Top-line Growth
Net revenue for Q4 2025 was $36.2 million, a $2.4 million or 7% increase year-over-year; management reported full-year top-line growth of 7%.
Record Adjusted EBITDA and Margin Expansion
Q4 adjusted EBITDA was $8.8 million, up just over $1.3 million or 17% versus prior-year Q4, representing a record quarterly adjusted EBITDA margin of 24.3% (vs. 22.2% prior year). Full-year adjusted EBITDA was $31.5 million, up $6.2 million or 24.3% with margin up to 21.9% from 18.8% in 2024.
Strong Operating Cash Flow and Cash Generation
Generated operating cash flow of over $24.4 million for 2025 (nearly $4 million or 19% higher than 2024); management also cited strong operating cash flow of $7.1 million in the quarter.
Balance Sheet Strength and Liquidity
Net debt decreased by $6.9 million (a ~30% year-over-year decline per management); available liquidity totaled nearly $58 million as of December 31, 2025 and net debt/adjusted EBITDA was a modest 0.52x.
Wound Care Surge and New Product Ramp
Wound care treatment volume revenue grew by nearly $900,000 in Q4, representing over 160% growth year-over-year, driven largely by pneumatic compression device (PCD) launches and the migration to the new revenue cycle application.
Device Solutions Growth
Device Solutions net revenue increased $1.3 million or 9.7% in Q4, driven by $1 million higher medical equipment sales (including rental buyouts) and ~ $600,000 higher biomedical services revenue from a more diverse smaller-customer base.
Operational Efficiency and Gross Margin Improvement
Gross profit for Q4 was $20.4 million, up $2.2 million or 12%; gross margin improved to just over 56%, up 2.6 percentage points YoY, attributed to labor efficiency, pricing, improved revenue mix, lower procurement and maintenance/disposable costs.
ERP & Revenue Cycle Migrations Near Completion with Expected Cost Savings
Completed migration of Wound Care to the new revenue cycle app and ERP go-live expected in Q1 2026. Management expects net annual savings of about $2 million once ERP implementation costs decline and longer-term productivity gains to follow.
Capital Allocation — Share Repurchase and Lower CapEx
Returned capital via share repurchases (137,000 shares in Q4 and 1.3 million for the full year; ~$9.9 million spent on buybacks during 2025). Net capital expenditures fell to $6.8 million in 2025 from $13.2 million in 2024, with management expecting continued lower capital intensity.
Accreditations and Product Pipeline Expansion
Obtained new accreditations for additional DME products (examples cited: Defender Boot and HidraWear ostomy product) and reported ongoing efforts to add new products and customers (including plans to migrate Oncology into the revenue cycle system).