Strong Revenue Growth
Q4 revenue of $59.9M, up 21.3% YoY; full year revenue $225.2M, up 20.2% YoY, driven by unit volume, mix and continued Avance adoption across target markets.
Adjusted EBITDA and Adjusted Net Income Improvement
Full year adjusted EBITDA grew 41% to $27.9M with margin improving 180 bps to 12.4%; full year adjusted net income increased to $14.4M ($0.29/share) from $5.9M ($0.13/share) in 2024.
Capital Raise and Balance Sheet Strengthening
Completed an upsized public offering raising $133.3M net proceeds in January, used $69.7M to retire the term loan; cash, cash equivalents, restricted cash and investments increased $6M to $45.5M, providing a clean capital structure and enhanced flexibility.
Historic FDA Biologics License Approval (Avance)
December 2025 FDA BLA approval for Avance — the first and only FDA-approved biologic therapeutic for peripheral nerve discontinuities with 12 years of market exclusivity, supporting standard-of-care positioning, payer engagement and prioritized clinical studies.
Commercial Expansion and Sales Force Growth
Expanded commercial organization: Breast added 10 reps (ending with 21 reps), Extremities added 12 reps (ending with 117 reps), added field managers and development staff for OMH&N and Prostate; plans to grow Breast to ~30 reps and Extremities to ~130 in 2026.
Momentum Across Core Markets and Prostate Foundations
Double-digit growth across Extremities, Oral Maxillofacial & Head & Neck and Breast (Breast one of the fastest-growing opportunities); over 100 prostate procedures completed across 10 sites in 2025 with standardized surgical technique established.
High-Potential Account Performance and Surgeon Education
61% of total revenue growth came from high-potential accounts; average high-potential account productivity increased 21%; active surgeons in high-potential accounts increased by 131; training targets exceeded across markets (e.g., Extremities trained 170 surgeons).
Positive Cash Flow Profile and 2026 Guidance
Company was cash flow positive for full year 2025; guiding 2026 revenue growth of at least 18% (≥ $265.7M), gross margin guidance 74%–76%, and expectation to be free cash flow positive for full year 2026.