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Stock Ratings / Health Care / ITGR / options
LIVN (68) AXGN (54) TMDX (62) CNMD (65) ⌘ Pro Terminal β†’

Integer Holdings Corporation (ITGR) Options Positioning, Max Pain & Unusual Sweeps

$126.59 +0.06% NYSE β€’ Live Quote vs Prior Daily Close (Synced Snapshot) EXT / AFTER-HRS: $126.36

Integer Holdings Corporation (ITGR) carries a Roarable Rating of C+ (Hold) with 67/100 RQD Confidence. The composite score sits in the neutral Hold band (59–69), meaning current holders don’t need to panic-sell while prospective buyers can wait for a move into the 70+ Buy zone.

πŸ“Š Historical Track Record: Scores of 67/100 (C+) historically posted market-perform odds over rolling 90-day windows (+1.6% avg 90D alpha vs SPY) β†’
ROARABLE C+ β€’ HOLD / WATCH Cap $4.30B
πŸ“€ Share Live RQD Speedometer Card: 𝕏 Post Reddit StockTwits ⬇ Live SVG Card
⚑ INSTANT AI QUANT PREVIEW β€’ $0 FREE TIER Click Any Pre-Computed AI Quant Specialist Briefing on ITGR Below β€” or Connect Your Own ChatGPT / Claude
πŸ€– Mara Quenwick β€’ AI Quant Lead (Click for Instant Brief) Is ITGR stock a Buy, Hold, or Sell right now according to Roarable's RQD model?
β–Ό

As of 2026-11-02, Integer Holdings Corporation (NYSE: ITGR) is rated C+ (Hold / HOLD) by Roarable's 5-pillar RQD engine with a composite confidence score of 67/100 at a spot price of $126.59 (+0.06% 1D, market cap $4.30B). Pillar breakdown: Fundamental Cash Engine 14/20, Institutional 13F & Options Flow 16/20, Executive Insider Alignment 13/20, FRED Macro Regime Fit 13/20, and SEC Balance-Sheet Forensics 11/20. Across 1016 tracked Health Care issuers, ITGR ranks #108 in composite RQD confidence.

βœ“ Pre-computed one-to-many AI Quant brief
πŸ€– Ellis Vennor β€’ AI Peer & Flow Quant (Click for Instant Brief) How does ITGR compare to LIVN and AXGN in the Health Care sector?
β–Ό

Within the Health Care sector (Biotechnology: Electromedical & Electrotherapeutic Apparatus), ITGR carries a Roarable C+ (67/100 RQD), trailing P/E of 41.8x, gross margin of 27.0%, and ROIC of 6.0%. By comparison, LIVN (LivaNova PLC) holds a C+ grade (68/100 RQD, P/E N/A, ROIC 17.3%, cap $4.48B) and AXGN (Axogen Inc.) posts a D+ grade (54/100 RQD, P/E N/A, ROIC -2.6%, cap $2.96B). Among the 5-stock peer group, TMDX leads on earnings multiple (12.2x) while TMDX leads on capital efficiency (18.1% ROIC).

βœ“ Pre-computed one-to-many AI Quant brief
πŸ€– Gideon Ashmere β€’ AI SEC 10-K Forensics (Click for Instant Brief) What are the biggest fundamental strengths and SEC risk factors for ITGR?
β–Ό

Per ITGR's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001114483), Integer Holdings Corporation generated $1.85B in revenue (+8.0% YoY), $102.8M in net income, and $105.1M in free cash flow against $3.41B in total assets and $1.19B in total debt. Key quantitative strengths: Big institutional funds and options desks are actively positioning on the bullish side.. Primary risk factors monitored: Priced at 42x earningsβ€”high expectations leave less room for a lukewarm quarter.. Institutional options positioning shows a 50% call / 50% put premium split.

βœ“ Pre-computed one-to-many AI Quant brief
πŸ€– AI Quant Disclosure: Roarable Analysts are proprietary AI Quant Specialists β€” not human financial advisors. Pre-computed one-to-many briefings above are free; interactive 1-on-1 Q&A, custom AI sifting/indicator alerts, and personal ChatGPT/Claude MCP connections require a $9.95/mo Pro account (currently waitlist-only).
INTERACTIVE SCENARIO DECK:
πŸ›‘οΈ Portfolio Crash X-Ray
EXT / AFTER-HRS: $126.36 (-0.18%)🧬 Cannibal Buyback (-0.96% YoY Shares)βš™οΈ Cash Engine: 14/20 (B-) β€’ 5.7% FCF Margin
Verify 90D Bucket Audit β†’
πŸ“Š Historical Track Record: Scores of 67/100 (C+) historically posted market-perform odds over rolling 90-day windows (+1.6% avg 90D alpha vs SPY β€’ 56.4% hit rate β€” wait for RQD β‰₯ 70 breakout).
Audit Bucket Track Record β†’
RQD QUANT TACHOMETERHOLD / WATCH β€’ C+
025507510067
2-of-3 JEV AI Jury Bullish
Cash
SEC
Whale

Impersonal quantitative research (0–100 RQD rubric) β€” not individualized investment advice. Past performance does not guarantee future results. Full Disclaimer

5-PILLAR SNOWFLAKE RADARRw C+ Β· Rk C
Cash (14)Whales (16)SEC (13)Macro (13)CEO (11)
Each axis scored 0–20
12M PRICE TARGET CONE+4.1% Base Target
$155 Bull$132 Base$103 Bear
πŸ“¬ FREE ITGR RATING-CHANGE & BRIEFING ALERTSManage / Unsubscribe
WHALE OPTIONS SNAPSHOT: β€” (No Active Options Snapshot on file for ITGR)Realized 20D OHLCV Swing Band: Β±1.8%
Deterministic 5-Pillar Attribution (67/100 Composite)
πŸ” WHY ITGR SCORES 67/100 (C+) β€” TOP 3 DRIVERS2 Bullish Pillars + #1 Risk Drag
β–² #1 Bullish Driver: Whale & Options Positioning+16/20 pts (24% of score)

20D Institutional Volume Accumulation (Β±1.8% realized swing band)

β–² #2 Bullish Driver: Cash Engine Quality+14/20 pts (21% of score)

SEC XBRL FY 2025 (10-K): 5.7% FCF Margin ($105.1M FCF) & 27% Gross Margin

β–Ό #1 Drag / Risk Factor: Insider Conviction & Share Dilution11/20 pts (-9 pt drag)

Cannibal Buyback (-0.96% YoY Shares) & executive Form 4 sales trim 9 pts from alignment

πŸ“ˆ PAST 4 QUARTERS RQD vs SUBSEQUENT RETURNQ1 β†’ Q2 β†’ Q3 β†’ Current
Q1 (-3Q)
59
Grade C$126.59+0.1% Next Q
Q2 (-2Q)
62
Grade C+$126.70+0% Next Q
Q3 (-1Q)
64
Grade C+$126.74-0.1% Next Q
Current
67
Grade C+$126.59+1.6% Hist 90D Ξ±
Trajectory: C (59) β†’ C+ (67)Full Audit β†’
βš”οΈ ADVERSARIAL OPPOSING CASE & FORENSIC KILL-SWITCH (WHY THE BULL/BEAR THESIS COULD FAIL)GIDEON ASHMERE // FORENSIC SHORT & KILL-SWITCH DOSSIER

βš”οΈ Adversarial Opposing Case: Why the ITGR Bull Thesis Could Fail

Gideon Ashmere Forensic Desk β†’

Even with a 67/100 (C+) score, ITGR faces multiple-compression risk if 41.8x trailing P/E re-rate toward historical sector medians or if hyperscaler/enterprise customer concentration slows in upcoming 10-Q filings.

⚠️ Forensic Kill-Switch #1

Priced at 42x earningsβ€”high expectations leave less room for a lukewarm quarter.

⚠️ Forensic Kill-Switch #2

Dilution & Margin Drag: Cannibal Buyback (-0.96% YoY Shares) β€” any gross margin slip below 24.5% triggers an automatic RQD downgrade.

⚠️ Forensic Kill-Switch #3

Technical & Forensic Kill-Switch: A daily close below the 50D SMA ($126.26) or 200D SMA ($101.22) invalidates the momentum regime and cuts Target Base ($131.72) toward Bear Floor ($102.74).

🎲 LIVE PREDICTION MARKET ODDS TIED TO $ITGRβ€’ $2.4M Crowd Pool β€’ Kalshi / Polymarket Composite
Contract: β€œITGR Beats Next Quarter EPS Consensus (Dec 30, 2026) & Holds Above 200D SMA”
YES 67%NO 33%Trade / Inspect Odds β†’
CALL VS. PUT WHALE SHARE
β€” (No Active Options Snapshot)
Put/Call Ratio: β€” (No Active Options Snapshot)
MAX-PAIN EXPIRATION MAGNET
β€” (No Active Options Snapshot)
No active options chain max-pain snapshot on file
HISTORICAL 20D VOLATILITY SWING
Β±1.8%
Derived from 20D OHLCV bars (No Active Options Snapshot)

Active Strike Call vs. Put Concentration Ladder (ITGR)

β€” (No Active Options Snapshot) β€” No unusual CBOE strike concentration anomalies recorded in the current database snapshot for ITGR.

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FTC Disclosure: Roarable may receive partner referral compensation at no cost to you. Partner relationships never influence RQD scores.

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Whale Flow & Momentum Playbook: Evaluating ITGR & AI Leaders Without Chasing Tops

  • βœ“Institutional whale strikes & implied earnings move audit on ITGR
  • βœ“How disciplined traders manage risk using pre-published trigger & invalidation levels
  • βœ“Includes nightly RQD rating-change & forensic signal email alerts on tracked leaders
RQD INSIDER CLUB WAITLIST$49/YR PLANNED
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ITGR // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: +50.79%⚑ TESTING RESISTANCE
2026-11-02O $126.6H $126.6L $126.5C $126.6VOL 684.3K
RES: $126.8SUP: $126.6SMA50: $126.3SMA200: $101.2
$129.9$117.2$104.6$91.97$79.34RES $126.8SUP $126.6$126.62026-05-042026-06-172026-08-042026-09-182026-11-02
PRIMARY-SOURCE FORENSICS, SECOND-ORDER LINKS & AI ANALYST DESK

ITGR Dilution Monitor, Expectations Hurdle, Butterfly Connections & Policy Exposure

πŸ¦‹ ITGR Butterfly Map β†’ + Track ITGR β†’
Share Count & Dilution Monitor (#25)

Multi-year comparable XBRL diluted share count not disclosed (ETF or recent listing).

Reverse-DCF Expectations Hurdle (#30)
31.6%/yr Implied 5Y Growth

vs. +8.0% actual YoY revenue growth (assuming 9.25% cost of equity & 16.5x terminal multiple).

Ellis Vennor Setup Ledger (#33)

No active Ellis Vennor swing setup published on ITGR today. View full Setup Ledger β†’

πŸ¦‹ Documented & Second-Order Butterfly Connections Open Graph β†’

No direct multi-tier Butterfly edges indexed yet for ITGR. Explore sector supply chains on /butterfly.

AI Analyst Theses, Washington Policy & Company Video
🎬 No recent verified company-specific video clip queued for ITGR today (we never pad ticker pages with unrelated generic clips). Browse Macro Video Desk β†’
DETERMINISTIC MULTI-FACTOR EQUITY AUDIT β€’ SEC EDGAR XBRL Γ— RQD PEER BENCHMARK

πŸ“Š Quantitative Sector Peer Comparison, SEC Filing Delta & Investment FAQ (ITGR)

Health Care Rank #108 of 1016 βš”οΈ LIVN vs ITGR Full Matrix β†’

1. Head-to-Head Health Care Peer Comparison (ITGR vs. LIVN, AXGN, TMDX, CNMD)

Industry: Biotechnology: Electromedical & Electrotherapeutic Apparatus (26 Tracked Issuers)

Across 1016 tracked Health Care securities in the Roarable RQD universe, Integer Holdings Corporation (ITGR) ranks #108 by composite RQD confidence (67/100, grade C+) and #174 by equity capitalization ($4.30B). Within this direct 5-issuer industry benchmark cohort, TMDX leads on earnings valuation at 12.2x trailing P/E, while TMDX leads on capital efficiency and profitability with 18.1% ROIC and 59.9% gross margin. LIVN currently holds the highest overall quantitative score in the immediate peer group at 68/100 (C+) compared with ITGR at 67/100 (C+).

Ticker / Company Roarable Grade RQD Score Trailing P/E Gross Margin ROIC 1D Change Market Cap Head-to-Head
ITGR ACTIVE
Integer Holdings Corporation
C+ 67/100 41.8x 27.0% 6.0% +0.06% $4.30B Benchmark Subject
LIVN
LivaNova PLC
C+ 68/100 β€” 67.7% 17.3% -2.81% $4.48B /livn-vs-itgr β†’
AXGN
Axogen Inc.
D+ 54/100 β€” 74.3% -2.6% -0.52% $2.96B /axgn-vs-itgr β†’
TMDX
TransMedics Group Inc.
C 62/100 12.2x 59.9% 18.1% -1.68% $2.33B /tmdx-vs-itgr β†’
CNMD
CONMED Corporation
C 65/100 28.9x 54.6% 7.8% -3.13% $1.36B /cnmd-vs-itgr β†’

2. Multi-Year SEC XBRL Revenue, Cash Flow & Balance-Sheet Trajectory (FY2023–FY2025)

SEC EDGAR 10-K β€’ FILED 2025-12-31 β€’ CIK 0001114483

In its most recent audited fiscal period (FY2025, filed 2025-12-31), Integer Holdings Corporation (ITGR) reported GAAP revenue of $1.85B (+8.0% vs. FY2024 revenue of $1.72B , and +19.2% cumulative change since FY2023) , GAAP net income of $102.8M, operating cash flow of $196.1M, and free cash flow of $105.1M (+5.3% YoY). On the balance sheet, ITGR closed FY2025 with $3.41B in total assets against $1.19B in total debt (Altman Z-Score: 2.91, Piotroski F-Score: 7/9).

Fiscal Period Filing Date Revenue Net Income Operating Cash Flow Free Cash Flow Total Assets Total Debt
FY2025 (FY) 2025-12-31 $1.85B $102.8M $196.1M $105.1M $3.41B $1.19B
FY2024 (FY) 2024-12-31 $1.72B $119.9M $205.2M $99.8M $3.08B $980.2M
FY2023 (FY) 2023-12-31 $1.56B $90.7M $180.2M $110.2M $2.37B $553.5M

3. ITGR Data-Verified Investor FAQ (RQD Rating, Sector Peers, SEC Forensics & Technicals)

βœ“ SCHEMA.ORG FAQPAGE JSON-LD ENABLED

Is ITGR stock a Buy, Hold, or Sell right now according to Roarable's RQD model?

As of 2026-11-02, Integer Holdings Corporation (NYSE: ITGR) is rated C+ (Hold / HOLD) by Roarable's 5-pillar RQD engine with a composite confidence score of 67/100 at a spot price of $126.59 (+0.06% 1D, market cap $4.30B). Pillar breakdown: Fundamental Cash Engine 14/20, Institutional 13F & Options Flow 16/20, Executive Insider Alignment 13/20, FRED Macro Regime Fit 13/20, and SEC Balance-Sheet Forensics 11/20. Across 1016 tracked Health Care issuers, ITGR ranks #108 in composite RQD confidence.

How does ITGR compare to LIVN and AXGN in the Health Care sector?

Within the Health Care sector (Biotechnology: Electromedical & Electrotherapeutic Apparatus), ITGR carries a Roarable C+ (67/100 RQD), trailing P/E of 41.8x, gross margin of 27.0%, and ROIC of 6.0%. By comparison, LIVN (LivaNova PLC) holds a C+ grade (68/100 RQD, P/E N/A, ROIC 17.3%, cap $4.48B) and AXGN (Axogen Inc.) posts a D+ grade (54/100 RQD, P/E N/A, ROIC -2.6%, cap $2.96B). Among the 5-stock peer group, TMDX leads on earnings multiple (12.2x) while TMDX leads on capital efficiency (18.1% ROIC).

What are the biggest fundamental strengths and SEC risk factors for ITGR?

Per ITGR's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001114483), Integer Holdings Corporation generated $1.85B in revenue (+8.0% YoY), $102.8M in net income, and $105.1M in free cash flow against $3.41B in total assets and $1.19B in total debt. Key quantitative strengths: Big institutional funds and options desks are actively positioning on the bullish side.. Primary risk factors monitored: Priced at 42x earningsβ€”high expectations leave less room for a lukewarm quarter.. Institutional options positioning shows a 50% call / 50% put premium split.

Where is ITGR trading relative to its 50-day, 200-day, and 52-week technical levels?

ITGR last traded at $126.59 (+0.06% on volume of 571,724 shares), positioning the stock +0.26% above its 50-day simple moving average ($126.26) and +25.06% above its 200-day simple moving average ($101.22). Across its 52-week range of $63.75 to $126.83, ITGR sits at the 99.6% percentile with a 14-day RSI of 59.3 (BULLISH MOMENTUM) and an implied next-earnings move of Β±1.8% ($124.31 to $128.87).

ITGR Investor FAQ & Complete 8-Part Research Index

100% OPEN ACCESS β€’ SEC EDGAR Γ— CBOE Γ— FRED

What is ITGR's options positioning and volatility profile?

Roarable tracks verified CBOE unusual options sweeps, put/call ratios, and OHLCV realized volatility bands for ITGR.

Direct Sub-Reports: ITGR RQD Cockpit ITGR 12M Forecast ITGR Earnings & Move ITGR Dividends & DRIP ITGR Insiders & 13F ITGR Whale Options ITGR Profit Sankey ITGR News & Why
ROARABLE RATING BRIEF β€’ RQD 67/100 (C+) βœ“ STAGE-C NUMBER FIREWALL VERIFIED

ITGR β€” Integer Holdings Corporation: What the Facts Mean to a Prospective Investor

Engine: anthropic/claude-haiku-5.5
As of: 2026-11-02T15:21:54Z

Roarable Rating Brief: What This Means to a Prospective Investor

Per the Roarable RQD rating, ITGR scores 67 out of 100, a letter grade of C+, with the verdict "Roarable Hold β€” Upper Neutral / Watch for Breakout." The five pillars are: Fundamental Cash Engine at 14 of 20 (ROIC 6%; FCF yield 2.44%), Whale 13F Flow at 16 of 20 (institutional accumulation and options positioning), Insider Conviction at 11 of 20 (SEC Form 4 and Congressional PTR cluster flow), Macro Regime Fit at 13 of 20 (Beta 1.02; sector sensitivity), and Forensic Balance Sheet at 13 of 20 (Altman Z 2.91; Piotroski F 7/9; Debt/Equity 0.68).

For a prospective investor, the rating's strongest pillar is institutional positioning, which the RQD places at 16 of 20, while insider conviction is the weakest at 11 of 20. The cash-engine pillar is moderate: the RQD attributes 14 of 20 to it, consistent with the 6% ROIC and 2.44% FCF yield shown in the market data. The forensic pillar (13 of 20) reflects a Piotroski score of 7 of 9 and an Altman Z-Score of 2.91, alongside a Debt/Equity ratio of 0.68. Upside drivers implied by the scoring are institutional accumulation and balance sheet strength; valuation tradeoffs are visible in the elevated P/E (TTM) of 41.8 and forward P/E of 38.9 relative to a 2.44% FCF yield. The verdict's "Watch for Breakout" language signals the rating system views the stock as near neutral with potential for a directional move, not as a conclusive buy or sell. This is an analytical summary, not personalized financial advice.

Snapshot

PriceMarket CapP/E (TTM)Forward P/EEV/EBITDAEPS (TTM)Dividend YieldBeta52-Wk RangeROIC %
126.52$4.3B41.838.918.33.020%1.02$63.75 - $126.836%

Financial Trend

PeriodRevenueOperating IncomeNet IncomeEPSFCFCashDebt
FY 2025$1853.6M$221.3M$102.8MN/A$105.1M$17.2M$1185.2M
FY 2024$1716.6M$208.2M$119.9MN/A$99.8M$46.5M$980.2M
FY 2023$1555.7M$163.3M$90.7MN/A$110.2MN/A$553.5M

Per the market data, gross margin is 27%, operating margin 11.9%, and net margin 5.5%, with ROIC at 6%. Per the RQD forensic pillar, the Altman Z-Score is 2.91 and the Piotroski F-Score is 7 of 9. The balance sheet shows debt rising from $553.5M (FY 2023) to $1185.2M (FY 2025) while cash fell from $46.5M (FY 2024) to $17.2M (FY 2025). Debt/Equity is 0.68 per the RQD forensic inputs.

Open Questions

  • What drove the increase in debt from $553.5M to $1185.2M over FY 2023 to FY 2025, and how is it scheduled to be serviced?
  • Why are EPS figures reported as N/A in the financial periods when EPS (TTM) of 3.02 is provided in market data?
  • What is the cash position for FY 2023, which is listed as N/A?
  • What specific catalysts or news could drive the "breakout" the verdict references?

ITGR Live News Feed, Press Releases & Catalyst Wire

Real-time company headlines, analyst actions, and sector developments for Integer Holdings Corporation (ITGR) β€’ Click "Debate This Headline" to argue it in the Roar Pit below

πŸ’¬ Jump to ITGR Debate Forum (3) ↓
πŸ”₯ THE ROAR PIT β€’ LIVE COMMUNITY DEBATE 3 Active Posts & Replies

ITGR Bull vs. Bear Conversation Board β€” What's Your Call at $126.59?

πŸ‚ 50% BULLISH CONVICTION COMMUNITY TUG-OF-WAR ON ITGR 🐻 50% BEARISH CONVICTION
1. Pick Your Side on ITGR:
πŸ’‘ Tip: Back up your call with a price target or RQD metric to get upvoted to the top.
RO RoarDesk_Moderator Roarable Research Desk βš–οΈ DEBATE HOST 🎯 Target: $136.64 (+8.0%)
πŸ“Œ Pinned Debate

πŸ”₯ Official Bull vs. Bear Debate: Is ITGR (C+ β€’ RQD 67/100) a Buy at $126.52?

Welcome to the ITGR (Integer Holdings Corporation) Roar Pit. Current RQD Composite is 67/100 (Roarable Hold β€” Upper Neutral / Watch for Breakout) in Biotechnology: Electromedical & Electrotherapeutic Apparatus. Bulls point to operating leverage and sector positioning, while bears focus on valuation multiple compression (41.8x trailing P/E). Pick your side (πŸ‚ Bull or 🐻 Bear) and drop your price target below.

VA ValDiscipline Forensic Accounting Watch 🐻 BEARISH 🎯 Target: $99.95 (-21.0%)
Spot @ $126.52

Pump the brakes on ITGR β€” check the valuation vs. margin headwinds

Everyone in here is repeating the bull case on ITGR, but look at what you are paying: 41.8x trailing P/E with 27.0% gross margins. Unless Integer Holdings Corporation expands free cash flow yield next quarter, I would rather wait for a pullback closer to the 200-day moving average before touching this.

AL AlphaFlow_Cap Verified K Arena Trader πŸ‚ BULLISH 🎯 Target: $156.88 (+24.0%)
Spot @ $126.52

ITGR cash flow & RQD setup is being underpriced by the Street here

Looking at the 5-pillar RQD breakdown on ITGR, the market is fixating on short-term headline noise in Biotechnology: Electromedical & Electrotherapeutic Apparatus and ignoring the balance sheet and cash flow trajectory. At $126.52 (52-wk range $63.75 - $126.83), any beat on forward guidance forces shorts and underweight funds to chase.

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