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IARTIntegra LifeSciences Holdings Corporation
$15.53$1.2B
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  4. Financial Ratios

Integra LifeSciences Holdings Corporation (IART) Financial Ratios

Latest Ratios: P/E Ratio -2.3x · EV/EBITDA 13.7x · ROE -39.9%. (1996–2025 historical series)

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly

IART Valuation Multiples

Price-based multiples — how expensive the stock is relative to earnings, sales, book value, and cash flow

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Market Cap$1.2B$953M$1.7B$3.5B$4.7B$5.7B$5.5B$5.0B$3.8B$3.8B$3.4B
Enterprise Value$3.0B$2.8B$3.5B$4.9B$5.9B$6.9B$6.7B$6.3B$5.0B$5.5B$4.0B
P/E Ratio →-2.31——51.8525.9633.8341.35100.4862.6458.3745.63
P/S Ratio0.740.581.082.273.013.714.033.322.593.193.42
P/B Ratio1.140.911.132.202.603.403.653.562.773.944.05
P/FCF——69.9647.8721.5421.6639.5452.0231.2353.3049.18
P/OCF23.9718.9213.5025.0017.7118.3327.1421.7819.0733.0629.18

P/E links to full P/E history page with 30-year chart

IART EV Ratios

Enterprise-value multiples — capital-structure-neutral measures of total business value

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
EV / Revenue—1.682.163.183.764.464.904.153.414.593.99
EV / EBITDA13.7012.5420.6320.8616.2721.4424.8531.0022.1640.7821.06
EV / EBIT44.00—66.5137.0322.2328.3545.1055.2340.08117.7034.08
EV / FCF——139.5967.0926.9426.0248.0165.0141.2076.7657.33

IART Profitability

Margins and return-on-capital ratios measuring operating efficiency

Margins

Full margin charts and quarterly trend are on the Earnings History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Gross Margin51.7%51.7%54.8%57.4%62.3%61.2%62.0%62.8%61.2%63.3%64.8%
Operating Margin4.2%4.2%1.8%7.2%15.3%12.8%11.0%6.2%7.5%3.8%11.6%
Net Profit Margin-31.6%-31.6%-0.4%4.4%11.6%11.0%9.8%3.3%4.1%5.4%7.5%

Return on Capital

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
ROE-39.9%-39.9%-0.4%4.0%10.3%10.6%9.1%3.6%5.2%7.2%9.4%
ROA-13.5%-13.5%-0.2%1.8%4.7%4.6%3.9%1.6%1.9%2.6%4.2%
ROIC1.7%1.7%0.7%2.8%6.2%5.3%4.2%2.7%3.2%1.7%6.1%
ROCE2.2%2.2%0.9%3.2%6.8%5.9%4.9%3.2%3.9%2.0%6.9%

IART Leverage & Debt

Solvency and debt-coverage ratios — lower is generally safer

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Debt / Equity1.951.951.281.060.900.991.091.030.981.910.79
Debt / EBITDA9.279.2711.757.154.535.196.127.175.9713.773.54
Net Debt / Equity—1.721.120.890.650.680.780.890.881.730.67
Net Debt / EBITDA8.208.2010.295.983.263.594.386.195.3612.462.99
Debt / FCF——69.6319.235.404.368.4712.999.9723.458.15
Interest Coverage-5.53-5.530.742.585.314.822.082.111.941.324.50

IART Liquidity & Efficiency

Short-term solvency ratios and asset-utilisation metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Current Ratio2.542.541.173.453.623.393.092.592.952.364.01
Quick Ratio1.461.460.712.182.612.462.311.641.881.512.25
Cash Ratio0.580.580.301.011.421.511.170.600.530.500.83
Asset Turnover—0.450.400.410.400.410.380.460.470.370.55
Inventory Turnover1.601.601.701.691.811.881.681.792.041.471.61
Days Sales Outstanding—62.2461.7361.4061.7457.5660.0166.2165.8777.3554.52

IART Shareholder Yields

Earnings, FCF, buyback, and dividend yields — total returns to shareholders

Dividends

Full dividend history and growth charts are on the Dividend History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Dividend Yield———————————
Payout Ratio———————————

Total Shareholder Return Metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Earnings Yield———1.9%3.9%3.0%2.4%1.0%1.6%1.7%2.2%
FCF Yield——1.4%2.1%4.6%4.6%2.5%1.9%3.2%1.9%2.0%
Buyback Yield0.0%0.0%3.0%7.9%2.7%0.0%1.8%0.0%0.0%0.2%0.1%
Total Shareholder Yield0.0%0.0%3.0%7.9%2.7%0.0%1.8%0.0%0.0%0.2%0.1%
Shares Outstanding—$77M$77M$80M$84M$85M$85M$86M$84M$79M$79M

Key Metrics

Growth RegimeStable
ProfitabilityWeak
Balance SheetStrained
Cash FlowMixed
Top Statement Risk

Manufacturing remediation and margin compression

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2026Q2)

Margin Compression Masks Underlying Instability

Gross margin fluctuated between 49.5% and 57.2% over the past ten quarters, while operating margin swung from -123.4% to 127.9%, per reported financials, indicating severe non-recurring distortions and weak core profitability.

The Q2 2025 operating margin of -123.4% reflects a massive impairment charge, while Q4 2025's 127.9% likely includes a one-time gain, obscuring the true earning power. Excluding these anomalies, operating margins hover near 4-10%, suggesting that SG&A and R&D expenses consume nearly all gross profit, leaving minimal buffer for operational missteps. The negative net margin of -31.6% in the TTM period underscores that the company is not yet generating sustainable bottom-line profitability, and investors should monitor whether remediation costs are truly one-time or recurring.

Return on Capital Decimated by Impairments

ROIC swung from -12.5% in Q2 2025 to 14.8% in Q4 2025, but normalized levels remain below 1%, as per financial statements, indicating that the company is not consistently earning its cost of capital.

The extreme volatility in ROIC is driven by impairment charges and one-time gains, not operational improvements. Excluding Q2 2025 and Q4 2025, ROIC ranges from -0.4% to 1.1%, suggesting that the underlying business generates minimal economic returns. The 44% reduction in goodwill from $1.1B to $613M over the period reflects asset write-downs that have eroded the capital base, yet even on the reduced base, returns remain inadequate. This implies that the company's competitive advantages are not translating into shareholder value creation, and investors should question whether the collagen platform can eventually drive higher returns.

Working Capital Efficiency Deteriorates

Cash conversion cycle lengthened from 204 days in Q2 2024 to 243 days in Q2 2026, driven by inventory days rising from 195 to 226, as per reported figures, indicating slower inventory turnover and potential obsolescence risk.

The increase in DIO from 195 to 226 days suggests that inventory is accumulating, possibly due to production halts or product recalls, which ties up cash and increases the risk of write-downs. DSO has remained relatively stable around 58-64 days, while DPO has declined from 52 to 40 days, indicating that the company is paying suppliers faster, which may reflect strained supplier relationships or a need to secure supply. The net effect is a cash conversion cycle that has expanded by nearly 40 days, consuming cash and reducing operational flexibility. This trend warrants close monitoring, as it may indicate that the company is struggling to manage its working capital efficiently amid operational disruptions.

Leverage Elevated as Equity Erodes

Debt-to-equity rose from 1.28 in Q1 2024 to 1.94 in Q2 2026, with interest coverage at 1.21, as per balance sheet data, indicating that debt service is becoming less comfortable and refinancing risk is rising.

The increase in D/E is driven by a 55% decline in retained earnings, from $943.6M to $427.2M, while total debt remained stable at $2.0B. Interest coverage of 1.21 in Q2 2026 is barely above 1.0, meaning that operating income is just sufficient to cover interest expenses, leaving little cushion for adverse developments. The D/EBITDA ratio of 35.52 in Q2 2026 is extremely elevated, though this is distorted by depressed EBITDA; on a normalized basis, it remains high. Given the ongoing manufacturing remediation costs and negative net margins, the company may face covenant pressure or difficulty refinancing its debt on favorable terms, and investors should monitor its ability to generate consistent cash flow to service obligations.

Liquidity Appears Adequate but Cash Buffer Thin

Current ratio improved to 3.40 in Q2 2026 from 1.23 a year earlier, but cash dropped to $214.4M, as per balance sheet data, indicating reliance on current assets rather than cash for coverage.

The sharp improvement in the current ratio is largely due to an increase in current assets, possibly from inventory buildup, rather than a stronger cash position. The quick ratio of 1.98 suggests that even excluding inventory, the company can cover short-term liabilities, but the thin cash buffer of $214.4M may be insufficient to absorb unexpected operational shocks. Under a severe stress scenario, such as a prolonged production halt or additional recalls, the company might need to draw on its credit facilities or raise capital, which could be costly given its strained credit profile. The liquidity position appears adequate for now, but the quality of current assets is questionable, given the inventory obsolescence risk.

EV/EBITDA Misleads on Turnaround Potential

EV/EBITDA of 14.13 appears reasonable, but EBITDA is distorted by one-time gains and impairments, as per reported figures, making it an unreliable gauge of the company's true earnings power.

The most commonly misapplied ratio for Integra is EV/EBITDA, because the company's EBITDA is heavily influenced by non-recurring items, such as the $556.2M operating income in Q4 2025, which likely includes a gain, and the -$512.7M in Q2 2025, which reflects impairments. These swings make the multiple meaningless for valuation purposes. Instead, investors should focus on EV/Revenue or a normalized EBITDA that adjusts for these one-time items, or better yet, use EV/Invested Capital to assess the company's ability to generate returns on its asset base. The forward EV/EBITDA of 16.15 suggests the market is pricing in a recovery, but given the persistent operational challenges, this may be overly optimistic. A more appropriate metric would be EV/Revenue, which at 0.80 indicates the market is assigning a low value to the company's sales, reflecting skepticism about its ability to convert revenue into profits.

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Includes 30+ ratios · 30 years · Updated daily

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IART — Frequently Asked Questions

Quick answers to the most common questions about buying IART stock.

What is Integra LifeSciences Holdings Corporation's P/E ratio?

Integra LifeSciences Holdings Corporation's current P/E ratio is -2.3x. The historical average is 41.2x.

What is Integra LifeSciences Holdings Corporation's EV/EBITDA?

Integra LifeSciences Holdings Corporation's current EV/EBITDA is 13.7x. This enterprise value multiple compares the company's total value (equity + debt - cash) to its EBITDA. The historical average is 22.9x.

What is Integra LifeSciences Holdings Corporation's ROE?

Integra LifeSciences Holdings Corporation's return on equity (ROE) is -39.9%. The historical average is 0.5%.

Is IART stock overvalued?

Based on historical data, Integra LifeSciences Holdings Corporation is trading at a P/E of -2.3x. Compare with industry peers and growth rates for a complete picture.

What are Integra LifeSciences Holdings Corporation's profit margins?

Integra LifeSciences Holdings Corporation has 51.7% gross margin and 4.2% operating margin.

How much debt does Integra LifeSciences Holdings Corporation have?

Integra LifeSciences Holdings Corporation's Debt/EBITDA ratio is 9.3x, indicating high leverage. A ratio above 4x may signal elevated financial risk.