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Side-by-side financial comparison of Enact Holdings, Inc. (ACT) and INTEGRA LIFESCIENCES HOLDINGS CORP (IART). Click either name above to swap in a different company.

INTEGRA LIFESCIENCES HOLDINGS CORP is the larger business by last-quarter revenue ($434.9M vs $312.7M, roughly 1.4× Enact Holdings, Inc.). On growth, Enact Holdings, Inc. posted the faster year-over-year revenue change (3.6% vs -1.7%). Over the past eight quarters, INTEGRA LIFESCIENCES HOLDINGS CORP's revenue compounded faster (8.6% CAGR vs 3.6%).

Enact Holdings, Inc. is a leading U.S.-based private mortgage insurance provider. It delivers risk mitigation solutions to residential mortgage lenders, banks, and credit unions, enabling borrowers with smaller down payments to access affordable home financing, and supports sustainable homeownership for diverse consumer groups across the United States.

Integra LifeSciences Holdings Corporation is a global medical device manufacturing company headquartered in Princeton, New Jersey. Founded in 1989, the company manufactures products for skin regeneration, neurosurgery, reconstructive and general surgery. Integra artificial skin became the first commercially reproducible skin tissue used to treat severe burns and other skin wounds.

ACT vs IART — Head-to-Head

Bigger by revenue
IART
IART
1.4× larger
IART
$434.9M
$312.7M
ACT
Growing faster (revenue YoY)
ACT
ACT
+5.4% gap
ACT
3.6%
-1.7%
IART
Faster 2-yr revenue CAGR
IART
IART
Annualised
IART
8.6%
3.6%
ACT

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ACT
ACT
IART
IART
Revenue
$312.7M
$434.9M
Net Profit
Gross Margin
50.8%
Operating Margin
71.3%
5.3%
Net Margin
Revenue YoY
3.6%
-1.7%
Net Profit YoY
EPS (diluted)
$1.23
$-0.03

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
ACT
ACT
IART
IART
Q4 25
$312.7M
$434.9M
Q3 25
$311.5M
$402.1M
Q2 25
$304.9M
$415.6M
Q1 25
$306.8M
$382.7M
Q4 24
$301.8M
$442.6M
Q3 24
$309.6M
$380.8M
Q2 24
$298.8M
$418.2M
Q1 24
$291.6M
$368.9M
Net Profit
ACT
ACT
IART
IART
Q4 25
Q3 25
$-5.4M
Q2 25
$-484.1M
Q1 25
$-25.3M
Q4 24
Q3 24
$-10.7M
Q2 24
$-12.4M
Q1 24
$-3.3M
Gross Margin
ACT
ACT
IART
IART
Q4 25
50.8%
Q3 25
51.5%
Q2 25
50.4%
Q1 25
50.8%
Q4 24
56.3%
Q3 24
52.6%
Q2 24
54.0%
Q1 24
56.1%
Operating Margin
ACT
ACT
IART
IART
Q4 25
71.3%
5.3%
Q3 25
67.4%
2.9%
Q2 25
70.4%
-123.4%
Q1 25
68.9%
-4.0%
Q4 24
68.9%
8.0%
Q3 24
74.1%
-2.1%
Q2 24
78.6%
-0.7%
Q1 24
70.6%
1.1%
Net Margin
ACT
ACT
IART
IART
Q4 25
Q3 25
-1.3%
Q2 25
-116.5%
Q1 25
-6.6%
Q4 24
Q3 24
-2.8%
Q2 24
-3.0%
Q1 24
-0.9%
EPS (diluted)
ACT
ACT
IART
IART
Q4 25
$1.23
$-0.03
Q3 25
$1.10
$-0.07
Q2 25
$1.11
$-6.31
Q1 25
$1.08
$-0.33
Q4 24
$1.05
$0.25
Q3 24
$1.15
$-0.14
Q2 24
$1.16
$-0.16
Q1 24
$1.01
$-0.04

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
ACT
ACT
IART
IART
Cash + ST InvestmentsLiquidity on hand
$582.5M
$263.7M
Total DebtLower is stronger
$744.5M
$726.6M
Stockholders' EquityBook value
$5.4B
$1.0B
Total Assets
$6.9B
$3.6B
Debt / EquityLower = less leverage
0.14×
0.70×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ACT
ACT
IART
IART
Q4 25
$582.5M
$263.7M
Q3 25
$545.6M
$267.9M
Q2 25
$616.0M
$253.6M
Q1 25
$639.0M
$273.3M
Q4 24
$602.8M
$273.6M
Q3 24
$674.9M
$277.6M
Q2 24
$711.3M
$296.9M
Q1 24
$624.3M
$663.1M
Total Debt
ACT
ACT
IART
IART
Q4 25
$744.5M
$726.6M
Q3 25
$744.1M
$736.3M
Q2 25
$743.8M
$745.9M
Q1 25
$743.4M
$755.6M
Q4 24
$743.0M
$760.5M
Q3 24
$742.7M
$765.3M
Q2 24
$742.4M
$770.2M
Q1 24
$746.1M
$775.0M
Stockholders' Equity
ACT
ACT
IART
IART
Q4 25
$5.4B
$1.0B
Q3 25
$5.3B
$1.0B
Q2 25
$5.2B
$1.0B
Q1 25
$5.1B
$1.5B
Q4 24
$5.0B
$1.5B
Q3 24
$5.0B
$1.5B
Q2 24
$4.8B
$1.5B
Q1 24
$4.7B
$1.6B
Total Assets
ACT
ACT
IART
IART
Q4 25
$6.9B
$3.6B
Q3 25
$6.9B
$3.6B
Q2 25
$6.8B
$3.7B
Q1 25
$6.7B
$4.1B
Q4 24
$6.5B
$4.0B
Q3 24
$6.6B
$4.1B
Q2 24
$6.3B
$4.1B
Q1 24
$6.3B
$4.1B
Debt / Equity
ACT
ACT
IART
IART
Q4 25
0.14×
0.70×
Q3 25
0.14×
0.71×
Q2 25
0.14×
0.72×
Q1 25
0.15×
0.50×
Q4 24
0.15×
0.49×
Q3 24
0.15×
0.50×
Q2 24
0.15×
0.50×
Q1 24
0.16×
0.48×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
ACT
ACT
IART
IART
Operating Cash FlowLast quarter
$724.5M
$11.8M
Free Cash FlowOCF − Capex
$-5.4M
FCF MarginFCF / Revenue
-1.2%
Capex IntensityCapex / Revenue
4.0%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$-31.1M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ACT
ACT
IART
IART
Q4 25
$724.5M
$11.8M
Q3 25
$192.0M
$40.9M
Q2 25
$119.5M
$8.9M
Q1 25
$226.7M
$-11.3M
Q4 24
$686.3M
$50.7M
Q3 24
$188.1M
$22.5M
Q2 24
$144.7M
$40.4M
Q1 24
$187.3M
$15.8M
Free Cash Flow
ACT
ACT
IART
IART
Q4 25
$-5.4M
Q3 25
$25.8M
Q2 25
$-11.2M
Q1 25
$-40.2M
Q4 24
$21.1M
Q3 24
$-7.2M
Q2 24
$10.7M
Q1 24
$291.0K
FCF Margin
ACT
ACT
IART
IART
Q4 25
-1.2%
Q3 25
6.4%
Q2 25
-2.7%
Q1 25
-10.5%
Q4 24
4.8%
Q3 24
-1.9%
Q2 24
2.6%
Q1 24
0.1%
Capex Intensity
ACT
ACT
IART
IART
Q4 25
4.0%
Q3 25
3.8%
Q2 25
4.8%
Q1 25
7.6%
Q4 24
6.7%
Q3 24
7.8%
Q2 24
7.1%
Q1 24
4.2%

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

ACT
ACT

Segment breakdown not available.

IART
IART

Neurosurgery$226.2M52%
Asia Pacific$53.7M12%
Instruments$52.3M12%
ENT$44.8M10%
Other$38.9M9%
Rest Of The World$19.0M4%

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