NASDAQ:BVS Bioventus Q3 2025 Earnings Report $10.50 -0.15 (-1.41%) Closing price 05/8/2026 04:00 PM EasternExtended Trading$10.50 +0.01 (+0.05%) As of 05/8/2026 05:28 PM Eastern Extended trading is trading that happens on electronic markets outside of regular trading hours. This is a fair market value extended hours price provided by Massive. Learn more. ProfileEarnings HistoryForecast Bioventus EPS ResultsActual EPS$0.15Consensus EPS N/ABeat/MissN/AOne Year Ago EPSN/ABioventus Revenue ResultsActual Revenue$138.65 millionExpected RevenueN/ABeat/MissN/AYoY Revenue GrowthN/ABioventus Announcement DetailsQuarterQ3 2025Date11/4/2025TimeBefore Market OpensConference Call DateTuesday, November 4, 2025Conference Call Time8:30AM ETConference Call ResourcesConference Call AudioConference Call TranscriptSlide DeckPress Release (8-K)Quarterly Report (10-Q)Earnings HistoryCompany ProfileSlide DeckFull Screen Slide DeckPowered by Bioventus Q3 2025 Earnings Call TranscriptProvided by QuartrNovember 4, 2025 ShareLink copied to clipboard.Key Takeaways Positive Sentiment: Bioventus reported Q3 revenue of $139 million with 8% organic growth, adjusted EBITDA up 13% (margin +220 bps), adjusted EPS of $0.15, and cash from operations nearly tripled to $30 million, while management reaffirmed 2025 guidance. Positive Sentiment: Early commercial launches of PNS (StimTrial and Talisman) and the PRP system (Excel) are tracking ahead of expectations with strong physician feedback, and management expects these to provide at least 200 basis points of profitable growth in 2026. Positive Sentiment: Momentum across surgical solutions (VGS bone graft substitutes and ultrasonics) and restorative therapies (Exogen) continued, with surgical growth of 9%, Exogen double-digit organic growth, and international organic growth of 10% driving portfolio breadth. Negative Sentiment: Tariffs and foreign exchange remain headwinds—guidance incorporates $5 million of tariffs, FX caused a ~$0.5 million Q3 loss and >$2.5 million YTD impact, and the guidance does not assume further USD moves in Q4. Neutral Sentiment: Balance sheet progress shows $42 million cash and $323 million debt with net leverage below 3x and a target below 2.5x (debt < $300 million) by year-end, indicating deleveraging progress but still material leverage. AI Generated. May Contain Errors.Conference Call Audio Live Call not available Earnings Conference CallBioventus Q3 202500:00 / 00:00Speed:1x1.25x1.5x2xTranscript SectionsPresentationParticipantsPresentationSkip to Participants Operator00:00:00Good day, and welcome to the Bioventus Third Quarter 2025 Earnings Conference Call. All participants will be in listen-only mode. Should you need assistance, please signal a conference specialist by pressing the star key followed by zero. After today's presentation, there will be an opportunity to ask questions. To ask a question, you may press star then one on your telephone keypad. To withdraw your question, please press star then two. Please note this event is being recorded. I would now like to turn the conference over to Dave Crawford, Vice President, Investor Relations. Please go ahead. Dave CrawfordVP of Investor Relations at Bioventus00:00:34Thanks, Megan. Good morning, everyone, and thanks for joining us. It is my pleasure to welcome you to the Bioventus 2025 Third Quarter Earnings Conference Call. With me this morning are Rob Claypoole, President and CEO, and Mark Singleton, Senior Vice President and CFO. Rob will begin his remarks with an update on our business and our 2025 priorities, and then Mark will review the third quarter results and discuss our 2025 financial guidance. We'll finish the call with Q&A. The presentation for today's call is available on the Investors section of our website, bioventus.com. Dave CrawfordVP of Investor Relations at Bioventus00:01:08Before we begin, I would like to remind everyone that our remarks today contain forward-looking statements that are based on the current expectations of management and involve inherent risks and uncertainties that could cause actual results to differ materially from those indicated, including the risks and uncertainties described in the company's filings with the Securities and Exchange Commission, including Item 1A risk factors of the company's Form 10-K for the year ended December 31, 2024. As such, factors may be updated from time to time in the company's other filings made with the Securities and Exchange Commission. You are cautioned not to place undue reliance upon any forward-looking statements, which speak only as of the date made. Dave CrawfordVP of Investor Relations at Bioventus00:01:49Although the company may voluntarily do so from time to time, it undertakes no commitment to update or revise the forward-looking statements, whether a result of new information, future events, or otherwise, except as required by applicable securities laws. This call will also include references to certain financial measures that are not calculated in accordance with U.S. generally accepted accounting principles or GAAP. We generally refer to these as non-GAAP or adjusted financial measures. Important disclosures about and definitions and reconciliations of those non-GAAP financial measures to the most comparable measures calculated and presented in accordance with GAAP are available in the earnings release on the Investors section of our website, bioventus.com. Now, I will turn the call over to Rob. Rob ClaypoolePresident and CEO at Bioventus00:02:33Thank you, Dave. Good morning, everyone, and thanks for joining our call today. Bioventus delivered another solid quarter as we continue to make significant progress with our strategic priorities while helping patients recover so they can live life to the fullest. With strong third quarter results and solid growth expected for the fourth quarter, we are reiterating our four-year guidance on all metrics while continuing to offset $5 million of tariffs and foreign exchange impacts. Let's take a closer look at our third quarter and the three priorities I introduced at the start of the year: driving above market revenue growth, continuing to expand our profitability, and accelerating free cash flow generation. First, third quarter revenue of $139 million advanced 8% on an organic basis, which represents an acceleration of more than 200 basis points compared to our organic growth for the first half of the year. Rob ClaypoolePresident and CEO at Bioventus00:03:28Our team generated above-market growth across each business, achieving mid-single digit to low double-digit organic growth, which reflects the strength and the breadth of our portfolio. I'll briefly share a few highlights with respect to our progress and momentum. You may recall that we projected that growth in our pain treatments and surgical solutions businesses would accelerate in the third quarter, which is clearly reflected by our results. With pain treatments, our leading HA therapies continued to outpace market growth as recent account wins gained traction powered by DUROLANE's clinical differentiation, the effectiveness of our dedicated commercial team, robust private payer coverage, and significant opportunities for geographic expansion. Our surgical solutions business delivered another solid quarter with growing momentum in bone graft substitutes as we increase awareness with both existing and prospective customers of our strong clinical and health economic value proposition. Rob ClaypoolePresident and CEO at Bioventus00:04:31We expect this positive trend to continue into 2026 as we continue to execute our growth strategy. In addition, restorative therapies' organic revenue growth—excuse me, restorative therapies' organic revenue—grew double digits again thanks to the focus and commercial execution by our great EXOGEN team. It's important to note that our performance across HA, VGS, and EXOGEN, our three largest products, demonstrates the strength of our portfolio, which helps fuel investment for our mid and long-term growth drivers. Let me provide a little more detail on the exciting developments for two of these growth drivers within our pain treatments business: peripheral nerve stimulation, or PNS, and platelet-rich plasma, or PRP. I'll start with PNS. As a quick reminder, peripheral nerve stimulation helps patients who suffer from chronic peripheral pain, and we believe it represents a very attractive growth opportunity for Bioventus. The U.S. Rob ClaypoolePresident and CEO at Bioventus00:05:36market of approximately $200 million is expected to exceed $500 million by 2029 and grow above 20% annually. We believe that the recent acquisition of Nalu by Boston Scientific clearly validates the potential value of the PNS market and could accelerate awareness and adoption. As you know, at the end of the third quarter, we began our limited launch of StimTrial and TalisMann following the successful FDA 510(k) clearance, and we look to expand aggressively. Although it's early, we're tracking ahead of our expectations on the projected number of StimTrial procedures and the conversion rate to our permanent TalisMann solution. This confirms our hypothesis about the strategic importance of adding a trial lead to our PNS portfolio. Equally important, we are receiving very encouraging feedback from physicians and patients regarding our differentiated technological design, including the power, size, and ease of use. Rob ClaypoolePresident and CEO at Bioventus00:06:40It's an exciting time for Bioventus to be launching this game-changing technology, and we're just getting started with expanding our commercial organization, educating physicians, and increasing our overall presence in this rapidly growing segment. While it's early, we're looking forward to the significant growth opportunity ahead of us. With respect to our new PRP system, Excel, we have also received positive customer feedback about this addition to our portfolio. As you may recall, the Excel system reduces procedural time and provides a customizable treatment solution for different patient applications. We recently progressed from our limited launch to training our entire HA sales team, and consequently, we expect sales to steadily increase over the remainder of this year and throughout 2026. Rob ClaypoolePresident and CEO at Bioventus00:07:30We believe the combination of PNS and PRP is a significant expansion for Bioventus and will provide at least 200 basis points of profitable growth in 2026 and shifts our overall portfolio towards markets with higher growth potential. Longer term, we believe both of these innovative technologies will deliver sustainable growth and become meaningful drivers of significant value for Bioventus. Turning to our second focus area, expanding profitability, our third quarter Adjusted EBITDA increased by 13%, with our Adjusted EBITDA margin expanding by over 200 basis points. This performance further demonstrates the powerful combination of our above-market organic revenue growth, peer-leading gross margins, and operational efficiencies, a combination that enables us to not only drive operating leverage but also simultaneously invest in our future growth. Rob ClaypoolePresident and CEO at Bioventus00:08:32We remain on target to achieve our previously communicated 100 basis points of Adjusted EBITDA margin expansion for the year, and the increased profitability in Q3 combined with our reduced interest expense generated a 200% increase in adjusted earnings per diluted share as we delivered $0.15 per diluted share in Q3. With respect to our third focus area, we continued to significantly accelerate cash flow as cash from operations in the third quarter nearly tripled versus the same period last year, and we drove a cash conversion ratio of over 100% in the quarter. Year to date, cash from operations is up 88%, and we are on pace for our full-year cash from operations to nearly double compared to last year. Rob ClaypoolePresident and CEO at Bioventus00:09:23In conclusion, thanks to our highly engaged team members across the globe, we made significant progress this quarter to deliver on our three priorities and were primed to close out a strong 2025. Bioventus has entered a new phase of our transformation, and we are well-positioned to drive above-market profitable revenue growth along with strong, consistent cash flow on an annual basis as we aim to become a $1 billion high-growth, high-margin, high-cash flow company that creates significant value for our shareholders. Now, I'll turn the call over to Mark. Mark SingletonSenior Vice President and CFO at Bioventus00:09:58Thank you, Rob, and good morning, everyone. Let me begin by saying that I am proud of our team's hard work and dedication to transform Bioventus. Over the last eight quarters, we have generated at least mid-single digit organic revenue growth, significantly improved profitability, and strengthened our balance sheet. This is just the start of what we can achieve. I'm confident that with strong focus and disciplined execution, we will continue to advance our business and create significant shareholder value. Turning to our headline results for the third quarter, revenue of $139 million was unchanged compared to the prior year due to the impact of our Advanced Rehabilitation Business divestiture at the end of last year. 8% organic revenue growth was a result of strong performance across all areas of our portfolio. Mark SingletonSenior Vice President and CFO at Bioventus00:10:51Adjusted EBITDA of $27 million was $3 million higher than the prior year and represented an increase of 13%. Foreign currency exchange rates had an unfavorable impact for the quarter as we incurred an unplanned loss of nearly $500,000. For the year, we've now absorbed more than $2.5 million in unplanned impacts from FX rate movements. Adjusted EBITDA margin of 19% expanded 220 basis points compared to the third quarter last year. This was the result of higher gross margin and disciplined spending. Now, let me provide some additional commentary on our quarterly revenue. In Pain Treatments, revenue accelerated from the first half and advanced 6% in Q3 as growth in HA benefited from strong volume growth of DUROLANE and recent account wins, which we previously highlighted. Mark SingletonSenior Vice President and CFO at Bioventus00:11:49Surgical Solutions revenue grew 9%, driven by growth in Ultrasonics as we broadened awareness of our value proposition of enhanced precision and control for surgeons, reduced patient blood loss, and increased operating room efficiency. In addition, as Rob mentioned, we saw improved growth this quarter in VGS and expect further acceleration in the fourth quarter. Shifting to Restorative Therapies, revenue declined 29% due to the divestiture of our Advanced Rehabilitation Business. Excluding the impact of the divestiture, organic growth was 11% as the EXOGEN team delivered another strong quarter. Finally, revenue from our international segment decreased 4% compared to the prior year, while organic growth climbed 10%. Our international segment is on target to deliver double-digit organic growth in 2025, and we believe this positive trend can continue given our new leadership, market expansion opportunities, and enhanced commercial execution. Mark SingletonSenior Vice President and CFO at Bioventus00:12:56Moving down the income statement, adjusted gross margin of 75% was 50 basis points higher than the prior year period as favorable product mix offset the impact of tariffs. Adjusted total operating expenses and R&D expenses declined by $3 million as increased investment in our growth initiatives was more than offset by direct expense savings related to the divestiture of our Advanced Rehabilitation Business. Now, for the detail on our bottom line financial metrics, adjusted operating income increased $3 million compared to the prior year to $24 million. Adjusted net income of $13 million nearly tripled compared to the prior year period. This growth is a result of our increased gross margin, decreased operating expenses, and lower interest expense. Finally, adjusted earnings of $0.15 per share for the quarter, an increase of $0.10 compared to the prior year. Now, shifting to the balance sheet and cash flow statement. Mark SingletonSenior Vice President and CFO at Bioventus00:13:59Consistent with our planning assumptions, we generated significant cash flow for the second straight quarter. Cash flow from operations totaled $30 million, representing an increase of $20 million compared to the prior year. The stronger cash flow was driven by higher profitability, lower interest expense, and a significant reduction in one-time cash cost. We ended the quarter with $42 million in cash on hand and $323 million in outstanding debt, which included $25 million drawn on our revolving credit facility. During the quarter, debt decreased $19 million, and we expect to repay the remaining $25 million outstanding under the revolving credit facility by the end of this year. As a result of lower debt outstanding, our net leverage ratio declined to below three times at the end of the quarter. Mark SingletonSenior Vice President and CFO at Bioventus00:14:55We are confident our projected strong cash flow and increase in Adjusted EBITDA will drive our year-end net leverage below two and a half times and our debt outstanding to under $300 million. We believe this reduction in our net leverage and debt will drive additional interest expense savings and enable greater optionality for capital deployment moving forward. Finally, as Rob mentioned, we are pleased to reaffirm our 2025 financial guidance, which we initially provided on March 11th. This includes organic revenue growth of 6%-8%, Adjusted EBITDA of $112 million-$116 million, and EPS of $0.64-$0.68. Our guidance does incorporate the full-year impact of $5 million of the current expectation of tariffs in 2025 and the year-to-date impact related to foreign exchange rates. Our guidance does not assume additional impact from the U.S. dollar fluctuation in the final quarter of the year. Mark SingletonSenior Vice President and CFO at Bioventus00:16:01In closing, we continue to execute our business plan and believe we are well-positioned to create shareholder value through strengthening our growth, profitability, and cash flow this year and over the long term. Operator, please open the line for questions. Operator00:16:19We will now begin the question and answer session. To ask a question, you may press star then one on your telephone keypad. If you are using a speakerphone, please pick up your handset before pressing the keys. If at any time your question has been addressed and you would like to withdraw your question, please press star, then two. At this time, we will pause momentarily to assemble our roster. Our first question comes from Chase Knickerbocker with Craig-Hallum. Please go ahead. Chase KnickerbockerSenior Equity Research Analyst at Craig-Hallum Capital Group00:16:48Good morning. Thanks for taking the questions. Rob, maybe just to start on pain growth. Can you just give us an update on kind of market performance in Q3? If you could share DUROLANE growth specifically, I think that would be helpful. Question there is just, is DUROLANE kind of driving all of the growth? What are you seeing out of the more legacy three and five shop businesses? Just kind of the puts and takes within pain. Mark SingletonSenior Vice President and CFO at Bioventus00:17:15Yeah, thanks, Chase. I'll start off and turn it over to Mark for some of the numbers there. Yeah, I think what you saw in the third quarter here is our pain business overall accelerating, backed by our HA therapies and DUROLANE in particular, and feel really good about executing on our growth plan for the back half of the year as we continue to gain additional volume, particularly in large accounts. As for the market, the market's going to fluctuate on a quarterly and yearly basis within the HA space, but it remains a key part of the OA treatment continuum. Our focus, as you know, is always going to be to grow our volume above that market growth, regardless of where it's at, while maintaining a lot of price discipline. Mark SingletonSenior Vice President and CFO at Bioventus00:18:03Excuse my voice today, but we believe that we're very well-positioned to do that, to keep growing above the market, given our clinical differentiation and private payer contracts and large dedicated sales teams. Feel good about growing the business in that market, even if there's some fluctuation. Like I said, I'll turn it over to Mark to get into some of the details on DUROLANE and the rest of the portfolio. Mark SingletonSenior Vice President and CFO at Bioventus00:18:32Yeah, thanks, Chase, for the question, and thanks, Rob. Overall, our growth in third quarter, DUROLANE did lead the growth of our portfolio, but that's with the differentiated product that we have there and the strong sales force and contract positioning we have. That's what we expected. Also, as the market moves towards a single injection overall, Gelsyn did have some volume growth, but there's a little bit more price pressure there as we've all known about for a while and in the market. Overall, I feel like it was a good quarter and delivered on what we had committed to in our second quarter call. Chase KnickerbockerSenior Equity Research Analyst at Craig-Hallum Capital Group00:19:11Thanks. Maybe just on surgical. Guide implies some acceleration into Q4, I think, in that surgical business. Can you just speak to kind of what you're seeing so far in October and if those distributors that have ramped that are going to kind of support that Q4 result? Can you just kind of speak to how productive they've been as they've gotten up to speed? Mark SingletonSenior Vice President and CFO at Bioventus00:19:39Yeah, Chase, I won't get too specific about October, but let me reply and let me know if you have any follow-up questions on it. So again, sorry about my voice this morning, but first, what you're referring to there is bone graft substitutes. And we mentioned in our previous calls that our back half acceleration for Bioventus overall will be driven in part by VGS, and you see that clearly reflected in our Q3 results. Thanks to our distributor partners and also because we bring a really strong clinical and economic value proposition to the $1 billion market that we're targeting. I think what you see in the numbers is that we're getting better every day with raising awareness of the total value that we bring to our customers. That's gaining traction with clinicians and with supply chain leaders. Mark SingletonSenior Vice President and CFO at Bioventus00:20:29Per your question there, we're going to keep stepping up our commercial efforts, and we're looking forward to building on our momentum with VGS in the quarters and the years ahead. We remain very confident about the other part of surgical business with ultrasonics. We're well into the double-digit growth stage this year to date, and we expect that to continue next year and beyond. For that one, that's because of our game-changing technology where we continue to believe we have the opportunity to change the standard of care in this space. For surgical overall, we remain very positive, and that includes for both VGS and for ultrasonics. Chase KnickerbockerSenior Equity Research Analyst at Craig-Hallum Capital Group00:21:11Just last from me, if we think about what's needed with TalisMann to make that offering competitive in the market. I guess, what does it take to make that business kind of take off? Do you need to generate some data sets? Is it just kind of commercial execution? I mean, maybe just speak to kind of what you're going to do on the clinical data side to kind of prove out that platform. Mark SingletonSenior Vice President and CFO at Bioventus00:21:33Yeah, thanks, Chase. First, just for everybody's perspective, launch, as I mentioned, is going very well, the pilot launch, and we're receiving a lot of positive feedback from customers about first having a trial lead in our portfolio and also about the power and the size and the ease of use of our firm technology. In terms of moving forward, the real key to success is scaling this business commercially. Keep in mind that the business is extremely and team has been extremely small for us. We were holding back for the launch of both StimTrial and TalisMann. Now that we have that exciting technology in our portfolio, we're building up that commercial organization. That is really the key, along with increasing awareness of our technology across the market. That's what you're going to see us doing much more aggressively in the months ahead. Mark SingletonSenior Vice President and CFO at Bioventus00:22:35Of course, we'll keep you updated on it. Overall, we're really looking forward to the path forward with this big growth driver for Bioventus. Chase KnickerbockerSenior Equity Research Analyst at Craig-Hallum Capital Group00:22:45Thanks, Rob. Mark SingletonSenior Vice President and CFO at Bioventus00:22:46Thank you. Operator00:22:48The next question comes from Ross Osborn with Cantor Fitzgerald. Please go ahead. Ross OsbornDirector and Lead Research Analyst at Cantor Fitzgerald00:22:55Hi, good morning and congrats on the progress here. Starting off with ultrasonics, what levers do you have there to drive penetration within the spine opportunity? How are your medical affairs efforts progressing? Mark SingletonSenior Vice President and CFO at Bioventus00:23:09Yeah, thanks, Ross. Yeah, for ultrasonics, I touched on it before there, but I'll reiterate, we really have phenomenal technology in this space. It's because our technology provides control to the position, and it saves time, and it delivers many patient benefits. Our greatest lever with this high-growth business for us is raising awareness about the value that our technology provides. We can do that through a number of different ways, through our commercial organization, and also, as you alluded to, through medical affairs. What we're doing is stepping up in a significant way our medical education efforts. That includes bringing on new talent into our organization over the last quarter and significantly improving the targeting and the content and the frequency of that medical education, again, so that we can help customers understand the value that our technology brings. Mark SingletonSenior Vice President and CFO at Bioventus00:24:16That's the biggest key to continuing to penetrate that spine space and beyond. Ross OsbornDirector and Lead Research Analyst at Cantor Fitzgerald00:24:25Okay, great. Thanks for clarifying there. When thinking about profitability for the company, is this a good base level to start thinking about your model? I'm just curious how you're pairing growth with savings as you try and penetrate and develop new markets such as PRP. Rob ClaypoolePresident and CEO at Bioventus00:24:46Could you just repeat the questions on where we're comparing growth? I didn't hear the second part. Ross OsbornDirector and Lead Research Analyst at Cantor Fitzgerald00:24:52Yeah, how you're balancing growth with profitability, especially as you're developing new markets. Dave CrawfordVP of Investor Relations at Bioventus00:24:57Yeah, yeah. Thanks for clarifying, Ross. Yeah, overall, I mean, we've been our guidance committed to expanding our margin by 100 basis points, and that's what we're still committed to do for full year 2025. And over the medium and long term, I mean, that's something that with our peer-leading gross margin of 75%, we get the really good growth that we're capable of. And then really, it's up to the opportunity we have to invest in products and also delivering expansion back to investors. And so that's been part of what we've done over the last few years. That's part of what we look to do over the medium and long term. We look into 2026. Dave CrawfordVP of Investor Relations at Bioventus00:25:37That's our intention to do that as well, but we're also going to balance that commitment to expand margin with investments and the great opportunities to invest like ultrasonics that we just talked about, like PNS that we talked about, and also our international business. Those are exciting investment opportunities for us, but we're also still committed to balance that margin expansion with being smart about investing while we have great opportunity in the market to do so. Ross OsbornDirector and Lead Research Analyst at Cantor Fitzgerald00:26:10Great. Thanks for taking our questions. Dave CrawfordVP of Investor Relations at Bioventus00:26:13Ross. Operator00:26:14The next question comes from Caitlin Roberts with Canaccord Genuity. Please go ahead. Caitlin RobertsDirector at Canaccord Genuity00:26:21Hi, thanks for taking the questions. I guess just to start off on the guidance philosophy, just some color on why you decided to maintain the guidance into the Q4, and then any color into dynamics and expectations going into 2026. Rob ClaypoolePresident and CEO at Bioventus00:26:38Thanks, Caitlin. Overall, we set our guidance in March early on, and we've been consistent with that throughout the year. When you look at the midpoint of our guidance, it implies a slight acceleration into fourth quarter from what we've delivered to date, and we feel good about that commitment. That was the decision behind keeping the guidance the same and feel like that's a good range. The range that we set at the beginning of the year was a little tighter than we normally would. Overall, we still feel good about our guidance for 2025. When we look into 2026, at this point in time, we're really excited about 2026. We talked about our growth opportunities in PNS and ultrasonics and international, but we're not going to give guidance for 2026 right now. Rob ClaypoolePresident and CEO at Bioventus00:27:29We do have some exciting opportunities, as we've talked about throughout the call, and look forward to sharing our thoughts on 2026 in the March earnings call. Mark SingletonSenior Vice President and CFO at Bioventus00:27:39I'll just add on to that, Caitlin. I think what you're seeing in the third quarter here is just the power of our business. We achieved what we said we'd do, grew the business by 8%, we increased the margin by 200 basis points, generated $30 million in cash, and we're carrying that momentum into the fourth quarter and into 2026. Like Mark said, we're not giving guidance, but our growth strategy is in full action. We really feel like we've entered a new phase here, and we're leveraging our core businesses, which are driving that above-market profitable growth, to invest in and drive our faster future growth businesses with the ultrasonics, PNS, PRP, and international. We'll give you a lot more detail on that when we provide our guidance for next year, but we feel good about the path ahead. Caitlin RobertsDirector at Canaccord Genuity00:28:25Great. And then just with EXOGEN continues to be strong. Were the same dynamics going on with commercial execution that really drove the strength this quarter as in prior quarters, or was it something else? Mark SingletonSenior Vice President and CFO at Bioventus00:28:39Yeah, it's consistent with what we've shared in the past. This is now we've generated double-digit growth in Restorative Therapies for two quarters in a row, and it validates the positive combination of focus, fantastic leadership and team, the right strategy, smart investments, and stronger execution, which in turn is demonstrating a favorable ROI on our investments. Can't say enough about the great team and what they're doing with that business. What you're seeing is sustainable growth for EXOGEN after five years of decline. We believe that we can grow this business to over $100 million with that combination that I mentioned, thanks to the dedicated team and our proven technology, which truly helps patients recover so they can live life to the fullest. Caitlin RobertsDirector at Canaccord Genuity00:29:30Great. Thanks for taking the questions. Dave CrawfordVP of Investor Relations at Bioventus00:29:32Thank you. Operator00:29:35This concludes our question and answer session. I would like to turn the conference back over to Rob Claypoole for any closing remarks. Rob ClaypoolePresident and CEO at Bioventus00:29:43All right, thanks, everyone, for your interest in Bioventus. Once again, we delivered a solid performance throughout our business in the third quarter, and we are confident in our ability to build on our momentum to deliver above-market revenue growth, improve profitability, and accelerate our cash flow to create significant shareholder value. Thank you. Operator00:30:06The conference has now concluded. Thank you for attending today's presentation. You may now disconnect.Read moreParticipantsExecutivesMark SingletonSenior Vice President and CFORob ClaypoolePresident and CEODave CrawfordVP of Investor RelationsAnalystsRoss OsbornDirector and Lead Research Analyst at Cantor FitzgeraldChase KnickerbockerSenior Equity Research Analyst at Craig-Hallum Capital GroupCaitlin RobertsDirector at Canaccord GenuityPowered by Earnings DocumentsSlide DeckEarnings Release(8-K)Quarterly Report(10-Q) Bioventus Earnings HeadlinesBioventus (BVS) Q1 2026 Earnings TranscriptMay 7 at 7:11 AM | finance.yahoo.comBioventus Inc. (BVS) Q1 2026 Earnings Call TranscriptMay 6 at 2:13 PM | seekingalpha.comSpaceX eyes a 1.75 trillion valuation - here's what to knowElon Musk's team has quietly filed confidential paperwork with the SEC for what Bloomberg estimates could be a $1.75 trillion IPO - larger than Saudi Aramco and any tech offering in history. CNBC calls it 'the big market event of 2026.' According to former tech executive and angel investor Jeff Brown, there's a way to claim a stake before the public filing drops, starting with as little as $500. | Brownstone Research (Ad)Bioventus Inc. 2026 Q1 - Results - Earnings Call PresentationMay 6 at 12:03 PM | seekingalpha.comBioventus Reports First Quarter Financial ResultsMay 6 at 7:30 AM | globenewswire.comFinancial Analysis: Bioventus (NASDAQ:BVS) versus Predictive Oncology (NASDAQ:AGPU)May 4, 2026 | americanbankingnews.comSee More Bioventus Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like Bioventus? Sign up for Earnings360's daily newsletter to receive timely earnings updates on Bioventus and other key companies, straight to your email. Email Address About BioventusBioventus (NASDAQ:BVS), headquartered in Durham, North Carolina, is a global medical device company specializing in orthobiologic solutions aimed at accelerating healing and improving patient outcomes in musculoskeletal conditions. The company develops and commercializes a portfolio of non‐surgical therapies designed to address bone healing, osteoarthritis pain management and soft tissue repair. Its flagship EXOGEN® Ultrasound Bone Healing System utilizes low‐intensity pulsed ultrasound technology to stimulate bone growth and has been widely used in the management of delayed fractures and nonunions. In the arena of joint health, Bioventus markets hyaluronic acid‐based injectables, notably DUROLANE®, as well as cold therapy devices under its QUELL® and HEALICOOL® brands to support post-surgical and non-surgical rehabilitation. Founded in 2012 as a spin-out from Smith & Nephew, Bioventus has expanded its global footprint through strategic acquisitions and product launches. In 2020, the company completed the acquisition of Zimmer Biomet’s biologics business, bolstering its position in the spine and orthopedics markets. Bioventus now operates in more than 40 countries, with commercial activities spanning the United States, Europe, Asia-Pacific and Latin America. Its expansive distribution network and partnerships with hospital systems, orthopedic centers and sports medicine clinics support broad adoption of its non-operative treatment options. Leadership at Bioventus is spearheaded by President and Chief Executive Officer Eric W. Martins, who joined the company in 2016 with extensive experience in the orthopedic and pharmaceutical industries. He leads a management team focused on driving innovation, expanding clinical evidence and enhancing patient access to orthobiologic therapies. Under this leadership, Bioventus continues to invest in research and development, aiming to introduce new products and strengthen its position as a leader in the non-surgical musculoskeletal market.View Bioventus ProfileRead more More Earnings Resources from MarketBeat Earnings Tools Today's Earnings Tomorrow's Earnings Next Week's Earnings Upcoming Earnings Calls Earnings Newsletter Earnings Call Transcripts Earnings Beats & Misses Corporate Guidance Earnings Screener Latest Articles Rocket Lab Posts Record Q1 Revenue, Raises Q2 GuidanceHims & Hers Earnings Preview: The Novo Nordisk Shift Puts GLP-1 Strategy in FocusAppLovin Pops After Earnings With Growth Catalysts in SightDutch Bros Q1 Earnings: The Newest Starbucks Rival Faces Its First Big Reality CheckThe AI Fear Around Datadog Stock May Have Been Completely WrongAmprius Technologies Ups the Voltage on Forward OutlookWhy Lam Research Still Looks Like a Buy After a 300% Rally Upcoming Earnings Constellation Energy (5/11/2026)Barrick Mining (5/11/2026)Petroleo Brasileiro S.A.- Petrobras (5/11/2026)Simon Property Group (5/11/2026)SEA (5/12/2026)Cisco Systems (5/13/2026)Alibaba Group (5/13/2026)Manulife Financial (5/13/2026)Sumitomo Mitsui Financial Group (5/13/2026)Takeda Pharmaceutical (5/13/2026) Get 30 Days of MarketBeat All Access for Free Sign up for MarketBeat All Access to gain access to MarketBeat's full suite of research tools. 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PresentationSkip to Participants Operator00:00:00Good day, and welcome to the Bioventus Third Quarter 2025 Earnings Conference Call. All participants will be in listen-only mode. Should you need assistance, please signal a conference specialist by pressing the star key followed by zero. After today's presentation, there will be an opportunity to ask questions. To ask a question, you may press star then one on your telephone keypad. To withdraw your question, please press star then two. Please note this event is being recorded. I would now like to turn the conference over to Dave Crawford, Vice President, Investor Relations. Please go ahead. Dave CrawfordVP of Investor Relations at Bioventus00:00:34Thanks, Megan. Good morning, everyone, and thanks for joining us. It is my pleasure to welcome you to the Bioventus 2025 Third Quarter Earnings Conference Call. With me this morning are Rob Claypoole, President and CEO, and Mark Singleton, Senior Vice President and CFO. Rob will begin his remarks with an update on our business and our 2025 priorities, and then Mark will review the third quarter results and discuss our 2025 financial guidance. We'll finish the call with Q&A. The presentation for today's call is available on the Investors section of our website, bioventus.com. Dave CrawfordVP of Investor Relations at Bioventus00:01:08Before we begin, I would like to remind everyone that our remarks today contain forward-looking statements that are based on the current expectations of management and involve inherent risks and uncertainties that could cause actual results to differ materially from those indicated, including the risks and uncertainties described in the company's filings with the Securities and Exchange Commission, including Item 1A risk factors of the company's Form 10-K for the year ended December 31, 2024. As such, factors may be updated from time to time in the company's other filings made with the Securities and Exchange Commission. You are cautioned not to place undue reliance upon any forward-looking statements, which speak only as of the date made. Dave CrawfordVP of Investor Relations at Bioventus00:01:49Although the company may voluntarily do so from time to time, it undertakes no commitment to update or revise the forward-looking statements, whether a result of new information, future events, or otherwise, except as required by applicable securities laws. This call will also include references to certain financial measures that are not calculated in accordance with U.S. generally accepted accounting principles or GAAP. We generally refer to these as non-GAAP or adjusted financial measures. Important disclosures about and definitions and reconciliations of those non-GAAP financial measures to the most comparable measures calculated and presented in accordance with GAAP are available in the earnings release on the Investors section of our website, bioventus.com. Now, I will turn the call over to Rob. Rob ClaypoolePresident and CEO at Bioventus00:02:33Thank you, Dave. Good morning, everyone, and thanks for joining our call today. Bioventus delivered another solid quarter as we continue to make significant progress with our strategic priorities while helping patients recover so they can live life to the fullest. With strong third quarter results and solid growth expected for the fourth quarter, we are reiterating our four-year guidance on all metrics while continuing to offset $5 million of tariffs and foreign exchange impacts. Let's take a closer look at our third quarter and the three priorities I introduced at the start of the year: driving above market revenue growth, continuing to expand our profitability, and accelerating free cash flow generation. First, third quarter revenue of $139 million advanced 8% on an organic basis, which represents an acceleration of more than 200 basis points compared to our organic growth for the first half of the year. Rob ClaypoolePresident and CEO at Bioventus00:03:28Our team generated above-market growth across each business, achieving mid-single digit to low double-digit organic growth, which reflects the strength and the breadth of our portfolio. I'll briefly share a few highlights with respect to our progress and momentum. You may recall that we projected that growth in our pain treatments and surgical solutions businesses would accelerate in the third quarter, which is clearly reflected by our results. With pain treatments, our leading HA therapies continued to outpace market growth as recent account wins gained traction powered by DUROLANE's clinical differentiation, the effectiveness of our dedicated commercial team, robust private payer coverage, and significant opportunities for geographic expansion. Our surgical solutions business delivered another solid quarter with growing momentum in bone graft substitutes as we increase awareness with both existing and prospective customers of our strong clinical and health economic value proposition. Rob ClaypoolePresident and CEO at Bioventus00:04:31We expect this positive trend to continue into 2026 as we continue to execute our growth strategy. In addition, restorative therapies' organic revenue growth—excuse me, restorative therapies' organic revenue—grew double digits again thanks to the focus and commercial execution by our great EXOGEN team. It's important to note that our performance across HA, VGS, and EXOGEN, our three largest products, demonstrates the strength of our portfolio, which helps fuel investment for our mid and long-term growth drivers. Let me provide a little more detail on the exciting developments for two of these growth drivers within our pain treatments business: peripheral nerve stimulation, or PNS, and platelet-rich plasma, or PRP. I'll start with PNS. As a quick reminder, peripheral nerve stimulation helps patients who suffer from chronic peripheral pain, and we believe it represents a very attractive growth opportunity for Bioventus. The U.S. Rob ClaypoolePresident and CEO at Bioventus00:05:36market of approximately $200 million is expected to exceed $500 million by 2029 and grow above 20% annually. We believe that the recent acquisition of Nalu by Boston Scientific clearly validates the potential value of the PNS market and could accelerate awareness and adoption. As you know, at the end of the third quarter, we began our limited launch of StimTrial and TalisMann following the successful FDA 510(k) clearance, and we look to expand aggressively. Although it's early, we're tracking ahead of our expectations on the projected number of StimTrial procedures and the conversion rate to our permanent TalisMann solution. This confirms our hypothesis about the strategic importance of adding a trial lead to our PNS portfolio. Equally important, we are receiving very encouraging feedback from physicians and patients regarding our differentiated technological design, including the power, size, and ease of use. Rob ClaypoolePresident and CEO at Bioventus00:06:40It's an exciting time for Bioventus to be launching this game-changing technology, and we're just getting started with expanding our commercial organization, educating physicians, and increasing our overall presence in this rapidly growing segment. While it's early, we're looking forward to the significant growth opportunity ahead of us. With respect to our new PRP system, Excel, we have also received positive customer feedback about this addition to our portfolio. As you may recall, the Excel system reduces procedural time and provides a customizable treatment solution for different patient applications. We recently progressed from our limited launch to training our entire HA sales team, and consequently, we expect sales to steadily increase over the remainder of this year and throughout 2026. Rob ClaypoolePresident and CEO at Bioventus00:07:30We believe the combination of PNS and PRP is a significant expansion for Bioventus and will provide at least 200 basis points of profitable growth in 2026 and shifts our overall portfolio towards markets with higher growth potential. Longer term, we believe both of these innovative technologies will deliver sustainable growth and become meaningful drivers of significant value for Bioventus. Turning to our second focus area, expanding profitability, our third quarter Adjusted EBITDA increased by 13%, with our Adjusted EBITDA margin expanding by over 200 basis points. This performance further demonstrates the powerful combination of our above-market organic revenue growth, peer-leading gross margins, and operational efficiencies, a combination that enables us to not only drive operating leverage but also simultaneously invest in our future growth. Rob ClaypoolePresident and CEO at Bioventus00:08:32We remain on target to achieve our previously communicated 100 basis points of Adjusted EBITDA margin expansion for the year, and the increased profitability in Q3 combined with our reduced interest expense generated a 200% increase in adjusted earnings per diluted share as we delivered $0.15 per diluted share in Q3. With respect to our third focus area, we continued to significantly accelerate cash flow as cash from operations in the third quarter nearly tripled versus the same period last year, and we drove a cash conversion ratio of over 100% in the quarter. Year to date, cash from operations is up 88%, and we are on pace for our full-year cash from operations to nearly double compared to last year. Rob ClaypoolePresident and CEO at Bioventus00:09:23In conclusion, thanks to our highly engaged team members across the globe, we made significant progress this quarter to deliver on our three priorities and were primed to close out a strong 2025. Bioventus has entered a new phase of our transformation, and we are well-positioned to drive above-market profitable revenue growth along with strong, consistent cash flow on an annual basis as we aim to become a $1 billion high-growth, high-margin, high-cash flow company that creates significant value for our shareholders. Now, I'll turn the call over to Mark. Mark SingletonSenior Vice President and CFO at Bioventus00:09:58Thank you, Rob, and good morning, everyone. Let me begin by saying that I am proud of our team's hard work and dedication to transform Bioventus. Over the last eight quarters, we have generated at least mid-single digit organic revenue growth, significantly improved profitability, and strengthened our balance sheet. This is just the start of what we can achieve. I'm confident that with strong focus and disciplined execution, we will continue to advance our business and create significant shareholder value. Turning to our headline results for the third quarter, revenue of $139 million was unchanged compared to the prior year due to the impact of our Advanced Rehabilitation Business divestiture at the end of last year. 8% organic revenue growth was a result of strong performance across all areas of our portfolio. Mark SingletonSenior Vice President and CFO at Bioventus00:10:51Adjusted EBITDA of $27 million was $3 million higher than the prior year and represented an increase of 13%. Foreign currency exchange rates had an unfavorable impact for the quarter as we incurred an unplanned loss of nearly $500,000. For the year, we've now absorbed more than $2.5 million in unplanned impacts from FX rate movements. Adjusted EBITDA margin of 19% expanded 220 basis points compared to the third quarter last year. This was the result of higher gross margin and disciplined spending. Now, let me provide some additional commentary on our quarterly revenue. In Pain Treatments, revenue accelerated from the first half and advanced 6% in Q3 as growth in HA benefited from strong volume growth of DUROLANE and recent account wins, which we previously highlighted. Mark SingletonSenior Vice President and CFO at Bioventus00:11:49Surgical Solutions revenue grew 9%, driven by growth in Ultrasonics as we broadened awareness of our value proposition of enhanced precision and control for surgeons, reduced patient blood loss, and increased operating room efficiency. In addition, as Rob mentioned, we saw improved growth this quarter in VGS and expect further acceleration in the fourth quarter. Shifting to Restorative Therapies, revenue declined 29% due to the divestiture of our Advanced Rehabilitation Business. Excluding the impact of the divestiture, organic growth was 11% as the EXOGEN team delivered another strong quarter. Finally, revenue from our international segment decreased 4% compared to the prior year, while organic growth climbed 10%. Our international segment is on target to deliver double-digit organic growth in 2025, and we believe this positive trend can continue given our new leadership, market expansion opportunities, and enhanced commercial execution. Mark SingletonSenior Vice President and CFO at Bioventus00:12:56Moving down the income statement, adjusted gross margin of 75% was 50 basis points higher than the prior year period as favorable product mix offset the impact of tariffs. Adjusted total operating expenses and R&D expenses declined by $3 million as increased investment in our growth initiatives was more than offset by direct expense savings related to the divestiture of our Advanced Rehabilitation Business. Now, for the detail on our bottom line financial metrics, adjusted operating income increased $3 million compared to the prior year to $24 million. Adjusted net income of $13 million nearly tripled compared to the prior year period. This growth is a result of our increased gross margin, decreased operating expenses, and lower interest expense. Finally, adjusted earnings of $0.15 per share for the quarter, an increase of $0.10 compared to the prior year. Now, shifting to the balance sheet and cash flow statement. Mark SingletonSenior Vice President and CFO at Bioventus00:13:59Consistent with our planning assumptions, we generated significant cash flow for the second straight quarter. Cash flow from operations totaled $30 million, representing an increase of $20 million compared to the prior year. The stronger cash flow was driven by higher profitability, lower interest expense, and a significant reduction in one-time cash cost. We ended the quarter with $42 million in cash on hand and $323 million in outstanding debt, which included $25 million drawn on our revolving credit facility. During the quarter, debt decreased $19 million, and we expect to repay the remaining $25 million outstanding under the revolving credit facility by the end of this year. As a result of lower debt outstanding, our net leverage ratio declined to below three times at the end of the quarter. Mark SingletonSenior Vice President and CFO at Bioventus00:14:55We are confident our projected strong cash flow and increase in Adjusted EBITDA will drive our year-end net leverage below two and a half times and our debt outstanding to under $300 million. We believe this reduction in our net leverage and debt will drive additional interest expense savings and enable greater optionality for capital deployment moving forward. Finally, as Rob mentioned, we are pleased to reaffirm our 2025 financial guidance, which we initially provided on March 11th. This includes organic revenue growth of 6%-8%, Adjusted EBITDA of $112 million-$116 million, and EPS of $0.64-$0.68. Our guidance does incorporate the full-year impact of $5 million of the current expectation of tariffs in 2025 and the year-to-date impact related to foreign exchange rates. Our guidance does not assume additional impact from the U.S. dollar fluctuation in the final quarter of the year. Mark SingletonSenior Vice President and CFO at Bioventus00:16:01In closing, we continue to execute our business plan and believe we are well-positioned to create shareholder value through strengthening our growth, profitability, and cash flow this year and over the long term. Operator, please open the line for questions. Operator00:16:19We will now begin the question and answer session. To ask a question, you may press star then one on your telephone keypad. If you are using a speakerphone, please pick up your handset before pressing the keys. If at any time your question has been addressed and you would like to withdraw your question, please press star, then two. At this time, we will pause momentarily to assemble our roster. Our first question comes from Chase Knickerbocker with Craig-Hallum. Please go ahead. Chase KnickerbockerSenior Equity Research Analyst at Craig-Hallum Capital Group00:16:48Good morning. Thanks for taking the questions. Rob, maybe just to start on pain growth. Can you just give us an update on kind of market performance in Q3? If you could share DUROLANE growth specifically, I think that would be helpful. Question there is just, is DUROLANE kind of driving all of the growth? What are you seeing out of the more legacy three and five shop businesses? Just kind of the puts and takes within pain. Mark SingletonSenior Vice President and CFO at Bioventus00:17:15Yeah, thanks, Chase. I'll start off and turn it over to Mark for some of the numbers there. Yeah, I think what you saw in the third quarter here is our pain business overall accelerating, backed by our HA therapies and DUROLANE in particular, and feel really good about executing on our growth plan for the back half of the year as we continue to gain additional volume, particularly in large accounts. As for the market, the market's going to fluctuate on a quarterly and yearly basis within the HA space, but it remains a key part of the OA treatment continuum. Our focus, as you know, is always going to be to grow our volume above that market growth, regardless of where it's at, while maintaining a lot of price discipline. Mark SingletonSenior Vice President and CFO at Bioventus00:18:03Excuse my voice today, but we believe that we're very well-positioned to do that, to keep growing above the market, given our clinical differentiation and private payer contracts and large dedicated sales teams. Feel good about growing the business in that market, even if there's some fluctuation. Like I said, I'll turn it over to Mark to get into some of the details on DUROLANE and the rest of the portfolio. Mark SingletonSenior Vice President and CFO at Bioventus00:18:32Yeah, thanks, Chase, for the question, and thanks, Rob. Overall, our growth in third quarter, DUROLANE did lead the growth of our portfolio, but that's with the differentiated product that we have there and the strong sales force and contract positioning we have. That's what we expected. Also, as the market moves towards a single injection overall, Gelsyn did have some volume growth, but there's a little bit more price pressure there as we've all known about for a while and in the market. Overall, I feel like it was a good quarter and delivered on what we had committed to in our second quarter call. Chase KnickerbockerSenior Equity Research Analyst at Craig-Hallum Capital Group00:19:11Thanks. Maybe just on surgical. Guide implies some acceleration into Q4, I think, in that surgical business. Can you just speak to kind of what you're seeing so far in October and if those distributors that have ramped that are going to kind of support that Q4 result? Can you just kind of speak to how productive they've been as they've gotten up to speed? Mark SingletonSenior Vice President and CFO at Bioventus00:19:39Yeah, Chase, I won't get too specific about October, but let me reply and let me know if you have any follow-up questions on it. So again, sorry about my voice this morning, but first, what you're referring to there is bone graft substitutes. And we mentioned in our previous calls that our back half acceleration for Bioventus overall will be driven in part by VGS, and you see that clearly reflected in our Q3 results. Thanks to our distributor partners and also because we bring a really strong clinical and economic value proposition to the $1 billion market that we're targeting. I think what you see in the numbers is that we're getting better every day with raising awareness of the total value that we bring to our customers. That's gaining traction with clinicians and with supply chain leaders. Mark SingletonSenior Vice President and CFO at Bioventus00:20:29Per your question there, we're going to keep stepping up our commercial efforts, and we're looking forward to building on our momentum with VGS in the quarters and the years ahead. We remain very confident about the other part of surgical business with ultrasonics. We're well into the double-digit growth stage this year to date, and we expect that to continue next year and beyond. For that one, that's because of our game-changing technology where we continue to believe we have the opportunity to change the standard of care in this space. For surgical overall, we remain very positive, and that includes for both VGS and for ultrasonics. Chase KnickerbockerSenior Equity Research Analyst at Craig-Hallum Capital Group00:21:11Just last from me, if we think about what's needed with TalisMann to make that offering competitive in the market. I guess, what does it take to make that business kind of take off? Do you need to generate some data sets? Is it just kind of commercial execution? I mean, maybe just speak to kind of what you're going to do on the clinical data side to kind of prove out that platform. Mark SingletonSenior Vice President and CFO at Bioventus00:21:33Yeah, thanks, Chase. First, just for everybody's perspective, launch, as I mentioned, is going very well, the pilot launch, and we're receiving a lot of positive feedback from customers about first having a trial lead in our portfolio and also about the power and the size and the ease of use of our firm technology. In terms of moving forward, the real key to success is scaling this business commercially. Keep in mind that the business is extremely and team has been extremely small for us. We were holding back for the launch of both StimTrial and TalisMann. Now that we have that exciting technology in our portfolio, we're building up that commercial organization. That is really the key, along with increasing awareness of our technology across the market. That's what you're going to see us doing much more aggressively in the months ahead. Mark SingletonSenior Vice President and CFO at Bioventus00:22:35Of course, we'll keep you updated on it. Overall, we're really looking forward to the path forward with this big growth driver for Bioventus. Chase KnickerbockerSenior Equity Research Analyst at Craig-Hallum Capital Group00:22:45Thanks, Rob. Mark SingletonSenior Vice President and CFO at Bioventus00:22:46Thank you. Operator00:22:48The next question comes from Ross Osborn with Cantor Fitzgerald. Please go ahead. Ross OsbornDirector and Lead Research Analyst at Cantor Fitzgerald00:22:55Hi, good morning and congrats on the progress here. Starting off with ultrasonics, what levers do you have there to drive penetration within the spine opportunity? How are your medical affairs efforts progressing? Mark SingletonSenior Vice President and CFO at Bioventus00:23:09Yeah, thanks, Ross. Yeah, for ultrasonics, I touched on it before there, but I'll reiterate, we really have phenomenal technology in this space. It's because our technology provides control to the position, and it saves time, and it delivers many patient benefits. Our greatest lever with this high-growth business for us is raising awareness about the value that our technology provides. We can do that through a number of different ways, through our commercial organization, and also, as you alluded to, through medical affairs. What we're doing is stepping up in a significant way our medical education efforts. That includes bringing on new talent into our organization over the last quarter and significantly improving the targeting and the content and the frequency of that medical education, again, so that we can help customers understand the value that our technology brings. Mark SingletonSenior Vice President and CFO at Bioventus00:24:16That's the biggest key to continuing to penetrate that spine space and beyond. Ross OsbornDirector and Lead Research Analyst at Cantor Fitzgerald00:24:25Okay, great. Thanks for clarifying there. When thinking about profitability for the company, is this a good base level to start thinking about your model? I'm just curious how you're pairing growth with savings as you try and penetrate and develop new markets such as PRP. Rob ClaypoolePresident and CEO at Bioventus00:24:46Could you just repeat the questions on where we're comparing growth? I didn't hear the second part. Ross OsbornDirector and Lead Research Analyst at Cantor Fitzgerald00:24:52Yeah, how you're balancing growth with profitability, especially as you're developing new markets. Dave CrawfordVP of Investor Relations at Bioventus00:24:57Yeah, yeah. Thanks for clarifying, Ross. Yeah, overall, I mean, we've been our guidance committed to expanding our margin by 100 basis points, and that's what we're still committed to do for full year 2025. And over the medium and long term, I mean, that's something that with our peer-leading gross margin of 75%, we get the really good growth that we're capable of. And then really, it's up to the opportunity we have to invest in products and also delivering expansion back to investors. And so that's been part of what we've done over the last few years. That's part of what we look to do over the medium and long term. We look into 2026. Dave CrawfordVP of Investor Relations at Bioventus00:25:37That's our intention to do that as well, but we're also going to balance that commitment to expand margin with investments and the great opportunities to invest like ultrasonics that we just talked about, like PNS that we talked about, and also our international business. Those are exciting investment opportunities for us, but we're also still committed to balance that margin expansion with being smart about investing while we have great opportunity in the market to do so. Ross OsbornDirector and Lead Research Analyst at Cantor Fitzgerald00:26:10Great. Thanks for taking our questions. Dave CrawfordVP of Investor Relations at Bioventus00:26:13Ross. Operator00:26:14The next question comes from Caitlin Roberts with Canaccord Genuity. Please go ahead. Caitlin RobertsDirector at Canaccord Genuity00:26:21Hi, thanks for taking the questions. I guess just to start off on the guidance philosophy, just some color on why you decided to maintain the guidance into the Q4, and then any color into dynamics and expectations going into 2026. Rob ClaypoolePresident and CEO at Bioventus00:26:38Thanks, Caitlin. Overall, we set our guidance in March early on, and we've been consistent with that throughout the year. When you look at the midpoint of our guidance, it implies a slight acceleration into fourth quarter from what we've delivered to date, and we feel good about that commitment. That was the decision behind keeping the guidance the same and feel like that's a good range. The range that we set at the beginning of the year was a little tighter than we normally would. Overall, we still feel good about our guidance for 2025. When we look into 2026, at this point in time, we're really excited about 2026. We talked about our growth opportunities in PNS and ultrasonics and international, but we're not going to give guidance for 2026 right now. Rob ClaypoolePresident and CEO at Bioventus00:27:29We do have some exciting opportunities, as we've talked about throughout the call, and look forward to sharing our thoughts on 2026 in the March earnings call. Mark SingletonSenior Vice President and CFO at Bioventus00:27:39I'll just add on to that, Caitlin. I think what you're seeing in the third quarter here is just the power of our business. We achieved what we said we'd do, grew the business by 8%, we increased the margin by 200 basis points, generated $30 million in cash, and we're carrying that momentum into the fourth quarter and into 2026. Like Mark said, we're not giving guidance, but our growth strategy is in full action. We really feel like we've entered a new phase here, and we're leveraging our core businesses, which are driving that above-market profitable growth, to invest in and drive our faster future growth businesses with the ultrasonics, PNS, PRP, and international. We'll give you a lot more detail on that when we provide our guidance for next year, but we feel good about the path ahead. Caitlin RobertsDirector at Canaccord Genuity00:28:25Great. And then just with EXOGEN continues to be strong. Were the same dynamics going on with commercial execution that really drove the strength this quarter as in prior quarters, or was it something else? Mark SingletonSenior Vice President and CFO at Bioventus00:28:39Yeah, it's consistent with what we've shared in the past. This is now we've generated double-digit growth in Restorative Therapies for two quarters in a row, and it validates the positive combination of focus, fantastic leadership and team, the right strategy, smart investments, and stronger execution, which in turn is demonstrating a favorable ROI on our investments. Can't say enough about the great team and what they're doing with that business. What you're seeing is sustainable growth for EXOGEN after five years of decline. We believe that we can grow this business to over $100 million with that combination that I mentioned, thanks to the dedicated team and our proven technology, which truly helps patients recover so they can live life to the fullest. Caitlin RobertsDirector at Canaccord Genuity00:29:30Great. Thanks for taking the questions. Dave CrawfordVP of Investor Relations at Bioventus00:29:32Thank you. Operator00:29:35This concludes our question and answer session. I would like to turn the conference back over to Rob Claypoole for any closing remarks. Rob ClaypoolePresident and CEO at Bioventus00:29:43All right, thanks, everyone, for your interest in Bioventus. Once again, we delivered a solid performance throughout our business in the third quarter, and we are confident in our ability to build on our momentum to deliver above-market revenue growth, improve profitability, and accelerate our cash flow to create significant shareholder value. Thank you. Operator00:30:06The conference has now concluded. Thank you for attending today's presentation. You may now disconnect.Read moreParticipantsExecutivesMark SingletonSenior Vice President and CFORob ClaypoolePresident and CEODave CrawfordVP of Investor RelationsAnalystsRoss OsbornDirector and Lead Research Analyst at Cantor FitzgeraldChase KnickerbockerSenior Equity Research Analyst at Craig-Hallum Capital GroupCaitlin RobertsDirector at Canaccord GenuityPowered by