Quarterly Revenue Growth
Q4 2025 revenue of $32.4M, up 3% versus Q4 2024 ($31.5M). Management noted the headline number was reduced by ~ $2M of revenue in the quarter due to the earlier-than-expected Coflex/Paradigm closing.
Full-Year Revenue and Growth
Full-year 2025 revenue of $133.9M, up 14% versus $117.3M in 2024 and toward the upper end of prior guidance ($131M–$135M).
Return to Profitability and Strong Adjusted EBITDA
Full-year 2025 net income of $5.0M (EPS $0.03) versus a $16.5M loss in 2024; full-year adjusted EBITDA $16.3M versus an adjusted EBITDA loss of ~$2.3M in 2024. Q4 adjusted EBITDA $1.9M versus ~$0.4M in Q4 2024; Q4 net income $57K versus a $3.2M loss prior-year.
Improved Gross Margin
Full-year 2025 gross margin improved to 62.9% from 58.2% in 2024 (approximately +470 bps), driven by favorable sales mix and scale despite offsetting inventory charges.
Stronger Cash and Balance Sheet
Cash, cash equivalents and restricted cash of $17.3M as of 12/31/2025 (up from $6.2M as of 12/31/2024). Management also received additional proceeds (~$10.7M) and satisfaction of an $8.2M promissory note related to the Companion Spine transaction after year-end, used to reduce borrowings.
Completed Strategic Divestiture
Sale of noncore Coflex interlaminar stabilization assets and international Paradigm Spine entities to Companion Spine closed in early December; final purchase price ~ $21.4M. Management says transaction sharpened focus on higher-margin biologics and improved capital position.
Product Portfolio Expansion and New Launches
Launched nanOss Strata (synthetic bone graft), CollagenX (bovine collagen particulate), plus continued rollouts of Trivium, OsteoVive Plus and OsteoFactor Pro. Management reported excellent early surgeon feedback and positioned offerings across all 5 major orthobiologic categories.
Commercial Investment and Sales Force Expansion
Company doubled the number of regional sales reps in 2025 and plans to add significant national accounts resources in 2026 to drive institutional adoption and accelerate biologics revenue.
Cost Discipline and Operating Expense Control
Total operating expenses decreased to $77.0M in 2025 from $80.3M in 2024. Sales & marketing expenses declined year-over-year (full-year $45.5M vs $49.2M) driven by lower commissions and reduced compensation expense related to headcount.
Guidance Emphasizes Self-Sufficiency
Management guided 2026 revenue to $95M–$99M and emphasized commitment to maintaining positive free cash flow and no anticipated need for external capital.