Orthofix Medical (OFIX)


Market Price (9/1/2026): $9.57 | Market Cap: $391.5 MilSector: Health Care | Industry: Life Sciences Tools & Services

Orthofix Medical (OFIX)


Market Price (9/1/2026): $9.57
Market Cap: $391.5 Mil
Sector: Health Care
Industry: Life Sciences Tools & Services

Investment Highlights Why It Matters Detailed financial logic regarding cash flow yields vs trend-riding momentum.

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Megatrend and thematic drivers
Megatrends include Aging Population & Chronic Disease, and Biotechnology & Genomics. Themes include Geriatric Care, and Orthopedic Biologics.

Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -37 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -4.5%

Expensive valuation multiples
P/CFOPrice/(Cash Flow from Operations). CFO is cash before capital expenditures. is 24x

Not cash flow generative
FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -3.3%

Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -21%

Key risks
OFIX key risks include [1] significant merger integration challenges, Show more.

0 Megatrend and thematic drivers
Megatrends include Aging Population & Chronic Disease, and Biotechnology & Genomics. Themes include Geriatric Care, and Orthopedic Biologics.
1 Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -37 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -4.5%
2 Expensive valuation multiples
P/CFOPrice/(Cash Flow from Operations). CFO is cash before capital expenditures. is 24x
3 Not cash flow generative
FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -3.3%
4 Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -21%
5 Key risks
OFIX key risks include [1] significant merger integration challenges, Show more.

OFIX in ETFs

Weight = OFIX's share of each fund

VTI0.00%
ITOT0.00%
IWM0.01%
IWN0.02%
VTWO0.01%
SCHA0.01%
DFAS0.01%
VHT0.01%
+3 more covered ETFs

Valuation & Metrics

Price Chart

Why The Stock Moved

Qualitative Assessment

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Updated on 8/31/2026

Orthofix Medical (OFIX) stock has remained largely at the same level since 5/31/2026 because of the following key factors:

1. Mixed fiscal Q2 2026 financial results with a widened net loss impacted investor sentiment. Orthofix Medical reported net sales of $210.9 million for fiscal Q2 2026 (ended June 30, 2026), marking a 4% increase on a reported basis and 5% on a pro forma constant currency basis compared to fiscal Q2 2025, which slightly surpassed analyst estimates of $209.28 million. However, the company's net loss widened to $15.8 million, or $0.39 per share, in fiscal Q2 2026, compared to a net loss of $14.1 million, or $0.36 per share, in the prior year period. This mixed performance, particularly the increased net loss, contributed to a significant stock price drop of approximately 15% on August 5, 2026, following the earnings release.

2. Concerns regarding a one-off revenue boost and anticipated future headwinds introduced investor caution. A key factor contributing to the stock's post-earnings decline and subsequent stabilization at a lower level was the disclosure of a European distributor inventory purchase. This arrangement is expected to contribute approximately $15 million in incremental net sales to Orthofix Medical in fiscal 2026, with the majority recognized in fiscal Q4. However, management also projected this would create an approximate $22 million net sales headwind in fiscal 2027, signaling that a portion of the current growth is not sustainable. This "one-off" nature of revenue generation heightened investor worries about the fragility and long-term quality of the company's growth.

Show more
Updated on 8/31/2026

Orthofix Medical (OFIX) stock has remained largely at the same level since 5/31/2026 because of the following key factors:

1. Mixed fiscal Q2 2026 financial results with a widened net loss impacted investor sentiment. Orthofix Medical reported net sales of $210.9 million for fiscal Q2 2026 (ended June 30, 2026), marking a 4% increase on a reported basis and 5% on a pro forma constant currency basis compared to fiscal Q2 2025, which slightly surpassed analyst estimates of $209.28 million. However, the company's net loss widened to $15.8 million, or $0.39 per share, in fiscal Q2 2026, compared to a net loss of $14.1 million, or $0.36 per share, in the prior year period. This mixed performance, particularly the increased net loss, contributed to a significant stock price drop of approximately 15% on August 5, 2026, following the earnings release.

2. Concerns regarding a one-off revenue boost and anticipated future headwinds introduced investor caution. A key factor contributing to the stock's post-earnings decline and subsequent stabilization at a lower level was the disclosure of a European distributor inventory purchase. This arrangement is expected to contribute approximately $15 million in incremental net sales to Orthofix Medical in fiscal 2026, with the majority recognized in fiscal Q4. However, management also projected this would create an approximate $22 million net sales headwind in fiscal 2027, signaling that a portion of the current growth is not sustainable. This "one-off" nature of revenue generation heightened investor worries about the fragility and long-term quality of the company's growth.

3. Post-earnings analyst downgrades and price target reductions reflected increased skepticism. Following the fiscal Q2 2026 earnings announcement, several Wall Street analysts lowered their price targets for Orthofix Medical. For instance, Stifel Nicolaus reduced its price target from $15 to $13, and Canaccord Genuity decreased its target from $18 to $13. The average analyst rating also shifted towards a "Hold" consensus from previous "Buy" sentiments. These adjustments reflected a more cautious outlook on the company's valuation and growth prospects, contributing to the stock's downward correction and consolidation at a reduced price level.

4. Raised full-year guidance and segment-specific growth provided underlying support, preventing further significant decline. Despite the aforementioned concerns, Orthofix Medical raised its full-year 2026 net sales guidance to a range of $845 million to $855 million, an increase of $7 million at both ends from previous guidance. Additionally, the company increased its non-GAAP adjusted EBITDA guidance to $95 million to $98 million. The company also reported positive operational highlights, including double-digit constant currency growth in its Global Spine Fixation and Global Limb Reconstruction segments, stabilization in Biologics, and the restoration of Medicare reimbursement for bone growth stimulators, which improves visibility for the Therapeutic Solutions business in the second half of the year. These positive developments and an improved full-year outlook offered a floor to the stock price, leading to its relative stability within a new, lower trading range after the initial post-earnings drop.

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Stock Movement Drivers

Fundamental Drivers

The 1.3% change in OFIX stock from 5/31/2026 to 8/31/2026 was primarily driven by a 1.5% change in the company's P/S Multiple.
(LTM values as of)53120268312026Change
Stock Price ($)9.279.391.3%
Change Contribution By: 
Total Revenues ($ Mil)8258330.9%
P/S Multiple0.50.51.5%
Shares Outstanding (Mil)4041-1.1%
Cumulative Contribution1.3%

LTM = Last Twelve Months as of date shown

Market Drivers

5/31/2026 to 8/31/2026
ReturnCorrelation
OFIX1.3% 
Market (SPY)1.4%1.8%
Sector (XLV)14.1%28.2%

Fundamental Drivers

The -30.6% change in OFIX stock from 2/28/2026 to 8/31/2026 was primarily driven by a -30.0% change in the company's P/S Multiple.
(LTM values as of)22820268312026Change
Stock Price ($)13.539.39-30.6%
Change Contribution By: 
Total Revenues ($ Mil)8228331.3%
P/S Multiple0.70.5-30.0%
Shares Outstanding (Mil)4041-2.2%
Cumulative Contribution-30.6%

LTM = Last Twelve Months as of date shown

Market Drivers

2/28/2026 to 8/31/2026
ReturnCorrelation
OFIX-30.6% 
Market (SPY)12.1%13.5%
Sector (XLV)6.9%32.2%

Fundamental Drivers

The -37.3% change in OFIX stock from 8/31/2025 to 8/31/2026 was primarily driven by a -37.0% change in the company's P/S Multiple.
(LTM values as of)83120258312026Change
Stock Price ($)14.989.39-37.3%
Change Contribution By: 
Total Revenues ($ Mil)8098333.0%
P/S Multiple0.70.5-37.0%
Shares Outstanding (Mil)4041-3.4%
Cumulative Contribution-37.3%

LTM = Last Twelve Months as of date shown

Market Drivers

8/31/2025 to 8/31/2026
ReturnCorrelation
OFIX-37.3% 
Market (SPY)19.9%19.4%
Sector (XLV)25.7%32.8%

Fundamental Drivers

The -55.6% change in OFIX stock from 8/31/2023 to 8/31/2026 was primarily driven by a -64.5% change in the company's P/S Multiple.
(LTM values as of)83120238312026Change
Stock Price ($)21.169.39-55.6%
Change Contribution By: 
Total Revenues ($ Mil)59883339.2%
P/S Multiple1.30.5-64.5%
Shares Outstanding (Mil)3741-10.1%
Cumulative Contribution-55.6%

LTM = Last Twelve Months as of date shown

Market Drivers

8/31/2023 to 8/31/2026
ReturnCorrelation
OFIX-55.6% 
Market (SPY)76.3%32.4%
Sector (XLV)34.0%33.2%

Return vs. Risk

Price Returns Compared

 202120222023202420252026Total [1]
Returns
OFIX Return-28%-34%-34%30%-13%-36%-77%
Peers Return1%-3%-1%12%12%6%28%
S&P 500 Return27%-19%24%23%16%13%105%

Monthly Win Rates [3]
OFIX Win Rate33%33%50%58%33%38% 
Peers Win Rate52%55%48%50%52%55% 
S&P 500 Win Rate75%42%67%75%67%50% 

Max Drawdowns [4]
OFIX Max Drawdown-40%-60%-57%-19%-46%-45% 
Peers Max Drawdown-22%-27%-26%-15%-22%-22% 
S&P 500 Max Drawdown-5%-25%-10%-8%-19%-9% 


[1] Cumulative total returns since the beginning of 2021
[2] Peers: SYK, MDT, ZBH, GMED, JNJ.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2026 data is for the year up to 8/31/2026 (YTD)

How Low Can It Go

EventOFIXS&P 500
Summer-Fall 2023 Five Percent Yield Shock
  % Loss-50.9%-9.5%
  % Gain to Breakeven103.6%10.5%
  Time to Breakeven364 days24 days
2020 COVID-19 Crash
  % Loss-50.6%-33.7%
  % Gain to Breakeven102.5%50.9%
  Time to Breakeven342 days140 days
Q4 2018 Fed Policy Error / Growth Scare
  % Loss-13.4%-19.2%
  % Gain to Breakeven15.4%23.8%
  Time to Breakeven44 days105 days
2016-2017 Trump Reflation Bond Selloff
  % Loss-20.0%-3.7%
  % Gain to Breakeven25.1%3.9%
  Time to Breakeven92 days6 days
2015-2016 China Devaluation / Global Growth Scare
  % Loss-19.5%-12.2%
  % Gain to Breakeven24.3%13.9%
  Time to Breakeven28 days62 days
2014-2016 Oil Price Collapse
  % Loss-17.7%-6.8%
  % Gain to Breakeven21.5%7.3%
  Time to Breakeven166 days15 days

Compare to SYK, MDT, ZBH, GMED, JNJ

In The Past

Orthofix Medical's stock fell -2.3% during the 2024 Yen Carry Trade Unwind. Such a loss loss requires a 2.3% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

EventOFIXS&P 500
Summer-Fall 2023 Five Percent Yield Shock
  % Loss-50.9%-9.5%
  % Gain to Breakeven103.6%10.5%
  Time to Breakeven364 days24 days
2020 COVID-19 Crash
  % Loss-50.6%-33.7%
  % Gain to Breakeven102.5%50.9%
  Time to Breakeven342 days140 days
2016-2017 Trump Reflation Bond Selloff
  % Loss-20.0%-3.7%
  % Gain to Breakeven25.1%3.9%
  Time to Breakeven92 days6 days
2013 Taper Tantrum
  % Loss-38.1%-0.2%
  % Gain to Breakeven61.5%0.2%
  Time to Breakeven174 days1 days
2011 US Debt Ceiling Crisis & European Contagion
  % Loss-28.0%-17.9%
  % Gain to Breakeven38.9%21.8%
  Time to Breakeven334 days123 days
2010 Eurozone Sovereign Debt Crisis / Flash Crash
  % Loss-22.9%-15.4%
  % Gain to Breakeven29.7%18.2%
  Time to Breakeven285 days125 days
2008-2009 Global Financial Crisis
  % Loss-85.0%-53.4%
  % Gain to Breakeven567.6%114.4%
  Time to Breakeven3468 days1085 days

Compare to SYK, MDT, ZBH, GMED, JNJ

In The Past

Orthofix Medical's stock fell -2.3% during the 2024 Yen Carry Trade Unwind. Such a loss loss requires a 2.3% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About Orthofix Medical (OFIX)

Orthofix Medical Inc. (OFIX) is a global medical device and biologics company focused on musculoskeletal health. The company develops, manufactures, and distributes a wide range of specialized products used in spinal and orthopedic surgical procedures and therapeutic treatments across the United States, Europe, Brazil, and other international markets.

The company's business is organized into two main segments: Global Spine and Global Orthopedics. The Global Spine segment provides bone growth stimulator devices designed to enhance bone fusion and treat fractures, as well as motion preservation and fixation implants for spinal surgeries. This segment also offers various products and biologic solutions, including synthetic materials, to address a spectrum of spinal and orthopedic conditions. The Global Orthopedics segment focuses on products for fracture repair, deformity correction, and bone reconstruction procedures.

Orthofix Medical primarily serves healthcare providers, including physicians, hospitals, ambulatory surgery centers, and integrated health delivery systems. The company reaches its customers through a distribution network comprising direct sales representatives, independent distributors, and employed and independent sales representatives to ensure its specialized medical devices and biologics are available where needed.

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Zimmer Biomet, but concentrated on devices and biologics for spine and orthopedic bone repair.

A Stryker that specializes in medical devices for spine and orthopedic bone healing.

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  • Bone Growth Stimulator Devices: Devices designed to enhance bone fusion and treat non-spinal and appendicular fractures.
  • Spinal Motion Preservation and Fixation Implants: A portfolio of implant products used in surgical procedures of the spine.
  • Spinal and Orthopedic Biologic Solutions: Products and tissue forms, including regenerative non-tissue biologics, that allow physicians to treat a range of spinal and orthopedic conditions.
  • Orthopedic Fracture Repair and Deformity Correction Products: Orthopedic products utilized in fracture repair, deformity correction, and bone reconstruction procedures.
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Orthofix Medical Inc. (OFIX) sells its medical devices and biologics primarily to other organizations within the healthcare industry, rather than directly to individual patients. Due to the fragmented nature of the healthcare market and typical industry disclosure practices, Orthofix does not publicly name specific major customer companies (such as individual hospital chains or large purchasing organizations) that constitute a significant portion of its revenue.

However, based on the company's description, its customer base primarily consists of the following categories of healthcare providers and entities:

  • Physicians (and their associated practices)
  • Hospitals
  • Ambulatory Surgery Centers
  • Integrated Health Delivery Systems
  • Other purchasing organizations within the healthcare sector

These entities purchase Orthofix's products for use in surgical procedures, fracture repair, deformity correction, bone reconstruction, and therapeutic treatments.

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Massimo Calafiore, President and Chief Executive Officer

Massimo Calafiore currently serves as Orthofix President and Chief Executive Officer and as a member of the Orthofix Board of Directors. Previously, Mr. Calafiore served as Chief Executive Officer of LimaCorporate S.p.A., a global orthopedics company that was acquired by Enovis Corporation. Prior to LimaCorporate, he was the Executive Vice President and Chief Commercial Officer of NuVasive, Inc. While at NuVasive, Mr. Calafiore led several functions including product marketing, research and development, and enabling technologies. He also served as President of NuVasive Specialized Orthopedics (formerly Ellipse Technologies). Earlier in his career, Mr. Calafiore worked for Waldemar Link GmbH & Co. KG, holding various leadership roles across Orthopedics, Lower Extremities, and Spine. He possesses a track record in value creation, global business leadership, and integration expertise. He holds an M.Sc. in Mechanical Engineering from the University of Catania and an MBA from New York University.

Julie Andrews, Chief Financial Officer

Julie Andrews joined Orthofix in 2024 as Chief Financial Officer. Ms. Andrews previously served as CFO for Smart Wires Technology, a global transmission grid technology company. Prior to this role, she was the Senior Vice President, Global Finance for Wright Medical Group, a global medical device company that was acquired by Stryker in 2020. Ms. Andrews also spent many years in roles of increasing responsibility at Medtronic Inc., including Vice President of Finance for the Spine and Biologics division. Early in her career, she served as a Senior Financial Analyst for Thomas & Betts and as an auditor for Thomas Havey, LLC. She played key leadership roles in several successful mergers and acquisitions at Wright Medical. Ms. Andrews served as an Independent Director for Priveterra Acquisition Corp. from 2021 to 2023. She currently serves on the board and as chair of the audit committee of RxSight, Inc. Ms. Andrews holds a Bachelor of Science in Accounting from Indiana University.

Patrick Fisher, President of Global Orthopedics

Patrick Fisher joined the Orthofix Executive Leadership Team in 2024 as the President of Global Orthopedics. Mr. Fisher previously served as Vice President and General Manager of the Foot and Ankle business unit with Stryker Corporation. Prior to his tenure at Stryker, Mr. Fisher served as the President of Lower Extremity and Biologics for Wright Medical Technology, which was acquired by Stryker in 2020. He joined Wright Medical in 2002 and held multiple roles of increasing responsibility, including Vice President of U.S. Sales.

Max Reinhardt, President of Global Spine

Max Reinhardt joined the Orthofix Executive Leadership Team in 2024 as the President of Global Spine. Mr. Reinhardt is responsible for leading SeaSpine, the Company's global spine and biologics business. His experience spans more than 30 years in MedTech and pharmaceuticals, assuming positions of increasing responsibility at Johnson & Johnson, including serving as Worldwide President, DePuy Synthes Spine, where he achieved the number two market share position in the competitive spine market.

Lucas Vitale, Chief People and Business Operations Officer

Lucas Vitale was appointed Chief People and Business Operations Officer at Orthofix in March 2024. In this pivotal role, Mr. Vitale supports the leadership team in shaping and executing the Company's integration and business transformation strategies. He oversees core shared services functions including Human Resources, Global Information Services, Global Corporate Marketing and U.S. Facility Management and Safety.

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Here are the key risks to Orthofix Medical (symbol: OFIX):

  1. Financial Strain and Integration Challenges Post-Merger: Orthofix Medical Inc. faces significant financial challenges and risks associated with its merger with SeaSpine Holdings Corporation in January 2023. The integration process is complex and costly, leading to negative profitability, high leverage, and a precarious financial position. The company's Net Debt/EBITDA ratio is over 4.0x, and its Altman Z-Score of 1.17 places it in the "distress zone," implying a possibility of bankruptcy within the next two years. Orthofix has reported ongoing net losses and negative free cash flow, with analysts not expecting profitability in the near term. The success of the merger hinges on its ability to realize projected cost synergies, cross-sell products, and reduce its substantial debt load.
  2. Intense Market Competition and Innovation Pressure: The medical technology industry in which Orthofix operates is highly competitive. The company faces stiff competition from larger players like Medtronic and Globus Medical, which hold significant market share in key segments such as spine. Rivalry is driven by continuous innovation, clinical data, and the strength of sales forces, requiring Orthofix to consistently invest in research and development and effective market penetration strategies. Furthermore, the threat of non-surgical treatments gaining traction and fierce price competition in commoditized segments of spinal hardware add to the competitive pressure.
  3. Regulatory and Compliance Risks: As a medical device and biologics company, Orthofix Medical Inc. is subject to rigorous and evolving regulations by governmental authorities globally. Changes in regulations for product approvals and compliance can significantly impact product launch timelines and market access. Historically, Orthofix has faced issues, including accounting failures and Foreign Corrupt Practices Act (FCPA) violations in 2017, underscoring the ongoing importance of robust compliance programs. Current risk areas include government reimbursement practices and potential illegal remuneration. The potential reclassification of bone growth stimulator devices from Class III to Class II by the FDA also represents a specific regulatory uncertainty.

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The addressable markets for Orthofix Medical Inc.'s main products and services are sizable across various orthopedic and spinal care segments. The company itself provides internal estimates for its key focus areas, offering a direct view of its perceived market opportunities. Here's an overview of the addressable markets for Orthofix Medical's core offerings:

Bone Growth Therapies

For its Bone Growth Therapies segment, which includes bone growth stimulator devices, Orthofix Medical estimates a total addressable market of approximately $0.6 billion globally for the period of 2026–2028, with an expected market growth rate of 2%–3%. Broader market research indicates that the global bone growth stimulator market was valued at approximately $1.70 billion in 2024 and is projected to reach $2.63 billion by 2032, growing at a compound annual growth rate (CAGR) of 5.67% from 2025 to 2032. In the U.S. specifically, the bone growth stimulator market was valued at $0.66 billion (USD 660 million) in 2024 and is expected to reach $0.99 billion by 2032, with a CAGR of 5.33% over the forecast period of 2025-2032.

Spinal Implants

Orthofix Medical estimates its addressable market for Spinal Implants to be around $10.1 billion globally for 2026–2028, with an anticipated market growth rate of 3%–4%. More broadly, the global spinal implants and devices market was estimated at $13.91 billion in 2024 and is projected to reach $23.13 billion by 2033, growing at a CAGR of 6.0% from 2025 to 2033. The U.S. spinal implants market alone was valued at $6.6 billion in 2024, with projections for a CAGR of 3.5% between 2025 and 2034. Orthofix also targets a $2 billion U.S. pedicle screw market.

Biologics

For its Biologics offerings, Orthofix Medical estimates a total addressable market of approximately $2.1 billion globally for 2026–2028, with an expected market growth rate of 2%–3%. The global orthobiologics market was valued at around $6.8 billion in 2023 and is estimated to grow at a 5.7% CAGR from 2024 to 2032. In North America, the orthobiologics market accounted for $3 billion in revenue in 2023. The U.S. orthobiologics market generated a revenue of $2,418.7 million (approximately $2.42 billion) in 2024 and is expected to reach $3,336.1 million (approximately $3.34 billion) by 2033, at a CAGR of 3.6% from 2025 to 2033.

Limb Reconstruction (formerly Orthopedics)

Orthofix Medical identifies a $2.6 billion opportunity globally for its Limb Reconstruction business (formerly Orthopedics), which focuses on limb preservation, limb lengthening, complex fracture management, and extremity deformity correction, for 2026–2028, with an expected market growth rate of 5%–6%. The broader global orthopedic trauma devices market, which includes fracture repair, was valued at approximately $11.3 billion in 2024 and is expected to reach around $20.8 billion by 2034, growing at a CAGR of 6.3% from 2025 to 2034. North America led this market in 2024, achieving over a 42.9% share with revenue of $4.8 billion. The U.S. trauma fixation devices market, a sub-segment, was valued at $4.7 billion in 2024 and is expected to reach $6.2 billion in 2034, growing at a CAGR of 2.8% during the forecast period.

Enabling Technologies

For Enabling Technologies, which includes their 7D FLASH navigation system, Orthofix Medical estimates a global addressable market of approximately $0.4 billion for 2026–2028, with a projected market growth rate of 10%–12%.

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Orthofix Medical Inc. (OFIX) is expected to drive future revenue growth over the next two to three years through several key initiatives and strategic focuses: * **Launch of New Products and Continued Investment in the Innovation Pipeline**: Orthofix plans major product launches, including the VIRATA Spinal Fixation System, anticipated for full market launch in the second half of 2026, targeting the substantial U.S. pedicle screw market. The company also highlights the 7D FLASH navigation system, which has shown strong adoption, and TrueLok Elevate, as well as over a dozen new product launches across all business segments within the next 18 months. Continued investment in its surgical innovation pipeline is crucial for maintaining a competitive edge and driving future revenue. * **Optimization of the Spine Commercial Channel**: Orthofix is actively recalibrating its financial targets and extending its timeline to fully realize the benefits of its Spine commercial channel optimization. This strategic initiative involves streamlining commercial channels and successfully transitioning distributors in the U.S. spine market, leading to top U.S. distributor partners representing a significantly larger portion of U.S. net sales. * **Continued Growth in Bone Growth Therapies (BGT) Segment**: The Bone Growth Therapies segment has consistently outperformed the market, showing 7% growth in Q4 2025. This growth is attributed to new surgeon additions and competitive conversions, and management expects this segment to continue its strong performance. * **Expansion and Performance in the U.S. Limb Reconstruction Segment**: The Global Orthopedics segment, particularly U.S. limb reconstruction, demonstrated robust growth of 8% in Q4 2025, driven by a focused commercial strategy. The company is continuing to expand its limb reconstruction portfolio, targeting a significant market opportunity across four clinical categories.

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Share Issuance

  • In January 2023, Orthofix completed a merger of equals with SeaSpine Holdings Corporation, resulting in the issuance of Orthofix common stock to SeaSpine shareholders.
  • SeaSpine shareholders received 0.4163 shares of Orthofix common stock for each share of SeaSpine common stock owned.
  • The acquisition of SeaSpine was valued at approximately $280 million.

Outbound Investments

  • Orthofix Medical Inc. completed a merger of equals with SeaSpine Holdings Corporation in January 2023.
  • The acquisition of SeaSpine Holdings Corporation was valued at approximately $280 million.
  • This merger created a combined company focused on global spine and orthopedics, aiming to leverage integrated capabilities for future growth.

Capital Expenditures

  • Capital expenditures for the full year 2025 were approximately $34.6 million.
  • Capital expenditures for the full year 2024 were approximately $34.9 million.
  • Orthofix projects capital expenditures for 2026 to be between $45 million and $50 million, primarily focused on reinvesting in the business to enhance commercial channels and support growth initiatives.

Better Bets vs. Orthofix Medical (OFIX)

Peer Outperformance in Life Sciences Tools & Services

OFIX has trailed 55% of its 107 Life Sciences Tools & Services peers over 5Y. Among the peers that beat it is CDNA. Life Sciences Tools & Services ranks 8th of 10 industries in Health Care by median 5Y return. The sector’s gains have largely come from elsewhere.
Share of Life Sciences Tools & Services constituents that OFIX has outperformed, by holding period. Peers without a full price history over a given window are excluded from that window.
1Y
29%
of 126 industry peers · -37.3% return
3Y
40%
of 116 industry peers · -55.9% return
5Y
45%
of 107 industry peers · -78.1% return
Life Sciences Tools & Services peers with revenue growth within 4pp of OFIX's that beat it on at least 2 of 3 windows, and by at least 20pp over 5Y. Growth is matched by construction, so the gap is largely a re-rating gap. The multiple column is the context for it.
Ticker Name Rev Growth 3Y Avg P/E 1Y3Y5Y 5Y Gap
OFIX Orthofix Medical 12.3% -6.2x -37.3%-55.9%-78.1%
CDNA CareDx 15.1% 23.2x 266.8%415.0%-33.6% +44pp
Price returns, excluding dividends. P/E shown for context only and not used for matching.
Median price return by industry across the Health Care sector, ranked by 5Y. Life Sciences Tools & Services is OFIX's own industry. Use this to see which corners of the sector have carried the returns.
Industry Names 1Y med3Y med5Y med Top 3 by 5Y
Health Care Distributors 7 11.8%89.7%134.2% CAH 399% · MCK 346% · COR 178%
Managed Health Care 8 28.5%-0.9%2.2% OSCR 91% · HQY 49% · ELV 14%
Health Care Services 20 18.2%44.2%-2.8% HIMS 264% · RDNT 146% · DGX 72%
Health Care Equipment 51 -4.1%-7.5%-21.0% POCI 10650% · UFPT 332% · GKOS 208%
Health Care Facilities 24 5.8%-4.9%-21.2% THC 255% · NHC 234% · ENSG 110%
Health Care Supplies 12 31.8%-15.9%-37.2% LNTH 277% · HAE 62% · MMSI 26%
Pharmaceuticals 63 -2.0%3.8%-39.9% LQDA 2335% · INDV 1177% · ETON 1051%
Life Sciences Tools & Services ← 108 3.4%-32.0%-70.4% SNWV 1814% · MEDP 216% · AXGN 192%
Health Care Technology 20 -23.5%-59.5%-76.7% SPOK 72% · HSTM -3% · VEEV -14%
Biotechnology 365 10.0%-26.8%-77.5% BRTX 101100% · DNTH 1517% · CELZ 1514%
Median of constituents with a full price history over each window. Top names are unfiltered by size in this render.

Recent Active Movers

Peer Comparisons

Peers to compare with:

Financials

OFIXSYKMDTZBHGMEDJNJMedian
NameOrthofix.Stryker MedtronicZimmer B.Globus M.Johnson . 
Mkt Price-------
Mkt Cap0.4124.2116.119.211.0640.067.7
Rev LTM83325,83736,3638,5093,14597,92917,173
Op Inc LTM-375,6156,8271,39067426,2563,502
FCF LTM-284,7025,4261,40274622,2283,052
FCF 3Y Avg-343,8435,2701,30747819,4862,575
CFO LTM165,5257,3301,74391027,6083,634
CFO 3Y Avg104,5697,0541,64361425,0933,106

Growth & Margins

OFIXSYKMDTZBHGMEDJNJMedian
NameOrthofix.Stryker MedtronicZimmer B.Globus M.Johnson . 
Rev Chg LTM3.0%8.5%8.4%8.6%19.7%8.1%8.5%
Rev Chg 3Y Avg12.3%9.9%5.2%5.8%47.0%6.0%7.9%
Rev Chg Q3.8%9.4%9.9%4.8%5.9%6.6%6.3%
QoQ Delta Rev Chg LTM0.9%2.2%2.5%1.2%1.4%1.6%1.5%
Op Inc Chg LTM60.3%20.4%4.4%-5.8%93.7%21.4%20.9%
Op Inc Chg 3Y Avg24.9%16.4%5.8%1.4%56.5%6.7%11.5%
Op Mgn LTM-4.5%21.7%18.8%16.3%21.4%26.8%20.1%
Op Mgn 3Y Avg-9.4%20.4%18.4%18.4%14.0%25.6%18.4%
QoQ Delta Op Mgn LTM1.2%1.5%0.1%-0.5%2.0%0.0%0.7%
CFO/Rev LTM2.0%21.4%20.2%20.5%28.9%28.2%20.9%
CFO/Rev 3Y Avg1.1%19.1%20.7%20.7%22.0%27.4%20.7%
FCF/Rev LTM-3.3%18.2%14.9%16.5%23.7%22.7%17.3%
FCF/Rev 3Y Avg-4.3%16.1%15.5%16.4%17.0%21.2%16.2%

Valuation

OFIXSYKMDTZBHGMEDJNJMedian
NameOrthofix.Stryker MedtronicZimmer B.Globus M.Johnson . 
Mkt Cap0.4124.2116.119.211.0640.067.7
P/S0.54.83.22.33.56.53.3
P/Op Inc-10.322.117.013.816.324.416.7
P/EBIT-9.721.516.915.716.324.416.6
P/E-6.233.324.223.820.530.424.0
P/CFO23.622.515.811.012.123.219.2
Total Yield-16.1%4.1%7.3%5.2%4.9%5.3%5.0%
Dividend Yield0.0%1.1%3.1%1.0%0.0%2.0%1.0%
FCF Yield 3Y Avg-7.3%2.9%5.0%7.1%5.1%4.6%4.8%
D/E0.60.10.20.40.00.10.2
Net D/E0.30.10.20.4-0.00.00.1

Returns

OFIXSYKMDTZBHGMEDJNJMedian
NameOrthofix.Stryker MedtronicZimmer B.Globus M.Johnson . 
1M Rtn-------
3M Rtn-------
6M Rtn-------
12M Rtn-------
3Y Rtn-------
1M Excs Rtn-------
3M Excs Rtn-------
6M Excs Rtn-------
12M Excs Rtn-------
3Y Excs Rtn-------

Comparison Analyses

null

Financials

Segment Financials

Revenue by Segment
$ Mil20252024202320222021
Global Spine688675631353359
Global Limb Reconstruction135124115108106
Total822799747461464


Operating Income by Segment
$ Mil20152012201120102009
BioStim68    
Extremity Fixation29    
Biologics27    
Spine Fixation9    
Corporate-124-17-28  
Orthopedics Products 13   
Spine Products 81   
Orthopedics  12  
Spine  47  
Sports Medicine  1  
Breg   1013
Domestic   7168
Eliminations   -01
Group Activities   -18-21
International   2018
Spinal Implants and Biologics   6-14
Total977338964


Assets by Segment
$ Mil20102009200820072006
Breg152164172  
International151161146  
Domestic132116111  
Spinal Implants and Biologics132134   
Group Activities361311 25
Eliminations-01   
Blackstone  122  
Americas Blackstone   40525
Americas Breg   180182
Americas Orthofix   118101
International Orthofix   178171
Total604590562881503


Price Behavior

Price Behavior
Market Price$9.39 
Market Cap ($ Bil)0.4 
First Trading Date04/24/1992 
Distance from 52W High-42.1% 
   50 Days200 Days
DMA Price$10.70$12.43
DMA Trenddownup
Distance from DMA-12.2%-24.5%
 3M1YR
Volatility65.5%46.9%
Downside Capture66.35110.36
Upside Capture68.8332.58
Correlation (SPY)1.4%18.9%
OFIX Betas & Captures as of 8/31/2026

 1M2M3M6M1Y3Y
Beta1.310.850.090.550.711.02
Up Beta0.29-0.64-1.480.330.780.75
Down Beta0.60-0.250.010.200.630.96
Up Capture-4%163%66%20%24%83%
Bmk +ve Days10213268138427
Stock +ve Days9213261124365
Down Capture554%188%68%124%107%109%
Bmk -ve Days11213259113324
Stock -ve Days11203064123375

[1] Upside and downside betas calculated using positive and negative benchmark daily returns respectively
Based On 1-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with OFIX
OFIX-36.4%46.8%-0.82-
Sector ETF (XLV)26.7%16.0%1.2932.9%
Equity (SPY)19.3%12.8%1.1119.2%
Gold (GLD)29.8%29.0%0.890.6%
Commodities (DBC)41.3%20.4%1.58-9.4%
Real Estate (VNQ)9.2%13.7%0.4029.4%
Bitcoin (BTCUSD)-30.9%43.7%-0.723.8%

Smart multi-asset allocation framework can stack odds in your favor. Learn How
Based On 5-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with OFIX
OFIX-25.4%46.1%-0.48-
Sector ETF (XLV)6.2%15.1%0.2333.3%
Equity (SPY)12.9%17.2%0.5735.3%
Gold (GLD)19.4%18.7%0.841.7%
Commodities (DBC)11.0%19.5%0.442.4%
Real Estate (VNQ)1.9%18.9%-0.0036.2%
Bitcoin (BTCUSD)9.5%52.7%0.3612.6%

Smart multi-asset allocation framework can stack odds in your favor. Learn How
Based On 10-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with OFIX
OFIX-14.0%40.9%-0.23-
Sector ETF (XLV)10.5%16.7%0.5136.5%
Equity (SPY)15.2%17.9%0.7240.5%
Gold (GLD)12.3%16.3%0.623.0%
Commodities (DBC)7.6%18.1%0.3410.9%
Real Estate (VNQ)4.9%20.7%0.2037.0%
Bitcoin (BTCUSD)63.4%66.2%1.0312.5%

Smart multi-asset allocation framework can stack odds in your favor. Learn How

Short Interest

Short Interest: As Of Date8142026
Short Interest: Shares Quantity2.1 Mil
Short Interest: % Change Since 7312026-2.3%
Average Daily Volume0.5 Mil
Days-to-Cover Short Interest4.3 days
Basic Shares Quantity40.9 Mil
Short % of Basic Shares5.1%

Earnings Returns History

Updated 8/14/2026
Expand for More
 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
8/5/2026-14.6%-15.4% 
5/5/20263.6%-2.8%-19.1%
2/24/2026-6.2%-1.6%-13.8%
11/4/2025-7.4%-6.4%-1.0%
8/5/202513.5%19.3%35.9%
5/6/2025-10.9%-8.2%-19.5%
2/25/2025-3.5%-6.4%-9.0%
11/7/2024-1.0%1.3%1.2%
...
SUMMARY STATS   
# Positive121213
# Negative161614
Median Positive6.8%5.3%9.2%
Median Negative-5.5%-6.6%-11.8%
Max Positive19.5%19.3%35.9%
Max Negative-14.6%-15.4%-20.9%
Collapse to Preview
 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
8/5/2026-14.6%-15.4% 
5/5/20263.6%-2.8%-19.1%
2/24/2026-6.2%-1.6%-13.8%
11/4/2025-7.4%-6.4%-1.0%
8/5/202513.5%19.3%35.9%
5/6/2025-10.9%-8.2%-19.5%
2/25/2025-3.5%-6.4%-9.0%
11/7/2024-1.0%1.3%1.2%
8/6/202419.5%9.9%13.8%
5/7/20243.2%12.0%3.9%
3/5/20248.7%8.1%9.2%
1/9/2024-2.8%-8.8%-0.3%
11/8/2023-10.4%-9.6%-0.8%
8/8/202313.3%4.7%4.5%
5/9/20231.8%-1.5%7.6%
3/6/2023-4.7%-14.0%-14.7%
1/9/2023-6.6%-4.0%10.3%
11/3/2022-4.4%4.5%30.5%
8/5/2022-7.8%-6.8%-20.9%
5/6/2022-8.3%-14.8%-11.8%
2/25/20221.3%2.9%0.4%
1/10/20226.7%6.0%2.3%
11/5/2021-2.9%-12.2%-16.3%
8/6/20216.8%4.2%12.4%
4/30/2021-0.5%-1.7%-8.7%
2/26/20210.2%-2.8%-7.3%
11/5/202014.3%10.5%10.8%
8/6/2020-0.3%3.3%-11.8%
SUMMARY STATS   
# Positive121213
# Negative161614
Median Positive6.8%5.3%9.2%
Median Negative-5.5%-6.6%-11.8%
Max Positive19.5%19.3%35.9%
Max Negative-14.6%-15.4%-20.9%

SEC Filings

Expand for More
Report DateFiling DateFiling
06/30/202608/05/202610-Q
03/31/202605/05/202610-Q
12/31/202502/24/202610-K
09/30/202511/04/202510-Q
06/30/202508/05/202510-Q
03/31/202505/06/202510-Q
12/31/202402/25/202510-K
09/30/202411/07/202410-Q
06/30/202408/06/202410-Q
03/31/202405/07/202410-Q
12/31/202303/05/202410-K
09/30/202311/08/202310-Q
06/30/202308/08/202310-Q
03/31/202305/09/202310-Q
12/31/202203/06/202310-K
09/30/202211/03/202210-Q
Collapse to Preview
Report DateFiling DateFiling
06/30/202608/05/202610-Q
03/31/202605/05/202610-Q
12/31/202502/24/202610-K
09/30/202511/04/202510-Q
06/30/202508/05/202510-Q
03/31/202505/06/202510-Q
12/31/202402/25/202510-K
09/30/202411/07/202410-Q
06/30/202408/06/202410-Q
03/31/202405/07/202410-Q
12/31/202303/05/202410-K
09/30/202311/08/202310-Q
06/30/202308/08/202310-Q
03/31/202305/09/202310-Q
12/31/202203/06/202310-K
09/30/202211/03/202210-Q
06/30/202208/05/202210-Q
03/31/202205/06/202210-Q
12/31/202102/25/202210-K
09/30/202111/05/202110-Q
06/30/202108/06/202110-Q
03/31/202104/30/202110-Q
12/31/202002/26/202110-K
09/30/202011/05/202010-Q
06/30/202008/06/202010-Q
03/31/202005/08/202010-Q
12/31/201902/24/202010-K
09/30/201910/28/201910-Q

Recent Forward Guidance

Updated 8/6/2026

Latest: Q2 2026 Earnings Reported 8/5/2026

Forward GuidanceGuidance Change
MetricLowMidHigh% Chg% DeltaChangePrior
2026 Net Sales845.00 Mil850.00 Mil855.00 Mil-0.6% LoweredGuidance: 855.00 Mil for 2026
2026 Adjusted EBITDA95.00 Mil96.50 Mil98.00 Mil  RaisedGuidance: 96.50 Mil for 2026

Prior: Q1 2026 Earnings Reported 5/5/2026

Forward GuidanceGuidance Change
MetricLowMidHigh% Chg% DeltaChangePrior
2026 Net sales850.00 Mil855.00 Mil860.00 Mil0 AffirmedGuidance: 855.00 Mil for 2026
2026 Non-GAAP adjusted EBITDA95.00 Mil96.50 Mil98.00 Mil0 AffirmedGuidance: 96.50 Mil for 2026
2026 Free cash flow      

Q4 2025 Earnings Reported 2/24/2026

Forward GuidanceGuidance Change
MetricLowMidHigh% Chg% DeltaChangePrior
2026 Revenue850.00 Mil855.00 Mil860.00 Mil5.3% Higher NewGuidance: 812.00 Mil for 2025
2026 Non-GAAP Adjusted EBITDA95.00 Mil96.50 Mil98.00 Mil13.5% Higher NewGuidance: 85.00 Mil for 2025
2026-2028 Net Sales CAGR0.070.070.07   

Q3 2025 Earnings Reported 11/4/2025

Forward GuidanceGuidance Change
MetricLowMidHigh% Chg% DeltaChangePrior
2025 Pro forma net sales810.00 Mil812.00 Mil814.00 Mil0 AffirmedGuidance: 812.00 Mil for 2025
2025 Pro forma non-GAAP adjusted EBITDA84.00 Mil85.00 Mil86.00 Mil1.2% RaisedGuidance: 84.00 Mil for 2025

Insider Activity

Updated 8/20/2026
Expand for More
#OwnerTitleHoldingActionFiling DatePriceSharesTransacted
Value
Value of
Held Shares
Form
1Fisher, PatrickPresident, Global Limb ReconDirectSell820202610.091,29513,067516,800Form
2Juniper, Investment Company, Llc By: Juniper Multi-Strategy Fund, L.P.Sell818202610.0120,000200,260850,364Form
3Juniper, Investment Company, Llc By: Juniper Multi-Strategy Fund, L.P.Sell818202610.3819,500202,484674,179Form
4McPherron, AvivaPres, Global Ops & QualDirectSell62220269.383,67034,425622,175Form
5Juniper, Investment Company, Llc By: Juniper Targeted Opportunity Fund, L.P.Sell529202610.70242,0002,589,20637,032,242Form
Collapse to Preview
#OwnerTitleHoldingActionFiling DatePriceSharesTransacted
Value
Value of
Held Shares
Form
1Fisher, PatrickPresident, Global Limb ReconDirectSell820202610.091,29513,067516,800Form
2Juniper, Investment Company, Llc By: Juniper Multi-Strategy Fund, L.P.Sell818202610.0120,000200,260850,364Form
3Juniper, Investment Company, Llc By: Juniper Multi-Strategy Fund, L.P.Sell818202610.3819,500202,484674,179Form
4McPherron, AvivaPres, Global Ops & QualDirectSell62220269.383,67034,425622,175Form
5Juniper, Investment Company, Llc By: Juniper Targeted Opportunity Fund, L.P.Sell529202610.70242,0002,589,20637,032,242Form
6Engine, Capital Management, LPBy: Engine Capital, L.P.Buy507202612.1827,288332,39146,878,826Form
7Engine, Capital Management, LPBy: Engine Lift Capital, LPBuy507202612.182,71233,0344,658,560Form
8Engine, Capital Management, LPBy: Engine Capital, L.P.Buy507202612.2338,154466,54746,726,673Form
9Engine, Capital Management, LPBy: Engine Lift Capital, LPBuy507202612.233,79246,3694,643,436Form
10Engine, Capital Management, LPBy: Engine Capital, L.P.Buy507202611.99110,0391,319,67645,370,333Form
11Engine, Capital Management, LPBy: Engine Lift Capital, LPBuy507202611.992,91134,9114,508,645Form
12Cedron, Jorge AndresCLODirectSell420202612.823,74347,985756,457Form
13Vitale, LucasCP&BOODirectSell319202611.924,26950,8861,912,552Form
14Capps, Vickie L DirectBuy310202612.452,50031,124343,422Form
15Capps, Vickie L DirectBuy310202612.482,50031,200313,061Form
16Engine, Capital Management, LPBy: Engine Capital, L.P.Buy226202612.969,959129,10347,615,761Form
17Engine, Capital Management, LPBy: Engine Lift Capital, LPBuy226202612.963,10240,2124,835,802Form
18Engine, Capital Management, LPBy: Engine Capital, L.P.Buy226202612.55117,0761,468,77745,955,835Form
19Engine, Capital Management, LPBy: Engine Lift Capital, LPBuy226202612.557,72196,8644,640,994Form
20Andrews, JulieCFODirectSell121202614.384,87370,074834,601Form
21Calafiore, MassimoPresident & CEODirectSell113202615.219,797149,0503,305,000Form
22Calafiore, MassimoPresident & CEODirectSell113202615.829,600151,9063,592,472Form
23Fisher, PatrickPresident, Global OrthopedicsDirectSell820202514.211,99628,363427,948Form

Investor Activity (13F)

Updated Sep 1, 2026
13F holdings as of Mar 31, 2026 (Q1 2026)

Active managers (13F portfolio over $250M, at least 3 holdings) with a position over $5M that is either over 10% of their portfolio or held in a concentrated book of 50 or fewer total positions. Index/ETF, sovereign, bank, community-bank and charitable/donor-advised filers are excluded.

Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Juniper Investment Company, LLC$45.6 Mil14.6%8ADD +13.3%13F
Engine Capital Management, LP$50.4 Mil6.1%26Hold13F
Philosophy Capital Management LLC$6.4 Mil0.7%36TRIM -44.9%13F
Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Juniper Investment Company, LLC$45.6 Mil14.6%8ADD +13.3%13F
Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Philosophy Capital Management LLC$6.4 Mil0.7%36TRIM -44.9%13F
Active ManagerValue% of PortfolioTotal PositionsQoQFiling
Engine Capital Management, LP$50.4 Mil6.1%26Hold13F
Juniper Investment Company, LLC$45.6 Mil14.6%8ADD +13.3%13F
Philosophy Capital Management LLC$6.4 Mil0.7%36TRIM -44.9%13F
Core Cache Last Updated: 8/31/2026