Quarterly and Full-Year Revenue Growth
Q4 2025 revenue of $61.6 million, up 17% year-over-year; full-year 2025 revenue growth of 15%. Management reiterated 2026 revenue guidance of $262–$266 million, implying 11%–13% growth year-over-year.
Margin Expansion and Improved Profitability
Gross profit margin of 73% in Q4 2025 versus 68% in Q4 2024. Q4 adjusted EBITDA was $4.8 million, a 59% improvement versus prior-year quarter; full-year adjusted EBITDA increased nearly 75% year-over-year. Company expects approximately $25 million of adjusted EBITDA in 2026 with sustained ~73% gross margin.
Positive Free Cash Flow and Strong Cash Position
Generated $10 million of free cash flow in Q4 2025, the first positive free cash flow quarter in company history. Full-year free cash usage improved to $15 million (down from $41 million in 2024), a $26 million (63%) improvement. Cash, short-term investments and restricted cash totaled $62.9 million at quarter-end.
Segment-Level Strength — T&D, Scoliosis, OPSB
Trauma & Deformity revenue of $42.6 million in Q4, up 17% YoY; Scoliosis revenue of $17.6 million, up 13% YoY. OPSB (specialty bracing) continues to be a strategic growth catalyst with same-store sales growth, clinic expansion ahead of schedule, and multiple new brace product launches.
Product Innovation Momentum and Clinical Milestones
Company launched or beta-launched multiple major pediatric products (3P Hip, 3P Small-Mini FDA approval, PNP tibia and PNP Femur, PNP Retro, VerteGlide, EE electromechanical growing spine system first-in-human planned). Management describes a 'multiyear super cycle' of product innovation with early positive clinical feedback for VerteGlide.
International Rebound and Regulatory Wins
International revenue of $13.0 million in Q4, up 33% YoY (21% of total revenue). Obtained EU MDR approvals for several T&D and scoliosis products and X6 devices; acquired Brazilian distributor Follow Med to improve Brazilian operations, cash collection, and ordering patterns.
Operational Execution and Guidance Confidence
Set deployment increased to $4.5 million in Q4 (from $3.7 million prior-year). Management reiterated 2026 targets including free cash flow breakeven, approximately $25 million adjusted EBITDA, and expected set deployment of ~ $10 million — signaling confidence in scaling profitability and cash generation.