Integra cuts outlook on flood and weaker business; shares fall 21%

Integra makes medical devices for brain surgery and for repairing skin and tissue, and its Cincinnati plant makes several of its surgical products. Second-quarter revenue was $418.8 million, up from $415.6 million a year earlier, and net income was $4.5 million. [C11][C11] Press releaseWe are advancing transformational care through impactful innovation in neurosurgery and tissue reconstructionIntegra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm [C9][C9] Press releaseThe facility manufactures and supports several products within the Company's Specialty Surgical Technologies portfolio.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm [C22][C22] Form 10-Q, statement of operationsTotal revenue, net $ 418,761 $ 415,605 $ 810,679 $ 798,258Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C23][C23] Form 10-Q, statement of operationsNet income (loss) $ 4,482 $ ( 484,073 ) $ ( 134 ) $ ( 509,366 )Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm It has spent years fixing quality problems. In December 2024 the FDA sent it a warning letter about three plants. In September it told lenders that work was on track to finish in 2026. [C33][C33] Form 10-Q, regulatory mattersOn December 19, 2024, the Company received a warning letter from the FDA (the “2024 Warning Letter”). The 2024 Warning Letter relates to quality system issues identified during FDA inspections at three of the Company’s facilitiesIntegra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C44][C44] Lender presentation, executive summaryIntegra views 2026 as a key inflection period as it progresses through FDA-mandated manufacturing / quality system remediations, with several operational tailwinds expected to support future growth – All warning letter commitments on track to be completed in 2026Integra investor presentation for lenders, Exhibit 99.1 to Form 8-K, September 8, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000061/integrainvestorpresentat.htm

Its adjusted numbers leave out costs that keep coming back. Adjusted EBITDA is profit before interest, taxes, depreciation and some other costs. It was $337 million over the year to June 30. [C43][C43] Lender presentation, EBITDA reconciliationAdjusted EBITDA $401 $411 $370 $322 $317 $337Integra investor presentation for lenders, Exhibit 99.1 to Form 8-K, September 8, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000061/integrainvestorpresentat.htm Over the same year it added back $48.2 million of restructuring costs. It also added back $45.4 million of costs for moving work to a new Braintree plant. [C65][C65] Lender presentation, adjustmentsStructural Optimization 24.2 48.0 48.2Integra investor presentation for lenders, Exhibit 99.1 to Form 8-K, September 8, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000061/integrainvestorpresentat.htm [C66][C66] Lender presentation, adjustmentsBraintree Transition 45.0 56.2 45.4Integra investor presentation for lenders, Exhibit 99.1 to Form 8-K, September 8, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000061/integrainvestorpresentat.htm Free cash flow is cash from operations minus spending on equipment and buildings. It was only $26 million over the year to June 30, and negative $31 million in 2025. [C42][C42] Lender presentation, FCF reconciliationOperating Cash Flow $312 $264 $140 $129 $50 $85 Capex 48 42 67 104 81 60 Free Cash Flow $264 $222 $73 $25 $(31) $26Integra investor presentation for lenders, Exhibit 99.1 to Form 8-K, September 8, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000061/integrainvestorpresentat.htm

At June 30 Integra owed about $1.87 billion. Of that, $1.075 billion was drawn on its revolving credit line, a bank line it can borrow and repay. [C26][C26] Form 10-Q, fair value of debtSubtotal $ 1,874,788 $ 1,869,329 $ 1,859,363 $ 1,855,498Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C27][C27] Form 10-Q, fair value of debtSenior credit facility - revolving component Level 2 1,075,000 1,073,013 1,045,000 1,043,340Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm It had $274.1 million of cash and short-term investments, and $185.1 million of the cash sat outside the U.S. With the unused part of its bank line, total liquidity was about $496 million, which it says is enough for the next twelve months. [C25][C25] Form 10-Q, balance sheetCash and cash equivalents $ 214,415 $ 235,048Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C56][C56] Form 10-Q, balance sheetShort-term investments 59,669 28,693Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C55][C55] Form 10-Q, liquidityAt June 30, 2026, our non-U.S. subsidiaries held approximately $185.1 million of cash and cash equivalents that are available for use outside the U.S.Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C51][C51] Results release, liquidityAs of the end of the quarter, the Company had total liquidity of approximately $496 million, including $274.1 million in cash plus short-term investments and the remainder available under its revolving credit facility.Integra second-quarter 2026 results release, Exhibit 99.1 to Form 8-K, July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000055/ex991-q22026earningsrelease.htm [C71][C71] Form 10-Q, liquidityWe believe that our cash, cash equivalents, short-term investments and available borrowings under the Senior Credit Facility are sufficient to finance our operations and capital expenditures for the next twelve months and foreseeable future.Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm Debt less cash and short-term investments was about $1.60 billion, and leverage was 4.10 times. Its own target is 2.5 to 3.5 times. The bank loans come due on March 24, 2028. [C26][C26] Form 10-Q, fair value of debtSubtotal $ 1,874,788 $ 1,869,329 $ 1,859,363 $ 1,855,498Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C25][C25] Form 10-Q, balance sheetCash and cash equivalents $ 214,415 $ 235,048Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C56][C56] Form 10-Q, balance sheetShort-term investments 59,669 28,693Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C28][C28] Form 10-Q, liquidityOur Consolidated Total Leverage Ratio was 4.10, with the covenant requirement at 5.00 at the end of June 30, 2026. As outlined in the table in Note 5. Debt, the covenant requirement will drop from 5.00 to 4.75 for the fiscal quarter ended September 30, 2026.Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C40][C40] Lender presentation, financial policyDecreased net leverage from 4.5x (2025YE) to 4.1x (Q2’2026) – Our target net leverage ratio is 2.5-3.5xIntegra investor presentation for lenders, Exhibit 99.1 to Form 8-K, September 8, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000061/integrainvestorpresentat.htm [C30][C30] Form 10-Q, note on debtThe March 2023 Amendment of the Senior Credit Facility extended the maturity date to March 24, 2028Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm The bank limit on leverage falls to 4.75 at September 30, 4.50 at December 31 and 4.00 from March 31, 2027. The banks are secured by almost all assets of its U.S. companies, so they are paid before shareholders. [C28][C28] Form 10-Q, liquidityOur Consolidated Total Leverage Ratio was 4.10, with the covenant requirement at 5.00 at the end of June 30, 2026. As outlined in the table in Note 5. Debt, the covenant requirement will drop from 5.00 to 4.75 for the fiscal quarter ended September 30, 2026.Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C29][C29] Form 10-Q, note on debtDecember 31, 2026 4.50 to 1.00 March 31, 2027 and the last day of each fiscal quarter thereafter 4.00 to 1.00Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C60][C60] Form 10-Q, note on debtThe Senior Credit Facility is collateralized by substantially all of the assets of the Company’s U.S. subsidiaries, excluding intangible assets.Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm

Interest is getting harder to cover. By the lenders' measure, EBITDA covered interest 9.1 times in 2021 and 4.3 times over the year to June 30. [C72][C72] Lender presentation, credit metricsCompliance adjusted EBITDA1 / interest Net debt / Compliance adjusted EBITDA1 Free cash flow2 / Total debt 3.4x 3.2x 3.8x 4.7x 5.2x 4.8x 2021 2022 2023 2024 2025 LTM Q2'26 2.3x 2.2x 3.0x 4.0x 4.5x 4.1x 2021 2022 2023 2024 2025 LTM Q2'26 9.1x 9.1x 7.8x 5.5x 4.2x 4.3xIntegra investor presentation for lenders, Exhibit 99.1 to Form 8-K, September 8, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000061/integrainvestorpresentat.htm Swaps fix the rate on $900.0 million of its debt until December 31, 2027. That includes $575 million at 1.415%. [C59][C59] Form 10-Q, interest rate riskThe total notional amounts related to the Company's interest rate swaps were $900.0 million, of which all are effective as of June 30, 2026.Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C58][C58] Form 10-Q, derivatives1-month Term SOFR Loan 575,000 575,000 July 31, 2025 December 31, 2027 1.415 %Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm On the rest, each 1 point change in rates moves yearly interest by $9.7 million. The bank loans cost a market rate plus 1.00% to 2.13%. [C57][C57] Form 10-Q, interest rate riska 100 basis points change in interest rates would have impacted interest expense on the unhedged portion of the debt by $9.7 million on an annualized basis.Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C61][C61] Form 10-Q, note on debtTerm SOFR in effect from time to time plus 0.10 % plus the applicable rate (ranging from 1.00 % to 2.13 % during the Covenant Relief Period and from 1.00 % to 1.75 % thereafter)Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm

In September Integra showed lenders a presentation as part of its plan to refinance its bank debt in 2026. On October 2 it launched a proposed $600 million seven-year Term Loan B. That is a loan sold to big investors and backed by company assets. [C47][C47] Form 8-K, Item 7.01in presentations to existing or prospective lenders in connection with the Company’s previously-disclosed plans to refinance its outstanding senior credit facility in 2026.Integra Form 8-K furnishing a lender presentation for its refinancing, filed September 8, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000061/iart-20260908.htm [C48][C48] Press release, October 2, 2026today announced the launch of a proposed $600 million seven-year Senior Secured Term Loan B as part of a broader refinancing transaction.GlobeNewswire · Read October 3, 2026Open source ↗https://www.globenewswire.com/news-release/2026/10/02/3373774/0/en/integra-lifesciences-announces-launch-of-600-million-senior-secured-term-loan-b.html It would use the money, together with other financing it did not name, to repay existing debt and pay fees. It gave no interest rate and said there is no assurance on the final size, terms or pricing. [C70][C70] Press release, October 2, 2026The Company intends to use the net proceeds from the Term Loan B, together with other sources of financing, to refinance certain of its existing indebtedness and pay associated fees and expenses.GlobeNewswire · Read October 3, 2026Open source ↗https://www.globenewswire.com/news-release/2026/10/02/3373774/0/en/integra-lifesciences-announces-launch-of-600-million-senior-secured-term-loan-b.html [C49][C49] Press release, October 2, 2026There can be no assurance as to whether or when the financing will be completed, or as to the final size, terms, or pricing of the transaction.GlobeNewswire · Read October 3, 2026Open source ↗https://www.globenewswire.com/news-release/2026/10/02/3373774/0/en/integra-lifesciences-announces-launch-of-600-million-senior-secured-term-loan-b.html

The flood hit the Cincinnati plant on July 17. In its July quarterly report Integra said it did not expect a material adverse effect, citing inventory on hand and insurance. [C21][C21] Form 10-Q, MD&AOn July 17, 2026, our manufacturing facility in Cincinnati, Ohio sustained flood damage as a result of severe weather conditions.Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C20][C20] Form 10-Q, MD&ABased on our current assessment, including available inventory at our distribution centers and our insurance coverage, we do not currently expect the event to have a material adverse effect on our operations or financial condition.Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm Now it puts the cost at about $7 million of third-quarter revenue and $15 million to $20 million in the fourth quarter. To keep customers supplied it used inventory on hand and other suppliers, and full production should return in the second quarter of 2027. [C4][C4] Press releaseIntegra estimates that the flooding related supply disruption negatively impacted third quarter revenue by approximately $7 million and is expected to negatively impact fourth quarter revenue by approximately $15 million to $20 million. The Company expects a return to full manufacturing operations at the site during the second quarter of 2027.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm [C68][C68] Press releaseThe Company has utilized available inventory, activated established alternate sources of supply for certain products, and advanced restoration activities at the Cincinnati facility.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm

Third-quarter revenue should be $410 million to $412 million. Adjusted earnings per share leave out the costs above. They should be 55 to 59 cents a share. [C1][C1] Press releaseFor the third quarter of 2026, the Company expects to report revenue of approximately $410 million to $412 million and adjusted earnings per diluted share of $0.55 to $0.59.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm It gave no figure for earnings under standard accounting. [C12][C12] Form 8-K, Item 2.02The Company provided the foregoing unaudited, preliminary third quarter results regarding adjusted earnings per diluted share but has not provided a reconciliation of GAAP earnings per share to adjusted earnings per diluted shareIntegra Form 8-K on preliminary third-quarter results, filed October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/iart-20261002.htm

The full-year cut is bigger than the flood. The revenue range fell by $20 million at the bottom and $41 million at the top. [C2][C2] Press releaseFor the full year 2026, the Company is updating its reported revenue outlook from a range of $1.654 billion to $1.695 billion to a range of $1.634 billion to $1.654 billion.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm The flood accounts for about $22 million to $27 million of 2026 revenue. Integra says the new range also reflects new assumptions for the rest of the business. [C4][C4] Press releaseIntegra estimates that the flooding related supply disruption negatively impacted third quarter revenue by approximately $7 million and is expected to negatively impact fourth quarter revenue by approximately $15 million to $20 million. The Company expects a return to full manufacturing operations at the site during the second quarter of 2027.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm [C8][C8] Press releaseThe third quarter preliminary results and updated full-year guidance reflect revised assumptions regarding the expected impact of the July flooding event at the Cincinnati facility, as well as updated assumptions for the broader business for the remainder of the year.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm Adjusted earnings per share guidance fell by 10 cents at both ends, to $2.30 to $2.40. [C3][C3] Press releaseThe Company is updating its adjusted earnings per diluted share guidance from a range of $2.40 to $2.50 to a range of $2.30 to $2.40 and expects operating cash flow for the year to be approximately $190 million to $200 million.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm

What the company still expects is cash. It estimates the third quarter, which has ended, brought in more than $85 million from operations. That is about what the whole year to June 30 brought in. [C7][C7] Press releasewe continue to expect strong cash generation, including greater than $85 million of operating cash flow in the third quarter and approximately $190 million to $200 million for the full year.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm [C42][C42] Lender presentation, FCF reconciliationOperating Cash Flow $312 $264 $140 $129 $50 $85 Capex 48 42 67 104 81 60 Free Cash Flow $264 $222 $73 $25 $(31) $26Integra investor presentation for lenders, Exhibit 99.1 to Form 8-K, September 8, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000061/integrainvestorpresentat.htm It has not said how much came from using up inventory, which frees cash only once. [C68][C68] Press releaseThe Company has utilized available inventory, activated established alternate sources of supply for certain products, and advanced restoration activities at the Cincinnati facility.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm It now expects $190 million to $200 million of operating cash this year, a target it first gave on October 2. It also says insurance should cover a substantial portion of the earnings hit, but it has given no amount and no date. [C3][C3] Press releaseThe Company is updating its adjusted earnings per diluted share guidance from a range of $2.40 to $2.50 to a range of $2.30 to $2.40 and expects operating cash flow for the year to be approximately $190 million to $200 million.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm [C5][C5] Press releasethe Company expects insurance recoveries to mitigate aIntegra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm [C6][C6] Press releasesubstantial portion of the earnings impact associated with the disruption throughout the recovery period and until the facility returns to full manufacturing capacity.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm

The flood does not obviously threaten the September 30 test. At 4.10 times, the bank's EBITDA could fall about 14%, about $55 million of the $396 million, before leverage reached 4.75. [C28][C28] Form 10-Q, liquidityOur Consolidated Total Leverage Ratio was 4.10, with the covenant requirement at 5.00 at the end of June 30, 2026. As outlined in the table in Note 5. Debt, the covenant requirement will drop from 5.00 to 4.75 for the fiscal quarter ended September 30, 2026.Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C41][C41] Lender presentation, EBITDA reconciliationCompliance adjusted EBITDA $458 $452 $401 $389 $359 $396Integra investor presentation for lenders, Exhibit 99.1 to Form 8-K, September 8, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000061/integrainvestorpresentat.htm The third-quarter flood loss of about $7 million of revenue is small next to that. More than $85 million of third-quarter cash should also lower net debt. [C4][C4] Press releaseIntegra estimates that the flooding related supply disruption negatively impacted third quarter revenue by approximately $7 million and is expected to negatively impact fourth quarter revenue by approximately $15 million to $20 million. The Company expects a return to full manufacturing operations at the site during the second quarter of 2027.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm [C7][C7] Press releasewe continue to expect strong cash generation, including greater than $85 million of operating cash flow in the third quarter and approximately $190 million to $200 million for the full year.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm The harder test is the 4.00 limit from March 31, 2027, which June's leverage of 4.10 would fail. That is why the refinancing matters. [C29][C29] Form 10-Q, note on debtDecember 31, 2026 4.50 to 1.00 March 31, 2027 and the last day of each fiscal quarter thereafter 4.00 to 1.00Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C28][C28] Form 10-Q, liquidityOur Consolidated Total Leverage Ratio was 4.10, with the covenant requirement at 5.00 at the end of June 30, 2026. As outlined in the table in Note 5. Debt, the covenant requirement will drop from 5.00 to 4.75 for the fiscal quarter ended September 30, 2026.Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm

The stock fell from $16.08 to $12.665 on October 2, about 21%, while the iShares medical device fund fell about 0.4%. Zimmer Biomet rose about 0.3% and Stryker about 0.9%. [M02][M02] IEX closing pricesIART closed at $16.08 on October 1, 2026 (IEX)IEX closing prices for IART, IHI, ZBH and SYK, September 15 to October 2, 2026Open source ↗https://iextrading.com/trading/market-data/ [M03][M03] IEX closing pricesIART closed at $12.665 on October 2, 2026 (IEX)IEX closing prices for IART, IHI, ZBH and SYK, September 15 to October 2, 2026Open source ↗https://iextrading.com/trading/market-data/ [M04][M04] IEX closing pricesIHI closed at $50.625 on October 1, 2026 (IEX)IEX closing prices for IART, IHI, ZBH and SYK, September 15 to October 2, 2026Open source ↗https://iextrading.com/trading/market-data/ [M05][M05] IEX closing pricesIHI closed at $50.43 on October 2, 2026 (IEX)IEX closing prices for IART, IHI, ZBH and SYK, September 15 to October 2, 2026Open source ↗https://iextrading.com/trading/market-data/ [M06][M06] IEX closing pricesZBH closed at $88.055 on October 1, 2026 (IEX)IEX closing prices for IART, IHI, ZBH and SYK, September 15 to October 2, 2026Open source ↗https://iextrading.com/trading/market-data/ [M07][M07] IEX closing pricesZBH closed at $88.28 on October 2, 2026 (IEX)IEX closing prices for IART, IHI, ZBH and SYK, September 15 to October 2, 2026Open source ↗https://iextrading.com/trading/market-data/ [M08][M08] IEX closing pricesSYK closed at $273.05 on October 1, 2026 (IEX)IEX closing prices for IART, IHI, ZBH and SYK, September 15 to October 2, 2026Open source ↗https://iextrading.com/trading/market-data/ [M09][M09] IEX closing pricesSYK closed at $275.51 on October 2, 2026 (IEX)IEX closing prices for IART, IHI, ZBH and SYK, September 15 to October 2, 2026Open source ↗https://iextrading.com/trading/market-data/ At $12.665 the 77,772,506 shares are worth about $985 million. Diluted shares were 78,168,000 in the second quarter. In the first half it also gave staff 2,909,403 restricted stock units and 1,149,357 performance stock units. [M03][M03] IEX closing pricesIART closed at $12.665 on October 2, 2026 (IEX)IEX closing prices for IART, IHI, ZBH and SYK, September 15 to October 2, 2026Open source ↗https://iextrading.com/trading/market-data/ [C31][C31] Form 10-Q, coverThe number of shares of the registrant’s Common Stock, $0.01 par value, outstanding as of July 28, 2026 was 77,772,506 .Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C62][C62] Form 10-Q, statement of operationsDiluted 78,168 76,695 77,122 76,579Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C63][C63] Form 10-Q, equity awardsThe Company granted 2,909,403 restricted stock units and 1,149,357 performance stock units during the six months ended June 30, 2026.Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm

Add debt less cash and short-term investments of about $1.60 billion, and the business is valued at about $2.59 billion. That is about 7.7 times its $337 million of adjusted EBITDA. It is about 6.5 times the more generous $396 million figure its lenders use. [C26][C26] Form 10-Q, fair value of debtSubtotal $ 1,874,788 $ 1,869,329 $ 1,859,363 $ 1,855,498Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C25][C25] Form 10-Q, balance sheetCash and cash equivalents $ 214,415 $ 235,048Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C56][C56] Form 10-Q, balance sheetShort-term investments 59,669 28,693Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [M03][M03] IEX closing pricesIART closed at $12.665 on October 2, 2026 (IEX)IEX closing prices for IART, IHI, ZBH and SYK, September 15 to October 2, 2026Open source ↗https://iextrading.com/trading/market-data/ [C31][C31] Form 10-Q, coverThe number of shares of the registrant’s Common Stock, $0.01 par value, outstanding as of July 28, 2026 was 77,772,506 .Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C43][C43] Lender presentation, EBITDA reconciliationAdjusted EBITDA $401 $411 $370 $322 $317 $337Integra investor presentation for lenders, Exhibit 99.1 to Form 8-K, September 8, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000061/integrainvestorpresentat.htm [C41][C41] Lender presentation, EBITDA reconciliationCompliance adjusted EBITDA $458 $452 $401 $389 $359 $396Integra investor presentation for lenders, Exhibit 99.1 to Form 8-K, September 8, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000061/integrainvestorpresentat.htm The shares trade at about 5.4 times the middle of the new adjusted earnings range. Its buyback plan expired at the end of 2025 and was not renewed. [M03][M03] IEX closing pricesIART closed at $12.665 on October 2, 2026 (IEX)IEX closing prices for IART, IHI, ZBH and SYK, September 15 to October 2, 2026Open source ↗https://iextrading.com/trading/market-data/ [C3][C3] Press releaseThe Company is updating its adjusted earnings per diluted share guidance from a range of $2.40 to $2.50 to a range of $2.30 to $2.40 and expects operating cash flow for the year to be approximately $190 million to $200 million.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm [C32][C32] Form 10-Q, note on equityOn December 31, 2025, the Company’s share repurchase program expired. At the time of expiration, approximately $ 50.0 million remained available for repurchase. The Company did not adopt a new share repurchase program upon the expiration.Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm

The bull case is cash and a refinancing already under way. Integra expects more than $85 million of cash in the third quarter and $190 million to $200 million for the year. [C7][C7] Press releasewe continue to expect strong cash generation, including greater than $85 million of operating cash flow in the third quarter and approximately $190 million to $200 million for the full year.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm [C3][C3] Press releaseThe Company is updating its adjusted earnings per diluted share guidance from a range of $2.40 to $2.50 to a range of $2.30 to $2.40 and expects operating cash flow for the year to be approximately $190 million to $200 million.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm Its quality work is meant to finish in 2026, and insurance should cover much of the flood. At about 5.4 times the new earnings range, a lot of bad news is in the price. [C44][C44] Lender presentation, executive summaryIntegra views 2026 as a key inflection period as it progresses through FDA-mandated manufacturing / quality system remediations, with several operational tailwinds expected to support future growth – All warning letter commitments on track to be completed in 2026Integra investor presentation for lenders, Exhibit 99.1 to Form 8-K, September 8, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000061/integrainvestorpresentat.htm [C6][C6] Press releasesubstantial portion of the earnings impact associated with the disruption throughout the recovery period and until the facility returns to full manufacturing capacity.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm [C3][C3] Press releaseThe Company is updating its adjusted earnings per diluted share guidance from a range of $2.40 to $2.50 to a range of $2.30 to $2.40 and expects operating cash flow for the year to be approximately $190 million to $200 million.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm

The bear case, which we rank as the bigger risk, is the debt. Leverage of 4.10 times is well above its 2.5 to 3.5 target, and the bank limit falls every quarter. New secured debt will likely cost more than its swapped loans. [C28][C28] Form 10-Q, liquidityOur Consolidated Total Leverage Ratio was 4.10, with the covenant requirement at 5.00 at the end of June 30, 2026. As outlined in the table in Note 5. Debt, the covenant requirement will drop from 5.00 to 4.75 for the fiscal quarter ended September 30, 2026.Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C40][C40] Lender presentation, financial policyDecreased net leverage from 4.5x (2025YE) to 4.1x (Q2’2026) – Our target net leverage ratio is 2.5-3.5xIntegra investor presentation for lenders, Exhibit 99.1 to Form 8-K, September 8, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000061/integrainvestorpresentat.htm [C29][C29] Form 10-Q, note on debtDecember 31, 2026 4.50 to 1.00 March 31, 2027 and the last day of each fiscal quarter thereafter 4.00 to 1.00Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C58][C58] Form 10-Q, derivatives1-month Term SOFR Loan 575,000 575,000 July 31, 2025 December 31, 2027 1.415 %Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm Part of the forecast cut is not from the flood, and adjusted profit leaves out costs that keep recurring. In July it said the flood would not have a material effect, so the next estimate could move too. [C8][C8] Press releaseThe third quarter preliminary results and updated full-year guidance reflect revised assumptions regarding the expected impact of the July flooding event at the Cincinnati facility, as well as updated assumptions for the broader business for the remainder of the year.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm [C65][C65] Lender presentation, adjustmentsStructural Optimization 24.2 48.0 48.2Integra investor presentation for lenders, Exhibit 99.1 to Form 8-K, September 8, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000061/integrainvestorpresentat.htm [C66][C66] Lender presentation, adjustmentsBraintree Transition 45.0 56.2 45.4Integra investor presentation for lenders, Exhibit 99.1 to Form 8-K, September 8, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000061/integrainvestorpresentat.htm [C20][C20] Form 10-Q, MD&ABased on our current assessment, including available inventory at our distribution centers and our insurance coverage, we do not currently expect the event to have a material adverse effect on our operations or financial condition.Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm We think Integra will finish refinancing its bank debt by the end of 2026, before the 4.00 limit arrives. We are wrong if the deal is pulled or delayed past December 31. [C47][C47] Form 8-K, Item 7.01in presentations to existing or prospective lenders in connection with the Company’s previously-disclosed plans to refinance its outstanding senior credit facility in 2026.Integra Form 8-K furnishing a lender presentation for its refinancing, filed September 8, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000061/iart-20260908.htm [C29][C29] Form 10-Q, note on debtDecember 31, 2026 4.50 to 1.00 March 31, 2027 and the last day of each fiscal quarter thereafter 4.00 to 1.00Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm

What Integra's leverage was at September 30, against the 4.75 limit. The October 2 release gives no figure. [C28][C28] Form 10-Q, liquidityOur Consolidated Total Leverage Ratio was 4.10, with the covenant requirement at 5.00 at the end of June 30, 2026. As outlined in the table in Note 5. Debt, the covenant requirement will drop from 5.00 to 4.75 for the fiscal quarter ended September 30, 2026.Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm

What third-quarter earnings will be under standard accounting. Integra gave only adjusted figures. [C12][C12] Form 8-K, Item 2.02The Company provided the foregoing unaudited, preliminary third quarter results regarding adjusted earnings per diluted share but has not provided a reconciliation of GAAP earnings per share to adjusted earnings per diluted shareIntegra Form 8-K on preliminary third-quarter results, filed October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/iart-20261002.htm

How much insurance will pay, and when. Integra says a substantial portion of the earnings impact, with no dollar figure, limit or date. [C5][C5] Press releasethe Company expects insurance recoveries to mitigate aIntegra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm [C6][C6] Press releasesubstantial portion of the earnings impact associated with the disruption throughout the recovery period and until the facility returns to full manufacturing capacity.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm

Which parts of the business drove the rest of the forecast cut beyond the flood. [C8][C8] Press releaseThe third quarter preliminary results and updated full-year guidance reflect revised assumptions regarding the expected impact of the July flooding event at the Cincinnati facility, as well as updated assumptions for the broader business for the remainder of the year.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm

What rate the new loans will carry, against today's market rate plus 1.00% to 2.13%. Also, what happens to the $900.0 million of swaps if the loans they cover are repaid. [C61][C61] Form 10-Q, note on debtTerm SOFR in effect from time to time plus 0.10 % plus the applicable rate (ranging from 1.00 % to 2.13 % during the Covenant Relief Period and from 1.00 % to 1.75 % thereafter)Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C59][C59] Form 10-Q, interest rate riskThe total notional amounts related to the Company's interest rate swaps were $900.0 million, of which all are effective as of June 30, 2026.Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm

What drove the more than $85 million of third-quarter operating cash. Integra used inventory on hand to supply customers, which frees cash only once. [C7][C7] Press releasewe continue to expect strong cash generation, including greater than $85 million of operating cash flow in the third quarter and approximately $190 million to $200 million for the full year.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm [C68][C68] Press releaseThe Company has utilized available inventory, activated established alternate sources of supply for certain products, and advanced restoration activities at the Cincinnati facility.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm

Which products the Cincinnati plant makes, how much revenue they bring in, and whether any customers moved to rivals. The release says only several products in its surgical line. [C9][C9] Press releaseThe facility manufactures and supports several products within the Company's Specialty Surgical Technologies portfolio.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm

How much revenue the flood will cost in early 2027, before full production returns in the second quarter. [C4][C4] Press releaseIntegra estimates that the flooding related supply disruption negatively impacted third quarter revenue by approximately $7 million and is expected to negatively impact fourth quarter revenue by approximately $15 million to $20 million. The Company expects a return to full manufacturing operations at the site during the second quarter of 2027.Integra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm

Which bank agreement governs today. The 10-Q lists an eighth amended agreement dated April 10, 2026, while its notes still give the March 24, 2028 maturity. [C64][C64] Form 10-Q, exhibitsEighth Amended and Restated Credit Agreement, dated as of April 10, 2026Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C30][C30] Form 10-Q, note on debtThe March 2023 Amendment of the Senior Credit Facility extended the maturity date to March 24, 2028Integra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm

Whether the flood will lead to write-downs of equipment or inventory, and how large. Integra lists potential asset impairments as a risk. [C69][C69] Press release, forward-looking statementsour ongoing assessment of the flooding event at the Cincinnati facility, related financial impacts, recovery efforts, potential asset impairments, unforeseen costs and insurance recoveriesIntegra press release on preliminary third-quarter results and updated 2026 guidance, Exhibit 99.1 to Form 8-K, October 2, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000067/ex991_q3pressreleasepreann.htm

When the FDA will close its warning letters. Integra says its commitments are on track for 2026, but the FDA decides. [C33][C33] Form 10-Q, regulatory mattersOn December 19, 2024, the Company received a warning letter from the FDA (the “2024 Warning Letter”). The 2024 Warning Letter relates to quality system issues identified during FDA inspections at three of the Company’s facilitiesIntegra quarterly report on Form 10-Q for the quarter ended June 30, 2026, filed July 29, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000058/iart-20260630.htm [C44][C44] Lender presentation, executive summaryIntegra views 2026 as a key inflection period as it progresses through FDA-mandated manufacturing / quality system remediations, with several operational tailwinds expected to support future growth – All warning letter commitments on track to be completed in 2026Integra investor presentation for lenders, Exhibit 99.1 to Form 8-K, September 8, 2026Open exact filing on SEC EDGAR ↗https://www.sec.gov/Archives/edgar/data/917520/000091752026000061/integrainvestorpresentat.htm