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OrthoPediatrics Corp (KIDS)
NASDAQ:KIDS

OrthoPediatrics (KIDS) AI Stock Analysis

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KIOrthoPediatrics
(NASDAQ:KIDS)
56Neutral
OrthoPediatrics shows promising growth potential, driven by strong revenue increases and strategic initiatives. However, the stock faces significant challenges with profitability and cash flow, reflected in a negative P/E ratio and reliance on external financing. Technical indicators suggest a bearish trend, and while the earnings call provided a positive outlook with improving EBITDA, the current financial struggles and valuation concerns weigh down the overall score.
Positive Factors
Market Expansion
OrthoPediatrics' new Boston O&P clinic strategy presents an opportunity for significant growth acceleration.
Revenue Growth
US revenues grew 52% year over year, reported.
Negative Factors
Earnings Guidance
The initial 2025 sales guidance and adjusted EBITDA target are both below Street numbers.
Segment Performance
Sports Medicine/Other showed a decline of 29.2% year over year, reflecting a negative trend in this segment.

OrthoPediatrics (KIDS) vs. S&P 500 (SPY)

OrthoPediatrics Business Overview & Revenue Model

Company DescriptionOrthoPediatrics Corp. (KIDS) is a medical device company focused exclusively on providing a comprehensive range of products for the pediatric orthopedic market. The company designs, develops, and sells innovative orthopedic implants and instruments to address the unique needs of children with musculoskeletal disorders. By collaborating with surgeons, OrthoPediatrics ensures that its products improve surgical outcomes and patient care in pediatric orthopedics.
How the Company Makes MoneyOrthoPediatrics generates revenue primarily through the sale of its specialized orthopedic implants and instruments designed for pediatric use. The company's revenue model is based on direct sales to hospitals, surgical centers, and healthcare providers, as well as through distribution partnerships in various regions. Key revenue streams include its core product lines, such as trauma and deformity correction systems, scoliosis treatment systems, and sports medicine solutions. The company also benefits from strong relationships with pediatric orthopedic surgeons, who provide insights and feedback to guide product development, ensuring that its offerings meet the specific needs of young patients. Additionally, OrthoPediatrics may engage in strategic partnerships and collaborations to expand its market reach and enhance its product portfolio, contributing to its overall earnings.

OrthoPediatrics Financial Statement Overview

Summary
OrthoPediatrics shows strong revenue growth and a robust equity position, with low debt levels. However, the company struggles with profitability and cash flow management, marked by negative net income and free cash flows. While the growth trajectory is promising, operational inefficiencies and cash flow reliance on external financing present risks that need addressing for sustainable financial health.
Income Statement
62
Positive
OrthoPediatrics has demonstrated consistent revenue growth, with a TTM revenue increase of 37.6% compared to the previous year. Despite this, the company is facing profitability challenges, evidenced by negative net profit margins and EBIT margins. The gross profit margin is relatively strong at 67.8%, indicating effective cost management relative to revenue. However, both the EBIT and EBITDA margins are negative, reflecting operational inefficiencies and high operating expenses.
Balance Sheet
70
Positive
The company maintains a solid equity position with an equity ratio of 74.9%, suggesting financial stability. The debt-to-equity ratio is low at 0.07, which indicates a conservative approach to leverage. However, the return on equity is negative due to consistent net losses, which is a concern for long-term value creation. Overall, the balance sheet exhibits strong equity and low debt, but profitability remains a challenge.
Cash Flow
55
Neutral
OrthoPediatrics faces negative free cash flow, although it has improved from the previous year. The operating cash flow to net income ratio is unfavorable, reflecting cash flow struggles in relation to losses. The company is heavily investing in capital expenditures, which could drive future growth but currently contributes to cash flow challenges. Financing cash flow remains positive, indicating reliance on external funding.
Breakdown
Dec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income StatementTotal Revenue
204.73M148.73M122.29M98.05M71.08M
Gross Profit
148.60M111.25M90.66M73.40M55.03M
EBIT
-29.52M-25.77M-21.79M-17.87M-20.41M
EBITDA
-10.44M-8.38M-7.93M-7.19M-22.35M
Net Income Common Stockholders
-37.82M-20.97M1.26M-16.26M-32.94M
Balance SheetCash, Cash Equivalents and Short-Term Investments
68.83M80.31M118.29M53.54M83.90M
Total Assets
473.21M438.75M427.73M304.27M320.41M
Total Debt
24.12M10.06M907.00K1.04M1.50M
Net Debt
-19.70M-21.00M-8.08M-6.60M-27.26M
Total Liabilities
118.64M61.72M49.08M78.91M85.64M
Stockholders Equity
354.57M377.02M378.65M225.37M234.77M
Cash FlowFree Cash Flow
-41.31M-46.03M-31.80M-29.07M-29.83M
Operating Cash Flow
-27.05M-27.05M-21.77M-13.06M-18.53M
Investing Cash Flow
-13.16M41.68M-113.37M-7.41M-69.69M
Financing Cash Flow
53.13M7.30M135.97M6.00K46.73M

OrthoPediatrics Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price24.49
Price Trends
50DMA
24.42
Positive
100DMA
24.81
Negative
200DMA
27.37
Negative
Market Momentum
MACD
<0.01
Negative
RSI
51.69
Neutral
STOCH
79.79
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For KIDS, the sentiment is Neutral. The current price of 24.49 is above the 20-day moving average (MA) of 24.14, above the 50-day MA of 24.42, and below the 200-day MA of 27.37, indicating a neutral trend. The MACD of <0.01 indicates Negative momentum. The RSI at 51.69 is Neutral, neither overbought nor oversold. The STOCH value of 79.79 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for KIDS.

OrthoPediatrics Risk Analysis

OrthoPediatrics disclosed 75 risk factors in its most recent earnings report. OrthoPediatrics reported the most risks in the “Finance & Corporate” category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

OrthoPediatrics Peers Comparison

Overall Rating
UnderperformOutperform
Sector (49)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
SYSYK
82
Outperform
$141.23B48.8715.26%0.85%10.23%-5.74%
76
Outperform
$16.65B40.9543.03%22.07%101.95%
ZBZBH
70
Outperform
$22.03B24.367.24%0.89%3.84%-9.29%
68
Neutral
$12.38B103.992.52%60.62%-35.88%
56
Neutral
$1.75B-0.44%4.47%-110.70%
56
Neutral
$594.78M-10.34%
49
Neutral
$7.05B0.34-55.09%2.46%25.27%-3.43%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
KIDS
OrthoPediatrics
24.49
-2.92
-10.65%
PODD
Insulet
237.06
55.23
30.37%
IART
Integra Lifesciences
23.95
-11.93
-33.25%
SYK
Stryker
370.12
15.01
4.23%
ZBH
Zimmer Biomet Holdings
107.34
-19.78
-15.56%
GMED
Globus Medical
73.49
18.20
32.92%

OrthoPediatrics Earnings Call Summary

Earnings Call Date: Mar 4, 2025 | % Change Since: 6.99% | Next Earnings Date: Apr 30, 2025
Earnings Call Sentiment Positive
OrthoPediatrics reported strong growth and record patient impact for 2024, with significant revenue and adjusted EBITDA improvements. Despite challenges with international sales and gross margin declines due to expense reclassifications, the company remains on track with positive growth projections, successful integration efforts, and new product launches. The restructuring efforts and strategic decisions are aimed at driving long-term profitability.
Highlights
Record-High Patient Impact
In 2024, OrthoPediatrics helped over 138,000 kids, a record high for the company, marking significant growth in patient impact.
Revenue and Growth Metrics
Total revenue for Q4 2024 was $52.7 million, representing a 40% growth from the comparable period. The full-year revenue expectation for 2025 is between $235 to $242 million, an annual growth of 15% to 18%.
Significant Growth in Key Segments
TMD and scoliosis segments saw quarterly growth of 35% and 62%, respectively. The scoliosis global revenue increased by 62% compared to the prior year.
Adjusted EBITDA Improvement
Adjusted EBITDA more than doubled in Q4 2024 to $3.0 million, with an expectation of $15 to $17 million in adjusted EBITDA for 2025.
Positive Free Cash Flow Projection
The company expects to achieve its first quarter of positive free cash flow by Q4 2025.
Expansion and Integration Success
Successful integration of Boston OMP and expansion of the OPSB business, with plans for four new territories in 2025.
Strong International Demand
Despite challenges, EMEA T&D growth was strong due to high demand, and non-LATAM T&D growth exceeded 20% with scoliosis growing nearly 30%.
New Product Launches and R&D Advancements
Launches included PMP Tibia and DF2 femur fracture brace, with plans for a beta launch of the 3P hip system and new EOS products.
Lowlights
Slower International Sales
International revenue growth was only 5% due to conscious decision to limit set sales shipments to South America, particularly Brazil, affected by currency fluctuations.
Gross Margin Decline
Q4 2024 gross profit margin was 68%, down from 71% in the prior year, primarily due to reclassification of expenses in OPSB.
One-Time Charges and Restructuring
A $3.7 million restructuring charge was incurred due to the closure of the OP Israel office and production move to the US.
Flat Guidance for Gross Margins
Updated gross margin guidance remains flat at 72% to 73%, reflecting cost reclassifications and not impacting profitability.
Company Guidance
During the fourth quarter of 2024, OrthoPediatrics achieved a total revenue of $52.7 million, marking a 40% increase from the previous year, with U.S. revenue seeing a 52% rise to $42.9 million. The company's trauma and deformity business reported revenue of $36.4 million, a 35% increase, while the scoliosis segment grew by 62% to $15.6 million. International sales reached $9.8 million, reflecting a 5% growth, despite deliberate reductions in shipments to South America. The company deployed $3.7 million in sets during the quarter, slightly down from the previous year, and saw its adjusted EBITDA more than double to $3 million. Looking ahead, OrthoPediatrics anticipates full-year 2025 revenue to range from $235 to $242 million, with adjusted EBITDA projected between $15 to $17 million, and expects to achieve its first quarter of positive free cash flow by the fourth quarter of 2025.

OrthoPediatrics Corporate Events

Business Operations and Strategy
OrthoPediatrics Highlights Growth Strategy in Presentations
Positive
Jan 14, 2025

OrthoPediatrics announced upcoming presentations by its executive officers to investors and analysts, highlighting the company’s focus on pediatric orthopedic solutions. The announcement underscores OrthoPediatrics’ strategy to expand its market through aggressive R&D investments, strategic acquisitions, and its commitment to clinical education, which positions it as a leader in the pediatric orthopedic industry. This initiative aims to strengthen the company’s operations and further its reach in the global market.

Glossary
OutperformA stock rated as "Outperform" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock is likely to deliver higher returns compared to the average returns of other stocks in the same sector or market index. Investors might consider this stock a good buying opportunity.
NeutralA stock rated as "Neutral" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly attractive nor unattractive for investment. Investors may consider holding onto the stock, as it is not expected to either significantly outperform or underperform the market.
UnderperformA stock rated as "Underperform" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock may deliver lower returns compared to the average returns of other stocks in the same sector or market index. Investors might consider selling the stock or avoiding it as an investment.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.