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Treace Medical Concepts (NASDAQ: TMCI) posts 2025 loss and guides flat-to-down 2026 sales

Filing Impact
(High)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Treace Medical Concepts reported 2025 revenue of $212.7 million, up 2% year over year, with fourth quarter revenue of $62.5 million, down 9% as sales shifted toward lower priced bunion kits. Full-year net loss widened slightly to $59.0 million, or $(0.93) per share, while the adjusted EBITDA loss improved to $(3.9) million from $(11.0) million.

Cash, cash equivalents and marketable securities were $48.4 million at December 31, 2025, and cash usage fell 46% to $27.3 million. The company added 202 net new active surgeons and ended 2025 with 3,337 active surgeons, about 33% of its estimated 10,000 U.S. bunion surgeons. Treace now holds 135 granted patents and 199 pending applications.

For 2026, Treace guided to revenue of $200 million to $212 million, implying 6% decline to flat versus 2025, and an adjusted EBITDA loss of $4.0 million to $6.0 million. Management expects roughly 50% lower cash usage in 2026, supported by a new credit facility that provides $115 million of additional liquidity subject to conditions.

Positive

  • Adjusted profitability trend: Full-year 2025 adjusted EBITDA loss improved to $(3.9) million from $(11.0) million, a 64% reduction in loss despite only 2% revenue growth.
  • Cash burn reduction and liquidity: Cash usage decreased 46% to $27.3 million in 2025, with year-end cash and marketable securities of $48.4 million plus access to a new $115 million credit facility, enhancing financial flexibility.

Negative

  • Soft growth and weaker Q4: 2025 revenue grew just 2% to $212.7 million, while fourth quarter revenue declined 9% year over year to $62.5 million amid a shift toward lower priced products.
  • Cautious 2026 outlook with ongoing losses: 2026 revenue guidance of $200 million to $212 million implies a 6% decline to flat versus 2025, and management still expects an adjusted EBITDA loss of $4.0 million to $6.0 million.

Insights

Treace shows slowing growth, improving cash burn, and cautious 2026 guidance.

Treace Medical Concepts delivered modest 2025 revenue growth of 2% to $212.7 million, but fourth quarter sales declined 9% as mix shifted to lower priced kits. Full-year net loss increased to $59.0 million, though adjusted EBITDA loss improved to $(3.9) million from $(11.0) million, reflecting tighter cost control and higher non-cash items like share-based compensation.

Liquidity appears reasonable with $48.4 million of cash and marketable securities at year-end and a new credit facility adding up to $115 million of available liquidity subject to conditions. Cash usage fell 46% to $27.3 million, and operating cash outflow improved versus 2024, suggesting progress toward a more sustainable cash profile even while the business remains loss-making.

Management’s 2026 outlook is cautious: revenue of $200 million to $212 million implies a 6% decline to flat versus 2025, and adjusted EBITDA is expected to remain a loss of $4.0 million to $6.0 million. The guidance attributes pressure to demand-driven product and price mix within the expanded bunion portfolio, even as case volumes are expected to grow. Execution on product launches and surgeon adoption, together with maintaining access to the credit facility, will be important to support the plan for approximately 50% lower cash usage in 2026.

false000163062700016306272026-02-272026-02-27

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 8-K

CURRENT REPORT

Pursuant to Section 13 or 15(d)

of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): February 27, 2026

TREACE MEDICAL CONCEPTS, Inc.

(Exact name of registrant as specified in its charter)

 

 

 

 

 

Delaware

001-40355

47-1052611

(State or other jurisdiction

of incorporation)

(Commission

File Number)

(IRS Employer

Identification Number)

 

100 Palmetto Park Place

Ponte Vedra, Florida 32081

(Address of principal executive offices, including Zip Code)

Registrant’s telephone number, including area code: (904) 373-5940

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

 

 

 

 

 

Title of each class

Trading Symbol(s)

Name of each exchange on which registered

Common Stock, $0.001 par value per share

TMCI

The Nasdaq Global Select Market

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

 

 

 

 


 

Item 2.02 Results of Operations and Financial Condition.

 

On February 27, 2026, Treace Medical Concepts, Inc. (the “Company”) issued a press release regarding its financial results for the year ended December 31, 2025. A copy of the press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated by reference herein.

 

This information furnished under this Item 2.02, including Exhibit 99.1, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, and shall not be deemed incorporated by reference into any filing under the Securities Act of 1933, as amended (the "Securities Act"), or the Exchange Act, except as shall be expressly set forth by specific reference in such filing.

Item 9.01

Financial Statements and Exhibits.

 

Exhibit No.

Description

99.1

Press Release of Treace Medical Concepts, Inc. issued on February 27, 2026

104

 

Cover Page Interactive Data File (embedded within the Inline XBRL document)

 

 


 

SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

 

 

 

 

 

 

 

 

TREACE MEDICAL CONCEPTS, INC.

 

 

 

 

Date: February 27, 2026

 

By:

/s/ Mark L. Hair

 

 

 

Mark L. Hair

 

 

 

Chief Financial Officer

 

 


 

Exhibit 99.1

img32504678_0.jpg

 

Treace Medical Concepts Reports

Fourth Quarter and Full-Year 2025 Financial Results

 

PONTE VEDRA, Fla. – February 27, 2026 – Treace Medical Concepts, Inc. ("Treace" or the "Company") (NasdaqGS: TMCI), a medical technology company driving a fundamental shift in the surgical treatment of bunions and related midfoot deformities, today reported financial results for the fourth quarter and full-year ended December 31, 2025.

 

Recent Highlights

Generated revenue of $62.5 million in fourth quarter 2025 and revenue of $212.7 million for the full-year 2025, an increase of 2% compared to the prior year.
Reported fourth quarter 2025 net loss of $(9.4) million and adjusted EBITDA of $6.2 million in the fourth quarter 2025. Reported full-year 2025 net loss of $(59.0) million compared to a full-year net loss of $(55.7) million in 2024, reduced adjusted EBITDA loss by 64% to $(3.9) million in the full-year 2025 compared to $(11.0) million in the same period in 2024.
Reduced cash usage by 46% to $27.3 million in full year 2025 compared to $50.5 million in full year 2024.
Increased net new active surgeons by 202 for full-year 2025 and ended the year with 3,337 active surgeons, a 6% increase compared to the prior year and 33% of the estimated 10,000 U.S. surgeons performing bunion surgery.
Broadened global patent portfolio now totaling 135 granted patents in addition to 199 pending patent applications.

 

“During the fourth quarter, we improved upon the mid-single digit case volume growth that we experienced in the third quarter. This was driven by increasing demand for our comprehensive suite of 3D bunion correction systems by our growing base of over 3,300 surgeon customers,” said John T. Treace, CEO and Chairman of Treace. “In 2026, we expect our expanded bunion portfolio and forthcoming product launches to deliver continued market share gains and restore topline growth in the back half of the year.”

 

Fourth Quarter 2025 Financial Results

Revenue for the fourth quarter of 2025 was $62.5 million, representing a decrease of 9% compared to $68.7 million in the fourth quarter of 2024. The decrease was primarily driven by the shift in product sales toward lower priced bunion kits.

Gross profit for the fourth quarter of 2025 was $50.4 million compared to $55.5 million in the fourth quarter of 2024. Gross margin was 80.6% in the fourth quarter of 2025, compared to 80.7% in the fourth quarter of 2024.

Total operating expenses were $56.3 million in the fourth quarter of 2025, an increase of 1% compared to total operating expenses of $55.7 million in the fourth quarter of 2024.

 

Fourth quarter 2025 net loss was $(9.4) million, or $(0.15) per share, compared to $(0.5) million, or $(0.01) per share, for the same period in 2024. Adjusted EBITDA was $6.2 million in the fourth quarter of 2025 compared to $11.1 million for the same period in 2024.

 

Full-Year 2025 Financial Results

Revenue for the full-year 2025 was $212.7 million, representing an increase of 2% compared to $209.4 million in 2024.

Page | 1


 

 

Gross profit for the full-year 2025 was $169.8 million compared to a gross profit of $168.3 million in 2024. Gross margin totaled 79.8% in 2025, compared to 80.4% in 2024.

 

Total operating expenses were $223.9 million in 2025, compared to total operating expenses of $224.0 million in 2024.

 

Full-year 2025 net loss was $(59.0) million, or $(0.93) per share, compared to $(55.7) million, or $(0.90) per share, for the same period in 2024. Adjusted EBITDA was a loss of $(3.9) million in 2025, compared to a loss of $(11.0) million in 2024. See below for additional information and a reconciliation of non-GAAP financial information referenced herein.

 

Cash, cash equivalents, and marketable securities totaled $48.4 million as of December 31, 2025. The Company’s new credit facility provides an additional $115 million of liquidity subject to certain conditions. The Company used $27.3 million of cash for the full year 2025, compared to $50.5 million in 2024, representing a decrease of 46%.

 

2026 Financial Outlook

The Company is initiating full-year 2026 revenue guidance of $200 million to $212 million representing a decline of 6% to 0% compared to full-year 2025.

 

The Company expects a loss in Adjusted EBITDA in the range of $4.0 million to $6.0 million for full year 2026, as compared to a loss of $3.9 million in the full-year 2025.*

 

The Company expects a reduction in cash usage of approximately 50% for full-year 2026 as compared to the full year 2025.

 

The Company’s full-year 2026 guidance reflects continued case volume growth, offset by previously disclosed headwinds from demand driven product and price mix shift within Treace’s expanded bunion portfolio.

 

Webcast and Conference Call Details

Treace will host a conference call today, February 27, 2026, at 8:00 a.m. ET to discuss its fourth quarter and full-year 2025 financial results. Investors interested in listening to the conference call may do so by registering. Once registered, participants will receive dial-in numbers and a unique pin to join the call and ask questions. The live webcast of the conference call will be available on the Investor Relations section of the Company’s website at investors.treace.com. The webcast will be archived on the website following the completion of the call.

 

Use of Non-GAAP Financial Measures

To supplement the financial results presented in accordance with GAAP, this earnings release presents Adjusted EBITDA, which the Company defines as net loss before depreciation and amortization expense, interest income, interest expense, taxes, share-based compensation expense, acquisition-related costs, restructuring costs, customer credit loss, litigation costs, and debt extinguishment loss. Non-GAAP financial measures such as Adjusted EBITDA are presented in addition to, and not as a substitute for, or superior to, financial measures calculated in accordance with GAAP. Management uses non-GAAP financial measures to evaluate the Company’s operating performance and trends, as well as for making planning decisions. The Company believes that Adjusted EBITDA helps to identify underlying trends in the Company’s business that may otherwise be masked by the effect of the income and expenses and other items that it excludes in its calculation of Adjusted EBITDA. Accordingly, the Company believes this non-GAAP financial measure provides useful information to investors and others in understanding and evaluating the Company’s operating results, enhancing the overall understanding of its past performance and future prospects, and allowing for greater transparency with respect to key financial metrics used by the Company’s management in their financial and operational decision-making. The Company also presents this non-GAAP financial measure because it believes investors, analysts and rating agencies

Page | 2


 

consider it to be a useful metric in measuring the Company’s performance against other companies and its ability to meet its debt service obligations.

There are limitations related to the use of non-GAAP financial measures such as Adjusted EBITDA because they are not prepared in accordance with GAAP, may exclude significant income and expenses required by GAAP to be recognized in the Company’s financial statements, and may not be comparable to non-GAAP financial measures used by other companies. The Company encourages investors to carefully consider its results under GAAP, as well as its supplemental non-GAAP information and the reconciliation between these presentations, to more fully understand its business. A reconciliation between GAAP and non-GAAP results is presented below.

*A reconciliation of Adjusted EBITDA to GAAP net loss on a forward-looking basis is not available without unreasonable efforts due to the high variability, complexity and low visibility with respect to the items excluded from this non-GAAP measure.

 

Forward-Looking Statements

This press release and statements made during the Company’s earnings call contain 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 other than statements of historical fact are forward-looking statements, including, but not limited to, the Company’s: 2026 full-year guidance; anticipated liquidity; 2026 Adjusted EBITDA guidance; expected 2026 cash usage decrease; anticipated restoration of revenue growth in the back half of the year; expected increase in product adoptions; continued execution of strategic initiatives; anticipated market position, growth rates and profitability improvement; ability to effectively respond to and mitigate the impact of challenges in the current market environment, including in response to increased competition, evolving surgeon and patient preferences for minimally invasive bunion solutions, changes in tariff and trade policies, protracted government shutdowns, lower patient demand for elective bunion surgery due to macroeconomic uncertainty or soft consumer sentiment; anticipated future product launches and the timing of such product launches; ability to increase procedure volumes, expand surgeon relationships and utilization rate, and increase procedure penetration and market share; sufficiency of its balance sheet to continue executing strategic and growth initiatives for the foreseeable future; anticipated expansion of clinical evidence; ability to protect and enforce its intellectual property rights, including through its patent infringement and unfair competition suits; success in defending against securities class actions and infringement of its intellectual property by third parties, including its competitors; expected seasonality; ability to leverage investments in its commercial organization and control costs in its organizational structure, the amount and timing of orders for our products from stocking distributors and other customers; and anticipated pace of growth in the foot and ankle market. Forward-looking statements are based on management’s current assumptions and expectations of future events and trends, which affect or may affect the Company’s business, strategy, operations or financial performance, and actual results and other events may differ materially from those expressed or implied in such statements due to numerous risks and uncertainties. Forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified. Factors that could cause actual results or other events to differ materially from those contemplated in this press release can be found in the Risk Factors section of Treace’s public filings with the Securities and Exchange Commission (SEC), including its Annual Report on Form 10-K for the year ended December 31, 2025, which was filed with the SEC on February 27, 2026. Because forward-looking statements are inherently subject to risks and uncertainties, you should not rely on these forward-looking statements as predictions of future events. These forward-looking statements speak only as of their date and, except to the extent required by law, the Company undertakes no obligation to update these statements, whether as a result of any new information, future developments or otherwise. The Company’s results for the year ended December 31, 2025, are not necessarily indicative of its operating results for any future periods.

 

Internet Posting of Information

Treace routinely posts information that may be important to investors in the “Investor Relations” section of its website at www.treace.com. The Company encourages investors and potential investors to consult the Treace website regularly for important information about Treace.

Page | 3


 

 

About Treace Medical Concepts

Treace Medical Concepts, Inc. is a medical technology company with the goal of advancing the standard of care for the surgical management of bunion and related midfoot deformities. Bunions are complex 3-dimensional deformities that originate from an unstable joint in the middle of the foot and affect approximately 67 million Americans, of which Treace estimates 1.1 million are annual surgical candidates. Treace has pioneered and patented the Lapiplasty® 3D Bunion Correction® System – a combination of instruments, implants, and surgical methods designed to surgically correct all three planes of the bunion deformity and secure the unstable joint, addressing the root cause of the bunion and helping patients get back to their active lifestyles. To further support the needs of surgeons and bunion patients, Treace offers its Adductoplasty® Midfoot Correction System, designed for reproducible surgical correction of midfoot deformities, two systems for minimally invasive osteotomy procedures, namely the Nanoplasty® 3D Minimally Invasive Bunion Correction System and the Percuplasty™ Percutaneous 3D Bunion Correction System, and the SpeedMTP® System. Treace continues to expand its footprint in the marketplace by extending its SpeedPlate® rapid compression implant platform to new applications, as well as providing surgeons with advanced digital solutions with its IntelliGuide® patient specific, pre-op planning and cut guide technology. For more information, please visit www.treace.com.

 

To learn more about Treace, connect with us on LinkedIn, X, Facebook and Instagram.

 

Contacts:

Treace Medical Concepts

Mark L. Hair

Chief Financial Officer

mhair@treace.net

(904) 373-5940

Investors:

Gilmartin Group

Philip Trip Taylor

IR@treace.net

Page | 4


 

Treace Medical Concepts, Inc.

Statements of Operations and Comprehensive Loss

(in thousands, except share and per share amounts)

 

 

 

Three Months Ended
December 31,

 

 

Twelve Months Ended
December 31,

 

 

 

2025

 

 

2024

 

 

2025

 

 

2024

 

Revenue

 

$

62,519

 

 

$

68,708

 

 

$

212,690

 

 

$

209,357

 

Cost of goods sold

 

 

12,118

 

 

 

13,231

 

 

 

42,938

 

 

 

41,093

 

Gross profit

 

 

50,401

 

 

 

55,477

 

 

 

169,752

 

 

 

168,264

 

Operating expenses

 

 

 

 

 

 

 

 

 

 

 

 

Sales and marketing

 

 

37,253

 

 

 

36,859

 

 

 

140,880

 

 

 

147,643

 

Research and development

 

 

4,542

 

 

 

5,210

 

 

 

20,282

 

 

 

20,589

 

General and administrative

 

 

14,528

 

 

 

13,612

 

 

 

62,744

 

 

 

55,720

 

Total operating expenses

 

 

56,323

 

 

 

55,681

 

 

 

223,906

 

 

 

223,952

 

Loss from operations

 

 

(5,922

)

 

 

(204

)

 

 

(54,154

)

 

 

(55,688

)

Interest income

 

 

527

 

 

 

899

 

 

 

2,777

 

 

 

4,877

 

Interest expense

 

 

(1,350

)

 

 

(1,314

)

 

 

(5,320

)

 

 

(5,256

)

Debt extinguishment loss

 

 

(2,737

)

 

 

 

 

 

(2,737

)

 

 

 

Other income, net

 

 

88

 

 

 

118

 

 

 

432

 

 

 

324

 

Other non-operating income (expense), net

 

 

(3,472

)

 

 

(297

)

 

 

(4,848

)

 

 

(55

)

Net loss

 

$

(9,394

)

 

$

(501

)

 

$

(59,002

)

 

$

(55,743

)

 

 

 

 

 

 

 

 

 

 

 

 

 

Other comprehensive income (loss)

 

 

 

 

 

 

 

 

 

 

 

 

Unrealized gain (loss) on marketable securities

 

$

(11

)

 

$

(94

)

 

$

(25

)

 

$

(66

)

Comprehensive loss

 

$

(9,405

)

 

$

(595

)

 

$

(59,027

)

 

$

(55,809

)

 

 

 

 

 

 

 

 

 

 

 

 

 

Net loss per share, basic and diluted

 

$

(0.15

)

 

$

(0.01

)

 

$

(0.93

)

 

$

(0.90

)

Weighted-average shares used in computing net loss per share, basic and diluted

 

 

63,860,088

 

 

 

62,340,603

 

 

 

63,269,003

 

 

 

62,112,037

 

 

Page | 5


 

Treace Medical Concepts, Inc.

Balance Sheets

(in thousands, except share and per share amounts)

 

 

 

December 31,

 

 

December 31,

 

 

 

2025

 

 

2024

 

Assets

 

 

 

 

 

 

Current assets

 

 

 

 

 

 

Cash and cash equivalents

 

$

10,708

 

 

$

11,350

 

Marketable securities, short-term

 

 

37,659

 

 

 

64,327

 

Accounts receivable, net of allowance for credit losses of $1,824 and $1,326 as of December 31, 2025 and December 31, 2024, respectively

 

 

42,155

 

 

 

40,803

 

Inventories

 

 

36,031

 

 

 

39,255

 

Prepaid expenses and other current assets

 

 

5,501

 

 

 

5,667

 

Total current assets

 

 

132,054

 

 

 

161,402

 

Property and equipment, net

 

 

29,752

 

 

 

25,953

 

Intangible assets, net of accumulated amortization of $2,375 and $1,425 as of December 31, 2025 and December 31, 2024, respectively

 

 

7,125

 

 

 

8,075

 

Goodwill

 

 

12,815

 

 

 

12,815

 

Operating lease right-of-use assets

 

 

7,614

 

 

 

8,442

 

Other non-current assets, net of allowance for credit losses of $69 and $69 as of December 31, 2025 and December 31, 2024, respectively

 

 

1,221

 

 

 

407

 

Total assets

 

$

190,581

 

 

$

217,094

 

Liabilities and Stockholders’ Equity

 

 

 

 

 

 

Current liabilities

 

 

 

 

 

 

Accounts payable

 

$

6,726

 

 

$

10,522

 

Accrued liabilities

 

 

5,784

 

 

 

7,197

 

Accrued commissions

 

 

9,365

 

 

 

10,121

 

Accrued compensation

 

 

6,331

 

 

 

6,575

 

Other liabilities

 

 

2,429

 

 

 

510

 

Total current liabilities

 

 

30,635

 

 

 

34,925

 

Long-term debt, net

 

 

55,583

 

 

 

53,306

 

Operating lease liabilities, net of current portion

 

 

13,982

 

 

 

15,934

 

Other long-term liabilities

 

 

3,049

 

 

 

37

 

Total liabilities

 

 

103,249

 

 

 

104,202

 

Commitments and contingencies (Note 8)

 

 

 

 

 

 

Stockholders’ equity

 

 

 

 

 

 

Preferred stock, $0.001 par value, 5,000,000 shares authorized as of December 31, 2025 and December 31, 2024; 0 shares issued as of December 31, 2025 and December 31, 2024

 

 

 

 

 

 

Common stock, $0.001 par value, 300,000,000 shares authorized; 64,029,378 and 62,385,101 shares issued as of December 31, 2025 and December 31, 2024, respectively

 

 

64

 

 

62

 

Additional paid-in capital

 

 

337,371

 

 

 

303,004

 

Accumulated deficit

 

 

(248,992

)

 

 

(189,990

)

Accumulated other comprehensive income (loss)

 

 

72

 

 

 

97

 

Treasury stock, at cost; 165,513 and 23,391 shares as of December 31, 2025 and December 31, 2024, respectively

 

 

(1,183

)

 

 

(281

)

Total stockholders’ equity

 

 

87,332

 

 

 

112,892

 

Total liabilities and stockholders’ equity

 

$

190,581

 

 

$

217,094

 

 

Page | 6


 

Treace Medical Concepts, Inc.

Statements of Cash Flows

(in thousands)

 

 

 

Year Ended December 31,

 

 

 

2025

 

 

2024

 

Cash flows from operating activities

 

 

 

 

 

 

Net loss

 

$

(59,002

)

 

$

(55,743

)

Adjustments to reconcile net loss to net cash provided by (used in) operating
   activities

 

 

 

 

 

 

Depreciation and amortization expense

 

 

10,623

 

 

 

8,419

 

Provision for allowance for credit losses

 

 

834

 

 

 

2,947

 

Share-based compensation expense

 

 

33,823

 

 

 

30,603

 

Non-cash lease expense

 

 

2,222

 

 

 

2,349

 

Amortization of debt issuance costs

 

 

292

 

 

 

298

 

Debt extinguishment loss

 

 

2,737

 

 

 

 

Amortization (accretion) of premium (discount) on marketable securities, net

 

 

(123

)

 

 

(1,145

)

Other, net

 

 

1,208

 

 

 

538

 

Net changes in operating assets and liabilities, net of acquisitions

 

 

 

 

 

 

Accounts receivable

 

 

(2,090

)

 

 

(5,687

)

Inventory

 

 

3,224

 

 

 

(10,010

)

Prepaid expenses and other assets

 

 

166

 

 

 

2,186

 

Other non-current assets

 

 

(503

)

 

 

(330

)

Operating lease liabilities

 

 

(3,207

)

 

 

(2,473

)

Accounts payable

 

 

(3,796

)

 

 

(1,313

)

Accrued liabilities

 

 

(2,413

)

 

 

(7,903

)

Other, net

 

 

35

 

 

 

97

 

Net cash provided by (used in) operating activities

 

 

(15,970

)

 

 

(37,167

)

 

 

 

 

 

 

 

Cash flows from investing activities

 

 

 

 

 

 

Purchases of available-for-sale marketable securities

 

 

(40,571

)

 

 

(71,579

)

Sales and maturities of available-for-sale marketable securities

 

 

67,339

 

 

 

118,547

 

Purchases of property and equipment

 

 

(13,517

)

 

 

(11,593

)

Net cash provided by (used in) investing activities

 

 

13,251

 

 

 

35,375

 

 

 

 

 

 

 

 

Cash flows from financing activities

 

 

 

 

 

 

Proceeds from interest bearing term debt

 

 

59,310

 

 

 

 

Proceeds from insurance premium financing

 

 

1,553

 

 

 

 

Debt issuance costs

 

 

(1,199

)

 

 

 

Payments on interest bearing term and revolving debt

 

 

(56,315

)

 

 

 

Payments on insurance premium financing

 

 

(916

)

 

 

 

Proceeds from exercise of employee stock options

 

 

546

 

 

 

428

 

Taxes from withheld shares

 

 

(902

)

 

 

(268

)

Net cash provided by (used in) financing activities

 

 

2,077

 

 

 

160

 

Net increase (decrease) in cash and cash equivalents

 

 

(642

)

 

 

(1,632

)

Cash and cash equivalents at beginning of period

 

 

11,350

 

 

 

12,982

 

Cash and cash equivalents at end of period

 

$

10,708

 

 

$

11,350

 

 

 

 

 

 

 

 

Supplemental disclosure of cash flow information

 

 

 

 

 

 

Cash paid for interest

 

$

4,997

 

 

$

4,955

 

Operating lease right-of-use asset and lease liability adjustment due to lease incentive

 

$

 

 

$

8

 

Noncash investing activities

 

 

 

 

 

 

Unrealized (gains) losses, net on marketable securities

 

$

25

 

 

$

66

 

Noncash financing activities

 

 

 

 

 

 

Legal cost financing

 

$

1,108

 

 

$

 

 

Page | 7


 

Treace Medical Concepts, Inc.

Reconciliation of GAAP Net Loss to EBITDA & Adjusted EBITDA

(in thousands)

(unaudited)

 

 

Three Months Ended
December 31,

 

 

Twelve Months Ended
December 31,

 

 

2025

 

 

2024

 

 

2025

 

 

2024

 

 Net loss

$

(9,394

)

 

$

(501

)

 

$

(59,002

)

 

$

(55,743

)

 Adjustments:

 

 

 

 

 

 

 

 

 

 

 

Interest income

 

(527

)

 

 

(899

)

 

 

(2,777

)

 

 

(4,877

)

Interest expense

 

1,350

 

 

 

1,314

 

 

 

5,320

 

 

 

5,256

 

Taxes

 

 

 

 

 

 

 

 

 

 

 

Depreciation & Amortization

 

2,808

 

 

 

2,237

 

 

 

10,623

 

 

 

8,419

 

 EBITDA

$

(5,763

)

 

$

2,151

 

 

$

(45,836

)

 

$

(46,945

)

Share-based compensation expense

 

7,555

 

 

 

8,555

 

 

 

33,823

 

 

 

30,603

 

Acquisition-related costs

 

 

 

 

 

 

 

 

 

 

1,873

 

Restructuring costs1

 

352

 

 

 

 

 

 

1,529

 

 

 

964

 

Customer credit loss2

 

 

 

 

 

 

 

 

 

 

2,147

 

Litigation costs3

 

1,304

 

 

 

399

 

 

 

3,852

 

 

 

399

 

Debt extinguishment loss

 

2,737

 

 

 

 

 

 

2,737

 

 

 

 

 Adjusted EBITDA

$

6,185

 

 

$

11,105

 

 

$

(3,895

)

 

$

(10,959

)

1 Restructuring charges primarily relate to severance payments and other post-employment benefits from a restructuring in the second quarter of 2024 and the third quarter and fourth quarter of 2025.

2 Customer credit loss consists of the write-off of accounts receivable due from a customer that filed for bankruptcy during the second quarter of 2024.

3 Litigation costs relate to patent infringement lawsuits.

 

 

Page | 8


FAQ

How did Treace Medical Concepts (TMCI) perform financially in full-year 2025?

Treace Medical Concepts generated $212.7 million in 2025 revenue, up 2% from 2024. The company reported a net loss of $59.0 million, or $(0.93) per share, while its adjusted EBITDA loss improved to $3.9 million from $11.0 million.

What were Treace Medical Concepts’ (TMCI) fourth quarter 2025 results?

In fourth quarter 2025, Treace posted $62.5 million in revenue, a 9% decline year over year. The company reported a net loss of $9.4 million, or $(0.15) per share, and adjusted EBITDA of $6.2 million for the quarter.

What guidance did Treace Medical Concepts (TMCI) provide for 2026?

For 2026, Treace guided revenue to $200 million–$212 million, implying a 6% decline to flat versus 2025. Management expects an adjusted EBITDA loss of $4.0 million to $6.0 million and plans to cut cash usage by about 50% versus 2025.

What is Treace Medical Concepts’ (TMCI) cash and liquidity position?

As of December 31, 2025, Treace held $48.4 million in cash, cash equivalents and marketable securities. The company also has a new credit facility providing up to $115 million of additional liquidity, subject to conditions, and reduced 2025 cash usage by 46% to $27.3 million.

How is Treace Medical Concepts (TMCI) progressing with surgeon adoption?

In 2025, Treace added 202 net new active surgeons and ended the year with 3,337 active surgeons, a 6% increase. This represents about 33% of the estimated 10,000 U.S. surgeons performing bunion surgery, supporting broader adoption of its bunion correction systems.

What does Treace Medical Concepts’ (TMCI) patent portfolio look like?

Treace has built a substantial intellectual property position, reporting 135 granted patents and 199 pending patent applications globally. This portfolio supports its Lapiplasty, Adductoplasty and other bunion correction systems, helping protect its technology in the bunion and midfoot deformity surgery market.

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