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OrthoPediatrics(KIDS) - 2023 Q4 - Earnings Call Transcript

Financial Data and Key Metrics Changes - In Q4 2023, the company reported revenue of $37.6 million, a 21% increase compared to Q4 2022. For the full year 2023, revenue reached a record $148.7 million, representing a 22% growth year-over-year [36][53] - The gross profit margin for Q4 2023 was 71.0%, up from 68.5% in Q4 2022, driven by lower set sales to international distributors [26] - The net loss for the full year 2023 was $21.0 million, compared to a net income of $1.3 million in the previous year [27] Business Line Data and Key Metrics Changes - Trauma and deformity revenue in Q4 2023 was $27.1 million, reflecting a 23% increase from the prior year, with strong contributions from Pega products and OPSB [11][79] - U.S. scoliosis revenue grew by 35% in Q4 2023, despite a slow period at the end of December, indicating strong demand for response and ApiFix products [9][20] - International revenue was $9.3 million in Q4 2023, a 13% increase compared to the same quarter in 2022, but down 31% due to slower ordering patterns in Latin and South America [25][50] Market Data and Key Metrics Changes - The company expects international scoliosis sales to rebound in 2024, driven by new product launches and improved ordering patterns [38][48] - The OPSB franchise is projected to grow rapidly, with an estimated U.S. non-surgical specialty bracing market of at least $775 million [14][15] Company Strategy and Development Direction - The company aims to maintain a market-dominant strategy through set deployment, new product development, and superior service [12] - The acquisition of Boston O&P is expected to enhance the company's position in the non-surgical treatment market, with plans to open new clinics and expand product offerings [19][44] - The company is focused on achieving cash flow breakeven sooner by balancing top-line growth with improved profitability [57][83] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the growth prospects for 2024, citing a diverse business model that mitigates risks associated with environmental factors [37][67] - The company anticipates strong performance from new product launches and continued expansion in international markets [38][41] Other Important Information - The company launched eight new products in 2023, including the RESPONSE Power Scoliosis and the GIRO Growth Modulation System [29] - The company ended Q4 2023 with $82.3 million in cash and short-term investments, indicating a strong financial position [27][81] Q&A Session Summary Question: What are the growth expectations for the OPSB business? - Management expects the OPSB segment to grow faster than the overall business due to effective sales force expansion and new product introductions [61][62] Question: How will the integration of Boston O&P impact revenue? - Each new clinic from Boston O&P is expected to generate between $1 million and $3 million in revenue, contributing significantly to growth once fully operational [19][110] Question: What is the outlook for the ApiFix product? - ApiFix is expected to continue growing, with stronger data supporting its use, although it may not be a major contributor until 2025 [63][64] Question: How should investors model the growth of the Boston O&P business? - The Boston O&P business is expected to have a different seasonality, with Q4 typically being stronger than other quarters, and management anticipates steady growth as new clinics are integrated [86][95] Question: What is the company's strategy regarding growth and profitability? - The company aims for aggressive top-line growth while also focusing on profitability, ensuring that growth is sustainable and cash-generating [78][101]