Loading...
Access earnings results, analyst expectations, report, slides, earnings call, and transcript.
The company's earnings call highlights strong financial performance, including a 22% revenue growth and improved EBITDA margins. The successful refinancing of convertible notes and share buyback program are positive indicators. While there are minor regulatory and supply chain challenges, the company's optimistic guidance and market expansion plans, particularly in international markets, outweigh these concerns. The Q&A session confirmed growth in sales force productivity and market opportunities, further supporting a positive sentiment. Given the market cap and overall analysis, a 2% to 8% stock price increase is expected.
Total Revenue $169 million, up 22% year-over-year. This growth was driven by a 24% increase in surgical revenue, which accounted for $152 million of the total revenue.
Surgical Revenue $152 million, up 24% year-over-year, representing nearly $30 million in growth. This was supported by an 18% increase in the number of surgeons utilizing ATEC procedures.
EOS Revenue $17 million, up 8% year-over-year, with record order volume contributing to a 28% year-over-year increase in the order book.
Adjusted EBITDA $11 million, equating to a 6% margin, over 800 basis points of improvement year-over-year. This is the second best performance since ATEC's transformation.
Non-GAAP Gross Margin 70%, down 50 basis points year-over-year, primarily driven by product mix.
Non-GAAP R&D Expenses $13 million, approximately 8% of sales, with top line growth driving 230 basis points of leverage.
Non-GAAP SG&A Expenses $111 million, approximately 66% of sales, with a 400 basis points year-over-year improvement from variable expense rate improvement.
Operating Margin 900 basis point expansion year-over-year, driven by disciplined cost management and top line growth.
Cash on Hand $153 million, with an additional $60 million available on the revolving credit line, totaling $213 million in cash and available cash.
Free Cash Use $15 million in Q1, representing a $55 million improvement in cash use over Q1 2024.
New Product Launch: Recently launched a fully integrated corpectomy system that includes implants and a specifically designed retractor for thoracic spine surgeries.
EOS Insight Software: Launched EOS Insight software that automates alignment measures and integrates surgical plans into the operating room.
Market Expansion: Revenue grew 23% in established territories, indicating strong surgeon and territory penetration.
Surgeon Adoption: 18% increase in the number of surgeons utilizing ATEC procedures.
Operational Efficiency: Adjusted EBITDA of $11 million, marking the second-best quarter ever, with a 6% margin.
Cash Management: Free cash use improved by $55 million compared to Q1 2024, with a total cash and available cash of $213 million.
Strategic Shift: Focus on automated informatics to improve surgical outcomes and reduce revision rates in spine surgery.
Sales Force Expansion: Expanding sales force to enhance market presence and surgeon engagement.
Competitive Pressures: The company faces competitive pressures in the spine market, which necessitates continuous innovation and effective sales strategies to maintain and grow market share.
Regulatory Issues: There are potential regulatory challenges that could impact the company's operations, particularly concerning the import of EOS units from France, which are subject to tariffs.
Supply Chain Challenges: The company anticipates modest and transient working capital headwinds that could affect cash flow management.
Economic Factors: Economic conditions may influence the overall healthcare market, impacting revenue growth and profitability.
Cash Flow Management: Despite a strong start to 2025, the company acknowledges the challenges of managing cash flow, particularly in Q1, which is typically a slower period.
Revenue Growth: Achieved revenue growth of 22% in Q1 2025, with surgical growth at 24%.
Surgical Adoption: 18% increase in the number of surgeons utilizing ATEC procedures.
EOS Order Growth: Record EOS order growth, with a 28% year-over-year increase in the order book.
Sales Force Expansion: Continued expansion of the sales force to drive growth.
Technological Advancements: Focus on automated informatics to improve surgical outcomes and reduce revision rates.
New Product Launches: Launched a fully integrated corpectomy system to enhance surgical procedures.
Revenue Outlook: Expecting revenue growth of 20% for full year 2025, targeting approximately $734 million.
Surgical Revenue Growth: Projected surgical revenue growth of 21% to approximately $658 million.
Adjusted EBITDA Guidance: Expecting adjusted EBITDA of $78 million for 2025, up from prior guidance of $75 million.
Cash Flow Expectations: Anticipating cash flow positive for the full year 2025, with Q2 ranging from $0 to $5 million.
Tariff Impact: Estimating low single-digit millions impact on cost of goods sold due to tariffs.
Share Buyback Program: In March, we successfully refinanced our 2026 convertible note. The refinancing effectively pushed out the maturity to 2030, provided dilution protection up to $23.46 and maintained the same low coupon rate of 75 basis points. We used the $405 million of proceeds to pay for the fees and the capped call and bought back 80% of the existing convert, the maximum allowed under creeping tender rules.
The earnings call summary and Q&A session indicate a positive outlook: increased revenue guidance, positive cash flow expectations, strong market position, and upcoming product launches like Valence. While some responses were vague, the overall sentiment from management and analysts is optimistic. The raised guidance and strong market position, coupled with the company's strategic growth and innovation focus, suggest a positive impact on the stock price, particularly given its small-cap status.
The company demonstrated strong revenue and procedural volume growth, with significant same-store sales growth and improved adjusted EBITDA margin. The Q&A section highlighted positive sentiment from analysts, with management providing optimistic guidance and updates on product innovations. Despite a slight decline in gross margin, the overall financial health is robust, with positive free cash flow and cash reserves. The raised guidance for the year and strategic investments in robotics and new product introductions further support a positive outlook.
The company's earnings call highlights strong financial performance, including a 22% revenue growth and improved EBITDA margins. The successful refinancing of convertible notes and share buyback program are positive indicators. While there are minor regulatory and supply chain challenges, the company's optimistic guidance and market expansion plans, particularly in international markets, outweigh these concerns. The Q&A session confirmed growth in sales force productivity and market opportunities, further supporting a positive sentiment. Given the market cap and overall analysis, a 2% to 8% stock price increase is expected.
The earnings call reflects strong financial performance with a 22% revenue increase, improved margins, and positive guidance for 2025. The refinancing of convertible notes is favorable, and management is optimistic about market expansion and product development. While Q&A revealed some uncertainties, overall sentiment is positive, especially with strong surgeon adoption and new market opportunities. Considering the market cap, the stock is likely to experience a positive movement of 2% to 8% in the next two weeks.
All transcripts are sourced directly from the official live webcast or the company’s official investor relations website. We use the exact words spoken during the call with no paraphrasing of the core discussion.
Full verbatim transcripts are typically published within 4–12 hours after the call ends. Same-day availability is guaranteed for all S&P 500 and most mid-cap companies.
No material content is ever changed or summarized in the “Full Transcript” section. We only correct obvious spoken typos (e.g., “um”, “ah”, repeated 10 times”, or clear misspoken ticker symbols) and add speaker names/titles for readability. Every substantive sentence remains 100% as spoken.
When audio quality is poor or multiple speakers talk over each other, we mark the section instead of guessing. This ensures complete accuracy rather than introducing potential errors.
They are generated by a specialized financial-language model trained exclusively on 15+ years of earnings transcripts. The model extracts financial figures, guidance, and tone with 97%+ accuracy and is regularly validated against human analysts. The full raw transcript always remains available for verification.