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Monogram Orthopaedics Inc (MGRM)
NASDAQ:MGRM
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Monogram Orthopaedics Inc (MGRM) AI Stock Analysis

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MGRM

Monogram Orthopaedics Inc

(NASDAQ:MGRM)

Rating:54Neutral
Price Target:
Monogram Orthopaedics Inc. shows promise due to significant technological advancements and recent regulatory clearances, which are key drivers for potential growth. However, financial instability, regulatory uncertainties, and ongoing profitability challenges weigh heavily on the overall score. The stock's upward momentum is a positive indicator, but valuation metrics remain weak due to negative earnings and lack of dividends.

Monogram Orthopaedics Inc (MGRM) vs. SPDR S&P 500 ETF (SPY)

Monogram Orthopaedics Inc Business Overview & Revenue Model

Company DescriptionMonogram Orthopaedics Inc (MGRM) is a medical technology company that specializes in the development and commercialization of innovative orthopedic solutions. The company operates in the healthcare sector, focusing on advanced surgical technologies and personalized implants, primarily for joint replacement surgeries. Monogram Orthopaedics leverages robotic systems and 3D printing to produce customized implants aimed at improving surgical outcomes and patient recovery times.
How the Company Makes MoneyMonogram Orthopaedics Inc generates revenue primarily through the sale of its orthopedic implants and associated surgical systems. The company's revenue model is based on direct sales to healthcare providers, hospitals, and surgical centers. Additionally, Monogram may engage in partnerships with other medical device companies to expand its market reach and enhance its product offerings. Revenue can also be derived from licensing its proprietary technology to other entities in the medical field. The company's earnings are influenced by its ability to innovate and bring cutting-edge solutions to market, as well as its capacity to establish relationships with key stakeholders in the healthcare industry.

Monogram Orthopaedics Inc Earnings Call Summary

Earnings Call Date:May 14, 2025
(Q1-2025)
|
% Change Since: 127.20%|
Next Earnings Date:Aug 13, 2025
Earnings Call Sentiment Positive
The earnings call highlighted significant achievements such as FDA clearance and a strong financial position, alongside strategic clinical trial approvals. However, there are challenges related to the slow rollout, capital needs, and competition from established players. The sentiment is slightly positive due to the weight of key achievements.
Q1-2025 Updates
Positive Updates
FDA Clearance Achieved
Monogram Technologies received 510(k) clearance from the FDA for the mBôs TKA system, marking a defining milestone in the company's history.
Strong Financial Position
The company reports $13.3 million in cash with a reduced monthly cash burn rate of $0.8 million, down from $1.1 to $1.2 million last year. The company has no traditional debt and minimal short-term obligations.
Clinical Trial Approval in India
Regulatory approval was obtained from the CDSCO to initiate a multicenter clinical trial in India, marking the world's first autonomous saw-based robotic total knee surgeries on live patients.
Technology and Market Position
The mBôs surgical system is the only hands-free autonomous saw-based total knee robot cleared by the FDA, positioning Monogram at the forefront of orthopedic surgery innovations.
Negative Updates
Slow Initial Rollout
A methodical and slow initial rollout is planned, which may affect the speed of commercial growth and market penetration.
Capital Needs for Growth
The company acknowledges that additional capital will be needed to accelerate growth and commercialization efforts.
Competition from Established Players
Stryker's Mako system has significant market share and entrenched presence, posing a substantial competitive challenge.
Company Guidance
During the Monogram Technologies First Quarter 2025 Financial Results and Business Update Conference Call, the company provided several key metrics and guidance. As of March 31, 2025, Monogram held $13.3 million in cash with an operating cash flow of $2.3 million for the quarter, translating into a monthly cash burn of approximately $0.8 million, down from last year's $1.1 million to $1.2 million. The company projects a monthly cash burn rate of $1 million for the remainder of the year, with additional spending of $1.2 million anticipated for the clinical trial over six to nine months. Monogram has 27 full-time employees and no traditional debt, positioning itself favorably for future growth. Notably, the company achieved FDA 510(k) clearance for its mBôs TKA system and received regulatory approval from India's CDSCO to initiate a multicenter clinical trial. These developments, along with ongoing enhancements to the robotic system and strategic partnerships, are expected to drive Monogram's commercial growth and position it as a leader in orthopedic surgery innovation.

Monogram Orthopaedics Inc Financial Statement Overview

Summary
Monogram Orthopaedics Inc. faces significant financial challenges, primarily due to its inability to generate revenue and achieve profitability. While the balance sheet shows manageable debt levels, the company's cash flow constraints highlight operational inefficiencies. To improve its financial standing, the company needs to focus on revenue generation and operational optimization, reducing its dependence on external financing.
Income Statement
25
Negative
Monogram Orthopaedics Inc. has consistently struggled with generating revenue, with $0 revenue reported in 2024. Despite a brief increase in 2021, the revenue trend remains negative. Gross profit margins remain non-existent, and the company continues to operate at a loss, as evidenced by negative EBIT and net income. These factors highlight significant challenges in scaling operations and achieving profitability.
Balance Sheet
45
Neutral
The company maintains a reasonable debt-to-equity ratio, thanks to low levels of debt and a positive equity base. However, the equity ratio indicates limited asset backing. While liabilities are relatively small, the company must improve its equity position to strengthen financial stability. The balance sheet suggests a need for strategic asset growth to enhance financial health.
Cash Flow
30
Negative
Operating cash flow has been persistently negative, indicating cash flow challenges in daily operations. Although financing activities have bolstered cash reserves, the lack of free cash flow growth poses concerns. The reliance on financing for cash flow sustainability is a potential risk factor, emphasizing the need for improved operational efficiency.
BreakdownDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue0.00365.00K0.00628.25K0.00
Gross Profit0.00365.00K-386.69K169.57K-95.69K
EBITDA-15.90M-16.86M-10.23M-9.96M-6.76M
Net Income-16.33M-13.75M-13.69M-11.81M-9.07M
Balance Sheet
Total Assets17.77M16.58M13.69M8.72M8.12M
Cash, Cash Equivalents and Short-Term Investments15.66M13.59M10.47M5.54M5.59M
Total Debt364.00K491.99K610.15K211.46K205.49K
Total Liabilities3.27M3.18M9.54M5.21M3.13M
Stockholders Equity14.50M13.40M4.15M3.50M4.99M
Cash Flow
Free Cash Flow-14.05M-13.61M-8.66M-10.17M-6.74M
Operating Cash Flow-13.97M-13.54M-8.42M-9.17M-5.40M
Investing Cash Flow-84.00K-64.91K-241.20K-1.01M-1.33M
Financing Cash Flow16.12M16.73M13.59M10.12M10.01M

Monogram Orthopaedics Inc Technical Analysis

Technical Analysis Sentiment
Positive
Last Price5.68
Price Trends
50DMA
3.37
Positive
100DMA
3.05
Positive
200DMA
2.74
Positive
Market Momentum
MACD
0.79
Negative
RSI
84.19
Negative
STOCH
59.52
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For MGRM, the sentiment is Positive. The current price of 5.68 is above the 20-day moving average (MA) of 4.41, above the 50-day MA of 3.37, and above the 200-day MA of 2.74, indicating a bullish trend. The MACD of 0.79 indicates Negative momentum. The RSI at 84.19 is Negative, neither overbought nor oversold. The STOCH value of 59.52 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for MGRM.

Monogram Orthopaedics Inc Risk Analysis

Monogram Orthopaedics Inc disclosed 52 risk factors in its most recent earnings report. Monogram Orthopaedics Inc reported the most risks in the "Production" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 3 New Risks
1.
The effectiveness and reliability of our AI-driven technologies depend on data quality, and limitations in data diversity or accuracy could impact performance. Q4, 2024
2.
If our AI and ML models do not perform as intended, we could be exposed to increased liability risks, including product liability claims and regulatory enforcement actions. Q4, 2024
3.
Our AI-driven applications depend on evolving computing infrastructure and may require additional resources as we scale. Q4, 2024

Monogram Orthopaedics Inc Peers Comparison

Overall Rating
UnderperformOutperform
Sector (65)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
68
Neutral
$563.74M-11.33%31.28%-81.86%
65
Neutral
¥354.70B11.38-2.99%2.49%11.76%-10.21%
54
Neutral
-146.09%-100.00%8.75%
51
Neutral
$441.57M-27.82%5.85%-8.92%
50
Neutral
$86.38M-26.20%20.81%-498.66%
49
Neutral
$8.05M-210.97%2.18%91.55%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
MGRM
Monogram Orthopaedics Inc
5.68
3.21
129.96%
OFIX
Orthofix
11.27
-4.70
-29.43%
XTNT
Xtant Medical Holdings
0.62
-0.12
-16.22%
KIDS
OrthoPediatrics
22.75
-9.11
-28.59%
TNON
Tenon Medical, Inc.
1.06
-3.56
-77.06%

Monogram Orthopaedics Inc Corporate Events

Product-Related AnnouncementsBusiness Operations and StrategyRegulatory Filings and Compliance
Monogram Orthopaedics Gains Approval for Indian Clinical Trials
Positive
Apr 29, 2025

On April 29, 2025, Monogram Technologies Inc. announced it received regulatory approval from India’s Central Drugs Standard Control Organization to conduct clinical trials for its mBôs TKA system. This approval marks a significant milestone for Monogram, as it collaborates with Shalby Hospitals to evaluate the safety and effectiveness of its system in a 102-patient trial. The initiative is expected to enhance Monogram’s industry positioning by demonstrating the system’s performance in real surgical settings, potentially advancing orthopedic innovation globally.

Spark’s Take on MGRM Stock

According to Spark, TipRanks’ AI Analyst, MGRM is a Neutral.

Monogram Orthopaedics Inc. has strengths in recent FDA approval and technological advancements, which are key positive drivers. However, financial instability, regulatory uncertainties, and negative profitability weigh heavily on the overall score. While technical indicators show upward momentum, the high RSI indicates potential risk of a pullback. Valuation metrics are weak due to the lack of profitability and dividends.

To see Spark’s full report on MGRM stock, click here.

Product-Related AnnouncementsBusiness Operations and Strategy
Monogram Orthopaedics Gains FDA Clearance for TKA System
Positive
Mar 17, 2025

On March 17, 2025, Monogram Technologies Inc. announced that it received FDA 510(k) clearance for its Monogram mBôs™ TKA System, allowing it to market the device under specific regulatory provisions. This clearance marks a significant milestone for the company, highlighting years of innovation and teamwork in advancing orthopedic robotics. The system is designed to enhance safety, efficiency, and accuracy in robotic-assisted total knee arthroplasty and is positioned for future expansion into other orthopedic applications. The company is preparing for commercialization and aims to establish clinical experience with key surgeons to demonstrate the system’s advantages. This development opens new domestic and international opportunities, supporting Monogram’s strategic growth and long-term commercialization strategy.

Product-Related AnnouncementsBusiness Operations and StrategyRegulatory Filings and Compliance
Monogram Orthopaedics Awaits FDA Clearance for mBôs TKA System
Positive
Feb 25, 2025

On February 25, 2025, Monogram Technologies Inc. announced the completion of supplemental testing and submission of a formal response to the FDA’s Additional Information Request for its mBôs TKA System. The company anticipates a favorable clearance decision, which would allow commercialization in the U.S. Monogram also held an Investigator Meeting in India as part of a collaboration with Shalby Limited and Reliance Life Sciences to prepare for a clinical trial of the mBôs TKA System. The company has made significant advancements in its robotic system, enhancing cutting speeds and maintaining accuracy, positioning it as a competitive solution in the orthopedic robotics market.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Apr 29, 2025