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Side-by-side financial comparison of INTEGRA LIFESCIENCES HOLDINGS CORP (IART) and RYAN SPECIALTY HOLDINGS, INC. (RYAN). Click either name above to swap in a different company.

RYAN SPECIALTY HOLDINGS, INC. is the larger business by last-quarter revenue ($795.2M vs $434.9M, roughly 1.8× INTEGRA LIFESCIENCES HOLDINGS CORP). On growth, RYAN SPECIALTY HOLDINGS, INC. posted the faster year-over-year revenue change (15.2% vs -1.7%). Over the past eight quarters, INTEGRA LIFESCIENCES HOLDINGS CORP's revenue compounded faster (8.6% CAGR vs 8.1%).

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.

Aon plc is a British-American professional services firm. The company operates two divisions: Risk Capital, which provides brokerage and consulting services for risk management and insurance and reinsurance, and Human Capital, which provides services for health insurance, retirement plans, pension plans, and talent advisory.

IART vs RYAN — Head-to-Head

Bigger by revenue
RYAN
RYAN
1.8× larger
RYAN
$795.2M
$434.9M
IART
Growing faster (revenue YoY)
RYAN
RYAN
+17.0% gap
RYAN
15.2%
-1.7%
IART
Faster 2-yr revenue CAGR
IART
IART
Annualised
IART
8.6%
8.1%
RYAN

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
IART
IART
RYAN
RYAN
Revenue
$434.9M
$795.2M
Net Profit
$40.6M
Gross Margin
50.8%
Operating Margin
5.3%
11.9%
Net Margin
5.1%
Revenue YoY
-1.7%
15.2%
Net Profit YoY
1025.0%
EPS (diluted)
$-0.03
$0.13

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
RYAN
RYAN
Q1 26
$795.2M
Q4 25
$434.9M
$738.0M
Q3 25
$402.1M
$739.6M
Q2 25
$415.6M
$840.9M
Q1 25
$382.7M
$676.1M
Q4 24
$442.6M
$649.4M
Q3 24
$380.8M
$588.1M
Q2 24
$418.2M
$680.2M
Net Profit
IART
IART
RYAN
RYAN
Q1 26
$40.6M
Q4 25
$8.0M
Q3 25
$-5.4M
$31.1M
Q2 25
$-484.1M
$52.0M
Q1 25
$-25.3M
$-27.6M
Q4 24
$13.8M
Q3 24
$-10.7M
$17.6M
Q2 24
$-12.4M
$46.8M
Gross Margin
IART
IART
RYAN
RYAN
Q1 26
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%
Operating Margin
IART
IART
RYAN
RYAN
Q1 26
11.9%
Q4 25
5.3%
12.4%
Q3 25
2.9%
15.0%
Q2 25
-123.4%
22.7%
Q1 25
-4.0%
14.8%
Q4 24
8.0%
16.8%
Q3 24
-2.1%
13.9%
Q2 24
-0.7%
24.2%
Net Margin
IART
IART
RYAN
RYAN
Q1 26
5.1%
Q4 25
1.1%
Q3 25
-1.3%
4.2%
Q2 25
-116.5%
6.2%
Q1 25
-6.6%
-4.1%
Q4 24
2.1%
Q3 24
-2.8%
3.0%
Q2 24
-3.0%
6.9%
EPS (diluted)
IART
IART
RYAN
RYAN
Q1 26
$0.13
Q4 25
$-0.03
Q3 25
$-0.07
Q2 25
$-6.31
Q1 25
$-0.33
Q4 24
$0.25
Q3 24
$-0.14
Q2 24
$-0.16

Balance Sheet & Financial Strength

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

Metric
IART
IART
RYAN
RYAN
Cash + ST InvestmentsLiquidity on hand
$263.7M
$154.7M
Total DebtLower is stronger
$726.6M
$3.5B
Stockholders' EquityBook value
$1.0B
$1.2B
Total Assets
$3.6B
$11.0B
Debt / EquityLower = less leverage
0.70×
2.90×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
IART
IART
RYAN
RYAN
Q1 26
$154.7M
Q4 25
$263.7M
$158.3M
Q3 25
$267.9M
$153.5M
Q2 25
$253.6M
$172.6M
Q1 25
$273.3M
$203.5M
Q4 24
$273.6M
$540.2M
Q3 24
$277.6M
$235.2M
Q2 24
$296.9M
$1.7B
Total Debt
IART
IART
RYAN
RYAN
Q1 26
$3.5B
Q4 25
$726.6M
$3.3B
Q3 25
$736.3M
Q2 25
$745.9M
Q1 25
$755.6M
Q4 24
$760.5M
$3.3B
Q3 24
$765.3M
Q2 24
$770.2M
Stockholders' Equity
IART
IART
RYAN
RYAN
Q1 26
$1.2B
Q4 25
$1.0B
$648.1M
Q3 25
$1.0B
$630.5M
Q2 25
$1.0B
$610.1M
Q1 25
$1.5B
$542.5M
Q4 24
$1.5B
$627.7M
Q3 24
$1.5B
$632.8M
Q2 24
$1.5B
$605.9M
Total Assets
IART
IART
RYAN
RYAN
Q1 26
$11.0B
Q4 25
$3.6B
$10.6B
Q3 25
$3.6B
$9.9B
Q2 25
$3.7B
$10.6B
Q1 25
$4.1B
$9.9B
Q4 24
$4.0B
$9.6B
Q3 24
$4.1B
$8.5B
Q2 24
$4.1B
$8.3B
Debt / Equity
IART
IART
RYAN
RYAN
Q1 26
2.90×
Q4 25
0.70×
5.16×
Q3 25
0.71×
Q2 25
0.72×
Q1 25
0.50×
Q4 24
0.49×
5.22×
Q3 24
0.50×
Q2 24
0.50×

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
RYAN
RYAN
Operating Cash FlowLast quarter
$11.8M
Free Cash FlowOCF − Capex
$-5.4M
FCF MarginFCF / Revenue
-1.2%
Capex IntensityCapex / Revenue
4.0%
1.7%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$-31.1M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
IART
IART
RYAN
RYAN
Q1 26
Q4 25
$11.8M
$263.2M
Q3 25
$40.9M
$169.7M
Q2 25
$8.9M
$353.6M
Q1 25
$-11.3M
$-142.8M
Q4 24
$50.7M
$259.6M
Q3 24
$22.5M
$100.9M
Q2 24
$40.4M
$270.8M
Free Cash Flow
IART
IART
RYAN
RYAN
Q1 26
Q4 25
$-5.4M
Q3 25
$25.8M
$167.3M
Q2 25
$-11.2M
Q1 25
$-40.2M
$-143.5M
Q4 24
$21.1M
Q3 24
$-7.2M
Q2 24
$10.7M
FCF Margin
IART
IART
RYAN
RYAN
Q1 26
Q4 25
-1.2%
Q3 25
6.4%
22.6%
Q2 25
-2.7%
Q1 25
-10.5%
-21.2%
Q4 24
4.8%
Q3 24
-1.9%
Q2 24
2.6%
Capex Intensity
IART
IART
RYAN
RYAN
Q1 26
1.7%
Q4 25
4.0%
0.0%
Q3 25
3.8%
0.3%
Q2 25
4.8%
0.0%
Q1 25
7.6%
0.1%
Q4 24
6.7%
0.0%
Q3 24
7.8%
0.0%
Q2 24
7.1%
0.0%
Cash Conversion
IART
IART
RYAN
RYAN
Q1 26
Q4 25
32.99×
Q3 25
5.46×
Q2 25
6.80×
Q1 25
Q4 24
18.88×
Q3 24
5.74×
Q2 24
5.79×

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%

RYAN
RYAN

Compensation and benefits$495.2M62%
Other$260.4M33%
Change in contingent consideration$27.3M3%
Fiduciary investment income$12.3M2%

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