8-K

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

FORM 8-K

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

     Date of Report (Date of earliest event reported): August 05, 2025

    

ORTHOFIX MEDICAL INC.

(Exact name of Registrant as Specified in Its Charter)


Delaware	000-19961	98-1340767
(State or Other Jurisdiction of Incorporation)	(Commission File Number)	(IRS Employer Identification No.)

3451 Plano Parkway
Lewisville, Texas		75056
(Address of Principal Executive Offices)		(Zip Code)

     Registrant's Telephone Number, Including Area Code: (214) 937-2000

    

(Former Name or Former Address, if Changed Since Last Report)

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

☐Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

☐Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

☐Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

☐Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:


Title of each class	Trading Symbol(s)	Name of each exchange on which registered
Common stock, $0.10 par value per share	OFIX	Nasdaq Global Select Market

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).

Emerging growth company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Item 2.02. Results of Operations and Financial Condition.

On August 5, 2025, Orthofix Medical Inc. (the "Company") issued a press release announcing, among other things, its financial results for the second quarter ended June 30, 2025. A copy of the press release is furnished herewith as Exhibit 99.1 and attached hereto.

The information furnished in this Item 2.02, including the exhibit furnished herewith as Exhibit 99.1, will not be treated as "filed" for the purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), or otherwise subject to the liabilities of that section. This information will not be deemed incorporated by reference into any filing under the Securities Act of 1933, as amended (the "Securities Act"), or into another filing under the Exchange Act, unless that filing expressly incorporates by reference this Item 2.02 of this report.

Discussion of Non-GAAP Financial Measures

In addition to using standard measures of performance and liquidity that are recognized in accordance with accounting principles generally accepted in the United States of America ("GAAP"), the Company uses additional financial measures excluding certain GAAP items ("non-GAAP measures"), such as:

Constant Currency

Constant currency is a non-GAAP measure, which the Company calculates by using foreign currency rates from the comparable, prior-year period, to present net sales at comparable rates. Constant currency can be presented for numerous GAAP measures, but is most commonly used by management to analyze net sales without the impact of changes in foreign currency rates.

Free Cash Flow

Free cash flow is a non-GAAP financial measure, which is calculated by subtracting capital expenditures from cash flow provided by or used in operating activities. Free cash flow is an important indicator of how much cash is generated or used by the Company's business operations, including capital expenditures. Management uses free cash flow to measure progress on its capital efficiency and cash flow initiatives.

Adjusted Gross Profit and Adjusted Gross Margin

Adjusted gross profit represents GAAP gross profit with adjustments to exclude the impact of the certain items recorded to cost of goods sold. Potential adjustments are listed within the section below under the header "Non-GAAP Adjustments." Adjusted gross margin represents adjusted gross profit as a percentage of GAAP net sales.

Adjusted Net Income (Loss)

Adjusted net income (loss) represents GAAP net loss with adjustments to exclude the impact of certain items recorded in such GAAP net loss. Potential adjustments are listed within the section below under the header "Non-GAAP Adjustments."

Adjusted Operating Expenses

Adjusted operating expenses represents GAAP operating expenses, such as sales, general, and administrative expense, and research and development expense, with adjustments to exclude the impact of certain items recorded in such GAAP operating expenses. Potential adjustments are listed within the section below under the header "Non-GAAP Adjustments."

Adjusted Non-Operating Expenses

Adjusted non-operating expenses represents GAAP non-operating expenses, such as interest income (expense), net and other income (expense), net, with adjustments to exclude the impact of certain items recorded in such GAAP non-operating expenses. Potential adjustments are listed within the section below under the header "Non-GAAP Adjustments."

EBITDA

EBITDA is a non-GAAP financial measure, which the Company calculates by adding interest expense (income), net; income tax expense (benefit); and depreciation and amortization to net income (loss). EBITDA provides management with additional insight into the Company's results of operations. Adjusted EBITDA, which is the primary metric used by the Company's chief operating decision maker in managing the business, consists of EBITDA with adjustments to exclude certain items listed within the section below under the header "Non-GAAP Adjustments."

Non-GAAP Adjustments

The Company's non-GAAP financial measures provide management with additional insight into the Company's results of operations and reflect the exclusion of the following items:

•

Share-based compensation expense – Costs related to awards granted under the Company's share-based compensation plans, which include stock options, performance-based or market-based stock options, restricted stock units, performance-based or market-based restricted stock units, and stock issued under the Company's stock purchase plan; see the share-based compensation footnote in the Company's Form 10-Q for the quarter ended June 30, 2025, for an allocation of these costs by consolidated statement of operations line item. Management excludes this item when evaluating the Company's operating performance as it represents a non-cash expense.

•

Foreign exchange impact – Gains and losses related to foreign currency transactions, which are recorded as other income (expense), net. Management excludes this item when evaluating the Company's operating results as it is primarily a non-cash expense or benefit and is non-operating in nature.

•

SeaSpine merger-related costs – Costs related to the Company's merger with SeaSpine Holdings Corporation ("SeaSpine"), which was consummated in January 2023, including costs relating to integration efforts, severance and retention costs, product rationalization charges, contract termination penalties, and professional fees related to the merger. Management excludes this item when evaluating the Company's operating results as these costs associated with this event are of a temporary nature, are not related to the Company's core operating performance, and are not expected to recur at a similar frequency and magnitude in the future.

•

Strategic investments – Costs related to the Company's strategic investments, such as due diligence and integration costs (unrelated to the merger with SeaSpine), which are primarily recorded as sales, general, and administrative expenses. These costs are not factored into the evaluation of the Company's performance by management because they are of a temporary nature, not related to the Company's core operating performance, and because the frequency and amount of such costs vary significantly based on the timing and magnitude of the Company's strategic investments.

•

Acquisition-related fair value adjustments – Comprised of (i) gains and losses related to remeasurement of contingent consideration to fair value, which are recorded as operating expenses, (ii) recognized costs related to acquired in-process research and development ("IPR&D") assets, which are expensed immediately, and (iii) amortization of acquired inventory fair market value adjustments. Management excludes these adjustments when evaluating the Company's operating results as (i) the remeasurement of contingent consideration is primarily non-cash in nature, (ii) the frequency and amount of IPR&D charges can vary significantly based on the timing and magnitude of the Company's acquisition transactions, and (iii) inventory fair market value adjustments are of a temporary and non-cash nature.

•

Amortization/depreciation of acquired long-lived assets – Amortization of intangible assets acquired in business combinations or asset acquisitions, including items such as developed technologies, customer relationships, trade names, manufacturing agreements, and other intangible assets, and any impairment of acquired goodwill, which are recorded in cost of sales or operating expenses. This item also includes depreciation recognized on adjustments to the fair value of certain long-lived assets acquired in the merger with SeaSpine. Management excludes this item when evaluating the Company's operating performance as it represents a non-cash expense.

•

Interest and gain (loss) on investments – Interest income and net gains or losses recognized (realized or unrealized) within interest income (expense), net and other income (expense), net, respectively, relating to certain of the Company's investments. Management excludes these items when evaluating the Company's operating performance as it typically represents a non-cash gain or loss and is not related to the Company's core operating performance.

•

Litigation and investigation-related costs – Inclusive of (i) adverse or favorable legal judgments or negotiated legal settlements and certain related legal expenses and (ii) amounts incurred in relation to and as a result of the Board of Directors' investigation conducted by independent outside legal counsel that resulted in the departure of three former executive officers and certain charges stemming from these actions. These charges are primarily recorded within sales, general, and administrative expenses. Management excludes these items when evaluating the Company's operating results as these costs and/or benefits can vary significantly based on the timing, frequency, and magnitude of litigation matters or investigations.

•

Succession charges – Costs related to the transition of certain executive officers, including any cessation and onboarding amounts, consulting services, and other related expenses, which are primarily recorded as sales, general, and administrative expenses. Management excludes this item when evaluating the Company's operating results as these costs are associated with events that are not expected to recur at a similar frequency and magnitude in the future.

•

Restructuring costs and impairments related to M6 product lines - Restructuring costs, including severance-related benefits, and impairment charges incurred as a result of the Company's decision to discontinue its M6 artificial disc product lines. Management excludes this item when evaluating the Company's operating results as these costs associated with this event are one-time in nature and are not related to the Company's expected ongoing operations.

•

Employee retention credit - Pertains to refunds received, interest earned, or professional fees incurred associated with the refundable payroll tax credit established by the Coronavirus Aid, Relief, and Economic Security Act. Management excludes this item when evaluating the Company's operating results as these amounts primarily relate to costs incurred in prior years, and are not related to the Company's ongoing operations.

•

Long-term income tax rate adjustment – Reflects management's expectation of a long-term normalized effective tax rate of 28% for 2024 and 2025 results, which is based on current tax law and current expected adjusted income; actual reported tax expense will ultimately be based on GAAP earnings and may differ from the expected long-term normalized effective tax rate due to a variety of factors, including the resolution of issues arising from tax audits with various tax authorities, the ability to realize deferred tax assets, and the tax impact of certain reconciling items that are excluded in determining adjusted net income (loss).

Usefulness and Limitations of Non-GAAP Financial Measures

Management uses non-GAAP measures to evaluate performance period-over-period, analyze the underlying trends in the Company's business, assess the Company's performance relative to its competitors, and establish operational goals and forecasts used in allocating resources. Management uses these non-GAAP measures as the basis for evaluating the ability of the Company's underlying operations to generate cash, prior to required investments in working capital, and to further its understanding of the performance of the Company's business units.

Material Limitations Associated with the Use of Non-GAAP Financial Measures

The non-GAAP financial measures described above may have limitations as analytical tools, and should not be considered in isolation or as a replacement for GAAP financial measures. Some of the limitations associated with the use of these non-GAAP financial measures are that they exclude items that reflect an economic cost and can have a material effect on cash flows. Similarly, certain non-cash expenses, such as share-based compensation, do not directly impact cash flows, but are part of total compensation costs accounted for under GAAP.

Compensation for Limitations Associated with Use of Non-GAAP Financial Measures

The Company compensates for the limitations of its non-GAAP financial measures by relying upon GAAP results to gain a complete picture of the Company's performance. GAAP results provide management with the ability to understand the Company's performance based on a defined set of criteria. The Company provides reconciliations of the non-GAAP financial measures to the most directly comparable GAAP measures and encourages investors to review these reconciliations.

Usefulness of Non-GAAP Financial Measures to Investors

The Company believes that providing non-GAAP financial measures, which exclude certain items, offers investors greater transparency into the information used by management in its financial and operational decision-making. Management believes it is important to provide investors with the same non-GAAP financial measures it uses to supplement information regarding the performance and underlying trends of the Company's business operations in order to facilitate comparisons to the Company's historical operating results and internally evaluate the effectiveness of the Company's operating strategies. The Company believes that these non-GAAP financial measures also facilitates comparisons of the Company's underlying operating performance with other companies in the industry that also supplement their GAAP results with non-GAAP financial measures.

Item 7.01 Regulation FD Disclosure.

The Company expects to use the corporate investor relations presentation furnished as Exhibit 99.2 to this report, in whole or in part, and possibly with modifications, in connection with presentations to investors, analysts, and others during the fiscal year ending December 31, 2025.

The information furnished in this Item 7.01, including the exhibit furnished herewith as Exhibit 99.2, will not be treated as "filed" for the purposes of Section 18 of the Exchange Act, or otherwise subject to the liabilities of that section. This information will not be deemed incorporated by reference into any filing under the Securities Act, or into another filing under the Exchange Act, unless that filing expressly incorporates by reference this Item 7.01 of this report.

Item 9.01. Financial Statements and Exhibits.

(d) Exhibits


99.1	Press release, dated August 5, 2025
99.2	Corporate Investor Relations Presentation, dated August 5, 2025
104	Cover Page Interactive Data File (embedded within the Inline XBRL document).

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.


Orthofix Medical Inc.
By:		/s/ JULIE ANDREWS
		Julie Andrews Chief Financial Officer

Date: August 5, 2025

Exhibit 99.1

News Release

Orthofix Reports Second Quarter 2025 Financial Results

LEWISVILLE, Texas — August 5, 2025 — Orthofix Medical Inc. (NASDAQ:OFIX), a leading global medical technology company, today reported its financial results for the second quarter ended June 30, 2025, and reaffirmed its full-year 2025 financial guidance. All pro forma measures contained within this release exclude the impact of the Company's decision to discontinue its M6® product lines.

Highlights

•

Second quarter 2025 net sales of $203.1 million, including sales from M6® artificial cervical and lumbar discs, and pro forma net sales of $200.7 million, excluding sales from M6® discs, representing an increase of 2% on a reported basis and 4% on a pro forma constant currency basis compared to second quarter 2024

•

U.S. Spine Fixation1 net sales growth of 5% and procedure volume growth of 7% compared to second quarter 2024

•

Bone Growth Therapies ("BGT") net sales of $62.6 million, representing growth of 6%, with BGT Fracture net sales growth of 7% compared to second quarter 2024

•

Global Orthopedics net sales of $33.3 million, achieving constant currency growth of 5%, and U.S. Orthopedics net sales growth of 28% compared to second quarter 2024

•

Initiated global commercial launch of the TrueLok® Elevate Transverse Bone Transport ("TBT") System – the first FDA-cleared device for TBT to correct non-unions and bony or soft tissue deformities or defects

•

Announced U.S. commercial launch of the Reef® L Interbody System – completes Reef® interbody product family with a full-spectrum solution for lateral lumbar spinal fusion procedures

•

Second quarter 2025 net loss of $(14.1) million on a reported basis; Non-GAAP pro forma adjusted EBITDA of $20.6 million, with pro forma adjusted EBITDA margin expanding approximately 190 basis points compared to reported non-GAAP adjusted EBITDA for the second quarter 2024

•

Six consecutive quarters of adjusted EBITDA margin expansion; Positive free cash flow of $4.5 million for second quarter 2025

Second quarter 2025 net sales were $203.1 million, including sales from M6® artificial cervical and lumbar discs, and pro forma net sales of $200.7 million, excluding sales from M6® discs, representing an increase of 2.3% on a reported basis and 3.5% on a pro forma constant currency basis compared to second quarter 2024. Net loss was $(14.1) million, or $(0.36) per share, on a reported basis. Non-GAAP pro forma adjusted EBITDA was $20.6 million for the second quarter of 2025, an increase of $4.0 million compared to reported non-GAAP adjusted EBITDA of $16.6 million for the second quarter of 2024, representing 24.1% growth over the prior year.

“Orthofix's second quarter results demonstrate clear progress on our three-year plan to transform the business,” said Massimo Calafiore, President and Chief Executive Officer. “Our disciplined approach led to strong adjusted EBITDA margin growth and positive free cash flow generation, underscoring our ability to grow the business responsibly. Strategic initiatives, like accelerating distributor transitions in certain underpenetrated U.S. territories, are gaining traction and creating a powerful foundation for a more scalable commercial organization to drive our next phase of growth. Looking ahead, we expect to benefit from our recent product launches and deliver meaningful product innovation to improve outcomes and efficiencies for our surgeons and their patients. I am confident the Company is well positioned to deliver sustainable, long-term shareholder value throughout the second half of 2025 and beyond.”

1 Spine Fixation is comprised of the Company’s Spinal Implants product category, excluding motion preservation product offerings.

Financial Results Overview

Second Quarter 2025 Net Sales and Financial Results

The following table provides net sales by major product category and by reporting segment on a pro forma basis, removing the effects of the Company's discontinued M6® product lines:


	Three Months Ended June 30,
(Unaudited, U.S. Dollars, in millions)	2025		2024		Change			Constant Currency Change
Bone Growth Therapies	$	62.6	$	59.1		5.8	%		5.8	%
Spinal Implants, Biologics and Enabling Technologies*		104.8		103.1		1.6	%		1.6	%
Global Spine*		167.4		162.2		3.2	%		3.2	%
Global Orthopedics		33.3		30.6		8.9	%		5.3	%
Pro forma net sales*		200.7		192.8		4.1	%		3.5	%
Impact from discontinuation of M6 product lines		2.5		5.8		(57.5	%)		(57.8	%)
Reported net sales	$	203.1	$	198.6		2.3	%		1.7	%

* Results above for each of Spinal Implants, Biologics, and Enabling Technologies; Global Spine; and pro forma net sales exclude the impact from discontinuation of the M6® product lines. Since pro forma net sales represent a non-GAAP measure, see the reconciliation above of the Company's pro forma net sales to its reported figures under U.S. GAAP. The Company's reported figures under U.S. GAAP represent each of the pro forma line items discussed above plus the impact from discontinuation of the M6® product lines.

Gross margins were 68.7% for the quarter and were 72.7% on a non-GAAP pro forma adjusted basis.

Net loss was $(14.1) million, or $(0.36) per share, on a reported basis, compared to net loss of $(33.4) million, or $(0.88) per share in the prior year period. Non-GAAP pro forma adjusted EBITDA was $20.6 million, or 10.3% of pro forma net sales, compared to reported non-GAAP adjusted EBITDA of $16.6 million, or 8.4% of reported net sales, in the prior year period.

Liquidity

Cash, cash equivalents, and restricted cash on June 30, 2025 totaled $68.7 million compared to $60.5 million on March 31, 2025.

Business Outlook

The Company is reaffirming its full-year net sales guidance and its full-year 2025 adjusted EBITDA and free cash flow guidance as follows:

•

Pro forma net sales expected to range between $808 million to $816 million, excluding sales from the discontinued M6® product lines. This guidance range is based on current foreign currency exchange rates and does not take into account any additional potential exchange rate changes that may occur this year.

•

Pro forma non-GAAP adjusted EBITDA is expected to be $82 million to $86 million. This range includes the anticipated impact from the discontinuation of the M6® product lines that was previously announced in February 2025.

•

Free cash flow is expected to be positive for full-year 2025, excluding the impact of restructuring charges related to the discontinuation of the M6® product lines.

An investor presentation for the Company's second quarter 2025 financial results is available in the "Events & Presentations" section of the Orthofix Investor Relations Website at ir.orthofix.com.

Conference Call

Orthofix will host a conference call today at 8:30 AM Eastern time to discuss the Company's financial results for the quarter ended June 30, 2025. Interested parties may access the conference call by dialing (888) 596-4144 in the U.S., and (646) 968-2525 in all other locations, and referencing the conference ID 4830464. A webcast and replay of the conference call may be accessed in the "Events & Presentations" section of the Orthofix Investor Relations Website at ir.orthofix.com.

Internet Posting of Information

Orthofix regularly shares important updates in the “Investors” section of its website at www.orthofix.com. The Company encourages investors and potential investors to consult the Orthofix website regularly for important information about Orthofix.

About Orthofix

Orthofix is a global medical technology company headquartered in Lewisville, Texas. By providing medical technologies that heal musculoskeletal pathologies, Orthofix delivers exceptional experiences and life-changing solutions to patients around the world. Orthofix offers a comprehensive portfolio of spinal hardware, bone growth therapies, specialized orthopedic solutions, biologics and enabling technologies, including the 7D FLASH™ Navigation System. To learn more, visit Orthofix.com and follow on LinkedIn.

Forward-Looking Statements

This communication contains forward-looking statements within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended, and Section 27A of the Securities Act of 1933, as amended, relating to our business and financial outlook, which are based on our current beliefs, assumptions, intentions, plans, expectations, estimates, forecasts and projections. In some cases, you can identify forward-looking statements by terminology such as “may,” “will,” “should,” “expects,” “plans,” “anticipates,” “believes,” “estimates,” “projects,” “intends,” “predicts,” “potential,” “positioned,” “deliver,” or “continue” or other comparable terminology. Forward-looking statements in this communication include the Company's expectations regarding net sales, adjusted EBITDA, and free cash flow for the year ended December 31, 2025. Forward-looking statements are not guarantees of our future performance, are based on our current expectations and assumptions regarding our business, the economy and other future conditions, and are subject to risks, uncertainties and changes in circumstances that are difficult to predict, including the risks described in Part I, Item 1A under the heading Risk Factors in our Annual Report on Form 10-K for the year ended December 31, 2024, and in Part II, Item 1A under the heading Risk Factors in our Quarterly Report on Form 10-Q for the quarter ended June 30, 2025. Factors that could cause future results to differ from those expressed by forward-looking statements include, but are not limited to, (i) our ability to maintain operations to support our customers and patients in the near-term and to capitalize on future growth opportunities, (ii) risks associated with acceptance of surgical products and procedures by surgeons and hospitals, (iii) development and acceptance of new products or product enhancements, (iv) clinical and statistical verification of the benefits achieved via the use of our products, (v) our ability to adequately manage inventory, (vi) our ability to successfully optimize our commercial channels, (vii) our success in defending legal proceedings brought against us, and (viii) the other risks and uncertainties more fully described in our periodic filings with the Securities and Exchange Commission (the “SEC”). As a result of these various risks, our actual outcomes and results may differ materially from those expressed in these forward-looking statements.

Further, any forward-looking statement speaks only as of the date hereof, unless it is specifically otherwise stated to be made as of a different date. The Company undertakes no obligation to update, and expressly disclaim any duty to update, its forward-looking statements, whether as a result of circumstances or events that arise after the date hereof, new information, or otherwise, except as required by law.

The Company is unable to provide expectations of GAAP net income (loss), the closest comparable GAAP measures to adjusted EBITDA (which is a non-GAAP measure), on a forward-looking basis because the Company is unable to predict, without unreasonable efforts, the ultimate outcome of matters (including acquisition-related expenses, accounting fair value adjustments, and other such items) that will determine the quantitative amount of the items excluded in calculating adjusted EBITDA, which items are further described in the reconciliation tables and related descriptions below. These items are uncertain, depend on various factors, and could be material to the Company's results computed in accordance with GAAP.

     Company Contact

    

     Investors and Media 

    

     Julie Dewey, IRC
Chief Investor Relations & Communications Officer

     [email protected]

    

613.6945

    

ORTHOFIX MEDICAL INC.

Condensed Consolidated Statements of Operations


	Three Months Ended						Six Months Ended
	June 30,						June 30,
(Unaudited, U.S. Dollars, in thousands, except share and per share data)	2025			2024			2025			2024
Net sales	$	203,121		$	198,620		$	396,767		$	387,228
Cost of sales		63,588			63,871			135,615			125,237
Gross profit		139,533			134,749			261,152			261,991
Sales, general, and administrative		136,493			134,218			269,474			265,909
Research and development		15,934			18,049			35,700			37,541
Acquisition-related amortization, impairment, and remeasurement		3,109			7,388			20,854			12,784
Operating loss		(16,003	)		(24,906	)		(64,876	)		(54,243	)
Interest expense, net		(3,950	)		(4,943	)		(8,456	)		(9,501	)
Other income (expense), net		5,730			(2,510	)		6,976			(3,784	)
Loss before income taxes		(14,223	)		(32,359	)		(66,356	)		(67,528	)
Income tax benefit (expense)		142			(1,084	)		(819	)		(1,935	)
Net loss	$	(14,081	)	$	(33,443	)	$	(67,175	)	$	(69,463	)

Net loss per common share:
Basic	$	(0.36	)	$	(0.88	)	$	(1.71	)	$	(1.84	)
Diluted		(0.36	)		(0.88	)		(1.71	)		(1.84	)
Weighted average number of common shares (in millions):
Basic		39.5			38.0			39.3			37.8
Diluted		39.5			38.0			39.3			37.8

ORTHOFIX MEDICAL INC.

Condensed Consolidated Balance Sheets


(U.S. Dollars, in thousands, except par value data)	June 30, 2025			December 31, 2024
	(Unaudited)
Assets
Current assets
Cash and cash equivalents	$	65,606		$	83,238
Restricted Cash		3,083			2,500
Accounts receivable, net of allowances of $8,909 and $7,418, respectively		129,556			134,713
Inventories		172,993			189,452
Prepaid expenses and other current assets		24,592			23,382
Total current assets		395,830			433,285
Property, plant, and equipment, net		129,200			139,804
Intangible assets, net		78,868			98,803
Goodwill		194,934			194,934
Other long-term assets		38,325			26,468
Total assets	$	837,157		$	893,294
Liabilities and shareholders’ equity
Current liabilities
Accounts payable	$	45,098		$	48,803
Current portion of finance lease liability		797			755
Other current liabilities		102,486			119,070
Total current liabilities		148,381			168,628
Long-term debt		157,047			157,015
Long-term portion of finance lease liability		17,448			17,835
Other long-term liabilities		55,934			46,692
Total liabilities		378,810			390,170
Contingencies
Shareholders’ equity
Common shares $0.10 par value; 100,000 shares authorized; 39,483 and 38,486 issued and outstanding as of June 30, 2025, and December 31, 2024, respectively		3,948			3,849
Additional paid-in capital		796,807			779,718
Accumulated deficit		(343,316	)		(276,141	)
Accumulated other comprehensive income (loss)		908			(4,302	)
Total shareholders’ equity		458,347			503,124
Total liabilities and shareholders’ equity	$	837,157		$	893,294

ORTHOFIX MEDICAL INC.
Non-GAAP Financial Measures

The following tables present reconciliations of various financial measures calculated in accordance with U.S. generally accepted accounting principles (“GAAP”), to various non-GAAP financial measures that exclude (or in the case of free cash flow, include) items specified in the tables. The GAAP measures shown in the tables below represent the most comparable GAAP measure to the applicable non-GAAP measure(s) shown in the table. For further information regarding the nature of these exclusions, why the Company believes that these non-GAAP financial measures provide useful information to investors, the specific manner in which management uses these measures, and some of the limitations associated with the use of these measures, please refer to the Company's Current Report on Form 8-K regarding this press release filed today with the SEC available on the SEC's website at www.sec.gov and on the “Investors” page of the Company's website at www.orthofix.com.

The Company's non-GAAP financial measures for the three and six months ended June 30, 2025, and 2024, have been adjusted to eliminate the financial effects of the Company's decision to discontinue its M6® product lines. Accordingly, previously reported figures for 2024 have been recast to reflect the financial impact of this decision.

Adjusted Gross Profit and Adjusted Gross Margin


	Three Months Ended June 30,						Six Months Ended June 30,
(Unaudited, U.S. Dollars, in thousands)	2025			2024			2025			2024
Gross profit	$	139,533		$	134,749		$	261,152		$	261,991
Share-based compensation expense		467			497			929			1,034
SeaSpine merger-related costs		4,341			3,115			4,941			4,418
Restructuring costs and impairments related to M6 product lines		2,791			—			13,710			—
Strategic investments		43			64			56			129
Acquisition-related fair value adjustments		—			3,047			—			6,094
Amortization/depreciation of acquired long-lived assets		351			209			664			527
Adjusted gross profit	$	147,526		$	141,681		$	281,452		$	274,193
Adjusted gross margin as a percentage of reported net sales		72.6	%		71.3	%		70.9	%		70.8	%
Adjusted gross profit attributable to M6 product lines		(1,639	)		(2,943	)		(2,545	)		(5,838	)
Pro forma adjusted gross profit	$	145,887		$	138,738		$	278,907		$	268,355
Pro forma adjusted gross margin as a percentage of pro forma net sales		72.7	%		72.0	%		71.5	%		71.6	%

Adjusted EBITDA


	Three Months Ended June 30,						Six Months Ended June 30,
(Unaudited, U.S. Dollars, in thousands)	2025			2024			2025			2024
Net loss	$	(14,081	)	$	(33,443	)	$	(67,175	)	$	(69,463	)
Income tax (benefit) expense		(141	)		1,084			819			1,936
Interest expense, net		3,950			4,943			8,456			9,501
Depreciation and amortization		16,871			14,032			51,302			28,894
Share-based compensation expense		7,824			9,959			14,293			18,759
Foreign exchange impact		(2,751	)		851			(3,795	)		2,439
SeaSpine merger-related costs		4,886			5,913			6,017			10,376
Restructuring costs and impairments related to M6 product lines		3,651			—			13,531			—
Strategic investments		353			319			3,867			431
Acquisition-related fair value adjustments		(763	)		6,117			(1,373	)		10,334
Interest and (gain) loss on investments		(31	)		1,806			(31	)		1,553
Litigation and investigation costs		4,029			(277	)		7,071			1,983
Succession charges		—			5,346			—			7,556
Employee retention credit		(2,854	)		—			(2,854	)		—
Adjusted EBITDA	$	20,943		$	16,650		$	30,128		$	24,299
Adjusted EBITDA as a percentage of reported net sales		10.3	%		8.4	%		7.6	%		6.3	%
Operating (income) losses attributable to M6 product lines		(297	)		1,794			1,949			3,648
Pro forma adjusted EBITDA	$	20,646		$	18,444		$	32,077		$	27,947
Adjusted EBITDA as a percentage of pro forma net sales		10.3	%		9.6	%		8.2	%		7.5	%

Adjusted Net Income (Loss)


	Three Months Ended June 30,						Six Months Ended June 30,
(Unaudited, U.S. Dollars, in thousands)	2025			2024			2025			2024
Net loss	$	(14,081	)	$	(33,443	)	$	(67,175	)	$	(69,463	)
Share-based compensation expense		7,824			9,959			14,293			18,759
Foreign exchange impact		(2,751	)		851			(3,795	)		2,439
SeaSpine merger-related costs		7,786			5,968			9,260			10,815
Restructuring costs and impairments related to M6 product lines		4,257			—			34,461			—
Strategic investments		364			349			3,907			497
Acquisition-related fair value adjustments		(761	)		6,117			(1,371	)		10,334
Amortization/depreciation of acquired long-lived assets		4,221			4,648			8,853			9,440
Litigation and investigation costs		4,029			(277	)		7,071			1,983
Succession charges		—			5,346			—			7,556
Interest and (gain) loss on investments		(31	)		1,786			(31	)		1,504
Employee retention credit		(3,616	)		—			(3,616	)		—
Long-term income tax rate adjustment		(2,130	)		415			70			3,112
Adjusted net income (loss)	$	5,111		$	1,719		$	1,927		$	(3,024	)
Operating (income) losses attributable to M6 product lines		(766	)		2,245			1,922			4,645
Long-term income tax rate adjustment for M6 product lines		215			(629	)		(538	)		(1,301	)
Pro forma adjusted net income	$	4,560		$	3,335		$	3,311		$	320

Cash Flow and Free Cash Flow


	Six Months Ended June 30,
(Unaudited, U.S. Dollars, in thousands)	2025			2024
Net cash used in operating activities	$	(6,752	)	$	(9,611	)
Net cash used in investing activities		(13,833	)		(20,583	)
Net cash provided by financing activities		1,989			21,678
Effect of exchange rate changes on cash		1,547			(375	)
Net change in cash and cash equivalents	$	(17,049	)	$	(8,891	)


	Six Months Ended June 30,
(Unaudited, U.S. Dollars, in thousands)	2025			2024
Net cash used in operating activities	$	(6,752	)	$	(9,611	)
Capital expenditures		(13,845	)		(20,533	)
Free cash flow	$	(20,597	)	$	(30,144	)

Reconciliation of Non-GAAP Financial Measures to Reported Operating Expenses


	Three Months Ended June 30,						Six Months Ended June 30,
(Unaudited, U.S. Dollars, in thousands)	2025			2024			2025			2024
Sales, general, and administrative	$	136,493		$	134,218		$	269,474		$	265,909
Reconciling items impacting sales, general, and administrative:
SeaSpine merger-related costs		(3,384	)		(2,784	)		(4,142	)		(6,134	)
Restructuring costs and impairments related to M6 product lines		(1,393	)		—			(4,729	)		—
Strategic investments		(194	)		(30	)		(1,741	)		(111	)
Amortization/depreciation of acquired long-lived assets		—			(121	)		(60	)		(369	)
Litigation and investigation costs		(3,579	)		277			(6,621	)		(1,983	)
Succession charges		—			(5,346	)		—			(7,556	)
Sales, general, and administrative expense, as adjusted	$	127,943		$	126,214		$	252,181		$	249,756
As a percentage of reported net sales		63.0	%		63.5	%		63.6	%		64.5	%
Sales, general, and administrative expense attributable to M6 product lines		(243	)		(3,144	)		(2,631	)		(7,299	)
Pro forma sales, general, and administrative expense, as adjusted	$	127,700		$	123,070		$	249,550		$	242,457
As a percentage of pro forma net sales		63.6	%		63.8	%		64.0	%		64.7	%


	Three Months Ended June 30,						Six Months Ended June 30,
(Unaudited, U.S. Dollars, in thousands)	2025			2024			2025			2024
Research and development expense, as reported	$	15,934		$	18,049		$	35,700		$	37,541
Reconciling items impacting research and development:
SeaSpine merger-related costs		(62	)		(84	)		(178	)		(318	)
Restructuring costs and impairments related to M6 product lines		(77	)		—			(1,929	)		—
Strategic investments		(127	)		(255	)		(2,110	)		(258	)
Litigation and investigation costs		(450	)		—			(450	)		—
Research and development expense, as adjusted	$	15,218		$	17,710		$	31,033		$	36,965
As a percentage of reported net sales		7.5	%		8.9	%		7.8	%		9.5	%
Research and development expense attributable to M6 product lines		(602	)		(2,440	)		(1,794	)		(4,676	)
Pro forma research and development expense, as adjusted	$	14,616		$	15,270		$	29,239		$	32,289
As a percentage of pro forma net sales		7.3	%		7.9	%		7.5	%		8.6	%

Reconciliations of Non-GAAP Financial Measures to Reported Non-Operating (Income) Expense


	Three Months Ended June 30,						Six Months Ended June 30,
(Unaudited, U.S. Dollars, in thousands)	2025			2024			2025			2024
Non-operating (income) expense	$	(1,780	)	$	7,453		$	1,480		$	13,285
Reconciling items impacting non-operating expense:
Restructuring costs and impairments related to M6 product lines		3			—			3			—
Foreign exchange impact		2,751			(851	)		3,795			(2,439	)
Interest and gain (loss) on investments		31			(1,786	)		31			(1,503	)
Employee retention credit		3,617			—			3,617			—
Non-operating expense, as adjusted	$	4,622		$	4,816		$	8,926		$	9,343
As a percentage of reported net sales		2.3	%		2.4	%		2.2	%		2.4	%
Losses attributable to M6 product lines		(26	)		(18	)		(41	)		(65	)
Pro forma non-operating expense, as adjusted	$	4,596		$	4,798		$	8,885		$	9,278
As a percentage of pro forma net sales		2.3	%		2.5	%		2.3	%		2.5	%

Source

Orthofix Medical Inc.

###

Clear Course for Profitable Growth 2Q 2025 Earnings Call August 5, 2025

Forward-Looking Statements This presentation contains forward-looking statements within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended, and Section 27A of the Securities Act of 1933, as amended, relating to our business and financial outlook, which are based on our current beliefs, assumptions, intentions, plans, expectations, estimates, forecasts and projections. In some cases, you can identify forward-looking statements by terminology such as “may,” “will,” “should,” “expects,” “plans,” “anticipates,” “believes,” “estimates,” “projects,” “intends,” “predicts,” “potential,” “positioned,” “deliver,” or “continue” or other comparable terminology. Forward-looking statements in this presentation include the Company's expectations regarding net sales, adjusted EBITDA, and free cash flow for the year ended December 31, 2025. Forward-looking statements are not guarantees of our future performance, are based on our current expectations and assumptions regarding our business, the economy and other future conditions, and are subject to risks, uncertainties and changes in circumstances that are difficult to predict, including the risks described in Part I, Item 1A under the heading Risk Factors in our Annual Report on Form 10-K for the year ended December 31, 2024, and in Part II, Item 1A under the heading Risk Factors in our Quarterly Report on Form 10-Q for the quarter ended June 30, 2025. Factors that could cause future results to differ from those expressed by forward-looking statements include, but are not limited to, (i) our ability to maintain operations to support our customers and patients in the near-term and to capitalize on future growth opportunities, (ii) risks associated with acceptance of surgical products and procedures by surgeons and hospitals, (iii) development and acceptance of new products or product enhancements, (iv) clinical and statistical verification of the benefits achieved via the use of our products, (v) our ability to adequately manage inventory, (vi) our ability to successfully optimize our commercial channels, (vii) our success in defending legal proceedings brought against us, and (viii) the other risks and uncertainties more fully described in our periodic filings with the Securities and Exchange Commission (the “SEC”). As a result of these various risks, our actual outcomes and results may differ materially from those expressed in these forward-looking statements. Further, any forward-looking statement speaks only as of the date hereof, unless it is specifically otherwise stated to be made as of a different date. The Company undertakes no obligation to update, and expressly disclaim any duty to update, its forward-looking statements, whether as a result of circumstances or events that arise after the date hereof, new information, or otherwise, except as required by law. The Company is unable to provide expectations of GAAP net income (loss), the closest comparable GAAP measures to adjusted EBITDA (which is a non-GAAP measure), on a forward-looking basis because the Company is unable to predict, without unreasonable efforts, the ultimate outcome of matters (including acquisition-related expenses, accounting fair value adjustments, and other such items) that will determine the quantitative amount of the items excluded in calculating adjusted EBITDA, which items are further described in the reconciliation tables and related descriptions below. These items are uncertain, depend on various factors, and could be material to the Company’s results computed in accordance with GAAP.

Non-GAAP Financial Measures Management uses certain non-GAAP financial measures in this presentation, most specifically Adjusted EBITDA, Adjusted Gross Margin, Adjusted Net Income and Free Cash Flow, as a supplement to GAAP financial measures to further evaluate the Company’s operating performance period over period, analyze the underlying business trends, assess performance relative to competitors and establish operational objectives. Management believes it is important to provide investors with the same non-GAAP metrics it uses to evaluate the performance and underlying trends of the Company’s business operations to facilitate comparisons to its historical operating results and evaluate the effectiveness of its operating strategies. Disclosure of these non-GAAP financial measures also facilitates comparisons of the Company’s underlying operating performance with other companies in the industry that also supplement their GAAP results with non-GAAP financial measures. Unless noted otherwise, full-year guidance is based on the current foreign currency exchange rates and does not take into account any additional potential exchange rate changes that may occur this year. These non-GAAP financial measures should not be considered in isolation from, or as replacements for, the most directly comparable GAAP financial measures, as these measures are not prepared in accordance with U.S. GAAP. Reconciliations between GAAP and non‐GAAP results are included at the end of this presentation and represent the most comparable GAAP measure(s) to the applicable non-GAAP measure(s) shown in the table. For further information regarding the nature of these exclusions, why the Company believes that these non-GAAP financial measures provide useful information to investors, the specific manner in which management uses these measures, and some of the limitations associated with the use of these measures, please refer to the Company's Current Report on Form 8-K regarding its second quarter 2025 press release filed on August 5, 2025 with the SEC and available on the SEC's website at www.sec.gov and on the “Investors” page of the Company’s website at www.orthofix.com. The Company’s non-GAAP financial measures for the three and six months ended June 30, 2025, and 2024, have been adjusted to eliminate the financial effects of the Company’s decision to discontinue its M6® product lines. Accordingly, previously reported figures for 2024 have been recast to reflect the financial impact of this decision. Amounts may not add due to rounding.

TAKE OWNERSHIP INNOVATE BOLDLY WIN TOGETHER The unrivaled partner in Med Tech, delivering exceptional experiences and life-changing solutions. 4

Orthofix Today Healing Musculoskeletal Pathologies in Spine and Orthopedics with Specialized Solutions and Enabling Technologies Attractive Stock Entry Point with Significant Upside Potential to Current Valuation Key Stats TTM Net Sales2 by Business ~$791M Bone Growth Therapies Spinal Implants, Biologics, and Enabling Technologies Orthopedics ~16% Int’l HQLewisville, TX ~84% U.S. Founded 1980 Employees 1,600+ NASDAQ OFIX Office Manufacturing /Distribution 3rd-Party Logistics Global Presence TTM Net Sales2by Geography ~$433M Market-Cap1 ~$77.9M TTM Adjusted EBITDA2 ~71.6% TTM Adjusted Gross Margin2 ~$68.7M Cash, Cash Equivalents, and Restricted Cash2 Note: TTM = Trailing 12 Months. 1 7/31/2025. 2 As of 6/30/2025; All figures exclude impact of net sales related to discontinuation of M6® product lines.

Orthofix’s second quarter results demonstrate clear progress on our three-year plan to transform the business. Our disciplined approach led to strong adjusted EBITDA margin growth and positive free cash flow generation, underscoring our ability to grow the business responsibly. Strategic initiatives, like accelerating spine distributor transitions in certain underpenetrated U.S. territories, are gaining traction and creating a powerful foundation for a stronger, more scalable commercial organization to drive our next phase of growth. Looking ahead, we expect to benefit from recent product launches and deliver meaningful product innovation to improve outcomes and efficiencies for our surgeons and their patients. I am confident the Company is well positioned to deliver sustainable, long-term shareholder value throughout the second half of 2025 and beyond. “ Massimo Calafiore President & Chief Executive Officer ” 6 1 The Company’s non-GAAP financial measures have been adjusted to eliminate the financial effects of the Company’s decision to discontinue its M6® product lines. 2 Constant currency is calculated by applying foreign currency rates applicable to the comparable, prior-year period to present the current period net sales at comparable rates. 3 The reasons for and nature of non-GAAP disclosures by the Company, descriptions of the adjustments used to calculate those non-GAAP financial measures, and reconciliations of those non-GAAP financial measures to the most comparable GAAP financial measure, are provided in the Company’s press release issued and Quarterly Report on Form 10-Q filed on August 5, 2025.4 Spine Fixation is comprised of the Company's Spinal Implants product category, excluding motion preservation product offerings. Q2 2025 Financial Highlights $20.6M Non-GAAP Pro Forma Adjusted EBITDA1,3 $4.0M YoY increase and ~190 bps margin expansion $4.5M Free Cash Flow3 Continued positive YoY progress 5% U.S. Spine Fixation4 YoY Net Sales Growth U.S. procedure volume growth of 7% 6% Bone Growth Therapies YoY Net Sales Growth 7% Growth in BGT Fracture 72.7% Non-GAAP Pro Forma Adjusted Gross Margin1,3 Compared to 71.3% reported for Q2 2024 $200.7M Pro Forma Net Sales1 4% growth YoY on constant currency basis1,2 28% U.S. Orthopedics YoY Net Sales Growth 4th consecutive quarter of double-digit growth

7 Continuing to execute the priorities that we outlined in long-term plan to transform our business and deliver on our commitment to drive disciplined, profitable growth 01 Six consecutive quarters of adjusted EBITDA margin expansion – pro forma adjusted EBITDA margin expanded by ~190 bps compared to reported non-GAAP adjusted EBITDA for 2Q 2024 02 Initiated global commercial launch of TrueLok® Elevate Transverse Bone Transport ("TBT") System, U.S. launch of Reef® L Lateral Lumbar Interbody System and U.S. limited launch of VIRATA™ Spinal Fixation System 03 Off to a strong start accelerating targeted distributor transitions in certain underpenetrated U.S. territories to support a stronger, more scalable commercial organization to drive next phase of growth 04 Prudently deploying capital and prioritizing investment in profitable growth opportunities in areas where we can win 05 Q2 2025 Key Messages

Q2 2025 Business Segment Highlights 8 TBT = Transverse Bone Transport * Net sales growth is on constant currency basis BONE GROWTH THERAPIES BGT net sales +6%* Successful cross-selling Continued focus on adding new surgeons and competitive surgeon conversions BGT Fracture with AccelStim® Bone Growth Therapy Device continuing to outperform the market ORTHOPEDICS Global Orthopedics net sales +5%* U.S. Orthopedics net sales +28%* Growth led by limited market release of TRUELOK® Elevate and the full-market launch of FITBONE® Bone Transport Nail TRUELOK® Elevate TBT System global launch announced in June 2025 SPINE U.S. Spine Fixation net sales +5%* Off to a strong start accelerating targeted distributor transitions in certain underpenetrated U.S. territories Gained share in U.S. Anterior Lumbar and Cervical Fusion portfolios - both grew >15% and significantly outperformed the market Announced full U.S. launch of REEF® L Interbody System and U.S. limited launch of VIRATA™ Spinal Fixation System

Q2 2025 Results Summary Second Quarter 2025 Results Summary (in millions) Pro Forma Q2 2025 Reported Q2 2024 Constant Currency Change Bone Growth Therapies $ 62.6 $ 59.1 5.8% Spinal Implants, Biologics, and Enabling Technologies 104.8 103.1 1.6% Global Spine 167.4 162.2 3.2% Global Orthopedics 33.3 30.6 5.3% Pro forma net sales (excludes M6) $ 200.7 $ $192.8 3.5% Impact from discontinuation of M6 2.5 5.8 (57.8%) Reported net sales $ 203.1 $ 198.6 1.7% Non-GAAP Adjusted Gross Margin 72.7% 71.3% +~140 bps Non-GAAP Adjusted EBITDA $ 20.6 $ 16.6 24.1% Q2 Total Pro Forma Net Sales: $200.7M3.5% YoY pro forma, constant currency growth Q2 Non-GAAP Pro Forma Adjusted EBITDA: $20.6M 10.3% of pro forma net sales vs $16.6M in Q2 2024; 8.4% of reported net sales Q2 Non-GAAP Pro Forma Adjusted Gross Margin: 72.7% vs 71.3% as reported in Q2 2024 Q2 Non-GAAP Pro Forma SG&A Expense: $127.7M 63.6% of pro forma net sales vs $126.2M in Q2 2024; 63.5% of reported net sales Q2 Non-GAAP Pro Forma R&D Expense: $14.6M 7.3% of pro forma net sales vs $17.7M in Q2 2024; 8.9% of reported net sales 9 Q2 2025 Total Pro Forma Net Sales $200.7M +3.5% YoY* Bone Growth Therapies $62.6M +5.8%* Global Orthopedics $33.3M +5.3%* Global Spinal Implants, Biologics, & Enabling Technologies $104.8M +1.6%* International Spinal Implants, Biologics & Enabling Technologies $8.0M +3.7%* U.S. Spinal Implants, Biologics & Enabling Technologies $96.8M +1.5% 92% 8% * YoY Growth is on a pro forma, constant currency basis compared to Q2 2024

Building Financial Resilience and Unlocking Strong, Consistent Free Cash Flow Strong Execution and Positive Free Cash Flow Momentum Driving Positive Free Cash Flow Expect to be free cash flow positive for full-year 20251 Drop-through to EBITDA from incremental revenue Working Capital improvements Efficient Working Capital Management Reduction in Inventory Days on Hand (DOH)and Instrument Efficiency Continued improvement in Days Sales Outstanding (DSO) 1 Excluding impact of restructuring charges related to discontinuation of M6® product lines

Looking Forward – Accelerating Our Profitable Growth Engine Advancing Toward Our Goals for Consistent Above-Market Growth,Improved Profitability, and Positive Free Cash Flow Invest inDifferentiatedTechnologies in Areas Where We Can Win and Lead Innovation Capitalize on Multiple Access Points to Grow Business at Sustained, Above-Market Rates Operate with Discipline for Margin Expansion Building Financial Resilienceand Unlocking Strong, Consistent Free Cash Flow

Full-Year 2025 Guidance1 $808M –$816M Pro Forma Net Sales $82M –$86M Pro Forma Adj. EBITDA Positive Free Cash Flowfor 2025² 1 As of the Company’s Q2 2025 Earnings Call hosted on 8/5/2025. Inclusion of this information in this presentation is not a confirmation or an update of, and should not be construed or otherwise assumed to reflect any confirmation or update of, that guidance by Orthofix leadership as of any date other than 8/5/2025. Pro forma net sales range of $808 million to $816 million excludes sales from the discontinued M6® product lines and assumes a $5 million negative impact from U.S. funded non-governmental organization (NGO) business as compared to the full-year 2024. This guidance range is based on current foreign currency exchange rates and does not take into account any additional potential exchange rate changes that may occur this year. 2 Excluding impact of restructuring charges related to the discontinuation of the M6® product lines

Investment Summary – Why Invest in Orthofix? 01 Strong fundamentals with profitable growth opportunity and compelling value proposition across diverse portfolio 02 More focused commercial strategy with robust innovation pipeline complemented by successful cross-selling 03 Established leadership team well-positioned to implement strategic vision and achieve sustainable, profitable growth across portfolio 04 Improved operational execution to drive toward profitability objectives and positive free cash flow 05 Long-term financial targets reflect confidence in sustainable growth trends and commercial strategy and execution

For additional information, please contact: Julie Dewey, IRC Chief IR & Communications Officer [email protected] 209-613-6945 www.Orthofix.com NASDAQ: OFIX

Financial and Non-GAAP Reconciliation Tables Appendix

Net Sales by Major Product Category by Reporting Segment Three Months Ended June 30, (Unaudited, U.S. Dollars, in millions) 2025 2024 Change ConstantCurrencyChange Bone Growth Therapies $ 62.6 $ 59.1 5.8 % 5.8 % Spinal Implants, Biologics and Enabling Technologies* 104.8 103.1 1.6 % 1.6 % Global Spine* 167.4 162.2 3.2 % 3.2 % Global Orthopedics 33.3 30.6 8.9 % 5.3 % Pro forma net sales* 200.7 192.8 4.1 % 3.5 % Impact from discontinuation of M6 product lines 2.5 5.8 (57.5 %) (57.8 %) Reported net sales $ 203.1 $ 198.6 2.3 % 1.7 % * Results above for each of Spinal Implants, Biologics, and Enabling Technologies; Global Spine; and pro forma net sales exclude the impact from discontinuation of the M6® product lines. Since pro forma net sales represent a non-GAAP measure, see the reconciliation above of the Company's pro forma net sales to its reported figures under U.S. GAAP. The Company's reported figures under U.S. GAAP represent each of the pro forma line items discussed above plus the impact from discontinuation of the M6® product lines.

Condensed Consolidated Balance Sheets (U.S. Dollars, in thousands, except par value data) June 30,2025 December 31,2024 (Unaudited) Assets Current assets Cash and cash equivalents $ 65,606 $ 83,238 Restricted Cash 3,083 2,500 Accounts receivable, net of allowances of $8,909 and $7,418, respectively 129,556 134,713 Inventories 172,993 189,452 Prepaid expenses and other current assets 24,592 23,382 Total current assets 395,830 433,285 Property, plant, and equipment, net 129,200 139,804 Intangible assets, net 78,868 98,803 Goodwill 194,934 194,934 Other long-term assets 38,325 26,468 Total assets $ 837,157 $ 893,294 Liabilities and shareholders’ equity Current liabilities Accounts payable $ 45,098 $ 48,803 Current portion of finance lease liability 797 755 Other current liabilities 102,486 119,070 Total current liabilities 148,381 168,628 Long-term debt 157,047 157,015 Long-term portion of finance lease liability 17,448 17,835 Other long-term liabilities 55,934 46,692 Total liabilities 378,810 390,170 Contingencies Shareholders’ equity Common shares $0.10 par value; 100,000 shares authorized; 39,483 and 38,486 issued and outstanding as of June 30, 2025, and December 31, 2024, respectively 3,948 3,849 Additional paid-in capital 796,807 779,718 Accumulated deficit (343,316 ) (276,141 ) Accumulated other comprehensive income (loss) 908 (4,302 ) Total shareholders’ equity 458,347 503,124 Total liabilities and shareholders’ equity $ 837,157 $ 893,294

Condensed Consolidated Statements of Operations Three Months Ended Six Months Ended June 30, June 30, (Unaudited, U.S. Dollars, in thousands, except share and per share data) 2025 2024 2025 2024 Net sales $ 203,121 $ 198,620 $ 396,767 $ 387,228 Cost of sales 63,588 63,871 135,615 125,237 Gross profit 139,533 134,749 261,152 261,991 Sales, general, and administrative 136,493 134,218 269,474 265,909 Research and development 15,934 18,049 35,700 37,541 Acquisition-related amortization, impairment, and remeasurement 3,109 7,388 20,854 12,784 Operating loss (16,003 ) (24,906 ) (64,876 ) (54,243 ) Interest expense, net (3,950 ) (4,943 ) (8,456 ) (9,501 ) Other income (expense), net 5,730 (2,510 ) 6,976 (3,784 ) Loss before income taxes (14,223 ) (32,359 ) (66,356 ) (67,528 ) Income tax benefit (expense) 142 (1,084 ) (819 ) (1,935 ) Net loss $ (14,081 ) $ (33,443 ) $ (67,175 ) $ (69,463 ) Net loss per common share: Basic $ (0.36 ) $ (0.88 ) $ (1.71 ) $ (1.84 ) Diluted (0.36 ) (0.88 ) (1.71 ) (1.84 ) Weighted average number of common shares (in millions): Basic 39.5 38.0 39.3 37.8 Diluted 39.5 38.0 39.3 37.8

Adjusted Gross Profit and Adjusted Gross Margin Three Months Ended June 30, Six Months Ended June 30, (Unaudited, U.S. Dollars, in thousands) 2025 2024 2025 2024 Gross profit $ 139,533 $ 134,749 $ 261,152 $ 261,991 Share-based compensation expense 467 497 929 1,034 SeaSpine merger-related costs 4,341 3,115 4,941 4,418 Restructuring costs and impairments related to M6 product lines 2,791 — 13,710 — Strategic investments 43 64 56 129 Acquisition-related fair value adjustments — 3,047 — 6,094 Amortization/depreciation of acquired long-lived assets 351 209 664 527 Adjusted gross profit $ 147,526 $ 141,681 $ 281,452 $ 274,193 Adjusted gross margin as a percentage of reported net sales 72.6 % 71.3 % 70.9 % 70.8 % Adjusted gross profit attributable to M6 product lines (1,639 ) (2,943 ) (2,545 ) (5,838 ) Pro forma adjusted gross profit $ 145,887 $ 138,738 $ 278,907 $ 268,355 Pro forma adjusted gross margin as a percentage of pro forma net sales 72.7 % 72.0 % 71.5 % 71.6 %

Adjusted EBITDA and Pro Forma Adjusted EBITDA Three Months Ended June 30, Six Months Ended June 30, (Unaudited, U.S. Dollars, in thousands) 2025 2024 2025 2024 Net loss $ (14,081 ) $ (33,443 ) $ (67,175 ) $ (69,463 ) Income tax (benefit) expense (141 ) 1,084 819 1,936 Interest expense, net 3,950 4,943 8,456 9,501 Depreciation and amortization 16,871 14,032 51,302 28,894 Share-based compensation expense 7,824 9,959 14,293 18,759 Foreign exchange impact (2,751 ) 851 (3,795 ) 2,439 SeaSpine merger-related costs 4,886 5,913 6,017 10,376 Restructuring costs and impairments related to M6 product lines 3,651 — 13,531 — Strategic investments 353 319 3,867 431 Acquisition-related fair value adjustments (763 ) 6,117 (1,373 ) 10,334 Interest and (gain) loss on investments (31 ) 1,806 (31 ) 1,553 Litigation and investigation costs 4,029 (277 ) 7,071 1,983 Succession charges — 5,346 — 7,556 Employee retention credit (2,854 ) — (2,854 ) — Adjusted EBITDA $ 20,943 $ 16,650 $ 30,128 $ 24,299 Adjusted EBITDA as a percentage of reported net sales 10.3 % 8.4 % 7.6 % 6.3 % Operating (income) losses attributable to M6 product lines (297 ) 1,794 1,949 3,648 Pro forma adjusted EBITDA $ 20,646 $ 18,444 $ 32,077 $ 27,947 Adjusted EBITDA as a percentage of pro forma net sales 10.3 % 9.6 % 8.2 % 7.5 %

Adjusted Net Income (Loss) and Pro Forma Adjusted Net Income Three Months Ended June 30, Six Months Ended June 30, (Unaudited, U.S. Dollars, in thousands) 2025 2024 2025 2024 Net loss $ (14,081 ) $ (33,443 ) $ (67,175 ) $ (69,463 ) Share-based compensation expense 7,824 9,959 14,293 18,759 Foreign exchange impact (2,751 ) 851 (3,795 ) 2,439 SeaSpine merger-related costs 7,786 5,968 9,260 10,815 Restructuring costs and impairments related to M6 product lines 4,257 — 34,461 — Strategic investments 364 349 3,907 497 Acquisition-related fair value adjustments (761 ) 6,117 (1,371 ) 10,334 Amortization/depreciation of acquired long-lived assets 4,221 4,648 8,853 9,440 Litigation and investigation costs 4,029 (277 ) 7,071 1,983 Succession charges — 5,346 — 7,556 Interest and (gain) loss on investments (31 ) 1,786 (31 ) 1,504 Employee retention credit (3,616 ) — (3,616 ) — Long-term income tax rate adjustment (2,130 ) 415 70 3,112 Adjusted net income (loss) $ 5,111 $ 1,719 $ 1,927 $ (3,024 ) Operating (income) losses attributable to M6 product lines (766 ) 2,245 1,922 4,645 Long-term income tax rate adjustment for M6 product lines 215 (629 ) (538 ) (1,301 ) Pro forma adjusted net income $ 4,560 $ 3,335 $ 3,311 $ 320

Cash Flow and Free Cash Flow Six Months Ended June 30, (Unaudited, U.S. Dollars, in thousands) 2025 2024 Net cash used in operating activities $ (6,752 ) $ (9,611 ) Net cash used in investing activities (13,833 ) (20,583 ) Net cash provided by financing activities 1,989 21,678 Effect of exchange rate changes on cash 1,547 (375 ) Net change in cash and cash equivalents $ (17,049 ) $ (8,891 ) Six Months Ended June 30, (Unaudited, U.S. Dollars, in thousands) 2025 2024 Net cash used in operating activities $ (6,752 ) $ (9,611 ) Capital expenditures (13,845 ) (20,533 ) Free cash flow $ (20,597 ) $ (30,144 )

Pro Forma Non-GAAP Financial Statements – Excluding Impact of M6® Product Lines Three Months Ended Six Months Ended (Unaudited, U.S. Dollars, in thousands) March 31, 2025 June 30, 2025 June 30, 2025 Net sales $ 189,203 $ 200,658 $ 389,861 Cost of sales (inclusive of share-based compensation expense) 56,183 54,770 110,953 Gross profit 133,020 145,887 278,907 Sales, general, and administrative 121,851 127,700 249,550 Research and development 14,623 14,616 29,239 Less - Share-based compensation expense in operating expenses (6,008) (7,356) (13,364) Operating income 2,554 10,931 13,485 Interest expense, net (4,501) (4,707) (9,208) Other income, net 212 111 323 Income (loss) before income taxes (1,735) 6,335 4,600 Income tax benefit (expense) 486 (1,775) (1,289) Net income (loss) $ (1,249) $ 4,560 $ 3,311

Adjusted Sales, General and Administrative Expense Three Months Ended June 30, Six Months Ended June 30, (Unaudited, U.S. Dollars, in thousands) 2025 2024 2025 2024 Sales, general, and administrative $ 136,493 $ 134,218 $ 269,474 $ 265,909 Reconciling items impacting sales, general, and administrative: SeaSpine merger-related costs (3,384 ) (2,784 ) (4,142 ) (6,134 ) Restructuring costs and impairments related to M6 product lines (1,393 ) — (4,729 ) — Strategic investments (194 ) (30 ) (1,741 ) (111 ) Amortization/depreciation of acquired long-lived assets — (121 ) (60 ) (369 ) Litigation and investigation costs (3,579 ) 277 (6,621 ) (1,983 ) Succession charges — (5,346 ) — (7,556 ) Sales, general, and administrative expense, as adjusted $ 127,943 $ 126,214 $ 252,181 $ 249,756 As a percentage of reported net sales 63.0 % 63.5 % 63.6 % 64.5 % Sales, general, and administrative expense attributable to M6 product lines (243 ) (3,144 ) (2,631 ) (7,299 ) Pro forma sales, general, and administrative expense, as adjusted $ 127,700 $ 123,070 $ 249,550 $ 242,457 As a percentage of pro forma net sales 63.6 % 63.8 % 64.0 % 64.7 %

Adjusted Research and Development Expense Three Months Ended June 30, Six Months Ended June 30, (Unaudited, U.S. Dollars, in thousands) 2025 2024 2025 2024 Research and development expense, as reported $ 15,934 $ 18,049 $ 35,700 $ 37,541 Reconciling items impacting research and development: SeaSpine merger-related costs (62 ) (84 ) (178 ) (318 ) Restructuring costs and impairments related to M6 product lines (77 ) — (1,929 ) — Strategic investments (127 ) (255 ) (2,110 ) (258 ) Litigation and investigation costs (450 ) — (450 ) — Research and development expense, as adjusted $ 15,218 $ 17,710 $ 31,033 $ 36,965 As a percentage of reported net sales 7.5 % 8.9 % 7.8 % 9.5 % Research and development expense attributable to M6 product lines (602 ) (2,440 ) (1,794 ) (4,676 ) Pro forma research and development expense, as adjusted $ 14,616 $ 15,270 $ 29,239 $ 32,289 As a percentage of pro forma net sales 7.3 % 7.9 % 7.5 % 8.6 %

Adjusted Non-Operating Expense Three Months Ended June 30, Six Months Ended June 30, (Unaudited, U.S. Dollars, in thousands) 2025 2024 2025 2024 Non-operating expense $ (1,780 ) $ 7,453 $ 1,480 $ 13,285 Reconciling items impacting non-operating expense: Restructuring costs and impairments related to M6 product lines 3 — 3 — Foreign exchange impact 2,751 (851 ) 3,795 (2,439 ) Interest and gain (loss) on investments 31 (1,786 ) 31 (1,503 ) Employee retention credit 3,617 — 3,617 — Non-operating expense, as adjusted $ 4,622 $ 4,816 $ 8,926 $ 9,343 As a percentage of reported net sales 2.3 % 2.4 % 2.2 % 2.4 % Losses attributable to M6 product lines (26 ) (18 ) (41 ) (65 ) Pro forma non-operating expense, as adjusted $ 4,596 $ 4,798 $ 8,885 $ 9,278 As a percentage of pro forma net sales 2.3 % 2.5 % 2.3 % 2.5 %

Pro Forma Non-GAAP Adjusted EBITDA – Excluding Impact of M6® Product Lines Three Months Ended Six Months Ended Three Months Ended Year Ended (Unaudited, U.S. Dollars, in thousands) March 31, 2025 June 30, 2025 June 30, 2025 March 31, 2024 June 30, 2024 September 30, 2024 December 31, 2024 December 31, 2024 Net loss $ (20,201) $ (10,589) $ (30,790) $ (32,501) $ (30,172) $ (23,930) $ (26,477) $ (113,079) Income tax expense 961 (144) 816 851 1,084 751 (564) 2,122 Interest expense, net 4,501 3,945 8,446 4,553 4,938 5,205 14,915 29,611 Depreciation and amortization 13,669 16,739 30,408 13,341 12,606 13,780 14,562 54,289 Share-based compensation expense 6,469 7,824 14,293 8,689 9,864 6,443 7,086 32,082 Foreign exchange impact (1,044) (2,751) (3,795) 1,577 851 (1,180) 3,091 4,338 SeaSpine merger-related costs 1,130 4,886 6,017 4,462 5,946 2,312 1,440 14,160 Restructuring costs and impairments related to M6 product lines — (2) (2) — — — — — Strategic investments 3,514 353 3,867 120 311 39 440 910 Acquisition-related fair value adjustments (610) (763) (1,373) 4,217 6,117 5,017 3,737 19,088 Interest and (gain) loss on investments — (31) (31) (260) 1,813 3,567 — 5,120 Litigation and investigation costs 3,042 4,029 7,071 2,260 (277) 8,335 5,452 15,770 Succession charges — — — 2,210 5,346 505 1,315 9,376 Employee retention credit — (2,854) (2,854) — — — — — Adjusted EBITDA $ 11,431 $ 20,646 $ 32,077 $ 9,519 $ 18,427 $ 20,844 $ 24,997 $ 73,787

Pro Forma Non-GAAP Adjusted Net Loss and Adjusted Gross Margin – Excluding Impact of M6® Product Lines Three Months Ended Six Months Ended Three Months Ended Year Ended (Unaudited, U.S. Dollars, in thousands) March 31, 2025 June 30, 2025 June 30, 2025 March 31, 2024 June 30, 2024 September 30, 2024 December 31, 2024 December 31, 2024 Net loss $ (20,201) $ (10,589) $ (30,790) $ (32,501) $ (30,172) $ (23,930) $ (26,477) $ (113,079) Share-based compensation expense 6,469 7,824 14,293 8,689 9,864 6,443 7,086 32,082 Foreign exchange impact (1,044) (2,751) (3,795) 1,577 851 (1,180) 3,090 4,338 SeaSpine merger-related costs 1,474 7,786 9,260 4,831 6,016 2,315 4,396 17,558 Restructuring costs and impairments related to M6 product lines 20,324 604 20,928 — — — — — Strategic investments 3,543 364 3,907 126 371 69 470 1,036 Acquisition-related fair value adjustments (610) (761) (1,371) 4,217 6,117 5,017 3,737 19,088 Amortization/depreciation of acquired long-lived assets (15,693) 3,615 (12,078) 3,812 3,668 4,066 3,857 15,403 Litigation and investigation costs 3,042 4,029 7,071 2,260 (277) 8,335 5,452 15,770 Succession charges — — — 2,210 5,346 505 1,315 9,376 Interest and (gain) loss on investments — (31) (31) (260) 1,764 3,567 — 5,070 Employee retention credit — (3,616) (3,616) — — — — — Long-term income tax rate adjustment 1,447 (1,915) (467) 2,024 (213) (918) (1,225) (332) Adjusted net loss $ (1,249) $ 4,560 $ 3,311 $ (3,015) $ 3,335 $ 4,289 $ 1,701 $ 6,310 Three Months Ended Six Months Ended Three Months Ended Year Ended (Unaudited, U.S. Dollars, in thousands) March 31, 2025 June 30, 2025 June 30, 2025 March 31, 2024 June 30, 2024 September 30, 2024 December 31, 2024 December 31, 2024 Gross profit $ 131,633 $ 140,683 $ 272,316 $ 124,360 $ 131,819 $ 132,862 $ 145,563 $ 534,604 Share-Based Compensation Expense 462 467 929 524 484 545 468 2,021 SeaSpine Merger-Related Costs 600 4,341 4,941 1,303 3,115 963 631 6,012 Restructuring costs and impairments related to M6 product lines (1) 1 — — — — — — Strategic investments 13 43 56 65 63 32 32 192 Acquisition-related fair value adjustments — — — 3,047 3,047 3,047 3,047 12,188 Amortization/depreciation of acquired long-lived assets 313 351 664 318 209 313 313 1,153 Adjusted gross profit $ 133,020 $ 145,887 $ 278,907 $ 129,617 $ 138,738 $ 137,762 $ 150,054 $ 556,170 Adjusted gross margin as a percentage of net sales 70.3% 72.7% 71.5% 71.2% 72.0% 72.0% 71.5% 71.7%