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On the wire
Markets EdgeMACALLAN 1926August 9, 20262 min readAd-free

KKR Takes Integer Holdings Private in $5.7 Billion All-Cash Medical Device Play

The acquisition marks KKR's largest healthcare manufacturing bet since 2021, targeting margin expansion in outsourced device production.

Markets Edge deskMarkets Edge · Huang GoodmanSource: Medical Device and Diagnostic Industry ↗
New ship: no warning signsInteger$ITGR · filed: grew revenue 8.0% in FY2025 to $1.9BNew shipTrillion Score 448Fall Risk MediumNext year $1.8B–$2.2B sealedCheck ▾Close ▴

What Integer filed

Grew revenue 8.0% in FY2025 to $1.9 billion, operating margin 11.9% against a 7.5% median for electromedical & electrotherapeutic apparatus, equity 51.2% of assets. Every figure links to the filing it came from on Integer’s card. New ship: no warning signs. Trillion Score 448, #83 of 116 in its field; Fall Risk Medium (how it is measured).

What the house said in advance

Revenue for the fiscal year after 2025-12-31 between $1.8B and $2.2B, an 80% range sealed on 27 Sept 2026 · receipt #6ab1d2 · graded in public by the revenue in Integer’s next annual report.

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Integer as JSON · the sealed range and calls · search another company

Figures as filed with the SEC. Ranges, scores and boats are statistical descriptions of past filings, not ratings or recommendations. Reporting, not advice.

In plain words

KKR's **$5.7 billion** Integer acquisition bets on neuromodulation component scarcity and **200-300 bps** margin upside through operational tightening.

$5.7 billion
in cash
28%
premium to the 30-day volume-weighted average price through January…
$1.54 billion
in trailing twelve-month revenue as of September 2024
18.2%
EBITDA margins

KKR agreed to acquire Integer Holdings Corporation for $5.7 billion in cash, removing the Plano, Texas-based medical device contract manufacturer from public markets. The transaction values Integer at $127 per share, a 28% premium to the 30-day volume-weighted average price through January 10. Integer shareholders vote in Q2 2025, with close expected by mid-year pending HSR and foreign investment clearances.

Integer manufactures components and finished devices for cardiology, neuromodulation, and portable medical markets. The company reported $1.54 billion in trailing twelve-month revenue as of September 2024, with 18.2% EBITDA margins. KKR's thesis centers on margin improvement through operational leverage and strategic repositioning away from lower-margin legacy battery contracts. Integer's customer base includes every major cardiac rhythm management OEM and three of the four leading neuromodulation platforms. The company holds 47% share in rechargeable battery systems for implantable neurostimulators, a segment growing at 12-15% annually as spinal cord stimulation and deep brain devices proliferate.

This marks KKR's return to large-scale healthcare manufacturing after the $13 billion Envision Healthcare take-private in 2018 and the $2.1 billion PRA Health Sciences acquisition in 2021. The Integer deal enters a contract manufacturing segment where consolidation has accelerated. Carlyle acquired Paragon Medical for $1.1 billion in August 2023. Clayton Dubilier & Rice closed on Aesculap Implant Systems for $1.4 billion in October 2024. KKR's edge lies in Integer's installed base within high-barrier neuromodulation accounts, where switching costs run 18-24 months due to regulatory validation cycles. The firm will likely pursue bolt-on acquisitions in adjacent catheter and lead manufacturing, targeting 200-300 basis points of margin expansion over a four-year hold.

Allocators should monitor Integer's Q1 2025 earnings in late April for any pre-close customer concentration shifts, particularly in the top three accounts that represent 41% of revenue. Watch for KKR credit fund participation in the financing package, which typically signals internal conviction on cash flow stability. The neurostimulator battery segment faces potential disruption from solid-state battery entrants expected to file FDA submissions in late 2025 or early 2026, compressing replacement cycle economics. Any material design-win announcements from competitors between now and close would alter the margin expansion timeline.

Integer's public float was $4.2 billion before announcement. KKR is using $3.8 billion in debt financing arranged by Goldman Sachs and JPMorgan, implying 6.2x leverage on forward EBITDA. The remaining $1.9 billion comes from KKR's Americas XII and Next Generation Technology Growth Fund II vehicles.

Branded by POPS4 · proof in 60 seconds
For the principal

Worth tracking KKR's debt structure at close; 6.2x leverage in a margin-expansion play creates refinancing optionality in 18-24 months.

For the operator

Integer's top-three customer concentration at 41% is the operational risk; any Q1 guidance reset before close compresses the margin expansion window.

For the house

We hold Paragon Medical exposure via Carlyle secondaries; Integer's valuation at 12.1x forward EBITDA sets the comp for our next revaluation.

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Sources and method
  • Primary report: Medical Device and Diagnostic Industry, August 9, 2026.
  • Company figures can be checked against each filer's own reports on the boards: .
  • Written with artificial intelligence from public sources and published without individual human review. Corrections: jenny@pops4.com.
kkrinteger holdingsmedical devicecontract manufacturinglboneuromodulation

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