Integra LifeSciences Reports Second Quarter 2025 Financial Results

PRINCETON, N.J., July 31, 2025 (GLOBE NEWSWIRE) -- Integra LifeSciences Holdings Corporation (Nasdaq: IART), a leading global medical technology company, today reported financial results for the second quarter ending June 30, 2025. Second Quarter 2025 Highlights Second quarter revenues exceeded guidance; adjusted earnings per diluted share (EPS) at the top end of the rangeSecond quarter revenues of $415.6 million decreased (0.6)% on a reported basis and (1.4)% on an organic basis compared to the prior year.Second quarter GAAP earnings per diluted share of $(6.31), compared to $(0.16) in the prior year primarily reflecting a goodwill impairment charge of $511 million, recorded during the quarter. This charge was due to the decrease in the price per share of the Company’s common stock related to a number of factors including recent tariff changes that have created broad economic uncertainty and the impact of quality, operational, and supply issues.Adjusted earnings per diluted share of $0.45, compared to $0.63 in the prior year.Full-Year revenue guidance range updated to reflect increased visibility “I am proud of our team’s performance and execution in the second quarter. Our strong revenue performance is a testament to our disciplined progress and the solid underlying demand trends for our portfolio of neurosurgery and tissue technology products,” said Mojdeh Poul, president and chief executive officer. “Our transformation is underway, and I’m encouraged by the focused implementation and steady progress made against our Compliance Master Plan. Importantly, we have now completed the assessment phase at all of our manufacturing sites. Looking ahead, we are committed to advancing our remediation efforts, delivering on our commitments, and establishing the foundation of operational excellence required to position Integra for predictable and sustainable growth and profitability over the long-term.” Second Quarter 2025 Consolidated Performance Total reported revenues of $415.6 million decreased (0.6)% on a reported basis and (1.4)% on an organic basis compared to the prior year. The Company reported GAAP gross margin of 50.4%, compared to 54.0% in the second quarter of 2024. Adjusted gross margin was 60.7%, compared to 65.2% in the prior year. Adjusted EBITDA for the second quarter of 2025 was $71.2 million, or 17.1% of revenue, compared to $83.8 million, or 20.0% of revenue, in the prior year. The Company reported a GAAP net loss of $(484.1) million, or $(6.31) per diluted share, in the second quarter of 2025, compared to GAAP net loss of $(12.4) million, or $(0.16) per diluted share, in the prior year. Adjusted net income for the second quarter of 2025 was $34.4 million, or $0.45 per diluted share, compared to $49.0 million, or $0.63 per diluted share, in the prior year. Second Quarter 2025 Segment Performance Codman Specialty Surgical (~70% of Revenues) Total revenues were $304.0 million, representing reported growth of 0.7% and an organic decline of (0.3%) compared to the second quarter of 2024. Sales in Neurosurgery increased 0.3% on an organic basis driven by growth in CUSA®, Aurora®, Mayfield®, DuraSeal®, Bactiseal® and CereLink® monitors, offset by existing shipping holdsSales in Instruments declined 2.8% on an organic basis due to order timingENT growth was flat due to growth in AERA® and TruDi navigated disposables offset by sinus balloons and the timing of capital sales Tissue Technologies (~30% of Revenues) Total revenues were $111.6 million, representing a reported and organic decline of (4.1)% compared to the second quarter of 2024. Key drivers for the quarter include: Mid-Single Digit growth in wound reconstruction offset by ship holds ~20% growth in Integra Skin and ~10% growth in DuraSorb®High-single digit growth in MicroMatrix® and Cytal® Sales in private label were down 5.9% due to a component supply delay and softer commercial demand experienced by a private label partner Advancing our Priorities Compliance Master Plan Implementation Completed all manufacturing site baseline assessmentsDeveloped remediation, resourcing, and execution plans to address assessment findingsProviding regular updates to the FDA on our warning letter committed actionsNo related shipping holds initiated in Q2 Operational & Execution Excellence Achieved the highest-ever production rate for Integra Skin, returning to normal revenue levelsStood up Program Management Office to drive prioritization, execution, and governance disciplineEstablished Supply Chain Control Tower, a centralized platform for strategic and tactical performance monitoring and improvement Delivering on Our Financial Commitments Delivered Q2 revenues above, and adj. EPS at the top of, guidance rangeContinued strong demand for differentiated portfolio, with mid-single digit growth excluding shipping holdsLaunched profitability initiative to drive efficiency gains and support long-term margin expansion, with meaningful initial impact expected over the next 12 to 18 months Balance Sheet, Cash Flow and Capital Allocation The Company generated cash flow from operations of $8.9 million in the quarter. Total balance sheet debt and net debt at the end of the quarter were $1.85 billion and $1.59 billion, respectively, and the consolidated total leverage ratio was 4.5x. As of the end of the quarter, the Company had total liquidity of approximately $1.14 billion, including $254 million in cash plus short-term investments and the remainder available under its revolving credit facility. 2025 Outlook For the third quarter 2025, the Company expects reported revenues in the range of $410 million to $420 million, representing reported growth of 7.7% to 10.3% and organic growth of 7.3% to 9.9%. The Company expects adjusted EPS in a range of $0.40 to $0.45 per share. For the full year 2025, the Company is updating its revenue guidance range to $1.655 billion to $1.680 billion. The revenue range represents reported growth of 2.8% to 4.3% and organic growth of 0.6% to 2.1%. The Company reaffirms its adjusted EPS guidance range of $2.19 to $2.29 per share. The Company’s organic sales growth guidance for the third quarter and the full year excludes acquisitions and divestitures, as well as the effects of foreign currency. Conference Call and Presentation Available Online Integra has scheduled a conference call for 8:30 a.m. ET on Thursday, July 31, 2025, to discuss second 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, impairment charges, 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 and the Company’s profitability improvement initiative to realize expected savings and enhance operational efficiency. 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; 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; difficulties in implementing the Company’s profitability improvement initiative and realizing the benefits contemplated thereby within the anticipated timeframe, or at all; 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; 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); (v) impairment charges; and (vi) 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; (vi) income tax impact from adjustments; and (vii) impairment charges. 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 June 30, 2025 and 2024. The Company is providing forward-looking guidance regarding adjusted earnings per diluted share but is not providing a reconciliation to GAAP earnings per share, because certain GAAP expense items are highly variable, and management is unable to predict them with reasonable certainty and without unreasonable effort. Specifically, the financial impact and timing of divestitures, acquisitions, integrations, structural optimization and efforts to comply with the EU Medical Device Regulation are uncertain, depend on various dynamic factors and are not reasonably ascertainable at this time. These expense items could have a material impact on GAAP results. 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) 772-7736chris.ward@integralife.com Media Contact: Laurene Isip(609) 208-8121laurene.isip@integralife.com INTEGRA LIFESCIENCES HOLDINGS CORPORATIONCONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS(UNAUDITED) (In thousands, except per share amounts) Three Months Ended June 30, 2025 2024 Total revenues, net$415,605 $418,175 Costs and expenses: Cost of goods sold 206,273 192,258 Research and development 26,997 29,767 Selling, general and administrative 179,890 195,472 Intangible asset amortization 3,754 3,707 Goodwill impairment charge 511,365 0 Total costs and expenses 928,279 421,204 Operating Loss (512,674) (3,029) Interest income 4,710 5,058 Interest expense (21,042) (18,651)Other income (expense) (1,946) 1,437 Loss before income taxes (530,952) (15,185)Income benefit (46,879) (2,783)Net Loss$(484,073) $(12,402) Net income per share: Diluted net loss per share$(6.31) $(0.16) Weighted average common shares outstanding for diluted net income per share 76,695 77,409 The following table presents revenues disaggregated by the major sources for the three months ended June 30, 2025 and 2024 (amounts in thousands): Three Months Ended June 30, 2025 2024ChangeNeurosurgery$208,992 $205,5021.7%Instruments(1) 53,080 54,537(2.7)%ENT(1) 41,886 41,7220.4%Total Codman Specialty Surgical 303,958 301,7610.7% Wound Reconstruction and Care 84,747 87,695(3.4)%Private Label 26,900 28,719(6.3)%Total Tissue Technologies 111,647 116,414(4.1)%Total reported revenues$415,605 $418,175(0.6)% Impact of changes in currency exchange rates (3,237) — Total organic revenues(2)$412,368 $418,175(1.4)% (1) 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 June 30, 2025 ItemTotal AmountCOGS(a)SG&A(b)R&D(c)Amort (d)OI&E(e)Tax(f)Acquisition, divestiture and integration-related charges4,963 —4,258270 —435— Structural Optimization charges5,944 5,1871,073(316)——— EU Medical Device Regulation charges10,681 1,1424,2005,338 ——— Boston Recall/Braintree Transition13,630 13,53298— ——— Intangible asset amortization expense26,795 23,041—— 3,754—— Estimated income tax impact from above adjustments and other items(54,940)——— ——(54,940)Depreciation expense10,955 ——— ——— a) COGS - Cost of goods soldb) SG&A - Selling, general and administrativec) R&D - Research & developmentd) Amort. - Intangible asset amortizatione) OI&E - Other income & expensef) 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 June 30, 2024 ItemTotal AmountCOGS(a)SG&A(b)R&D(c)Amort (d)OI&E(e)Tax(f)Acquisition, divestiture and integration-related charges18,667 4,86514,617(781)—(34)— Structural Optimization charges5,095 4,9001941 —— — EU Medical Device Regulation charges12,508 7025,4416,365 —— — Boston Recall/Braintree Transition14,698 14,398300— —— — Intangible asset amortization expense25,383 21,676—— 3,707— — Estimated income tax impact from above adjustments and other items(14,942)——— —— (14,942)Depreciation expense10,399 ——— —— — a) COGS - Cost of goods soldb) SG&A - Selling, general and administrativec) R&D - Research & developmentd) Amort. - Intangible asset amortizatione) OI&E - Other income & expensef) Tax - Income tax expense (benefit) RECONCILIATION OF NON-GAAP ADJUSTMENTS - GAAP NET INCOME TO ADJUSTED EBITDA(UNAUDITED)(In thousands) Three Months Ended June 30, 2025 2024 GAAP net loss$(484,073) $(12,402)Non-GAAP adjustments: Goodwill impairment charges 511,365 — Depreciation and intangible asset amortization expense 37,750 35,782 Other (income) expense, net 1,511 (1,402)Interest expense, net 16,332 13,592 Income tax expense (46,879) (2,783)Structural optimization charges 5,944 5,095 EU Medical Device Regulation charges 10,681 12,508 Boston Recall/ Braintree transition 13,630 14,698 Acquisition, divestiture and integration-related charges 4,963 18,666 Total of non-GAAP adjustments 555,297 96,157 Adjusted EBITDA$71,224 $83,755 RECONCILIATION OF NON-GAAP ADJUSTMENTS - GAAP NET INCOME TO MEASURES OF ADJUSTED NET INCOME AND ADJUSTED EARNINGS PER SHARE(UNAUDITED)(In thousands, except per share amounts) Three Months Ended June 30, 2025 2024 GAAP net loss$(484,073) $(12,402)Non-GAAP adjustments: Structural optimization charges 5,944 5,095 Acquisition, divestiture and integration-related charges 4,963 18,666 EU Medical Device Regulation charges 10,681 12,508 Boston Recall/Braintree Transition 13,630 14,698 Goodwill impairment charges 511,365 Intangible asset amortization expense 26,795 25,383 Estimated income tax impact from adjustments and other items (54,940) (14,942)Total of non-GAAP adjustments 518,438 61,409 Adjusted net income$34,365 $49,007 Adjusted diluted net income per share$0.45 $0.63 Weighted average common shares outstanding for diluted net income per share 76,769 77,449 CONDENSED BALANCE SHEET DATA(UNAUDITED) (In thousands) June 30,2025 December 31,2024 Short term investments$35,694 $27,192 Cash and cash equivalents 217,914 246,375 Trade accounts receivable, net 284,507 272,370 Inventories, net 465,127 429,090 Current and long-term borrowing under senior credit facility 1,156,892 1,121,823 Borrowings under securitization facility 108,800 108,100 Convertible securities 574,628 573,170 Stockholders' equity$1,038,661 $1,545,280 CONDENSED STATEMENT OF CASH FLOWS(UNAUDITED) (In thousands) Three Months Ended June 30, 2025 2024 Net cash (used) provided by operating activities$(2,338) $56,157 Net cash used in investing activities (57,568) (376,163)Net cash provided by financing activities 14,238 264,928 Effect of exchange rate changes on cash and cash equivalents 17,207 (6,088) Net decrease in cash and cash equivalents$(28,461) $(61,166) 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 June 30, 2025 2024 Net cash provided by operating activities$8,919 $40,400 Purchases of property and equipment$(20,146)$(29,707)Free cash flow (11,227) 10,693 Adjusted net income(1)$34,365 $49,007 Adjusted free cash flow conversion(32.7)% 21.8% Twelve Months Ended June 30, 2025 2024 Net cash provided by operating activities$70,888 $141,672 Purchases of property and equipment (108,311) (82,797)Free cash flow$(37,423)$58,875 Adjusted net income(1)$171,011 $221,594 Adjusted free cash flow conversion(21.9)% 26.6% (1) Adjusted net income for quarters ended June 30, 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) June 30,2025December 31,2024Short-term borrowings under senior credit facility 38,750 33,906 Long-term borrowings under senior credit facility 1,118,142 1,087,917 Borrowings under securitization facility 108,800 108,100 Convertible securities 574,628 573,170 Deferred financing costs netted in the above 4,418 5,475 Short term investments (35,694) (27,192)Cash & Cash Equivalents (217,914) (246,375)Net Debt$1,591,130 $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 June 30, 2025 2024 Total revenues, net$415,605 $418,175 Cost of goods sold 206,273 192,258 Reported Gross Profit 209,332 225,917 Structural optimization charges 5,187 4,900 Acquisition, divestiture and integration-related charges — 4,865 Boston Recall/Braintree Transition 13,532 14,398 EU Medical Device Regulation 1,142 702 Intangible asset amortization expense 23,041 21,676 Adjusted Gross Profit$252,234 $272,458 Total Revenues$415,605 $418,175 Adjusted Gross Margin 60.7% 65.2% d) Amort. - Intangible asset amortization

Integra LifeSciences Reports Second Quarter 2025 Financial Results

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