Full Year Revenue Growth
Full year 2025 revenue of approximately $71.6 million, representing ~11% growth over 2024 and marking a consecutive year of top-line growth.
2026 Revenue Guidance
Management guided 2026 revenue of $80.0–$85.0 million, implying approximately 12%–19% growth versus 2025, reflecting expected normalization of ReCell utilization and incremental contributions from CoHiliX and PermeDerm.
Gross Margins Remain Above 80%
Full year gross margin of 82.1% and Q4 gross margin of 81.2%, providing a high-margin foundation (>80%) despite noted mix impacts and reserves.
Operating Cost Reductions and Discipline
Full-year operating expenses declined by $10.4 million (≈9% year-over-year). Q4 operating expenses were $24.7 million, down 5% YoY; excluding $1.2 million of one-time severance, Q4 OpEx was down ~10% YoY—evidence of a leaner operating model.
Improving Cash Use and Stronger Liquidity Management
Net cash use improved across three consecutive quarters (Q2: $10.1M → Q3: $6.2M → Q4: $5.1M). The company ended Q4 with $18.2 million in cash and marketable securities.
Refinancing to Reduce Covenant Risk
Refinanced debt with a new Perceptive Advisors credit facility in January that lowered minimum cash covenant from $10.0M to $5.0M, set trailing-12-month revenue covenants well below 2026 guidance, is interest-only with no amortization, and includes optional incremental capital—reducing balance-sheet friction.
Reimbursement Clarity Restored for Majority of U.S. MACs
Six of seven Medicare Administrative Contractors have published payment rates for ReCell procedures, removing a key constraint to utilization and leading to early signs of normalization and account reengagement.
Clinical and Commercial Progress on Multi-Product Platform
CoHiliX I post-market study is fully enrolled and PERMEADERM-one is nearing full enrollment with data expected later in 2026. CE Mark for ReCell Go (Oct 2025) enabled initial European use and demonstrated responsiveness in real-world events.
Shift Toward Organic Utilization in Core Accounts
Commercial focus shifted to utilization in ~200 core burn and trauma centers (currently ~90% of revenue) and away from bulk ordering toward organic monthly usage patterns to drive repeat use and predictability.