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On the wire
Markets EdgeHENRI IVOctober 27, 20262 min readAd-free

Integer Holdings Shareholders Approve $5.7B KKR Acquisition in Single Session Vote

Medical device supplier exits public markets after shareholders ratify take-private at premium to recent trading range.

Markets Edge deskMarkets Edge · Huang GoodmanSource: Medical Design and Outsourcing ↗
Edgar's SEC data profile {actuarial version} →
In plain words

KKR takes Integer private at **$5.7B** without competing bids, securing a sole-source medical device supplier with **61% gross margins** and multiyear customer contracts.

$5.7 billion
acquisition by a KKR-managed fund affiliate
2.8x trailing revenue
based on the company's most recent
$2.04 billion
in annual sales
$119.50 per share
representing a

Integer Holdings shareholders voted overwhelmingly to approve a $5.7 billion acquisition by a KKR-managed fund affiliate, clearing the final shareholder hurdle for the medical device manufacturer's exit from public markets. The single-session approval came without material opposition, indicating institutional holders accepted the premium without extracting a competing bid.

The transaction values Integer at roughly 2.8x trailing revenue based on the company's most recent $2.04 billion in annual sales. KKR structured the deal as an all-cash take-private at $119.50 per share, representing a 32% premium to Integer's undisturbed trading price before acquisition rumors surfaced in late 2024. The vote concludes a four-month process that began with exclusivity negotiations in November and moved to definitive agreement by mid-December. No rival bidders emerged during the go-shop period, despite Integer's position as a sole-source supplier for cardiac rhythm management and neuromodulation components used by Medtronic, Abbott, and Boston Scientific.

The shareholder approval matters because Integer operates with 61% gross margins and carries relationships that require 18-24 month qualification cycles for new entrants to replicate. KKR inherits a business with $847 million in contracted backlog and manufacturing facilities that hold FDA registrations across five continents. The private equity buyer also assumes $1.2 billion in net debt, bringing total enterprise value to roughly $6.9 billion. Three of Integer's top five customers have multiyear supply agreements extending through 2027, providing revenue visibility that supports leveraged returns even in a higher-rate environment.

The deal structure gives KKR control of a component supplier at a moment when medical device OEMs face pressure to secure supply chains outside China. Integer's Thailand and Mexico manufacturing footprint positions the company as a beneficiary of supply diversification mandates that Medtronic and Abbott codified in late 2023. KKR's industrial team has previously taken Capsugel and Envision Healthcare private, executing operational improvements before either reselling or taking companies public at higher multiples. Integer's margin profile and customer concentration create a narrower playbook: incremental capacity expansion in existing facilities rather than transformational M&A.

Operators should monitor two follow-on events. First, Integer's management retention packages typically vest over 36 months under KKR ownership, with CEO Joe Dziedzic's contract extending through December 2027. Any early departures would signal integration friction or strategic pivots. Second, Integer's largest customers will renegotiate pricing during the next annual review cycle in Q3 2025, testing whether private ownership changes the company's willingness to accept low-single-digit annual price increases. A shift toward mid-single-digit increases would confirm KKR's thesis that Integer undermonetized its sole-source position while public.

The transaction closes in Q2 2025 pending HSR clearance, which carries minimal antitrust risk given Integer's sub-4% share of the global medical device contract manufacturing market.

Branded by POPS4 · proof in 60 seconds
For the principal

Monitor Integer's Thailand/Mexico capacity for supply chain diversification opportunities; management retention through 2027 signals operational continuity under private ownership.

For the operator

Track Integer's Q3 2025 customer pricing negotiations for signals on whether KKR pushes margin expansion; any Dziedzic departure accelerates strategic pivot timeline.

For the house

Named accounts exploring medtech component exposure should wait for post-close operational review; better entry at refinancing event in 24-30 months than pre-close premium.

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Sources and method
  • Primary report: Medical Design and Outsourcing, October 27, 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 holdingsmedtechtake-privateshareholder approvalcontract manufacturing

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