Integra LifeSciences(IART) - 2025 Q3 - Quarterly Report

Revenue and Financial Performance - Integra LifeSciences' Codman Specialty Surgical segment accounts for approximately 70% of total revenue, while Tissue Technologies segment generates about 30%[188]. - Total revenues for the three months ended September 30, 2025, were $402.1 million, compared to $380.8 million in 2024, with year-to-date revenues reaching $1.2 billion, up from $1.17 billion in the previous year[219]. - Total revenues for the three months ended September 30, 2025, increased by $21.2 million to $402.1 million, representing mid-single digit growth compared to the same period in 2024[220]. - In the CSS segment, revenues were $292.6 million, an increase of $21.8 million, or 8%, compared to the prior-year period, primarily driven by CSF Management and Dural Access and Repair shipping holds[221]. - In the TT segment, revenues were $109.5 million, a decrease of $0.6 million, or 1%, primarily due to quality and operational issues associated with Medihoney[222]. - For the nine months ended September 30, 2025, total revenues increased by $32.4 million to $1,200.3 million, representing low single digit growth compared to the same period in 2024[238]. - Revenue from the United States for the nine months ended September 30, 2025, was $884.4 million, up 3.2% from $856.6 million in 2024[252]. - The net loss for the three months ended September 30, 2025, was $(5.4) million, a decrease from $(10.7) million in the same period of 2024, while the nine-month net loss increased to $(514.8) million from $(26.4) million year-over-year, primarily due to quality and operational issues and a goodwill impairment of $511.4 million[216]. Product Development and Innovations - The company anticipates PMA approval for SurgiMend in implant-based breast reconstruction by 2026, following the operationalization of the Braintree facility[191]. - In 2024, Integra launched MicroMatrix® Flex, a dual-syringe system for precise delivery in challenging wound areas[192]. - Integra completed the acquisition of Acclarent in April 2024, enhancing its position in the ENT market and enabling future innovations across its technology platforms[195]. - The acquisition of Arkis Biosciences added the CerebroFlo® external ventricular drainage catheter, which has shown a 99% reduction in thrombus accumulation compared to leading products[200]. - The company received FDA 510(k) clearance for the Aurora Surgiscope System in 2025, a single-use medical device for cranial surgery[201]. - The company launched the Durepair Dural Regeneration Matrix for commercial sale in the U.S. in October 2025, complementing its portfolio of dural grafts[204]. - The company completed enrollment in the DuraSorb U.S. IDE clinical trial for two-stage breast reconstruction in 2023, aiming for PMA approval in 2026[207]. - The company acquired Acclarent in 2024, expanding its capabilities in the U.S. ENT market, and launched the AERA Eustachian Tube Dilation System for expanded pediatric indications in 2023[202]. Operational and Compliance Initiatives - The company is implementing a Compliance Master Plan (CMP) to improve its quality management system across manufacturing and supply networks[196]. - The company is in the process of implementing an enterprise-wide quality management system to address quality system gaps and enhance quality culture across its operations[215]. - The company continues to invest in technologies and processes to enhance customer experience and operational excellence[196]. - The company anticipates operationalizing its new tissue manufacturing facility in Braintree, Massachusetts, in 2026, following the transition from its Boston facility[212]. - Total operating expenses decreased by $13.2 million, or 6.3%, to $195.2 million for the three months ended September 30, 2025, compared to $208.4 million in the same period in 2024[224]. - Research and development expenses decreased by $5.0 million for the three months ended September 30, 2025, primarily due to cost management initiatives[225]. Financial Position and Cash Flow - Working capital increased significantly to $779.5 million as of September 30, 2025, compared to $159.6 million at December 31, 2024, primarily due to the repayment of the 2025 Notes[255]. - Cash and cash equivalents decreased to approximately $232.2 million at September 30, 2025, from $246.4 million at December 31, 2024[256]. - Net cash provided by operating activities for the nine months ended September 30, 2025, was $38.6 million, a decrease of $40.1 million compared to $78.6 million in 2024[258]. - Cash flows used in investing activities for the nine months ended September 30, 2025, included $64.2 million for capital expenditures[261]. - The company incurred $12.1 million in tariffs on imported goods during the nine months ended September 30, 2025[271]. - The Consolidated Total Leverage Ratio was 4.35 at September 30, 2025, below the covenant requirement of 5.00[274]. - The effective tax rate for the nine months ended September 30, 2025, was 9.3%, significantly lower than 35.3% in the prior year, primarily due to the goodwill impairment charge[251]. Market and Economic Factors - The company anticipates that tariffs will increase the cost of goods sold, particularly affecting products manufactured in the U.S.[270]. - The company is exposed to foreign currency exchange rate risks primarily with transactions and net assets in Euros, British pounds, Swiss francs, Canadian dollars, Japanese yen, Israeli shekel, Australian dollars, and Chinese yuan[287]. - The results of operations have not been materially affected by inflation[290]. - A hypothetical 100 basis points increase or decrease in interest rates applicable to cash and cash equivalents would impact interest income by approximately $2.3 million annually[291]. - A hypothetical 100 basis points movement in interest rates applicable to short-term investments would increase or decrease interest income by approximately $0.4 million annually[292]. - The total notional amounts related to the company's interest rate swaps were $900.0 million, all effective as of September 30, 2025[293]. - A 100 basis points change in interest rates would impact interest expense on the unhedged portion of the debt by $9.1 million on an annualized basis[293]. - The company manages foreign currency exposure centrally, allowing for netting of exposures and taking advantage of natural offsets[287]. - The company enters into foreign currency forward exchange contracts to manage currency exposures, partially offsetting gains/losses recognized in earnings[288]. - Changes in hedged items are generally expected to be completely offset by changes in the fair value of hedge instruments, minimizing material risk from exchange rate movements[289]. - Interest rate swap derivative instruments are used to manage earnings and cash flow exposure to changes in interest rates[293].