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Integra LifeSciences Reports First Quarter 2025 Financial Results

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Integra LifeSciences (NASDAQ: IART) reported Q1 2025 financial results with revenues of $382.7M, showing a 3.7% reported increase but a 3.5% organic decline year-over-year. The company posted a GAAP net loss of $(0.33) per share, compared to $(0.04) in the prior year, and adjusted EPS of $0.41, down from $0.55. The Codman Specialty Surgical segment (~70% of revenues) reached $280.7M with 9.4% reported growth, while Tissue Technologies (~30%) declined 9.3% to $102.0M. The company maintained its full-year 2025 revenue guidance of $1.650B-$1.715B but reduced adjusted EPS guidance to $2.19-$2.29 due to new tariff impacts. For Q2 2025, Integra expects revenues between $390M-$400M and adjusted EPS of $0.40-$0.45.
Integra LifeSciences (NASDAQ: IART) ha riportato i risultati finanziari del primo trimestre 2025 con ricavi pari a 382,7 milioni di dollari, mostrando un aumento del 3,7% su base riportata ma un calo organico del 3,5% rispetto all'anno precedente. La società ha registrato una perdita netta GAAP di $(0,33) per azione, rispetto a $(0,04) dell'anno precedente, e un utile per azione rettificato di $0,41, in calo rispetto a $0,55. Il segmento Codman Specialty Surgical (~70% dei ricavi) ha raggiunto 280,7 milioni di dollari con una crescita riportata del 9,4%, mentre Tissue Technologies (~30%) è diminuito del 9,3% a 102,0 milioni di dollari. L'azienda ha confermato la guidance dei ricavi per l'intero anno 2025 tra 1,650 e 1,715 miliardi di dollari, ma ha ridotto la guidance dell'utile per azione rettificato a 2,19-2,29 dollari a causa dell'impatto delle nuove tariffe. Per il secondo trimestre 2025, Integra prevede ricavi tra 390 e 400 milioni di dollari e un utile per azione rettificato tra 0,40 e 0,45 dollari.
Integra LifeSciences (NASDAQ: IART) reportó los resultados financieros del primer trimestre de 2025 con ingresos de $382.7 millones, mostrando un aumento reportado del 3.7% pero una disminución orgánica del 3.5% año tras año. La compañía registró una pérdida neta GAAP de $(0.33) por acción, en comparación con $(0.04) del año anterior, y un EPS ajustado de $0.41, por debajo de $0.55. El segmento Codman Specialty Surgical (~70% de los ingresos) alcanzó $280.7 millones con un crecimiento reportado del 9.4%, mientras que Tissue Technologies (~30%) disminuyó un 9.3% a $102.0 millones. La empresa mantuvo su guía de ingresos para todo el año 2025 entre $1,650 millones y $1,715 millones, pero redujo la guía de EPS ajustado a $2.19-$2.29 debido a los nuevos impactos arancelarios. Para el segundo trimestre de 2025, Integra espera ingresos entre $390 millones y $400 millones y un EPS ajustado de $0.40-$0.45.
Integra LifeSciences (NASDAQ: IART)는 2025년 1분기 재무 실적을 발표하며 매출액 3억 8,270만 달러를 기록했으며, 보고 기준으로는 3.7% 증가했으나 전년 대비 유기적 매출은 3.5% 감소했습니다. 회사는 GAAP 기준 주당 순손실 $(0.33)을 기록했으며, 이는 전년의 $(0.04)에서 악화된 수치입니다. 조정 주당순이익(EPS)은 $0.41로, 이전의 $0.55에서 감소했습니다. 매출의 약 70%를 차지하는 Codman Specialty Surgical 부문은 9.4% 보고 성장하여 2억 8,070만 달러를 기록했고, 약 30%를 차지하는 Tissue Technologies 부문은 9.3% 감소하여 1억 2백만 달러를 기록했습니다. 회사는 2025년 전체 매출 가이던스를 16억 5천만 달러에서 17억 1,500만 달러 사이로 유지했으나, 새로운 관세 영향으로 조정 EPS 가이던스는 $2.19-$2.29로 하향 조정했습니다. 2025년 2분기에는 매출이 3억 9천만 달러에서 4억 달러 사이, 조정 EPS는 $0.40-$0.45로 예상하고 있습니다.
Integra LifeSciences (NASDAQ : IART) a publié ses résultats financiers du premier trimestre 2025 avec des revenus de 382,7 millions de dollars, affichant une augmentation rapportée de 3,7 % mais une baisse organique de 3,5 % d'une année sur l'autre. La société a enregistré une perte nette GAAP de (0,33 $) par action, contre (0,04 $) l'année précédente, et un BPA ajusté de 0,41 $, en baisse par rapport à 0,55 $. Le segment Codman Specialty Surgical (~70 % des revenus) a atteint 280,7 millions de dollars avec une croissance rapportée de 9,4 %, tandis que Tissue Technologies (~30 %) a diminué de 9,3 % à 102,0 millions de dollars. L'entreprise a maintenu ses prévisions de revenus pour l'ensemble de l'année 2025 entre 1,650 et 1,715 milliard de dollars, mais a réduit ses prévisions de BPA ajusté à 2,19-2,29 dollars en raison des nouveaux impacts tarifaires. Pour le deuxième trimestre 2025, Integra prévoit des revenus entre 390 et 400 millions de dollars et un BPA ajusté de 0,40 à 0,45 dollar.
Integra LifeSciences (NASDAQ: IART) meldete die Finanzergebnisse für das erste Quartal 2025 mit Umsätzen von 382,7 Mio. USD, was einem berichteten Anstieg von 3,7 %, jedoch einem organischen Rückgang von 3,5 % im Jahresvergleich entspricht. Das Unternehmen verzeichnete einen GAAP-Nettogewinnverlust von $(0,33) je Aktie gegenüber $(0,04) im Vorjahr und einen bereinigten Gewinn je Aktie (EPS) von $0,41, was einem Rückgang von $0,55 entspricht. Das Segment Codman Specialty Surgical (~70 % des Umsatzes) erreichte 280,7 Mio. USD mit einem berichteten Wachstum von 9,4 %, während Tissue Technologies (~30 %) um 9,3 % auf 102,0 Mio. USD zurückging. Das Unternehmen bestätigte die Umsatzerwartung für das Gesamtjahr 2025 zwischen 1,650 Mrd. und 1,715 Mrd. USD, reduzierte jedoch die Prognose für den bereinigten Gewinn je Aktie auf 2,19–2,29 USD aufgrund neuer Zollbelastungen. Für das zweite Quartal 2025 erwartet Integra Umsätze zwischen 390 Mio. und 400 Mio. USD sowie einen bereinigten Gewinn je Aktie von 0,40–0,45 USD.
Positive
  • 9.4% reported growth in Codman Specialty Surgical segment
  • 15.1% organic growth in Instruments division
  • Low double-digit growth in DuraSorb®, MicroMatrix® and Cytal® products
  • Strong liquidity position of $1.16B including cash and credit facility
Negative
  • GAAP net loss widened to $(25.3M) from $(3.3M) year-over-year
  • Adjusted EPS declined to $0.41 from $0.55 in prior year
  • Organic revenue declined 3.5% compared to prior year
  • Reduced full-year adjusted EPS guidance due to tariff impact
  • High leverage ratio at 4.3x
  • Negative cash flow from operations of $(11.3M) in Q1

Insights

Integra's Q1 shows deteriorating financials with margin compression, negative cash flow, and reduced EPS guidance due to operational challenges.

Integra's Q1 financial performance reveals concerning trends across key metrics. Revenue reached $382.7 million, showing 3.7% growth on a reported basis but declining 3.5% organically, indicating growth is acquisition-driven rather than from core operations. Profitability deteriorated substantially, with GAAP EPS worsening from $(0.04) to $(0.33) loss per share, while adjusted EPS fell 25% to $0.41 from $0.55 year-over-year.

Margin compression is evident throughout the income statement. GAAP gross margin contracted 530 basis points to 50.8%, adjusted gross margin fell to 62.2% from 64.4%, and adjusted EBITDA margin dropped to 16.6% from 19.5%. The $(11.3) million negative operating cash flow is particularly troubling as it suggests deeper operational issues affecting cash generation.

The balance sheet shows substantial leverage with $1.85 billion total debt and a 4.3x consolidated leverage ratio. While current liquidity remains adequate at $1.16 billion, continued cash burn could eventually pressure financial flexibility.

Looking forward, management maintained full-year revenue guidance but reduced adjusted EPS guidance to $2.19-$2.29, citing a $0.22 per share impact from new tariffs. Near-term prospects appear challenging with Q2 guidance projecting continued organic revenue decline of 5.1%-7.5%.

Operational challenges across both segments suggest ongoing quality and supply issues requiring significant remediation efforts.

Integra's performance reveals substantial operational hurdles affecting both business segments. In Codman Specialty Surgical (70% of revenue), shipping holds across several product lines drove a 4.7% organic decline in Neurosurgery, indicating potential quality or regulatory compliance issues. While Instruments showed healthy 15.1% organic growth, the segment's overall 1.1% organic decline despite 9.4% reported growth demonstrates how acquisition contribution is masking underlying performance issues.

Tissue Technologies (30% of revenue) faced even greater challenges with 9.1% organic decline, attributed to production timing issues with Integra Skin and component supply delays affecting private label products (down 13.3%). The segment's bright spots - growth in DuraSorb®, MicroMatrix® and Cytal® - were insufficient to offset broader weakness.

Management's repeated emphasis on strengthening quality systems and improving supply reliability, coupled with the implementation of a "Compliance Master Plan," suggests systemic issues requiring substantial remediation. The appointment of new leadership in global operations and establishment of a Transformation and Program Management Office further indicates the depth of operational restructuring underway.

CEO Mojdeh Poul's candid acknowledgment of "significant work ahead" signals these challenges won't be resolved quickly. Medical device quality remediation typically requires comprehensive process overhauls that can take multiple quarters to fully implement, with revenue recovery lagging even further as customer confidence rebuilds.

PRINCETON, N.J., May 05, 2025 (GLOBE NEWSWIRE) -- Integra LifeSciences Holdings Corporation (NASDAQ: IART), a leading global medical technology company, today reported financial results for the first quarter ending March 31, 2025.

First Quarter 2025 Highlights

  • First quarter revenues of $382.7 million increased 3.7% on a reported basis and decreased 3.5% on an organic basis compared to the prior year.

  • First quarter GAAP earnings per diluted share of $(0.33), compared to $(0.04) in the prior year; adjusted earnings per diluted share of $0.41, compared to $0.55 in the prior year.

  • Reaffirming full-year 2025 revenue guidance range and updating adjusted EPS guidance to account for the impact related to the new tariffs.

“We remain laser focused on strengthening our quality systems, improving supply reliability, and driving operational excellence. There remains significant work ahead, but we are continuing to put the processes and people in place to execute on our comprehensive Compliance Master Plan and build a foundation for sustainable performance. With the launch of our Transformation and Program Management Office and the addition of key leadership, including in global operations, we are driving improved accountability and execution across the enterprise to deliver meaningful long-term value for patients, customers, and shareholders,” said Mojdeh Poul, president and chief executive officer.

“As I reflect on my first quarter at Integra and continue spending time across our operations and with employees, I remain inspired by the deep commitment of our teams to our customers and patients. I am also encouraged by the positive feedback I consistently receive from customers about the impact of our solutions and the value of our portfolio. I’m equally optimistic about the long-term growth and earnings potential of our differentiated offerings.”              
               
First Quarter 2025 Consolidated Performance

Total reported revenues of $382.7 million increased 3.7% on a reported basis and declined (3.5)% on an organic basis compared to the prior year.

The Company reported GAAP gross margin of 50.8%, compared to 56.1% in the first quarter of 2024. Adjusted gross margin was 62.2%, compared to 64.4% in the prior year.

Adjusted EBITDA for the first quarter of 2025 was $63.6 million, or 16.6% of revenue, compared to $71.8 million, or 19.5% of revenue, in the prior year.

The Company reported a GAAP net loss of $(25.3) million, or $(0.33) per diluted share, in the first quarter of 2025, compared to GAAP net loss of $(3.3) million, or $(0.04) per diluted share, in the prior year.

Adjusted net income for the first quarter of 2025 was $31.7 million, or $0.41 per diluted share, compared to $43.0 million, or $0.55 per diluted share, in the prior year.

First Quarter 2025 Segment Performance

Codman Specialty Surgical (~70% of Revenues)

Total revenues were $280.7 million, representing reported growth of 9.4% and an organic decline of 1.1% compared to the first quarter of 2024.

  • Sales in Neurosurgery declined 4.7% on an organic basis driven by shipping holds across several product lines
  • Sales in Instruments grew 15.1% on an organic basis due to strong demand and favorable prior year comparator   
  • ENT reported revenue growth driven by the Acclarent acquisition

Tissue Technologies (~30% of Revenues)

Total revenues were $102.0 million, representing a reported decline of 9.3% and organic decline of 9.1% compared to the first quarter of 2024. Key drivers for the quarter include:

  • Low double-digit growth in DuraSorb®, MicroMatrix® and Cytal®
  • Low double-digit decline in Integra Skin due to production timing
  • Sales in private label were down 13.3% due to a component supply delay

Advancing our Priorities  

  • Advancing the Compliance Master Plan and investments in supply reliability
  • Expansion of international portfolio
  • Integra Skin production pacing to normal revenue levels for the second quarter
  • Appointed Valerie Young as CVP, global operations and supply chain
  • Appointed Rick Maveus as SVP of the newly established Transformation and Program Management Office

Balance Sheet, Cash Flow and Capital Allocation

The Company generated cash flow from operations of ($11.3) million in the quarter. Total balance sheet debt and net debt at the end of the quarter were $1.85 billion and $1.58 billion, respectively, and the consolidated total leverage ratio was 4.3x.

As of the end of the quarter, the Company had total liquidity of approximately $1.16 billion, including $273 million in cash   plus short-term investments and the remainder available under its revolving credit facility.

2025 Outlook

For the second quarter 2025, the Company expects reported revenues in the range of $390 million to $400 million, representing a reported decline of (6.8)% to (4.4)% and organic decline of (7.5)% to (5.1)%. The Company expects adjusted EPS in a range of $0.40 to $0.45 per share. Adjusted EPS guidance includes the Company’s estimate of $(0.04) per share to account for the impact of new tariffs.

For the full year 2025, the Company is reaffirming its revenue guidance ranges of $1.650 billion to $1.715 billion. The revenue range represents reported growth of 2.4% to 6.5% and organic growth of 0.4% to 4.4%. The Company is reducing its adjusted EPS guidance to a range of $2.19 to $2.29 per share. Adjusted EPS guidance includes the Company’s estimate of $(0.22) per share for the impact of new tariffs.

The Company’s organic sales growth guidance for the second quarter and the full year excludes acquisitions and divestitures, as well as the effects of foreign currency. The Acclarent acquisition will be included in organic growth beginning in the second quarter of 2025.  

Conference Call and Presentation Available Online

Integra has scheduled a conference call for 8:30 a.m. ET on Monday, May 5, 2025, to discuss first quarter 2025 financial results and forward-looking financial guidance. The conference call will be hosted by Integra's senior management team and will be open to all listeners. Additional forward-looking information may be discussed in a question-and-answer session following the call. Integra's management team will reference a presentation during the conference call, which can be found on the Investor section of the website at investor.integralife.com.

A live webcast will be available on the Investors section of the Company’s website at investor.integralife.com. For those planning to participate on the call, register here to receive dial-in details and an individual pin. While not required, it is recommended to join 10 minutes prior to the event’s start. A webcast replay of the conference call will be available on the Investors section of the Company’s website following the call.

About Integra

At Integra LifeSciences, we are driven by our purpose of restoring patients’ lives. We innovate treatment pathways to advance patient outcomes and set new standards of surgical, neurologic, and regenerative care. We offer a comprehensive portfolio of high quality, leadership brands. For the latest news and information about Integra and its products, please visit www.integralife.com

Forward-Looking Statements

This news release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 that involve risks and uncertainties and reflect the Company's judgment as of the date of this release. All statements, other than statements of historical fact, are statements that could be deemed forward-looking statements. Some of these forward-looking statements may contain words like “will,” “believe,” “may,” “could,” “would,” “might,” “possible,” “should,” “expect,” “intend,” "forecast," "guidance," “plan,” “anticipate,” "target," or “continue,” the negative of these words, other terms of similar meaning or they may use future dates. Forward-looking statements contained in this news release include, but are not limited to, statements concerning: future financial performance, including projections for revenues, expected revenue growth (both reported and organic), GAAP and adjusted net income, GAAP and adjusted earnings per diluted share, non-GAAP adjustments such as divestiture, acquisition and integration-related charges, intangible asset amortization, structural optimization charges, EU Medical Device Regulation-related charges, charges related to the voluntary global recall of all products manufactured at the Company’s facility in Boston, Massachusetts and the transition of Boston-related manufacturing operations to the Company’s Braintree, Massachusetts facility, and income tax expense (benefit) related to non-GAAP adjustments and other items; estimates regarding the projected impact of tariffs or other changes in trade policy on the Company's business, financial condition and results of operations; and the Company’s expectations and plans with respect to business and operational performance, strategic initiatives, capabilities, resources, product development, product availability and regulatory approvals, including expectations regarding the efficacy of the Company’s compliance master plan to improve the Company's quality systems. It is important to note that the Company’s goals and expectations are not predictions of actual performance. Such forward-looking statements involve risks and uncertainties that could cause actual results to differ materially from predicted or expected results. Such risks and uncertainties include, but are not limited, to the following: the ongoing and possible future effects of global challenges, including macroeconomic uncertainties, inflation, supply chain disruptions, trade regulation and tariffs, duties or other measures implemented by the U.S. or other countries, geopolitical conflicts, and U.S. and global recession concerns, on the Company’s customers and on the Company’s business, financial condition, results of operations and cash flows; the Company's ability to execute its operating plan effectively; the Company’s ability to successfully integrate Acclarent and other acquired businesses; the Company’s ability to achieve sales growth in a timely fashion; the Company's ability to manufacture and ship sufficient quantities of its products to meet its customers' demands; the ability of third-party suppliers to supply us with raw materials and finished products; ; the Company's ability to manage its direct sales channels effectively; the sales performance of third-party distributors on whom the Company relies to generate revenue for certain products and geographic regions; the Company's ability to access and maintain relationships with customers of acquired entities and businesses; physicians' willingness to adopt and third-party payors' willingness to provide or maintain reimbursement for the Company's recently launched, planned and existing products; initiatives launched by the Company's competitors; downward pricing pressures from customers; the Company's ability to secure regulatory approval for products in development; the Company's ability to remediate quality systems violations; difficulties in implementing the Company’s compliance master plan and realizing the benefits contemplated thereby within the anticipated timeframe, or at all; difficulties or delays in obtaining and maintaining required regulatory approvals related to the transition of the manufacturing to the Company’s Braintree manufacturing facility; the possibility that costs or difficulties related to building and the operationalization of the Braintree facility or the transition of manufacturing activities from the Company’s Boston facility to the Braintree facility will be greater than expected; disruptions at the U.S. Food and Drug Administration (the “FDA”), including due to a reduction in the FDA’s workforce and/or inadequate funding for the FDA; fluctuations in hospitals' spending for capital equipment; uncertainties inherent in the development of new products and the enhancement of existing products, including FDA approval and/or clearance and other regulatory risks, technical risks, cost overruns and delays; the Company's ability to   comply with regulations regarding products of human origin and products containing materials derived from animal source; difficulties in controlling expenses, including costs to procure and manufacture the Company’s products; the ability of the Company to successfully manage leadership and organizational changes and the impact of changes in management or staff levels; the impact of goodwill and intangible asset impairment charges if future operating results of acquired businesses are significantly less than the results anticipated at the time of the acquisitions, the Company's ability to leverage its existing selling organizations and administrative infrastructure; the Company's ability to increase product sales and gross margins, and control non-product costs; the Company’s ability to achieve anticipated growth rates, margins and scale and execute its strategy generally; the amount and timing of divestiture, acquisition and integration-related costs; the geographic distribution of where the Company generates its taxable income; new U.S. and foreign government laws and regulations, and changes in existing laws, regulations and enforcement guidance, which affect areas of our operations including, but not limited to, those affecting the health care industry, including the EU Medical Device Regulation; the scope, duration and effect of U.S. and international governmental, regulatory, fiscal, monetary and public health responses to any future public health crises; fluctuations in foreign currency exchange rates; the amount of our bank borrowings outstanding and other factors influencing liquidity; our ability to comply with the covenants under the agreements governing our indebtedness and the potential negative consequences caused by any non-compliance; potential negative impacts resulting from environmental, social and governance matters; and the economic, competitive, governmental, technological, and other risk factors and uncertainties identified under the heading “Risk Factors” included in Item 1A of Integra's Annual Report on Form 10-K for the year ended December 31, 2024 and information contained in subsequent filings with the Securities and Exchange Commission.

These forward-looking statements are made only as of the date hereof, and the Company undertakes no obligation to update or revise the forward-looking statements, whether as a result of new information, future events, or otherwise, except as otherwise required by law.

Discussion of Adjusted Financial Measures

In addition to our GAAP results, we provide certain non-GAAP measures, including organic revenues, adjusted earnings before interest, taxes, depreciation and amortization (“EBITDA”), adjusted net income, adjusted gross margin, adjusted earnings per diluted share, and net debt.   Organic revenues consist of total revenues excluding the effects of currency exchange rates, revenues from current-period acquisitions and product divestitures. Adjusted EBITDA consists of GAAP net income excluding: (i) depreciation and amortization; (ii) other income (expense); (iii) interest income and expense; (iv) income tax expense (benefit); and (v) those operating expenses also excluded from adjusted net income.   The measure of adjusted net income consists of GAAP net income, excluding: (i) structural optimization charges; (ii) divestiture, acquisition and integration-related charges; (iii) EU Medical Device Regulation-related charges; (iv) charges related to the manufacturing stoppage and voluntary global recall of all products manufactured at the Company’s Boston, Massachusetts facility and distributed between March 1, 2018 and May 22, 2023, as previously disclosed in the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on May 23, 2023 (the “recall”) and the transition of Boston-related manufacturing operations to the Company’s Braintree, Massachusetts facility; (v) intangible asset amortization expense; and (vi) income tax impact from adjustments.   The measure of adjusted gross margin is calculated by dividing adjusted gross profit by total revenues. Adjusted gross profit consists of GAAP gross profit adjusted for: (i) structural optimization charges; (ii) divestiture, acquisition and integration-related charges; (iii) charges related to the recall and the transition of Boston-related manufacturing operations to the Company’s Braintree, Massachusetts facility; (iv) EU Medical Device Regulation-related charges; and (v) intangible asset amortization expense. The adjusted earnings per diluted share measure is calculated by dividing adjusted net income attributable to diluted shares by diluted weighted average shares outstanding.    The measure of net debt consists of GAAP total debt (excluding deferred financing costs) less short-term investments, cash and cash equivalents.
Reconciliations of GAAP revenues to organic revenues,    GAAP net income to adjusted EBITDA, and adjusted net income, GAAP gross margin to adjusted gross margin,   GAAP total debt to net debt, and GAAP earnings per diluted share to adjusted earnings per diluted share all for the quarters ended March 31, 2025 and 2024.  
The Company believes that the presentation of organic revenues and the other non-GAAP measures provide important supplemental information to management and investors regarding financial and business trends relating to the Company's financial condition and results of operations.   For further information regarding why Integra believes that these non-GAAP financial measures provide useful information to investors, the specific manner in which management uses these measures, and some of the limitations associated with the use of these measures, please refer to the Company's Current Report on Form 8-K regarding this earnings press release filed today with the Securities and Exchange Commission. This Current Report on Form 8-K is available on the SEC's website at   www.sec.gov or on our website at www.integralife.com.  

Investor Relations Contact:

Chris Ward
(609) 772-7736
chris.ward@integralife.com

Media Contact:

Laurene Isip
(609) 208-8121
laurene.isip@integralife.com

 
 
INTEGRA LIFESCIENCES HOLDINGS CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(UNAUDITED)
 
(In thousands, except per share amounts)
 
  Three Months Ended March 31,
   2025   2024 
Total revenues, net $382,653  $368,872 
     
Costs and expenses:    
Cost of goods sold  188,221   162,038 
Research and development  24,728   26,965 
Selling, general and administrative  181,497   165,798 
Intangible asset amortization  3,704   10,107 
Total costs and expenses  398,150   364,908 
     
Operating income (loss)  (15,497)  3,964 
     
Interest income  4,420   5,040 
Interest expense  (18,815)  (13,624)
Other expense, net  (144)  (610)
Loss before income taxes  (30,036)  (5,230)
Income tax (benefit)  (4,743)  (1,949)
Net Loss  (25,293) $(3,281)
     
Net income per share:    
Diluted net loss per share $(0.33) $(0.04)
     
Weighted average common shares outstanding for diluted net income per share  76,463   77,735 
         
         

The following table presents revenues disaggregated by the major sources for the three months ended March 31, 2025 and 2024 (amounts in thousands):

  Three Months Ended March 31,
   2025  2024Change
Neurosurgery $190,912  202,268(5.6)%
Instruments(1)  50,950  44,37314.8%
ENT(1)  38,802  9,793296.2%
Total Codman Specialty Surgical  280,664  256,4349.4%
     
Wound Reconstruction and Care  74,779  80,877(7.5)%
Private Label  27,210  31,561(13.8)%
Total Tissue Technologies  101,989  112,438(9.3)%
Total reported revenues $382,653 $368,8723.7%
     
Impact of changes in currency exchange rates  2,236   
Less contribution of revenues from acquisitions  (29,092)  
Total organic revenues(2) $355,798 $368,872(3.5)%
 

(1) Prior period revenues included within our instruments business have been reclassified under the ENT business.
(2) Organic revenues have been adjusted to exclude foreign currency (current period), acquisitions and to account for divested and discontinued products.

 
 
Items included in GAAP net income and location where each item is recorded are as follows:
 
(In thousands)
 
Three Months Ended March 31, 2025


ItemTotal AmountCOGS(a)SG&A(b)R&D(c)Amort (d)OI&E(e)Tax(f)
Acquisition, divestiture and integration-related charges6,224 6715,824(736)464 
Structural Optimization charges10,663 4,2766,436(50) 
EU Medical Device Regulation charges10,944 1,3754,8074,761  
Boston Recall/Braintree Transition14,810 14,386424  
Intangible asset amortization expense26,473 22,769 3,704 
Estimated income tax impact from above adjustments and other items(12,167) (12,167)
Depreciation expense10,456   
        

a) COGS - Cost of goods sold
b) SG&A - Selling, general and administrative
c) R&D - Research & development
d) Amort. - Intangible asset amortization
e) OI&E - Other income & expense
f) Tax - Income tax expense (benefit)

 
 
Items included in GAAP net income and location where each item is recorded are as follows:
 
(In thousands)
 
Three Months Ended March 31, 2024


ItemTotal AmountCOGS(a)SG&A(b)R&D(c)Amort (d)OI&E(e)Tax(f)
Acquisition, divestiture and integration-related charges4,723 504,802(83)(46) 
Structural Optimization charges4,440 3,3201,1182   
EU Medical Device Regulation charges12,023 1,4414,6575,925   
Boston Recall/Braintree Transition9,044 8,210834   
Intangible asset amortization expense27,698 17,591 10,107  
Estimated income tax impact from above adjustments and other items(11,696)  (11,696)
Depreciation expense9,899    
            

a) COGS - Cost of goods sold
b) SG&A - Selling, general and administrative
c) R&D - Research & development
d) Amort. - Intangible asset amortization
e) OI&E - Other income & expense
f) Tax - Income tax expense (benefit)

 
 
RECONCILIATION OF NON-GAAP ADJUSTMENTS - GAAP NET INCOME TO ADJUSTED EBITDA
(UNAUDITED)
 
(In thousands)
 
  Three Months Ended March 31,
   2025   2024 
     
GAAP net loss $(25,293) $(3,281)
Non-GAAP adjustments:    
Depreciation and intangible asset amortization expense  36,929   37,597 
Other (income) expense, net  (320)  656 
Interest expense, net  14,394   8,584 
Income tax expense  (4,743)  (1,949)
Structural optimization charges  10,663   4,440 
EU Medical Device Regulation charges  10,944   12,023 
Boston Recall/ Braintree transition  14,810   9,044 
Acquisition, divestiture and integration-related charges  6,224   4,723 
Total of non-GAAP adjustments  88,902   75,118 
         
Adjusted EBITDA $63,609  $71,837 
     
     


RECONCILIATION OF NON-GAAP ADJUSTMENTS - GAAP NET INCOME TO MEASURES OF ADJUSTED NET INCOME AND ADJUSTED EARNINGS PER SHARE
(UNAUDITED)
 
(In thousands, except per share amounts)
 
  Three Months Ended March 31,
   2025   2024 
     
GAAP net loss $(25,293) $(3,281)
Non-GAAP adjustments:    
Structural optimization charges  10,663   4,440 
Acquisition, divestiture and integration-related charges  6,224   4,723 
EU Medical Device Regulation charges  10,944   12,023 
Boston Recall/Braintree Transition  14,810   9,044 
Intangible asset amortization expense  26,473   27,698 
Estimated income tax impact from adjustments and other items  (12,167)  (11,696)
Total of non-GAAP adjustments  56,947   46,231 
Adjusted net income $31,654  $42,950 
     
Adjusted diluted net income per share $0.41  $0.55 
         
Weighted average common shares outstanding for diluted net income per share  76,586   77,958 


 
 
CONDENSED BALANCE SHEET DATA
(UNAUDITED)
 
(In thousands)
 
  March 31,
2025
 December 31,
2024
     
Short term investments $34,191 $27,192
Cash and cash equivalents  239,104  246,375
Trade accounts receivable, net  252,446  272,370
Inventories, net  445,418  429,090
     
Current and long-term borrowing under senior credit facility  1,167,291  1,121,823
Borrowings under securitization facility  102,100  108,100
Convertible securities  573,899  573,170
     
     
Stockholders' equity $1,524,139 $1,545,280
     
     


CONDENSED STATEMENT OF CASH FLOWS
(UNAUDITED) 
 
(In thousands)
 
  Three Months Ended March 31,
   2025   2024 
     
Net cash (used) provided by operating activities $(11,257) $15,756 
Net cash used in investing activities  (35,920)  (53,965)
Net cash provided by (used by) by financing activities  35,377   358,676 
Effect of exchange rate changes on cash and cash equivalents  4,529   (4,963)
     
Net increase (decrease) in cash and cash equivalents $(7,271) $315,504 
     


 
RECONCILIATION OF NON-GAAP ADJUSTMENTS - GAAP OPERATING CASH FLOW TO MEASURES OF FREE CASH FLOW AND ADJUSTED FREE CASH FLOW CONVERSION
(UNAUDITED)
 
(In thousands)
 
  Three Months Ended March 31,
   2025  2024 
Net cash (used) provided by operating activities $(11,257)$15,756 
    
    
Purchases of property and equipment $(28,920)$(15,465)
Free cash flow  (40,177) 291 
    
Adjusted net income(1) $31,654 $42,950 
Adjusted free cash flow conversion  (126.9)% 0.7%
    
    
    
  Twelve Months Ended March 31,
   2025  2024 
Net cash provided by operating activities $102,368 $129,552 
    
Purchases of property and equipment  (117,872) (68,737)
Free cash flow $(15,504)$60,815 
    
Adjusted net income(1) $185,652 $230,004 
Adjusted free cash flow conversion  (8.4)% 26.4%
    

(1) Adjusted net income for quarters ended March 31, 2025 and 2024 are reconciled above. Adjusted net income for remaining quarters in the trailing twelve months calculation have been previously reconciled and are publicly available in the Quarterly Earnings Call Presentations on our website at investor.integralife.com under Events & Presentations.

The Company calculates adjusted free cash flow conversion by dividing its free cash flow by adjusted net income. The Company believes this measure is useful in evaluating the significance of the cash special charges in its adjusted earnings measures.

 
 
RECONCILIATION OF NON-GAAP ADJUSTMENTS - NET DEBT CALCULATION
(UNAUDITED)
 
(In thousands)  
  March 31,
2025
December 31,
2024
Short-term borrowings under senior credit facility  38,750  33,906 
Long-term borrowings under senior credit facility  1,128,541  1,087,917 
Borrowings under securitization facility  102,100  108,100 
Convertible securities  573,899  573,170 
Deferred financing costs netted in the above  4,436  5,475 
Short term investments  (34,191) (27,192)
Cash & Cash Equivalents  (239,104) (246,375)
Net Debt $1,574,431 $1,535,001 
    
    

 

RECONCILIATION OF NON-GAAP ADJUSTMENTS - GAAP GROSS PROFIT TO MEASURES OF ADJUSTED GROSS PROFIT AND ADJUSTED GROSS MARGIN
(UNAUDITED)
 
(In thousands, except percentages)
 
  Three Months Ended March 31,
   2025   2024 
     
Total revenues, net $382,653  $368,872 
Cost of goods sold  188,221   162,038 
Reported Gross Profit  194,432   206,834 
Structural optimization charges  4,276   3,320 
Acquisition, divestiture and integration-related charges  671   50 
Boston Recall/Braintree Transition  14,386   8,210 
EU Medical Device Regulation  1,375   1,441 
Intangible asset amortization expense  22,769   17,591 
Adjusted Gross Profit $237,909  $237,446 
Total Revenues $382,653  $368,872 
Adjusted Gross Margin  62.2%  64.4%

FAQ

What were Integra LifeSciences (IART) Q1 2025 earnings results?

Integra reported Q1 2025 revenues of $382.7M (+3.7% reported, -3.5% organic), GAAP loss per share of $(0.33), and adjusted EPS of $0.41 compared to $0.55 in the prior year.

How did IART's different segments perform in Q1 2025?

Codman Specialty Surgical (70% of revenues) grew 9.4% to $280.7M, while Tissue Technologies (30% of revenues) declined 9.3% to $102.0M.

What is Integra's revenue guidance for full-year 2025?

Integra reaffirmed full-year 2025 revenue guidance of $1.650B to $1.715B, representing reported growth of 2.4% to 6.5% and organic growth of 0.4% to 4.4%.

How will new tariffs impact IART's earnings in 2025?

New tariffs are expected to impact adjusted EPS by $(0.22) per share for full-year 2025, leading to reduced guidance of $2.19 to $2.29 per share.

What is IART's debt position as of Q1 2025?

Total balance sheet debt was $1.85B with net debt of $1.58B, resulting in a consolidated total leverage ratio of 4.3x.
Integra Lifesciences Hldgs Cp

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1.29B
66.21M
14.24%
91.53%
5.06%
Medical Devices
Surgical & Medical Instruments & Apparatus
Link
United States
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