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Core Insights - Integer Holdings has appointed Payman Khales as the new CEO, succeeding Joseph Dziedzic who retired after eight years [2] - The company reported Q3 2025 sales revenue of $468 million, an 8% year-over-year increase, with adjusted earnings per share growing by 25% [3] - Integer's strategic focus is shifting from a manufacturing-centric model to a customer-centric innovation platform [11][12] Leadership Transition - Payman Khales joined Integer in 2018 and previously served as the president of the Cardio & Vascular Business, where he successfully doubled sales over seven years [6] - Khales has a strong background in industrial manufacturing and operations management, having held senior positions at CECO Environmental Corp. and Ingersoll Rand Co. [7] - His vision for Integer emphasizes innovation and collaboration with customers to enhance clinical value in medical technology [7] Business Structure and Global Positioning - Integer operates as a leading Contract Development and Manufacturing Organization (CDMO), providing end-to-end services from product design to supply chain integration [9] - The company has two main business segments: Cardio & Vascular, which is the largest revenue contributor, and Advanced Surgical & Power Solutions, focusing on neuromodulation and implantable battery systems [9][10] - Integer has over 30 manufacturing and R&D centers globally, enhancing its supply chain stability and compliance management [10] Strategic Intent and Industry Impact - The leadership change signifies a strategic restructuring in response to the competitive landscape of the global CDMO market [11] - Integer aims to extend its capabilities from manufacturing to early product development and engineering validation, leveraging a "customer co-innovation" model [12] - The global medical device industry is experiencing a shift towards outsourcing non-core manufacturing to CDMO partners, with the market expected to grow from approximately $15 billion in 2023 to $27 billion by 2030 [13] Future Directions - Under Khales, Integer is likely to enhance investments in digital manufacturing, supply chain transparency, and sustainable operations, aligning with industry trends [13] - The transition positions Integer to evolve from a traditional contract manufacturer to a high-end medical manufacturing platform with innovation incubation capabilities [14] - The leadership change reflects broader structural changes in the medical device manufacturing sector, where OEMs and CDMOs are increasingly collaborating in design and innovation processes [14][15]