Q4 2025 Aurora Spine Corp Earnings Call

April 30, 2026

Operator: Good day. Welcome to the Aurora Spine Q4 and fiscal year 2025 Financial Results Conference Call. All participants will be in a listen-only mode. After today's presentation, there will be an opportunity to ask questions. Please note this event is being recorded. I would now like to turn the conference over to Adam Lowensteiner of Lytham Partners. Please go ahead.

Speaker #2: Should you need assistance, please signal a conference specialist by pressing the star key followed by zero. After today's presentation, there will be an opportunity to ask questions.

Speaker #2: To ask a question, you may press star, then one on your touchtone phone. To withdraw your question, please press star, then two. Please note this event is being recorded.

Speaker #2: I would now like to turn the conference over to Adam Loewensteiner of Litham Partners. Please go ahead. Thank you, Danielle. Welcome, everyone, and thank you for joining us today to conduct an update with investors and review the financial results for Aurora Spine for the fourth quarter and fiscal year 2025 that ended December 31st, 2025.

Adam Lowensteiner: Thank you, Danielle. Welcome everyone, thank you for joining us today to conduct an update with investors and review the financial results for Aurora Spine for Q4 and fiscal year 2025 that ended 31 December 2025. With us on the call representing the company today are Trent Northcutt, President and CEO of Aurora Spine, Matt Goldstone, Chief Commercial Officer, and Chad Clouse, Chief Financial Officer. Before we begin, I'd like to remind everyone that statements made during this course of this call may be considered forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934. These statements reflect current expectations concerning future events and results.

Speaker #2: With us on the call representing the company today are Trent Orthcott, President and CEO of Aurora Spine; Matt Goldstone, Chief Commercial Officer; and Chad Klaus, Chief Financial Officer.

Speaker #2: Before we begin, I'd like to remind everyone that statements made during this course of this call may be considered forward-looking statements within the meaning of Section 27A of the Securities Act of 1933.

Speaker #2: As amended, Section 21E of the Securities Act of 1934. These statements reflect current expectations concerning future events and results. Words such as expect, intend, believe, may, will, should, could, anticipate, and similar expressions are words that are used to identify forward-looking statements, but their absence does not mean a statement is not forward-looking.

Adam Lowensteiner: Words such as expect, intend, believe, may, will, should, could, anticipate, and similar expressions are words that are used to identify forward-looking statements, but their absence does not mean a statement is not forward-looking. These statements are not guarantees of future performance and are subject to risks and uncertainties and other important factors that could cause actual performance or achievements to be materially different from those projected. For a full discussion of these risks, uncertainties, and factors, you're encouraged to read Aurora Spine's documents on file with SEDAR, including those set forth in periodic reports filed under the Forward-Looking Statements and Risk Factors section. Aurora Spine does not intend to update or revise any forward-looking statements, whether as a result of new information, future events, or otherwise.

Speaker #2: These statements are not guarantees of future performance and are subject to risks and uncertainties and other important factors that could cause actual performance or achievements to be materially different from those projected.

Speaker #2: For a full discussion of these risks, uncertainties, and factors, you're encouraged to read Aurora Spine's documents on file with CDAR, including those set forth in periodic reports filed under the Forward-Looking Statements and Risk Factors section.

Speaker #2: Aurora Spine does not intend to update or revise any forward-looking statements. Whether as a result of new information, future events, or otherwise. On this call, management may refer to EBITDA, adjusted EBITDA, adjusted net income, or adjusted EPS, which are not measures of financial performance under generally accepted accounting principles or GAAP.

Adam Lowensteiner: On this call, management may refer to EBITDA, adjusted EBITDA, adjusted net income, or adjusted EPS, which are not measures of financial performance under Generally Accepted Accounting Principles or GAAP. Management believes that these non-GAAP figures, in addition to other GAAP measures, provide meaningful supplemental information regarding the company's operational performance. Investors should recognize that these non-GAAP figures might not be comparable to similarly titled measures of other companies. These measures should not be considered in addition to and not as a substitute for or superior to any measure of performance prepared in accordance with GAAP. A reconciliation of non-GAAP measures to the most directly comparable GAAP measures in accordance with the SEC Regulation G can be found in the company's earnings release. With that, now I'd like to turn the call over to Mr. Trent Northcutt, President and CEO of Aurora Spine. Trent, please proceed.

Speaker #2: Management believes that these non-GAAP figures, in addition to other GAAP measures, provide meaningful supplemental information regarding the company's operational performance. Investors should recognize that these non-GAAP figures might not be comparable to similarly titled measures of other companies.

Adam Lowensteiner: Investors should recognize that these non-GAAP figures might not be comparable to similarly titled measures of other companies. These measures should not be considered in addition to and not as a substitute for or superior to any measure of performance prepared in accordance with GAAP. A reconciliation of non-GAAP measures to the most directly comparable GAAP measures in accordance with the SEC Regulation G can be found in the company's earnings release. With that, now I'd like to turn the call over to Mr. Trent Northcutt, President and CEO of Aurora Spine. Trent, please proceed.

Speaker #2: These measures should not be considered in addition to and not as a substitute for or superior to any measure of performance prepared in accordance with GAAP.

Speaker #2: A reconciliation of non-GAAP measures to the most directly comparable GAAP measures in accordance with the SEC Regulation G can be found in the company's earnings release.

Speaker #2: With that, now I'd like to turn the call over to Mr. Trent Northcott, President and CEO of Aurora Spine. Trent, please proceed.

Speaker #3: Thank you, Adam. I'd like to welcome everyone to this call to update everyone about Aurora Spine. To lay out the agenda for today's call, I plan on updating everyone on the company's operations, and then hand the call over to Matt Goldstone, our Chief Commercialization Officer, to review our sales initiatives.

Trent Northcutt: Thank you, Adam. I'd like to welcome everyone to this call to update everyone about Aurora Spine. To lay out the agenda for today's call, I plan on updating everyone on the company's operations and then hand the call over to Matt Goldstone, our Chief Commercialization Officer, to review our sales initiatives. After Matt makes his remarks, I will pass the call to Chad Clouse, our Chief Financial Officer, who will then briefly review this company's financials. Afterwards, I will make some brief concluding remarks and then open the call to answer any questions you may have. Fiscal 2025 was a solid year for Aurora as we achieved record revenues on an annual basis and built momentum into the end of the year, producing the company's first $5 million revenue quarter in the company's history.

Speaker #3: After Matt makes his remarks, I will pass the call to Chad Klaus, our Chief Financial Officer, who will then briefly review the company's financials afterwards.

Speaker #3: I will make some brief concluded remarks, and then open the call to answer any questions you may have. Fiscal 2025 was a solid year for Aurora.

Speaker #3: As we achieved record revenues on an annual basis and built momentum into the end of the year, producing the company's first $5 million revenue quarter in the company's history.

Speaker #3: This is a great accomplishment and puts the company on a good trajectory for 2026 and beyond. And I couldn't it could not have been achieved if it weren't for our great team of employees, that we have assembled.

Trent Northcutt: This is a great accomplishment and puts the company on a good trajectory for 2026 and beyond, and it could not have been achieved if it weren't for our great team of employees that we've assembled. To our employees, thank you for all your hard work and your efforts in helping build Aurora what it is today. The Q4 results were stellar, as not only did we have a record quarter in revenues, but we, the company, also had the best month in revenues on record in the month of October, where we're slightly shy of $2 million. These results show that we are executing on our strategy and growing our sales team and getting our line of proprietary products out into the hands of more surgeons.

Speaker #3: To our employees, thank you for all your hard work and your efforts in helping build Aurora what it is today. The fourth quarter results were stellar.

Speaker #3: As not only do we have a record quarter in revenues, but we the company also had the best month in revenues on record in the month of October, where we slightly were slightly shy of $2 million.

Speaker #3: These results show that we are executing on our strategy and growing our sales team and getting our line of proprietary products out into the hands of more surgeons.

Speaker #3: The momentum demonstrates in the fourth quarter was directly due to the efforts that we have made on building our internal sales force, which now has additional products in their bag.

Trent Northcutt: The momentum demonstrated in the Q4 was directly due to the efforts that we have made on building our internal sales force, which now has additional products in their bag. Surrounding this momentum was primarily delivered by our main product platforms, the ZIP and the SiLO, which are approximately 60% of the sales in the quarter. ZIP had a very good quarter, with sales increased around 24% due to the strong demand for the product, especially among pain interventionalists that are starting to deploy the product into their practices. The SiLO platform, which is now primarily dominated by the TFX, continues to perform well and was a solid contributor to the company's revenue growth for the fiscal year.

Speaker #3: Surrounding this momentum was primarily delivered by our main product platforms, the Zip and the Silo, which are approximately 60% of the sales in the quarter.

Speaker #3: Zip had a very good quarter with sales increased around 24% due to the strong demand for the product, especially among pain interventionalists that are starting to deploy the product into their practices.

Speaker #3: The Silo platform, which is now primarily dominated by the TFX, continues to perform well and was a solid contributor to the company's revenue growth for the fiscal year.

Speaker #3: Now pivoting to Dexa, we were officially launched the Dexa L, which is the lumbar version, during the later part of the third quarter, and we are making strong inroads with the product.

Trent Northcutt: Now pivoting to DEXA, we officially launched the DEXA-L, which is the lumbar version, during the later part of the Q3. We are making strong inroads with the product. DEXA-L is part of Aurora Spine's patented DEXA technology platform, which is a series of products that are the world's first bone density-matched implants. We have high hopes for DEXA-L as the science issues occur more frequently in the lumbar section of the spine due to heavier loads and that are put onto the portion of that spine. In addition, the CDC estimates that almost half of the US population over 50 years of age have low bone mass. This equates to millions of patients that have had implants that matches their bone density when having spine surgery.

Speaker #3: Dexa L is part of Aurora's patented Dexa technology platform, which is a series of products that are the world's first bone density matched implants.

Speaker #3: We have high hopes for Dexa L as the science issues occur more frequently in the lumbar section of the spine due to heavier loads and that are put onto the portion of that spine.

Speaker #3: In addition, the CDC estimates that most almost half of the US population over 50 years of age have low bone mass. This equates to millions of patients that have had implants that match their bone density when having spine surgery.

Speaker #3: We are extremely excited about the launch and believe that the product will be a key growth catalyst in 2026. Since we've entered the year with our Apollo plate now in stock, we were able to fulfill orders of our current Dexa products.

Trent Northcutt: We're extremely excited about the launch and believe that the product will be a key growth catalyst in 2026. Since we've entered it, the year, with our Apollo plate now in stock, we're able to fulfill orders of our current DEXA products. We have begun to ramp up marketing efforts on the platform and expect to build momentum throughout the year. This rounds out the discussion of our product portfolio, I'd also like to mention that we are anticipating the addition of two new product extensions later this year. Both products will be expanding upon our SiLO family of products. The first product that we are expect to be ready to go to market over the summer is a product for SI joint pain and will be administered using a lateral oblique approach, which is a different approach than the TFX.

Speaker #3: We have begun to ramp up marketing efforts on the platform and expect to build momentum throughout the year. As this rounds out the discussion of our product portfolio, I'd also like to mention that we are anticipating the addition of two new product extensions later this year.

Trent Northcutt: This rounds out the discussion of our product portfolio, I'd also like to mention that we are anticipating the addition of two new product extensions later this year. Both products will be expanding upon our SiLO family of products. The first product that we are expect to be ready to go to market over the summer is a product for SI joint pain and will be administered using a lateral oblique approach, which is a different approach than the TFX.

Speaker #3: Both products will be expanding upon our Silo family of products. The first product that we are expected to be ready to go to market over the summer is a product for SI joint pain and will be administered using a lateral oblique approach.

Speaker #3: Which is a different approach than the TFX. The lateral oblique approach is the number two type of approach currently used in SI joint pain.

Trent Northcutt: The lateral oblique approach is the number 2 type of approach currently used in SI joint pain. Lateral, lateral oblique and posterior, and Aurora addresses 2 of those approaches. We are excited about the release of this product, and we are planning for it to be Aurora's first product in a disposable kit format. We are in the midst of lining up doctors to use this product upon launch and believe it'll act as a good catalyst in the back half of 2026. The other product extensions we are currently developing is the DEXA version of our existing products. We have expressed in the past our goal is to leverage our proprietary DEXA technology platform by offering not only the best devices on the market, but also offering products that are customized for the patient's bone density. It's a device that I can refer as DEXIfied.

Speaker #3: So lateral, lateral oblique, and posterior. And Aurora addresses two of those approaches. We are excited about the release of this product and we are planning for it to be Aurora's first product in a disposable kit format.

Speaker #3: We are in the midst of lining up doctors to use this product upon launch. And believe it will act as a good catalyst in the back half of 2026.

Speaker #3: The other product extensions we are currently developing is the Dexa version of our existing products. We have expressed in the past our goal is to leverage our proprietary Dexa technology platform by offering not only the best devices on the market, but also offering products that are customized for the patient's bone density.

Trent Northcutt: The other product extensions we are currently developing is the DEXA version of our existing products. We have expressed in the past our goal is to leverage our proprietary DEXA technology platform by offering not only the best devices on the market, but also offering products that are customized for the patient's bone density. It's a device that I can refer as DEXIfied.

Speaker #3: If the device that I can refer as Dexified, I'll Dexify the implants. We have plans on eventually converting such products into Dexa format in the near future.

Trent Northcutt: I'll DEXIfy the implants. We have plans on eventually converting such products into DEXA format in the near future. We know for many patients, bone density matters, not all one size fits all. Many times, surgeons don't have an implant that can match patient's bone density and can't perform certain procedures as a result. We are excited about this opportunity and look forward to sharing more about this product later this year. That concludes my formal comments. Now I'll turn the conversation over to Matt Goldstone, Aurora Spine's Chief Commercial Officer. Matt, please proceed.

Speaker #3: We know from many patients, bone density matters. Not all one size fits all. Many times, surgeons don't have an implant that can match patients' bone density and can't perform certain procedures as a result.

Speaker #3: We are excited about this opportunity and look forward to sharing more about this product later this year. That concludes my formal comments. Now I'll turn the conversation over to Matt Goldstone, Aurora Spine's Chief Commercialization Officer.

Speaker #3: Matt, please proceed.

Speaker #4: Thank you, Trent. The company's sales initiatives in 2025 were considerably active. As we worked on growing and building our internal sales team, we added new sales personnel during 2025.

Matthew Goldstone: Thank you, Trent. The company sales initiatives in 2025 were considerably active as we worked on growing and building our internal sales team. We added new sales personnel during 2025. It enabled us to build momentum in the Q4, which Trent has identified, producing record revenue levels for both the quarter and for having the highest month in company record in October. To give an update on where we are, we currently have 17 sales and marketing personnel as today, and we're excited about our recent additions we've made in the past few weeks. We've added 2 new salespeople and have a third that will hopefully be added in the next few weeks as well.

Matt Goldstone: Thank you, Trent. The company sales initiatives in 2025 were considerably active as we worked on growing and building our internal sales team. We added new sales personnel during 2025. It enabled us to build momentum in the Q4, which Trent has identified, producing record revenue levels for both the quarter and for having the highest month in company record in October. To give an update on where we are, we currently have 17 sales and marketing personnel as today, and we're excited about our recent additions we've made in the past few weeks. We've added 2 new salespeople and have a third that will hopefully be added in the next few weeks as well.

Speaker #4: It enabled us to build momentum in the fourth quarter which Trent has identified. Producing record revenue levels for both the quarter and for having the highest month in company record in October.

Speaker #4: So to give an update on where we are: we currently have 17 sales and marketing personnel as of today and we're excited about our recent additions.

Speaker #4: We've made in the past few weeks. We've added two new salespeople and have a third that will hopefully be added in the next few weeks as well.

Speaker #4: Adding these people so early in the fiscal year is a great achievement and puts us well on schedule to meet our goals of increasing sales by the sales force by 50% this year.

Matthew Goldstone: Adding these people so early in the fiscal year is a great achievement and puts us well on schedule to meet our goals increasing sales by the sales force by 50% this year. With our recent hires, we have filled two territories that were previously uncovered, both the Northwest and the central part of the United States, which will include 12 states and both new hires have experience in spine and pain markets, which fits in alignment with Aurora's portfolio. We continue to forge forward with our new products and integrate them into our team. We have a very great opportunity ahead of us this year as many of our product platforms and products are coming to market. As Trent mentioned, the addition of the new products into our portfolio will drive adoption across the United States.

Matt Goldstone: Adding these people so early in the fiscal year is a great achievement and puts us well on schedule to meet our goals increasing sales by the sales force by 50% this year. With our recent hires, we have filled two territories that were previously uncovered, both the Northwest and the central part of the United States, which will include 12 states and both new hires have experience in spine and pain markets, which fits in alignment with Aurora's portfolio. We continue to forge forward with our new products and integrate them into our team. We have a very great opportunity ahead of us this year as many of our product platforms and products are coming to market. As Trent mentioned, the addition of the new products into our portfolio will drive adoption across the United States.

Speaker #4: With our recent hires, we have filled two territories that were previously uncovered. Both the northwest and the central part of the United States which will include 12 states and both new hires have experience in spine and pain markets which fits in alignment with Aurora's portfolio.

Speaker #4: We continue to move forward with our new products and integrate them into our team. We have a very great opportunity ahead of us this year, as many of our product platforms and products are coming to market.

Speaker #4: As Trent mentioned, the addition of the new products into our portfolio will drive adoption across the United States. While we have more work to do, we are excited about our future and have the right products available to deliver for the best outcomes for patients.

Matthew Goldstone: While we have more work to do, we are excited about our future and have the right products available to deliver for the best outcomes for patients. That concludes my formal comments. Now I'll turn the conversation to Chad Clouse, Aurora Spine's CFO, for some commentary on our financials. Chad, please proceed.

Matt Goldstone: While we have more work to do, we are excited about our future and have the right products available to deliver for the best outcomes for patients. That concludes my formal comments. Now I'll turn the conversation to Chad Clouse, Aurora Spine's CFO, for some commentary on our financials. Chad, please proceed.

Speaker #4: That concludes my formal comments. Now I'll turn the conversation to Chad Klaus, Aurora Spine's CFO, for some commentary on our financials. Chad, please proceed.

Speaker #5: Thank you, Matt. The company's financial performance in the fourth quarter and fiscal year continued to show excellent progress. And reached some new record levels for Aurora.

Chad Clouse: Thank you, Matt. The company's financial performance in Q4 and fiscal year continued to show excellent progress and reach some new record levels for Aurora Spine. Let's discuss some highlights. Total revenues for Q4 of 2025 were $5.02 million, an increase of 14% when compared to $4.4 million in Q3 of 2025 and up from $4.7 million in the same Q4 one year ago. Total revenues for fiscal 2025 were $18.4 million compared to $17.6 million for fiscal 2024. Both Q4 and fiscal year 2025 reported record revenue levels due to increased sales in ZIP implants and SI joint fusion devices, along with the release of the fusion device. Company continues to target the pain market with increased marketing and training and an increase in sales force.

Speaker #5: Let's discuss some highlights. Total revenues for the fourth quarter of 2025 were $5.02 million, an increase of 14% when compared to $4.4 million, and the third quarter of 2025, and up from $4.7 million in the same quarter one year ago.

Speaker #5: Total revenues for fiscal 2025 were $18.4 million, compared to $17.6 million for fiscal 2024. Both Q4 and fiscal year 2025 reported record level revenue levels due to increased sales and ZIP implants and SI fusion devices.

Speaker #5: Along with the release of the ZIP fusion device, the company continues to target the pain market with increased marketing and training and an increase in sales force.

Chad Clouse: Gross profit margin was 62.4% in Q4, a nice improvement from 57.8% in Q4 2024. Gross profit margins on total revenues for fiscal year 2025 was 61% compared to 60.5% for fiscal year 2024. Gross margins were higher in both periods due to increased sales with higher margin implants, lower distributor commissions, and lower royalty expenses offset by shipping costs. Gross margin continued to be at a strong level, and we believe this level is sustainable. Operating expenses were approximately $3.15 million for Q4 2025, which was down when compared to $3.22 million in Q4 2024.

Speaker #5: Gross profit margin was 62.4% in the fourth quarter and nice improvement from 57.8 in the fourth quarter of 2024. Gross profit margins on total revenues for fiscal year 2025 was 61%, compared to 60.5% for fiscal year 2024.

Speaker #5: Gross margins were higher in both periods due to increased sales with higher margin implants, lower distributor commissions, and lower royalty expenses offset by shipping costs.

Speaker #5: Gross margin continued to be at a strong level and we believe this level is sustainable. So operating expenses were approximately $3.15 million for the fourth quarter of 2025, which was down when compared to $3.22 million in the fourth quarter of 2024.

Chad Clouse: Total operating expenses for fiscal 2025 were $11.8 million compared to $11.5 million for fiscal 2024. Operating expenses were in line with a year ago and lower on year-over-year basis during the Q4 due to continued tight expense controls. Specifically in the Q4, costs were curtailed due to lower R&D expenses as the ZIP study concluded. EBITDAC, a non-GAAP figure, was approximately $301 thousand for the Q4 of 2025 compared to $165 thousand in Q3 of 2025, and -$320 thousand from the same quarter a year ago. EBITDAC was $587 thousand for fiscal 2025, higher when compared to $282 thousand for fiscal 2024.

Speaker #5: Total operating expenses for fiscal 2025 were $11.8 million compared to $11.5 million for fiscal 2024. Operating expenses were in line with the year ago and lower on year-over-year basis during the fourth quarter due to continued tight expense controls.

Speaker #5: Specifically in the fourth quarter were costs for curtailed due due to lower R&D expenses as the ZIP study concluded. EBITDA, a non-gap figure, was approximately $301,000 for the fourth quarter of 2025 compared to $165,000 in third quarter of 2025.

Speaker #5: And a negative $320,000 from the same quarter a year ago. EBITDA was $587,000 for fiscal 2025, higher when compared to $282,000 for fiscal 2024.

Speaker #5: The improvements to EBITDA levels for the fourth quarter fiscal year were due to higher sales levels and tight expense controls. Net loss was $41,000 for fourth quarter 2025 compared to a net loss of $653,000 in fourth quarter a year ago.

Chad Clouse: The improvements to EBITDAC levels for Q4 fiscal year were due to higher sales levels and tight expense controls. Net loss was $41,000 for Q4 2025 compared to a net loss of $653,000 in Q4 a year ago. Basic and diluted net income per share was $0 per share in Q4 2025 and -$0.01 per share in Q4 2024. Net loss for fiscal 2025 was $731,000 compared to a net loss of $1 million in fiscal year 2024. Basic and diluted net loss per share for fiscal 2025 was $0.01 per share compared to a net loss per share of $0.01 in fiscal 2024. Moving on to the balance sheet.

Speaker #5: Basic and diluted net income per share was $0 per share in the fourth quarter of 2025 and a negative $1 cent per share in the fourth quarter of 2024.

Speaker #5: Net loss for fiscal 2025 was $731,000 compared to a net loss of $1 million in fiscal year. 2024. Basic and diluted net loss per share for fiscal 2025 was $0.01 per share compared to a net loss per share of $0.01 in fiscal 2024.

Speaker #5: Moving on to the balance sheet, we ended the quarter with a year with nearly $900,000 in cash. Accounts receivable were significantly lower relative to prior quarters, but manageable as the activity in the fourth quarter started quickly and included a record level month in October.

Chad Clouse: We ended the quarter with a year with nearly $900 thousand in cash. Accounts receivable were significantly lower relative prior quarters, but manageable as the activity in Q4 started quickly and included a record level month in October. During December 2025, we made significant advances in the company's receivables with a total collection of $2 million in December. This bolstered our cash flow. We were able to lower our payables in early 2026, putting the company in a strong footing for the year. We believe the capital structure is sufficient to meet our budget needs for the remainder of the year. Should continue to improve as we make progress on our collections efforts and experience growth in the business. That concludes my comments. I'll turn it back to Trent.

Speaker #5: During December 2025, we made significant advances in the company's receivables. With a total collection of $202 million, in December, this bolstered our cash flow and we were able to lower our payables in early 2026.

Speaker #5: Bringing the company into strong footing for the year. We believe the capital structure is sufficient to meet our budget needs for the remainder of the year and should continue to improve as we make progress on our collections efforts and experience growth in the business.

Speaker #5: That concludes my comments on alternative back to trend.

Speaker #1: Thanks, Chad. To summarize, I'm extremely proud of our team's performance in staying focused on building this company. We are well positioned to take advantage of the emergence of a minimally invasive procedures for spine health with many of our new proprietary products.

Trent Northcutt: Thanks, Chad. To summarize, I'm extremely proud of our team's performance in staying focused on building this company. We are well-positioned to take advantage of the emergence of minimally invasive procedures for spine health with many of our new proprietary products. We are very excited about our product offerings and believe they have meaningful years to come. We remain focused on penetrating these markets further this year through continued training courses, industry conferences, and sharing and updating clinical data of our products that are currently in use and treating patients. While we are pleased with the record results we have reported, we are working diligently to enhance the company's revenue growth with new products and offerings, including 2 new product extensions to be launched later this year. We're very excited about the company's future opportunities and product lines we have brought to market.

Speaker #1: We are very excited about our product offerings and believe they have meaningful years to come. We remain focused on penetrating these markets further this year through a continued training courses, industry conferences, and sharing and updating clinical data of our products that are currently in use and treating patients.

Trent Northcutt: We remain focused on penetrating these markets further this year through continued training courses, industry conferences, and sharing and updating clinical data of our products that are currently in use and treating patients. While we are pleased with the record results we have reported, we are working diligently to enhance the company's revenue growth with new products and offerings, including 2 new product extensions to be launched later this year. We're very excited about the company's future opportunities and product lines we have brought to market.

Speaker #1: While we are pleased with the record results we have reported, we are working diligently to enhance the company's products, with offerings including two new product extensions to be launched later this year.

Speaker #1: We are very excited about the company's future opportunities and the product lines we have brought to market. And we continue to build the sales team efforts and educate the marketplace on our products and the value they bring to patients.

Trent Northcutt: We continue to build the sales team efforts and educate the marketplace on our products and the value they bring to patients. We are very excited about the future of Aurora Spine for fiscal 2026 and beyond. With that said, operator, we are ready for any questions.

Speaker #1: We are very excited about the future of Aurora Spine for fiscal 2026 and beyond. With that said, operator, we are ready for any questions.

Speaker #2: Thank you. We will now begin the question and answer session. To ask a question, you may press star then one on your touchtone phone.

Operator: Thank you. We will now begin the question and answer session. To ask a question, you may press star then 1 on your touch-tone phone. If you are using a speakerphone, please pick up your handset before pressing the keys. If at any time your question has been addressed and you would like to withdraw your question, please press star then 2. The first question comes from Tom Sebethen from MicroCap Connection. Please go ahead.

Speaker #2: If you are using a speakerphone, please pick up your hands up before pressing the keys. If at any time your question has been addressed and you would like to withdraw your question, please press star then two.

Speaker #2: The first question comes from Tom Fetichen from Microcap Connection. Please go ahead.

Tom Sebethen: Hey, good morning, guys. Congratulations on a solid quarter. Would like to dig into how sales are looking as we move forward into 2026. Of course, you're well into Q1. Are you seeing a continuation as you've seen in Q4, of the increased demand?

Specialist: Hey, good morning, guys. Congratulations on a solid quarter. Would like to dig into how sales are looking as we move forward into 2026. Of course, you're well into Q1. Are you seeing a continuation as you've seen in Q4, of the increased demand?

Speaker #3: Hey, good morning, guys. Congratulations on a solid quarter. Would like to dig into how sales are looking as we move forward into 2026. Of course, you're well into Q1.

Speaker #3: Are you seeing a continuation as you've seen in Q4 of the increased demand?

Speaker #4: Yes, we've seen a great adoption across the country as we've hired new people, those people spend their first so many months gathering up momentum and really getting new facilities onboarded through back processes and engaging new physicians in training.

Trent Northcutt: Yes. We've seen great adoption across the country. As we've hired new people, those people spend their, you know, first so many months gathering up momentum and really getting new facilities onboarded through back processes and engaging new physicians in training. We have seen great engagement from the markets. As we've seen, you know, for the last 5-plus years, you know, the beginning of the year kind of starts a little slower, and it ramps out through the year. We do continue to see just the typical ebbs and flows of the annual cycle.

Speaker #4: So we have seen great engagement from the markets as we've seen for the last five-plus years at the beginning of the year kind of starts a little slower and it ramps out through the year.

Speaker #4: So we do continue to see just the typical ebbs and flows of the annual cycle.

Speaker #3: Okay. And do you anticipate seeing full-on being full-on cash flow positive moving throughout 2026 given you're basically right on the cusp right now? Is that could the direction that you see or do you see Q1 will be traditionally a little bit slower and then you'll see a ramp-up going forward?

Tom Sebethen: Okay. Do you anticipate seeing full on, you know, being full on cash flow positive moving throughout 2026, given, you know, you're basically right on the cusp right now, is that the direction that you see? Do you see, you know, Q1 will be traditionally a little bit slower, and then you'll see a ramp-up going forward? What is the baseline that you're looking at on a quarterly basis throughout 2026?

Specialist: Okay. Do you anticipate seeing full on, you know, being full on cash flow positive moving throughout 2026, given, you know, you're basically right on the cusp right now, is that the direction that you see? Do you see, you know, Q1 will be traditionally a little bit slower, and then you'll see a ramp-up going forward? What is the baseline that you're looking at on a quarterly basis throughout 2026?

Speaker #3: Looking at it on a quarterly basis throughout 2026?

Speaker #4: Well, we always have seasonality. We talk about this year over year. So seasonality always kicks off for us in the beginning of the year, especially going towards the kickoff of the year, right?

Trent Northcutt: Well, we always have seasonality. You know, we talk about this, you know, year over year.

Tom Sebethen: Mm-hmm

Specialist: Mm-hmm

Trent Northcutt: ...kicks off for us in the beginning of the year, especially going towards the kickoff of the year, right? Feel like we are landing in the right position to spring forward, you know, and continue to, you know, come off the momentum that we got at the close of the year. H2 of the year was very strong for us.

Speaker #4: So but feel like we are landing in the right position to spring forward and continue to come off the momentum that we got at the close of the year, second half of the year was very strong for us.

Speaker #4: So we had a slower start last year in the beginning of the year. So we are ahead of the curve this year than we were previous last year.

Tom Sebethen: Mm-hmm

Specialist: Mm-hmm

Trent Northcutt: a slower start last year in the beginning of the year. We are ahead of the curve this year than we were previous last year. Obviously, we're always just striving for when the line extensions enter and then, of course, you know, adding some new feet on the street, you get that big push towards the end of the year. We're focused on each month and each quarter. That's the second part of your question, answer your question. The raising cash-

Speaker #4: But obviously, we're always just striving for when the line extensions enter and then, of course, adding some new feet on the street you get that big push towards the end of the year.

Speaker #4: So we're focused on each month and each quarter, but that's the second part of your question and your answer question. But the raising cash, we're not talking to anyone about raising cash.

Tom Sebethen: Mm-hmm

Specialist: Mm-hmm

Trent Northcutt: We're not talking to anyone about raising cash. We've had some people.

Speaker #4: We've had some people approach us with it, but we get that on a pretty semi-multiple monthable per month questions get asked to us if we want to raise money on a regular basis.

Tom Sebethen: Mm-hmm

Specialist: Mm-hmm

Trent Northcutt: ...approach us with it, but we get that on a pretty semi, you know, multiple monthable per month questions get asked to us if we wanna raise money on a regular basis.

Speaker #3: Okay. The Facet—you had sales of Facet come through, and it appears that you are going to be doing some optimization of this Implant One.

Tom Sebethen: Okay. The Facets, you had sales of Facet come through, and it appears that you are, you're gonna be doing some optimization of this implant. When do you expect sales to come back online for Facet? I apologize, I didn't catch it right off the first couple minutes I missed, so you might have covered this already. When do you expect sales of Facet just to restart?

Specialist: Okay. The Facets, you had sales of Facet come through, and it appears that you are, you're gonna be doing some optimization of this implant. When do you expect sales to come back online for Facet? I apologize, I didn't catch it right off the first couple minutes I missed, so you might have covered this already. When do you expect sales of Facet just to restart?

Speaker #3: Do you expect sales to come back online for facet? And I apologize, I didn't catch it right off the first couple of minutes I missed.

Speaker #3: So you might have covered this already, but when do you expect sales of facet just to restart?

Speaker #4: We don't know now because we have meetings with the FTA and we're discussing with them we have nearly 50 patients that we're already performed with the implant.

Trent Northcutt: We don't know now 'cause we have meetings with the FDA, and we're discussing with them. We have nearly 50 patients that were already performed with the implant.

Tom Sebethen: Mm-hmm.

Specialist: Mm-hmm.

Speaker #4: And the clinical results were outstanding. We couldn't be more proud of those results. And patients are doing terrific. We have a some questions and answers that we want to go back and forth with the FTA as we continue to build up the design history of the product and design the file of the product with the FTA and working closely with them to keep the product going forward.

Trent Northcutt: The clinical results were outstanding. We couldn't be more proud of those results, and patients are doing terrific.

Tom Sebethen: Mm-hmm.

Specialist: Mm-hmm.

Trent Northcutt: We have some questions and answers that we wanna go back and forth with the FDA as we continue to build up the design history of the product, the design, the file of the product with the FDA and working closely with them to keep the product going forward. It is still FDA-approved. The product's still FDA-approved.

Speaker #4: It is still FTA-approved, the product is still FTA-approved, but we both agreed between ourselves and Aurora and the FTA that we would have this dialogue.

Tom Sebethen: Mm-hmm.

Specialist: Mm-hmm.

Trent Northcutt: We both agreed with between ourselves, you know, Aurora and the FDA, that we would have this dialogue. We don't know yet.

Speaker #4: So we don't know yet to answer questions. Sometime in the first half is my projection, but I don't have a crystal ball on that with the FTA.

Tom Sebethen: Okay

Specialist: Okay

Trent Northcutt: to answer your question. Sometime in H1 is my projection, but I don't have a crystal ball on that with the FDA.

Speaker #3: Okay. What are you most excited about as you go into 2026 for sales growth?

Tom Sebethen: Okay. What are you most excited about as you go into 2026 for sales growth?

Specialist: Okay. What are you most excited about as you go into 2026 for sales growth?

Speaker #4: Well, I'm excited that we've got people are coming to us looking to join Aurora Spine. So I'm proud of that, that it's instead of us on the hunt for trying to add people, people are hearing about Aurora, right?

Trent Northcutt: Well, I'm excited that, you know, people are coming to us looking to join Aurora Spine, so I'm proud of that, you know, it's instead of us on the hunt for trying to add people are hearing about Aurora, right?

Tom Sebethen: Mm-hmm

Specialist: Mm-hmm

Trent Northcutt: I'm excited that last year I made some promises to the street that we'd hit a $5 million quarter. We did. I told street last year that we'd get a $2 million month. We almost hit that. We were just a hair underneath that.

Speaker #4: I'm excited that last year I made some promises to the street that we would hit a $5 million quarter and we did. I told the street last year that we would get a $2 million month.

Speaker #4: We almost hit that. We were just a hair underneath that. I'm excited about our biologic portfolio that we brought into our company which is going to it's going to give us it gave us in 2025 a 34% increase over 2024.

Tom Sebethen: Mm-hmm

Trent Northcutt: I'm excited about our biologic portfolio that we brought into our company, which is gonna give us a it gave us in 2025 a 34% increase over 2024. With more units sold in 2026, which is our goal, that'll be added with biologics. You'll see that increase with it. I'm really excited about how we have a longer runway this year for the DEXA-L product, which is the lumbar, which is a big ticket item. You know, it's got a low COGS, a very high reimbursement product, and it keeps us relevant with our ortho and neuro spine community. We just did a recent talk at the ISASS conference down in Florida, where we had standing room only hearing about DEXA technology.

Specialist: Mm-hmm

Speaker #4: And with more units sold in 2026, which is our goal, that'll be added with biologic. So you'll see that increase. With it. And then I'm really excited about how we have a longer runway this year for the DEXA-L product, which is the lumbar, which is a big, big ticket item.

Speaker #4: It's got a low COG, a very high reimbursement product, and it keeps us relevant with our ortho and neuro spine community. We just did a recent talk at the ISAS conference down in Florida where we had standing room only hearing about DEXA technology.

Speaker #4: So I'm still really bullish on the DEXA platform. And if you heard my and read heard what I was talking about with DEXA products, I say it all the time, we're going to DEXA-fy everything that we can.

Trent Northcutt: I'm still really bullish on the DEXA platform. If you, if you heard my, you know, and read, you know, heard what I was talking about with DEXA products, I say it all the time, we're gonna DEXIfy everything that we can inside of Aurora and back that up with clinical data.

Speaker #4: Inside of Aurora, and back that up with clinical data and

Tom Sebethen: Mm-hmm. Oh, did I lose you?

Specialist: Mm-hmm. Oh, did I lose you?

Speaker #3: Did I lose you? Oh, oh, yeah, I'm still there. Sorry, the phone cut out there. Apologies. Speaking of DEXA, the silo TFX, you plan to DEXA-fy that.

Trent Northcutt: No, I'm still here.

Tom Sebethen: Oh, yeah, I'm still there. Sorry, the phone cut out there. Apologies. Speaking of DEXA, the SiLO SiLO-TFX, you plan to DEXIfy that. Is that in the calling card for 2026?

Specialist: Oh, yeah, I'm still there. Sorry, the phone cut out there. Apologies. Speaking of DEXA, the SiLO SiLO-TFX, you plan to DEXIfy that. Is that in the calling card for 2026?

Speaker #3: Is that in the calling card for 2026?

Speaker #4: You never know. Could be. Maybe. We'll see.

Trent Northcutt: You never know. Could be. Maybe. We'll see.

Speaker #3: Okay. Okay. And I guess one of my last questions is, you noted in the MD&A about the TFX and maybe some sort of contractual issue.

Tom Sebethen: Okay. Okay. I guess one of my last questions is you noted in the MD&A about the SiLO-TFX and maybe some sort of contractual issue. Is that being sorted out with the vendor?

Specialist: Okay. Okay. I guess one of my last questions is you noted in the MD&A about the SiLO-TFX and maybe some sort of contractual issue. Is that being sorted out with the vendor?

Speaker #3: Is that being sorted out with the vendor?

Speaker #4: It is. I think that I can't comment on it because it is in a discussion, but yeah, I think we're making progress.

Trent Northcutt: It is. I can't comment on it because it is in a discussion, but, yeah, I think we're making progress.

Speaker #3: Okay. Perfect. Thank you, guys. Well, again, congratulations on a solid quarter. I'll leave it to the next guy to ask questions.

Tom Sebethen: Okay. Perfect. Thank you, guys. Well, again, congratulations on a solid quarter. I'll leave it to the next guys to ask questions.

Specialist: Okay. Perfect. Thank you, guys. Well, again, congratulations on a solid quarter. I'll leave it to the next guys to ask questions.

Speaker #4: Thank you, Tom.

Trent Northcutt: Thank you, Tom.

Operator: This concludes our question and answer session. I would like to turn the conference back over to Trent Northcutt for closing remarks.

Speaker #1: This concludes our question and answer session. I would like to turn the conference back over to Trent Northcutt for closing remarks.

Trent Northcutt: Thank you everyone for joining us. We appreciate your time and interest in Aurora Spine, and we're very excited about what's ahead. We appreciate your interest and support in Aurora Spine, and looking forward to updating everyone in a few weeks on our progress. If you'd like to chat with Matt, Chad, or myself, please reach out to Adam Lowensteiner or Partners. We'd be happy to schedule a meeting. Thanks again, everyone. Have a great rest of your day.

Speaker #4: Thank you, everyone, for joining us. We appreciate your time and interest in Aurora Spine. We're very excited about what's ahead. We appreciate your interest and support in Aurora Spine and looking forward to updating everyone in a few weeks on our progress.

Speaker #4: If you'd like to chat with Matt, Chad, or myself, please reach out to Adam Lowensteiner and partners. We'd be happy to schedule a meeting.

Speaker #4: Thanks again, everyone. Have a great rest of your day.

Operator: The conference is now concluded. Thank you for attending today's presentation. You may now disconnect.

Q4 2025 Aurora Spine Corp Earnings Call

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