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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. Otelo Bio's Q3 2025 Earnings: A Strong Revenue Growth

Otelo Bio reported a 9% year-over-year increase in revenue to $20.7 million for Q3 2025, with OviTex unit sales growing 22% and PRS unit sales growing 3%. The gross margin remained stable at 68%, resulting in a gross profit of $14 million, up from $12.9 million in the same period last year. However, the company's EPS came in at -$0.19, missing estimates of -$0.17. The revenue growth was driven by the expanding presence in the soft tissue restoration market, with the company achieving a significant milestone of 100,000 implantations of OviTex and OviTex PRS combined globally.

Publication Date: Nov -16

📋 Highlights
  • Clinical Evidence Growth: Over 50 published/presented works on OVATEX (10 on OVATEX PRS) with 1,100+ patients in peer-reviewed studies and 2,500+ in ongoing data collection.
  • Commercial Milestone: Achieved 100,000 global implantations of OVATEX and OVATEX PRS, reflecting strong market adoption.
  • Revenue & Margin Performance: 9% YoY revenue growth to $20.7M in Q3 2025, driven by 22% unit sales growth in OviTex and 12% in PRS, with 68% gross margin.
  • Cash Position & Financing: Ended Q3 with $29.7M cash, adding $26M via $13M equity raise and $60M debt upsizing, extending runway to profitability.
  • Sales Efficiency & Growth: Improved sales force efficiency to 70% (from 90%) and 100% Q3 target attainment by 50-52 reps, aiming for 90-95% in 2026.

Operational Highlights

The company continued to make progress in expanding its market presence, both in the US and abroad. In Europe, Otelo Bio advanced awareness through targeted surgeon engagement, including a July cadaver lab with 30 key surgeons, and made meaningful progress with the UK NHS value-based procurement initiative, securing NHS finance sign-off in September. The company's sales force efficiency has also improved, dropping from almost 90% to over 70% of sales in the past three quarters, driven by enhanced training programs and a faster ramp in productivity.

Cash Position and Financing

Otelo Bio ended Q3 2025 with $29.7 million in cash and cash equivalents, reflecting cash consumption of $5.7 million in the quarter. The company has strengthened its balance sheet through a comprehensive financing initiative, including the refinancing and upsizing of its debt facility from $40 million to $60 million, and a $13 million equity offering. This is expected to add approximately $26 million in incremental net cash to the balance sheet, providing a comfortable cash runway and allowing the company to focus on delivering consistent execution and capturing growth opportunities.

Valuation Metrics

With a P/S Ratio of 0.51, Otelo Bio's stock appears to be reasonably valued relative to its revenue. However, the company's negative EPS and high P/B Ratio of 4.94 may indicate that the stock is priced for high growth expectations. Analysts estimate next year's revenue growth at 17.9%, which may be challenging to achieve given the company's current cash burn rate. The EV/EBITDA ratio of -1.39 also suggests that the company's valuation is sensitive to its ability to achieve profitability.

3. NewsRoom

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TELA Bio to Participate in the Piper Sandler 37th Annual Healthcare Conference

Nov -19

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TELA Bio Announces Inducement Grants Under Nasdaq Listing Rule 5635(c)(4)

Nov -17

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These Analysts Cut Their Forecasts On TELA Bio After Q3 Earnings

Nov -14

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TELA Bio, Inc. (TELA) Q3 2025 Earnings Call Transcript

Nov -14

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TELA Bio, Inc. (TELA) Reports Q3 Loss, Misses Revenue Estimates

Nov -13

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TELA Bio Announces Pricing of $13.0 Million Underwritten Registered Direct Offering of Common Stock and Pre-Funded Warrants

Nov -13

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TELA Bio Reports Third Quarter 2025 Financial Results and Refinancing and Upsizing of Credit Facility

Nov -13

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TELA Bio Announces Addition of Betty Jo Rocchio to Board of Directors and the Departure of Director Lisa Colleran

Oct -09

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: 4.7/10

Value: 7.0

Growth: 5.8

Quality: 5.6

Yield: 0.0

Momentum: 6.0

Volatility: 4.0

1-Year Total Return ->

Stock-Card
908 Devices

A-Score: 4.3/10

Value: 7.2

Growth: 2.9

Quality: 4.8

Yield: 0.0

Momentum: 10.0

Volatility: 0.7

1-Year Total Return ->

Stock-Card
Silk Road Medical

A-Score: 3.8/10

Value: 6.2

Growth: 5.6

Quality: 5.0

Yield: 0.0

Momentum: 5.0

Volatility: 1.0

1-Year Total Return ->

Stock-Card
Avanos Medical

A-Score: 3.6/10

Value: 8.9

Growth: 2.3

Quality: 4.5

Yield: 0.0

Momentum: 0.5

Volatility: 5.7

1-Year Total Return ->

Stock-Card
TELA Bio

A-Score: 3.3/10

Value: 7.8

Growth: 5.8

Quality: 3.6

Yield: 0.0

Momentum: 1.0

Volatility: 1.3

1-Year Total Return ->

Stock-Card
Orthofix Medical

A-Score: 2.8/10

Value: 4.8

Growth: 1.3

Quality: 2.5

Yield: 0.0

Momentum: 3.0

Volatility: 5.0

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

1.15$

Current Price

1.15$

Potential

-0.00%

Expected Cash-Flows