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    SEC Form 10-Q filed by LeMaitre Vascular Inc.

    8/6/25 6:06:10 AM ET
    $LMAT
    Medical/Dental Instruments
    Health Care
    Get the next $LMAT alert in real time by email
    lmat20250630_10q.htm
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    UNITED STATES

    SECURITIES AND EXCHANGE COMMISSION

    Washington, D.C. 20549

     

     


     

    FORM

    10-Q

     


     

    (Mark One)

    ☒

    QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

     

    For the quarterly period ended June 30, 2025

     

    Or

     

    ☐

    TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

     

    For the transition period from                      to                     .

     

    Commission File Number 001-33092

     

     


     

    LEMAITRE VASCULAR, INC.

    (Exact name of registrant as specified in its charter)

     

     


     

    Delaware

    04-2825458

    (State or other jurisdiction of

    incorporation or organization)

    (I.R.S. Employer

    Identification No.)

     

    63 Second Avenue, Burlington, Massachusetts

    01803

    (Address of principal executive offices)

    (Zip Code)

     

    (781) 221-2266

    (Registrant’s telephone number, including area code)

     

     

     


     

     

    Securities registered pursuant to Section 12(b) of the Exchange Act:

     

    Title of each class

    Trading Symbol(s)

    Name of each exchange on which

    registered

    Common stock, $0.01 par value per share

    LMAT

    The Nasdaq Global Market

     

    1

     

     

    Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

     

    Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

     

    Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company” and “emerging growth company “in Rule 12b-2 of the Exchange Act.

     

    Large accelerated filer

    ☒

    Accelerated filer

    ☐

           

    Non-accelerated filer

    ☐

    Smaller reporting company

    ☐

           
       

    Emerging growth company

    ☐

     

    If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

     

    Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒

     

    As of August 3, 2025, the registrant had 22,637,522 shares of common stock, par value $.01 per share, outstanding.

     

    2

     

      

     

    LEMAITRE VASCULAR

    FORM 10-Q

    TABLE OF CONTENTS

     

         

    Page

           

    Part I.

    Financial Information:

    4

           
     

    Item 1.

    Financial Statements

    4

           
       

    Consolidated Balance Sheets as of June 30, 2025 (unaudited) and December 31, 2024

    4

           
       

    Unaudited Consolidated Statements of Operations for the three-month and six-month periods ended June 30, 2025 and 2024

    5

           
       

    Unaudited Consolidated Statements of Comprehensive Income for the three-month and six-month periods ended June 30, 2025 and 2024

    6

           
       

    Unaudited Consolidated Statements of Stockholders’ Equity for the three-month and six-month periods ended June 30, 2025 and 2024

    7

           
       

    Unaudited Consolidated Statements of Cash Flows for the six-month periods ended June 30, 2025 and 2024

    8

           
       

    Notes to Unaudited Consolidated Financial Statements

    9

           
     

    Item 2.

    Management’s Discussion and Analysis of Financial Condition and Results of Operations

    20

           
     

    Item 3.

    Quantitative and Qualitative Disclosure about Market Risk

    29

           
     

    Item 4.

    Controls and Procedures

    29

         

    Part II.

    Other Information:

    30

           
     

    Item 1.

    Legal Proceedings

    30

           
     

    Item 1A.

    Risk Factors

    30

           
     

    Item 2.

    Unregistered Sales of Equity Securities and Use of Proceeds

    30

           
     

    Item 5.

    Other Information

    31

           
     

    Item 6.

    Exhibits

    33

           
     

    Signatures

    34

     

    3

     

      

     

    Part I. Financial Information

     

    Item 1. Financial Statements

     

    LeMaitre Vascular, Inc.

     

    Consolidated Balance Sheets

     

     

    (unaudited)

           
     

    June 30,

     

    December 31,

     
     

    2025

     

    2024

     
     

    (in thousands, except share data)

     

    Assets

               

    Current assets:

               

    Cash and cash equivalents

    $ 27,177   $ 25,610  

    Short-term marketable securities

      292,311     274,112  

    Accounts receivable, net of allowances of $1,496 at June 30, 2025 and $1,369 at December 31, 2024

      36,537     30,063  

    Inventory and other deferred costs

      68,385     64,927  

    Prepaid expenses and other current assets

      5,716     7,480  

    Total current assets

      430,126     402,192  
                 

    Property and equipment, net

      25,357     24,800  

    Right-of-use leased assets

      16,515     16,768  

    Goodwill

      65,945     65,945  

    Other intangibles, net

      33,152     35,819  

    Deferred tax assets

      1,455     1,425  

    Other assets

      5,041     4,868  

    Total assets

    $ 577,591   $ 551,817  
                 

    Liabilities and stockholders’ equity

               

    Current liabilities:

               

    Accounts payable

    $ 4,914   $ 1,761  

    Accrued expenses

      22,978     24,732  

    Acquisition-related obligations

      95     1,433  

    Lease liabilities - short-term

      2,829     2,681  

    Total current liabilities

      30,816     30,607  
                 

    Convertible senior notes, net

      168,205     167,772  

    Lease liabilities - long-term

      14,855     15,232  

    Deferred tax liabilities

      95     85  

    Other long-term liabilities

      934     831  

    Total liabilities

      214,905     214,527  
                 

    Stockholders’ equity:

               

    Preferred stock, $0.01 par value; authorized 3,000,000 shares; none outstanding

      -     -  

    Common stock, $0.01 par value; authorized 37,000,000 shares; issued 24,246,823 shares at June 30, 2025, and 24,153,165 shares at December 31, 2024

      242     242  

    Additional paid-in capital

      220,822     213,760  

    Retained earnings

      160,843     145,090  

    Accumulated other comprehensive loss

      (2,998 )   (6,184 )

    Treasury stock, at cost; 1,609,942 shares at June 30, 2025 and 1,603,825 shares at December 31, 2024

      (16,223 )   (15,618 )

    Total stockholders’ equity

      362,686     337,290  

    Total liabilities and stockholders’ equity

    $ 577,591   $ 551,817  

     

    See accompanying notes to consolidated financial statements.  

     

    4

     

     

     

    LeMaitre Vascular, Inc.

     

    Consolidated Statements of Operations

    (unaudited)

     

       

    Three months ended

       

    Six months ended

     
       

    June 30,

       

    June 30,

     
       

    2025

       

    2024

       

    2025

       

    2024

     
       

    (in thousands, except per share data)

       

    (in thousands, except per share data)

     
                                     

    Net sales

      $ 64,232     $ 55,849     $ 124,103     $ 109,327  

    Cost of sales

        19,258       17,381       37,709       34,194  
                                     

    Gross profit

        44,974       38,468       86,394       75,133  
                                     

    Sales and marketing

        14,895       10,984       29,107       22,670  

    General and administrative

        10,396       8,820       20,883       17,833  

    Research and development

        3,541       4,284       7,636       8,376  
                                     

    Total operating expenses

        28,832       24,088       57,626       48,879  
                                     

    Income from operations

        16,142       14,380       28,768       26,254  
                                     

    Other income (expense):

                                   

    Interest income

        2,980       1,137       5,883       2,138  

    Interest expense

        (1,299 )     -       (2,589 )     -  

    Other income (loss), net

        247       (11 )     249       (89 )
                                     

    Income before income taxes

        18,070       15,506       32,311       28,303  

    Provision for income taxes

        4,291       3,680       7,521       6,590  
                                     

    Net income

      $ 13,779     $ 11,826     $ 24,790     $ 21,713  
                                     

    Earnings per share of common stock:

                                   

    Basic

      $ 0.61     $ 0.53     $ 1.10     $ 0.97  

    Diluted

      $ 0.60     $ 0.52     $ 1.08     $ 0.96  
                                     

    Weighted-average shares outstanding:

                                   

    Basic

        22,614       22,458       22,592       22,412  

    Diluted

        22,892       22,725       22,896       22,657  
                                     

    Cash dividends declared per common share

      $ 0.20     $ 0.16     $ 0.40     $ 0.32  

     

    See accompanying notes to consolidated financial statements. 

     

    5

     

     

     

    LeMaitre Vascular, Inc.

     

    Consolidated Statements of Comprehensive Income

    (unaudited) 

     

       

    Three months ended

       

    Six months ended

     
       

    June 30,

       

    June 30,

     
       

    2025

       

    2024

       

    2025

       

    2024

     
       

    (in thousands)

       

    (in thousands)

     

    Net income

      $ 13,779     $ 11,826     $ 24,790     $ 21,713  

    Other comprehensive income (loss):

                                   

    Foreign currency translation adjustment, net

        2,011       451       2,839       (380 )

    Unrealized gain (loss) on short-term marketable securities

        144       13       347       (89 )

    Total other comprehensive income (loss)

        2,155       464       3,186       (469 )
                                     

    Comprehensive income

      $ 15,934     $ 12,290     $ 27,976     $ 21,244  

     

    See accompanying notes to consolidated financial statements.

     

    6

     

     

     

    LeMaitre Vascular, Inc.

     

    Consolidated Statements of Stockholders’ Equity

    (unaudited)  

    (dollars in thousands)

     

                                       

    Accumulated

                             
                       

    Additional

               

    Other

                       

    Total

     
       

    Common Stock

       

    Paid-in

       

    Retained

       

    Comprehensive

       

    Treasury Stock

       

    Stockholders’

     
       

    Shares

       

    Amount

       

    Capital

       

    Earnings

       

    Income (Loss)

       

    Shares

       

    Amount

       

    Equity

     
                                                                     
                                                                     

    Balance at December 31, 2024

        24,153,165     $ 242     $ 213,760     $ 145,090     $ (6,184 )     1,603,825     $ (15,618 )   $ 337,290  
                                                                     

    Net income

                                11,011                               11,011  

    Other comprehensive income (loss)

                                        1,031                       1,031  

    Issuance of common stock for stock options exercised

        33,465       -       1,312                                       1,312  

    Vested restricted stock units

        9,638       -                                               -  

    Vested performance-based restricted stock units

        7,923       -                                               -  

    Repurchase of common stock for net settlement of equity awards

                                                6,065       (601 )     (601 )

    Stock-based compensation expense

                        2,046                                       2,046  

    Common stock dividend paid

                                (4,517 )                             (4,517 )

    Balance at March 31, 2025

        24,204,191     $ 242     $ 217,118     $ 151,584     $ (5,153 )     1,609,890     $ (16,219 )   $ 347,572  
                                                                     

    Net income

                                13,779                               13,779  

    Other comprehensive income (loss)

                                        2,155                       2,155  

    Issuance of common stock for stock options exercised

        42,485       -       1,760                                       1,760  

    Vested restricted stock units

        147       -                                               -  

    Vested performance-based restricted stock units

        -       -                                               -  

    Repurchase of common stock for net settlement of equity awards

                                                52       (4 )     (4 )

    Stock-based compensation expense

                        1,944                                       1,944  

    Common stock dividend paid

                                (4,520 )                             (4,520 )

    Balance at June 30, 2025

        24,246,823     $ 242     $ 220,822     $ 160,843     $ (2,998 )     1,609,942     $ (16,223 )   $ 362,686  

     

                                       

    Accumulated

                             
                       

    Additional

               

    Other

                       

    Total

     
       

    Common Stock

       

    Paid-in

       

    Retained

       

    Comprehensive

       

    Treasury Stock

       

    Stockholders’

     
       

    Shares

       

    Amount

       

    Capital

       

    Earnings

       

    Income (Loss)

       

    Shares

       

    Amount

       

    Equity

     
                                                                     
                                                                     

    Balance at December 31, 2023

        23,911,760     $ 239     $ 200,755     $ 115,430     $ (4,625 )     1,584,512     $ (13,899 )   $ 297,900  
                                                                     

    Net income

                                9,887                               9,887  

    Other comprehensive income (loss)

                                        (933 )                     (933 )

    Issuance of common stock for stock options exercised

        107,930       1       3,985                                       3,986  

    Vested restricted stock units

        9,547       -                                               -  

    Vested performance-based restricted stock units

        7,063       -                                               -  

    Repurchase of common stock for net settlement of equity awards

                                                5,850       (358 )     (358 )

    Stock-based compensation expense

                        1,610                                       1,610  

    Common stock dividend paid

                                (3,589 )                             (3,589 )

    Balance at March 31, 2024

        24,036,300     $ 240     $ 206,350     $ 121,728     $ (5,558 )     1,590,362     $ (14,257 )   $ 308,503  
                                                                     

    Net income

                                11,826                               11,826  

    Other comprehensive income (loss)

                                        464                       464  

    Issuance of common stock for stock options exercised

        22,700       -       730                                       730  

    Vested restricted stock units

        223       -                                               -  

    Vested performance-based restricted stock units

        77       -                                               -  

    Repurchase of common stock for net settlement of equity awards

                                                95       (7 )     (7 )

    Stock-based compensation expense

                        1,609                                       1,609  

    Common stock dividend paid

                                (3,593 )                             (3,593 )

    Balance at June 30, 2024

        24,059,300     $ 240     $ 208,689     $ 129,961     $ (5,094 )     1,590,457     $ (14,264 )   $ 319,532  

     

    See accompanying notes to consolidated financial statements.

     

    7

     

     

     

    LeMaitre Vascular, Inc.

     

    Consolidated Statements of Cash Flows

    (unaudited)

     

       

    For the six months ended

     
        June 30,  
       

    2025

       

    2024

     
       

    (in thousands)

     

    Operating activities

                   

    Net income

      $ 24,790     $ 21,713  

    Adjustments to reconcile net income to net cash provided by operating activities:

                   

    Depreciation and amortization

        5,200       4,766  

    Stock-based compensation

        3,990       3,219  

    Non-cash interest expense and end of term accretion expense

        2,589       -  

    Provision for inventory write-downs

        1,030       1,260  

    Provision for credit losses

        337       400  

    Fair value adjustments to contingent consideration obligations

        -       46  

    Foreign currency transaction effect on income

        (279 )     678  

    Changes in operating assets and liabilities:

                   

    Accounts receivable

        (5,299 )     (6,493 )

    Inventory and other deferred costs

        (3,454 )     (7,287 )

    Prepaid expenses and other assets

        1,676       729  

    Accounts payable and other liabilities

        (1,250 )     (4,335 )

    Net cash provided by operating activities

        29,330       14,696  
                     

    Investing activities

                   

    Purchases of short-term marketable securities

        (17,849 )     (10,116 )

    Purchases of property and equipment

        (2,725 )     (3,248 )

    Payments related to acquisitions, net of cash acquired

        (95 )     -  

    Net cash used in investing activities

        (20,669 )     (13,364 )
                     

    Financing activities

                   

    Proceeds from stock option exercises

        3,072       4,716  

    Deferred payments for acquisitions

        (1,433 )     -  

    Payment of withholding taxes in connection with net settlement of equity awards

        (605 )     (365 )

    Common stock cash dividend paid

        (9,037 )     (7,182 )

    Net cash used in financing activities

        (8,003 )     (2,831 )
                     

    Effect of exchange rate changes on cash and cash equivalents

        909       (502 )

    Net increase (decrease) in cash and cash equivalents

        1,567       (2,001 )

    Cash and cash equivalents at beginning of period

        25,610       24,269  

    Cash and cash equivalents at end of period

      $ 27,177     $ 22,268  
                     

    Non-cash operating activities

                   

    Right-of-use assets obtained in exchange for operating lease obligations

      $ 788     $ 717  
                     

    Supplemental cash flow information

                   

    Cash paid for amounts included in the measurement of operating lease liabilities

      $ 1,580     $ 1,999  

    Cash paid for income taxes

      $ 6,671     $ 5,353  

     

    See accompanying notes to consolidated financial statements.

     

    8

     

     

    LeMaitre Vascular, Inc.

     

    Notes to Consolidated Financial Statements

    June 30, 2025

    (unaudited)

     

     

    1. Nature of the Business and Basis of Presentation

     

    Unless the context requires otherwise, references to LeMaitre, LeMaitre Vascular, and the Company refer to LeMaitre Vascular, Inc. and its subsidiaries. The Company develops, manufactures, and markets medical devices and implants used primarily in the field of vascular surgery. The Company also derives revenues from the processing and cryopreservation of human tissues for implantation in patients. The Company operates in a single segment in which its principal product lines include the following: anastomotic clips, biologic vascular and dialysis grafts, biologic vascular and cardiac patches, carotid shunts, embolectomy catheters, occlusion catheters, radiopaque marking tape, synthetic vascular and dialysis grafts, and valvulotomes. The Company’s offices and production facilities are located in Burlington, Massachusetts; Fox River Grove, Illinois; North Brunswick, New Jersey; Vaughan, Canada; Sulzbach, Germany; Milan, Italy; Madrid, Spain; Hereford, England; Dublin, Ireland; Maisons-Alfort, France; Zurich, Switzerland; Docklands, Australia; Tokyo, Japan; Shanghai, China; Singapore; Seoul, Korea; and Bangkok, Thailand.

     

    The Company’s consolidated financial statements have been prepared in conformity with accounting principles generally accepted in the United States of America (“GAAP”). Any reference in these notes to applicable guidance is meant to refer to the authoritative GAAP as found in the Accounting Standards Codification (“ASC”) and Accounting Standards Update (“ASU”) of the Financial Accounting Standards Board (“FASB”). The accompanying unaudited consolidated financial statements have been prepared on the basis of continuity of operations, realization of assets and the satisfaction of liabilities and commitments in the ordinary course of business. The consolidated financial statements include the accounts of the Company and its wholly-owned subsidiaries. All intercompany accounts and transactions have been eliminated in consolidation.

     

     

    2. Summary of Significant Accounting Policies

     

    Unaudited Interim Financial Information

     

    The accompanying unaudited interim financial statements and related notes have been prepared by the Company pursuant to the rules and regulations of the Securities and Exchange Commission (“SEC”) for interim financial statements. Certain information and footnote disclosures normally included in the financial statements prepared in accordance with GAAP have been condensed or omitted pursuant to such rules and regulations. These consolidated financial statements should be read in conjunction with the Company’s audited consolidated financial statements and the notes thereto for the year ended December 31, 2024, included in the Company’s Annual Report on Form 10-K filed with the SEC. In the opinion of management, all adjustments, consisting only of normal recurring adjustments necessary for a fair statement of the Company’s financial position as of June 30, 2025, and results of operations for the three- and six-months ended June 30, 2025 and 2024, and cash flows for the six months ended June 30, 2025 and 2024, have been made. The Company’s results of operations for the three- and six-months ended June 30, 2025, are not necessarily indicative of the results of operations that may be expected for the year ending December 31, 2025.

     

    Use of Estimates

     

    The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenue and expenses during the reporting periods. Significant estimates and assumptions reflected in these unaudited consolidated financial statements include, but are not limited to, credit losses, inventories, intangible assets, sales returns and discounts, share-based compensation, and income taxes. The Company bases its estimates on historical experience, known trends and other market-specific or relevant factors that it believes to be reasonable under the circumstances. On an ongoing basis, management evaluates its estimates as there are changes in circumstances, facts, and experience. Changes in estimates are recorded in the period in which they become known. As of the date of issuance of these unaudited consolidated financial statements, the Company is not aware of any specific event or circumstance that would require the Company to update estimates or judgments or to revise the carrying value of any assets or liabilities. Actual results may differ from those estimates or assumptions.

     

    Fair Value Measurements

     

    Certain assets and liabilities are carried at fair value under GAAP. Fair value is defined as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. Valuation techniques used to measure fair value must maximize the use of observable inputs and minimize the use of unobservable inputs. Financial assets and liabilities carried at fair value are to be classified and disclosed in one of the following three levels of the fair value hierarchy, of which the first two are considered observable and the last is considered unobservable:

     

    • Level 1-Quoted prices in active markets for identical assets or liabilities.

     

    9

     

     

    • Level 2-Observable inputs (other than Level 1 quoted prices), such as quoted prices in active markets for similar assets or liabilities, quoted prices in markets that are not active for identical or similar assets or liabilities, or other inputs that are observable or can be corroborated by observable market data.

     

    • Level 3-Unobservable inputs that are supported by little or no market activity and that are significant to determining the fair value of the assets or liabilities, including pricing models, discounted cash flow methodologies, and similar techniques.

     

    The carrying values of the Company’s cash and cash equivalents, short-term marketable securities, accounts receivable, accounts payable, and accrued expenses approximate their fair values due to the short-term nature of these assets and liabilities. The Company’s 2.50% convertible senior notes due 2030 (the “Convertible Notes”) are carried at the face value less unamortized debt discount and issuance costs (a level 2 measurement) on the accompanying consolidated balance sheets, and the fair value of the Convertible Notes is presented at each reporting period for disclosure purposes only.

     

    Employee Retention Credit

     

    On March 27, 2020, the U.S. government enacted the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”). One provision within the CARES Act provided an Employee Retention Credit (“ERC”), which allows for employers to claim a refundable tax credit against the employer share of Social Security tax equal to 50% of the qualified wages paid to employees from March 13, 2020 through December 31, 2020. The ERC was subsequently expanded in 2021 for employers to claim a refundable tax credit for 70% of the qualified wages paid to employees from January 1, 2021 through September 30, 2021.

     

    The Company accounted for the ERC by analogy to International Accounting Standard (“IAS”) 20, Accounting for Government Grants and Disclosure of Government Assistance. During the quarter ended June 30, 2025, the Company filed a claim for the ERC for qualified wages paid in 2021 and has yet to receive any refunds or receive any correspondence from the IRS regarding the ERC filing. The Company believes that there is not reasonable assurance that any receipt of credits will be obtained and therefore has not recognized any amounts related to the ERC in the accompanying consolidated financial statements. In the event the Company obtains a refund in future periods, such refunds would be subject to IRS audit under the applicable statute of limitations. Additionally, the Company has accounted for the contingent fee arrangement with its service provider in connection with the filing of the ERC under ASC 450-20, Contingencies, and believes it is not probable that it will receive the credits and therefore has not recognized any amounts related to the fee arrangement.

     

    Recently Adopted Accounting Pronouncements

     

    In November 2023, the FASB issued ASU 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures (ASU 2023-07), which requires all public entities, including public entities with a single reportable segment, to provide in interim and annual periods one or more measures of segment profit or loss used by the chief operating decision maker to allocate resources and assess performance. Additionally, the standard requires disclosures of significant segment expenses and other segment items as well as incremental qualitative disclosures. The Company adopted ASU 2023-07 effective December 31, 2024, on a retrospective basis. The adoption of 2023-07 did not change the way that the Company identifies its reportable segments and, as a result, did not have a material impact on the Company’s segment-related disclosures.

     

    Recently Issued Accounting Pronouncements

     

    In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures (ASU 2023-09), which requires enhanced income tax disclosures, including specific categories and disaggregation of information in the effective tax rate reconciliation, disaggregated information related to income taxes paid, income or loss from continuing operations before income tax expense or benefit, and income tax expense or benefit from continuing operations. The requirements of the ASU are effective for annual periods beginning after December 15, 2024, with early adoption permitted. The Company is currently in the process of evaluating the impact of this pronouncement on its related disclosures.

     

    In November 2024, the FASB issued ASU 2024-03, Income Statement-Reporting Comprehensive Income-Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses (ASU 2024-03), which requires disclosure about the types of costs and expenses included in certain expense captions presented on the income statement. The new disclosure requirements are effective for the Company’s annual periods beginning after December 15, 2026, and interim periods beginning after December 15, 2027, with early adoption permitted. The Company is currently in the process of evaluating the impact of this pronouncement on its consolidated financial statements.

     

    In November 2024, the FASB issued ASU 2024-04, Induced Conversions of Convertible Debt Instruments. The new guidance clarifies the assessment of whether a transaction should be accounted for as an induced conversion or extinguishment of convertible debt when changes are made to conversion features as part of an offer to settle the instrument. The guidance is effective for fiscal years beginning after December 15, 2025, with early adoption permitted, and it can be adopted either on a prospective or retrospective basis. The Company is currently in the process of evaluating the impact of this pronouncement on its consolidated financial statements and related disclosures.

     

    10

     

      

     

    3. Inventory and Other Deferred Costs

     

    Inventory and other deferred costs consisted of the following:

     

       

    June 30, 2025

       

    December 31, 2024

     
       

    (in thousands)

     

    Raw materials

      $ 21,721     $ 19,109  

    Work-in-process

        2,251       2,157  

    Finished products

        33,488       34,676  

    Other deferred costs

        10,925       8,985  
                     

    Total inventory and other deferred costs

      $ 68,385     $ 64,927  

     

    The Company had inventory on consignment at customer sites of $2.3 million and $1.8 million as of June 30, 2025, and December 31, 2024, respectively.

     

    In connection with the Company’s RestoreFlow allograft business, other deferred costs include costs incurred for the preservation of human tissues available for shipment, tissues currently in active processing, and tissues held in quarantine pending release to implantable status. By federal law, human tissues cannot be bought or sold. Therefore, the tissues the Company preserves are not held as inventory, and the costs the Company incurs to procure and process vascular tissues are instead accumulated and deferred. These costs include fixed and variable overhead costs associated with the cryopreservation process, including primarily direct labor costs, tissue recovery fees, inbound freight charges, indirect materials, and facilities costs. The Company expenses general and administrative expenses and selling expenses associated with the provision of these services as incurred.

     

     

    4. Goodwill and Other Intangible Assets

     

    There was no change to goodwill during the six months ended June 30, 2025. Other intangible assets consisted of the following:

     

       

    June 30, 2025

       

    December 31, 2024

     
       

    Gross

               

    Net

       

    Gross

               

    Net

     
       

    Carrying

       

    Accumulated

       

    Carrying

       

    Carrying

       

    Accumulated

       

    Carrying

     
       

    Value

       

    Amortization

       

    Value

       

    Value

       

    Amortization

       

    Value

     
       

    (in thousands)

     

    Product technology and intellectual property

      $ 29,549     $ 20,038     $ 9,511     $ 29,549     $ 18,709     $ 10,840  

    Trademarks, tradenames and licenses

        3,767       2,437       1,330       3,767       2,261       1,506  

    Customer relationships

        37,266       15,034       22,232       37,171       13,709       23,462  

    Other intangible assets

        1,631       1,552       79       1,536       1,525       11  
                                                     

    Total identifiable intangible assets

      $ 72,213     $ 39,061     $ 33,152     $ 72,023     $ 36,204     $ 35,819  

     

    The Company is amortizing these assets over useful lives ranging from 2 to 16 years. The weighted-average amortization period for these intangibles as of June 30, 2025, is 8.6 years. The Company includes amortization expense in general and administrative expense as follows:

     

       

    Three months ended June 30,

       

    Six months ended June 30,

     
       

    2025

       

    2024

       

    2025

       

    2024

     
       

    (in thousands)

       

    (in thousands)

     
                                     

    Amortization expense

      $ 1,437     $ 1,472     $ 2,857     $ 2,944  

     

    11

     

     

    Estimated amortization expense for the remainder of 2025 and for each of the next five fiscal years is as follows:

     

     

       

    Year ended December 31,

     
       

    2025

       

    2026

       

    2027

       

    2028

       

    2029

       

    2030

     
       

    (in thousands)

     
                                                     

    Amortization expense

      $ 2,780     $ 5,163     $ 4,854     $ 4,468     $ 4,435     $ 3,396  

     

     

    5. Accrued Expenses and Other Long-term Liabilities

     

    Accrued expenses consisted of the following:

     

       

    June 30, 2025

       

    December 31, 2024

     
       

    (in thousands)

     

    Compensation and related taxes

      $ 12,176     $ 15,117  

    Accrued purchases

        4,525       4,463  

    Accrued expenses

        2,429       3,852  

    Accrued interest

        2,300       86  

    Income and other taxes

        1,094       639  

    Professional fees

        74       144  

    Other

        380       431  
                     

    Total

      $ 22,978     $ 24,732  

     

    Other long-term liabilities consisted of the following:

     

       

    June 30, 2025

       

    December 31, 2024

     
       

    (in thousands)

     

    Income taxes

        623       572  

    Other

        311       259  
                     

    Total

      $ 934     $ 831  

     

     

    6. Income Taxes

     

    As part of the process of preparing its consolidated financial statements, the Company is required to determine its income taxes in each of the jurisdictions in which it operates. This process involves the Company estimating its actual current tax expense together with assessing temporary differences resulting from recognition of items for income tax and accounting purposes. These differences result in deferred tax assets and liabilities, which are included within the Company’s consolidated balance sheet. The Company must then assess the likelihood that its deferred tax assets will be recovered from taxable income during the carryback period or in the future; and to the extent the Company believes that recovery is not more likely than not, the Company must establish a valuation allowance. To the extent the Company establishes a valuation allowance or increases its allowance in a period, the Company must reflect this increase as an expense within the tax provision in the statement of operations. The Company does not provide for income taxes on undistributed earnings of certain foreign subsidiaries, as its intention is to permanently reinvest these earnings.

     

    The Company recognizes, measures, presents, and discloses in its consolidated financial statements any uncertain tax positions that it has taken, or expects to take on a tax return. The Company operates in multiple taxing jurisdictions, both inside and outside the United States, and may be subject to audits from various tax authorities. Management’s judgment is required in determining the Company’s provision for income taxes, deferred tax assets and liabilities, liabilities for uncertain tax positions, and any valuation allowance recorded against the Company’s net deferred tax assets. The Company monitors the realizability of its deferred tax assets and will adjust the valuation allowance accordingly.

     

    The Company’s policy is to classify interest and penalties related to unrecognized tax benefits as income tax expense. The Company’s 2025 income tax expense varies from the statutory rate mainly due to the generation of federal and state tax credits, permanent items, different statutory rates from its foreign subsidiaries, and discrete stock option exercises. The Company’s 2024 income tax expense varied from the statutory rate mainly due to the generation of federal and state tax credits, permanent items, different statutory rates from its foreign subsidiaries, and discrete stock option exercises.

     

    12

     

     

    The Company has reviewed the tax positions taken, or to be taken, in its tax returns for all tax years currently open to examination by a taxing authority. As of June 30, 2025, the gross amount of unrecognized tax benefits exclusive of interest and penalties was $0.4 million. The Company remains subject to examination until the statute of limitations expires for each remaining respective tax jurisdiction. The statute of limitations will be open with respect to these tax positions until 2031. A reconciliation of beginning and ending amount of the Company’s unrecognized tax benefits is as follows:

     

       

    Six months ended

    June 30, 2025

     
       

    (in thousands)

     

    Unrecognized tax benefits as of December 31, 2024

      $ 515  

    Additions/adjustments for tax positions of current year

        -  

    Additions/adjustments for tax positions of prior years

        22  

    Reductions for settlements with taxing authorities

        -  

    Reductions for lapses of the applicable statutes of limitations

        (114 )

    Unrecognized tax benefits as of June 30, 2025

      $ 423  

     

    As of June 30, 2025, a summary of the tax years that remain subject to examination in the Company’s taxing jurisdictions is as follows:

     

    United States

    2021 and forward

    Foreign

    2016 and forward

     

     

    7. Convertible Senior Notes

     

    Convertible senior notes consisted of the following:

     

       

    June 30, 2025

       

    December 31, 2024

     
       

    (in thousands)

     

    Principal amount of convertible senior notes

      $ 172,500     $ 172,500  

    Less: Current portion of convertible senior notes

        -       -  

    Convertible senior notes, net of current portion

        172,500       172,500  

    Debt discount, net of accretion

        (4,295 )     (4,728 )
                     

    Convertible senior notes, net of discount and current portion

      $ 168,205     $ 167,772  

     

    On December 19, 2024, the Company issued $172.5 million aggregate principal amount of convertible senior notes due 2030, in a Rule 144A private placement to qualified institutional buyers pursuant to an indenture dated December 19, 2024, by and between the Company and U.S. Bank Trust Company, National Association (the “Indenture”). 

     

    The Convertible Notes will mature on February 1, 2030, unless earlier repurchased, redeemed, or converted. The proceeds from the issuance of the Convertible Notes were approximately $167.7 million, net of initial purchaser discounts and other debt issuance costs totaling $4.8 million.

     

    The Convertible Notes bear interest at a rate of 2.50% per year and interest is payable semiannually in arrears on August 1 and February 1 of each year. The initial conversion rate is 8.3521 shares of common stock per $1,000 principal amount of the Convertible Notes, which represents an initial conversion price of approximately $119.73 per share of common stock and a premium of approximately 30% over the closing price of the Company’s common stock on December 16, 2024. In connection with the payment by the Company on May 29, 2025 of a quarterly cash dividend of $0.20 per share (an increase from the quarterly dividend amount of $0.16 per share as of the time of issuance of the Convertible Notes), the conversion rate of the Convertible Notes was increased to 8.3602 shares of common stock per $1,000 principal amount of the Convertible Notes, which represents a conversion price of approximately $119.61 per share of common stock. A similar adjustment to the conversion rate will be made upon payment of the quarterly cash dividend of $0.20 on September 4, 2025, and upon payment of subsequent quarterly dividends in excess of $0.16 per share. The conversion rate and conversion price are subject to customary adjustments upon the occurrence of certain events as described in the Indenture.

     

    Noteholders may convert all or a portion of their Convertible Notes at their option only in the following circumstances: (1) during any calendar quarter commencing after the calendar quarter ending on June 30, 2025, if the last reported sale price per share of the Company’s common stock exceeds 130% of the conversion price for each of at least 20 trading days during the 30 consecutive trading days ending on, and including, the last trading day of the immediately preceding calendar quarter; (2) during the five consecutive business days immediately after any five consecutive trading day period in which the trading price per $1,000 principal amount of Convertible Notes for each trading day of the measurement period was less than 98% of the product of the last reported sale price per share of the Company’s common stock on such trading day and the conversion rate on such trading day; (3) upon the occurrence of certain corporate events or distributions on the Company’s common stock, as described in the Indenture; (4) if the Company calls (or is deemed to have called) any Convertible Notes for redemption; and (5) at any time from, and including, August 1, 2029, until the close of business on the second scheduled trading day immediately before the maturity date. The Company has the right to elect to settle conversions either in cash, shares of its common stock, or in a combination of cash and shares of its common stock.

     

    13

     

     

    Additional interest of up to 0.5% per annum is payable if the Company fails to timely file required documents or reports with the SEC or the Convertible Notes become not freely tradable (as defined in the Indenture). The Company determined that the higher interest payments required in certain circumstances were embedded derivatives that should be bifurcated and accounted for at fair value. The Company assessed the value of the embedded derivatives at each balance sheet date and determined they had de minimis value.

     

    Prior to February 5, 2028, the Convertible Notes will not be redeemable. On or after February 5, 2028, until the 40th trading day immediately before the maturity date, the Company may redeem for cash all or any portion of the Convertible Notes (subject to the partial redemption limitation set forth in the Indenture), at its option, if the last reported sale price of the Company’s common stock has been at least 130% of the conversion price then in effect for at least 20 trading days (whether or not consecutive) during any 30-consecutive-trading-day period (including the last trading day of such period) ending on, and including, the trading day immediately preceding the date on which the Company provides notice of redemption. In addition, calling any Convertible Note for redemption will constitute a “Make-Whole Fundamental Change” (as defined in the Indenture) with respect to that Convertible Note, in which case the conversion rate applicable to the conversion of that Convertible Note will be increased in certain circumstances if it is converted after it is called for redemption. 

     

    During the six months ended June 30, 2025, the Company recognized $2.2 million in interest expense related to the 2.50% cash coupon of the Convertible Notes and $0.4 million of amortization expense of the debt issuance costs. The Company did not recognize interest expense during the six months ended June 30, 2024. As of June 30, 2025, the estimated fair value of the Convertible Notes was $172.7 million compared to $178.6 million as of December 31, 2024. The fair value was determined based on the quoted price of the last trade of the Convertible Notes prior to the end of the reporting period in an inactive market, which is considered as Level 2 in the fair value hierarchy.

     

     

    8. Stock-Based Compensation

     

    The Company’s Fourth Amended and Restated 2006 Stock Option and Incentive Plan allows for granting of incentive stock options, non-qualified stock options, stock appreciation rights, restricted stock units, performance-based restricted stock units, unrestricted stock awards, and deferred stock awards to its officers, employees, directors, and consultants. The components of stock-based compensation expense included in the consolidated statements of operations are as follows:

     

       

    Three months ended

       

    Six months ended

     
       

    June 30,

       

    June 30,

     
       

    2025

       

    2024

       

    2025

       

    2024

     
       

    (in thousands)

       

    (in thousands)

     

    Stock option awards

      $ 910     $ 732     $ 1,810     $ 1,473  

    Restricted stock units

        634       573       1,320       1,134  

    Performance-based restricted stock units

        400       304       860       612  
                                     

    Total stock-based compensation

      $ 1,944     $ 1,609     $ 3,990     $ 3,219  

     

    14

     

     

    Stock-based compensation is included in the Company’s consolidated statements of operations as follows:

     

       

    Three months ended

       

    Six months ended

     
       

    June 30,

       

    June 30,

     
       

    2025

       

    2024

       

    2025

       

    2024

     
       

    (in thousands)

       

    (in thousands)

     

    Cost of sales

      $ 266     $ 228     $ 552     $ 439  

    Sales and marketing

        349       274       725       545  

    General and administrative

        1,140       943       2,316       1,908  

    Research and development

        189       164       397       327  
                                     

    Total stock-based compensation

      $ 1,944     $ 1,609     $ 3,990     $ 3,219  

     

    During the six months ended June 30, 2025, the Company granted 741 options. The Company did not grant any options during the six months ended June 30, 2024. During the six months ended June 30, 2025 and 2024, the Company granted 1,521 and 222 restricted stock units, respectively. During the six months ended June 30, 2025, the Company granted 129 performance-based restricted stock units. The Company did not grant any performance-based restricted stock units during the six months ended June 30, 2024. The Company issued 93,658 and 147,540 shares of common stock following the exercise or vesting of underlying stock options, restricted stock units, and performance-based restricted stock units during the six months ended June 30, 2025 and 2024, respectively.

     

     

    9. Net Income per Share

     

    The Company computes basic net income per common share by dividing the net income by the weighted average number of shares of common stock outstanding for the period. Diluted net income per common share is computed by dividing net income by the weighted average number of shares of common stock outstanding for the period, including potential dilutive common shares assuming the dilutive effect of outstanding stock awards, using the treasury stock method, and outstanding convertible notes, using the if-converted method.

     

    A reconciliation of the numerators and the denominators of the basic and dilutive net income per common share computations are as follows:

     

       

    Three months ended

       

    Six months ended

     
       

    June 30,

       

    June 30,

     
       

    2025

       

    2024

       

    2025

       

    2024

     
       

    (in thousands, except per share data)

       

    (in thousands, except per share data)

     

    Numerator:

                                   

    Net income

      $ 13,779     $ 11,826     $ 24,790     $ 21,713  
                                     

    Denominator:

                                   

    Weighted average basic common shares outstanding

        22,614       22,458       22,592       22,412  

    Effect of dilutive securities:

                                   

    Options to purchase common stock

        210       184       235       173  

    Resticted stock units

        40       57       39       47  

    Performance-based restricted stock units

        28       26       30       25  

    Weighted average dilutive common shares outstanding

        22,892       22,725       22,896       22,657  
                                     

    Net income per share:

                                   

    Basic

      $ 0.61     $ 0.53     $ 1.10     $ 0.97  

    Diluted

      $ 0.60     $ 0.52     $ 1.08     $ 0.96  

     

    15

     

     

    The Company excluded the following common shares, presented based on weighted average shares outstanding, from the computation of diluted net income per share because including them would have had an anti-dilutive effect:

     

       

    Three months ended

       

    Six months ended

     
       

    June 30,

       

    June 30,

     
       

    2025

       

    2024

       

    2025

       

    2024

     
       

    (in thousands)

       

    (in thousands)

     
                                     

    Convertible senior notes

        1,442       -       1,442       -  

    Options to purchase common stock

        126       26       126       147  

    Restricted stock units

        32       -       32       -  

    Performance-based restricted stock units

        10       -       10       -  
          1,610       26       1,610       147  

     

     

    10. Stockholders’ Equity

     

    Share Repurchase Program

     

    On February 18, 2025, the Company’s Board of Directors authorized the repurchase of up to $75.0 million of the Company’s common stock through transactions on the open market, in privately negotiated purchases, or otherwise until February 17, 2026. The repurchase program may be suspended or discontinued at any time. To date the Company has not made any repurchases under this program.

     

    Dividends

     

    In February 2011, the Company’s Board of Directors approved a policy for the payment of quarterly cash dividends on its common stock. Future declarations of quarterly dividends and the establishment of future record and payment dates are subject to approval by the Board of Directors on a quarterly basis. The dividend activity for the periods presented is as follows:

     

    Record Date

     

    Payment Date

     

    Per Share Amount

       

    Dividend Payment

     
                   

    (in thousands)

     

    Fiscal Year 2025

                       

    March 13, 2025

     

    March 27, 2025

      $ 0.20     $ 4,517  

    May 15, 2025

     

    May 29, 2025

      $ 0.20     $ 4,520  
                         

    Fiscal Year 2024

                       

    March 14, 2024

     

    March 28, 2024

      $ 0.16     $ 3,589  

    May 16, 2024

     

    May 30, 2024

      $ 0.16     $ 3,593  

    August 15, 2024

     

    August 29, 2024

      $ 0.16     $ 3,596  

    November 21, 2024

     

    December 5, 2024

      $ 0.16     $ 3,600  

     

    On July 30, 2025, the Company’s Board of Directors approved a quarterly cash dividend on its common stock of $0.20 per share payable on September 4, 2025, to stockholders of record at the close of business on August 21, 2025.

     

    16

     

      

     

    11. Commitments and Contingencies

     

    Operating Leases

     

    The Company determines if an arrangement is a lease at inception of the contract. The Company has operating leases for buildings, primarily for office space, manufacturing, and distribution, as well as automobiles and printing equipment. As of June 30, 2025, the Company had the following building and facility leases capitalized on the balance sheet:

     

    Location (leases)

     

    Purpose

     

    Approx. Sq. Ft.

     

    Expiration

                   

    Americas

                 

    Burlington, MA (4)

     

    Corporate headquarters and manufacturing

        96,476  

    December 2034

    North Brunswick, NJ

     

    Artegraft biologic business

        16,732  

    October 2029

    Burlington, MA

     

    US distribution

        12,878  

    December 2030

    Fox River Grove, IL

     

    RestoreFlow allografts business

        9,754  

    December 2026

    Fox River Grove, IL

     

    RestoreFlow allografts business

        4,878  

    November 2025

    Vaughn, Canada

     

    Canada sales office and distribution

        3,192  

    February 2026

                   

    Europe, Middle East and Africa

                 

    Sulzbach, Germany

     

    European headquarters and distribution

        21,410  

    June 2031

    Milan, Italy

     

    Italy sales office and distribution

        5,705  

    September 2027

    Hereford, England

     

    United Kingdom sales office and distribution

        3,575  

    October 2029

    Maisons-Alfort, France

     

    France sales office

        3,492  

    February 2030

    Zurich, Switzerland

     

    Switzerland sales office and distribution

        2,935  

    February 2030

    Madrid, Spain

     

    Spain sales office and distribution

        2,260  

    June 2029

                   

    Asia Pacific

                 

    Tokyo, Japan

     

    Japan sales office and distribution

        4,236  

    July 2027

    Shanghai, China

     

    China sales office and distribution

        3,432  

    October 2027

    Docklands, Australia

     

    Australia sales office and distribution

        2,863  

    April 2030

    Bangkok, Thailand

     

    Thailand sales office and distribution

        2,810  

    August 2026

    Seoul, Korea

     

    Korea sales office and distribution

        2,300  

    April 2027

    Singapore

     

    Asia Pacific headquarters and distribution

        1,270  

    June 2026

    Ballarat, Australia

     

    Supply facility

     

    Up to 350 acres

     

    December 2030

     

    Operating lease right-of-use (ROU) assets and operating lease liabilities are recognized based on the present value of the future lease minimum payments over the lease term at commencement date. Many of the lease agreements contain renewal or termination clauses that are factored into the determination of the lease term if it is reasonably certain that these options would be exercised. The Company recognizes lease expense for these leases on a straight-line basis over the lease term.

     

    None of the Company’s noncancelable lease payments include non-lease components such as maintenance contracts. The Company generally reimburses the landlord for direct operating costs associated with the leased space. The Company has no subleases, and there are no residual value guarantees associated with, or restrictive covenants imposed by, any of its leases. The Company held no assets under capital leases as of June 30, 2025. The Company elected the package of practical expedients that allow it to omit leases with initial terms of 12 months or less from its balance sheet, which the Company expenses on a straight-line basis over the life of the lease.

     

    The interest rate implicit in lease agreements is typically not readily determinable, and as such the Company used the incremental borrowing rate based on the information available at commencement date in determining the present value of future payments. The incremental borrowing rate is defined as the interest the Company would pay to borrow on a collateralized basis.

     

    Additional information with respect to the Company’s leases is as follows:

     

       

    Three months ended June 30,

       

    Six months ended June 30,

     
       

    2025

       

    2024

       

    2025

       

    2024

     
       

    (in thousands)

       

    (in thousands)

     

    Lease cost

                                   

    Operating lease cost

      $ 447     $ 709     $ 1,041     $ 1,149  

    Short-term lease cost

        20       17       46       46  

    Total lease cost

      $ 467     $ 726     $ 1,087     $ 1,195  
                                     

    Weighted average remaining lease term - operating leases (in years)

                        6.9       7.8  
                                     

    Weighted average discount rate - operating leases

                        6.62 %     6.60 %

     

    17

     

     

    As of June 30, 2025, the minimum noncancelable operating lease rental commitments with initial or remaining terms of more than one year are as follows:

     

    Remainder of 2025

      $ 2,035  

    Year ending December 31,

           

    2026

        3,612  

    2027

        3,030  

    2028

        2,759  

    2029

        2,695  

    2030

        2,186  

    Thereafter

        6,420  

    Adjustment to net present value as of June 30, 2025

        (5,053 )
             

    Minimum noncancelable lease liability

      $ 17,684  

     

    In June 2025, the Company executed a new building lease agreement in Billerica, Massachusetts for U.S. distribution. The 34,400 square foot building lease will commence on January 1, 2026, with a primary term through December 31, 2032. The Company has the option to renew the primary term of the lease for one additional 24-month period.

     

     

    12. Segment and Geographic Information

     

    The Company regularly reviews its segment financial information and the approach used by the chief operating decision maker (“CODM”), the Chief Executive Officer, to evaluate performance and allocate resources. The Company considers the business to be a single operating segment engaged in the development, manufacturing, and marketing of medical devices and implants, as well as the processing and cryopreservation of human tissues for implantation in patients, all used primarily in the field of vascular surgery.

     

    The CODM assesses performance for its single operating segment and decides how to allocate resources based on net income that also is reported on the consolidated statements of operations. The measure of segment assets is reported on the consolidated balance sheets as total consolidated assets.

     

    The CODM uses net income to evaluate income generated from segment assets (return on assets) in deciding whether to reinvest profits into the single operating segment or into other parts of the entity, such as for acquisitions, dividend payments, and/or short-term marketable security investments. Net income is also used to monitor budget versus actual results, which is used in assessing performance of the segment and in establishing management’s compensation.

     

    18

     

     

    In addition to total segment net income, the CODM’s quarterly reporting package includes several highlighted expense categories that the CODM considers key strategic drivers of the Company’s long-term profitability. The following is the Company’s operating segment reconciliation of net income, including significant segment expenses:

     

       

    Three months ended June 30,

       

    Six months ended June 30,

     
       

    2025

       

    2024

       

    2025

       

    2024

     
       

    (in thousands)

       

    (in thousands)

     
                                     

    Net sales

      $ 64,232     $ 55,849     $ 124,103     $ 109,327  

    Cost of sales

        19,258       17,381       37,709       34,194  

    Gross profit

        44,974       38,468       86,394       75,133  
                                     

    Less:

                                   

    Selling expense

        13,579       9,796       26,403       20,348  

    Marketing expense

        1,316       1,188       2,704       2,322  

    Administrative expense

        7,177       5,972       14,000       11,868  

    Finance expense

        2,481       2,276       5,449       4,814  

    Management information systems expense

        738       572       1,434       1,151  

    Research and development expense

        1,113       830       2,214       1,662  

    Process engineering expense

        543       735       1,282       1,540  

    Regulatory and clinical expense

        1,885       2,719       4,140       5,174  

    Other (income) expense, net*

        2,363       2,554       3,978       4,541  

    Net income

      $ 13,779     $ 11,826     $ 24,790     $ 21,713  

     

    *Refer to the consolidated statement of operations for the components of other income and expense and related amounts.

     

    Most of the Company’s revenues are generated in the United States, Germany, the United Kingdom, other European countries, and Canada. Substantially all of the Company’s assets are located in the United States and Germany. Net sales to unaffiliated customers based on customer location by country were as follows:

     

       

    Three months ended June 30,

       

    Six months ended June 30,

     
       

    2025

       

    2024

       

    2025

       

    2024

     
       

    (in thousands)

       

    (in thousands)

     
                                     

    United States

      $ 36,656     $ 32,798     $ 71,284     $ 63,923  

    Germany

        4,458       3,509       8,435       7,027  

    Canada

        3,955       3,618       7,676       7,230  

    United Kingdom

        3,296       2,718       6,445       5,246  

    Other countries

        15,867       13,206       30,263       25,901  
                                     

    Net sales

      $ 64,232     $ 55,849     $ 124,103     $ 109,327  

     

     

    13. Subsequent Event

     

    On July 4, 2025, President Donald Trump signed the One Big Beautiful Bill Act (“OBBBA”) into law, which is considered the enactment date under U.S. GAAP. Key corporate tax provisions include the restoration of 100% bonus depreciation, immediate expensing for domestic research and experimental expenditures, changes to Section 163(j) interest limitations, and updates to GILTI and FDII rules. In accordance with ASC 740, the effects of the new tax law will be recognized in the period of enactment. The Company is currently evaluating the impact of the OBBBA, and we currently do not believe there will be a material impact to the Company’s financial statements.

     

    Additionally, in April 2025, the Company filed amended Forms 941-X to claim the expanded ERC totaling $6.3 million of credits for filing periods beginning January 1, 2021, through September 30, 2021. The OBBBA removed the claims filed by any taxpayer after January 31, 2024, for the period July 1, 2021, through September 30, 2021. The Company’s amended Forms 941-X for the period July 1, 2021, through September 30, 2021, were filed in April 2025 with a credit of $2.2 million.

     

    19

     

      

     

    Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

     

    The following discussion and analysis of our financial condition and results of operations should be read in conjunction with our consolidated financial statements and related notes appearing elsewhere in this Quarterly Report on Form 10-Q and our Annual Report on Form 10-K for the year ended December 31, 2024, as filed with the SEC on February 28, 2025, or the 2024 Form 10-K. Some of the information contained in this discussion and analysis or set forth elsewhere in this Quarterly Report on Form 10-Q, including information with respect to our plans and strategy for our business, includes forward-looking statements that involve risks and uncertainties. As a result of many factors, including those factors set forth in the “Item 1A. Risk Factors” section of this Quarterly Report on Form 10-Q and the “Item 1A. Risk Factors” section of our 2024 Form 10-K, our actual results could differ materially from the results described in or implied by the forward-looking statements contained in the following discussion and analysis.

     

    Overview

     

    We are a global provider of medical devices and human tissue cryopreservation services largely used in the treatment of peripheral vascular disease, end-stage renal disease, and cardiovascular disease. We develop, manufacture, and market vascular devices to address the needs of vascular surgeons and, to a lesser degree, other specialties such as cardiac surgeons, general surgeons, and neurosurgeons. Our diversified portfolio of devices consists of brand name products that are used in arteries and veins and are well known to vascular surgeons. Our principal product offerings are sold globally, primarily in the United States, Europe, Canada, and Asia Pacific, or APAC. We estimate that the annual worldwide market for peripheral vascular devices exceeds $5 billion, within which we estimate that the market for our products is approximately $1 billion. We have grown our business using a three-pronged strategy: 1) pursuing a focused call point, 2) competing for sales of low-rivalry, niche products, and 3) expanding our worldwide direct sales force while acquiring complementary devices. We have used acquisitions as a primary means of further penetrating the peripheral vascular device market, and we expect to continue this strategy in the future. We currently manufacture most of our products in our Burlington, Massachusetts headquarters.

     

    Our products and services are used primarily by vascular surgeons who treat peripheral vascular disease through both open surgical methods and endovascular techniques. In contrast to interventional cardiologists and interventional radiologists, vascular surgeons can perform both open surgical and minimally invasive endovascular procedures, and therefore can provide a wider range of treatment options to their patients. Recently we have also begun to explore adjacent market customers, such as cardiac surgeons and interventional cardiologists.

     

    Our principal product lines include the following: anastomotic clips, biologic vascular and dialysis grafts, biologic vascular and cardiac patches, carotid shunts, embolectomy and occlusion catheters, radiopaque marking tape, synthetic vascular and dialysis grafts, and valvulotomes. Through our RestoreFlow allografts business, we also process and cryopreserve human vascular and cardiac tissue.

     

    Our principal biologic offerings include vascular and cardiac patches as well as vascular and dialysis grafts. In Q2 2025, biologics represented 51% of our worldwide sales. We believe our biologic devices represent differentiated and, in many cases, growing product segments.

     

    To assist us in evaluating our business strategies, we monitor long-term technology trends in the peripheral vascular device market. Additionally, we consider the information obtained from discussions with the medical community in connection with the demand for our products, including potential new product launches. We also use this information to help determine our competitive position in the peripheral vascular device market and our manufacturing capacity requirements.

     

    Our business opportunities include the following:

     

     

    •

    growing our direct sales force in North America, Europe, and APAC, including replacing distributors with our direct sales personnel;

         
     

    •

    increasing the average selling prices of our devices;

         
     

    •

    introducing our products into new territories upon receipt of regulatory approvals or registrations;

         
     

    •

    acquiring complementary products and the transition of distributor sales to LeMaitre;

         
     

    •

    updating existing products and introducing new products through research and development; and

         
     

    •

    consolidating product manufacturing into our Burlington, Massachusetts facilities.

     

    20

     

     

    We sell our products and services primarily through a direct sales force. Our worldwide headquarters is located in Burlington, Massachusetts, and we also have a North American sales office in Vaughan, Canada. Our European headquarters is located in Sulzbach, Germany, and we also have European sales offices in Milan, Italy; Madrid, Spain; Hereford, England; Dublin, Ireland; Maisons-Alfort, France; and Zurich, Switzerland. Our APAC headquarters is located in Singapore, and we also have APAC sales offices in Tokyo, Japan; Shanghai, China; Docklands, Australia; Seoul, Korea; and Bangkok, Thailand. During the quarter ended June 30, 2025, approximately 95% of our net sales were generated in territories in which we employ direct sales representatives. We sell our products in other countries through distributors. As of June 30, 2025, our sales force comprised 163 sales representatives and export managers in North America, Europe, and APAC.

     

    Historically we have experienced success in lower-rivalry niche segments. In the valvulotome market, for example, our differentiated devices have historically allowed us to increase average selling prices without incurring significant unit share loss. In contrast, we have experienced less success in competitive markets such as the polyester vascular graft market, where we face competition from larger companies with greater resources and lower per unit costs.

     

    We have also experienced success in international markets, such as Europe, where we have a significant sales force, and sometimes offer lower average selling prices than in North America. If we continue to seek growth opportunities outside of North America, we may experience downward pressure on our gross margin.

     

    We obtain regulatory approvals for our devices and services in new product categories and geographies to further access the broader peripheral device market and select other markets, thus extending our geographic reach. We received approvals to sell the XenoSure patch for carotid indication in Japan in May 2023, and the Pruitt Irrigation Occlusion Catheter in China in October 2023. We received approvals to sell the Artegraft bovine graft in Thailand and Malaysia in August 2024 and South Africa in October 2024, and the XenoSure patch for cardiac indications in China in December 2024. We received approvals to sell the Artegraft bovine graft in the European Union (EU) in April 2025 and Australia in June 2025, the Pruitt Aortic Occlusion Catheter in the EU in May 2025, and the Pruitt Occlusion Catheter in China in June 2025.

     

    Separately, our regulatory efforts to maintain approvals in the EU and the United Kingdom (UK) have shown steady progress and success as the EU transitions from the Medical Device Directive (MDD) to the Medical Device Regulation (MDR) and the UK transitions to the United Kingdom Conformity Assessed (UKCA) marks.  In 2024, we received MDR CE and UKCA marks allowing for the continued sale of 11 devices into the EU and UK. In January 2025, we received MDR CE and UKCA marks to market Burlington-manufactured CardioCel and VascuCel devices in the EU and UK. As of June 30, 2025, we have 19 MDR CE marks and UKCA approvals, and expect to hold 22 approvals by the end of 2025. Those 22 CE and UKCA marks will represent substantially all of our product offerings in the EU and UK. The European Commission has designated the end of 2028 as the final MDR CE mark transition deadline.

     

    Our strategy for growing our business includes acquisitions of complementary product lines and companies, which can be difficult to identify, negotiate, and purchase. There can be no assurance that we will be able to do so in the future.

     

     

    •

    In June 2020, we entered into an agreement with Artegraft to purchase the assets of their bovine graft business for $72.5 million plus additional payments of up to $17.5 million, contingent upon future unit sales.

     

    Occasionally we discontinue or divest products that are no longer complementary to our business or not commercially viable.

     

     

    •

    During 2021, we made decisions to wind down the TRIVEX powered phlebectomy systems, remote endarterectomy devices, and surgical glue. These product lines totaled approximately $2.2 million in 2021 revenues.

         
     

    •

    During 2022, we made the decision to wind down the ProCol graft, AlboSure polyester patch, LeverEdge, and Latis graft cleaning catheter product lines. These products totaled approximately $0.7 million in 2022 revenues.

         
     

    •

    During 2024, we made the decision to wind down the PeriVu Angioscope product line. This product totaled approximately $0.9 million in 2024 revenues.

         
     

    •

    During 2025, we made the decision to end our cardiovascular porcine patch distribution agreement with Elutia. Previously, in April 2023, we had entered into an agreement with Elutia to become the exclusive U.S. distributor of their cardiovascular porcine patches. Under the agreement, we could distribute the products for three years with an option to acquire Elutia’s worldwide cardiovascular porcine patch business during the second and third years of the agreement. This product totaled approximately $1.8 million in 2025 revenues.

     

    21

     

     

    From time to time we may undertake SKU reductions and attempt to transition sales to other SKUs or products with similar features. For example, in 2022, we initiated the transition of sales of our Syntel spring tip catheter to our Syntel regular tip catheter. Any of these actions may result in inventory write-offs and temporary or permanent negative impacts to our sales, gross margin, and customer relationships.

     

    Because we believe that direct-to-hospital sales engender closer customer relationships, and allow for higher selling prices and gross margins, we periodically enter into transactions with country-specific distributors to transition their sales of our medical devices into our direct sales organization:

     

     

    •

    In May 2022, we entered into a distribution transition agreement with our Korean distributor to sell products directly in Korea and dissolve the existing distribution arrangement. We have been selling direct-to-hospital in Korea since December 2022. The distribution termination fees totaled approximately $0.5 million.

     

     

    •

    In March 2023, we entered into a distribution transition agreement with our Thai distributor to sell products directly in Thailand and dissolve the existing distribution arrangement. We have been selling direct-to-hospital in Thailand since August 2023. The distribution termination fees totaled approximately $0.7 million.

         
     

    •

    In March 2025, we entered into a distribution transition agreement with our Portuguese distributor to sell products directly in Portugal and dissolve the existing distribution arrangement. We have been selling direct-to-hospitals in Portugal since May 2025. The distribution termination fees are expected to total approximately $0.2 million.

         
     

    •

    In June 2025, we entered into a distribution transition agreement with our Czech distributor to sell products directly in Czechia and dissolve the existing distribution arrangement. We plan to be selling direct-to-hospitals in Czechia in Q3 2025. The distribution termination fees are expected to total approximately $0.1 million.

     

    We also benefit, to a lesser extent, from internal product development efforts to bring differentiated technologies and next-generation products and services to market:

     

     

    •

    In March 2022, we received FDA clearance to market PhasTIPP, a portable powered phlebotomy device used to remove varicose veins in the leg. The device was launched in the United States in April 2024.

     

    In addition to our sales growth strategies, we have also executed several operational initiatives designed to consolidate manufacturing into our Burlington facilities. We expect these plant consolidations and manufacturing transfers will result in improved control over production quality as well as reduced costs. Our most recent manufacturing transfer was:

     

     

    •

    In October 2019, we acquired the CardioCel and VascuCel biologic patch businesses from Anteris. The transfer to Burlington was substantially completed in 2023. In June 2023, the MDR CE mark application for these Burlington-produced devices was submitted, and we obtained approval in January 2025, allowing for distribution of these patches in the EU in 2025. We began distributing these Burlington-produced patches in the United States, Canada, and select APAC markets in 2024.

     

    Our execution of these initiatives may affect the comparability of our financial results and may cause fluctuations from period to period.

     

    In February 2024, we began implementing a new enterprise resource planning, or ERP, system to replace our financial reporting and planning system. We expect that the new ERP system will be beneficial in a number of areas, including inventory management, pricing programs, financial operations, and real-time reporting. We have been preparing for this transition since 2022 and hired an experienced consulting team to assist in this transition. In the United States, we transitioned from our legacy ERP system to our newly implemented Microsoft Dynamics D365 system in February 2024. In February 2025, we implemented this new system in the UK. As of June 30, 2025, we have capitalized costs on our balance sheet of $4.9 million associated with this ERP system.

     

    Fluctuations in the exchange rates between the U.S. dollar and foreign currencies, primarily the Euro, affect our financial results. For the six months ended June 30, 2025, approximately 43% of our sales took place outside of the United States, largely in currencies other than the U.S. dollar. We expect foreign currencies will represent a significant percentage of future sales. Selling, marketing, and administrative costs related to these sales are also denominated in foreign currencies, thereby partially mitigating our bottom-line exposure to exchange rate fluctuations. If there is an increase in the rate at which a foreign currency is exchanged for U.S. dollars, it will require less of the foreign currency to equal a specified amount of U.S. dollars than before the rate increase. In such cases we will record more revenue in U.S. dollars than we would have if the exchange rate had not changed. For the six months ended June 30, 2025, we estimate that the effects of changes in foreign exchange rates increased our reported sales by approximately $0.3 million, as compared to rates in effect for the six months ended June 30, 2024.

     

    22

     

     

    Net Sales and Expense Components

     

    The following is a description of the primary components of our net sales and expenses:

     

    Net sales. We derive our net sales from the sale of our products and services, less discounts and returns. Net sales include the shipping and handling fees paid for by our customers. Most of our sales are generated by our direct sales force and are shipped and billed to hospitals or clinics throughout the world. In countries where we do not have a direct sales force, sales are primarily to distributors, who in turn sell to hospitals and clinics. In certain cases our products are held on consignment at a hospital or clinic prior to purchase; in those instances we recognize revenue at the time the product is used in surgery rather than at shipment.

     

    Cost of sales. We manufacture the majority of the products that we sell. Our cost of sales consists primarily of manufacturing personnel, raw materials and components, depreciation of property and equipment, and other allocated manufacturing overhead, as well as the freight expense we pay to ship products to customers.

     

    Sales and marketing. Sales and marketing expense consists primarily of salaries, commissions, stock-based compensation, travel and entertainment, sales meetings, attendance at vascular and cardiac congresses, training programs, advertising and product promotions, direct mail, and other marketing costs.

     

    General and administrative. General and administrative expense consists primarily of executive, finance and human resource salaries, stock-based compensation, legal and accounting fees, information technology expense, intangible asset amortization expense, and insurance expense.

     

    Research and development. Research and development expense primarily includes costs associated with obtaining and maintaining regulatory approval of our products, salaries, laboratory testing, and supply costs. It also includes costs associated with the design and execution of clinical studies, costs to register, maintain, and defend our intellectual property, and costs to transfer the manufacturing of acquired product lines to our Burlington facility. Also included are costs associated with the design, development, testing, and enhancement of new or existing products.

     

    Other income (expense). Other income (expense) primarily includes interest income and expense, foreign currency gains (losses), and other miscellaneous gains (losses).

     

    Income tax expense. We are subject to federal and state income taxes for earnings generated in the United States, which include operating losses or profits in certain foreign jurisdictions for certain years depending on tax elections made, and foreign taxes on earnings of our wholly-owned foreign subsidiaries. Our consolidated tax expense is affected by the mix of our taxable income (loss) in the United States and foreign subsidiaries, permanent items, discrete items, unrecognized tax benefits, and amortization of goodwill for U.S. tax reporting purposes. 

     

    Results of Operations

     

    Comparison of the three- and six-month periods ended June 30, 2025, to the three- and six-month periods ended June 30, 2024:

     

    The following table sets forth for the periods indicated our net sales by geography and the change between the specified periods expressed as a percentage increase or decrease:

     

       

    Three months ended June 30,

       

    Six months ended June 30,

     

    (unaudited)

                     

    Percent

                       

    Percent

     
       

    2025

       

    2024

       

    change

       

    2025

       

    2024

       

    change

     
       

    (in thousands)

       

    (in thousands)

     

    Net sales

      $ 64,232     $ 55,849       15 %   $ 124,103     $ 109,327       14 %
                                                     

    Net sales by geography:

                                                   

    Americas

      $ 41,321     $ 36,907       12 %   $ 80,279     $ 72,152       11 %

    Europe, Middle East and Africa

        18,840       15,298       23 %     35,799       29,693       21 %

    Asia Pacific

        4,071       3,644       12 %     8,025       7,482       7 %

    Total

      $ 64,232     $ 55,849       15 %   $ 124,103     $ 109,327       14 %

     

    Net sales. Net sales increased by $8.4 million, or 15%, to $64.2 million for the three months ended June 30, 2025, compared to $55.8 million for the three months ended June 30, 2024. The increase was driven primarily by higher average selling prices, higher unit volumes shipped to customers, and additional sales representatives. Graft sales increased $3.6 million, catheter sales increased $1.6 million, valvulotome sales increased $1.3 million, and shunt sales increased $0.8 million. We estimate that the weaker U.S. dollar increased net sales by $1.0 million during the three months ended June 30, 2025, as compared to the three months ended June 30, 2024.

     

    23

     

     

    Direct-to-hospital net sales were 95% of our total net sales for both the three months ended June 30, 2025 and 2024.

     

    Net sales increased by $14.8 million, or 14%, to $124.1 million for the six months ended June 30, 2025, compared to $109.3 million for the six months ended June 30, 2024. The increase was driven primarily by higher average selling prices, higher unit volumes shipped to customers, and additional sales representatives. Graft sales increased $6.7 million, valvulotome and catheter sales increased $2.0 million each, patch sales increased $1.7 million, and shunt sales increased $1.5 million. We estimate that the weaker U.S. dollar increased net sales by $0.3 million during the six months ended June 30, 2025, as compared to the six months ended June 30, 2024.

     

    Direct-to-hospital net sales were 94% and 95% of our total net sales for the six months ended June 30, 2025 and 2024, respectively.

     

    Net sales by geography. Net sales in the Americas increased $4.4 million, or 12%, for the three months ended June 30, 2025, as compared to the three months ended June 30, 2024. The increase was driven primarily by increased sales of grafts of $2.9 million, catheters of $0.7 million, and valvulotomes of $0.6 million.

     

    Net sales in the Americas increased $8.1 million, or 11%, for the six months ended June 30, 2025, as compared to the six months ended June 30, 2024. The increase was driven primarily by increased sales of grafts of $4.6 million, valvulotomes of $1.3 million, catheters of $0.7 million, and patches and clips of $0.4 million each.

     

    Europe, Middle East, and Africa, or EMEA, net sales increased $3.5 million, or 23%, for the three months ended June 30, 2025, as compared to the three months ended June 30, 2024. The increase was driven primarily by increased sales of catheters of $1.0 million, patches and shunts of $0.7 million each, and valvulotomes of $0.6 million.

     

    EMEA net sales increased $6.1 million, or 21%, for the six months ended June 30, 2025, as compared to the six months ended June 30, 2024. The increase was driven primarily by increased sales of grafts of $1.9 million, catheters of $1.4 million, shunts of $1.2 million, and patches of $1.1 million.

     

    APAC net sales increased $0.4 million, or 12%, for the three months ended June 30, 2025, as compared to the three months ended June 30, 2024. The increase was driven primarily by increased sales of grafts and patches of $0.2 million each.

     

    APAC net sales increased $0.5 million, or 7%, for the six months ended June 30, 2025, as compared to the six months ended June 30, 2024. The increase was driven primarily by increased sales of grafts, patches, and valvulotomes of $0.2 million each, offset by decreased sales of catheters of $0.1 million.

     

    Gross Profit. The following table sets forth the change in our gross profit and gross margin for the periods indicated:

     

     

       

    Three months ended June 30,

       

    Six months ended June 30,

     

    (unaudited)

                             

    Percent

                               

    Percent

     
       

    2025

       

    2024

       

    Change

       

    change

       

    2025

       

    2024

       

    Change

       

    change

     
       

    (in thousands)

       

    (in thousands)

     

    Gross profit

      $ 44,974     $ 38,468     $ 6,506       17 %   $ 86,394     $ 75,133     $ 11,261       15 %
                                                                     

    Gross margin

        70.0 %     68.9 %     1.1 %     *       69.6 %     68.7 %     0.9 %     *  

     

    *Not applicable

     

    Gross profit increased $6.5 million, or 17%, to $45.0 million for the three months ended June 30, 2025, as compared to $38.5 million for the three months ended June 30, 2024, and gross margin increased by 110 basis points to 70.0% in the period, as compared to 68.9% for the three months ended June 30, 2024. The increase in gross profit was driven primarily by increased sales, particularly from grafts, catheters, and valvulotomes. The increase in gross margin was driven primarily by greater manufacturing efficiencies, sales price increases, and favorable product mix, including decreased sales of comparatively lower margin porcine patches due to the decision to end our distribution agreement with Elutia. The increase was partially offset by increased shipping and warehousing costs.

     

    Gross profit increased $11.3 million, or 15%, to $86.4 million for the six months ended June 30, 2025, as compared to $75.1 million for the six months ended June 30, 2024, and gross margin increased by 90 basis points to 69.6% in the period, as compared to 68.7% for the six months ended June 30, 2024. The increase in gross profit was driven primarily by increased sales, particularly from grafts, catheters, and valvulotomes. The increase in gross margin was driven primarily by greater manufacturing efficiencies, sales price increases, and decreased scrap and excess and obsolescence charges, partially offset by increased shipping and warehousing costs and unfavorable product mix, including increased sales of our comparatively lower margin allograft preservation services.

     

    24

     

     

    Operating Expenses. The following tables set forth changes in our operating expenses for the periods indicated and the change between the specified periods expressed as a percentage increase or decrease:

     

       

    Three months ended June 30,

       

    Six months ended June 30,

     

    (unaudited)

                             

    Percent

                               

    Percent

     
       

    2025

       

    2024

       

    $ Change

       

    change

       

    2025

       

    2024

       

    $ Change

       

    change

     
       

    (in thousands)

       

    (in thousands)

     

    Sales and marketing

      $ 14,895     $ 10,984     $ 3,911       36 %   $ 29,107     $ 22,670     $ 6,437       28 %

    General and administrative

        10,396       8,820       1,576       18 %   $ 20,883     $ 17,833       3,050       17 %

    Research and development

        3,541       4,284       (743 )     (17 %)   $ 7,636     $ 8,376       (740 )     (9 %)

    Total

      $ 28,832     $ 24,088     $ 4,744       20 %   $ 57,626     $ 48,879     $ 8,747       18 %

     

       

    Three months ended June 30,

       

    Six months ended June 30,

     
       

    2025

       

    2024

               

    2025

       

    2024

             
       

    % of Net Sales

       

    % of Net Sales

       

    Change

       

    % of Net Sales

       

    % of Net Sales

       

    Change

     
                                                     

    Sales and marketing

        23 %     20 %     3 %     23 %     21 %     2 %

    General and administrative

        16 %     16 %     0 %     17 %     16 %     1 %

    Research and development

        6 %     8 %     (2 %)     6 %     8 %     (2 %)

     

    Sales and marketing. For the three months ended June 30, 2025, sales and marketing expenses increased 36% to $14.9 million. The increase was driven primarily by higher sales representative headcount and wage increases, which resulted in increased compensation and related expenses of $2.8 million. Additionally, travel and training expenses increased $0.6 million and professional fees and outside services expenses increased $0.5 million. Sales force headcount was 163 as of June 30, 2025, a 10% increase from June 30, 2024. As a percentage of sales, sales and marketing expenses increased to 23% for the three months ended June 30, 2025, up from 20% for the three months ended June 30, 2024.

     

    For the six months ended June 30, 2025, sales and marketing expenses increased 28% to $29.1 million. The increase was driven primarily by higher sales representative headcount and wage increases, which resulted in increased compensation and related expenses of $4.3 million. Additionally, professional fees and outside services expenses increased $1.0 million and travel and training expenses increased $0.9 million. As a percentage of sales, sales and marketing expenses increased to 23% for the six months ended June 30, 2025, up from 21% for the six months ended June 30, 2024.

     

    General and administrative. For the three months ended June 30, 2025, general and administrative expenses increased 18% to $10.4 million. The increase was driven primarily by higher headcount and wage increases, which resulted in increased compensation and related expenses of $1.2 million. Additionally, travel and training expenses increased $0.2 million. As a percentage of sales, general and administrative expenses remained consistent at 16% for the three months ended June 30, 2025 and 2024, respectively.

     

    For the six months ended June 30, 2025, general and administrative expenses increased 17% to $20.9 million. The increase was driven primarily by higher headcount and wage increases, which resulted in increased compensation and related expenses of $2.4 million. Additionally, facilities expenses increased $0.6 million and travel and training expenses increased $0.2 million. As a percentage of sales, general and administrative expenses increased to 17% for the six months ended June 30, 2025, up from 16% for the six months ended June 30, 2024.

     

    Research and development. For the three months ended June 30, 2025, research and development expenses decreased 17% to $3.5 million. The decrease was driven primarily by lower third-party service fees, which resulted in decreased professional fees and outside services expenses related to MDR related activities of $0.9 million, partially offset by increased facilities expenses of $0.1 million. As a percentage of sales, research and development expenses decreased to 6% for the three months ended June 30, 2025, down from 8% for the three months ended June 30, 2024.

     

    For the six months ended June 30, 2025, research and development expenses decreased 9% to $7.6 million. The decrease was driven primarily by lower third-party service fees, which resulted in decreased professional fees and outside services expenses related to MDR related activities of $1.3 million, partially offset by increased compensation and related expenses of $0.3 million and facilities expenses of $0.2 million. As a percentage of sales, research and development expenses decreased to 6% for the six months ended June 30, 2025, down from 8% for the six months ended June 30, 2024.

     

    Income tax expense. We recorded a tax provision of $4.3 million on pre-tax income of $18.1 million for the three months ended June 30, 2025, compared to a $3.7 million tax provision on pre-tax income of $15.5 million for the three months ended June 30, 2024. We recorded a tax provision of $7.5 million on pre-tax income of $32.3 million for the six months ended June 30, 2025, compared to a tax provision of $6.6 million on pre-tax income of $28.3 million for the six months ended June 30, 2024. Our effective income tax rate was 23.7% and 23.3% for the three- and six-month periods ended June 30, 2025. Our tax expense for the current period is based on an estimated annual effective tax rate of 23.8%, adjusted in the applicable quarterly periods for discrete stock option exercises and other discrete items. Our income tax expense for the current period varies from the statutory rate mainly due to the generation of federal and state tax credits, permanent items, different statutory rates from our foreign entities, and a discrete item for stock option exercises.

     

    25

     

     

    Our effective income tax rate was 23.7% and 23.3% for the three- and six-month periods ended June 30, 2024. Our 2024 provision was based on the estimated annual effective tax rate of 24.3%, adjusted in the applicable quarterly period for discrete stock option exercises and other discrete items. Our income tax expense for the three- and six-month periods ended June 30, 2024 varied from the statutory rate mainly due to the generation of federal and state tax credits, permanent items, different statutory rates from our foreign entities, and a discrete item for stock option exercises.

     

    We monitor the mix of profitability by tax jurisdiction and adjust our annual expected rate on a quarterly basis as needed. While it is often difficult to predict the final outcome or timing of the resolution for any particular tax matter, we believe our tax reserves reflect the probable outcome of known contingencies.

     

    We assess the likelihood that our deferred tax assets will be realized through future taxable income and record a valuation allowance to reduce gross deferred tax assets to an amount that we believe is more likely than not to be realized. As of June 30, 2025, we have provided a valuation allowance of $1.7 million for deferred tax assets primarily related to Australian net operating loss and capital loss carry forwards and Massachusetts tax credit carry forwards that are not expected to be realized.

     

    Liquidity and Capital Resources

     

    As of June 30, 2025, our cash and cash equivalents were $27.2 million, as compared to $25.6 million as of December 31, 2024. We had $292.3 million in short-term marketable securities as of June 30, 2025, and $274.1 million as of December 31, 2024. Our cash and cash equivalents are liquid investments with maturities of 90 days or less at the date of purchase and consist primarily of operating bank accounts. Our short-term marketable securities consist of a U.S. government money market fund investing mainly in high-quality, short-term securities that are issued or guaranteed by the U.S. government or by U.S. government agencies and instrumentalities, and a short-duration bond fund. As of June 30, 2025, our short-term marketable securities reflected an unrealized loss of $0.7 million as a result of increasing market interest rates.

     

    On February 18, 2025, our Board of Directors authorized the repurchase of up to $75.0 million of our common stock through transactions on the open market, in privately negotiated purchases, or otherwise until February 17, 2026. The repurchase program may be suspended or discontinued at any time. To date we have not made any repurchases under this or any prior program.

     

    Convertible Senior Notes

     

    On December 19, 2024, we issued $172.5 million aggregate principal amount of convertible senior notes due 2030, or the Convertible Notes, in a Rule 144A private placement to qualified institutional buyers pursuant to an indenture dated December 19, 2024, by and between us and U.S. Bank Trust Company, National Association, or the Indenture.

     

    The Convertible Notes will mature on February 1, 2030, unless earlier repurchased, redeemed or converted. The proceeds from the issuance of the Convertible Notes were approximately $167.7 million, net of debt issuance costs totaling $4.8 million. The Convertible Notes bear interest at a rate of 2.50% per year, and interest is payable semiannually in arrears on August 1 and February 1 of each year. The initial conversion rate is 8.3521 shares of common stock per $1,000 principal amount of the Convertible Notes, which represents an initial conversion price of approximately $119.73 per share of common stock and a premium of approximately 30% over the closing price of our common stock on December 16, 2024. In connection with the payment by us on May 29, 2025 of a quarterly cash dividend of $0.20 per share (an increase from the quarterly dividend amount of $0.16 per share as of the time of issuance of the Convertible Notes), the conversion rate of the Convertible Notes was increased to 8.3602 shares of common stock per $1,000 principal amount of the Convertible Notes, which represents a conversion price of approximately $119.61 per share of common stock. A similar adjustment to the conversion rate will be made upon payment of the quarterly cash dividend of $0.20 on September 4, 2025, and upon payment of subsequent quarterly dividends in excess of $0.16 per share. The conversion rate and conversion price are subject to customary adjustments upon the occurrence of certain events as described in the Indenture.

     

    Noteholders may convert all or a portion of their Convertible Notes at their option only in the following circumstances: (1) during any calendar quarter commencing after the calendar quarter ending on June 30, 2025, if the last reported sale price per share of our common stock exceeds 130% of the conversion price for each of at least 20 trading days during the 30 consecutive trading days ending on, and including, the last trading day of the immediately preceding calendar quarter; (2) during the five consecutive business days immediately after any five consecutive trading day period in which the trading price per $1,000 principal amount of Convertible Notes for each trading day of the measurement period was less than 98% of the product of the last reported sale price per share of our common stock on such trading day and the conversion rate on such trading day; (3) upon the occurrence of certain corporate events or distributions on the our common stock, as described in the Indenture; (4) if we call (or are deemed to have called) any Convertible Notes for redemption; and (5) at any time from, and including, August 1, 2029, until the close of business on the second scheduled trading day immediately before the maturity date. We have the right to elect to settle conversions either in cash, shares of common stock, or in a combination of cash and shares of our common stock.

     

    26

     

     

    Prior to February 5, 2028, the Convertible Notes will not be redeemable. On or after February 5, 2028, until the 40th scheduled trading day immediately before the maturity date, we may redeem for cash all or any portion of the Convertible Notes (subject to the partial redemption limitation set forth in the Indenture), at our option, if the last reported sale price of our common stock has been at least 130% of the conversion price then in effect for at least 20 trading days (whether or not consecutive) during any 30 consecutive trading day period (including the last trading day of such period) ending on, and including, the trading day immediately preceding the date on which we provide notice of redemption. In addition, calling any Convertible Note for redemption will constitute a “Make-Whole Fundamental Change” (as defined in the Indenture) with respect to that Convertible Note, in which case the conversion rate applicable to the conversion of that Convertible Note will be increased in certain circumstances if it is converted after it is called for redemption. 

     

    Operating and Capital Expenditure Requirements 

     

    We require cash to pay our operating expenses, make capital expenditures, and pay our long-term liabilities. Since our inception, we have funded our operations through public offerings and private placements of equity securities, short-term and long-term borrowings, and funds generated from our operations.

     

    We recognized operating income of $28.8 million for the six months ended June 30, 2025, compared to $26.3 million for the six months ended June 30, 2024. We expect to fund any increased costs and expenditures from our existing cash and cash equivalents, though our future capital requirements depend on numerous factors. These factors include, but are not limited to, the following:

     

     

    •

    revenues generated by sales of our products and services;

         
     

    •

    payments associated with potential future quarterly cash dividends to our common stockholders;

         
     

    •

    future acquisition-related payments;

         
     

    •

    payments associated with income and other taxes;

         
     

    •

    costs associated with expanding our manufacturing, marketing, sales, and distribution efforts;

         
     

    •

    costs associated with our initiatives to sell direct-to-hospital in new countries;

         
     

    •

    costs of obtaining and maintaining FDA and other regulatory clearances;

         
     

    •

    costs associated with obtaining European MDR CE mark approvals;

     

     

    •

    the number, timing, and nature of acquisitions, divestitures, and other strategic transactions; and

         
     

    •

    potential future share repurchases.

     

    We believe that our cash, cash equivalents, investments, and the interest we earn on these balances will enable us to fund our operating expenses, capital expenditures requirements, and Convertible Note payments for at least twelve months following the filing of this Form 10-Q and, together with our anticipated future cash, cash equivalents, and investments, to meet our known long-term cash requirements.

     

    We may need to raise additional funding, which might not be available on desirable terms or at all. See “Item 1A. Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2024. 

     

    27

     

     

    Cash Flows

     

       

    Six months ended June 30,

     
       

    2025

       

    2024

       

    Net Change

     
       

    (in thousands)

     

    Cash and cash equivalents

      $ 27,177     $ 22,268     $ 4,909  
                             

    Cash flows provided by (used in):

                           

    Operating activities

      $ 29,330     $ 14,696     $ 14,634  

    Investing activities

        (20,669 )     (13,364 )     (7,305 )

    Financing activities

        (8,003 )     (2,831 )     (5,172 )

     

    Net cash provided by operating activities. Net cash provided by operating activities was $29.3 million for the six months ended June 30, 2025, consisting of $24.8 million in net income, adjustments for non-cash or non-operating items of $12.9 million (including primarily depreciation and amortization of $5.2 million, stock-based compensation of $4.0 million, interest and debt offering expense of $2.6 million, and provision for inventory write-offs and credit losses of $1.4 million), and a net use of working capital of $8.3 million. The net cash used for working capital was driven by an increase in accounts receivable of $5.3 million, an increase in inventory and other deferred costs of $3.5 million, and payments of accounts payable and other liabilities of $1.3 million. These cash uses were offset by a decrease in prepaid expenses and other assets of $1.7 million.

     

    Net cash provided by operating activities was $14.7 million for the six months ended June 30, 2024, consisting of $21.7 million in net income, adjustments for non-cash or non-operating items of $10.4 million (including primarily depreciation and amortization of $4.8 million, stock-based compensation of $3.2 million, provisions for inventory write-offs and credit losses of $1.7 million, and foreign currency effect on net income of $0.7 million), and a net use of working capital of $17.4 million. The net cash used for working capital was driven by an increase in accounts receivable of $6.5 million, an increase in inventory and other deferred costs of $7.3 million, and payments of accounts payable and other liabilities of $4.3 million. These cash uses were offset by a decrease in prepaid expenses and other assets of $0.7 million.

     

    Net cash used in investing activities. Net cash used in investing activities was $20.7 million for the six months ended June 30, 2025, consisting of purchases of marketable securities of $17.8 million, expenditures on property and equipment of $2.7 million, and payments related to acquisitions of $0.1 million.

     

    Net cash used in investing activities was $13.4 million for the six months ended June 30, 2024, consisting of purchases of marketable securities of $10.1 million and expenditures on property and equipment of $3.2 million.

     

    Net cash used in financing activities. Net cash used in financing activities was $8.0 million for the six months ended June 30, 2025, consisting primarily of dividend payments of $9.0 million and deferred payments for acquisitions of $1.4 million. This use of cash was offset by stock option exercises of $2.5 million, net of shares repurchased used to pay employee payroll taxes.

     

    Net cash used in financing activities was $2.8 million for the six months ended June 30, 2024, consisting of proceeds from stock option exercises of $4.4 million, net of shares repurchased used to pay employee payroll taxes. This proceed of cash was offset by dividend payments of $7.2 million.

     

    Dividends 

     

    In February 2011, our Board of Directors approved a policy for the payment of quarterly cash dividends on our common stock. Future declarations of quarterly dividends and the establishment of future record and payment dates are subject to approval by our Board of Directors on a quarterly basis. The dividend activity for the periods presented is as follows:

     

    Record Date

     

    Payment Date

     

    Per Share Amount

       

    Dividend Payment

     
                   

    (in thousands)

     

    Fiscal Year 2025

                       

    March 13, 2025

     

    March 27, 2025

      $ 0.20     $ 4,517  

    May 15, 2025

     

    May 29, 2025

      $ 0.20     $ 4,520  
                         

    Fiscal Year 2024

                       

    March 14, 2024

     

    March 28, 2024

      $ 0.16     $ 3,589  

    May 16, 2024

     

    May 30, 2024

      $ 0.16     $ 3,593  

    August 15, 2024

     

    August 29, 2024

      $ 0.16     $ 3,596  

    November 21, 2024

     

    December 5, 2024

      $ 0.16     $ 3,600  

     

    28

     

     

    On July 30, 2025, our Board of Directors approved a quarterly cash dividend on our common stock of $0.20 per share payable on September 4, 2025, to stockholders of record at the close of business on August 21, 2025.

     

    Critical Accounting Policies and Significant Judgments and Estimates

     

    Our consolidated financial statements are prepared in accordance with generally accepted accounting principles in the United States. The preparation of our consolidated financial statements and related disclosures requires us to make estimates, assumptions and judgments that affect the reported amounts of assets, liabilities, revenue, costs and expenses, and related disclosures. We evaluate our estimates on an ongoing basis. Our actual results may differ from these estimates under different assumptions or conditions.

     

    There have been no material changes to our critical accounting policies and estimates from those disclosed in our consolidated financial statements and the related notes and other financial information included in our 2024 Form 10-K.

     

    Recent Accounting Pronouncements

     

    A description of recently issued accounting pronouncements that may potentially impact our financial position, results of operations, or cash flows is disclosed in Note 2 to our consolidated financial statements included elsewhere in this Quarterly Report on Form 10-Q.

     

    Item 3. Quantitative and Qualitative Disclosures About Market Risk

     

    We are exposed to changes in interest rates and foreign currency exchange rates because we denominate our transactions in a variety of foreign currencies. Changes in these rates may have an impact on future cash flow and earnings. We manage these risks through normal operating and financing activities. There has been no material change in the foreign currency risk or interest rate risk discussed in “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and in “Quantitative and Qualitative Disclosure About Market Risk” included in our 2024 Form 10-K.

     

    Item 4. Controls and Procedures

     

    Evaluation of Disclosure Controls and Procedures

     

    Our management, with the participation of our Chief Executive Officer and our Chief Financial Officer (our principal executive officer and principal financial and accounting officer, respectively), evaluated the effectiveness of our disclosure controls and procedures as of June 30, 2025. The term “disclosure controls and procedures,” as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended, or the Exchange Act, means controls and other procedures of a company that are designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is accumulated and communicated to the company’s management, including its principal executive and principal financial officers, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure.

     

    Management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving their objectives and management necessarily applies its judgment in evaluating the cost-benefit relationship of possible controls and procedures. Based on the evaluation of our disclosure controls and procedures as of June 30, 2025, our Chief Executive Officer and our Chief Financial Officer concluded that, as of such date, our disclosure controls and procedures were effective at the reasonable assurance level.

     

    Changes in Internal Control over Financial Reporting

     

    As previously disclosed, in February 2024 we began implementing a new ERP system. The ERP implementation requires the integration of new ERP software with multiple new data flows and business processes. The new ERP is designed to accurately maintain our books and records and provide information to our management teams which is important to the operations of the business. As the phased implementation of the new ERP system progresses, we expect to continue to change certain processes and procedures which, in turn, are expected to result in changes to our internal control over financial reporting. As such changes occur, we will evaluate quarterly whether such changes materially affect our internal control over financial reporting.

     

    Other than the new ERP system implementation, there have been no changes to our internal control over financial reporting during the quarter ended June 30, 2025, that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

     

    29

     

     

    Part II. Other Information

     

    Item 1. Legal Proceedings

     

    In the ordinary course of business, we are from time to time involved in lawsuits, claims, investigations, proceedings, and threats of litigation relating to employment, product liability, commercial arrangements, contracts, intellectual property and other matters. While the outcome of these proceedings and claims cannot be predicted with certainty, there are no matters that management believes would have a material adverse effect on our financial position, results of operations, or cash flows.

     

    Item 1A. Risk Factors

     

    In addition to the information set forth in this report, you should consider the risks and uncertainties discussed in “Part I, Item 1A. Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2024, which could materially affect our business, financial condition, or future results. The risk factors below supplement and update the risk factors and information discussed in our Annual Report on Form 10-K for the year ended December 31, 2024.

     

    Adverse global economic conditions could have a negative effect on our business, results of operations and financial condition and liquidity.

     

    Sustained uncertainty about, or worsening of, current global economic conditions and further tariffs and escalations of tensions between the United States and its trading partners could result in a global economic slowdown and long-term changes to global trade. Such events may also cause customers to reduce, delay or forego spending on our products, which could negatively affect demand for our products and our business, financial condition and results of operations. In addition, these conditions could increase the cost for our goods imported in markets outside the United States, further pressuring sales growth and margins and adversely impacting our operating performance. However, we believe our U.S. domestic business is unlikely to be materially affected by tariffs as we manufacture our products in the United States.

     

    Even after our products have received marketing approval or clearance, our products and the tissue we process may be subject to recall. Licenses, registrations, approvals, and clearances could be withdrawn or suspended due to failure to comply with regulatory standards or the occurrence of unforeseen problems following initial approval.

     

    Our products, services, marketing, sales, development activities, and manufacturing processes are subject to extensive and rigorous regulation by the FDA, by comparable agencies in foreign countries, and by other regulatory agencies and governing bodies. If those regulatory bodies feel that we have failed to comply with regulatory standards, there can be no assurance that any approval, licensure, or registration will not be subsequently withdrawn, suspended or conditioned upon extensive post-market study requirements, even after having received marketing approval or clearance or licenses and registrations. Further, due to the interconnectedness of the various regulatory agencies, particularly within the EU, there is also no assurance that withdrawal or suspension of any of our approvals, licenses, or registrations by any single regulatory agency will not precipitate one or more additional regulatory agencies from also withdrawing or suspending their approval, license, or registration.

     

    In the event that any of our products prove to be defective, we can voluntarily recall, or the FDA or foreign equivalent could require us to recall, any of our products. In the EU and UK, adverse event reporting requirements mandate that we report incidents which led or could have led to death or serious deterioration in health. Recalls, whether voluntary or required, could result in significant costs to us and significant adverse publicity. In severe instances, the FDA may also issue a warning letter, destruction of defective product, and/or order the suspension or cessation of manufacturing of defective product. Additionally, if someone is harmed by a malfunction or a product defect, we may experience product liability claims for such defects. Any corrective action, whether voluntary or involuntary, as well as defending ourselves in a lawsuit, will require the dedication of our time and capital and may harm our financial results. Future recalls or claims could also result in significant costs to us and significant adverse publicity, which could harm our ability to market our products in the future. For example, in April 2025, we voluntarily notified our regulatory bodies of an inadequate seal on the packaging of our TufTex Over-the-Wire, Pruitt Occlusion, and Pruitt Irrigation catheters, which may result in a compromised sterile barrier. Notice was provided to each of our customers of the inadequate seal and customers may request a product replacement for any existing inventory currently on hand. The financial impact of the voluntary notification is not expected to be material to our business.

     

    Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

     

    Recent Sales of Unregistered Securities

     

    None.

     

    30

     

     

    Issuer Purchases of Equity Securities

     

       

    Issuer Purchases of Equity Securities

     
                               

    Maximum Number

     
                               

    (or Approximate

     
                       

    Total Number of

       

    Dollar Value) of

     
                       

    Shares (or Units)

       

    Shares (or Units)

     
       

    Total

       

    Average

       

    Purchased as

       

    that may yet be

     
       

    Number of

       

    Price

       

    Part of Publicly

       

    Purchased under

     

     

     

    Shares (or Units)

       

    Paid Per

       

    Announced Plans

       

    the Plans or

     
     Period  

    Purchased (1)

       

    Share (or Unit)

       

    or Program

       

    Program (2)

     

    April 1, 2025 through April 30, 2025

        33     $ 85.16       N/A     $ 75,000,000  

    May 1, 2025 through May 31, 2025

        19     $ 80.26       N/A     $ 75,000,000  

    June 1, 2025 through June 30, 2025

        -     $ -       N/A     $ 75,000,000  

    Total

        52     $ 83.37       N/A          

     

     

    (1)

    For the three months ended June 30, 2025, we repurchased 52 shares of our common stock to satisfy employees’ obligations with respect to minimum statutory withholding taxes in connection with the vesting of restricted stock units and performance-based restricted stock units.

     

    (2)

    On February 18, 2025, our Board of Directors authorized the repurchase of up to $75.0 million of our common stock through transactions on the open market, in privately negotiated transactions, or otherwise until February 17, 2026. To date, we have not made any repurchases under this program.

     

     

    Item 5. Other Information

     

    Amendments to By-laws

     

    The information set forth below is included herewith for the purpose of providing the disclosure required under “Item 5.03 – Amendments to Articles of Incorporation or Bylaws; Change in Fiscal Year” of Form 8-K.

     

    On August 4, 2025, following a review of corporate law developments and market practice, the Company’s Board of Directors (the “Board”) approved the Company’s Second Amended and Restated By-laws (the “By-laws”), which became effective the same day. Among other things, the By-laws:

     

     

    ●

    update the advance notice provisions that apply where a stockholder intends to propose a director nomination or other business at a stockholder meeting, including to address Rule 14a-19 of the Exchange Act (“Rule 14a-19”), by requiring:

     

     

    o

    any stockholder submitting a nomination notice to make a representation as to whether such stockholder intends to solicit proxies in support of director nominees other than the Company’s nominees in accordance with Rule 14a-19 and to provide reasonable evidence that certain requirements of such rule have been satisfied;

     

    o

    the nomination of the proposed director nominee be disregarded if, after a stockholder provides notice pursuant to Rule 14a-19, such stockholder subsequently fails to comply with the requirements of Rule 14a-19, and no other person has provided notice pursuant to, and in compliance with, Rule 14a-19 with respect to such proposed director nominee;

     

    o

    that the number of nominees a stockholder may nominate for election at a stockholder meeting may not exceed the number of directors to be elected at such meeting;

     

    o

    certain representations with respect to a proposed nominee regarding the absence of certain voting commitments, disclosure of compensation for service and compliance with the Company’s corporate governance and other policies, and intent to serve the entire term; and

     

    o

    additional background information and disclosures regarding proposing stockholders, proposed nominees and business, and other persons related to a stockholder’s solicitation of proxies.

     

     

    ●

    clarifying the situations in which either nominations of persons for election to the Board or stockholder proposals may be brought at a special meeting of stockholders;

     

    31

     

     

     

    ●

    requiring that any stockholder directly or indirectly soliciting proxies from other stockholders must use a proxy card color other than white, with the white proxy card being reserved for exclusive use by the Board;

     

     

    ●

    designating, unless consented to by the Company, the Court of Chancery of the State of Delaware as the sole and exclusive forum for (i) any derivative action or proceeding brought on behalf of the Company; (ii) any action asserting a claim based on a breach of any fiduciary duty owed by any director, officer, or other employee or stockholder of the Company to the Company or to the stockholders of the Company; (iii) any action asserting a claim arising pursuant to any provision of the Delaware General Corporation Law (“DGCL”), the Company’s charter or the By-laws, or as to which the DGCL confers jurisdiction to the Court of Chancery; or (iv) any action asserting a claim governed by the internal affairs doctrine;

     

     

    ●

    designating, unless consented to by the Company, the U.S. federal district courts as the sole and exclusive forum for claims under the Securities Act of 1933, as amended, and the Securities Exchange Act of 1934, as amended; and

     

     

    ●

    make certain other technical, modernizing and clarifying changes.

     

    The foregoing description is a summary and is qualified in its entirety by reference to the full text of the By-laws.  A copy of the By-laws marked to show the changes approved by the Board is filed as Exhibit 3.1 to this Quarterly Report on Form 10-Q and an unmarked copy of the By-laws incorporating the changes approved by our Board is filed as Exhibit 3.2 to this Quarterly Report on Form 10-Q.  Both exhibits are hereby incorporated by reference. 

     

    Rule 10b5-1 and non-Rule 10b5-1 trading arrangements

     

    None.

     

     

    32

     

      

    Item 6. Exhibits

     

         

    Incorporated by Reference

     

    Exhibit

    Number

    Exhibit Description

     

    Form

    Date

    Number

    Filed

    Herewith

                 
    3.1 Amendments to Second Amended and Restated By-laws of the Registrant Effective August 4, 2025         X
    3.2 Second Amended and Restated By-laws of the Registrant         X

    31.1

    Certification of Chief Executive Officer, as required by Rule 13a-14(a) or Rule 15 d-14(a).

           

    X

    31.2

    Certification of Chief Financial Officer, as required by Rule 13a-14(a) or Rule 15d-14(a).

           

    X

    32.1†

    Certification by the Chief Executive Officer, as required by Rule 13a-14(b) or Rule 15d-14(b) and Section  1350 of Chapter 63 of Title 18 of the United States Code (18 U.S.C. §1350).*

           

    X

    32.2†

    Certification by the Chief Financial Officer, as required by Rule 13a-14(b) or Rule 15d-14(b) and Section  1350 of Chapter 63 of Title 18 of the United States Code (18 U.S.C. §1350).*

           

    X

    101.INS

    Inline XBRL Instance Document.

           

    X

    101.SCH

    Inline XBRL Taxonomy Extension Schema Document.

           

    X

    101.CAL

    Inline XBRL Taxonomy Extension Calculation Linkbase Document.

           

    X

    101.DEF

    Inline XBRL Taxonomy Extension Definition Linkbase Document.

           

    X

    101.LAB

    Inline XBRL Taxonomy Extension Label Linkbase Document.

           

    X

    101.PRE

    Inline XBRL Taxonomy Extension Presentation Linkbase Document.

           

    X

                 

    104

    Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101).

           

    X

     

     


     

    †

    This certification will not be deemed “filed” for purposes of Section 18 of the Exchange Act, or otherwise subject to the liability of that section. Such certification will not be deemed to be incorporated by reference into any filing under the Securities Act of 1933, as amended, or the Exchange Act, except to the extent specifically incorporated by reference into such filing.

     

    33

     

     

    SIGNATURES

     

    Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized on August 6, 2025.

     

    LEMAITRE VASCULAR, INC.

     
       

    /s/ George W. LeMaitre

     

    George W. LeMaitre

     

    Chairman and Chief Executive Officer

     
       

    /s/ Dorian P. LeBlanc

     

    Dorian P. LeBlanc

     

    Chief Financial Officer

     

     

    34
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