Financial Data and Key Metrics Changes - Q4 2025 featured 16% sales growth, a gross margin of 71.7%, and a 47% increase in operating income [4] - Q4 fully diluted earnings per share were $0.68, representing a 39% year-over-year increase [8] - For the full year 2025, organic revenue growth was 14%, with adjusted gross margin at 70.4% and adjusted EPS growth of 23% [9] Business Line Data and Key Metrics Changes - Sales growth in Q4 was led by grafts (up 27%), valvetomes (up 20%), and shunts (up 18%) [4] - RFA Vascular grew 19% and RFA Cardiac grew 90% in Q4 [4] - Autograft sales grew 29% worldwide in Q4, with international sales reaching $1.9 million in Q4 and $4 million for the full year 2025 [4][9] Market Data and Key Metrics Changes - EMEA region sales grew 29%, APAC grew 20%, and the Americas grew 10% in Q4 [4] - International sales of autograft are expected to reach approximately $10 million in 2026, contributing $6 million of sales growth for the year [4] Company Strategy and Development Direction - The company aims to produce quality devices, build its vascular sales force, go direct in new countries, acquire niche products, and focus on profitability, cash flow, and dividends [7] - The company plans to consolidate its Chicago RFA facility into Burlington in 2026 to simplify operations and reduce costs [5] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism for 2026, anticipating 12% sales growth and 21% adjusted operating income growth [6][11] - The company experienced a cyber incident in January 2026 but reported minimal disruption to sales and manufacturing [9][10] Other Important Information - The board approved a new $100 million share repurchase program and a Q1 2026 dividend of $0.25 per share, marking the 15th consecutive year of dividend increases [10] - The company ended 2025 with $359 million in cash and securities, with free cash flow of $74.5 million [9] Q&A Session Summary Question: Can you rank the factors key to achieving operating growth? - Management highlighted stable headcount, sales pricing growth, and improved manufacturing efficiency as key factors for operating leverage [16] Question: What contributed to the smoother price transition this year? - Management noted that sending price lists earlier allowed for better preparation among sales and customer service teams, leading to a smoother transition [17] Question: What is the setup for M&A in 2026? - Management indicated a focus on organic growth but remains open to M&A opportunities, particularly in the open vascular area [28][30] Question: Can you elaborate on the performance of Artegraft? - Management revised the total addressable market (TAM) for Artegraft in Europe to $30 million, indicating stronger than expected performance [33] Question: How is the company performing in China? - Management reported a 24% revenue increase in Q4, with profitability achieved for the first time in the region [47] Question: What is the outlook for gross margin in 2026? - Management expects gross margin to increase by 170 basis points from 2025 to 2026, driven by pricing increases and manufacturing efficiencies [75] Question: What is the anticipated impact of the Restore Flow manufacturing transfer? - Management indicated it may be a slight headwind to margins in 2026 as operations transition [96]

Financial Data and Key Metrics Changes - Q4 2025 featured 16% sales growth, with a gross margin of 71.7% and operating income growth of 47% [4] - Q4 fully diluted earnings per share (EPS) were $0.68, a 39% increase year-over-year [8] - For the full year 2025, organic revenue growth was 14%, with adjusted EPS growth of 23% [9] Business Line Data and Key Metrics Changes - Sales growth in Q4 was led by grafts (up 27%), valvulotomes (up 20%), and shunts (up 18%) [4] - RFA Vascular grew 19% and RFA Cardiac grew 90% in Q4 [4] - Artegraft grew 29% worldwide in Q4, with international sales reaching $1.9 million in Q4 and $4 million for the full year 2025 [4] Market Data and Key Metrics Changes - EMEA region grew 29%, APAC grew 20%, and the Americas grew 10% in Q4 [4] - International sales are expected to reach approximately $10 million in 2026, contributing $6 million of sales growth for the year [4] Company Strategy and Development Direction - The company aims to produce quality devices, build its vascular sales force, go direct in new countries, acquire niche products, and focus on profitability, cash flow, and dividends [7] - The 2026 U.S. price list reflects a blended 8% increase across the portfolio, with early results indicating hospital acceptance [6] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism for 2026, anticipating 12% sales growth and 21% adjusted operating income growth [9] - The company is focused on niche markets and believes it is well-positioned for another successful year in 2026 [12] Other Important Information - The company ended 2025 with $359 million in cash and securities, and free cash flow for the year was $74.5 million [9] - A cyber incident in January 2026 had minimal impact on sales and operations, with adequate insurance coverage [10] Q&A Session Summary Question: Factors for achieving operating growth in 2026 - Management highlighted stable headcount, sales pricing growth, and improved manufacturing efficiency as key factors for operating leverage [16] Question: Outlook for future price increases - Management noted that the smoother transition for price increases this year was due to earlier communication and preparation [17][19] Question: M&A strategy and targets - The company is actively pursuing M&A opportunities in open vascular and cardiac surgery, with a focus on revenues between $15 million and $150 million [30][31] Question: Performance of Artegraft and market potential - Management revised the total addressable market (TAM) for Artegraft in Europe to $30 million, indicating stronger than expected performance [33] Question: Updates on the European market and MDR approvals - The company has been aggressive with MDR approvals, gaining market share as competitors faced challenges [44][46] Question: Performance in China - Revenue in China grew 24% in Q4, with the company now profitable in that market for the first time [47][48] Question: Valvulotome sales growth - Management attributed the 20% growth in valvulotomes to a well-established sales channel and effective marketing [50][56] Question: Guidance for 2026 tax rate and share count - The tax rate for 2026 is expected to be around 23.2%, with share count remaining stable [100] Question: Approval status for RestoreFlow in Ireland - Approval for RestoreFlow in Ireland is now expected in Q3 2026, delayed from previous expectations [103]

Financial Data and Key Metrics Changes - Q4 2025 featured 16% sales growth, with a gross margin of 71.7% and operating income growth of 47% [4] - Q4 fully diluted earnings per share were $0.68, a 39% increase year-over-year [9] - For the full year 2025, organic revenue growth was 14%, with adjusted gross margin at 70.4% and adjusted EPS growth of 23% [10] Business Line Data and Key Metrics Changes - Sales growth in Q4 was led by grafts (up 27%), valvetomes (up 20%), and shunts (up 18%) [4] - RFA Vascular grew 19% and RFA Cardiac grew 90% in Q4 [4] - Autograft sales grew 29% worldwide in Q4, with international sales reaching $1.9 million in Q4 and $4 million for the full year 2025 [4] Market Data and Key Metrics Changes - EMEA region sales grew 29%, APAC grew 20%, and the Americas grew 10% in Q4 [4] - International sales of autograft are expected to reach approximately $10 million in 2026, contributing $6 million of sales growth for the year [4] Company Strategy and Development Direction - The company aims to produce quality devices, build its vascular sales force, go direct in new countries, acquire niche products, and focus on profitability, cash flow, and dividends [7] - The 2026 U.S. price list reflects a blended 8% increase across the portfolio, with early results indicating hospital acceptance [6] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism for 2026, anticipating revenue of $280 million, organic sales growth of 12%, and operating income of $77.8 million, up 21% adjusted from 2025 [12] - The company experienced a cyber incident in January 2026 but reported minimal disruption to sales and manufacturing [10][11] Other Important Information - The board approved a new $100 million share repurchase program and a Q1 2026 dividend of $0.25 per share, marking the 15th consecutive year of dividend increases [11] - The company ended 2025 with $359 million in cash and securities, with free cash flow of $74.5 million [10] Q&A Session Summary Question: Guidance and Operating Growth Factors - Management highlighted stable headcount, sales pricing growth, and manufacturing efficiencies as key factors for achieving operating growth above sales growth [15][16] Question: Price Increases and Future Outlook - Management noted that the smoother transition for price increases this year was due to earlier communication and preparation [18][19] Question: M&A Environment and Strategy - The company is actively pursuing M&A opportunities, focusing on open vascular and cardiac surgery markets, with 22 targets identified [30][32] Question: Artegraft Performance and Market Potential - Management revised the total addressable market (TAM) for Artegraft in Europe to $30 million, indicating stronger than expected performance [34][35] Question: Impact of CREST-2 Trial on Carotid Business - Management stated that the carotid shunt business remains resilient and is transitioning to an OUS business model [70][72] Question: Gross Margin Outlook - Management expects continued gross margin improvement, with guidance for a 170 basis point increase from 2025 to 2026 [80][82] Question: Restore Flow Manufacturing Transfer - The transfer of Restore Flow manufacturing is expected to be a slight headwind to margins in 2026, with costs already included in guidance [102]