Commercial Channel Growth
Commercial channel revenue grew 22% in Q4 to $13.3M and increased 15% for the full year to $48.4M, driven by international OA pain products and Integrity adoption.
International OA Pain Momentum
International OA pain revenue rose 28% in Q4 and 12% for the full year, led by market share gains for Monovisc, Orthovisc and Cingal across multiple regions and a lean cost structure supporting double-digit growth.
Integrity Commercial Traction
Integrity procedures and revenue more than doubled in 2025 to approximately $6M; over 2,500 surgeries performed since launch, >300 surgeons using the product, ~600 surgeries in Q4 (up 20% sequentially) and seventh consecutive quarter of sequential growth.
Operational and Margin Improvement
Q4 GAAP gross margin expanded to 63% (from 56% prior year) reflecting improved manufacturing productivity and throughput; positive operating income for Q4; expanded gross margins illustrated operating leverage as volumes rose.
Improved Profitability (Adjusted EBITDA)
Adjusted EBITDA from continuing operations was $4.5M in Q4 and $5.3M for full year 2025 (~5% of revenue), outperforming prior revised outlook (-3% to +3%).
Stronger Cash Generation and Balance Sheet
Operating cash flow improved to $11.2M in 2025 (vs $5.4M in 2024); year-end cash of $57.5M with no debt; invested $6.8M in CapEx and executed a $15M 10b5-1 buyback (to date $10.7M purchased).
Clear 2026 Guidance and Expected Improvement
2026 total company revenue guidance of $114M–$122.5M (1%–9% growth); commercial channel guidance +10%–20% ($53M–$58M); OEM channel flat to down 5% ($61M–$64.5M); adjusted EBITDA guidance of 5%–10% of revenue reflecting expected margin and cost actions.