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Orthofix Reports Third Quarter 2024 Results, Reiterates Full-Year 2024 Financial Guidance, and Introduces New Three-Year Financial Targets

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Orthofix Medical (NASDAQ:OFIX) reported Q3 2024 financial results with net sales of $196.6 million, representing a 7% increase year-over-year. The company reported a net loss of $(27.4) million, or $(0.71) per share. Notable highlights include 18% growth in U.S. Spine Fixation, 9% growth in Bone Growth Therapies, and a record quarter for U.S. Orthopedics with 15% growth. The company maintained its full-year 2024 guidance of $795-800 million in net sales and $64-69 million in adjusted EBITDA, while introducing new 2027 financial targets including 6-7% net sales CAGR from 2025-2027.

Orthofix Medical (NASDAQ:OFIX) ha riportato i risultati finanziari del terzo trimestre 2024 con vendite nette di $196,6 milioni, rappresentando un aumento del 7% rispetto all'anno precedente. L'azienda ha registrato una perdita netta di $(27,4) milioni, ovvero $(0,71) per azione. Tra i punti salienti si evidenziano 18% di crescita nella fissazione spinale negli Stati Uniti, 9% di crescita nelle terapie per la crescita ossea e un trimestre record per l'ortopedia statunitense con un 15% di crescita. L'azienda ha mantenuto le previsioni per l'intero anno 2024, indicando vendite nette tra $795 e $800 milioni e un EBITDA rettificato tra $64 e $69 milioni, introducendo nel contempo nuovi obiettivi finanziari per il 2027, incluso un CAGR delle vendite nette del 6-7% dal 2025 al 2027.

Orthofix Medical (NASDAQ:OFIX) informó sobre los resultados financieros del tercer trimestre de 2024, con ventas netas de $196.6 millones, lo que representa un aumento del 7% en comparación anual. La empresa reportó una pérdida neta de $(27.4) millones, o $(0.71) por acción. Los aspectos destacados incluyen un crecimiento del 18% en la fijación de columna en EE. UU., un crecimiento del 9% en las terapias de crecimiento óseo, y un trimestre récord para la ortopedia en EE. UU. con un 15% de crecimiento. La empresa mantuvo su guía para todo el año 2024 de ventas netas entre $795 y $800 millones, y un EBITDA ajustado de $64 a $69 millones, al tiempo que introdujo nuevos objetivos financieros para 2027, incluyendo un CAGR de ventas netas del 6-7% de 2025 a 2027.

Orthofix Medical (NASDAQ:OFIX)는 2024년 3분기 재무 결과를 보고하며 순매출 $196.6백만 달러를 기록했으며, 이는 전년 대비 7% 증가한 수치입니다. 회사는 순손실 $(27.4)백만 달러, 즉 $(0.71) 주당 손실을 보고했습니다. 주요 하이라이트로는 미국 척추 고정 분야에서 18% 성장, 골 성장 치료 분야에서 9% 성장, 그리고 미국 정형외과에서 15% 성장이라는 기록적인 분기가 포함됩니다. 회사는 2024년 전체 매출 목표를 $795-800백만으로 유지하고, 조정된 EBITDA는 $64-69백만으로 설정하며, 2025-2027년 동안 6-7%의 순매출 CAGR을 포함한 2027년 재무 목표를 새롭게 제시했습니다.

Orthofix Medical (NASDAQ:OFIX) a annoncé les résultats financiers du troisième trimestre 2024 avec des ventes nettes de 196,6 millions de dollars, représentant une augmentation de 7 % par rapport à l'année précédente. L'entreprise a enregistré une perte nette de (27,4) millions de dollars, soit (0,71) par action. Parmi les points saillants, on note une croissance de 18 % dans la fixation de la colonne vertébrale aux États-Unis, une croissance de 9 % dans les thérapies de croissance osseuse, et un trimestre record pour l'orthopédie américaine avec une croissance de 15 %. L'entreprise a maintenu son estimation de ventes nettes pour l'année 2024 entre 795 et 800 millions de dollars et un EBITDA ajusté entre 64 et 69 millions de dollars, tout en présentant de nouveaux objectifs financiers pour 2027, incluant un CAGR des ventes nettes de 6 à 7 % de 2025 à 2027.

Orthofix Medical (NASDAQ:OFIX) hat die finanziellen Ergebnisse für das dritte Quartal 2024 bekannt gegeben, mit Nettoumsätzen von $196,6 Millionen, was einem Anstieg von 7 % im Jahresvergleich entspricht. Das Unternehmen meldete einen Nettoverlust von $(27,4) Millionen, oder $(0,71) pro Aktie. Zu den bemerkenswerten Highlights gehören 18 % Wachstum im Bereich der Wirbelsäulenfixierung in den USA, 9 % Wachstum bei den Knochenwachstums-Therapien, sowie ein Rekordquartal für die US-Orthopädie mit 15 % Wachstum. Das Unternehmen bestätigte seine Prognose für das Gesamtjahr 2024 mit Nettoumsätzen zwischen $795 und $800 Millionen und einem bereinigten EBITDA zwischen $64 und $69 Millionen, während es neue finanzielle Ziele für 2027 einführte, darunter ein CAGR von 6-7 % für Nettoumsätze von 2025 bis 2027.

Positive
  • Net sales increased 7% to $196.6 million in Q3 2024
  • U.S. Spine Fixation grew 18% year-over-year
  • Record quarter for U.S. Orthopedics with 15% growth
  • Adjusted EBITDA improved by $5.7 million with 250 basis points margin expansion
  • Achieved positive free cash flow of $5.9 million in Q3
  • Secured new $275 million credit facility
Negative
  • Net loss of $(27.4) million in Q3 2024
  • EPS loss of $(0.71) per share

Insights

The Q3 2024 results demonstrate solid operational execution with $196.6M in revenue, up 7% YoY, led by impressive growth in key segments. U.S. Spine Fixation's 18% growth and Bone Growth Therapies' 9% increase highlight successful market penetration. Despite a net loss of $(27.4M), adjusted EBITDA improved significantly to $19.2M with 250 bps margin expansion.

The new $275M credit facility strengthens the balance sheet, while positive free cash flow of $5.9M marks a important turning point in cash management. The 2027 targets of 6-7% revenue CAGR and mid-teens adjusted EBITDA margins appear achievable given current trajectory and market positioning.

The strong performance in U.S. markets, particularly the record quarter in Orthopedics with 15% growth, signals effective commercial execution and market share gains. The record number of 7D FLASH Navigation System agreements indicates growing adoption of enabling technologies. The reiterated 2024 guidance of $795-800M in revenue shows management confidence, while the new three-year targets provide welcomed transparency for long-term planning.

Building on Positive Momentum from Compelling Combination of Profitable, Above-Market Growth with a Stronger Financial Profile

LEWISVILLE, Texas--(BUSINESS WIRE)-- Orthofix Medical Inc. (NASDAQ:OFIX), a leading global medical technology company, today reported its financial results for the third quarter ended September 30, 2024, reiterated its full-year 2024 financial guidance, and introduced new three-year financial targets.

Recent Highlights

  • Third quarter 2024 net sales of $196.6 million, an increase of 7% on a reported and constant currency basis compared to third quarter 2023
  • U.S. Spine Fixation1 net sales growth of 18% compared to third quarter 2023, driven by distribution expansion and further penetration in existing accounts
  • Bone Growth Therapies (BGT) net sales growth of 9% and BGT Fracture net sales growth of 13% compared to third quarter 2023
  • U.S. Orthopedics delivered a record net sales quarter with net sales growth of 15% compared to third quarter of 2023
  • Company entered into record number of 7D FLASH™ Navigation System earnout agreements and matched record for highest number of 7D placements in any quarter to date
  • Third quarter 2024 net loss of $(27.4) million; Non-GAAP adjusted EBITDA of $19.2 million, an increase of $5.7 million, with adjusted EBITDA margin expanding approximately 250 basis points compared to third quarter 2023
  • Achieves free cash flow of $5.9 million in third quarter 2024, a significant improvement in cash usage compared to previous quarters
  • Announces new $275 million credit facility that replaces existing financing and further optimizes the Company's capital structure to support long-term profitable growth
  • Maintains full-year 2024 net sales guidance of $795 million to $800 million and full-year 2024 non-GAAP adjusted EBITDA guidance of $64 million to $69 million; continue to expect positive free cash flow for the second half of 2024
  • Introduces new 2027 financial targets to increase transparency and maximize value creation

Third quarter net sales were $196.6 million, an increase of 7% on a reported and constant currency basis. Net loss was $(27.4) million and earnings per share ("EPS") was $(0.71) on a reported basis, representing an improvement of 8% when compared to the prior year period. Non-GAAP adjusted EBITDA was $19.2 million for the third quarter, an increase of $5.7 million, representing adjusted EBITDA margin expansion of approximately 250 basis points over the prior year period.

“Our third quarter net sales results were driven by focused execution of our key growth priorities, and we also delivered strong adjusted EBITDA margin expansion and positive free cash flow, all of which we believe keeps us on a clear course to achieve our 2024 and long-term financial targets,” said Massimo Calafiore, President and Chief Executive Officer. “Highlights in the quarter included year-over-year revenue growth across each of our business segments where our performance once again was led by strength in our U.S. markets, including U.S. Spine Fixation, which grew 18%, and Bone Growth Therapies, which grew 9% overall and 13% in Fracture, further highlighting the benefit of cross-selling in our integrated spine channel. Notably, our U.S. Orthopedics business delivered a record net sales quarter and grew 15% year-over-year, benefiting from strong commercial execution. In addition to reiterating our full-year 2024 financial guidance, we are also introducing our new 2027 financial targets, which reflect our confidence in sustainable growth trends, the strength of our differentiated and expanding product portfolio, which continues to win share, and our commercial strategy and execution. We are well-positioned to accelerate our positive momentum and deliver on our commitment to drive disciplined, profitable growth and innovation while increasing long-term shareholder value.”

Financial Results Overview

Third Quarter 2024 Net Sales and Financial Results

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

 

 

Three Months Ended September 30,

 

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

 

2024

 

 

2023

 

 

Change

 

 

Constant
Currency
Change

 

Bone Growth Therapies

 

$

57.9

 

 

$

53.4

 

 

 

8.6

%

 

 

8.6

%

Spinal Implants, Biologics and Enabling Technologies

 

 

108.2

 

 

 

101.0

 

 

 

7.1

%

 

 

7.1

%

Global Spine

 

 

166.1

 

 

 

154.4

 

 

 

7.6

%

 

 

7.6

%

Global Orthopedics

 

 

30.5

 

 

 

29.7

 

 

 

2.9

%

 

 

2.5

%

Net sales

 

$

196.6

 

 

$

184.0

 

 

 

6.8

%

 

 

6.8

%

Gross margins were 68.7% for the quarter and were 71.3% on a non-GAAP adjusted basis.

Net loss was $(27.4) million, or $(0.71) per share, compared to net loss of $(28.9) million, or $(0.77) per share in the prior year period. Non-GAAP adjusted EBITDA was $19.2 million, or 9.8% of net sales, compared to non-GAAP adjusted EBITDA of $13.5 million, or 7.3% of net sales, in the prior year period.

Liquidity

Cash, cash equivalents, and restricted cash on September 30, 2024, totaled $32.6 million compared to $28.9 million on June 30, 2024.

Orthofix Announces New Three-Year Financial Targets

The Company is providing new three-year financial targets for 2025 through 2027:

  • 6% to 7% net sales CAGR from 2025 through 2027
  • Mid-teens non-GAAP adjusted EBITDA as a percent of net sales for the full-year 2027
  • Positive free cash flow generation from 2025 through 2027

Calafiore concluded, “With a compelling combination of profitable, above-market growth and a stronger financial profile, I believe our focused commercial strategy and broad, differentiated technologies, combined with a robust innovation pipeline and our pace-setting, enabling technologies position us well to achieve these targets and deliver increased value to our shareholders.”

Business Outlook

The Company is reiterating its 2024 full-year guidance as follows:

  • Net sales are expected to range between $795 million to $800 million, representing implied growth of 6.6% to 7.2% year-over year on a constant currency basis. These expectations are based on the current foreign currency exchange rates and do not take into account any additional potential exchange rate changes that may occur this year.
  • Non-GAAP adjusted EBITDA is expected to range from $64 million to $69 million.
  • The Company expects to continue to be free cash flow positive for the remainder of 2024.

These guidance ranges do not contemplate any potential impact to elective procedures as a result of IV fluid shortages or other hurricane-related effects.

An investor presentation for the Company's third quarter 2024 financial results, corporate strategy and new three-year financial targets is available in the "Investors" section of Orthofix's website at https://ir.orthofix.com/events-and-presentations.

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 September 30, 2024. Interested parties may access the conference call by dialing (888) 330-2508 in the U.S., and (240) 789-2735 in all other locations, and referencing the access code 9556380. A replay of the call will be available for three weeks by dialing (800) 770-2030 in the U.S., and (647) 362-9199 in all other locations, and entering the access code 9556380. A webcast of the conference call may be accessed at ir.Orthofix.com.

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, 2024, 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, 2023 (the “2023 Form 10-K”), and in Part II, Item 1A under the heading Risk Factors in our Quarterly Report on Form 10-Q for the quarter ended September 30, 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 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.

ORTHOFIX MEDICAL INC.

Condensed Consolidated Statements of Operations

 

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

 

September 30,

 

 

September 30,

 

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

 

2024

 

 

2023

 

 

2024

 

 

2023

 

 

 

 

 

 

 

 

 

 

 

Net sales

 

$

196,606

 

 

$

184,006

 

 

$

583,834

 

 

$

546,226

 

Cost of sales

 

 

61,553

 

 

 

64,243

 

 

 

186,790

 

 

 

196,583

 

Gross profit

 

 

135,053

 

 

 

119,763

 

 

 

397,044

 

 

 

349,643

 

Sales and marketing

 

 

96,576

 

 

 

94,947

 

 

 

296,843

 

 

 

287,987

 

General and administrative

 

 

33,561

 

 

 

27,136

 

 

 

99,203

 

 

 

110,124

 

Research and development

 

 

17,294

 

 

 

18,559

 

 

 

54,835

 

 

 

61,290

 

Acquisition-related amortization and remeasurement

 

 

6,521

 

 

 

3,570

 

 

 

19,305

 

 

 

11,037

 

Operating loss

 

 

(18,899

)

 

 

(24,449

)

 

 

(73,142

)

 

 

(120,795

)

Interest expense, net

 

 

(5,210

)

 

 

(1,576

)

 

 

(14,711

)

 

 

(4,131

)

Other expense, net

 

 

(2,528

)

 

 

(2,360

)

 

 

(6,312

)

 

 

(1,704

)

Loss before income taxes

 

 

(26,637

)

 

 

(28,385

)

 

 

(94,165

)

 

 

(126,630

)

Income tax expense

 

 

(751

)

 

 

(472

)

 

 

(2,686

)

 

 

(2,591

)

Net loss

 

$

(27,388

)

 

$

(28,857

)

 

$

(96,851

)

 

$

(129,221

)

 

 

 

 

 

 

 

 

 

 

 

 

 

Net loss per common share:

 

 

 

 

 

 

 

 

 

 

 

 

Basic

 

$

(0.71

)

 

$

(0.77

)

 

$

(2.55

)

 

$

(3.53

)

Diluted

 

 

(0.71

)

 

 

(0.77

)

 

 

(2.55

)

 

 

(3.53

)

Weighted average number of common shares (in millions):

 

 

 

 

 

 

 

 

 

 

 

 

Basic

 

 

38.5

 

 

 

37.2

 

 

 

37.9

 

 

 

36.6

 

Diluted

 

 

38.5

 

 

 

37.2

 

 

 

37.9

 

 

 

36.6

 

ORTHOFIX MEDICAL INC.

Condensed Consolidated Balance Sheets

 

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

 

September 30,
2024

 

 

December 31,
2023

 

 

 

(Unaudited)

 

 

 

 

Assets

 

 

 

 

 

 

Current assets

 

 

 

 

 

 

Cash and cash equivalents

 

$

30,054

 

 

$

33,107

 

Restricted Cash

 

 

2,500

 

 

 

4,650

 

Accounts receivable, net of allowances of $7,878 and $7,130, respectively

 

 

124,845

 

 

 

128,098

 

Inventories

 

 

205,812

 

 

 

222,166

 

Prepaid expenses and other current assets

 

 

23,003

 

 

 

32,422

 

Total current assets

 

 

386,214

 

 

 

420,443

 

Property, plant, and equipment, net

 

 

146,685

 

 

 

159,060

 

Intangible assets, net

 

 

104,546

 

 

 

117,490

 

Goodwill

 

 

194,934

 

 

 

194,934

 

Other long-term assets

 

 

35,493

 

 

 

33,388

 

Total assets

 

$

867,872

 

 

$

925,315

 

Liabilities and shareholders’ equity

 

 

 

 

 

 

Current liabilities

 

 

 

 

 

 

Accounts payable

 

$

47,060

 

 

$

58,357

 

Current portion of long-term debt

 

 

6,250

 

 

 

1,250

 

Current portion of finance lease liability

 

 

743

 

 

 

708

 

Other current liabilities

 

 

107,845

 

 

 

104,908

 

Total current liabilities

 

 

161,898

 

 

 

165,223

 

Long-term debt

 

 

112,215

 

 

 

93,107

 

Long-term portion of finance lease liability

 

 

18,027

 

 

 

18,532

 

Other long-term liabilities

 

 

49,808

 

 

 

49,723

 

Total liabilities

 

 

341,948

 

 

 

326,585

 

Contingencies

 

 

 

 

 

 

Shareholders’ equity

 

 

 

 

 

 

Common shares $0.10 par value; 100,000 shares authorized;
38,209 and 37,165 issued and outstanding as of September 30,
2024, and December 31, 2023, respectively

 

 

3,821

 

 

 

3,717

 

Additional paid-in capital

 

 

770,000

 

 

 

746,450

 

Accumulated deficit

 

 

(246,995

)

 

 

(150,144

)

Accumulated other comprehensive loss

 

 

(902

)

 

 

(1,293

)

Total shareholders’ equity

 

 

525,924

 

 

 

598,730

 

Total liabilities and shareholders’ equity

 

$

867,872

 

 

$

925,315

 

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 September 30,

 

 

Nine Months Ended September 30,

 

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

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Gross profit

 

$

135,053

 

 

$

119,763

 

 

$

397,044

 

 

$

349,643

 

Share-based compensation expense

 

 

557

 

 

 

463

 

 

 

1,591

 

 

 

1,416

 

SeaSpine merger-related costs

 

 

1,161

 

 

 

2,161

 

 

 

5,579

 

 

 

6,647

 

Strategic investments

 

 

32

 

 

 

55

 

 

 

160

 

 

 

264

 

Acquisition-related fair value adjustments

 

 

3,047

 

 

 

7,922

 

 

 

9,141

 

 

 

29,007

 

Amortization/depreciation of acquired long-lived assets

 

 

313

 

 

 

280

 

 

 

840

 

 

 

824

 

Medical device regulation

 

 

 

 

 

6

 

 

 

 

 

 

676

 

Adjusted gross profit

 

$

140,163

 

 

$

130,650

 

 

$

414,355

 

 

$

388,477

 

Adjusted gross margin

 

 

71.3

%

 

 

71.0

%

 

 

71.0

%

 

 

71.1

%

Adjusted EBITDA

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

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

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Net loss

 

$

(27,388

)

 

$

(28,857

)

 

$

(96,851

)

 

$

(129,221

)

Income tax expense (benefit)

 

 

751

 

 

 

472

 

 

 

2,686

 

 

 

2,591

 

Interest expense, net

 

 

5,210

 

 

 

1,576

 

 

 

14,711

 

 

 

4,131

 

Depreciation and amortization

 

 

15,173

 

 

 

13,097

 

 

 

44,067

 

 

 

39,094

 

Share-based compensation expense

 

 

6,531

 

 

 

6,274

 

 

 

25,290

 

 

 

32,540

 

Foreign exchange impact

 

 

(1,176

)

 

 

1,909

 

 

 

1,263

 

 

 

1,057

 

SeaSpine merger-related costs

 

 

2,616

 

 

 

5,416

 

 

 

12,992

 

 

 

34,362

 

Strategic investments

 

 

39

 

 

 

484

 

 

 

470

 

 

 

1,454

 

Acquisition-related fair value adjustments

 

 

5,017

 

 

 

7,122

 

 

 

15,351

 

 

 

26,907

 

Interest and loss on investments

 

 

3,567

 

 

 

429

 

 

 

5,120

 

 

 

429

 

Litigation and investigation costs

 

 

8,335

 

 

 

3,851

 

 

 

10,318

 

 

 

5,611

 

Succession charges

 

 

505

 

 

 

(92

)

 

 

8,061

 

 

 

170

 

Medical device regulation

 

 

 

 

 

1,840

 

 

 

 

 

 

7,519

 

Adjusted EBITDA

 

$

19,180

 

 

$

13,521

 

 

$

43,478

 

 

$

26,644

 

Adjusted EBITDA as a percentage of net sales

 

 

9.8

%

 

 

7.3

%

 

 

7.4

%

 

 

4.9

%

Adjusted Net Income

 

 

Three Months Ended
September 30,

 

 

Nine Months Ended
September 30,

 

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

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Net loss

 

$

(27,388

)

 

$

(28,857

)

 

$

(96,851

)

 

$

(129,221

)

Share-based compensation expense

 

 

6,531

 

 

 

6,274

 

 

 

25,290

 

 

 

32,540

 

Foreign exchange impact

 

 

(1,176

)

 

 

1,909

 

 

 

1,263

 

 

 

1,057

 

SeaSpine merger-related costs

 

 

2,619

 

 

 

5,247

 

 

 

13,434

 

 

 

35,600

 

Strategic investments

 

 

69

 

 

 

525

 

 

 

566

 

 

 

1,631

 

Acquisition-related fair value adjustments

 

 

5,017

 

 

 

7,122

 

 

 

15,351

 

 

 

26,907

 

Amortization/depreciation of acquired long-lived assets

 

 

5,046

 

 

 

5,026

 

 

 

14,486

 

 

 

14,970

 

Litigation and investigation costs

 

 

8,335

 

 

 

3,851

 

 

 

10,318

 

 

 

5,611

 

Succession charges

 

 

505

 

 

 

(94

)

 

 

8,061

 

 

 

168

 

Medical device regulation

 

 

 

 

 

1,842

 

 

 

 

 

 

7,531

 

Interest and loss on investments

 

 

3,567

 

 

 

399

 

 

 

5,071

 

 

 

339

 

Long-term income tax rate adjustment

 

 

(335

)

 

 

(569

)

 

 

2,777

 

 

 

2,669

 

Adjusted net income (loss)

 

$

2,790

 

 

$

2,675

 

 

$

(234

)

 

$

(198

)

Cash Flow and Free Cash Flow

 

 

Nine Months Ended September 30,

 

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

 

2024

 

 

2023

 

Net cash from operating activities

 

$

2,060

 

 

$

(39,059

)

Net cash from investing activities

 

 

(26,445

)

 

 

(18,078

)

Net cash from financing activities

 

 

19,222

 

 

 

40,042

 

Effect of exchange rate changes on cash

 

 

(40

)

 

 

58

 

Net change in cash and cash equivalents

 

$

(5,203

)

 

$

(17,037

)

 

 

Nine Months Ended September 30,

 

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

 

2024

 

 

2023

 

Net cash from operating activities

 

$

2,060

 

 

$

(39,059

)

Capital expenditures

 

 

(26,345

)

 

 

(46,997

)

Free cash flow

 

$

(24,285

)

 

$

(86,056

)

Reconciliation of Non-GAAP Financial Measures to Reported Operating Expenses

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

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

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Sales and marketing expense, as reported

 

$

96,576

 

 

$

94,947

 

 

$

296,843

 

 

$

287,987

 

Reconciling items impacting sales and marketing:

 

 

 

 

 

 

 

 

 

 

 

 

Strategic investments

 

 

65

 

 

 

(1,680

)

 

 

(3,347

)

 

 

(5,201

)

Litigation and investigation costs

 

 

377

 

 

 

 

 

 

377

 

 

 

(857

)

Medical device regulation

 

 

 

 

 

(6

)

 

 

 

 

 

(11

)

Amortization/depreciation of acquired long-lived assets

 

 

(178

)

 

 

(178

)

 

 

(475

)

 

 

(475

)

Sales and marketing expense, as adjusted

 

$

96,840

 

 

$

93,083

 

 

$

293,398

 

 

$

281,443

 

Sales and marketing expense as a percentage of net sales, as adjusted

 

 

49.3

%

 

 

50.6

%

 

 

50.3

%

 

 

51.5

%

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

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

 

2024

 

 

2023

 

 

2024

 

 

2023

 

General and administrative expense, as reported

 

$

33,561

 

 

$

27,136

 

 

$

99,203

 

 

$

110,124

 

Reconciling items impacting general and administrative:

 

 

 

 

 

 

 

 

 

 

 

 

Strategic investments

 

 

(1,420

)

 

 

(1,522

)

 

 

(4,254

)

 

 

(21,514

)

Amortization/depreciation of acquired long-lived assets

 

 

(4

)

 

 

(201

)

 

 

(76

)

 

 

(537

)

Litigation and investigation costs

 

 

(8,712

)

 

 

(3,852

)

 

 

(10,695

)

 

 

(4,754

)

Succession charges

 

 

(505

)

 

 

93

 

 

 

(8,061

)

 

 

(169

)

General and administrative expense, as adjusted

 

$

22,920

 

 

$

21,654

 

 

$

76,117

 

 

$

83,150

 

General and administrative expense as a percentage of net sales, as adjusted

 

 

11.7

%

 

 

11.8

%

 

 

13.0

%

 

 

15.2

%

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

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

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Research and development expense, as reported

 

$

17,294

 

 

$

18,559

 

 

$

54,835

 

 

$

61,290

 

Reconciling items impacting research and development:

 

 

 

 

 

 

 

 

 

 

 

 

Strategic investments

 

 

(69

)

 

 

(356

)

 

 

(645

)

 

 

(2,730

)

Medical device regulation

 

 

 

 

 

(1,837

)

 

 

 

 

 

(6,854

)

Research and development expense, as adjusted

 

$

17,225

 

 

$

16,366

 

 

$

54,190

 

 

$

51,706

 

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

 

 

8.8

%

 

 

8.9

%

 

 

9.3

%

 

 

9.5

%

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

 

 

Three Months Ended September 30,

 

 

Nine Months Ended September 30,

 

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

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Non-operating expense

 

$

7,738

 

 

$

3,936

 

 

$

21,023

 

 

$

5,835

 

Reconciling items impacting non-operating expense:

 

 

 

 

 

 

 

 

 

 

 

 

Foreign exchange impact

 

 

1,176

 

 

 

(1,909

)

 

 

(1,263

)

 

 

(1,057

)

Strategic investments

 

 

 

 

 

 

 

 

 

 

 

(895

)

Interest and loss on investments

 

 

(3,566

)

 

 

(399

)

 

 

(5,070

)

 

 

(339

)

Non-operating expense, as adjusted

 

$

5,348

 

 

$

1,628

 

 

$

14,690

 

 

$

3,544

 

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

 

 

2.7

%

 

 

0.9

%

 

 

2.5

%

 

 

0.6

%

 

Investor Relations

Julie Dewey, Chief Investor Relations and Communications Officer

JulieDewey@Orthofix.com

(209) 613-6945



Media Relations

Denise Landry, Vice President, Global Corporate Communications

DeniseLandry@Orthofix.com

(214) 937-2529

Source: Orthofix Medical Inc.

FAQ

What was Orthofix's (OFIX) revenue growth in Q3 2024?

Orthofix reported Q3 2024 net sales of $196.6 million, representing a 7% increase on both reported and constant currency basis compared to Q3 2023.

What are Orthofix's (OFIX) 2024 full-year financial guidance targets?

Orthofix maintains full-year 2024 guidance with net sales between $795-800 million and adjusted EBITDA between $64-69 million.

What was Orthofix's (OFIX) performance in U.S. Spine Fixation for Q3 2024?

U.S. Spine Fixation net sales grew 18% compared to Q3 2023, driven by distribution expansion and further penetration in existing accounts.

What are Orthofix's (OFIX) new 2027 financial targets?

Orthofix targets 6-7% net sales CAGR from 2025-2027, mid-teens adjusted EBITDA margin by 2027, and positive free cash flow generation from 2025-2027.

Orthofix Medical Inc.

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