miscellaneous
expense is not material.

Additional information regarding our outstanding debt and Cantel’s convertible debt is included in Note 6 to our Consolidated Financial Statements entitled “Debt” and in the subsection of this MD&A entitled “Liquidity and capital “.

Income Tax Expense. The following table compares our income tax expense and
effective income tax rates for the years ended March 31, 2022 and March 31,
2021:
                                   Years Ended March 31,                         Percent
(dollars in thousands)             2022             2021          Change         Change

Income tax expense             $   71,633       $ 120,663       $ (49,030)       (40.6)%
Effective income tax rate            22.8  %         23.3  %


The effective income tax rate for fiscal 2022 was 22.8% as compared to 23.3% for
fiscal 2021. The fiscal 2022 effective tax rate decreased when compared to
fiscal 2021, primarily due to a decrease in percentage of profits earned and
taxed in jurisdictions with a higher tax rate. The fiscal 2022 effective tax
rate was also unfavorably impacted by certain one-time, non-deductible
acquisition related costs.

Business segment operating results.

Following the acquisition of Cantel, we re-evaluated the organization of our activities and added a new segment called Dental. We now operate and report our financial information in four reportable business segments: healthcare, applied sterilization technologies, life sciences and dental care. Unallocated operating costs that support the entire Company and items not indicative of operating trends are excluded from segment operating income.

Our Healthcare segment provides a comprehensive offering for healthcare
providers worldwide, focused on sterile processing departments and procedural
centers, such as operating rooms and endoscopy suites. Our products and services
range from infection prevention consumables and capital equipment, as well as
services to maintain that equipment; to the repair of re-usable procedural
instruments; to outsourced instrument reprocessing services. In addition, our
procedural solutions also include single-use devices and capital equipment
infrastructure used primarily in operating rooms, ambulatory surgery centers,
endoscopy suites, and other procedural areas.

Our Applied Sterilization Technologies segment is a third-party service provider for contract sterilization, as well as the testing services necessary to validate sterility services for medical device and pharmaceutical manufacturers. Our technologically neutral offer accompanies customers at every stage of the process, from testing to sterilization.

Our Life Sciences segment provides a comprehensive offering of products and
services that support pharmaceutical manufacturing, primarily for vaccine and
other biopharma Customers focused on aseptic manufacturing. These solutions
include a full suite of consumable products, equipment maintenance and specialty
services, and capital equipment.

Our Dental segment provides a comprehensive offering for dental practitioners
and dental schools, offering instruments, infection prevention consumables and
instrument management systems.

We disclose a measure of segment revenue that is consistent with how management operates and views the business. The accounting principles of the segments to be presented are the same as those of the consolidated company.

For more information about our segments, please refer to Note 11 to our Consolidated Financial Statements entitled “Segment Information” and Section 1, “Business”.

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The following table compares business segment and Corporate and other revenues
and operating income for the year ended March 31, 2022 to the year ended
March 31, 2021.

                                                               Years ended March 31,                                      Percent
(dollars in thousands)                                       2022                 2021                Change              Change

Income:

Healthcare                                              $ 2,845,467          $ 1,954,055          $   891,412                45.6  %
Applied Sterilization Technologies                          852,972              685,912              167,060                24.4  %
Life Sciences                                               524,964              467,552               57,412                12.3  %
Dental                                                      361,661                    -              361,661                   -  %
Total revenues                                          $ 4,585,064          $ 3,107,519          $ 1,477,545                47.5  %
Operating income (loss):
Healthcare                                                  626,098              427,089              199,009                46.6  %
Applied Sterilization Technologies                          410,101              310,648               99,453                32.0  %
Life Sciences                                               216,188              180,796               35,392                19.6  %
Dental                                                       84,441                    -               84,441                   -  %
     Corporate                                             (260,059)            (219,153)             (40,906)               18.7  %
Total operating income before adjustments               $ 1,076,769          $   699,380          $   377,389                54.0  %
Less: Adjustments
Amortization of acquired intangible assets (1)              366,434         

83,892

Acquisition and integration related charges (2)             205,788         

35,634

Redomiciliation and tax restructuring costs (3)                 301         

1,592

(Gain) on fair value adjustment of acquisition
related contingent consideration (1)                         (2,350)        

(500)

 Net (gain) loss on divestiture of businesses (1)              (874)        

2,030

Amortization of inventory and property "step up"
to fair value (1)                                            81,804         

5,600

COVID-19 incremental costs (4)                                    -         

25,793

Restructuring charges (credit) (5)                               48               (3,029)

Total operating income                                  $   425,618          $   548,368


(1) For more information regarding our recent acquisitions and divestitures
refer to Note 2 titled, "Business Acquisitions and Divestitures."
(2) Acquisition and integration related charges include transaction costs and
integration expenses associated with acquisitions.
(3) Costs incurred in connection with the Redomiciliation and subsequent tax
restructuring.
(4) COVID-19 incremental costs includes the additional costs attributable to
COVID-19 such as enhanced cleaning protocols, personal protective equipment for
our employees, event cancellation fees, and payroll costs associated with our
response to COVID-19, net of any government subsidies available.
(5) For more information regarding our restructuring efforts refer to our Annual
Report on Form 10-K for the year ended March 31, 2021, dated May 28, 2021.

Healthcare revenues increased 45.6% in fiscal 2022, as compared to fiscal 2021,
reflecting growth in consumables, capital equipment, and service revenues of
96.6%, 32.9% and 23.9%, respectively. This increase reflects the impact of
Cantel and our other recent acquisitions, organic growth and favorable
fluctuations in foreign currencies. Excluding Cantel, the Healthcare segment's
backlog at March 31, 2022 amounted to $423.6 million, increasing 105.4%, as
compared to the backlog of $206.3 million at March 31, 2021. The increase is
primarily due to Customer demand but also reflects some delays in shipments due
to supply chain disruptions.

Applied Sterilization Technologies revenues increased 24.4% in fiscal 2022, as
compared to fiscal 2021. The increase was primarily due to organic growth and
favorable fluctuations. The impact of a fiscal 2021 acquisition also contributed
to the increases.

Life Sciences revenues increased 12.3% in fiscal 2022, as compared to fiscal
2021, reflecting growth in service, consumable, and capital equipment revenues
of 15.4%, 11.3% and 10.8%, respectively. The increase reflects the impact of the
Cantel acquisition, organic growth and favorable fluctuations in foreign
currencies. Excluding Cantel, the Life Sciences backlog at March 31, 2022
amounted to $104.7 million, increasing 31.1%, as compared to backlog of $79.9
million at March 31, 2021. The increase is primarily due to Customer demand but
also reflects some delays in shipments due to supply chain disruptions.

Dental segment revenues from the date of Cantel’s acquisition of June 2, 2021 through
March 31, 2022 were $361.7 million.

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The Healthcare segment's operating income increased $199.0 million to $626.1
million in fiscal year 2022, as compared to $427.1 million in fiscal year 2021,
due to higher volumes primarily from the acquisition of Cantel. The segment's
operating margins were 22.0% for fiscal year 2022 and 21.9% for fiscal year
2021. During fiscal 2022, we experienced favorable impact from our recent
acquisitions, partially offset by supply chain and inflationary cost increases.
In fiscal 2021, we benefited from lower expenditures, including reductions in
travel and meeting spend due to the COVID-19 pandemic.

The Applied Sterilization Technologies segment's operating income increased
$99.5 million to $410.1 million in fiscal year 2022, as compared to $310.6
million in fiscal year 2021. The Applied Sterilization Technologies segment's
operating margins were 48.1% for fiscal year 2022 and 45.3% for fiscal year
2021. The segment's operating income and operating margin improvements were
primarily due to to higher volumes. Additionally, in the prior year we
experienced reduced expenditures, including reductions in travel and meeting
spend due to the COVID-19 pandemic.

The Life Sciences business segment's operating income increased $35.4 million to
$216.2 million in fiscal year 2022, as compared to $180.8 million in fiscal year
2021. The segment's operating margins were 41.2% for fiscal year 2022 and 38.7%
for fiscal year 2021. The segment's operating income and operating margin
improvements were primarily due to to higher volumes partially due to the
acquisition of Cantel and favorable mix.

Dental segment operating profit and operating margin for fiscal 2022 were $84.4 million and 23.3%, respectively.

CASH AND CAPITAL RESOURCES

The following table summarizes the main components of our cash flows for the years ended March 31, 2022 and 2021:

                                                    Years Ended March 31,
(dollars in thousands)                             2022              2021

Net cash flow generated by operating activities $684,811 $689,640
Net cash used in investing activities

            (666,559)        

(1,154,159)

Net provided by financing activities              115,830            345,620
Debt-to-total capital ratio                          32.1  %            29.8  %
Free cash flow                                 $  398,989       $    450,947


Net Cash Provided By Operating Activities - The net cash provided by our
operating activities was $684.8 million for the year ended March 31, 2022,
compared to $689.6 million for the year ended March 31, 2021. Net cash provided
by operating activities decreased in fiscal 2022 by 0.7%, as compared to fiscal
2021, largely due to the acquisition and integration expenditures related to our
acquisition of Cantel.

Net Cash Used In Investing Activities - The net cash used in our investing
activities was $666.6 million for the year ended March 31, 2022, compared to
$1,154.2 million for the year ended March 31, 2021. The following discussion
summarizes the significant changes in our investing cash flows for the years
ended March 31, 2022 and 2021:

• Purchases of property, plant and equipment and intangible assets, net – Capital expenditures totaled $287.6 million and $239.3 million for fiscal years 2022 and 2021, respectively. The increase in fiscal 2022 is mainly due to additional expenses associated with Cantel and our Applied Sterilization Technologies segment.

•Proceeds from the sale of property, plant, equipment and intangibles - During
fiscal 2022 and 2021 we received $1.7 million and $0.6 million, respectively,
for proceeds from the sale of property, plant, equipment and intangibles.

•Proceeds from the sale of business - During fiscal 2022 and 2021, we received
$169.7 million and $0.5 million, respectively, for proceeds from the sale of
certain non-core businesses. For more information, refer to our Note 2 to our
consolidated financial statements, titled "Business Acquisitions and
Divestitures."

• Investment purchases – In fiscal 2021, we purchased an equity investment to $4.4 million.

•Acquisition of businesses, net of cash acquired - During fiscal 2022 and 2021,
we used $550.4 million and $909.2 million, respectively, for acquisitions. For
more information on these acquisitions refer to Note 2 to our consolidated
financial statements titled, "Business Acquisitions and Divestitures."

•Other - During fiscal 2021, we provided approximately $2.4 million under
borrowing agreements. For more information on these agreements refer to our Note
2 to our consolidated financial statements, titled "Business Acquisitions and
Divestitures."

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Net Cash Provided By Financing Activities - Net cash provided by financing
activities was $115.8 million for the year ended March 31, 2022, compared to
$345.6 million for the year ended March 31, 2021. The following discussion
summarizes the significant changes in our financing cash flows for the years
ended March 31, 2022 and 2021:

•Proceeds from issuance of senior notes - During fiscal 2022, we received
$1,350.0 million in proceeds from the issuance of our Senior Public Notes. For
more information on our Senior Public Notes, refer to Note 6 of our Consolidated
Financial Statements titled, "Debt."

•Proceeds from term loan - During fiscal 2022, we received proceeds of $650.0
million under our Delayed Draw Term Loan. During fiscal 2021, we received
proceeds of $550.0 million under a prior Term Loan, which was subsequently
replaced by another Term Loan of a like amount. For more information on our term
loans, refer to Note 6 of our Consolidated Financial Statements titled, "Debt."

• Term Loan Payments – In fiscal 2022, we repaid $345.0 million of our term loan. For more information on our term loans, refer to note 6 of our consolidated financial statements entitled “Debt”.

•Payments on long-term obligations - During fiscal 2022, we repaid $721.3
million of Cantel's outstanding debt in connection with the acquisition. For
more information on Cantel's debt refer to Note 2 of our Consolidated Financial
Statements titled, "Business Acquisitions and Divestitures." During fiscal 2021,
we repaid $35.0 million of principal for private placement senior notes that
matured in August 2020. For more information on our debt, refer to Note 6 of our
Consolidated Financial Statements titled, "Debt."

•Payments on convertible debt obligations - During fiscal 2022, we paid $371.4
million to settle obligations associated with Cantel's convertible debt assumed
at the time of acquisition. For more information on Cantel's debt refer to Note
6 of our Consolidated Financial Statements titled, "Debt."

•Payments under credit facilities, net - Net payments under credit facilities
totaled $190.2 million for fiscal 2022, compared to $30.5 million for fiscal
2021. At the end of fiscal 2022, $58.9 million of debt was outstanding under our
bank credit facility, compared to $247.4 million of debt outstanding under this
facility at the end of fiscal 2021. We provide additional information about our
bank credit facility in Note 6 to our consolidated financial statements titled,
"Debt."

•Deferred financing fees and debt issuance costs - During fiscal 2022 and fiscal
2021, we paid $17.5 million and $12.8 million, respectively for financing fees
and debt issuance costs primarily related to our Senior Public Notes and Delayed
Draw Term Loan. For more information on our debt refer to Note 6 to our
consolidated financial statements titled, "Debt."

•Repurchases of shares - Due to the uncertainty surrounding the COVID-19
pandemic, share repurchases were suspended on April 9, 2020. The suspension was
lifted effective February 10, 2022, enabling the Company to resume stock
repurchases pursuant to the prior authorizations. From February 14, 2022,
through March 31, 2022, we repurchased 108,368 of our ordinary shares for the
aggregate amount of $25.0 million pursuant to the authorizations. We also
obtained 244,395 of our ordinary shares in the aggregate amount of $30.8 million
in connection with share based compensation award programs. From the start of
fiscal 2021 through April 9, 2020, we purchased 35,000 of our ordinary shares in
the aggregate amount of $5.0 million. We also obtained 91,567 of our ordinary
shares in connection with our stock-based compensation award programs in the
amount $9.6 million. We provide additional information about our share
repurchases in Note 13 to our consolidated financial statements titled,
"Repurchases of Ordinary Shares."

•Acquisition related deferred or contingent consideration - During fiscal 2022,
we paid $32.7 million in acquisition related deferred or contingent
consideration, the majority of which was associated with a pre-acquisition
arrangement related to an acquisition made by Cantel prior to our purchase of
Cantel. During fiscal 2021, we paid $2.4 million in deferred and contingent
consideration related to our recent acquisitions. For more information, refer to
our Note 2 to our consolidated financial statements, titled "Business
Acquisitions and Divestitures."

•Cash dividends paid to ordinary shareholders - During fiscal 2022, we paid cash
dividends totaling $163.2 million or $1.69 per outstanding share. During fiscal
2021, we paid cash dividends totaling $133.8 million or $1.57 per outstanding
share.

•Transactions with noncontrolling interest holders - During fiscal 2022, we
received contributions from noncontrolling interest holders of $3.7 million and
paid $1.0 million in distributions to noncontrolling interest holders. During
fiscal 2021, we received $2.3 million of contributions from noncontrolling
interest holders and paid $4.1 million in distributions to noncontrolling
interest holders.

•Stock option and other equity transactions, net - We generally receive cash for
issuing shares upon the exercise of options under our employee stock option
program. During fiscal 2022 and fiscal 2021, we received cash proceeds totaling
$10.1 million and $26.7 million, respectively, under these programs.

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Cash Flow Measures. Free cash flow was $399.0 million in fiscal 2022, compared
to $450.9 million in fiscal 2021. The fiscal 2022 decrease in free cash flow was
anticipated and primarily due to costs associated with the acquisition and
integration of Cantel and higher capital expenditures in fiscal 2022.

Our debt to total capital ratio was 32.1% at March 31, 2022 and 29.8% at
March 31, 2021.

Sources of Credit. Our sources of credit as of March 31, 2022 are summarized in
the following table:
                                                                     Reductions in
                                             Maximum                Available Credit              March 31, 2022           March 31, 2022
                                             Amounts               Facility for Other                Amounts                  Amounts
(dollars in thousands)                      Available            Financial  Instruments            Outstanding               Available
Sources of Credit
Private Placement Senior Notes            $   849,726          $                     -          $       849,726          $             -
Term Loan                                     205,000                                -                  205,000                        -
Delayed Draw Term Loan                        650,000                                -                  650,000                        -
Revolving Credit Agreement (1)              1,250,000                           15,371                   58,908                1,175,721
Senior Public Notes                         1,350,000                                -                1,350,000                        -
Total Sources of Credit                   $ 4,304,726          $                15,371          $     3,113,634          $     1,175,721

(1) To March 31, 2022there was $15.4 million outstanding letters of credit under the credit agreement.

Our sources of financing on credit March 31, 2022 are summarized below:

•On March 19, 2021, STERIS plc ("the Company"), STERIS Corporation, STERIS
Limited ("Limited"), and STERIS Irish FinCo Unlimited Company ("FinCo", "STERIS
Irish FinCo"), each as a borrower and guarantor, entered into a credit agreement
with various financial institutions as lenders, and JPMorgan Chase Bank, N.A.,
as administrative agent (the "Revolving Credit Agreement") providing for a
$1,250.0 million revolving credit facility (the "Revolver"), which replaced a
prior revolving credit agreement.

•The Revolver provides for revolving credit borrowings, swing line borrowings
and letters of credit, with sublimits for swing line borrowings and letters of
credit. The Revolver may be increased in specified circumstances by up to
$625.0 million in the discretion of the lenders. The Revolver matures on the
date that is five years after March 19, 2021, and all unpaid borrowings,
together with accrued and unpaid interest thereon, are repayable on that date.
The Revolver bears interest from time to time, at either the Base Rate,
Eurocurrency Rate, or the Adjusted Daily Simple RFR, as defined in and
calculated under and as in effect from time to time under the Revolving Credit
Agreement, plus the Applicable Margin, as defined in the Revolving Credit
Agreement. The Applicable Margin is determined based on the Debt Rating of
STERIS, as defined in the Credit Agreement. Interest on Base Rate Advances is
payable quarterly in arrears, and interest on Eurocurrency Rate Advances is
payable at the end of the relevant interest period therefor, but in no event
less frequently than every three months, and interest on RFR Advances is payable
monthly after the date of borrowing. Swingline borrowings bear interest at a
rate to be agreed by the applicable swingline lender and the applicable
borrower, subject to a cap in the case of swingline borrowings denominated in
U.S. Dollars equal to the Base Rate plus the Applicable Margin for Base Rate
Advances plus the Facility Fee. Advances may be extended in U.S. Dollars or in
specified alternative currencies. In connection with the cessation of British
Pound Sterling LIBOR and Swiss Franc LIBOR as of December 31, 2021, JPMorgan
Chase Bank, N.A. as administrative agent, pursuant to authority contained in the
Revolver, amended the Revolver on January 1, 2022 to make Benchmark Replacement
Conforming Changes (as defined in the Revolver). The amendment concerns
technical, administrative or operational changes related to borrowings in
British Pounds Sterling and Swiss Francs.

•On March 19, 2021, the Company, STERIS Corporation, Limited, and FinCo, each as
a borrower and guarantor, entered into a term loan agreement with various
financial institutions as lenders, and JPMorgan Chase Bank, N.A., as
Administrative agent (the "Term Loan Agreement") providing for a $550.0 million
term loan facility (the "Term Loan"), which replaced an existing term loan
agreement, dated as of November 18, 2020 (the "Existing Term Loan Agreement").
The proceeds of the Term Loan were used to refinance the Existing Term Loan
Agreement.

•The Term Loan matures on the date that is five years after March 19, 2021 (the
"Term Loan Closing Date"). No principal payments are due on the Term Loan for
the period beginning from the first full fiscal quarter ended after the Term
Loan Closing Date to and including the fourth full fiscal quarter ended after
the Term Loan Closing Date. For the period beginning from the fifth full fiscal
quarter ended after the Term Loan Closing Date to and including the twelfth full
fiscal quarter ended after the Term Loan Closing Date, quarterly principal
payments, each in the amount of 1.25% of the original principal amount of the
Term Loan, are due on the last business day of each fiscal quarter. For the
period beginning from the thirteenth full fiscal quarter ended after the Term
Loan Closing Date through the maturity of the loan, quarterly

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Table of Contents Principal repayments, each in an amount of 1.875% of the original term loan principal amount, are due on the last business day of each fiscal quarter. The remaining unpaid principal is due and payable on the due date.

•The Term Loan bears interest from time to time, at either the Base Rate or the
Eurocurrency Rate, as defined in and calculated under and as in effect from time
to time under the Term Loan Agreement, plus the Applicable Margin, as defined in
the Term Loan Agreement. The Applicable Margin is determined based on the Debt
Rating of STERIS, as defined in the Term Loan Agreement. Base Rate Advances are
payable quarterly in arrears and Eurocurrency Rate Advances are payable at the
end of the relevant interest period therefore, but in no event less frequently
than every three months.

•Also on March 19, 2021, the Company, STERIS Corporation, Limited, and FinCo,
each as a borrower and guarantor, entered into a delayed draw term loan
agreement with various financial institutions as lenders, and JPMorgan Chase
Bank, N.A., as administrative agent (the "Delayed Draw Term Loan Agreement")
providing for a delayed draw term loan facility of up to $750.0 million (the
"Delayed Draw Term Loan") in connection with STERIS's acquisition of Cantel.
During the first quarter of fiscal 2022, we borrowed $650.0 million under our
Delayed Draw Term Loan Agreement. The Delayed Draw Term Loan was funded by the
lenders upon consummation of the Cantel acquisition (the "Acquisition Closing
Date"). The proceeds of the Delayed Draw Term Loan were used, together with the
proceeds from other new indebtedness, to fund the cash consideration for the
acquisition, as well as for various other items.

•The Delayed Draw Term Loan matures on the date that is five years after the
Acquisition Closing Date. No principal payments are due on the Delayed Draw Term
Loan for the period beginning from the first full fiscal quarter ended after the
Acquisition Closing Date to and including the fourth full fiscal quarter ended
after the Acquisition Closing Date. For the period beginning from the fifth full
fiscal quarter ended after the Acquisition Closing Date to and including the
twelfth full fiscal quarter ended after the Acquisition Closing Date, quarterly
principal payments, each in the amount of 1.25% of the original principal amount
of the Delayed Draw Term Loan, are due on the last business day of each fiscal
quarter. For the period beginning from the thirteenth full fiscal quarter ended
after the Acquisition Closing Date through the maturity of the loan, quarterly
principal payments, each in the amount of 1.875% of the original principal
amount of the Delayed Draw Term Loan, are due on the last business day of each
fiscal quarter. The remaining unpaid principal is due and payable on the
maturity date.

•The Delayed Draw Term Loan bears interest from time to time, at either the Base
Rate or the Eurocurrency Rate, as defined in and calculated under and as in
effect from time to time under the Delayed Draw Term Loan Agreement, plus the
Applicable Margin, as defined in the Delayed Draw Term Loan Agreement. The
Applicable Margin is determined based on the Debt Rating of STERIS, as defined
in the Delayed Draw Term Loan Agreement. Interest on borrowings made at the Base
Rate ("Base Rate Advances") is payable quarterly in arrears and interest on
borrowings made at the Eurocurrency Rate ("Eurocurrency Rate Advances") is
payable at the end of the relevant interest period therefor, but in no event
less frequently than every three months. There is no premium or penalty for
prepayment of Base Rate Advances, but prepayments of Eurocurrency Rate Advances
are subject to a breakage fee.

•On April 1, 2021, STERIS Irish FinCo Unlimited Company ("FinCo," "STERIS Irish
FinCo," the "Issuer") completed an offering of $1,350.0 million in aggregate
principal amount, of its senior notes in two separate tranches: (i) $675.0
million aggregate principal amount of the Issuer's 2.70% Senior Notes due 2031
(the "2031 Notes") and (ii) $675.0 million aggregate principal amount of the
Issuer's 3.750% Senior Notes due 2051 (the "2051 Notes" and, together with the
2031 Notes, the "Senior Public Notes"). The Senior Public Notes were issued
pursuant to an Indenture, dated as of April 1, 2021 (the "Base Indenture"),
among FinCo, and STERIS plc, STERIS Corporation and STERIS Limited (the
"Guarantors") and U.S. Bank National Association, as trustee (the "Trustee"), as
supplemented by the First Supplemental Indenture, dated as of April 1, 2021,
among FinCo, the Guarantors and the Trustee (the "Supplemental Indenture" and,
together with the Base Indenture, the "Indenture"). Each of the Guarantors
guaranteed the Senior Public Notes jointly and severally on a senior unsecured
basis (the "Guarantees"). The 2031 Notes will mature on March 15, 2031 and the
2051 Notes will mature on March 15, 2051. The Senior Public Notes will bear
interest at the rates set forth above. Interest on the Senior Public Notes is
payable on March 15 and September 15 of each year, beginning on September 15,
2021, until their respective maturities.

•As of March 31, 2022, a total of $58.9 million was outstanding under the
Revolving Credit Agreement, based on currency exchange rates as of March 31,
2022. At March 31, 2022, we had $1,175.7 million of unused funding available
under the Revolving Credit Agreement. The Revolving Credit Agreement includes a
sub-limit that reduces the maximum amount available to us by letters of credit
outstanding. At March 31, 2022, there was $15.4 million in letters of credit
outstanding under the Credit Agreement. As of March 31, 2022, $205.0 million and
$650.0 million were outstanding under the Term Loan and Delayed Draw Term Loan,
respectively.


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Our outstanding Private Placement Senior Notes at March 31, 2022 were as
follows:

                                                                                                               U.S. Dollar
                                                 Applicable Note Purchase                                     Value at March
(dollars in thousands)                                   Agreement                   Maturity Date               31, 2022
$91,000 Senior notes at 3.20%                    2012 Private Placement          December 2022                      91,000
$80,000 Senior notes at 3.35%                    2012 Private Placement          December 2024                      80,000
$25,000 Senior notes at 3.55%                    2012 Private Placement          December 2027                      25,000
$125,000 Senior notes at 3.45%                   2015 Private Placement          May 2025                          125,000
$125,000 Senior notes at 3.55%                   2015 Private Placement          May 2027                          125,000
$100,000 Senior notes at 3.70%                   2015 Private Placement          May 2030                          100,000
$50,000 Senior notes at 3.93%                    2017 Private Placement          February 2027                      50,000
€60,000 Senior notes at 1.86%                    2017 Private Placement          February 2027                      66,815
$45,000 Senior notes at 4.03%                    2017 Private Placement          February 2029                      45,000
€20,000 Senior notes at 2.04%                    2017 Private Placement          February 2029                      22,271
£45,000 Senior notes at 3.04%                    2017 Private Placement          February 2029                      59,089
€19,000 Senior notes at 2.30%                    2017 Private Placement          February 2032                      21,158
£30,000 Senior notes at 3.17%                    2017 Private Placement          February 2032                      39,393
Total Senior Notes                                                                                           $     849,726

The private placement senior notes were issued as follows:

•On February 27, 2017, Limited issued and sold an aggregate principal amount of
$95.0 million, €99.0 million, and £75.0 million, of senior notes in a private
placement to certain institutional investors in an offering that was exempt from
the registration requirements of the Securities Act of 1933. These notes have
maturities of between 10 years and 15 years from the issue date. The agreement
governing these notes contains leverage and interest coverage covenants.

•On May 15, 2015, STERIS Corporation issued and sold $350.0 million of senior
notes, in a private placement to certain institutional investors in an offering
that was exempt from the registration requirements of the Securities Act of
1933. These notes have maturities of 10 years to 15 years from the issue date.
The agreement governing these notes contains leverage and interest coverage
covenants.

•In December 2012, and in February 2013 STERIS Corporation issued and sold
$200.0 million of senior notes, in a private placement to certain institutional
investors in offerings that were exempt from the registration requirements of
the Securities Act of 1933. The agreement governing the notes contains leverage
and interest coverage covenants.

•The private placement note purchase agreements specify increases to the coupon
interest rates while the ratio of Consolidated Total Debt to Consolidated
EBITDA, as defined in the note purchase agreements, exceeds certain thresholds.
Beginning September 1, 2021 and through March 31, 2022 the coupon rates on the
2012 private placement notes were increased by 0.50%.

•On March 19, 2021, STERIS Corporation as issuer, and the Company, Limited and
FinCo, as guarantors, entered into (1) a First Amendment to Amended and Restated
Note Purchase Agreement dated March 5, 2019 (which had amended and restated
certain note purchase agreements originally dated December 4, 2012) per the 2012
and 2013 senior notes (the "2012 Amendment"), and (2) a First Amendment to
Amended and Restated Note Purchase Agreement dated March 5, 2019 (which had
amended and restated certain note purchase agreements originally dated March 31,
2015) for the 2015 senior notes (the "2015 Amendment"). Also on March 19, 2021,
Limited, as Issuer, and the Company, STERIS Corporation and FinCo, as
guarantors, entered into a First Amendment to Amended and Restated Note Purchase
Agreement dated March 5, 2019 (which had amended and restated a certain note
purchase agreement originally dated January 23, 2017) for the 2017 senior notes
(together with the 2012 Amendment and the 2015 Amendment, the "NPA Amendments").
The NPA Amendments provided, among other things, for the waiver of certain
repurchase rights of the note holders and increased the size of certain baskets
to more closely align with other current credit agreement baskets.

At March 31, 2022, we were in compliance with all financial covenants associated
with our indebtedness. We provide additional information regarding our debt
structure and payment obligations in the section of the MD&A titled, "Liquidity
and Capital Resources" in the subsection titled, "Contractual and Commercial
Commitments" and in Note 6 to our consolidated financial statements titled,
"Debt."

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CAPITAL EXPENDITURES

Our capital expenditure program is a component of our long-term strategy. This
program includes, among other things, investments in new and existing
facilities, business expansion projects, radioisotope (cobalt-60), and
information technology enhancements and research and development advances.
During fiscal 2022, our capital expenditures amounted to $287.6 million. We use
cash provided by operating activities and our cash and cash equivalent balances
to fund capital expenditures. In fiscal 2023, we plan to continue to invest in
facility expansions, particularly within the Healthcare and Applied
Sterilization Technologies segments and in ongoing maintenance for existing
facilities.

MATERIAL CASH OBLIGATIONS AND FUTURE BUSINESS COMMITMENTS

Cash Requirements. We intend to use our existing cash and cash equivalent
balances and cash generated from operations to fund capital expenditures and
meet our other liquidity needs. Our capital requirements depend on many
uncertain factors, including our rate of sales growth, our Customers' acceptance
of our products and services, the costs of obtaining adequate manufacturing
capacities, the timing and extent of our research and development projects,
changes in our operating expenses and other factors. To the extent that existing
and anticipated sources of cash are not sufficient to fund our future
activities, we may need to raise additional funds through additional borrowings
or the sale of equity securities. There can be no assurance that our financing
arrangements will provide us with sufficient funds or that we will be able to
obtain any additional funds on terms favorable to us or at all.

Our material future cash obligations and business commitments to March 31, 2022 are shown in the following tables. Trade commitments include stand-by letters of credit, letters of credit required as collateral under our self-insured risk retention policies, and other potential cash outflows resulting from events that require us to meet our commitments. .

                                                                                Payments due by March 31,
                                                                                                                              2027 and
(dollars in thousands)                             2023               2024               2025               2026             thereafter              Total
Material Future Cash Obligations:
Debt                                           $ 142,875          $  60,000          $ 165,937          $ 341,408          $  2,403,414          $ 3,113,634
Operating leases                                  42,099             34,669             26,914             21,419               104,769              229,870
Purchase obligations                             214,344             33,884              8,339                569                 1,897              259,033

Benefit payments under defined benefit
plans                                              5,560              5,542              5,721              5,882                39,310               

62,015

Trust assets available for benefit
payments under defined benefit plans              (5,560)            (5,542)            (5,721)            (5,882)              (39,310)         

(62,015)

Benefit payments under other
post-retirement benefits plans                     1,190              1,067                966                880                 3,659                

7,762

Expected contributions to defined
benefit plans                                      4,103              4,227              2,129                  -                     -               

10,459

Total future material cash obligations $404,611 $133,847

$204,285 $364,276 $2,513,739 $3,620,758

The table above includes only the principal amounts of our material future cash obligations. We provide information about the interest component of our long-term debt in the subsection of the MD&A titled “Liquidity and Capital Resources” and in Note 6 to our Consolidated Financial Statements titled “Debt”.

The purchase obligations shown in the table above relate to minimum purchase commitments with suppliers for material purchases and long-term construction contracts.

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The table above excludes contributions we make to our defined contribution
plans. Our future contributions to the defined contribution plans depend on
uncertain factors, such as the amount and timing of employee contributions and
discretionary employer contributions. We provide additional information about
our defined benefit pension plans, defined contribution plan, and other
post-retirement benefits plan in Note 9 to our consolidated financial statements
titled, "Benefit Plans."

                                                                           

Commitment amount expiring March, 31st,

                                                                                                                                 2027 and
(dollars in thousands)                                  2023                  2024             2025             2026            thereafter            Totals
Commercial Commitments:
Letters of credit and surety bonds              $    77,496                $ 4,273          $ 1,851          $   353          $        802          $ 84,775
Letters of credit as security for
self-insured risk retention policies                 13,900                      -                -                -                     -            13,900
Total Commercial Commitments                    $    91,396                $ 4,273          $ 1,851          $   353          $        802          $ 98,675

ADDITIONAL FINANCIAL INFORMATION OF THE GUARANTOR

STERIS plc ("Parent") and its wholly-owned subsidiaries, STERIS Limited and
STERIS Corporation (collectively "Guarantors" and each a "Guarantor"), each have
provided guarantees of the obligations of STERIS Irish FinCo Unlimited Company
("FinCo", "STERIS Irish FinCo"), a wholly-owned subsidiary issuer, under Senior
Public Notes issued by STERIS Irish FinCo on April 1, 2021 and of certain other
obligations relating to the Senior Public Notes. The Senior Public Notes are
guaranteed, jointly and severally, on a senior unsecured basis. The Senior
Public Notes and the related guarantees are senior unsecured obligations of
STERIS Irish FinCo and the Guarantors, respectively, and are equal in priority
with all other unsecured and unsubordinated indebtedness of the Issuer and the
Guarantors, respectively, from time to time outstanding, including, as
applicable, under the Private Placement Senior Notes, borrowings under the
Revolving Credit Facility, the Term Loan and the Delayed Draw Term Loan.

All of the liabilities of non-guarantor direct and indirect subsidiaries of
STERIS, other than STERIS Irish FinCo, STERIS Limited and STERIS Corporation,
including any claims of trade creditors, are effectively senior to the Senior
Public Notes.

STERIS Irish FinCo's main objective and source of revenues and cash flows is the
provision of short- and long-term financing for the activities of STERIS plc and
its subsidiaries.

The ability of our subsidiaries to pay dividends, interest and other fees to the
Issuer and ability of the Issuer and Guarantors to service the Senior Public
Notes may be restricted by, among other things, applicable corporate and other
laws and regulations as well as agreements to which our subsidiaries are or may
become a party.

Here is a summary of these guarantees:

Senior Bond Guarantees

• Guarantor of the parent company – STERIS plc

• Subsidiary issuer – STERIS Irish FinCo Unlimited Company

• Subsidiary Guarantor – STERIS Limited

• Subsidiary Guarantor – STERIS Company

A Guarantor’s guarantee will be released and discharged automatically and unconditionally:

• in the case of a Subsidiary Guarantor, upon the sale, transfer or other disposition (including by way of consolidation or merger) of such Subsidiary Guarantor, other than to the Parent Company or to a subsidiary of the Parent Company and as authorized by the deed;

•in the case of a Subsidiary Guarantor, upon the sale, transfer or other
disposition of all or substantially all the assets of such Subsidiary Guarantor,
other than to the Parent or a subsidiary of the Parent and as permitted by the
indenture;

• in the case of a Subsidiary Guarantor, at the time such Subsidiary Guarantor is no longer a borrower or no longer guarantees any material credit facility (subject to restatement in specified circumstances);

•upon the legal defeasance or covenant defeasance of the notes or the discharge
of the Issuer's obligations under the indenture in accordance with the terms of
the indenture;

•as described in accordance with the terms of the indenture; Where

•in the case of the Parent, if the Issuer ceases for any reason to be a
subsidiary of the Parent; provided that all guarantees and other obligations of
the Parent in respect of all other indebtedness under any Material Credit
Facility of the Issuer terminate upon the Issuer ceasing to be a subsidiary of
the Parent; and

•upon such Guarantor delivering to the trustee an officer's certificate and an
opinion of counsel, each stating that all conditions precedent provided for in
the indenture relating to such transaction or release have been complied with.

The obligations of each Guarantor under its guarantee are expressly limited to
the maximum amount that such Guarantor could guarantee without such guarantee
constituting a fraudulent conveyance. Each Guarantor that makes a payment under
its guarantee will be entitled upon payment in full of all guaranteed
obligations under the indenture to a contribution from each
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Guarantor in an amount equal to such other Guarantor's pro rata portion of such
payment based on the respective net assets of all the Guarantors at the time of
such payment determined in accordance with GAAP.

The following tables present summarized results of operations for the twelve
months ended March 31, 2022 and summarized balance sheet information at March
31, 2022 and 2021 for the obligor group of the Senior Public Notes. The obligor
group consists of the Parent Company Guarantor, Subsidiary Issuer, and
Subsidiary Guarantors for the Senior Public Notes. The summarized financial
information is presented after elimination of (i) intercompany transactions and
balances among the guarantors and issuer and (ii) equity in earnings from and
investments in any subsidiary that is a non-guarantor or issuer. Transactions
with non-issuer and non-guarantor subsidiaries have been presented separately.


Summarized Results of Operations
(in thousands)                                                                 Twelve Months Ended
                                                                                    March 31,
                                                                                      2022

Revenues                                                                     $          1,756,862
Gross profit                                                                            1,054,389

Operating expenses related to transactions with non-issuers and non-guarantors – net

                                                                      411,423
  Income from operations                                                                  532,288

Non-operating income (expenses) arising from transactions with non-issuing and non-guarantor subsidiaries – net

              436,179
  Net income                                                                 $            432,149



Summarized Balance Sheet Information
( in thousands)
                                                                       March 31,             March 31,
                                                                         2022                  2021

Receivables from non-issuing and non-guarantor subsidiaries $16,033,719 $14,102,215
Other current assets

                                                     400,776               348,937
Total current assets                                                $ 

16,434,495 $14,451,152

Non-current receivables from non-issuing and non-guarantor subsidiaries

                                                        $  2,001,742          $  1,091,809
Goodwill                                                                  95,688                94,979
Other non-current assets                                                 142,711               207,240
Total non-current assets                                            $ 

2,240,141 $1,394,028

Payables to non-issuing and non-guarantor subsidiaries $17,053,749 $15,549,831
Other current liabilities

                                                231,043               128,665
Total current liabilities                                           $ 

17,284,792 $15,678,496

Non-current payables to non-issuers and non-guarantor subsidiaries

                                                        $  1,102,873          $  1,203,274
Other non-current liabilities                                          3,134,777             1,695,772
Total non-current liabilities                                       $  

4,237,650 $2,899,046

Intercompany balances and transactions between the debtor group have been eliminated and amounts due, amounts due to and transactions with non-issuing and non-guarantor subsidiaries have been shown separately. Intercompany transactions arise from internal financing and trade activities.

Credit ratings

STERIS's Senior Public Notes have been assigned the following credit ratings:
                      Standard & Poor's     Moody's    Fitch
Credit Ratings               BBB-            Baa2       BBB



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Each of the credit rating agencies reviews its rating periodically and there is
no guarantee our current credit ratings will remain the same. If our credit
ratings were lowered, our ability to access the debt markets, our cost of funds,
and other terms for new debt issuances could be adversely impacted.

CRITICAL ACCOUNTING ESTIMATES AND ASSUMPTIONS

The following subsections describe our most critical accounting estimates, and
assumptions. Our accounting policies and recently issued accounting
pronouncements are more fully described in Note 1 to our consolidated financial
statements titled, "Nature of Operations and Summary of Significant Accounting
Policies."

Estimates and Assumptions. Our discussion and analysis of financial condition
and results of operations is based on our consolidated financial statements that
were prepared in accordance with United States generally accepted accounting
principles. We make certain estimates and assumptions that we believe to be
reasonable when preparing these financial statements. These estimates and
assumptions involve judgments with respect to numerous factors that are
difficult to predict and are beyond management's control. As a result, actual
amounts could be materially different from these estimates. We periodically
review these critical accounting policies, estimates, assumptions, and the
related disclosures with the Audit Committee of the Company's Board of
Directors.

Revenue Recognition. Revenue is recognized when obligations under the terms of
the contract are satisfied and control of the promised products or services has
transferred to the Customer. Revenues are measured at the amount of
consideration that we expect to be paid in exchange for the products or
services. Product revenue is recognized when control passes to the Customer,
which is generally based on contract or shipping terms. Service revenue is
recognized when the Customer benefits from the service, which occurs either upon
completion of the service or as it is provided to the Customer. Our Customers
include end users as well as dealers and distributors who market and sell our
products. Our revenue is not contingent upon resale by the dealer or
distributor, and we have no further obligations related to bringing about
resale. Our standard return and restocking fee policies are applied to sales of
products. Shipping and handling costs charged to Customers are included in
Product revenues. The associated expenses are treated as fulfillment costs and
are included in Cost of revenues. Revenues are reported net of sales and
value-added taxes collected from Customers.

We have individual Customer contracts that offer discounted pricing. Dealers and
distributors may be offered sales incentives in the form of rebates. We reduce
revenue for discounts and estimated returns, rebates, and other similar
allowances in the same period the related revenues are recorded. The reduction
in revenue for these items is estimated based on historical experience and trend
analysis to the extent that it is probable that a significant reversal of
revenue will not occur. Estimated returns are recorded gross on the Consolidated
Balance Sheets.

In transactions that contain multiple performance obligations, such as when
products, maintenance services, and other services are combined, we recognize
revenue as each product is delivered or service is provided to the Customer. We
allocate the total arrangement consideration to each performance obligation
based on its relative standalone selling price, which is the price for the
product or service when it is sold separately.

Payment terms vary by the type and location of the Customer and the products or
services offered. Generally, the time between when revenue is recognized and
when payment is due is not significant. We do not evaluate whether the selling
price contains a financing component for contracts that have a duration of less
than one year.

We do not capitalize sales commissions since substantially all of our sales commission programs have an amortization period of one year or less.

Certain costs to fulfill a contract are capitalized and amortized over the term
of the contract if they are recoverable, directly related to a contract and
generate resources that we will use to fulfill the contract in the future. At
March 31, 2022 assets related to costs to fulfill a contract were not material
to our Consolidated Financial Statements.

Allowance for Doubtful Accounts Receivable. We maintain an allowance for
uncollectible accounts receivable for estimated losses in the collection of
amounts owed by Customers. We estimate the allowance based on analyzing a number
of factors, including amounts written off historically, Customer payment
practices, and general economic conditions. We also analyze significant Customer
accounts on a regular basis and record a specific allowance when we become aware
of a specific Customer's inability to pay. As a result, the related accounts
receivable are reduced to an amount that we reasonably believe is collectible.
These analyses require judgment. If the financial condition of our Customers
worsens, or economic conditions change, we may be required to make changes to
our allowance for doubtful accounts receivable.

Inventories and Reserves. Inventories are stated at the lower of their cost and
net realizable value determined by the first-in, first-out ("FIFO") cost method.
Inventory costs include material, labor, and overhead.

We review inventory on an ongoing basis, considering factors such as
deterioration and obsolescence. We record an allowance for estimated losses when
the facts and circumstances indicate that particular inventories will not be
usable. If future

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market conditions differ from those expected and our estimates prove inaccurate, we may be required to write down the value of inventory and record an adjustment to the cost of goods.

Asset Impairment Losses. Property, plant, equipment, and identifiable intangible
assets are reviewed for impairment when events and circumstances indicate that
the carrying value of such assets may not be recoverable. Impaired assets are
recorded at the lower of carrying value or estimated fair value. We conduct this
review on an ongoing basis and, if impairment exists, we record the loss in the
Consolidated Statements of Income during that period.

When we assess assets for impairment, we make certain judgments and estimates, including interpreting current economic indicators and market valuations, evaluating our strategic plans with respect to operations, historical and expected performance of operations and other factors. If we incorrectly anticipate these factors or if unforeseen events occur, our results of operations could be materially adversely affected.

Purchase Accounting and Goodwill. Assets and liabilities of the business
acquired are accounted for at their estimated fair values as of the acquisition
date. Any excess of the cost of the acquisition over the fair value of the net
tangible and intangible assets acquired is recorded as goodwill. We supplement
management expertise with valuation specialists in performing appraisals to
assist us in determining the fair values of assets acquired and liabilities
assumed. These valuations require us to make estimates and assumptions,
especially with respect to intangible assets. We generally amortize our
intangible assets over their useful lives with the exception of indefinite lived
intangible assets. We do not amortize goodwill, but we evaluate it annually for
impairment. Therefore, the allocation of the purchase price to intangible assets
and goodwill has a significant impact on future operating results.

We evaluate the recoverability of recorded goodwill amounts annually, or when
evidence of potential impairment exists. We may consider qualitative indicators
of the fair value of a reporting unit when it is unlikely that a reporting unit
has impaired goodwill. We may also utilize a discounted cash flow analysis that
requires certain assumptions and estimates be made regarding market conditions
and our future profitability. In those circumstances, we test goodwill for
impairment by reviewing the book value compared to the fair value at the
reporting unit level. We calculate the fair value of our reporting units based
on the present value of estimated future cash flows. Management's judgment is
necessary to evaluate the impact of operating and macroeconomic changes and to
estimate future cash flows to measure fair value. Assumptions used in our
impairment evaluations, such as forecasted growth rates and cost of capital, are
consistent with internal projections and operating plans. We believe such
assumptions and estimates are also comparable to those that would be used by
other marketplace participants.

As a result of our annual impairment review for goodwill and other indefinite
lived intangible assets for fiscal year 2022 no indicators of impairment were
identified.

We evaluate indefinite lived intangible assets annually, or when evidence of
potential impairment exists. We evaluate several qualitative indicators and
assumptions, and trends that influence the valuation of the assets to determine
if any evidence of potential impairment exists.

Income Taxes. Our provision for income taxes is based on our current period
income, changes in deferred income tax assets and liabilities, income tax rates,
changes in uncertain tax benefits, and tax planning opportunities available to
us in the various jurisdictions in which we operate. Tax laws are complex and
subject to different interpretations by the taxpayer and the respective
governmental taxing authorities. We use judgment in determining our annual
effective income tax rate and evaluating our tax positions. We prepare and file
tax returns based on our interpretation of tax laws and regulations, and we
record estimates based on these judgments and interpretations. We cannot be sure
that the tax authorities will agree with all of the tax positions taken by us.
The actual income tax liability for each jurisdiction in any year can, in some
instances, ultimately be determined be several years after the tax return is
filed and the financial statements are published.

We evaluate our tax positions using the recognition threshold and measurement
attribute in accordance with current accounting guidance. We determine whether
it is more-likely-than-not that a tax position will be sustained upon
examination, including resolution of related appeals or litigation processes,
based on the technical merits of the position. In evaluating whether a tax
position has met the more-likely-than-not recognition threshold, we presume that
the position will be examined by the appropriate taxing authority and that the
taxing authority will have full knowledge of all relevant information. A tax
position that meets the more-likely-than-not recognition threshold is measured
at the largest amount of benefit that is greater than 50 percent likely of being
realized upon ultimate settlement. The appropriate unit of account for
determining what constitutes an individual tax position, and whether the
more-likely-than-not recognition threshold is met for a tax position, is a
matter of judgment based on the individual facts and circumstances of that
position evaluated in light of all available evidence. We review and adjust our
tax estimates periodically because of ongoing examinations by and settlements
with the various taxing authorities, as well as changes in tax laws, regulations
and precedent.

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We recognize deferred tax assets and liabilities based on the differences
between the financial statement carrying amounts and the tax basis of assets and
liabilities. We regularly review our deferred tax assets for recoverability and
establish a valuation allowance based on historical taxable income, projected
future taxable income, the expected timing of the reversals of existing
temporary differences, and the implementation of tax planning strategies. If we
are unable to generate sufficient future taxable income in certain tax
jurisdictions, or if there is a material change in the effective income tax
rates or time period within which the underlying temporary differences become
taxable or deductible, we could be required to increase our valuation allowance,
which would increase our effective income tax rate and could result in an
adverse impact on our consolidated financial position, results of operations, or
cash flows.

We believe that adequate accruals have been made for income taxes. Differences
between the estimated and actual amounts determined upon ultimate resolution,
individually or in the aggregate, are not expected to have a material adverse
effect on our consolidated financial position, but could possibly be material to
our consolidated results of operations or cash flows for any one period.

Additional information regarding income taxes is included in Note 8 to our Consolidated Financial Statements titled “Income Taxes”.

Self-Insurance Liabilities. We record a liability for self-insured risks that we
retain for general and product liabilities, workers' compensation, and
automobile liabilities based on actuarial calculations. We use our historical
loss experience and actuarial methods to calculate the estimated liability. This
liability includes estimated amounts for both losses and incurred but not
reported claims. We review the assumptions used to calculate the estimated
liability at least annually to evaluate the adequacy of the amount recorded. We
maintain insurance policies to cover losses greater than our estimated
liability, which are subject to the terms and conditions of those policies. The
obligation covered by insurance contracts will remain on the balance sheet as we
remain liable to the extent insurance carriers do not meet their obligation.
Estimated amounts receivable under the contracts are included in the "Prepaid
expenses and other current assets" line, and the "Other assets" line of our
consolidated balance sheets. Our accrual for self-insured risk retention as of
March 31, 2022 and 2021 was $26.1 million and $23.3 million, respectively.

We are also self-insured for employee medical claims. We estimate a liability
for incurred but not reported claims based upon recent claims experience. Our
self-insured liabilities contain uncertainties because management must make
assumptions and apply judgments to estimate the ultimate cost to settle reported
claims and claims incurred but not reported as of the balance sheet date. If
actual results are not consistent with these assumptions and judgments, we could
be exposed to additional costs in subsequent periods.

Contingencies. We are, and will likely continue to be, involved in a number of
legal proceedings, government investigations, and claims, which we believe
generally arise in the course of our business, given our size, history,
complexity, and the nature of our business, products, Customers, regulatory
environment, and industries in which we participate. These legal proceedings,
investigations and claims generally involve a variety of legal theories and
allegations, including, without limitation, personal injury (e.g., slip and
falls, burns, vehicle accidents), product liability or regulation (e.g., based
on product operation or claimed malfunction, failure to warn, failure to meet
specification, or failure to comply with regulatory requirements), product
exposure (e.g., claimed exposure to chemicals, asbestos, contaminants,
radiation), property damage (e.g., claimed damage due to leaking equipment,
fire, vehicles, chemicals), commercial claims (e.g., breach of contract,
economic loss, warranty, misrepresentation), financial (e.g., taxes, reporting),
employment (e.g., wrongful termination, discrimination, benefits matters), and
other claims for damage and relief.

We record a liability for such contingencies to the extent we conclude that
their occurrence is both probable and estimable. We consider many factors in
making these assessments, including the professional judgment of experienced
members of management and our legal counsel. We have made estimates as to the
likelihood of unfavorable outcomes and the amounts of such potential losses. In
our opinion, the ultimate outcome of these proceedings and claims is not
anticipated to have a material adverse affect on our consolidated financial
position, results of operations, or cash flows. However, the ultimate outcome of
proceedings, government investigations, and claims is unpredictable and actual
results could be materially different from our estimates. We record expected
recoveries under applicable insurance contracts when we are assured of recovery.
Refer to Note 10 of our consolidated financial statements titled, "Commitments
and Contingencies" for additional information.

We are subject to taxation from federal, state and local, and foreign
jurisdictions. Tax positions are settled primarily through the completion of
audits within each individual tax jurisdiction or the closing of a statute of
limitation. Changes in applicable tax law or other events may also require us to
revise past estimates. The IRS of the United States routinely conducts audits of
our federal income tax returns.

Additional information regarding our commitments and contingencies is included
in Note 10 to our consolidated financial statements titled, "Commitments and
Contingencies."

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Benefit Plans. We provide defined benefit pension plans for certain employees
and retirees. In addition, we sponsor an unfunded post-retirement benefits plan
for two groups of United States retirees. Benefits under this plan include
retiree life insurance and retiree medical insurance, including prescription
drug coverage.

Employee pension and post-retirement benefits plans are a cost of conducting
business and represent obligations that will be settled in the future and
therefore, require us to use estimates and make certain assumptions to calculate
the expense and liabilities related to the plans. Changes to these estimates and
assumptions can result in different expense and liability amounts. Future actual
experience may be significantly different from our current expectations. We
believe that the most critical assumptions used to determine net periodic
benefit costs and projected benefit obligations are the expected long-term rate
of return on plan assets and the discount rate. A summary of significant
assumptions used to determine the March 31, 2022 projected benefit obligations
and the fiscal 2022 net periodic benefit costs is as follows:

                                                                                                                                                      U.S. Post-
                               Synergy Health                       Synergy Health    Synergy Health     Synergy Health     Harwell Dosimeters        Retirement
                                     plc           Isotron BV         Daniken AG         Radeberg         Allershausen              Ltd             Benefits Plan
Funding Status                     Funded            Funded            Unfunded          Unfunded           Unfunded              Funded               Unfunded
Assumptions used to determine
March 31, 2022
Benefit obligations:
Discount rate                          2.80  %             1.80  %           0.90  %          1.60  %               1.50  %             2.85  %                3.25  %
Assumptions used to determine
fiscal 2022
Net periodic benefit costs:
Discount rate                          2.10  %             0.90  %           1.00  %          1.50  %               2.00  %             2.85  %                2.50  %
Expected return on plan assets         3.60  %             0.90  %           1.00  %              n/a                   n/a                 n/a                    n/a


NA - Not applicable.

We develop our expected long-term rate of return on plan assets a ssumptions by
evaluating input from third-party professional advisors, taking into
consideration the asset allocation of the portfolios, and the long-term asset
class return expectations. Generally, net periodic benefit costs increase as the
expected long-term rate of return on plan assets assumption decreases. Holding
all other assumptions constant, lowering the expected long-term rate of return
on plan assets assumption for our funded defined benefit pension plans by 50
basis points would have increased the fiscal 2022 benefit costs by less than
$0.1 million.

We develop our discount rate assumptions by evaluating input from third-party
professional advisers, taking into consideration the current yield on country
specific investment grade long-term bonds which provide for similar cash flow
streams as our projected benefit obligations. Generally, the projected benefit
obligations and the net periodic benefit costs both increase as the discount
rate assumption decreases. Holding all other assumptions constant, lowering the
discount rate assumption for our defined benefit pension plans and for the other
post-retirement benefits plan by 50 basis points would have decreased the fiscal
2022 net periodic benefit costs by less than $0.1 million and would have
increased the projected benefit obligations by approximately $11.2 million at
March 31, 2022.

We have made assumptions regarding healthcare costs in computing our other
post-retirement benefit obligation. The assumed rates of increase generally
decline ratably over a five year-period from the assumed current year healthcare
cost trend rate of 7.0% to the assumed long-term healthcare cost trend rate. A
100 basis point change in the assumed healthcare cost trend rate (including
medical, prescription drug, and long-term rates) would have had the following
effect at March 31, 2022:

                                                                100 Basis Point
(dollars in thousands)                                      Increase           Decrease
Effect on total service and interest cost components   $      -               $       -
Effect on postretirement benefit obligation                   2                      (2)



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We recognize an asset for the overfunded status or a liability for the
underfunded status of defined benefit pension and post-retirement benefit plans
in our balance sheets. This amount is measured as the difference between the
fair value of plan assets and the benefit obligation (the projected benefit
obligation for pension plans and the accumulated post-retirement benefit
obligation for other post-retirement benefit plans). Changes in the funded
status of the plans are recorded in other comprehensive income in the year they
occur. We measure plan assets and obligations as of the balance sheet date. Note
9 to our consolidated financial statements titled, "Benefit Plans," contains
additional information about our pension and other post-retirement welfare
benefits plans.

Share-Based Compensation. We measure the estimated fair value for share-based
compensation awards, including grants of employee stock options, at the grant
date and recognize the related compensation expense over the period in which the
share-based compensation vests. We selected the Black-Scholes-Merton option
pricing model as the most appropriate method for determining the estimated fair
value of our share-based stock option compensation awards. This model involves
assumptions that are judgmental and affect share-based compensation expense.

Share-based compensation expense was $57.7 million in fiscal 2022, $26.0 million
in fiscal 2021 and $23.8 million in fiscal 2020. Note 14 to our consolidated
financial statements titled, "Share-Based Compensation," contains additional
information about our share-based compensation plans.

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FORWARD-LOOKING STATEMENTS

This Form 10-K may contain statements concerning certain trends, expectations,
forecasts, estimates, or other forward-looking information affecting or relating
to STERIS or its industry, products or activities that are intended to qualify
for the protections afforded "forward-looking statements" under the Private
Securities Litigation Reform Act of 1995 and other laws and regulations.
Forward-looking statements speak only as to the date the statement is made and
may be identified by the use of forward-looking terms such as "may," "will,"
"expects," "believes," "anticipates," "plans," "estimates," "projects,"
"targets," "forecasts," "outlook," "impact," "potential," "confidence,"
"improve," "optimistic," "deliver," "orders," "backlog," "comfortable," "trend",
and "seeks," or the negative of such terms or other variations on such terms or
comparable terminology. Many important factors could cause actual results to
differ materially from those in the forward-looking statements including,
without limitation, disruption of production or supplies, changes in market
conditions, political events, pending or future claims or litigation,
competitive factors, technology advances, actions of regulatory agencies, and
changes in laws, government regulations, labeling or product approvals or the
application or interpretation thereof. Many of these important factors are
outside of STERIS's control. No assurances can be provided as to any result or
the timing of any outcome regarding matters described in STERIS's securities
filings or otherwise with respect to any regulatory action, administrative
proceedings, government investigations, litigation, warning letters, cost
reductions, business strategies, earnings or revenue trends or future financial
results. References to products are summaries only and should not be considered
the specific terms of the product clearance or literature. Unless legally
required, STERIS does not undertake to update or revise any forward-looking
statements even if events make clear that any projected results, express or
implied, will not be realized. Other potential risks and uncertainties that
could cause actual results to differ materially from those in the
forward-looking statements include, without limitation, (a) the impact of the
COVID-19 pandemic or similar public health crises on STERIS's operations, supply
chain, material and labor costs, performance, results, prospects, or value, (b)
STERIS's ability to achieve the expected benefits regarding the accounting and
tax treatments of the redomiciliation to Ireland ("Redomiciliation"), (c)
operating costs, Customer loss and business disruption (including, without
limitation, difficulties in maintaining relationships with employees, Customers,
clients or suppliers) being greater than expected, (d) STERIS's ability to
successfully integrate the businesses of Cantel Medical into our existing
businesses, including unknown or inestimable liabilities, or increases in
expected integration costs or difficulties in connection with the integration of
Cantel Medical (e) STERIS's ability to meet expectations regarding the
accounting and tax treatment of the Tax Cuts and Jobs Act ("TCJA") or the
possibility that anticipated benefits resulting from the TCJA will be less than
estimated, (f) changes in tax laws or interpretations that could increase our
consolidated tax liabilities, including changes in tax laws that would result in
STERIS being treated as a domestic corporation for United States federal tax
purposes, (g) the potential for increased pressure on pricing or costs that
leads to erosion of profit margins, (h) the possibility that market demand will
not develop for new technologies, products or applications or services, or
business initiatives will take longer, cost more or produce lower benefits than
anticipated, (i) the possibility that application of or compliance with laws,
court rulings, certifications, regulations, regulatory actions, including
without limitation any of the same relating to FDA, EPA or other regulatory
authorities, government investigations, the outcome of any pending or threatened
FDA, EPA or other regulatory warning notices, actions, requests, inspections or
submissions, or other requirements or standards may delay, limit or prevent new
product or service introductions, affect the production, supply and/or marketing
of existing products or services or otherwise affect STERIS's performance,
results, prospects or value, (j) the potential of international unrest,
including the Russia-Ukraine military conflict, economic downturn or effects of
currencies, tax assessments, tariffs and/or other trade barriers, adjustments or
anticipated rates, raw material costs or availability, benefit or retirement
plan costs, or other regulatory compliance costs, (k) the possibility of reduced
demand, or reductions in the rate of growth in demand, for STERIS's products and
services, (l) the possibility of delays in receipt of orders, order
cancellations, or delays in the manufacture or shipment of ordered products, due
to supply chain issues or otherwise,or in the provision of services, (m) the
possibility that anticipated growth, cost savings, new product acceptance,
performance or approvals, or other results may not be achieved, or that
transition, labor, competition, timing, execution, regulatory, governmental, or
other issues or risks associated with STERIS's businesses, industry or
initiatives may adversely impact STERIS's performance, results, prospects or
value, (n) the impact on STERIS and its operations, or tax liabilities, of
Brexit or the exit of other member countries from the EU, and the Company's
ability to respond to such impacts, (o) the impact on STERIS and its operations
of any legislation, regulations or orders, including but not limited to any new
trade or tax legislation, regulations or orders, that may be implemented by the
U.S. administration or Congress, or of any responses thereto, (p) the
possibility that anticipated financial results or benefits of recent
acquisitions, including the acquisition of Cantel Medical and Key Surgical, or
of STERIS's restructuring efforts, or of recent divestitures, including
anticipated revenue, productivity improvement, cost savings, growth synergies
and other anticipated benefits, will not be realized or will be other than
anticipated, (q) the increased level of STERIS's indebtedness incurred in
connection with the acquisition of Cantel Medical limiting financial flexibility
or increasing future borrowing costs, (r) rating agency actions or other
occurrences that could affect STERIS's existing debt or future ability to borrow
funds at rates favorable to STERIS or at all, (s) the potential impact of the
acquisition of Cantel Medical on relationships, including with suppliers,
Customers, employees and regulators, and 
credit availability, as well as the ability of STERIS's Customers and suppliers
to adequately access the credit markets when needed.

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