OrthoPediatrics Corp. Reports Fourth Quarter and Full Year 2024 Financial Results
Rhea-AI Summary
OrthoPediatrics (NASDAQ: KIDS) reported strong financial results for Q4 and full year 2024. The company achieved record annual revenue of $204.7 million, up 38% from 2023, with domestic revenue increasing 45% and international revenue growing 15%.
Q4 2024 highlights include total revenue of $52.7 million, a 40% increase year-over-year, and adjusted EBITDA of $3.0 million, more than double compared to Q4 2023. The company helped over 34,000 children in Q4 and approximately 138,000 for the full year.
Key segment performance for 2024:
- Trauma and Deformity revenue: $145.1 million (+36%)
- Scoliosis revenue: $55.2 million (+45%)
- Sports Medicine/Other: $4.4 million (+11%)
For 2025, OrthoPediatrics projects revenue between $235.0-242.0 million, representing 15-18% growth, and expects adjusted EBITDA of $15.0-17.0 million.
Positive
- Record revenue of $204.7M in 2024, up 38% YoY
- Q4 adjusted EBITDA doubled to $3.0M
- Strong domestic revenue growth of 45%
- Scoliosis segment revenue up 45%
- 70% reduction in Q4 free cash flow usage
Negative
- Net loss increased to $37.8M in 2024 from $21.0M in 2023
- Gross profit margin declined to 72.6% from 74.8% in 2023
- $3.7M restructuring charge for Israel office closure
- $1.8M trademark impairment charge
- Operating expenses increased 33% to $183.6M
News Market Reaction 1 Alert
On the day this news was published, KIDS gained 11.88%, reflecting a significant positive market reaction.
Data tracked by StockTitan Argus on the day of publication.
Record full year 2024 revenue of
WARSAW, Ind., March 04, 2025 (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, 2024.
Fourth Quarter and Full Year 2024 & Recent Business Highlights
- Helped a new record of over 34,000 children in the fourth quarter 2024 and approximately 138,000 for full year 2024, bringing the total to over 1.14 million since the inception of OrthoPediatrics
- Generated total revenue of
$52.7 million for fourth quarter 2024, up40% from$37.6 million in fourth quarter 2023; domestic revenue increased52% and international revenue increased5% in the quarter - Achieved adjusted EBITDA of
$3.0 million in the fourth quarter of 2024, compared to$1.3 million in the fourth quarter of 2023 - Generated record total annual revenue of
$204.7 million for full year 2024, up38% from$148.7 million in 2023; domestic revenue increased45% and international revenue increased15% in 2024 - Achieved record full year adjusted EBITDA of
$8.5 million in 2024, compared to$5.0 million in 2023 - Reduced fourth quarter 2024 free cash flow usage by
70% as compared to the third quarter 2024 year to date average, and reduced fourth quarter 2024 free cash flow usage by67% as compared to the same period in the prior year. Anticipate first full quarter of positive free cash flow in fourth quarter 2025 - Reiterated full year 2025 revenue guidance to be in a range of
$235.0 million to$242.0 million , representing growth of15% to18% compared to 2024
“2024 was yet another year that OrthoPediatrics delivered strong results, successfully executed on our strategy, and further solidified our market leading position as we surround the pediatric orthopedic surgeon with all of the technology they need. With an extremely diverse business we have multiple levers that drive growth and we saw strength across all segments as Trauma and Deformity, Scoliosis, and OPSB continue to capture market share,” commented David Bailey, President & CEO of OrthoPediatrics. “Looking ahead, we are positioned well to further build on our past success and achieve our long-term goal of helping one million kids per year. We will help more children than ever, capture more share across the entire business as we continue to break revenue records, grow our adjusted EBITDA, and improve cash usage in 2025 and beyond, and we look forward to driving our Company through this next phase of growth."
Fourth Quarter and Full Year 2024 Financial Results
Total revenue for the fourth quarter of 2024 was
Total revenue for the full year 2024 was
Trauma and Deformity revenue for the fourth quarter of 2024 was
Trauma and Deformity revenue for the full year 2024 was
Gross profit for the fourth quarter of 2024 was
Total operating expenses for the fourth quarter of 2024 were
Sales and marketing expenses increased
General and administrative expenses increased
One-time charges for the fourth quarter 2024 included a
Total other expense was
Net loss for the fourth quarter of 2024 was
Net loss for the full year 2024 was
Weighted average diluted shares outstanding for the three months ended December 31, 2024 was 23,171,662 shares.
As of December 31, 2024, cash and cash equivalents, short-term investments and restricted cash were
Full Year 2025 Financial Guidance
For full year 2025, the Company expects its revenue to be in the range of
Conference Call
OrthoPediatrics will host a conference call on Tuesday, March 4, 2025, at 4:30 p.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 known and unknown risks, uncertainties and other factors, such as the impact of widespread health emergencies, such as COVID-19 and respiratory syncytial virus, and the other risks, uncertainties and factors set forth under "Risk Factors" in OrthoPediatrics’ Annual Report on Form 10-K filed with the SEC on March 8, 2024, as updated and supplemented by our other SEC reports filed from time to time, that may cause our results, activity levels, performance or achievements to be materially different from the information expressed or implied by the forward-looking statements. 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 per share on a GAAP basis, plus the accreted interest attributable to acquisition installment payables, the fair value adjustment of contingent consideration, trademark impairment, restructuring charges, European Union Medical Device Regulation fees, acquisition related costs, non-recurring Pega conversion fees, MidCap financing termination 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 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, 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, restructuring charges, European Union Medical Device Regulation fees, acquisition related costs, non-recurring Pega conversion fees, MidCap financing termination 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 over 75 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 75 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, 2024 | December 31, 2023 | ||||||
| ASSETS | |||||||
| Current assets: | |||||||
| Cash | $ | 43,820 | $ | 31,055 | |||
| Restricted cash | 1,957 | 1,972 | |||||
| Short-term investments | 25,013 | 49,251 | |||||
| Accounts receivable - trade, net of allowances of | 42,357 | 34,617 | |||||
| Inventories, net | 117,005 | 105,851 | |||||
| Prepaid expenses and other current assets | 7,021 | 3,750 | |||||
| Total current assets | 237,173 | 226,496 | |||||
| Property and equipment, net | 50,596 | 41,048 | |||||
| Other assets: | |||||||
| Amortizable intangible assets, net | 64,427 | 69,275 | |||||
| Goodwill | 93,844 | 83,699 | |||||
| Other intangible assets | 16,752 | 15,287 | |||||
| Other non-current assets | 10,417 | 2,940 | |||||
| Total other assets | 185,440 | 171,201 | |||||
| Total assets | $ | 473,209 | $ | 438,745 | |||
| LIABILITIES AND STOCKHOLDERS' EQUITY | |||||||
| Current liabilities: | |||||||
| Accounts payable - trade | 8,908 | 12,649 | |||||
| Accrued compensation and benefits | 13,888 | 11,325 | |||||
| Current portion of long-term debt with affiliate | 160 | 152 | |||||
| Current portion of acquisition installment payable | 1,347 | 10,149 | |||||
| Other current liabilities | 9,659 | 7,391 | |||||
| Total current liabilities | 33,962 | 41,666 | |||||
| Long-term liabilities: | |||||||
| Long-term term loan | 23,957 | 9,297 | |||||
| Long-term convertible note | 47,913 | — | |||||
| Long-term debt with affiliate, net of current portion | 451 | 611 | |||||
| Other long-term debt, net of current portion | 635 | — | |||||
| Acquisition installment payable, net of current portion | 2,452 | 3,551 | |||||
| Deferred income taxes | 3,381 | 5,483 | |||||
| Other long-term liabilities | 5,892 | 1,112 | |||||
| Total long-term liabilities | 84,681 | 20,054 | |||||
| Total liabilities | 118,643 | 61,720 | |||||
| Stockholders' equity: | |||||||
| Common stock, | 6 | 6 | |||||
| Additional paid-in capital | 600,897 | 580,287 | |||||
| Accumulated deficit | (235,564 | ) | (197,742 | ) | |||
| Accumulated other comprehensive loss | (10,773 | ) | (5,526 | ) | |||
| Total stockholders' equity | 354,566 | 377,025 | |||||
| Total liabilities and stockholders' equity | $ | 473,209 | $ | 438,745 | |||
| 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, | ||||||||||||||
| 2024 | 2023 | 2024 | 2023 | ||||||||||||
| Net revenue | $ | 52,667 | $ | 37,613 | $ | 204,727 | $ | 148,732 | |||||||
| Cost of revenue | 17,102 | 10,899 | 56,129 | 37,479 | |||||||||||
| Gross profit | 35,565 | 26,714 | 148,598 | 111,253 | |||||||||||
| Operating expenses: | |||||||||||||||
| Sales and marketing | 16,784 | 12,799 | 64,296 | 52,824 | |||||||||||
| General and administrative | 24,431 | 19,060 | 102,789 | 73,300 | |||||||||||
| Trademark impairment | 1,836 | — | 1,836 | 985 | |||||||||||
| Restructuring | 3,653 | — | 3,653 | — | |||||||||||
| Research and development | 2,916 | 2,921 | 11,034 | 10,895 | |||||||||||
| Total operating expenses | 49,620 | 34,780 | 183,608 | 138,004 | |||||||||||
| Operating loss | (14,055 | ) | (8,066 | ) | (35,010 | ) | (26,751 | ) | |||||||
| Other expenses (income): | |||||||||||||||
| Interest expense (income), net | 1,319 | (303 | ) | 2,621 | (198 | ) | |||||||||
| Loss on early extinguishment of debt | — | — | 3,230 | — | |||||||||||
| Fair value adjustment of contingent consideration | — | (6 | ) | — | (2,980 | ) | |||||||||
| Other expense (income) | 1,035 | (854 | ) | 1,068 | (2,261 | ) | |||||||||
| Total other expenses (income), net | 2,354 | (1,163 | ) | 6,919 | (5,439 | ) | |||||||||
| Net loss before income taxes | $ | (16,409 | ) | $ | (6,903 | ) | (41,929 | ) | (21,312 | ) | |||||
| Income tax benefit | (340 | ) | (212 | ) | (4,107 | ) | (338 | ) | |||||||
| Net loss | $ | (16,069 | ) | $ | (6,691 | ) | $ | (37,822 | ) | $ | (20,974 | ) | |||
| Weighted average shares outstanding | |||||||||||||||
| Basic | 23,171,662 | 22,762,689 | 23,077,704 | 22,675,477 | |||||||||||
| Diluted | 23,171,662 | 22,762,689 | 23,077,704 | 22,675,477 | |||||||||||
| Net loss per share | |||||||||||||||
| Basic | $ | (0.69 | ) | $ | (0.29 | ) | $ | (1.64 | ) | $ | (0.92 | ) | |||
| Diluted | $ | (0.69 | ) | $ | (0.29 | ) | $ | (1.64 | ) | $ | (0.92 | ) | |||
| ORTHOPEDIATRICS CORP. | |||||||
| CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS | |||||||
| (Unaudited) | |||||||
| (In Thousands) | |||||||
| Twelve Months Ended December 31, | |||||||
| 2024 | 2023 | ||||||
| OPERATING ACTIVITIES | |||||||
| Net loss | $ | (37,822 | ) | $ | (20,974 | ) | |
| Adjustments to reconcile net loss to net cash used in operating activities: | |||||||
| Impairment | 1,836 | 985 | |||||
| Depreciation and amortization | 19,080 | 17,385 | |||||
| Loss on early extinguishment of debt | 3,230 | — | |||||
| Stock-based compensation | 13,548 | 10,526 | |||||
| Fair value adjustment of contingent consideration | — | (2,980 | ) | ||||
| Accretion of acquisition installment payable | 661 | 1,372 | |||||
| Deferred income taxes | (4,736 | ) | (1,163 | ) | |||
| Non-cash other | 90 | — | |||||
| Changes in certain operating assets and liabilities: | |||||||
| Accounts receivable - trade | (4,749 | ) | (9,724 | ) | |||
| Inventories | (13,197 | ) | (26,279 | ) | |||
| Prepaid expenses and other current assets | (1,561 | ) | 94 | ||||
| Accounts payable - trade | (4,280 | ) | 1,491 | ||||
| Accrued expenses and other liabilities | 537 | 6,852 | |||||
| Other | 315 | (4,631 | ) | ||||
| Net cash used in operating activities | (27,048 | ) | (27,046 | ) | |||
| INVESTING ACTIVITIES | |||||||
| Acquisition of Boston O&P, net of cash acquired | (20,225 | ) | — | ||||
| Clinic acquisitions, net of cash acquired | (2,882 | ) | — | ||||
| Acquisition of MedTech, net of cash acquired | — | (3,097 | ) | ||||
| Acquisition of Rhino assets | — | (546 | ) | ||||
| Sale of short-term marketable securities | 49,855 | 112,904 | |||||
| Purchase of short-term marketable securities | (25,000 | ) | (48,600 | ) | |||
| Investment in private companies and purchases of licenses | (647 | ) | (2,106 | ) | |||
| Purchases of property and equipment | (14,263 | ) | (16,878 | ) | |||
| Net cash provided by (used in) investing activities | (13,162 | ) | 41,677 | ||||
| FINANCING ACTIVITIES | |||||||
| Proceeds from issuance of debt | 73,533 | 9,424 | |||||
| Payment of debt issuance costs | (3,407 | ) | — | ||||
| Proceeds from exercise of stock options | — | 21 | |||||
| Installment payment for ApiFix | (2,250 | ) | (2,000 | ) | |||
| Installment payment for MedTech | (1,250 | ) | — | ||||
| Payments on mortgage notes | (152 | ) | (144 | ) | |||
| Payments on clinic acquisition notes | (1,108 | ) | — | ||||
| Payment on debt | (12,231 | ) | — | ||||
| Net cash provided by financing activities | 53,135 | 7,301 | |||||
| Effect of exchange rate changes on cash | (175 | ) | 633 | ||||
| NET INCREASE IN CASH AND RESTRICTED CASH | 12,750 | 22,565 | |||||
| Cash and restricted cash, beginning of period | 33,027 | 10,462 | |||||
| Cash and restricted cash, end of period | $ | 45,777 | $ | 33,027 | |||
| 2024 | 2023 | ||||||
| SUPPLEMENTAL DISCLOSURES | |||||||
| Cash paid for interest | $ | 2,752 | $ | 42 | |||
| Transfer of instruments between property and equipment and inventory | $ | 420 | $ | 57 | |||
| Issuance of common shares for ApiFix installment | $ | 6,929 | $ | 6,178 | |||
| Issuance of common shares to acquire MedTech | $ | — | $ | 2,274 | |||
| Issuance of common shares for MedTech installment | $ | 133 | $ | — | |||
| Issuance of common shares to acquire Rhino assets | $ | — | $ | 478 | |||
| Right-of-use assets obtained in exchange for lease liabilities | $ | 8,957 | $ | 706 | |||
| 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: | 2024 | 2023 | 2024 | 2023 | |||||||
| U.S. | $ | 42,894 | $ | 28,262 | $ | 161,163 | $ | 111,010 | |||
| International | 9,773 | 9,351 | 43,564 | 37,722 | |||||||
| Total | $ | 52,667 | $ | 37,613 | $ | 204,727 | $ | 148,732 | |||
| Three Months Ended December 31, | Twelve Months Ended December 31, | ||||||||||
| Product sales by category: | 2024 | 2023 | 2024 | 2023 | |||||||
| Trauma and deformity | $ | 36,409 | $ | 27,066 | $ | 145,126 | $ | 106,781 | |||
| Scoliosis | 15,632 | 9,663 | 55,153 | 37,933 | |||||||
| Sports medicine/other | 626 | 884 | 4,448 | 4,018 | |||||||
| Total | $ | 52,667 | $ | 37,613 | $ | 204,727 | $ | 148,732 | |||
| 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, | ||||||||||||||
| 2024 | 2023 | 2024 | 2023 | ||||||||||||
| Net loss | $ | (16,069 | ) | $ | (6,691 | ) | $ | (37,822 | ) | $ | (20,974 | ) | |||
| Interest expense (income), net | 1,319 | (303 | ) | 2,621 | (198 | ) | |||||||||
| Other expense (income), net | 1,035 | (854 | ) | 1,068 | (2,261 | ) | |||||||||
| Income tax benefit | (340 | ) | (212 | ) | (4,107 | ) | (338 | ) | |||||||
| Depreciation and amortization | 3,993 | 5,479 | 19,080 | 17,385 | |||||||||||
| Trademark impairment | 1,836 | — | 1,836 | 985 | |||||||||||
| Stock-based compensation | 3,888 | 2,516 | 13,548 | 10,526 | |||||||||||
| Fair value adjustment of contingent consideration | — | (6 | ) | — | (2,980 | ) | |||||||||
| Restructuring charges | 3,653 | — | 3,653 | — | |||||||||||
| European Union Medical Device Regulation fees | 1,386 | — | 1,386 | — | |||||||||||
| Acquisition related costs | 1,762 | 451 | 2,266 | 650 | |||||||||||
| Non-recurring Pega conversion fees | — | — | — | 277 | |||||||||||
| MidCap financing termination fees | — | — | 3,230 | — | |||||||||||
| Minimum purchase commitment cost | 560 | 915 | 1,760 | 1,968 | |||||||||||
| Adjusted EBITDA | $ | 3,023 | $ | 1,295 | $ | 8,519 | $ | 5,040 | |||||||
| 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, | ||||||||||||||
| 2024 | 2023 | 2024 | 2023 | ||||||||||||
| Loss per share, diluted (GAAP) | $ | (0.69 | ) | $ | (0.29 | ) | $ | (1.64 | ) | $ | (0.92 | ) | |||
| Accretion of interest attributable to acquisition installment payable | — | 0.01 | 0.02 | 0.05 | |||||||||||
| Fair value adjustment of contingent consideration | — | — | — | (0.13 | ) | ||||||||||
| Trademark impairment | 0.08 | — | 0.08 | 0.04 | |||||||||||
| Restructuring charges | 0.16 | — | 0.16 | — | |||||||||||
| European Union Medical Device Regulation fees | 0.06 | — | 0.06 | — | |||||||||||
| Acquisition related costs | 0.08 | 0.02 | 0.10 | 0.03 | |||||||||||
| Non-recurring Pega conversion fees | — | — | — | 0.01 | |||||||||||
| MidCap financing termination fees | — | — | 0.14 | — | |||||||||||
| Minimum purchase commitment cost | 0.02 | 0.04 | 0.08 | 0.09 | |||||||||||
| Adjusted loss per share, diluted (non-GAAP) | $ | (0.29 | ) | $ | (0.22 | ) | $ | (1.01 | ) | $ | (0.83 | ) | |||