OFIX · Orthofix Medical Inc.
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Metrics snapshot
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AI Brief
Q2 FY26 earnings call · Aug 5, 2026TL;DR. Orthofix raised full-year 2026 guidance, with net sales now $845M–$855M and adjusted EBITDA $95M–$98M, reflecting the restoration of Medicare reimbursement for bone growth stimulators and an approximate $15M European distributor inventory purchase tied to MDR transition, partially offset by ongoing softness among smaller U.S. spine distributors.
- + Raised full-year 2026 net sales guidance to $845M–$855M, an increase of $7M from prior outlook.
- + Raised full-year 2026 adjusted EBITDA guidance to $95M–$98M, returning to the level expected before the Medicare reimbursement reduction.
- + Biologics stabilized at approximately flat year-over-year, the second consecutive quarter of improved performance after double-digit declines in 2025.
- − Ongoing softness among smaller U.S. spine distributors expected to continue through the balance of the year.
- − Adjusted gross margin declined to 71.7% from 72.7% in Q2 2025 due to unfavorable geographic mix.
- − European MDR distributor arrangement creates an approximately $22 million net sales headwind in 2027 while MDR requirements are completed.
- − European distributor arrangement creates a temporary free cash flow timing headwind in 2026 as cash receipts are projected in 2027 while inventory cash outflows occur this year.
- − GAAP net loss of $(15.8) million in Q2 2026 with net loss per share of $(0.39).
AI-generated from the earnings call and 8-K · may contain errors · not investment advice
Equibles Rating
blended score · not investment adviceBlended from price, momentum, positioning, fundamentals & volatility · daily-close · not investment advice. Market backdrop is context, not part of the score.
Guidance & track record
Guidance from company 8-Ks · delivered figures from as-reported statements · no analyst estimates involved.
Technicals
trend & momentum for long-term holders SellIllustrative technical + ownership context — a signal mix, not investment advice.
Key metrics
the company's own KPIs, from written earnings releases and filings| Metric | Latest | Period | YoY |
|---|---|---|---|
| Adjusted EBITDA non-GAAP | $29.83M | Six Months Ended June 30, 2026 | — |
| Adjusted EBITDA as a percentage of pro forma net sales non-GAAP | 7.3% | Six Months Ended June 30, 2026 | — |
| Adjusted EBITDA as a percentage of reported net sales non-GAAP | 7.3% | Six Months Ended June 30, 2026 | — |
| Adjusted gross margin as a percentage of pro forma net sales non-GAAP | 71.2% | Six Months Ended June 30, 2026 | — |
| Adjusted gross margin as a percentage of reported net sales non-GAAP | 71.2% | Six Months Ended June 30, 2026 | — |
| Adjusted gross profit non-GAAP | $290.11M | Six Months Ended June 30, 2026 | — |
| Adjusted net income (loss) non-GAAP | -$1.69M | Six Months Ended June 30, 2026 | — |
| Free cash flow non-GAAP | -$47.14M | Six Months Ended June 30, 2026 | — |
| Global Limb Reconstruction Segment Adjusted EBITDA non-GAAP | $1.15M | Three Months Ended June 30, 2026 filing | — |
| Global Spine Segment Adjusted EBITDA non-GAAP | $25.59M | Three Months Ended June 30, 2026 filing | — |
| non-GAAP adjusted EBITDA non-GAAP | $20.1M | second quarter 2026 | — |
| Non-GAAP Adjusted Gross Margin non-GAAP | 71.7% | Q2 2026 | — |
| Non-operating expense, as adjusted non-GAAP | $12.89M | Six Months Ended June 30, 2026 | — |
| Pro forma net sales non-GAAP | $210.9M | Q2 FY2026 | — |
| Pro forma net sales growth (constant currency) non-GAAP | 4.7% | Q2 2026 | — |
| Q2 Non-GAAP Adjusted EBITDA non-GAAP | $20.1M | Q2 2026 | — |
| Research and development expense, as adjusted non-GAAP | $30.46M | Six Months Ended June 30, 2026 | — |
| Sales, general, and administrative expense, as adjusted non-GAAP | $262.9M | Six Months Ended June 30, 2026 | — |
| Segment Adjusted EBITDA non-GAAP | $26.74M | Three Months Ended June 30, 2026 filing | — |
| TTM Pro Forma Adj. EBITDA non-GAAP | $84M | TTM as of 6/30/2026 | — |
| TTM Pro Forma Adj. Gross Margin non-GAAP | 71.5% | TTM as of 6/30/2026 | — |
Figures exactly as the company stated them in writing · click a metric with a to chart its history · period links open the stating document · "filing" marks figures stated in the 10-K/10-Q · YoY needs an exactly comparable prior-year period
Versus peers
Medical Devices — same industry group| Company | Mkt cap | YTD | Rev growth Y/Y | P/E | Short % shares |
|---|---|---|---|---|---|
|
OFIX
this stock
Orthofix Medical Inc.
|
$366.59M | -40.6% | +2.9% | — | 6.2% |
|
ABT
Abbott Laboratories
|
$171.97B | -21.4% | +5.7% | 27.7 | 1.1% |
|
MDT
Medtronic plc
|
$112.24B | -8.7% | +8.4% | 21.6 | 1.3% |
|
SYK
Stryker Corp
|
$105.64B | -21.2% | +11.2% | 28.5 | 2.0% |
|
BSX
Boston Scientific Corp
|
$60.69B | -55.9% | +12.5% | 17.0 | 3.2% |
Peers by industry group · P/E from as-reported trailing EPS · short % is of shares outstanding
At a glance
key data from every sectionPerformance
| 5D | 20D | 120D | MTD | YTD | |
|---|---|---|---|---|---|
| OFIX | -2.3% | +3.6% | -29.2% | -4.4% | -40.6% |
| SPY | +1.3% | +2.1% | +9.0% | +1.5% | +13.5% |
| vs SPY | -3.6% | +1.5% | -38.2% | -5.8% | -54.1% |
Capital returns
Dividends per share over the trailing 365 days by ex-date · buyback figures as last reported in SEC filings ("spent" derived as authorized − remaining; when several programs run concurrently, authorized is their combined total per the newest filing) · components shown separately — trailing-year buyback spend isn't tracked, so no combined shareholder yield is derived.