Timon Schneider | SOPA Pictures | AP
Firm: Integer Holdings Corp (ITGR)
Enterprise: Integer Holdings Company is a medical gadget contract growth and manufacturing firm. Its manufacturers embody Greatbatch Medical and Lake Area Medical. The corporate’s Cardio & Vascular product line provides a spread of parts, subassemblies, and completed units utilized in interventional cardiology, structural coronary heart, coronary heart failure, peripheral vascular, neurovascular, interventional oncology, electrophysiology, vascular entry, infusion remedy, hemodialysis, urology and gastroenterology procedures. Its interventional cardiology portfolio is concentrated totally on the design, growth and manufacture of catheter and wire-based applied sciences supposed to diagnose and deal with cardiac illness. Its electrophysiology merchandise embody units utilized by electrophysiologists and interventional cardiologists for the therapy of cardiac arrythmias, akin to atrial fibrillation.
Inventory Market Worth: $3.01B ($85.78 per share)
Integer Holdings prior to now 12 months
Activist: Irenic Capital Administration
Possession: larger than 3%
Common Value: n/a
Activist Commentary: Irenic Capital was based in October 2021 by Adam Katz, a former portfolio supervisor at Elliott Funding Administration, and Andy Dodge, a former funding companion at Indaba Capital Administration. Irenic invests in public firms and works collaboratively with agency management. The agency’s activism has to date primarily targeted on strategic activism, recommending spinoffs and gross sales of companies.
What’s occurring
On Dec. 18, it was reported that Irenic took a place of greater than 3% in Integer Holdings and is asking for a board refreshment and the exploration of a possible sale of the corporate.
Behind the scenes
Integer Holdings is a medical gadget contract growth and manufacturing group (“CDMO”). The corporate acts as an outsourced design and growth companion for authentic tools producers (“OEMs”), akin to Medtronic, Boston Scientific and Johnson & Johnson. When growing new medical units, OEMs sometimes outsource sure parts to 3rd events, who then change into answerable for these components for your complete lifecycle of the product. Integer is the biggest of such firms and the one publicly traded pure-play medical gadget CDMO. From an finish market perspective, the corporate focuses on cardiovascular and neuromodulation functions, that are typically thought-about to be very prime quality due to their interventional, and due to this fact extremely sticky nature. Furthermore, the stringent regulatory and FDA approval necessities for these markets create very excessive boundaries to vary. Nonetheless, regardless of this sturdy market place and aggressive moat, the corporate’s share worth has struggled, down practically 40% prior to now 12 months.
The catalyst for this downturn was Integer’s most up-to-date quarterly report, which disclosed that the market demand for 3 particular merchandise fell wanting the OEM’s expectations, inflicting the OEMs to considerably cut back their orders from Integer. In consequence, Integer is now dealing with an air pocket in development from 2026. Whereas the corporate sometimes targets 6% to eight% natural development, 2026 is now projected to be between -2% and a couple of%. Regardless of administration’s assurances that that is simply an air pocket and that development will normalize in 2027, the inventory plummeted in prolonged buying and selling and within the days that adopted. A growth like this adopted by the assurances of administration typically doesn’t end in a 40% decline in a inventory. The character of Integer’s enterprise brings alongside sure confidentiality constraints round important data. So, whereas administration may give assurances, they can not give transparency into its pipeline or the id of its prospects, packages and platforms.
On Dec. 18, it was reported that Irenic Capital had a place of greater than 3% in Integer and is asking for a board refreshment and to discover a possible sale of the corporate. There are a couple of the reason why a sale is smart right here. First, as the one public pure-play medical gadget CDMO, Integer has no public comps and suffers from restricted investor and analyst understanding and protection. Second, as mentioned above when an organization is required to have opacity round its gross sales and prospects, it’s a lot simpler operated and grown in a non-public setting. Third, public buyers have restricted data with which to research the corporate, the place a non-public purchaser topic to a confidentiality settlement would be capable of carry out diligence on Integer’s merchandise, contracts and pipeline in full element, permitting them to underwrite future development with larger confidence. This isn’t misplaced on Integer administration. In 2024, they explored strategic alternate options and reportedly acquired bids at a premium to the share worth on the time (estimated within the $110 to $115 per share vary). Whereas the corporate finally did not pursue a transaction, because the inventory subsequently rerated, the latest share worth pullback suggests that non-public fairness curiosity ought to stay at a significant premium to at this time’s valuation. For instance, Teleflex Medical just lately introduced the sale of its OEM enterprise at roughly 4.7-times income and 16- to 17-times EBITDA. Integer’s largest rivals, Resonetics and Confluent Medical, are each PE owned and have been acquired at valuations exceeding 20-times EBITDA. Extrapolating these multiples to Integer, which presently trades at roughly 2-times income and 12-times EBITDA, would equate to an acquisition worth north of $120 per share.
In evaluating this resolution, Irenic wish to see a board refreshment that would come with administrators with medical OEM expertise and monetary acumen. This may add wanted expertise in two areas integral in making a transformative resolution like whether or not to promote or not. Even and not using a potential sale of the corporate, it is a board that wants refreshment. Of the 11 administrators, 5 could have been on the board for not less than 10 years by the subsequent annual assembly. This consists of the chair, Pamela Bailey, who has been on the board for practically 25 years. Introducing some recent views might materially enhance the board’s capacity to evaluate the potential choices to maximise worth for shareholders on a risk-adjusted foundation.
Irenic has important expertise in strategic activism, figuring out firms which are struggling within the public markets and serving to implement spinoffs and gross sales of companies, usually to non-public fairness. Integer matches the agency’s playbook completely. Whereas we sometimes favor an activist to weigh a standalone thesis in opposition to a sale path, it’s exhausting to recall an organization with much less justification for remaining within the public market. With the nomination deadline opening Jan.21, Irenic’s subsequent steps – and whether or not the agency chooses to appoint administrators – ought to emerge quickly. Nonetheless, whereas Irenic is greater than able to working a proxy contest, it has traditionally acquired board illustration by way of settlements, and we might count on the agency to be in search of the identical end result right here. Furthermore, given Irenic’s strategically pushed method to its engagements, we’d count on the agency to de-emphasize its governance considerations ought to the present board provoke a proper strategic evaluate and obtain credible and worth accretive provides.
Ken Squire is the founder and president of 13D Monitor, an institutional analysis service on shareholder activism, and the founder and portfolio supervisor of the 13D Activist Fund, a mutual fund that invests in a portfolio of activist investments.
