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Integra Lifesciences Holdings Corp. (IART)
NASDAQ:IART

Integra Lifesciences (IART) AI Stock Analysis

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Integra Lifesciences

(NASDAQ:IART)

51Neutral
Integra Lifesciences faces significant challenges, with declining profitability and bearish technical indicators being the primary concerns. Weak valuation metrics further underscore the stock's unattractiveness. However, positive revenue growth and reduced leverage on the balance sheet offer some optimism. Overall, the stock warrants cautious consideration due to its current financial and operational difficulties.
Positive Factors
Leadership and Management Strategy
Despite challenges, there is potential for a multi-year turnaround under new leadership if regulatory issues are managed effectively.
Remediation and Improvement Efforts
Management has implemented a Compliance Master Plan and partnered with third-party consulting firms to address quality issues, showing proactive steps towards improvement.
Negative Factors
Operational Challenges
The company is facing ongoing issues with shipholds and capacity, which are affecting its overall performance.
Profitability Concerns
Gross margins for FY25 are expected to decline, suggesting potential pressure on profitability.
Revenue and Growth Expectations
The FY25 revenue guidance is expected to be below prior Street expectations, which could indicate limited growth potential.

Integra Lifesciences (IART) vs. S&P 500 (SPY)

Integra Lifesciences Business Overview & Revenue Model

Company DescriptionIntegra LifeSciences (IART) is a global medical technology company focused on developing, manufacturing, and marketing innovative solutions for the surgical, neuro, and orthopedic markets. The company's core products include neurosurgical and critical care solutions, regenerative technologies, and surgical instrumentation. Integra's offerings are designed to improve patient outcomes and enhance healthcare providers' capabilities across various medical disciplines.
How the Company Makes MoneyIntegra LifeSciences generates revenue primarily through the sale of its medical devices and technologies to hospitals, healthcare providers, and distributors worldwide. The company's revenue streams are categorized into two main segments: Codman Specialty Surgical and Tissue Technologies. Codman Specialty Surgical includes products related to neurosurgery and instrumentation, while Tissue Technologies focuses on regenerative technologies and skin repair solutions. Integra also engages in strategic partnerships and acquisitions to expand its product portfolio and market reach, enhancing its ability to generate income. Additionally, the company invests in research and development to innovate and improve its product offerings, further driving sales and revenue growth.

Integra Lifesciences Financial Statement Overview

Summary
Integra Lifesciences shows mixed financial health. While revenue growth is positive, declining profit margins and net income indicate profitability challenges. The balance sheet shows reduced leverage, which is a positive sign, but the significant decrease in return on equity is concerning. Despite strong operating cash flow, the decline in free cash flow points to potential liquidity issues.
Income Statement
55
Neutral
Integra Lifesciences has experienced a revenue growth rate of 4.48% from 2023 to 2024, which is positive. However, the gross profit margin is relatively low at 0% due to the gross profit equaling total revenue, indicating potential misreporting or zero cost of goods sold. The net profit margin has turned negative in 2024, from 4.39% in 2023 to -0.43%, suggesting profitability issues. EBIT and EBITDA margins have also decreased significantly, indicating declining operational efficiency.
Balance Sheet
60
Neutral
The debt-to-equity ratio improved from 1.06 in 2023 to 0.14 in 2024, reflecting reduced leverage and lower risk. The return on equity has dropped dramatically from 4.27% in 2023 to -0.45% in 2024, indicating a substantial decline in profitability for shareholders. The equity ratio remains stable, showing consistent financial structure in terms of asset financing.
Cash Flow
70
Positive
Free cash flow has decreased, but the operating cash flow to net income ratio is strong, even with a drop in net income. The company maintains positive operating cash flow, which is a good indicator of liquidity, but the free cash flow growth rate is negative, showing a decline from previous years.
Breakdown
Dec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income StatementTotal Revenue
1.61B1.54B1.56B1.54B1.37B
Gross Profit
882.06M888.39M970.31M944.64M851.03M
EBIT
28.41M111.53M238.92M197.23M151.37M
EBITDA
193.29M274.01M391.10M366.33M267.93M
Net Income Common Stockholders
-6.94M67.74M180.55M169.07M133.89M
Balance SheetCash, Cash Equivalents and Short-Term Investments
273.57M309.10M456.66M513.45M470.17M
Total Assets
4.04B3.78B3.89B3.78B3.62B
Total Debt
1.98B1.68B1.62B1.65B1.66B
Net Debt
1.74B1.41B1.16B1.14B1.19B
Total Liabilities
2.49B2.19B2.09B2.10B2.10B
Stockholders Equity
1.55B1.59B1.80B1.68B1.51B
Cash FlowFree Cash Flow
24.96M73.09M217.38M264.35M139.94M
Operating Cash Flow
129.38M139.96M264.47M312.43M203.83M
Investing Cash Flow
-390.81M-94.18M-58.58M-161.44M-68.07M
Financing Cash Flow
237.86M-229.93M-251.95M-98.23M121.63M

Integra Lifesciences Technical Analysis

Technical Analysis Sentiment
Negative
Last Price12.75
Price Trends
50DMA
19.89
Negative
100DMA
21.83
Negative
200DMA
21.66
Negative
Market Momentum
MACD
-1.50
Positive
RSI
25.15
Positive
STOCH
39.75
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For IART, the sentiment is Negative. The current price of 12.75 is below the 20-day moving average (MA) of 16.32, below the 50-day MA of 19.89, and below the 200-day MA of 21.66, indicating a bearish trend. The MACD of -1.50 indicates Positive momentum. The RSI at 25.15 is Positive, neither overbought nor oversold. The STOCH value of 39.75 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for IART.

Integra Lifesciences Risk Analysis

Integra Lifesciences disclosed 34 risk factors in its most recent earnings report. Integra Lifesciences reported the most risks in the “Legal & Regulatory” category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Integra Lifesciences Peers Comparison

Overall Rating
UnderperformOutperform
Sector (52)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
79
Outperform
$1.56B25.9919.36%34.43%31.90%
72
Outperform
$1.78B15.1212.96%1.39%4.20%43.62%
67
Neutral
$995.94M-7.25%5.94%-115.82%
64
Neutral
$1.19B14.385.11%-0.05%
54
Neutral
$1.91B30.624.87%8.33%256.54%
52
Neutral
$5.24B3.76-41.88%2.85%17.01%0.78%
51
Neutral
$1.30B-1.85%6.19%-174.69%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
IART
Integra Lifesciences
12.75
-12.33
-49.16%
CNMD
Conmed
56.97
-13.85
-19.56%
AORT
Artivion
27.42
3.65
15.36%
UFPT
Ufp Technologies
219.49
-33.55
-13.26%
LIVN
LivaNova
35.16
-27.96
-44.30%
AHCO
AdaptHealth
8.85
-0.91
-9.32%

Integra Lifesciences Earnings Call Summary

Earnings Call Date:May 05, 2025
(Q1-2025)
|
% Change Since: -24.33%|
Next Earnings Date:Jul 23, 2025
Earnings Call Sentiment Neutral
The earnings call presented a mixed picture. While there were notable achievements such as revenue growth, strong instrument sales, and progress in the Acclarent integration, there were significant challenges including increased ship holds, negative operating cash flow, and a substantial tariff impact. The adjustment in EPS and organic revenue decline also highlight ongoing issues.
Q1-2025 Updates
Positive Updates
Reported Revenue Growth
Integra LifeSciences reported revenue of $383 million for Q1 2025, representing a growth of 3.7% compared to the previous year.
Strong Performance in Instruments Portfolio
The instruments portfolio delivered 15% growth driven by continued demand in both the hospital and alternate site settings.
Acclarent Integration Progress
The integration of Acclarent contributed approximately $29 million in revenue for the quarter.
Improved Production Yields for Integra Skin
Efforts to enhance production capabilities for Integra Skin are beginning to pay off, with steady yield improvements noted.
Liquidity Position
As of March 31st, Integra had total liquidity of $1.2 billion, including $273 million in cash and short-term investments.
Negative Updates
Organic Revenue Decline
Organic revenue declined by 3.5% primarily due to the expected impact of ship holds.
Increased Ship Holds Impact
Total ship holds for 2025 are expected to be between $55 million and $70 million, an increase from the previously estimated $27 million.
Negative Operating Cash Flow
Operating cash flow for Q1 2025 was negative $11.3 million.
Tariff Impact
The company estimates a $22 million impact from global tariffs in 2025, affecting adjusted EPS by $0.22 per share.
Adjusted EPS Decline
Adjusted EPS for the quarter was $0.41, down 25% compared to 2024.
Company Guidance
During the Integra LifeSciences First Quarter 2025 Financial Results Call, the company provided guidance for the second quarter and full year 2025. For Q2, Integra expects revenue in the range of $390 million to $400 million, representing a reported decline of 6.8% to 4.4% and an organic decline of 7.5% to 5.1%. Full-year revenue guidance is maintained at $1.65 billion to $1.72 billion, with a reported growth of 2.4% to 6.5% and organic growth of 0.4% to 4.4%. The guidance reflects the impact of newly identified ship holds, anticipated to affect revenue by $55 million to $70 million. Adjusted EPS for Q2 is projected to be between $0.40 and $0.45, with full-year EPS now guided at $2.19 to $2.29, adjusted for recent global tariffs, which are estimated to impact 2025 by approximately $22 million or $0.22 per share.

Integra Lifesciences Corporate Events

Executive/Board ChangesBusiness Operations and Strategy
Integra Lifesciences Implements New Severance Program for Executives
Neutral
Dec 17, 2024

Integra LifeSciences has adopted a change in control severance program effective January 1, 2025, providing severance and benefits to certain executives in the event of employment termination following a company change in control by December 31, 2025. The program aims to ensure stability and incentivize retention during potential transitions, impacting executive compensation and company operations if a change occurs.

Glossary
OutperformA stock rated as "Outperform" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock is likely to deliver higher returns compared to the average returns of other stocks in the same sector or market index. Investors might consider this stock a good buying opportunity.
NeutralA stock rated as "Neutral" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly attractive nor unattractive for investment. Investors may consider holding onto the stock, as it is not expected to either significantly outperform or underperform the market.
UnderperformA stock rated as "Underperform" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock may deliver lower returns compared to the average returns of other stocks in the same sector or market index. Investors might consider selling the stock or avoiding it as an investment.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.