Revenue Growth (Q4 and Full Year)
Total sales for Q4 were $373.2M, up 7.9% reported and 7.1% in constant currency. Full-year sales were $1.375B, up 5.2% reported and 5.1% in constant currency.
Adjusted EPS and Adjusted Net Income Expansion
Q4 adjusted EPS was $1.43, a 6.7% increase year-over-year; Q4 adjusted net income was $44.4M, up 6.2%. Full-year adjusted EPS was $4.59, up 10.1%, and full-year adjusted net income was $143.1M, up 10.1%.
Orthopedics Outperformance and Supply Chain Progress
Worldwide orthopedic sales grew 12.1% in Q4 and 5.5% for the full year (constant currency). U.S. ortho grew 6.6% in Q4 and international ortho grew 15.7% in Q4. Management reported meaningful supply-chain improvements with backorder value and SKUs on backorder at a three-year low.
AirSeal Traction and Long-Term Opportunity
AirSeal was used in ~1.6M procedures in 2025. Penetration in U.S. laparoscopy is only ~6%–7%, implying sizable white space. Management expects AirSeal to deliver high single-digit to low double-digit growth over the long term and noted a 10%–20% attachment rate to certain robotic platforms.
Buffalo Filter (Smoke Evacuation) Momentum
Company cites surgical smoke evacuation as a >$1B global market in early adoption; 20 U.S. states (≈51% of population) have enacted smoke-free OR laws. Launched PlumeSafe x5 in 2025 with product performance and noise improvements to strengthen market position.
BioBrace Clinical Adoption and Pipeline
BioBrace is used in >70 unique procedures and adoption is expanding (rotator cuff, foot & ankle). A 268-patient randomized controlled trial is on track to complete enrollment in 2026 with publication expected in 2027; AAOS guidelines (2025) recommend augmentation for rotator cuff repair.
Cash Generation, Leverage and Capital Allocation Flexibility
Operating cash flow for FY2025 was $170.7M (Q4 cash flow $46.3M). Cash balance $40.8M; long-term debt $834.2M and leverage 2.9x at year-end. Board approved $150M share repurchase authorization and suspended dividend (historically ~$25M annually), providing flexibility to redeploy capital.
2026 Financial Guidance and Margin Improvement Targets
Guidance for FY2026 revenue $1.345B–$1.375B (constant currency organic growth 4.5%–6%). Management targets adjusted gross margin net improvement of 50–100 bps for 2026 despite tariff headwinds, adjusted EPS guidance $4.30–$4.45, projected operating cash flow $145M–$155M, and adjusted EBITDA $255M–$265M.