false000088462400008846242025-02-252025-02-25

 

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

 

FORM 8-K

 

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): February 25, 2025

 

 

ORTHOFIX MEDICAL INC.

(Exact name of Registrant as Specified in Its Charter)

 

 

Delaware

000-19961

98-1340767

(State or Other Jurisdiction
of Incorporation)

(Commission File Number)

(IRS Employer
Identification No.)

 

 

 

 

 

3451 Plano Parkway

 

Lewisville, Texas

 

75056

(Address of Principal Executive Offices)

 

(Zip Code)

 

Registrant’s Telephone Number, Including Area Code: (214) 937-2000

 

 

(Former Name or Former Address, if Changed Since Last Report)

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:


Title of each class

 

Trading
Symbol(s)

 


Name of each exchange on which registered

Common stock, $0.10 par value per share

 

OFIX

 

Nasdaq Global Select Market

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).

Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

 


Item 2.02. Results of Operations and Financial Condition.

On February 25, 2025, Orthofix Medical Inc. (the “Company”) issued a press release announcing, among other things, its financial results for the fourth quarter and year ended December 31, 2024. A copy of the press release is furnished herewith as Exhibit 99.1 and attached hereto.

The information furnished in this Item 2.02, including the exhibit furnished herewith as Exhibit 99.1, will not be treated as “filed” for the purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section. This information will not be deemed incorporated by reference into any filing under the Securities Act of 1933, as amended (the “Securities Act”), or into another filing under the Exchange Act, unless that filing expressly incorporates by reference this Item 2.02 of this report.

Discussion of Non-GAAP Financial Measures

In addition to using standard measures of performance and liquidity that are recognized in accordance with accounting principles generally accepted in the United States of America ("GAAP"), the Company uses additional financial measures excluding certain GAAP items ("non-GAAP measures"), such as:

Constant Currency

Constant currency is a non-GAAP measure, which the Company calculates by using foreign currency rates from the comparable, prior-year period, to present net sales at comparable rates. Constant currency can be presented for numerous GAAP measures, but is most commonly used by management to analyze net sales without the impact of changes in foreign currency rates.

Free Cash Flow

Free cash flow is a non-GAAP financial measure, which is calculated by subtracting capital expenditures from cash flow provided by or used in operating activities. Free cash flow is an important indicator of how much cash is generated or used by the Company's business operations, including capital expenditures. Management uses free cash flow to measure progress on its capital efficiency and cash flow initiatives.

Adjusted Gross Profit and Adjusted Gross Margin

Adjusted gross profit represents GAAP gross profit with adjustments to exclude the impact of the certain items recorded to cost of goods sold. Such potential adjustments are listed within the section below under the header "Non-GAAP Adjustments." Adjusted gross margin represents adjusted gross profit as a percentage of GAAP net sales.

Adjusted Net Income (Loss)

Adjusted net income (loss) represents GAAP net loss with adjustments to exclude the impact of certain items recorded in such GAAP net loss. Potential adjustments are listed within the sections below under the header "Non-GAAP Adjustments."

Adjusted Operating Expenses

Adjusted operating expenses represents GAAP expenses, such as sales, general, and administrative expense, and research and development expense, with adjustments to exclude the impact of certain items recorded in such GAAP operating expenses. Potential adjustments are listed within the section below under the header "Non-GAAP Adjustments."

Adjusted Non-Operating Expenses

Adjusted non-operating expenses represents GAAP expenses, such as interest income (expense), net and other income (expense), net, with adjustments to exclude the impact of certain items recorded in such GAAP non-operating expenses. Potential adjustments are listed within the section below under the header "Non-GAAP Adjustments."

EBITDA

EBITDA is a non-GAAP financial measure, which the Company calculates by adding interest expense (income), net; income tax expense (benefit); and depreciation and amortization to net income (loss). EBITDA provides management with additional insight to the Company's results of operations. Adjusted EBITDA, which is the primary metric used by the Company's Chief Operating Decision Maker in managing the business, consists of EBITDA with adjustments to exclude certain items listed within the section below under the header "Non-GAAP Adjustments."

Non-GAAP Adjustments

The Company's non-GAAP financial measures provide management with additional insight to the Company's results of operations and reflect the exclusion of the following items:

Share-based compensation expense – Costs related to awards granted under the Company's share-based compensation plans, which include stock options, performance-based or market-based stock options, restricted stock units, performance-based or market-based restricted stock units, and stock issued under the Company's stock purchase plan; see the share-based compensation footnote in the Company's Form 10-K for the year ended December 31, 2024, for an allocation of

these costs by consolidated statement of operations line item. Management excludes this item when evaluating the Company's operating performance as it represents a non-cash expense.
Foreign exchange impact – Gains and losses related to foreign currency transactions, which are recorded as other income (expense), net. Management excludes this item when evaluating the Company's operating results as it is primarily a non-cash expense or benefit and is non-operating in nature.
SeaSpine merger-related costs – Costs related to the Company's merger with SeaSpine Holdings Corporation ("SeaSpine"), which was consummated in January 2023, including costs relating to integration efforts, severance and retention costs, product rationalization charges, contract termination penalties, and professional fees related to the merger. Management excludes this item when evaluating the Company's operating results as these costs associated with this event are of a temporary nature, are not related to the Company's core operating performance, and are not expected to recur at a similar frequency and magnitude in the future.
Strategic investments – Costs related to the Company's strategic investments, such as due diligence and integration costs (unrelated to the merger with SeaSpine), which are primarily recorded as sales, general, and administrative expenses. These costs are not factored into the evaluation of the Company's performance by management because they are of a temporary nature, not related to the Company's core operating performance, and because the frequency and amount of such costs vary significantly based on the timing and magnitude of the Company's strategic investments.
Acquisition-related fair value adjustments – Comprised of (i) gains and losses related to remeasurement of contingent consideration to fair value, which are recorded as operating expenses, (ii) recognized costs related to acquired in-process research and development ("IPR&D") assets, which are expensed immediately, and (iii) amortization of acquired inventory fair market value adjustments. Management excludes this item when evaluating the Company's operating results as the remeasurement of contingent consideration is primarily non-cash in nature, the frequency and amount of IPR&D charges can vary significantly based on the timing and magnitude of the Company's acquisition transactions, and inventory fair market value adjustments are of a temporary and non-cash nature.
Amortization of acquired long-lived assets – Amortization of intangible assets acquired in business combinations or asset acquisitions, including items such as developed technologies, customer relationships, trade names, manufacturing agreements, and other intangible assets, and any impairment of acquired goodwill, which are recorded in cost of sales or operating expenses. This item also includes depreciation recognized on adjustments to the fair value of certain long-lived assets acquired in the merger with SeaSpine. Management excludes this item when evaluating the Company's operating performance as it represents a non-cash expense.
(Gain) Loss on investment securities – Interest income and net gains or losses recognized (realized or unrealized) within interest income (expense), net and other income (expense), net, respectively, relating to certain of the Company's investments. Management excludes these items when evaluating the Company's operating performance as it typically represents a non-cash gain or loss and is not related to the Company's core operating performance.
Litigation and investigation-related costs – Inclusive of (i) adverse or favorable legal judgments or negotiated legal settlements and certain related legal expenses and (ii) amounts incurred in relation to and as a result of the Board of Directors’ investigation conducted by independent outside legal counsel that resulted in the departure of three former executive officers and certain charges stemming from these actions. These charges are primarily recorded within sales, general, and administrative expenses. Management excludes these items when evaluating the Company's operating results as these costs and/or benefits can vary significantly based on the timing, frequency, and magnitude of litigation matters.
Medical device regulation – Incremental costs incurred (i) to establish initial compliance with the regulations set forth by the European Union Medical Device Regulation (“MDR”) related to the Company's currently-approved medical devices, which are recorded primarily as research and development expenses, and (ii) related to rationalization of certain product lines that the Company does not expect to continue to market subsequent to the effective date of these regulations, which are recorded primarily as costs of sales. Management excludes this item when evaluating the Company's operating results as these costs are temporary in nature and associated with events that are not expected to recur at a similar frequency and magnitude in the future.
Succession charges – Costs related to the transition of certain executive officers, including any cessation and onboarding amounts, consulting services, and other related expenses, which are primarily recorded as sales, general, and administrative expenses. Management excludes this item when evaluating the Company's operating results as these costs associated with events that are not expected to recur at a similar frequency and magnitude in the future.
Long-term income tax rate adjustment – Reflects management’s expectation of a long-term normalized effective tax rate of 28% for 2023 and 2024 results, which is based on current tax law and current expected adjusted income; actual reported tax expense will ultimately be based on GAAP earnings and may differ from the expected long-term normalized effective tax rate due to a variety of factors, including the resolutions of issues arising from tax audits with various tax authorities, the ability to realize deferred tax assets, and the tax impact of certain reconciling items that are excluded in determining Adjusted Net Income (Loss).

Usefulness and Limitations of Non-GAAP Financial Measures

Management uses non-GAAP measures to evaluate performance period-over-period, analyze the underlying trends in the Company's business, assess the Company's performance relative to its competitors, and establish operational goals and forecasts used in allocating resources. Management uses these non-GAAP measures as the basis for evaluating the ability of the Company's underlying operations to generate cash, prior to required investments in working capital, and to further its understanding of the performance of the Company's business units.

Material Limitations Associated with the Use of Non-GAAP Financial Measures

The non-GAAP financial measures described above may have limitations as analytical tools, and should not be considered in isolation or as a replacement for GAAP financial measures. Some of the limitations associated with the use of these non-GAAP financial measures are that they exclude items that reflect an economic cost and can have a material effect on cash flows. Similarly, certain non-cash expenses, such as share-based compensation, do not directly impact cash flows, but are part of total compensation costs accounted for under GAAP.

Compensation for Limitations Associated with Use of Non-GAAP Financial Measures

The Company compensates for the limitations of its non-GAAP financial measures by relying upon GAAP results to gain a complete picture of the Company's performance. GAAP results provide management with the ability to understand the Company's performance based on a defined set of criteria. The Company provides reconciliations of the non-GAAP financial measures to the most directly comparable GAAP measures and encourages investors to review these reconciliations.

Usefulness of Non-GAAP Financial Measures to Investors

The Company believes that providing non-GAAP financial measures that exclude certain items provides investors with greater transparency to the information used by management in its financial and operational decision-making. Management believes it is important to provide investors with the same non-GAAP financial measures it uses to supplement information regarding the performance and underlying trends of the Company's business operations in order to facilitate comparisons to the Company's historical operating results and internally evaluate the effectiveness of the Company's operating strategies. The Company believes that these non-GAAP financial measures also facilitates comparisons of the Company's underlying operating performance with other companies in the industry that also supplement their GAAP results with non-GAAP financial measures.

Item 7.01 Regulation FD Disclosure.

The Company expects to use the corporate investor relations presentation furnished as Exhibit 99.2 to this report, in whole or in part, and possibly with modifications, in connection with presentations to investors, analysts, and others during the fiscal year ending December 31, 2025.

The information furnished in this Item 7.01, including the exhibit furnished herewith as Exhibit 99.2, will not be treated as “filed” for the purposes of Section 18 of the Exchange Act, or otherwise subject to the liabilities of that section. This information will not be deemed incorporated by reference into any filing under the Securities Act, or into another filing under the Exchange Act, unless that filing expressly incorporates by reference this Item 7.01 of this report.

Item 9.01. Financial Statements and Exhibits.

(d) Exhibits

 

99.1

Press release, dated February 25, 2025

99.2

Corporate Investor Relations Presentation, dated February 25, 2025

104

Cover Page Interactive Data File (embedded within the Inline XBRL document).

 


 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

 

Orthofix Medical Inc.

 

 

By:

 

 

/s/ JULIE ANDREWS

 

 

 

Julie Andrews

Chief Financial Officer

 

 

 

Date: February 25, 2025

 


 

Exhibit 99.1

img236010591_0.jpg

News Release

Orthofix Reports Fourth Quarter and Full-Year 2024 Results and

Provides 2025 Financial Guidance

Record Results Reflect Strong Execution as Company Focuses on Most Profitable Growth Opportunities in Spine, Orthopedics and Bone Growth Therapies

LEWISVILLE, Texas — February 25, 2025 — Orthofix Medical Inc. (NASDAQ:OFIX), a leading global medical technology company, today reported its financial results for the fourth quarter and full-year ended December 31, 2024, and provided full-year 2025 financial guidance.

Highlights

Record fourth quarter 2024 net sales of $215.7 million, an increase of 8% on a reported and constant currency basis compared to fourth quarter 2023
U.S. Spine Fixation1 net sales growth of 12% compared to fourth quarter 2023, driven by distribution expansion and further penetration in existing accounts
Record Bone Growth Therapies ("BGT") net sales of $63.9 million, representing growth of 9% and BGT Fracture net sales growth of 10% compared to fourth quarter 2023
Record Global Orthopedics net sales of $35.8 million, representing constant currency growth of 18% and U.S. Orthopedics net sales growth of 21% compared to fourth quarter 2023
Company entered into record number of 7D FLASH™ Navigation System placements for the full-year 2024
Fourth quarter 2024 net loss of $(29.1) million; Non-GAAP adjusted EBITDA of $23.9 million, an increase of $4.3 million, with adjusted EBITDA margin expanding approximately 130 basis points compared to fourth quarter 2023
Free cash flow of $15.2 million in fourth quarter 2024, a significant improvement in cash usage compared to previous quarters
Company increases long-term net sales compound annual growth rate ("CAGR") target to 6.5% to 7.5% from previous net sales CAGR target of 6% to 7%

Fourth quarter 2024 net sales were $215.7 million, an increase of 8% on a reported and constant currency basis. Net loss was $(29.1) million and earnings per share ("EPS") was $(0.75) on a reported basis, representing a decline of 27% when compared to the same prior year period. Non-GAAP adjusted EBITDA was $23.9 million for the fourth quarter, representing 22% growth compared to the fourth quarter of 2023.

Full-year 2024 net sales were $799.5 million, an increase of 7% on a reported and constant currency basis. Net loss was $(126.0) million and EPS was $(3.30), representing an improvement of 20% when compared to the same prior year period. Non-GAAP adjusted EBITDA was $67.4 million for the full-year, representing 46% growth compared to the full-year of 2023.

“We are pleased with the performance of the Orthofix team to serve our surgeons and patients and successfully execute our plans throughout 2024,” said Massimo Calafiore, President and CEO. “Our fourth quarter results reflect outstanding performance across all three major product lines, providing further evidence that Orthofix’s balanced and complementary product mix offers a differentiated advantage across multiple markets. We enter 2025 with great momentum as two integrated organizations. The entire team remains focused on executing our priorities, and I look forward to leveraging our unique portfolio platform to drive value creation through profitable growth in 2025 and beyond."

 

 

 

1 Spine fixation is comprised of the Company's Spinal Implants product category, excluding motion preservation product offerings

1


 

Financial Results Overview

Fourth Quarter 2024 Net Sales and Financial Results

The following table provides net sales by major product category by reporting segment:

 

 

Three Months Ended December 31,

 

(Unaudited, U.S. Dollars, in millions)

 

2024

 

 

2023

 

 

Change

 

 

Constant
Currency
Change

 

Bone Growth Therapies

 

$

63.9

 

 

$

58.8

 

 

 

8.6

%

 

 

8.6

%

Spinal Implants, Biologics, and Enabling Technologies

 

 

116.0

 

 

 

111.0

 

 

 

4.5

%

 

 

4.5

%

Global Spine

 

 

179.9

 

 

 

169.8

 

 

 

5.9

%

 

 

6.0

%

Global Orthopedics

 

 

35.8

 

 

 

30.6

 

 

 

16.8

%

 

 

18.1

%

Net sales

 

$

215.7

 

 

$

200.4

 

 

 

7.6

%

 

 

7.8

%

Gross margins were 69.0% for the quarter and were 71.1% on a non-GAAP adjusted basis.

Net loss was $(29.1) million, or $(0.75) per share, compared to net loss of $(22.2) million, or $(0.59) per share in the prior year period. Non-GAAP adjusted EBITDA was $23.9 million, or 11.1% of net sales, compared to non-GAAP adjusted EBITDA of $19.6 million, or 9.8% of net sales, in the prior year period.

Full-Year 2024 Net Sales and Financial Results

The following table provides net sales by major product category by reporting segment:

 

 

Year Ended December 31,

 

(Unaudited, U.S. Dollars, in millions)

 

2024

 

 

2023

 

 

Change

 

 

Constant
Currency
Change

 

Bone Growth Therapies

 

$

233.4

 

 

$

212.5

 

 

 

9.8

%

 

 

9.8

%

Spinal Implants, Biologics, and Enabling Technologies

 

 

441.9

 

 

 

418.8

 

 

 

5.5

%

 

 

5.5

%

Global Spine

 

 

675.3

 

 

 

631.3

 

 

 

7.0

%

 

 

7.0

%

Global Orthopedics

 

 

124.2

 

 

 

115.3

 

 

 

7.7

%

 

 

7.9

%

Net sales

 

$

799.5

 

 

$

746.6

 

 

 

7.1

%

 

 

7.1

%

Gross margins were 68.3% for the year and were 71.0% on a non-GAAP adjusted basis.

Net loss was $(126.0) million, or $(3.30) per share, compared to net loss of $(151.4) million, or $(4.12) per share in the prior year period. Non-GAAP adjusted EBITDA was $67.4 million, or 8.4% of net sales, compared to non-GAAP adjusted EBITDA of $46.3 million, or 6.2% of net sales, in the prior year period.

Liquidity

Cash, cash equivalents, and restricted cash on December 31, 2024 totaled $85.7 million compared to $37.8 million on December 31, 2023.

M6 Artificial Disc Update

Consistent with Orthofix’s strategic focus on spinal fixation and deformity correction, the Company has decided to discontinue its M6-C™ artificial cervical disc and M6-L™ artificial lumbar disc product lines and allocate associated resources and investment to more profitable growth opportunities in those focus areas. Global net sales for the M6-C artificial cervical and M6-L artificial lumbar discs were $23.4 million in 2024. Orthofix intends to fulfill all requirements related to post-market surveillance activities and meet its obligations with respect to premarket approval of M6 devices, including completion of the IDE study in the United States.

2


 

Business Outlook

The Company is providing full-year 2025 guidance as follows:

Net sales expected to range between $818 million to $826 million, excluding sales from the discontinued M6 artificial disc product lines and including a negative impact from foreign currency of approximately $4 million, or 50 basis points, on a reported basis, as compared to the full-year 2024. The Company’s expected net sales represent implied constant currency growth of 6.5% year-over-year at the midpoint of the range. This guidance range is based on the current foreign currency exchange rates and does not take into account any additional potential exchange rate changes that may occur this year.
Non-GAAP adjusted EBITDA expected to be $82 million to $86 million. This range includes the anticipated impact from the discontinuation of the M6 product lines.
Positive free cash flow expected for full-year 2025, excluding the impact of restructuring charges related to the discontinuation of the M6-C artificial cervical and M6-L artificial lumbar disc product lines.
The Company is also increasing its long-term net sales CAGR target to 6.5% to 7.5% from the previous net sales CAGR target of 6% to 7%, reflecting the discontinuation of the M6 artificial disc product lines.

The Company will provide a full update on the accounting treatment and financial impact for the discontinuation of the M6 product lines on its first quarter 2025 earnings call.

An investor presentation for the Company's fourth quarter and full-year 2024 financial results is available in the "Events & Presentations" section of the Orthofix investor relations website at ir.orthofix.com.

Conference Call

Orthofix will host a conference call today at 8:30 AM Eastern time to discuss the Company's financial results for the quarter ended December 31, 2024. Interested parties may access the conference call by dialing (888) 596-4144 in the U.S., and (646) 968-2525 in all other locations, and referencing the access code 5184023. A webcast and replay of the conference call may be accessed in the "Events & Presentations" section of the Orthofix investor relations website at ir.orthofix.com.

Internet Posting of Information

Orthofix routinely posts information that may be important to investors in the “Investor Relations” section of its website at www.orthofix.com. The Company encourages investors and potential investors to consult the Orthofix website regularly for important information about Orthofix.

About Orthofix

Orthofix is a global medical technology company headquartered in Lewisville, Texas. By providing medical technologies that heal musculoskeletal pathologies, we deliver exceptional experiences and life-changing solutions to patients around the world. Orthofix offers a comprehensive portfolio of spinal hardware, bone growth therapies, specialized orthopedic solutions, biologics and enabling technologies, including the 7D FLASH™ navigation system. To learn more, visit Orthofix.com and follow on LinkedIn.

Forward-Looking Statements

This communication contains forward-looking statements within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended, and Section 27A of the Securities Act of 1933, as amended, relating to our business and financial outlook, which are based on our current beliefs, assumptions, intentions, plans, expectations, estimates, forecasts and projections. In some cases, you can identify forward-looking statements by terminology such as “may,” “will,” “should,” “expects,” “plans,” “anticipates,” “believes,” “estimates,” “projects,” “intends,” “predicts,” “potential,” or “continue” or other comparable terminology. Forward-looking statements in this communication include the Company's expectations regarding net sales, adjusted EBITDA, and free cash flow for the year ended December 31, 2025. Forward-looking statements are not guarantees of our future performance, are based on our current expectations and assumptions regarding our business, the economy and other future conditions, and are subject to risks, uncertainties and changes in circumstances that are difficult to predict, including the risks described in Part I, Item 1A under the heading Risk Factors in our Annual Report on Form 10-K for the year ended December 31, 2024. Factors that could cause future results to differ from those expressed by forward-looking statements include, but are not limited to, (i) our ability to maintain operations to support our customers and patients in the near-term and to capitalize on future growth opportunities, (ii) risks associated with acceptance of surgical products and procedures by surgeons and hospitals, (iii) development and acceptance of new

3


 

products or product enhancements, (iv) clinical and statistical verification of the benefits achieved via the use of our products, (v) our ability to adequately manage inventory, (vi) our ability to recruit and retain management and key personnel, (vii) our success in defending legal proceedings brought against us, and (viii) the other risks and uncertainties more fully described in our periodic filings with the Securities and Exchange Commission (the “SEC”). As a result of these various risks, our actual outcomes and results may differ materially from those expressed in these forward-looking statements.

Further, any forward-looking statement speaks only as of the date hereof, unless it is specifically otherwise stated to be made as of a different date. We undertake no obligation to update, and expressly disclaim any duty to update, our forward-looking statements, whether as a result of circumstances or events that arise after the date hereof, new information, or otherwise, except as required by law.

The Company is unable to provide expectations of GAAP net income (loss) before income taxes, the closest comparable GAAP measures to adjusted EBITDA (which is a non-GAAP measure), on a forward-looking basis because the Company is unable to predict, without unreasonable efforts, the ultimate outcome of matters (including acquisition-related expenses, accounting fair value adjustments, and other such items) that will determine the quantitative amount of the items excluded in calculating adjusted EBITDA, which items are further described in the reconciliation tables and related descriptions below. These items are uncertain, depend on various factors, and could be material to the Company’s results computed in accordance with GAAP.

 

Company Contact

 

Investors and Media

Julie Dewey, IRC

Chief Investor Relations & Communications Officer

JulieDewey@Orthofix.com

209.613.6945

 

 

 

 

 

 

4


 

ORTHOFIX MEDICAL INC.

Condensed Consolidated Statements of Operations

 

 

 

Three Months Ended

 

 

Year Ended

 

 

 

December 31,

 

 

December 31,

 

(U.S. Dollars, in thousands, except share and per share data)

 

2024

 

 

2023

 

 

2024

 

 

2023

 

 

 

(Unaudited)

 

 

 

 

Net sales

 

$

215,657

 

 

$

200,415

 

 

$

799,491

 

 

$

746,641

 

Cost of sales

 

 

66,816

 

 

 

63,785

 

 

 

253,606

 

 

 

260,368

 

Gross profit

 

 

148,841

 

 

 

136,630

 

 

 

545,885

 

 

 

486,273

 

Sales, general, and administrative

 

 

136,479

 

 

 

132,284

 

 

 

532,525

 

 

 

530,395

 

Research and development

 

 

18,807

 

 

 

18,941

 

 

 

73,643

 

 

 

80,231

 

Acquisition-related amortization and remeasurement

 

 

5,031

 

 

 

3,720

 

 

 

24,336

 

 

 

14,757

 

Operating loss

 

 

(11,476

)

 

 

(18,315

)

 

 

(84,619

)

 

 

(139,110

)

Interest expense, net

 

 

(14,920

)

 

 

(4,500

)

 

 

(29,631

)

 

 

(8,631

)

Other income (expense), net

 

 

(3,315

)

 

 

766

 

 

 

(9,625

)

 

 

(938

)

Loss before income taxes

 

 

(29,711

)

 

 

(22,049

)

 

 

(123,875

)

 

 

(148,679

)

Income tax benefit (expense)

 

 

564

 

 

 

(125

)

 

 

(2,122

)

 

 

(2,716

)

Net loss

 

$

(29,147

)

 

$

(22,174

)

 

$

(125,997

)

 

$

(151,395

)

 

 

 

 

 

 

 

 

 

 

 

 

 

Net loss per common share:

 

 

 

 

 

 

 

 

 

 

 

 

Basic

 

$

(0.75

)

 

$

(0.59

)

 

$

(3.30

)

 

$

(4.12

)

Diluted

 

 

(0.75

)

 

 

(0.59

)

 

 

(3.30

)

 

 

(4.12

)

Weighted average number of common shares (in millions):

 

 

 

 

 

 

 

 

 

 

 

 

Basic

 

 

38.7

 

 

 

37.3

 

 

 

38.1

 

 

 

36.7

 

Diluted

 

 

38.7

 

 

 

37.3

 

 

 

38.1

 

 

 

36.7

 

 

5


 

ORTHOFIX MEDICAL INC.

Condensed Consolidated Balance Sheets

 

(U.S. Dollars, in thousands, except par value data)

 

December 31, 2024

 

 

December 31, 2023

 

 

 

 

 

 

 

 

Assets

 

 

 

 

 

 

Current assets

 

 

 

 

 

 

Cash and cash equivalents

 

$

83,238

 

 

$

33,107

 

Restricted cash

 

 

2,500

 

 

 

4,650

 

Accounts receivable, net of allowances of $7,418 and $7,130, respectively

 

 

134,713

 

 

 

128,098

 

Inventories

 

 

189,452

 

 

 

222,166

 

Prepaid expenses and other current assets

 

 

23,382

 

 

 

32,422

 

Total current assets

 

 

433,285

 

 

 

420,443

 

Property, plant, and equipment, net

 

 

139,804

 

 

 

159,060

 

Intangible assets, net

 

 

98,803

 

 

 

117,490

 

Goodwill

 

 

194,934

 

 

 

194,934

 

Other long-term assets

 

 

26,468

 

 

 

33,388

 

Total assets

 

$

893,294

 

 

$

925,315

 

Liabilities and shareholders’ equity

 

 

 

 

 

 

Current liabilities

 

 

 

 

 

 

Accounts payable

 

$

48,803

 

 

$

58,357

 

Current portion of long-term debt

 

 

 

 

 

1,250

 

Current portion of finance lease liability

 

 

755

 

 

 

708

 

Other current liabilities

 

 

119,070

 

 

 

104,908

 

Total current liabilities

 

 

168,628

 

 

 

165,223

 

Long-term debt

 

 

157,015

 

 

 

93,107

 

Long-term portion of finance lease liability

 

 

17,835

 

 

 

18,532

 

Other long-term liabilities

 

 

46,692

 

 

 

49,723

 

Total liabilities

 

 

390,170

 

 

 

326,585

 

Contingencies

 

 

 

 

 

 

Shareholders’ equity

 

 

 

 

 

 

Common shares $0.10 par value; 100,000 shares authorized;
   38,486 and 37,165 issued and outstanding as of December 31,
   2024 and 2023, respectively

 

 

3,849

 

 

 

3,717

 

Additional paid-in capital

 

 

779,718

 

 

 

746,450

 

Accumulated deficit

 

 

(276,141

)

 

 

(150,144

)

Accumulated other comprehensive loss

 

 

(4,302

)

 

 

(1,293

)

Total shareholders’ equity

 

 

503,124

 

 

 

598,730

 

Total liabilities and shareholders’ equity

 

$

893,294

 

 

$

925,315

 

 

6


 

 

ORTHOFIX MEDICAL INC.
Non-GAAP Financial Measures

The following tables present reconciliations of various financial measures calculated in accordance with U.S. generally accepted accounting principles (“GAAP”), to various non-GAAP financial measures that exclude (or in the case of free cash flow, include) items specified in the tables. The GAAP measures shown in the tables below represent the most comparable GAAP measure to the applicable non-GAAP measure(s) shown in the table. For further information regarding the nature of these exclusions, why the Company believes that these non-GAAP financial measures provide useful information to investors, the specific manner in which management uses these measures, and some of the limitations associated with the use of these measures, please refer to the Company's Current Report on Form 8-K regarding this press release filed today with the SEC available on the SEC's website at www.sec.gov and on the “Investors” page of the Company’s website at www.orthofix.com.

Adjusted Gross Profit and Adjusted Gross Margin

 

 

Three Months Ended December 31,

 

 

Year Ended December 31,

 

(Unaudited, U.S. Dollars, in thousands)

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Gross profit

 

$

148,841

 

 

$

136,630

 

 

$

545,885

 

 

$

486,273

 

Share-based compensation expense

 

 

477

 

 

 

462

 

 

 

2,068

 

 

 

1,878

 

SeaSpine merger-related costs

 

 

660

 

 

 

214

 

 

 

6,239

 

 

 

6,861

 

Strategic investments

 

 

32

 

 

 

125

 

 

 

192

 

 

 

389

 

Acquisition-related fair value adjustments

 

 

3,047

 

 

 

7,037

 

 

 

12,188

 

 

 

36,044

 

Amortization/depreciation of acquired long-lived assets

 

 

313

 

 

 

372

 

 

 

1,153

 

 

 

1,196

 

Medical device regulation

 

 

 

 

 

(72

)

 

 

 

 

 

604

 

Adjusted gross profit

 

$

153,370

 

 

$

144,768

 

 

$

567,725

 

 

$

533,245

 

Adjusted gross margin

 

 

71.1

%

 

 

72.2

%

 

 

71.0

%

 

 

71.4

%

Adjusted EBITDA

 

 

Three Months Ended December 31,

 

 

Year Ended December 31,

 

(Unaudited, U.S. Dollars, in thousands)

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Net loss

 

$

(29,147

)

 

$

(22,174

)

 

$

(125,997

)

 

$

(151,395

)

Income tax expense (benefit)

 

 

(564

)

 

 

125

 

 

 

2,122

 

 

 

2,716

 

Interest expense, net

 

 

14,920

 

 

 

4,500

 

 

 

29,631

 

 

 

8,631

 

Depreciation and amortization

 

 

15,994

 

 

 

13,969

 

 

 

60,061

 

 

 

53,063

 

Share-based compensation expense

 

 

7,165

 

 

 

3,167

 

 

 

32,455

 

 

 

35,707

 

Foreign exchange impact

 

 

3,133

 

 

 

(2,638

)

 

 

4,395

 

 

 

(1,581

)

SeaSpine merger-related costs

 

 

1,493

 

 

 

2,261

 

 

 

14,485

 

 

 

36,577

 

Strategic investments

 

 

440

 

 

 

389

 

 

 

910

 

 

 

2,272

 

Acquisition-related fair value adjustments

 

 

3,737

 

 

 

6,486

 

 

 

19,088

 

 

 

33,393

 

(Gain) loss on investments

 

 

 

 

 

1,781

 

 

 

5,120

 

 

 

1,781

 

Litigation and investigation costs

 

 

5,452

 

 

 

8,842

 

 

 

15,770

 

 

 

14,453

 

Succession charges

 

 

1,315

 

 

 

1,006

 

 

 

9,376

 

 

 

1,176

 

Medical device regulation

 

 

 

 

 

1,927

 

 

 

 

 

 

9,492

 

Adjusted EBITDA

 

$

23,938

 

 

$

19,641

 

 

$

67,416

 

 

$

46,285

 

Adjusted EBITDA as % of net sales

 

 

11.1

%

 

 

9.8

%

 

 

8.4

%

 

 

6.2

%

 

7


 

Adjusted Net Income

 

 

Three Months Ended
December 31,

 

 

Year Ended
December 31,

 

(Unaudited, U.S. Dollars, in thousands)

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Net loss

 

$

(29,147

)

 

$

(22,174

)

 

$

(125,997

)

 

$

(151,395

)

Share-based compensation expense

 

 

7,165

 

 

 

3,167

 

 

 

32,455

 

 

 

35,707

 

Foreign exchange impact

 

 

3,132

 

 

 

(2,637

)

 

 

4,395

 

 

 

(1,581

)

SeaSpine merger-related costs

 

 

4,430

 

 

 

2,029

 

 

 

17,864

 

 

 

37,609

 

Strategic investments

 

 

470

 

 

 

405

 

 

 

1,036

 

 

 

2,037

 

Acquisition-related fair value adjustments

 

 

3,737

 

 

 

6,486

 

 

 

19,088

 

 

 

33,393

 

Amortization/depreciation of acquired long-lived assets

 

 

4,837

 

 

 

5,023

 

 

 

19,323

 

 

 

19,994

 

Litigation and investigation costs

 

 

5,452

 

 

 

8,842

 

 

 

15,770

 

 

 

14,453

 

Succession charges

 

 

1,315

 

 

 

1,007

 

 

 

9,376

 

 

 

1,176

 

Medical device regulation

 

 

 

 

 

1,954

 

 

 

 

 

 

9,493

 

Interest and loss on investments

 

 

 

 

 

1,759

 

 

 

5,070

 

 

 

2,098

 

Long-term income tax rate adjustment

 

 

(796

)

 

 

(1,551

)

 

 

1,981

 

 

 

1,120

 

Adjusted net income

 

$

595

 

 

$

4,310

 

 

$

361

 

 

$

4,104

 

Cash Flow and Free Cash Flow

 

 

Year Ended December 31,

 

(U.S. Dollars, in thousands)

 

2024

 

 

2023

 

Net cash provided by (used in) operating activities

 

$

25,790

 

 

$

(45,753

)

Net cash used in investing activities

 

 

(27,580

)

 

 

(33,131

)

Net cash provided by financing activities

 

 

50,709

 

 

 

65,322

 

Effect of exchange rate changes on cash

 

 

(938

)

 

 

619

 

Net change in cash, cash equivalents, and restricted cash

 

$

47,981

 

 

$

(12,943

)

 

 

 

Year Ended December 31,

 

(Unaudited, U.S. Dollars, in thousands)

 

2024

 

 

2023

 

Net cash from operating activities

 

$

25,790

 

 

$

(45,753

)

Capital expenditures

 

 

(34,876

)

 

 

(62,050

)

Free cash flow

 

$

(9,086

)

 

$

(107,803

)

Reconciliation of Non-GAAP Financial Measures to Reported Operating Expenses

 

 

Three Months Ended December 31,

 

 

Year Ended December 31,

 

(Unaudited, U.S. Dollars, in thousands)

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Sales, general, and administrative

 

$

136,479

 

 

$

132,284

 

 

$

532,525

 

 

$

530,395

 

Reconciling items impacting sales, general, and administrative:

 

 

 

 

 

 

 

 

 

 

 

 

Strategic investments

 

 

(4,073

)

 

 

(1,808

)

 

 

(11,674

)

 

 

(28,523

)

Amortization/depreciation of acquired long-lived assets

 

 

(183

)

 

 

(381

)

 

 

(734

)

 

 

(1,393

)

Litigation and investigation costs

 

 

(5,451

)

 

 

(8,842

)

 

 

(15,769

)

 

 

(14,453

)

Succession charges

 

 

(160

)

 

 

(1,007

)

 

 

(8,221

)

 

 

(1,176

)

Medical device regulation

 

 

 

 

 

 

 

 

 

 

 

(11

)

Sales, general, and administrative expense, as adjusted

 

$

126,612

 

 

$

120,246

 

 

$

496,127

 

 

$

484,839

 

Sales, general, and administrative expense as a percentage of net sales, as adjusted

 

 

58.7

%

 

 

60.0

%

 

 

62.1

%

 

 

64.9

%

 

8


 

 

 

 

Three Months Ended December 31,

 

 

Year Ended December 31,

 

(Unaudited, U.S. Dollars, in thousands)

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Research and development expense, as reported

 

$

18,807

 

 

$

18,941

 

 

$

73,643

 

 

$

80,231

 

Reconciling items impacting research and development:

 

 

 

 

 

 

 

 

 

 

 

 

Strategic investments

 

 

(135

)

 

 

(331

)

 

 

(780

)

 

 

(3,061

)

Medical device regulation

 

 

 

 

 

(2,029

)

 

 

 

 

 

(8,883

)

Succession charges

 

 

(1,155

)

 

 

 

 

 

(1,155

)

 

 

-

 

Research and development expense, as adjusted

 

$

17,517

 

 

$

16,581

 

 

$

71,708

 

 

$

68,287

 

Research and development expense as a percentage of net sales, as adjusted

 

 

8.1

%

 

 

8.3

%

 

 

9.0

%

 

 

9.1

%

Reconciliations of Non-GAAP Financial Measures to Reported Non-Operating (Income) Expense

 

 

Three Months Ended December 31,

 

 

Year Ended December 31,

 

(Unaudited, U.S. Dollars, in thousands)

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Non-operating expense

 

$

18,235

 

 

$

3,734

 

 

$

39,256

 

 

$

9,569

 

Reconciling items impacting non-operating expense:

 

 

 

 

 

 

 

 

 

 

 

 

Foreign exchange impact

 

 

(3,133

)

 

 

2,637

 

 

 

(4,396

)

 

 

1,580

 

Strategic investments

 

 

 

 

 

19

 

 

 

 

 

 

(876

)

Interest and loss on investments

 

 

 

 

 

(1,759

)

 

 

(5,070

)

 

 

(2,098

)

Non-operating expense, as adjusted

 

$

15,102

 

 

$

4,631

 

 

$

29,790

 

 

$

8,175

 

Non-operating expense as a percentage of net sales, as adjusted

 

 

7.0

%

 

 

2.3

%

 

 

3.7

%

 

 

1.1

%

 

 

Source

Orthofix Medical Inc.

 

 

###

9


Slide 1

Clear Course for Profitable Growth 4Q and Full-Year 2024 Earnings Call February 25, 2025


Slide 2

Forward-Looking Statements This presentation contains forward-looking statements within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended, and Section 27A of the Securities Act of 1933, as amended, relating to our business and financial outlook, which are based on our current beliefs, assumptions, intentions, plans, expectations, estimates, forecasts and projections. In some cases, you can identify forward-looking statements by terminology such as “may,” “will,” “should,” “expects,” “plans,” “anticipates,” “believes,” “estimates,” “projects,” “intends,” “predicts,” “potential,” or “continue” or other comparable terminology. Forward-looking statements in this presentation include the Company's expectations regarding net sales, adjusted EBITDA, and free cash flow for the year ended December 31, 2025, and its three-year financial targets for 2025 through 2027. Forward-looking statements are not guarantees of our future performance, are based on our current expectations and assumptions regarding our business, the economy and other future conditions, and are subject to risks, uncertainties and changes in circumstances that are difficult to predict, including the risks described in Part I, Item 1A under the heading Risk Factors in our Annual Report on Form 10-K for the year ended December 31, 2024. Factors that could cause future results to differ from those expressed by forward-looking statements include, but are not limited to, (i) our ability to maintain operations to support our customers and patients in the near-term and to capitalize on future growth opportunities, (ii) risks associated with acceptance of surgical products and procedures by surgeons and hospitals, (iii) development and acceptance of new products or product enhancements, (iv) clinical and statistical verification of the benefits achieved via the use of our products, (v) our ability to adequately manage inventory, (vi) our ability to recruit and retain management and key personnel, (vii) our success in defending legal proceedings brought against us, and (viii) the other risks and uncertainties more fully described in our periodic filings with the Securities and Exchange Commission (the “SEC”). As a result of these various risks, our actual outcomes and results may differ materially from those expressed in these forward-looking statements. Further, any forward-looking statement speaks only as of the date hereof, unless it is specifically otherwise stated to be made as of a different date. We undertake no obligation to update, and expressly disclaim any duty to update, our forward-looking statements, whether as a result of circumstances or events that arise after the date hereof, new information, or otherwise, except as required by law. The Company is unable to provide expectations of GAAP net income (loss), the closest comparable GAAP measures to adjusted EBITDA (which is a non-GAAP measure), on a forward-looking basis because the Company is unable to predict, without unreasonable efforts, the ultimate outcome of matters (including acquisition-related expenses, accounting fair value adjustments, and other such items) that will determine the quantitative amount of the items excluded in calculating adjusted EBITDA, which items are further described in the reconciliation tables and related descriptions below. These items are uncertain, depend on various factors, and could be material to the Company’s results computed in accordance with GAAP.


Slide 3

Non-GAAP Financial Measures Management uses certain non-GAAP financial measures in this presentation, most specifically Adjusted EBITDA, Adjusted Gross Margin, Adjusted Net Income and Free Cash Flow, as a supplement to GAAP financial measures to further evaluate the company’s operating performance period over period, analyze the underlying business trends, assess performance relative to competitors and establish operational objectives. ​ Management believes it is important to provide investors with the same non-GAAP metrics it uses to evaluate the performance and underlying trends of the company’s business operations to facilitate comparisons to its historical operating results and evaluate the effectiveness of its operating strategies. Disclosure of these non-GAAP financial measures also facilitates comparisons of the Company’s underlying operating performance with other companies in the industry that also supplement their GAAP results with non-GAAP financial measures.​ Unless noted otherwise, full-year guidance is based on the current foreign currency exchange rates and does not take into account any additional potential exchange rate changes that may occur this year. These non-GAAP financial measures should not be considered in isolation from, or as replacements for, the most directly comparable GAAP financial measures, as these measures are not prepared in accordance with U.S. GAAP.​ Reconciliations between GAAP and non‐GAAP results are included at the end of this presentation and represent the most comparable GAAP measure(s) to the applicable non-GAAP measure(s) shown in the table. For further information regarding the nature of these exclusions, why the Company believes that these non-GAAP financial measures provide useful information to investors, the specific manner in which management uses these measures, and some of the limitations associated with the use of these measures, please refer to the Company's Current Report on Form 8-K regarding this press release filed today with the SEC available on the SEC's website at www.sec.gov and on the “Investors” page of the Company’s website at www.orthofix.com. Amounts may not add due to rounding.​


Slide 4

TAKE OWNERSHIP INNOVATE BOLDLY WIN TOGETHER The unrivaled partner in Med Tech, delivering ​exceptional experiences and life-changing solutions. 4


Slide 5

We are pleased with the performance of the Orthofix team to serve our surgeons and patients and successfully execute our plans throughout 2024. Our fourth quarter results reflect outstanding performance across all three major product lines, providing further evidence that Orthofix’s balanced and complementary product mix offers a differentiated advantage across multiple markets. We enter 2025 with great momentum as two integrated organizations. The entire team remains focused on executing our priorities, and I look forward to leveraging our unique portfolio platform to drive value creation through profitable growth in 2025 and beyond. “ Massimo Calafiore President & Chief Executive Officer ” 5 $23.9M Non-GAAP Adjusted EBITDA2 $4.3M YoY increase and ~130 bps margin expansion $15.2M Free Cash Flow2 Significant improvement in cash usage compared to previous quarters 12% U.S. Spine Fixation3 YoY Net Sales Growth Driven by distribution expansion and penetration in existing accounts 9% Bone Growth Therapies YoY Net Sales Growth 10% Growth in BGT Fracture  71.1% Non-GAAP Adjusted Gross Margin2 Compared to 72.2% for Q4 2023  $215.7M Net Sales 8% Growth YoY as reported and constant currency1 21% U.S. Orthopedics YoY Net Sales Growth U.S. Orthopedics delivered a record quarter, benefiting from strong execution 1 Constant Currency is calculated by applying foreign currency rates applicable to the comparable, prior-year period to present the current period net sales at comparable rates. Constant currency can be presented for numerous GAAP measures, but is commonly used by management to analyze net sales excluding the impact of changes in foreign currency rates. 2 The reasons for and nature of non-GAAP disclosures by the Company, descriptions of the adjustments used to calculate those non-GAAP financial measures, and reconciliations of those non-GAAP financial measures to the most comparable GAAP financial measure, are provided in the Company’s press release issued and Annual Report on Form 10-K filed on February 25, 2025. 3 Spine fixation is comprised of the Company's Spinal Implants product category, excluding motion preservation product offerings. Q4 2024 Financial Highlights


Slide 6

6 Record Q4 net sales results reflect strong execution across all three major product lines where performance was led by strength in our U.S. markets 01 Solid operational execution – Achieved profitability objectives, including $15.2M in free cash flow for Q4, much earlier than originally anticipated 02 Company entered into record number of 7D FLASH™ Navigation System placements for full-year 2024 03 Prudently deploying capital and prioritizing investment in profitable growth opportunities and increased penetration of our technology and product platforms in areas where we can win 04 Executing toward three-year financial targets and building on positive momentum – Company increases long-term net sales CAGR target to 6.5% to 7.5% from previous 6% to 7% 05 Q4 and Full-Year 2024 Key Messages


Slide 7

Q4 2024 Results Summary Fourth Quarter 2024 Results Summary (in millions)           Q4 2024   Q4 2023   Constant Currency Change Bone Growth Therapies $ 63.9 $ 58.8 8.6% Spinal Implants, Biologics, and Enabling Technologies 116.0 111.0 4.5% Global Spine 179.9 169.8 6.0% Global Orthopedics 35.8 30.6 18.1% Total Net Sales $ 215.7 $ 200.4 7.8% Non-GAAP Adjusted Gross Margins 71.1% 72.2% -110 bps Non-GAAP Adjusted EBITDA $ 23.9   $ 19.6   22.3% Q4 Total Net Sales: $215.7M; 7.8% YoY constant currency growth Q4 Non-GAAP Adjusted EBITDA: $23.9M; 11.1% of net sales vs $19.6M in 4Q23; 9.8% of net sales Q4 Non-GAAP Adjusted Gross Margin: 71.1% vs 72.2% in 4Q23  Q4 Non-GAAP Sales & Marketing: $101.1M; 46.9% of net sales vs $96.8M in 4Q23; 48.3% of net sales Q4 Non-GAAP R&D: $17.5M; 8.1% of net sales vs $16.6M in 4Q23; 8.3% of net sales 7 Q4 2024 Total Revenues $215.7M +8% YoY* Bone Growth Therapies $63.9M +9% Global Orthopedics $35.8M +18%* Global Spinal Implants, Biologics, & Enabling Technologies $116.0M +4.5%* International Spinal Implants, Biologics & Enabling Technologies  $9.8M (-6.1%)* U.S. Spinal Implants, Biologics & Enabling Technologies  $106.2M +5.6% 92% 8% * YoY Growth on Constant Currency basis


Slide 8

Full-Year 2024 Results Summary FY24 Total Net Sales: $799.5M; 7.1% YoY constant currency growth FY24 Non-GAAP Adjusted EBITDA: $67.4M; 8.4% of net sales vs $46.2M in FY23; 6.2% of net sales FY24 Non-GAAP Adjusted Gross Margin: 71.0% vs 71.4% in FY23  FY24 Non-GAAP Sales & Marketing: $394.5M; 49.3% of net sales vs $378.3M in FY23; 50.7% of net sales FY24 Non-GAAP R&D: $71.7M; 9.0% of net sales vs $68.3M in FY23; 9.1% of net sales 8 FY 2024 Total Revenues $799.5M +7% YoY* Bone Growth Therapies $233.4M +9.8% Global Orthopedics $124.2M +7.9%* Global Spinal Implants, Biologics, & Enabling Technologies $441.9M +5.5%* International Spinal Implants, Biologics & Enabling Technologies  $36.1M (8.3%)* U.S. Spinal Implants, Biologics & Enabling Technologies  $405.8M +7% 92% 8% * YoY Growth on Constant Currency basis Full-Year 2024 Results Summary (in millions)           FY 2024   FY 2023   Constant Currency Change Bone Growth Therapies $ 233.4 $ 212.5 9.8% Spinal Implants, Biologics, and Enabling Technologies 441.9 418.8 5.5% Global Spine 675.3 631.3 7.0% Global Orthopedics 124.2 115.3 7.9% Total Net Sales $ 799.5 $ 746.6 7.1% Non-GAAP Adjusted Gross Margins 71.0% 71.4% -40 bps Non-GAAP Adjusted EBITDA $ 67.4   $ 46.2   46.0%


Slide 9

Q4 2024 Business Segment Highlights Bone Growth Therapies BGT net sales grew 9% and BGT Fracture grew 10% Successful cross-selling Continued focus on adding new surgeons and competitive surgeon conversions BGT Fracture with AccelStim™ bone growth therapy device continuing to outperform the market Spine U.S. Spine Fixation grew 12%, more than 2x the market rate Healthy double-digit growth across all three franchises: Cervical Fusion, Interbodies and Thoracolumbar Fixation Ongoing limited market release of Reef™ L Lateral Lumbar Interbody and WaveForm™ A Interbody Orthopedics U.S. Orthopedics delivered record net sales and grew 21% Growth led by combination of TrueLok™ and Fitbone™ products and growth in GALAXY™ fixation product family 510(k) clearance and first patient surgeries with TrueLok™ Elevate TBT System – limited launch in progress 9 TBT = Transverse Bone Transport


Slide 10

Improving Financial Strength and Driving Strong, Positive Free Cash Flow Strong Execution and Positive Momentum Towards Free Cash Flow Driving Positive Free Cash Flow Expect to be free cash flow positive for full-year 20251 Drop-through to EBITDA of incremental revenue Working Capital improvements Efficient Working Capital Management Reduction in Inventory Days on Hand (DOH) and Instrument Efficiency Continued improvement in Days Sales Outstanding (DSO) 1 Excluding impact of restructuring charges related to the discontinuation of the M6-C artificial cervical and M6-L artificial lumbar disc product lines, which we expect to be a headwind to 2025 free cash flow


Slide 11

Building on a Strong Foundation – Transformation Focused on Accelerating Excellence At an Inflection Point in Our Journey Focused on Strategic, Operational, and Financial Discipline RECENT ACCOMPLISHMENTS AND TRANSFORMATIVE ACTIONS Building on clear competitive advantages Delivering consistent execution – reached profitability objectives, including positive free cash flow (FCF) for 2H24 Supporting profitable growth with disciplined capital deployment Continuing on track with SeaSpine integration and capturing synergies Driving a culture of execution and accountability through new, world-class management team CONTINUED LEADERSHIP FOCUS AREAS – MULTIPLE LEVERS FOR PROFITABLE GROWTH Innovation Focus Continued development of differentiated products to meet diverse surgeon preferences Commercial Strategy Enhancement Deeper market penetration through comprehensive portfolio offerings Technology Leadership Harnessing advanced systems for improved surgical outcomes and efficiency Growth Sustainability Emphasis on high-quality revenue streams and operational excellence Cash Flow Management Strategic financial planning to sustain positive FCF


Slide 12

Comprehensive Portfolio of Transformative Solutions Improved Clinical Efficiencies and Economic Value with 7D Enabling Technology Established Distribution Channels and Extensive Global Commercial Reach Large Addressable Markets with High- Growth Opportunities Across Continuum of Care World-Class, Visionary Leadership Team with Deep Sector Expertise Expanding and Deepening Customer Relationships 12 Capitalizing on Clear Competitive Advantages


Slide 13

Total Addressable Market 2025 – 2027 Expected Market Growth Rate Spinal Implants ~$10.1B ~3% – 4% Bone Growth Therapies ~$0.6B ~2% – 3% Biologics ~$2.1B ~2% – 3% Orthopedics ~$1.7B ~5% – 6% Enabling Technologies ~$0.4B ~10% – 12% Addressable Markets ~$15B within Full Continuum of Care Significant Runway Ahead for Further Above-Market Growth Well-Positioned for Favorable Macro Trends Aging Population Digital Healthcare AI and Machine Learning Enabling Technology Advancement Evolving Standards of Care


Slide 14

Spinal Implants Executing Innovation and Taking Share Select Product Examples Market Overview Sales channel optimization for growth, cross-selling, and OPEX leverage Pull through from lateral, cervical, and 7D earnouts Best-in-class implants to improve patient outcomes Interbody Cervical Thoracolumbar Fixation NorthStar™ OCT Mariner™ Deformity WaveForm™ (3D Printed) Explorer™ (Expandable) Reef™ (IBDs) ~$10.1B TAM1 Thoracolumbar Fixation Significant share capture opportunity ~3% – 4% market growth rate (2025 – 2027) Interbody Significant share capture opportunity ~3% – 4% market growth rate (2025 – 2027) Cervical Significant share capture opportunity ~3% – 4% market growth rate (2025 – 2027) OFIX Growth Drivers Shoreline™ ACS Wayfinder™ Phoenix™ MIS Meridian™ 1 U.S. Total Addressable Market. Sources: iData Research Inc.; U.S. Market Report for Spinal Implants and VCF; SmartTrak US Spine Market Report; Internal OFIX estimates Supporting Clinicians and Patients through Continuous Innovation of Procedure Solutions Comprehensive, best-in-class spinal implants designed to work in concert with 7D Navigation and biologics to support improved clinical outcomes Focus on deformity correction and experts in cervical fixation and material science


Slide 15

AccelStim™ SpinalStim™ PhysioStim™ CervicalStim™ Complex Foot & Ankle Reconstruction and Fracture Management Bone Growth Therapies Maximizing #1 Market Position Growing Above Market through Innovation and Expansion Safe, effective, non-surgical alternative to aid in bone healing of fracture management and high-risk spine fusions Most comprehensive portfolio of bone growth stimulation devices Most indications on the market to aid in bone healing solutions Select Product Examples #1 prescribed bone growth stimulator First to offer free recycling for patients to properly dispose their devices PEMF technology approved since 1986 Prescribed devices 1,100,000+ Spine Fusion Therapy Market Overview Procedural selling focused on cross-selling with orthopedics and spine New market channels with established sales representatives AccelStim growth to penetrate Fracture market ~$0.6B TAM1 Spine #1 Position ~2% – 3% market growth rate (2025 – 2027) Fracture #2 Position ~2% – 3% market growth rate (2025 – 2027) OFIX Growth Drivers Note: PEMF = Pulsed Electromagnetic Field. 1 U.S. Total Addressable Market.


Slide 16

Biologics Growing from a Position of Strength Strategically Introducing New Products to Capture Additional Market Share Full spectrum of biologic solutions to enhance fusion process and promote bone repair and growth Provide industry leading, best-in-class products in each of the major bone grafting categories Select Product Examples Demineralized Bone Matrix OsteoSurge™ 300 OsteoStrand™ Plus Synthetic Procedure-Specific OsteoCove™ OsteoBallast™ Market Overview Opportunities in current portfolio and spine Product innovation with clinical research Disc regeneration, channel expansion options ~$2.1B TAM1 Synthetic Significant share capture opportunity ~2% – 3% market growth rate (2025 – 2027) Cellular Allograft #2 Position ~2% – 3% market growth rate (2025 – 2027) OFIX Growth Drivers Trinity Elite™ Cellular Allograft Growth Factors, Other Do not participate 1 Global Total Addressable Market, including Growth Factors. Demineralized Bone Matrix #2 Position ~2% – 3% market growth rate (2025 – 2027)


Slide 17

Orthopedics Redefining Limb Reconstruction Proven Leader with Room to Grow through Innovation of Hardware and Digital Solutions Enabling Technologies - OrthoNext™ 1 Global Total Addressable Market. Select Product Examples Unique portfolio of limb reconstruction solutions, addressing the most challenging orthopedic conditions in patients of all ages Galaxy Gemini™ Complex Fracture Management Fitbone™ Limb Lengthening TL-HEX™ Extremity Deformity Correction TrueLok Elevate™ TBT Market Overview Accelerating U.S. growth and expanding position Global sales channel optimization through execution and focused distribution New product platforms with next-gen digital capabilities OFIX Growth Drivers ~$1.7B TAM1 Complex Fracture Management Significant share capture opportunity ~3% – 4% market growth rate (2025 – 2027) Limb Lengthening Significant share capture opportunity ~7% – 8% market growth rate (2025 – 2027) Extremity Deformity Correction & Limb Restoration Significant share capture opportunity ~5% – 6% market growth rate (2025 – 2027) Limb Preservation


Slide 18

Enabling Technologies Empowering Excellence with Real-Time, Integrated Smart Technologies Capturing Significant Opportunity to Leverage Technology and Expand Share in Spine FLASHTM Navigation with 7D Technology, world’s leading, zero-radiation1 spine image-guided surgery system Allows surgeons to perform fast, cost-effective, and radiation-free surgery Pacesetting leader for open spine procedures and deformity correction Open and Percutaneous Spine Modules2 Market Overview OFIX Growth Drivers 7D deployments through commercial financing structures and product pull through Product integration with spinal implant portfolio Digital ecosystem expansion (pre-op planning, intra-op navigation, and post-op care) ~$0.4B TAM3 Spinal Navigation Significant share capture opportunity ~10% – 12% market growth rate (2025 – 2027) FLASH™ Navigation with 7D Technology Product Example Significant Focus in Spine 1 Based on a pre-op CT or MRI, no intra-op radiation is required using Open Spine Module, eliminating exposure to surgeons, staff, and patients. Intra-op radiation is required for Percutaneous Module. 2 ~40% of U.S. installed base has cranial module. 3 Global Total Addressable Market.


Slide 19

Innovation Spotlight – FLASHTM Navigation with 7D Technology Technology Differentiates Portfolio While Enabling Service to Full Continuum of Surgical Care 97.8% reduction in intraoperative radiation during adult degenerative spinal fusions1* Revolutionizing Spinal Navigation Created Meaningful Advantages with FLASHTM Navigation with 7D Technology 61% reduction in intraoperative radiation during complex pediatric deformity spinal fusions2* 98.8% accurate with no pedicle breach1* 94% faster than intraoperative CT-based systems3* 63.6 minutes saved per case4* Flexible Selling Models to Meet Unique Needs of Facility First and only image-guided surgery system featuring 7D’s machine-vision technology, allowing surgeons to perform fast, cost-effective, radiation-free IGS Capital Purchase Lease “Earnout” through purchase of spine hardware and/or biologics; creating recurring revenue stream and stronger customer relationships Voyager Earnout Program *Not an Orthofix sponsored clinical study. 1 Malham GM, Munday NR. Comparison of novel machine vision spinal image guidance system with existing 3D fluoroscopy-based navigation system: a randomized prospective study. Spine J. 2022 Apr;22(4):561-569. doi: 10.1016/j.spinee.2021.10.002. Epub 2021 Oct 16. PMID: 34666179. 2 Comstock, Christopher P. MD; Wait, Eric MD. Novel Machine Vision Image Guidance System Significantly Reduces Procedural Time and Radiation Exposure Compared With 2-dimensional Fluoroscopy-based Guidance in Pediatric Deformity Surgery. Journal of Pediatric Orthopaedics ():10.1097/BPO.0000000000002377, March 6, 2023. | DOI: 10.1097/ BPO.0000000000002377 3 Jakubovic R, Guha D, Gupta S, et al. High speed, high density intraoperative 3D optical topographical imaging with efficient registration to MRI and CT for craniospinal surgical navigation. Sci Rep. 2018;8:14894. doi:10.1038/s41598-018-32424-z. 4 Lim KBL, Yeo ISX, Ng SWL, Pan WJ, Lee NKL. The machine-vision image guided surgery system reduces fluoroscopy time, ionizing radiation and intraoperative blood loss in posterior spinal fusion for scoliosis. Eur Spine J. 2023 Jul 10. doi: 10.1007/s00586-023-07848-5. Epub ahead of print. PMID: 37428212.Stewart G. Visible Light Navigation in Spine Surgery: My Experience With My First 150 Cases. Int J Spine Surg. 2022 Oct;16(S2):S28-S36. doi: 10.14444/8274. Epub 2022 Aug 5. PMID: 36456113; PMCID: PMC9808787.


Slide 20

Significant Cross-Portfolio Commercial Opportunities Bone Growth Therapies (BGT) Combined portfolio with Biologics to target Trauma surgeons Combine with select Orthopedics product lines Expanding domestically through legacy SeaSpine distribution and orthopedics Expand internationally via Orthopedics Channels Biologics Expand cross-selling with U.S. Orthopedics channels Spine Maximize procedural selling opportunity with Biologics, 7D, and BGT Orthopedics Maximize procedural selling opportunity with Biologics, BGT, and Enabling Technologies Enabling Technologies (ET) Focus on 7D equipment placements to drive recurring implant usage Leverage investment and drive synergistic approach across the portfolio


Slide 21

Looking Forward – Accelerating Our Profitable Growth Engine Advancing Toward Our Goals for Consistent Above-Market Growth, Improved Profitability, and Positive Free Cash Flow Invest in Differentiated Technologies in Areas Where We Can Win and Lead Innovation Capitalize on Multiple Access Points to Grow Business at Sustained, Above-Market Rates Operate with Discipline for Margin Expansion Improve Financial Strength and Drive Strong, Positive Cash Flow


Slide 22

Full-Year 2025 Guidance1 $818M – $826M Net Sales $82M – $86M Adjusted EBITDA Positive Free Cash Flow for 2025² 1 As of the Company’s Q4 2024 Earnings Call hosted on 2/25/2025. Inclusion of this information in this presentation is not a confirmation or an update of, and should not be construed or otherwise assumed to reflect any confirmation or update of, that guidance by Orthofix leadership as of any date other than 2/25/2025. Net sales range of $818 million to $826 million excludes sales from the discontinued M6 artificial disc product lines and includes a negative impact from foreign currency of approximately $4 million, or 50 basis points, on a reported basis, as compared to the full-year 2024. The Company’s expected net sales represent implied constant currency growth of 6.5% year-over-year at midpoint of the range. This guidance range is based on current foreign currency exchange rates and does not take into account any additional potential exchange rate changes that may occur this year. 2 Excluding impact of restructuring charges related to the discontinuation of the M6-C artificial cervical and M6-L artificial lumbar disc product lines, which we expect to be a headwind to 2025 free cash flow


Slide 23

Strategy is Driving Long-Term Profitable Growth – Increased Net Sales CAGR in 2027 Financial Goals Growth Engine Pillars Assumptions **6.5% – 7.5%** Net Sales CAGR (2025 – 2027) Mid-Teens Adj. EBITDA (Full-year 2027) Positive Free Cash Flow Generation1 (2025 – 2027) Sustained market demand: weighted average market growth of ~4% – 5% Includes negative pricing impact of 1% to 2% No material change in reimbursement or regulatory environment ~300 bps of Gross Margin expansion over period Capture remaining merger synergies Fixed cost leverage, moderating expense growth Driven by continued Adj. EBITDA improvement Reduction in inventory DOH Improved instrument utilization Differentiated Technologies Multiple Access Points Margin Expansion Strong Cash Flow 2027 Financial Targets **Increased from 6% - 7%** 1 Excluding impact of restructuring charges related to the discontinuation of the M6-C artificial cervical and M6-L artificial lumbar disc product lines, which we expect to be a headwind to 2025 free cash flow


Slide 24

Investment Summary – Why Invest in Orthofix? 01 Strong fundamentals with profitable growth opportunity and compelling value proposition across diverse portfolio 02 More focused commercial strategy with robust innovation pipeline complemented by successful cross-selling 03 New leadership team well-positioned to implement strategic vision and achieve sustainable, profitable growth across portfolio 04 Improved operational execution; achieved profitability objectives, including positive free cash flow for second half of 2024, much earlier than originally anticipated 05 New 2027 financial targets reflect confidence in sustainable growth trends and commercial strategy and execution


Slide 25

For additional information, please contact: Julie Dewey, IRC Chief IR & Communications Officer juliedewey@orthofix.com 209-613-6945 www.Orthofix.com NASDAQ: OFIX


Slide 26

Financial and Non-GAAP Reconciliation Tables Appendix


Slide 27

Net Sales by Major Product Category by Reporting Segment     Three Months Ended December 31,   (Unaudited, U.S. Dollars, in millions)   2024     2023     Change     Constant Currency Change   Bone Growth Therapies   $ 63.9     $ 58.8       8.6 %     8.6 % Spinal Implants, Biologics, and Enabling Technologies     116.0       111.0       4.5 %     4.5 % Global Spine     179.9       169.8       5.9 %     6.0 % Global Orthopedics     35.8       30.6       16.8 %     18.1 % Net sales   $ 215.7     $ 200.4       7.6 %     7.8 %     Year Ended December 31,   (Unaudited, U.S. Dollars, in millions)   2024     2023     Change     Constant Currency Change   Bone Growth Therapies   $ 233.4     $ 212.5       9.8 %     9.8 % Spinal Implants, Biologics, and Enabling Technologies     441.9       418.8       5.5 %     5.5 % Global Spine     675.3       631.3       7.0 %     7.0 % Global Orthopedics     124.2       115.3       7.7 %     7.9 % Net sales   $ 799.5     $ 746.6       7.1 %     7.1 %


Slide 28

Condensed Consolidated Balance Sheets (U.S. Dollars, in thousands, except par value data)   December 31, 2024     December 31, 2023                 Assets             Current assets             Cash and cash equivalents   $ 83,238     $ 33,107   Restricted cash     2,500       4,650   Accounts receivable, net of allowances of $7,418 and $7,130, respectively     134,713       128,098   Inventories     189,452       222,166   Prepaid expenses and other current assets     23,382       32,422   Total current assets     433,285       420,443   Property, plant, and equipment, net     139,804       159,060   Intangible assets, net     98,803       117,490   Goodwill     194,934       194,934   Other long-term assets     26,468       33,388   Total assets   $ 893,294     $ 925,315   Liabilities and shareholders’ equity             Current liabilities             Accounts payable   $ 48,803     $ 58,357   Current portion of long-term debt     —       1,250   Current portion of finance lease liability     755       708   Other current liabilities     119,070       104,908   Total current liabilities     168,628       165,223   Long-term debt     157,015       93,107   Long-term portion of finance lease liability     17,835       18,532   Other long-term liabilities     46,692       49,723   Total liabilities     390,170       326,585   Contingencies             Shareholders’ equity             Common shares $0.10 par value; 100,000 shares authorized; 38,486 and 37,165 issued and outstanding as of December 31, 2024 and 2023, respectively     3,849       3,717   Additional paid-in capital     779,718       746,450   Accumulated deficit     (276,141 )     (150,144 ) Accumulated other comprehensive loss     (4,302 )     (1,293 ) Total shareholders’ equity     503,124       598,730   Total liabilities and shareholders’ equity   $ 893,294     $ 925,315  


Slide 29

Condensed Consolidated Statements of Operations     Three Months Ended     Year Ended       December 31,     December 31,   (U.S. Dollars, in thousands, except share and per share data)   2024     2023     2024     2023       (Unaudited)         Net sales   $ 215,657     $ 200,415     $ 799,491     $ 746,641   Cost of sales     66,816       63,785       253,606       260,368   Gross profit     148,841       136,630       545,885       486,273   Sales, general, and administrative     136,479       132,284       532,525       530,395   Research and development     18,807       18,941       73,643       80,231   Acquisition-related amortization and remeasurement     5,031       3,720       24,336       14,757   Operating loss     (11,476 )     (18,315 )     (84,619 )     (139,110 ) Interest expense, net     (14,920 )     (4,500 )     (29,631 )     (8,631 ) Other income (expense), net     (3,315 )     766       (9,625 )     (938 ) Loss before income taxes     (29,711 )     (22,049 )     (123,875 )     (148,679 ) Income tax benefit (expense)     564       (125 )     (2,122 )     (2,716 ) Net loss   $ (29,147 )   $ (22,174 )   $ (125,997 )   $ (151,395 )                           Net loss per common share:                         Basic   $ (0.75 )   $ (0.59 )   $ (3.30 )   $ (4.12 ) Diluted     (0.75 )     (0.59 )     (3.30 )     (4.12 ) Weighted average number of common shares (in millions):                         Basic     38.7       37.3       38.1       36.7   Diluted     38.7       37.3       38.1       36.7  


Slide 30

Adjusted Gross Profit and Adjusted Gross Margin     Three Months Ended December 31,     Year Ended December 31,   (Unaudited, U.S. Dollars, in thousands)   2024     2023     2024     2023   Gross profit   $ 148,841     $ 136,630     $ 545,885     $ 486,273   Share-based compensation expense     477       462       2,068       1,878   SeaSpine merger-related costs     660       214       6,239       6,861   Strategic investments     32       125       192       389   Acquisition-related fair value adjustments     3,047       7,037       12,188       36,044   Amortization/depreciation of acquired long-lived assets     313       372       1,153       1,196   Medical device regulation     —       (72 )     —       604   Adjusted gross profit   $ 153,370     $ 144,768     $ 567,725     $ 533,245   Adjusted gross margin     71.1 %     72.2 %     71.0 %     71.4 %


Slide 31

Adjusted EBITDA     Three Months Ended December 31,     Year Ended December 31,   (Unaudited, U.S. Dollars, in thousands)   2024     2023     2024     2023   Net loss   $ (29,147 )   $ (22,174 )   $ (125,997 )   $ (151,395 ) Income tax expense (benefit)     (564 )     125       2,122       2,716   Interest expense, net     14,920       4,500       29,631       8,631   Depreciation and amortization     15,994       13,969       60,061       53,063   Share-based compensation expense     7,165       3,167       32,455       35,707   Foreign exchange impact     3,133       (2,638 )     4,395       (1,581 ) SeaSpine merger-related costs     1,493       2,261       14,485       36,577   Strategic investments     440       389       910       2,272   Acquisition-related fair value adjustments     3,737       6,486       19,088       33,393   (Gain) loss on investments     —       1,781       5,120       1,781   Litigation and investigation costs     5,452       8,842       15,770       14,453   Succession charges     1,315       1,006       9,376       1,176   Medical device regulation     —       1,927       —       9,492   Adjusted EBITDA   $ 23,938     $ 19,641     $ 67,416     $ 46,285   Adjusted EBITDA as % of net sales     11.1 %     9.8 %     8.4 %     6.2 %


Slide 32

Adjusted Net Income     Three Months Ended December 31,     Year Ended December 31,   (Unaudited, U.S. Dollars, in thousands)   2024     2023     2024     2023   Net loss   $ (29,147 )   $ (22,174 )   $ (125,997 )   $ (151,395 ) Share-based compensation expense     7,165       3,167       32,455       35,707   Foreign exchange impact     3,132       (2,637 )     4,395       (1,581 ) SeaSpine merger-related costs     4,430       2,029       17,864       37,609   Strategic investments     470       405       1,036       2,037   Acquisition-related fair value adjustments     3,737       6,486       19,088       33,393   Amortization/depreciation of acquired long-lived assets     4,837       5,023       19,323       19,994   Litigation and investigation costs     5,452       8,842       15,770       14,453   Succession charges     1,315       1,007       9,376       1,176   Medical device regulation     —       1,954       —       9,493   Interest and loss on investments     —       1,759       5,070       2,098   Long-term income tax rate adjustment     (796 )     (1,551 )     1,981       1,120   Adjusted net income   $ 595     $ 4,310     $ 361     $ 4,104  


Slide 33

Cash Flow and Free Cash Flow     Year Ended December 31,   (U.S. Dollars, in thousands)   2024     2023   Net cash provided by (used in) operating activities   $ 25,790     $ (45,753 ) Net cash used in investing activities     (27,580 )     (33,131 ) Net cash provided by financing activities     50,709       65,322   Effect of exchange rate changes on cash     (938 )     619   Net change in cash, cash equivalents, and restricted cash   $ 47,981     $ (12,943 )     Year Ended December 31,   (Unaudited, U.S. Dollars, in thousands)   2024     2023   Net cash from operating activities   $ 25,790     $ (45,753 ) Capital expenditures     (34,876 )     (62,050 ) Free cash flow   $ (9,086 )   $ (107,803 )

v3.25.0.1
Document And Entity Information
Feb. 25, 2025
Cover [Abstract]  
Document Type 8-K
Amendment Flag false
Document Period End Date Feb. 25, 2025
Entity Registrant Name ORTHOFIX MEDICAL INC.
Entity Central Index Key 0000884624
Entity Emerging Growth Company false
Entity File Number 000-19961
Entity Incorporation, State or Country Code DE
Entity Tax Identification Number 98-1340767
Entity Address, Address Line One 3451 Plano Parkway
Entity Address, City or Town Lewisville
Entity Address, State or Province TX
Entity Address, Postal Zip Code 75056
City Area Code (214)
Local Phone Number 937-2000
Written Communications false
Soliciting Material false
Pre-commencement Tender Offer false
Pre-commencement Issuer Tender Offer false
Title of 12(b) Security Common stock, $0.10 par value per share
Trading Symbol OFIX
Security Exchange Name NASDAQ

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