Assay

Financial-condition grades for SEC filers

Company Report · as of Oct 9, 2026


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Integer Holdings Corp.ITGR · healthcare
GradeTortoiseCmiddle fifth of 371 graded peers; percentile 45.4, sampling error 2.5 points; lower is stronger
Rank169 of 371
ProfitabilityCpercentile 51.1
SolvencyCpercentile 49.2
Growth and financingB/Cpercentile 38.7
Reliability0.94 AUCfailure model, filers with over $2.67B assets; 95% interval 0.88 to 0.97; 61 events, 2020 to 2025
Peer failure rate0.52% a yearItem 1.03 bankruptcies, same asset band, 2012 to 2025
Size bandover $2.67B assetstotal assets $3.4B[1]
Standard universeinsiderevenue above $1M and assets above $10M[1-2]
Warningsnone activenot computable: distress
Inputs computable12 of 14
Graded fromfilings received through Feb 23, 2026228 days before the rescan; every figure keyed to the SEC receipt date
Last close$126.652026-10-08; market equity $4.3B; iex feed
Price used in gradeNone
Share price, twelve months to the rescansplit-adjusted close; a lollipop at every rescan carries the letter held then; baseline ticks are SEC receipt dates of the inputs; ranges and dragging scroll the full history
$100NovDecJanFebMarAprMayJunJulAugSepOctC$126.65
ABCDE20132014201520162017201820192020202120222023202420252026

Percentile at every rescan on file, Jan 21, 2012 to Oct 9, 2026; stronger toward the top. Hover for the date.

Open this report as it stood on

Letter setLetterPercentileBand
Jan 21, 2012nonen/a
Mar 21, 2012nonen/aQ4
Mar 21, 2015C53.5Q4
Mar 21, 2016C/D59.2Q5
Apr 21, 2016C57.9Q5
Sep 21, 2016C/D56.6Q5
Oct 21, 2016C55.6Q5
Mar 21, 2017D65.7Q5
Jan 21, 2018C/D63.9Q5
Mar 21, 2019D/E82.6Q4
May 21, 2019E84.1Q4
Sep 21, 2019D/E83.5Q4
Oct 21, 2019E84.2Q4
Feb 21, 2020D/E80.3Q4
Aug 21, 2020D76.4Q4
Sep 21, 2020D/E77.2Q4
Feb 21, 2022D76.2Q4
Feb 21, 2023D65.5Q5
Apr 21, 2023C/D60.6Q5
Feb 21, 2024C47.0Q5
Mar 21, 2024B/C40.2Q5
Feb 21, 2025C46.7Q5

Each date opens the report as it stood on that rescan.

Business, in the company's words. Opening of Item 1 of the 10-K received Feb 23, 2026; the document on sec.gov.

Integer Holdings Corporation, headquartered in Plano, Texas, is one of the world’s largest medical device contract development and manufacturing organizations (“CDMOs”), serving the Cardio and Vascular, Neuromodulation, and Cardiac Rhythm Management markets. As a strategic partner of choice, we advance the goals of our medical device customers through industry-leading engineering and manufacturing, with a relentless commitment to quality, service, and innovation. Our brands include Greatbatch Medical® and Lake Region Medical®. Our primary customers include large, multi-national original equipment manufacturers (“OEMs”) and their affiliated subsidiaries.

The Fourteen Inputs [top]

Lower percentile is stronger. Source numbers open the SEC filing; a range that spans filings opens the sources table.

InputPercentile, 0 to 100ValueSourcePeer medianPercentilePeersPeriod end
Profitability, sleeve percentile 51.1
Gross profitability14.7%[1,3]32.2%70.13722025-12-31
Return on invested capital6.6%[4-12]9.3%57.5742025-12-31
Accruals ratio(2.9%)[1,13-15](6.6%)72.08112025-12-31
Gross margin stability, five years0.6 pts[2-3,16-23]2.8 pts5.02432025-12-31
Solvency, sleeve percentile 49.2
Twelve-month failure probabilitynot computable0.07%
latest liabilities, cash plus short-term investments, book equity, and shares are required
Altman Z double-prime3.52[1,4,8,24-27](0.31)23.67562025-12-31
Net debt to EBITDA3.32x[4,7,9,28]1.82x70.3752025-12-31
Interest coveragenot computable(4.51x)
latest aligned inputs end 2023-12-31; latest annual assets end 2025-12-31
Current ratio3.32x[24-25]2.96x53.88392025-12-31
Growth and financing, sleeve percentile 38.7
Revenue growth, three-year compound11.7%[2,17,19,21]10.0%46.44152025-12-31
Free cash flow growth, three-year compound36.1%[14,29-35]10.9%25.3962025-12-31
Reinvestment rate30.0%[4-6,24-25,28-29,36-37]37.1%51.51042025-12-31
Asset growth, three years6.9%[1,15,38-39]2.1%36.87042025-12-31
Net share issuance, one year2.3%[40-41]2.5%33.66342026-02-18

Gross profitability. Revenue less cost of goods sold, over total assets.

Accruals ratio. Net income less operating cash flow, over average assets; lower is stronger.

Gross margin stability, five years. Standard deviation of gross margin; lower is stronger.

Twelve-month failure probability. CHS model; lower is stronger.

Net debt to EBITDA. Lower is stronger.

Net share issuance, one year. Split-adjusted; lower is stronger.

Sleeves are equal-weighted; within a sleeve each computable input carries equal weight. Composite -0.081; sampling error 2.5 percentile points on 371 peers.

Among 371 Peers [top]

ABCDEJNJ, Johnson & Johnson; C, percentile 44.9; market equity $618.1BJNJLLY, ELI Lilly & Co.; C, percentile 55.7; market equity $1.1TLLYABBV, AbbVie Inc.; D, percentile 63.2; market equity $481.4BABBVGILD, Gilead Sciences, Inc.; D/E, percentile 78.9; market equity $182.4BGILDMRK, Merck & Co., Inc.; D/E, percentile 80.8; market equity $351.3BMRKAMGN, Amgen Inc.; E, percentile 85.1; market equity $220.3BAMGNITGR 45.4strongerweaker

Composite score of every graded peer, smoothed. Vertical rules are the letter band edges at the 20th, 40th, 60th and 80th percentiles. Small dots are the six largest peers by market equity.

RankCompanyPercentileLetterWarnings
164NovoCure Ltd. (NVCR)

NovoCure Ltd. (NVCR)

Cmiddle fifth; percentile 44.1

Nasdaq · Surgical & Medical Instruments & Apparatus

market equity $1.7B; last close $14.19

Warnings: fortress balance sheet; 9 of 14 inputs

44.1Cfortress balance sheet
165Medtronic plc (MDT)

Medtronic plc (MDT)

Cmiddle fifth; percentile 44.3

NYSE · Electromedical & Electrotherapeutic Apparatus

market equity $112.2B; last close $87.71

No active warnings; 13 of 14 inputs

44.3C
166Avita Medical, Inc. (RCEL)

Avita Medical, Inc. (RCEL)

Cmiddle fifth; percentile 44.6

Nasdaq · Surgical & Medical Instruments & Apparatus

last close $13.35

Warnings: short runway; 7 of 14 inputs

44.6Cshort runway
167Johnson & Johnson (JNJ)

Johnson & Johnson (JNJ)

Cmiddle fifth; percentile 44.9

NYSE · Pharmaceutical Preparations

market equity $618.1B; last close $256.48

No active warnings; 9 of 14 inputs

44.9C
168Lensar, Inc. (LNSR)

Lensar, Inc. (LNSR)

Cmiddle fifth; percentile 45.1

Nasdaq · Surgical & Medical Instruments & Apparatus

market equity $79.2M; last close $6.46

No active warnings; 8 of 14 inputs

45.1C
169Integer Holdings Corp. (ITGR)

Integer Holdings Corp. (ITGR)

Cmiddle fifth; percentile 45.4

NYSE · Electromedical & Electrotherapeutic Apparatus

market equity $4.3B; last close $126.65

No active warnings; 12 of 14 inputs

45.4C
170Zimmer Biomet Holdings, Inc. (ZBH)

Zimmer Biomet Holdings, Inc. (ZBH)

Cmiddle fifth; percentile 45.7

NYSE · Orthopedic, Prosthetic & Surgical Appliances & Supplies

market equity $17.0B; last close $88.86

No active warnings; 10 of 14 inputs

45.7C
171Orasure Technologies Inc. (OSUR)

Orasure Technologies Inc. (OSUR)

Cmiddle fifth; percentile 45.9

Nasdaq · Surgical & Medical Instruments & Apparatus

market equity $261.7M; last close $3.79

No active warnings; 8 of 14 inputs

45.9C
172Pediatrix Medical Group, Inc. (MD)

Pediatrix Medical Group, Inc. (MD)

Cmiddle fifth; percentile 46.2

NYSE · Services-Hospitals

market equity $2.1B; last close $26.27

No active warnings; 8 of 14 inputs

46.2C
173Enovis Corp. (ENOV)

Enovis Corp. (ENOV)

Cmiddle fifth; percentile 46.5

NYSE · Orthopedic, Prosthetic & Surgical Appliances & Supplies

market equity $1.0B; last close $17.44

No active warnings; 10 of 14 inputs

46.5C
174Align Technology Inc. (ALGN)

Align Technology Inc. (ALGN)

Cmiddle fifth; percentile 46.8

Nasdaq · Orthopedic, Prosthetic & Surgical Appliances & Supplies

market equity $10.0B; last close $140.95

No active warnings; 10 of 14 inputs

46.8C
Peer policyLetterPercentilePeers
all graded filers, equal sleevesB34.32204
sector peers, equal sleeves (the grade)C45.4371
same exchange, equal sleevesB34.7984
sector peers, equal inputsB/C42.2371

Each letter is one fifth of the 371 graded peers, about 74 companies. A boundary letter (A/B, B/C, C/D, D/E) marks a percentile within one sampling error of a band edge.

What the Price Implies [top]

Market measures at the 2026-10-08 close. None enters the grade. Percentile among graded peers with the same measure.

MeasureValuePeer medianPercentileReading
Twelve-month price change, skipping the latest month21.2%8.0%60hotter than 60 of 100 peers
Distance from 52-week high0.0%(31.4%)98closer to its high than 98 of 100 peers
EBIT to enterprise value4.0%(1.5%)72pricier than 28 of 100 peers
Free cash flow yield2.4%(1.0%)66pricier than 34 of 100 peers
Book value to price0.400.2861pricier than 39 of 100 peers
Sales to price0.430.3162pricier than 38 of 100 peers
Composite equity issuance, five years3.1%20.3%31more equity-funded than 31 of 100 peers
Relative strength against the sector, log excess return(0.02)(0.14)60ahead of 60 of 100 peers

Inputs: market equity $4.3B; EBIT $221.3M; free cash flow $105.1M; book equity $1.7B; sales $1.9B; debt $1.2B; cash $21.4M[42].

Diagnostics [top]

Diagnostics do not feed the grade.

Piotroski F-score: 6 of 9, period end 2025-12-31
Return on assets above zero3.3%✓ pass[13,15]
Operating cash flow above zero$196.1M✓ pass[14]
Return on assets improved(0.7 pts)✗ fail[13,15,38,43]
Operating cash flow exceeds net income$93.3M✓ pass[13-14]
Long-term leverage fell4.0 pts✗ fail[1,15,38,44-45]
Current ratio improved36.5 pts✓ pass[24-25,36-37]
No new shares issued2.3%✗ fail[40-41]
Gross margin improved0.3 pts✓ pass[2-3,16-17]
Asset turnover improved1.9 pts✓ pass[2,15,17,38]
Cash, filings, liquidity
Cash and equivalents$21.4M[46]
Operating cash flow, four quarters$205.4M[14,46-50]
Months of runwaynot finite
trailing operating cash flow is nonnegative, so runway is not finite
Late filings, two years0
NT 10-K or NT 10-Q
Days since last periodic filing66
10-Q received Aug 4, 2026
Median daily dollar volume$80.4M
63 sessions
Days since newest grade input228

Downloads [top]

Sources [top]

Every citation on this page. Filing opens the SEC index page for that submission; viewer opens the SEC interactive data for the same filing; series opens the SEC XBRL API record for that tag and company.

#ConceptXBRL tagValuePeriod endReceivedFormLinks
1assetsus-gaap:Assets$3.4B2025-12-312026-02-2310-Kfiling · viewer · series
2revenueus-gaap:RevenueFromContractWithCustomerExcludingAssessedTax$1.9B2025-12-312026-02-2310-Kfiling · viewer · series
3gross profitus-gaap:GrossProfit$500.4M2025-12-312026-02-2310-Kfiling · viewer · series
4operating incomeus-gaap:OperatingIncomeLoss$221.3M2025-12-312026-02-2310-Kfiling · viewer · series
5pretax incomeus-gaap:IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest$125.4M2025-12-312026-02-2310-Kfiling · viewer · series
6income taxus-gaap:IncomeTaxExpenseBenefit$22.6M2025-12-312026-02-2310-Kfiling · viewer · series
7total debtus-gaap:LongTermDebt$1.2B2025-12-312026-02-2310-Kfiling · viewer · series
8book equityus-gaap:StockholdersEquity$1.7B2025-12-312026-02-2310-Kfiling · viewer · series
9cashus-gaap:CashAndCashEquivalentsAtCarryingValue$17.2M2025-12-312026-02-2310-Kfiling · viewer · series
10total debtus-gaap:LongTermDebt$990.2M2024-12-312026-02-2310-Kfiling · viewer · series
11book equityus-gaap:StockholdersEquity$1.6B2024-12-312026-02-2310-Kfiling · viewer · series
12cashus-gaap:CashAndCashEquivalentsAtCarryingValue$46.5M2024-12-312026-02-2310-Kfiling · viewer · series
13net incomeus-gaap:NetIncomeLoss$102.8M2025-12-312026-02-2310-Kfiling · viewer · series
14operating cash flowus-gaap:NetCashProvidedByUsedInOperatingActivities$196.1M2025-12-312026-02-2310-Kfiling · viewer · series
15assetsus-gaap:Assets$3.1B2024-12-312026-02-2310-Kfiling · viewer · series
16gross profitus-gaap:GrossProfit$459.0M2024-12-312026-02-2310-Kfiling · viewer · series
17revenueus-gaap:RevenueFromContractWithCustomerExcludingAssessedTax$1.7B2024-12-312026-02-2310-Kfiling · viewer · series
18gross profitus-gaap:GrossProfit$409.9M2023-12-312026-02-2310-Kfiling · viewer · series
19revenueus-gaap:RevenueFromContractWithCustomerExcludingAssessedTax$1.6B2023-12-312026-02-2310-Kfiling · viewer · series
20gross profitus-gaap:GrossProfit$345.8M2022-12-312025-02-2010-Kfiling · viewer · series
21revenueus-gaap:RevenueFromContractWithCustomerExcludingAssessedTax$1.3B2022-12-312025-02-2010-Kfiling · viewer · series
22gross profitus-gaap:GrossProfit$337.0M2021-12-312024-02-2010-Kfiling · viewer · series
23revenueus-gaap:RevenueFromContractWithCustomerExcludingAssessedTax$1.2B2021-12-312024-02-2010-Kfiling · viewer · series
24current assetsus-gaap:AssetsCurrent$770.1M2025-12-312026-02-2310-Kfiling · viewer · series
25current liabilitiesus-gaap:LiabilitiesCurrent$232.0M2025-12-312026-02-2310-Kfiling · viewer · series
26retained earningsus-gaap:RetainedEarningsAccumulatedDeficit$994.1M2025-12-312026-02-2310-Kfiling · viewer · series
27liabilitiesus-gaap:Liabilities$1.7B2025-12-312026-02-2310-Kfiling · viewer · series
28depreciation amortizationus-gaap:DepreciationDepletionAndAmortization$130.7M2025-12-312026-02-2310-Kfiling · viewer · series
29capital expenditureus-gaap:PaymentsToAcquirePropertyPlantAndEquipment$91.0M2025-12-312026-02-2310-Kfiling · viewer · series
30operating cash flowus-gaap:NetCashProvidedByUsedInOperatingActivities$205.2M2024-12-312026-02-2310-Kfiling · viewer · series
31capital expenditureus-gaap:PaymentsToAcquirePropertyPlantAndEquipment$105.4M2024-12-312026-02-2310-Kfiling · viewer · series
32operating cash flowus-gaap:NetCashProvidedByUsedInOperatingActivities$180.2M2023-12-312026-02-2310-Kfiling · viewer · series
33capital expenditureus-gaap:PaymentsToAcquirePropertyPlantAndEquipment$119.9M2023-12-312026-02-2310-Kfiling · viewer · series
34operating cash flowus-gaap:NetCashProvidedByUsedInOperatingActivities$116.4M2022-12-312025-02-2010-Kfiling · viewer · series
35capital expenditureus-gaap:PaymentsToAcquirePropertyPlantAndEquipment$74.7M2022-12-312025-02-2010-Kfiling · viewer · series
36current assetsus-gaap:AssetsCurrent$671.1M2024-12-312026-02-2310-Kfiling · viewer · series
37current liabilitiesus-gaap:LiabilitiesCurrent$227.2M2024-12-312026-02-2310-Kfiling · viewer · series
38assetsus-gaap:Assets$2.9B2023-12-312025-02-2010-Kfiling · viewer · series
39assetsus-gaap:Assets$2.8B2022-12-312024-02-2010-Kfiling · viewer · series
40shares outstandingdei:EntityCommonStockSharesOutstanding34,407,3472026-02-182026-02-2310-Kfiling · viewer · series
41shares outstandingdei:EntityCommonStockSharesOutstanding33,617,3542025-02-142025-02-2010-Kfiling · viewer · series
42shares outstandingdei:EntityCommonStockSharesOutstanding33,992,0482026-07-302026-08-0410-Qfiling · viewer · series
43net incomeus-gaap:NetIncomeLoss$119.9M2024-12-312026-02-2310-Kfiling · viewer · series
44long term debtus-gaap:LongTermDebtNoncurrent$1.2B2025-12-312026-02-2310-Kfiling · viewer · series
45long term debtus-gaap:LongTermDebtNoncurrent$980.2M2024-12-312026-02-2310-Kfiling · viewer · series
46cashus-gaap:CashAndCashEquivalentsAtCarryingValue$21.4M2026-07-032026-08-0410-Qfiling · viewer · series
47operating cash flowus-gaap:NetCashProvidedByUsedInOperatingActivities$84.4M2026-07-032026-08-0410-Qfiling · viewer · series
48operating cash flowus-gaap:NetCashProvidedByUsedInOperatingActivities$24.7M2026-04-032026-04-3010-Qfiling · viewer · series
49operating cash flowus-gaap:NetCashProvidedByUsedInOperatingActivities$140.7M2025-09-262025-10-2310-Qfiling · viewer · series
50operating cash flowus-gaap:NetCashProvidedByUsedInOperatingActivities$75.1M2025-06-272026-08-0410-Qfiling · viewer · series

Limitations [top]

Grade boundary. Percentile 45.4 is 5.4 points from the nearest band edge; sampling error is 2.5 points.

Peer group. Sector assignment from four-digit SIC codes, hand-tuned and published. The grade under three alternative peer policies is tabled above.

Size. Within a sector the letter tracks size. Among graded filers in the smallest asset band, 72% grade E and 0% grade A; in the largest, 13% grade E and 21% grade A. Universe as of Oct 9, 2026.

Failure model. filings 2012-01-01 to 2019-12-31 fit, filings 2020-01-01 to 2025-12-31 test; status post hoc pending confirmation. pre-registered on 2026 filings once their 12-month outcome windows close; supported if the paired per-quintile gain over the pooled model has a lower bound above 0.05.

Input validity. Revenue or total assets at or below $100,000 sets the degenerate-inputs flag. An input whose denominator is at or below $100,000 is left not computable rather than ranked.

Returns. No input on this page has a post-2015 confidence interval on returns that excludes zero. The grade ranks reported financial condition and is not a return forecast.