Integer (ITGR) Q1 2026 earnings summary
Event summary combining transcript, slides, and related documents.
Q1 2026 earnings summary
1 May, 2026Executive summary
First quarter 2026 results were in line with prior outlook, with reported sales up 0.5% and organic sales up 1.3% year-over-year, but impacted by headwinds from three new products.
Adjusted operating income and EPS declined due to lower fixed cost absorption, though lower interest expense provided some benefit.
Net income reached $16.5 million in Q1 2026, reversing a prior-year loss, with diluted EPS of $0.48.
2026 is viewed as a transition year, with temporary headwinds in electrophysiology and the exit of the Portable Medical business impacting results.
The board initiated a strategic review to explore options including sale, merger, or business combination, with no set timeline or guaranteed outcome.
Financial highlights
Q1 2026 sales: $439.6–$440 million, up 0.5% year-over-year; organic sales up 1.3%.
Adjusted EBITDA: $85 million, down 7% year-over-year; adjusted operating income down 14% to $61 million.
Adjusted net income: $41 million, down 10%; adjusted EPS: $1.20, down 8%.
Gross margin declined to 24.9%–26.3% from 27.5%–28.7% year-over-year.
Cash flow from operations: $24.7–$25 million; free cash flow: $1 million.
Outlook and guidance
2026 reported sales expected to decline 1%–3% year-over-year; organic sales flat to down 1%.
Adjusted EBITDA guidance: $375–$399 million, down 1%–7%; adjusted operating income: $285–$305 million, down 5%–11%.
Adjusted net income: $200–$220 million, down 3%–11%; adjusted EPS: $5.83–$6.40, flat to down 9%.
Free cash flow expected between $85–$105 million; year-end net total debt projected at $1.185–$1.205 billion.
Organic growth excluding three new products expected at 3%–4%, revised down from 4%–6%.
Sequential sales ramp expected through 2026, with return to market growth in Q4 and above-market growth targeted for 2027.
Latest events from Integer
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Q4 20259 Apr 2026 - Annual meeting to vote on directors, auditor, executive pay, and new incentive plan amid strong 2025 results.ITGR
Proxy filing6 Apr 2026 - Director elections, auditor ratification, and executive pay are key votes at the 2026 annual meeting.ITGR
Proxy filing6 Apr 2026 - Temporary product headwinds in 2026 are expected to give way to above-market growth in 2027.ITGR
2026 KeyBanc Capital Markets Healthcare Forum18 Mar 2026 - Above-market growth is expected in 2027, driven by a robust pipeline and new product launches.ITGR
Oppenheimer 36th Annual Healthcare MedTech & Services Conference17 Mar 2026 - 2026 outlook projects flat to modest sales growth, strong pipeline, and continued capital discipline.ITGR
47th Annual Raymond James Institutional Investor Conference6 Mar 2026 - Temporary 2026 headwinds expected to give way to above-market growth in 2027 via new launches.ITGR
Citi Annual Global Healthcare Conference 20253 Feb 2026 - Targeting above-market growth and margin expansion through innovation, integration, and M&A.ITGR
2024 Truist Securities MedTech Conference3 Feb 2026 - Q2 sales up 9%, profit outlook raised, and Medical segment growth drove margin gains.ITGR
Q2 20242 Feb 2026