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Integer Holdings Corporation

ITGR
47
Medical - Devices · Healthcare
Price
$125.20
-0.01 (-0.01%)
Market Cap
$4.25B
Winston Score
47
Winston is serious
Mixed quality — meaningful strengths and weaknesses.
Data as of Aug 23, 2026 · filings through Jul 3, 2026
How the score breaks down
Quality
Mixed
Growth
Good
Cash Flow
Strong
Stability
Good
Valuation
Good

Share count rising — dilution

+7.0% over 4y

The company has issued more shares over this period, which dilutes each existing shareholder’s stake.

Diluted shares outstanding: 33.3M (2021) → 35.6M (2025)

Winston Score History

The full picture

Integer Holdings makes parts that go inside medical devices. Its main products include batteries, electrical components, and other hardware used in devices like pacemakers, defibrillators, and neurostimulators. The company sells almost entirely to large medical device makers — such as Medtronic and Abbott — rather than directly to patients or hospitals.

Integer earns revenue by manufacturing and selling these components to its device-maker customers under long-term supply agreements. It operates primarily in the United States, with some facilities in Europe and other regions, and generates roughly $1.6 billion in annual revenue. Its competitive position comes from deep regulatory expertise and the high cost for customers to switch suppliers, since medical components require lengthy re-certification processes. The key risk is customer concentration — a small number of large device companies account for a significant share of sales, meaning the loss of one major contract could meaningfully hurt revenue.

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

-1.8% YoY

YoY Growth Rate

Revenue declining

EPS Growth

-34.9% YoY

YoY Growth Rate

Earnings declining

R&D Spend

$46M/ year

Declining (-13% vs prior year)

2.5% of revenue

Below sector average (18%)

R&D spend declining — could signal cost-cutting or efficiency

Insider Activity

1.5%ownership

Flat

Insider ownership roughly steady over the past year

Cash Position

Cash flow positive

$21M cash & investments

Quarterly Free Cash Flow

↓ Burn rate worsening

Company generates more cash than it spends — no dilution risk from fundraising

Revenue declining

Integer Holdings Corporation's revenue is actually shrinking. In a growth stock, that removes the core investment thesis. The low Winston Score here may be warranted — unless there's a turnaround story.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

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Quality

Profit per sale
Gross Margin
24.3%
Thin — 24.3% gross margin
Profit after running costs
Operating Margin
7.4%
Modest — 7.4% operating margin
Return on the money invested
ROCE
5.7%
Weak — 5.7% return on capital

ROIC between 5% and 15%. They earn 5 to 15 cents back per year on every dollar invested.

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Growth

Sales growth
Sales YoY
+2.9%
Nearly flat sales (+2.9% YoY)
Profit growth
EPS YoY
+52.5%
Earnings growing fast (+52.5% YoY)

Earnings growing 25%+ a year. The compounder zone.

How steady the profit is
EPS Consistency
6/8 quarters
Earnings grew in most of the last 8 quarters

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Cash Flow

Profit that turns into cash
Cash Conversion
160%
Turns 160% of profit into real cash
Spare cash per sale
FCF Margin
6.0%
Modest free cash flow (6.0%)

FCF margin between 0% and 10%. Some cash from sales, but not a lot.

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Stability

What it owes vs what it owns
Debt / Equity
0.79
Moderate — manageable debt (0.79)
Covers its interest
Interest Cover
4.53x
Adequate interest coverage (4.5x)

Interest coverage between 3 and 8. Profits cover interest several times over.

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Valuation

Price vs profit
P/E Ratio (TTM)
33.9x
Pricey — P/E 33.9

P/E above the market average. People are paying up for expected growth.

Cheaper or dearer next year
P/E vs Forward
+19.4
GROWING
Earnings expected to grow meaningfully — cheaper on forward P/E (33.9 → 14.5)

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Dividends

Not applicable for this business.
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