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Side-by-side financial comparison of INTEGRA LIFESCIENCES HOLDINGS CORP (IART) and MERIT MEDICAL SYSTEMS INC (MMSI). 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 $381.9M, roughly 1.1× MERIT MEDICAL SYSTEMS INC). On growth, MERIT MEDICAL SYSTEMS INC posted the faster year-over-year revenue change (7.5% vs -1.7%). MERIT MEDICAL SYSTEMS INC produced more free cash flow last quarter ($24.7M vs $-5.4M). Over the past eight quarters, INTEGRA LIFESCIENCES HOLDINGS CORP's revenue compounded faster (8.6% CAGR vs 6.3%).

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.

Merit Medical Systems Inc. is a global medical device firm that designs, manufactures, and markets a broad portfolio of interventional and diagnostic products used across cardiology, radiology, oncology, endoscopy, and critical care segments. It primarily serves hospitals, clinics, and healthcare providers worldwide, focusing on minimally invasive solutions that enhance patient outcomes and streamline clinical workflows.

IART vs MMSI — Head-to-Head

Bigger by revenue
IART
IART
1.1× larger
IART
$434.9M
$381.9M
MMSI
Growing faster (revenue YoY)
MMSI
MMSI
+9.2% gap
MMSI
7.5%
-1.7%
IART
More free cash flow
MMSI
MMSI
$30.1M more FCF
MMSI
$24.7M
$-5.4M
IART
Faster 2-yr revenue CAGR
IART
IART
Annualised
IART
8.6%
6.3%
MMSI

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
IART
IART
MMSI
MMSI
Revenue
$434.9M
$381.9M
Net Profit
$41.0M
Gross Margin
50.8%
48.4%
Operating Margin
5.3%
11.6%
Net Margin
10.7%
Revenue YoY
-1.7%
7.5%
Net Profit YoY
36.0%
EPS (diluted)
$-0.03
$0.68

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
IART
IART
MMSI
MMSI
Q1 26
$381.9M
Q4 25
$434.9M
$393.9M
Q3 25
$402.1M
$384.2M
Q2 25
$415.6M
$382.5M
Q1 25
$382.7M
$355.4M
Q4 24
$442.6M
$355.2M
Q3 24
$380.8M
$339.8M
Q2 24
$418.2M
$338.0M
Net Profit
IART
IART
MMSI
MMSI
Q1 26
$41.0M
Q4 25
$38.0M
Q3 25
$-5.4M
$27.8M
Q2 25
$-484.1M
$32.6M
Q1 25
$-25.3M
$30.1M
Q4 24
$27.9M
Q3 24
$-10.7M
$28.4M
Q2 24
$-12.4M
$35.7M
Gross Margin
IART
IART
MMSI
MMSI
Q1 26
48.4%
Q4 25
50.8%
49.6%
Q3 25
51.5%
48.5%
Q2 25
50.4%
48.2%
Q1 25
50.8%
48.4%
Q4 24
56.3%
48.7%
Q3 24
52.6%
46.4%
Q2 24
54.0%
47.7%
Operating Margin
IART
IART
MMSI
MMSI
Q1 26
11.6%
Q4 25
5.3%
13.8%
Q3 25
2.9%
11.1%
Q2 25
-123.4%
12.3%
Q1 25
-4.0%
11.5%
Q4 24
8.0%
10.3%
Q3 24
-2.1%
11.0%
Q2 24
-0.7%
13.6%
Net Margin
IART
IART
MMSI
MMSI
Q1 26
10.7%
Q4 25
9.6%
Q3 25
-1.3%
7.2%
Q2 25
-116.5%
8.5%
Q1 25
-6.6%
8.5%
Q4 24
7.9%
Q3 24
-2.8%
8.4%
Q2 24
-3.0%
10.6%
EPS (diluted)
IART
IART
MMSI
MMSI
Q1 26
$0.68
Q4 25
$-0.03
$0.64
Q3 25
$-0.07
$0.46
Q2 25
$-6.31
$0.54
Q1 25
$-0.33
$0.49
Q4 24
$0.25
$0.46
Q3 24
$-0.14
$0.48
Q2 24
$-0.16
$0.61

Balance Sheet & Financial Strength

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

Metric
IART
IART
MMSI
MMSI
Cash + ST InvestmentsLiquidity on hand
$263.7M
$488.1M
Total DebtLower is stronger
$726.6M
$735.2M
Stockholders' EquityBook value
$1.0B
$1.6B
Total Assets
$3.6B
$2.7B
Debt / EquityLower = less leverage
0.70×
0.45×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
IART
IART
MMSI
MMSI
Q1 26
$488.1M
Q4 25
$263.7M
$446.4M
Q3 25
$267.9M
$392.5M
Q2 25
$253.6M
$341.8M
Q1 25
$273.3M
$395.5M
Q4 24
$273.6M
$376.7M
Q3 24
$277.6M
$523.1M
Q2 24
$296.9M
$636.7M
Total Debt
IART
IART
MMSI
MMSI
Q1 26
$735.2M
Q4 25
$726.6M
$734.0M
Q3 25
$736.3M
$732.9M
Q2 25
$745.9M
$731.8M
Q1 25
$755.6M
$730.7M
Q4 24
$760.5M
$729.6M
Q3 24
$765.3M
$750.5M
Q2 24
$770.2M
$801.3M
Stockholders' Equity
IART
IART
MMSI
MMSI
Q1 26
$1.6B
Q4 25
$1.0B
$1.6B
Q3 25
$1.0B
$1.5B
Q2 25
$1.0B
$1.5B
Q1 25
$1.5B
$1.4B
Q4 24
$1.5B
$1.4B
Q3 24
$1.5B
$1.3B
Q2 24
$1.5B
$1.3B
Total Assets
IART
IART
MMSI
MMSI
Q1 26
$2.7B
Q4 25
$3.6B
$2.7B
Q3 25
$3.6B
$2.6B
Q2 25
$3.7B
$2.6B
Q1 25
$4.1B
$2.5B
Q4 24
$4.0B
$2.4B
Q3 24
$4.1B
$2.4B
Q2 24
$4.1B
$2.4B
Debt / Equity
IART
IART
MMSI
MMSI
Q1 26
0.45×
Q4 25
0.70×
0.46×
Q3 25
0.71×
0.48×
Q2 25
0.72×
0.49×
Q1 25
0.50×
0.51×
Q4 24
0.49×
0.53×
Q3 24
0.50×
0.57×
Q2 24
0.50×
0.62×

Cash Flow & Capital Efficiency

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

Metric
IART
IART
MMSI
MMSI
Operating Cash FlowLast quarter
$11.8M
Free Cash FlowOCF − Capex
$-5.4M
$24.7M
FCF MarginFCF / Revenue
-1.2%
6.5%
Capex IntensityCapex / Revenue
4.0%
4.2%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$-31.1M
$220.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
IART
IART
MMSI
MMSI
Q1 26
Q4 25
$11.8M
$98.5M
Q3 25
$40.9M
$75.0M
Q2 25
$8.9M
$83.3M
Q1 25
$-11.3M
$40.6M
Q4 24
$50.7M
$68.7M
Q3 24
$22.5M
$47.3M
Q2 24
$40.4M
$68.5M
Free Cash Flow
IART
IART
MMSI
MMSI
Q1 26
$24.7M
Q4 25
$-5.4M
$74.0M
Q3 25
$25.8M
$52.5M
Q2 25
$-11.2M
$69.6M
Q1 25
$-40.2M
$19.5M
Q4 24
$21.1M
$65.3M
Q3 24
$-7.2M
$38.0M
Q2 24
$10.7M
$57.9M
FCF Margin
IART
IART
MMSI
MMSI
Q1 26
6.5%
Q4 25
-1.2%
18.8%
Q3 25
6.4%
13.7%
Q2 25
-2.7%
18.2%
Q1 25
-10.5%
5.5%
Q4 24
4.8%
18.4%
Q3 24
-1.9%
11.2%
Q2 24
2.6%
17.1%
Capex Intensity
IART
IART
MMSI
MMSI
Q1 26
4.2%
Q4 25
4.0%
6.2%
Q3 25
3.8%
5.8%
Q2 25
4.8%
3.6%
Q1 25
7.6%
5.9%
Q4 24
6.7%
1.0%
Q3 24
7.8%
2.8%
Q2 24
7.1%
3.1%
Cash Conversion
IART
IART
MMSI
MMSI
Q1 26
Q4 25
2.59×
Q3 25
2.70×
Q2 25
2.56×
Q1 25
1.35×
Q4 24
2.46×
Q3 24
1.66×
Q2 24
1.92×

Financial Flow Comparison

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

Revenue Breakdown by Segment

IART
IART

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

MMSI
MMSI

Segment breakdown not available.

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