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Bioventus Reports First Quarter Financial Results

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Bioventus (Nasdaq: BVS) reported Q1 2026 results: revenue $132.1M (+6.6% reported, +6.0% constant currency), GAAP EPS $0.04, non-GAAP EPS $0.15, and adjusted EBITDA $23.9M (+24%).

Cash from operations was $8.9M versus a $19.3M outflow year-ago; company raised 2026 adjusted EPS and cash-flow guidance and reaffirmed revenue guidance of $600M–$610M.

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AI-generated analysis. How Rhea-AI works. Not financial advice.

Positive

  • Revenue $132.1M (+6.6% reported, +6.0% constant currency)
  • Adjusted EBITDA $23.9M (+24% year-over-year)
  • Cash from operations $8.9M vs prior-year $19.3M outflow; full-year cash guidance raised to $84M–$89M
  • Adjusted EPS guidance raised to $0.75–$0.79 for 2026

Negative

  • Pain Treatments growth partly driven by a $4.2M favorable rebate benefit from a third-party payer
  • Total reported revenue growth of 6.6% remains below double-digit expansion

News Market Reaction – BVS

+2.25%
8 alerts
+2.25% News Effect
+12.2% Peak Tracked
-4.1% Trough Tracked
+$20M Valuation Impact
$888.48M Market Cap
0.2x Rel. Volume

On the day this news was published, BVS gained 2.25%, reflecting a moderate positive market reaction. Argus tracked a peak move of +12.2% during that session. Argus tracked a trough of -4.1% from its starting point during tracking. Our momentum scanner triggered 8 alerts that day, indicating moderate trading interest and price volatility. This price movement added approximately $20M to the company's valuation, bringing the market cap to $888.48M at that time.

Data tracked by StockTitan Argus on the day of publication.

What This Means

This announcement delivered Q1 revenue growth to $132.1M, a swing to positive GAAP EPS of $0.04, str...
Analysis

This announcement delivered Q1 revenue growth to $132.1M, a swing to positive GAAP EPS of $0.04, stronger non-GAAP EPS of $0.15, and cash from operations of $8.9M. Adjusted EBITDA rose to $23.9M, and the company prepaid $22.0M of term debt. Management raised 2026 Adjusted EPS and cash flow guidance while reaffirming net sales of $600–610M. Investors may track future quarters for sustained margin performance, cash generation, and execution against these targets.

Key Figures

Q1 2026 revenue: $132.1M (up 7%) GAAP EPS: $0.04 per diluted share Non-GAAP EPS: $0.15 per diluted share +5 more
8 metrics
Q1 2026 revenue $132.1M (up 7%) Three months ended March 28, 2026
GAAP EPS $0.04 per diluted share Q1 2026 vs prior-year loss of $0.04
Non-GAAP EPS $0.15 per diluted share Q1 2026 vs $0.08 prior-year; up 88%
Cash from operations $8.9M Q1 2026 vs $19.3M outflow prior-year
Adjusted EBITDA $23.9M Q1 2026, up 24% from $19.2M
Debt prepayment $22.0M term loan prepayment Discretionary principal payment on March 27, 2026
2026 Adjusted EPS guidance $0.75–$0.79 Raised by $0.02 from previous guidance
2026 net sales guidance $600M–$610M Reaffirmed; ~6–7% growth for 2026

Previous Earnings Reports

5 past events · Latest: Mar 05 (Positive)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Mar 05 Q4/FY 2025 earnings Positive +7.4% Q4 and FY 2025 results with positive EPS and 2026 growth guidance.
Nov 04 Q3 2025 earnings Positive +15.1% Q3 2025 earnings with strong organic growth and higher non-GAAP EPS.
Aug 06 Q2 2025 earnings Positive +18.7% Q2 2025 results showing EPS improvement and FDA clearance milestones.
May 06 Q1 2025 earnings Positive -11.8% Q1 2025 results with improving loss per share and segment growth.
Mar 11 Q4/FY 2024 earnings Positive +23.3% Q4/FY 2024 results with double-digit growth and debt reduction.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Earnings releases have consistently driven positive reactions, with all recent earnings events showing gains and an average move of 10.55%.

Recent Company History

Over the last five earnings announcements, Bioventus has repeatedly highlighted revenue growth, margin expansion, and rising profitability. Events on Mar 11, 2025, May 06, 2025, Aug 06, 2025, Nov 04, 2025, and Mar 05, 2026 all paired improving GAAP and non-GAAP EPS with steady Adjusted EBITDA and reaffirmed or raised guidance. Share price reactions were positive for each of these releases, reinforcing a pattern where earnings updates have been met with constructive market responses similar in tone to the latest quarter.

Historical Comparison

+10.6% avg move · In the past five earnings releases, BVS moved an average of 10.55%. Today’s +5.01% reaction is milde...
earnings
+10.6%
Average Historical Move earnings

In the past five earnings releases, BVS moved an average of 10.55%. Today’s +5.01% reaction is milder but directionally consistent with its typical post-earnings strength.

Recent earnings have shown a progression from improving losses to sustained profitability, with recurring guidance reaffirmations and increasing non-GAAP EPS and Adjusted EBITDA supporting the latest quarter’s raised 2026 EPS and cash flow outlook.

Regulatory & Risk Context

Short Interest: 4.72%
Short Interest
4.72% of float
0% 15% 30%+
low as of 2026-05-29 Days to cover: 2.53

Key Terms

gaap, non-gaap, cash from operations, adjusted ebitda, +2 more
6 terms
gaap financial
"First quarter GAAP earnings of $0.04 per diluted share compared to the prior-year"
GAAP, or Generally Accepted Accounting Principles, are a set of standardized rules and guidelines that companies follow when preparing their financial statements. They ensure consistency, transparency, and comparability across different companies, making it easier for investors to understand and compare financial information accurately. This helps investors make informed decisions based on trustworthy and uniform financial reports.
non-gaap financial
"Non-GAAP earnings* of $0.15 per diluted share compared to $0.08 per diluted"
Non-GAAP refers to financial measures that companies use to show their earnings or performance without including certain expenses or income that are often added back to give a different picture. It matters because it can make a company's results look better or more favorable, but it may also hide important costs, so investors need to look at both GAAP (official rules) and non-GAAP numbers to get a full understanding.
cash from operations financial
"Cash from operations of $8.9 million increased $28.3 million compared to the"
Cash from operations is the actual cash a business generates from its normal day-to-day activities, like money received from customers minus payments for supplies, wages and other running costs. For investors it shows whether a company’s core business can produce enough real cash to fund growth, pay debts or return money to shareholders, much like watching how much cash a store has left after paying rent and restocking each week.
adjusted ebitda financial
"Adjusted EBITDA* of $23.9 million advanced 24% from $19.2 million in the"
Adjusted EBITDA is a way companies measure how much money they make from their core operations, like running a business, by removing certain costs or income that aren’t part of regular business activities. It helps investors see how well a company is doing without distractions from unusual expenses or gains, making it easier to compare companies or track performance over time.
net sales financial
"Total net sales | $132,089 | | $123,876 | | $8,213 | | 6.6 | %"
Net sales is the total money a company earns from selling its goods or services after subtracting returns, discounts, and allowances — like a store counting the cash it actually keeps after refunds and coupons. Investors use net sales to gauge true customer demand and the real size of a business’s revenue stream, since it forms the basis for profit margins, growth trends, and comparisons between companies.
term loan financial
"the Company made a discretionary principal prepayment of $22.0 million on its term loan,"
A term loan is a type of loan that is borrowed for a set period of time, with a fixed schedule for repaying the money, usually in regular payments. It matters to investors because it represents a company's borrowing costs and financial stability; reliable repayment of these loans can indicate strong financial health, while difficulties may signal potential risks.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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  • Q1 reported revenue of $132.1 million increased 7%
  • First quarter GAAP earnings of $0.04 per diluted share compared to the prior-year period loss of $0.04 per diluted share
  • Non-GAAP earnings* of $0.15 per diluted share compared to $0.08 per diluted share in the prior-year period
  • Cash from operations of $8.9 million increased $28.3 million compared to the $19.3 million cash outflow in the prior-year period
  • Company raises Non-GAAP EPS* and Cash from Operations guidance and reaffirms revenue guidance for full year 2026

DURHAM, N.C., May 06, 2026 (GLOBE NEWSWIRE) -- Bioventus Inc. (Nasdaq: BVS) ("Bioventus" or the "Company"), a global leader in innovations for active healing, today reported financial results for the three months ended March 28, 2026.

“Our team delivered a strong start to 2026, driven by continued momentum in our core businesses and disciplined execution across our commercial and operational priorities,” said Rob Claypoole, Bioventus President and Chief Executive Officer. “We are focused on delivering above market growth for the year, while maintaining peer-leading gross margins, which allows us to reinvest in our multiple growth drivers, expand profitability, and generate strong cash flow, positioning Bioventus to deliver sustainable long-term shareholder value.”

First Quarter 2026 Financial Results

For the first quarter, worldwide revenue of $132.1 million advanced 7%, driven by growth across all three areas of the Company's broad portfolio.

Net income attributable to Bioventus Inc. was $3.1 million, compared to a net loss attributable to Bioventus Inc. of $2.6 million in the prior-year period.

Adjusted EBITDA* of $23.9 million advanced 24% from $19.2 million in the prior-year period as a result of higher revenue growth, increased gross profit and favorable foreign currency movements.

GAAP earnings of $0.04 per diluted share of Class A common stock improved from the diluted loss of $0.04 per share in the prior-year period. Non-GAAP earnings of Class A common stock* of $0.15 per diluted share reflects an increase of 88% from $0.08 per diluted share in the prior-year period, driven by improved operating profit and lower interest expense.

*See below under “Use of Non-GAAP Financial Measures” for more details.

Revenue By Business

The following tables represent net sales by business and geographic region for the three months ended March 28, 2026 and March 29, 2025:

 Three Months Ended Change as Reported Constant
Currency*
Change
(in thousands, except for percentage)March 28, 2026 March 29, 2025 $ % %
Pain treatments$63,426 $58,918 $4,508 7.7% 6.9%
Surgical solutions 48,028  45,234  2,794 6.2% 5.7%
Restorative therapies(a) 20,635  19,724  911 4.6% 3.8%
Total net sales$132,089 $123,876 $8,213 6.6% 6.0%


 (a)Global revenue from the Advanced Rehabilitation Business, divested on December 31, 2024, totaled $128 and $330 for the three months ended March 28, 2026 and March 29, 2025, respectively.
   

Pain Treatments: Global revenue of $63.4 million increased 7.7%, primarily due to a $4.2 million favorable rebate benefit related to a billing process change implemented by a third-party private insurance payer in the United States, which was partially offset by one fewer selling day compared to the prior-year period and the expected reduction in distributor inventory levels.

Surgical Solutions: Global revenue of $48.0 million advanced 6.2%. This performance was driven by higher U.S. demand for both Bone Graft Substitutes and Ultrasonics.

Restorative Therapies: Global revenue of $20.6 million increased 4.6% due to continued commercial effectiveness and sales force execution with the EXOGEN Bone Stimulation System.

 Three Months Ended Change as Reported Constant
Currency*
Change
(in thousands, except for percentage)March 28, 2026 March 29, 2025 $ % %
U.S.         
Pain Treatments$56,157 $52,686 $3,471 6.6% 6.6%
Surgical Solutions 42,541  40,844  1,697 4.2% 4.2%
Restorative Therapies(b) 17,747  16,990  757 4.5% 4.5%
Total U.S. net sales 116,445  110,520  5,925 5.4% 5.4%
International         
Pain Treatments 7,269  6,232  1,037 16.6% 9.1%
Surgical Solutions 5,487  4,390  1,097 25.0% 19.6%
Restorative Therapies(b) 2,888  2,734  154 5.6% 0.0%
Total International net sales 15,644  13,356  2,288 17.1% 10.7%
Total net sales$132,089 $123,876 $8,213 6.6% 6.0%


 (b)U.S. revenue from the Advanced Rehabilitation Business totaled $116 and $330 for the three months ended March 28, 2026 and March 29, 2025, respectively. International revenue from the Advanced Rehabilitation Business totaled $12 and none for the three months ended March 28, 2026 and March 29, 2025, respectively.
   

*See below under “Use of Non-GAAP Financial Measures” for more details.

U.S.: Revenue of $116.4 million increased 5.4% driven by favorable rebates, demand for Surgical Solutions products and growth for our EXOGEN Bone Stimulation System.

International: Revenue of $15.6 million increased 17.1%, primarily due to volume growth in Surgical Solutions, which was attributable to the growth in Ultrasonics and Pain Treatments, driven by the Company's differentiated hyaluronic acid therapies for knee osteoarthritis.

Recent Business Highlights

Bioventus continues to advance its strategic priorities with key achievements, including the following:

  • On March 27, 2026, the Company made a discretionary principal prepayment of $22.0 million on its term loan, driven by strong operating cash flows. The reduction in long-term debt lowered future interest payments and borrowing costs and improved the Company’s financial metrics.

2026 Financial Guidance

Based on accelerated cash flow and faster than anticipated debt repayment, Bioventus is raising its full-year 2026 financial guidance for Adjusted EPS* and Cash from Operations. For the twelve months ending December 31, 2026, the Company expects:

  • Adjusted EPS* of $0.75 to $0.79, an increase of $0.02 from previous guidance.
  • Cash from Operations of $84 million to $89 million, an increase of $2 million from previous guidance.

Bioventus is reaffirming its 2026 Financial Guidance provided on March 5, 2026. For the twelve months ending December 31, 2026, the Company continues to expect:

  • Net sales of $600 million to $610 million. This reflects growth of approximately 6% to 7%.

The Company does not provide U.S. GAAP financial measures, other than net sales and cash from operations, on a forward-looking basis, because the Company is unable to predict with reasonable certainty the impact and timing of acquisition and divestiture related expenses, accounting fair-value adjustments, and certain other reconciling items without unreasonable efforts. These items are uncertain, depend on various factors, and could be material to the Company’s results computed in accordance with U.S. GAAP.

About Bioventus

Bioventus delivers clinically proven, cost-effective products that help people heal quickly and safely. Its mission is to make a difference by helping patients resume and enjoy active lives. The Innovations for Active Healing from Bioventus include offerings for Pain Treatments, Surgical Solutions and Restorative Therapies. Built on a commitment to high quality standards, evidence-based medicine and strong ethical behavior, Bioventus is a trusted partner for physicians worldwide. For more information, visit www.bioventus.com and follow the Company on LinkedIn and X. Bioventus and the Bioventus logo are registered trademarks of Bioventus LLC.

First Quarter 2026 Earnings Conference Call

Management will host a conference call to discuss the Company’s financial results and provide a business update, with a question and answer session, at 8:30 a.m. Eastern Time on May 6, 2026. Those who would like to participate in the conference call may dial 1-833-636-0497 (domestic or international) and refer to the Bioventus Inc. Conference Call.

A live webcast of the call and any accompanying materials will also be provided on the investor relations section of the Company's website at https://ir.bioventus.com/.

The webcast will be archived on the Company’s website at https://ir.bioventus.com/ and available for replay until May 5, 2027.

*See below under “Use of Non-GAAP Financial Measures” for more details.

Legal Notice Regarding Forward-Looking Statements
This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. All statements contained in this press release that do not relate to matters of historical fact should be considered forward-looking statements, including, without limitation, statements concerning our future financial results and liquidity; our business strategy, position and operations; and expected sales trends, opportunities, market position and growth. In some cases, you can identify forward-looking statements by terminology such as “aim,” “anticipate,” “assume,” “believe,” “contemplate,” “continue,” “could,” “due,” “estimate,” “expect,” “goal,” “intend,” “may,” “objective,” “plan,” “predict,” “potential,” “positioned,” “seek,” “should,” “target,” “will,” “would” and other similar expressions that are predictions of or indicate future events and future trends, or the negative of these terms or other comparable terminology, although not all forward-looking statements contain these words.

Forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified. Important factors that may cause actual results to differ materially from current expectations include, among other things: the risks related to unexpected increases in the volume of rebate claims; the risks related to tariffs and unexpected changes in tariffs, trade barriers and regulatory requirements, export licensing requirements or other restrictive actions by the United States or retaliatory tariffs and other actions taken by foreign governments; the FDA regulatory process is expensive, time-consuming and uncertain, and the failure to obtain and maintain required regulatory clearances and approvals could prevent us from commercializing our products; we may be unable to successfully commercialize newly developed or acquired products or therapies within expected timeframes; if clinical studies of our future product candidates do not produce results necessary to support regulatory clearance or approval in the United States or elsewhere, we will be unable to expand the indications for or commercialize these products; if we fail to properly manage growth or scale our business processes, systems, or data management, our business could suffer; our ability to maintain our competitive position depends on our ability to attract, retain and motivate our senior management team and highly qualified personnel necessary to execute our strategic plans; demand for our products may decrease as a result of healthcare cost-containment and drug pricing initiatives by the federal government, which could negatively impact the commercial success of affected products; we may face issues with respect to the supply of our products or their components due to product quality and regulatory compliance issues, including increased costs, disruptions of supply, shortages, contamination or mislabeling; we might not meet certain of our debt covenants under our 2025 Credit Agreement and might be required to repay our indebtedness on an accelerated basis; there are restrictions on operations and other costs associated with our indebtedness; we might require additional capital to fund our current financial obligations and support business growth; failure to establish and maintain effective financial controls could adversely affect our business and stock price; we might not be able to complete acquisitions or successfully integrate new businesses, products or technologies in a cost-effective and non-disruptive manner; our cash is maintained at financial institutions, often in balance that exceed federally insured limits; we are subject to securities class action litigation and may be subject to similar or other litigation, in the future, which will require significant management time and attention, result in significant legal expenses or costs not covered by our insurers, and may result in unfavorable outcomes; we are highly dependent on a limited number of products; our long-term growth depends on our ability to develop, acquire and commercialize new products, line extensions or expanded indications; demand for our existing portfolio of products and any new products, line extensions or expanded indications depends on the continued and future acceptance of our products by physicians, patients, third-party payers and others in the medical community; the proposed down classification of non-invasive bone growth stimulators, including our EXOGEN system, by the FDA could increase future competition for bone growth stimulators and otherwise adversely affect the Company’s sales of EXOGEN; failure to achieve and maintain adequate levels of coverage and/or reimbursement for our products or future products, the procedures using our products, such as our hyaluronic acid viscosupplements, or future products we may seek to commercialize; pricing and other competitive factors; governments outside the United States might not provide coverage or reimbursement of our products; we compete and may compete in the future against other companies, some of which have longer operating histories, more established products or greater resources than we do; if our HA products are reclassified from medical devices to drugs in the United States by the FDA, it could negatively impact our ability to market these products and may require that we conduct costly additional clinical studies to support current or future indications for use of those products; our failure to properly manage our anticipated growth and strengthen our brands; risks related to product liability claims; fluctuations in demand for our products; issues relating to the supply of our products or their components due to product quality and regulatory compliance issues, including increased costs, disruptions of supply, shortages, contamination or mislabeling; our reliance on a limited number of third-party manufacturers to manufacture certain of our products; if our facilities are damaged or become inoperable, we will be unable to continue to research, develop and manufacture certain of our products; economic, political, regulatory and other risks related to international sales, manufacturing and operations; failure to maintain contractual relationships; security breaches, unauthorized access to or disclosure of information, cyberattacks, or other incidents, or the perception that confidential information in our or our vendors’ or service providers’ possession or control is not secure; failure of key information technology and communications systems, process or sites; risks related to our future capital needs; failure to comply with extensive governmental regulation relevant to us and our products; we may be subject to enforcement action if we engage in improper claims submission practices and resulting audits or denials of our claims by government agencies could reduce our net sales or profits; unstable political or economic conditions, including due to government shutdowns; legislative or regulatory reforms; our business might experience adverse impacts due to public health outbreaks; risks related to intellectual property matters; the dilution of our Class A common stockholders upon an exchange of the outstanding common membership interests in Bioventus LLC could adversely affect the market price of our Class A common stock and the resale of such shares could cause the market price of our Class A common stock to fall; and other the other risks identified in our Annual Report on Form 10-K for the year ended December 31, 2025 as such factors may be updated from time to time in Bioventus’ other filings with the SEC which are accessible on the SEC’s website at www.sec.gov and the Investor Relations page of Bioventus’ website at https://ir.bioventus.com. Except to the extent required by law, the Company undertakes no obligation to update or review any estimate, projection, or forward-looking statement. Actual results may differ materially from those set forth in the forward-looking statements.


BIOVENTUS INC.
Consolidated condensed balance sheets
As of March 28, 2026 and December 31, 2025
(Amounts in thousands, except share amounts) (unaudited)
    
 March 28, 2026 December 31, 2025
Assets   
Current assets:   
Cash and cash equivalents$35,846  $51,238 
Accounts receivable, net 120,525   128,303 
Inventory 83,187   82,236 
Prepaid and other current assets 10,255   11,065 
Total current assets 249,813   272,842 
Property and equipment, net 21,294   21,899 
Goodwill 7,462   7,462 
Intangible assets, net 359,659   368,419 
Operating lease assets 4,687   5,122 
Deferred tax assets 5,522   5,522 
Investment and other assets 2,102   2,293 
Total assets$650,539  $683,559 
Liabilities and Stockholders’ Equity   
Current liabilities:   
Accounts payable$24,050  $10,928 
Accrued liabilities 101,135   130,242 
Current portion of long-term debt 18,750   15,000 
Other current liabilities 4,160   4,210 
Total current liabilities 148,095   160,380 
Long-term debt, less current portion 253,326   278,951 
Deferred income taxes liabilities 568   433 
Other long-term liabilities 14,285   15,348 
Total liabilities 416,274   455,112 
Stockholders’ Equity:   
Preferred stock, $0.001 par value, 10,000,000 shares authorized, 0 shares issued   
Class A common stock, $0.001 par value, 250,000,000 shares authorized as of March 28, 2026 and December 31, 2025, 67,639,073 and 67,097,716 shares issued and outstanding as of March 28, 2026 and December 31, 2025, respectively 68   67 
Class B common stock, $0.001 par value, 50,000,000 shares authorized, 15,786,737 shares issued and outstanding as of March 28, 2026 and December 31, 2025 16   16 
Additional paid-in capital 522,912   520,851 
Accumulated deficit (331,816)  (334,929)
Accumulated other comprehensive loss (2,279)  (1,900)
Total stockholders’ equity attributable to Bioventus Inc. 188,901   184,105 
Noncontrolling interest 45,364   44,342 
Total stockholders’ equity 234,265   228,447 
Total liabilities and stockholders’ equity$650,539  $683,559 



BIOVENTUS INC.
Consolidated condensed statements of operations and comprehensive income (loss)
(Amounts in thousands, except share and per share data, unaudited)
  
 Three Months Ended
 March 28, 2026 March 29, 2025
Net sales$132,089  $123,876 
Cost of sales (including depreciation and amortization of $10,087 and $10,265, respectively) 41,320   40,820 
Gross profit 90,769   83,056 
Selling, general and administrative expense 78,325   73,502 
Research and development expense 2,467   3,011 
Restructuring costs 454    
Depreciation and amortization 1,107   1,593 
Loss on disposals    81 
Operating income 8,416   4,869 
Interest expense, net 4,326   7,509 
Other (income) expense (427)  777 
Other expense 3,899   8,286 
Income (loss) before income taxes 4,517   (3,417)
Income tax expense (benefit), net 571   (95)
Net income (loss) 3,946   (3,322)
(Income) loss attributable to noncontrolling interest (833)  685 
Net income (loss) attributable to Bioventus Inc.$3,113  $(2,637)
    
Income (loss) per share of Class A common stock:   
Basic$0.05  $(0.04)
Diluted$0.04  $(0.04)
    
Weighted-average shares of Class A common stock outstanding:   
Basic 67,296,336   66,008,683 
Diluted 70,008,291   66,008,683 
    



BIOVENTUS INC.
Consolidated condensed statements of cash flows
(Amounts in thousands, unaudited)
  
 Three Months Ended
 March 28, 2026 March 29, 2025
Operating activities:   
Net income (loss)$3,946  $(3,322)
Adjustments to reconcile net income (loss) to net cash from operating activities:   
Depreciation and amortization 11,205   11,865 
Equity-based compensation 3,264   2,414 
Deferred income taxes 135   43 
Unrealized loss (gain) on foreign currency fluctuations 54   (242)
Loss on disposals    81 
Other, net 505   1,031 
Changes in working capital (10,175)  (31,201)
Net cash from operating activities 8,934   (19,331)
Investing activities:   
Purchase of property and equipment (574)  (826)
Net cash from investing activities (574)  (826)
Financing activities:   
Proceeds from issuance of Class A common stock 120   150 
Tax withholdings on equity-based compensation (1,044)   
Payment of contingent consideration    (9,000)
Borrowing on revolver    15,000 
Payment on revolver    (5,000)
Payments on long-term debt (22,000)   
Other, net (220)  (203)
Net cash from financing activities (23,144)  947 
Effect of exchange rate changes on cash (608)  430 
Net change in cash and cash equivalents (15,392)  (18,780)
Cash and cash equivalents at the beginning of the period 51,238   41,582 
Cash and cash equivalents at the end of the period$35,846  $22,802 
        

Use of Non-GAAP Financial Measures

Organic Revenue Growth

The Company defines the term “organic revenue” as revenue in the stated period excluding the impact from business acquisitions and divestitures. The Company uses the related term “organic revenue growth” or "organic growth" to refer to the financial performance metric of comparing the stated period's organic revenue with the comparable reported revenue of the corresponding period in the prior-year. The Company believes that these non-GAAP financial measures, when taken together with GAAP financial measures, allow the Company and its investors to better measure the Company’s performance and evaluate long-term performance trends. Organic revenue growth also facilitates easier comparisons of the Company’s performance with prior and future periods and relative comparisons to its peers. The Company excludes the effect of acquisitions and divestitures because these activities can have a significant impact on the Company's reported results, which the Company believes makes comparisons of long-term performance trends difficult for management and investors.

Adjusted EBITDA, Non-GAAP Gross Profit, Non-GAAP Gross Margin, Non-GAAP Operating Income, Non-GAAP Operating Expenses, Non-GAAP R&D, Non-GAAP Operating Margin, Non-GAAP Net Income, and Adjusted Earnings per Share of Class A Common Stock

We present Adjusted EBITDA, Non-GAAP Gross Profit, Non-GAAP (or Adjusted) Gross Margin, Non-GAAP Operating Income, Non-GAAP Operating Expenses, Non-GAAP R&D, Non-GAAP Operating Margin, Non-GAAP Net Income, and Adjusted Earnings per Share of Class A common stock, all non-GAAP financial measures, to supplement our GAAP financial reporting because we believe these measures are useful indicators of our operating performance.

We define Adjusted EBITDA as net income (loss) before depreciation and amortization, provision of income taxes and interest expense, net, adjusted for the impact of certain cash, non-cash and other items that we do not consider in our evaluation of ongoing operating performance. These items include acquisition and divestiture related costs, certain shareholder litigation costs, impairment of assets, restructuring costs, equity-based compensation expense, debt refinancing, loss on extinguishment of debt and other items. See the table below for a reconciliation of Net Income (Loss) to Adjusted EBITDA. Our management uses Adjusted EBITDA principally as a measure of our operating performance and believes that Adjusted EBITDA is useful to our investors because it is frequently used by securities analysts, investors and other interested parties in their evaluation of the operating performance of companies in industries similar to ours. Our management also uses Adjusted EBITDA for planning purposes, including the preparation of our annual operating budget and financial projections.

Our management uses Non-GAAP Gross Profit, Non-GAAP Gross Margin, Non-GAAP Operating Income, Non-GAAP Operating Expense, Non-GAAP Operating Margin and Non-GAAP Net Income principally as measures of our operating performance and believes that these non-GAAP financial measures are useful to better understand the long term performance of our core business and to facilitate comparison of our results to those of peer companies. Our management also uses these non-GAAP financial measures for planning purposes, including the preparation of our annual operating budget and financial projections.

We define Non-GAAP Gross Profit as gross profit, adjusted for the impact of certain cash, non-cash and other items that we do not consider in our evaluation of ongoing operating performance. These items include depreciation and amortization included in the cost of goods sold and acquisition and divestiture related costs in the cost of goods sold. We define Non-GAAP Gross Margin as Non-GAAP Gross Profit divided by net sales. See the table below for a reconciliation of gross profit and gross margin to Non-GAAP Gross Profit and Non-GAAP Gross Margin.

We define Non-GAAP Operating Income as operating income, adjusted for the impact of certain cash, non-cash and other items that we do not consider in our evaluation of ongoing operating performance. These items include depreciation and amortization, acquisition and divestiture related costs, certain shareholder litigation costs, impairment of assets, restructuring costs, debt refinancing and other items. Non-GAAP Operating Margin is defined as Non-GAAP Operating Income divided by net sales. See the table below for a reconciliation of operating income and operating margin to Non-GAAP Operating Income and Non-GAAP Operating Margin.

We define Non-GAAP Operating Expenses as operating expenses, adjusted to exclude certain cash, non-cash and other items that we do not consider in our evaluation of ongoing operating performance. These items include depreciation and amortization, acquisition and divestiture related costs, certain shareholder litigation costs, impairment of assets, restructuring costs, debt refinancing and other items. See the table below for a reconciliation of operating expenses to Non-GAAP Operating Expenses.

We define Non-GAAP R&D as research and development, adjusted to exclude certain cash, non-cash and other items that we do not consider in our evaluation of ongoing operating performance. These items include depreciation and amortization, acquisition and divestiture related costs, restructuring costs, and other items. See the table below for a reconciliation of operating expenses to Non-GAAP R&D.

We define Non-GAAP Net Income as Net Income, adjusted for the impact of certain cash, non-cash and other items that we do not consider in our evaluation of ongoing operating performance. These items include depreciation and amortization, acquisition and divestiture related costs, certain shareholder litigation costs, restructuring costs, impairment of assets, debt refinancing, loss on extinguishment of debt, other items, the tax effect of adjusting items and discrete tax items. Discrete tax items include the tax impact related to significant transactions that are not part of our ongoing operating performance, and current and deferred income tax expense commensurate with Non-GAAP Net Income. See the table below for a reconciliation of Net Income (Loss) to Non-GAAP Net Income.

We define Adjusted Earnings per Class A share as Earnings per Class A share, adjusted for the impact of certain cash, non-cash and other items that we do not consider in our evaluation of ongoing operating performance. These items include depreciation and amortization, acquisition and divestiture related costs, certain shareholder litigation costs, restructuring costs, impairment of assets, debt refinancing, loss on extinguishment of debt, other items, and the tax effect of adjusting items divided by weighted average number of shares of Class A common stock outstanding during the period. We also modify Adjusted Earnings per Class A share for discrete tax items as discussed above. These discrete tax items are recorded at the Bioventus Inc. parent company level and therefore are not adjusted to remove the impact of noncontrolling interest. See the table below for a reconciliation of loss per Class A share to Non-GAAP Earnings per Class A share.

Net Sales, International Net Sales Growth and Constant Currency Basis

Net Sales, International Net Sales Growth and Constant Currency Basis are non-GAAP measures, which are calculated by translating current and prior-year results at the same foreign currency exchange rate. Constant currency can be presented for numerous GAAP measures, but is most commonly used by management to facilitate the comparison of sales in foreign currencies to prior periods and analyze net sales performance without the impact of changes in foreign currency exchange rates.

Limitations of the Usefulness of Non-GAAP Measures

Non-GAAP financial measures have limitations as an analytical tool and should not be considered in isolation or as a substitute for, or as superior to, the financial information prepared and presented in accordance with GAAP. These measures might exclude certain normal recurring expenses. Therefore, these measures may not provide a complete understanding of the Company's performance and should be reviewed in conjunction with the GAAP financial measures. Additionally, other companies might define their non-GAAP financial measures differently than we do. Investors are encouraged to review the reconciliation of the non-GAAP measures provided in this press release, including in the tables below, to their most directly comparable GAAP measures. Additionally, the Company does not provide GAAP financial measures on a forward-looking basis because the Company is unable to predict with reasonable certainty the impact and timing of acquisition and divestiture related expenses, accounting fair-value adjustments and certain other reconciling items without unreasonable efforts. These items are uncertain, depend on various factors, and could be material to the Company’s results computed in accordance with GAAP.

*See below under “Use of Non-GAAP Financial Measures” for more details.

Reconciliation of Net Income (Loss) to Adjusted EBITDA (unaudited)
    
 Three Months Ended Twelve Months Ended
($, thousands)March 28, 2026 March 29, 2025 December 31, 2025
Net income (loss)$3,946 $(3,322) $27,274 
Interest expense, net 4,326  7,509   26,486 
Income tax expense (benefit), net 571  (95)  (1,565)
Depreciation and amortization(a) 11,205  11,865   47,011 
Restructuring costs(b) 454     2,235 
Equity compensation(c) 3,264  2,414   12,673 
Shareholder litigation costs(d) 19  23   51 
Debt refinancing(e)      902 
Loss on extinguishment(f)      326 
Loss on disposals(g)   81   81 
Other items(h) 130  737   803 
Adjusted EBITDA$23,915 $19,212  $116,277 


 (a)Includes for the three months ended March 28, 2026 and March 29, 2025, respectively, depreciation and amortization of $10.1 million and $10.3 million in cost of sales and $1.1 million and $1.6 million in operating expenses presented in the consolidated condensed statements of operations and comprehensive income (loss).
  The year ended December 31, 2025 includes depreciation and amortization of $41.3 million in cost of sales and $5.7 million in operating expenses.
 (b)Restructuring costs primarily related to severance associated with the elimination of several positions and the consolidation of certain administrative functions and roles.
 (c)Includes compensation expense resulting from awards granted under our equity-based compensation plans.
 (d)Costs incurred as a result of certain shareholder litigation unrelated to our ongoing operations.
 (e)Relates to certain third-party fees associated with our 2025 Credit Agreement.
 (f)Losses recognized in connection with the refinancing of long-term debt.
 (g) Represents the loss on the disposal of the Advanced Rehabilitation Business.
 (h)Other items during the three months ended March 28, 2026 primarily consisted of individually immaterial items that are not indicative of the Company’s ongoing operating performance.
  Other items during the three months ended March 29, 2025 primarily consisted of $0.5 million of expenses related to the divestiture of the Advanced Rehabilitation Business.
  During the year ended December 31, 2025, other items primarily consisted of $0.5 million of expenses related to the divestiture of the Advanced Rehabilitation Business, which was completed on December 31, 2024.

*See below under “Use of Non-GAAP Financial Measures” for more details.


Reconciliation of Other Reported GAAP Measures to Non-GAAP Measures
            
Three Months Ended March 28, 2026Gross Profit Operating Expenses(a) R&D Operating
Income
 Net Income Diluted EPS(h)
Reported GAAP measure$90,769  $79,886 $2,467 $8,416  $3,946  $0.04 
Reported GAAP margin 68.7%      6.4%    
Depreciation and amortization(b) 10,087   1,107  11  11,205   11,205   0.13 
Restructuring costs(c)    454    454   454   0.01 
Shareholder litigation costs(d)    19    19   19    
Other items(f)    184    184   130    
Tax effect of adjusting items(g)           (2,964)  (0.03)
Non-GAAP measure$100,856  $78,122 $2,456 $20,278  $12,790  $0.15 
Non-GAAP margin 76.4%      15.4%    
 Non-GAAP
Gross Margin
 Non-GAAP Operating Expenses Non-GAAP
R&D
 Non-GAAP Operating Income Non-GAAP
Net Income
 Adjusted EPS


Three Months Ended March 29, 2025Gross Profit Operating Expenses(a) R&D Operating
Income
 Net Loss Diluted EPS(h)
Reported GAAP measure$83,056  $75,176 $3,011 $4,869  $(3,322) $(0.04)
Reported GAAP margin 67.0%      3.9%    
Depreciation and amortization(b) 10,265   1,593  7  11,865   11,865   0.15 
Shareholder litigation costs(d)    23    23   23    
Loss on disposal of a business(e)    81    81   81    
Other items(f)    792  69  861   737   0.01 
Tax effect of adjusting items(g)           (3,189)  (0.04)
Non-GAAP measure$93,321  $72,687 $2,935 $17,699  $6,195  $0.08 
Non-GAAP margin 75.3%      14.3%    
 Non-GAAP
Gross Margin
 Non-GAAP Operating
Expenses
 Non-GAAP R&D Non-GAAP Operating
Income
 Non-GAAP
Net Income
 Adjusted EPS


 (a)The "Reported GAAP Measure" under the "Operating Expenses" column is a sum of all GAAP operating expense line items, excluding research and development.
 (b)Includes for the three months ended March 28, 2026 and March 29, 2025, respectively, depreciation and amortization of $10.1 million and $10.3 million in cost of sales and $1.1 million and $1.6 million in operating expenses presented in the consolidated condensed statements of operations and comprehensive income (loss).
 (c)Restructuring costs primarily resulted from severance associated with the elimination of several positions and the consolidation of certain administrative functions and roles.
 (d)Costs incurred as a result of certain shareholder litigation unrelated to our ongoing operations.
 (e) Represents the loss on disposal of the Advanced Rehabilitation Business.
 (f)Other items include charges associated with strategic initiatives, such as potential acquisitions or divestitures, as well as costs related to a transformative project aimed at redesigning the Company's systems and information processing infrastructure.
  Other items during the three months ended March 28, 2026 primarily consisted of individually immaterial items that are not indicative of the Company’s ongoing operating performance.
  Other items during the three months ended March 29, 2025, primarily consisted of $0.5 million of expenses related to the divestiture of the Advanced Rehabilitation Business, which was completed on December 31, 2024.
 (g)An estimated tax impact for adjustments to Non-GAAP Net Income was calculated by applying a rate of 25.1% for the three months ended March 28, 2026 and March 29, 2025. 
 (h)Adjustments are pro-rated to exclude the weighted average non-controlling interest ownership of 18.9% and 19.2%, respectively, for the three months ended March 28, 2026 and March 29, 2025.
   

*See below under “Use of Non-GAAP Financial Measures” for more details.

Investor Inquiries and Media:
Dave Crawford
Bioventus
investor.relations@bioventus.com


FAQ

What did Bioventus (BVS) report for Q1 2026 revenue and EPS?

Bioventus reported Q1 2026 revenue of $132.1 million and GAAP EPS $0.04. According to the company, non-GAAP EPS was $0.15 and adjusted EBITDA was $23.9 million.

How did Bioventus (BVS) change its 2026 financial guidance on May 6, 2026?

Bioventus raised full-year adjusted EPS guidance to $0.75–$0.79 and cash from operations to $84M–$89M. According to the company, revenue guidance of $600M–$610M was reaffirmed.

What drove Pain Treatments revenue growth for Bioventus (BVS) in Q1 2026?

Pain Treatments revenue rose to $63.4M, helped by a $4.2M favorable rebate benefit and other factors. According to the company, one fewer selling day partially offset growth.

How much cash did Bioventus (BVS) use to pay down debt in Q1 2026?

On March 27, 2026, Bioventus made a discretionary $22.0M principal prepayment on its term loan. According to the company, the prepayment reduced future interest and improved financial metrics.