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Integra LifeSciences Reports Third Quarter 2024 Financial Results

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Integra LifeSciences (NASDAQ: IART) reported Q3 2024 financial results with revenues of $380.8 million, showing a 0.4% decrease on a reported basis and 8.6% decline organically compared to last year. The company posted a GAAP loss of $(0.14) per share, down from $0.24 in the prior year, while adjusted EPS fell to $0.41 from $0.76.

The Codman Specialty Surgical segment (~70% of revenues) reached $270.8 million with 1.0% reported growth, while Tissue Technologies (~30%) declined 3.6% to $110.1 million. The company updated its full-year 2024 guidance to $1.609-1.619 billion in revenue and adjusted EPS of $2.41-2.49.

Integra LifeSciences (NASDAQ: IART) ha riportato i risultati finanziari del terzo trimestre 2024 con ricavi di $380,8 milioni, mostrando una diminuzione dello 0,4% su base segnalata e un calo organico dell'8,6% rispetto all'anno scorso. L'azienda ha registrato una perdita GAAP di $(0,14) per azione, in calo rispetto a $0,24 dell'anno precedente, mentre l'EPS rettificato è sceso a $0,41 da $0,76.

Il segmento Codman Specialty Surgical (~70% dei ricavi) ha raggiunto $270,8 milioni con una crescita segnalata dell'1,0%, mentre Tissue Technologies (~30%) è diminuito del 3,6% a $110,1 milioni. L'azienda ha aggiornato le previsioni per l'intero anno 2024 a ricavi di $1,609-1,619 miliardi e un EPS rettificato di $2,41-2,49.

Integra LifeSciences (NASDAQ: IART) reportó los resultados financieros del tercer trimestre de 2024 con ingresos de $380.8 millones, mostrando una disminución del 0.4% en términos reportados y una caída del 8.6% de forma orgánica en comparación con el año pasado. La compañía registró una pérdida GAAP de $(0.14) por acción, bajando de $0.24 en el año anterior, mientras que el EPS ajustado cayó a $0.41 desde $0.76.

El segmento Codman Specialty Surgical (~70% de los ingresos) alcanzó $270.8 millones con un crecimiento reportado del 1.0%, mientras que Tissue Technologies (~30%) disminuyó un 3.6% a $110.1 millones. La compañía actualizó su guía para el año completo 2024 a ingresos de $1.609-1.619 mil millones y un EPS ajustado de $2.41-2.49.

인테그라 라이프사이언스 (NASDAQ: IART)는 2024년 3분기 재무 결과를 보고하며 $380.8 백만의 수익을 기록했습니다. 이는 보고된 기준으로 0.4% 감소했으며, 지난해에 비해 유기적으로는 8.6% 감소한 수치입니다. 이 회사는 주당 GAAP 손실이 $(0.14)으로, 지난해의 $0.24에서 감소했으며, 조정된 EPS는 $0.76에서 $0.41로 떨어졌습니다.

Codman Specialty Surgical 부문(~70%의 수익)은 $270.8 백만으로 1.0%의 보고된 성장을 기록했고, Tissue Technologies(~30%)는 $110.1 백만으로 3.6% 감소했습니다. 이 회사는 2024년 전체 연도 가이던스를 $1.609-1.619억 및 조정된 EPS를 $2.41-2.49로 업데이트했습니다.

Integra LifeSciences (NASDAQ: IART) a rapporté les résultats financiers du troisième trimestre 2024 avec des revenus de $380,8 millions, affichant une baisse de 0,4% sur une base rapportée et un déclin organique de 8,6% par rapport à l'année précédente. L'entreprise a enregistré une perte GAAP de $(0,14) par action, en baisse par rapport à $0,24 l'année précédente, tandis que le BPA ajusté est tombé à $0,41 contre $0,76.

Le segment Codman Specialty Surgical (~70% des revenus) a atteint $270,8 millions avec une croissance rapportée de 1,0%, tandis que Tissue Technologies (~30%) a chuté de 3,6% à $110,1 millions. L'entreprise a mis à jour ses prévisions de revenus pour l'année entière 2024 à $1,609-1,619 milliards et un BPA ajusté de $2,41-2,49.

Integra LifeSciences (NASDAQ: IART) berichtete über die Finanzzahlen des dritten Quartals 2024 mit Umsätzen von $380,8 Millionen, was einem Rückgang von 0,4% auf berichteter Basis und einem organischen Rückgang von 8,6% im Vergleich zum Vorjahr entspricht. Das Unternehmen verzeichnete einen GAAP-Verlust von $(0,14) pro Aktie, ein Rückgang von $0,24 im Vorjahr, während der bereinigte EPS auf $0,41 von $0,76 fiel.

Das Segment Codman Specialty Surgical (~70% der Umsätze) erreichte $270,8 Millionen mit einem berichteten Wachstum von 1,0%, während Tissue Technologies (~30%) um 3,6% auf $110,1 Millionen fiel. Das Unternehmen aktualisierte seine Prognose für das gesamte Jahr 2024 auf Umsätze von $1,609-1,619 Milliarden und ein bereinigtes EPS von $2,41-2,49.

Positive
  • Instruments business grew 8.7% organically
  • Private label sales increased 13.3% organically
  • Strong growth in DuraSorb® and UBM portfolio
  • Advanced energy segment showed mid-single digit growth
  • Total liquidity position of $1.18 billion at quarter end
Negative
  • Organic revenue declined 8.6% year-over-year
  • GAAP net loss of $10.7 million compared to $19.5 million profit last year
  • Adjusted EPS decreased 46% to $0.41 from $0.76
  • Gross margin declined to 52.6% from 57.1%
  • Neurosurgery sales declined 16.0% organically
  • Consolidated total leverage ratio at 4.0x

Insights

The Q3 results reveal significant challenges, with $380.8M revenue showing a 0.4% decline reported and concerning 8.6% organic decline. The adjusted EPS dropped sharply to $0.41 from $0.76 year-over-year, while GAAP earnings turned negative at -$0.14 per share. The gross margin compression to 52.6% from 57.1% and adjusted EBITDA margin decline to 16.2% from 23.0% indicate operational inefficiencies.

Particularly concerning is the high leverage ratio of 4.0x and substantial debt of $1.81B. While liquidity remains adequate at $1.18B, the reduced cash flow generation of only $22.5M this quarter raises concerns about debt management. The lowered full-year guidance and continued quality-related challenges suggest ongoing operational hurdles despite management's remediation efforts.

The operational disruptions in key product lines are particularly concerning. The 16% organic decline in Neurosurgery, driven by CSF management and Neuro monitoring shipping holds, indicates serious quality control issues. While these holds are reportedly resolving, such disruptions can lead to market share losses in the highly competitive neurosurgery segment.

The production challenges affecting Integra Skin, resulting in low double-digit declines, highlight manufacturing vulnerabilities. However, bright spots exist in ENT growth from the Acclarent acquisition and strong performance in DuraSorb® and UBM portfolio. The incoming CEO Mojdeh Poul faces immediate challenges in strengthening quality management systems while maintaining market position across the diverse product portfolio.

PRINCETON, N.J., Nov. 04, 2024 (GLOBE NEWSWIRE) -- Integra LifeSciences Holdings Corporation (NASDAQ: IART), a leading global medical technology company, today reported financial results for the third quarter ending September 30, 2024.

Third Quarter 2024 Highlights

  • Third quarter revenues of $380.8 million decreased 0.4% on a reported basis and 8.6% on an organic basis compared to the prior year. Revenue decreased 10.3% on an organic basis excluding Boston.
  • Third quarter GAAP earnings per diluted share of $(0.14), compared to $0.24 in the prior year; adjusted earnings per diluted share of $0.41, compared to $0.76 in the prior year.
  • Shipping holds communicated during the second quarter earnings call are releasing in line with expectations.
  • Integra Skin production is on pace to meet historical revenue run rates for the fourth quarter.
  • Updating full-year 2024 revenue guidance to a range of $1.609 billion to $1.619 billion and adjusted EPS guidance to a range of $2.41 to $2.49 per share.
  • The Company announced Mojdeh Poul as Integra’s next president and chief executive officer.

“Our third-quarter results highlight the early progress we are making to identify and remediate the gaps in our quality management system," said Jan De Witte, president and CEO of Integra LifeSciences. "We are progressing with the implementation of our compliance master plan across our manufacturing and supply chain operations, which will position us to meet robust market demand and more consistently and reliably deliver to customers, patients, and shareholders."

Third Quarter 2024 Consolidated Performance

Total reported revenues of $380.8 million decreased 0.4% on a reported basis and 8.6% on an organic basis compared to the prior year. Revenue decreased 10.3% on an organic basis excluding Boston.

The Company reported GAAP gross margin of 52.6%, compared to 57.1% in the third quarter of 2023. Adjusted gross margin was 63.0%, compared to 64.6% in the prior year.

Adjusted EBITDA for the third quarter of 2024 was $61.8 million, or 16.2% of revenue, compared to $88.1 million, or 23.0% of revenue, in the prior year.

The Company reported a GAAP net loss of $(10.7) million, or $(0.14) per diluted share, in the third quarter of 2024, compared to GAAP net income of $19.5 million, or $0.24 per diluted share, in the prior year.

Adjusted net income for the third quarter of 2024 was $31.7 million, or $0.41 per diluted share, compared to $60.5 million, or $0.76 per diluted share, in the prior year.

Third Quarter 2024 Segment Performance

Codman Specialty Surgical (~70% of Revenues)

Total revenues were $270.8 million, representing reported growth of 1.0% and an organic decline of 10.7% compared to the third quarter of 2023.

  • Sales in Neurosurgery declined 16.0% on an organic basis
    • The decline was driven primarily by temporary shipping holds in CSF management and Neuro monitoring, which have largely been resolved within the third quarter, as well as supply challenges in Dural access and repair
    • Advanced energy grew mid-single digits driven by CUSA® capital and CUSA disposables
  • Sales in Instruments grew 8.7% on an organic basis
  • ENT reported revenue grew substantially due to the Acclarent acquisition

Tissue Technologies (~30% of Revenues)

Total revenues were $110.1 million, representing a reported decline of 3.6% and organic decline of 3.7% compared to the third quarter of 2023. Tissue Technologies sales were down 9.4% excluding sales of the Company’s products manufactured in Boston. Key drivers for the quarter include:

  • Low double-digit decline in Integra Skin due to production challenges
  • Low double-digit growth in DuraSorb®, MicroMatrix® and Cytal®   
  • Sales in private label grew 13.3% on an organic basis

CEO Transition Update

Today, the Company announced Mojdeh Poul as Integra’s next president and chief executive officer. Ms. Poul succeeds Jan De Witte, who previously announced he will retire as president and chief executive officer. Ms. Poul will join Integra on January 6, 2025, at which time she will also be appointed to Integra’s board of directors.

Advancing our Strategy  

  • Continued strong demand for Integra's diverse portfolio of leading brands
  • Advancing the compliance master plan and investments in supply reliability
    • Neurosurgery shipping holds clearing in line with expectations
    • Integra Skin production is on pace to meet historical revenue run rates for the fourth quarter
  • Began installing equipment in Braintree facility
  • Continued integration success with the Acclarent ENT products
  • Growth in DuraSorb® and UBM portfolio remains strong

Balance Sheet, Cash Flow and Capital Allocation

The Company generated cash flow from operations of $22.5 million in the quarter. Total balance sheet debt and net debt at the end of the quarter were $1.81 billion and $1.54 billion, respectively, and the consolidated total leverage ratio was 4.0x.

As of quarter end, the Company had total liquidity of approximately $1.18 billion, including $277 million in cash plus short-term investments and the remainder available under its revolving credit facility.

2024 Outlook

For the fourth quarter 2024, the Company expects reported revenues in the range of $441 million to $451 million, representing reported growth of 11.1% to 13.6% and organic growth of 2.0% to 4.5%. Fourth quarter guidance reflects the integration of Acclarent, stepped up revenue from progress clearing the third-quarter shipping holds, improved production for Integra Skin, partially offset by additional quality holds. The Company expects adjusted EPS in a range of $0.81 to $0.89.

For the full year 2024, the Company is updating its revenue and adjusted EPS ranges of $1.609 billion to $1.619 billion and $2.41 to $2.49, respectively. The revenue range represents reported growth of 4.4% to 5.0% and organic growth of -1.7% to -1.0%.

The Company’s organic sales growth guidance for the fourth 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 Monday November 4, 2024, to discuss third quarter 2024 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; 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 implementation and efficacy of a compliance master plan to improve the Company's quality system. 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, bank failures and other economic disruptions, 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; global macroeconomic and political conditions, including the war in Ukraine and the conflict in Israel and Gaza; 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; 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, 2023 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, organic revenues excluding Boston, adjusted earnings before interest, taxes, depreciation and amortization (“EBITDA”), adjusted net income, adjusted gross profit, adjusted gross margin, adjusted earnings per diluted share, free cash flow, adjusted free cash flow conversion, and net debt. Organic revenues consist of total revenues excluding the effects of currency exchange rates, revenues from current-period acquisitions and product divestitures. Organic revenues excluding Boston consist of total revenues, excluding (i) the effects of currency exchange rates, revenues from current-period acquisitions and product divestitures and (ii) revenues associated with Boston produced products including sales reported prior 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 impact of sales return provisions recorded. 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 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 free cash flow consists of GAAP net cash provided by operating activities less purchases of property and equipment. The adjusted free cash flow conversion measure is calculated by dividing free cash flow by adjusted net income. 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 revenues to organic revenues excluding Boston, GAAP net income to adjusted EBITDA, and adjusted net income, GAAP gross profit to adjusted gross profit, 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 quarter ended September 30, 2024 and 2023, and the GAAP operating cash flow to free cash flow and adjusted free cash flow conversion for the quarters ended September 30, 2024 and 2023, appear in the financial tables in this release.

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 http://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 September 30,
  2024   2023 
Total revenues, net$380,834  $382,421 
    
Costs and expenses:   
Cost of goods sold 180,596   164,076 
Research and development 27,435   26,596 
Selling, general and administrative 177,193   161,948 
Intangible asset amortization 3,760   3,208 
Total costs and expenses 388,984   355,828 
    
Operating income (loss) (8,150)  26,593 
    
Interest income 5,049   4,607 
Interest expense (19,373)  (13,062)
Other income, net 2,112   471 
Income before income taxes (20,362)  18,609 
Income tax expense (benefit) (9,667)  (888)
Net income (loss) (10,695) $19,497 
    
Net income per share:   
Diluted net income (loss) per share$(0.14) $0.24 
    
Weighted average common shares outstanding for diluted net income per share 76,448   79,811 
 

The following table presents revenues disaggregated by the major sources for the three months ended September 30, 2024 and 2023 (amounts in thousands):

 
 Three Months Ended September 30,
  2024  2023 Change
Neurosurgery$175,956  209,229 (15.9)%
Instruments(2) 54,238  49,920 8.6%
ENT(2) 40,588  9,056 348.2%
Total Codman Specialty Surgical 270,782  268,205 1.0%
    
Wound Reconstruction and Care 80,461  88,071 (8.6)%
Private Label 29,592  26,145 13.2%
Total Tissue Technologies 110,053  114,216 (3.6)%
Total reported revenues$380,835 $382,421 (0.4)%
    
Impact of changes in currency exchange rates (185)   
Less contribution of revenues from acquisitions (31,008)   
Less contribution of revenues from divested products   (13) 
Total organic revenues(1)$349,642 $382,408 (8.6)%
    
Boston Revenue impact$(779)$6,389  
Total organic revenues(1) excl. Boston$348,863 $388,797 (10.3)%
 

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


Items included in GAAP net income and location where each item is recorded are as follows:

(In thousands)
Three Months Ended September 30, 2024


ItemTotal AmountCOGS(a)SG&A(b)R&D(c)Amort (d)OI&E(e)Tax(f)
Acquisition, divestiture and integration-related charges7,810 3,6435,896(1,712)(17) 
Structural Optimization charges5,739 3,7371,98319   
EU Medical Device Regulation charges10,578 8234,8444,910   
Boston Recall/Braintree Transition9,933 9,601333   
Intangible asset amortization expense25,615 21,854 3,761  
Estimated income tax impact from above adjustments and other items(17,244)  (17,244)
Depreciation expense10,216    
        

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 September 30, 2023


ItemTotal AmountCOGS(a)SG&A(b)R&D(c)Amort (d)OI&E(e)Tax(f)
Acquisition, divestiture and integration-related charges5,832 4076,638(1,090)(123) 
Structural Optimization charges3,729 1,8471,909(27)  
EU Medical Device Regulation charges13,490 1,2635,6616,565   
Boston Recall7,800 7,70694   
Intangible asset amortization expense20,869 17,661 3,208  
Estimated income tax impact from above adjustments and other items(10,677)  (10,677)
Depreciation expense9,670    
 

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 September 30,
  2024   2023 
    
GAAP net income (loss)$(10,695) $19,497 
Non-GAAP adjustments:   
Depreciation and intangible asset amortization expense 35,831   30,538 
Other (income) expense, net (2,095)  (348)
Interest expense, net 14,324   8,455 
Income tax expense (9,667)  (888)
Structural optimization charges 5,739   3,729 
EU Medical Device Regulation charges 10,578   13,490 
Boston Recall/ Braintree transition 9,933   7,800 
Acquisition, divestiture and integration-related charges(1) 7,810   5,832 
Total of non-GAAP adjustments 72,453   68,608 
Adjusted EBITDA$61,758  $88,105 
    


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 September 30,
  2024   2023 
    
GAAP net income (loss)$(10,695) $19,497 
Non-GAAP adjustments:   
Structural optimization charges 5,739   3,729 
Acquisition, divestiture and integration-related charges 7,810   5,832 
EU Medical Device Regulation charges 10,578   13,490 
Boston Recall/Braintree Transition 9,933   7,800 
Intangible asset amortization expense 25,615   20,869 
Estimated income tax impact from adjustments and other items (17,244)  (10,677)
Total of non-GAAP adjustments 42,431   41,042 
Adjusted net income$31,736  $60,539 
    
Adjusted diluted net income per share$0.41  $0.76 
Weighted average common shares outstanding for diluted net income per share 76,478   79,811 
 


CONDENSED BALANCE SHEET DATA
(UNAUDITED)
(In thousands)  
 
 September 30,
2024
  December 31,
2023
     
Short term investments$62,441  $32,694 
Cash and cash equivalents 215,157   276,402 
Trade accounts receivable, net 248,298   259,327 
Inventories, net 436,930   389,608 
     
Current and long-term borrowing under senior credit facility 1,161,355   840,094 
Borrowings under securitization facility 72,800   89,200 
Convertible securities 572,442   570,255 
     
     
Stockholders' equity$1,521,587  $1,587,884 
     
     


CONDENSED STATEMENT OF CASH FLOWS
(UNAUDITED)
(In thousands)
 
 Nine Months Ended September 30,
  2024   2023 
    
Net cash provided by operating activities$78,642  $81,205 
Net cash used in investing activities (386,559)  (36,949)
Net cash provided by (used by) by financing activities 245,013   (223,035)
Effect of exchange rate changes on cash and cash equivalents 1,659   (4,150)
    
Net decrease in cash and cash equivalents$(61,245) $(182,929)
    


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 September 30,
  2024  2023 
Net cash provided by operating activities$22,480 $26,770 
   
   
Purchases of property and equipment$(29,646)$(13,062)
Free cash flow (7,166) 13,708 
   
Adjusted net income(1)$31,736 $60,539 
Adjusted free cash flow conversion(22.6)% 22.6%
   
   
   
 Twelve Months Ended September 30,
  2024  2023 
Net cash provided by operating activities$137,385 $166,538 
   
Purchases of property and equipment (99,381) (56,868)
Free cash flow$38,004 $109,670 
   
Adjusted net income(1)$192,791 $257,514 
Adjusted free cash flow conversion 19.7% 42.6%
   

(1) Adjusted net income for quarters ended September 30, 2024 and 2023 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) 
 September 30,
2024
December 31,
2023
Short-term borrowings under senior credit facility 29,063  14,531 
Long-term borrowings under senior credit facility 1,132,292  825,563 
Borrowings under securitization facility 72,800  89,200 
Convertible securities 572,442  570,255 
Deferred financing costs netted in the above 6,516  9,651 
Short term investments (62,441) (32,694)
Cash & Cash Equivalents (215,157) (276,402)
Net Debt$1,535,515 $1,200,104 
   

 

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 September 30,
  2024   2023 
    
Total revenues, net$380,834  $382,421 
Cost of goods sold 180,596   164,076 
Reported Gross Profit 200,238   218,345 
Structural optimization charges 3,737   1,847 
Acquisition, divestiture and integration-related charges 3,643   407 
Boston Recall/Braintree Transition 9,601   7,706 
EU Medical Device Regulation 823   1,263 
Intangible asset amortization expense 21,854   17,661 
Adjusted Gross Profit$239,895  $247,229 
Total Revenues$380,834  $382,421 
Adjusted Gross Margin 63.0%  64.6%

FAQ

What was Integra LifeSciences (IART) revenue in Q3 2024?

Integra LifeSciences reported Q3 2024 revenue of $380.8 million, representing a 0.4% decrease on a reported basis and 8.6% decline on an organic basis compared to the prior year.

What is IART's updated full-year 2024 guidance?

Integra updated its full-year 2024 guidance to revenue between $1.609-1.619 billion and adjusted EPS of $2.41-2.49 per share.

How did IART's segments perform in Q3 2024?

Codman Specialty Surgical (~70% of revenues) grew 1.0% to $270.8 million, while Tissue Technologies (~30% of revenues) declined 3.6% to $110.1 million.

What was IART's earnings per share in Q3 2024?

IART reported a GAAP loss of $(0.14) per share and adjusted earnings of $0.41 per share in Q3 2024, compared to GAAP earnings of $0.24 and adjusted earnings of $0.76 per share in the prior year.

Integra LifeSciences Holdings

NASDAQ:IART

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1.81B
74.66M
3.22%
93.46%
6.71%
Medical Devices
Surgical & Medical Instruments & Apparatus
Link
United States of America
PRINCETON