Treace Medical Concepts
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Treace Medical Concepts (TMCI) investor relations material

Treace Medical Concepts Q4 2025 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q4 2025 earnings summary27 Feb, 2026

Executive summary

  • Entered a transformational phase in 2025, evolving from a Lapiplasty-focused to a comprehensive bunion solutions company, now addressing all bunion deformity categories with five instrumented systems.

  • Fourth quarter 2025 revenue was $62.5 million, down 9% year-over-year; full-year 2025 revenue grew 2% to $212.7 million.

  • Net loss for Q4 2025 was $9.4 million; full-year net loss was $59.0 million, slightly higher than 2024.

  • Adjusted EBITDA for Q4 2025 was $6.2 million; full-year adjusted EBITDA loss narrowed to $3.9 million from $11.0 million in 2024.

  • Active surgeon base grew 6% to 3,337, representing 33% of estimated U.S. bunion surgeons.

Financial highlights

  • Q4 2025 revenue was $62.5 million, down 9% year-over-year, mainly due to a shift toward lower-priced products.

  • Gross margin for Q4 2025 was 80.6%, nearly flat compared to 80.7% in Q4 2024; full-year gross margin was 79.8%.

  • Q4 2025 net loss was $9.4 million ($0.15 per share); full-year net loss per share was $0.93.

  • Full year 2025 adjusted EBITDA loss improved to $3.9 million from $11.0 million in 2024, a 64% improvement.

  • Cash, cash equivalents, and marketable securities totaled $48.4 million at year-end 2025.

Outlook and guidance

  • 2026 revenue guidance is $200–$212 million, representing a decline of 6% to flat versus 2025.

  • Revenue declines expected until Q4 2026, when growth is anticipated due to accelerating case volumes and new product launches.

  • Q1 2026 revenue expected to decline ~27% sequentially from Q4 2025, with improvement in growth rates each subsequent quarter.

  • 2026 adjusted EBITDA loss expected in the range of $4–$6 million; cash burn projected to decrease by ~50% year-over-year.

  • Guidance reflects continued case volume growth, offset by product and price mix headwinds.

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Frequently asked questions

Treace Medical Concepts Inc. is a medical technology company focused on developing and commercializing surgical solutions for the treatment of bunion deformities. The company's flagship product, the Lapiplasty 3D Bunion Correction System, is designed to address the root cause of bunions by realigning bones in three dimensions. Treace Medical aims to improve surgical outcomes and reduce recurrence rates for patients suffering from bunions. The company is headquartered in Ponte Vedra, Florida, and its shares are listed on the NASDAQ.

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