TELA Bio, Inc.
Business
TELA Bio, Inc. is a commercial-stage medical technology company that develops reinforced tissue matrices for soft-tissue reconstruction, emphasizing preservation and restoration of patients’ own anatomy. Its main products are the OviTex and OviTex PRS reinforced tissue matrices—biologic ovine rumen materials embroidered with polymer fibers—designed for hernia repair, abdominal wall reconstruction, and plastic and reconstructive surgery. The company’s business is organized around product portfolios for hernia and plastic/reconstructive indications, clinical research programs, intellectual property and manufacturing partnerships. It primarily markets through a U.S. direct sales force with limited European presence and leverages distributors, independent contractors, GPOs and IDNs for hospital and surgical channel distribution.
Summary from filing dated 2025-03-21
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Revenue | 80 | 69 | 58 | 41 | 29 | |
| Cost of revenue (excluding amortization of intangible assets) | 26 | 22 | 18 | 14 | 10 | |
| Amortization of intangible assets | 400,000 | 400,000 | 400,000 | 800,000 | 300,000 | |
| Gross profit | 54 | 46 | 40 | 27 | 19 | |
| Sales and marketing | 63 | 65 | 60 | 43 | 29 | |
| General and administrative | 16 | 15 | 15 | 14 | 12 | |
| Research and development | 9 | 9 | 10 | 9 | 7 | |
| Total operating expenses | 88 | 88 | 84 | 66 | 48 | |
| Gain on sale of product line | — | 8 | — | — | — | |
| Loss from operations | −34 | −34 | −44 | −39 | −29 | |
| Interest expense | −5 | −5 | −5 | −4 | — | |
| Loss on extinguishment of debt | −888,000 | — | — | −1 | — | |
| Other income | 1 | 1 | 3 | −10,000 | −228,000 | |
| Total other expense, net | −5 | −4 | −3 | −5 | −4 | |
| Loss before income tax (expense) benefit | −39 | −38 | −47 | −44 | — | |
| Income tax (expense) benefit | −230,000 | 144,000 | — | — | — | |
| Net loss | −39 | −38 | −47 | −44 | −33 | |
| Net loss per common share, basic (in dollars per share) | −0.83 | −1.33 | −2.04 | −2.72 | −2.3 | |
| Net loss per common share, diluted (in dollars per share) | −0.83 | −1.33 | −2.04 | −2.72 | −2.3 | |
| Weighted average common shares outstanding, basic (in shares) | 47 | 29 | 23 | 16 | 14 | |
| Weighted average common shares outstanding, diluted (in shares) | 47 | 29 | 23 | 16 | 14 | |
| Foreign currency translation adjustment | 1,000 | −1,000 | −59,000 | 202,000 | 19,000 | |
| Comprehensive loss | −39 | −38 | −47 | −44 | −33 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 51 | 53 | 47 | 42 | 44 | |
| Accounts receivable, net of allowances of $287 and $275 | 10 | 10 | 10 | 7 | 4 | |
| Inventory | 11 | 13 | 13 | 12 | 8 | |
| Prepaid expenses and other current assets | 3 | 3 | 2 | 2 | 3 | |
| Total current assets | 76 | 78 | 72 | 62 | 59 | |
| Property and equipment, net | 2 | 2 | 2 | 2 | 1 | |
| Intangible assets, net | 1 | 2 | 2 | 2 | 2 | |
| Right-of-use assets | 2 | 2 | 2 | 1 | — | |
| Other long-term assets | 500,000 | 2 | — | — | — | |
| Deferred tax asset, net | — | 140,000 | — | — | — | |
| Restricted cash | 250,000 | 265,000 | 265,000 | — | — | |
| Total assets | 81 | 87 | 78 | 68 | 63 | |
| Accounts payable | 2 | 2 | 2 | 2 | 2 | |
| Accrued expenses and other current liabilities | 16 | 13 | 15 | 11 | 8 | |
| Total current liabilities | 18 | 16 | 17 | 12 | 11 | |
| Long-term debt | 56 | 41 | 41 | 40 | — | |
| Other long-term liabilities | 1 | 1 | 2 | 1 | 380,000 | |
| Total liabilities | 75 | 58 | 59 | 54 | 42 | |
| Commitments and contingencies (Note 12) | — | — | — | — | — | |
| Preferred stock; $0.001 par value: 10,000,000 shares authorized; no shares issued and outstanding | — | — | — | — | — | |
| Common stock; $0.001 par value: 200,000,000 shares authorized; 44,538,264 and 39,395,712 shares issued and outstanding at December 31, 2025 and 2024, respectively | 44,000 | 39,000 | 24,000 | 19,000 | 15,000 | |
| Additional paid-in capital | 404 | 387 | 340 | 288 | 250 | |
| Accumulated other comprehensive income | 91,000 | 90,000 | 91,000 | 150,000 | −52,000 | |
| Accumulated deficit | −398 | −359 | −321 | −274 | −230 | |
| Total stockholders' equity | 6 | 28 | 19 | 14 | 20 | |
| Total liabilities and stockholders' equity | 81 | 87 | 78 | 68 | 63 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Net loss | −39 | −38 | −47 | −44 | −33 | |
| Depreciation expense | 600,000 | 600,000 | 400,000 | 400,000 | 200,000 | |
| Noncash interest expense | 529,000 | 609,000 | 599,000 | 657,000 | 664,000 | |
| Noncash loss on extinguishment of debt | 888,000 | — | — | 1 | — | |
| Net changes in operating lease ROU assets and liabilities | 302,000 | −99,000 | −49,000 | −36,000 | — | |
| Inventory excess and obsolescence charge | 2 | 3 | 1 | 2 | 1 | |
| Stock-based compensation expense | 4 | 4 | 5 | 4 | 4 | |
| Gain on disposal of fixed assets | — | — | −12,000 | — | 2,000 | |
| Accounts receivable, net | −110,000 | −762,000 | −3 | −2 | −2 | |
| Inventory | −503,000 | −3 | −3 | −6 | −5 | |
| Prepaid expenses and other current and long-term assets | 133,000 | 227,000 | −81,000 | 1 | −992,000 | |
| Accounts payable | 141,000 | 482,000 | 11,000 | −884,000 | 2 | |
| Accrued expenses and other current and long-term liabilities | 2 | −2 | 4 | 2 | 3 | |
| Foreign currency transaction loss | 76,000 | −35,000 | −316,000 | 420,000 | 12,000 | |
| Net cash used in operating activities | −28 | −42 | −41 | −41 | −30 | |
| Purchase of property and equipment | −448,000 | −989,000 | −611,000 | −872,000 | −627,000 | |
| Proceeds from the sale of product line | 1 | 5 | — | — | — | |
| Proceeds from the sale of property and equipment | — | — | 12,000 | — | — | |
| Net cash provided by (used in) investing activities | 846,000 | 4 | −599,000 | −2 | −627,000 | |
| Proceeds from sale of common stock and pre-funded warrants, net | 12 | 43 | 46 | 34 | — | |
| Proceeds from issuance of long-term debt and warrants | 60 | — | — | — | — | |
| Repayment of long-term debt | −42 | — | — | −30 | — | |
| Payment of debt financing costs | −4 | — | — | −3 | — | |
| Proceeds from exercise of stock options | 1,000 | 226,000 | 127,000 | 19,000 | 547,000 | |
| Payment of withholding taxes related to stock-based compensation to employees | −205,000 | −369,000 | −289,000 | −157,000 | — | |
| Proceeds from issuance of common stock under the employee stock purchase plan | 105,000 | 281,000 | 88,000 | 50,000 | 38,000 | |
| Net cash provided by financing activities | 26 | 43 | 46 | 41 | 585,000 | |
| Effect of exchange rate on cash and cash equivalents | −217,000 | 28,000 | 164,000 | −144,000 | 11,000 | |
| Net (decrease) increase in cash and cash equivalents and restricted cash | −2 | 6 | 5 | −2 | −30 | |
| Cash paid during the period for interest | 5 | 4 | 5 | 3 | 3 | |
| Property and equipment in accounts payable and accrued expenses and other current liabilities | 66,000 | — | 119,000 | 7,000 | 166,000 | |
| Operating lease ROU asset exchanged for operating lease liabilities | — | — | 895,000 | 1 | — | |
| Offering costs in accrued expenses and other current liabilities | 247,000 | — | — | — | — | |
| Issuance of common stock warrants in connection with credit facility | 1 | — | — | — | — |