---
schema_version: "secwatch.filing_event.v1"
accession: "0000917520-26-000073"
form_type: "8-K"
ticker: "IART"
cik: "0000917520"
company_name: "INTEGRA LIFESCIENCES HOLDINGS CORP"
filed_at: "2026-10-21T10:15:14+00:00"
generated_at: "2026-10-21T10:20:06.361674+00:00"
event_type: "earnings"
sentiment: "neutral"
materiality_score: 0.5
calibrated_materiality_score: 0.5
confidence: "high"
source: SEC EDGAR
---

# Integra Q3 revenue $411.2M (+2.3%), adjusted EPS $0.59; Q4 guide implies revenue decline

## Summary
- Revenue $411.2M, up 2.3% reported and 2.5% organic, including ~$7M hit from Cincinnati flood damage; GAAP EPS $0.19 vs $(0.07), adjusted EPS $0.59 vs $0.54.
- Specialty Surgery revenue $304.1M (+3.9% reported, +4.2% organic) with Neuro +6.5% organic, Instruments -0.9%, ENT -1.1%; Tissue Reconstruction $107.1M, down 2.2% organic.
- Adjusted gross margin 61.1% vs 62.9%; adjusted EBITDA $79.8M (19.4% of revenue) vs $78.5M; operating cash flow $96.0M; net debt $1.5B; total leverage 3.8x.
- Oct 19 closed $2.1B refinancing: $1.65B credit facility ($600M Term Loan A, $600M revolver, $450M Term Loan B) plus $450M 9.5% notes due 2033; 2027 leverage covenant eased to 4.25x from 4.0x.
- Q4 guide: revenue $413-433M (-5.2% to -0.5%) and adjusted EPS $0.61-0.71; FY26 revenue $1.634-1.654B, adjusted EPS $2.30-2.40, cash flow ~$190-200M, unchanged from Oct 2.

## SEC filing metadata
- accession: 0000917520-26-000073
- form_type: 8-K
- ticker: IART
- cik: 0000917520
- company_name: INTEGRA LIFESCIENCES HOLDINGS CORP
- filed_at: 2026-10-21T10:15:14+00:00
- event_type: earnings
- sentiment: neutral
- materiality_score: 0.5
- calibrated_materiality_score: 0.5
- confidence: high
- sec_items: 2.02, 9.01
- EDGAR index: https://www.sec.gov/Archives/edgar/data/917520/000091752026000073/0000917520-26-000073-index.htm
- EDGAR primary document: https://www.sec.gov/Archives/edgar/data/917520/000091752026000073/iart-20261021.htm

## Machine-readable alternates
- HTML: https://secwatch.observer/filing/0000917520-26-000073
- JSON: https://secwatch.observer/filing/0000917520-26-000073.json
- Plain text: https://secwatch.observer/filing/0000917520-26-000073.txt

This AI-assisted summary is a reading aid. Review the linked SEC EDGAR filing before relying on any specific claim.