ROARABLE // PRO
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IART // Integra LifeSciences Holdings Corporation

DES <GO> NASDAQ RQD COCKPIT → CIK 0000917520 ↗
Health Care • Medical/Dental Instruments
$12.83 ▲ +0.59 (+4.82%)
MKT CAP: $998.2M • VOL: 1.19M
IART // ROARABLE RATING & 5-PILLAR RQD CONFIDENCE 02:00 EST DETERMINISTIC ENGINE
PRIOR: RQD 32/100 [E] (+0 PT) • UNCHANGED
ROARABLE E
RQD CONFIDENCE
32 / 100 +0D
5 X 20-PT QUANT PILLARS
E 0 D 35 C 59 B 70 A 86+
Roarable Strong Sell — Forensic Risk / Avoid
01 MASSIVE / SEC XBRL
Forensic Fundamentals
3 / 20
CRITICAL
FCF -120% vs NI -120% • ROIC-WACC -43.6% • Z 0.64
02 INSTITUTIONAL TAPE & TREND
Whale & Options Flow
11 / 20
NEUTRAL
52W RANGE 55% • VS 200D +1.2% • RSI 63.8
03 SEC XBRL CAPITAL ALLOCATION
Insider & Capital Conviction
[LOCKED] FLAGGED
UNLOCK BELOW TO REVEAL
04 FRED 90D r-MATRIX
Macro Regime Fit
9 / 20
WARNING
NEUTRAL • r(10Y)=+0.00 (+23bp) • r(OAS)=+0.00
05 10-K REDLINE AUDIT
Forensic 10-K Risk
[LOCKED] FLAGGED
UNLOCK BELOW TO REVEAL
ALERT

Why did IART's Insider & Capital Conviction & Forensic 10-K Risk sub-score just flash a warning? Enter your email to unlock the full 5-Pillar Rating Breakdown + get instant alerts whenever IART is Upgraded or Downgraded.

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
$21.22$18.19$15.15$12.11$9.08RES $15.42SUP $11.05$12.832026-04-302026-06-152026-07-312026-09-162026-10-30
IART // INSTITUTIONAL BULL VS. BEAR FORENSIC DEBATE
UNDERWEIGHT CONVICTION: 28/100
BEAR 0
100 BULL

Integra LifeSciences Holdings Corporation (IART) exhibits 50.9% gross margins and -35.0% return on invested capital within Health Care (Medical/Dental Instruments), balanced against a 24.0x enterprise multiple and 4.8% implied options volatility.

▲ INSTITUTIONAL BULL THESIS (LONG)
01. Operating Leverage & Capital Efficiency Moat

Sustained 50.9% gross profitability converts into -30.2% operating margin and -35.0% ROIC, outpacing sector cost of capital.

ROIC: -35.0% // GM: 50.9%
02. Top-Line Expansion & Cash Conversion

YoY revenue trajectory of +1.5% paired with -3.11% free cash flow yield supports self-funded R&D and capital return.

REV YOY: +1.5% // FCF YLD: -3.11%
03. Balance Sheet Solvency & Forensic Quality

Altman Z-Score of 0.64 and Piotroski F-Score of 4/9 indicate low near-term refinancing stress.

ALTMAN Z: 0.64 // F-SCORE: 4/9
▼ INSTITUTIONAL BEAR THESIS (SHORT / RISK)
01. Multiple Compression & Duration Sensitivity

Trading at 24.0x trailing P/E (— Fwd P/E) leaves valuation vulnerable if real 10Y TIPS yields spike.

P/E: 24.0x // EV/EBITDA: —
02. Options Skew & Event Volatility Risk

Options market prices a ±5.2% implied move with a 0.85 put/call ratio around $12.83 max pain.

IMPL MOVE: ±5.2% // P/C: 0.85
03. Competitive Margin & CapEx Cycle Pressure

Elevated industry capital intensity and customer concentration in Medical/Dental Instruments require continuous execution to defend -31.6% net margins.

NET MARGIN: -31.6% // D/E: 0.45x
KEY CATALYST // Upcoming 10-Q/10-K XBRL margin progression, guidance revision vs — forward consensus, and institutional 13F positioning.
MACRO REGIME // Monitor US 10Y Real Yields (DFII10) and High-Yield Credit Spreads (OAS) for beta-adjusted multiple impact (Beta 1.10).
FORM 4 & 13F FLOW OPEN OWN <GO>
FILER SIDE $ VALUE
INSPECT FULL OWNERSHIP LEDGER IN OWN <GO>
UNUSUAL OPTIONS TAPE OPEN OPT <GO>
STRIKE / EXP TYPE PREMIUM
INSPECT GEX & CHAIN IN OPT <GO>
KEY VALUATION & PROFITABILITY RATIOS XBRL FA <GO>
TRAILING P/E —
FORWARD P/E —
EV / EBITDA —
FCF YIELD -3.11%
GROSS MARGIN 50.9%
OPERATING MARGIN -30.2%
NET MARGIN -31.6%
ROIC % -35.0%
REV GROWTH YOY +1.5%
DILUTED EPS TTM —
DEBT / EQUITY —
DIVIDEND YIELD 0.00%
RSI-14 MOMENTUM 42.8
5Y EQUITY BETA —
FRED MACRO SENSITIVITY (PEARSON r) ECST <GO>
MACRO CORRELATION CALIBRATION ACTIVE BELOW.
FRED MACRO REGIME STRESS-TEST SIMULATOR // IARTPEARSON R VARIANCE ENGINE
01 // SELECT FEDERAL RESERVE & CREDIT SHOCK SCENARIO
02 // POSITION NOTIONAL EXPOSURE
HEADLINE STRESS SCORE
75/100SEVERE DRAWDOWN PRESSURE
PRIMARY FACTOR EXPOSURE
DFII10 // -0.61 r
Latest: 2.08%
EST. DIRECTIONAL MOVE
-8.50%
Implied Px: $11.74
EST. DOLLAR VARIANCE
-$4,248
On $50,000 Notional
[LOCKED // MULTI-FACTOR DRAWDOWN HEDGE & MACRO TRIGGER ALERT]

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HEAD-TO-HEAD PEER COMPARISONS COMP <GO>