Revenue and Growth
Q1 sales grew 11% year-over-year; organic sales growth of 10% (8% ASP increase, 2% unit growth). Direct sales grew 12.8% organically (8.4% price, 4.4% units) excluding distribution.
Strong Profitability and Margins
Gross margin of 72.7% in Q1, a 350 basis-point improvement versus prior year driven by higher ASPs, positive mix and manufacturing efficiencies; operating income rose 41% to $17.8M and operating margin improved to 27% (vs. 21% prior year).
Earnings Per Share and Cash Generation
Fully diluted EPS of $0.68, up 42% year-over-year. Cash from operations of $15.1M (vs. $9M prior year); ended Q1 with $367M in cash and securities (increase of $8M) and paid $5.7M in dividends.
Product Category Outperformance
Record sales in key categories: grafts up 20%, valvulotomes up 15%, carotid shunts up 11%, each posting record sales in Q1.
Geographic Strength and Expansion
All three regions posted record sales: EMEA +20%, APAC +18%, Americas +7%. Company increased direct presence (Poland planned Q4) and sales headcount: 158 reps (up 3% YoY) and 35 RSMs/country managers (up 13% YoY).
Artegraft Momentum and Guidance
Worldwide Artegraft sales grew 36% in Q1; international Artegraft sales were $2.1M in Q1. Company expects 2026 Artegraft sales of $10M vs $4M in 2025 (projected +150%). Health Canada approval secured with H2 2026 launch planned.
RestoreFlow Allograft (RFA) Expansion
RFA grew 25% in Q1. German implants expected to begin in Q2; Irish approval and Irish warehouse audit expected in H2 enabling local distribution; filings planned in Australia and several European countries in 2026.
Upgraded Full-Year Guidance
Affirmed 2026 revenue guidance of $280M (~12% organic growth) and increased annual guidance: gross margin to 72.3%, operating income to $79.8M (~24% growth vs adjusted 2025), and adjusted diluted EPS to $3 (approx. 26% growth). Q2 revenue guided to $71.5M and operating margin to 30%.
Operational Efficiency Gains
Manufacturing and operational efficiencies (automation, lean/Kaizen) contributed to margin expansion; direct labor reduced from 211 (end 2023) to 175 (end 2025) while device output rose.
Active M&A and Strategic Playbook
Management is actively pursuing acquisitions (2–3 term sheets year-to-date) targeting niche open vascular and cardiac surgery products in the $15M–$150M revenue range, while maintaining a playbook focused on product quality, direct expansion, and profitability.