Total Net Sales and Quarterly Growth
Q1 2026 total global net sales of $196.4 million, up 3% year-over-year on a pro forma constant currency basis (adjusted to exclude discontinued M6 product lines).
Spine Fixation Momentum
Global Spine Fixation net sales grew 6% (constant currency) with U.S. Spine up 4%; distributor transitions largely complete and improved field execution supporting continued acceleration.
Top Distributor Performance
Top 30 U.S. distributor partners delivered standout growth: net sales +27% year-over-year and +24% on a trailing-12-month basis, demonstrating success of prioritizing larger, dedicated distributors.
Therapeutic Solutions Outperformance
Therapeutic Solutions (BGT) net sales of $57.8 million, up 5% year-over-year; fracture sales grew 6% and the business continues to outperform the broader market with improving utilization and prescribing activity.
Product Innovation and Pipeline
Full-year contribution expected from TrueLok Elevate and Fitbone, 7D FLASH navigation remains a differentiator, and VIRATA full-market launch scheduled for H2 2026 (with MIS alpha launch). Innovation pipeline cited as a key driver of multi-year growth.
Margin Expansion and Profitability Trajectory
Pro forma non-GAAP adjusted gross margin improved to 70.7%, a 40 basis point increase versus prior year; full-year non-GAAP adjusted EBITDA guidance of $95–$98 million implies ~70 bps of margin expansion at the midpoint.
Liquidity and Cash Position
Ended Q1 with $120.9 million in total cash (including restricted cash) and management expects positive free cash flow for full year 2026 (excluding potential legal settlements).
Reaffirmed 2026 Guidance and Improving Cadence
Reaffirmed full-year net sales guidance of $850–$860 million (~5.5% pro forma constant currency growth midpoint) with first-half growth ~5% and second-half growth ~6%, signaling expected acceleration through the year.