Total Revenue Growth
Total revenue of $29.6 million in Q1 2026, up 13% year-over-year, demonstrating top-line momentum.
Commercial Channel Momentum
Commercial channel revenue reached $12.6 million, up 12% year-over-year, driven by regenerative solutions and international OA pain management.
Integrity Adoption and Procedure Growth
Integrity U.S. procedures increased 35% year-over-year, generating nearly $2 million in revenue; Integrity has surpassed 3,000 cases with new surgeon users per month growing at a double-digit rate month-over-month and demand for larger sizes tracking ahead of expectations.
International OA Pain Management Strength
International OA pain management revenue was $8.9 million (nearly $9M), up 9% year-over-year, with market share gains for MONOVISC and CINGAL across multiple regions.
OEM Channel Revenue Increase
OEM channel revenue of $17.0 million, up 14% year-over-year, primarily driven by favorable order timing for U.S. OA pain management products and non-orthopedic OEM products.
Gross Margin Expansion
GAAP gross margin improved to 64% from 56% in the prior year (an increase of ~8 percentage points), reflecting higher productivity, increased throughput and lean manufacturing benefits.
Adjusted EBITDA Improvement
Total adjusted EBITDA was $4.3 million for the quarter, driven by gross margin expansion and operating leverage; management noted adjusted EBITDA increased by more than $4 million versus the prior year quarter.
Strong Balance Sheet and Liquidity
Ended the quarter with $41 million in cash and no debt, providing flexibility to invest in operations and the commercial channel.
Capital Return Activity
Completed a $15 million 10b5-1 repurchase program and, as part of a second 10b5-1 plan, purchased $15 million of stock at an average price of $10.76, reflecting active capital allocation.
Regulatory and Product Progress (EU and Pipeline)
CINGAL achieved European Union MDR certification with expanded indications (knee, hip, shoulder, ankle); Hyalofast PMA review is ongoing; CINGAL bioequivalence enrollment remains on track; early-stage HYAFF-based suture and tape preclinical data are encouraging.
Operational Improvements and Cost Discipline
Notable manufacturing productivity and throughput gains, reduced nonstandard work, equipment investments and lean initiatives are underway; management highlighted deliberate operational transformation and disciplined SG&A control (excluding onetime severance).