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Side-by-side financial comparison of Accelerant Holdings (ARX) 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 $267.4M, roughly 1.6× Accelerant Holdings).

Accelerant Holdings is a global specialty insurance and reinsurance technology platform that leverages advanced data analytics and risk assessment tools to support insurance carriers, managing general agents, and underwriting partners. It delivers tailored risk solutions, streamlines underwriting workflows, and serves commercial and specialty insurance segments across North America and European markets.

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.

ARX vs IART — Head-to-Head

Bigger by revenue
IART
IART
1.6× larger
IART
$434.9M
$267.4M
ARX

Income Statement — Q3 FY2025 vs Q4 FY2025

Metric
ARX
ARX
IART
IART
Revenue
$267.4M
$434.9M
Net Profit
$-1.4B
Gross Margin
50.8%
Operating Margin
-507.7%
5.3%
Net Margin
-511.9%
Revenue YoY
-1.7%
Net Profit YoY
EPS (diluted)
$-6.99
$-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
ARX
ARX
IART
IART
Q4 25
$434.9M
Q3 25
$267.4M
$402.1M
Q2 25
$219.1M
$415.6M
Q1 25
$382.7M
Q4 24
$442.6M
Q3 24
$380.8M
Q2 24
$418.2M
Q1 24
$368.9M
Net Profit
ARX
ARX
IART
IART
Q4 25
Q3 25
$-1.4B
$-5.4M
Q2 25
$8.8M
$-484.1M
Q1 25
$-25.3M
Q4 24
Q3 24
$-10.7M
Q2 24
$-12.4M
Q1 24
$-3.3M
Gross Margin
ARX
ARX
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
ARX
ARX
IART
IART
Q4 25
5.3%
Q3 25
-507.7%
2.9%
Q2 25
10.2%
-123.4%
Q1 25
-4.0%
Q4 24
8.0%
Q3 24
-2.1%
Q2 24
-0.7%
Q1 24
1.1%
Net Margin
ARX
ARX
IART
IART
Q4 25
Q3 25
-511.9%
-1.3%
Q2 25
4.0%
-116.5%
Q1 25
-6.6%
Q4 24
Q3 24
-2.8%
Q2 24
-3.0%
Q1 24
-0.9%
EPS (diluted)
ARX
ARX
IART
IART
Q4 25
$-0.03
Q3 25
$-6.99
$-0.07
Q2 25
$0.04
$-6.31
Q1 25
$-0.33
Q4 24
$0.25
Q3 24
$-0.14
Q2 24
$-0.16
Q1 24
$-0.04

Balance Sheet & Financial Strength

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

Metric
ARX
ARX
IART
IART
Cash + ST InvestmentsLiquidity on hand
$1.6B
$263.7M
Total DebtLower is stronger
$121.9M
$726.6M
Stockholders' EquityBook value
$676.1M
$1.0B
Total Assets
$7.9B
$3.6B
Debt / EquityLower = less leverage
0.18×
0.70×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ARX
ARX
IART
IART
Q4 25
$263.7M
Q3 25
$1.6B
$267.9M
Q2 25
$1.4B
$253.6M
Q1 25
$273.3M
Q4 24
$273.6M
Q3 24
$277.6M
Q2 24
$296.9M
Q1 24
$663.1M
Total Debt
ARX
ARX
IART
IART
Q4 25
$726.6M
Q3 25
$121.9M
$736.3M
Q2 25
$126.7M
$745.9M
Q1 25
$755.6M
Q4 24
$760.5M
Q3 24
$765.3M
Q2 24
$770.2M
Q1 24
$775.0M
Stockholders' Equity
ARX
ARX
IART
IART
Q4 25
$1.0B
Q3 25
$676.1M
$1.0B
Q2 25
$346.2M
$1.0B
Q1 25
$1.5B
Q4 24
$1.5B
Q3 24
$1.5B
Q2 24
$1.5B
Q1 24
$1.6B
Total Assets
ARX
ARX
IART
IART
Q4 25
$3.6B
Q3 25
$7.9B
$3.6B
Q2 25
$7.5B
$3.7B
Q1 25
$4.1B
Q4 24
$4.0B
Q3 24
$4.1B
Q2 24
$4.1B
Q1 24
$4.1B
Debt / Equity
ARX
ARX
IART
IART
Q4 25
0.70×
Q3 25
0.18×
0.71×
Q2 25
0.37×
0.72×
Q1 25
0.50×
Q4 24
0.49×
Q3 24
0.50×
Q2 24
0.50×
Q1 24
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
ARX
ARX
IART
IART
Operating Cash FlowLast quarter
$73.9M
$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
ARX
ARX
IART
IART
Q4 25
$11.8M
Q3 25
$73.9M
$40.9M
Q2 25
$309.3M
$8.9M
Q1 25
$-11.3M
Q4 24
$50.7M
Q3 24
$22.5M
Q2 24
$40.4M
Q1 24
$15.8M
Free Cash Flow
ARX
ARX
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
ARX
ARX
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
ARX
ARX
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%
Cash Conversion
ARX
ARX
IART
IART
Q4 25
Q3 25
Q2 25
35.15×
Q1 25
Q4 24
Q3 24
Q2 24
Q1 24

Financial Flow Comparison

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

Revenue Breakdown by Segment

ARX
ARX

Underwriting Segment$117.6M44%
Exchange Services Segment$85.0M32%
Other$64.8M24%

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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