Integer Holdings Corp
Integer Holdings Corp. is a U.S.-based contract development and manufacturing organization focused on medical devices for cardio and vascular, neuromodulation, and cardiac rhythm management markets. It designs and manufactures custom components, assemblies, and system/device solutions for large multinational OEMs, combining engineering, manufacturing, and quality systems under brands such as Greatbatch Medical and Lake Region Medical.
Fiscal year 2025 · change from previous year
Development 2020–2025
Business
Share of revenueCustom components, assemblies, and manufacturing services for cardiovascular devices.
Manufacturing and engineering support for neuromodulation device platforms.
Production of components and assemblies used in rhythm management devices.
Ready-to-market device solutions developed with OEM customers.
Design, materials selection, process engineering, and program support.
Products
Reported · share of revenue- Cardio and Vascular59.7 %
- Cardiac Rhythm Management Neuromodulation36.1 %
- Other Markets4.2 %
Source: 10-K FY2025, revenue the company reports per product line (SEC XBRL). Shares are of the lines shown and add up to 100 %.
Customers
Integer sells primarily to large multinational medical device OEMs and their affiliated subsidiaries, with direct sales and long-term supply relationships. Its customers buy because Integer can provide specialized manufacturing, engineering, and quality capabilities that are difficult to replicate in-house, especially for regulated implantable and therapy-delivery devices. Customer concentration is high, with Abbott Laboratories, Boston Scientific, and Medtronic each representing more than 10% of 2025 sales.
Buy custom components, assemblies, and device solutions for branded medical devices; they value scale, quality, and regulatory execution.
Source products through affiliated entities and regional programs, often tied to global supply agreements.
Buy specialized manufacturing for cardiovascular therapies and related components.
Buy manufacturing and engineering support for implantable and therapy-delivery platforms.
Buy components and assemblies used in pacemakers and related rhythm management products.
Strategy
Integer is shifting toward higher-growth medtech markets where it has differentiated engineering and manufacturing capabilities. It is also using tuck-in acquisitions to add technologies, expand customer penetration, and deepen its position in targeted therapy areas while maintaining a focus on quality and service. The strategy is designed to strengthen scale, broaden capabilities, and reduce dependence on any single product line or customer.
These markets offer stronger long-term demand and fit Integer's engineering and manufacturing strengths.
Acquisitions add capabilities, brands, and technologies that deepen customer relationships and broaden the platform.
Longer contracts help secure the revenue base and improve visibility in a concentrated customer model.
Geography
2025Integer is headquartered in Plano, Texas and sells globally, but its customer base is heavily tied to U.S.-headquartered OEMs. In 2025, approximately 53% of products sold were shipped to locations in the United States, showing that the business is operationally concentrated in the U.S. even when end markets are international. Geography matters because supply-chain execution, customer proximity, and regulatory compliance are central to its CDMO model.
Share of the revenue the company reports by geography.
Risks
Integer's biggest risk is customer concentration: a small number of OEMs account for a large share of revenue, so demand changes, sourcing shifts, or vertical integration by customers can quickly affect results. The business also faces pricing pressure, product recall exposure through customer programs, cybersecurity and IT disruption risk, and integration risk from acquisitions. As a regulated medical-device supplier, quality failures or supply interruptions can damage customer relationships and lead to lost programs.
- Customer concentrationImpact: HighLikelihood: High
Top three customers were about 49% of 2025 sales, so loss or reduction of one account would materially affect revenue.
Exposure - Pricing pressureImpact: HighLikelihood: Medium
OEM customers can demand price reductions, which can reduce operating margins in a contract manufacturing model.
Exposure: Contract renewals and annual pricing negotiations
- Cybersecurity and IT disruptionImpact: MediumLikelihood: Medium
A breach or outage could interrupt manufacturing, expose data, or trigger regulatory and legal costs.
Exposure - Customer inventory and sourcing changesImpact: MediumLikelihood: Low
Inventory rebalancing, vertical integration, or alternate supply arrangements can reduce shipments unexpectedly.
Exposure: Program-level demand volatility
- Acquisition integration riskImpact: MediumLikelihood: Low
Recent acquisitions must be integrated without disrupting operations or eroding expected synergies.
Exposure
Accounting
Judgemental itemsManagement must estimate obsolete or excess inventory and lower-of-cost-or-net-realizable-value adjustments.
Impact: Can change gross margin and earnings if demand shifts or products become unsaleable
Recent tuck-in acquisitions create purchase accounting allocations and potential impairment risk.
Impact: Affects amortization expense, goodwill balance, and future impairment charges
Debt issuance, exchanges, and capped calls require careful classification and valuation.
Impact: Affects interest expense, equity classification, and diluted EPS
Sales are driven by customer shipments and program demand, which can shift between periods.
Impact: Can create quarterly volatility in revenue and margins
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Last updated: 24/09/2026