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Orthofix Medical Inc.

ir.orthofix.com

What Do They Do?

Sells spine and limb-reconstruction devices, bone-growth therapies and biologics to hospitals, surgery centers and healthcare providers.

How Do They Make Money?

Global Spine sells spine implants, bone-growth therapies and related products; hospitals pay for implants when used in surgery, while insurers pay for bone-growth devices after fitting and required paperwork. Stocking distributors buy products when shipped; limb reconstruction products go to hospitals or stocking distributors, with sales tied to use or shipment.

revenue
SegmentShareRevenue
Global Spine
Sold outright

84%
FY2022: 77%
Global Limb Reconstruction
Sold outright

16%

Who Are Their Customers?

Hospitals, surgery centers and healthcare providers are served through direct sales representatives, sales agents and distributors. Outside the U.S., stocking distributors purchase products directly and resell them.

Do Revenues Turn Into Profits?

No. It lost $92.2M in FY2025.

Operating income, FY2025
−10% of revenue
▼ −4% (Loss) vs FY2024 (−$84.6M, −11%)
Net income, FY2025
−11% of revenue
▼ −27% (Loss) vs FY2024 (−$126M, −16%)
Free cash flow, FY2025
0% of revenue
▼ −86% (Loss) vs FY2024 (−$9.1M, −1%)

How Are They Changing?

Since the FY2025 annual report
Latest quarter: Q2 FY2026, the three months to Jun 30, 2026
Revenue
▲ +4%
vs $203.1M in Q2 FY2025
Net income
▲ +12% (Loss)
vs −$14.1M in Q2 FY2025
Global Spine share of revenue vs 83.6% in Q2 FY2025
  • Apr 9, 2026 Reaffirmed the 2026 financial outlook Orthofix reaffirmed 2026 sales guidance of $850 million to $860 million and positive full-year free cash flow.

Growing. Revenue grew 77% in 4 years, from $464.5M in FY2021 to $822.3M in FY2025, about 15% a year.

Cervical disc strategy The earlier report emphasized expanding in cervical disc replacement, while the latest says it will discontinue its artificial disc product lines and redirect resources to other growth opportunities.

Revenue over time
Global Spine Global Limb Reconstruction Global Orthopedics
$1B$500M$0

Who Do They Compete With?

Competes with EBI, Enovis, Bioventus, Theragen, Xstim, Alphatec Spine, Baxter, B. Braun, Brainlab, Cerapedics, DePuy Synthes, Globus Medical, Highridge Medical, Medtronic, VB Spine, XTANT Medical, Stryker, Smith & Nephew, Paragon 28, and OrthoPediatrics

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