Revenue Beat and Organic Growth
Total revenue of $392.0M in Q1 2026, up 2.4% reported and +1.3% organic versus prior year, outperforming the high end of guidance.
Adjusted EPS Outperformance
Adjusted earnings per share of $0.54 in Q1 2026 versus $0.41 prior year, driven by revenue growth, favorable mix and transformation savings; result above the high end of guidance.
Improved Margins
Gross margin improved to 64.1% (up 190 basis points YoY) and adjusted EBITDA margin rose to 19.4% (up 280 basis points YoY), reflecting better product mix, tariff benefits and reduced remediation costs.
Tissue Reconstruction Strength
Tissue Reconstruction revenue $109M, up 6.7% reported and +6.4% organic; wound reconstruction sales up 6.2% driven by double-digit growth in Integra Skin, mid-double-digit growth in DuraSorb and PriMatrix launch.
Operational and Cash Flow Improvements
Operating cash flow of $9.8M in Q1, a $21M improvement vs Q1 2025; company expects ~ $150M increase in operating cash flow for the full year vs 2025 due to EBITDA, working capital and lower compliance/start-up costs.
Maintained Revenue Guidance and EPS Update
Full-year 2026 revenue guidance reiterated at $1.66B–$1.70B (organic growth 0.8%–3.3%); adjusted EPS guidance updated upward by $0.10 to $2.40–$2.50 reflecting favorable tariff outcomes.
Balance Sheet and Liquidity
Net debt $1.6B with consolidated leverage 4.1x (within 5x covenant); total liquidity ~ $488M (≈$266M cash & short-term investments plus revolver availability) and plan to approach 2.5–3.5x target leverage by year-end 2026.
Commercial and Product Catalysts
Leadership actions include Stuart Essig returning as CEO and creation of Chief Commercial Officer role (Mike McBreen) to sharpen commercial execution; operational milestones include Braintree facility start targeted end of June and SurgiMend relaunch in Q4 2026 with PMA strategy for SurgiMend and DuraSorb targeting approvals in 2027.