Negative Operating Cash FlowPersistent negative operating and free cash flows signal cash burn from operations, limiting ability to self-fund expansion or clinical rollout. Even with slight FCF improvement, continued cash deficits increase reliance on external financing and constrain long-term investment pacing.
Unprofitable Operations / Margin PressureStrong gross margins paired with negative EBIT and net profit point to elevated operating costs—commercial, regulatory or administrative—that erode profitability. Unless operating efficiencies or scale reduce overhead, sustained margin weakness threatens long-term return generation for shareholders.
Limited Organizational ScaleA small employee base (36) constrains capacity for broad commercial rollouts, regulatory submissions, and post‑op support across multiple markets. This limited scale can slow adoption, increase dependence on partners/centers, and create execution risk as demand and complexity grow.