OFIX Orthofix Medical Inc.

BEARISH Impact: 7/10 8-K
Horizon weeks Filed May 21, 2026 Processed 16d 13h ago SEC 0001193125-26-233429
8-K context-dependent: Items 7.01
Latest settled — T+5d
OFIX ▼ -8.84% at T+5d
SHORT call ✓ call won +8.84% · α vs SPY +10.44% · entry $10.41 → $9.49
Next anchor: T+20d in 15d
Last close $10.29 (close Jun 5) · +1.15% from $10.41 entry (call sign-flipped)
Entry anchored
May 21, 05:17 AM ET
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T+1d
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call -3.27% · α -2.82%
$10.75
settled 16d ago
T+5d
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$9.49
settled 9d ago
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Executive Summary

Orthofix disclosed that CMS updated billing requirements for non-invasive bone growth stimulators, effective May 18, 2026, following FDA reclassification to Class II. The company expects average Medicare reimbursement to decline ~10%, leading to lowered full-year 2026 guidance: net sales of $838M-$848M and non-GAAP adjusted EBITDA of $90M-$93M, with no positive free cash flow expected. The three-year financial targets are withdrawn.

Actionable Insight

The reimbursement cut directly pressures Orthofix's largest revenue segment. Watch for further CMS changes and competitor responses. The withdrawal of three-year targets signals structural headwinds — consider reducing exposure until clarity on payer mix and volume offsets emerges.

Key Facts

  • CMS updated billing requirements for non-invasive bone growth stimulators (HCPCS E0747, E0748, E0760) effective May 18, 2026
  • Orthofix expects average Medicare reimbursement for these codes to decline by approximately 10%
  • Full-year 2026 net sales guidance lowered to $838M-$848M
  • Full-year 2026 non-GAAP adjusted EBITDA guidance lowered to $90M-$93M
  • Company does not expect positive free cash flow for full-year 2026
  • Three-year financial targets are no longer applicable

Financial Impact

Approximately 10% decline in average Medicare reimbursement for key bone growth stimulator codes; full-year 2026 net sales guided to $838M-$848M and non-GAAP adjusted EBITDA to $90M-$93M

revenueebitdafree cash flow

Risk Factors

  • Further CMS reimbursement reductions could worsen the outlook
  • Volume declines or payer mix shifts may amplify revenue pressure
  • No positive free cash flow expected in 2026, limiting financial flexibility

Market Snapshot

Exchange
Nasdaq
Sector
Surgical & Medical Instruments & Apparatus
Analyst Consensus
73% bullish (11 analysts)

Documents Analyzed

This report is based on 4 SEC documents filed with EDGAR.

DocumentAccession Number
8-K Filing (Primary)0001193125-26-233429
Document: 0001193125-26-233429-index-headers.html0001193125-26-233429
Document: 0001193125-26-233429-index.html0001193125-26-233429
Document: 0001193125-26-233429.txt0001193125-26-233429
7 reports for OFIX
Performance horizon

Track record builds as more directional reports settle.

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Type Now
May 21, 2026
16d ago
8-K
BEARISH ★ 7/10
$10.41 $9.49▲ +8.84%▲ +10.44%$10.29 (+1.15%)
May 5, 2026
4w ago
8-K
NEUTRAL ★ 4/10
$12.44 $12.18▼ −2.09%▼ −4.07%$10.29 (−17.28%)
Apr 29, 2026
5w ago
DEFA14A
NEUTRAL ★ 2/10
awaiting T+5
Apr 9, 2026
8w ago
8-K
BULLISH ★ 7/10
$12.42 $12.39▼ −0.24%▼ −3.43%$10.29 (−17.15%)
Mar 10, 2026
12w ago
Insider Cluster
NEUTRAL ★ 3/10
$12.37 $12.03▼ −2.75%▼ −1.84%$10.29 (−16.81%)
Mar 5, 2026
13w ago
Insider Cluster
BEARISH ★ 6/10
$12.57 $12.03▲ +4.30%▲ +2.06%$10.29 (+18.14%)
Feb 25, 2026
14w ago
Insider Cluster
NEUTRAL ★ 3/10
$13.04 $12.87▼ −1.30%▼ −0.20%$10.29 (−21.09%)
Showing 7 of 7

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