Revenue Growth DecelerationA notable slowdown in trailing growth versus prior multi-year expansion signals tougher upcoming comparisons or market saturation headwinds. If sustained, slower top-line momentum could limit operating leverage benefits and pressure near-term margin expansion expectations.
Historical Cash-flow VolatilityAlthough recent free cash flow improved, prior multi-year variability indicates cash generation is cyclical and subject to operational timing. This history raises the bar for forecasting durable free cash flow, requiring ongoing monitoring of working capital, capex, and the impact of commercial investments.
Under‑penetration & Channel ConcentrationA large education gap and reliance on homecare sales concentrate execution risk: sustained market penetration requires clinician education and payer engagement. Hospital channel softness and concentrated homecare exposure mean adoption obstacles or channel shifts could slow durable revenue growth.