UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION

                             Washington, D.C. 20549

                                    FORM 8-K

                                 CURRENT REPORT
                       Pursuant to Section 13 or 15(d) of
                       the Securities Exchange Act of 1934

       Date of Report (Date of earliest event reported): January 14, 2005

                    INTEGRA LIFESCIENCES HOLDINGS CORPORATION


             (Exact name of Registrant as specified in its charter)


            Delaware                      0-26224                51-0317849
(State or other jurisdiction of   (Commission File Number)    (I.R.S. Employer
 incorporation or organization)                              Identification No.)



                              311 Enterprise Drive
                              Plainsboro, NJ 08536
               (Address of principal executive offices) (Zip Code)

      (Registrant's telephone number, including area code): (609)-275-0500

                                 Not Applicable
          (Former name or former address, if changed since last report)


Check  the  appropriate  box  below  if the  Form  8-K  filing  is  intended  to
simultaneously  satisfy the filing obligation of the registrant under any of the
following provisions:

[ ] Written communications pursuant to Rule 425 under the Securities Act (17 CFR
    230.425)

[ ] Soliciting  material  pursuant to Rule 14a-12 under the Exchange Act (17 CFR
    240.14a-12)

[ ] Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange
    Act (17 CFR 240.14d-2(b))

[ ] Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange
    Act (17 CFR 240.13e-4(c))



ITEM 8.01.   OTHER EVENTS.

As previously  reported in our Current  Report on Form 8-K dated August 3, 2004,
Integra  adopted the provisions of Emerging  Issues Task Force (EITF) Issue 03-6
"Participating  Securities  and the  Two-Class  Method Under FASB  Statement No.
128," during the second quarter of 2004. The transition provisions of Issue 03-6
require prior period earnings per share amounts to be restated to conform to the
new  standard,  including  the  impact  relating  to  securities  that have been
extinguished  but were  outstanding  for a portion of some prior  period that is
presented  for  comparative  purposes.  Accordingly,  Integra is  restating  its
earnings per share  calculations for the year ended December 31, 2001 to conform
to the  two-class  method  required by Issue 03-6 as it relates to the  dividend
participation rights included in the Series B and Series C Convertible Preferred
Stock that were outstanding  during that period,  but were converted in 2001 and
2002, respectively. The adoption of Issue 03-6 reduced previously reported basic
earnings  per share in 2001 by $0.05 to $1.03 and diluted  earnings per share in
2001 by $0.02 to $0.92. The adoption of Issue 03-6 did not change the previously
reported basic or diluted earnings per share for any other year.

Integra is also restating the following  footnote  disclosures with the adoption
of Issue 03-6:

     -   Previously  disclosed 2001 basic net income per share,  as adjusted for
         the non-amortization  provisions of Statement 142, was reduced by $0.04
         to $1.07 (see Note 2).

     -   Previously disclosed 2001 diluted net income per share, as adjusted for
         the non-amortization  provisions of Statement 142, was reduced by $0.02
         to $0.95 (see Note 2).

     -   Previously  disclosed  pro forma basic and diluted net income per share
         for  2002 and  2001,  adjusted  to  reflect  compensation  cost for the
         Company's stock option plans as if it had been determined  based on the
         fair value at the grant  consistent  with the  provisions  of Statement
         123, was reduced as follows (see Note 2):

             o   2002 pro forma  basic net income per share was reduced by $0.01
                 to $1.04

             o   2002 pro forma  diluted  net  income  per share was  reduced by
                 $0.01 to $1.02

             o   2001 pro forma  basic net income per share was reduced by $0.02
                 to $0.80

             o   2001 pro forma  diluted  net  income  per share was  reduced by
                 $0.02 to $0.73

This Current Report on Form 8-K updates the following  information  contained in
our Annual  Report on Form 10-K for the year ended  December 31, 2003 (the "2003
Form 10-K") to reflect the  restatement  of 2001  earnings per share  amounts as
required by the adoption of Issue 03-6. No other information has been updated in
the 2003 Form 10-K.

     -   Part II, Item 6. Selected Financial Data

     -   Part II, Item 7.  Management's  Discussion  and  Analysis of  Financial
         Condition and Results of Operations

     -   Part IV, Item 15. Financial Statements

This updated  information  should be read together with Integra's 2003 Form 10-K
and all other reports filed with the Securities and Exchange Commission pursuant
to Section 13, 14, or 15 of the  Securities  Exchange  Act of 1934 (as  amended)
since the end of the fiscal year covered by the 2003 Form 10-K..

                                       2


UPDATE TO 2003 ANNUAL REPORT ON FORM 10-K,  PART II, ITEM 6. SELECTED  FINANCIAL
DATA

ITEM 6.  SELECTED FINANCIAL DATA

The information set forth below should be read in conjunction with "Management's
Discussion and Analysis of Financial  Condition and Results of  Operations"  and
our consolidated  financial  statements and related notes included  elsewhere in
this report. We have acquired  numerous  businesses and product lines during the
previous  five  years.  As a result  of  these  acquisitions,  the  consolidated
financial  results and balance  sheet data for certain of the periods  presented
below may not be directly comparable.



                                                                         Years Ended December 31,
                                                             2003      2002      2001       2000       1999
                                                            ------    ------    ------     ------     ------
                                                                  (IN THOUSANDS, EXCEPT PER SHARE DATA)

                                                                                      
Operating Results:
Total revenue (1) ......................................   $185,599  $117,822  $ 93,442   $ 71,649   $ 42,876
Total operating costs and expenses (2) .................    145,952    98,635    79,156     83,370     55,256
                                                           --------  --------  --------   --------   --------
Operating income (loss) ................................     39,647    19,187    14,286    (11,721)   (12,380)

Interest income (expense), net .........................        471     3,535     1,393       (473)       294
Gain on disposition of product line ....................         --        --        --      1,146      4,161
Other income (expense), net (1) ........................      3,071         3      (392)       201        141
                                                           --------  --------  --------   --------   --------
Income (loss) before income taxes ......................     43,189    22,725    15,287    (10,847)    (7,784)
Income tax expense (benefit) (3) .......................     16,328   (12,552)  (10,876)       108     (1,818)
                                                           --------  --------  --------   --------   --------
Net income (loss) before cumulative
   effect of accounting change .........................     26,861    35,277    26,163    (10,955)    (5,966)

Cumulative effect of accounting change(5) ..............         --        --        --       (470)        --
                                                           --------  --------  --------   --------   --------
Net income (loss) ......................................   $ 26,861  $ 35,277  $ 26,163   $(11,425)  $ (5,966)
                                                           ========  ========  ========   ========   ========

Diluted net income (loss) per share ....................   $   0.88  $   1.14  $   0.92   $  (0.97)  $  (0.40)
Weighted average shares outstanding ....................     30,468    30,720    27,196     17,553     16,802

Pro Forma Data (5):
Total revenue ..........................................                                             $ 42,974
Net loss ...............................................                                               (5,868)
Basic and diluted net loss per share ...................                                             $  (0.40)

                                                                               December 31,
                                                             2003      2002      2001       2000       1999
                                                            ------    ------    ------     ------     ------
                                                                              (IN THOUSANDS)
Financial Position:
Cash, cash equivalents, and marketable securities(4,6)..   $206,743  $132,311  $131,036   $ 15,138   $ 23,612
Total assets ...........................................    412,526   274,668   227,588     86,514     66,253
Long-term debt (6) .....................................    119,257       --        --       4,758      7,625
Accumulated deficit ....................................    (17,462)  (44,323)  (79,600)  (105,729)   (94,304)
Stockholders' equity ...................................    268,530   247,597   204,056     53,781     37,989


(1)  In 2003,  we  recorded  $11.0  million  of  other  revenue  related  to the
     acceleration  of the  recognition of unused minimum  purchase  payments and
     unamortized  license fee revenue from ETHICON  following the termination of
     the supply  distribution and  collaboration  agreement in December 2003. We
     also recorded a $2.0 million gain in other income associated with a related
     termination payment received from ETHICON.

(2)  We recorded the following  significant special items in operating expenses:
     $1.1 million of expenses  related to the closure of our San Diego  research
     center,  $0.4 million of acquired in-process research and development and a
     $2.0 million  donation to the Integra  Foundation in 2003;  $2.3 million of
     acquired in-process research and development charges recorded in connection
     with acquisitions in 2002; a $13.5 million stock-based  compensation charge
     incurred  in  connection  with  the  extension  of  the  employment  of our
     President  and Chief  Executive  Officer in 2000;  and $2.5 million in fair
     value  inventory  charges and $1.0  million in severance  costs  related to
     acquisitions in 1999.

(3)  In 2002 and 2001,  respectively,  Integra  recognized  a $20.4  million and
     $11.5  million  deferred  income  tax  benefit  primarily  related  to  the
     reduction  of a portion of the  valuation  allowance  recorded  against its

                                       3


     deferred tax assets.  In 1999,  Integra  recognized a $1.8 million deferred
     income  tax  benefit  from the  reduction  of the  deferred  tax  liability
     recorded  in the  NeuroCare  acquisition  to the extent  that  consolidated
     deferred tax assets were generated subsequent to the acquisition.

(4)  In August 2001,  we issued  4,747,500  shares of common stock at $25.50 per
     share in a follow-on  public  offering.  The net proceeds  generated by the
     offering,  after  expenses,  were $113.4 million.  We  subsequently  used a
     portion of these proceeds to repay outstanding  indebtedness  totaling $9.3
     million,  for which we recorded a $256,000 loss on the early  retirement of
     debt.

(5)  As the result of the  adoption  of SEC Staff  Accounting  Bulletin  No. 101
     "Revenue  Recognition" (SAB 101), we recorded a $470,000  cumulative effect
     of an accounting change to defer a portion of a nonrefundable, up-front fee
     received and recorded in other revenue in 1998.  The  cumulative  effect of
     this  accounting  change was measured as of January 1, 2000. As a result of
     this accounting change, other revenue in 2003, 2002, 2001 and 2000 includes
     $112,000 of  amortization of the amount deferred as of January 1, 2000. Pro
     forma data  reflects the amounts  that would have been  reported if SAB 101
     had been retroactively applied.

(6)  In  2003,  we  issued  $120.0  million  of  2.5%   contingent   convertible
     subordinated notes due 2008. The net proceeds generated by the notes, after
     expenses, were $115.9 million. The notes are convertible into approximately
     3.5 million shares.


UPDATE  TO 2003  ANNUAL  REPORT  ON FORM  10-K,  PART II,  ITEM 7.  MANAGEMENT'S
DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

The following  discussion and analysis of our financial condition and results of
operations should be read together with the selected consolidated financial data
and our financial  statements and the related notes appearing  elsewhere in this
report.  This discussion and analysis contains  forward-looking  statements that
involve  risks,  uncertainties  and  assumptions.  Our actual results may differ
materially  from those  anticipated  in these  forward-looking  statements  as a
result of many  factors,  including  but not  limited to those under the heading
"Factors That May Affect Our Future Performance".

Regulation G,  "Conditions  for Use of Non-GAAP  Financial  Measures," and other
provisions  of the  Securities  Exchange  Act of 1934,  as  amended,  define and
prescribe the conditions for the use of certain non-GAAP financial  information.
In  Management's  Discussion and Analysis of Financial  Condition and Results of
Operations,   we  provide  information  regarding  growth  in  product  revenues
excluding  recently  acquired  product  lines,  which  is a  non-GAAP  financial
measure.  A  reconciliation  of this  non-GAAP  financial  measure  to the  most
comparable GAAP measure is provided in this annual report.

This non-GAAP  financial  measure  should not be relied upon to the exclusion of
GAAP  financial  measures.  Management  believes  that this  non-GAAP  financial
measure  constitutes  important  supplemental  information  to  investors  which
reflects an  additional  way of viewing  aspects of our  operations  that,  when
viewed with our GAAP results and the  accompanying  reconciliations,  provides a
more complete understanding of factors and trends affecting our ongoing business
and operations. Management strongly encourages investors to review our financial
statements and  publicly-filed  reports in their entirely and to not rely on any
single  financial   measure.   Because  non-GAAP   financial  measures  are  not
standardized,  it may not be possible to compare these  financial  measures with
other companies' non-GAAP financial measures having the same or similar names.

GENERAL

Integra  develops,   manufactures,  and  markets  medical  devices  for  use  in
neuro-trauma,  neurosurgery,  plastic and  reconstructive  surgery,  and general
surgery.  Our  business  is  organized  into  PRODUCT  GROUPS  and  DISTRIBUTION
CHANNELS.  Our product groups include  implants and other devices for use in the
operating room,  monitoring systems for the measurement of various parameters in
tissue (such as pressure,  temperature,  and oxygen),  hand-held and  ultrasonic
surgical  instruments,  and private label products that we manufacture for other
medical device companies.

                                       4


Our distribution channels include a sales organization that we employ to call on
neurosurgeons,   another   employed   sales   force  to  call  on  plastic   and
reconstructive  surgeons,  and  networks  of  third-party  distributors  that we
manage.  We invest  substantial  resources and management  effort to develop our
sales  organizations,  and we believe that we compete very  effectively  in this
aspect of our business.

We manufacture most of the operating room, monitoring and private label products
that we sell in  various  plants  located  in the United  States,  Puerto  Rico,
France,  the United  Kingdom and Germany.  We also  manufacture  the  ultrasonic
surgical  instruments that we sell, but we source most of our hand-held surgical
instruments through specialized third-party vendors.

We believe that we have a particular  advantage in the development,  manufacture
and sale of specialty tissue repair products  derived from bovine  collagen.  We
develop and build these  products in our  manufacturing  facility in Plainsboro,
New Jersey. Taken together,  these products accounted for approximately 27%, 32%
and 32% of product revenues in the years ended December 31, 2003, 2002 and 2001,
respectively.

We  manage  these  multiple  product  groups  and  distribution  channels  on  a
centralized basis.  Accordingly,  we report our financial results under a single
operating segment - the development,  manufacturing, and distribution of medical
devices.

Our  objective is to build a  customer-focused  and  profitable  medical  device
company by developing or acquiring innovative medical devices and other products
to sell through our sales channels.  Our strategy therefore entails  substantial
growth in product revenues both through  internal means - through  launching new
and innovative  products and selling existing products more intensively - and by
acquiring existing businesses or already successful product lines.

We aim to achieve this growth in revenues  while  maintaining  strong  financial
results.  While  we pay  attention  to any  meaningful  trend  in our  financial
results,  we pay particular  attention to measurements  that tend to support the
view that our profitability can grow for a period of years.  These  measurements
include revenue growth from products developed  internally or acquired more than
a year  before the  reporting  period in  question,  gross  margins on  products
revenues,  which we hope to  increase  to more than 65% over a period of several
years,  operating  margins  for the entire  company,  which we hope to  increase
substantially from the level we reported in 2003, and earnings per fully diluted
share of common stock.

ACQUISITIONS

Our strategy for growing our business  includes the acquisition of complementary
product lines and companies.  Our recent acquisitions of businesses,  assets and
product  lines may make our  financial  results for the year ended  December 31,
2003 not directly  comparable to those of the corresponding  prior year periods.
Since the beginning of 2001, we have acquired the following  businesses,  assets
and product lines:

In December 2003, we acquired the assets of  Reconstructive  Technologies,  Inc.
for $400,000 in cash and an agreement to make future  payments  based on product
sales.  Reconstructive  Technologies  is the developer of the  Automated  Cyclic
Expansion System (ACE System(TM)),  a tissue expansion device. As the ACE system
is not yet approved,  we recorded an in-process  research and development charge
in connection with this acquisition. Once approved, we plan to market the system
through our plastic and reconstructive sales force.

In November  2003,  we acquired all of the  outstanding  capital stock of Spinal
Specialties,  Inc. from I-Flow  Corporation  for  approximately  $6.0 million in
cash, subject to a working capital adjustment.  Spinal

                                       5


Specialties  assembles  and sells  custom kits and  products  for  chronic  pain
management,  including the  OsteoJect(TM)  Bone Cement  Delivery  System and the
ACCU-DISC(TM)   Pressure  Monitoring  System.  Spinal  Specialties  markets  its
products  to  anesthesiologists  and  interventional   radiologists  through  an
in-house  telemarketing  team and a network of distributors.  We report sales of
Spinal Specialties products as instrument revenues.

In August  2003,  we  acquired  the  assets of Tissue  Technologies,  Inc.,  the
manufacturer  and distributor of the  UltraSoft(TM)  line of facial implants for
soft tissue  augmentation  of the facial area. We market the UltraSoft  products
directly  to  cosmetic  and  reconstructive  surgeons  through  our  plastic and
reconstructive surgery sales force.

In March 2003,  we acquired all of the  outstanding  capital  stock of J. Jamner
Surgical Instruments, Inc. (doing business as JARIT(R) Surgical Instruments) for
$45.6 million in cash. JARIT sells its products to more than 5,200 hospitals and
surgery centers worldwide.  JARIT generates its domestic product sales primarily
through sales to hospitals that are members of group  purchasing  organizations.
Group  purchasing  organizations  use the  combined  leverage  of  their  member
hospitals to obtain  better  prices for medical  products for the  participating
hospitals and other health care providers  than might  otherwise be available to
these institutions  individually.  The acquisition of JARIT broadened  Integra's
customer  base and surgical  instrument  product  offering and  facilitated  the
procurement of Integra's  Ruggles(TM) and Padgett  instrument  products directly
from the instrument manufacturers.

In December 2002, we acquired the epilepsy  monitoring and  neurosurgical  shunt
business of the Radionics  division of Tyco Healthcare Group for $3.7 million in
cash. We moved the  manufacturing of the acquired lines to our facility in Biot,
France and are selling the acquired  products through our Integra  NeuroSciences
sales force.

In October  2002,  we  acquired  Padgett  Instruments,  Inc.(R),  a marketer  of
instruments  used in  reconstructive  and plastic  surgery,  for $9.6 million in
cash. Our  acquisition of Padgett  Instruments  broadened our existing  surgical
customer base and allowed us to expand into new market segments. We consolidated
Padgett's  operations  into our  distribution  center  located in Cranbury,  New
Jersey in March 2003.

In August 2002, we acquired certain assets, including the NeuroSensor(R) monitor
and rights to certain  intellectual  property,  from Novus Monitoring Limited of
the United Kingdom  ("Novus") and entered into a related  development  agreement
pursuant to which Novus will, at its own cost, conduct certain clinical studies,
continue  development  of an  additional  monitoring  product,  and  design  and
transfer to us a validated  manufacturing  process for these  products.  We paid
Novus  $3.5  million in cash at closing  and  agreed to pay an  additional  $1.5
million  upon  Novus'  achievement  of a  development  milestone  and  up  to an
additional $2.5 million based upon revenues from Novus' products.  We expect the
Novus  products to complement  our existing line of brain  parameter  monitoring
products.

We expect to introduce the Novus  NeuroSensor(R)  Cerebral Blood Flow Monitoring
System in the second half of 2004.  The Novus  monitoring  system  measures both
intracranial  pressure and cerebral blood flow using a single combined probe and
an electronic monitor for data display.  Cerebral blood flow is considered to be
an  important  parameter  for  monitoring  cerebral  auto-regulation  and,  when
combined  with  the  measurement  of  intracranial   pressure,  is  expected  to
facilitate  improved patient care and clinical  management with  applications in
neuro-trauma,   cerebrovascular   disease,   and  post-operative   neurosurgical
treatment.

In connection with the Novus acquisition,  we recorded a $1.1 million in-process
research and development charge for the value associated with the development of
a next generation  monitoring

                                       6


system.  Novus remains  responsible  for the costs to complete  development  and
obtain regulatory  clearance for this project, the value of which we recorded as
prepaid  research  and  development.  We estimated  the value of the  in-process
research and  development  with the assistance of a third party  appraiser using
probability   weighted  cash  flow   projections  with  factors  for  successful
development ranging from 15% to 20% and a 15% discount rate.

In August 2002, we acquired the neurosciences  division of NMT Medical, Inc. for
$5.7  million in cash.  Through  this  acquisition,  we added a range of leading
differential pressure valves, including the Orbis-Sigma(R), Integra Hakim(R) and
horizontal-vertical lumbar valves, and external ventricular drainage products to
our  neurosurgical  product line.  The acquired  operations  included a facility
located in Biot, France that  manufactures,  packages and distributes  shunting,
catheter and drainage products.

In July  2002,  we  acquired  the  assets of  Signature  Technologies,  Inc.,  a
specialty  manufacturer  of  titanium  and  stainless  steel  implants  for  the
neurosurgical  and spinal  markets,  and  certain  other  intellectual  property
assets.  The purchase price  consisted of $2.9 million in cash,  $0.5 million of
deferred  consideration,  and  royalties  on  future  sales  of  products  to be
developed.  Our acquisition of Signature  Technologies gave us the capability of
developing and manufacturing  metal implants for our strategic  partners and for
our direct sale. Signature  Technologies currently manufactures cranial fixation
systems for sale primarily under a single contract manufacturing  agreement that
expires in June 2004.

In connection with the Signature  Technologies  acquisition,  we recorded a $1.2
million in-process research and development charge for the value associated with
a project for the  development  of an enhanced  cranial  fixation  system  using
patented  technology  for  improved   identification  and  delivery  of  certain
components of the system.

In December 2001, we acquired  NeuroSupplies,  Inc., a specialty  distributor of
disposables and supplies for neurologists,  pulmonologists and other physicians,
for $4.1 million.  The purchase price  consisted of $0.2 million in cash, a $3.6
million note paid in January 2002,  and 10,000  shares of Integra  common stock.
Integra  NeuroSupplies  markets a wide  variety  of  supplies  to  neurologists,
hospitals,  sleep clinics,  and other physicians in the United States as well as
to original equipment manufacturers and distributors.  In 2003, we relocated the
NeuroSupplies operations to our facility in Pembroke, Massachusetts.

In April 2001, we acquired Satelec  Medical,  a manufacturer and marketer of the
Dissectron(R)  ultrasonic  surgical  aspirator  console  and a line  of  related
handpieces,  for $3.9 million in cash.  We completed  the  consolidation  of the
Satelec  operations  into our Andover,  England and Biot,  France  facilities in
2002.

In April 2001,  we acquired  GMSmbH,  the German  manufacturer  of the  LICOX(R)
product, for $3.2 million. The purchase price consisted of $2.6 million in cash,
the  forgiveness  of $0.2  million in notes  receivable  from  GMSmbH,  and $0.4
million  of  future  minimum  royalty  payments  to  the  seller.  Prior  to the
acquisition,  we had exclusive  marketing rights to the LICOX(R) products in the
United States and certain other markets.

RESULTS OF OPERATIONS

Net income in 2003 was $26.9 million, or $0.88 per diluted share, as compared to
net income of $35.3 million or $1.14 per diluted  share in 2002,  and net income
of $26.2 million or $0.92 per diluted  share in 2001.  Included in these amounts
are certain revenues,  charges,  or gains resulting from facts and circumstances
that,  based on our recent history and future  expectations,  may not recur with
similar  materiality  or impact on  continuing  operations.  We believe that the
identification  of all  revenues,  charges,  and gains that meet these  criteria
promotes  comparability of reported financial results.  The following  revenues,
charges, and gains were included in net income and net income per diluted share:

                                       7


RECORDED IN 2003

     -   We recorded $11.0 million of other revenue related to the  acceleration
         of the recognition of unused minimum purchase  payments and unamortized
         license fee revenue  from  ETHICON  following  the  termination  of the
         Supply, Distribution and Collaboration agreement in December 2003.

     -   We incurred $1.1 million of expenses  related to the closing of our San
         Diego research center,  consolidation  of the research  activities into
         our  other  facilities  and the  discontinuation  of  certain  research
         programs.

     -   We recorded an acquired  in-process  research and development charge of
         $400,000 in connection with an acquisition.

     -   We made a $2.0  million  donation to the Integra  Foundation,  which is
         included in general and administrative expenses.

     -   We received a $2.0 million payment from ETHICON from the termination of
         our agreement with them, which is included in other income.

RECORDED IN 2002

     -   We recorded a $20.4 million deferred income tax benefit  primarily from
         the reduction of the valuation  allowance recorded against our deferred
         tax assets associated with net operating loss carryforwards.

     -   We recorded  acquired  in-process  research and development  charges of
         $2.3 million in connection with acquisitions.

RECORDED IN 2001

     -   We  recorded an $11.5  million  deferred  income tax  benefit  from the
         reduction of a portion of the valuation  allowance recorded against our
         deferred tax assets associated with net operating loss carryforwards.

     -   We recorded a $256,000 loss from the early retirement of debt.

TOTAL REVENUES AND GROSS MARGIN ON PRODUCT REVENUES



(in thousands, except per share data)                       2003       2002       2001
                                                          --------   --------   --------

                                                                       
   Monitoring products .................................  $ 44,229   $ 37,184   $ 28,158
   Operating room products .............................    53,301     38,326     27,240
   Instruments .........................................    47,168     16,802     14,972
   Private label products ..............................    21,997     20,313     17,538
                                                          --------   --------   --------
Total product revenues .................................   166,695    112,625     87,908
Other revenue ..........................................    18,904      5,197      5,534
                                                          --------   --------   --------
Total revenues..........................................   185,599    117,822     93,442

Cost of product revenues ...............................    70,597     45,772     36,014

Gross margin on product revenues .......................    96,098     66,853     51,894
Gross margin as a percentage of product revenues .......       58%        59%        59%


In 2003,  total  revenues  increased 58% over 2002 to $185.6  million,  led by a
$54.1 million or 48% increase in product  revenues to $166.7  million.  Domestic
product  revenues  increased $42.4 million in 2003 to $132.8 million,  or 80% of
total product  revenues,  as compared to 80% of product revenues in 2002 and 78%
of product  revenues in 2001.  Sales of instruments and operating room products,
which

                                       8


reported a 181% and 39%  increase,  respectively,  in sales  over 2002,  led our
growth in product revenues in 2003.

In 2002, total revenues increased 26% over 2001 to $117.8 million,  led by a 28%
increase  in product  revenues  to $112.6  million.  Domestic  product  revenues
increased  $21.8  million  in 2002 to $90.4  million,  or 80% of  total  product
revenues.  Sales of monitoring and operating room products, which reported a 32%
and 41% increase,  respectively,  in sales over 2001,  led our growth in product
revenues in 2002.

Reported  product  revenues for 2003 and 2002 included the following  amounts in
revenues from acquired product lines:



                                             2003 Revenues     2002 Revenues      % change
                                            ---------------   ---------------   ------------
                                                              (in thousands)
                                                                           
Monitoring
   Products acquired during 2002 ...........    $  3,832          $  1,626          136%
   All other product revenues ..............      40,397            35,558           14%
                                                --------          --------
   Total Monitoring product revenues........      44,229            37,184           19%

Operating Room
   Products acquired during 2002 ...........    $  9,360          $  3,325          182%
   All other product revenues ..............      43,941            35,001           26%
                                                --------          --------
   Total Operating Room product revenues....      53,301            38,326           39%

Instruments
   Products acquired during 2003 ...........    $ 24,476          $   --            N/A
   Products acquired during 2002 ...........       4,775             1,238          286%
   All other product revenues ..............      17,917            15,564           15%
                                                --------          --------
   Total Instruments product revenues.......      47,168            16,802          181%

Private Label
   Products acquired during 2002 ...........    $  2,772          $  1,418           95%
   All other product revenues ..............      19,225            18,895            2%
                                                --------          --------
   Total Private Label product revenues.....      21,997            20,313            8%

Consolidated
   Products acquired during 2003 ...........    $ 24,476          $   --            N/A
   Products acquired during 2002 ...........      20,739             7,607          173%
   All other product revenues ..............     121,480           105,018           16%
                                                --------          --------
   Total product revenues ..................     166,695           112,625           48%


Product line revenues  excluding 2003 and 2002  acquisitions grew at 16% for the
year  ended  December  31,  2003 as  compared  to 2002.  Increased  sales of our
DuraGen(R) Dural Graft Matrix, NeuraGen(TM) Nerve Guide, intracranial monitoring
and drainage  systems,  and  neurosurgical  systems  accounted  for most of this
growth in 2003.

Revenue from sales of drainage  product  lines  acquired in 2002 and the Integra
NeuroSupplies(TM)  products acquired in December 2001 and increased sales of our
intracranial  monitoring  systems and existing  drainage systems all contributed
significantly to the growth in our monitoring  product revenues in 2002. Revenue
from sales of the Padgett  Instruments  product line acquired in 2002 and a full
year of sales of the Dissectron(R) Ultrasonic Aspirator product line acquired in
April 2001  contributed to the growth in instruments  product  revenues in 2002.
Growth in private  label  product  revenues in 2002 was  generated  primarily by
increased revenues from the Absorbable  Collagen Sponge component of Medtronic's
recently  approved  InFUSE(TM)  Bone Graft  product and $1.4 million in sales of
product lines acquired in 2002.

                                       9


In 2003, we expanded our dural repair  product  offering  with the  introduction
through our Integra  NeuroSciences  sales  force of the DuraGen  Plus(TM)  Dural
Graft Matrix and EnDura(TM)  No-React(R)  Dural Substitute in the United States.
The DuraGen Plus product  represents the second  generation in Integra's line of
absorbable  and sutureless  onlay collagen  matrix grafts for cranial and spinal
dural repair.  The EnDura(TM)  product is a new suturable product for the repair
of the dura mater.

In addition,  through our plastic and reconstructive sales force we launched the
Dermatome Model S. Designed  specifically for burn surgeons, it is lighter, more
ergonomic  and more  powerful  than the other  dermatomes  in Integra's  Padgett
instrument line.

Through  ETHICON,  we  also  launched  the  INTEGRA(TM)  Bi-Layer  Matrix  Wound
Dressing.  This product is used for the management of wounds,  including partial
and  full-thickness  wounds,  as well  as  chronic  wounds  and  trauma  wounds.
Following  the  termination  of the ETHICON  agreement in December  2003, we now
market these products through our plastic and reconstructive sales force.

We have generated our product revenue growth through  acquisitions,  new product
launches and increased direct sales and marketing  efforts both domestically and
in Europe.  We expect  that our future  growth  will  derive  from our  expanded
domestic sales force, the continued  implementation of our direct sales strategy
in Europe and from internally developed and acquired products. We also intend to
continue to acquire  businesses  that  complement  our existing  businesses  and
products.

Gross margin as a percentage of product revenues was 58% in 2003 and 59% in 2002
and 2001. Cost of product revenues included $1,261,000, $447,000 and $203,000 in
fair value inventory purchase accounting adjustments recorded in connection with
acquisitions in 2003, 2002 and 2001, respectively. During 2003, the gross margin
was negatively  affected by acquisitions of lower margin products and the impact
of  foreign  exchange  rates  on the cost of  products  that we  manufacture  or
purchase in Europe.  We expect our future gross  margins to benefit as we resume
the direct  sales of the  INTEGRA(R)  Dermal  Regeneration  Template and related
products and as sales of the higher margin products continue to grow faster than
other products.

We currently do not hedge our exposure to foreign  currency  risk. In 2003,  the
cost of products we  manufacture  in or purchase in Europe  exceeded our foreign
currency-denominated revenues. We expect this imbalance to continue into 2004. A
further  weakening  of the  dollar  against  the euro and  British  pound  could
negatively affect future gross margins.

Other  revenue  consists of research  and  development  funding  from  strategic
partners  and  government   grants,   and  license,   distribution,   and  other
event-related  revenues from strategic  partners and other third parties.  Other
revenue  increased in 2003 by $13.7  million  primarily  due to the  accelerated
recognition of $11.0 million of license and  distribution fee revenue due to the
termination of the ETHICON agreement. The $337,000 decline in 2002 resulted from
a decline in government grant funding and the expiration of a technology royalty
agreement,  although  the  receipt  in  2002 of $1.0  million  in  event-related
payments  partially  offset those  negative  factors.  Since our agreement  with
ETHICON was the main source of our other revenue,  we expect it to significantly
decrease in 2004.

                                       10


OTHER OPERATING EXPENSES

The following is a summary of other  operating  expenses as a percent of product
revenues:

                                                    2003       2002       2001
                                                  --------   --------   --------

Research and development ........................    7.7%      10.2%      10.1%
Selling and marketing ...........................   22.9%      22.3%      23.1%
General and administrative ......................   12.8%      12.9%      12.7%

We recorded  $400,000 and $2.3 million of  in-process  research and  development
charges in connection with  acquisitions in 2003 and 2002,  respectively.  Other
research and development expenses increased in both 2003 and 2002 as a result of
increased  headcount  and spending on product  development  focused on our neuro
products.  We incurred  additional  expenses of $950,000 in 2003  related to the
consolidation of our San Diego research center with our other facilities. During
2003,  we also  increased  spending  on  clinical  research  relationships  with
research institutions related to markets in which we compete.

We expect our  research  and  development  expenses as a  percentage  of product
revenues  to decline  further in 2004  because of the  significant  increase  in
hand-held instrument product revenues as a proportion of our total revenues.  By
their nature,  our hand-held  instrument product lines require less research and
development  and depend on sales and  marketing  efforts  to  support  continued
growth.

Sales and marketing expenses increased  significantly in both 2003 and 2002 with
the expansion of our domestic and international sales and marketing organization
and  increased  trade show  activities.  In 2003,  the increase  included  sales
support  for  JARIT   Instruments   and  the   expansion   of  the  plastic  and
reconstructive  sales force in  anticipation  of the  termination of the ETHICON
agreement. We also hired more experienced marketing professionals and spent more
on  advertising.  In 2004, we expect to continue to expand our neuro and plastic
and reconstructive sales forces.

General and administrative expenses increased $6.8 million in 2003, $2.5 million
of which is  related  to  operating  costs  associated  with  recently  acquired
businesses  that were not reflected in our results for the full year in 2002. In
addition, in 2003 we donated $2.0 million to the Integra Foundation and incurred
additional costs to consolidate several facilities.

General and administrative expenses increased $3.4 million in 2002, $1.9 million
of which was related to operating costs associated with acquired businesses that
were not  reflected  in our  results  for the full year in 2001.  The  remaining
increase in general and administrative  expenses in 2002 consisted  primarily of
increased rent at our expanded  corporate  headquarters and higher insurance and
legal costs.

We initiated and completed a number of activities in the fourth quarter of 2003,
including the expansion of our marketing capability, the doubling of our plastic
and  reconstructive  surgery sales  organization,  the  consolidation of our San
Diego  research  and   manufacturing   facilities,   and  making  a  significant
contribution  to the Integra  Foundation.  These  activities  resulted in higher
operating  costs compared to our recent trend.  We anticipate our 2004 operating
costs as a  percentage  of product  revenues to decrease  compared to the levels
incurred in the fourth quarter of 2003.

Amortization  expense  increased in 2003 primarily  because of  amortization  on
additional intangible assets acquired through our business acquisitions.  Annual
amortization  expense is expected to be approximately $3.3 million in 2004, $3.1
million in 2005, $3.0 million in 2006, $2.8 million in 2007, and $2.5 million in
2008.

                                       11


NON-OPERATING INCOME AND EXPENSES

In 2003, we received  approximately $115.9 million of net proceeds from the sale
of $120.0 million of our 2 1/2% contingent convertible subordinated notes due in
March 2008. We have recorded  $2.7 million for the interest  expense  associated
with the notes,  which was  offset by $3.2  million  of  interest  income on our
invested cash and marketable debt securities.

We will pay additional interest ("Contingent Interest") on our convertible notes
if, at thirty days prior to  maturity,  Integra's  common stock price is greater
than $37.56 per share. The fair value of this Contingent  Interest obligation is
marked to its fair value at each  balance  sheet date,  with changes in the fair
value recorded to interest expense.  We recorded a $365,000 liability related to
the estimated fair value of the Contingent  Interest  obligation at the time the
notes were  issued.  At  December  31,  2003,  the  estimated  fair value of the
Contingent Interest obligation was $458,000.

In August 2003,  we entered into an interest  rate swap  agreement  with a $50.0
million notional amount to hedge the risk of changes in fair value  attributable
to interest  rate risk with  respect to a portion of our fixed rate  convertible
notes.  We  receive a 2 1/2%  fixed  rate from the  counterparty,  payable  on a
semi-annual  basis, and pay to the counterparty a floating rate based on 3-month
LIBOR minus 35 basis  points,  payable on a quarterly  basis.  The interest rate
swap agreement  terminates in March 2008,  subject to early termination upon the
occurrence  of  certain  events,  including  redemption  or  conversion  of  the
convertible notes.

The interest rate swap agreement  qualifies as a fair value hedge under SFAS No.
133, as amended "Accounting for Derivative  Instruments and Hedging Activities".
The net amount to be paid or received  under the interest rate swap agreement is
recorded as a component of interest expense. Interest expense for the year ended
December 31, 2003  reflects a $330,000  reduction  associated  with the interest
rate swap.

The net fair value of the  interest  rate swap at  inception  was  $767,000.  At
December  31,  2003,  the net fair  value of the  interest  rate swap  increased
$305,000 to $1.1 million,  and this amount is included in other liabilities.  In
connection  with this fair value hedge  transaction,  we recorded a $433,000 net
decrease  in the  carrying  value of our  convertible  notes.  The net  $128,000
difference  between  changes in the fair value of the interest rate swap and the
convertible   notes   represents   the   ineffective   portion  of  the  hedging
relationship, and this amount is recorded in other income.

Our net other  income/expense  increased by $3.1 million in 2003.  This increase
consisted  primarily  of the $2.0  million  termination  payment  received  from
ETHICON and foreign currency transaction gains.

In August 2001, we raised $113.4 million from a follow-on public offering of 4.7
million  shares  of  common  stock.  Accordingly,  net  interest  income in 2002
increased to $3.5 million, as compared to net interest income of $1.4 million in
2001.

INCOME TAXES

Since 1999, we have generated  positive taxable income on a cumulative basis. In
light of this  trend,  our  projections  for future  taxable  earnings,  and the
expected  timing  of  the  reversal  of  deductible  temporary  differences,  we
concluded in the fourth  quarter of 2001 that we no longer  needed to maintain a
portion  of the  valuation  allowance  recorded  against  federal  and state net
operating loss carryforwards and certain other temporary differences. We reduced
the valuation allowance by $12.0 million in 2001 because we believed that it was
more  likely than not that we would  realize the benefit of that  portion of the
deferred tax assets recorded at December 31, 2001.

                                       12


In the fourth  quarter of 2002,  we reduced the  remaining  valuation  allowance
recorded  against net  operating  loss  carryforwards  by $23.4  million,  which
reflected our estimate of additional tax benefits that we expected to realize in
the  future.  A valuation  allowance  of $5.4  million is  recorded  against the
remaining  $33.5  million of net  deferred  tax assets  recorded at December 31,
2003.  This  valuation  allowance  relates to  deferred  tax assets for  certain
expenses which will be deductible for tax purposes in very limited circumstances
and for which we believe it is unlikely that we will  recognize  the  associated
tax benefit. We do not anticipate  additional income tax benefits through future
reductions in the valuation allowance. However, if we determine that we would be
able to  realize  more or less  than the  recorded  amount of net  deferred  tax
assets,  we will  record an  adjustment  to the  deferred  tax  asset  valuation
allowance in the period such a determination is made.

In 2003, our effective  income tax rate was 37.8% of income before income taxes.
The increase as compared to 2002 and 2001  resulted from the income tax benefits
related to the reduction of deferred tax asset valuation  allowances recorded in
2002 and 2001 and a larger  proportion of our taxable income being  generated in
higher tax jurisdictions in 2003.

The net change in the Company's valuation allowance was $(2.3) million,  $(26.7)
million, and $(10.4) million, in 2003, 2002 and 2001, respectively.

At December 31, 2003, we had net operating loss  carryforwards  of approximately
$72.8  million and $10.5  million for  federal  and state  income tax  purposes,
respectively,  to  offset  future  taxable  income.  The  federal  and state net
operating loss  carryforwards  expire through 2018 and 2009,  respectively.  New
Jersey has imposed a moratorium on the ability of  corporations to use their net
operating loss carryforwards to reduce their New Jersey state tax obligations.

At December 31, 2003,  several of our subsidiaries had unused net operating loss
carryforwards  and tax credit  carryforwards  arising from periods  prior to our
ownership which expire through 2010. The Internal Revenue Code limits the timing
and manner in which we may use any acquired net operating losses or tax credits.

INTERNATIONAL PRODUCT REVENUES AND OPERATIONS

Because we have  operations  based in Europe and we generate  revenues and incur
operating  expenses in euros and British  pounds,  we will  experience  currency
exchange risk with respect to those  foreign  currency  denominated  revenues or
expenses.

In 2003,  the cost of products we  manufactured  in our European  facilities  or
purchased  in  foreign  currencies  exceeded  our  foreign  currency-denominated
revenues.  We expect this  imbalance to continue  into 2004. We currently do not
hedge our exposure to foreign currency risk. Accordingly, a further weakening of
the dollar  against the euro and British  pound could  negatively  affect future
gross  margins and operating  margins.  We will continue to assess the potential
effects  that  changes  in foreign  currency  exchange  rates  could have on our
business. If we believe this potential impact presents a significant risk to our
business,  we may enter into derivative  financial  instruments to mitigate this
risk.

Additionally,  we generate  significant  revenues  outside the United States,  a
portion  of  which  are  U.S.  dollar-denominated  transactions  conducted  with
customers who generate revenue in currencies  other than the U.S.  dollar.  As a
result,  currency  fluctuations  between the U.S.  dollar and the  currencies in
which  those  customers  do  business  may have an impact on the  demand for our
products in foreign countries.

                                       13


Our sales to foreign  markets  may be  affected  by local  economic  conditions,
regulatory  or  political   considerations,   the  effectiveness  of  our  sales
representatives  and  distributors,  local  competition,  and  changes  in local
medical practice.

Relationships  with  customers and effective  terms of sale  frequently  vary by
country,  often  with  longer-term  receivables  than are  typical in the United
States.

Product revenues by major geographic area are summarized below:



                                      United                  Asia       Other
                                      States     Europe     Pacific     Foreign     Consolidated
                                     --------   --------   ---------   ---------   --------------
                                                         (in thousands)

                                                                       
         2003 .....................  $132,805    $21,433     $5,828      $6,629       $166,695
         2002 .....................    90,422     14,737      4,062       3,404        112,625
         2001 .....................    68,612     10,577      4,838       3,881         87,908


In 2003, product revenues from customers outside the United States totaled $33.9
million,  or 20% of consolidated  product revenues,  of which  approximately 63%
were to European customers. Of this amount, $21.3 million of these revenues were
generated in foreign currencies.

In 2002, product revenues from customers outside the United States totaled $22.2
million,  or 20% of consolidated  product revenues,  of which  approximately 66%
were to European customers. Of this amount, $13.4 million of these revenues were
generated in foreign currencies.

In 2001,  revenues  from  customers  outside  the United  States  totaled  $19.3
million,  or 22% of consolidated  product revenues,  of which  approximately 55%
were to European customers.  Of this amount, $7.2 million of these revenues were
generated in foreign currencies.

LIQUIDITY AND CAPITAL RESOURCES

CASH AND MARKETABLE SECURITIES

At December 31, 2003, we had cash, cash  equivalents  and marketable  securities
totaling $206.7 million.  Investments  consist almost entirely of highly liquid,
interest bearing debt securities.

CASH FLOWS

We generated positive  operating cash flows of $34.8 million,  $32.0 million and
$15.7  million  in 2003,  2002 and  2001,  respectively.  Operating  cash  flows
improved in 2003 and 2002 primarily as a result of higher pre-tax income and the
benefits from the continued  utilization of our net operating loss carryforwards
and tax deductions  generated by employee stock option  exercises.  Based on our
current unused net operating loss carryforward position and various other future
potential  tax  deductions,  we expect our  operating  cash flows to continue to
benefit from actual cash tax payments being lower than our effective book income
tax rate for at least the next two years.

In 2003, we also generated $14.2 million from the issuance of common stock under
employee  benefit  plans and  $115.9  million of net  proceeds  from the sale of
$120.0 million of our contingent convertible subordinated notes.

Our principal uses of funds in 2003 were $50.4 million for  acquisitions,  $38.6
million for the net purchases of marketable debt  securities,  $35.4 million for
the  repurchase of  approximately  1.5 million

                                       14


shares  our  common  stock  and  $3.8  million  for  capital  expenditures.  The
significant  repurchase of our common stock in 2003 was made simultaneously with
the issuance of our convertible notes.

In 2002,  our principal  sources of funds were $32.0  million of operating  cash
flow and $3.3 million from the issuance of common stock.  In 2002, our principal
uses of funds were $25.0  million  for  acquisitions,  the  repayment  of a $3.6
million note and $2.3 million for capital expenditures.

In  August  2001,  we issued  4.7  million  shares  of common  stock in a public
offering at $25.50 per share. The net proceeds generated by the offering,  after
expenses,  were $113.4  million.  With the proceeds from the public  offering of
common stock,  we repaid all  outstanding  debt,  including $7.9 million of bank
loans and $1.4 million  payable  under the terms of a promissory  note, in 2001.
Additionally,  a related term loan and revolving  credit facility was terminated
in 2001.

WORKING CAPITAL

At December  31, 2003 and 2002,  working  capital was $167.3  million and $130.3
million, respectively. The increase in working capital in 2003 was primarily due
to a decrease in the overall  maturity of our marketable  securities  portfolio,
additional  investments in inventory to support our growth in product  revenues,
higher  accounts  receivable  balances  related  to  increased  sales,  and  the
recognition of significant  amounts of deferred revenue and customer advances as
revenue in 2003.

CONVERTIBLE DEBT AND RELATED HEDGING ACTIVITIES

In 2003,  we generated  $115.9  million of net proceeds  from the sale of $120.0
million of our contingent  convertible  subordinated notes due in March 2008. We
pay interest on the convertible notes at an annual rate of 2 1/2% each September
15th and March 15th.  We will also pay  contingent  interest on the notes if, at
thirty days prior to  maturity,  Integra's  common  stock price is greater  than
$37.56. The contingent interest will be payable for each of the last three years
the notes  remain  outstanding  in an amount equal to the greater of i) 0.50% of
the face amount of the notes and ii) the amount of regular cash  dividends  paid
during  each such year on the  number of shares of common  stock into which each
note is  convertible.  Holders of the notes may convert the notes into shares of
our common stock under certain circumstances, including when the market price of
our common  stock on the  previous  trading  day is more than  $37.56 per share,
based on an initial conversion price of $34.15 per share.

The notes are general,  unsecured obligations of Integra and will be subordinate
to any future  senior  indebtedness.  We cannot  redeem the notes prior to their
maturity,  and the notes'  holders may compel us to repurchase  the notes upon a
change  of  control.  There  are no  financial  covenants  associated  with  the
convertible notes.

In August  2003,  we entered  into an interest  rate swap  agreement  with a $50
million notional amount to hedge the risk of changes in fair value  attributable
to  interest  rate risk with  respect to a portion of the notes.  We receive a 2
1/2% fixed rate from the counterparty,  payable on a semi-annual  basis, and pay
to the  counterparty  a  floating  rate based on  3-month  LIBOR  minus 35 basis
points,  payable  on  a  quarterly  basis.  The  interest  rate  swap  agreement
terminates in March 2008,  subject to early  termination  upon the occurrence of
certain events, including redemption or conversion of the contingent convertible
notes.

SHARE REPURCHASE PLANS

In March 2004,  our Board of  Directors  authorized  us to  repurchase  up to an
additional  1.5 million  shares of our common  stock for an  aggregate  purchase
price not to exceed $40.0 million.  We may repurchase

                                       15


shares  under this  program  through  March 2005 either in the open market or in
privately negotiated transactions.

During 2003 and 2002, respectively, we repurchased approximately 1.5 million and
100,000 shares of our common stock under previously  authorized share repurchase
programs.

DIVIDEND POLICY

We have not paid any cash dividends on our common stock since our formation. Any
future  determinations  to pay cash dividends on our common stock will be at the
discretion  of our  Board of  Directors  and  will  depend  upon  our  financial
condition,  results of operations, cash flows, and other factors deemed relevant
by the Board of Directors.

REQUIREMENTS AND CAPITAL RESOURCES

We believe that our cash and marketable securities are sufficient to finance our
operations  and capital  expenditures  in the near term.  In 2004,  we expect to
increase cash outlays for capital  expenditures  as compared to 2003,  primarily
because of an estimated $4.3 million of expenditures associated with information
system upgrades.

Given  the  significant  level of liquid  assets  and our  objective  to grow by
acquisition and alliances,  our financial position could change significantly if
we were to complete a business acquisition by utilizing a significant portion of
our liquid assets.

Currently,  we do not have  any  existing  borrowing  capacity  or other  credit
facilities  in place to raise  significant  amounts  of  capital  if such a need
arises.

CONTRACTUAL OBLIGATIONS AND COMMITMENTS

We are obligated to pay the following amounts under various agreements:



                                         Less than                                 More than
                               Total       1 year      1-3 Years     3-5 Years      5 years
                              -------   -----------   -----------   -----------   -----------
                                                      (in millions)

                                                                     
Long Term Debt............... $120.0      $  --         $  --          $120.0       $  --
Interest on Long Term Debt...   13.5         3.0           9.0            1.5          --
Operating Leases.............    9.1         2.2           2.9            1.9          2.1
Purchase Obligations.........   10.2         6.3           3.2            0.7          --
Pension Contribution(1)......    0.2         0.2           --             --           --
Other Long Term Liabilities..    0.4         --            0.2            0.1          0.1
                             --------     -------       -------       --------      ------
Total........................ $153.4      $ 11.7        $ 15.3         $124.2       $  2.2


(1) Pension contributions after 2004 cannot be reasonably estimated.

In addition,  under other  agreements we are required to make payments  based on
sales  levels of certain  products or if  specific  development  milestones  are
achieved.

In January  2004,  the Company  acquired the R&B  instrument  business  from R&B
Surgical  Solutions,  LLC  for  approximately  $2.0  million  in  cash.  The R&B
instrument line is a complete line of high-quality handheld surgical instruments
used in neuro- and spinal surgery. The acquired business generated approximately
$1.2 million in revenues  for the twelve  months  ended  December 31, 2003.  The
Company plans to market these products through its JARIT sales force.

                                       16


In January  2004,  the Company  acquired  the Sparta  disposable  critical  care
devices and surgical  instruments  business  from  Fleetwood  Medical,  Inc. for
approximately  $1.5 million in cash. The Sparta  product line includes  products
used  in  plastic  and  reconstructive,  ear,  nose  and  throat  (ENT),  neuro,
ophthalmic and general  surgery.  Prior to the  acquisition,  Fleetwood  Medical
marketed  these product lines  primarily to hospitals and  physicians  through a
catalogue  and a  network  of  distributors.  The  acquired  business  generated
approximately  $1.0 million in revenues for the twelve months ended December 31,
2003.

USE OF ESTIMATES AND CRITICAL ACCOUNTING POLICIES

Our discussion and analysis of financial  condition and results of operations is
based upon our consolidated  financial  statements,  which have been prepared in
accordance with accounting principles generally accepted in the United States of
America.  The  preparation  of these  financial  statements  requires us to make
estimates  and  assumptions  that  affect  the  reported  amounts  of assets and
liabilities,  the disclosure of contingent liabilities, and the reported amounts
of revenues and expenses.  Significant  estimates  affecting amounts reported or
disclosed  in the  consolidated  financial  statements  include  allowances  for
doubtful  accounts  receivable  and  sales  returns,  net  realizable  value  of
inventories,  estimates of future cash flows associated with acquired in-process
research and development charges, derivatives, amortization periods for acquired
intangible  assets,  and  loss  contingencies.  These  estimates  are  based  on
historical  experience and on various other  assumptions that are believed to be
reasonable  under the current  circumstances.  Actual  results could differ from
these estimates.

We  believe  the  following  accounting  policies,  which  form  the  basis  for
developing these estimates, are those that are most critical to the presentation
of our  financial  statements  and require the most  difficult,  subjective  and
complex judgments:

ALLOWANCES FOR DOUBTFUL ACCOUNTS AND SALES RETURNS

We evaluate the collectibility of accounts  receivable based on a combination of
factors.  In  circumstances  where a  specific  customer  is  unable to meet its
financial  obligations  to us, we record an  allowance  against  amounts  due to
reduce the net recognized  receivable to the amount that we reasonably expect to
collect.  For all other customers,  we record  allowances for doubtful  accounts
based on the length of time the receivables  are past due, the current  business
environment  and  our  historical  experience.  If the  financial  condition  of
customers or the length of time that receivables are past due were to change, we
may change the  recorded  amount of  allowances  for  doubtful  accounts  in the
future.  We record a provision  for estimated  sales  returns and  allowances on
product  revenues in the same period as the related  revenues are  recorded.  We
base these estimates on historical sales returns and other known factors. Actual
returns could be different  from our estimates  and the related  provisions  for
sales returns and  allowances,  resulting in future changes to the sales returns
and allowances provision.

INVENTORIES

Inventories,  consisting of purchased materials,  direct labor and manufacturing
overhead, are stated at the lower of cost, the value determined by the first-in,
first-out  method,  or market.  At each balance sheet date,  we evaluate  ending
inventories for excess  quantities,  obsolescence or shelf life expiration.  Our
evaluation  includes  an  analysis  of  historical  sales  levels by product and
projections of future demand.  To the extent that we determine there are excess,
obsolete or expired inventory  quantities,  we record valuation reserves against
all or a  portion  of the value of the  related  products.  If future  demand or
market  conditions  are  different  than our  projections,  a change in recorded
inventory  valuation  reserves may be required and would be reflected in cost of
revenues in the period the revision is made.

                                       17


DERIVATIVES

We report all  derivatives  at their  estimated fair value and record changes in
fair value in current  earnings or defer these  changes  until a related  hedged
item is recognized in earnings, depending on the nature and effectiveness of the
hedging relationship.  The designation of a derivative as a hedge is made on the
date the derivative contract is executed. On an ongoing basis, we assess whether
each derivative  continues to be highly  effective in offsetting  changes in the
fair value or cash flows of hedged items.  If and when a derivative is no longer
expected to be highly  effective,  we discontinue  hedge  accounting.  All hedge
ineffectiveness   is  included  in  current  period  earnings  in  other  income
(expense), net.

We document all relationships between hedged items and derivatives.  Our overall
risk  management  strategy  describes  the  circumstances  under  which  we  may
undertake hedge  transactions and enter into  derivatives.  The objective of our
current risk  management  strategy is to hedge the risk of changes in fair value
attributable  to interest  rate risk with respect to a portion of our fixed rate
debt.

The determination of fair value of derivatives is based on valuation models that
use  observable  market  quotes  or  projected  cash  flows  and our view of the
creditworthiness  of the derivative  counterparty.  If a derivative is no longer
deemed  qualify  as an  effective  hedge,  changes  in the  fair  value  of that
derivative could significantly affect our non-operating income or expense.

ACQUIRED IN-PROCESS RESEARCH AND DEVELOPMENT CHARGES

In-process  research and  development  charges are recorded in  connection  with
acquisitions  and represent the value assigned to acquired assets which have not
yet reached technological feasibility and for which there is no alternative use.
Fair value is generally  assigned to these assets based on the net present value
of  the  projected  cash  flows  expected  to  be  generated  by  those  assets.
Significant  assumptions  underlying  these cash flows include our assessment of
the timing and our ability to successfully  complete the in-process research and
development  project,  projected  cash  flows  associated  with  the  successful
completion of the project,  and interest rates used to discount these cash flows
to their present value.

AMORTIZATION PERIODS

We provide for amortization  using the  straight-line  method over the estimated
useful lives of acquired  intangible  assets. We base the determination of these
useful lives on the period over which we expect the related assets to contribute
to our cash flows.  If our  assessment of the useful lives of intangible  assets
changes, we may change future amortization expense.

LOSS CONTINGENCIES

We are subject to claims and  lawsuits in the ordinary  course of our  business,
including claims by employees or former employees,  with respect to our products
and involving commercial  disputes.  Our financial statements do not reflect any
material amounts related to possible unfavorable outcomes of claims and lawsuits
to which we are currently a party because we currently  believe that such claims
and   lawsuits  are  either   adequately   covered  by  insurance  or  otherwise
indemnified,  and are not expected,  individually or in the aggregate, to result
in a material adverse effect on our financial condition. However, it is possible
that  our  results  of  operations,  financial  position  and  cash  flows  in a
particular  period could be  materially  affected by these  contingencies  if we
change our assessment of the likely outcome of these matters.

                                       18


UPDATE  TO 2003  ANNUAL  REPORT  ON FORM  10-K,  PART  IV,  ITEM  15.  FINANCIAL
STATEMENTS

1. Financial Statements.

The following  financial  statements and financial statement schedules are filed
as a part of this report.

   Report of Independent Registered Public Accounting Firm ...............   F-1

   Consolidated Statements of Operations for the years ended
    December 31, 2003, 2002, and 2001 ....................................   F-2

   Consolidated Balance Sheets as of December 31, 2003 and 2002 ..........   F-3

   Consolidated Statements of Cash Flows for the years ended
    December 31, 2003, 2002, and 2001 ....................................   F-4

   Consolidated Statements of Changes in Stockholders' Equity
    For the years ended December 31, 2003, 2002, and 2001 ................   F-5

   Notes to Consolidated Financial Statements ............................   F-6

                                       19


REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Board of Directors and
Stockholders of Integra LifeSciences
Holdings Corporation and Subsidiaries:



In our opinion,  the  accompanying  consolidated  balance sheets and the related
consolidated  statements  of  operations,  cash flows and  stockholders'  equity
present  fairly,  in all material  respects,  the financial  position of Integra
LifeSciences Holdings Corporation and Subsidiaries (the Company) at December 31,
2003 and 2002 and the results of their  operations and their cash flows for each
of the three years in the period ended  December 31, 2003,  in  conformity  with
accounting principles generally accepted in the United States of America.  These
financial  statements are the  responsibility of the Company's  management.  Our
responsibility  is to express an opinion on these financial  statements based on
our audits.  We conducted our audits of these  statements in accordance with the
standards of the Public  Company  Accounting  Oversight  Board (United  States).
Those standards  require that we plan and perform the audit to obtain reasonable
assurance   about  whether  the  financial   statements  are  free  of  material
misstatement.  An audit includes examining, on a test basis, evidence supporting
the  amounts  and  disclosures  in  the  financial  statements,   assessing  the
accounting  principles  used and significant  estimates made by management,  and
evaluating the overall  financial  statement  presentation.  We believe that our
audits provide a reasonable basis for our opinion.

As discussed in Note 2 to the consolidated financial statements, the Company has
adopted Statement of Financial Accounting Standards No. 142, "Goodwill and Other
Intangible Assets", effective January 1, 2002.

/s/ PricewaterhouseCoopers LLP
------------------------------

Florham Park, New Jersey
February 25, 2004, except for Note 11 for which the date is January 5, 2005

                                       F1


                    INTEGRA LIFESCIENCES HOLDINGS CORPORATION
                      CONSOLIDATED STATEMENTS OF OPERATIONS


IN THOUSANDS, EXCEPT PER SHARE AMOUNTS



                                                        Years Ended December 31,
                                                    --------------------------------
                                                      2003        2002        2001
                                                    --------    --------    --------
                                                                   
REVENUES
Product revenue .................................   $166,695    $112,625    $ 87,908
Other revenue ...................................     18,904       5,197       5,534
                                                    --------    --------    --------
   Total revenue ................................    185,599     117,822      93,442

COSTS AND EXPENSES
Cost of product revenue .........................     70,597      45,772      36,014
Research and development ........................     12,814      11,517       8,884
Selling and marketing ...........................     38,097      25,118      20,322
General and administrative ......................     21,364      14,584      11,152
Amortization ....................................      3,080       1,644       2,784
                                                    --------    --------    --------
   Total costs and expenses .....................    145,952      98,635      79,156

Operating income ................................     39,647      19,187      14,286

Interest income .................................      3,195       3,575       2,039
Interest expense ................................     (2,724)        (40)       (646)
Other income (expense), net .....................      3,071           3        (392)
                                                    --------    --------    --------
Income before income taxes ......................     43,189      22,725      15,287

Income tax expense (benefit) ....................     16,328     (12,552)    (10,876)
                                                    --------    --------    --------
Net income.......................................   $ 26,861    $ 35,277    $ 26,163
                                                    ========    ========    ========

   Basic net income  per share ..................   $   0.92    $   1.21    $   1.03
   Diluted net income per share .................   $   0.88    $   1.14    $   0.92

Weighted average common shares outstanding:
   Basic ........................................     29,071      29,021      23,353
   Diluted ......................................     30,468      30,720      27,196



              THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE
                       CONSOLIDATED FINANCIAL STATEMENTS

                                       F2


                    INTEGRA LIFESCIENCES HOLDINGS CORPORATION
                           CONSOLIDATED BALANCE SHEETS


IN THOUSANDS, EXCEPT PER SHARE AMOUNTS



                                                                            December 31,
                                                                      -----------------------
 ASSETS                                                                 2003         2002
                                                                      ---------    ---------
                                                                             
Current Assets:
  Cash and cash equivalents ......................................    $  78,979    $  43,583
  Short-term investments .........................................       29,567       55,278
  Trade accounts receivable, net of allowances
      of $2,025 and $1,387 .......................................       28,936       19,412
  Inventories ....................................................       41,046       28,502
  Prepaid expenses and other current assets ......................        9,365        5,498
                                                                      ---------    ---------
      Total current assets .......................................      187,893      152,273

 Noncurrent investments ..........................................       98,197       33,450
 Property, plant, and equipment, net .............................       20,072       16,556
 Deferred income taxes, net ......................................       21,369       25,218
 Goodwill ........................................................       26,683       22,073
 Intangible assets, net ..........................................       52,435       23,091
 Other assets ....................................................        5,877        2,007
                                                                      ---------    ---------
Total assets .....................................................    $ 412,526    $ 274,668
                                                                      =========    =========
LIABILITIES AND STOCKHOLDERS' EQUITY

Current Liabilities:
  Accounts payable, trade ........................................    $   7,947    $   3,764
  Customer advances and deposits .................................          977        7,908
  Accrued expenses and other current liabilities .................       11,694       10,249
                                                                      ---------    ---------
      Total current liabilities ..................................       20,618       21,921

 Long term debt ..................................................      119,257          --
 Deferred revenue ................................................          418        3,263
 Other liabilities ...............................................        3,703        1,887
                                                                      ---------    ---------
Total liabilities ................................................      143,996       27,071

Commitments and contingencies

Stockholders' Equity:
  Common stock; $.01 par value; 60,000 authorized shares; 28,611
     and 27,204 issued ...........................................          286          272
  Additional paid-in capital .....................................      286,716      292,007
  Treasury stock, at cost; 219 and 106 shares ....................       (5,236)      (1,812)
  Other ..........................................................           (5)         (15)
  Accumulated other comprehensive income (loss):
     Unrealized gain on available-for-sale securities ............           63          861
     Foreign currency translation adjustment .....................        5,400        1,618
     Minimum pension liability adjustment ........................       (1,232)      (1,011)
  Accumulated deficit ............................................      (17,462)     (44,323)
                                                                      ---------    ---------
    Total stockholders' equity ...................................      268,530      247,597
                                                                      ---------    ---------
 Total liabilities and stockholders' equity ......................    $ 412,526    $ 274,668
                                                                      =========    =========



              THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE
                       CONSOLIDATED FINANCIAL STATEMENTS

                                       F3


                    INTEGRA LIFESCIENCES HOLDINGS CORPORATION
                      CONSOLIDATED STATEMENTS OF CASH FLOWS


IN THOUSANDS



                                                                    Years Ended December 31,
                                                                 ------------------------------
                                                                   2003       2002       2001
                                                                 --------   --------   --------
                                                                              
OPERATING ACTIVITIES:
    Net income  ...............................................  $ 26,861   $ 35,277   $ 26,163
    Adjustments to reconcile net income to net cash
          provided by operating activities:
     Depreciation and amortization ............................     7,030      5,020      5,959
     In process research and development charge ...............       400      2,328         --
     Deferred tax provision (benefit)..........................    12,357    (13,401)   (12,085)
     Amortization of discount and premium on investments ......     2,013      2,142        298
     Other, net ...............................................       802        188        443
     Changes in assets and liabilities, net of business
          acquisitions:
       Accounts receivable ....................................    (4,819)    (2,109)        98
       Inventories ............................................    (1,829)     1,153     (6,987)
       Prepaid expenses and other current assets ..............      (505)    (1,131)    (1,443)
       Non-current assets .....................................       480        185      1,858
       Accounts payable, accrued expenses and other
          liabilities .........................................     2,537        (90)      (941)
       Customer advances and deposits .........................    (6,431)     2,565      4,020
       Deferred revenue .......................................    (4,070)      (142)    (1,682)
                                                                 --------   --------   --------
     Net cash provided by operating activities ................  $ 34,826   $ 31,985   $ 15,701
                                                                 --------   --------   --------
INVESTING ACTIVITIES:
    Proceeds from the sales/maturities of investments .........   178,483     35,402      3,000
    Purchases of available for sale investments ...............  (217,070)   (39,113)   (88,533)
    Purchases of property and equipment .......................    (3,843)    (2,254)    (2,860)
    Payment of product license fee ............................    (1,500)        --         --
    Cash used in business acquisitions, net of cash acquired ..   (50,405)   (25,015)    (6,348)
                                                                 --------   --------   --------
     Net cash used in investing activities ....................  $(94,335)  $(30,980)  $(94,741)
                                                                 --------   --------   --------
FINANCING ACTIVITIES:
    Repayment of note payable and bank loans...................        --     (3,600)   (13,652)
    Proceeds from the issuance of common stock, net ...........        --         --    113,433
    Proceeds from exercised stock options and warrants ........    14,152      3,323      9,676
    Purchases of treasury stock ...............................   (35,402)    (1,761)        --
    Proceeds from issuance of convertible notes, net...........   115,923         --         --
                                                                 --------   --------   --------
     Net cash provided by (used in) financing activities ......  $ 94,673   $ (2,038)  $109,457

Effect of exchange rate changes on cash and cash equivalents ..       232         98         15
                                                                 --------   --------   --------
Net increase (decrease) in cash and cash equivalents ..........  $ 35,396       (935)    30,432
Cash and cash equivalents at beginning of period ..............    43,583     44,518     14,086
                                                                 --------   --------   --------
Cash and cash equivalents at end of period ....................  $ 78,979   $ 43,583   $ 44,518
                                                                 ========   ========   ========

Cash paid during the year for interest ........................  $  1,476   $     20   $    778
Cash paid during the year for income taxes ....................     1,309      1,435        928

Supplemental non-cash disclosure:
Property and equipment purchases included in liabilities         $  2,000         --         --



              THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE
                       CONSOLIDATED FINANCIAL STATEMENTS

                                       F4


                    INTEGRA LIFESCIENCES HOLDINGS CORPORATION
                 CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY


In thousands



                                                                                               Accumulated
                                                                           Additional             Other
                                          Preferred   Common    Treasury    Paid-In           Comprehensive  Accumulated    Total
                                            Stock      Stock      Stock     Capital    Other  Income (Loss)    Deficit      Equity
                                          ---------  ---------  ---------  ----------  -----  -------------  -----------  ----------
                                                                                                  
Balance, December 31, 2000 ...............       2        173       (180)    160,134    (66)          (553)    (105,729)     53,781
                                           ========  =========  =========  ==========  =====  =============  ===========  ==========

Net income ...............................                                                                       26,163      26,163
Unrealized gains on investments ..........                                                             333                      333
Foreign currency translation .............                                                            (319)                    (319)
                                                                                                                          ----------
       Total comprehensive income.........                                                                                $  26,177
                                                                                                                          ==========
Conversion of 100 shares of Series B
  Preferred Stock into 2,618 shares of
   common stock ..........................      (1)        26                    (25)                                           --
Public offering of 4,748 shares of
  common stock ...........................                 48                113,385                                        113,433
Issuance of 879 shares of common stock
  through employee benefit plans .........                  9        129       5,998                                (34)      6,102
Warrants exercised for cash ..............                  5                  3,611                                          3,616
Issuance of 10 shares of common stock in
  acquisition ............................                                       276                                            276
Amortization of unearned compensation ....                                               29                                      29
Tax benefit related to stock option
   exercises .............................                                       642                                            642

Balance, December 31, 2001 ...............       1        261        (51)    284,021    (37)          (539)     (79,600)  $ 204,056
                                           ========  =========  =========  ==========  =====  =============  ===========  ==========

Net income ...............................                                                                       35,277      35,277
Unrealized losses on investments .........                                                             624                      624
Foreign currency translation .............                                                           2,394                    2,394
Minimum pension liability adjustment .....                                                          (1,011)                  (1,011)
                                                                                                                          ----------
       Total comprehensive income ........                                                                                $  37,284
                                                                                                                          ==========
Conversion of 54 shares of Series C
   Preferred Stock into 600 shares of
   common stock ..........................      (1)         6                     (5)                                           --
Issuance of 475 shares of common stock
  through employee benefit plans .........                  5                  3,288                                          3,293
Amortization of unearned compensation ....                                         9     22                                      31
Tax benefit related to stock option
   exercises .............................                                     4,694                                          4,694
Repurchase 100 shares of common stock ....                        (1,761)                                                    (1,761)

Balance, December 31, 2002 ............... $   --    $    272   $ (1,812)  $ 292,007   $(15)  $      1,468   $  (44,323)  $ 247,597
                                           ========  =========  =========  ==========  =====  =============  ===========  ==========

Net income................................                                                                       26,861      26,861
Realized gains on investments.............                                                            (210)                    (210)
Unrealized losses on investments .........                                                            (588)                    (588)
Foreign currency translation..............                                                           3,673                    3,673
Minimum pension liability adjustment .....                                                            (112)                    (112)
                                                                                                                          ----------
       Total comprehensive income.........                                                                                $  29,624
                                                                                                                          ==========
Issuance of 1,788 shares of common stock
  through employee benefit plans..........                  4     31,978     (17,880)                                        14,102
Warrants exercised for cash...............                                        50                                             50
Conversion of 1,000 Restricted Units into
   1,000 shares of common stock ..........                 10                    (10)                                            --
Amortization of unearned compensation.....                                        16     10                                      26
Tax benefit related to stock option
   exercises..............................                                    12,533                                         12,533
Repurchase 1,503 shares of common stock...                       (35,402)                                                   (35,402)

Balance, December 31, 2003 ............... $     --  $    286   $ (5,236)  $ 286,716   $ (5)  $      4,231   $  (17,462)  $ 268,530
                                           ========  =========  =========  ==========  =====  =============  ===========  ==========



              THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE
                       CONSOLIDATED FINANCIAL STATEMENTS

                                       F5


                    INTEGRA LIFESCIENCES HOLDINGS CORPORATION
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

1.   BUSINESS

Integra   LifeSciences    Holdings   Corporation   (the   "Company")   develops,
manufactures, and markets medical devices for use in neuro-trauma, neurosurgery,
plastic and reconstructive  surgery,  and general surgery. The Company's product
lines include  innovative  tissue repair products that incorporate the Company's
proprietary  absorbable implant  technology,  such as the DuraGen(R) Dural Graft
Matrix,  the NeuraGen(TM)  Nerve Guide, and the INTEGRA(R)  Dermal  Regeneration
Template,  as well as, more traditional medical devices,  such as monitoring and
drainage systems, surgical instruments, and fixation systems.

The Company sells its products directly through various sales forces and through
a variety of other distribution channels.

2.   SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

PRINCIPLES OF CONSOLIDATION

The consolidated  financial  statements  include the accounts of the Company and
its subsidiaries,  all of which are wholly owned. All intercompany  accounts and
transactions are eliminated in consolidation.

RECLASSIFICATIONS

Certain prior year amounts have been reclassified to conform to the current year
presentation.

CASH AND CASH EQUIVALENTS

The Company  considers all highly  liquid  investments  purchased  with original
maturities of three months or less to be cash equivalents.

FINANCIAL INSTRUMENTS

Investments  in  marketable  debt  and  equity  securities  are  classified  and
accounted for as  available-for-sale  securities  and are carried at fair value,
which is based on quoted market prices. Unrealized gains and losses are reported
as a component of accumulated other comprehensive income (loss).  Realized gains
and losses are determined on the specific identification cost basis and reported
in other income (expense),  net. Investment balances as of December 31, 2003 and
2002 were as follows:



                                                                Unrealized       Fair
                                                      Cost    Gains   Losses     Value
                                                    -------  -------  -------   -------
2003                                                          (in thousands)
----
                                                                   
   MARKETABLE SECURITIES, CURRENT
Corporate Debt Securities......................    $ 23,761  $    21  $    (1) $ 23,781
U.S. Government Debt Securities................       5,550        1       --     5,551
Other Securities...............................         235       --       --       235
                                                   --------  -------  -------  --------
   Total marketable securities, current........    $ 29,546  $    22  $    (1) $ 29,567

   MARKETABLE SECURITIES, NON-CURRENT
Corporate Debt Securities......................    $ 56,811  $    98  $  (105) $ 56,804
U.S. Government Debt Securities................      41,341       58       (6)   41,393
                                                   --------  -------  -------  --------
   Total marketable securities, non-current....    $ 98,152  $   156  $  (111) $ 98,197

2002:
-----
Marketable securities, current.................    $ 54,755  $   525  $    (2) $ 55,278
Marketable securities, non-current.............      33,112      347       (9)   33,450
                                                   --------  -------  -------  --------
                                                   $ 87,867  $   872  $   (11) $ 88,728




The maturity dates for marketable debt securities classified as current are less
than one year. The maturity dates for marketable debt  securities  classified as
non-current  are less than 60 months and less than 40 months as of December  31,
2003 and 2002, respectively.

The  fair  value  of  the  Company's  $120.0  million  principal  amount  2 1/2%
contingent  convertible  subordinated notes outstanding at December 31, 2003 was
approximately $116.7 million.

The  carrying  values of all other  financial  instruments  were not  materially
different from their estimated fair values.

ALLOWANCES FOR DOUBTFUL ACCOUNTS RECEIVABLE AND SALES RETURNS

The Company  evaluates  the  collectibility  of accounts  receivable  based on a
combination of factors.  In circumstances where a specific customer is unable to
meet its financial  obligations to us, an allowance is recorded  against amounts
due to reduce the net  recognized  receivable  to the amount that is  reasonably
expected to be  collected.  For all other  customers,  allowances  for  doubtful
accounts are recorded based on the length of time the  receivables are past due,
the current business environment and our historical experience.

The Company records a provision for estimated  returns and allowances on product
sales in the same period as the related  revenues are recorded.  These estimates
are based on historical sales returns and other known factors.

INVENTORIES

Inventories,  consisting of purchased materials,  direct labor and manufacturing
overhead, are stated at the lower of cost, the value determined by the first-in,
first-out method, or market. Inventories consisted of the following:

                                               December 31,
                                             2003       2002
                                          ---------- ----------
                                             (IN THOUSANDS)
Finished goods ..........................  $ 26,239   $ 17,497
Work in process .........................     5,069      3,019
Raw materials ...........................     9,738      7,986
                                          ---------- ----------
                                           $ 41,046   $ 28,502

At each balance sheet date, the Company evaluates ending  inventories for excess
quantities,  obsolescence or shelf-life  expiration.  This  evaluation  includes
analyses of historical sales levels by product and projections of future demand.
To the extent that management  determines there are excess,  obsolete or expired
inventory  quantities,  valuation reserves are recorded against all or a portion
of the value of the related products.

PROPERTY, PLANT AND EQUIPMENT

Property,  plant and  equipment  are stated at cost.  The Company  provides  for
depreciation  using the straight-line  method over the estimated useful lives of
the assets.  Leasehold  improvements  are amortized over the lesser of the lease
term or the  useful  life.  The  cost of major  additions  and  improvements  is
capitalized,  while  maintenance  and repair costs that do not improve or extend
the lives of the respective assets are charged to operations as incurred.



Property, plant and equipment balances and corresponding lives were as follows:



                                                      December 31,
                                                    2003       2002        Lives
                                                 ---------- ---------- ---------------
                                                     (IN THOUSANDS)

                                                                
Land ............................................ $    892   $    511
Buildings and leasehold improvements ............   12,082     11,877    2 - 40 years
Machinery and equipment .........................   19,498     16,492    3 - 15 years
Furniture and fixtures ..........................    3,277      3,561    5 -  7 years
Construction in progress ........................    2,316        500
                                                 ---------- ----------
                                                    38,065     32,941

Less: Accumulated depreciation ..................  (17,993)   (16,385)
                                                 ---------- ----------
                                                  $ 20,072   $ 16,556


Depreciation  expense  associated  with  property,  plant and equipment was $3.9
million, $3.4 million, and $3.2 million, in 2003, 2002, and 2001 respectively.

GOODWILL AND OTHER INTANGIBLE ASSETS

The excess of the cost over the fair value of net assets of acquired  businesses
is recorded as goodwill.  Goodwill  acquired prior to July 1, 2001 was amortized
on a straight  line basis over a period of 15 years  through  December 31, 2001.
Goodwill acquired after July 1, 2001 was not subject to amortization.

Effective January 1, 2002, goodwill is no longer amortized,  but is reviewed for
impairment  at  the  reporting  unit  level  annually,  or  more  frequently  if
impairment indicators arise.

Upon adoption of Statement of Financial  Accounting Standards No. 142, "Goodwill
and Other  Intangible  Assets",  the Company  reassessed the useful lives of its
existing identifiable  intangible assets and determined that they continue to be
appropriate. The Company does not have any indefinite life intangible assets.

If the Company had applied the non-amortization  provisions of Statement 142 for
all of 2001, net income would have been as follows:

                                                                    2001
                                                                  --------
                                                               (in thousands)

   Net income, as reported ...................................    $ 26,163
   Effect of goodwill and assembled workforce amortization ...         858
                                                                  --------
   Net income, as adjusted ...................................    $ 27,021

   Basic net income per share, as reported ...................    $   1.03
   Effect of goodwill and assembled workforce amortization ...         .04
                                                                  --------
   Basic net income per share, as adjusted ...................    $   1.07

   Diluted net income per share, as reported .................    $   0.92
   Effect of goodwill and assembled workforce amortization ...         .03
                                                                  --------
   Diluted net income per share, as adjusted .................    $   0.95

The  Company's  assessment  of the  recoverability  of  goodwill is based upon a
comparison of the carrying value of goodwill with its estimated fair value.  The
Company  updated  its  impairment  review for  goodwill  as of June 30, 2003 and
determined that its goodwill was not impaired.



Changes in the carrying amount of goodwill in 2003 and 2002 were as follows:



                                                                             2003         2002
                                                                          ----------    ---------
                                                                              (IN THOUSANDS)

                                                                                  
Goodwill, net of accumulated amortization beginning of year .......       $  22,073     $ 14,627
Reclassification of net assembled workforce intangible ............              --        1,275
Acquisitions ......................................................           3,321        5,775
Adjustments to previously recorded pre-acquisition
   income tax contingencies .......................................              --         (484)
Other, net  .......................................................             (29)          64
Foreign currency translation ......................................           1,318          816
                                                                          ----------    ---------
Goodwill, end of year .............................................       $  26,683     $ 22,073
                                                                          ==========    =========


The components of the Company's identifiable intangible assets were as follows:



                                                  December 31, 2003         December 31, 2002
                                  Weighted      ----------------------    ----------------------
                                  Average                 Accumulated               Accumulated
                                    Life          Cost    Amortization      Cost    Amortization
                                  --------      --------  ------------    --------  ------------
                                                                  (IN THOUSANDS)

                                                                       
Completed technology ...........  15 years      $15,062     $ (3,337)     $ 13,165    $ (2,380)
Customer relationships .........  20 years       16,755       (2,053)        4,661      (1,085)
Trademarks / brand names .......  38 years       25,235       (1,017)        7,151        (445)
All other ......................  10 years        2,909       (1,119)        2,601        (577)
                                                --------    ---------     --------    ---------
                                                $59,961     $ (7,526)     $ 27,578    $ (4,487)
Accumulated amortization ....................    (7,526)                    (4,487)
                                                --------                  --------
                                                $52,435                   $ 23,091
                                                ========                  ========


Annual  amortization  expense is expected to  approximate  $3.3 million in 2004,
$3.1  million in 2005,  $3.0  million in 2006,  $2.8  million in 2007,  and $2.5
million in 2008.  Identifiable  intangible assets are initially recorded at fair
market  value at the time of  acquisition  generally  using  an  income  or cost
approach.

LONG-LIVED ASSETS

Long-lived assets held and used by the Company,  including  property,  plant and
equipment and intangible assets, are reviewed for impairment  whenever events or
changes in  circumstances  indicate that the carrying amount of an asset may not
be  recoverable.  For purposes of evaluating  the  recoverability  of long-lived
assets to be held and used, a  recoverability  test is performed using projected
undiscounted  net  cash  flows  applicable  to  the  long-lived  assets.  If  an
impairment  exists,  the amount of such  impairment is  calculated  based on the
estimated  fair  value of the  asset.  Impairments  to  long-lived  assets to be
disposed of are recorded based upon the fair value of the applicable assets.

INTEGRA FOUNDATION

The Company may periodically,  at the discretion of its Board of Directors, make
a  contribution  to the Integra  Foundation,  Inc.  The Integra  Foundation  was
incorporated in 2002  exclusively for  charitable,  educational,  and scientific
purposes and  qualifies  under IRC  501(c)(3) as an exempt  private  foundation.
Under its charter,  the Integra  Foundation  engages in activities  that promote
health,  the diagnosis and treatment of disease,  and the development of medical
science through grants,  contributions and other appropriate  means. The Integra
Foundation  is a separate  legal entity and is not a subsidiary  of the Company.
Therefore,  its  results  are  not  included  in  these  consolidated  financial
statements.  During 2003,  the Company  contributed  $2.0 million to the Integra
Foundation.   This  contribution  is  included  in  general  and  administrative
expenses.



DERIVATIVES

The Company  reports all  derivatives at their  estimated fair value and records
changes  in fair value in  current  earnings  or defers  these  changes  until a
related  hedged item is  recognized  in  earnings,  depending  on the nature and
effectiveness of the hedging relationship.  The designation of a derivative as a
hedge is made on the date the  derivative  contract is  executed.  On an ongoing
basis,  the Company  assesses  whether  each  derivative  continues to be highly
effective in offsetting changes in the fair value or cash flows of hedged items.
If and when a  derivative  is no longer  expected  to be highly  effective,  the
Company discontinues hedge accounting.  All hedge ineffectiveness is included in
current period earnings in other income (expense), net.

The Company  documents all  relationships  between hedged items and derivatives.
The Company's overall risk management strategy describes the circumstances under
which it may  undertake  hedge  transactions  and enter  into  derivatives.  The
objective of the Company's current risk management strategy is to hedge the risk
of changes in fair value  attributable  to interest  rate risk with respect to a
portion of fixed rate debt.

The determination of fair value of derivatives is based on valuation models that
use  observable  market quotes or projected cash flows and the Company's view of
the creditworthiness of the derivative counterparty.

FOREIGN CURRENCY

All assets and liabilities of foreign subsidiaries are translated at the rate of
exchange at year-end,  while elements of the income  statement are translated at
the average  exchange  rates in effect during the year.  The net effect of these
translation   adjustments  is  shown  as  a  component  of   accumulated   other
comprehensive  income (loss).  These currency  translation  adjustments  are not
currently  adjusted for income taxes as they relate to permanent  investments in
non-U.S.  subsidiaries.  Foreign  currency  transaction  gains  and  losses  are
reported in other income (expense), net.

INCOME TAXES

Deferred tax assets and liabilities are recognized for the estimated  future tax
consequences   attributable  to  differences  between  the  financial  statement
carrying  amounts of existing assets and  liabilities  and their  respective tax
bases.

REVENUE RECOGNITION

Product  revenues  include both product sales and  royalties  earned on sales by
strategic   alliance   partners  of  the  Company's   products  or  of  products
incorporating  one  or  more  of  the  Company's  products.  Product  sales  are
recognized  when  delivery has  occurred  and title has passed to the  customer,
there is a fixed or determinable  sales price, and  collectability of that sales
price is reasonably  assured.  Product  royalties are  recognized as the royalty
products are sold by our customers and the amount earned by Integra is fixed and
determinable.

Other revenues include research grants, fees received under research, licensing,
and distribution arrangements,  and technology-related royalties. Research grant
revenue is recognized  when the related  expenses are  incurred.  Non-refundable
fees received under research, licensing and distribution arrangements or for the
licensing of technology  are  recognized as revenue when received if the Company
has no continuing  obligations to the other party. For those  arrangements where
the Company has continuing performance obligations,  revenue is recognized using
the lesser of the amount of non-refundable  cash received or the result achieved
using the  proportional  performance  of  completion  accounting  based upon the
estimated cost to complete these obligations.



SHIPPING AND HANDLING FEES AND COSTS

Amounts  billed to  customers  for shipping and handling are included in product
revenues.  The related  shipping and freight charges incurred by the Company are
included  in cost of  product  revenues.  Distribution  and  handling  costs  of
approximately  $2.6  million,  $1.5  million,  and $1.5  million are recorded in
selling and marketing expense during 2003, 2002, and 2001, respectively.

PRODUCT WARRANTIES

Certain of the  Company's  medical  devices,  including  monitoring  systems and
neurosurgical  systems,  are  reusable  and are  designed  to operate  over long
periods of time. These products are sold with warranties generally extending for
up to two years from date of purchase.  The Company  accrues  estimated  product
warranty  costs  at the  time  of  sale  based  on  historical  experience.  Any
additional  amounts  are  recorded  when  such  costs  are  probable  and can be
reasonably estimated.

Accrued warranty expense consisted of the following:

                                                             December 31,
                                                           2003       2002
                                                         --------   --------
                                                            (IN THOUSANDS)

     Beginning balance ..................                $   216    $   226
     Liability acquired through acquisition                   95         --
     Charged to expense .................                    209        257
     Deductions .........................                   (151)      (267)
                                                         --------   --------
     Ending balance .....................                $   369    $   216

RESEARCH AND DEVELOPMENT

Research and development costs, including salaries, depreciation, consultant and
other external fees,  and facility costs directly  attributable  to research and
development activities, are expensed in the period in which they are incurred.

In-process   research  and  development  charges  recorded  in  connection  with
acquisitions  represent  the value  assigned  to  acquired  assets to be used in
research and development  activities and for which there is no alternative  use.
Value is generally  assigned to these  assets based on the net present  value of
the projected cash flows expected to be generated by those assets.

The Company  recorded  $400,000  and $2.3  million of  in-process  research  and
development in connection with acquisitions during 2003 and 2002, respectively.

STOCK BASED COMPENSATION

Employee stock based compensation is recognized using the intrinsic value method
prescribed by Accounting  Principles  Board Opinion No. 25 "Accounting for Stock
Issued to Employees" and Financial Accounting Standards Board Interpretation No.
44  "Accounting  for  Certain  Transactions  Involving  Stock  Compensation  -an
interpretation of APB Opinion No. 25".



Had the  compensation  cost for the Company's stock option plans been determined
based on the fair value at the grant consistent with the provisions of Statement
of  Financial   Accounting   Standards  No.  123   "Accounting  for  Stock-Based
Compensation",  the  Company's  net income and basic and  diluted net income per
share would have been as follows:



                                                          2003          2002          2001
                                                        --------      --------      --------
                                                      (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

                                                                           
Net income:
   As reported ......................................   $ 26,861      $ 35,277      $ 26,163
   Less: Total stock-based employee compensation
         expense determined under the fair
         value-based method for all awards, net
         of related tax effects .....................     (5,537)       (4,774)       (5,911)
                                                        --------      --------      --------
   Pro forma ........................................   $ 21,324      $ 30,503      $ 20,252

Net income per share:
   BASIC
   As reported ......................................   $   0.92      $   1.21      $   1.03
   Pro forma ........................................   $   0.73      $   1.04      $   0.80

   DILUTED
   As reported ......................................   $   0.88      $   1.14      $   0.92
   Pro forma ........................................   $   0.70      $   1.02      $   0.73


As options  vest over a varying  number of years and awards are  generally  made
each year, the pro forma impacts shown above may not be representative of future
pro forma expense  amounts.  The pro forma additional  compensation  expense was
calculated based on the fair value of each option grant using the  Black-Scholes
model.

The Company used the following weighted-average assumptions for the valuation of
stock option grants:



                                                     2003            2002            2001
                                                  ----------      ----------      ----------
                                                                           
         Dividend yield .......................        0%              0%              0%
         Expected volatility ..................       61%             65%             80%
         Risk free interest rate ..............     2.92%           3.00%           4.50%
         Expected life of option from
           vesting date .......................     4.5 years       4.5 years       4.5 years


CONCENTRATION OF CREDIT RISK

Financial  instruments,  which potentially subject the Company to concentrations
of credit risk, consist principally of cash and cash equivalents, which are held
at major financial institutions, investment-grade marketable debt securities and
trade receivables.  The Company's products are sold on an uncollateralized basis
and on credit terms based upon a credit risk assessment of each customer.

USE OF ESTIMATES

The  preparation  of  consolidated   financial  statements  in  conformity  with
generally accepted  accounting  principles requires management to make estimates
and assumptions that affect the reported amount of assets and  liabilities,  the
disclosure of contingent  liabilities,  and the reported amounts of revenues and
expenses.  Significant  estimates affecting amounts reported or disclosed in the
consolidated  financial  statements  include  allowances  for doubtful  accounts
receivable and sales returns, net realizable value of inventories,  estimates of
projected  cash flows and discount  rates used to value and test  impairments of
long-lived assets,  depreciation and amortization periods for long-lived assets,
valuation  allowances  recorded against deferred tax assets, loss contingencies,
and in-process  research and development  charges.  These estimates are based on
historical  experience and on various other  assumptions that are believed to be
reasonable  under the current  circumstances.  Actual  results could differ from
these estimates.



RECENTLY ISSUED ACCOUNTING STANDARDS

In  December  2003,  the FASB  issued SFAS No. 132  (revised  2003),  Employers'
Disclosures about Pensions and Other  Postretirement  Benefits - an amendment of
FASB Statement No. 87, 88 and 106. This Statement revises employers' disclosures
about pension plans and other  postretirement  benefit  plans.  The Company will
adopt the  disclosure  requirements  of SFAS 132 (revised  2003) in 2004, as the
Company's only pension plan is a non-U.S. plan.

In May 2003, the Financial  Accounting  Standards Board ("FASB") issued SFAS No.
150,   "Accounting  for  Certain   Instruments  with   Characteristics  of  both
Liabilities  and  Equity",   which  establishes  standards  for  how  an  issuer
classifies and measures certain financial  instruments with  characteristics  of
both  liabilities  and equity.  SFAS 150 is effective for financial  instruments
entered into or modified  after May 31, 2003,  and otherwise is effective at the
beginning  of the first  interim  period  beginning  after  June 15,  2003.  The
Company's adoption of the initial recognition and initial measurement provisions
of SFAS  150  did  not  have a  material  impact  on the  Company's  results  of
operations or financial position.

In April 2003,  the FASB issued SFAS No. 149,  "Amendment  of  Statement  133 on
Derivative  Instruments  and Hedging  Activities",  which  amends and  clarifies
financial accounting and reporting for derivative instruments, including certain
derivative  instruments embedded in other contracts,  and for hedging activities
under SFAS 133.  SFAS 149 is effective  for  contracts  entered into or modified
after June 30, 2003,  and for hedging  relationships  designated  after June 30,
2003.  The adoption of SFAS 149 did not have a material  impact on the Company's
results of operations or financial position.

In  November  2002,  the  Emerging  Issues Task Force  (EITF)  issued EITF 00-21
"Accounting for Revenue  Arrangements  with Multiple  Deliverables".  EITF 00-21
addresses when and how an arrangement  involving multiple deliverables should be
divided into separate units of  accounting.  EITF 00-21 is effective for revenue
arrangements  entered into in fiscal periods  beginning after June 15, 2003. The
Company  will  continue  to  evaluate  the  impact  of  EITF  00-21  on  revenue
arrangements it may enter into in the future.

In April 2002, the FASB issued SFAS No. 145,  "Rescission of FASB Statements No.
4, 44, and 64,  Amendment of FASB Statement No. 13, and Technical  Corrections".
Among other things,  SFAS 145 eliminates the  requirement  that gains and losses
related  to  extinguishments  of  debt be  classified  as  extraordinary  items.
Accordingly,  the Company reclassified the $256,000 loss on the early retirement
of debt incurred in 2001 to other income/(expense), net.

3.   ACQUISITIONS

In November 2003, the Company  acquired all of the outstanding  capital stock of
Spinal  Specialties,  Inc.  for  $6.0  million  in cash  including  expenditures
associated with the acquisition and subject to a working capital adjustment.  At
December 31, 2003, we have accrued  $380,000 for the estimated amount to be paid
for the working capital  adjustment.  In connection with this  acquisition,  the
Company recorded  approximately  $5.4 million of goodwill and intangible assets.
The acquired intangible assets consisted primarily of trade name, technology and
customer  relationships  and are being amortized on a  straight-line  basis over
lives ranging from 3 to 15 years.

Spinal  Specialties  markets its  products  primarily to  anesthesiologists  and
interventional radiologists through an in-house telemarketing team and a network
of distributors.  Spinal  Specialties'  products include the OsteoJect(TM)  Bone
Cement  Delivery  System  and  the  ACCU-DISC(TM)  Pressure  Monitoring  System.
Physicians  use these  products  in a variety  of  spinal,  orthopedic  and pain
management procedures.

In August 2003, the Company acquired  substantially  all of the assets of Tissue
Technologies,  Inc., the manufacturer and distributor of the UltraSoft(TM)  line
of implants for soft tissue  augmentation  of the facial area.  The Company paid
$0.6 million in cash and is obligated to pay the seller up to an additional $1.5
million in contingent consideration based upon a multiple of the Company's sales
of the  UltraSoft  product  in the third year  following  the  acquisition.  The
Company markets the UltraSoft  products directly to cosmetic and  reconstructive
surgeons through its plastic and reconstructive  surgery sales force and through
a network of distributors.  The acquired assets consist primarily of technology,
which is being amortized on a



straight-line  basis  over  10  years,  and  goodwill.   Any  future  contingent
consideration paid to the seller is expected be recorded as additional goodwill.

In March 2003, the Company  acquired all of the outstanding  capital stock of J.
Jamner  Surgical   Instruments,   Inc.  (doing  business  as  JARIT(R)  Surgical
Instruments)  ("JARIT")  for  $43.5  million  in  cash,  including  expenditures
associated with the acquisition and net of $2.1 million of cash acquired.

JARIT markets a wide variety of high quality,  reusable surgical  instruments to
virtually all surgical disciplines.  JARIT sells its products to more than 5,200
hospitals and surgery centers worldwide.  The acquisition of JARIT has broadened
Integra's  existing customer base and surgical  instrument  product offering and
has provided an opportunity to achieve  operating  costs savings,  including the
procurement  of  Integra's  Ruggles(TM)  and  Padgett(TM)  instruments  products
directly from the instrument manufacturers.

In connection with this acquisition,  the Company recorded  approximately  $29.1
million of intangible  assets,  consisting  primarily of trade name and customer
relationships,  which are being  amortized on a  straight-line  basis over lives
ranging from 5 to 40 years.

In December  2002,  the Company  acquired the  neurosurgical  shunt and epilepsy
monitoring  business of the Radionics division of Tyco Healthcare Group for $3.7
million in cash,  including  expenditures  associated with the acquisition.  The
manufacturing  of the  acquired  product  lines  was  transferred  to  Integra's
manufacturing  facility  located in Biot,  France.  This  acquisition  broadened
Integra's  neurosurgical  product line  offering and customer base and increased
capacity utilization at the Company's Biot facility.

In October 2002, the Company  acquired all of the  outstanding  capital stock of
Padgett  Instruments,  Inc.,  an  established  marketer of  instruments  used in
reconstructive  and  plastic  surgery,  for  $9.6  million  in  cash,  including
expenditures  associated with the acquisition.  For more than 40 years,  Padgett
has been providing high quality instruments to meet the needs of the plastic and
reconstructive  surgeon and, as a result,  has become one of the most recognized
names in the plastic  and  reconstructive  surgery  market.  Approximately  $5.4
million of the purchase  price was allocated to the trademarks and trade name of
the acquired business,  which are being amortized on a straight-line  basis over
40 years.

In  August  2002,  the  Company  acquired  all  of  the  capital  stock  of  the
neurosciences  division of NMT Medical, Inc. for $5.7 million in cash, including
expenditures  associated with the  acquisition.  Through this  acquisition,  the
Company  added a range of leading  differential  pressure  valves  and  external
ventricular  drainage products to its  neurosurgical  product line. The acquired
operations  included a manufacturing  facility located in Biot, France. The $4.2
million  fair value  assigned to the land,  building  and  equipment in Biot was
determined based on a third party appraisal.

In  connection  with  this  acquisition,  the  Company  terminated  all of NMT's
independent neurosciences sales agents based in the United States and exited the
Atlanta, Georgia distribution facility. These termination and closure costs were
accrued as part of the purchase price because they provided no future benefit to
the Company's operations.

In July 2002, the Company acquired the assets of Signature Technologies, Inc., a
specialty  manufacturer  of  titanium  and  stainless  steel  implants  for  the
neurosurgical  and spinal  markets,  and  certain  other  intellectual  property
assets.  The Company acquired  Signature  Technologies to gain the capability of
developing  and  manufacturing  metal  implants for  strategic  partners and for
direct sale by Integra.  The  purchase  price  consisted of $2.9 million in cash
(including  expenditures  associated  with the  acquisition),  $0.5  million  of
deferred  consideration  that was paid in 2003, and royalties on future sales of
products to be developed.  Signature Technologies currently manufactures cranial
fixation  systems  primarily  for  sale  under a single  contract  manufacturing
agreement that expires in June 2004.

In  connection  with this  acquisition,  the  Company  recorded  a $1.2  million
in-process  research and development  charge of for the value  associated with a
project  for the  development  of an  enhanced  cranial  fixation  system  using
patented  technology  for


improved  identification  and  delivery  of certain  components  of the  system.
Signature  Technologies  has  manufactured  prototypes of this enhanced  cranial
fixation  system and we do not  expect to incur  significant  costs to  complete
development and obtain regulatory  clearance to market the product. The value of
the in-process research and development charge was estimated with the assistance
of a third party appraiser using probability weighted cash flow projections with
factors for  successful  development  ranging from 10% to 35% and a 15% discount
rate.

In  December   2001,   the  Company   acquired  all  of  the  capital  stock  of
NeuroSupplies,  Inc., a specialty  distributor of  disposables  and supplies for
neurologists,  pulmonologists  and  other  physicians,  for  $4.1  million.  The
purchase  price  consisted  of  $0.2  million  in cash  (including  expenditures
associated with the  acquisition),  a $3.6 million note that was repaid in 2002,
and 10,000 shares of Integra common stock. This acquisition  extended  Integra's
reach to the  neurologist  and allied  fields and further into products used for
the diagnosis and  monitoring of  neurological  disorders.  In 2003, the Company
relocated   the   NeuroSupplies   operations   to  its   facility  in  Pembroke,
Massachusetts.

In April 2001,  the Company  acquired all of the  outstanding  capital  stock of
Satelec  Medical,  a subsidiary of the  Satelec-Pierre  Rolland group,  for $3.9
million in cash, including expenditures associated with the acquisition. Satelec
Medical, based in France,  manufactures and markets the Dissectron(R) ultrasonic
surgical  aspirator  console  and a line  of  related  handpieces.  The  Company
completed the  consolidation  of the Satelec  manufacturing  operations into its
Andover, England and Biot, France facilities in 2002. This acquisition broadened
Integra's neurosurgical product line offering and its direct sales and marketing
presence in Europe.

In April 2001,  the Company  acquired all of the  outstanding  capital  stock of
GMSmbH,  the German  manufacturer of the LICOX(R) Brain Tissue Oxygen Monitoring
System,  for $3.2 million.  The purchase price consisted of $2.6 million in cash
(including  expenditures  associated with the  acquisition),  the forgiveness of
$0.2 million in notes receivable from GMSmbH, and $0.4 million of future minimum
royalty  payments  to the  seller.  Prior to the  acquisition,  the  Company had
exclusive  marketing  rights to the LICOX(R)  products in the United  States and
certain other markets. This acquisition provided Integra with full rights to the
LICOX(R) product technology.

All of these  acquisitions  have been accounted for using the purchase method of
accounting,  and the results of operations of the acquired  businesses have been
included in the consolidated  financial  statements since their respective dates
of acquisition.



The  following  table  summarizes  the fair  value of the  assets  acquired  and
liabilities assumed as a result of 2003 and 2002 acquisitions:

(ALL AMOUNTS IN THOUSANDS)



                                            Spinal           Jarit          Tissue
2003 Acquisitions                        Specialties      Instruments    Technologies
-----------------                       -------------     -----------    ------------
                                                                       
Current assets .......................        $ 1,944        $ 17,498           $  81
Property, plant and equipment ........            307           1,285              88
Intangible assets ....................          2,300          29,091             281
Goodwill .............................          3,070              --             251
Other non-current assets .............             --             104              --
                                        -------------     -----------     -----------
   Total assets acquired .............          7,621          47,978             701

Current liabilities ..................            358           2,357              76
Deferred tax liabilities .............            836              --              --
                                        -------------     -----------     -----------
   Total liabilities assumed .........          1,194           2,357              76

Net assets acquired ..................        $ 6,427        $ 45,621           $ 625




2002 Acquisitions                       Radionics    Padgett    NMT Neuro   Signature
-----------------                       ---------   ---------   ---------   ---------
                                                                  
Current assets .......................    $   977     $ 1,895     $ 5,977     $   490
Property, plant and equipment ........         75          65       4,138       1,165
Intangible assets ....................        391       6,437         --          626
Goodwill .............................      2,028       3,658         --          --
In-process research and development ..        --          --          --        1,177
Other non-current assets .............         18         281         --          --
                                        ---------   ---------   ---------   ---------
   Total assets acquired .............      3,489      12,336     $10,115       3,458

Current liabilities ..................         10         200       3,789          76
Deferred tax liabilities .............         --       2,524         665         --
                                        ---------   ---------   ---------   ---------
   Total liabilities assumed .........         10       2,724       4,454          76

Net assets acquired ..................    $ 3,479     $ 9,612     $ 5,661     $ 3,382


The 2003 purchase price allocations are preliminary.

The goodwill acquired in the Tissue  Technologies and Radionics  acquisitions is
expected to be deductible for tax purposes.  The acquired  intangible assets are
being amortized on a straight-line basis over lives ranging from 2 to 40 years.

The following unaudited pro forma financial  information  summarizes the results
of operations for the periods  indicated as if the  acquisitions  consummated in
2003 and 2002 had been  completed as of January 1, 2002.  The pro forma  results
are based upon certain  assumptions and estimates and they give effect to actual
operating results prior to the acquisitions and adjustments to reflect increased
depreciation  expense,  increased  intangible asset amortization,  and increased
income taxes at a rate consistent with Integra's effective rate in each year. No
effect has been given to cost  reductions or operating  synergies.  As a result,
these pro forma  results do not  necessarily  represent  results that would have
occurred if the acquisition had taken place on the basis assumed above,  nor are
they indicative of the results of future combined operations.

                                                               2003       2002
                                                             --------   --------
                                                               (IN THOUSANDS)

Total revenue .........................................      $195,327   $168,915

Net income ............................................        27,469     41,987

Basic net income per share ............................      $   0.94   $   1.45
Diluted net income per share ..........................      $   0.90   $   1.36

In  December   2003,   the  Company   acquired  the  assets  of   Reconstructive
Technologies,  Inc.("RTI") for approximately $400,000 in cash and agreed to make
certain  future  performance-based  payments  for the  RTI  assets.  Any  future
contingent  consideration  paid to the seller is  expected  to be  recorded as a
technology-based  intangible asset. RTI is the developer of the Automated Cyclic
Expansion System (ACE System(TM)),  a tissue



expansion device. RTI's technology  encompasses a sophisticated and compact pump
that produces a cyclic force when attached to ballooning tissue expanders. RTI's
ACE System  technology  rapidly expands tissue by stimulating the body's natural
response to physical stress on the skin.  Because the ACE System is not approved
by the FDA for sale and the  Company  did not  acquire  any  assets  other  than
technology and  intellectual  property  underlying  the ACE System,  the Company
recorded the entire acquisition price as an in-process  research and development
charge in the fourth quarter of 2003.  This  transaction was accounted for as an
asset purchase  because the acquired  assets did not constitute a business under
Statement 141.

In  September  2002,  the  Company  acquired   certain  assets,   including  the
NeuroSensor(TM)  monitoring system and rights to certain intellectual  property,
from Novus  Monitoring  Limited of the United  Kingdom for $3.7  million in cash
(including  expenditures  associated with the  acquisition),  an additional $1.5
million to be paid upon Novus' achievement of a product  development  milestone,
and up to an  additional  $2.5 million  payable  based upon revenues from Novus'
products.  As part of the  consideration  paid, Novus has also agreed to conduct
certain clinical studies on the NeuroSensor(TM)  system, continue development of
a next generation,  advanced neuromonitoring product, and design and transfer to
Integra a validated manufacturing process for these products.

The assets  acquired from Novus were accounted for as an asset purchase  because
the acquired  assets did not  constitute  a business  under  Statement  141. The
initial $3.7 million purchase price was allocated as follows (in thousands):

             Prepaid research and development expense .........   $   771
             Other assets .....................................       151
             Intangible assets ................................     1,663
             In-process research and development ..............     1,151

The  acquired  intangibles  assets  consisted  primarily  of  technology-related
intangible assets, which are being amortized on a straight-line basis over lives
ranging  from 3 to 15  years.  The  prepaid  research  and  development  expense
represents the estimated  fair value of future  services to be provided by Novus
under the  development  agreement.  The $1.2  million  in-process  research  and
development  charge  represents the value  associated  with the development of a
next generation neuromonitoring system. The value of the in-process research and
development  was estimated with the assistance of a third party  appraiser using
probability   weighted  cash  flow   projections  with  factors  for  successful
development ranging from 15% to 20% and a 15% discount rate.

4.   DEBT

In March  and  April  2003,  the  Company  completed  a $120.0  million  private
placement of contingent convertible subordinated notes due 2008.

The notes bear  interest  at 2.5 percent per annum,  payable  semiannually.  The
Company will pay additional interest ("Contingent  Interest") if, at thirty days
prior to  maturity,  Integra's  common  stock  price is greater  than $37.56 per
share. The Contingent  Interest will be payable for each of the last three years
the notes  remain  outstanding  in an amount equal to the greater of i) 0.50% of
the face amount of the notes and ii) the amount of regular cash  dividends  paid
during  each such year on the  number of shares of common  stock into which each
note is convertible.  The Company recorded a $365,000  liability  related to the
estimated fair value of the Contingent Interest obligation at the time the notes
were issued. The fair value of the Contingent  Interest  obligation is marked to
its fair  value at each  balance  sheet  date,  with  changes  in the fair value
recorded to interest expense.  At December 31, 2003, the estimated fair value of
the Contingent Interest obligation was $458,000.

Debt  issuance  costs  totaled  $4.1 million and are being  amortized  using the
straight-line method over the five-year term of the notes.

Holders  may  convert  their  notes into  shares of Integra  common  stock at an
initial  conversion  price of $34.15 per share,  upon the  occurrence of certain
conditions,  including  when the market price of  Integra's  common stock on the
previous trading day is more than 110% of the conversion price.

The  notes  are  general,  unsecured  obligations  of the  Company  and  will be
subordinate to any future senior indebtedness of the Company. The Company cannot
redeem the notes



prior to their  maturity.  Holders  of the  notes may  require  the  Company  to
repurchase the notes upon a change in control.

Concurrent with the issuance of the notes, the Company used approximately  $35.3
million of the proceeds to purchase 1.5 million shares of its common stock.

In  connection  with the  prepayment  of all  outstanding  bank loans and a $2.8
million note  payable  issued in  connection  with an  acquisition,  the Company
recorded in 2001 a loss on the early  retirement  of debt of $256,000,  which is
included in other income/(expense), net.

5.   INTEREST RATE SWAP AGREEMENT

In August 2003, the Company  entered into an interest rate swap agreement with a
$50  million  notional  amount  to  hedge  the  risk of  changes  in fair  value
attributable  to interest  rate risk with respect to a portion of its fixed rate
contingent  convertible  subordinated notes. The Company receives a 2 1/2% fixed
rate from the  counterparty,  payable on a  semi-annual  basis,  and pays to the
counterparty  a  floating  rate based on 3-month  LIBOR  minus 35 basis  points,
payable on a  quarterly  basis.  The  floating  rate resets  each  quarter.  The
interest  rate swap  agreement  terminates  on March 15, 2008,  subject to early
termination  upon the  occurrence  of certain  events,  including  redemption or
conversion of the contingent convertible notes.

The interest rate swap agreement  qualifies as a fair value hedge under SFAS No.
133, as amended, "Accounting for Derivative Instruments and Hedging Activities".

Accordingly,  the  interest  rate swap is  recorded at fair value and changes in
fair value are  recorded in other  income  (expense),  net. The net amount to be
paid or  received  under the  interest  rate swap  agreement  is  recorded  as a
component of interest expense.  Interest expense for the year ended December 31,
2003  reflects a $330,000  reduction  in interest  expense  associated  with the
interest  rate swap.  Our effective  interest rate on the hedged  portion of the
notes was 0.79% as of December 31, 2003.

The net fair value of the  interest  rate swap at  inception  was  $767,000.  At
December  31,  2003,  the net fair  value of the  interest  rate swap  increased
$305,000 to $1.1  million and is included in other  liabilities.  In  connection
with this fair value  hedge  transaction,  the Company  recorded a $433,000  net
decrease in the carrying value of its contingent convertible notes. The $128,000
net difference  between  changes in the fair value of the interest rate swap and
the  contingent  convertible  notes  represents the  ineffective  portion of the
hedging relationship, and this amount is recorded in other income.

6.   COMMON AND PREFERRED STOCK

PREFERRED STOCK TRANSACTIONS

The Company is authorized to issue up to 15,000,000 shares of preferred stock in
one or more series,  of which 2,000,000 shares have been designated as Series A,
120,000  shares have been  designated  as Series B, and 54,000  shares have been
designated as Series C.

On March 29, 2000,  the Company  issued  54,000  shares of Series C  Convertible
Preferred Stock (Series C Preferred) and warrants to purchase  300,000 shares of
common stock at $9.00 per share to affiliates of Soros Private  Equity  Partners
LLC (SPEP) for $5.4  million,  net of  issuance  costs.  The Series C  Preferred
ranked on a parity with the Company's Series B Convertible  Preferred Stock, was
senior  to the  Company's  common  stock and all  other  preferred  stock of the
Company,  had  common  stock  dividend  participation  rights,  and  had  a  10%
cumulative  annual  dividend yield payable only upon  liquidation.  The Series C
Preferred was converted  into 600,000  shares of common stock in April 2002. The
warrants  issued with the Series C Preferred were exercised in December 2001 for
proceeds of $2.7 million.

The  Company  issued  100,000  shares of Series B  Convertible  Preferred  Stock
(Series B Preferred) and warrants to purchase  240,000 shares of common stock at
$3.82 per share to SPEP for $9.9 million,  net of issuance  costs. In June 2001,
SPEP converted the Series B Preferred into 2,617,800 shares of common stock. The
Series B Preferred  had common  stock  dividend  participation  rights and a 10%
cumulative  annual  dividend yield



payable only upon  liquidation.  The warrants issued with the Series B Preferred
were exercised in March 2001 for proceeds of $916,800.

SPEP is  entitled  to certain  registration  rights  for shares of common  stock
obtained  through  conversion of the Series B Preferred or Series C Preferred or
the exercise of the related warrants.

COMMON STOCK TRANSACTIONS

In August 2001,  the Company issued  4,747,500  shares of common stock at $25.50
per share in a follow-on  public  offering.  The net  proceeds  generated by the
offering, after expenses, were $113.4 million.

In 2003 and 2002, respectively,  the Company repurchased 1.5 million and 100,000
shares of its common stock for $35.4 million and $1.8 million.

7.   STOCK PURCHASE AND AWARD PLANS

EMPLOYEE STOCK PURCHASE PLAN

The Company received  stockholder  approval for its Employee Stock Purchase Plan
(ESPP) in May 1998. The purpose of the ESPP is to provide eligible  employees of
the Company with the  opportunity  to acquire shares of common stock at periodic
intervals by means of accumulated payroll deductions. Under the ESPP, a total of
500,000  shares of common stock have been  reserved for  issuance.  These shares
will be made available either from the Company's  authorized but unissued shares
of common  stock or from  shares of common  stock  reacquired  by the Company as
treasury  shares.  At December 31, 2003,  approximately  196,000  shares  remain
available for purchase under the ESPP.

STOCK OPTION PLANS

As of December 31, 2003 the Company had stock  options  outstanding  under seven
plans, the 1993 Incentive Stock Option and Non-Qualified  Stock Option Plan (the
1993 Plan), the 1996 Incentive Stock Option and Non-Qualified  Stock Option Plan
(the 1996 Plan),  the 1998 Stock  Option  Plan (the 1998  Plan),  the 1999 Stock
Option Plan (the 1999 Plan), the 2000 Equity Incentive Plan (the 2000 Plan), the
2001 Equity  Incentive Plan (the 2001 Plan),  and the 2003 Equity Incentive Plan
(the 2003 Plan,  and  collectively,  the  Plans).  No new options may be granted
under the 1993 Plan.

The Company has reserved  750,000 shares of common stock for issuance under both
the 1993 Plan and 1996 Plan,  1,000,000  shares  under the 1998 Plan,  2,000,000
shares  under  each of the 1999  Plan,  the 2000  Plan  and the 2001  Plan,  and
2,500,000  shares under the 2003 Plan. The 1993 Plan,  1996 Plan, 1998 Plan, and
the 1999 Plan permit the Company to grant both incentive and non-qualified stock
options to  designated  directors,  officers,  employees  and  associates of the
Company.  The 2000 Plan,  2001 Plan,  and 2003 Plan  permit the Company to grant
incentive and non-qualified stock options, stock appreciation rights, restricted
stock, performance stock, or dividend equivalent rights to designated directors,
officers,  employees  and  associates of the Company.  Options  issued under the
Plans become  exercisable  over specified  periods,  generally within four years
from the date of grant, and generally expire six years from the grant date.



Option activity for all the Plans was as follows:



                                  2003                     2002                     2001
                          ---------------------    ---------------------    ---------------------
                                     Wtd. Avg.                Wtd. Avg.                Wtd. Avg.
                            Options  Ex. Price       Options  Ex. Price       Options  Ex. Price
                          -----------------------------------------------------------------------
                                                  (SHARES IN THOUSANDS)
                                                                       
Options outstanding at
   January 1, ...........    4,295     $12.15         4,261     $10.79         4,519     $ 7.74

Granted .................      430     $24.81           618     $17.73           748     $24.61
Exercised ...............   (1,726)    $ 7.70          (425)    $ 6.15          (836)    $ 6.49
Cancelled ...............     (115)    $17.40          (159)    $13.39          (170)    $11.88

Options outstanding at
   December 31, .........    2,884     $16.49         4,295     $12.15         4,261     $10.79

Options exercisable at
  December 31, ..........    1,495     $13.65         2,380     $ 8.75         1,986     $ 6.89


At December 31, 2003,  there were 3,436,000 shares available for grant under the
Plans.

The following table summarizes information about stock options outstanding as of
December 31, 2003:



                                               Options Outstanding                   Options Exercisable
                                  ----------------------------------------------   -----------------------
                                    As of       Wtd. Avg.         Wtd. Avg.           As of      Wtd. Avg.
        Range Of                   Dec. 31,      Exercise         Remaining          Dec. 31     Exercise
     Exercise Prices                 2003         Price       Contractual Life        2003        Price
    -----------------             ----------  ------------  --------------------   ----------  -----------
                                                            (SHARES IN THOUSANDS)
                                                                             
    $ 3.38 - $ 6.00                   478   $      4.85         1.5 years              478   $     4.85
    $ 6.28 - $12.00                   496   $     10.00         4.9 years              226   $     8.85
    $12.19 - $17.00                   490   $     14.20         3.4 years              300   $    14.13
    $17.07 - $23.00                   630   $     18.91         4.9 years              156   $    18.31
    $23.58 - $32.42                   790   $     27.12         4.5 years              335   $    26.87
                                    -------     --------       -----------          -------     --------
                                    2,884   $     16.49         4.0 years            1,495   $    13.65


The weighted average fair market value of options granted in 2003, 2002 and 2001
was $13.01, $9.57, and $16.14 per share, respectively.

RESTRICTED UNITS

In December 2000,  the Company issued  1,250,000  restricted  units  (Restricted
Units) under the 2000 Plan as a fully vested equity based bonus to the Company's
President  and  Chief  Executive  Officer  (Executive)  in  connection  with the
extension of his employment agreement. Each Restricted Unit represents the right
to receive one share of the  Company's  common  stock.  The Executive has demand
registration rights under the Restricted Units issued.

The Executive  received  1,000,000  Restricted  Units in December 1997,  each of
which  entitles  him to receive one share of the  Company's  common  stock.  The
Restricted Units issued in December 1997 were not issued under any of the Plans.
In November 2003, the 1997 restricted units were converted into 1,000,000 shares
of the Company's common stock.

No other stock-based awards are outstanding under any of the Plans.



8.   RETIREMENT BENEFIT PLANS

DEFINED BENEFIT PLAN

The  Company  maintains a defined  benefit  pension  plan in the United  Kingdom
covering  certain current and former  employees.  This plan is no longer open to
new  participants.  Net periodic  benefit costs for this defined benefit pension
plan included the following amounts:



                                                          2003          2002          2001
                                                        --------      --------      --------
                                                                   (IN THOUSANDS)

                                                                           
   Service cost .....................................   $    88       $   122       $   115
   Interest cost ....................................       397           355           332
   Expected return on plan assets ...................      (330)         (331)         (356)
   Recognized net actuarial loss ....................       116            85             7
                                                        --------      --------      --------
      Net periodic benefit cost .....................   $   271       $   231       $    98


The following  weighted  average  assumptions  were used to develop net periodic
benefit cost and the actuarial present value of projected benefit obligations:



                                                          2003          2002       2001
                                                        --------      --------   --------
                                                                          
   Discount rate ....................................     5.4%          5.5%       5.9%
   Expected return on plan assets ...................     6.2%          6.5%       6.5%
   Rate of compensation increase ....................     3.3%          3.8%       4.1%


The following  sets forth the change in benefit  obligations  and change in plan
assets at December 31, 2003 and 2002 and the accrued benefit cost:



                                                                           December 31,
                                                                        2003          2002
                                                                      --------      --------
                                                                          (IN THOUSANDS)
                                                                              
CHANGE IN BENEFIT OBLIGATION
   Benefit obligation, beginning of year ..........................   $ 6,803       $ 5,733
   Service cost ...................................................        88           123
   Interest cost ..................................................       397           356
   Participant contributions ......................................        36            33
   Actuarial (gain) loss ..........................................       857            30
   Benefits paid ..................................................      (151)         (105)
   Effect of foreign currency exchange rates ......................       802           633
                                                                      --------      --------
   Benefit obligation, end of year ................................   $ 8,832       $ 6,803



CHANGE IN PLAN ASSETS
   Plan assets at fair value, beginning of year ...................   $ 5,068       $ 5,153
   Actual return on plan assets ...................................       881          (669)
   Employer contributions .........................................       211           153
   Benefits paid ..................................................      (151)         (105)
   Participant contributions ......................................        36            33
   Effect of foreign currency exchange rates ......................       601           503
                                                                      --------      --------
   Plan assets at fair value, end of year .........................   $ 6,646       $ 5,068

RECONCILIATION OF FUNDED STATUS
Funded status, Benefit obligation in excess of plan assets ........   $(2,186)      $(1,735)
Unrecognized net actuarial loss ...................................     2,416         2,001
Adjustment to recognize minimum liability .........................    (1,804)       (1,444)
                                                                      --------      --------
Accrued benefit cost ..............................................   $(1,574)      $(1,178)


The accrued benefit liability recorded at December 31, 2003 and 2002 is included
in other liabilities.



DEFINED CONTRIBUTION PLAN

The  Company  also has various  defined  contribution  savings  plans that cover
substantially all employees in the United States, the United Kingdom, and Puerto
Rico. The Company matches a certain percentage of each employee's  contributions
as per the provisions of the plans.  Total  contributions  by the Company to the
plans were $483,000, $575,000 and $411,000 in 2003, 2002 and 2001, respectively.

9.   LEASES

The Company  leases  administrative,  manufacturing,  research and  distribution
facilities  and  various  manufacturing,  office  and  transportation  equipment
through operating lease agreements.

In  November  1992,  a  corporation   whose   shareholders  are  trusts,   whose
beneficiaries  include family members of the Company's  Chairman,  acquired from
independent  third parties a 50% interest in the general  partnership from which
the Company leases its  manufacturing  facility in Plainsboro,  New Jersey.  The
lease  provides  for a rent  escalation  of 8.5% in 2007 and  expires in October
2012.

In June  2000,  the  Company  signed  a  ten-year  agreement  to  lease  certain
production  equipment  from a corporation  whose sole  stockholder  is a general
partnership,  for which the Company's  Chairman is a partner and the  President.
Under the terms of the lease agreement,  the Company paid $90,000 to the related
party lessor in 2003, 2002 and 2001.

Future minimum lease payments under  operating  leases at December 31, 2003 were
as follows:

                                           Related       Third
                                           Parties      Parties       Total
                                          ---------    ---------    ---------
                                                     (IN THOUSANDS)
    2004 ............................          321        1,860        2,181
    2005 ............................          321        1,378        1,699
    2006 ............................          321          894        1,215
    2007 ............................          324          854        1,178
    2008 ............................          341          364          705
    Thereafter ......................          999        1,090        2,089
                                          ---------    ---------    ---------
    Total minimum lease payments.....        2,627        6,440        9,067
                                          =========    =========    =========

Total rental expense in 2003, 2002, and 2001 was $2.9 million, $2.0 million, and
$1.9 million,  respectively,  and included $321,000,  $321,000, and $306,000, in
related party expense, respectively.



10.  INCOME TAXES

The income tax expense (benefit) consisted of the following:

                                              2003          2002         2001
                                            --------      --------     --------
                                                       (IN THOUSANDS)
Current:
  Federal .............................     $    972      $     --     $    208
  State ...............................        2,470         1,276          446
  Foreign .............................          529          (427)         555
                                            ---------     ---------    ---------
Total current .........................        3,971           849        1,209

Deferred:
  Federal .............................     $ 12,800      $(13,671)    $(10,774)
  State ...............................           83           373         (739)
  Foreign .............................         (526)         (103)        (572)
                                            ---------     ---------    ---------
Total deferred ........................       12,357       (13,401)     (12,085)

Income tax expense (benefit) ..........     $ 16,328      $(12,552)    $(10,876)
                                            =========     =========    =========

The  temporary  differences  that give rise to deferred tax assets are presented
below:



                                                                   December 31
                                                               2003          2002
                                                             --------      --------
                                                                 (IN THOUSANDS)
                                                                     
Net operating loss and tax credit carryforwards ...........  $ 22,695      $ 23,749
Inventory reserves and capitalization .....................     2,294         2,722
Other .....................................................     1,758         2,102
Deferred compensation .....................................     5,361         7,692
Deferred income ...........................................     1,434         2,167
                                                             --------      --------
  Total deferred tax assets before valuation allowance ....    33,542        38,432

Valuation allowance .......................................    (5,360)       (7,692)

Depreciation and amortization .............................    (6,421)       (5,130)
Other .....................................................      (392)         (392)
                                                             --------      --------
Net deferred tax assets ...................................  $ 21,369      $ 25,218
                                                             ========      ========


Since 1999,  the Company has generated  positive  taxable income on a cumulative
basis. In light of this trend,  current projections for future taxable earnings,
and the expected  timing of the reversal of  deductible  temporary  differences,
management  concluded  in the  fourth  quarter  of 2001  that a  portion  of the
valuation  allowance  recorded  against  federal  and state net  operating  loss
carryforwards  and certain other temporary  differences was no longer necessary.
The valuation  allowance was reduced by $12.0 million in 2001 because management
believed  that it was more likely than not that the  Company  would  realize the
benefit of that  portion of the  deferred  tax assets  recorded at December  31,
2001.  The $12.0 million  reduction in the valuation  allowance  consisted of an
$11.5 million  deferred  income tax benefit and a $450,000  credit to additional
paid-in capital related to net operating loss  carryforwards  generated  through
the exercise of stock options.

In the fourth  quarter of 2002,  the  Company  reduced the  remaining  valuation
allowance  recorded  against net operating loss  carryforwards by $23.4 million,
which reflects the Company's estimate of additional tax benefits that it expects
to realize in the future. The $23.4 million reduction in the valuation allowance
consisted  of a $20.4  million  deferred  income tax benefit and a $3.0  million
credit to additional paid-in capital related to net operating loss carryforwards
generated through the exercise of stock options.  A valuation  allowance of $5.4
million is recorded  against the remaining  $33.3 million of deferred tax assets
recorded at December 31, 2003. This valuation  allowance relates to deferred tax
assets for certain  expenses  that will be  deductible  for tax purposes in very
limited  circumstances and for which the Company believes it is unlikely that it
will  recognize  the  associated  tax benefit.  The Company does not  anticipate
additional  income tax  benefits  through  future  reductions  in the  valuation
allowance.  However,  in the event that the Company  determines that it



would be able to realize more or less than the  recorded  amount of net deferred
tax assets, an adjustment to the deferred tax asset valuation allowance would be
recorded in the period such a determination is made.

The net change in the Company's valuation allowance was $ (2.3) million, $(26.7)
million, and $(10.4) million, in 2003, 2002, and 2001, respectively. Included in
the 2002 reduction was the write off of the valuation allowance  associated with
$3.3 million of deferred tax assets which the Company wrote off because they are
no longer  expected to be  utilizable.  Included in the 2003  reduction  was the
write off of the valuation  allowance  associated  with $2.3 million of deferred
tax assets  which the  Company  wrote off  because  they are not  expected to be
utilizable.

A  reconciliation  of the United States Federal  statutory rate to the Company's
effective tax rate for the years ended  December 31, 2003,  2002, and 2001 is as
follows:



                                                                2003      2002      2001
                                                               ------    ------    ------
                                                                         
Federal statutory rate .....................................    35.0%     35.0%     34.0%
Increase (reduction) in income taxes resulting from:
  State income taxes, net of federal tax benefit ...........     3.9%      3.7%      1.9%
  Foreign taxes booked at different rates ..................    (1.0%)    (2.5%)    (1.3%)
  Alternative minimum tax, net of state benefit ............       --        --      1.4%
  Nondeductible items ......................................    (0.1%)    (0.5%)     1.1%
  Other ....................................................       --     (1.0%)     0.7%
  Change in valuation allowance ............................       --    (89.9%)  (108.9%)
                                                               ------    ------    ------
Effective tax rate .........................................    37.8%    (55.2%)   (71.1%)
                                                               ======    ======    ======


At December  31,  2003,  the Company had net  operating  loss  carryforwards  of
approximately  $72.8  million and $10.5 million for federal and state income tax
purposes,  respectively,  to offset future taxable income. The federal and state
net operating loss carryforwards expire through 2018 and 2009, respectively.

At December  31,  2003,  several of the  Company's  subsidiaries  had unused net
operating loss carryforwards and tax credit  carryforwards  arising from periods
prior to the  Company's  ownership  which expire  through  2010.  The timing and
manner in which any acquired net operating losses or tax credits may be utilized
in any year by the Company are limited by the Internal  Revenue Code of 1986, as
amended,  Section 382 and other  provisions of the Internal Revenue Code and its
applicable regulations.

Income taxes are not provided on undistributed earnings of non-U.S. subsidiaries
because such earnings are expected to be permanently  reinvested.  Undistributed
earnings of foreign  subsidiaries  totaled  $11.8  million  and $9.0  million at
December 31, 2003 and 2002, respectively.



11.  NET INCOME PER SHARE

All  earnings per share data for the year ended  December 31, 2001  appearing in
these consolidated  financial  statements and related notes has been restated to
conform to the  two-class  method  required by Emerging  Issues Task Force Issue
03-6 as it relates to the dividend participation rights included in the Series B
and Series C  Convertible  Preferred  Stock that were  outstanding  during  that
period.  The adoption of Issue 03-6 reduced  previously  reported basic earnings
per share by $0.05 to $1.03 and diluted  earnings per share by $0.02 to $0.92 in
2001.  Additionally,  net income  applicable  to common  stock and the  weighted
average common shares  outstanding used to calculate  diluted earnings per share
per  share  data  for the  year  ended  December  31,  2002  appearing  in these
consolidated financial statements and related notes has been restated to conform
to the two-class  method  required by Issue 03-6. The adoption of Issue 03-6 did
not  change  the  previously  reported  basic  or  diluted  earnings  per  share
information for 2003 or 2002.

Amounts used in the  calculation  of basic and diluted net income per share were
as follows:



                                                                  2003        2002        2001
                                                                --------    --------    --------
                                                         (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
Basic:
------
                                                                               
Net income..................................................... $ 26,861    $ 35,277    $ 26,163
Dividends on dilutive preferred stock:
     Series B Preferred Stock .................................       --          --        (486)
     Series C Preferred Stock .................................       --        (159)       (540)
Net income allocable to dilutive participating preferred stock:
     Series B Preferred Stock .................................       --          --        (438)
     Series C Preferred Stock .................................       --         (96)       (555)
                                                                --------    --------    --------
Net income applicable to common stock ......................... $ 26,861    $ 35,022    $ 24,144

Basic net income per share .................................... $   0.92    $   1.21    $   1.03
                                                                ========    ========    ========
Weighted average common shares outstanding - Basic ............   29,071      29,021      23,353
                                                                ========    ========    ========
Diluted:
--------
Net income..................................................... $ 26,861    $ 35,277    $ 26,163
Dividends on dilutive preferred stock:
     Series C Preferred Stock .................................       --        (159)       (540)
Net income allocable to dilutive participating preferred stock:
     Series C Preferred Stock .................................       --         (96)       (555)
                                                                ---------   --------    --------
Net income applicable to common stock ......................... $ 26,861    $ 35,022    $ 25,068

Diluted net income per share .................................. $   0.88    $   1.14    $   0.92
                                                                ========    ========    ========

Weighted average common shares outstanding - Basic ............   29,071      29,021      23,353
Effect of dilutive securities:
   Assumed conversion of preferred stock:
       Series B Preferred Stock ...............................       --          --       1,273
   Stock options and warrants .................................    1,397       1,699       2,570
                                                                --------    --------    --------
Weighted average common shares outstanding ....................   30,468      30,720      27,196
                                                                ========    ========    ========




Shares of common stock issuable  through exercise or conversion of the following
dilutive  securities  were not included in the computation of diluted net income
per share for each period because their effect would have been antidilutive:



                                                          2003            2002            2001
                                                        --------        --------        --------
                                                                     (IN THOUSANDS)
                                                                                 
  Stock options and warrants .......................      424            1,104             65
  Series C Preferred Stock .........................       --              175            600


Notes  payable  outstanding  at  December  31,  2003 that are  convertible  into
3,514,166  shares of common stock were excluded from the  computation of diluted
net income per share in 2003  because  the  conditions  required  to convert the
notes were not met.

Restricted  Units  issued by the Company (see Note 7) that entitle the holder to
1,250,000  shares of common stock are included in the  weighted  average  shares
outstanding   calculation  from  their  date  of  issuance  because  no  further
consideration is due related to the issuance of the underlying common shares.

12.  DEVELOPMENT, DISTRIBUTION, AND LICENSE AGREEMENTS AND GOVERNMENT GRANTS

The Company has various development,  distribution, and license agreements under
which it receives payments. Significant agreements include the following:

In 1999, the Company and ETHICON, Inc., a division of Johnson & Johnson,  signed
an agreement (the ETHICON Agreement)  providing ETHICON with exclusive marketing
and distribution  rights to INTEGRA(R) Dermal  Regeneration  Template worldwide,
excluding  Japan.  Under  the  ETHICON  Agreement,   the  Company   manufactured
INTEGRA(R) Dermal Regeneration Template and collaborated with ETHICON to conduct
research and  development and clinical  research aimed at expanding  indications
and  developing  future  products in the field of skin repair and  regeneration.
Upon signing the ETHICON Agreement, the Company received a nonrefundable payment
from ETHICON of $5.3 million for the exclusive use of the Company for trademarks
and regulatory  filings related to the INTEGRA(R) Dermal  Regeneration  Template
and certain other rights. This amount was initially recorded as deferred revenue
and  was  recognized  as  revenue  in  accordance  with  the  Company's  revenue
recognition policy for nonrefundable,  up-front fees received. Additionally, the
ETHICON Agreement required ETHICON to make nonrefundable payments to the Company
each year  based  upon  minimum  purchases  of  INTEGRA(R)  Dermal  Regeneration
Template.

In 2003,  and  2002,  the  Company  received  $2.8  million  and  $1.0  million,
respectively, of event-related payments from ETHICON. The ETHICON Agreement also
provided for annual  research  funding of $2.0 million.  Both the  event-related
payments and the research  funding were  recorded in other revenue in accordance
with the Company's revenue recognition policy.

In September 2003, the Company and ETHICON amended the ETHICON agreement.  Under
the amended  ETHICON  agreement,  ETHICON  continued  to market and sell INTEGRA
Dermal Regeneration Template through December 31, 2003 under the original terms,
and ETHICON paid Integra  $2.0 million on December 31, 2003 in  connection  with
the termination of the agreement.  The Company has recorded this termination fee
as other income.

Due to the  termination  of the ETHICON  agreement,  the Company  recorded $11.0
million  of  other  revenue  in  the  fourth  quarter  of  2003  related  to the
acceleration  of  the  recognition  of  unused  minimum  purchase  payments  and
unamortized license fee revenue.

The Company has an  agreement  with Wyeth for the  development  of collagen  and
other  absorbable  matrices to be used in conjunction  with Wyeth's  recombinant
human bone morphogenetic  protein-2  (rhBMP-2) in a variety of bone regeneration
applications.  The agreement  with Wyeth requires  Integra to supply  Absorbable
Collagen Sponges to Wyeth (including those that Wyeth sells to Medtronic Sofamor
Danek with rhBMP-2 for use in Medtronic Sofamor Danek's  InFUSE(TM)  product) at
specified  prices.  In  addition,  the  Company  receives  a royalty  equal to a
percentage  of  Wyeth's  sales  of  surgical  kits  combining  rhBMP-2  and  the
Absorbable  Collagen  Sponges.  The  agreement  terminates  in 2007,  but may be
extended  at the option of the  parties.  The  agreement  does not  provide  for
milestones or other  contingent  payments,  but Wyeth pays the Company to assist
with regulatory  affairs and research.  The Company received $2.2 million,  $1.2
million,  and



$1.1 million of research and  development  revenues under the agreement in 2003,
2002, and 2001, respectively.

13.  COMMITMENTS AND CONTINGENCIES

As consideration for certain technology, manufacturing, distribution and selling
rights  and  licenses  granted to the  Company,  the  Company  has agreed to pay
royalties  on the sales of  products  that are  commercialized  relative  to the
granted  rights and licenses.  Royalty  payments  under these  agreements by the
Company were not significant for any of the periods presented.

Various  lawsuits claims and proceedings are pending or have been settled by the
Company. The most significant of those are described below.

In July  1996,  we filed a patent  infringement  lawsuit  in the  United  States
District  Court for the  Southern  District of  California  (the "Trial  Court")
against  Merck  KGaA,  a  German  corporation,  Scripps  Research  Institute,  a
California  nonprofit  corporation,  and David A.  Cheresh,  Ph.D.,  a  research
scientist with Scripps,  seeking  damages and injunctive  relief.  The complaint
charged,  among  other  things,  that the  defendant  Merck KGaA  willfully  and
deliberately  induced,  and  continues  willfully  and  deliberately  to induce,
defendants Scripps Research Institute and Dr. Cheresh to infringe certain of our
patents.  These  patents  are part of a group of patents  granted to The Burnham
Institute and licensed by us that are based on the interaction  between a family
of cell surface proteins called integrins and the arginine-glycine-aspartic acid
("RGD")  peptide  sequence  found in many  extracellular  matrix  proteins.  The
defendants  filed a countersuit  asking for an award of  defendants'  reasonable
attorney fees.

In March 2000, a jury  returned a unanimous  verdict in our favor and awarded us
$15,000,000  in damages,  finding that Merck KGaA had  willfully  infringed  and
induced the infringement of our patents.  The Trial Court dismissed  Scripps and
Dr. Cheresh from the case.

In October 2000, the Trial Court entered judgment in our favor and against Merck
KGaA in the case. In entering the  judgment,  the Trial Court also granted to us
pre-judgment interest of approximately  $1,350,000,  bringing the total award to
approximately $16,350,000, plus post-judgment interest. Merck KGaA filed various
post-trial motions requesting a judgment as a matter of law  notwithstanding the
verdict or a new trial,  in each case  regarding  infringement,  invalidity  and
damages.  In September  2001,  the Trial Court entered orders in favor of us and
against Merck KGaA on the final  post-judgment  motions in the case,  and denied
Merck KGaA's motions for judgment as a matter of law and for a new trial.

Merck KGaA and we each  appealed  various  decisions  of the Trial  Court to the
United States Court of Appeals for the Federal  Circuit (the  "Circuit  Court").
The  Circuit  Court  affirmed  the Trial  Court's  finding  that  Merck KGaA had
infringed our patents.  The Circuit Court also held that the basis of the jury's
calculation  of damages was not clear from the trial  record,  and  remanded the
case to the Trial Court for further factual development and a new calculation of
damages consistent with the Circuit Court's decision.  We expect the Trial Court
to begin new hearings on damages in the summer of 2004. We have not recorded any
gain in connection with this matter.

Three  of  the  Company's  French  subsidiaries  that  were  acquired  from  the
neurosciences  division of NMT Medical,  Inc. received a tax reassessment notice
from the French tax  authorities  seeking in excess of 1.7 million euros in back
taxes,  interest and  penalties.  NMT Medical,  Inc.,  the former owner of these
entities,  has agreed to specifically indemnify Integra against any liability in
connection with these tax claims. In addition,  NMT Medical,  Inc. has agreed to
provide the French tax authorities with payment of the tax liabilities on behalf
of each of these subsidiaries.

The Company is also subject to various  claims,  lawsuits and proceedings in the
ordinary course of our business, including claims by current or former employees
and distributors and with respect to our products. In the opinion of management,
such claims are either adequately covered by insurance or otherwise indemnified,
or are not expected,  individually or in the aggregate,  to result in a material
adverse  effect on our  financial  condition.  However,  it is possible that our
results of operations,  financial position and cash flows in a particular period
could be materially affected by these contingencies.



In December 2003, the Company  recorded a $1.1 million charge in connection with
closing of its San Diego research  center,  the termination of certain  research
programs  conducted  there,  and the  consolidation  of the  remaining  research
activities into its other facilities. The charge consisted of the following:

   Facility lease termination fee ..................    $  379,000
   Research program termination costs ..............       216,000
   Property and equipment impairment ...............       183,000
   Inventory write-off .............................       157,000
   Employee severance ..............................       120,000
   Other ...........................................        52,000
                                                        ----------
   Total                                                $1,107,000

The  inventory  write-off  was recorded to cost of product  revenues.  All other
amounts were recorded to research and development expense. All amounts were paid
in 2003,  except for the  employee  severance  amounts,  which were  included in
accrued expenses and other current liabilities at December 31, 2003.

14.  SEGMENT AND GEOGRAPHIC INFORMATION

In 2003,  following  the  integration  of  several  recently  acquired,  diverse
businesses, Integra began to manage the business and review financial results on
an aggregate basis, instead of through two operating segments.  Accordingly, all
prior period  financial  results provided below have been revised to reflect the
retroactive application of this change to a single operating segment.

Product revenues consisted of the following:

                                                  2003        2002        2001
                                                --------    --------    --------
                                                         (IN THOUSANDS)

   Neuromonitoring products .................   $ 44,229    $ 37,184    $ 28,158
   Operating room products ..................     53,301      38,326      27,240
   Instruments ..............................     47,168      16,802      14,972
   Private label products ...................     21,997      20,313      17,538
                                                --------    --------    --------
   Consolidated product revenues ............   $166,695    $112,625    $ 87,908
                                                ========    ========    ========

Certain  of  the  Company's  products,  including  the  DuraGen(R)  Dural  Graft
products,  NeuraGen(TM) Nerve Guide,  INTEGRA(R) Dermal  Regeneration  Template,
INTEGRA(TM) Bi-Layer Matrix Wound Dressing,  and BioMend(R)  Absorbable Collagen
Membrane,  contain  material  derived from bovine tissue.  Products that contain
materials derived from animal sources, including food as well as pharmaceuticals
and medical  devices,  are  increasingly  subject to scrutiny from the press and
regulatory authorities.  These products comprised approximately 27%, 32% and 32%
of  product  revenues  in  2003,  2002  and  2001,  respectively.   Accordingly,
widespread public controversy concerning collagen products, new regulation, or a
ban of the Company's  products  containing  material derived from bovine tissue,
could have a material  adverse effect on the Company's  current  business or its
ability to expand its business.



Product  revenue and long-lived  assets  (excluding  financial  instruments  and
deferred tax assets) by major geographic area are summarized below:



                            United                     Asia         Other
                            States       Europe       Pacific      Foreign    Consolidated
                          ----------   ----------   ----------   ----------   ------------
                                                  (IN THOUSANDS)
                                                                 
Product revenue:
2003 ...................   $132,805     $ 21,433     $  5,828     $  6,629      $166,695
2002 ...................     90,422       14,737        4,062        3,404       112,625
2001 ...................     68,612       10,577        4,838        3,881        87,908

Long-lived assets:
December 31, 2003 ......   $ 81,182     $ 21,082     $    --      $    --       $102,264
December 31, 2002 ......     45,319       18,408          --           --       $ 63,727
December 31, 2001 ......     33,001       12,057          --           --         45,058


15.  SELECTED QUARTERLY INFORMATION -- UNAUDITED



                                   Fourth           Third          Second           First
                                   Quarter         Quarter         Quarter         Quarter
                                   --------       ---------       ---------       ---------
                                            (IN THOUSANDS, EXCEPT PER SHARE DATA)
2003:
-----
                                                                      
Total revenue ................... $ 59,025        $ 47,058        $ 42,736        $ 36,780

Cost of product revenues ........   20,935          18,869          17,090          13,703
Total other operating expenses ..   25,095          17,266          17,357          15,637

Operating income ................   12,995          10,923           8,289           7,440

Interest income (expense), net ..       81            (188)           (198)            776
Other income (expense), net .....    1,962             309             451             349

Income before income taxes ......   15,038          11,044           8,542           8,565
Income tax expense ..............    5,867           4,210           3,124           3,127

Net income ...................... $  9,171        $  6,834        $  5,418        $  5,438

Basic net income per share....... $   0.31        $   0.24        $   0.19        $   0.18

Diluted net income per share .... $   0.30        $   0.23        $   0.18        $   0.18



2002:
-----
Total revenue ................... $ 35,261        $ 30,204        $ 26,441        $ 25,916

Cost of product revenues ........   14,168          12,611           9,465           9,528
Total other operating expenses ..   14,313          16,001          11,486          11,063

Operating income ................    6,780           1,592           5,490           5,325

Interest income, net ............      727             822             993             993
Other income (expense), net .....      (18)            (11)             55             (23)

Income before income taxes ......    7,489           2,403           6,538           6,295
Income tax expense (benefit) ....  (17,885)            840           2,289           2,204

Net income ...................... $ 25,374        $  1,563        $  4,249        $  4,091

Basic net income per share ......     0.87            0.05            0.15            0.14
Diluted net income per share ....     0.83            0.05            0.14            0.13




16.  SUBSEQUENT EVENTS

In January  2004,  the Company  acquired the R&B  instrument  business  from R&B
Surgical  Solutions,  LLC  for  approximately  $2.0  million  in  cash.  The R&B
instrument line is a complete line of high-quality handheld surgical instruments
used in neuro- and spinal  surgery.  The Company plans to market these  products
through its JARIT sales force.

In January  2004,  the Company  acquired  the Sparta  disposable  critical  care
devices and surgical  instruments  business  from  Fleetwood  Medical,  Inc. for
approximately  $1.5 million in cash. The Sparta  product line includes  products
used  in  plastic  and  reconstructive,  ear,  nose  and  throat  (ENT),  neuro,
ophthalmic and general  surgery.  Prior to the  acquisition,  Fleetwood  Medical
marketed  these product lines  primarily to hospitals and  physicians  through a
catalogue and a network of distributors.

The  determination  of the fair value of the  assets  acquired  and  liabilities
assumed as a result of these acquisitions is in progress.



ITEM 9.01.  Financial Statements, Pro Forma Financial Information and Exhibits.

(a) Not applicable

(b) Not applicable

(c) Exhibits.

Exhibit
Number      Description of Exhibit
-------     ----------------------

99.1        Consent of Independent Registered Public Accounting Firm



                                   SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended,
the  Registrant  has duly  caused  this report to be signed on its behalf by the
undersigned, hereunto duly authorized.

                    INTEGRA LIFESCIENCES HOLDINGS CORPORATION

     DATE: JANUARY 14, 2005            BY: /s/ STUART M. ESSIG
                                           ------------------------------
                                           STUART M. ESSIG
                                           PRESIDENT AND CHIEF EXECUTIVE OFFICER



                                  Exhibit Index

Exhibit
Number      Description of Exhibit
-------     ----------------------

99.1        Consent of Independent Registered Public Accounting Firm