Persistent Negative Cash FlowOperating and free cash flows have been persistently negative, meaning the company still funds operations via cash burn despite some narrowing. Continued negative cash flow constrains reinvestment, increases reliance on financing, and limits resilience to slower procedure demand.
Revenue Decline And Conservative GuidanceRecent top-line contraction and guidance that implies a full-year decline indicate the company is still working through mix and demand headwinds. Structural revenue weakness delays scale benefits, prolongs operating losses, and raises execution risk before back‑half recovery materializes.
ASP / Mix Headwinds From Lower‑priced MIS AdoptionWider adoption of lower‑ASP minimally invasive products reduces revenue per case even as procedure counts rise. This structural mix shift can depress near‑term revenue and cash conversion despite stable product gross margins, lengthening the path to profitability until pricing/mix normalizes.