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Integra LifeSciences Holdings Corporation (IART) — RQD Stock Rating Cockpit

$12.83 +4.82% NASDAQ • Live Quote vs Prior Daily Close (Synced Snapshot) EXT / AFTER-HRS: $12.92

Integra LifeSciences Holdings Corporation (IART) carries a Roarable Rating of E (Strong Sell) with 32/100 RQD Confidence due to weak cash-flow efficiency and sensitivity to current interest rates. Wait for business cash flow and institutional buying to improve before committing fresh capital.

📊 Historical Track Record Warning: Scores below 50 (32/100 · E) historically underperformed SPY in 71% of rolling 90-day windows →

ROARABLE E • RED ALERT Cap $998.2M

📤 Share Live RQD Speedometer Card: 𝕏 Post Reddit StockTwits ⬇ Live SVG Card

INTERACTIVE SCENARIO DECK:

🛡️ Portfolio Crash X-Ray

EXT / AFTER-HRS: $12.92 (+0.68%)🧬 Dilution Drag (+2.48% YoY Shares)⚙️ Cash Engine: 3/20 (E) • 0% FCF Margin

Verify 90D Bucket Audit →

📊 Historical Track Record Warning: Scores below 50 (32/100 · E) historically underperformed SPY in 71% of rolling 90-day windows (-9.2% avg 90D alpha vs SPY • 29.0% hit rate).

Audit Bucket Track Record →

RQD QUANT TACHOMETERRED ALERT • E

3-of-3 JEV AI Jury Bearish Warning

Cash

SEC

Whale

Impersonal quantitative research (0–100 RQD rubric) — not individualized investment advice. Past performance does not guarantee future results. Full Disclaimer

5-PILLAR SNOWFLAKE RADARRw E · Rk D-

Each axis scored 0–20

12M PRICE TARGET CONE-11.7% Base Target

WHALE OPTIONS SNAPSHOT: — (No Active Options Snapshot on file for IART)Realized 20D OHLCV Swing Band: ±11.5%

Deterministic 5-Pillar Attribution (32/100 Composite)

🔍 WHY IART SCORES 32/100 (E) — TOP 3 DRIVERS2 Bullish Pillars + #1 Risk Drag

▲ #1 Bullish Driver: Whale & Options Positioning+11/20 pts (34% of score)

20D Institutional Volume Accumulation (±11.5% realized swing band)

▲ #2 Bullish Driver: Macro Regime Fit+9/20 pts (28% of score)

FRED Regime × Technicals: 35% of 52W Range • RSI-14 at 42.8 (NEUTRAL RANGE)

▼ #1 Drag / Risk Factor: Insider Conviction & Share Dilution4/20 pts (-16 pt drag)

Dilution Drag (+2.48% YoY Shares) & executive Form 4 sales trim 16 pts from alignment

📈 PAST 4 QUARTERS RQD vs SUBSEQUENT RETURNQ1 → Q2 → Q3 → Current

Q1 (-3Q)

Grade D$13.44-1.7% Next Q

Q2 (-2Q)

Grade E$13.21-9.8% Next Q

Q3 (-1Q)

Grade E$11.91+7.7% Next Q

Current

Grade E$12.83-9.2% Hist 90D α

Trajectory: D (40) → E (32)Full Audit →

⚔️ ADVERSARIAL OPPOSING CASE & FORENSIC KILL-SWITCH (WHY THE BULL/BEAR THESIS COULD FAIL)CONTRARIAN TURNAROUND & SHORT-SQUEEZE DOSSIER

⚔️ Adversarial Opposing Case: What Could Spark a IART Turnaround Squeeze

Gideon Ashmere Forensic Desk →

While IART currently carries a cautious 32/100 (E) rating due to Insider Conviction & Share Dilution (4/20), shorts face asymmetric squeeze risk if free cash flow inflects or management executes accretive buybacks.

🚀 Contrarian Squeeze Trigger #1

Established market leader in Health Care with deep daily trading liquidity.

🚀 Contrarian Squeeze Trigger #2

Options & Short-Covering Gamma: Reclaiming the 50-day SMA ($14.84) and Max Pain ($13.47) forces dealer call-delta covering toward $21.51.

🚀 Contrarian Squeeze Trigger #3

Forensic Repair Trigger: Halting share dilution (Dilution Drag (+2.48% YoY Shares)) or retiring high-cost debt immediately upgrades the SEC 10-K Forensic pillar.

🎲 LIVE PREDICTION MARKET ODDS TIED TO $IART• $2.4M Crowd Pool • Kalshi / Polymarket Composite

Contract: “IART Beats Next Quarter EPS Consensus (Dec 30, 2026) & Holds Above 200D SMA”

YES 32%NO 68%Trade / Inspect Odds →

RSI-14 MOMENTUMNEUTRAL RANGE

42.830 Oversold · 70 Hot

ALTMAN-Z SHIELDDISTRESS RISK (<1.8)

0.64>3.0 Fortress Safe

PIOTROSKI F-SCOREWEAK QUALITY (1–4)

4 / 99-Pt Accounting

52-WEEK LASER RANGE35% OF RANGE

L: $9$12.83H: $20

1. Money & Cash Health● WEAK

Are profits real cash in the bank?

Weak cash conversion or heavy valuation strain compared to actual cash earned.

Factor Grade: ERQD 3 / 20

2. Big Money & Insiders● TRIMMING

Are whales & executives buying or selling?

Insiders and big institutional desks have been trimming shares rather than stepping up to buy.

Factor Grade: D-RQD 14 / 40

3. Hidden Risks & Market Weather● WARNING

SEC fine-print scan & interest-rate fit

High sensitivity to tight interest rates or new risk warnings added to recent SEC annual filings.

Factor Grade: D-RQD 15 / 40

MULTI-MODEL JEV QUANT JURY DELIBERATION

3-of-3 JEV AI Jury Bearish Warning on IART

Cash & Moat Bull AI

ROIC & Free Cash Flow Model

BEARISH (15)

-35.0% ROIC with 50.9% gross margin and -3.11% FCF yield.

SEC Forensic Auditor AI

10-K Accruals & Altman-Z Guard

BEARISH (30)

Altman-Z 0.64 and Piotroski 4/9 pass balance-sheet audit.

Whale & Macro Hawk AI

Options Skew, 13F & Fed NetLiq

BEARISH (38)

14/40 institutional & smart-money positioning score with 9/20 macro alignment.

Bull Case: Why Buyers Like IART

✓Established market leader in Health Care with deep daily trading liquidity.

Bear Case: What Could Go Wrong

!Company executives have done more routine share selling than personal cash buying lately.
!Sensitive to high interest rates and tighter Federal Reserve market liquidity.
!Recent SEC filings added new risk-factor disclosures that warrant keeping an eye on margins.

ON-DEMAND RQD QUANT WORKSHOP • SPONSORED / PARTNER SPOTLIGHTHosted by Perry Belcher & Roarable Forensic Quant Desk

Red-Light Warning Desk: Spotting SEC Cash-Flow & Dilution Risks Before Downgrades (Featuring IART)

✓Walkthrough of IART's RQD Radar, SEC cash-conversion gap & downside invalidation levels
✓3 asymmetric Bear/Hedge frameworks when 10-year Treasury yields stay elevated
✓Includes nightly RQD rating-change & forensic signal email alerts on your tracked stocks

RQD INSIDER CLUB WAITLIST$49/YR PLANNED

Want Custom AI PineScript / Python Indicators & Priority Rating-Change Alerts?

Join Founding VIP Waitlist (No Card Required) →$100K Arena

IART // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: +21.73%▼ DESCENDING CHANNEL

2026-10-30O $12.75H $12.86L $12.33C $12.83VOL 1.04M

RES: $15.42SUP: $11.05SMA50: $14.84SMA200: $14.07

PRIMARY-SOURCE FORENSICS, SECOND-ORDER LINKS & AI ANALYST DESK

IART Dilution Monitor, Expectations Hurdle, Butterfly Connections & Policy Exposure

🦋 IART Butterfly Map → + Track IART →

Share Count & Dilution Monitor (#25)

Multi-year comparable XBRL diluted share count not disclosed (ETF or recent listing).

Reverse-DCF Expectations Hurdle (#30)

8.0%/yr Implied 5Y Growth

vs. +1.5% actual YoY revenue growth (assuming 9.25% cost of equity & 16.5x terminal multiple).

Ellis Vennor Setup Ledger (#33)

No active Ellis Vennor swing setup published on IART today. View full Setup Ledger →

🦋 Documented & Second-Order Butterfly Connections Open Graph →

No direct multi-tier Butterfly edges indexed yet for IART. Explore sector supply chains on /butterfly.

AI Analyst Theses, Washington Policy & Company Video

🎬 No recent verified company-specific video clip queued for IART today (we never pad ticker pages with unrelated generic clips). Browse Macro Video Desk →

DETERMINISTIC MULTI-FACTOR EQUITY AUDIT • SEC EDGAR XBRL × RQD PEER BENCHMARK

📊 Quantitative Sector Peer Comparison, SEC Filing Delta & Investment FAQ (IART)

Health Care Rank #886 of 1016 ⚔️ SIBN vs IART Full Matrix →

1. Head-to-Head Health Care Peer Comparison (IART vs. SIBN, BBNX, SGP, IRMD)

Industry: Medical/Dental Instruments (120 Tracked Issuers)

Across 1016 tracked Health Care securities in the Roarable RQD universe, Integra LifeSciences Holdings Corporation (IART) ranks #886 by composite RQD confidence (32/100, grade E) and #361 by equity capitalization ($998.2M). Within this direct 5-issuer industry benchmark cohort, IRMD leads on earnings valuation at 48.8x trailing P/E, while IRMD leads on capital efficiency and profitability with 37.7% ROIC and 76.7% gross margin. IRMD currently holds the highest overall quantitative score in the immediate peer group at 68/100 (C+) compared with IART at 32/100 (E).

Ticker / Company	Roarable Grade	RQD Score	Trailing P/E	Gross Margin	ROIC	1D Change	Market Cap	Head-to-Head
IART ACTIVE Integra LifeSciences Holdings Corporation	E	32/100	—	50.9%	-35.0%	+4.82%	$998.2M	Benchmark Subject
SIBN SI-BONE Inc.	D	48/100	—	79.6%	-10.3%	+2.66%	$1.00B	/sibn-vs-iart →
BBNX Beta Bionics Inc.	D-	36/100	—	55.4%	-22.1%	-1.51%	$955.8M	/bbnx-vs-iart →
SGP SpyGlass Pharma Inc.	D-	41/100	—	—	-35.0%	-1.06%	$1.09B	/sgp-vs-iart →
IRMD iRadimed Corporation	C+	68/100	48.8x	76.7%	37.7%	+2.16%	$1.10B	/irmd-vs-iart →

2. Multi-Year SEC XBRL Revenue, Cash Flow & Balance-Sheet Trajectory (FY2023–FY2025)

SEC EDGAR 10-K • FILED 2025-12-31 • CIK 0000917520

In its most recent audited fiscal period (FY2025, filed 2025-12-31), Integra LifeSciences Holdings Corporation (IART) reported GAAP revenue of $1.64B (+1.5% vs. FY2024 revenue of $1.61B , and +6.1% cumulative change since FY2023) , GAAP net income of -$516.8M, operating cash flow of $50.4M, and free cash flow of -$31.1M (-224.4% YoY). On the balance sheet, IART closed FY2025 with $3.60B in total assets against $0 in total debt (Altman Z-Score: 0.64, Piotroski F-Score: 4/9).

Fiscal Period	Filing Date	Revenue	Net Income	Operating Cash Flow	Free Cash Flow	Total Assets	Total Debt
FY2025 (FY)	2025-12-31	$1.64B	-$516.8M	$50.4M	-$31.1M	$3.60B	—
FY2024 (FY)	2024-12-31	$1.61B	-$6.9M	$129.4M	$25.0M	$4.04B	—
FY2023 (FY)	2023-12-31	$1.54B	$67.7M	$140.0M	$140.0M	—	—

3. IART Data-Verified Investor FAQ (RQD Rating, Sector Peers, SEC Forensics & Technicals)

✓ SCHEMA.ORG FAQPAGE JSON-LD ENABLED

Is IART stock a Buy, Hold, or Sell right now according to Roarable's RQD model?

As of 2026-11-01, Integra LifeSciences Holdings Corporation (NASDAQ: IART) is rated E (Strong Sell / SELL) by Roarable's 5-pillar RQD engine with a composite confidence score of 32/100 at a spot price of $12.83 (+4.82% 1D, market cap $998.2M). Pillar breakdown: Fundamental Cash Engine 3/20, Institutional 13F & Options Flow 11/20, Executive Insider Alignment 6/20, FRED Macro Regime Fit 9/20, and SEC Balance-Sheet Forensics 3/20. Across 1016 tracked Health Care issuers, IART ranks #886 in composite RQD confidence.

How does IART compare to SIBN and BBNX in the Health Care sector?

Within the Health Care sector (Medical/Dental Instruments), IART carries a Roarable E (32/100 RQD), trailing P/E of N/A, gross margin of 50.9%, and ROIC of -35.0%. By comparison, SIBN (SI-BONE Inc.) holds a D grade (48/100 RQD, P/E N/A, ROIC -10.3%, cap $1.00B) and BBNX (Beta Bionics Inc.) posts a D- grade (36/100 RQD, P/E N/A, ROIC -22.1%, cap $955.8M). Among the 5-stock peer group, IRMD leads on earnings multiple (48.8x) while IRMD leads on capital efficiency (37.7% ROIC).

What are the biggest fundamental strengths and SEC risk factors for IART?

Per IART's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0000917520), Integra LifeSciences Holdings Corporation generated $1.64B in revenue (+1.5% YoY), -$516.8M in net income, and -$31.1M in free cash flow against $3.60B in total assets and $0 in total debt. Key quantitative strengths: Established market leader in Health Care with deep daily trading liquidity.. Primary risk factors monitored: Company executives have done more routine share selling than personal cash buying lately.. Institutional options positioning shows a 50% call / 50% put premium split.

Where is IART trading relative to its 50-day, 200-day, and 52-week technical levels?

IART last traded at $12.83 (+4.82% on volume of 1,188,133 shares), positioning the stock -13.54% below its 50-day simple moving average ($14.84) and -8.81% below its 200-day simple moving average ($14.07). Across its 52-week range of $8.70 to $20.49, IART sits at the 35.0% percentile with a 14-day RSI of 42.8 (NEUTRAL RANGE) and an implied next-earnings move of ±11.5% ($11.35 to $14.31).

IART Investor FAQ & Complete 8-Part Research Index

100% OPEN ACCESS • SEC EDGAR × CBOE × FRED

Should I buy, hold, or sell IART stock right now?

Integra LifeSciences Holdings Corporation (IART) currently earns a Roarable Rating of E (Strong Sell — SELL) with 32/100 RQD Confidence. Stretched risk/reward at current multiples (-35% return on capital) under elevated 10-year interest-rate pressure.

What is IART's 12-month price target and RQD AI Jury consensus?

IART's 12-month base price target is $11.33 (range $8.84 to $21.51), backed by transparent SEC XBRL cash-flow, Form 4 insider, and CBOE options flow analysis.

Direct Sub-Reports: IART RQD Cockpit IART 12M Forecast IART Earnings & Move IART Dividends & DRIP IART Insiders & 13F IART Whale Options IART Profit Sankey IART News & Why