Merger and Acquisition - The merger with SeaSpine Holdings Corporation was completed on January 5, 2023, with SeaSpine continuing as a wholly-owned subsidiary, enhancing the combined company's portfolio in spine and orthopedics [20]. - The company expects to reassess its reporting segments in the first quarter of 2023 following the merger with SeaSpine [24]. - Future filings will reflect the results of the combined Orthofix-SeaSpine organization starting with the Quarterly Report for the fiscal quarter ending March 31, 2023 [20]. - Following the merger with SeaSpine on January 5, 2023, the company now has approximately 1,734 employees, including 1,371 in the U.S. [136]. Business Segments - Orthofix's business segments accounted for 77% of total net sales from Global Spine and 23% from Global Orthopedics in 2022 [22]. - Orthofix's business is managed by two reporting segments: Global Spine (77% of total net sales) and Global Orthopedics (23% of total net sales) in 2022 [114]. Product Development and Innovation - Orthofix aims to drive growth through new product launches, global sales channel optimization, and clinical research to support its product portfolios [27]. - The company emphasizes the importance of acquiring or licensing products and technologies to expand its spine portfolio [27]. - The company is actively pursuing internal developments and external licensing opportunities to enhance its spine portfolio, expecting these to drive future growth [51]. - The company is developing line extensions for biologics technologies to improve bone forming potential in both spine and orthopedic applications [83]. - The integration of spinal implants and biologics with the FLASH navigation system is underway, targeting a wide range of spine procedures [82]. Financial Performance and Projections - Orthofix's cash and cash equivalents, investments, and access to revolving credit are believed to be sufficient to meet anticipated cash requirements [15]. - The company recorded a foreign currency loss of $3.3 million for the year ended December 31, 2022, due to fluctuations in currency exchange rates [450]. - If the U.S. Dollar decreases in value by 10% relative to all foreign currencies, it would result in an increase in net sales of $9.0 million and an increase in operating income of $0.8 million [451]. Regulatory Compliance and Quality Assurance - Compliance with various healthcare regulations, including the Anti-Kickback Statute and HIPAA, is critical for the company's operations [106]. - The company has been accredited by the Accreditation Commission for Health Care, demonstrating its commitment to quality in medical supply provider services [104]. - The company’s manufacturing facilities comply with FDA requirements and are actively monitored to maintain quality standards [129]. Market Position and Competition - The company faces significant competition from large multinational medical device companies and smaller emerging companies in the global spine, biologics, and orthopedics markets [124]. - Key competitors in the Bone Growth Therapies category include Zimmer Biomet, DJO Global, and Bioventus [125]. - The company enhances its competitive position by focusing on product features such as ease of use, versatility, and value-added services like the STIM onTrack mobile app [126]. Employee Engagement and Community Involvement - The company has a robust onboarding program and completed its second annual summer internship program with 80% of interns meeting diversity criteria [138]. - The company encourages community volunteerism, with employees contributing 1,988 hours to outreach programs in 2022, exceeding their goal [141]. Research and Development - Research and development expenses were $49.1 million in 2022, $49.6 million in 2021, and $39.1 million in 2020, indicating a consistent investment in innovation [84]. - The company collaborates with leading hospital research institutions and non-profit organizations for long-term product development and enhancements [79]. Product Offerings - The Global Spine segment focuses on implantable medical devices, biologics, and regenerative solutions aimed at improving patient quality of life [26]. - The Global Orthopedics segment focuses on limb deformity correction and complex limb reconstruction, emphasizing a patient-centric approach [54]. - The SpinalStim device is FDA-approved to increase the probability of spinal fusion success and is used for lumbar region treatment [36]. - CervicalStim is the only FDA-approved bone growth stimulator for cervical spine fusion surgery, targeting high-risk patients [37]. - The M6-C artificial cervical disc has become the leading spinal implant device, significantly contributing to recent growth, with FDA approval received in February 2019 [44]. - The PhysioStim devices utilize PEMF technology to noninvasively activate the body's natural healing process for nonunion fractures [41]. - The Biologics product line includes advanced bone graft substitutes designed to improve fusion rates in orthopedic surgeries, reducing the need for autologous grafts [68]. - The Spinal Implants and Enabling Technologies portfolio offers a wide range of products for spinal decompression and stabilization, addressing various surgical needs across the spinal column [69]. - The Galaxy Fixation System provides a comprehensive solution for fracture fixation in upper and lower limbs, incorporating updates for streamlined surgical procedures [58]. - The eight-Plate Plus Guided Growth System remains a market leader for gradual correction of growth plate issues in pediatric patients [63]. - External fixation devices allow for minimally invasive treatment of complex fractures, promoting blood flow and accelerating healing [59]. - The company offers sterile packaging for most products, ensuring readiness for trauma applications where timing is critical [60]. - The G-BEAM Fusion Beaming System is designed for advanced deformity and trauma reconstructions in foot and ankle applications [58]. - The FLASH Navigation System with 7D Technology has over 104 installations globally, with enhancements including preplanning features and integration with various fixation systems [74]. - The company plans to launch FLASH EVD, a mobile bedside navigational system for EVD placement, expanding into the neurocritical care market [77]. - The company partners with MTF Biologics to provide allograft solutions and has exclusive marketing rights for several tissue forms [133].
Orthofix(OFIX) - 2022 Q4 - Annual Report