Expanded Product Portfolio and TAM Expansion
Launched 3 new bunion systems in 2025 (Nanoplasty, Percuplasty 3D MIS, SpeedMTP) plus ongoing Lapiplasty innovations (Micro-Lapiplasty, planned Lapiplasty Lightning and Speed TMT). Company estimates these new launches expand accessible market (TAM) materially and plans two additional 2026 launches that expand TAM by an estimated $300 million (SuperBite screws, Speed XM).
Surgeon Adoption and Training Momentum
Active surgeon base grew from ~1,300 in 2020 to over 3,300 in 2025. As of Q4 2025, over 25% of the surgeon base had incorporated one or more of the 3 new systems into practice just over two quarters into full launch; Q4 procedure volume growth increased above the mid-single-digit rates reported in Q3.
Improved Adjusted EBITDA and Reduced Cash Burn (Year-over-Year)
Full year 2025 adjusted EBITDA loss improved to $(3.9) million versus $(11.0) million in 2024, a 64% improvement. Full year 2025 cash used was $27.3 million versus $50.5 million in 2024, a 46% reduction in cash burn.
Strong Gross Margin and Quarterly Adjusted EBITDA
Fourth quarter 2025 gross margin remained stable at 80.6% (80.7% in Q4 2024). Q4 2025 adjusted EBITDA was $6.2 million (positive on a quarterly basis).
Balance Sheet Liquidity
Cash, cash equivalents and marketable securities totaled $48.4 million as of December 31, 2025, and the company secured a new credit facility providing an additional $115 million of available liquidity, subject to conditions.
2026 Operational Targets for Profitability and Cash Reduction
Management expects to reduce cash burn by approximately 50% in 2026 vs 2025 and provided a full-year adjusted EBITDA loss expectation of $(4) million to $(6) million for 2026 while continuing investments in product launches and targeted sales hires.