Q3 2025 Integra LifeSciences Holdings Corp Earnings Call

Operator: Good day and welcome to the Integra LifeSciences third quarter 2025 financial results. After the speaker's presentation, there will be a question and answer session. To ask a question, please press star 11 on your touch-tone telephone. To remove yourself from the queue, please press star 11 again. As a reminder, this call may be recorded. I would like to turn the call over to Chris Ward, Senior Director of Investor Relations. Please go ahead.

Speaker #2: Good day and welcome to the Integra Life Sciences . Third quarter 2020 financial results . After the speakers presentation , there will be a question and answer session .

Speaker #2: To ask a question , please , please press star one . One on your touch tone . Telephone . To remove yourself from the queue , please press star one one again .

Speaker #2: As a reminder , this call may be recorded . I would like to turn the call over to Chris Ward , Senior Director , Investor Relations .

Speaker #2: Please go ahead .

Chris Ward: Good morning and thank you for joining the Integra LifeSciences Holdings Corporation third quarter 2025 earnings conference call. With me on the call this morning are Mojdeh Poul, President and Chief Executive Officer, and Lea Knight, Chief Financial Officer. Earlier this morning we issued a press release announcing our third quarter 2025 financial results. The results and corresponding earnings presentation, which we will reference during the call, are available at integralife.com under Investors Events and Presentations in a file named Third Quarter 2025. Before we begin, I want to remind you that many of the statements made during this call may be considered forward-looking. Factors that could cause actual results to differ materially are discussed in the Company's Exchange Act reports that were filed with the SEC and in the release. Also, in our prepared remarks we will reference reported and organic revenue growth.

Speaker #3: Good morning , and thank you for joining me , Integra Lifesciences third quarter 2020 Earnings conference call . With me on the call this morning , are Mojdeh Poul President and Chief Executive Officer and Lea Knight chief Financial officer .

Speaker #3: Earlier this morning , we issued a press release announcing our third quarter 2020 financial results . The results in corresponding earnings presentation , which we will reference during the call , are available at INTEGRA LIFESCIENCES HOLDINGS CORP under Investors Events and Presentations and a file named Third Quarter 2020 Earnings .

Speaker #3: Before we begin , I want to remind you that many of the statements made during this call may be considered forward looking factors that could cause actual differ materially are discussed in the company's exchange reports that were filed with the SEC and in the release , also in our prepared remarks , we will reference reported and organic revenue growth .

Chris Ward: Organic revenue growth excludes the effects of foreign currency, acquisitions, and divestitures. Unless otherwise stated, all disaggregated and franchise level revenue growth rates are based on organic performance. Lastly, in our comments today we will include certain non-GAAP financial measures. Reconciliations of non-GAAP financial measures can be found in today's press release, which is an exhibit to Integra's current report Form 8-K filed today with the SEC. With that, I will now turn the call over to Mojdeh.

Speaker #3: Organic revenue growth excludes the effects of foreign currency acquisitions and divestitures . Unless otherwise stated , all disaggregated enfranchised level revenue growth rates are based on organic performance .

Speaker #3: Lastly , Entercom is . Today . We will include certain non-GAAP results to measures . financial Reconciliations of non-GAAP financial measures can be found in today's press release , which is an exhibit to Integra's current Report on Form 8-K filed today with the SEC .

Speaker #3: And with that , I will now turn the call over to Moksha .

Mojdeh Poul: Good morning everyone and thank you for joining us for our third quarter 2025 earnings call. During today's call I will begin with an overview of our third quarter results. I will then discuss our progress on our three key priorities which will position us for sustainable long term success. Lastly, I will provide updated 2025 guidance after which Lea will review our financials in more detail. Since our second quarter earnings call we have made meaningful progress on our compliance master plan, moved ahead with our plans to improve operational and execution excellence, and reintroduced PriMatrix and DuraRepair ahead of schedule. We saw continued healthy demand across our portfolio, offset by two supply interruptions in our CSS business, which led to growth below expectations for the quarter. Disciplined spend control allowed us to deliver strong operating income and improved operating cash flow performance.

Speaker #4: Good morning , everyone , and thank you for joining us for our third quarter 2020 earnings call . During today's call , I will begin with an overview of our third quarter results .

Speaker #4: I will then discuss our progress on our three key priorities , which will position us for sustainable long term success . Lastly , I will provide updated 2025 guidance , after which Leo will review our financials in more detail .

Speaker #4: Since our second quarter earnings call , we have made meaningful progress on our compliance master plan , moved ahead with our plans to improve operational and execution excellence , and reintroduce Pymetrics and Daubert ahead of schedule .

Speaker #4: We saw continued healthy demand across our portfolio , offset by two supply interruptions in our CSS business , which led to growth below expectations for the quarter Disciplined spend control allowed us to deliver strong operating income and improved operating cash flow performance .

Mojdeh Poul: Despite the top line results, in the third quarter we delivered revenue of $402 million, representing organic growth of approximately 5% year over year but below our guidance range. Adjusted EPS for the quarter was $0.54, exceeding the top end of our guidance range. This reflects our ability to offset top line pressure through improved operational efficiency and disciplined cost management. Our third quarter revenue shortfall underscores the work still ahead to achieve greater execution consistency, which remains a critical transformation imperative for us. We have been taking a systemic and foundational approach to strengthening our supply chain to allow us to reliably meet demand and drive predictable growth. We have made progress, realizing that building a robust supply chain is going to take time.

Speaker #4: Despite the top line results in the third quarter , we delivered revenue of 402 million , representing organic growth of approximately 5% year over year .

Speaker #4: But below our . range . Adjusted EPs for the quarter was $0.54 , exceeding the top end of our guidance range . This reflects our ability to offset top line pressure through improved operational efficiency and disciplined cost management .

Speaker #4: Our third quarter revenue shortfall underscores the work still ahead to achieve greater execution consistency , which remains a critical transformation imperative for us .

Speaker #4: We have been taking a systemic and foundational approach to strengthening our supply chain to allow us to reliably meet demand and drive predictable growth .

Speaker #4: We have made progress realizing that building a robust supply chain is going to take time . Looking forward , we remain focused on our three key priorities executing our compliance master plan to strengthen our quality systems , driving operational and execution excellence , and delivering on our financial commitments .

Mojdeh Poul: Looking forward, we remain focused on our three key priorities: executing our compliance master plan to strengthen our quality systems, driving operational and execution excellence, and delivering on our financial commitments. Starting with our first priority, which is executing our compliance master plan, we have made good progress and remain fully committed to transforming and improving our quality management system. During the third quarter, we continued to execute our remediation plans under the oversight of our Transformation and Program Management Office, ensuring disciplined prioritization, effective resource allocation, and consistent progress tracking. We have maintained active, constructive engagement with the FDA and have delivered steady progress on our warning letter commitments and routine inspections. As previously stated, while our remediation work will extend beyond 2025, we are establishing a firm foundation for supply chain excellence and resilience. Our second priority is driving operational and execution excellence.

Speaker #4: Starting with our first priority , which is executing our compliance master plan , we have made good progress and remain fully committed to transforming and improving our quality management system .

Speaker #4: During the third quarter , we continued to execute our remediation plans under the oversight of our transformation and program Management Office , ensuring disciplined prioritization , effective resource allocation and consistent progress tracking .

Speaker #4: We have maintained active constructive engagement with the FDA and have delivered steady progress on our warning letter commitments and routine inspections . As previously stated , while our remediation work will extend beyond 2025 , we are establishing a firm foundation for supply chain excellence and resilience .

Speaker #4: Our second priority is driving operational and execution excellence . Since our appointment in April , Valerie Young , our corporate vice president of Global Supply Chain , has been implementing a comprehensive plan to establish a robust end to end supply chain for Integra capable of delivering consistently reliable performance .

Mojdeh Poul: Since our appointment in April, Valerie Young, our Corporate Vice President of Global Supply Chain, has been implementing a comprehensive plan to establish a robust end-to-end supply chain for Integra LifeSciences Holdings Corporation capable of delivering consistently reliable performance. Val is strengthening her leadership team by bringing on new, highly experienced talent and is driving a culture of accountability, discipline, and continuous improvement. While it will take time for our supply chain capabilities to fully mature, we are already seeing measurable progress and expect continued improvement over the coming quarters. I would like to highlight three examples of such: Integra Skin production improvements, Braintree Facility progress, and our strategic approach to dual sourcing. In the case of Integra Skin, we have proven that focused planning and disciplined execution deliver results.

Speaker #4: Val is strengthening her leadership team by bringing on new, highly experienced talent and is driving a culture of accountability, discipline, and continuous improvement.

Speaker #4: While it will take time for our supply chain capabilities to fully mature , we are already seeing measurable progress and expect continued improvement over the coming quarters .

Speaker #4: I would like to highlight three examples of such progress . Integra scheme production improvements Braintree facility progress and our strategic approach to dual sourcing .

Speaker #4: In the case of Integra Skin , we have proven that focused planning and disciplined execution deliver results . Since January , Integra Skin manufacturing yields have improved by more than 50% and inventory levels have increased by two and a half times .

Mojdeh Poul: Since January, Integra Skin manufacturing yields have improved by more than 50% and inventory levels have increased by two and a half times. These improvements in Integra Skin demonstrate the effectiveness of our approach and the progress we are making towards greater operational reliability across the enterprise. In the case of the Braintree Facility, we continue to make good progress and are on track to resume production in June 2026. In line with our previous issue timeline, this facility will produce SurgiMend, PriMatrix, and DuraRepair, with initial production focused on SurgiMend to build inventory ahead of its planned relaunch in the fourth quarter of 2026. Finally, in the case of strategic dual sourcing, in order to enhance our manufacturing flexibility and resilience, we have entered into a new third-party supply agreement for PriMatrix and DuraRepair.

Speaker #4: These improvements in Integra skin demonstrate the effectiveness of our approach and the progress we're making towards greater operational reliability across the enterprise . In the case of the Braintree facility , we continue to make good progress and are on track to resume production in June of 2026 .

Speaker #4: In line with our previous issue timeline . This facility will produce Surgimend , Primatrix and Dura pair with initial production focused on Surgimend to build inventory ahead of its planned relaunch in the fourth quarter of 2026 .

Speaker #4: Finally , in the case of strategic dual sourcing , in order to enhance our manufacturing flexibility and resilience , we have entered into a new third party supply agreement for Primatrix and Dorper .

Mojdeh Poul: As a result of this agreement, I'm pleased to share that we recently relaunched both products in the fourth quarter of this year, almost a year ahead of previously expected timelines. Most importantly, this dual sourcing strategy gives us the opportunity to return these critical products to the physicians and patients who rely on them. Before moving to our third priority, I would like to highlight the appointment of Dr. Raymond Turner as our Corporate Vice President and Chief Medical Officer reporting directly to me. Ray is a Board Certified Neurosurgeon, fellowship trained in endovascular neurosurgery. He's also an accomplished executive with extensive experience in the medtech industry. Having held Chief Medical Officer positions for Siemens Endovascular Robotics and Johnson and Johnson Cernova's businesses, we welcomed Ray to our team last month.

Speaker #4: As a result of this agreement, I'm pleased to share that we recently relaunched both products in the fourth quarter of this year, almost a year ahead of previously expected timelines.

Speaker #4: Most importantly , this dual sourcing strategy gives us the opportunity to return these critical products to the physicians and patients who rely on them before moving to our third priority , I would like to highlight the appointment of Doctor Raymond Turner as our corporate vice President and Chief Medical officer , reporting directly to me .

Speaker #4: Ray is a board certified neurosurgeon fellowship trained in endovascular neurosurgery . He's also an accomplished executive with extensive experience in the medtech industry , having held Chief Medical officer positions for Siemens Endovascular Robotics and Johnson and Johnson businesses .

Speaker #4: We welcomed Ray to our team last month . He's leading our worldwide medical and clinical affairs organizations , including clinical research , clinical trial operations , evidence generation and medical safety , and communications .

Mojdeh Poul: He's leading our worldwide medical and clinical affairs organizations, including clinical research, clinical trial operations, evidence generation, and medical safety and communications. His extensive medical and clinical experience and expertise are already proving to be significant assets as we strengthen our focus on building robust clinical evidence and delivering innovative solutions to transform patient care. Now turning to our third priority, which is delivering on our financial commitments. Earlier on this call, we reviewed our third quarter financial results. Now I would like to take this opportunity to talk about the steps we are taking to position our company for long-term growth. We recently completed a portfolio prioritization process that will guide our capital and resource allocation decisions. Our longer-term goal is to shift our product mix towards higher growth, more profitable categories to drive accelerated growth and performance.

Speaker #4: His extensive medical and clinical experience and expertise are already proving to be significant assets as we strengthen our focus on building robust clinical evidence and delivering innovative solutions to transform patient care .

Speaker #4: Now , turning to our third priority , which is delivering on our financial commitments . Earlier on this call , we reviewed our third quarter financial results .

Speaker #4: Now I would like to take this opportunity to talk about the steps we are taking to position our company for long term growth .

Speaker #4: We recently completed a portfolio prioritization process that will guide our capital and resource allocation decisions . Our longer term goal is to shift our product mix towards higher growth , more profitable categories to drive accelerated growth and performance .

Mojdeh Poul: This disciplined approach is reflected in how we are investing in high growth segments of our portfolio. As an example, we're progressing the PMAs for SurgiMend and DuraSorb in implant-based breast reconstruction, positioning us to become a key player in this high growth $800 million market. As the proposed CMS reimbursement changes continue favoring evidence-based, cost-effective products, we also see additional investment opportunities in clinical evidence to expand our reach in outpatient wound care settings, driving sustainable, profitable growth. Finally, to drive long-term profitability and create room for investment in growth, last quarter we announced the initial phase of our margin expansion initiative, which is progressing well. We expect the program to yield $25 to $30 million of cost reduction in 2026 through initiatives focused on COGS improvement, third party spend reduction, and operating model efficiencies.

Speaker #4: This disciplined approach is reflected in how we are investing in high growth segments of our portfolio . As an example , we're progressing the Pmas for Surgimend and in implant based breast reconstruction , positioning us to become a key player in this high growth $800 million market .

Speaker #4: As the proposed CMS reimbursement changes continue favoring evidence based , cost effective products , we also see additional investment opportunities in clinical evidence to expand our reach in outpatient wound care settings , driving sustainable , profitable growth .

Speaker #4: Finally , to drive long term profitability and create room for investment in growth . Last quarter , we announced the initial phase of our margin expansion initiative , which is progressing well .

Speaker #4: We expect the program to yield 25 to 30 million of cost reduction in 2026 through initiatives focused on Cogs improvement , third party spend reduction and operating model efficiencies .

Mojdeh Poul: Not only will these initiatives support our longer-term margin expansion goals, they will also leave us well positioned to offset any potential headwinds that may arise from a cost perspective, for example, tariffs. Moving to 2025 guidance, we are revising our full year 2025 revenue and adjusted EPS guidance to a range of $1.62 billion to $1.64 billion and $2.19 to $2.24, respectively. Our new guidance reflects our lower than expected revenue in the third quarter, coupled with updated assumptions for the fourth quarter. We remain confident in our plans and ability to deliver the foundational transformation required to improve our performance and delivery of consistently reliable results. Looking ahead, we will continue to balance near-term execution with investments that strengthen our foundation for sustainable growth.

Speaker #4: Not only will these initiatives support our longer term margin expansion goals , they will also leave us well positioned to offset any potential headwinds that may arise from a cost perspective .

Speaker #4: For example, tariffs moving to 2025 guidance. We are revising our full year 2025 revenue and adjusted EPS guidance to a range of $1.62 billion to $1.64 billion and $2.19 to $2.24, respectively.

Speaker #4: Our new guidance reflects our lower than expected revenue in the third quarter , coupled with updated assumptions for the fourth quarter . We remain confident in our plans and ability to deliver the foundational transformation required to improve our performance and delivery of consistently reliable results .

Speaker #4: Looking ahead , we will continue to balance near-term execution with investments that strengthen our foundation for sustainable growth . Now , I would like to turn it over to Leah , who will provide more specifics on our third quarter results and share additional details on our revised guidance .

Mojdeh Poul: Now I would like to turn it over to Lea, who will provide more specifics on our third quarter results and share additional details on our revised guidance.

Lea Knight: Lea, thank you, Mojdeh. Let's take a more detailed look at our third quarter financial highlights starting on Slide 5. Total revenues for the quarter were $402 million, representing 5.6% reported growth and 5% organic growth compared to the same period last year. Reported revenues included a foreign exchange tailwind of approximately 60 basis points. Revenue performance was below our expectations due to two supply interruptions in our CSS business coupled with insufficient safety stock levels for the impacted products. Adjusted EPS for the quarter were $0.54, representing 32% growth compared to the third quarter of 2024. Gross margin for the quarter was 62.9%, down 10 basis points versus the prior year, reflecting increased remediation costs, investments in the compliance master plan, and tariffs, mostly offset by favorable product mix from stronger sales and higher margin products in neurosurgery and wound reconstruction.

Speaker #4: Leah . Thank you . Moshe . Let's take .

Speaker #5: A more detailed look at our third quarter financial highlights . Starting on slide five , total revenues for the quarter were $402 million , representing 5.6% reported growth and 5% organic growth compared to the same period last year .

Speaker #5: Reported revenues included a foreign exchange tailwind of approximately 60 basis points . Revenue performance was below our expectations due to two supply interruptions in our CSS business , coupled with insufficient safety stock levels for the impacted products .

Speaker #5: Adjusted earnings per share for the quarter were $0.54 , representing 32% growth compared to the third quarter of 2020 . For gross margin for the quarter was 62.9% , down ten basis points versus the prior year , reflecting increased remediation costs .

Speaker #5: Investments in the compliance master plan and tariffs mostly offset by favorable product mix from stronger sales and higher margin products in neurosurgery and wound reconstruction .

Lea Knight: Adjusted EBITDA margin was 19.5%, an increase of 330 basis points versus the prior year, driven by revenue growth due to improved inventory availability and disciplined cost management. Operating cash flow for the quarter was $41 million, a significant improvement over the first half of this year. Turning to Slide 6, let's review the revenue highlights from our Codman Specialty Surgical segment. CSS reported third quarter revenues of $292.6 million, reflecting growth of 8.1% on a reported basis and 7.1% on an organic basis. We are pleased that demand remains strong in the global neurosurgery market; our revenues in neurosurgery increased 13.3%. This outsized growth was driven by strong performance of Certas Plus, DuraGen, CUSA Clarity disposables, and Mayfield Capital, in addition to a favorable prior year comp. Our ENT business was roughly flat for the quarter.

Speaker #5: Adjusted EBITDA margin was 19.5% , an increase of 330 basis points versus the prior year , driven by revenue growth due to improved inventory availability and disciplined cost management .

Speaker #5: Operating cash flow for the quarter was $41 million , a significant improvement over the first half of this year . Turning to slide six .

Speaker #5: Let's review the revenue highlights from our common specialty surgical segment . CSS reported third quarter revenues of $292.6 million , reflecting growth of 8.1% on a reported basis and 7.1% on an organic basis .

Speaker #5: We are pleased that demand remains strong in the global surgery market . Our revenues in neurosurgery increased 13.3% . This outsized growth was driven by strong performance of service plus Duragen and Mayfield Capital .

Speaker #5: In addition to a favorable prior year comp , our ENT business was roughly flat for the quarter . We continue to be impacted by reimbursement pressure in the Sinusplasty balloon segment and the timing of capital equipment purchases .

Lea Knight: We continue to be impacted by reimbursement pressure in the sinuplasty balloon segment and the timing of capital equipment purchases. These dynamics continue to weigh on overall ENT growth. Despite growth in our newer products, the ARRESTATION 2 balloon dilation and TruDi Navigated Disposables both delivered solid growth. We remain focused on continuing new product development, driving commercial execution, and engaging with payers to address reimbursement challenges. Of note, in Q3 we initiated enrollment in the Eclarent Era Pediatric Registry, a prospective multicenter observational registry evaluating the real-world use of the ERA Eustachian 2 balloon dilation system in children. The data generated from the study will provide valuable real world insights and support broader efforts to improve reimbursement pathways and clinical adoption. We continue to invest in our ENT offering and are taking a disciplined approach to managing and growing the business.

Speaker #5: These dynamics continue to weigh on overall ENT growth despite growth in our newer products. The Era Eustachian Tube Balloon Dilation and Trudy Navigated Disposables both delivered solid growth.

Speaker #5: Remain focused on continuing new product development , driving commercial execution and engaging with payers to address reimbursement challenges . Of note , in Q3 , we initiated enrollment in the Acclarent Aera Pediatric Registry , a prospective multicenter observational registry evaluating the real world use of the era Eustachian tube balloon dilation system in children .

Speaker #5: The data generated from this study will provide valuable real-world insights and support broader efforts to improve reimbursement pathways and clinical adoption. We continue to invest in our ENT offering and are taking a disciplined approach to managing and growing the business in our instruments portfolio.

Lea Knight: In our instruments portfolio, revenue declined 7.6% driven by a tough comparison in the alternate site channel following strong performance in the prior year. Turning to the results in our international business, revenue grew 14.6% driven by strong demand across key markets and the renewed availability of certain products that were not available the prior year. This rebound reflects the strength of our global commercial execution ability and the resilience of the underlying demand for our products. Our international growth was led by China with an approximate 24% year over year increase fueled by stronger supply, further geographic expansion, and deeper market penetration. Other strategic markets also delivered low double digit growth. While part of the growth reflects lapping last year's ship holds, we are encouraged by the sustained demand signals. We remain focused on expanding access, improving supply reliability, and driving adoption of our differentiated technologies globally.

Speaker #5: Revenue declined 7.6% , driven by a tough comparison in the alternate site channel following strong performance in the prior year . Turning to the results in our international business , revenue grew 14.6% , driven by strong demand across key markets and the renewed availability of certain products that were not available the prior year .

Speaker #5: This rebound reflects the strength of our global commercial execution ability and the resilience of the underlying demand for our products . Our international growth was led by China with an approximate 24% year over year increase , fueled by stronger supply .

Speaker #5: Further geographic expansion and deeper market penetration . Other strategic markets also delivered low double digit growth . While part of the growth reflects lapping , last year's ship hold , we are encouraged by the sustained demand signals .

Speaker #5: We remain focused on expanding access , improving supply reliability and driving adoption of our differentiated technologies globally . Moving to our tissue technology segment on slide seven .

Lea Knight: Moving to our Tissue Technologies segment on Slide 7, Tissue Technologies revenues were $109.5 million, down approximately 0.5% on a reported basis and 0.3% on an organic basis compared to the prior year. Within wound reconstruction, we saw strong underlying growth across the portfolio, including approximately 50% growth from DuraSorb and approximately 25% growth from Integra Skin. Growth in Integra Skin was supported by both continued demand strength and improved production, output, and availability. DuraSorb's performance was again driven by sustained market demand. The positive growth in wound reconstruction was offset by the negative impact of MediHoney. In our private label business, sales declined 12.6%, primarily due to the softer commercial demand experienced by our private label partners. International sales in Tissue Technologies grew low double digits, reflecting double digit growth in Integra Skin and our UBM portfolio, partially offset by the impact of MediHoney.

Speaker #5: Tissue technologies revenues were $109.5 million, down approximately 0.5% on a reported basis and 0.3% on an organic basis compared to the prior year.

Speaker #5: Within wound reconstruction , we saw strong underlying growth across the portfolio , including approximately 50% growth from dorsal and approximately 25% growth from Integra skin growth in Integra skin was supported by both continued demand strength and improved production output , and availability .

Speaker #5: While resource performance was again driven by sustained market demand , the positive growth in wound reconstruction was offset by the negative impact of Medihoney in our private label business .

Speaker #5: Sales declined 12.6% , primarily due to the softer commercial demand experienced by our private label partners . International sales in tissue technologies grew low double digits , reflecting double digit growth in Integra Skin and our UBM portfolio , partially offset by the impact of Medihoney .

Lea Knight: Turning to Slide 8, I'll now review our balance sheet, capital structure, and cash flow. During the third quarter, operating cash flow was $40.9 million and free cash flow was $25.8 million, reflecting our continued capital investments in key infrastructure. As of September 30, net debt was $1.57 billion and our consolidated total leverage ratio was 4.3 times, which remains within our current maximum allowable leverage ratio of 5 times. We ended the quarter with total liquidity of $550 million, including $268 million in cash and short term investments with the remainder available under a revolving credit facility. During the third quarter, we satisfied the convertible bond maturity using our revolver. During 2026, we plan to increase and extend the proportion of fixed rate debt in our capital structure.

Speaker #5: Turning to slide eight . I'll now review our balance sheet , capital structure and cash flow . During the third quarter , operating cash flow was $40.9 million and free cash flow was $25.8 million , reflecting our continued capital investments in key infrastructure .

Speaker #5: As of September 30th , net debt was $1.57 billion and our consolidated total leverage ratio was 4.3 times , which remains within our current maximum allowable leverage ratio of five times .

Speaker #5: We ended the quarter with total liquidity of $550 million , including $268 million in cash and short term investments . With the remainder available under our revolving credit facility .

Speaker #5: During the third quarter , we satisfied the convertible bond maturity using our revolver . During 2026 , we plan to increase and extend the proportion of fixed rate debt in our capital structure .

Lea Knight: If you turn to Slide 9, I will provide a consolidated revenue and adjusted EPS guidance for the fourth quarter and full year 2025. For the fourth quarter, we expect revenues in the range of $420 million to $440 million, representing a reported decline between approximately 5% and 0.6% and an organic decline between approximately 6% and 1.4%. Our fourth quarter outlook reflects normal seasonality and updated market assumptions for ENT and private label, as well as remediation and supply improvement timelines. For the full year 2025, we expect revenues of $1.62 billion to $1.64 billion, representing reported growth of approximately 0.6% to 1.8% and an organic decline of approximately 1.6% to 0.4%. We estimate an approximate 260 basis point decline in gross margin for the year, including approximately 200 basis points due to investments in remediation and the compliance master plan.

Speaker #5: If you turn to slide nine , I will provide a consolidated revenue and adjusted earnings per share guidance for the fourth quarter and full year 2025 .

Speaker #5: For the fourth quarter , we expect revenues in the range of $420 million to $440 million , representing a reported decline between approximately five and 0.6% and an organic decline between approximately six and 1.4% .

Speaker #5: Our fourth quarter outlook reflects normal seasonality and updated market assumptions for ENT and private label , as well as remediation and supply improvement timelines .

Speaker #5: For the full year 2025 , we expect revenues of 1.62 billion to $1.64 billion , representing reported growth of approximately 0.6 to 1.8% and an organic decline of approximately 1.6 to 0.4% .

Speaker #5: We estimate an approximate 260 basis point decline in gross margin for the year , including approximately 200 basis points due to investments in remediation and the compliance master plan .

Lea Knight: Our gross margin outlook also reflects an approximate 60 basis point headwind from tariffs. Our tariff assumptions align with the most recent formal tariff rates and reciprocal tariffs on record from the relevant jurisdictions. For the fourth quarter, we expect adjusted EPS of $0.79 to $0.84 and for the full year between $2.19 to $2.24 per share. Our adjusted EPS guidance assumes continued disciplined cost management and investments in operational stability and longer term growth. Finally, on Slide 12, we summarized our key guidance considerations including assumptions for tariffs, FX rates, tax rates and share count. I will now turn the call over to Mojdeh to conclude our prepared remarks.

Speaker #5: Our gross margin outlook also reflects an approximate 60 basis point headwind from tariffs or tariff assumptions aligned with the most recent formal tariff rates and reciprocal tariffs on record from the relevant jurisdictions .

Speaker #5: For the fourth quarter , we expect adjusted EPs of 79 to $0.84 , and for the full year between $2.19 to $2.24 per share .

Speaker #5: Our adjusted EPs guidance assumes continued disciplined cost management and investments in operational stability and longer term growth . Finally , on slide 12 , we summarized our key guidance considerations , including assumptions for tariffs , FX rates , tax rates , and share count .

Speaker #5: I will now turn the call over to Moshe to conclude our prepared remarks .

Mojdeh Poul: Thank you, Lea. To close, I want to emphasize our focus on strengthening our foundation through improved compliance and quality, operational excellence, and continued strong commercial execution. The actions we are taking will drive measurable progress towards improved reliability, consistency, and performance. We have successfully relaunched PriMatrix and DuraRepair ahead of schedule through our dual sourcing strategy and are on track to begin production of SurgiMend in Braintree by June 2026, with the launch expected in the fourth quarter. Our cost saving initiatives are underway with $25 to $30 million in savings expected in 2026. As we look ahead, we are highly confident about the future of Integra LifeSciences Holdings Corporation. Our entire organization is fully committed and working every day to deliver on our purpose to restore lives.

Speaker #4: Thank you . Leah . To close , I want to emphasize our focus on strengthening our foundation through improved compliance and quality , operational excellence , and continued strong commercial execution .

Speaker #4: The actions we are taking will drive measurable progress towards improved reliability , consistency and performance . We have successfully relaunched Primatrix and Pare ahead of schedule through our dual sourcing strategy , and are on track to begin production of Surgimend in Braintree by June 2026 .

Speaker #4: With the launch expected in the fourth quarter . Our cost saving initiatives are underway , with 25 to $30 million in savings expected in 2026 .

Speaker #4: As we look ahead , we are highly confident about the future of Integra , our entire organization is fully committed and working every day to deliver on our purpose to restore lives with our differentiated portfolio , holistic transformation strategy and robust plans .

Mojdeh Poul: With our differentiated portfolio, holistic transformation strategy, and robust plans, we are well positioned to deliver long term sustainable growth, improved margins, and ultimately strong returns for the shareholders. Operator, please open the line for questions.

Speaker #4: We are well positioned to deliver long term , sustainable growth , improved margins and ultimately strong returns for the shareholders . Operator . Please open the line for questions .

Operator: Thank you. As a reminder to ask a question, please press star 11. Our first question comes from Vik Chopra with Wells Fargo. Your line is open.

Speaker #2: Thank you . As a reminder to ask a question , please press star one . One . Our first question comes from Vik Chopra with Wells Fargo .

Speaker #2: Your line is open .

Chris Ward: Hey, good morning and thank you for taking the question. I have two. The first one, you know your Q4 guidance is below street expectations. I'd just love to get some more color around some of the puts and takes for the fourth quarter, especially around the supply headwinds. I had a follow up, please.

Speaker #6: Hey . Good morning . And thank you for taking the question . I have two the first one , you know , your Q4 guidance is below Street expectations , would just love to get some more color around some of the puts and takes for the fourth quarter , especially around the supply headwinds .

Speaker #6: And then I had a follow up . Please .

Lea Knight: Certainly. Thanks, Vic, for the question. To your point, Q4 guide currently reflects a pull down from a midpoint of about $26 million versus our previous guide. It's made up of three factors. We did update our assumptions for ENT and private label based on kind of the market impacts that we saw in Q3. We've reflected that in Q4. We've also reflected updated CMP remediation timing, including the delay of some products' return to market. Finally, it reflects updated assumptions regarding our production rates and supply improvement following the Q3 supply interruption. While we've resolved that interruption, we are expecting performance in Q4 to be lower than what we previously assumed in our Q4 guide.

Speaker #5: Certainly . Thanks , Vic , the question . So to your point , Q4 guide currently reflects a pull down from a midpoint of about $26 million versus our previous guide .

Speaker #5: It's made up of three factors . We did update our assumptions for ENT and private label based on kind of the market impacts that we saw in Q3 .

Speaker #5: So we've reflected that in Q4 . We've also reflected updated CMP remediation timing , including the delay of some products , return to market , and then finally , it reflects updated assumptions regarding our production rates and supply improvement following the Q3 supply interruption .

Speaker #5: So while we've resolved that interruption , we are expecting performance in Q4 to be lower than what we previously assumed in our Q4 guide .

Chris Ward: Great, thanks for the color. My follow up question, I'm just curious if there's an opportunity to grow your top line in 2026 and how we should think about gross margin stabilization and profitability.

Speaker #6: Great . Thanks for the color . And then my follow up question . I'm just curious if there's an opportunity to grow your top line in 2026 and how we should think about gross margin stabilization and profitability .

[Analyst]: Thank you.

Speaker #6: Thank you .

Mojdeh Poul: Hi, this is Mojdeh. Thank you for your question. Before I let Lea review some of our thoughts about 2026, I wanted to provide some context around the work that we've been engaged in doing this year, which is really foundationally, systemically strengthening our quality, reliability, and overall execution across our business. We're in the midst of a significant transformation of our quality and operations across the entire 14-site manufacturing footprint, and it will take time to embed. There's going to be some variability going quarter to quarter as we execute our remediations, but we are going to be committed to the three priorities that we've been bringing forward at every earnings call. We're going to carry on those priorities into next year because we believe those are the foundation for us to be able to deliver consistency in performance and driving growth in 2026 and beyond.

Speaker #4: Vic , hi , this is . Thank you for your question . Before I let Leah review some of our thoughts about 2026 , I wanted to provide some context around the work that we've been engaged in doing this year .

Speaker #4: Which is really foundationally systemically strengthening our quality , reliability and overall execution across our business . And we're in a in the midst of a significant transformation of our quality and operations that are across the entire 14 site manufacturing footprint .

Speaker #4: And it will take time to embed . There's going to be some variability going quarter from quarter to quarter as we execute our remediations , but we are going to be committed to the three priorities that we've been bringing forward at every earnings call .

Speaker #4: We're going to carry on those priorities into next year , because we believe those are the foundation for us to be able to deliver consistency in performance and driving growth .

Speaker #4: In 2026 and beyond . And with that , I'll let Leah comment .

Mojdeh Poul: With that, I'll let Lea comment.

Lea Knight: Yeah, so to that end, as we look ahead, there will be both headwinds and tailwinds that we'll need to factor into the 2026 guidelines, and we look forward to doing that and sharing those details as part of our fourth quarter call in February. That said, we do currently anticipate modest revenue growth in 2026, and we're going to approach next year with the discipline that Mojdeh referenced. We're going to be balancing investment as well as cost management while at the same time staying focused on operational execution as well as earnings.

Speaker #5: Yeah . So to that end , as we look ahead , there will be both headwinds and tailwinds that we'll need to factor into the 2026 guide .

Speaker #5: And we look forward to doing that and sharing those details as part of our fourth quarter call . And February . That said , we do currently anticipate modest revenue growth in 2026 , and we're going to approach next year with the discipline that Majida referenced .

Speaker #5: We're going to be balancing investment as well as cost management . While at the same time staying on operational execution as well as earnings performance .

Operator: Thank you. Our next question comes from Joanne Wuensch with Citi. Your line is open.

Speaker #2: Thank you . Our next question comes from Joanne Wuensch with Citi . Your line is open .

[Analyst]: Hey, good morning. This is actually Anthony on for Joanne. Thanks for taking our questions on the private label headwinds. I know it was a headwind last quarter as well. Is it the same private label partner that's experiencing these issues? If you could just maybe talk about your visibility into the private label business right now.

Speaker #7: Hey . Good morning . This is actually Anthony on for Joanne . Thanks for taking our questions . On the private label headwinds I know it was a headwind last quarter as well .

Speaker #7: Is it the same private label partner that's experiencing these issues ? And then if you could just maybe talk about your visibility into the private label business right now .

Mojdeh Poul: Thank you for the question. Yes, we expect growth to continue being impacted in Q4 for private label. It's primarily the same private label partner and the same challenge that they have in the market in terms of their share position. As their share position is challenged, they reduce the order rates that they have to usually. It's the same exact one.

Speaker #4: Thank you for the question . Yes , we expect growth to continue being impacted in Q4 for private label . It's primarily the same .

Speaker #4: The same private partner and the same challenge that they have in the market in terms of their share position and as their share position is challenged , they reduce the order rates that they have to us .

Speaker #4: So it's the same , same exact one .

Lea Knight: In terms of our visibility going forward, as part of our 2026 guide, we'll update our thinking with respect to that. Right now we would anticipate private label growth in the kind of low single to mid single digit trajectory.

Speaker #5: And in terms of our visibility going forward , again , as part of our 2026 guide , we'll update our thinking with respect to that .

Speaker #5: Right now , we would anticipate private label growth in the kind of low single to mid-single digit trajectory .

[Analyst]: Okay, thank you. Can you talk about this core? What was going on with MediHoney? I know it was pressured.

Speaker #7: Okay . Thank you . And then could you talk about this quarter , what was going on with meta ? Honey , I know it was pressured .

Mojdeh Poul: Yes, MediHoney. We are currently undergoing remediation for that product under the compliance master plan. We realize it's been a key part of the tissue technologies business and the strength that we have in other parts of the tissue technologies. As Lea mentioned in the prepared remarks, we have strong growth in Integra Skin, DuraSorb. We have strong growth in Integra Skin, so we are able to balance some of the shortfalls because of the MediHoney being off the market. We are diligently working on the remediation efforts.

Speaker #4: Yes . Mary honey , we are currently undergoing remediation for that product under the compliance master plan . And we realize it's been a key part of the tissue technology's business .

Speaker #4: And the strength that we have in other parts of the tissue technologies . As Leah mentioned in the prepared remarks , we have strong growth in Integra skin .

Speaker #4: We have strong growth in Integra skin . So we are we are able to balance some of the some of the shortfall because of the honey being off the market .

Speaker #4: But we are diligently working on the remediation efforts .

[Analyst]: Thank you.

Speaker #7: Thank you .

Operator: Thank you. Our next question comes from Ryan Zimmerman with BTIG. Your line is open.

Speaker #2: Thank you . Our next question comes from Ryan Zimmerman with Btig . Your line is open .

[Analyst]: Good morning. Thanks for taking our questions. Just to go back, you had said in Q2 that there was no additional material ship hold expected. I just want to understand the timeline of when this kind of popped up, either with MediHoney, but you also called out, I think, some ship holds in CSS too. If you could specify what those products were in CSS and whether that was factored into the prior guidance before.

Speaker #8: Oh , good morning . Thanks for thanks for taking our questions . You know , just to just the real quick just to go back , I mean , you had said in to Q that there was no additional material ship hold expected .

Speaker #8: And so I just want to understand , like the timeline of when this kind of popped up . Either with meta honey , but you also called out , I think some ship holds in Css2 .

Speaker #8: So if you could specify what those products were in CSS and whether that was factored into the prior guidance before .

Lea Knight: Yeah, certainly, Ryan. A couple of things. As you remember coming out of Q2, we had strong performance and we saw that performance continue through July, which is when we provided our Q3 guidance and performance at that level was performing consistent with that expectation. The two supply interruptions that I referenced that impacted the CSS business occurred in August in a timeframe which we still had an ability to be able to close that gap. We did see a rebound in September, but we just weren't able to close all of the gap by the end of the quarter. Important to note, and I mentioned it previously, but important to note that, you know, we have since addressed the interruption and resumed production in the impacted areas. While it does affect kind of our go forward ramp, those issues have been resolved.

Speaker #9: Yeah , certainly .

Speaker #5: Ryan . So a couple of things . So as you remember coming out of Q2 , we had strong performance and we saw that performance continue through July , which is when we provided our Q3 guidance and performance at that level .

Speaker #5: Was performing consistent with that expectation . The two supply interruptions that I referenced , that impacted the CSS business occurred in in August , and a time frame which we still had an ability to be able to close that gap .

Speaker #5: And so we did see a rebound in September , but we just weren't able to close all of the gap by the end of the quarter .

Speaker #5: Important to note , and I mentioned it previously , but important to note that , you know , we have since addressed the interrupt interruption and resumed production in the impacted areas .

Speaker #5: So while it does affect kind of our go forward ramp , those issues have been resolved in terms of meta honey , because you did mention that specifically that wasn't a factor with respect to our performance versus guide in Q3 .

Lea Knight: In terms of MediHoney, because you did mention that specifically, that wasn't a factor with respect to our performance versus guide in Q3. MediHoney was recalled earlier in the year, so we had already removed that from our guide as of the July conversation.

Speaker #5: Meta honey was recalled earlier in the year . So we had already removed that from our guide . As of the July conversation .

[Analyst]: Okay, that's helpful, Lea. Thank you. The second question, kind of a two part question. Mojdeh, you talked about kind of product review, portfolio review. I'm curious what that means for existing products. I mean you talk about moving into higher growth areas, but when you look at the portfolio in total, do you see opportunities to prune, to divest? I ask that in the context of like a Clarity and the performance you've seen with a Clarity, maybe not meeting the expectations that you previously had in your deal model. What are your updated assumptions if I may for a Clarity now based on the updated guidance? Thanks for taking all the questions.

Speaker #8: Okay , that's helpful . Thank you . And then the second question , kind of a two part question , but you talked about kind of , you know , product review , you know , portfolio review .

Speaker #8: And so , you know , I'm curious what that means for existing products . I mean , you talk about moving into higher growth areas , but when you look at the portfolio in total , I mean , do you see opportunities to prune to divest ?

Speaker #8: And I asked that in the context of like a and , you know , the performance you've seen with Acclarent maybe not meeting the expectations that you previously had in your deal model .

Speaker #8: And what are your updated assumptions , if I may , for a now , based on the updated guidance . Thanks . Thanks for taking all the questions .

Mojdeh Poul: Thank you, Ryan. I hope I can remember all the.

Speaker #4: Thank you . Ryan , I hope I can remember all the questions . Somebody may have to prompt me , but on the portfolio prioritization , the key purpose behind it is to manage our portfolio for optimal performance and the outcome of that portfolio prioritization process is going to guide our capital and resource allocation decisions .

Mojdeh Poul: Questions somebody may have to prompt me.

Mojdeh Poul: On the portfolio prioritization, the key purpose behind it is to manage our portfolio for optimal performance. The outcome of that portfolio prioritization process is going to guide our capital and resource allocation decisions. It has started to do that actually, where we're going to be spending most of our resources towards the most important portfolios and programs for the company. The ultimate goal is to shift our portfolio to our higher growth segments where we are in attractive markets. We are leaders, we have the right to win. This disciplined approach would allow us to make sure that we will have continuous and consistent growth long term into the future. As we have done this work, there's no predetermined areas for us that I would say we would want to divest at this point.

Speaker #4: And it has started to do that . Actually , where we're going to be spending most of our resources towards the most important portfolios .

Speaker #4: And programs for the company . Now , the ultimate goal is to shift our portfolio to a higher growth segments where we are in attractive markets .

Speaker #4: We have we are leaders . We have the right to win , and it also this disciplined approach would allow us to make sure that we will have continuous and consistent growth long term into the future as we have done this work .

Speaker #4: There is no predetermined areas for us that I would say we would want to divest at this , at this point , but there are opportunities that we're seeing in terms of SKU rationalization and in terms of streamlining the portfolio , simplifying some parts of some parts of our portfolio .

Mojdeh Poul: There are opportunities that we're seeing in terms of SKU rationalization and in terms of streamlining the portfolio, simplifying some parts of our portfolio. That's the work to be done and we continue to drive that portfolio prioritization to guide our capital allocation decisions. When you're talking about Acclarent, we have one part of the business which is balloon sinuplasty that has been challenged because of the payer challenges and that has been consistent over the last couple of quarters. It's the issue that our teams are working very closely with the health economics team that we have, helping the customers as well as conversations with the payers to try to address that. We knew that actually at the time of the acquisition, it was known that that's the slower growth part of the portfolio. The other parts of the portfolio are progressing very well.

Speaker #4: But that's the work to be done . And we continue to to drive that portfolio prioritization to guide our our capital allocation decisions .

Speaker #4: Now , when you're talking about Acclarent , we have one part of the business , which is balloon Sinuplasty has been challenged because of the challenges , and that has been consistent over the last couple of quarters .

Speaker #4: And it's the the issue that our teams are working very closely with the health economics team that we have , helping the customers as well as conversations with the payers to try to address that .

Speaker #4: But we knew that actually , at the time of the acquisition , it was known that that's the slower part of growth , part of the portfolio , the other parts of the portfolio are are progressing very well .

Mojdeh Poul: We had very healthy growth, low double-digit growth for both ERA as well as TruDi products. We have quite a good pipeline of clinical evidence as well as new products that are going to augment and drive the growth of this portfolio forward. We still believe it's an attractive market. The balloon sinuplasty part of it is challenged, but the other parts of the business are growing very strongly. I think I got all of the questions. I think you did all right. In terms of expectations you said.

Speaker #4: We had very healthy growth , low , single , low double digit growth for both ERA as well as Trudy products . And we have quite a good pipeline of clinical evidence as well as new products that are going to augment and drive the growth of this portfolio forward .

Speaker #4: So we still believe it's an attractive market . The balloon sinuplasty part of it is , is challenged , but the other parts of the business are growing very strongly .

Speaker #4: I think I got all of the questions .

Speaker #9: I think you did all right .

Speaker #4: Oh .

Speaker #9: In terms of expectations , you .

[Analyst]: Yeah, what are your new market or assumptions for? Thank you.

Speaker #8: Said , yeah . What are your new market or something for ?

Mojdeh Poul: Yes, the assumptions for Q4, we continue to project flat, and for the next year we will come to you when we have the guidance that we bring forward in 2026.

Speaker #9: Thank you . Yes .

Speaker #4: The the assumptions for the Q4 , we we continue to project a flat and for the next . Next year , we will come to you when we have the guidance that we bring forward in 2026 .

[Analyst]: Thank you for answering all those questions.

Speaker #8: Thank you for answering all those questions .

Mojdeh Poul: You're welcome.

Speaker #9: You're welcome .

Operator: Thank you. Our next question comes from Richard Newitter with Truist Securities. Your line is open.

Speaker #2: Thank you. Our next question comes from Richard Newitter with Truist Securities. Your line is open.

[Analyst]: Hi, this is Ravi here for Rich. Thanks for taking the questions. I guess kind of want to prod on gross margin a little bit. Pretty strong in third quarter at least, you know, given that the revenue shortfall. Can you help us kind of think about how is this a function of some of the changes that you've been making in terms of the remediation efforts or restructuring, or should we be thinking about it more so that with some of the way you're running production so tightly, you might have some issues around safety stock if demand picks up? Longer term, you know, as production gets to normal, you know, maybe this gross margin benefit ebbs a little bit. Any color on that would be appreciated. I have a follow up. Thank you.

Speaker #10: Hi . This is Ravi here for Rich . Thanks for taking the questions . I guess I kind of want to prod on gross margin a little bit .

Speaker #10: Pretty strong in third quarter at least , given that the revenue shortfall . So can you help us kind of think about is this a function of some of the changes that you've been making in terms of the , the , the remediation efforts or restructuring or , or should we be thinking about it more so that , you know , with some of the , the way you're running production ?

Lea Knight: Certainly. Thank you for the question. From a gross margin perspective on a full year basis, we're continuing to pace in terms of gross margin performance similar to what we communicated in the last call. We said we'd be roughly around down 250 basis points year on year. We're pacing in kind of that similar path for Q3. We did see slightly better performance than we had anticipated, and it does have a lot to do with our ability to manage more efficiently some of the cost headwinds that we have been experiencing related to the remediation work that's underway. Where we're able to manage more efficiently from an EO or a scrap perspective, we're seeing the benefit of that reflected in Q3.

Lea Knight: As we continue to move through these remediation phases, we would expect a lot of those one-time headwind costs to come out of gross margins as we move forward. From a year on year perspective, we were about 10 basis points down. We did see the impact again of the remediation and compliance master plan costs coupled with tariffs as a headwind that was largely offset by what I mentioned earlier, which is improvement in EO and scrap and also better product mix with tissue brands performing stronger from a mix perspective and helping to drive improvement in overall gross margins.

[Analyst]: Great. I guess my follow up kind of goes down that tissue tech pathway. You know, talking about PriMatrix and DuraRepair coming back ahead of schedule. Can you maybe help put some figures around that? Like what kind of revenue do you expect that you didn't ahead of schedule, and then kind of where do you see the growth ramp for those products or kind of how do you look at the growth for those products? Thank you.

Lea Knight: Primatrix and DuraRepair, prior to pulling them from the market in 2023, were performing around that kind of $25 to $30 million. The work we're doing now as we bring those products back to market is to get back our share. Given that we've been out of the market for a number of years, we know that it's going to take time to do that. We're excited about the reception that we're getting from our customers based on this kind of advanced relaunch of those products. We'll continue to leverage that as we move forward in terms of determining kind of the full path forward. Moshe, did you want to.

Mojdeh Poul: Yes, I just wanted to call this out because this is part of the intentional strategy that we have to strengthen the resiliency of our manufacturing and supply chain. This dual sourcing strategy that the team pulled through during this year is quite exciting for us because we've been hearing from physicians and patients and customers that they're missing these products in the market. We're happy to be bringing them ahead of time to the customers.

Mojdeh Poul: To the patients who need them.

Mojdeh Poul: We're quite excited about the opportunity to launch it almost a year earlier.

Operator: Thank you. Our next question comes from Robbie Marcus with JPMorgan. Your line is open.

[Analyst]: Hi, this is Lily on for Robbie. Thanks so much for taking the question. Maybe just to dig into the fourth quarter guidance a little bit more, EPS guidance still points to a pretty sizable step up in the fourth quarter. Can you just help us bridge that? I appreciate that supply should continue to get better, but what's giving you the confidence and visibility in that sort of improvement in margins exiting the year, especially off of now a lower revenue base for the fourth quarter, and just generally, what gives you the confidence that this is the appropriate base for revenues and EPS that you can beat and raise off of?

Lea Knight: Certainly. Thanks for the question, Lily.

Lea Knight: To the first part of your question regarding the EPS step up in Q4, right now at the midpoint, we are expecting about a $0.26 step up, but it's largely explained by the $33 million step up in revenue that we're also forecasting as reflected in the guide. That will drive sort of that performance from a revenue perspective as we look at the step up and how we get from the low to the high. At the low end, going from Q3 to Q4, that step up requires the normal seasonality that we see on the business. It's about $18 million higher than what we delivered in Q3, and it's consistent with what we've seen kind of historically in Q4 versus Q3. At the midpoint, it requires seasonality plus some lift from the Q3 supply interruption that we talked about. As a reminder, we have addressed those issues.

Hi. This is Lily on for Robbie, thanks so much for taking the question. Um maybe just to dig into the fourth quarter guidance, a little bit more, um EPS guidance, still points to a pretty sizable step up in the fourth quarter so you just help us bridge that, um, I appreciate that Supply should continue to get better, but let's giving you the confidence and visibility in that sort of improvement in margins. Exiting the year, especially off of now, a lower Revenue base for the fourth quarter. And just generally what gives you the confidence that this is the appropriate base for revenues and EPS that you can be in raise off of

Certainly, thanks for the question. Lily, so, to the first part of your question regarding the EPS Step Up in Q4. Um, so right now at the midpoint, um, we are expecting about a 26, uh, Cent Step Up, um, but it's largely explained by the 33 million dollar Step Up in Revenue that we're also forecasting as reflected in the guide. Um, so that, that, that will drive sort of that performance from a revenue perspective. As we look at, um, you know, the step up and how we get from the low to the high at the low end going from, Q3 to Q4 that step up requires.

Is the normal seasonality that we see on the business. It's about 18 million dollars higher than what we delivered in in Q3. Um, and it's consistent with what we've seen kind of historically, um, in Q4 versus Q3.

From at the midpoint it requires seasonality.

Lea Knight: We've resumed production. We do anticipate additional or higher revenue performance from those products in Q4 versus Q3. At the high end, it reflects everything I talked about at the mid end, plus allows for additional improvements in terms of performance against demand for products that we just reintroduced like PriMatrix and DuraRepair, along with other products that we have in the portfolio based on improved supply. I think I got most of your questions. Let me know if I didn't hit one.

Some, some lift, um, from the supply. Uh, the Q3 Supply Interruption that we talked about. And again, as a reminder, we have addressed those issues. Um, we've resumed production. So we do anticipate additional or higher Revenue performance from those products, um, in Q4 versus Q3

Um, and then at the high end, it reflects kind of everything I talked about. At the mid end, um, plus allows for, uh, additional improvements, um, in terms of performance against demand for products that we just reintroduced like, Prime Matrix and Dior repair along with other products that we have in in the portfolio based on uh, improved Supply.

[Analyst]: Yeah, that covers all of them. Thank you. Just as a follow up, it was nice to see a return to positive free cash flow in the quarter. Can you talk a bit about how sustainable you think that is? What level should we be thinking about for the full year? Is it just the right level of conversion to be working off of?

So I think I got most of your questions. Let me know if I didn't hit 1.

Lea Knight: Yeah, so we were excited as well. To your point, operating cash flow for the quarter was $41.9 million, free cash flow was $25.7 million, and free cash flow conversion was 61.9%. We do continue to expect to see strong free cash flow conversion numbers as we move through the end of this year as well as throughout 2026 in general. With that performance, we expect to see our leverage position stay fairly flat through the end of this year. We will see more meaningful improvement on an overall leverage outlook as we move throughout each quarter in 2026. Our focus right now remains on decreasing leverage as well as debt. The strongest contributor to that is expectations on performance for EBITDA contribution as we move forward.

Yeah. Yeah. That covers all of them. Thank you. Um, and just as a follow-up it was nice to see a return to positive free cash flow in the quarter. So can you talk a bit about how sustainable you think that is? What level should we be thinking about for the full year? And it's just the right level of conversion to be working off of

Porter in 2026.

[Analyst]: Great. Thanks so much.

Patients on performance for ebida contribution. Um, as we move forward.

Operator: Thank you. Our next question comes from Matt Taylor with Jefferies. Your line is open.

Great. Thanks so much.

[Analyst]: Hi, good morning, this is Matt on for Matt Taylor. I wanted to follow up quickly on another question related to PriMatrix and DuraRepair. As you look to get back into the market and try and regain share, I know you mentioned that there is a lot of interest in having your product out in the market. When it comes to executing, can you talk about how much or the magnitude of price concessions that you're willing to take in order to regain that share? Thanks.

Thank you. Our next question comes from Matthew Taylor with Jeffries. Your line is open.

Hi, good morning. Um, this is about on for Matt Taylor. I wanted to follow up uh quickly.

Uh, on another question related to my Matrix in the repair and as you look to get back into the market and try and regain share, I know you mentioned that there is a lot of interest in having your product out in the market. But when it comes to executing, can you talk about how much or the magnitude of price concessions that you're willing to take in order to regain that share?

Lea Knight: For competitive reasons, we wouldn't discuss pricing strategy. I think right now, again, as we mentioned for PriMatrix and DuraRepair as we re-enter, we're being thoughtful in approach. We're working with our customers. We haven't assumed any significant material impact in 2025 as a result of relaunch, but we're using that as an opportunity to position ourselves for stronger performance in 2026. We look forward to sharing expectations with respect to that as part of our 2026 guide conversation in February.

Thanks.

So for competitive reasons, we wouldn't discuss the pricing strategy. Um, I think right now again as we mentioned for Prime Matrix and door repair um, as we re-enter, right, we're being thoughtful and approach. We're working with our customers. We haven't assumed, you know, any significant material impact in 2025 as a result of relaunch, um, but we're using that as an opportunity to position ourselves for um, stronger performance.

In 2026.

[Analyst]: That's helpful. Thank you very much.

So we look forward to sharing expectations with respect to that as part of our 2026 guide conversation in February.

Operator: Thank you. There are no further questions at this time. This does conclude the program. You may now disconnect. Everyone, have a great day.

That's helpful. Thank you very much.

Thank you. There are no further questions at this time.

This does include the program you may now disconnect everyone have a great day.