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1. Company Snapshot

1.a. Company Description

TELA Bio, Inc., a commercial-stage medical technology company, focuses on providing soft-tissue reconstruction solutions that optimize clinical outcomes by prioritizing the preservation and restoration of the patient's anatomy.It provides a portfolio of OviTex Reinforced Tissue Matrix (OviTex) products for hernia repair and abdominal wall reconstruction; and OviTex PRS Reinforced Tissue Matrix products to address the unmet needs in plastic and reconstructive surgery, as well as OviTex for Laparoscopic and Robotic Procedures, a sterile reinforced tissue matrix derived from ovine rumen with polypropylene fiber intended to be used in laparoscopic and robotic-assisted hernia surgical repairs.The company markets its products through a single direct sales force, principally in the United States.


TELA Bio, Inc.was incorporated in 2012 and is headquartered in Malvern, Pennsylvania.

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1.b. Last Insights on TELA

The recent 3-month performance of TELA Bio, Inc. was negatively impacted by a Q4 2024 earnings miss, with the company reporting a loss of $0.23 per share, in line with the Zacks Consensus Estimate, but a decline from the $0.53 per share loss in the same period last year. The company's revenue also fell short of estimates, indicating a slowdown in sales. Additionally, the lack of a conference call transcript for the Q4 2024 earnings call suggests a possible lack of transparency and communication from the company's management.

1.c. Company Highlights

2. Tela Bio Surges to Record Q4, Sets Stage for 2026 Growth

In its latest earnings call, Tela Bio reported a 16% uptick in full‑year revenue, reaching $80.3 million, and posted a Q4 revenue of $20.9 million, a solid 18% increase YoY. Gross margin climbed to 68% year‑long, with Q4 at 66%. Net loss widened to $9.2 million, but cash reserves stood at $50.8 million, offering a buffer for upcoming initiatives.

Publication Date: Apr -13

📋 Highlights
  • Revenue Growth:: Q4 2025 revenue rose 18% YoY to $20.9M; full-year revenue grew 16% to $80.3M, exceeding $80M in total sales.
  • Sales Force Restructuring:: 40% of sales force joined in 6 months; new hires and leadership upgrades aim to drive sustainable growth with 2026 guidance of 8%+ annual revenue growth.
  • Leadership Promotion:: Dr. Howard Lang promoted to Chief Medical Officer effective March 1, 2026, to enhance surgeon engagement and clinical education.
  • Profitability & Cash Position:: Full-year net loss widened to $9.2M; ended 2025 with $50.8M in cash and cash equivalents.

Q4 Revenue & Margin

Quarterly sales surged 18% to $20.9 million, driven largely by European markets and the newly adopted IHR, LPR, and LiquiFix lines. Gross margin held steady at 66%, underscoring efficient cost management amid product mix shifts.

Full‑Year 2025 Performance

Year‑to‑date, Tela Bio achieved $80.3 million in sales, up 16% from $67.5 million in 2024. While net loss widened to $9.2 million, the company’s cash position improved, supporting future growth initiatives and debt reduction plans.

OviTex Unit Growth

OviTex sales grew 20% in Q4 and 22% over the year, reflecting successful penetration into new European territories and stronger adoption among seasoned U.S. reps. The unit’s performance is a key driver behind the overall revenue lift.

Commercial Organization Overhaul

Tela Bio revamped its U.S. commercial leadership, hiring high‑caliber talent and launching a new compensation framework. Roughly 40% of the sales force joined within the last six months, signaling a strategic shift toward a more dynamic sales engine.

Sales Force Restructuring

The company introduced a new sales enablement tool and restructured territories, aiming to deepen account penetration. The strategy focuses on increasing user counts per hospital and leveraging the full product portfolio, including LiquiFix, to enhance stickiness.

2026 Revenue Guidance

Management forecasts at least 8% revenue growth in 2026, with Q1 sales projected at $18.5 million. Despite a cautious outlook due to organizational changes, the guidance reflects confidence in a smoother ramp‑up and a step‑up cadence similar to prior years (Staff, 2025).

Contracting & IDN Strategy

Tela Bio is finalizing contracts with numerous IDNs and GPOs, having re‑categorized OviTex to align with payer frameworks. Execution of these agreements in 2026 is expected to solidify revenue streams and reduce contractual risk.

Hernia Business Shift

The company notes a decline in ventral procedures, offset by growth in inguinal and hiatal cases, and a shift toward laparoscopic and robotic modalities. While ASPs may be affected, gross margins remain stable thanks to cost efficiencies.

Valuation Snapshot

With a P/S ratio of 0.32 and a Net Debt/EBITDA of -0.15, Tela Bio’s valuation reflects a modestly priced equity that still carries upside potential as the commercial changes mature and revenue accelerates.

Analyst Outlook & EPS

Analysts project 12.1% revenue growth for 2026. The company’s EPS came in at -$0.16 versus estimates of -$0.18, indicating a slight beat that underscores disciplined cost control amid expansion efforts.

3. NewsRoom

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TELA Bio Q4 Earnings Call Highlights

Mar -26

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TELA Bio Analysts Cut Their Forecasts After Q4 Results

Mar -25

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TELA Bio, Inc. (TELA) Q4 2025 Earnings Call Transcript

Mar -24

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TELA Bio, Inc. (TELA) Reports Q4 Loss, Lags Revenue Estimates

Mar -24

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TELA Bio Reports Fourth Quarter and Full Year 2025 Financial Results

Mar -24

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TELA Bio, Inc. (NASDAQ:TELA) Given Average Rating of “Hold” by Brokerages

Mar -11

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TELA Bio to Announce Fourth Quarter and Full Year 2025 Financial Results

Mar -10

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Comparing TELA Bio (NASDAQ:TELA) & Quantum Genomics (OTCMKTS:QNNTF)

Mar -01

4. Business Breakdown

4.a. Revenues by Country

4.b. Revenues by Segment

5. Expected revenues mid-term growth (10.55%)

6. Segments

Soft-tissue Reconstruction Solutions

Expected Growth: 10.55%

TELA Bio's soft-tissue reconstruction solutions are driven by increasing demand for biocompatible and absorbable implants, growing adoption in orthopedic and general surgery, and expanding presence in the US and international markets. Additionally, the company's proprietary Ovitex technology and strong clinical trial results contribute to its 10.55% growth.

7. Detailed Products

OviTex Reinforced Bioscaffolds

A portfolio of reinforced bioscaffolds designed for soft tissue repair and reconstruction, featuring a unique combination of strength, durability, and biocompatibility.

OviTex 1S Reinforced Bioscaffolds

A specific type of reinforced bioscaffold designed for single-stage implantation, featuring a unique combination of strength, durability, and biocompatibility.

OviTex 2S Reinforced Bioscaffolds

A type of reinforced bioscaffold designed for two-stage implantation, featuring a unique combination of strength, durability, and biocompatibility.

OviTex PRS Reinforced Bioscaffolds

A type of reinforced bioscaffold designed for plastic and reconstructive surgery, featuring a unique combination of strength, durability, and biocompatibility.

8. TELA Bio, Inc.'s Porter Forces

Forces Ranking

Threat Of Substitutes

TELA Bio, Inc. operates in the medical technology industry, which has a moderate threat of substitutes. While there are alternative treatments and products available, TELA Bio's products are differentiated by their unique characteristics and benefits, reducing the threat of substitutes.

Bargaining Power Of Customers

TELA Bio, Inc. has a diverse customer base, which reduces the bargaining power of individual customers. Additionally, the company's products are often critical to customers' operations, making it difficult for customers to negotiate prices or switch to alternative suppliers.

Bargaining Power Of Suppliers

TELA Bio, Inc. relies on a few key suppliers for critical components, which gives these suppliers some bargaining power. However, the company's size and scale of operations also give it some negotiating power, mitigating the impact of supplier bargaining power.

Threat Of New Entrants

The medical technology industry has high barriers to entry, including significant research and development costs, regulatory hurdles, and the need for specialized expertise. These barriers make it difficult for new entrants to enter the market, reducing the threat of new entrants.

Intensity Of Rivalry

The medical technology industry is highly competitive, with many established players and a high level of innovation. TELA Bio, Inc. faces intense competition from other companies, which drives up marketing and R&D expenses and puts pressure on prices and margins.

9. SWOT Analysis

10. Capital Structure

10.a. Balance Sheet

10.b. Weighted Average Cost of capital

Value
Debt Weight 68.51%
Debt Cost 8.90%
Equity Weight 31.49%
Equity Cost 8.90%
WACC 8.90%
Leverage 217.57%

11. Quality Control: TELA Bio, Inc. passed 4 out of 9 key points

12.a Historical Valuation

12.b Price/Earnings Ratio

12.c Margin Valuation

12.d Peers Valuation

Peers Group Analysis

Stock-Card
SI-BONE

A-Score: 5.1/10

Value: 6.8

Growth: 5.8

Quality: 5.6

Yield: 0.0

Momentum: 9.0

Volatility: 3.7

1-Year Total Return ->

Stock-Card
908 Devices

A-Score: 4.5/10

Value: 7.9

Growth: 2.9

Quality: 5.0

Yield: 0.0

Momentum: 10.0

Volatility: 1.0

1-Year Total Return ->

Stock-Card
Silk Road Medical

A-Score: 4.0/10

Value: 6.4

Growth: 5.6

Quality: 4.8

Yield: 0.0

Momentum: 6.0

Volatility: 1.0

1-Year Total Return ->

Stock-Card
Avanos Medical

A-Score: 3.7/10

Value: 9.1

Growth: 2.3

Quality: 4.2

Yield: 0.0

Momentum: 1.0

Volatility: 5.7

1-Year Total Return ->

Stock-Card
Orthofix Medical

A-Score: 3.6/10

Value: 8.9

Growth: 1.3

Quality: 3.8

Yield: 0.0

Momentum: 2.5

Volatility: 5.0

1-Year Total Return ->

Stock-Card
TELA Bio

A-Score: 3.1/10

Value: 7.8

Growth: 5.7

Quality: 3.6

Yield: 0.0

Momentum: 0.0

Volatility: 1.7

1-Year Total Return ->

Peers Metrics

12.e Scoring Insights

12.f DCF BETA

Parameters

Short Term Growth

Short term Time

Long-Term Growth

WACC

Target Price

0.73$

Current Price

0.73$

Potential

-0.00%

Expected Cash-Flows