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Integra LifeSciences Holdings Corporation (IART) 10-Year Financial Performance & Capital Metrics

IART • • Industrial / General
HealthcareMedical DevicesSurgical & Minimally Invasive DevicesSurgical Energy & Ablation Systems
AboutIntegra LifeSciences Holdings Corporation develops, manufactures, and markets surgical implants and medical instruments for use in neurosurgery, extremity reconstruction, and general surgery. It operates in two segments, Codman Specialty Surgical and Tissue Technologies. The company offers neurosurgery and neuro critical care products, including tissue ablation equipment, dural repair products, cerebral spinal fluid management devices, intracranial monitoring equipment, and cranial stabilization equipment; and surgical headlamps and instrumentation, as well as asset management software and support, and after-market services. It also sells approximately 40,000 instrument patterns, and surgical and lighting products to hospitals and surgery centers, as well as dental, podiatry, and veterinary offices. In addition, the company provides regenerative technology products for the treatment of acute and chronic wounds; and surgical tissue repair products for hernia repair, peripheral nerve repair and protection, and tendon repair. Further, it offers skin and wound repair, plastics and surgical reconstruction products, bone grafts, and nerve and tendon repair products. The company offers its products directly through various sales forces and other distribution channels to the hospitals, integrated health networks, group purchasing organizations, clinicians, surgery centers, and health care providers in the United States, Europe, Asia Pacific, and internationally. Integra LifeSciences Holdings Corporation was incorporated in 1989 and is headquartered in Princeton, New Jersey.Show more
  • Revenue $1.61B +4.5%
  • EBITDA $169M -28.1%
  • Net Income -$7M -110.3%
  • EPS (Diluted) -0.09 -110.7%
  • Gross Margin 54.77% -4.6%
  • EBITDA Margin 10.49% -31.2%
  • Operating Margin 1.76% -75.6%
  • Net Margin -0.43% -109.8%
  • ROE -0.44% -111.1%
  • ROIC 0.68% -75.8%
  • Debt/Equity 1.28 +21.3%
  • Interest Coverage 0.40 -81.5%
Technical Analysis

Key Insights

Based on financial data analysis

✓Strengths

  • ✓Share count reduced 4.1% through buybacks
  • ✓Trading at only 0.6x book value

✗Weaknesses

  • ✗Weak 3Y average ROE of 4.6%
  • ✗Weak Piotroski F-Score: 3/9
  • ✗Trading more than 30% below 52-week high

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

Price & Volume

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Growth Metrics

Revenue CAGR

10Y5.66%
5Y1.2%
3Y1.45%
TTM4.99%

Profit (Net Income) CAGR

10Y-
5Y-
3Y-
TTM-7469.3%

EPS CAGR

10Y-
5Y-
3Y-
TTM-6928.63%

ROCE

10Y Avg4.29%
5Y Avg4.33%
3Y Avg3.61%
Latest0.86%

Peer Comparison

Surgical Energy & Ablation Systems
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Size & Scale
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Per Share
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Technical
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Sector-Specific
NameMarket CapCurrent PriceP/E RatioRevenue Growth 1YNet MarginROEFCF YieldDebt/Equity
BDMDBaird Medical Investment Holdings Limited45.91M1.252.5517.74%33.62%33%0.53
IVFINVO Fertility, Inc.12.29M0.81-0.03116.25%-417.01%-495.09%0.78
AEMDAethlon Medical, Inc.2.64M2.71-0.03-0.2%0.13
HYPDHyperion DeFi, Inc.27.38M3.35-0.0614.14%-73.86%-36.05%
NAOVNanoVibronix, Inc.1.59M1.46-0.1112.05%-133.04%-8.41%0.19
ALURAllurion Technologies Inc.23.21M1.89-0.16-39.94%-251.56%
RBOTVicarious Surgical Inc.18.48M2.86-0.27-380.42%0.30
TELATELA Bio, Inc.44.09M0.99-0.7418.56%-50.61%-25.05%1.51

Profit & Loss

Dec 2015Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Sales/Revenue+882.73M992.08M1.19B1.47B1.52B1.37B1.54B1.56B1.54B1.61B
Revenue Growth %-0.05%0.12%0.2%0.24%0.03%-0.1%0.12%0.01%-0.01%0.04%
Cost of Goods Sold+326.54M349.09M435.51M571.5M564.68M520.83M597.81M587.36M656.84M728.47M
COGS % of Revenue0.37%0.35%0.37%0.39%0.37%0.38%0.39%0.38%0.43%0.45%
Gross Profit+556.19M642.99M752.73M900.95M952.88M851.03M944.64M970.31M884.74M882.06M
Gross Margin %0.63%0.65%0.63%0.61%0.63%0.62%0.61%0.62%0.57%0.55%
Gross Profit Growth %-0.03%0.16%0.17%0.2%0.06%-0.11%0.11%0.03%-0.09%-0%
Operating Expenses+476.61M527.65M707.92M789.95M859.12M699.66M747.41M731.39M773.21M853.65M
OpEx % of Revenue0.54%0.53%0.6%0.54%0.57%0.51%0.48%0.47%0.5%0.53%
Selling, General & Admin415.76M455.63M624.1M690.75M687.6M594.53M637.45M616.32M656.64M716.98M
SG&A % of Revenue0.47%0.46%0.53%0.47%0.45%0.43%0.41%0.4%0.43%0.45%
Research & Development50.9M58.16M63.45M78.04M79.57M77.38M93.05M101.19M104.19M115.38M
R&D % of Revenue0.06%0.06%0.05%0.05%0.05%0.06%0.06%0.06%0.07%0.07%
Other Operating Expenses4.59M845K1.34M8.29M91.94M27.76M16.91M13.88M12.38M21.29M
Operating Income+79.59M115.34M44.8M111M93.76M151.37M197.23M238.92M111.53M28.41M
Operating Margin %0.09%0.12%0.04%0.08%0.06%0.11%0.13%0.15%0.07%0.02%
Operating Income Growth %0.21%0.45%-0.61%1.48%-0.16%0.61%0.3%0.21%-0.53%-0.75%
EBITDA+89.54M188M133.7M226.7M203.22M270.36M320.9M360.04M235.04M168.91M
EBITDA Margin %0.1%0.19%0.11%0.15%0.13%0.2%0.21%0.23%0.15%0.1%
EBITDA Growth %0.15%1.1%-0.29%0.7%-0.1%0.33%0.19%0.12%-0.35%-0.28%
D&A (Non-Cash Add-back)9.95M72.67M88.9M115.7M109.46M118.99M123.67M121.11M123.51M140.5M
EBIT84.2M116.21M46.33M125.34M114.06M148.95M242.66M263.49M132.45M52.4M
Net Interest Income+-23.5M-25.78M-34.76M-61.88M-43.18M-62.28M-43.66M-37.68M-34.17M-50.59M
Interest Income13K24K255K2.8M10.78M9.3M6.74M11.92M17.2M20.04M
Interest Expense23.52M25.8M35.02M64.68M53.96M71.58M50.4M49.59M51.38M70.63M
Other Income/Expense-18.92M-24.93M-33.42M-53.59M-33.66M-57.85M17.45M-25.03M-30.46M-46.65M
Pretax Income+60.67M90.41M11.38M57.4M60.1M93.52M214.68M213.89M81.07M-18.24M
Pretax Margin %0.07%0.09%0.01%0.04%0.04%0.07%0.14%0.14%0.05%-0.01%
Income Tax+53.82M15.84M-53.36M-3.4M9.9M-40.37M45.6M33.34M13.33M-11.29M
Effective Tax Rate %-0.06%0.82%5.69%1.06%0.84%1.43%0.79%0.84%0.84%0.38%
Net Income+-3.52M74.56M64.74M60.8M50.2M133.89M169.07M180.55M67.74M-6.94M
Net Margin %-0%0.08%0.05%0.04%0.03%0.1%0.11%0.12%0.04%-0%
Net Income Growth %-1.1%22.19%-0.13%-0.06%-0.17%1.67%0.26%0.07%-0.62%-1.1%
Net Income (Continuing)6.85M74.56M64.74M60.8M50.2M133.89M169.07M180.55M67.74M-6.94M
Discontinued Operations0000000000
Minority Interest0000000000
EPS (Diluted)+-0.050.940.820.720.581.571.982.160.84-0.09
EPS Growth %-1.09%20.75%-0.13%-0.12%-0.19%1.71%0.26%0.09%-0.61%-1.11%
EPS (Basic)-0.051.000.830.730.591.582.002.180.87-0.09
Diluted Shares Outstanding73.88M79.19M79.12M84.45M86.49M85.23M85.48M83.52M80.34M77.01M
Basic Shares Outstanding73.88M74.72M78.39M82.86M85.64M84.65M84.7M83M78.17M77.01M
Dividend Payout Ratio----------

Balance Sheet

Dec 2015Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Total Current Assets+438.5M495.17M822.15M775.08M858.17M1.24B1.15B1.16B1.06B1.08B
Cash & Short-Term Investments48.13M102.06M174.94M138.84M198.91M470.17M513.45M456.66M309.1M273.57M
Cash Only48.13M102.06M174.94M138.84M198.91M470.17M513.45M456.66M276.4M246.38M
Short-Term Investments0000000032.69M27.19M
Accounts Receivable132.24M148.19M251.8M265.74M275.3M225.53M231.83M263.46M259.33M272.37M
Days Sales Outstanding54.6854.5277.3565.8766.2160.0154.8661.7461.461.73
Inventory211.43M217.26M296.33M280.35M316.05M310.12M317.39M324.58M389.61M429.09M
Days Inventory Outstanding236.33227.17248.35179.05204.29217.33193.78201.71216.5215
Other Current Assets4.07M27.67M99.08M00162.1M031.03M32.64M29.65M
Total Non-Current Assets+1.34B1.31B2.39B2.33B2.45B2.38B2.63B2.73B2.72B2.96B
Property, Plant & Equipment205.18M222.37M269.25M300.11M431.93M371.16M396.25M459.59M496.38M549.76M
Fixed Asset Turnover4.30x4.46x4.41x4.91x3.51x3.70x3.89x3.39x3.11x2.93x
Goodwill512.39M510.57M937.9M926.48M954.28M932.37M1.01B1.04B1.06B1.1B
Intangible Assets603.74M561.17M1.16B1.08B1.03B989.44M1.15B1.13B1.07B1.21B
Long-Term Investments01.63M2.49M5.35M3.46M474.83M6.48M567.34M30.71M38.3M
Other Non-Current Assets7.97M10.11M13.59M14.57M11.18M-463.56M9.96M-510.15M27.48M28.21M
Total Assets+1.77B1.81B3.21B3.11B3.3B3.62B3.78B3.89B3.78B4.04B
Asset Turnover0.50x0.55x0.37x0.47x0.46x0.38x0.41x0.40x0.41x0.40x
Asset Growth %0.12%0.02%0.78%-0.03%0.06%0.09%0.05%0.03%-0.03%0.07%
Total Current Liabilities+139.13M123.6M348.91M262.55M331.31M401.01M340.02M320.91M306.98M922.13M
Accounts Payable34.77M29.06M93.97M76.05M113.09M54.61M61.84M102.1M92.33M82.5M
Days Payables Outstanding38.8730.3878.7548.5773.138.2737.7663.4551.341.34
Short-Term Debt14.38M060M22.5M57.25M146.25M59.77M52.75M14.53M607.08M
Deferred Revenue (Current)1000K1000K1000K1000K1000K1000K1000K1000K1000K1000K
Other Current Liabilities39.16M34.97M110.5M75.69M67.13M105.94M105.68M65.41M100.84M37.79M
Current Ratio3.15x4.01x2.36x2.95x2.59x3.09x3.39x3.62x3.45x1.17x
Quick Ratio1.63x2.25x1.51x1.88x1.64x2.31x2.46x2.61x2.18x0.71x
Cash Conversion Cycle252.14251.3246.95196.35197.41239.07210.89199.99226.6235.39
Total Non-Current Liabilities+884.13M844.69M1.9B1.47B1.56B1.7B1.76B1.76B1.89B1.57B
Long-Term Debt700.12M665M1.78B1.33B1.3B1.41B1.5B1.41B1.49B1.2B
Capital Lease Obligations000097.5M88.12M90.33M157.42M166.85M166.93M
Deferred Tax Liabilities154.89M148.94M65.13M57.78M36.55M16.19M45.79M63.34M35.32M60.83M
Other Non-Current Liabilities28.65M30.75M53.77M80.05M125.07M186.73M120.26M138.5M192.24M137.04M
Total Liabilities1.02B968.29M2.25B1.73B1.89B2.1B2.1B2.09B2.19B2.49B
Total Debt+714.97M665M1.84B1.35B1.46B1.66B1.67B1.63B1.68B1.98B
Net Debt666.84M562.95M1.67B1.22B1.26B1.19B1.15B1.17B1.41B1.74B
Debt / Equity0.95x0.79x1.91x0.98x1.03x1.09x0.99x0.90x1.06x1.28x
Debt / EBITDA7.98x3.54x13.77x5.97x7.17x6.12x5.19x4.53x7.15x11.75x
Net Debt / EBITDA7.45x2.99x12.46x5.36x6.19x4.38x3.59x3.26x5.98x10.29x
Interest Coverage3.38x4.47x1.28x1.72x1.74x2.11x3.91x4.82x2.17x0.40x
Total Equity+751.44M839.67M962.31M1.38B1.42B1.51B1.68B1.8B1.59B1.55B
Equity Growth %0.07%0.12%0.15%0.43%0.03%0.07%0.11%0.07%-0.12%-0.03%
Book Value per Share10.1710.6012.1616.2916.3817.7719.7121.6119.7720.07
Total Shareholders' Equity751.44M839.67M962.31M1.38B1.42B1.51B1.68B1.8B1.59B1.55B
Common Stock459K777K813K880K887K893K896K905K909K916K
Retained Earnings145.88M220.44M285.19M348.37M398.57M532.26M698.57M879.12M946.86M939.91M
Treasury Stock-367.12M-123.05M-121.64M-120.61M-119.94M-235.14M-234.45M-362.86M-647.26M-691.41M
Accumulated OCI-47.9M-57.15M-23.81M-45.44M-76.4M-74.06M-45.16M10.27M-15.11M-27.57M
Minority Interest0000000000

Cash Flow

Dec 2015Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Cash from Operations+94.48M116.41M114.54M199.68M231.43M203.83M312.43M264.47M139.96M129.38M
Operating CF Margin %0.11%0.12%0.1%0.14%0.15%0.15%0.2%0.17%0.09%0.08%
Operating CF Growth %0.19%0.23%-0.02%0.74%0.16%-0.12%0.53%-0.15%-0.47%-0.08%
Net Income6.85M74.56M64.74M60.8M50.2M133.89M169.07M180.55M67.74M-6.94M
Depreciation & Amortization58.86M72.67M88.94M110.73M109.46M116.03M119.84M118.3M123.51M140.89M
Stock-Based Compensation15.45M17.31M21.55M20.78M21.25M19.59M36.21M27.73M20.14M24.38M
Deferred Taxes-351K-6.47M-67.3M-8.18M-19.05M-64.14M-2.75M-4.58M-11.88M-20.73M
Other Non-Cash Items30.57M-30.43M7.93M13.81M84.07M39.77M-28.1M-18.1M22.02M22.79M
Working Capital Changes-16.9M-11.23M-1.32M1.75M-14.51M-41.31M18.16M-39.42M-81.57M-31.01M
Change in Receivables-16.23M-17.52M-89.7M-17.02M-9.43M52.1M7.26M-33.91M4.59M7.4M
Change in Inventory-3.76M-9.58M99K8.3M-43.31M-48.35M5.37M-29.12M-59.77M-28.15M
Change in Payables1.63M-414K95.32M3.59M14.67M-57.51M32.87M17.34M-20.23M-2.67M
Cash from Investing+-372.01M-42.62M-1.22B-49.7M-162.67M-68.07M-161.44M-58.58M-94.18M-390.81M
Capital Expenditures-33.41M-47.33M-43.5M-77.74M-69.54M-63.89M-48.02M-47.09M-66.86M-104.42M
CapEx % of Revenue0.04%0.05%0.04%0.05%0.05%0.05%0.03%0.03%0.04%0.06%
Acquisitions----------
Investments----------
Other Investing-9.71M4.48M483K1.33M-64.21M3.66M-55K16.05M0-14.08M
Cash from Financing+258.51M-15.12M1.17B-180.87M-8.77M121.63M-98.23M-251.95M-229.93M237.86M
Debt Issued (Net)----------
Equity Issued (Net)----------
Dividends Paid0000000000
Share Repurchases----------
Other Financing172M1.1M-13.93M-41.66M434K-78.8M1.77M-24.62M-9.43M-9.04M
Net Change in Cash----------
Free Cash Flow+61.07M69.08M71.04M121.94M96.9M139.94M264.35M217.38M73.09M24.96M
FCF Margin %0.07%0.07%0.06%0.08%0.06%0.1%0.17%0.14%0.05%0.02%
FCF Growth %0.65%0.13%0.03%0.72%-0.21%0.44%0.89%-0.18%-0.66%-0.66%
FCF per Share0.830.870.901.441.121.643.092.600.910.32
FCF Conversion (FCF/Net Income)-26.85x1.56x1.77x3.28x4.61x1.52x1.85x1.46x2.07x-18.63x
Interest Paid12.7K57.2K32.3K58.3K48.9K47.3K43.2M42.2M44.3M64.4M
Taxes Paid21.3K4.3K14.6K10.4K16.2K29.8K49.5M35.9M23.6M22.7M

Key Ratios

Metric2015201620172018201920202021202220232024
Return on Equity (ROE)-0.48%9.37%7.19%5.2%3.6%9.13%10.57%10.35%3.99%-0.44%
Return on Invested Capital (ROIC)4.45%6.13%1.67%3.19%2.67%4.22%5.34%6.16%2.8%0.68%
Gross Margin63.01%64.81%63.35%61.19%62.79%62.03%61.24%62.29%57.39%54.77%
Net Margin-0.4%7.52%5.45%4.13%3.31%9.76%10.96%11.59%4.39%-0.43%
Debt / Equity0.95x0.79x1.91x0.98x1.03x1.09x0.99x0.90x1.06x1.28x
Interest Coverage3.38x4.47x1.28x1.72x1.74x2.11x3.91x4.82x2.17x0.40x
FCF Conversion-26.85x1.56x1.77x3.28x4.61x1.52x1.85x1.46x2.07x-18.63x
Revenue Growth-4.91%12.39%19.77%23.92%3.06%-9.6%12.43%0.99%-1.03%4.47%

Revenue by Segment

2014201520162017201820192020202120222024
Codman Specialty Surgical---720.3M963.93M996.21M894.83M1.03B1.02B1.14B
Codman Specialty Surgical Growth----33.82%3.35%-10.18%14.57%-0.55%12.17%
Tissue Technologies-------517.22M538.1M466.89M
Tissue Technologies Growth--------4.04%-13.23%
Orthopedics and Tissue Technologies--359.55M467.94M508.51M521.35M477.04M---
Orthopedics and Tissue Technologies Growth---30.14%8.67%2.52%-8.50%---
Specialty Surgical Solutions--632.52M-------
Specialty Surgical Solutions Growth----------
U S Neurosurgery244.6M586.92M--------
U S Neurosurgery Growth-139.95%--------
U S Instruments157.82M295.82M--------
U S Instruments Growth-87.44%--------
International211.14M---------
International Growth----------
U S Spine And Other171.36M---------
U S Spine And Other Growth----------
U S Extremities143.38M---------
U S Extremities Growth----------

Revenue by Geography

2014201520162017201820192020202120222024
UNITED STATES714.04M680.82M765.61M894.26M1.05B1.08B971.98M1.09B1.13B1.19B
UNITED STATES Growth--4.65%12.45%16.80%16.96%3.01%-9.78%12.09%3.42%5.85%
Asia Pacific----144.25M157.39M157.17M182.03M176.48M176.61M
Asia Pacific Growth-----9.11%-0.14%15.82%-3.05%0.08%
Europe105.7M103.06M120.59M150.15M201.35M197.47M172.69M191.33M170.9M158.5M
Europe Growth--2.50%17.01%24.51%34.10%-1.93%-12.55%10.79%-10.67%-7.26%
Rest Of The World---------82.74M
Rest Of The World Growth----------
Rest Of World108.57M98.85M105.88M143.83M80.95M85.32M70.03M79.56M83.48M-
Rest Of World Growth--8.95%7.11%35.84%-43.72%5.40%-17.92%13.61%4.92%-

Frequently Asked Questions

Growth & Financials

Integra LifeSciences Holdings Corporation (IART) reported $1.64B in revenue for fiscal year 2024. This represents a 111% increase from $780.1M in 2011.

Integra LifeSciences Holdings Corporation (IART) grew revenue by 4.5% over the past year. Growth has been modest.

Integra LifeSciences Holdings Corporation (IART) reported a net loss of $495.3M for fiscal year 2024.

Dividend & Returns

Integra LifeSciences Holdings Corporation (IART) has a return on equity (ROE) of -0.4%. Negative ROE indicates the company is unprofitable.

Integra LifeSciences Holdings Corporation (IART) had negative free cash flow of $14.5M in fiscal year 2024, likely due to heavy capital investments.

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