Record Patient Impact
Supported treatment of a record 45,000 children in Q1, bringing cumulative patients treated to nearly 1.4 million — reinforcing core mission and market relevance.
Revenue Growth
Q1 2026 revenue of $59.4 million, up 13% year-over-year; U.S. revenue $45.3 million (up 11%, 76% of total); international revenue ~ $14.1 million (up ~22%, ~24% of total).
Raised Full-Year Guidance
Raised 2026 revenue guidance to $263M–$267M, representing 11%–13% growth; reaffirmed targets of ~ $25M adjusted EBITDA, ~$10M sets deployed, and full-year free cash flow breakeven in 2026.
Adjusted EBITDA Turnaround
Adjusted EBITDA of $2.2 million in Q1 2026 versus an adjusted EBITDA loss of $0.4 million in Q1 2025, indicating meaningful improvement in operating leverage.
Profitability & Cash Flow Progress
Free cash flow used was $5.0 million in Q1 (improved 40% vs $8.4M used in Q1 2025); ending cash, short-term investments and restricted cash of $50.9 million; added a $20M delayed-draw term loan facility to enhance liquidity.
Strong Product & Launch Momentum
Early beta contributions from 3P Hip and Vertiglyde with strong demand; 3P Small Mini beta launching late Q2; Veraxis and Ellie targeted for first-in-patient/first surgeries by YE2026; early trends point to higher ASPs, margin expansion and improved capital efficiency.
OPSB (Specialty Bracing) Growth and Clinic Expansion
OPSB delivered over 20% growth in Q1, with same-store sales strength and clinic expansion ahead of plan; on track toward goal of 27 territories by 2027 driven by greenfield openings and selective acqui-hires.
International Regulatory Progress
Received full EU MDR approval for T&D, scoliosis, and external fixation portfolios, enabling broader European commercialization and expected to support improved EMEA growth in H2 2026.
Scoliosis Franchise Momentum
Scoliosis revenue $15.4 million, up 13% YoY, driven by Response and Vertiglyde systems and 7D technology; ~80 surgeons trained on Vertiglyde and move to full market release in Q2 given demand.
Technology & Digital Initiatives
Launched beta deployments for Playbook (digital workflow), deployed first pediatric Iota Motion robot cases, and progressing AI initiatives with objective to deploy 6–8 targeted AI agents to drive clinical and operational efficiencies.