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Integer Holdings Corporation (ITGR)
NYSE:ITGR
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Integer Holdings (ITGR) AI Stock Analysis

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Integer Holdings

(NYSE:ITGR)

Rating:71Outperform
Price Target:
$133.00
▲(16.02%Upside)
Integer Holdings demonstrates strong financial and operational performance with robust earnings growth and strategic initiatives. However, high valuation and increased leverage pose risks. Technical indicators show neutral momentum, suggesting a balanced outlook.
Positive Factors
Financial Performance
Integer Holdings reported better-than-expected financial results for its 1Q25, including revenues of $437.4 million, up 7.3% year-over-year.
Growth Strategy
The acquisition of Precision Coating and VSi Parylene, both high value-added coating operations, is expected to add roughly 3% to revenue growth this year.
Negative Factors
Market Valuation
The price target is being lowered to $140 due to reduced valuation metrics for comparable stocks.
Sales Performance
CRM & Neuromod sales underperformed expectations, creating a potential area of concern for future growth.

Integer Holdings (ITGR) vs. SPDR S&P 500 ETF (SPY)

Integer Holdings Business Overview & Revenue Model

Company DescriptionInteger Holdings Corporation operates as a medical device outsource manufacturer in the United States, Puerto Rico, Costa Rica, and internationally. It operates through Medical and Non-Medical segments. The company offers products for interventional cardiology, structural heart, heart failure, peripheral vascular, neurovascular, interventional oncology, electrophysiology, vascular access, infusion therapy, hemodialysis, urology, and gastroenterology procedures. It also provides cardiac rhythm management products, including implantable pacemakers, implantable cardioverter defibrillators, insertable cardiac monitors, implantable cardiac pacing and defibrillation leads, and heart failure therapies; neuromodulation products, such as implantable spinal cord stimulators; and non-rechargeable batteries, feedthroughs, device enclosures, machined components, and lead components and sub-assemblies. In addition, the company offers rechargeable batteries and chargers; and arthroscopic, laparoscopic, and general surgery devices and components, such as harmonic scalpels, shaver blades, burr shavers, radio frequency probes, biopsy probes, trocars, electrocautery components, wound dressings, GERD treatment components, and phacoemulsification needles. Further, it provides orthopedic products that include instruments used in hip, knee, and spine surgeries, as well as reamers and chisels. Additionally, the company offers customized battery power and power management systems, and battery solutions for the energy, military, and environmental markets. Furthermore, the company provides medical technologies. It serves multi-national original equipment manufacturers and their affiliated subsidiaries in the cardiac, neuromodulation, orthopedics, vascular, and advanced surgical and portable medical markets. Integer Holdings Corporation was founded in 1970 and is headquartered in Plano, Texas.
How the Company Makes MoneyInteger Holdings generates revenue primarily through the design, development, and manufacturing of medical devices for original equipment manufacturers (OEMs). The company earns money by supplying critical components and fully assembled products in the cardiac, neuromodulation, and vascular segments, among others. Integer's key revenue streams include sales of medical device components like batteries, capacitors, and leads, as well as advanced surgical and orthopedic products. Integer also benefits from strategic partnerships and long-term contracts with major medical device companies, providing a steady and reliable income source. The company's focus on innovation and quality manufacturing processes contributes significantly to its earnings by attracting and retaining a loyal customer base.

Integer Holdings Earnings Call Summary

Earnings Call Date:Apr 24, 2025
(Q1-2025)
|
% Change Since: -4.87%|
Next Earnings Date:Jul 24, 2025
Earnings Call Sentiment Positive
The earnings call presented a positive outlook with strong sales and income growth, successful acquisitions, and strategic refinancing. However, challenges such as potential tariff impacts and a slowdown in CRM and neuromodulation sales were noted. Despite these challenges, the overall sentiment is positive due to the company's robust growth and strategic initiatives.
Q1-2025 Updates
Positive Updates
Strong Sales Growth
Integer Holdings Corporation reported a 7% year-over-year increase in sales on a reported basis and 6% on an organic basis in Q1 2025.
Adjusted Operating Income Increase
Adjusted operating income grew by 14% year-over-year, doubling the sales growth rate.
Cardio and Vascular Sales Surge
Sales in the cardio and vascular segment increased by 17% in the first quarter, driven by new product ramps and acquisitions.
Raised Adjusted EPS Outlook
The company raised its adjusted EPS outlook by $0.31, with anticipated growth of 16% to 23% for the full year.
Successful Debt Refinancing
Integer Holdings completed a strategic refinancing that significantly increased the portion of debt fixed at a sub-2% rate, expecting to reduce interest expense by $13 million in 2025.
Tuck-In Acquisitions
Completed acquisitions of Precision Coating and BSI PERILING, expanding service offerings and capabilities.
Negative Updates
Potential Tariff Impact
Estimated tariff impact of $1 to $5 million on adjusted operating income for 2025.
CRM and Neuromodulation Sales Growth Deceleration
Sales in the CRM and neuromodulation segment grew by only 2% in Q1 2025, indicating a slowdown compared to previous years.
Increased Net Total Debt
Net total debt increased to $1.23 billion at the end of Q1 2025, reflecting recent acquisitions and costs associated with the convertible note offering.
Company Guidance
During Integer Holdings Corporation's first quarter 2025 earnings call, the company provided robust guidance for the full year. Sales are projected to grow 8-10% on a reported basis and 6-8% organically. The company anticipates adjusted operating income growth of 11-16%, with an expected impact from tariffs estimated to be $1-5 million. Integer raised its adjusted earnings per share (EPS) outlook by $0.31, forecasting a growth of 16-23%, partially benefiting from a March convertible note offering. The company's first-quarter performance saw sales reach $437 million, reflecting 7% year-over-year growth, with adjusted EBITDA increasing by 14% to $92 million. Integer also completed two tuck-in acquisitions, enhancing its capabilities in differentiated and proprietary coating services. The company expects to maintain its net total debt leverage within the strategic range of 2.5 to 3.5 times EBITDA by year-end.

Integer Holdings Financial Statement Overview

Summary
Integer Holdings is showing strong revenue growth and operational efficiency. However, increased leverage requires monitoring. Ample cash flow supports growth, although margin improvements are needed for enhanced financial health.
Income Statement
78
Positive
Integer Holdings demonstrates strong revenue growth with a TTM (Trailing-Twelve-Months) increase from the previous year, indicating a healthy growth trajectory. The gross profit margin remains robust, although net profit margins have declined compared to the previous period, suggesting potential efficiency improvements. EBITDA and EBIT margins are solid, reflecting operational strength despite slight fluctuations in net income.
Balance Sheet
72
Positive
The company's balance sheet shows a stable equity ratio, indicating a solid financial foundation with adequate equity backing its assets. The debt-to-equity ratio has increased, suggesting rising leverage which could pose a risk if not managed carefully. Return on equity remains strong, demonstrating effective use of shareholder funds.
Cash Flow
75
Positive
Integer Holdings exhibits consistent operating cash flow, reflecting healthy cash generation from operations. Free cash flow has grown significantly, supporting further investment opportunities. However, the ratio of operating cash flow to net income is slightly lower, implying room for improvement in converting income into cash.
BreakdownDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue1.72B1.60B1.38B1.22B1.07B
Gross Profit459.01M418.29M359.01M336.97M285.71M
EBITDA310.91M256.51M215.40M215.26M207.56M
Net Income119.90M90.65M66.38M96.81M77.26M
Balance Sheet
Total Assets3.08B2.94B2.79B2.58B2.37B
Cash, Cash Equivalents and Short-Term Investments46.54M23.67M24.27M17.89M49.21M
Total Debt1.10B1.05B1.01B897.75M777.55M
Total Liabilities1.46B1.42B1.38B1.23B1.10B
Stockholders Equity1.62B1.52B1.42B1.35B1.27B
Cash Flow
Free Cash Flow99.60M60.27M41.65M103.20M129.90M
Operating Cash Flow205.21M180.21M116.38M156.67M181.34M
Investing Cash Flow-195.41M-163.37M-200.42M-271.00M-56.58M
Financing Cash Flow13.32M-18.01M92.48M81.99M-88.58M

Integer Holdings Technical Analysis

Technical Analysis Sentiment
Negative
Last Price114.64
Price Trends
50DMA
119.74
Negative
100DMA
119.60
Negative
200DMA
127.39
Negative
Market Momentum
MACD
-0.75
Positive
RSI
35.81
Neutral
STOCH
11.87
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For ITGR, the sentiment is Negative. The current price of 114.64 is below the 20-day moving average (MA) of 119.70, below the 50-day MA of 119.74, and below the 200-day MA of 127.39, indicating a bearish trend. The MACD of -0.75 indicates Positive momentum. The RSI at 35.81 is Neutral, neither overbought nor oversold. The STOCH value of 11.87 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for ITGR.

Integer Holdings Risk Analysis

Integer Holdings disclosed 36 risk factors in its most recent earnings report. Integer Holdings reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Integer Holdings Peers Comparison

Overall Rating
UnderperformOutperform
Sector (52)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
71
Outperform
$4.10B55.584.98%7.41%-22.10%
67
Neutral
$3.76B58.9710.86%27.11%
61
Neutral
$2.37B30.62-19.69%7.97%-592.40%
56
Neutral
$3.21B-27.62%59.36%19.87%
54
Neutral
$5.61B-20.36%23.92%19.82%
52
Neutral
$7.47B-0.04-63.86%2.34%16.17%0.25%
46
Neutral
$4.28B-111.13%20.54%25.73%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
ITGR
Integer Holdings
114.64
-11.47
-9.10%
GKOS
Glaukos
99.00
-21.73
-18.00%
LIVN
LivaNova
42.54
-10.37
-19.60%
IRTC
Irhythm Technologies
135.76
36.79
37.17%
INSP
Inspire Medical Systems
127.97
-15.77
-10.97%
PRCT
PROCEPT BioRobotics
58.93
-8.54
-12.66%

Integer Holdings Corporate Events

Executive/Board ChangesBusiness Operations and Strategy
Integer Holdings Expands Board with Michael J. Coyle
Positive
Jul 10, 2025

On July 10, 2025, Integer Holdings Corporation announced the election of Michael J. Coyle to its Board of Directors, expanding the board to 11 members. Coyle, with over 40 years of leadership experience in the medical device industry, will serve on several committees and contribute to Integer’s strategic initiatives and growth. His extensive background, including roles at iRhythm Technologies and Medtronic, is expected to bolster Integer’s position as a partner of choice for innovative medical technologies, enhancing its contract development and manufacturing outsourcing strategy.

The most recent analyst rating on (ITGR) stock is a Buy with a $135.00 price target. To see the full list of analyst forecasts on Integer Holdings stock, see the ITGR Stock Forecast page.

Private Placements and FinancingBusiness Operations and Strategy
Integer Holdings Announces Convertible Notes Conversion Option
Neutral
Jul 2, 2025

On July 2, 2025, Integer Holdings Corporation announced that its 2.125% Convertible Senior Notes due 2028 are now convertible at the holders’ option during the calendar quarter ending September 30, 2025. This conversion option was triggered as the company’s stock price exceeded 130% of the conversion price for at least 20 trading days in a 30-day period ending June 30, 2025. The notes can be converted into cash, shares of common stock, or a combination thereof, depending on the company’s choice. This announcement could impact the company’s financial strategy and market positioning, as it allows note holders to convert their notes into equity, potentially affecting the company’s stock liquidity and capital structure.

The most recent analyst rating on (ITGR) stock is a Buy with a $152.00 price target. To see the full list of analyst forecasts on Integer Holdings stock, see the ITGR Stock Forecast page.

Executive/Board ChangesShareholder Meetings
Integer Holdings Stockholders Approve Key Proposals at Annual Meeting
Neutral
May 28, 2025

At the Annual Meeting on May 21, 2025, Integer Holdings‘ stockholders approved several key proposals. These included the election of ten directors for a one-year term, the ratification of Deloitte & Touche LLP as the independent auditors for fiscal year 2025, approval of executive compensation on an advisory basis, and an amendment to the company’s Restated Certificate of Incorporation to include an officer exculpation provision. These decisions are expected to impact the company’s governance and operational strategies moving forward.

The most recent analyst rating on (ITGR) stock is a Buy with a $152.00 price target. To see the full list of analyst forecasts on Integer Holdings stock, see the ITGR Stock Forecast page.

Executive/Board ChangesBusiness Operations and Strategy
Integer Holdings Announces Leadership Transition Plan
Positive
Apr 24, 2025

Integer Holdings Corporation announced a leadership transition plan where Joseph Dziedzic will retire as President and CEO on October 24, 2025, with Payman Khales, the current COO, succeeding him. Dziedzic will continue as a Special Advisor until March 31, 2026, to ensure a smooth transition. This change is part of Integer’s strategy to maintain its growth trajectory in high-growth markets by focusing on innovation and operational excellence. The transition is expected to strengthen Integer’s market position and continue its financial objectives of above-market organic sales growth.

Private Placements and FinancingM&A TransactionsBusiness Operations and StrategyFinancial Disclosures
Integer Holdings Reports Strong Q1 2025 Performance
Positive
Apr 24, 2025

Integer Holdings Corporation reported a strong start to 2025, with first-quarter sales increasing by 7% to $437 million and a 14% rise in adjusted operating income. Despite a GAAP loss due to debt conversion expenses, the company saw significant growth in its cardio and vascular segment and adjusted net income. Integer completed a $1.0 billion convertible notes offering, which is expected to reduce interest expenses and support future growth, including acquisitions of Precision Coating and VSi Parylene. The company raised its adjusted EPS outlook, reflecting confidence in continued sales and income growth.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

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.Date of analysis: Jul 12, 2025