F

Integra LifeSciences Holdings C — Earnings Quality Grade F

IART · Healthcare

Major red flags

Revenue
$1.6B
2025
Net Income
-$516M
2025
Gross Margin
50.9%
Free Cash Flow
-$45M
01

Screening Summary

9
Passed
5
Watch
3
Failed
-3.25
M-Score

Management Signals

No recent CEO, CFO, board, or accounting leadership signals found in SEC 8-K filings.
02

Financial Trends

Revenue & Net Income ($B)

Margins (%)

03

18-Point Screening

01

Revenue Quality

A1DSO Change

DSO 62 days, change +1 days YoY

A2AR vs Revenue Growth

AR outpaced revenue for 2 consecutive years

A3Revenue vs CFFO

Revenue 1.5%, CFFO -61.1%. Cash follows revenue

02

Expense Quality

B1Inventory vs COGS

Inventory 14.8% vs COGS 10.3%. Normal

B2CapEx vs Revenue

CapEx growth -16.4% vs revenue 1.5%. Normal

!
B3SG&A Ratio

SG&A/Gross Profit = 84.1%, exceeds 70%

B4Gross Margin

Gross margin 50.9%, change -3.9pp. Stable

03

Cash Flow Quality

!
C1CFFO vs Net Income

CFFO/NI = -0.10. Below 1.0

!
C2Free Cash Flow

FCF is negative ($-0.0B)

C3Accruals Ratio

Accruals ratio = -15.7%. Low accruals

C4Cash vs Debt

Cash $0.3B covers only 13% of debt $2.0B

04

Balance Sheet Health

D1Goodwill + Intangibles

Goodwill+Intangibles $1.7B = 168% of equity. Over 50%

!
D2Leverage

Interest coverage = 0.2x (<2x). Financial stress

D3Soft Asset Growth

Other assets -43.1% vs revenue 1.5%. Normal

D4Asset Impairment

No write-off data

05

Acquisition Risk

!
E1Serial Acquirer FCF

FCF after acquisitions negative for 2/3 years

E2Goodwill Surge

Goodwill+Intangibles change -24% YoY. Normal

06

Manipulation Score

F1Beneish M-Score

M-Score = -3.25 (< -2.22). Unlikely manipulator

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04

Beneish M-Score

Manipulation Probability-3.25
-4.0 Clean-2.22 Grey-1.78 Danger0
1.008
DSRI
AR growing faster than revenue?
1.077
GMI
Gross margin declining?
0.865
AQI
Asset quality deteriorating?
1.015
SGI
Revenue growth rate
0.99
DEPI
Depreciation slowing?
0.961
SGAI
SG&A ratio changing?
-0.1574
TATA
Accruals level
1.157
LVGI
Leverage increasing?
05

Altman Z-Score

1.2
Grey Zone
0 Distress1.102.605.0+ Safe
0.1953
Liquidity
0.1176
Cumulative profit
-0.1325
Operating efficiency
0.4078
Leverage

Generated from public financial data using forensic accounting frameworks. Not investment advice. Data: Yahoo Finance · 2026-04-25