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Integer Holdings Corp.: Q1 FY2026 earnings call

What management said about Q1 FY2026, from the documents filed with the SEC on 30 April 2026: press release. Guidance figures: 11 lowered, 8 kept. The quarter’s numbers.

Key takeaways

  • Sales rose 0.5% to $440 million: Sales were $439.6 million against $437.4 million a year earlier. Organic growth excludes foreign currency, acquisitions and the Portable Medical exit. Source
  • GAAP operating income fell 36%: Operating income was $31.9 million against $49.6 million; adjusted operating income was $61.1 million, down 13.9%. Source
  • Adjusted EPS fell 8% to $1.20: Adjusted net income was $41.3 million, down 10.1%, on 34.4 million diluted shares. GAAP diluted EPS was $0.48. Source
  • Electrophysiology products drove the headwind: The release refers to three new products in the CEO comment and two Electrophysiology products in the segment discussion. Source
  • Customer forecast updates prompted risk adjustment: Management cited recent forecast updates and market conditions as reasons to further risk-adjust the 2026 ranges. Source
  • Total debt and net debt rose: Total debt was $1.252 billion at April 3, 2026, and net total debt was $1.264 billion, against $1.185 billion of total debt at year-end. Source
  • Board initiated a strategic review: The review, announced in a separate release the same day, is aimed at maximizing stockholder value. Source

“First quarter financial performance was in line with our outlook and primarily reflected the previously communicated headwinds associated with the three new products”

Payman Khales, Integer’s President and CEO

Guidance

AreaPeriodFigureAgainst last quarter
Sales SourceFull year 2026$1,805 to $1,835 millionLowered from $1,826 to $1,876 million
Operating income (GAAP) SourceFull year 2026$165 to $185 millionLowered from $184 to $204 million
Adjusted operating income (non-GAAP) SourceFull year 2026$285 to $305 millionLowered from $304 to $324 million
Adjusted EBITDA (non-GAAP) SourceFull year 2026$375 to $399 millionLowered from $391 to $414 million
Net income (GAAP) SourceFull year 2026$105 to $125 millionLowered from $121 to $138 million
Adjusted net income (non-GAAP) SourceFull year 2026$200 to $220 millionLowered from $216 to $232 million
Diluted EPS (GAAP) SourceFull year 2026$3.07 to $3.64Lowered from $3.53 to $4.01
Adjusted EPS (non-GAAP) SourceFull year 2026$5.83 to $6.40Lowered from $6.29 to $6.78
Cash flow from operating activities SourceFull year 2026$185 to $205 millionLowered from $200 to $220 million
Stock-based compensation SourceFull year 2026$20 to $23 millionLowered from $22 to $25 million
Cash income tax payments SourceFull year 2026$24 to $28 millionLowered from $28 to $32 million
Depreciation and amortization SourceFull year 2026$131 to $141 millionKept
Adjusted total interest expense SourceFull year 2026$38 to $40 millionKept
Restructuring, acquisition and other charges SourceFull year 2026$50 to $60 millionKept
Adjusted effective tax rate SourceFull year 202616.0% to 18.0%Kept
Leverage ratio SourceFull year 20262.5x to 3.5xKept
Capital expenditures SourceFull year 2026$95 to $105 millionKept
Items excluded from adjusted results SourceFull year 2026approximately $120 million pre-tax; after-tax approximately $95 million, or approximately $2.76 per diluted shareKept
Organic sales growth versus market Source2027200 basis points above marketKept

What changed from last quarter

  • Guidance lowered: 2026 sales range lowered to $1,805 to $1,835 million from $1,826 to $1,876 million. Source
  • Guidance lowered: 2026 GAAP and adjusted operating income ranges lowered, to $165 to $185 million and $285 to $305 million. Source
  • Guidance lowered: 2026 adjusted EBITDA range lowered to $375 to $399 million from $391 to $414 million. Source
  • Guidance lowered: 2026 GAAP and adjusted net income ranges lowered, to $105 to $125 million and $200 to $220 million. Source
  • Guidance lowered: 2026 GAAP diluted EPS range lowered to $3.07 to $3.64, and adjusted EPS range lowered to $5.83 to $6.40. Source
  • Guidance lowered: 2026 operating cash flow range lowered to $185 to $205 million from $200 to $220 million. Source
  • Guidance lowered: 2026 stock-based compensation range lowered to $20 to $23 million from $22 to $25 million. Source
  • Guidance lowered: 2026 cash income tax payments range lowered to $24 to $28 million from $28 to $32 million. Source
  • New: The Board of Directors initiated a strategic review to maximize stockholder value. Source
  • Guidance kept: The 2027 target of organic sales growth 200 basis points above market is continued. Source

Results and growth drivers

  • Sales rose 0.5% to $440 million: Sales were $439.6 million against $437.4 million a year earlier. Organic growth excludes foreign currency, acquisitions and the Portable Medical exit. Source
  • GAAP operating income fell 36%: Operating income was $31.9 million against $49.6 million; adjusted operating income was $61.1 million, down 13.9%. Source
  • GAAP income from continuing operations rose: Income was $16.5 million, against a $22.5 million loss a year earlier. The prior-year period included a $46.7 million debt conversion inducement expense. Source
  • Adjusted EPS fell 8% to $1.20: Adjusted net income was $41.3 million, down 10.1%, on 34.4 million diluted shares. GAAP diluted EPS was $0.48. Source

Product lines and sales

  • Cardio & Vascular sales rose 1%: Sales were $261.7 million; organic change was -0.4%, reflecting the two new Electrophysiology products. Source
  • Cardiac Rhythm Management and Neuromodulation rose 5%: Sales were $168.3 million, up 4.9% both reported and organic. Cardiac Rhythm Management growth partly offset the Neuromodulation headwind. Source
  • Other Markets fell on Portable Medical exit: Sales were $9.6 million, down 47.3% reported and 11.0% organic, mainly from Portable Medical, whose multi-year exit was announced in 2022. Source

“We remain focused on executing our strategy, navigating the temporary headwinds, and building momentum during the second half of 2026.”

Payman Khales, Integer’s President and CEO

New product headwinds and demand

  • Electrophysiology products drove the headwind: The release refers to three new products in the CEO comment and two Electrophysiology products in the segment discussion. Source
  • Neuromodulation headwind offset cardiac growth: The combined segment grew 4.9%, with the Neuromodulation headwind described as previously communicated. Source
  • Customer forecast updates prompted risk adjustment: Management cited recent forecast updates and market conditions as reasons to further risk-adjust the 2026 ranges. Source

Costs, charges and gross profit

  • Restructuring and other charges declined: Restructuring and other charges were $2.8 million against $5.4 million. ERP implementation costs of $3.4 million were excluded from adjusted results. Source
  • Gross profit fell as cost of sales rose: Gross profit was $109.6 million against $120.3 million; cost of sales was $330.0 million against $317.1 million. The release gives no cause. Source
  • SG&A and R&D expenses rose: SG&A was $58.7 million against $51.2 million; research, development and engineering was $16.2 million against $14.2 million. 2026 ERP expenses were primarily in SG&A. Source
  • Interest expense declined: Interest expense was $9.7 million against $14.8 million a year earlier. Source

Debt, cash and leverage

  • Total debt and net debt rose: Total debt was $1.252 billion at April 3, 2026, and net total debt was $1.264 billion, against $1.185 billion of total debt at year-end. Source
  • Operating cash flow fell to $24.7 million: Operating cash flow was $24.7 million against $31.3 million a year earlier; capital expenditures were $24.0 million against $25.2 million. Source
  • Cash balance fell to $8.1 million: Cash was $8.1 million at April 3, 2026, against $17.2 million at December 31, 2025. Revolver proceeds were $111.8 million, with $46.8 million repaid. Source

Share repurchases and treasury stock

  • $50 million of common stock repurchased: The cash flow statement shows $50.0 million of common stock repurchases in the quarter, against none a year earlier. The release does not describe the accelerated repurchase status. Source
  • Treasury stock increased: Treasury stock was $114.2 million at April 3, 2026, against $76.9 million at December 31, 2025. Source
  • RSU tax withholding fell: Tax withholding on net share settlements of restricted stock units was $9.0 million, against $14.1 million a year earlier. Source

Strategic review and 2027 target

  • Board initiated a strategic review: The review, announced in a separate release the same day, is aimed at maximizing stockholder value. Source
  • Review options listed by the Board: Options include a sale, merger, or strategic business combination, compared with continued standalone strategy. Source
  • No timeline set for review: The company set no deadline or definitive timeline for completing the review. Source

Leadership and activist-related costs

  • Leadership and activist costs excluded: Leadership transition costs were $1.4 million and stockholder activist related costs were $3.2 million, both excluded from adjusted results. Source
  • Severance for departing executives: Leadership transition costs include severance for departing executives and related incremental costs of the leadership changes. Source
  • Other adjustments rose to $5.3 million: Amounts were $5.3 million against $0.3 million a year earlier, and the release excludes them from adjusted operating income. Source

Coming up, as management said on 30 April 2026

  • 2027 organic growth return targeted: Management expects organic sales growth of 200 basis points above market in 2027. Source
  • Further review comments withheld: The company will make no further public comments on the review unless it decides further disclosure is appropriate or necessary. Source

Risks management discussed

  • Demand: Management cited recent customer forecast updates and market dynamics as reasons to further risk-adjust the 2026 ranges. Source
  • Financial: Non-GAAP net total debt was $1.264 billion, with leverage of 3.2 times adjusted EBITDA after debt rose during the quarter. Source
  • External: The company said there can be no assurance the strategic review will produce any transaction or other outcome. Source

Earlier plans management reported on

  • Met: Management said first quarter results were in line with its earlier guidance. Source
  • Not stated: Management continues to expect 200 basis points above-market organic growth in 2027, the same target given in February. Source
  • Not stated: The February release said an accelerated repurchase of about $50 million was intended; the April release does not state its status.

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.