Integra LifeSciences Holdings Corporation (IART) Cash Flow Statement

NASDAQ: IARTOperating cash, capex, free cash flow and buybacks.

Where IART’s cash came from and went, 2025

December 31, 2025 · U.S. dollars
Cash from operations
$50.4M
−61.1% vs 2024
Capital expenditures
$95.6M
5.8% of revenue
Free cash flow
−$45.3M
−2.8% margin
Returned to shareholders
$221,000
Change in cash
−$11.3M
cash at year-end $235.0M
Cash from operations: $50.4MCash from operations$50.4MBorrowing: $50.8MBorrowing$50.8MDrawn from cash: $11.3MDrawn from cash$11.3MCurrency & other: $18.0MCurrency & other$18.0MCapital expenditures: $95.6MCapital expenditures$95.6M · 73%Other financing: $22.3MOther financing$22.3M · 17%Investments (net): $12.4MInvestments (net)$12.4M · 10%Share buybacks: $221,000Share buybacks$221,000 · 0%$130.5M
Cash from operations
$50.4M
Capital expenditures
−$95.6M
Investments (net)
−$12.4M
Share buybacks (net)
−$221,000
Net borrowing (repayment)
+$50.8M
Other financing
−$22.3M
Currency & other
+$18.0M
Change in cash
−$11.3M

Drawn to scale: where the cash came from and how it was used. Hover for values.

IART operating cash flow, capex and free cash flow

Operating cash flowCapital expendituresFree cash flowFCF margin (right axis)

IART cash flow trends, 2016–2025

Integra LifeSciences Holdings Corporation cash flow trends
MetricTrendThenLatestChange
Operating cash flow$116.4M2016$50.4M2025−8.9%/yr
Capital expenditures$47.3M2016$95.6M2025+8.1%/yr
Free cash flow$69.1M2016−$45.3M2025—
Free cash flow margin7.0%2016−2.8%2025−9.7 pts
Operating cash flow / net income1.5620162.072023+0.50
Stock-based compensation$17.3M2016$18.6M2025+0.8%/yr
Dividends paid$02016$93.2M2023—
Share buybacks (net)$4.9M2016$221,0002025−29.1%/yr
Capex / revenue4.8%20165.8%2025+1.1 pts

Change is the average annual growth (CAGR) or the difference between the first and latest year.

IART cash flow by activity

OperatingInvestingFinancingChange in cash

IART net income vs operating cash flow

Net incomeOperating cash flow

Operating cash flow above net income usually means earnings are backed by cash (depreciation and stock-based pay are non-cash expenses).

IART cash flow statement

Integra LifeSciences Holdings Corporation annual cash flow statement
2025202420232022202120202019201820172016
Operating activities
Net income−$516.5M−$6.9M$67.7M$180.6M$169.1M$133.9M$50.2M$60.8M$64.7M$74.6M
Depreciation & amortization$151.8M$140.9M$123.5M$118.3M$119.8M$116.0M$109.5M$110.7M$88.9M$72.7M
Stock-based compensation$18.6M$24.4M$20.1M$27.7M$36.2M$19.6M$21.3M$20.8M$21.6M$17.3M
Change in working capital−$33.7M−$31.0M−$81.6M−$39.4M$18.2M−$41.3M−$14.5M$1.7M−$1.3M−$11.2M
Other non-cash items$430.2M$2.1M$10.1M−$22.7M−$30.9M−$24.4M$65.0M$5.6M−$59.4M−$36.9M
Cash from operating activities$50.4M$129.4M$140.0M$264.5M$312.4M$203.8M$231.4M$199.7M$114.5M$116.4M
Investing activities
Capital expenditures−$95.6M−$104.4M−$66.9M−$47.1M−$48.1M−$63.9M−$134.5M−$77.7M−$43.5M−$47.3M
Investments (net)−$12.4M−$390.8M−$94.2M$4.9M$76,000−$7.8M$2.3M$910,000$17.4M−$42.6M
Acquisitions & other investing$0$104.4M$66.9M−$16.4M−$113.4M$3.7M−$30.5M$27.1M−$1.20B$47.3M
Cash from investing activities−$108.1M−$390.8M−$94.2M−$58.6M−$161.4M−$68.1M−$162.7M−$49.7M−$1.22B−$42.6M
Financing activities
Dividends paid——−$93.2M−$5.5M−$2.0M−$44.6M−$434,000—$0$0
Share repurchases & issuance (net)−$221,000−$52.5M−$275.0M−$125.0M−$4.8M−$100.0M−$6.5M−$7.8M−$7.1M−$4.9M
Net borrowing (repayment)$50.8M$299.4M$54.5M−$107.8M−$100.2M$281.2M−$9.2M−$493.8M$1.17B−$20.7M
Shares issued$0$0$0$0$0$0$0$349.6M$0$0
Other financing−$22.3M−$9.0M$83.8M−$13.7M$8.8M−$15.0M$7.4M−$28.8M$5.1M$10.5M
Cash from financing activities$28.3M$237.9M−$229.9M−$252.0M−$98.2M$121.6M−$8.8M−$180.9M$1.17B−$15.1M
Summary
Net change in cash−$11.3M−$30.0M−$180.3M−$56.8M$43.3M$271.3M$60.1M−$36.1M$72.9M$53.9M
Cash at end of period$235.0M$246.4M$276.4M$456.7M$513.4M$470.2M$198.9M$138.8M$174.9M$102.1M
Free cash flow−$45.3M$25.0M$73.1M$217.4M$264.3M$139.9M$96.9M$121.9M$71.0M$69.1M
Free cash flow margin−2.8%1.6%4.7%14.0%17.1%10.2%6.4%8.3%6.0%7.0%
Capex / revenue5.8%6.5%4.3%3.0%3.1%4.7%8.9%5.3%3.7%4.8%
Operating cash flow / net income——2.071.461.851.524.613.281.771.56

Negative numbers are cash paid out. Quarterly columns are labeled by the month the quarter ended. Figures in U.S. dollars as reported; data from EODHD.

IART cash generation

In fiscal 2025 (ended December 31, 2025), Integra LifeSciences generated $50.4 million of cash from operations (down 61.1%) and spent $95.6 million on capital expenditures, leaving free cash flow of -$45.3 million, −2.8% of revenue. It returned $0.2 million to shareholders through dividends ($0) and net share buybacks ($0.2 million). Cash and equivalents fell by $11.3 million over the year.

Related: IART income statement, IART balance sheet. See the IART stock overview for the latest quote and news.

IART cash flow FAQ

What is Integra LifeSciences's free cash flow?

Integra LifeSciences's free cash flow was -$45.3 million in fiscal 2025: $50.4 million of operating cash flow minus $95.6 million of capital expenditures It was $25.0 million a year earlier..

How much cash does Integra LifeSciences generate from operations?

Integra LifeSciences generated $50.4 million of cash from operating activities in fiscal 2025.

How much does Integra LifeSciences spend on capital expenditures?

Integra LifeSciences spent $95.6 million on capital expenditures in fiscal 2025, 5.8% of revenue, compared with $104.4 million the year before.

How much stock does Integra LifeSciences buy back?

Integra LifeSciences spent $0.2 million on net share repurchases in fiscal 2025.

Medical Devices: cash flow