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

Quad/Graphics, Inc. is the larger business by last-quarter revenue ($630.6M vs $434.9M, roughly 1.4× INTEGRA LIFESCIENCES HOLDINGS CORP). On growth, INTEGRA LIFESCIENCES HOLDINGS CORP posted the faster year-over-year revenue change (-1.7% vs -11.0%). Quad/Graphics, Inc. produced more free cash flow last quarter ($137.2M vs $-5.4M). Over the past eight quarters, INTEGRA LIFESCIENCES HOLDINGS CORP's revenue compounded faster (8.6% CAGR vs -1.9%).

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.

Quad is an American marketing services company headquartered in Sussex, Wisconsin. It provides a range of print and marketing services that support physical and digital media channels through audience targeting services, omnichannel media planning and placement, creative and content production, retail display and packaging, postal optimization, and consumer analytics. In 2025, Quad ranked as one of the largest agency companies in the U.S. and as one of the largest commercial printers in North...

IART vs QUAD — Head-to-Head

Bigger by revenue
QUAD
QUAD
1.4× larger
QUAD
$630.6M
$434.9M
IART
Growing faster (revenue YoY)
IART
IART
+9.2% gap
IART
-1.7%
-11.0%
QUAD
More free cash flow
QUAD
QUAD
$142.6M more FCF
QUAD
$137.2M
$-5.4M
IART
Faster 2-yr revenue CAGR
IART
IART
Annualised
IART
8.6%
-1.9%
QUAD

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
IART
IART
QUAD
QUAD
Revenue
$434.9M
$630.6M
Net Profit
Gross Margin
50.8%
21.6%
Operating Margin
5.3%
5.9%
Net Margin
Revenue YoY
-1.7%
-11.0%
Net Profit YoY
EPS (diluted)
$-0.03
$0.22

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
QUAD
QUAD
Q4 25
$434.9M
$630.6M
Q3 25
$402.1M
$588.0M
Q2 25
$415.6M
$571.9M
Q1 25
$382.7M
$629.4M
Q4 24
$442.6M
$708.4M
Q3 24
$380.8M
$674.8M
Q2 24
$418.2M
$634.2M
Q1 24
$368.9M
$654.8M
Net Profit
IART
IART
QUAD
QUAD
Q4 25
Q3 25
$-5.4M
$10.2M
Q2 25
$-484.1M
$-100.0K
Q1 25
$-25.3M
$5.8M
Q4 24
Q3 24
$-10.7M
$-24.7M
Q2 24
$-12.4M
$-2.8M
Q1 24
$-3.3M
$-28.1M
Gross Margin
IART
IART
QUAD
QUAD
Q4 25
50.8%
21.6%
Q3 25
51.5%
22.8%
Q2 25
50.4%
21.6%
Q1 25
50.8%
20.6%
Q4 24
56.3%
22.4%
Q3 24
52.6%
21.8%
Q2 24
54.0%
22.1%
Q1 24
56.1%
20.4%
Operating Margin
IART
IART
QUAD
QUAD
Q4 25
5.3%
5.9%
Q3 25
2.9%
4.5%
Q2 25
-123.4%
2.4%
Q1 25
-4.0%
3.1%
Q4 24
8.0%
2.8%
Q3 24
-2.1%
-0.7%
Q2 24
-0.7%
2.4%
Q1 24
1.1%
-1.6%
Net Margin
IART
IART
QUAD
QUAD
Q4 25
Q3 25
-1.3%
1.7%
Q2 25
-116.5%
-0.0%
Q1 25
-6.6%
0.9%
Q4 24
Q3 24
-2.8%
-3.7%
Q2 24
-3.0%
-0.4%
Q1 24
-0.9%
-4.3%
EPS (diluted)
IART
IART
QUAD
QUAD
Q4 25
$-0.03
$0.22
Q3 25
$-0.07
$0.21
Q2 25
$-6.31
$0.00
Q1 25
$-0.33
$0.11
Q4 24
$0.25
$0.11
Q3 24
$-0.14
$-0.52
Q2 24
$-0.16
$-0.06
Q1 24
$-0.04
$-0.60

Balance Sheet & Financial Strength

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

Metric
IART
IART
QUAD
QUAD
Cash + ST InvestmentsLiquidity on hand
$263.7M
$63.3M
Total DebtLower is stronger
$726.6M
$369.9M
Stockholders' EquityBook value
$1.0B
$-59.5M
Total Assets
$3.6B
$1.3B
Debt / EquityLower = less leverage
0.70×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
IART
IART
QUAD
QUAD
Q4 25
$263.7M
$63.3M
Q3 25
$267.9M
$6.2M
Q2 25
$253.6M
$6.7M
Q1 25
$273.3M
$8.1M
Q4 24
$273.6M
$29.2M
Q3 24
$277.6M
$12.5M
Q2 24
$296.9M
$12.8M
Q1 24
$663.1M
$10.2M
Total Debt
IART
IART
QUAD
QUAD
Q4 25
$726.6M
$369.9M
Q3 25
$736.3M
Q2 25
$745.9M
Q1 25
$755.6M
Q4 24
$760.5M
$377.1M
Q3 24
$765.3M
Q2 24
$770.2M
Q1 24
$775.0M
Stockholders' Equity
IART
IART
QUAD
QUAD
Q4 25
$1.0B
$-59.5M
Q3 25
$1.0B
$96.7M
Q2 25
$1.0B
$87.0M
Q1 25
$1.5B
$87.4M
Q4 24
$1.5B
$-131.2M
Q3 24
$1.5B
$50.9M
Q2 24
$1.5B
$79.1M
Q1 24
$1.6B
$89.2M
Total Assets
IART
IART
QUAD
QUAD
Q4 25
$3.6B
$1.3B
Q3 25
$3.6B
$1.3B
Q2 25
$3.7B
$1.2B
Q1 25
$4.1B
$1.2B
Q4 24
$4.0B
$1.3B
Q3 24
$4.1B
$1.4B
Q2 24
$4.1B
$1.4B
Q1 24
$4.1B
$1.4B
Debt / Equity
IART
IART
QUAD
QUAD
Q4 25
0.70×
Q3 25
0.71×
Q2 25
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
IART
IART
QUAD
QUAD
Operating Cash FlowLast quarter
$11.8M
$145.9M
Free Cash FlowOCF − Capex
$-5.4M
$137.2M
FCF MarginFCF / Revenue
-1.2%
21.8%
Capex IntensityCapex / Revenue
4.0%
1.4%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$-31.1M
$50.7M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
IART
IART
QUAD
QUAD
Q4 25
$11.8M
$145.9M
Q3 25
$40.9M
$-8.4M
Q2 25
$8.9M
$47.4M
Q1 25
$-11.3M
$-89.0M
Q4 24
$50.7M
$158.8M
Q3 24
$22.5M
$2.4M
Q2 24
$40.4M
$3.9M
Q1 24
$15.8M
$-52.2M
Free Cash Flow
IART
IART
QUAD
QUAD
Q4 25
$-5.4M
$137.2M
Q3 25
$25.8M
$-20.6M
Q2 25
$-11.2M
$34.4M
Q1 25
$-40.2M
$-100.3M
Q4 24
$21.1M
$147.3M
Q3 24
$-7.2M
$-9.8M
Q2 24
$10.7M
$-11.7M
Q1 24
$291.0K
$-70.1M
FCF Margin
IART
IART
QUAD
QUAD
Q4 25
-1.2%
21.8%
Q3 25
6.4%
-3.5%
Q2 25
-2.7%
6.0%
Q1 25
-10.5%
-15.9%
Q4 24
4.8%
20.8%
Q3 24
-1.9%
-1.5%
Q2 24
2.6%
-1.8%
Q1 24
0.1%
-10.7%
Capex Intensity
IART
IART
QUAD
QUAD
Q4 25
4.0%
1.4%
Q3 25
3.8%
2.1%
Q2 25
4.8%
2.3%
Q1 25
7.6%
1.8%
Q4 24
6.7%
1.6%
Q3 24
7.8%
1.8%
Q2 24
7.1%
2.5%
Q1 24
4.2%
2.7%
Cash Conversion
IART
IART
QUAD
QUAD
Q4 25
Q3 25
-0.82×
Q2 25
Q1 25
-15.34×
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

IART
IART

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

QUAD
QUAD

Catalog Publications Retail Inserts Books And Directories$300.6M48%
Direct Mail And Other Printed Products$147.1M23%
Imaging Marketing Services And Other Services$79.8M13%
Logistic Services$61.4M10%
Other$39.3M6%
Other Revenues$2.4M0%

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