NASDAQ:TMCI Treace Medical Concepts Q1 2025 Earnings Report $1.94 -0.07 (-3.48%) Closing price 05/11/2026 04:00 PM EasternExtended Trading$1.94 0.00 (0.00%) As of 05/11/2026 04:20 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 Treace Medical Concepts EPS ResultsActual EPS-$0.25Consensus EPS -$0.31Beat/MissBeat by +$0.06One Year Ago EPS-$0.30Treace Medical Concepts Revenue ResultsActual Revenue$52.57 millionExpected Revenue$52.07 millionBeat/MissBeat by +$500.00 thousandYoY Revenue Growth+2.90%Treace Medical Concepts Announcement DetailsQuarterQ1 2025Date5/8/2025TimeAfter Market ClosesConference Call DateThursday, May 8, 2025Conference Call Time4:30PM ETConference Call ResourcesConference Call AudioConference Call TranscriptPress Release (8-K)Quarterly Report (10-Q)Earnings HistoryCompany ProfilePowered by Treace Medical Concepts Q1 2025 Earnings Call TranscriptProvided by QuartrMay 8, 2025 ShareLink copied to clipboard.Key Takeaways Therese Medical delivered $52.6 M in Q1 revenue, up 3% year-over-year (4.5% adjusted for selling days), improved its adjusted EBITDA loss by 54% to $3.8 M, and reduced its net loss to $15.9 M from $18.7 M a year ago. The company plans to commercialize three new bunion correction systems—Nanoplasty, Percuplasty 3D MIS osteotomy, and SpeedMTP fusion—in Q3, enabling it to address nearly 100% of surgeon and patient preferences across all four bunion deformity classes. A robust pipeline includes IntelliGuide PSI patient-specific planning, SpeedPlate MicroQuad and SPEED Aiken implants, new sterile instruments, and a limited market release of the next-generation Lapoplasty Lightning system in Q4. Therese reaffirms its 2025 guidance of $224 M–$230 M in revenue (+7% to 10%), expects to reach breakeven adjusted EBITDA, halve cash burn, and drive most growth in Q4 as new products ramp and seasonality benefits. With a strengthened R&D engine and growing sales team, the company is executing its vision to become the “one-stop shop” for comprehensive, best-in-class bunion solutions. AI Generated. May Contain Errors.Conference Call Audio Live Call not available Earnings Conference CallTreace Medical Concepts Q1 202500:00 / 00:00Speed:1x1.25x1.5x2xTranscript SectionsPresentationParticipantsPresentationSkip to Participants Operator00:00:00Good day, and thank you for standing by. Welcome to the Treace Medical Concepts First Quarter 2025 Earnings Conference Call. At this time, all participants are in a listen-only mode. After the speaker's presentation, there will be a question-and-answer session. To ask a question during the session, you will need to press star one one on your telephone. You will then hear an automated message advising that your hand has been raised. To withdraw your question, please just press star one one again. Please be advised that today's conference call is being recorded. I would now like to hand the conference over to your first speaker today, Trip Taylor, Investor Relations. Please go ahead. Trip TaylorHead of Investor Relations at Gilmartin Group00:00:35Thank you. Good afternoon. John TreaceCEO at Treace Medical Concepts00:00:36Good afternoon, everyone, and thank you for joining us on our first quarter 2025 earnings conference call. We started 2025 with solid financial results and made significant progress on our strategy to comprehensively address the evolving needs of surgeons and patients with an expanding portfolio of best-in-class bunion solutions. Revenue in the first quarter was $52.6 million, representing 3% growth over the first quarter of 2024. Trip TaylorHead of Investor Relations at Gilmartin Group00:01:06Thank you, Operator. Good afternoon, everyone, and welcome to our first quarter 2025 earnings conference call. Participating from the company today will be John Treace, Chief Executive Officer, and Mark Hair, Chief Financial Officer. During the call, John will offer commentary on our commercial activities, followed by Mark for a review of our first quarter financial results released after market close today. We will then host a question-and-answer session following our prepared remarks. Our press release can be found in the Investor Relations section of our website at investors.treace.com. This call is being recorded and will be archived in the Investor section of our website. Before we begin, we would like to remind you that it is our intent that all forward-looking statements made during today's call will be protected under the Private Securities Litigation Reform Act of 1995. Trip TaylorHead of Investor Relations at Gilmartin Group00:01:59Any statements that relate to expectations or predictions of future events and market trends, as well as our estimated results or performance, are forward-looking statements. All forward-looking statements are based upon our current estimates and various assumptions. These statements involve material risks and uncertainties that could cause actual results or events to materially differ from those anticipated or implied by these forward-looking statements. All forward-looking statements are based upon currently available information, and Treace Medical assumes no obligation to update these statements. Accordingly, you should not place undue reliance on these statements. Please refer to our SEC filings, including our Form 10-Q for the first quarter of 2025, filed after market close today, May 8th, and can be found in the Investor Relations section of our website at investors.treace.com for a detailed presentation of risks. With that, I will now turn the call over to John. John TreaceCEO at Treace Medical Concepts00:03:07Good afternoon, everyone, and thank you for joining us on our first quarter 2025 earnings conference call. We started 2025 with solid financial results and made significant progress on our strategy to comprehensively address the evolving needs of surgeons and patients with an expanding portfolio of best-in-class bunion solutions. Revenue in the first quarter was $52.6 million, representing 3% growth over the first quarter of 2024, and adjusted for one less selling day, growth was 4.5%. As expected, this was a difficult comp, and we're pleased with the overall performance, including early positive validation of our three new bunion systems. We expect 2025 to be a transformational year for Treace, and we're incredibly excited about what we will be delivering in the back half of this year and beyond. John TreaceCEO at Treace Medical Concepts00:03:55From the early days of the company, it's been our strategy to evolve our business from a single technology Lapiplasty company to a comprehensive bunion solutions company. Since our first cases in 2015, we're proud to have established a strong customer base of over 3,100 surgeon users, treated over 130,000 patients, propelled our company to over $200 million in revenue, and established Treace Medical as the dollar share leader in the U.S. bunion market. To date, our flagship Lapiplasty and Adductoplasty systems have enabled us to capture, on average, 25% of our surgeon customers' bunion cases. With the upcoming commercialization of three new best-in-class bunion correction systems, namely our Nanoplasty and Percuplasty 3D MIS osteotomy systems and our SpeedMTP MTP fusion system, we gain more immediate and more targeted access to the remaining 75% of our surgeons' cases. John TreaceCEO at Treace Medical Concepts00:04:52Beginning in Q3, we have the opportunity to target virtually 100% of surgeon and patient preferences for bunion correction with five best-in-class instrumented systems addressing all four classes of bunion deformities. In addition, this expanded portfolio allows us to appeal to incremental new surgeons who favor osteotomy approaches over Lapiplasty. The positive feedback from surgeons participating in our limited market releases of these three new systems, as well as strong turnouts we've seen at our initial Bunion Master surgeon training labs where all five of our systems are now featured, have exceeded our expectations. Additionally, we have high confidence in our inventory timing and volumes to support the customer demand for these three new systems, as well as our ability to meet demand going forward. John TreaceCEO at Treace Medical Concepts00:05:41For all of these reasons, we have even greater conviction in the impact these new systems will have on our business starting in the back half of the year. These three new systems will be complemented by expanding commercial availability of several other new technologies, including IntelliGuide PSI, the industry's first and only patient-specific pre-op planning and cut guide solution for Lapiplasty, bunion, and Adductoplasty midfoot corrections. We've been getting rave reviews from surgeon users on the accuracy and the time savings they are experiencing in their cases with this advanced technology. Our SpeedPlate MicroQuad implant delivers robust dynamic fixation for small incision fusion approaches and provides the enabling implant technology to support driving our Micro-Lapiplasty and Mini-Adductoplasty procedures. Our SpeedAkin implant, an ultra-low profile fixation solution for Akin osteotomies, which are performed in high frequency with bunion cases and particularly with MIS osteotomies. John TreaceCEO at Treace Medical Concepts00:06:42We will also be launching several new sterile instruments in the back half of the year. These are complementary procedure-specific tools utilized in our bunion and midfoot cases. With this expansion of our portfolio, we've been receiving unprecedented interest from experienced foot and ankle sales professionals wanting to join Treace and participate in this next exciting wave of growth for the company. It's not just the great products we have coming, but the ever-increasing strength of the commercial team we're assembling as we will be pushing this expanded portfolio into the marketplace in the back half of the year. Finally, we're excited to announce plans to initiate a limited market release late in the year of our next-generation Lapiplasty platform. John TreaceCEO at Treace Medical Concepts00:07:24Our forthcoming Lapiplasty Lightning system is another example of our commitment to continuously innovate our flagship systems, making them faster, easier, and to deliver an ever-greater experience for our surgeons and their patients. Lightning is more than an incremental improvement. We believe it represents a revolutionary advancement for Lapiplasty. We look forward to sharing more details with you on this next-generation system later in the year. As you can see, our R&D engine is running open throttle and delivering a robust pipeline of new technologies that we believe will further extend our market leadership position. As we envisioned from the start, this year we will be establishing Treace as the one-stop shop with a suite of differentiated best-in-class bunion systems that will drive our top-line growth this year into 2026 and beyond. Turning to our outlook, we are reiterating our revenue guidance for 2025. John TreaceCEO at Treace Medical Concepts00:08:18We continue to expect revenue to be between $224 million-$230 million, representing growth of 7%-10% over prior year. We anticipate our most substantial growth and contribution to come in the fourth quarter. In addition to seasonal strength driven by the timing of patient deductibles, we will have our new products fully available to more quickly penetrate all bunion classes. As founder of the company, I want to emphasize the significance of this moment. This is the realization of a 10-year vision at Treace to become a focused, comprehensive bunion solutions company and another big step ahead in our mission to improve surgical outcomes for bunion patients. I could not be more proud of the efforts of the entire team here at Treace and the surgeons involved in these projects to bring us this important milestone. John TreaceCEO at Treace Medical Concepts00:09:05Let me now turn the call over to Mark to review our financial performance. Mark. Mark HairCFO at Treace Medical Concepts00:09:10Thank you, John. Good afternoon, everyone. Revenue in the first quarter was $52.6 million, an increase of $1.5 million, or 3% over the prior year period. Adjusted for one less selling day in the quarter, growth was 4.5% compared to the prior year. Growth was mainly driven by an increase in bunion procedure kits sold compared to the prior year. Gross margin was 79.7% in the first quarter of 2025, compared to 80.2% in the first quarter of 2024. Total operating expenses were $57.5 million in the first quarter of 2025, compared to $59.9 million in the first quarter of 2024. These reductions reflect continued execution on our expense management initiatives. First quarter net loss was $15.9 million, or $0.25 per share, compared to a net loss of $18.7 million, or $0.30 per share in the first quarter of 2024. Mark HairCFO at Treace Medical Concepts00:10:08Adjusted EBITDA loss for the first quarter was $3.8 million, compared to $8.3 million in the first quarter of 2024, an improvement of 54%. This marks our third consecutive quarter of adjusted EBITDA improvements and represents significant progress toward our improved profitability goals of 2025. Cash, cash equivalents, and marketable securities were $76.1 million as of March 31, 2025, compared to $75.7 million as of December 31, 2024. Total liquidity, including access to an additional $22.5 million of cash through our existing revolver, the balance of cash, cash equivalents, and marketable securities would be approximately $98.6 million as of March 31, 2025. We believe our balance sheet strength and flexibility is sufficient to continue executing our strategic and growth initiatives for the foreseeable future. Mark HairCFO at Treace Medical Concepts00:11:08We are pleased with our cash management efforts and note that the modest cash build in the quarter was due to seasonal timing of cash collections following our seasonally busy fourth quarter and timing of other expenditures. We do not expect this trend to continue through the year due to the seasonality of our business. However, we are pleased with the first quarter results, and we continue to focus on improvements. Before concluding, let me turn to our outlook for full year 2025. As John mentioned, we are reaffirming our full year 2025 revenue guidance of $224 million-$230 million, which reflects an expected increase of 7%-10% over 2024 revenue. Mark HairCFO at Treace Medical Concepts00:11:51Due to timing variability in scheduling procedures, we anticipate year-over-year growth in Q2 to be consistent with the growth rate in Q2 2024, and for revenue growth rates to step up sequentially in each of the following quarters of the year. We continue to expect break-even adjusted EBITDA for full year 2025 and expect our cash burn to decrease by approximately 50% for full year 2025 versus 2024. Before we open the lines for Q&A, I'd like to touch on our limited tariff exposure. While the majority of our inventory is manufactured in the U.S., we have a reducing portion that is manufactured in Europe and subject to tariffs. We estimate that tariffs will result in an immaterial impact on cost of goods sold in 2025. With additional manufacturing moving to the U.S. this year, we expect our tariff exposure will remain at immaterial levels in 2026 as well. Mark HairCFO at Treace Medical Concepts00:12:49With that, let me now turn the call over to the operator to open the line for your questions. Operator00:12:57Thank you. At this time, we will conduct the question-and-answer session. As a reminder, to ask a question, you will need to press star one one on your telephone and then just wait for your name to be announced. To withdraw your question, please just press star one one again. Please stand by while we compile the Q&A roster. Our first question today comes from the line of Ryan Zimmerman of BTIG. The line is now open. Operator00:13:27Hi, everyone. This is Izzy Ahn for Ryan. Thanks for taking the question. Mark and John, it's been about a year since you first called out the increased competition in the bunion market. I was curious to understand how you are feeling about your positioning in the overall market today since you've launched the new osteotomy products, whether or not you feel like you're better equipped to navigate competition going forward. John TreaceCEO at Treace Medical Concepts00:13:53Hi, Izzy. John here. Thanks for your question. Not a lot has changed on the competitive front as we see it since last quarter. We previously noted there are several companies, big and small, that are participating in the market with Lapiplasty knockoffs. That said, those still tend to be these multi-line companies that don't have the sole focus and expertise on servicing that bunion procedure and call point like we do. We still believe Lapiplasty remains the superior option. It's the market leader and gold standard. It's backed by differentiating clinical outcomes data, supporting its efficacy, and it's unique in that respect. We believe we're really well positioned to drive growth and further differentiate ourselves with this new upcoming suite of innovative bunion technologies, including our SpeedMTP fusion system and the osteotomy systems. We're going to be able to play very strongly across all fronts. John TreaceCEO at Treace Medical Concepts00:14:52Towards the end of the year, we'll follow up with an exciting new development with Lapiplasty, initiating our Lapiplasty Lightning LMR in the fourth quarter. John TreaceCEO at Treace Medical Concepts00:15:05Understood. That's helpful. With all of these new product launches, are you starting to see any changes in how quickly you've been able to bring in or train new surgeon users and how quickly those users may be ramping up their utilization of products? John TreaceCEO at Treace Medical Concepts00:15:22Yes, we certainly have. We've held several of our new Bunion Masters training programs through April, turnouts at these events where we are featuring all five of our bunion technologies, including the new three systems that we're launching. We've been oversold in these events. There is very strong interest. That interest is spreading through the surgeon community to their peers, and it's getting the salesforce very excited. I would say the excitement level and the interest that we're seeing is palpable as we await the full launch of these new three systems in the third quarter. John TreaceCEO at Treace Medical Concepts00:16:03All right. Thanks for taking the questions. John TreaceCEO at Treace Medical Concepts00:16:05Sure. Thank you. Operator00:16:09Thank you. Our next question comes from the line of Lily Lozada of JPMorgan. Your line is now open. Lily LozadaAnalyst at JPMorgan00:16:17Great. Thanks so much for taking the question. Maybe I'll start with a question on cadence in the second quarter. Just doing the math on the growth that you threw out, I think it implies something like $47 million in sales for the second quarter, which is $2 million-$3 million below the street. Any color on what explains that delta and any specific dynamics in the quarter to keep in mind? Why isn't that growth a little bit higher as we start to lap the onset of the competitive headwinds that you saw starting last year? Mark HairCFO at Treace Medical Concepts00:16:49Yeah. Hi, Lily. This is Mark. Great question, and thanks for asking it. I gave those comments in my remarks really to help with the models and how we see this year playing out. There is a change to the gating. Maybe I'll let John talk about what we're seeing in the marketplace and why we're so excited about the back half of the year. As I said in my remarks, we see Q2 this year to look a lot like last year, growing roughly 6% and growth to be more back half-weighted in the year in the time when we expect the peak supply of our new products meeting the highest demand. Mark HairCFO at Treace Medical Concepts00:17:27For context, yes, there's a shift of about 1% of our overall full year revenue from Q2 into Q4 into that season that we generally refer to as bunion season. John, maybe I'll turn it over to you for some market dynamics. John TreaceCEO at Treace Medical Concepts00:17:43Sure. Sure, Mark. Yeah. Lily, what we've been seeing is some elective foot and ankle procedures, including bunions, being pushed out a little bit. We've seen variability in timing and scheduling of procedures in prior years. From our experience and consistent with others in the industry, when patients defer elective procedures, those aren't lost cases. They usually end up getting their surgeries a bit later in the year where their insurance deductibles have been met. With the expansion of our portfolio and the timing of that, this dynamic actually plays into our favor. John TreaceCEO at Treace Medical Concepts00:18:19As I mentioned in my opening remarks, today we estimate we're getting on average only around 25% of our surgeons' bunion cases. Starting in Q3 this year, with these three new systems we're going to be bringing into market, we'll be able to more effectively penetrate into the remaining 75% of their cases. We are going to have five best-in-class solutions that can address virtually 100% of the bunions that our surgeons encounter and also comprehensively address the preferences that their patients may have. Because of all this and the momentum that we have building in the back half, although there are changes in the gating, our views for the full year have not changed. Lily LozadaAnalyst at JPMorgan00:19:03Got it. That's really helpful. Just as a follow-up, can you talk a bit about what you're expecting in terms of underlying Lapiplasty volumes versus the contribution from some of these new MIS osteotomy products? Do you expect to see any cannibalization of the Lapiplasty volumes? Is it fair to assume that Lapiplasty growth stays around sort of that low to mid-single-digit growth level that you're seeing in the first half of the year while the MIS osteotomy products drive the acceleration? Any color on how to think about those two buckets would be really helpful. Thanks so much. Mark HairCFO at Treace Medical Concepts00:19:43Yeah. Great question, Lily. This is Mark. I'll take the first shot at it, and maybe John will follow up as well. We haven't broken that out just yet. I think one of the main things to remember right now is we've been in what we call LMRs, these limited market releases of these new products. John's talked quite a bit about some of the early reception and what we're seeing with surgeons and the optionality that they have now to approach bunion procedures in many different ways. We're not right now planning to break that out specifically as we get into this year. I think there's a lot of learnings that we have. I could say, generally speaking, that you're probably not too far off to say right now we're a company that is primarily a Lapiplasty company. Mark HairCFO at Treace Medical Concepts00:20:29The growth rates that we're experiencing here are because of what we are able to have in our bag and what our sales reps are able to sell right now, which is primarily Lapiplasty. As we get into the third quarter and we have these products now becoming more available, we think that can accelerate the growth in the back half of the year. That is going to be a primary and important driver. Anything else to add on that, John? John TreaceCEO at Treace Medical Concepts00:20:56No, I think there's minimal cannibalization. These are addressing predominantly, especially in the early phase here, users that have really not had a bias towards Lapiplasty or Lapidus-type procedures. They prefer to predominantly do osteotomies. That is really what we're seeing in our LMR. John TreaceCEO at Treace Medical Concepts00:21:16I think progressively throughout the year, surgeons already have their algorithm in their minds for how much they are going to apply a Lapiplasty or an osteotomy type of product. That is why in our 3,100 customers, we have surgeons that use Lapiplasty for 90% of their bunions, and we have surgeons that use it for 10%. If you blend them all together, it is around 25%. By bringing these three new systems out, what we are going to do is fill the void in every one of those customers, whether they are a 10% Lapiplasty user or 90%, with a new Treace solution and expand our procedure volumes across our customer base. Lily LozadaAnalyst at JPMorgan00:21:53Great. Thanks for taking the questions. John TreaceCEO at Treace Medical Concepts00:21:57Sure thing. Operator00:22:00Thank you. Our next question comes from the line of Richard Newitter of Truist Securities. Your line is now open. Felipe LamarSenior Equity Research Associate of Medical Technology at Truist Securities00:22:07Hi, this is Felipe. I'm for Rich. I was just wondering if you could help us understand how the step-up in hospital outpatient ASC reimbursement might have played a role in the first quarter performance and just expectations for the rest of the year. Thanks for taking the question. John TreaceCEO at Treace Medical Concepts00:22:25Yeah. Yeah, Felipe, thanks. This is John. It's still a little early to tell if and to what degree this is having on our business at this point. That said, it's definitely a positive given the value that we believe Lapiplasty and Lapiplasty-like procedures bring to patients. We've had some anecdotals of surgeons talking about some positive impacts in the ASC setting early in the year here. These are things like access to our newer technologies, our more premium technologies such as SpeedPlate. I think it's just a bit too early to quantify the impact of this reimbursement lift at this point in time. Felipe LamarSenior Equity Research Associate of Medical Technology at Truist Securities00:23:06Just to follow up on SpeedPlate, if you could just let us know how that expands your addressable TAM, that'd be helpful. Just how that builds incremental momentum throughout the rest of the year. Thanks so much. John TreaceCEO at Treace Medical Concepts00:23:18Sure. We continue to drive SpeedPlate. It's the majority of our fixation mix today. We continue to convert more people from traditional fixation to our SpeedPlate technology. We also are converting a lot of products out there that are offered by other companies. They're known as nitinol staples to SpeedPlates because of SpeedPlates' superior strength and fatigue profile. There are a lot of benefits to this technology. We recently announced our MicroQuad launch, and we're increasing our supply of that in the market. This is a really differentiated product that can provide SpeedPlate fixation through small, small incisions. Small incisions are becoming more and more important. That works really well hand in hand with our Micro-Lapiplasty and Mini-Adductoplasty procedures. We recently announced the launch of the SpeedAkin. John TreaceCEO at Treace Medical Concepts00:24:16This is applying our SpeedPlate technology to Akin osteotomies, which occur in high frequency as a complementary procedure to the original bunion procedure. They occur at a very high frequency level with MIS osteotomies. This is an important additive to the bag and increasing our portfolio of options utilizing our SpeedPlate technology. Operator00:24:45All right. I am showing no further questions at this time. I would now like to turn it back to Trip Taylor for any closing remarks. Just as I say that, we do have one more question. Stand by. Our next question comes from the line of Jayna Francis of UBS. Your line is now open. Jayna FrancisEquity Research Associate at UBS00:25:12Hi. I'm on for Danielle today. Congrats on the good quarter here. One question for us is if you could just walk through the assumptions made to get to the top end of the guide and the low end of the guide one more time just to help us frame how we're modeling. Mark HairCFO at Treace Medical Concepts00:25:30Yeah. This is Mark. Thanks for the question. When we start the year off, we commonly say that we're giving a range. It's early in the year. There could be a lot of factors that are happening. We commonly say that we're comfortable at the midpoint of that range in the guide. I would say that that still applies for us at this point. I think on the top end of the range, a lot of the things that John talked about. As we're transforming from a Lapiplasty company into a full suite of comprehensive bunion solutions, including two new MIS solutions and our SpeedMTP solution, to the extent we can really drive that at a faster rate, we could be higher than that midpoint. That would be the opportunity for us right now. Mark HairCFO at Treace Medical Concepts00:26:15I think given where we are in the year and that a lot of these products won't be in full supply until beginning of Q3, I would say the midpoint would be where we would feel comfortable. Jayna FrancisEquity Research Associate at UBS00:26:28Got it. That's helpful. Thank you. You're making great strides, and you're committed to the EBITDA break-even in 2025. Could you just talk about the drivers of positive leverage there as we progress through the year? Mark HairCFO at Treace Medical Concepts00:26:41Yeah. Great question. This is Mark again. I'll start there. It's really a year ago now where we said we talked about plans to really recommit some of our operational efficiencies in the organization and to manage cash and to look at our expenses. We've been managing expenses. We saw a really significant increase in Q3 of last year as well as Q4. We had the highest amount of adjusted EBITDA in Q4 last year that we've ever had. We feel like these efforts are really bearing fruit. We've seen it now in three consecutive quarters. You can see it throughout the P&L. We're looking for greater efficiencies in the sales and marketing line. We've seen some of those come through, but not really at any expense to our ability to drive the top line. We're looking for efficiencies all the time. Mark HairCFO at Treace Medical Concepts00:27:34We are continuing, and you can see it on the P&L, that we will be building and adding more capabilities to our R&D function. There's a lot of work that goes into releasing all of these products. We will continue to look for ways to enhance our R&D capabilities so that we can continue to release these products that we're talking about. John mentioned several products today with even a brand new platform for Lapiplasty coming at the end of the year. That is going to be one of the engines that's going to drive the success of the business. I think we are committed to being efficient as a company to improve the profitability. We reaffirmed today that we're looking to reduce our cash burn by 50% this year. I think so far we're on track for those plans. Jayna FrancisEquity Research Associate at UBS00:28:26Awesome. Thank you. Operator00:28:33Thank you. So I'm showing no further questions at this time. I would now like to turn it back to Trip for any closing remarks. Trip TaylorHead of Investor Relations at Gilmartin Group00:28:42On behalf of Treace Medical, thank you for joining us today. This concludes our call, and we look forward to our next update following the close of the second quarter of 2025. Operator00:28:54Thank you for your participation in today's conference. This does conclude the program. You may now disconnect.Read moreParticipantsExecutivesMark HairCFOJohn TreaceCEOAnalystsTrip TaylorHead of Investor Relations at Gilmartin GroupLily LozadaAnalyst at JPMorganJayna FrancisEquity Research Associate at UBSAnalyst at BTIGFelipe LamarSenior Equity Research Associate of Medical Technology at Truist SecuritiesPowered by Earnings DocumentsPress Release(8-K)Quarterly report(10-Q) Treace Medical Concepts Earnings HeadlinesTreace Medical Concepts Inc (TMCI) Q1 2026 Earnings Call Highlights: Navigating Revenue ...May 9 at 2:40 PM | finance.yahoo.comTreace Medical Concepts Reports First Quarter 2026 Financial ResultsMay 8, 2026 | globenewswire.comYour book attachedYour Download Link (Expiring) If you still haven't downloaded the free Simple Options Trading For Beginners guide...please take a few seconds and download it right now before your download link expires. That way, no matter what it costs in the future, you'll have a free copy on your computer. | Profits Run (Ad)Treace Medical Concepts Inc (TMCI) Q1 2026 Earnings Report Preview: What To ExpectMay 7, 2026 | finance.yahoo.comLucid Diagnostics (NASDAQ:LUCD) & Treace Medical Concepts (NASDAQ:TMCI) Financial SurveyMay 4, 2026 | americanbankingnews.comHow The Treace Medical Concepts (TMCI) Story Is Shifting With Mixed Analyst ExpectationsMay 3, 2026 | finance.yahoo.comSee More Treace Medical Concepts Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like Treace Medical Concepts? Sign up for Earnings360's daily newsletter to receive timely earnings updates on Treace Medical Concepts and other key companies, straight to your email. Email Address About Treace Medical ConceptsTreace Medical Concepts (NASDAQ:TMCI) is a medical technology company specializing in the development and commercialization of innovative surgical solutions for foot and ankle conditions. The company’s flagship product, the Lapiplasty 3D Bunion Correction System, addresses the underlying joint instability that causes bunion deformity through a patented, multi-plane correction approach. The system combines proprietary instrumentation, fixation plates, and a comprehensive surgical protocol designed to improve patient outcomes and reduce recurrence rates. The Lapiplasty System has received clearance from the U.S. Food and Drug Administration and is supported by clinical evidence demonstrating its effectiveness for patients with moderate to severe bunion deformities. Treace works closely with a network of foot and ankle surgeons, offering hands-on training programs and educational resources to facilitate proper adoption of its technology in hospital and ambulatory surgery center settings. In addition to bunion correction, the company continues to explore adjacent applications in foot and ankle reconstruction. Founded in 2017 and headquartered in Ponte Vedra Beach, Florida, Treace Medical Concepts initially built its commercial presence in North America and is evaluating opportunities for international expansion. The company’s management team brings together experienced medical device executives, orthopedic surgeons, and industry veterans committed to advancing the standard of care in foot and ankle surgery. Treace continues to invest in research and development as it seeks to broaden its product portfolio and drive long-term growth in the orthopedic market.View Treace Medical Concepts 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 MercadoLibre Boldly Invests in Growth: Discount DeepensManic Monday.com: The Rally Is Just the Beginning for this SaaS LeaderMeta Platforms’ Wild Post-Earnings Swings: Where Analyst Price Targets Stand NowTapestry Stock Drops After Strong Quarter and Raised OutlookMarketBeat Week in Review – 05/04 - 05/08Quantum Earnings Season Is Ramping Up—What to Watch From 2 Major PlayersRocket Lab Posts Record Q1 Revenue, Raises Q2 Guidance Upcoming Earnings 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)Applied Materials (5/14/2026)Brookfield (5/14/2026)National Grid Transco (5/14/2026)NU (5/14/2026) 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 thank you for standing by. Welcome to the Treace Medical Concepts First Quarter 2025 Earnings Conference Call. At this time, all participants are in a listen-only mode. After the speaker's presentation, there will be a question-and-answer session. To ask a question during the session, you will need to press star one one on your telephone. You will then hear an automated message advising that your hand has been raised. To withdraw your question, please just press star one one again. Please be advised that today's conference call is being recorded. I would now like to hand the conference over to your first speaker today, Trip Taylor, Investor Relations. Please go ahead. Trip TaylorHead of Investor Relations at Gilmartin Group00:00:35Thank you. Good afternoon. John TreaceCEO at Treace Medical Concepts00:00:36Good afternoon, everyone, and thank you for joining us on our first quarter 2025 earnings conference call. We started 2025 with solid financial results and made significant progress on our strategy to comprehensively address the evolving needs of surgeons and patients with an expanding portfolio of best-in-class bunion solutions. Revenue in the first quarter was $52.6 million, representing 3% growth over the first quarter of 2024. Trip TaylorHead of Investor Relations at Gilmartin Group00:01:06Thank you, Operator. Good afternoon, everyone, and welcome to our first quarter 2025 earnings conference call. Participating from the company today will be John Treace, Chief Executive Officer, and Mark Hair, Chief Financial Officer. During the call, John will offer commentary on our commercial activities, followed by Mark for a review of our first quarter financial results released after market close today. We will then host a question-and-answer session following our prepared remarks. Our press release can be found in the Investor Relations section of our website at investors.treace.com. This call is being recorded and will be archived in the Investor section of our website. Before we begin, we would like to remind you that it is our intent that all forward-looking statements made during today's call will be protected under the Private Securities Litigation Reform Act of 1995. Trip TaylorHead of Investor Relations at Gilmartin Group00:01:59Any statements that relate to expectations or predictions of future events and market trends, as well as our estimated results or performance, are forward-looking statements. All forward-looking statements are based upon our current estimates and various assumptions. These statements involve material risks and uncertainties that could cause actual results or events to materially differ from those anticipated or implied by these forward-looking statements. All forward-looking statements are based upon currently available information, and Treace Medical assumes no obligation to update these statements. Accordingly, you should not place undue reliance on these statements. Please refer to our SEC filings, including our Form 10-Q for the first quarter of 2025, filed after market close today, May 8th, and can be found in the Investor Relations section of our website at investors.treace.com for a detailed presentation of risks. With that, I will now turn the call over to John. John TreaceCEO at Treace Medical Concepts00:03:07Good afternoon, everyone, and thank you for joining us on our first quarter 2025 earnings conference call. We started 2025 with solid financial results and made significant progress on our strategy to comprehensively address the evolving needs of surgeons and patients with an expanding portfolio of best-in-class bunion solutions. Revenue in the first quarter was $52.6 million, representing 3% growth over the first quarter of 2024, and adjusted for one less selling day, growth was 4.5%. As expected, this was a difficult comp, and we're pleased with the overall performance, including early positive validation of our three new bunion systems. We expect 2025 to be a transformational year for Treace, and we're incredibly excited about what we will be delivering in the back half of this year and beyond. John TreaceCEO at Treace Medical Concepts00:03:55From the early days of the company, it's been our strategy to evolve our business from a single technology Lapiplasty company to a comprehensive bunion solutions company. Since our first cases in 2015, we're proud to have established a strong customer base of over 3,100 surgeon users, treated over 130,000 patients, propelled our company to over $200 million in revenue, and established Treace Medical as the dollar share leader in the U.S. bunion market. To date, our flagship Lapiplasty and Adductoplasty systems have enabled us to capture, on average, 25% of our surgeon customers' bunion cases. With the upcoming commercialization of three new best-in-class bunion correction systems, namely our Nanoplasty and Percuplasty 3D MIS osteotomy systems and our SpeedMTP MTP fusion system, we gain more immediate and more targeted access to the remaining 75% of our surgeons' cases. John TreaceCEO at Treace Medical Concepts00:04:52Beginning in Q3, we have the opportunity to target virtually 100% of surgeon and patient preferences for bunion correction with five best-in-class instrumented systems addressing all four classes of bunion deformities. In addition, this expanded portfolio allows us to appeal to incremental new surgeons who favor osteotomy approaches over Lapiplasty. The positive feedback from surgeons participating in our limited market releases of these three new systems, as well as strong turnouts we've seen at our initial Bunion Master surgeon training labs where all five of our systems are now featured, have exceeded our expectations. Additionally, we have high confidence in our inventory timing and volumes to support the customer demand for these three new systems, as well as our ability to meet demand going forward. John TreaceCEO at Treace Medical Concepts00:05:41For all of these reasons, we have even greater conviction in the impact these new systems will have on our business starting in the back half of the year. These three new systems will be complemented by expanding commercial availability of several other new technologies, including IntelliGuide PSI, the industry's first and only patient-specific pre-op planning and cut guide solution for Lapiplasty, bunion, and Adductoplasty midfoot corrections. We've been getting rave reviews from surgeon users on the accuracy and the time savings they are experiencing in their cases with this advanced technology. Our SpeedPlate MicroQuad implant delivers robust dynamic fixation for small incision fusion approaches and provides the enabling implant technology to support driving our Micro-Lapiplasty and Mini-Adductoplasty procedures. Our SpeedAkin implant, an ultra-low profile fixation solution for Akin osteotomies, which are performed in high frequency with bunion cases and particularly with MIS osteotomies. John TreaceCEO at Treace Medical Concepts00:06:42We will also be launching several new sterile instruments in the back half of the year. These are complementary procedure-specific tools utilized in our bunion and midfoot cases. With this expansion of our portfolio, we've been receiving unprecedented interest from experienced foot and ankle sales professionals wanting to join Treace and participate in this next exciting wave of growth for the company. It's not just the great products we have coming, but the ever-increasing strength of the commercial team we're assembling as we will be pushing this expanded portfolio into the marketplace in the back half of the year. Finally, we're excited to announce plans to initiate a limited market release late in the year of our next-generation Lapiplasty platform. John TreaceCEO at Treace Medical Concepts00:07:24Our forthcoming Lapiplasty Lightning system is another example of our commitment to continuously innovate our flagship systems, making them faster, easier, and to deliver an ever-greater experience for our surgeons and their patients. Lightning is more than an incremental improvement. We believe it represents a revolutionary advancement for Lapiplasty. We look forward to sharing more details with you on this next-generation system later in the year. As you can see, our R&D engine is running open throttle and delivering a robust pipeline of new technologies that we believe will further extend our market leadership position. As we envisioned from the start, this year we will be establishing Treace as the one-stop shop with a suite of differentiated best-in-class bunion systems that will drive our top-line growth this year into 2026 and beyond. Turning to our outlook, we are reiterating our revenue guidance for 2025. John TreaceCEO at Treace Medical Concepts00:08:18We continue to expect revenue to be between $224 million-$230 million, representing growth of 7%-10% over prior year. We anticipate our most substantial growth and contribution to come in the fourth quarter. In addition to seasonal strength driven by the timing of patient deductibles, we will have our new products fully available to more quickly penetrate all bunion classes. As founder of the company, I want to emphasize the significance of this moment. This is the realization of a 10-year vision at Treace to become a focused, comprehensive bunion solutions company and another big step ahead in our mission to improve surgical outcomes for bunion patients. I could not be more proud of the efforts of the entire team here at Treace and the surgeons involved in these projects to bring us this important milestone. John TreaceCEO at Treace Medical Concepts00:09:05Let me now turn the call over to Mark to review our financial performance. Mark. Mark HairCFO at Treace Medical Concepts00:09:10Thank you, John. Good afternoon, everyone. Revenue in the first quarter was $52.6 million, an increase of $1.5 million, or 3% over the prior year period. Adjusted for one less selling day in the quarter, growth was 4.5% compared to the prior year. Growth was mainly driven by an increase in bunion procedure kits sold compared to the prior year. Gross margin was 79.7% in the first quarter of 2025, compared to 80.2% in the first quarter of 2024. Total operating expenses were $57.5 million in the first quarter of 2025, compared to $59.9 million in the first quarter of 2024. These reductions reflect continued execution on our expense management initiatives. First quarter net loss was $15.9 million, or $0.25 per share, compared to a net loss of $18.7 million, or $0.30 per share in the first quarter of 2024. Mark HairCFO at Treace Medical Concepts00:10:08Adjusted EBITDA loss for the first quarter was $3.8 million, compared to $8.3 million in the first quarter of 2024, an improvement of 54%. This marks our third consecutive quarter of adjusted EBITDA improvements and represents significant progress toward our improved profitability goals of 2025. Cash, cash equivalents, and marketable securities were $76.1 million as of March 31, 2025, compared to $75.7 million as of December 31, 2024. Total liquidity, including access to an additional $22.5 million of cash through our existing revolver, the balance of cash, cash equivalents, and marketable securities would be approximately $98.6 million as of March 31, 2025. We believe our balance sheet strength and flexibility is sufficient to continue executing our strategic and growth initiatives for the foreseeable future. Mark HairCFO at Treace Medical Concepts00:11:08We are pleased with our cash management efforts and note that the modest cash build in the quarter was due to seasonal timing of cash collections following our seasonally busy fourth quarter and timing of other expenditures. We do not expect this trend to continue through the year due to the seasonality of our business. However, we are pleased with the first quarter results, and we continue to focus on improvements. Before concluding, let me turn to our outlook for full year 2025. As John mentioned, we are reaffirming our full year 2025 revenue guidance of $224 million-$230 million, which reflects an expected increase of 7%-10% over 2024 revenue. Mark HairCFO at Treace Medical Concepts00:11:51Due to timing variability in scheduling procedures, we anticipate year-over-year growth in Q2 to be consistent with the growth rate in Q2 2024, and for revenue growth rates to step up sequentially in each of the following quarters of the year. We continue to expect break-even adjusted EBITDA for full year 2025 and expect our cash burn to decrease by approximately 50% for full year 2025 versus 2024. Before we open the lines for Q&A, I'd like to touch on our limited tariff exposure. While the majority of our inventory is manufactured in the U.S., we have a reducing portion that is manufactured in Europe and subject to tariffs. We estimate that tariffs will result in an immaterial impact on cost of goods sold in 2025. With additional manufacturing moving to the U.S. this year, we expect our tariff exposure will remain at immaterial levels in 2026 as well. Mark HairCFO at Treace Medical Concepts00:12:49With that, let me now turn the call over to the operator to open the line for your questions. Operator00:12:57Thank you. At this time, we will conduct the question-and-answer session. As a reminder, to ask a question, you will need to press star one one on your telephone and then just wait for your name to be announced. To withdraw your question, please just press star one one again. Please stand by while we compile the Q&A roster. Our first question today comes from the line of Ryan Zimmerman of BTIG. The line is now open. Operator00:13:27Hi, everyone. This is Izzy Ahn for Ryan. Thanks for taking the question. Mark and John, it's been about a year since you first called out the increased competition in the bunion market. I was curious to understand how you are feeling about your positioning in the overall market today since you've launched the new osteotomy products, whether or not you feel like you're better equipped to navigate competition going forward. John TreaceCEO at Treace Medical Concepts00:13:53Hi, Izzy. John here. Thanks for your question. Not a lot has changed on the competitive front as we see it since last quarter. We previously noted there are several companies, big and small, that are participating in the market with Lapiplasty knockoffs. That said, those still tend to be these multi-line companies that don't have the sole focus and expertise on servicing that bunion procedure and call point like we do. We still believe Lapiplasty remains the superior option. It's the market leader and gold standard. It's backed by differentiating clinical outcomes data, supporting its efficacy, and it's unique in that respect. We believe we're really well positioned to drive growth and further differentiate ourselves with this new upcoming suite of innovative bunion technologies, including our SpeedMTP fusion system and the osteotomy systems. We're going to be able to play very strongly across all fronts. John TreaceCEO at Treace Medical Concepts00:14:52Towards the end of the year, we'll follow up with an exciting new development with Lapiplasty, initiating our Lapiplasty Lightning LMR in the fourth quarter. John TreaceCEO at Treace Medical Concepts00:15:05Understood. That's helpful. With all of these new product launches, are you starting to see any changes in how quickly you've been able to bring in or train new surgeon users and how quickly those users may be ramping up their utilization of products? John TreaceCEO at Treace Medical Concepts00:15:22Yes, we certainly have. We've held several of our new Bunion Masters training programs through April, turnouts at these events where we are featuring all five of our bunion technologies, including the new three systems that we're launching. We've been oversold in these events. There is very strong interest. That interest is spreading through the surgeon community to their peers, and it's getting the salesforce very excited. I would say the excitement level and the interest that we're seeing is palpable as we await the full launch of these new three systems in the third quarter. John TreaceCEO at Treace Medical Concepts00:16:03All right. Thanks for taking the questions. John TreaceCEO at Treace Medical Concepts00:16:05Sure. Thank you. Operator00:16:09Thank you. Our next question comes from the line of Lily Lozada of JPMorgan. Your line is now open. Lily LozadaAnalyst at JPMorgan00:16:17Great. Thanks so much for taking the question. Maybe I'll start with a question on cadence in the second quarter. Just doing the math on the growth that you threw out, I think it implies something like $47 million in sales for the second quarter, which is $2 million-$3 million below the street. Any color on what explains that delta and any specific dynamics in the quarter to keep in mind? Why isn't that growth a little bit higher as we start to lap the onset of the competitive headwinds that you saw starting last year? Mark HairCFO at Treace Medical Concepts00:16:49Yeah. Hi, Lily. This is Mark. Great question, and thanks for asking it. I gave those comments in my remarks really to help with the models and how we see this year playing out. There is a change to the gating. Maybe I'll let John talk about what we're seeing in the marketplace and why we're so excited about the back half of the year. As I said in my remarks, we see Q2 this year to look a lot like last year, growing roughly 6% and growth to be more back half-weighted in the year in the time when we expect the peak supply of our new products meeting the highest demand. Mark HairCFO at Treace Medical Concepts00:17:27For context, yes, there's a shift of about 1% of our overall full year revenue from Q2 into Q4 into that season that we generally refer to as bunion season. John, maybe I'll turn it over to you for some market dynamics. John TreaceCEO at Treace Medical Concepts00:17:43Sure. Sure, Mark. Yeah. Lily, what we've been seeing is some elective foot and ankle procedures, including bunions, being pushed out a little bit. We've seen variability in timing and scheduling of procedures in prior years. From our experience and consistent with others in the industry, when patients defer elective procedures, those aren't lost cases. They usually end up getting their surgeries a bit later in the year where their insurance deductibles have been met. With the expansion of our portfolio and the timing of that, this dynamic actually plays into our favor. John TreaceCEO at Treace Medical Concepts00:18:19As I mentioned in my opening remarks, today we estimate we're getting on average only around 25% of our surgeons' bunion cases. Starting in Q3 this year, with these three new systems we're going to be bringing into market, we'll be able to more effectively penetrate into the remaining 75% of their cases. We are going to have five best-in-class solutions that can address virtually 100% of the bunions that our surgeons encounter and also comprehensively address the preferences that their patients may have. Because of all this and the momentum that we have building in the back half, although there are changes in the gating, our views for the full year have not changed. Lily LozadaAnalyst at JPMorgan00:19:03Got it. That's really helpful. Just as a follow-up, can you talk a bit about what you're expecting in terms of underlying Lapiplasty volumes versus the contribution from some of these new MIS osteotomy products? Do you expect to see any cannibalization of the Lapiplasty volumes? Is it fair to assume that Lapiplasty growth stays around sort of that low to mid-single-digit growth level that you're seeing in the first half of the year while the MIS osteotomy products drive the acceleration? Any color on how to think about those two buckets would be really helpful. Thanks so much. Mark HairCFO at Treace Medical Concepts00:19:43Yeah. Great question, Lily. This is Mark. I'll take the first shot at it, and maybe John will follow up as well. We haven't broken that out just yet. I think one of the main things to remember right now is we've been in what we call LMRs, these limited market releases of these new products. John's talked quite a bit about some of the early reception and what we're seeing with surgeons and the optionality that they have now to approach bunion procedures in many different ways. We're not right now planning to break that out specifically as we get into this year. I think there's a lot of learnings that we have. I could say, generally speaking, that you're probably not too far off to say right now we're a company that is primarily a Lapiplasty company. Mark HairCFO at Treace Medical Concepts00:20:29The growth rates that we're experiencing here are because of what we are able to have in our bag and what our sales reps are able to sell right now, which is primarily Lapiplasty. As we get into the third quarter and we have these products now becoming more available, we think that can accelerate the growth in the back half of the year. That is going to be a primary and important driver. Anything else to add on that, John? John TreaceCEO at Treace Medical Concepts00:20:56No, I think there's minimal cannibalization. These are addressing predominantly, especially in the early phase here, users that have really not had a bias towards Lapiplasty or Lapidus-type procedures. They prefer to predominantly do osteotomies. That is really what we're seeing in our LMR. John TreaceCEO at Treace Medical Concepts00:21:16I think progressively throughout the year, surgeons already have their algorithm in their minds for how much they are going to apply a Lapiplasty or an osteotomy type of product. That is why in our 3,100 customers, we have surgeons that use Lapiplasty for 90% of their bunions, and we have surgeons that use it for 10%. If you blend them all together, it is around 25%. By bringing these three new systems out, what we are going to do is fill the void in every one of those customers, whether they are a 10% Lapiplasty user or 90%, with a new Treace solution and expand our procedure volumes across our customer base. Lily LozadaAnalyst at JPMorgan00:21:53Great. Thanks for taking the questions. John TreaceCEO at Treace Medical Concepts00:21:57Sure thing. Operator00:22:00Thank you. Our next question comes from the line of Richard Newitter of Truist Securities. Your line is now open. Felipe LamarSenior Equity Research Associate of Medical Technology at Truist Securities00:22:07Hi, this is Felipe. I'm for Rich. I was just wondering if you could help us understand how the step-up in hospital outpatient ASC reimbursement might have played a role in the first quarter performance and just expectations for the rest of the year. Thanks for taking the question. John TreaceCEO at Treace Medical Concepts00:22:25Yeah. Yeah, Felipe, thanks. This is John. It's still a little early to tell if and to what degree this is having on our business at this point. That said, it's definitely a positive given the value that we believe Lapiplasty and Lapiplasty-like procedures bring to patients. We've had some anecdotals of surgeons talking about some positive impacts in the ASC setting early in the year here. These are things like access to our newer technologies, our more premium technologies such as SpeedPlate. I think it's just a bit too early to quantify the impact of this reimbursement lift at this point in time. Felipe LamarSenior Equity Research Associate of Medical Technology at Truist Securities00:23:06Just to follow up on SpeedPlate, if you could just let us know how that expands your addressable TAM, that'd be helpful. Just how that builds incremental momentum throughout the rest of the year. Thanks so much. John TreaceCEO at Treace Medical Concepts00:23:18Sure. We continue to drive SpeedPlate. It's the majority of our fixation mix today. We continue to convert more people from traditional fixation to our SpeedPlate technology. We also are converting a lot of products out there that are offered by other companies. They're known as nitinol staples to SpeedPlates because of SpeedPlates' superior strength and fatigue profile. There are a lot of benefits to this technology. We recently announced our MicroQuad launch, and we're increasing our supply of that in the market. This is a really differentiated product that can provide SpeedPlate fixation through small, small incisions. Small incisions are becoming more and more important. That works really well hand in hand with our Micro-Lapiplasty and Mini-Adductoplasty procedures. We recently announced the launch of the SpeedAkin. John TreaceCEO at Treace Medical Concepts00:24:16This is applying our SpeedPlate technology to Akin osteotomies, which occur in high frequency as a complementary procedure to the original bunion procedure. They occur at a very high frequency level with MIS osteotomies. This is an important additive to the bag and increasing our portfolio of options utilizing our SpeedPlate technology. Operator00:24:45All right. I am showing no further questions at this time. I would now like to turn it back to Trip Taylor for any closing remarks. Just as I say that, we do have one more question. Stand by. Our next question comes from the line of Jayna Francis of UBS. Your line is now open. Jayna FrancisEquity Research Associate at UBS00:25:12Hi. I'm on for Danielle today. Congrats on the good quarter here. One question for us is if you could just walk through the assumptions made to get to the top end of the guide and the low end of the guide one more time just to help us frame how we're modeling. Mark HairCFO at Treace Medical Concepts00:25:30Yeah. This is Mark. Thanks for the question. When we start the year off, we commonly say that we're giving a range. It's early in the year. There could be a lot of factors that are happening. We commonly say that we're comfortable at the midpoint of that range in the guide. I would say that that still applies for us at this point. I think on the top end of the range, a lot of the things that John talked about. As we're transforming from a Lapiplasty company into a full suite of comprehensive bunion solutions, including two new MIS solutions and our SpeedMTP solution, to the extent we can really drive that at a faster rate, we could be higher than that midpoint. That would be the opportunity for us right now. Mark HairCFO at Treace Medical Concepts00:26:15I think given where we are in the year and that a lot of these products won't be in full supply until beginning of Q3, I would say the midpoint would be where we would feel comfortable. Jayna FrancisEquity Research Associate at UBS00:26:28Got it. That's helpful. Thank you. You're making great strides, and you're committed to the EBITDA break-even in 2025. Could you just talk about the drivers of positive leverage there as we progress through the year? Mark HairCFO at Treace Medical Concepts00:26:41Yeah. Great question. This is Mark again. I'll start there. It's really a year ago now where we said we talked about plans to really recommit some of our operational efficiencies in the organization and to manage cash and to look at our expenses. We've been managing expenses. We saw a really significant increase in Q3 of last year as well as Q4. We had the highest amount of adjusted EBITDA in Q4 last year that we've ever had. We feel like these efforts are really bearing fruit. We've seen it now in three consecutive quarters. You can see it throughout the P&L. We're looking for greater efficiencies in the sales and marketing line. We've seen some of those come through, but not really at any expense to our ability to drive the top line. We're looking for efficiencies all the time. Mark HairCFO at Treace Medical Concepts00:27:34We are continuing, and you can see it on the P&L, that we will be building and adding more capabilities to our R&D function. There's a lot of work that goes into releasing all of these products. We will continue to look for ways to enhance our R&D capabilities so that we can continue to release these products that we're talking about. John mentioned several products today with even a brand new platform for Lapiplasty coming at the end of the year. That is going to be one of the engines that's going to drive the success of the business. I think we are committed to being efficient as a company to improve the profitability. We reaffirmed today that we're looking to reduce our cash burn by 50% this year. I think so far we're on track for those plans. Jayna FrancisEquity Research Associate at UBS00:28:26Awesome. Thank you. Operator00:28:33Thank you. So I'm showing no further questions at this time. I would now like to turn it back to Trip for any closing remarks. Trip TaylorHead of Investor Relations at Gilmartin Group00:28:42On behalf of Treace Medical, thank you for joining us today. This concludes our call, and we look forward to our next update following the close of the second quarter of 2025. Operator00:28:54Thank you for your participation in today's conference. This does conclude the program. You may now disconnect.Read moreParticipantsExecutivesMark HairCFOJohn TreaceCEOAnalystsTrip TaylorHead of Investor Relations at Gilmartin GroupLily LozadaAnalyst at JPMorganJayna FrancisEquity Research Associate at UBSAnalyst at BTIGFelipe LamarSenior Equity Research Associate of Medical Technology at Truist SecuritiesPowered by