Financial Data and Key Metrics Changes - For the full year 2025, total adjusted constant currency revenue growth was 13% and adjusted EBITDA growth was 26% year-over-year, resulting in positive free cash flow while investing in future growth [5][17] - Total adjusted revenues for Q4 2025 were $118.3 million, up 18.5% compared to Q4 2024, with adjusted EBITDA increasing approximately 29% from $17.6 million to $22.7 million [16][17] - Adjusted EBITDA margin was 19.2% in Q4 2025, an improvement of approximately 110 basis points over the prior year [17] Business Line Data and Key Metrics Changes - Stent graft revenues grew 36% on a constant currency basis in Q4 2025, driven by AMDS in the U.S. and strong international growth [6][20] - On-X revenues increased 24% year-over-year on a constant currency basis, supported by global market share gains and new U.S. market opportunities [7][8] - Tissue processing revenue increased 6% year-over-year, while BioGlue revenues were flat compared to the same period last year [8][20] Market Data and Key Metrics Changes - Revenues in Asia Pacific increased 32%, North America increased 18%, EMEA increased 17%, and Latin America increased 9% compared to Q4 2024 [21] - Gross margins were 63% in both 2025 and 2024, with the 2024 margin negatively impacted by an idle plant charge due to a cybersecurity incident [21] Company Strategy and Development Direction - The company plans to replicate its strategy by introducing additional stent graft products from Europe to the U.S. and Japan, aiming to expand its total addressable market [7] - Key growth drivers include AMDS commercialization in the U.S., On-X heart valve data, NEXUS PMA, and the ARTISAN IDE trial [33][34] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's growth strategies, anticipating continued double-digit revenue growth and EBITDA margin expansion [14][28] - The company expects constant currency growth between 10%-14% for the full year 2026, with specific growth rates for different product lines [25][27] Other Important Information - The company recorded a $2.3 million adjustment to revenue for estimated payback obligations due to Italian government legislation, which has been excluded from adjusted revenue [18][19] - Free cash flow for the full year was approximately $1 million, despite significant investments in the business [24] Q&A Session Summary Question: Impact of Italian clawback on growth - Management clarified that the Italian payback was specific to the EMEA line and did not impact major product lines [39] Question: Sell-in versus sell-through for AMDS - Management noted that implantations are continuing to grow and emphasized the importance of positive first experiences for surgeons [42] Question: Progress on AMDS target accounts - Management indicated that they are in the early stages of account openings and expect significant growth in 2026 [46] Question: Market opportunity for NEXUS - Management described the NEXUS market as nascent, with a U.S. market opportunity of $150 million, and expressed confidence in gaining market share [50] Question: Pricing for AMDS and NEXUS - Management affirmed that the pricing assumptions for AMDS and NEXUS remain appropriate due to favorable reimbursement conditions [56] Question: CapEx plans for 2026 - Management indicated that the increased CapEx is primarily for capacity expansion for On-X and internal IT investments [75]

Financial Data and Key Metrics Changes - For the full year of 2025, total adjusted constant currency revenue growth was 13% and adjusted EBITDA growth was 26% year-over-year, resulting in positive free cash flow while investing significantly in future growth [5][15] - Total adjusted revenues for Q4 of 2025 were $118.3 million, up 18.5% compared to Q4 of 2024, with adjusted EBITDA increasing approximately 29% from $17.6 million to $22.7 million [15][16] - Adjusted EBITDA margin was 19.2% in Q4 of 2025, an improvement of approximately 110 basis points over the prior year [16] Business Line Data and Key Metrics Changes - Stent graft revenues grew 36% on a constant currency basis in Q4 compared to the same period last year, driven by AMDS in the U.S. and strong international growth [6][19] - On-X revenues increased 24% year-over-year on a constant currency basis, supported by global market share gains and new U.S. market opportunities [7][8] - Tissue processing revenue increased 6% year-over-year on a constant currency basis, while BioGlue revenues were flat compared to the same period last year [8][19] Market Data and Key Metrics Changes - Revenues in Asia Pacific increased 32%, North America increased 18%, EMEA increased 17%, and Latin America increased 9% compared to Q4 of 2024 [20] - Q4 gross margins were 63% in both 2025 and 2024, with the 2024 gross margin negatively impacted by an idle plant charge due to a cybersecurity incident [20] Company Strategy and Development Direction - The company plans to replicate its proven strategy by introducing additional stent graft products already generating revenue in Europe to the U.S. and Japan, aiming to expand the total addressable market [7] - Future growth is expected to be driven by AMDS commercialization in the U.S., On-X heart valve data, NEXUS PMA, and the ARTISAN IDE trial [32][33] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in delivering sustainable double-digit revenue growth and driving EBITDA margin expansion, with expectations for constant currency growth between 10%-14% for 2026 [23][26] - The company anticipates challenges in the second and third quarters of 2026 due to tougher comparisons and recovery of the tissue backlog [25] Other Important Information - The company recorded a $2.3 million adjustment to revenue for estimated payback obligations due to Italian government legislation, which has been excluded from adjusted revenue [17][18] - Free cash flow for the full year was approximately $1 million, despite significant investments in the business [22] Q&A Session Summary Question: Impact of Italian clawback on growth - The Italian clawback was specific to the EMEA line and did not impact major product lines, thus not skewing growth rates [36][38] Question: Commentary on AMDS sell-in versus sell-through - Management does not typically break out details on AMDS revenue but noted that implantations are continuing to grow positively [40][41] Question: Progress on AMDS target accounts - The company is in the early stages of AMDS rollout, with significant opportunities to open new accounts and increase implants in existing accounts in 2026 [44][45] Question: Market opportunity for NEXUS - The NEXUS device is positioned in a nascent market with a $150 million U.S. opportunity, and the company believes it is well-positioned against competitors [46][48] Question: Pricing for AMDS and NEXUS - The company sees strong demand for AMDS and NEXUS at their current price points, supported by favorable reimbursement dynamics [54] Question: CapEx plans for 2026 - CapEx is expected to be approximately $50 million in 2026, primarily for capacity expansion and IT system improvements [71][72]

Financial Data and Key Metrics Changes - For the full year of 2025, total adjusted constant currency revenue growth was 13% and Adjusted EBITDA growth was 26% year-over-year, resulting in positive free cash flow for the year [4][12] - Total adjusted revenues for Q4 2025 were $118.3 million, up 18.5% compared to Q4 2024, while adjusted EBITDA increased approximately 29% from $17.6 million to $22.7 million [12][13] - Adjusted EBITDA margin was 19.2% in Q4 2025, an improvement of approximately 110 basis points over the prior year [13] Business Line Data and Key Metrics Changes - Stent graft revenues grew 36% on a constant currency basis in Q4 2025 compared to the same period last year, driven by AMDS in the U.S. and strong international growth [5][16] - On-X revenues grew 24% year-over-year on a constant currency basis in Q4 2025, supported by global market share gains and new U.S. market opportunities [6][16] - Tissue processing revenue increased 6% year-over-year on a constant currency basis in Q4 2025, while BioGlue revenues were flat compared to the same period last year [7][16] Market Data and Key Metrics Changes - Revenues in Asia Pacific increased 32%, North America increased 18%, EMEA increased 17%, and Latin America increased 9% compared to Q4 2024 [17] - Gross margins were 63% in both 2025 and 2024, with the 2024 gross margin negatively impacted by an idle plant charge due to a cybersecurity incident [17] Company Strategy and Development Direction - The company aims to replicate its successful strategy by introducing additional stent graft products generating revenue in Europe to the U.S. and Japan, which is expected to expand the total addressable market [5] - Key growth drivers include the commercialization of AMDS in the U.S., leveraging new clinical data for On-X heart valves, and advancing the NEXUS PMA [28][29] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in delivering sustainable double-digit revenue growth and driving EBITDA margin expansion, with expectations for constant currency growth between 10%-14% for 2026 [20][24] - The company anticipates challenges in the AMDS launch due to tougher year-over-year comparisons but remains optimistic about growth opportunities [22][41] Other Important Information - The company recorded a $2.3 million adjustment to revenue for estimated payback obligations due to Italian government legislation, which has been excluded from adjusted revenue [14][15] - Free cash flow for the full year was approximately $1 million, despite significant investments in business expansion [19] Q&A Session Summary Question: Impact of Italian clawback on growth - Management clarified that the Italian payback impacted the EMEA line and did not skew the growth rates of major product lines [32][34] Question: Sell-in versus sell-through for AMDS - Management indicated that while specific revenue details are not disclosed, implantations are growing well, and the first experiences for surgeons have been positive [36][41] Question: Market opportunity for NEXUS - Management described the NEXUS market as nascent, with a U.S. market opportunity of $150 million, and emphasized the unique technology's potential to gain market share [42][44] Question: Pricing strategy for AMDS and NEXUS - Management confirmed that the pricing levels for AMDS and NEXUS are seen as appropriate, with favorable reimbursement dynamics supporting demand [51] Question: CapEx plans for 2026 - Management indicated that the $50 million CapEx for 2026 is primarily for capacity expansion for On-X and internal IT investments [68]

Core Insights - Artivion (NYSE:AORT) exceeded Wall Street's revenue expectations for Q3 CY2025, reporting sales of $113.4 million, which represents an 18.4% year-on-year growth and a 2.6% beat against analyst estimates [1][7] - The company raised its full-year revenue guidance to $442 million at the midpoint, slightly above analysts' expectations [1][7] - Non-GAAP profit per share was reported at $0.16, aligning with consensus estimates [1][7] Revenue Growth - Artivion achieved a 16% constant currency revenue growth in Q3, driven by significant year-over-year increases in stent grafts (38%), On-X (25%), preservation services (5%), and BioGlue (2%) compared to Q3 2024 [3] - The company has demonstrated a 10.6% annualized revenue growth over the last five years, which is slightly above the average for healthcare companies, indicating strong customer resonance [5] - Over the last two years, Artivion's annualized revenue growth was 11.5%, consistent with its five-year trend, suggesting stable demand [6] Financial Performance - Adjusted EBITDA for Q3 was $24.57 million, exceeding analyst estimates of $22.25 million, with a margin of 21.7% [7] - Operating margin improved to 11.1%, up from 4.6% in the same quarter last year, while free cash flow margin increased to 15.6%, up from 8.2% year-on-year [7] - Market capitalization stands at $2.19 billion [7]