0001425450-26-000070 | 10-Q | XBRL Viewer

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RELATED PARTY TRANSACTIONS (Details) - Affiliated Entity $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2026 USD ($)	Jun. 30, 2025 USD ($)	Jun. 30, 2026 USD ($) supplier	Jun. 30, 2025 USD ($)
Related Party Transaction
Number of related party suppliers \| supplier			1
Structure Medical, LLC \| Supplier
Related Party Transaction
Payments to related party \| $	$ 466	$ 657	$ 843	$ 789

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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+ Details

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES	6 Months Ended
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES	Jun. 30, 2026
Accounting Policies [Abstract]
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES	SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Basis of Presentation The accompanying condensed consolidated financial statements include the accounts of OrthoPediatrics Corp. and its wholly-owned subsidiaries (collectively, the “Company,” “we,” “our” or “us”). All intercompany balances and transactions have been eliminated. Unaudited Interim Condensed Consolidated Financial Statements We have prepared the accompanying condensed consolidated financial statements in conformity with accounting principles generally accepted in the United States of America (“GAAP”). The accompanying condensed consolidated financial statements are unaudited and should be read in conjunction with the annual consolidated financial statements as of and for the year ended December 31, 2025 and related notes thereto contained in our Annual Report on Form 10-K filed with the Securities and Exchange Commission ("SEC") on March 4, 2026. The financial data and other financial information disclosed in the notes to the accompanying condensed consolidated financial statements are also unaudited. As such, certain information and footnote disclosures normally included in financial statements prepared in accordance with GAAP have been condensed or omitted pursuant to applicable rules and regulations thereunder. The unaudited condensed consolidated financial statements have been prepared on the same basis as the audited consolidated financial statements as of and for the year ended December 31, 2025 and, in management’s opinion, include all adjustments, consisting of only normal recurring adjustments, necessary for the fair presentation of the financial statements for the interim periods. The results of operations for the three and six months ended June 30, 2026 are not necessarily indicative of the results to be expected for the full fiscal year or for any other period. The accompanying condensed consolidated financial statements have been prepared assuming our Company will continue as a going concern. We have experienced recurring losses from operations since our inception and had an accumulated deficit of $293,062 and $275,212 as of June 30, 2026 and December 31, 2025, respectively. Management continues to monitor cash flows and liquidity on a regular basis. We believe that our cash balance at June 30, 2026 and expected cash flows from operations for the next twelve months subsequent to the issuance of the accompanying condensed consolidated financial statements, including borrowings available under our First Amendment to the Term Loan Agreement (See Note 6 - Debt and Credit Arrangements for additional information), are sufficient to enable us to maintain current and essential planned operations for more than the next twelve months. Use of Estimates Preparation of our condensed consolidated financial statements requires the use of estimates and assumptions that affect the reported amounts of assets, liabilities, revenues and expenses, as of the date of the condensed consolidated financial statements. By their nature, these judgments are subject to an inherent degree of uncertainty. We use historical experience and other assumptions as the basis for our judgments and estimates. Because future events and their effects cannot be determined with precision, actual results could differ significantly from these estimates. Any changes in these estimates will be reflected in our condensed consolidated financial statements. Significant Accounting Policies There have been no changes in the Company's significant accounting policies as disclosed in Note 2 to the audited consolidated financial statements included in the 2025 Annual Report on Form 10-K. Financial Instruments and Concentration of Credit Risk Financial instruments that could subject the Company to credit risk consist primarily of cash, cash equivalents, short-term investments and accounts receivable. We consider all highly liquid investments with original maturity of three months or less at inception to be cash equivalents. The Company performs ongoing credit evaluations of customers and maintains a reserve for expected credit losses. The Company believes the risk of credit losses associated with accounts receivable is low given the history of collections and customer base. Additionally, the Company considers the risk for credit losses associated with short-term investments to be low given the types of investments which primarily include Corporate Bonds and Treasury Bonds. Recent Accounting Pronouncements In October 2023, the Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") No. 2023-06 "Disclosure Improvements - Codification Amendments in Response to SEC's Disclosure Update and Simplification Initiative". This amendment modifies the disclosure or presentation requirements of a variety of Topics in the Codification. Certain of the amendments represent clarifications to or technical corrections of the current requirements. For entities subject to the SEC's existing disclosure requirements and entities required to file or furnish financial statements with or to the SEC in preparation for the sale of or for purposes of issuing securities that are not subject to contractual restrictions on transfer, the effective date for each amendment will be the date on which the SEC's removal of that related disclosure from Regulation S-X or Regulation S-K becomes effective, with early adoption prohibited. For all other entities, the amendments will be effective two years later. Amendments in this Update should be applied prospectively. The Company continues to analyze this ASU. The update is specific to disclosures and, therefore, is not expected to have a material impact to the condensed consolidated financial statements. In November 2024, the FASB issued ASU No. 2024-03, "Disaggregation of Income Statement Expenses" which requires disaggregated disclosure of income statement expenses into specified categories in disclosures within the footnotes to the financial statements. The standard is effective for annual periods beginning after December 15, 2026. We are currently evaluating the effect of this ASU on our consolidated financial statements and disclosures.

BUSINESS	6 Months Ended
BUSINESS	Jun. 30, 2026
Organization, Consolidation and Presentation of Financial Statements [Abstract]
BUSINESS	BUSINESS OrthoPediatrics Corp., a Delaware corporation, is a medical device company committed to designing, developing and marketing anatomically appropriate implants, instruments and specialized braces for children with orthopedic conditions, giving pediatric orthopedic surgeons and caregivers the ability to treat children with technologies specifically designed to meet their needs, including PediLoc®, PediPlates®, Cannulated Screws, PediFlexTM nail, PediNailTM, PediLoc® Tibia, ACL Reconstruction System, Locking Cannulated Blade, Locking Proximal Femur, Spica Tables, RESPONSETM Spine, BandLocTM, Pediatric Nailing Platform \| Femur, Devise Rail, Orthex®, The Fassier-Duval Telescopic Intramedullary System®, SLIMTM Nail, The GAP NailTM, The Free Gliding SCFE Screw SystemTM, GIRO™ Growth Modulation System, PNP Tibia System, ApiFix® Mid-C System, Mitchell Ponseti®, VerteGlideTM, and Boston Brace 3D® specialized bracing products to various hospitals and medical facilities throughout the United States and various international markets. We currently use a contract manufacturing model for the manufacturing of implants and related surgical instrumentation while our orthopedic bracing products are typically manufactured in-house. We also operate multiple O&P clinics delivering leading pediatric non-surgical O&P treatment. We are the only global medical device company focused exclusively on providing a comprehensive trauma and deformity correction, scoliosis and sports medicine/other product offering to the pediatric orthopedic market in order to improve the lives of children with orthopedic conditions. We design, develop and commercialize innovative orthopedic implants, instruments and braces as well as provide O&P clinic services to meet the specialized needs of pediatric surgeons and their patients, who we believe have been largely neglected by the orthopedic industry. We currently serve three of the largest categories in this market.

COMMITMENTS AND CONTINGENCIES (Details) - USD ($) $ in Thousands			1 Months Ended	6 Months Ended
	Jul. 20, 2021	Dec. 31, 2019	Jun. 30, 2019	Jun. 30, 2026	Dec. 31, 2025
Long-term Purchase Commitment
Restructuring accrual				$ 552	$ 808
Purchase obligation, to be paid, remainder of fiscal year				728
Purchase obligation, to be paid, year one				$ 1,456
Squadron Capital LLC \| Team Note B \| Affiliated Entity
Long-term Purchase Commitment
Repayments of related party debt		$ 25,000
Vilex and Orthex
Long-term Purchase Commitment
Business combination, consideration transferred			$ 60,000
Minimum
Long-term Purchase Commitment
Royalty agreement percentage (as a percent)				0.25%
Maximum
Long-term Purchase Commitment
Royalty agreement percentage (as a percent)				20.00%
Firefly Technology
Long-term Purchase Commitment
Minimum performance metric short fall expense				$ 3,500
Purchase requirement of recorded shortfall					$ 0
Payments for purchase obligations				2,152
Purchase obligation				$ 1,348
Firefly Technology \| License Agreements
Long-term Purchase Commitment
Finite lived intangible asset useful life extension period (in years)	5 years

INCOME TAXES	6 Months Ended
INCOME TAXES	Jun. 30, 2026
Income Tax Disclosure [Abstract]
INCOME TAXES	INCOME TAXES The Company utilizes an estimated annual effective tax rate to determine its provision or benefit for income taxes for interim periods. The income tax provision or benefit is computed by multiplying the estimated annual effective tax rate by the year-to-date pre-tax book income (loss). For the six months ended June 30, 2026, the income tax expense was $63 compared to $245 for the six months ended June 30, 2025. Our effective income tax rate was 0.33% and 1.40% for the six months ended June 30, 2026 and 2025, respectively. The deferred tax assets are offset by a valuation allowance at June 30, 2026, with the exception of certain deferred tax liabilities in Canada and in the UK. The Company has recorded tax benefit for income generated in Canada during the period ended June 30, 2026. Management assesses the available positive and negative evidence to estimate whether sufficient future taxable income will be generated to permit use of the existing deferred tax assets. A significant piece of objective negative evidence evaluated was the cumulative loss incurred over the three-year period ended June 30, 2026. Such objective evidence limits the ability to consider other subjective evidence, such as our projections for future growth.

- Definition

The entire disclosure for income tax.

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+ Details

DEBT AND CREDIT ARRANGEMENTS (Tables)

6 Months Ended

Jun. 30, 2026

Debt Disclosure [Abstract]

Schedule of Long-Term Debt

Long-term debt consisted of the following as of the dates indicated:


	June 30, 2026		December 31, 2025
Term loan and Final Payment	$	51,000	$	51,000
Convertible note	50,000		50,000
Mortgage payable to affiliate	368		453
Acquisition note payable	4,383		4,557
Total debt	105,751		106,010
Less: debt discount and issuance costs	3,761		4,326
Less: current maturities	2,533		1,866
Long-term debt, net of current maturities	$	99,457	$	99,818

- Definition

Tabular disclosure of long-debt instruments or arrangements, including identification, terms, features, collateral requirements and other information necessary to a fair presentation. These are debt arrangements that originally required repayment more than twelve months after issuance or greater than the normal operating cycle of the entity, if longer.

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+ Details

BUSINESS COMBINATIONS AND ASSET ACQUISITIONS - (Details) $ / shares in Units, € in Thousands, £ in Thousands, R$ in Thousands							1 Months Ended				3 Months Ended		6 Months Ended
	Feb. 01, 2026 USD ($) subsidiary	Feb. 01, 2026 GBP (£) subsidiary	Nov. 25, 2025 BRL (R$) shares	Jul. 11, 2025 USD ($)	May 09, 2025 USD ($)	May 01, 2023 USD ($) $ / shares shares	May 31, 2026 USD ($) shares	Apr. 30, 2026 GBP (£) shares	Aug. 31, 2025 GBP (£)	Jul. 31, 2025 EUR (€)	Mar. 31, 2026 USD ($) shares	Mar. 31, 2025 USD ($) shares	Jun. 30, 2026 USD ($) $ / shares	Jun. 30, 2025 USD ($)	Dec. 31, 2025 USD ($) $ / shares
Business Combination
Common stock, par value (in dollars per share) \| $ / shares													$ 0.00025		$ 0.00025
Share-settled liability													$ 610,000		$ 1,982,000
Shares settled liabilities, current													610,000		1,752,000
Clinic acquisitions													5,927,000
Current portion of acquisition installment payable													1,103,000		2,194,000
Acquisition installment payable, net of current portion													2,962,000		2,898,000
Goodwill													118,461,000		109,269,000
Boston Brace International, Inc \| 5.00% GBP Promissory Note
Business Combination
Interest rate (as a percent)				4.90%
OP EU B.V. \| 4.00% Euro Debt Instrument
Business Combination
Interest rate (as a percent)										4.00%
OP EU B.V. \| 4.00% Euro Debt Instrument \| Secured Debt
Business Combination
Notes payable \| €										€ 390
OrthoPediatrics EU Limited
Business Combination
Debt instrument, term	3 years	3 years
OrthoPediatrics EU Limited \| 5.00% GBP Promissory Note \| Secured Debt
Business Combination
Notes payable \| £									£ 1,100
Interest rate (as a percent)									5.00%
Domestic Clinics \| Boston Brace International, Inc
Business Combination
Business combination, consideration transferred														$ 9,042,000
Local Distributor \| Orthopediatrics do Brasil Ltda
Business Combination
Business combination, consideration transferred \| R$			R$ 41,552
Payments to acquire businesses, gross \| R$			23,128
Equity interest paid \| R$			R$ 1,329
Equity interest issued (in shares) \| shares			14,594
Business combination, anniversary payments \| R$			R$ 24,023
Business combination, anniversary payments present value \| R$			17,043
Business combination, anniversary payments, initial payment \| R$			2,762
Business combination, anniversary payments, subsequent payment \| R$			5,315
Current portion of acquisition installment payable													493,000		442,000
Acquisition installment payable, net of current portion													$ 2,962,000		2,668,000
Goodwill \| R$			6,312
Business combination, recognized asset acquired, inventory, current \| R$			30,530
Local Distributor \| Orthopediatrics do Brasil Ltda \| Customer Relationships
Business Combination
Business combination, intangible assets acquired \| R$			6,990
Local Distributor \| Orthopediatrics do Brasil Ltda \| Noncompete Agreements
Business Combination
Business combination, intangible assets acquired \| R$			R$ 1,440
The London Orthotic Consultancy Ltd (LOC) \| OrthoPediatrics EU Limited
Business Combination
Clinic acquisitions \| £		£ 4,480
Number of subsidiaries \| subsidiary	2	2
Payments to acquire businesses, gross \| £		£ 5,220
Principal amount \| £		600
Business combination, contingent consideration, range of outcomes, maximum, amount \| £		1,700
Contingent consideration liability \| £		420
The London Orthotic Consultancy Ltd (LOC) \| OrthoPediatrics EU Limited \| Share-Based Payment Arrangement, Tranche One
Business Combination
Business combination, increase in aggregate award value, grants in period	$ 235,000
The London Orthotic Consultancy Ltd (LOC) \| OrthoPediatrics EU Limited \| Share-Based Payment Arrangement, Tranche Two
Business Combination
Business combination, increase in aggregate award value, grants in period	$ 168,000
The London Orthotic Consultancy Ltd (LOC) \| OrthoPediatrics EU Limited \| Customer Relationships
Business Combination
Investment in private companies and purchases of licenses \| £		£ 840
The London Orthotic Consultancy Ltd (LOC) \| OrthoPediatrics EU Limited \| 4.5% GBP Promissory Note
Business Combination
Interest rate (as a percent)		450.00%
Medical Distributor Located in the United Kingdom \| OrthoPediatrics EU Limited
Business Combination
Business combination, consideration transferred \| £								£ 1,255
Payments to acquire businesses, gross \| £								£ 196
Consideration for acquisition (in shares) \| shares								80,873
Equity interest paid \| £								£ 1,060
Cash acquired \| £								637
Business combination, intangible assets acquired \| £								£ 712
Medtech
Business Combination
Shares authorized in lieu of cash, value					$ 3,750,000
Medtech \| Seller One
Business Combination
Shares authorized in lieu of cash, value					$ 2,250,000
Common Stock
Business Combination
Increase additional paid in capital from contingent consideration							$ 2,398,000
Medtech Concepts LLC
Business Combination
Asset acquisition, total compensation						$ 15,274,000
Cash consideration						3,000
Issuance of common stock						$ 2,274,000					$ 226,000
Business combination, consideration paid In cash (as a percent)						50.00%
Asset acquisition, contingent consideration cash consideration												$ 1,250,000
Asset acquisition, contingent consideration (in shares) \| shares							153,430				10,830	4,288
Asset acquisition, contingent consideration, value												$ 133,000
Asset acquisition, equity instruments issued portion recognized as stock based compensation (as a percent)											50.00%
Business combination, acquisition installment payable (as a percent)											50.00%
Medtech Concepts LLC \| Share-Based Payment Arrangement
Business Combination
Asset acquisition, contingent consideration (in shares) \| shares												38,594
Asset acquisition, contingent consideration, value											$ 1,250,000
Capital contribution associated with reclassification of liability to equity											$ 2,026,000
Medtech Concepts LLC \| Common Stock
Business Combination
Shares issued as compensation (shares) \| shares						43,751					97,467
Common stock, par value (in dollars per share) \| $ / shares						$ 0.00025
Asset acquisition, share price (in dollars per share) \| $ / shares						$ 51.98
Aggregate value of equity consideration						$ 2,500,000
Business combination, consideration of unregistered common stock (as a percent)						50.00%
Domestic Clinics \| Boston Brace International, Inc
Business Combination
Cash consideration														6,796,000
Investment in private companies and purchases of licenses														2,268,000
Clinic acquisitions														$ 5,680,000
Domestic Clinics \| Boston Brace International, Inc \| Promissory Note Maturing December 2025
Business Combination
Notes payable															$ 2,475,000
Domestic Clinics \| OrthoPediatrics EU Limited
Business Combination
Clinic acquisitions \| £									£ 766
Domestic Clinics \| OrthoPediatrics EU Limited \| Customer Relationships
Business Combination
Investment in private companies and purchases of licenses \| £									695
Orthotic And Prosthetic Devices \| Boston Brace International, Inc
Business Combination
Sellers earnout amount				$ 1,475,000
Orthotic And Prosthetic Devices \| OP EU B.V.
Business Combination
Cash consideration \| €										1,200
Clinic acquisitions \| €										1,101
Aggregate payable amount \| €										1,473
Orthotic And Prosthetic Devices \| OP EU B.V. \| Customer Relationships
Business Combination
Investment in private companies and purchases of licenses \| €										€ 390
Orthotic And Prosthetic Devices \| OrthoPediatrics EU Limited
Business Combination
Cash consideration \| £									2,506
Aggregate payable amount \| £									£ 3,537

NET LOSS PER SHARE - Narrative (Details) - shares	6 Months Ended
NET LOSS PER SHARE - Narrative (Details) - shares	Jun. 30, 2026	Jun. 30, 2025
Earnings Per Share [Abstract]
Antidilutive securities excluded from computation of earnings per share (in shares)	2,008,403	1,551,951

DEBT AND CREDIT ARRANGEMENTS - Schedule of Long-term Debt (Details) - USD ($) $ in Thousands	Jun. 30, 2026	Dec. 31, 2025
Debt Instrument
Total debt	$ 105,751	$ 106,010
Less: debt discount and issuance costs	3,761	4,326
Less: current maturities	2,533	1,866
Long-term debt, net of current maturities	99,457	99,818
Revolving Credit Facility \| Term Loan
Debt Instrument
Total debt	51,000	51,000
Convertible note
Debt Instrument
Total debt	50,000	50,000
Mortgage payable to affiliate
Debt Instrument
Total debt	368	453
Less: current maturities	172	170
Acquisition note payable \| Acquisition note payable
Debt Instrument
Total debt	$ 4,383	$ 4,557

STOCKHOLDERS' EQUITY - Schedule of Restricted Stock (Details) - shares	6 Months Ended	12 Months Ended
	Jun. 30, 2026	Dec. 31, 2025
Restricted Stock
Restricted Stock
Outstanding at period start (in shares)	1,508,093
Granted (in shares)	781,491
Forfeited (in shares)	(16,405)
Vested (in shares)	(289,526)
Outstanding at period end (in shares)	1,983,653	1,508,093
Weighted-Average Remaining Contractual Terms (in Years)
Weighted-average remaining contractual terms (in years)	1 year 9 months 18 days	1 year 4 months 24 days
Restricted Stock Units (RSUs)
Restricted Stock
Outstanding at period start (in shares)	20,965
Granted (in shares)	8,700
Forfeited (in shares)	(1,400)
Vested (in shares)	(3,515)
Outstanding at period end (in shares)	24,750	20,965
Weighted-Average Remaining Contractual Terms (in Years)
Weighted-average remaining contractual terms (in years)	1 year 7 months 6 days	1 year 4 months 24 days

DEBT AND CREDIT ARRANGEMENTS - Other Debt (Details) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Dec. 31, 2025
Debt Instrument
Total debt	$ 105,751		$ 106,010
Current portion of long-term debt with affiliate	2,533		1,866
Interest expense	3,752	$ 2,552
Mortgage payable to affiliate
Debt Instrument
Monthly interest and principal installments	$ 16
Interest rate (as a percent)	5.00%
Total debt	$ 368		453
Current portion of long-term debt with affiliate	$ 172		$ 170

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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+ Details

- Definition

Amount, after deduction of unamortized premium (discount) and debt issuance cost, of long-term debt. Excludes lease obligation.

+ References

+ Details

DEBT AND CREDIT ARRANGEMENTS - Braidwell Term Loan and Convertible Note (Details)				6 Months Ended
	Mar. 31, 2026 USD ($)	Jun. 27, 2025 USD ($)	Aug. 05, 2024 USD ($) day $ / shares	Jun. 30, 2026 USD ($)	Jun. 30, 2025 USD ($)
Debt Instrument
Proceeds from issuance of debt				$ 0	$ 25,000,000
Term Loan Agreement
Debt Instrument
Long term debt face amount			$ 25,000,000
Interest rate (as a percent)			6.50%
Payment in kind interest rate per annum (as a percent)			1.00%
Debt instrument, exit fee (as a percent)			2.00%
Debt covenant, required cash on hand as a percentage of outstanding debt (as a percent)			25.00%
Term Loan Agreement \| Period Three
Debt Instrument
Debt instrument early repayment fee (as a percent)			1.00%
Term Loan Agreement \| Period Four
Debt Instrument
Debt instrument early repayment fee (as a percent)			0.00%
Term Loan Agreement \| Minimum
Debt Instrument
Debt instrument, basis spread on variable rate (as a percent)			3.25%
Delayed Draw Term Loan Facility
Debt Instrument
Revolving credit facility			$ 25,000,000
Proceeds from issuance of debt		$ 25,000,000
Term Loan Agreement First Amendment
Debt Instrument
Revolving credit facility				$ 20,000,000
Interest rate (as a percent)			6.50%
Payment in kind interest rate per annum (as a percent)			1.00%
Debt instrument, upfront fee (as a percent)	1.00
Unused commitment fee percentage (as a percent)	0.05%
Line of Credit Facility, Minimum Installments	$ 10,000
Term Loan Agreement First Amendment \| Minimum
Debt Instrument
Debt instrument, basis spread on variable rate (as a percent)	3.25%
Scenario, Plan \| Term Loan Agreement \| Period One
Debt Instrument
Debt instrument early repayment fee (as a percent)			3.00%
Scenario, Plan \| Term Loan Agreement \| Period Two
Debt Instrument
Debt instrument early repayment fee (as a percent)			2.00%
Scenario, Plan \| 4.75% Convertible Senior Notes
Debt Instrument
Long term debt face amount			$ 50,000,000
Interest rate (as a percent)			4.75%
Proceeds from the issuance of convertible debt			$ 49,500,000
Debt conversion price (as a percent)			130.00%
Debt covenant, percentage trigger for conversion, as a percentage of principal (as a percent)			98.00%
Debt instrument, convertible, conversion price (in dollars per share) \| $ / shares			$ 40.98
Debt covenant, debt conversion trigger as a percentage of conversion price (as a percent)			140.00%
Convertible, threshold trading days \| day			20
Convertible, threshold consecutive trading days \| day			30
Threshold cured period			60 days
Debt covenant, default trigger			$ 25,000,000
Debt covenant, percentage of debt in default that would trigger recall (as a percent)			25.00%
Debt covenant, special interest rate upon debt default (as a percent)			0.50%

BUSINESS COMBINATIONS AND ASSET ACQUISITIONS	6 Months Ended
BUSINESS COMBINATIONS AND ASSET ACQUISITIONS	Jun. 30, 2026
Business Combination, Asset Acquisition, Transaction between Entities under Common Control, and Joint Venture Formation [Abstract]
BUSINESS COMBINATIONS AND ASSET ACQUISITIONS	BUSINESS COMBINATIONS AND ASSET ACQUISITIONS Medtech Concepts, LLC On May 1, 2023, the Company entered into a Membership Interest Purchase Agreement (the "MedTech Purchase Agreement"), by and among the Company, Kevin Unger, DINZE LLC, and the sole member of DINZE LLC, pursuant to which the Company purchased all of the issued and outstanding membership interest of Medtech Concepts LLC (“MedTech”). We agreed to pay the sellers of MedTech a purchase price of approximately $15,274 in the following manner: (i) cash in the aggregate amount of $3,000 which was paid on May 1, 2023, the transaction closing date (the “Closing Date”); (ii) 43,751 unregistered shares of the Company’s common stock, par value $0.00025 per share, representing approximately $2,274 (based on a closing share price of $51.98 on May 1, 2023), were issued on the Closing Date; and (iii) an aggregate of $2,500 payable 50% in cash and 50% in shares of unregistered common stock, will be paid on each of the first four anniversaries of the Closing Date, all subject to the conditions set forth in the MedTech Purchase Agreement. Under the MedTech Purchase Agreement, a number of future payments in the form of common stock are contingent on continued service through each applicable payment anniversary date. As such, these amounts were initially excluded from measuring the cost of the acquisition, and are being recorded as stock-based compensation expense in the post-combination consolidated financial statements. All future cash payments and stock issuances that are not contingent on continuous service were included in the calculation of consideration for this asset acquisition. During the year ended December 31, 2024, we paid the first anniversary payment consisting of $1,250 in cash and issued 4,288 of our common stock approximating $133, both of which reduced the amount of the acquisition installment payable on our consolidated balance sheet. In addition, we issued 38,594 unregistered shares of our common stock to one individual on the first anniversary date in exchange for their continued service through the vesting date which had been accounted for as stock-based compensation expense in the post-combination consolidated financial statements. On May 9, 2025, as part of the Company’s ongoing efforts to preserve cash, we amended the MedTech Purchase Agreement (the “MedTech Amendment”) such that the fixed cash portion of all three remaining anniversary payments (with an aggregate gross value of $3,750) will now be settled through the issuance of unregistered shares of our common stock. The future equity issuances to one of the sellers (with an aggregate value of $2,250) are contingent upon their continuous service through the applicable third and fourth anniversary dates. The number of shares that is contingently issuable at the third and fourth anniversary dates is based on the volume-weighted average price over the thirty trading days ending on the second business day prior to the applicable anniversary date. As the monetary amount is fixed and known as of the date of the MedTech Amendment, the share-settled liability is being recorded on a straight-line basis over the service period as additional stock-based compensation expense. During the year ended December 31, 2025, the Company paid the second anniversary payment by issuing 10,830 unregistered shares of our common stock approximating $226 to one of the sellers, which reduced the amount of the acquisition installment payable on our consolidated balance sheet. In addition, we issued 97,467 unregistered shares of our common stock, approximately $1,250 in value, of which 50% had previously been recognized as stock-based compensation expense in the post-combination consolidated financial statements, and the other 50% had been recorded within the acquisition installment payable on the consolidated balance sheet. We also recorded a capital contribution for $2,026 upon execution of the MedTech Amendment, which represented the present value of the fixed cash payments that would be paid at the third and fourth anniversary dates, and derecognized the related acquisition installment payable which had previously been recorded on our consolidated balance sheet. In May 2026, in settlement of the third anniversary payment, we issued an aggregate of 153,430 shares of our common stock, which reduced the share-settled liability and increased additional paid-in capital by $2,398. As of June 30, 2026 and December 31, 2025, the Company has recorded a share-settled liability of $610 and $1,982, respectively, related to the MedTech Amendment, of which $610 and $1,752, respectively, is recorded as a current liability. Boston Brace International, Inc. In 2025, Boston Brace International, Inc. ("Boston O&P"), a wholly-owned subsidiary of the Company, purchased all the issued and outstanding membership interest or acquired the assets of multiple orthotic and prosthetic device clinics. Total consideration for all O&P clinics acquired was approximately $9,042, which was comprised of cash of $6,796 and promissory notes in the original principal amount of $2,475, with a weighted average interest rate of 4.9% per annum. The sellers may also be entitled to an earnout of up to $1,475, if gross revenues exceed a threshold in the first year after closing. The seller promissory notes may also be subject to adjustments if gross revenue targets are not achieved in the first year after the applicable closing. We allocated $2,268 to customer relationship intangible assets and $5,680 to goodwill, and the rest to net working capital and other assets acquired and liabilities assumed. The allocation of the purchase price for certain of these clinic acquisitions is considered preliminary. OP EU B.V. In July 2025, OP EU B.V., a wholly-owned Netherlands based subsidiary of the Company, purchased all of the issued and outstanding share capital of orthotic and prosthetic device clinics located in Ireland. Total consideration was approximately EUR 1,473 which comprised of cash of EUR 1,200 and a promissory note in the original principal amount of EUR 390, with an interest rate of 4.0% per annum. The seller promissory note may be subject to adjustments if net sales targets are not achieved. We allocated EUR 390 to customer relationship intangible assets and EUR 1,101 to goodwill, and the rest to net working capital and other assets acquired and liabilities assumed. The allocation of the purchase price is considered preliminary. OrthoPediatrics EU Limited In August 2025, OrthoPediatrics EU Limited purchased all of the issued and outstanding share capital of a designer and manufacturer of clubfoot bracing located in the UK. Total consideration was approximately GBP 3,537, which was comprised of cash of GBP 2,506 and promissory notes in the original principal amount of GBP 1,100, with an interest rate of 5.0% per annum. We allocated GBP 695 to customer relationship intangible assets, GBP 766 to goodwill and the rest to net working capital and other assets acquired and liabilities assumed. The allocation of the purchase price is considered preliminary. On February 1, 2026, the Company and OrthoPediatrics EU Limited entered into a Stock Purchase Agreement (the “LOC Purchase Agreement”) with the shareholders (the “Sellers”) of London Orthotic Consultancy Consolidated Ltd (“LOC”), pursuant to which OrthoPediatrics EU Limited acquired all of the issued and outstanding shares of capital stock of LOC. LOC has two subsidiaries which were acquired as part of the transaction: (i) The London Orthotic Consultancy Limited; and (ii) L.O.C. Manufacturing Limited. Under the terms of the LOC Purchase Agreement, OrthoPediatrics EU Limited paid to the Sellers: (i) GBP 5,220 in cash, after a customary working capital adjustment; (ii) GBP 600 pursuant to promissory notes with interest at the rate of 4.5% per annum, payable in full on the 1-year anniversary of the closing. The Sellers may also be entitled to an earnout payment of up to GBP 1,700, if certain financial performance metrics of LOC and its subsidiaries exceed a threshold in the first year after closing, for which the Company recorded a contingent consideration liability of GBP 420 at closing. We allocated GBP 4,480 to goodwill, GBP 840 to customer relationship intangible assets, and the rest to net working capital and other assets acquired and liabilities assumed. The allocation of the purchase price is considered preliminary. Pursuant to the LOC Purchase Agreement, the Sellers and one employee of LOC will also receive awards of restricted stock of the Company which will each vest over a three-year period. Restricted stock awards having an aggregate award value of $235 will be granted on January 2, 2027, and restricted stock awards having an aggregate award value of $168 will be granted on January 2, 2028. In April 2026, OrthoPediatrics EU Limited purchased all of the issued and outstanding share capital of a medical device distributor located in the UK. Total consideration was approximately GBP 1,255 after a customary working capital adjustment, which was comprised of 80,873 shares of the Company's common stock representing approximately GBP 1,060 and GBP 196 of cash, net of cash acquired of GBP 637. We allocated GBP 712 to customer relationship intangible assets and the rest to net working capital. For accounting purposes, this acquisition is accounted for as an asset acquisition since substantially all of the fair value of the gross assets acquired is concentrated in a group of similar identifiable assets. Orthopediatrics do Brasil Ltda. On November 25, 2025, Orthopediatrics do Brasil Ltda., a wholly-owned Brazil based subsidiary of the Company, purchased all of the issued and outstanding share capital of a local distributor. Total consideration was approximately BRL $41,552 which is comprised of BRL $23,128 of upfront cash, 14,594 shares of the Company's common stock representing approximately BRL $1,329, and approximately BRL $24,023 in anniversary payments, or approximately BRL $17,043 after giving effect to the time value of money. The total consideration transferred, as calculated after discounting future payments to present value, is preliminary and subject to certain limitations and customary adjustments. The Company is obligated to make anniversary payments of: (i) BRL $2,762 on the first anniversary of the closing date, and (ii) BRL $5,315 on each of the subsequent four anniversaries of the closing date. All anniversary payments are to be made in a combination of cash and shares of our common stock. As of June 30, 2026 and December 31, 2025, we recorded a current portion of these future anniversary payments of USD $493 and USD $442, respectively, within current portion of acquisition installment payable, and USD $2,962 and USD $2,668, respectively, within acquisition installment payable, net of current portion on our condensed consolidated balance sheets. We allocated BRL $6,990 to customer relationship intangible assets, BRL $1,440 to non-compete agreements, BRL $6,312 to goodwill, and the rest to net working capital and other assets acquired and liabilities assumed, including inventories of BRL $30,530. The allocation of the purchase price is considered preliminary.

- Definition

The entire disclosure for business combination.

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+ Details

GOODWILL AND INTANGIBLE ASSETS - Schedule of the Balances of Amortizable Intangible Assets (Details) - USD ($) $ in Thousands	Jun. 30, 2026	Dec. 31, 2025
Intangible Asset, Finite-Lived, after Accumulated Amortization [Abstract]
Gross Intangible Assets	$ 107,012	$ 102,726
Accumulated Amortization	(43,267)	(37,924)
Net Intangible Assets	$ 63,745	$ 64,802
Patents
Intangible Asset, Finite-Lived, after Accumulated Amortization [Abstract]
Weighted-Average Amortization Period	8 years 9 months 18 days	9 years 3 months 18 days
Gross Intangible Assets	$ 52,099	$ 49,939
Accumulated Amortization	(21,471)	(18,854)
Net Intangible Assets	$ 30,628	$ 31,085
Intellectual Property & Capitalized Software
Intangible Asset, Finite-Lived, after Accumulated Amortization [Abstract]
Weighted-Average Amortization Period	6 years 8 months 12 days	7 years 1 month 6 days
Gross Intangible Assets	$ 16,057	$ 16,056
Accumulated Amortization	(6,416)	(5,642)
Net Intangible Assets	$ 9,641	$ 10,414
Customer Relationships & Other
Intangible Asset, Finite-Lived, after Accumulated Amortization [Abstract]
Weighted-Average Amortization Period	9 years 4 months 24 days	9 years 8 months 12 days
Gross Intangible Assets	$ 28,191	$ 26,278
Accumulated Amortization	(7,106)	(6,107)
Net Intangible Assets	$ 21,085	$ 20,171
License Agreements
Intangible Asset, Finite-Lived, after Accumulated Amortization [Abstract]
Weighted-Average Amortization Period	2 years 7 months 6 days	2 years 6 months
Gross Intangible Assets	$ 10,665	$ 10,453
Accumulated Amortization	(8,274)	(7,321)
Net Intangible Assets	$ 2,391	$ 3,132

STOCKHOLDERS' EQUITY - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025	Dec. 31, 2024	Aug. 02, 2024
Share-based Compensation Arrangement by Share-based Payment Award
Stock-based compensation			$ 8,173	$ 9,111
Term Loan Agreement
Share-based Compensation Arrangement by Share-based Payment Award
Share repurchase program, authorized, amount					$ 250	$ 5,000
Restricted Stock
Share-based Compensation Arrangement by Share-based Payment Award
Unrecognized compensation expense	$ 25,510		$ 25,510
Unrecognized compensation expense, weighted average period of recognition (in years)			1 year 9 months 18 days
Stock-based compensation	$ 4,191	$ 5,252	$ 8,173	$ 9,111

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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+ Details

BUSINESS SEGMENT - Schedule of Product Sales by Category (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025
Segment Reporting
Total	$ 70,508	$ 61,082	$ 129,869	$ 113,493
Trauma and deformity
Segment Reporting
Total	52,632	41,655	95,677	79,521
Scoliosis
Segment Reporting
Total	16,876	18,522	32,319	32,186
Sports medicine/other
Segment Reporting
Total	$ 1,000	$ 905	$ 1,873	$ 1,786

- Definition

Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise.

+ References

+ Details

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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+ Details

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Basis of Presentation (Details) - USD ($) $ in Thousands	Jun. 30, 2026	Dec. 31, 2025
Accounting Policies [Abstract]
Accumulated deficit	$ 293,062	$ 275,212

- Definition

Amount of accumulated undistributed earnings (deficit).

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+ Details

FAIR VALUE OF FINANCIAL INSTRUMENTS (Tables)

6 Months Ended

Jun. 30, 2026

Fair Value Disclosures [Abstract]

Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis

The following table summarizes the assets and liabilities measured at fair value on a recurring basis as of June 30, 2026 and December 31, 2025.


	June 30, 2026
	Level 1		Level 2		Level 3		Total
Financial Assets

Short-term investments
Corporate Bonds	$	—	$	12,912	$	—	$	12,912
Treasury Bonds	$	11,309	$	—	$	—	$	11,309
Asset-Backed Securities	$	—	$	4,340	$	—	$	4,340
Exchange Mutual Funds	$	317	$	—	$	—	$	317
Financial Liabilities
Contingent consideration	$	—	$	—	$	556	$	556

	December 31, 2025
	Level 1		Level 2		Level 3		Total
Financial Assets

Short-term investments
Corporate Bonds	$	—	$	17,582	$	—	$	17,582
Treasury Bonds	$	16,956	$	—	$	—	$	16,956
Asset-Backed Securities	$	—	$	6,058	$	—	$	6,058
Exchange Mutual Funds	$	429	$	—	$	—	$	429

INCOME TAXES (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
INCOME TAXES (Details) - USD ($) $ in Thousands	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025
Income Tax Disclosure [Abstract]
Income tax charge	$ 234	$ 49	$ 63	$ 245
Effective income tax rate (as a percent)			(0.33%)	(1.40%)

- Definition

Amount of current income tax expense (benefit) and deferred income tax expense (benefit) pertaining to continuing operations.

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+ Details

BUSINESS SEGMENT

6 Months Ended

Jun. 30, 2026

Segment Reporting [Abstract]

BUSINESS SEGMENT

Operating segments are defined as components of an enterprise for which separate financial information is available that is evaluated regularly by the chief operating decision maker, or decision making group, in deciding how to allocate resources and in assessing performance. We have one operating and reportable segment, which designs, develops and markets anatomically appropriate implants and devices for children with orthopedic problems. Our chief operating decision-maker, our Chief Executive Officer, reviews financial information presented on a consolidated basis for purposes of making operating decisions and assessing financial performance, accompanied by disaggregated revenue information by product category. The Chief Executive Officer is regularly provided with consolidated expenses consistent with those presented in the condensed consolidated statements of operations. We do not assess the performance of our individual product categories on measures of profit or loss, or other asset-based metrics. Therefore, the information below is presented only for revenue by category and geography.

Product sales attributed to a country or region includes product sales to hospitals, physicians and distributors and is based on the final destination where the products are sold. No individual customer accounted for more than 10% of total product sales for the three and six months ended June 30, 2026 or 2025. No individual customer accounted for more than 10% of consolidated accounts receivable as of June 30, 2026 and December 31, 2025.

Product sales by source were as follows:


	Three Months Ended June 30,				Six Months Ended June 30,
Product sales by geographic location:	2026		2025		2026		2025
U.S.	$	54,791	$	48,147	$	100,100	$	89,039
International	15,717		12,935		29,769		24,454
Total	$	70,508	$	61,082	$	129,869	$	113,493


	Three Months Ended June 30,				Six Months Ended June 30,
Product sales by category:	2026		2025		2026		2025
Trauma and deformity	$	52,632	$	41,655	$	95,677	$	79,521
Scoliosis	16,876		18,522		32,319		32,186
Sports medicine/other	1,000		905		1,873		1,786
Total	$	70,508	$	61,082	$	129,869	$	113,493

- Definition

The entire disclosure for segment reporting.

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-Topic 280
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-Section 50
-Paragraph 26
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-26

+ Details

BUSINESS SEGMENT - Narrative (Details)	6 Months Ended
BUSINESS SEGMENT - Narrative (Details)	Jun. 30, 2026 segment
Segment Reporting [Abstract]
Number of operating segments	1
Number of reportable segments	1

NET LOSS PER SHARE

6 Months Ended

Jun. 30, 2026

Earnings Per Share [Abstract]

NET LOSS PER SHARE

The following is a reconciliation of basic and diluted net loss per share:


	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2026		2025		2026		2025
Net loss	$	(7,163)	$	(7,113)	$	(17,850)	$	(17,772)

Weighted average shares outstanding for basic and diluted	24,048,690		23,460,144		23,867,877		23,346,141
Net loss per share - basic and diluted	$	(0.30)	$	(0.30)	$	(0.75)	$	(0.76)

Our basic and diluted net loss per share is computed using the two-class method. For purposes of our equity disclosures and calculation of weighted average shares for basic earnings per share calculations, the two-class method is an earnings allocation that determines net income per share for each class of common stock and participating securities according to their participation rights in dividends and

undistributed earnings or losses. Non-vested restricted stock that includes non-forfeitable rights to dividends are considered participating securities.

For the periods presented with a net loss, the weighted average shares outstanding remained consistent between basic and diluted as the effect of any outstanding common stock equivalents would have been anti-dilutive. The Company had 2,008,403 and 1,551,951 contingently issuable and convertible equity shares excluded from the calculation of diluted net (loss) earnings per share as of June 30, 2026 and 2025, respectively, because their effect would have been anti-dilutive.

The contingently issuable shares discussed in the previous paragraph do not include shares of our common stock associated with our obligation to issue a variable number of our common shares as a result of our acquisition of MedTech or a local distributor in Brazil as discussed in Note 3 - Business Combinations and Asset Acquisitions. We are obligated to issue additional shares of our common stock to Braidwell in the event that our convertible note is converted into shares of common stock. See Note 6 - Debt and Credit Arrangements for additional information.

COVER - shares	6 Months Ended
COVER - shares	Jun. 30, 2026	Aug. 04, 2026
Cover [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Jun. 30, 2026
Document Transition Report	false
Entity File Number	001-38242
Entity Registrant Name	OrthoPediatrics Corp
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	26-1761833
Entity Address, Address Line One	2850 Frontier Drive
Entity Address, City or Town	Warsaw
Entity Address, State or Province	IN
Entity Address, Postal Zip Code	46582
City Area Code	574
Local Phone Number	268-6379
Title of Each Class	Common Stock, $0.00025 par value per share
Trading Symbol(s)	KIDS
Name of each exchange on which registered	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		26,109,788
Document Fiscal Year Focus	2026
Document Fiscal Period Focus	Q2
Amendment Flag	false
Entity Central Index Key	0001425450
Current Fiscal Year End Date	--12-31

SUBSEQUENT EVENTS (Details) - Subsequent Event - OrthoPediatrics EU Limited £ in Thousands	Jul. 13, 2026 GBP (£) installment
Manufacturer of Medical Devices for Spinal Disorders
Subsequent Event
Business combination, consideration transferred	£ 2,262
Payments to acquire businesses, gross	1,962
Business combination, contingent consideration, range of outcomes, maximum, amount	238
Secured Debt
Subsequent Event
Notes payable	£ 300
Number of installments \| installment	4
Interest rate (as a percent)	5.00%

COMMITMENTS AND CONTINGENCIES	6 Months Ended
COMMITMENTS AND CONTINGENCIES	Jun. 30, 2026
Commitments and Contingencies Disclosure [Abstract]
COMMITMENTS AND CONTINGENCIES	COMMITMENTS AND CONTINGENCIES Restructuring In connection with the global restructuring plan that was initiated in the fourth quarter 2024, the Company has a restructuring accrual of $552 and $808 as of June 30, 2026 and December 31, 2025 either within accrued expenses and other current liabilities or other long-term liabilities on its condensed consolidated balance sheet. Legal Proceedings From time to time, we are involved in various legal proceedings arising in the ordinary course of our business. IMED Surgical - Software Ownership Dispute On October 16, 2020, the Company, its wholly-owned subsidiary, Orthex, LLC (“Orthex”), the Company’s largest investor, Squadron, and certain other defendants, were named in a lawsuit filed by IMED Surgical, LLC, a New Jersey company ("IMED"), in Broward County, Florida Circuit Court. In the lawsuit, IMED claims, among other things, that it is the rightful owner of certain patented point-and-click planning software being used by the Company, Orthex and Squadron (specifically, U.S. Patent No. 10,258,377 (titled “Point and click alignment method for orthopedic surgeons, and surgical and clinical accessories and devices,” issued on April 16, 2019) (hereinafter, the “’377 Patent”). In June 2019, the Company purchased all the issued and outstanding units of membership interests in Orthex, and all the issued and outstanding shares of stock of Vilex in Tennessee, Inc. for $60,000 in total consideration. Vilex and Orthex are primarily manufacturers of foot and ankle surgical implants, including cannulated screws, fusion devices, surgical staples and bone plates, as well as the Orthex Hexapod technology, a system of rings, struts, implants, hardware accessories, and the Point & Click Software used to treat congenital deformities and limb length discrepancies. On December 31, 2019, the Company divested substantially all of the assets relating to Vilex's adult product offerings to a wholly-owned subsidiary of Squadron, in exchange for a $25,000 reduction in a term note owed to Squadron in connection with the initial acquisition. As part of the sale, the Company also executed an exclusive license arrangement with Squadron providing for perpetual access to certain intellectual property, including the ‘377 Patent. According to the lawsuit, the other defendants, who are unrelated to the Company, assigned the ‘377 Patent to Orthex in violation of certain agreements with IMED. IMED, among other things, requests that the defendants be ordered to convey and assign to IMED all of their rights, title and interests in and to the ’377 Patent and seeks certain compensatory, consequential and unjust enrichment damages from Orthex and the unrelated defendants. On May 13, 2021, the Court ordered the lawsuit stayed pending arbitration. To the extent IMED desires to further pursue the matter, it must first do so through a separate arbitration proceeding. In mid-November 2021, IMED initiated an arbitration proceeding; however, IMED failed to pay the fees it was required to pay for the arbitration to continue, resulting in the arbitration panel terminating the arbitration proceedings in mid-October 2022. In connection with the stay order, the Court also ordered the Company, Orthex and Squadron to give notice to IMED before any attempt to dispose, assign, sell or otherwise encumber the ‘377 Patent. The Company, Orthex and Squadron filed an appeal of this component of the order, but the appellate court affirmed the lower court’s decision. The Company, Orthex and Squadron have not sought to further pursue an appeal of the subject order. On February 3, 2023, the Court partially lifted the stay in this case for the sole purpose of, as clarified by the Court's order on March 7, 2023, "permitting any party to argue any motion challenging the events that occurred which led to the arbitration panel's termination order." No filing was made in response to that order. No further filings were made in this case until October 30, 2023, when defendants filed a motion to dismiss. On December 12, 2023, the Court ordered IMED has until March 13, 2024, to appear before the Court and show cause why this case should not be dismissed for failure to pursue arbitration consistent with the Court’s orders. On March 13, 2024, a hearing took place to discuss the status of IMED’s effort to re-initiate arbitration. Thereafter, on March 25, 2024, the Court ordered, if, by April 27, 2024, IMED has not begun arbitration, resolved this case, or substantiated (in the form of an attorney and client declaration) that it has executed an agreement with a litigation funder to pay for arbitration proceedings, to pay the balance due to the subject arbitration association and to re-instate the arbitration, the Court will dismiss this case without prejudice. On April 26, 2024, IMED informed the Court it has executed an agreement with a litigation funder to pay for arbitration proceedings, to pay the balance due to the subject arbitration association, and to reinstate the arbitration, and is in the final stages of resolving the balance due to the subject arbitration association. On September 20, 2024, the Court dismissed IMED’s lawsuit, without prejudice, for failure to prosecute. However, contemporaneously, IMED re-initiated arbitration alleging Orthex: 1) breached a consulting agreement between IMED and two third-parties, who are also a party to the arbitration; and 2) IMED's request for declaratory judgment that the intellectual property rights held by Orthex concerning inventions, including but not limited to the '377 Patent, should have been transferred to IMED under the subject consulting agreement. On January 9, 2026, the arbitration tribunal granted Orthex's request to be given leave to file a dispositive motion. Orthex submitted its motion for summary judgment and supporting exhibits on February 10, 2026 seeking dismissal of both causes of action asserted by IMED against Orthex in the subject arbitration. On April 15, 2026, the arbitration tribunal determined both causes of action raised by IMED against Orthex should be dismissed and accordingly, dismissed Orthex with prejudice from the subject arbitration. We are not presently a party to any other legal proceedings the outcome of which, if determined adversely to us, would individually or in the aggregate materially affect our financial position or results of operations or cash flows. Purchase Obligations and Performance Requirements As a result of entering into a license agreement for the exclusive distribution of the 7D Surgical FLASHTM Navigation platform during 2021, the Company agreed to a minimum purchase commitment for the first twelve months of that agreement. Additionally, the contract requires future purchase commitments based upon a percentage of historical purchases. As a result and as of June 30, 2026, the remaining purchase commitments under the agreement were $728 for the year ending December 31, 2026 and $1,456 future purchase commitments are required for the year ending December 31, 2027. On July 20, 2021, we entered into an amended license agreement, resulting in a five-year extension of our exclusive distribution rights of the FIREFLY Technology. As a component of the agreement the Company was required to meet minimum performance metrics, measured by the number of spine procedures in the fiscal year which used the FIREFLY products against the annual requirement in the agreement. This included any scheduled surgeries whereby the Company had committed to payment of the product. The number of required surgeries varied each year of the agreement. In 2025, the agreement was amended and extended through 2030. The amended agreement modified the minimum performance metrics to be based on a purchase requirement of $3,500 annually through 2030 instead of the number of spine procedures. The amended threshold of units purchased was met in 2025, so there was no shortfall recorded during 2025. We purchased $2,152 during the six months ended June 30, 2026, leaving a requirement of $1,348 for 2026. Royalties As of June 30, 2026, we are contracted to pay royalties to individuals and entities that provide research and development services, which range from 0.25% to 20% of sales. We have products in development that have royalty commitments. In any development project, there are significant variables that will affect the amount and timing of these payments and as of June 30, 2026, we have not been able to determine the amount and timing of payments. We do not anticipate these future payments will have a material impact on our financial results.

GOODWILL AND INTANGIBLE ASSETS (Tables)

6 Months Ended

Jun. 30, 2026

Intangible Asset, Goodwill and Other [Abstract]

Schedule of Changes in Goodwill

Changes in the carrying amount of goodwill for the six months ended June 30, 2026 were as follows:


	Total



Goodwill at January 1, 2026	$	109,269
Clinic acquisitions	5,927
Foreign currency translation impact	3,265
Goodwill at June 30, 2026	$	118,461

Schedule of the Balances of Amortizable Intangible Assets

As of June 30, 2026, the balances of amortizable intangible assets were as follows:


	Weighted-Average Amortization Period	Gross Intangible Assets		Accumulated Amortization		Net Intangible Assets
Patents	8.8 years	$	52,099	$	(21,471)	$	30,628
Intellectual Property & Capitalized Software	6.7 years	16,057		(6,416)		9,641
Customer Relationships & Other	9.4 years	28,191		(7,106)		21,085
License Agreements	2.6 years	10,665		(8,274)		2,391
Total amortizable assets		$	107,012	$	(43,267)	$	63,745

As of December 31, 2025, the balances of amortizable intangible assets were as follows:


	Weighted-Average Amortization Period	Gross Intangible Assets		Accumulated Amortization		Net Intangible Assets
Patents	9.3 years	$	49,939	$	(18,854)	$	31,085
Intellectual Property & Capitalized Software	7.1 years	16,056		(5,642)		10,414
Customer Relationships & Other	9.7 years	26,278		(6,107)		20,171
License Agreements	2.5 years	10,453		(7,321)		3,132
Total amortizable assets		$	102,726	$	(37,924)	$	64,802

- Definition

Tabular disclosure of goodwill.

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+ Details

NET LOSS PER SHARE - Reconciliation of Basic and Diluted Net Loss Per Share (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended				6 Months Ended
	Jun. 30, 2026	Mar. 31, 2026	Jun. 30, 2025	Mar. 31, 2025	Jun. 30, 2026	Jun. 30, 2025
Earnings Per Share [Abstract]
Net loss	$ (7,163)	$ (10,687)	$ (7,113)	$ (10,659)	$ (17,850)	$ (17,772)
Weighted average shares outstanding for basic (in shares)	24,048,690		23,460,144		23,867,877	23,346,141
Weighted average shares outstanding for diluted (in shares)	24,048,690		23,460,144		23,867,877	23,346,141
Net loss per share - basic (in dollars per share)	$ (0.30)		$ (0.30)		$ (0.75)	$ (0.76)
Net loss per share - diluted (in dollars per share)	$ (0.30)		$ (0.30)		$ (0.75)	$ (0.76)

- Definition

The amount of net income (loss) for the period per each share of common stock or unit outstanding during the reporting period.

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- Definition

The amount of net income (loss) for the period available to each share of common stock or common unit outstanding during the reporting period and to each share or unit that would have been outstanding assuming the issuance of common shares or units for all dilutive potential common shares or units outstanding during the reporting period.

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+ Details

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

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+ Details

BUSINESS SEGMENT - Schedule of Product Sales by Geographic Location (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Geographical Area, Revenue and Long-Lived Asset
Total	$ 70,508	$ 61,082	$ 129,869	$ 113,493
U.S.
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Geographical Area, Revenue and Long-Lived Asset
Total	54,791	48,147	100,100	89,039
International
Segment Reporting, Entity-Wide Information Not Provided as Part of Reportable Segment, Geographical Area, Revenue and Long-Lived Asset
Total	$ 15,717	$ 12,935	$ 29,769	$ 24,454

- Definition

+ References

+ Details

SUBSEQUENT EVENTS	6 Months Ended
SUBSEQUENT EVENTS	Jun. 30, 2026
Subsequent Events [Abstract]
SUBSEQUENT EVENTS	SUBSEQUENT EVENTSOn July 13, 2026 OrthoPediatrics EU Limited, a wholly-owned UK based subsidiary of the Company, purchased all of the issued and outstanding share capital of a manufacturer of medical devices for spinal disorders. This acquisition will expand the Company's scoliosis product line and create a larger footprint in the UK. The Company paid GBP 2,262 in total consideration for the stock, which was comprised of GBP 1,962 of cash and a promissory note in the original principal amount of GBP 300 payable in four quarterly installments with interest at the rate of 5.0% per annum. The sellers may also be entitled to an earnout payment of up to GBP 238, if certain financial performance metrics exceed a threshold in the first year after closing.

GOODWILL AND INTANGIBLE ASSETS - Schedule of Changes in Goodwill (Details) $ in Thousands	6 Months Ended
	Jun. 30, 2026 USD ($)
Goodwill
Goodwill, beginning balance	$ 109,269
Clinic acquisitions	5,927
Foreign currency translation impact	3,265
Goodwill, ending balance	$ 118,461

- Definition

Amount, after accumulated impairment loss, of asset representing future economic benefit arising from other asset acquired in business combination or from joint venture formation or both, that is not individually identified and separately recognized.

+ References

+ Details

FAIR VALUE OF FINANCIAL INSTRUMENTS

6 Months Ended

Jun. 30, 2026

Fair Value Disclosures [Abstract]

FAIR VALUE OF FINANCIAL INSTRUMENTS

The Company measures certain financial assets and liabilities at fair value. The accounting standards related to fair value measurements define fair value and provide a consistent framework for measuring fair value under the authoritative literature. A fair value hierarchy was established, which prioritizes the inputs used in measuring fair value into three broad levels.

Level 1 – Quoted prices in active markets for identical assets or liabilities;

Level 2 – Observable market-based inputs or unobservable inputs that are corroborated by market data; and

Level 3 – Significant unobservable inputs that are not corroborated by market data. Generally, these fair value measures are model-based valuation techniques such as discounted cash flows, and are based on the best information available, including our own data.

The following table summarizes the assets and liabilities measured at fair value on a recurring basis as of June 30, 2026 and December 31, 2025.


	June 30, 2026
	Level 1		Level 2		Level 3		Total
Financial Assets

Short-term investments
Corporate Bonds	$	—	$	12,912	$	—	$	12,912
Treasury Bonds	$	11,309	$	—	$	—	$	11,309
Asset-Backed Securities	$	—	$	4,340	$	—	$	4,340
Exchange Mutual Funds	$	317	$	—	$	—	$	317
Financial Liabilities
Contingent consideration	$	—	$	—	$	556	$	556

	December 31, 2025
	Level 1		Level 2		Level 3		Total
Financial Assets

Short-term investments
Corporate Bonds	$	—	$	17,582	$	—	$	17,582
Treasury Bonds	$	16,956	$	—	$	—	$	16,956
Asset-Backed Securities	$	—	$	6,058	$	—	$	6,058
Exchange Mutual Funds	$	429	$	—	$	—	$	429

The Company's Level 1 assets consist of short-term, liquid investments with original maturity of three months or less at inception and other short-term investments which are comprised of exchange traded mutual funds, and US treasury bonds.

The Company's Level 2 assets pertain to certain asset-backed securities, collateralized by non-mortgage-related consumer debt, or corporate bonds. These securities are predominately priced by third parties, either by a pricing vendor or dealer with significant inputs observable in active markets.

The Company's Level 3 instruments consist of contingent consideration. The fair value of the contingent consideration liability assumed in business combinations is recorded as part of the purchase price consideration of the acquisition and is determined using a discounted cash flow model or probability simulation model. The significant inputs of such models are not always observable in the market, such as forecasted annual revenues, expected volatility and discount rates. The change in the fair value of the contingent consideration liability since its initial recognition during the six months ended June 30, 2026 was not material.

- Definition

The entire disclosure for the fair value of financial instruments (as defined), including financial assets and financial liabilities (collectively, as defined), and the measurements of those instruments as well as disclosures related to the fair value of non-financial assets and liabilities. Such disclosures about the financial instruments, assets, and liabilities would include: (1) the fair value of the required items together with their carrying amounts (as appropriate); (2) for items for which it is not practicable to estimate fair value, disclosure would include: (a) information pertinent to estimating fair value (including, carrying amount, effective interest rate, and maturity, and (b) the reasons why it is not practicable to estimate fair value; (3) significant concentrations of credit risk including: (a) information about the activity, region, or economic characteristics identifying a concentration, (b) the maximum amount of loss the entity is exposed to based on the gross fair value of the related item, (c) policy for requiring collateral or other security and information as to accessing such collateral or security, and (d) the nature and brief description of such collateral or security; (4) quantitative information about market risks and how such risks are managed; (5) for items measured on both a recurring and nonrecurring basis information regarding the inputs used to develop the fair value measurement; and (6) for items presented in the financial statement for which fair value measurement is elected: (a) information necessary to understand the reasons for the election, (b) discussion of the effect of fair value changes on earnings, (c) a description of [similar groups] items for which the election is made and the relation thereof to the balance sheet, the aggregate carrying value of items included in the balance sheet that are not eligible for the election; (7) all other required (as defined) and desired information.

+ References

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-Name Accounting Standards Codification
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+ Details

CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited) - USD ($) $ in Thousands	Jun. 30, 2026	Dec. 31, 2025
Current assets:
Cash	$ 17,001	$ 19,556
Restricted cash	2,054	2,064
Short-term investments	28,878	41,295
Accounts receivable - trade, net of allowances of $1,680 and $1,501, respectively	60,951	53,838
Inventories, net	137,567	133,790
Prepaid expenses and other current assets	6,057	5,876
Total current assets	252,508	256,419
Property and equipment, net	48,552	49,555
Other assets:
Amortizable intangible assets, net	63,745	64,802
Goodwill	118,461	109,269
Other intangible assets	12,819	12,909
Other non-current assets	15,303	15,676
Total other assets	210,328	202,656
Total assets	511,388	508,630
Current liabilities:
Accounts payable - trade	22,239	18,786
Accrued compensation and benefits	15,590	13,693
Current portion of long-term debt with affiliate	172	170
Current portion of acquisition installment payable	1,103	2,194
Other current liabilities	13,748	11,354
Total current liabilities	52,852	46,197
Long-term liabilities:
Long-term convertible note	48,803	48,486
Other long-term debt, net of current portion	2,022	2,862
Acquisition installment payable, net of current portion	2,962	2,898
Deferred income taxes	3,311	3,582
Other long-term liabilities	9,192	9,537
Total long-term liabilities	114,922	115,837
Total liabilities	167,774	162,034
Stockholders' equity:
Common stock, $0.00025 par value; 50,000,000 shares authorized; 26,111,426 shares and 25,093,792 shares issued as of June 30, 2026 and December 31, 2025, respectively	7	6
Additional paid-in capital	633,437	622,325
Accumulated deficit	(293,062)	(275,212)
Accumulated other comprehensive income (loss)	3,232	(523)
Total stockholders' equity	343,614	346,596
Total liabilities and stockholders' equity	511,388	508,630
Nonrelated Party
Long-term liabilities:
Long-term term loan	48,436	48,189
Related Party
Long-term liabilities:
Long-term term loan	$ 196	$ 283

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (Unaudited) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025
Income Statement [Abstract]
Net revenue	$ 70,508	$ 61,082	$ 129,869	$ 113,493
Cost of revenue	18,142	17,063	34,113	31,212
Gross profit	52,366	44,019	95,756	82,281
Operating expenses:
Sales and marketing	21,294	19,103	39,764	35,675
General and administrative	32,814	30,443	63,837	60,723
Restructuring	1	2,971	1	3,011
Research and development	2,325	2,159	4,556	4,510
Total operating expenses	56,434	54,676	108,158	103,919
Operating loss	(4,068)	(10,657)	(12,402)	(21,638)
Other expense (income):
Interest expense, net	2,528	1,116	4,631	2,242
Other expense (income), net	333	(4,709)	754	(6,353)
Total other expense (income), net	2,861	(3,593)	5,385	(4,111)
Net loss before income taxes	(6,929)	(7,064)	(17,787)	(17,527)
Income tax charge	234	49	63	245
Net loss	$ (7,163)	$ (7,113)	$ (17,850)	$ (17,772)
Weighted average shares outstanding - basic (in shares)	24,048,690	23,460,144	23,867,877	23,346,141
Weighted average shares outstanding - diluted (in shares)	24,048,690	23,460,144	23,867,877	23,346,141
Net loss per share - basic (in dollars per share)	$ (0.30)	$ (0.30)	$ (0.75)	$ (0.76)
Net loss per share - diluted (in dollars per share)	$ (0.30)	$ (0.30)	$ (0.75)	$ (0.76)

STOCKHOLDERS' EQUITY

6 Months Ended

Jun. 30, 2026

Share-Based Payment Arrangement [Abstract]

STOCKHOLDERS' EQUITY

STOCKHOLDERS’ EQUITY

Restricted Stock

Our restricted stock activity and related information are summarized as follows:


		Weighted-Average		Weighted-Average
	Restricted	Remaining	Restricted	Remaining
	Stock	Contractual Terms	Stock	Contractual Terms
	Awards	(in Years)	Units	(in Years)
Outstanding at January 1, 2026	1,508,093	1.4	20,965	1.4
Granted	781,491		8,700
Forfeited	(16,405)		(1,400)
Vested	(289,526)		(3,515)
Outstanding at June 30, 2026	1,983,653	1.8	24,750	1.6

At June 30, 2026, there was $25,510 of unrecognized compensation expense remaining related to our service-based restricted stock awards and restricted stock units. The unrecognized compensation cost is expected to be recognized over a weighted-average period of 1.8 years or earlier upon an elimination of the restriction period as a result of a change in control event.

Stock-based compensation expense on restricted stock amounted to $4,191 and $5,252 for the three months ended June 30, 2026 and 2025, respectively and $8,173 and $9,111 for the six months ended June 30, 2026 and 2025, respectively.

In connection with its approval of the Term Loan Agreement, Braidwell Purchase Agreement, the Indenture and Notes, on August 2, 2024, the Board of Directors of the Company also approved a stock repurchase program of up to $5,000 in aggregate investment of the Company’s outstanding common stock, contingent upon the closing of the Term Loan and the Notes. The stock repurchases may, at the discretion of management, be made from time to time, through solicited or unsolicited transactions in the open market, in privately negotiated transactions or pursuant to a Rule 10b5-1 plan all as effected in accordance with Rule 10b-18 under the Securities Exchange Act of 1934, as amended. The Company is not obligated to purchase any shares under the program, and the program may be discontinued at any time. No shares have been purchased under this program as of June 30, 2026. The dollar limit on repurchases under the program after December 31, 2024 was reduced to $250 per annum.

DEBT AND CREDIT ARRANGEMENTS

6 Months Ended

Jun. 30, 2026

Debt Disclosure [Abstract]

DEBT AND CREDIT ARRANGEMENTS

Long-term debt consisted of the following as of the dates indicated:


	June 30, 2026		December 31, 2025
Term loan and Final Payment	$	51,000	$	51,000
Convertible note	50,000		50,000
Mortgage payable to affiliate	368		453
Acquisition note payable	4,383		4,557
Total debt	105,751		106,010
Less: debt discount and issuance costs	3,761		4,326
Less: current maturities	2,533		1,866
Long-term debt, net of current maturities	$	99,457	$	99,818

Braidwell Term Loan

On August 5, 2024, the Company and its wholly owned domestic subsidiaries, as borrowers (collectively, the “Credit Parties”), entered into that certain Credit Agreement and Guaranty (the “Term Loan Agreement”), by and among the Credit Parties, any additional borrowers from time to time party thereto, any guarantors from time to time party thereto, one or more funds managed by Braidwell LP (“Braidwell”), as lenders, the other lenders from time to time party thereto (together with Braidwell, the “Term Lenders”), and Wilmington Trust, National Association, as agent (the “Term Agent”). The Term Loan Agreement provides for (i) an initial term loan facility in the initial principal amount of $25,000, which was funded in its entirety on August 12, 2024 and (ii) a delayed draw term loan facility (the “DDTL”) in an aggregate principal amount not to exceed $25,000, which, subject to certain conditions set forth in the Term Loan Agreement, may be drawn until August 5, 2025. On June 27, 2025, the Company withdrew the delayed draw on the term loan in the amount of $25,000.

Loans borrowed pursuant to the Term Loan Agreement (the “Term Loans”) bear interest at a rate per annum equal to SOFR Interest Rate (as defined in the Term Loan Agreement and with a floor of 3.25%) plus 6.50%. The Company has the option to make a payment-in-kind interest payment equal to 1.00% per annum of the interest rate. The Term Loans do not amortize and will be interest-only until the August 5, 2029 maturity date, at which time all unpaid principal and accrued and unpaid interest, fees and expenses due under the Term Loan Agreement will become due and payable. The Company is obligated to pay certain upfront fees and agency fees in connection with the Term Loan Agreement.

The Company may pay all or a portion of the outstanding principal and accrued and unpaid interest under the Term Loan Agreement at any time upon prior notice to the Term Lenders subject to (i) a repayment fee schedule of, depending on when the repayment is made, 3.00% of the principal amount of any such repayment during the first 12 months of the Term Loan Agreement or applicable DDTL funding date, 2.00% of the principal amount of any such repayment during months 13 through 24 of the Term Loan Agreement or applicable DDTL funding date, 1.00% of the principal amount of any such repayment during months 25 through 36 of the Term Loan Agreement or applicable DDTL funding date, and 0.00% thereafter and (ii) an exit fee equal to 2.00% of the principal amount of any such repayment ("Final Payment"). The Term Loan Agreement contains customary mandatory prepayment provisions. Once repaid or prepaid, the Term Loans may not be reborrowed.

The Term Loan Agreement includes customary conditions to borrowing, representations and warranties and covenants, including affirmative covenants and negative covenants that restrict the Credit Parties’ and their subsidiaries’ ability to, among other things, incur indebtedness, grant liens, merge or consolidate, make investments, dispose of assets, make acquisitions, pay dividends or make distributions, repurchase stock and enter into certain transactions with affiliates, in each case subject to certain exceptions. The Term Loan Agreement also has financial covenants requiring the Credit Parties to (i) maintain at all times unrestricted cash held in US accounts subject to Lenders’ first priority lien equal to

at least 25% of the aggregate principal amount of any outstanding Term Loans and (ii) maintain certain minimum net product sales over a trailing twelve month period as set forth therein.

The Term Loan Agreement also contains customary events of default, including among other things, the Credit Parties’ failure to make any principal or interest payments when due, the occurrence of certain bankruptcy or insolvency events, or the Credit Parties’ breach of the covenants under the Term Loan Agreement. Upon the occurrence of an event of default, the Term Lenders may, among other things, accelerate the Credit Parties’ obligations under the Term Loan Agreement.

As security for their obligations under the Term Loan Agreement, the Credit Parties granted the Term Agent a continuing first priority security interest in substantially all of their assets (including intellectual property), subject to certain customary exceptions.

On March 31, 2026, the Credit Parties entered into a First Amendment (the “Braidwell Amendment”) to the Term Loan Agreement. The Braidwell Amendment establishes a new delayed draw term loan facility in an aggregate principal amount not to exceed $20,000, which, subject to certain conditions set forth in the Braidwell Amendment, may be drawn until June 30, 2027, in minimum $10,000 increments. The facility features similar terms to those previously contained in the Term Loan Agreement, including: (a) interest at a rate per annum equal to the SOFR Interest Rate (with a floor of 3.25%) plus 6.50%; (b) a Company election to make a payment-in-kind interest payment equal to 1.00% per annum of the interest rate; (c) interest-only until the August 5, 2029 maturity date; and (d) certain financial covenants. The Company is also obligated to pay a 1.00% upfront fee, a 0.05% per annum delayed draw ticking fee and certain exit fees and prepayment fees generally consistent with those contained in the Term Loan Agreement. No amounts had been drawn under the Braidwell Amendment as of June 30, 2026.

Braidwell Convertible Note

In addition to the Term Loans, on August 5, 2024, the Company entered into a Purchase Agreement (the “Braidwell Purchase Agreement”) with Braidwell Transaction Holdings LLC – Series 10 (the “Purchaser”), whereby the Purchaser agreed to purchase $50,000 in aggregate principal amount of the Company’s 4.75% Convertible Senior Notes due February 15, 2030 (the “Notes”) for an aggregate purchase price of $49,500. The Notes were issued pursuant to, and are governed by, an indenture (the “Indenture”), dated as of August 12, 2024, between the Company and U.S. Bank Trust Company, National Association, as trustee (the “Trustee”).

The Notes represent the Company’s senior, unsecured obligations and are (i) equal in right of payment with the Company’s existing and future senior, unsecured indebtedness; (ii) senior in right of payment to the Company’s existing and future indebtedness that is expressly subordinated to the Notes; and (iii) effectively subordinated to the Company’s existing and future secured indebtedness, to the extent of the value of the collateral securing that indebtedness.

The Notes accrue interest at a rate of 4.75% per annum, payable quarterly in arrears on February 15, May 15, August 15, and November 15 of each year, beginning on November 15, 2024. The Notes will mature on February 15, 2030, unless earlier repurchased, redeemed, or converted. Before November 15, 2029, noteholders will have the right to convert their Notes only upon the occurrence of certain events, including, but not limited to, the Company’s common stock trading above 130% of the conversion price for a specified period, the Notes per $1 in principal amount trading below 98% of the product of the trading price of the Company’s common stock and the conversion rate, and certain fundamental changes to corporate structure. From and after November 15, 2029, noteholders may convert their Notes at any time at their election until the close of business on the second scheduled trading day immediately before the maturity date. The Company will settle conversions by paying or delivering, as applicable, cash, shares of its common stock, or a combination of cash and shares of its common stock, at the Company’s election. The initial conversion rate is 24.4021 shares of common stock per $1 principal amount of Notes, which represents an initial conversion price of approximately $40.98 per share of common stock. The

conversion rate and conversion price are subject to customary adjustments upon the occurrence of certain events. In addition, if certain corporate events that constitute a “Make-Whole Fundamental Change” (as defined in the Indenture) occur, then the conversion rate will, in certain circumstances, be increased for a specified period of time.

The Notes are redeemable, in whole or in part, at the Company’s option at any time, and from time to time, on or after February 21, 2028 and on or before the 30th scheduled trading day immediately before the maturity date, at a cash redemption price equal to the principal amount of the Notes to be redeemed, plus accrued and unpaid interest, if any, to, but excluding, the redemption date, but only if (i) the Notes are Freely Tradable (as defined in the Indenture) and any accrued and unpaid additional interest pursuant to the Notes has been paid as of the redemption date, and (ii) the last reported sale price per share of the Company’s common stock exceeds 140% of the conversion price on (1) each of at least 20 trading days, whether or not consecutive, during the 30 consecutive trading days ending on, and including, the trading day immediately before the date the Company sends the related redemption notice; and (2) the trading day immediately before the date the Company sends such notice. In addition, calling any Note for redemption will constitute a Make-Whole Fundamental Change with respect to that Note, in which case the conversion rate applicable to the conversion of that Note will be increased in certain circumstances if it is converted after it is called for redemption.

If certain corporate events that constitute a “Fundamental Change” (as defined in the Indenture) occur, then, subject to a limited exception for certain cash mergers, noteholders may require the Company to repurchase their Notes at a cash repurchase price equal to the principal amount of the Notes to be repurchased, plus accrued and unpaid interest, if any, to, but excluding, the fundamental change repurchase date. The definition of Fundamental Change includes certain business combination transactions involving the Company and certain de-listing events with respect to the Company’s common stock.

The Notes have customary provisions relating to the occurrence of “Events of Default” (as defined in the Indenture), which include the following: (i) certain payment defaults on the Notes (which, in the case of a default in the payment of interest on the Notes, will be subject to a 30-day cure period); (ii) the Company’s failure to send certain notices under the Indenture within specified periods of time; (iii) the Company’s failure to comply with certain covenants in the Indenture relating to the Company’s ability to consolidate with or merge with or into, or sell, lease, or otherwise transfer, in one transaction or a series of transactions, all or substantially all of the assets of the Company and its subsidiaries, taken as a whole, to another person; (iv) a default by the Company in its obligation to convert a note in accordance with the Indenture upon the exercise of the conversion right with respect thereto, if not cured within two business days after its occurrence; (v) a default by the Company in its other obligations or agreements under the Indenture or the Notes if such default is not cured or waived within 60 days after notice is given in accordance with the Indenture; (vi) certain defaults by the Company or any of its significant subsidiaries with respect to indebtedness for borrowed money of at least $25,000; (vii) the rendering of certain judgments against the Company or any of its significant subsidiaries for the payment of at least $25,000 where such judgments are not discharged or stayed within 60 days after the date on which the right to appeal has expired or on which all rights to appeal have been extinguished; and (viii) certain events of bankruptcy, insolvency, and reorganization involving the Company or any of the Company’s significant subsidiaries.

If an Event of Default involving bankruptcy, insolvency, or reorganization events with respect to the Company (and not solely with respect to a significant subsidiary of the Company) occurs, then the principal amount of, and all accrued and unpaid interest on, all of the Notes then outstanding will immediately become due and payable without any further action or notice by any person. If any other Event of Default occurs and is continuing, then, the Trustee, by notice to the Company, or noteholders of at least 25% of the aggregate principal amount of Notes then outstanding, by notice to the Company and the Trustee, may declare the principal amount of, and all accrued and unpaid interest on, all of the Notes then outstanding to become due and payable immediately. However, notwithstanding the foregoing, the

Company may elect, at its option, that the sole remedy for an Event of Default relating to certain failures by the Company to comply with certain reporting covenants in the Indenture consists exclusively of the right of the noteholders to receive special interest on the Notes for up to 180 days at a specified rate per annum not exceeding 0.50% on the principal amount of the Notes.

Other Debt

In connection with the purchase of our office and warehouse space in Warsaw, Indiana in August 2013, we entered into a mortgage note payable to Tawani Enterprises Inc., an affiliate of Squadron Capital, LLC ("Squadron"). Pursuant to the terms of the mortgage note, we pay Tawani Enterprises Inc. monthly principal and interest installments of $16 with interest compounded at 5% until maturity in 2028, at which time a final payment of remaining principal and interest is due. At June 30, 2026, the mortgage balance was $368 of which current principal of $172 was included in the current portion of long-term debt. As of December 31, 2025, the mortgage balance was $453 of which current principal due of $170 was included in the current portion of long-term debt.

The aggregate interest expense relating to the mortgage note payable to Tawani Enterprises Inc., the term loan with Braidwell, and the convertible note with Braidwell, was $3,752 and $2,552 for the six months ended June 30, 2026 and 2025, respectively.

Acquisition Promissory Notes

As a result of multiple acquisitions between 2024 and 2026, as part of the consideration transferred, the Company issued promissory notes to the previous owners. As of June 30, 2026 and December 31, 2025, we have recorded liabilities of $4,383 and $4,557, respectively, related to these promissory notes, of which $2,362 and $1,696, respectively, are classified as short-term within other current liabilities on our condensed consolidated balance sheets. The payments are paid in installments with interest rates ranging from 4.0% to 5.0% per annum. See Note 3 - Business Combinations and Asset Acquisitions for additional information.

- Definition

The entire disclosure for information about short-term and long-term debt arrangements, which includes amounts of borrowings under each line of credit, note payable, commercial paper issue, bonds indenture, debenture issue, own-share lending arrangements and any other contractual agreement to repay funds, and about the underlying arrangements, rationale for a classification as long-term, including repayment terms, interest rates, collateral provided, restrictions on use of assets and activities, whether or not in compliance with debt covenants, and other matters important to users of the financial statements, such as the effects of refinancing and noncompliance with debt covenants.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 942
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+ Details

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Policies)	6 Months Ended
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Policies)	Jun. 30, 2026
Accounting Policies [Abstract]
Basis of Presentation and Unaudited Interim Condensed Consolidated Financial Statements	Basis of Presentation The accompanying condensed consolidated financial statements include the accounts of OrthoPediatrics Corp. and its wholly-owned subsidiaries (collectively, the “Company,” “we,” “our” or “us”). All intercompany balances and transactions have been eliminated. Unaudited Interim Condensed Consolidated Financial Statements We have prepared the accompanying condensed consolidated financial statements in conformity with accounting principles generally accepted in the United States of America (“GAAP”). The accompanying condensed consolidated financial statements are unaudited and should be read in conjunction with the annual consolidated financial statements as of and for the year ended December 31, 2025 and related notes thereto contained in our Annual Report on Form 10-K filed with the Securities and Exchange Commission ("SEC") on March 4, 2026. The financial data and other financial information disclosed in the notes to the accompanying condensed consolidated financial statements are also unaudited. As such, certain information and footnote disclosures normally included in financial statements prepared in accordance with GAAP have been condensed or omitted pursuant to applicable rules and regulations thereunder. The unaudited condensed consolidated financial statements have been prepared on the same basis as the audited consolidated financial statements as of and for the year ended December 31, 2025 and, in management’s opinion, include all adjustments, consisting of only normal recurring adjustments, necessary for the fair presentation of the financial statements for the interim periods. The results of operations for the three and six months ended June 30, 2026 are not necessarily indicative of the results to be expected for the full fiscal year or for any other period. The accompanying condensed consolidated financial statements have been prepared assuming our Company will continue as a going concern.
Use of Estimates	Use of Estimates Preparation of our condensed consolidated financial statements requires the use of estimates and assumptions that affect the reported amounts of assets, liabilities, revenues and expenses, as of the date of the condensed consolidated financial statements. By their nature, these judgments are subject to an inherent degree of uncertainty. We use historical experience and other assumptions as the basis for our judgments and estimates. Because future events and their effects cannot be determined with precision, actual results could differ significantly from these estimates. Any changes in these estimates will be reflected in our condensed consolidated financial statements.
Financial Instruments	Financial Instruments and Concentration of Credit Risk Financial instruments that could subject the Company to credit risk consist primarily of cash, cash equivalents, short-term investments and accounts receivable. We consider all highly liquid investments with original maturity of three months or less at inception to be cash equivalents. The Company performs ongoing credit evaluations of customers and maintains a reserve for expected credit losses. The Company believes the risk of credit losses associated with accounts receivable is low given the history of collections and customer base. Additionally, the Company considers the risk for credit losses associated with short-term investments to be low given the types of investments which primarily include Corporate Bonds and Treasury Bonds.
Concentration of Credit Risk	Financial Instruments and Concentration of Credit Risk Financial instruments that could subject the Company to credit risk consist primarily of cash, cash equivalents, short-term investments and accounts receivable. We consider all highly liquid investments with original maturity of three months or less at inception to be cash equivalents. The Company performs ongoing credit evaluations of customers and maintains a reserve for expected credit losses. The Company believes the risk of credit losses associated with accounts receivable is low given the history of collections and customer base. Additionally, the Company considers the risk for credit losses associated with short-term investments to be low given the types of investments which primarily include Corporate Bonds and Treasury Bonds.
Recent Accounting Pronouncements	Recent Accounting Pronouncements In October 2023, the Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") No. 2023-06 "Disclosure Improvements - Codification Amendments in Response to SEC's Disclosure Update and Simplification Initiative". This amendment modifies the disclosure or presentation requirements of a variety of Topics in the Codification. Certain of the amendments represent clarifications to or technical corrections of the current requirements. For entities subject to the SEC's existing disclosure requirements and entities required to file or furnish financial statements with or to the SEC in preparation for the sale of or for purposes of issuing securities that are not subject to contractual restrictions on transfer, the effective date for each amendment will be the date on which the SEC's removal of that related disclosure from Regulation S-X or Regulation S-K becomes effective, with early adoption prohibited. For all other entities, the amendments will be effective two years later. Amendments in this Update should be applied prospectively. The Company continues to analyze this ASU. The update is specific to disclosures and, therefore, is not expected to have a material impact to the condensed consolidated financial statements. In November 2024, the FASB issued ASU No. 2024-03, "Disaggregation of Income Statement Expenses" which requires disaggregated disclosure of income statement expenses into specified categories in disclosures within the footnotes to the financial statements. The standard is effective for annual periods beginning after December 15, 2026. We are currently evaluating the effect of this ASU on our consolidated financial statements and disclosures.

- Definition

Disclosure of accounting policy for the use of estimates in the preparation of financial statements in conformity with generally accepted accounting principles.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 942
-SubTopic 235
-Name Accounting Standards Codification
-Section S50
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+ Details

DEBT AND CREDIT ARRANGEMENTS - Acquisition Promissory Notes (Details) - USD ($) $ in Thousands	Jun. 30, 2026	Dec. 31, 2025
Debt Instrument, Redemption [Line Items]
Total debt	$ 105,751	$ 106,010
Acquisition promissory notes \| Acquisition note payable
Debt Instrument, Redemption [Line Items]
Total debt	4,383	4,557
Acquisition notes \| Acquisition note payable
Debt Instrument, Redemption [Line Items]
Total debt	4,383	4,557
Short-term debt	$ 2,362	$ 1,696
Acquisition notes \| Acquisition note payable \| Minimum
Debt Instrument, Redemption [Line Items]
Interest rate (as a percent)	4.00%
Acquisition notes \| Acquisition note payable \| Maximum
Debt Instrument, Redemption [Line Items]
Interest rate (as a percent)	5.00%

- Definition

Amount, after deduction of unamortized premium (discount) and debt issuance cost, of long-term debt. Excludes lease obligation.

+ References

+ Details

- Definition

Reflects the total carrying amount as of the balance sheet date of debt having initial terms less than one year or the normal operating cycle, if longer.

+ References + Details

FAIR VALUE OF FINANCIAL INSTRUMENTS (Details) - USD ($) $ in Thousands	Jun. 30, 2026	Dec. 31, 2025
Contingent consideration
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Financial Liabilities	$ 556
Corporate Bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Short-term investments	12,912	$ 17,582
Treasury Bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Short-term investments	11,309	16,956
Asset-Backed Securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Short-term investments	4,340	6,058
Exchange Mutual Funds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Short-term investments	317	429
Level 1 \| Contingent consideration
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Financial Liabilities	0
Level 1 \| Corporate Bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Short-term investments	0	0
Level 1 \| Treasury Bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Short-term investments	11,309	16,956
Level 1 \| Asset-Backed Securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Short-term investments	0	0
Level 1 \| Exchange Mutual Funds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Short-term investments	317	429
Level 2 \| Contingent consideration
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Financial Liabilities	0
Level 2 \| Corporate Bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Short-term investments	12,912	17,582
Level 2 \| Treasury Bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Short-term investments	0	0
Level 2 \| Asset-Backed Securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Short-term investments	4,340	6,058
Level 2 \| Exchange Mutual Funds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Short-term investments	0	0
Level 3 \| Contingent consideration
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Financial Liabilities	556
Level 3 \| Corporate Bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Short-term investments	0	0
Level 3 \| Treasury Bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Short-term investments	0	0
Level 3 \| Asset-Backed Securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Short-term investments	0	0
Level 3 \| Exchange Mutual Funds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Short-term investments	$ 0	$ 0

GOODWILL AND INTANGIBLE ASSETS

6 Months Ended

Jun. 30, 2026

Intangible Asset, Goodwill and Other [Abstract]

GOODWILL AND INTANGIBLE ASSETS

Goodwill

Changes in the carrying amount of goodwill for the six months ended June 30, 2026 were as follows:


	Total



Goodwill at January 1, 2026	$	109,269
Clinic acquisitions	5,927
Foreign currency translation impact	3,265
Goodwill at June 30, 2026	$	118,461

Intangible Assets

As of June 30, 2026, the balances of amortizable intangible assets were as follows:


	Weighted-Average Amortization Period	Gross Intangible Assets		Accumulated Amortization		Net Intangible Assets
Patents	8.8 years	$	52,099	$	(21,471)	$	30,628
Intellectual Property & Capitalized Software	6.7 years	16,057		(6,416)		9,641
Customer Relationships & Other	9.4 years	28,191		(7,106)		21,085
License Agreements	2.6 years	10,665		(8,274)		2,391
Total amortizable assets		$	107,012	$	(43,267)	$	63,745

As of December 31, 2025, the balances of amortizable intangible assets were as follows:


	Weighted-Average Amortization Period	Gross Intangible Assets		Accumulated Amortization		Net Intangible Assets
Patents	9.3 years	$	49,939	$	(18,854)	$	31,085
Intellectual Property & Capitalized Software	7.1 years	16,056		(5,642)		10,414
Customer Relationships & Other	9.7 years	26,278		(6,107)		20,171
License Agreements	2.5 years	10,453		(7,321)		3,132
Total amortizable assets		$	102,726	$	(37,924)	$	64,802

Licenses are tied to product launches and do not begin amortizing until the product is launched to the market.

Trademarks are non-amortizing intangible assets which were $12,819 and $12,909 as of June 30, 2026 and December 31, 2025, respectively. Trademarks are recorded in Other intangible assets on the condensed consolidated balance sheets. The change in balance during the six months ended June 30, 2026 was driven by foreign currency translation adjustments.

During 2025, management completed a quantitative analysis whereby we determined the fair value of certain of our trademark assets were below their respective carrying values. We recorded an impairment charge of $4,228 for the year ended December 31, 2025 to reduce the carrying amount of the intangible assets to their estimated fair value.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025
OPERATING ACTIVITIES
Net loss	$ (17,850)	$ (17,772)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization	11,427	10,218
Stock-based compensation	8,173	9,111
Accretion of acquisition installment payable	220	98
Deferred income taxes	(82)	245
Non-cash other	161	(100)
Changes in certain operating assets and liabilities:
Accounts receivable - trade	(6,536)	(11,381)
Inventories	(2,553)	(8,899)
Prepaid expenses and other current assets	201	(501)
Accounts payable - trade	3,140	3,720
Accrued expenses and other liabilities	2,209	2,509
Other	(869)	(1,866)
Net cash used in operating activities	(2,359)	(14,618)
INVESTING ACTIVITIES
Other acquisitions, including clinics, net of cash acquired	(5,936)	(320)
Sale of short-term marketable securities	13,000	0
Investment in private companies and purchases of licenses	(330)	(1,540)
Loss on investment in private companies	284	0
Purchases of property and equipment	(5,805)	(7,672)
Net cash provided by (used in) investing activities	1,213	(9,532)
FINANCING ACTIVITIES
Proceeds from issuance of debt	0	25,000
Payment on debt issuance costs	(289)	0
Payments on mortgage notes	(85)	(78)
Payments on acquisition notes	(977)	(248)
Net cash (used in) provided by financing activities	(1,351)	24,674
Effect of exchange rate changes on cash, cash equivalents and restricted cash	(68)	304
NET (DECREASE) INCREASE IN CASH, CASH EQUIVALENTS AND RESTRICTED CASH	(2,565)	828
Cash, cash equivalents and restricted cash, beginning of year	21,620	45,777
Cash, cash equivalents and restricted cash, end of period	19,055	46,605
SUPPLEMENTAL DISCLOSURES
Cash paid for interest	3,741	2,552
Transfer of instruments between property and equipment and inventory	(980)	651
Right-of-use assets obtained in exchange for lease liabilities	1,265	3,311
Capital contribution associated with reclassification of MedTech liability to equity	0	2,062
Medtech
SUPPLEMENTAL DISCLOSURES
Issuance of common shares in connection with Boston O&P acquisition	2,398	226
LOC Acquisition
SUPPLEMENTAL DISCLOSURES
Issuance of common shares in connection with Boston O&P acquisition	1,656	0
Boston Brace International, Inc
SUPPLEMENTAL DISCLOSURES
Issuance of common shares in connection with Boston O&P acquisition	0	233
Vendor
SUPPLEMENTAL DISCLOSURES
Issuance of common shares in connection with Boston O&P acquisition	$ 0	$ 1,261

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY (Unaudited) - USD ($) $ in Thousands	Total	Common Stock	Additional Paid-in Capital	Accumulated Deficit	Accumulated Other Comprehensive Loss
Beginning balance (in shares) at Dec. 31, 2024		24,217,508
Beginning balance at Dec. 31, 2024	$ 354,566	$ 6	$ 600,897	$ (235,564)	$ (10,773)
Increase (Decrease) in Stockholders' Equity
Net loss	(10,659)			(10,659)
Other comprehensive loss	(853)				(853)
Restricted stock (in shares)		601,547
Restricted stock	3,859		3,859
Issuance of common stock (in shares)		8,922
Issuance of common stock	233		233
Ending balance (in shares) at Mar. 31, 2025		24,827,977
Ending balance at Mar. 31, 2025	347,146	$ 6	604,989	(246,223)	(11,626)
Beginning balance (in shares) at Dec. 31, 2024		24,217,508
Beginning balance at Dec. 31, 2024	354,566	$ 6	600,897	(235,564)	(10,773)
Increase (Decrease) in Stockholders' Equity
Net loss	(17,772)
Other comprehensive loss	5,827
Capital contribution associated with reclassification of MedTech liability to equity	2,062
Ending balance (in shares) at Jun. 30, 2025		25,072,502
Ending balance at Jun. 30, 2025	355,514	$ 6	613,790	(253,336)	(4,946)
Beginning balance (in shares) at Mar. 31, 2025		24,827,977
Beginning balance at Mar. 31, 2025	347,146	$ 6	604,989	(246,223)	(11,626)
Increase (Decrease) in Stockholders' Equity
Net loss	(7,113)			(7,113)
Other comprehensive loss	6,680				6,680
Restricted stock (in shares)		178,552
Restricted stock	5,252		5,252
Issuance of common stock (in shares)		55,143
Issuance of common stock	1,261		1,261
Stock portion of MedTech anniversary payment (in shares)		10,830
Stock portion of MedTech anniversary payment	226		226
Capital contribution associated with reclassification of MedTech liability to equity	2,062		2,062
Ending balance (in shares) at Jun. 30, 2025		25,072,502
Ending balance at Jun. 30, 2025	355,514	$ 6	613,790	(253,336)	(4,946)
Beginning balance (in shares) at Dec. 31, 2025		25,093,792
Beginning balance at Dec. 31, 2025	346,596	$ 6	622,325	(275,212)	(523)
Increase (Decrease) in Stockholders' Equity
Net loss	(10,687)			(10,687)
Other comprehensive loss	(881)				(881)
Restricted stock (in shares)		496,378
Restricted stock	3,427		3,427
Issuance of common stock (in shares)		14,730
Issuance of common stock	257		257
Ending balance (in shares) at Mar. 31, 2026		25,604,900
Ending balance at Mar. 31, 2026	338,712	$ 6	626,009	(285,899)	(1,404)
Beginning balance (in shares) at Dec. 31, 2025		25,093,792
Beginning balance at Dec. 31, 2025	346,596	$ 6	622,325	(275,212)	(523)
Increase (Decrease) in Stockholders' Equity
Net loss	(17,850)
Other comprehensive loss	3,755
Capital contribution associated with reclassification of MedTech liability to equity	0
Ending balance (in shares) at Jun. 30, 2026		26,111,426
Ending balance at Jun. 30, 2026	343,614	$ 7	633,437	(293,062)	3,232
Beginning balance (in shares) at Mar. 31, 2026		25,604,900
Beginning balance at Mar. 31, 2026	338,712	$ 6	626,009	(285,899)	(1,404)
Increase (Decrease) in Stockholders' Equity
Net loss	(7,163)			(7,163)
Other comprehensive loss	4,636				4,636
Restricted stock (in shares)		272,223
Restricted stock	3,632	$ 1	3,631
Issuance of common stock (in shares)		80,873
Issuance of common stock	1,399		1,399
Stock portion of MedTech anniversary payment (in shares)		153,430
Stock portion of MedTech anniversary payment	2,398		2,398
Ending balance (in shares) at Jun. 30, 2026		26,111,426
Ending balance at Jun. 30, 2026	$ 343,614	$ 7	$ 633,437	$ (293,062)	$ 3,232

CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited) (Parenthetical) - USD ($) $ in Thousands	Jun. 30, 2026	Dec. 31, 2025
Statement of Financial Position [Abstract]
Allowance for doubtful accounts	$ 1,680	$ 1,501
Common stock, par value (in dollars per share)	$ 0.00025	$ 0.00025
Common stock, shares authorized (in shares)	50,000,000	50,000,000
Common stock, shares issued (in shares)	26,111,426	25,093,792

BUSINESS SEGMENT (Tables)

6 Months Ended

Jun. 30, 2026

Segment Reporting [Abstract]

Schedule of Product Sales by Geographic Location

Product sales by source were as follows:


	Three Months Ended June 30,				Six Months Ended June 30,
Product sales by geographic location:	2026		2025		2026		2025
U.S.	$	54,791	$	48,147	$	100,100	$	89,039
International	15,717		12,935		29,769		24,454
Total	$	70,508	$	61,082	$	129,869	$	113,493


	Three Months Ended June 30,				Six Months Ended June 30,
Product sales by category:	2026		2025		2026		2025
Trauma and deformity	$	52,632	$	41,655	$	95,677	$	79,521
Scoliosis	16,876		18,522		32,319		32,186
Sports medicine/other	1,000		905		1,873		1,786
Total	$	70,508	$	61,082	$	129,869	$	113,493

STOCKHOLDERS' EQUITY (Tables)

6 Months Ended

Jun. 30, 2026

Share-Based Payment Arrangement [Abstract]

Schedule of Restricted Stock Activity

Our restricted stock activity and related information are summarized as follows:


		Weighted-Average		Weighted-Average
	Restricted	Remaining	Restricted	Remaining
	Stock	Contractual Terms	Stock	Contractual Terms
	Awards	(in Years)	Units	(in Years)
Outstanding at January 1, 2026	1,508,093	1.4	20,965	1.4
Granted	781,491		8,700
Forfeited	(16,405)		(1,400)
Vested	(289,526)		(3,515)
Outstanding at June 30, 2026	1,983,653	1.8	24,750	1.6

RELATED PARTY TRANSACTIONS	6 Months Ended
RELATED PARTY TRANSACTIONS	Jun. 30, 2026
Related Party Transactions [Abstract]
RELATED PARTY TRANSACTIONS	RELATED PARTY TRANSACTIONS We currently use Structure Medical, LLC (“Structure Medical”) as one of our suppliers. Structure Medical is affiliated with Squadron (the Company's largest investor) and a supplier with which we maintain certain long-term agreements. We made aggregate payments to Structure Medical for inventory purchases of $466 and $657 for the three months ended June 30, 2026 and 2025, respectively and $843 and $789 for the six months ended June 30, 2026 and 2025, respectively.

- Definition

The entire disclosure for related party transactions. Examples of related party transactions include transactions between (a) a parent company and its subsidiary; (b) subsidiaries of a common parent; (c) and entity and its principal owners; and (d) affiliates.

+ References

+ Details

NET LOSS PER SHARE (Tables)

6 Months Ended

Jun. 30, 2026

Earnings Per Share [Abstract]

Schedule of Reconciliation of Basic and Diluted Net Loss Per Share

The following is a reconciliation of basic and diluted net loss per share:


	Three Months Ended				Six Months Ended
	June 30,				June 30,
	2026		2025		2026		2025
Net loss	$	(7,163)	$	(7,113)	$	(17,850)	$	(17,772)

Weighted average shares outstanding for basic and diluted	24,048,690		23,460,144		23,867,877		23,346,141
Net loss per share - basic and diluted	$	(0.30)	$	(0.30)	$	(0.75)	$	(0.76)

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS (Unaudited) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025
Statement of Comprehensive Income [Abstract]
Net loss	$ (7,163)	$ (7,113)	$ (17,850)	$ (17,772)
Other comprehensive income (loss):
Foreign currency translation adjustment	4,679	6,635	3,909	5,706
Unrealized (loss) gain on short-term investments	(75)	27	(270)	96
Adjustment for realized gains	32	18	116	25
Other comprehensive income, net of tax	4,636	6,680	3,755	5,827
Comprehensive loss	$ (2,527)	$ (433)	$ (14,095)	$ (11,945)

- Definition

Amount after tax of increase (decrease) in equity from transactions and other events and circumstances from net income and other comprehensive income, attributable to parent entity. Excludes changes in equity resulting from investments by owners and distributions to owners.

+ References + Details

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

+ References

+ Details

GOODWILL AND INTANGIBLE ASSETS - Narrative (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025	Jun. 30, 2026
Business Combination
Other intangible assets	$ 12,909	$ 12,819
Trademarks
Business Combination
Other intangible assets	12,909	$ 12,819
Trademarks \| ApiFix Ltd
Business Combination
Impairment of indefinitely-lived assets	$ 4,228

- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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+ Details

Insider Trading Arrangements	3 Months Ended
Insider Trading Arrangements	Jun. 30, 2026
Trading Arrangements, by Individual
Rule 10b5-1 Arrangement Adopted	false
Non-Rule 10b5-1 Arrangement Adopted	false
Rule 10b5-1 Arrangement Terminated	false
Non-Rule 10b5-1 Arrangement Terminated	false