Open the filing on EDGARTreace 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.
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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
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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
Forward-looking statements notice
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.
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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.
Treace Medical Concepts
Mark L. Hair
Chief Financial Officer mhair@treace.net
(904) 373-5940
Investors:
Gilmartin Group
Philip Trip Taylor
IR@treace.net
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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 |
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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 |
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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 | $ - |
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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 costs | 352 | - | 1,529 | 964 |
| Customer credit loss | - | - | - | 2,147 |
| Litigation costs | 1,304 | 399 | 3,852 | 399 |
| Debt extinguishment loss | 2,737 | - | 2,737 | - |
| Adjusted EBITDA | $6,185 | $11,105 | $(3,895) | $(10,959) |
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.
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.
Litigation costs relate to patent infringement lawsuits.
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