Summary of Bioventus Conference Call Company Overview - **Company**: Bioventus - **Industry**: Medical Technology (Med Tech) - **Annual Revenue**: Over $550 million - **Market Opportunity**: $6 billion across product categories [4][5] Core Business Segments - **Business Segments**: - Pain Treatment - Surgical Solutions - Restorative Therapies - **Market Position**: Category or growth leader in all segments [4] Financial Performance - **Growth Rate**: Expected to grow nearly 2X the weighted average market growth rate despite unfavorable comparisons in the first half of the year [5] - **EBITDA Margin**: Guidance for the year is just over 20%, representing a 100 basis points improvement from the previous year [6] - **Cash Flow Improvement**: Significant progress with cash flow expected to nearly double this year, driven by higher EBITDA, lower interest expenses, and efficient working capital [17][18] Growth Drivers Core Growth Drivers - **Hyaluronic Acid (HA) Therapy**: - Focused on knee osteoarthritis pain with Durolane as a leading product - Strong clinical differentiation and largest dedicated sales force in the space [7][8] - **Bone Graft Substitutes (BGS)**: - Focused on spinal surgery with high single-digit growth [8] - **Fracture Care**: - Restored to growth with double-digit growth in recent quarters, expecting mid-single-digit growth moving forward [9] Expansion Growth Drivers - **Ultrasonics Technology**: - Aimed at changing the standard of care for bone cutting in spine surgery, expected to drive significant growth [10][11] - **International Segment**: - New leadership and plans to aggressively pursue international opportunities, expecting double-digit growth [11] Emerging Growth Drivers - **Peripheral Nerve Stimulation (PNS)**: - Current market size of $200 million in the U.S., expected to exceed $500 million by 2029 [12] - Introduction of StimTrial and Talisman PNS system to enhance treatment options [13] - **Platelet-Rich Plasma (PRP)**: - Current market size of $400 million in the U.S., growing in high single digits, with exclusive distribution agreement for Excel PRP system [14] Strategic Focus - **Value Creation**: - Combination of above-market growth and peer-leading gross margin allows for margin expansion while investing in future growth drivers [16][20] - **Cash Flow and Debt Management**: - Expected leverage to drop below 2.5x, providing optionality for capital deployment [18][19] Conclusion - **Future Outlook**: - Bioventus aims to become a $1 billion high-growth, high-profit, high-cash flow company focused on patient recovery and quality of life [20]

Financial Data and Key Metrics Changes - Third quarter revenue reached $139 million, representing an 8% organic growth, which is an acceleration of over 200 basis points compared to the first half of the year [5][14] - Adjusted EBITDA increased by 13% to $27 million, with an adjusted EBITDA margin expanding by over 200 basis points to 19% [10][15] - Adjusted earnings per diluted share were $0.15, a 200% increase compared to the prior year [11][17] Business Line Data and Key Metrics Changes - Pain Treatments revenue grew 6% in Q3, driven by strong volume growth of Durolane and recent account wins [16] - Surgical Solutions revenue increased by 9%, supported by growth in Ultrasonics and improved awareness of the value proposition [16] - Restorative Therapies revenue declined by 29% due to the divestiture of the Advanced Rehabilitation Business, but organic growth was 11% excluding this impact [16] - International segment revenue decreased by 4%, while organic growth climbed 10% [16] Market Data and Key Metrics Changes - The U.S. market for peripheral nerve stimulation (PNS) is expected to exceed $500 million by 2029, growing above 20% annually [8] - The company anticipates double-digit organic growth in its international segment for 2025, supported by new leadership and market expansion opportunities [16] Company Strategy and Development Direction - The company aims to become a $1 billion high-growth, high-margin, high-cash flow entity, focusing on above-market revenue growth, profitability expansion, and cash flow generation [12] - Key growth drivers include PNS and platelet-rich plasma (PRP) technologies, which are expected to contribute at least 200 basis points of profitable growth in 2026 [10] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in maintaining guidance for 2025, projecting organic revenue growth of 6%-8% and adjusted EBITDA of $112 million-$116 million [19] - The company is optimistic about growth opportunities in 2026, particularly in PNS, ultrasonics, and international markets, but refrained from providing specific guidance for that year [40][41] Other Important Information - The company absorbed over $2.5 million in unplanned impacts from foreign exchange rate movements [15] - Cash flow from operations totaled $30 million, nearly tripling compared to the prior year, with a cash conversion ratio of over 100% [11][18] Q&A Session Summary Question: Update on pain growth and Durolane performance - Management noted that Durolane led the growth in the pain business, supported by strong sales and clinical differentiation [24][26] Question: Acceleration in surgical business for Q4 - Management indicated that the surgical business, particularly bone graft substitutes, is expected to see continued growth due to strong distributor support and clinical value [27][28] Question: Competitive positioning of Talisman - Management emphasized the importance of scaling the commercial organization and increasing market awareness for the Talisman offering [31] Question: Ultrasonics penetration in spine opportunities - Management highlighted the need for increased awareness and medical education efforts to drive penetration in the spine market [33] Question: Guidance philosophy and expectations for 2026 - Management maintained guidance for 2025 and expressed excitement about growth opportunities in 2026, but did not provide specific guidance for that year [39][40]

Financial Performance - Third quarter revenue was $139 million, comparable to the prior year, with organic growth of 8%[13, 28] - GAAP net income was $3 million, compared to a net loss of $5 million in the prior year[23, 28, 29] - Adjusted EBITDA increased by 13% to $27 million, with Adjusted EBITDA margin expanding by over 200 basis points[23, 28] - Cash from operations nearly tripled for the quarter and is up 88% year-to-date[23] - Adjusted Gross Margin increased 50 basis points due to improved product mix[37] - Adjusted Net Income nearly tripled due to increased gross margin, decreased operating expenses, and decreased interest expense[44] Segment Performance - Pain Treatments revenue grew by 6% to $67 million, driven by strong Durolane volume growth[30, 31, 36] - Surgical Solutions revenue increased by 9% to $50 million, with growth in Bone Graft Substitutes[32, 33, 36] - Restorative Therapies revenue declined by 29% to $21 million due to the divestiture of the Advanced Rehabilitation Business, but EXOGEN grew by 11%[34, 35, 36] Strategic Initiatives - The Peripheral Nerve Stimulation (PNS) market is estimated at approximately $200 million in the U S, expected to exceed $500 million by 2029, with annual growth above 20%[20] - The company expects PNS and PRP to provide at least 200 basis points of profitable growth in 2026[22] Financial Outlook - The company reaffirmed its 2025 financial guidance, with net sales expected to be in the range of $560 million to $570 million, representing organic growth of 6% to 8%[46] - Adjusted EBITDA is projected to be in the range of $112 million to $116 million, and Adjusted Earnings Per Share in the range of $0 64 to $0 68[46]

Second Quarter 2025 Performance - Second quarter revenue reached $148 million, with organic revenue growth of 6%[13] - Adjusted Earnings Per Share (EPS) increased 31% to $0.21, and Adjusted EBITDA margin increased 23%[13] - Surgical Solutions revenue increased 11% compared to the prior year quarter, driven by double-digit growth in Ultrasonics[39] - Restorative Therapies revenue declined 32% compared to the prior year quarter due to the divestiture of the Advanced Rehabilitation Business, while EXOGEN grew 11%[39] - Pain Treatments revenue increased 1% compared to the prior year quarter[39] Financial Metrics and Guidance - Adjusted Gross Margin increased 50 basis points due to improved product mix[40] - The company ended the second quarter with $33 million in cash and $341 million in debt outstanding[48] - Cash from operations was an inflow of $26 million in the second quarter[48] - The company reaffirms its 2025 financial guidance, projecting net sales in the range of $560 million to $570 million, representing organic growth of 6% to 8%[52] - Adjusted EBITDA is expected to be in the range of $112 million to $116 million, and Adjusted Earnings Per Share is projected to be in the range of $0.64 to $0.68[52] Strategic Initiatives and Future Outlook - The company received FDA 510(k) clearance for StimTrial and TalisMann, Peripheral Nerve Stimulation (PNS) products, targeting the chronic peripheral pain market[18, 20] - The PNS market is estimated to be growing above 20% annually in the U S and is expected to exceed $500 million by 2029, with an expected total addressable market of approximately $2 billion[20] - The company plans to invest in a direct sales force in the second half of 2025 and expects TalisMann and StimTrial to potentially generate $100 million or more of revenue[27] - The company forecasts at least 100 basis points of Adjusted EBITDA margin expansion in 2025[30] - The company expects cash from operations in 2025 to nearly double compared to 2024 and expects to reduce net leverage to below 2 5 times by the end of 2025[30, 48]

First Quarter 2025 Performance - Revenue was $124 million, a 4% decrease due to the divestiture of the Advanced Rehabilitation business[22] - Organic growth reached 5%, demonstrating solid performance across all three business segments[22] - Adjusted EPS increased 33% to $008[12] - Adjusted EBITDA was $19 million, a $3 million decrease compared to the prior year quarter, impacted by the Advanced Rehabilitation divestiture and a $11 million foreign currency loss[22] Segment Performance - Surgical Solutions revenue increased by 7%, driven by double-digit growth in Ultrasonics with U S capital sales up more than 50%[15,29] - Pain Treatments revenue increased by 4%, with growth impacted by a 3% to 4% reduction in distributor buying following higher purchases at the end of last year[26,29] - Restorative Therapies revenue declined by 35% due to the divestiture of the Advanced Rehabilitation business, while Exogen grew by 4%[28,29] Financial Guidance and Priorities - The company reaffirms its 2025 financial guidance, with net sales expected to be in the range of $560 million to $570 million, representing organic growth of 6% to 8%[40] - Adjusted EBITDA is projected to be in the range of $112 million to $116 million, and Adjusted Earnings Per Share is expected to be in the range of $064 to $068[40] - The company forecasts at least 100 basis points of Adjusted EBITDA margin expansion in 2025[17]

Core Viewpoint - Bioventus Inc. reported a decline in revenue for the first quarter of 2025, primarily due to the divestiture of its Advanced Rehabilitation Business, but achieved organic revenue growth across all business segments, indicating resilience in its strategic execution despite macroeconomic challenges [2][6]. Financial Performance - Worldwide revenue for Q1 2025 was $123.9 million, a decrease of 4.3% from $129.5 million in the same period last year, largely impacted by the divestiture [2][5]. - Organic revenue increased by 5.0%, reflecting positive growth across all three business segments [2][6]. - The net loss attributable to Bioventus Inc. was $2.6 million, an improvement from a net loss of $4.9 million in the prior-year period [3][4]. - Adjusted EBITDA for the quarter was $19.2 million, down from $22.6 million in the previous year, primarily due to the divestiture and planned growth investments [3][6]. Revenue Breakdown by Business - U.S. revenue from Pain Treatments was $52.7 million, up 4.0% year-over-year, while Surgical Solutions revenue increased by 6.5% to $40.8 million [5][8]. - Restorative Therapies revenue fell by 32.9% to $17.0 million, significantly affected by the divestiture of the Advanced Rehabilitation Business [5][9]. - International revenue totaled $13.4 million, a decline of 12.0%, with Pain Treatments and Surgical Solutions showing modest growth, while Restorative Therapies revenue dropped by 47.1% [5][9]. Strategic Developments - The company reiterated its financial guidance for 2025, expecting net sales between $560 million and $570 million, reflecting organic growth of approximately 6.1% to 8.0% when accounting for the divestiture [10][13]. - Adjusted EBITDA guidance for 2025 is set between $112 million and $116 million, indicating a potential increase in Adjusted EBITDA margin compared to 2024 [10][13]. - Non-GAAP EPS is projected to be between $0.64 and $0.68, representing a growth of 30.6% to 38.8% [10][13].