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

Alpha Metallurgical Resources, Inc. is the larger business by last-quarter revenue ($519.1M vs $434.9M, roughly 1.2× INTEGRA LIFESCIENCES HOLDINGS CORP). On growth, INTEGRA LIFESCIENCES HOLDINGS CORP posted the faster year-over-year revenue change (-1.7% vs -15.7%). INTEGRA LIFESCIENCES HOLDINGS CORP produced more free cash flow last quarter ($-5.4M vs $-10.0M). Over the past eight quarters, INTEGRA LIFESCIENCES HOLDINGS CORP's revenue compounded faster (8.6% CAGR vs -22.4%).

Alpha Metallurgical Resources, formerly Contura Energy, is a leading coal supplier with underground and surface coal mining complexes across Northern and Central Appalachia. Contura owns large coal basins in Pennsylvania, Virginia and West Virginia which supply both metallurgical coal to produce steel and thermal coal to generate power.

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.

AMR vs IART — Head-to-Head

Bigger by revenue
AMR
AMR
1.2× larger
AMR
$519.1M
$434.9M
IART
Growing faster (revenue YoY)
IART
IART
+13.9% gap
IART
-1.7%
-15.7%
AMR
More free cash flow
IART
IART
$4.6M more FCF
IART
$-5.4M
$-10.0M
AMR
Faster 2-yr revenue CAGR
IART
IART
Annualised
IART
8.6%
-22.4%
AMR

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
AMR
AMR
IART
IART
Revenue
$519.1M
$434.9M
Net Profit
$-17.3M
Gross Margin
50.8%
Operating Margin
-4.1%
5.3%
Net Margin
-3.3%
Revenue YoY
-15.7%
-1.7%
Net Profit YoY
-711.2%
EPS (diluted)
$-1.35
$-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
AMR
AMR
IART
IART
Q4 25
$519.1M
$434.9M
Q3 25
$525.2M
$402.1M
Q2 25
$548.7M
$415.6M
Q1 25
$529.7M
$382.7M
Q4 24
$615.4M
$442.6M
Q3 24
$669.8M
$380.8M
Q2 24
$800.1M
$418.2M
Q1 24
$861.3M
$368.9M
Net Profit
AMR
AMR
IART
IART
Q4 25
$-17.3M
Q3 25
$-5.5M
$-5.4M
Q2 25
$-5.0M
$-484.1M
Q1 25
$-33.9M
$-25.3M
Q4 24
$-2.1M
Q3 24
$3.8M
$-10.7M
Q2 24
$58.9M
$-12.4M
Q1 24
$127.0M
$-3.3M
Gross Margin
AMR
AMR
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
AMR
AMR
IART
IART
Q4 25
-4.1%
5.3%
Q3 25
-0.5%
2.9%
Q2 25
0.5%
-123.4%
Q1 25
-7.6%
-4.0%
Q4 24
1.6%
8.0%
Q3 24
0.8%
-2.1%
Q2 24
8.8%
-0.7%
Q1 24
16.5%
1.1%
Net Margin
AMR
AMR
IART
IART
Q4 25
-3.3%
Q3 25
-1.1%
-1.3%
Q2 25
-0.9%
-116.5%
Q1 25
-6.4%
-6.6%
Q4 24
-0.3%
Q3 24
0.6%
-2.8%
Q2 24
7.4%
-3.0%
Q1 24
14.7%
-0.9%
EPS (diluted)
AMR
AMR
IART
IART
Q4 25
$-1.35
$-0.03
Q3 25
$-0.42
$-0.07
Q2 25
$-0.38
$-6.31
Q1 25
$-2.60
$-0.33
Q4 24
$-0.09
$0.25
Q3 24
$0.29
$-0.14
Q2 24
$4.49
$-0.16
Q1 24
$9.59
$-0.04

Balance Sheet & Financial Strength

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

Metric
AMR
AMR
IART
IART
Cash + ST InvestmentsLiquidity on hand
$415.6M
$263.7M
Total DebtLower is stronger
$9.8M
$726.6M
Stockholders' EquityBook value
$1.5B
$1.0B
Total Assets
$2.3B
$3.6B
Debt / EquityLower = less leverage
0.01×
0.70×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AMR
AMR
IART
IART
Q4 25
$415.6M
$263.7M
Q3 25
$457.9M
$267.9M
Q2 25
$449.0M
$253.6M
Q1 25
$448.0M
$273.3M
Q4 24
$481.6M
$273.6M
Q3 24
$484.6M
$277.6M
Q2 24
$336.1M
$296.9M
Q1 24
$269.4M
$663.1M
Total Debt
AMR
AMR
IART
IART
Q4 25
$9.8M
$726.6M
Q3 25
$2.9M
$736.3M
Q2 25
$3.1M
$745.9M
Q1 25
$2.4M
$755.6M
Q4 24
$2.9M
$760.5M
Q3 24
$3.6M
$765.3M
Q2 24
$5.3M
$770.2M
Q1 24
$6.0M
$775.0M
Stockholders' Equity
AMR
AMR
IART
IART
Q4 25
$1.5B
$1.0B
Q3 25
$1.6B
$1.0B
Q2 25
$1.6B
$1.0B
Q1 25
$1.6B
$1.5B
Q4 24
$1.6B
$1.5B
Q3 24
$1.7B
$1.5B
Q2 24
$1.6B
$1.5B
Q1 24
$1.6B
$1.6B
Total Assets
AMR
AMR
IART
IART
Q4 25
$2.3B
$3.6B
Q3 25
$2.3B
$3.6B
Q2 25
$2.4B
$3.7B
Q1 25
$2.4B
$4.1B
Q4 24
$2.4B
$4.0B
Q3 24
$2.5B
$4.1B
Q2 24
$2.5B
$4.1B
Q1 24
$2.5B
$4.1B
Debt / Equity
AMR
AMR
IART
IART
Q4 25
0.01×
0.70×
Q3 25
0.00×
0.71×
Q2 25
0.00×
0.72×
Q1 25
0.00×
0.50×
Q4 24
0.00×
0.49×
Q3 24
0.00×
0.50×
Q2 24
0.00×
0.50×
Q1 24
0.00×
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
AMR
AMR
IART
IART
Operating Cash FlowLast quarter
$19.0M
$11.8M
Free Cash FlowOCF − Capex
$-10.0M
$-5.4M
FCF MarginFCF / Revenue
-1.9%
-1.2%
Capex IntensityCapex / Revenue
5.6%
4.0%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$17.8M
$-31.1M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AMR
AMR
IART
IART
Q4 25
$19.0M
$11.8M
Q3 25
$50.5M
$40.9M
Q2 25
$53.2M
$8.9M
Q1 25
$22.2M
$-11.3M
Q4 24
$56.3M
$50.7M
Q3 24
$189.5M
$22.5M
Q2 24
$138.1M
$40.4M
Q1 24
$196.1M
$15.8M
Free Cash Flow
AMR
AMR
IART
IART
Q4 25
$-10.0M
$-5.4M
Q3 25
$25.4M
$25.8M
Q2 25
$18.6M
$-11.2M
Q1 25
$-16.3M
$-40.2M
Q4 24
$13.6M
$21.1M
Q3 24
$158.0M
$-7.2M
Q2 24
$77.0M
$10.7M
Q1 24
$132.5M
$291.0K
FCF Margin
AMR
AMR
IART
IART
Q4 25
-1.9%
-1.2%
Q3 25
4.8%
6.4%
Q2 25
3.4%
-2.7%
Q1 25
-3.1%
-10.5%
Q4 24
2.2%
4.8%
Q3 24
23.6%
-1.9%
Q2 24
9.6%
2.6%
Q1 24
15.4%
0.1%
Capex Intensity
AMR
AMR
IART
IART
Q4 25
5.6%
4.0%
Q3 25
4.8%
3.8%
Q2 25
6.3%
4.8%
Q1 25
7.3%
7.6%
Q4 24
6.9%
6.7%
Q3 24
4.7%
7.8%
Q2 24
7.6%
7.1%
Q1 24
7.4%
4.2%
Cash Conversion
AMR
AMR
IART
IART
Q4 25
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
49.81×
Q2 24
2.34×
Q1 24
1.54×

Financial Flow Comparison

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

Revenue Breakdown by Segment

AMR
AMR

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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