OrthoPediatrics Corp. Reports Fourth Quarter and Full Year 2023 Financial Results
- Record full-year 2023 revenue of $148.7 million, a 22% increase from the prior year.
- Helped nearly 20,000 children in Q4 2023 and around 82,000 in full-year 2023, totaling over 710,000 kids assisted.
- Generated $37.6 million in revenue in Q4 2023, up 21% from Q4 2022.
- Achieved record full-year adjusted EBITDA of $5.0 million in 2023.
- Launched 8 new products in 2023, including the RESPONSE™ Power Scoliosis System and GIRO® Growth Modulation System.
- Acquired Boston Orthotics & Prosthetics to enhance their specialty bracing division.
- Strengthened balance sheet with $80 million debt financing.
- Reiterated full-year 2024 revenue guidance of $197.0 million to $200.0 million, projecting 32% to 34% growth compared to 2023.
- None.
Insights
The reported increase in OrthoPediatrics Corp.'s full-year revenue by 22% signifies a robust performance in the pediatric orthopedics market. This growth trajectory, particularly in the domestic market, suggests a strong demand for the company's specialized products. The 20% and 26% upticks in domestic and international revenue, respectively, indicate successful market penetration and potential for global expansion.
The record adjusted EBITDA of $5.0 million, a substantial rise from the previous year's $0.2 million, reflects improved operational efficiency and cost management. This is a critical metric for investors as it demonstrates the company's ability to generate profit while managing expenses. It's also noteworthy that the gross profit margin improved slightly, which could be attributed to a strategic shift in sales or improved cost structures. The balance sheet has been strengthened with $80 million in debt financing, which could support future growth but also adds leverage that needs to be monitored.
OrthoPediatrics' launch of 8 new products in 2023, including innovative systems like the RESPONSE™ Power Scoliosis System, indicates a commitment to maintaining a competitive edge through R&D. This strategy can contribute to sustained growth as new products often carry higher margins and can drive market share gains. The acquisition of Boston Orthotics & Prosthetics is a strategic move, diversifying the company's portfolio and potentially opening new revenue streams through its pediatric orthotics management business.
However, the segment-specific performance, with Trauma and Deformity outperforming Scoliosis internationally, suggests varying growth rates across product lines. This could imply the need for targeted strategies in different regions and product categories. The company's guidance for 2024 forecasts significant revenue growth, which may reflect confidence in their product pipeline and market strategy but should be viewed with cautious optimism by stakeholders.
The financial results of OrthoPediatrics underscore the economic implications of specializing in niche medical markets like pediatric orthopedics. The company's ability to nearly double its adjusted EBITDA margin indicates not only a growing market but also an effective response to the economic challenges of scaling up operations in a specialized field. The investment in R&D, product development and strategic acquisitions could be seen as a long-term economic investment in maintaining a competitive advantage in a healthcare sector that may have lower price sensitivity due to the specialized nature of the products.
However, the increased operating expenses highlight the economic trade-offs associated with expansion. While necessary for growth, they must be carefully balanced against revenue growth to ensure long-term financial sustainability. The forward-looking revenue guidance suggests an optimistic economic outlook for the company, though it must be aware of broader economic conditions that could affect hospital budgets and, consequently, demand for medical devices.
Record full year 2023 revenue of
WARSAW, Ind., March 06, 2024 (GLOBE NEWSWIRE) -- OrthoPediatrics Corp. (“OrthoPediatrics” or the “Company”) (Nasdaq: KIDS), a company focused exclusively on advancing the field of pediatric orthopedics, announced today its financial results for the fourth quarter and full year ended December 31, 2023.
Fourth Quarter and Full Year 2023 & Recent Business Highlights
- Helped nearly 20,000 children in the fourth quarter 2023 and approximately 82,000 for full year 2023, bringing the total to over 710,000 since the inception of OrthoPediatrics, including Boston Orthotics & Prosthetics, the combined organizations have helped more than 1.0 million kids
- Generated total revenue of
$37.6 million for fourth quarter 2023, up21% from$31.0 million in fourth quarter 2022; domestic revenue increased24% and international revenue increased13% in the quarter - Generated record total annual revenue of
$148.7 million for full year 2023, up22% from$122.3 million in 2022; domestic revenue increased20% and international revenue increased26% in 2023 - Achieved record full year adjusted EBITDA of
$5.0 million in 2023, compared to$0.2 million in 2022 - Launched 8 new products in 2023 including the RESPONSE™ Power Scoliosis System, GIRO® Growth Modulation System, Pediatric Nailing Platform Tibia System, DF2® Brace, Mitchell Ponseti® Plus Bar (“MP+"), and the Levity Device
- Announced acquisition of Boston Orthotics & Prosthetics, expanding OrthoPediatrics Specialty Bracing Division "OPSB" with pediatric orthotics management business offering leading technology and pediatric care through dedicated clinics
- Strengthened balance sheet by closing
$80 million debt financing to support the Boston Orthotics & Prosthetics acquisition and future business requirements - Reiterated full year 2024 revenue guidance to be in a range of
$197.0 million to$200.0 million , representing growth of32% to34% compared to 2023
“2023 was another strong year for OrthoPediatrics as we delivered record top-line results and outperformed our adjusted EBITDA expectations. We continue to benefit from an extremely diverse business from which we saw strength across all segments this year. Both our trauma and deformity and scoliosis businesses continue to capture market share and drive growth,” commented David Bailey, President & CEO of OrthoPediatrics. “Looking ahead, we believe we are in an extremely strong position for 2024 and we have the right drivers in place to sustain our strong revenue and profitability growth. We look forward to helping the next million kids with our portfolio of the most advanced pediatric orthopedic solutions."
Fourth Quarter and Full Year 2023 Financial Results
Total revenue for the fourth quarter of 2023 was
Total revenue for the full year 2023 was
Trauma and Deformity revenue for the fourth quarter of 2023 was
Trauma and Deformity revenue for the full year 2023 was
Gross profit for the fourth quarter of 2023 was
Total operating expenses for the fourth quarter of 2023 were
Sales and marketing expenses increased
General and administrative expenses increased
Total other income was
Net loss for the fourth quarter of 2023 was
Net loss for the full year 2023 was
Weighted average diluted shares outstanding for the three months ended December 31, 2023 was 22,762,689 shares.
As of December 31, 2023, cash and cash equivalents, short-term investments and restricted cash were
Full Year 2024 Financial Guidance
For full year 2024, the Company expects its revenue to be in the range of
Conference Call
OrthoPediatrics will host a conference call on Thursday, March 7, 2024, at 8:00 a.m. ET to discuss the results. Investors interested in listening to the conference call may do so by accessing a live and archived webcast of the event at www.orthopediatrics.com, on the Investors page in the Events & Presentations section. The webcast will be available for replay for at least 90 days after the event.
Forward-Looking Statements
This press release includes "forward-looking statements" within the meaning of U.S. federal securities laws. You can identify forward-looking statements by the use of words such as "may," "might," "will," "should," "expect," "plan," "anticipate," "could," "believe," "estimate," "project," "target," "predict," "intend," "future," "goals," "potential,” "objective," "would" and other similar expressions. Forward-looking statements involve risks and uncertainties, many of which are beyond OrthoPediatrics’ control. Important factors could cause actual results to differ materially from those in the forward-looking statements, including, among others: the risks related to COVID-19, the impact such pandemic may have on the demand for our products, and our ability to respond to the related challenges; and the risks, uncertainties and factors set forth under "Risk Factors" in OrthoPediatrics’ Annual Report on Form 10-K filed with the SEC on March 1, 2023, as updated and supplemented by our other SEC reports filed from time to time. Forward-looking statements speak only as of the date they are made. OrthoPediatrics assumes no obligation to update forward-looking statements to reflect actual results, subsequent events, or circumstances or other changes affecting such statements except to the extent required by applicable securities laws.
Use of Non-GAAP Financial Measures
This press release includes certain non-GAAP financial measures such as adjusted diluted (loss) earnings per share and Adjusted EBITDA, which differ from financial measures calculated in accordance with U.S. generally accepted accounting principles (“GAAP”). Adjusted loss per share in this press release represents diluted (loss) earnings per share on a GAAP basis, plus the accreted interest attributable to acquisition installment payables, the fair value adjustment of contingent consideration, trademark impairment, acquisition related costs, non-recurring Pega conversion fees, and minimum purchase commitment costs. The fair value adjustment of contingent consideration is associated with our estimates of the value of earn-outs in connection with certain acquisitions. We believe that providing the non-GAAP diluted (loss) earnings per share excluding these expenses, as well as the GAAP measures, assists our investors because such expenses are not reflective of our ongoing operating results. Adjusted EBITDA in this release represents net loss (income), plus interest expense, net plus other expense, provision for income taxes (benefit), depreciation and amortization, trademark impairment, stock-based compensation expense, fair value adjustment of contingent consideration, acquisition related costs, nonrecurring Pega conversion fees, and the cost of minimum purchase commitments. The Company believes the non-GAAP measures provided in this earnings release enable it to further and more consistently analyze the period-to-period financial performance of its core business operating performance. Management uses these metrics as a measure of the Company’s operating performance and for planning purposes, including financial projections. The Company believes these measures are useful to investors as supplemental information because they are frequently used by analysts, investors and other interested parties to evaluate companies in its industry. Adjusted EBITDA is a non-GAAP financial measure and should not be considered as an alternative to, or superior to, net income or loss as a measure of financial performance or cash flows from operations as a measure of liquidity, or any other performance measure derived in accordance with GAAP, and it should not be construed to imply that the Company’s future results will be unaffected by unusual or non-recurring items. In addition, the measure is not intended to be a measure of free cash flow for management’s discretionary use, as it does not reflect certain cash requirements such as debt service requirements, capital expenditures and other cash costs that may recur in the future. Adjusted EBITDA contains certain other limitations, including the failure to reflect our cash expenditures, cash requirements for working capital needs and other potential cash requirements. In evaluating these non-GAAP measures, you should be aware that in the future the Company may incur expenses that are the same or similar to some of the adjustments in this presentation. The Company’s presentation of non-GAAP diluted (loss) earnings per share or Adjusted EBITDA should not be construed to imply that its future results will be unaffected by any such adjustments. Management compensates for these limitations by primarily relying on the Company’s GAAP results in addition to using these adjusted measures on a supplemental basis. The Company’s definition of these measures is not necessarily comparable to other similarly titled captions of other companies due to different methods of calculation. The schedules below contain reconciliations of reported GAAP diluted (loss) earnings per share to non-GAAP diluted (loss) earnings and net (loss) income to non-GAAP Adjusted EBITDA.
About OrthoPediatrics Corp.
Founded in 2006, OrthoPediatrics is an orthopedic company focused exclusively on advancing the field of pediatric orthopedics. As such it has developed the most comprehensive product offering to the pediatric orthopedic market to improve the lives of children with orthopedic conditions. OrthoPediatrics currently markets 71 surgical systems that serve three of the largest categories within the pediatric orthopedic market. This product offering spans trauma and deformity, scoliosis, and sports medicine/other procedures. OrthoPediatrics’ global sales organization is focused exclusively on pediatric orthopedics and distributes its products in the United States and over 70 countries outside the United States. For more information, please visit www.orthopediatrics.com.
Investor Contact
Philip Taylor
Gilmartin Group
philip@gilmartinir.com
415-937-5406
ORTHOPEDIATRICS CORP. CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited) (In Thousands, Except Share Data) | |||||||
December 31, 2023 | December 31, 2022 | ||||||
ASSETS | |||||||
Current assets: | |||||||
Cash | $ | 31,055 | $ | 8,991 | |||
Restricted cash | 1,972 | 1,471 | |||||
Short term investments | 49,251 | 109,299 | |||||
Accounts receivable - trade, net of allowances of | 34,617 | 24,800 | |||||
Inventories, net | 105,851 | 78,192 | |||||
Prepaid expenses and other current assets | 3,750 | 3,966 | |||||
Total current assets | 226,496 | 226,719 | |||||
Property and equipment, net | 41,048 | 34,286 | |||||
Other assets: | |||||||
Amortizable intangible assets, net | 69,275 | 64,980 | |||||
Goodwill | 83,699 | 86,821 | |||||
Other intangible assets | 15,287 | 14,921 | |||||
Other non-current assets | 2,940 | — | |||||
Total other assets | 171,201 | 166,722 | |||||
Total assets | $ | 438,745 | $ | 427,727 | |||
LIABILITIES AND STOCKHOLDERS' EQUITY | |||||||
Current liabilities: | |||||||
Accounts payable - trade | 12,649 | 11,150 | |||||
Accrued compensation and benefits | 11,325 | 6,744 | |||||
Current portion of long-term debt with affiliate | 152 | 144 | |||||
Current portion of acquisition installment payable | 10,149 | 7,815 | |||||
Other current liabilities | 7,391 | 5,018 | |||||
Total current liabilities | 41,666 | 30,871 | |||||
Long-term liabilities: | |||||||
Long-term debt, net of current portion | 9,297 | — | |||||
Long-term debt with affiliate, net of current portion | 611 | 763 | |||||
Acquisition installment payment, net of current portion | 3,551 | 8,019 | |||||
Contingent consideration | — | 2,980 | |||||
Deferred income taxes | 5,483 | 5,954 | |||||
Other long-term liabilities | 1,112 | 492 | |||||
Total long-term liabilities | 20,054 | 18,208 | |||||
Total liabilities | 61,720 | 49,079 | |||||
Stockholders' equity: | |||||||
Common stock, | 6 | 6 | |||||
Additional paid-in capital | 580,287 | 560,810 | |||||
Accumulated deficit | (197,742 | ) | (176,768 | ) | |||
Accumulated other comprehensive loss | (5,526 | ) | (5,400 | ) | |||
Total stockholders' equity | 377,025 | 378,648 | |||||
Total liabilities and stockholders' equity | $ | 438,745 | $ | 427,727 | |||
ORTHOPEDIATRICS CORP. CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (Unaudited) (In Thousands, Except Share and Per Share Data) | |||||||||||||||
Three Months Ended December 31, | Twelve Months Ended December 31, | ||||||||||||||
2023 | 2022 | 2023 | 2022 | ||||||||||||
Net revenue | $ | 37,613 | $ | 30,994 | $ | 148,732 | $ | 122,289 | |||||||
Cost of revenue | 10,899 | 9,770 | 37,479 | 31,629 | |||||||||||
Gross profit | 26,714 | 21,224 | 111,253 | 90,660 | |||||||||||
Operating expenses: | |||||||||||||||
Sales and marketing | 12,439 | 10,945 | 51,402 | 45,053 | |||||||||||
General and administrative | 19,594 | 16,554 | 75,421 | 59,383 | |||||||||||
Trademark impairment | — | — | 985 | 3,609 | |||||||||||
Research and development | 2,747 | 2,034 | 10,196 | 8,014 | |||||||||||
Total operating expenses | 34,780 | 29,533 | 138,004 | 116,059 | |||||||||||
Operating loss | (8,066 | ) | (8,309 | ) | (26,751 | ) | (25,399 | ) | |||||||
Other (income) expenses: | |||||||||||||||
Interest (income) expense, net | (303 | ) | (61 | ) | (198 | ) | 2,424 | ||||||||
Fair value adjustment of contingent consideration | (6 | ) | (480 | ) | (2,980 | ) | (25,930 | ) | |||||||
Other (income) expense, net | (854 | ) | 129 | (2,261 | ) | 1,796 | |||||||||
Total other income | (1,163 | ) | (412 | ) | (5,439 | ) | (21,710 | ) | |||||||
Loss before income taxes | $ | (6,903 | ) | $ | (7,897 | ) | (21,312 | ) | (3,689 | ) | |||||
Provision for income taxes (benefit) | (212 | ) | (48 | ) | (338 | ) | (4,947 | ) | |||||||
Net (loss) income | $ | (6,691 | ) | $ | (7,849 | ) | $ | (20,974 | ) | $ | 1,258 | ||||
Weighted average shares outstanding | |||||||||||||||
Basic | 22,762,689 | 22,473,616 | 22,675,477 | 20,704,556 | |||||||||||
Diluted | 22,762,689 | 22,473,616 | 22,675,477 | 20,947,727 | |||||||||||
Net (loss) income per share | |||||||||||||||
Basic | $ | (0.29 | ) | $ | (0.35 | ) | $ | (0.92 | ) | $ | 0.06 | ||||
Diluted | $ | (0.29 | ) | $ | (0.35 | ) | $ | (0.92 | ) | $ | 0.06 | ||||
ORTHOPEDIATRICS CORP. CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited)(In Thousands) | |||||||
Twelve Months Ended December 31, | |||||||
2023 | 2022 | ||||||
OPERATING ACTIVITIES | |||||||
Net (loss) income | $ | (20,974 | ) | $ | 1,258 | ||
Adjustments to reconcile net loss to net cash used in operating activities: | |||||||
Trademark impairment | 985 | 3,609 | |||||
Depreciation and amortization | 17,385 | 13,099 | |||||
Stock-based compensation | 10,526 | 6,679 | |||||
Fair value adjustment of contingent consideration | (2,980 | ) | (25,930 | ) | |||
Accretion of acquisition installment payable | 1,372 | 2,307 | |||||
Deferred income taxes | (1,163 | ) | (5,032 | ) | |||
Changes in certain current assets and liabilities: | |||||||
Accounts receivable - trade | (9,724 | ) | (3,983 | ) | |||
Inventories | (26,279 | ) | (16,938 | ) | |||
Prepaid expenses and other current assets | 94 | (506 | ) | ||||
Accounts payable - trade | 1,491 | (209 | ) | ||||
Accrued expenses and other liabilities | 6,852 | 3,344 | |||||
Other | (4,631 | ) | 536 | ||||
Net cash used in operating activities | (27,046 | ) | (21,766 | ) | |||
INVESTING ACTIVITIES | |||||||
Acquisition of MedTech, net of cash acquired | (3,097 | ) | — | ||||
Acquisition of Rhino assets | (546 | ) | — | ||||
Acquisition of MDO, net of cash acquired | — | (8,360 | ) | ||||
Acquisition of Pega, net of cash acquired | — | (31,730 | ) | ||||
Purchases of licenses | (2,106 | ) | — | ||||
Sale of short-term marketable securities | 112,904 | 46,872 | |||||
Purchase of short-term marketable securities | (48,600 | ) | (110,122 | ) | |||
Purchases of property and equipment | (16,878 | ) | (10,031 | ) | |||
Net cash provided by (used in) investing activities | 41,677 | (113,371 | ) | ||||
FINANCING ACTIVITIES | |||||||
Payments on debt with affiliate | — | (31,000 | ) | ||||
Proceeds from issuance of debt with affiliate | — | 31,000 | |||||
Proceeds from issuance of debt | 9,424 | — | |||||
Proceeds from issuance of common stock, net of issuance costs | — | 139,282 | |||||
Proceeds from exercise of stock options | 21 | 63 | |||||
Installment payment for ApiFix | (2,000 | ) | (3,234 | ) | |||
Payments on mortgage notes | (144 | ) | (137 | ) | |||
Net cash provided by financing activities | 7,301 | 135,974 | |||||
Effect of exchange rate changes on cash | 633 | 619 | |||||
NET INCREASE IN CASH AND RESTRICTED CASH | 22,565 | 1,456 | |||||
Cash and restricted cash, beginning of period | $ | 10,462 | $ | 9,006 | |||
Cash and restricted cash, end of period | $ | 33,027 | $ | 10,462 | |||
SUPPLEMENTAL DISCLOSURES | |||||||
Cash paid for interest | $ | 42 | $ | 700 | |||
Transfer of instruments between property and equipment and inventory | $ | 57 | $ | (234 | ) | ||
Issuance of common shares for ApiFix acquisition installment | $ | 6,178 | $ | 10,410 | |||
Issuance of common shares to acquire MedTech | $ | 2,274 | $ | — | |||
Issuance of common shares to acquire Rhino assets | $ | 478 | $ | — | |||
Issuance of common shares to acquire MDO | $ | — | $ | 9,707 | |||
Right-of-use assets obtained in exchange for lease liabilities | $ | 706 | $ | 213 | |||
Debt issuance costs not yet paid | $ | 127 | $ | — | |||
ORTHOPEDIATRICS CORP. NET REVENUE BY GEOGRAPHY AND PRODUCT CATEGORY (Unaudited) (In Thousands) | |||||||||||||||
Three Months Ended December 31, | Twelve Months Ended December 31, | ||||||||||||||
Product sales by geographic location: | 2023 | 2022 | 2023 | 2022 | |||||||||||
U.S. | $ | 28,262 | $ | 22,732 | $ | 111,010 | $ | 92,419 | |||||||
International | 9,351 | 8,262 | 37,722 | 29,870 | |||||||||||
Total | $ | 37,613 | $ | 30,994 | $ | 148,732 | $ | 122,289 | |||||||
Three Months Ended December 31, | Twelve Months Ended December 31, | ||||||||||||||
Product sales by category: | 2023 | 2022 | 2023 | 2022 | |||||||||||
Trauma and deformity | $ | 27,066 | $ | 22,080 | $ | 106,781 | $ | 85,055 | |||||||
Scoliosis | 9,663 | 8,044 | 37,933 | 33,428 | |||||||||||
Sports medicine/other | 884 | 870 | 4,018 | 3,806 | |||||||||||
Total | $ | 37,613 | $ | 30,994 | $ | 148,732 | $ | 122,289 | |||||||
ORTHOPEDIATRICS CORP. RECONCILIATION OF NET LOSS (INCOME) TO NON-GAAP ADJUSTED EBITDA (Unaudited) (In Thousands) | |||||||||||||||
Three Months Ended December 31, | Twelve Months Ended December 31, | ||||||||||||||
2023 | 2022 | 2023 | 2022 | ||||||||||||
Net (loss) income | $ | (6,691 | ) | $ | (7,849 | ) | $ | (20,974 | ) | $ | 1,258 | ||||
Interest (income) expense, net | (303 | ) | (61 | ) | (198 | ) | 2,424 | ||||||||
Other (income) expense, net | (854 | ) | 129 | (2,261 | ) | 1,796 | |||||||||
Provision for income taxes (benefit) | (212 | ) | (48 | ) | (338 | ) | (4,947 | ) | |||||||
Depreciation and amortization | 5,479 | 3,843 | 17,385 | 13,422 | |||||||||||
Trademark impairment | — | — | 985 | 3,609 | |||||||||||
Stock-based compensation | 2,516 | 1,568 | 10,526 | 6,677 | |||||||||||
Fair value adjustment of contingent consideration | (6 | ) | (480 | ) | (2,980 | ) | (25,930 | ) | |||||||
Acquisition related costs | 451 | — | 650 | 818 | |||||||||||
Nonrecurring Pega conversion fees | — | — | 277 | — | |||||||||||
Minimum purchase commitment cost | 915 | 662 | 1,968 | 1,100 | |||||||||||
Adjusted EBITDA | $ | 1,295 | $ | (2,236 | ) | $ | 5,040 | $ | 227 | ||||||
ORTHOPEDIATRICS CORP. RECONCILIATION OF DILUTED (LOSS) EARNINGS PER SHARE TO NON-GAAP ADJUSTED DILUTED (LOSS) PER SHARE (Unaudited) | |||||||||||||||
Three Months Ended December 31, | Twelve Months Ended December 31, | ||||||||||||||
2023 | 2022 | 2023 | 2022 | ||||||||||||
(Loss) income per share, diluted (GAAP) | $ | (0.30 | ) | $ | (0.35 | ) | $ | (0.94 | ) | $ | 0.06 | ||||
Accretion of interest attributable to acquisition installment payable | 0.01 | 0.02 | 0.05 | 0.11 | |||||||||||
Fair value adjustment of contingent consideration | — | (0.02 | ) | (0.13 | ) | (1.25 | ) | ||||||||
Trademark impairment | — | — | 0.04 | 0.17 | |||||||||||
Acquisition related costs | 0.02 | — | 0.03 | 0.04 | |||||||||||
Nonrecurring Pega conversion fees | — | — | 0.01 | — | |||||||||||
Minimum purchase commitment cost | 0.04 | 0.03 | 0.09 | 0.05 | |||||||||||
Adjusted loss per share, diluted (non-GAAP) | $ | (0.23 | ) | $ | (0.32 | ) | $ | (0.85 | ) | $ | (0.82 | ) | |||
FAQ
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