Full-Year Organic Revenue Growth
Full-year 2025 sales of $2.2B (+7% reported) with 6% organic revenue growth; Recon organic growth of 8% and Prevention & Recovery (P&R) organic growth of 4%.
Quarterly Revenue and Comparatives
Q4 2025 revenue of $576M, up 3% reported and 2% organic versus prior year (management noted a 4‑selling‑day headwind in Q4 equivalent to ~400 bps to organic growth).
Strong Recon Performance — U.S. and International
U.S. Recon grew 6% organic (double‑digit growth in extremities and strong shoulder performance driven by ARG); International Recon grew 10% organic with high single‑digit hips/knees and double‑digit extremities.
Product Launches and Innovation Momentum
Launched Nebula Stent and OrthoDrive Impactor in 2025 (Nebula: >60% sales to competitive users); 50% more 510(k) clearances than prior best year; Arvis rollout planned at AAOS with a flexible purchase/lease/per‑procedure model; robust new‑product pipeline for next 24 months.
Margin Expansion and Profitability Improvements
Adjusted gross margin improved to 61% (+170 bps year‑over‑year). Adjusted EBITDA margin maintained at ~17.9% (18% referenced) despite headwinds. Adjusted EPS was $3.30, up 16% year‑over‑year.
Return to Positive Free Cash Flow and Stronger Balance Sheet
Returned to positive free cash flow of $20M in 2025 (free cash flow conversion of 10% vs -43% prior year); leverage reduced to 3.1x; interest expense down to $35M from $57M; successfully refinanced term loan and upsized revolver.
2026 Guidance Reflects Continued Growth
2026 guidance: revenue $2.31B–$2.37B; mid‑single‑digit organic growth of 4%–6% (Recon high single‑digit, P&R low single‑digit); adjusted EBITDA $425M–$435M (≈+50 bps margin); adjusted EPS $3.52–$3.73; free cash flow conversion target 25%+ for 2026 and longer‑term goal of 70%–80%.
Portfolio Shaping and P&R Momentum
P&R accelerated to ~4% organic growth for the year (roughly 2x market), bone growth (BoneStim/Manafuse) and LiteCure showed double‑digit strength; management reported 50% of P&R revenue now growing faster than mid‑single digits following portfolio shaping (including Dr. Comfort divestiture).