Updated May 8, 2025, 8:43 PM UTC
Income Statement - Metric | Q3 2017 | FY 2017 | Q1 2018 | Q2 2018 | Q3 2018 | FY 2018 | Q1 2019 | Q2 2019 | Q3 2019 | FY 2019 | Q1 2020 | Q2 2020 | Q3 2020 | FY 2020 | Q1 2021 | Q2 2021 | Q3 2021 | FY 2021 | Q1 2022 | Q2 2022 | Q3 2022 | Q4 2022 | FY 2022 | Q1 2023 | Q2 2023 | Q3 2023 | Q4 2023 | FY 2023 | Q1 2024 | Q2 2024 | Q3 2024 | Q4 2024 | FY 2024 | Q1 2025 |
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Net Revenue (USD, thousands) | 37,613.00 | 148,732 | 44,685 | 52,802.00 | 54,573.00 | 52,667.00 | 204,727 | 52,411 | ||||||||||||||||||||||||||
Cost of Revenue (USD, thousands) | 10,899.00 | 37,479 | 12,511 | 12,003.00 | 14,513.00 | 17,102.00 | 56,129 | 14,149 | ||||||||||||||||||||||||||
Gross Profit (USD, thousands) | 26,714.00 | 111,253 | 32,174 | 40,799.00 | 40,060.00 | 35,565.00 | 148,598 | 38,262 | ||||||||||||||||||||||||||
Sales and Marketing Expenses (USD, thousands) | 12,439.00 | 51,402 | 14,169 | 16,593.00 | 16,750.00 | 16,784.00 | 64,296 | 16,572 | ||||||||||||||||||||||||||
General and Administrative Expenses (USD, thousands) | 19,594.00 | 75,421 | 24,730 | 27,329.00 | 26,299.00 | 24,431.00 | 102,789 | 30,280 | ||||||||||||||||||||||||||
Restructuring Expenses (USD, thousands) | - | - | - | - | - | - | 3,653 | 40 | ||||||||||||||||||||||||||
Research and Development Expenses (USD, thousands) | 2,747.00 | 10,196 | 2,998 | 2,543.00 | 2,577.00 | 2,916.00 | 11,034 | 2,351 | ||||||||||||||||||||||||||
Total Operating Expenses (USD, thousands) | 34,780.00 | 138,004 | 41,897 | 46,465.00 | 45,626.00 | 49,620.00 | 183,608 | 49,243 | ||||||||||||||||||||||||||
Operating Loss (USD, thousands) | (8,066.00) | (26,751) | (9,723) | (5,666.00) | (5,566.00) | (14,055.00) | (35,010) | (10,981) | ||||||||||||||||||||||||||
Interest Expense (Income), Net (USD, thousands) | (303.00) | (198) | 637 | 261.00 | 404.00 | 1,319.00 | 2,621 | 1,126 | ||||||||||||||||||||||||||
Other Expense (Income) (USD, thousands) | (854.00) | (2,261) | - | - | (63.00) | 1,035.00 | 1,068 | (1,644) | ||||||||||||||||||||||||||
Total Other Expenses (Income), Net (USD, thousands) | (1,163.00) | (5,439) | 613 | 381.00 | 3,571.00 | 2,354.00 | 6,919 | (518) | ||||||||||||||||||||||||||
Net Loss Before Income Taxes (USD, thousands) | (6,903.00) | (21,312) | (10,336) | (6,047.00) | (9,137.00) | (16,409.00) | (41,929) | (10,463) | ||||||||||||||||||||||||||
Income Tax Benefit (Provision) (USD, thousands) | (212.00) | (338) | (2,531) | (18.00) | (1,218.00) | (340.00) | (4,107) | 196 | ||||||||||||||||||||||||||
Net (Loss) Income (USD, thousands) | (6,691.00) | (20,974) | (7,805) | (6,029.00) | (7,919.00) | (16,069.00) | (37,822) | (10,659) | ||||||||||||||||||||||||||
Balance Sheet - Metric | Q3 2017 | FY 2017 | Q1 2018 | Q2 2018 | Q3 2018 | FY 2018 | Q1 2019 | Q2 2019 | Q3 2019 | FY 2019 | Q1 2020 | Q2 2020 | Q3 2020 | FY 2020 | Q1 2021 | Q2 2021 | Q3 2021 | FY 2021 | Q1 2022 | Q2 2022 | Q3 2022 | Q4 2022 | FY 2022 | Q1 2023 | Q2 2023 | Q3 2023 | Q4 2023 | FY 2023 | Q1 2024 | Q2 2024 | Q3 2024 | Q4 2024 | FY 2024 | Q1 2025 |
Cash [USD, thousands] | - | - | - | - | - | 43,820 | 43,820 | 33,439 | ||||||||||||||||||||||||||
Restricted cash [USD, thousands] | 1,972 | 1,972 | 1,962 | 1,963 | 1,998 | 1,957 | 1,957 | 1,990 | ||||||||||||||||||||||||||
Short-term investments [USD, thousands] | 49,251 | 49,251 | - | 0 | - | - | - | 25,333 | ||||||||||||||||||||||||||
Accounts receivable - trade, net [USD, thousands] | 34,617 | 34,617 | 36,275 | 42,028 | 42,827 | 42,357 | 42,357 | 43,993 | ||||||||||||||||||||||||||
Inventories, net [USD, thousands] | 105,851 | 105,851 | 112,689 | 116,366 | 120,934 | 117,005 | 117,005 | 119,752 | ||||||||||||||||||||||||||
Prepaid expenses and other current assets [USD, thousands] | 3,750 | 3,750 | 5,056 | 4,499 | 6,489 | 7,021 | 7,021 | 7,552 | ||||||||||||||||||||||||||
Total current assets [USD, thousands] | 226,496 | 226,496 | 203,725 | 193,783 | 248,312 | 237,173 | 237,173 | 232,059 | ||||||||||||||||||||||||||
Property and equipment, net [USD, thousands] | 41,048 | 41,048 | 48,721 | 53,482 | 54,765 | 50,596 | 50,596 | 52,622 | ||||||||||||||||||||||||||
Amortizable intangible assets, net [USD, thousands] | 69,275 | 69,275 | 70,382 | 67,848 | 65,955 | 64,427 | 64,427 | 62,348 | ||||||||||||||||||||||||||
Goodwill [USD, thousands] | 83,699 | 83,699 | 91,481 | 90,512 | 91,262 | 93,844 | 93,844 | 93,673 | ||||||||||||||||||||||||||
Other intangible assets [USD, thousands] | 15,287 | 15,287 | 18,792 | 18,669 | 18,744 | 16,752 | 16,752 | 16,736 | ||||||||||||||||||||||||||
Other non-current assets [USD, thousands] | 2,940 | 2,940 | 4,084 | 6,467 | 10,256 | 10,417 | 10,417 | 12,812 | ||||||||||||||||||||||||||
Total other assets [USD, thousands] | 171,201 | 171,201 | 184,739 | 183,496 | 186,217 | 185,440 | 185,440 | 185,569 | ||||||||||||||||||||||||||
Total assets [USD, thousands] | 438,745 | 438,745 | 437,185 | 430,761 | 489,294 | 473,209 | 473,209 | 470,250 | ||||||||||||||||||||||||||
Accounts payable - trade [USD, thousands] | 12,649 | 12,649 | 19,736 | 17,002 | 11,647 | 8,908 | 8,908 | 14,199 | ||||||||||||||||||||||||||
Accrued compensation and benefits [USD, thousands] | 11,325 | 11,325 | 9,772 | 12,616 | 13,221 | 13,888 | 13,888 | 11,325 | ||||||||||||||||||||||||||
Current portion of long-term debt with affiliate [USD, thousands] | 152,144 | 152,144 | 154 | 156 | 158 | 160 | 160 | 162 | ||||||||||||||||||||||||||
Current portion of acquisition installment payable [USD, thousands] | 10,149 | 10,149 | 10,368 | 1,304 | 1,325 | 1,347 | 1,347 | 1,368 | ||||||||||||||||||||||||||
Other current liabilities [USD, thousands] | 7,391 | 7,391 | 5,790 | 8,491 | 8,274 | 9,659 | 9,659 | 10,451 | ||||||||||||||||||||||||||
Total current liabilities [USD, thousands] | 41,666 | 41,666 | 45,820 | 39,569 | 34,625 | 33,962 | 33,962 | 37,505 | ||||||||||||||||||||||||||
Long-term term loan [USD, thousands] | - | - | 9,579 | 9,250 | - | - | - | 24,013 | ||||||||||||||||||||||||||
Long-term convertible note [USD, thousands] | - | - | - | - | 47,831 | 47,913 | 47,913 | 48,040 | ||||||||||||||||||||||||||
Long-term debt with affiliate, net of current portion [USD, thousands] | 611,763 | 611,763 | 572 | 532 | 491 | 451 | 451 | 410 | ||||||||||||||||||||||||||
Other long-term debt, net of current portion [USD, thousands] | - | - | - | - | 244 | 635 | 635 | 563 | ||||||||||||||||||||||||||
Acquisition installment payable, net of current portion [USD, thousands] | 3,551 | 3,551 | 3,613 | 2,371 | 2,412 | 2,452 | 2,452 | 2,493 | ||||||||||||||||||||||||||
Deferred income taxes [USD, thousands] | 5,483 | 5,483 | 5,202 | 4,739 | 4,025 | 3,381 | 3,381 | 3,389 | ||||||||||||||||||||||||||
Other long-term liabilities [USD, thousands] | 1,112 | 1,112 | 1,815 | 3,007 | 4,799 | 5,892 | 5,892 | 6,691 | ||||||||||||||||||||||||||
Total long-term liabilities [USD, thousands] | 20,054 | 20,054 | 20,781 | 19,899 | 83,750 | 84,681 | 84,681 | 85,599 | ||||||||||||||||||||||||||
Total liabilities [USD, thousands] | 61,720 | 61,720 | 66,601 | 59,468 | 118,375 | 118,643 | 118,643 | 123,104 | ||||||||||||||||||||||||||
Common stock [USD, thousands] | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | ||||||||||||||||||||||||||
Additional paid-in capital [USD, thousands] | 580,287 | 580,287 | 583,086 | 593,087 | 597,009 | 600,897 | 600,897 | 604,989 | ||||||||||||||||||||||||||
Accumulated deficit [USD, thousands] | (197,742) | (197,742) | (205,547) | (211,576) | (219,495) | (235,564) | (235,564) | (246,223) | ||||||||||||||||||||||||||
Accumulated other comprehensive loss [USD, thousands] | (5,526) | (5,526) | (6,961) | (10,224) | (6,601) | (10,773) | (10,773) | (11,626) | ||||||||||||||||||||||||||
Total stockholders' equity [USD, thousands] | 377,025 | 377,025 | 370,584 | 371,293 | 370,919 | 354,566 | 354,566 | 347,146 | ||||||||||||||||||||||||||
Total liabilities and stockholders' equity [USD, thousands] | 438,745 | 438,745 | 437,185 | 430,761 | 489,294 | 473,209 | 473,209 | 470,250 | ||||||||||||||||||||||||||
Cash Flow - Metric | Q3 2017 | FY 2017 | Q1 2018 | Q2 2018 | Q3 2018 | FY 2018 | Q1 2019 | Q2 2019 | Q3 2019 | FY 2019 | Q1 2020 | Q2 2020 | Q3 2020 | FY 2020 | Q1 2021 | Q2 2021 | Q3 2021 | FY 2021 | Q1 2022 | Q2 2022 | Q3 2022 | Q4 2022 | FY 2022 | Q1 2023 | Q2 2023 | Q3 2023 | Q4 2023 | FY 2023 | Q1 2024 | Q2 2024 | Q3 2024 | Q4 2024 | FY 2024 | Q1 2025 |
Net (loss) income [USD, thousands] | (6,691.00) | (20,974) | (7,805) | (6,029.00) | (7,919.00) | (16,069.00) | (37,822) | (10,659) | ||||||||||||||||||||||||||
Depreciation and amortization [USD, thousands] | 5,187.00 | 17,385 | 5,028 | 4,779.00 | 5,280.00 | 3,993.00 | 19,080 | 5,048 | ||||||||||||||||||||||||||
Stock-based compensation [USD, thousands] | 2,747.00 | 10,526 | 2,799 | 2,939.00 | 3,922.00 | 3,888.00 | 13,548 | 3,859 | ||||||||||||||||||||||||||
Accretion of acquisition installment payable [USD, thousands] | 280.00 | 1,372 | 281 | 256.00 | 62.00 | 62.00 | 661 | 62 | ||||||||||||||||||||||||||
Non-cash other [USD, thousands] | (1,722.00) | (4,631) | - | - | - | - | 90 | 139 | ||||||||||||||||||||||||||
Other (Operating Activities) [USD, thousands] | - | - | 368 | (2,146.00) | (1,273.00) | 3,366.00 | 315 | (1,558) | ||||||||||||||||||||||||||
Net cash used in operating activities [USD, thousands] | (7,543.00) | (27,046) | (6,690) | (6,092.00) | (10,279.00) | (3,987.00) | (27,048) | (4,156) | ||||||||||||||||||||||||||
Acquisition of Boston O&P, net of cash acquired [USD, thousands] | - | - | (20,693) | 0.00 | 468.00 | 0.00 | (20,225) | - | ||||||||||||||||||||||||||
Clinic acquisitions, net of cash acquired [USD, thousands] | - | - | - | - | - | (2,407.00) | (2,882) | (220) | ||||||||||||||||||||||||||
Sale of short-term marketable securities [USD, thousands] | 23,864.00 | 112,904 | 23,474 | 26,381.00 | 0.00 | 0.00 | 49,855 | - | ||||||||||||||||||||||||||
Investment in private companies and purchases of licenses [USD, thousands] | - | (2,106) | - | - | - | (267.00) | (647) | (1,540) | ||||||||||||||||||||||||||
Purchases of property and equipment [USD, thousands] | (3,836.00) | (16,878) | (6,460) | (6,684.00) | (1,381.00) | 262.00 | (14,263) | (4,227) | ||||||||||||||||||||||||||
Net cash provided by (used in) investing activities [USD, thousands] | 17,922.00 | 41,677 | (3,679) | 19,697.00 | (26,768.00) | (2,412.00) | (13,162) | (5,987) | ||||||||||||||||||||||||||
Payments on mortgage notes [USD, thousands] | (37.00) | (144) | (35) | (36.00) | (42.00) | (39.00) | (152) | (39) | ||||||||||||||||||||||||||
Payments on clinic acquisition notes [USD, thousands] | - | - | (538) | (390.00) | 0.00 | (180.00) | (1,108) | (87) | ||||||||||||||||||||||||||
Net cash provided by financing activities [USD, thousands] | 9,387.00 | 7,301 | (573) | (4,269.00) | 58,518.00 | (541.00) | 53,135 | (126) | ||||||||||||||||||||||||||
Effect of exchange rate changes on cash [USD, thousands] | 1,029.00 | 633 | 1,479 | (2,010.00) | 684.00 | (328.00) | (175) | (79) | ||||||||||||||||||||||||||
NET INCREASE IN CASH AND RESTRICTED CASH [USD, thousands] | 20,795.00 | 22,565 | (9,463) | 7,326.00 | 22,155.00 | (7,268.00) | 12,750 | (10,348) | ||||||||||||||||||||||||||
Cash paid for interest [USD, thousands] | 10.00 | 42 | 223 | 537.00 | 621.00 | 1,371.00 | 2,752 | 1,269 | ||||||||||||||||||||||||||
Transfer of instruments between property and equipment and inventory [USD, thousands] | (374.00) | 57 | 117 | 164.00 | 685.00 | (546.00) | 420 | (461) | ||||||||||||||||||||||||||
Right-of-use assets obtained in exchange for lease liabilities [USD, thousands] | 706 | 706 | - | - | 3,220 | 8,957 | 8,957 | 1,682 | ||||||||||||||||||||||||||
Deferred income taxes [USD, thousands] | (1,163) | (1,163) | (2,445) | (2,955) | (3,907) | (4,736) | (4,736) | 196 | ||||||||||||||||||||||||||
Accounts receivable - trade [USD, thousands] | (9,724) | (9,724) | 1,155 | (4,583) | (5,178) | (4,749) | (4,749) | (1,497) | ||||||||||||||||||||||||||
Inventories [USD, thousands] | (26,279) | (26,279) | (6,631) | (10,420) | (14,154) | (13,197) | (13,197) | (1,906) | ||||||||||||||||||||||||||
Prepaid expenses and other current assets [USD, thousands] | 94 | 94 | (953) | (403) | (2,134) | (1,561) | (1,561) | (519) | ||||||||||||||||||||||||||
Accounts payable - trade [USD, thousands] | 1,491 | 1,491 | 6,562 | 4,150 | (1,768) | (4,280) | (4,280) | 5,207 | ||||||||||||||||||||||||||
Accrued expenses and other liabilities [USD, thousands] | 6,852 | 6,852 | (5,049) | 959 | 308 | 537 | 537 | (2,528) | ||||||||||||||||||||||||||
Cash and restricted cash, beginning of period [USD, thousands] | 10,462 | 10,462 | 33,027 | 33,027 | 33,027 | 33,027 | 33,027 | 45,777 | ||||||||||||||||||||||||||
Cash and restricted cash, end of period [USD, thousands] | 33,027 | 33,027 | 23,564 | 30,890 | 53,045 | 45,777 | 45,777 | 35,429 | ||||||||||||||||||||||||||
Revenue by Segment - in Millions of USD | Q3 2017 | FY 2017 | Q1 2018 | Q2 2018 | Q3 2018 | FY 2018 | Q1 2019 | Q2 2019 | Q3 2019 | FY 2019 | Q1 2020 | Q2 2020 | Q3 2020 | FY 2020 | Q1 2021 | Q2 2021 | Q3 2021 | FY 2021 | Q1 2022 | Q2 2022 | Q3 2022 | Q4 2022 | FY 2022 | Q1 2023 | Q2 2023 | Q3 2023 | Q4 2023 | FY 2023 | Q1 2024 | Q2 2024 | Q3 2024 | Q4 2024 | FY 2024 | Q1 2025 |
Trauma and Deformity | - | - | 33.30 | 37.771 | 37.642 | 36.39 | 145.1 | 37.87 | ||||||||||||||||||||||||||
Scoliosis | - | - | 10.20 | 13.682 | 15.635 | 15.68 | 55.2 | 13.66 | ||||||||||||||||||||||||||
Sports Medicine/Other | - | - | 1.18 | 1.349 | 1.296 | 0.58 | 4.4 | 0.88 | ||||||||||||||||||||||||||
Total Revenue | - | - | 44.69 | 52.802 | 54.573 | 52.63 | 204.7 | 52.41 | ||||||||||||||||||||||||||
Revenue by Geography - in Millions of USD | Q3 2017 | FY 2017 | Q1 2018 | Q2 2018 | Q3 2018 | FY 2018 | Q1 2019 | Q2 2019 | Q3 2019 | FY 2019 | Q1 2020 | Q2 2020 | Q3 2020 | FY 2020 | Q1 2021 | Q2 2021 | Q3 2021 | FY 2021 | Q1 2022 | Q2 2022 | Q3 2022 | Q4 2022 | FY 2022 | Q1 2023 | Q2 2023 | Q3 2023 | Q4 2023 | FY 2023 | Q1 2024 | Q2 2024 | Q3 2024 | Q4 2024 | FY 2024 | Q1 2025 |
United States | 28.26 | 111.01 | 34.305 | 41.249 | 42.714 | 42.89 | 161.16 | 40.9 | ||||||||||||||||||||||||||
International | 9.35 | 37.72 | 10.380 | 11.553 | 11.859 | 9.77 | 43.56 | 11.5 | ||||||||||||||||||||||||||
Total Revenue | 37.61 | 148.73 | 44.685 | 52.802 | 54.573 | 52.67 | 204.73 | 52.4 | ||||||||||||||||||||||||||
KPIs - Metric (Unit, Scale) | Q3 2017 | FY 2017 | Q1 2018 | Q2 2018 | Q3 2018 | FY 2018 | Q1 2019 | Q2 2019 | Q3 2019 | FY 2019 | Q1 2020 | Q2 2020 | Q3 2020 | FY 2020 | Q1 2021 | Q2 2021 | Q3 2021 | FY 2021 | Q1 2022 | Q2 2022 | Q3 2022 | Q4 2022 | FY 2022 | Q1 2023 | Q2 2023 | Q3 2023 | Q4 2023 | FY 2023 | Q1 2024 | Q2 2024 | Q3 2024 | Q4 2024 | FY 2024 | Q1 2025 |
Number of countries in which products are marketed and sold (countries) | - | 70 | 70 | 70 | 70 | - | 75 | - | ||||||||||||||||||||||||||
Number of children impacted since inception (children) | - | 710,000 | 1,000,000 | 1,000,000 | 1,100,000 | - | 1,140,000 | - |