OrthoPediatrics Reports Strong Q4 2025 Results

Company posts first quarter of positive free cash flow and outlines multi-year product launch cycle

Published on Feb. 26, 2026

OrthoPediatrics (NASDAQ:KIDS) reported fourth-quarter 2025 results that management said capped a strong year of growth and improving profitability, highlighted by the company's first quarter of positive free cash flow in its history. Executives also outlined a multi-year cycle of product launches they believe will support continued market share gains across pediatric orthopedics and expand the company's presence in adjacent pediatric subspecialties.

Why it matters

OrthoPediatrics is a leading provider of specialized orthopedic solutions for children, and its strong Q4 2025 performance and pipeline of new product launches signal the company's continued momentum in the pediatric medical device market. The achievement of positive free cash flow is a significant milestone that demonstrates the company's improving financial position and ability to fund future growth initiatives.

The details

In the fourth quarter, OrthoPediatrics reported 17% revenue growth, with U.S. revenue up 13% and international revenue rising 33%. The company also generated $10 million in free cash flow, its first quarter of positive free cash flow. Gross profit margin improved to 73% from 68% a year earlier, and adjusted EBITDA increased 59% to $4.8 million. The company's Trauma and Deformity and Scoliosis segments both saw double-digit growth, while the OPSB specialty bracing business continued to be a 'strategic growth catalyst.' OrthoPediatrics also made progress on EU MDR approvals, which the company expects will support growth in Europe in 2026.

  • In the fourth quarter of 2025, OrthoPediatrics supported the treatment of more than 37,500 children, bringing its total impact to about 1.3 million children helped.
  • OrthoPediatrics reported fourth-quarter 2025 worldwide revenue of $61.6 million, up 17% from the prior-year period.

The players

OrthoPediatrics

An Indiana-based medical device company dedicated exclusively to providing orthopedic solutions for children.

David Bailey

Chief Executive Officer of OrthoPediatrics.

Fred Hite

Chief Operating and Financial Officer of OrthoPediatrics.

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