LMAT LeMaitre Vascular Inc

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

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

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

Large accelerated filer	☒	Accelerated filer	☐

Non-accelerated filer	☐	Smaller reporting company	☐

		Emerging growth company	☐

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

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

As of August 5, 2024, the registrant had 22,468,843 shares of common stock, par value $.01 per share, outstanding.

LEMAITRE VASCULAR

FORM 10-Q

TABLE OF CONTENTS

			Page

Part I.	Financial Information:		4

	Item 1.	Financial Statements	4

		Consolidated Balance Sheets as of June 30, 2024 (unaudited) and December 31, 2023	4

		Unaudited Consolidated Statements of Operations for the three-month and six-month periods ended June 30, 2024 and 2023	5

		Unaudited Consolidated Statements of Comprehensive Income for the three-month and six-month periods ended June 30, 2024 and 2023	6

		Unaudited Consolidated Statements of Stockholders’ Equity for the three-month and six-month periods ended June 30, 2024 and 2023	7

		Unaudited Consolidated Statements of Cash Flows for the six-month periods ended June 30, 2024 and 2023	8

		Notes to Unaudited Consolidated Financial Statements	9

	Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	19

	Item 3.	Quantitative and Qualitative Disclosure about Market Risk	28

	Item 4.	Controls and Procedures	28

Part II.	Other Information:		30

	Item 1.	Legal Proceedings	30

	Item 1A.	Risk Factors	30

	Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	30

	Item 5.	Other Information	30

	Item 6.	Exhibits	31

	Signatures		32

Part I. Financial Information

Item 1. Financial Statements

LeMaitre Vascular, Inc.

Consolidated Balance Sheets

	(unaudited)
	June 30,			December 31,
	2024			2023
	(in thousands, except share data)
Assets
Current assets:
Cash and cash equivalents	$	22,268		$	24,269
Short-term marketable securities		90,831			80,805
Accounts receivable, net of allowances of $1,286 at June 30, 2024 and $941 at December 31, 2023		30,822			25,064
Inventory and other deferred costs		63,673			58,080
Prepaid expenses and other current assets		5,217			6,380
Total current assets		212,811			194,598

Property and equipment, net		23,117			21,754
Right-of-use leased assets		17,294			18,027
Goodwill		65,945			65,945
Other intangibles, net		38,767			41,711
Deferred tax assets		1,028			1,003
Other assets		4,117			3,740
Total assets	$	363,079		$	346,778

Liabilities and stockholders' equity
Current liabilities:
Accounts payable	$	1,995		$	3,734
Accrued expenses		20,785			23,650
Acquisition-related obligations		75			24
Lease liabilities - short-term		2,591			2,471
Total current liabilities		25,446			29,879

Lease liabilities - long-term		15,818			16,624
Deferred tax liabilities		104			107
Other long-term liabilities		2,179			2,268
Total liabilities		43,547			48,878

Stockholders’ equity:
Preferred stock, $0.01 par value; authorized 3,000,000 shares; none outstanding		-			-
Common stock, $0.01 par value; authorized 37,000,000 shares; issued 24,059,300 shares at June 30, 2024, and 23,911,760 shares at December 31, 2023		240			239
Additional paid-in capital		208,689			200,755
Retained earnings		129,961			115,430
Accumulated other comprehensive loss		(5,094	)		(4,625	)
Treasury stock, at cost; 1,590,457 shares at June 30, 2024 and 1,584,512 shares at December 31, 2023		(14,264	)		(13,899	)
Total stockholders’ equity		319,532			297,900
Total liabilities and stockholders’ equity	$	363,079		$	346,778

See accompanying notes to consolidated financial statements.

LeMaitre Vascular, Inc.

Consolidated Statements of Operations

(unaudited)

	Three months ended					Six months ended
	June 30,					June 30,
	2024			2023		2024			2023
	(in thousands, except per share data)					(in thousands, except per share data)

Net sales	$	55,849		$	50,115	$	109,327		$	97,190
Cost of sales		17,381			18,029		34,194			34,221

Gross profit		38,468			32,086		75,133			62,969

Sales and marketing		10,984			10,216		22,670			21,113
General and administrative		8,820			7,722		17,833			15,654
Research and development		4,284			4,516		8,376			8,391
Restructuring		-			180		-			485

Total operating expenses		24,088			22,634		48,879			45,643

Income from operations		14,380			9,452		26,254			17,326

Other income (expense):
Interest income		1,137			682		2,138			1,250
Foreign currency gain (loss)		(11	)		185		(89	)		(240	)

Income before income taxes		15,506			10,319		28,303			18,336
Provision for income taxes		3,680			2,221		6,590			4,198

Net income	$	11,826		$	8,098	$	21,713		$	14,138

Earnings per share of common stock:
Basic	$	0.53		$	0.36	$	0.97		$	0.64
Diluted	$	0.52		$	0.36	$	0.96		$	0.63

Weighted-average shares outstanding:
Basic		22,458			22,213		22,412			22,162
Diluted		22,725			22,451		22,657			22,371

Cash dividends declared per common share	$	0.16		$	0.14	$	0.32		$	0.28

See accompanying notes to consolidated financial statements.

LeMaitre Vascular, Inc.

Consolidated Statements of Comprehensive Income

(unaudited)

	Three months ended					Six months ended
	June 30,					June 30,
	2024		2023			2024			2023
	(in thousands)					(in thousands)
Net income	$	11,826	$	8,098		$	21,713		$	14,138
Other comprehensive income (loss):
Foreign currency translation adjustment, net		451		89			(380	)		341
Unrealized gain (loss) on short-term marketable securities		13		(339	)		(89	)		(132	)
Total other comprehensive income (loss)		464		(250	)		(469	)		209

Comprehensive income	$	12,290	$	7,848		$	21,244		$	14,347

See accompanying notes to consolidated financial statements.

LeMaitre Vascular, Inc.

Consolidated Statements of Stockholders’ Equity

(unaudited)

										Accumulated
					Additional					Other								Total
	Common Stock				Paid-in		Retained			Comprehensive			Treasury Stock					Stockholders’
	Shares		Amount		Capital		Earnings			Income (Loss)			Shares		Amount			Equity

Balance at December 31, 2023		23,911,760	$	239	$	200,755	$	115,430		$	(4,625	)		1,584,512	$	(13,899	)	$	297,900

Net income								9,887											9,887
Other comprehensive income (loss)											(933	)							(933	)
Issuance of common stock for stock options exercised		107,930		1		3,985													3,986
Vested restricted stock units		9,547		-															-
Vested performance-based restricted stock units		7,063		-															-
Repurchase of common stock for net settlement of equity awards														5,850		(358	)		(358	)
Stock-based compensation expense						1,610													1,610
Common stock dividend paid								(3,589	)										(3,589	)
Balance at March 31, 2024		24,036,300		240		206,350		121,728			(5,558	)		1,590,362		(14,257	)		308,503

Net income								11,826											11,826
Other comprehensive income (loss)											464								464
Issuance of common stock for stock options exercised		22,700		-		730													730
Vested restricted stock units		223		-															-
Vested performance-based restricted stock units		77		-															-
Repurchase of common stock for net settlement of equity awards														95		(7	)		(7	)
Stock-based compensation expense						1,609													1,609
Common stock dividend paid								(3,593	)										(3,593	)
Balance at June 30, 2024		24,059,300	$	240	$	208,689	$	129,961		$	(5,094	)		1,590,457	$	(14,264	)	$	319,532

										Accumulated
					Additional					Other								Total
	Common Stock				Paid-in		Retained			Comprehensive			Treasury Stock					Stockholders’
	Shares		Amount		Capital		Earnings			Income (Loss)			Shares		Amount			Equity

Balance at December 31, 2022		23,655,716	$	237	$	189,268	$	97,773		$	(6,031	)		1,568,595	$	(13,046	)	$	268,201

Net income								6,040											6,040
Other comprehensive income (loss)											459								459
Issuance of common stock for stock options exercised		50,424		1		1,445													1,446
Vested restricted stock units		8,773		-															-
Repurchase of common stock for net settlement of equity awards														3,602		(172	)		(172	)
Stock-based compensation expense						1,290													1,290
Common stock dividend paid								(3,099	)										(3,099	)
Balance at March 31, 2023		23,714,913		238		192,003		100,714			(5,572	)		1,572,197		(13,218	)		274,165

Net income								8,098											8,098
Other comprehensive income (loss)											(250	)							(250	)
Issuance of common stock for stock options exercised		120,179		1		3,626													3,627
Vested restricted stock units		399		-															-
Repurchase of common stock for net settlement of equity awards														151		(9	)		(9	)
Stock-based compensation expense						1,312													1,312
Common stock dividend paid								(3,116	)										(3,116	)
Balance at June 30, 2023		23,835,491	$	239	$	196,941	$	105,696		$	(5,822	)		1,572,348	$	(13,227	)	$	283,827

See accompanying notes to consolidated financial statements.

LeMaitre Vascular, Inc.

Consolidated Statements of Cash Flows

(unaudited)

	For the six months ended
	June 30,
	2024			2023
	(in thousands)
Operating activities
Net income	$	21,713		$	14,138
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization		4,766			4,677
Stock-based compensation		3,219			2,602
Provision for inventory write-downs		1,260			834
Provision for credit losses		400			(27	)
Fair value adjustment to contingent consideration obligations		46			48
Loss on divestitures		-			485
Foreign currency effect on net income		678			1
Changes in operating assets and liabilities:
Accounts receivable		(6,493	)		(4,239	)
Inventory and other deferred costs		(7,287	)		(4,272	)
Prepaid expenses and other assets		729			922
Accounts payable and other liabilities		(4,335	)		(987	)
Net cash provided by operating activities		14,696			14,182

Investing activities
Purchases of property and equipment		(3,248	)		(4,933	)
Purchases of short-term marketable securities		(10,116	)		(7,239	)
Payments related to acquisitions		-			(431	)
Net cash used in investing activities		(13,364	)		(12,603	)

Financing activities
Proceeds from stock option exercises		4,716			5,073
Purchase of treasury stock for net settlement of equity awards		(365	)		(181	)
Common stock cash dividend paid		(7,182	)		(6,215	)
Net cash used in financing activities		(2,831	)		(1,323	)

Effect of exchange rate changes on cash and cash equivalents		(502	)		98
Net increase (decrease) in cash and cash equivalents		(2,001	)		354
Cash and cash equivalents at beginning of period		24,269			19,134
Cash and cash equivalents at end of period	$	22,268		$	19,488

See accompanying notes to consolidated financial statements.

LeMaitre Vascular, Inc.

Notes to Consolidated Financial Statements

June 30, 2024

(unaudited)

1. Organization and Basis for Presentation

Description of Business

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

Basis of Presentation

The accompanying unaudited consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States (GAAP) for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements. In the opinion of management, all adjustments, consisting only of normal, recurring adjustments considered necessary for a fair presentation of the results of these interim periods have been included. Preparing financial statements requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities, revenues and expenses. Actual results may differ from these estimates. Our estimates and assumptions, including those related to bad debts, inventories, intangible assets, sales returns and discounts, share-based compensation, and income taxes are updated as appropriate. The results for the six months ended June 30, 2024 are not necessarily indicative of results to be expected for the entire year. The information contained in these interim financial statements should be read in conjunction with our audited consolidated financial statements as of and for the year ended December 31, 2023, including the notes thereto, included in our Form 10-K filed with the Securities and Exchange Commission (SEC) on February 29, 2024.

The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the unaudited consolidated financial statements and accompanying notes. The Company is not aware of any specific event or circumstance that would require an update to its accounting estimates or adjustments to the carrying value of its assets and liabilities as of August 8, 2024, the issuance date of this Quarterly Report on Form 10-Q. Actual results could differ from those estimates.

Consolidation

Our consolidated financial statements include the accounts of LeMaitre Vascular and the accounts of our wholly-owned subsidiaries. All significant intercompany accounts and transactions have been eliminated in consolidation.

Revenue Recognition

Our revenue is derived primarily from the sale of disposable or implantable devices used during vascular surgery. We sell primarily direct to hospitals and to a lesser extent to international distributors, as described below, and, during the periods presented in our consolidated financial statements, entered into consigned inventory arrangements with either hospitals or distributors on a limited basis. We also derive revenues from the processing and cryopreservation of human tissues for implantation in patients. These revenues are recognized when services have been provided and the tissue has been shipped to the customer, provided all other revenue recognition criteria discussed in the succeeding paragraph have been met.

We record revenue under the provisions of ASU 2014-09, Revenue from Contracts with Customers (Topic 606). The core principle of Topic 606 is that an entity should recognize revenue to depict the transfer of goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. The standard explains that to achieve the core principle, an entity should take the following actions:

Step 1: Identify the contract with a customer

Step 2: Identify the performance obligations in the contract

Step 3: Determine the transaction price

Step 4: Allocate the transaction price to the performance obligations

Step 5: Recognize revenue when or as the entity satisfies a performance obligation

Revenue is recognized when the Company satisfies a performance obligation by transferring the promised good or service to a customer (which is when the customer obtains control of that good or service). In instances in which shipping and handling activities are performed after a customer takes control of the goods (such as when title passes upon shipment from our dock), we have made the policy election allowed under Topic 606 to account for these activities as fulfillment costs and not as performance obligations.

We generally reference customer purchase orders to determine the existence of a contract. Orders that are not accompanied by a purchase order are confirmed with the customer either in writing or verbally. The purchase orders or similar correspondence, once accepted, identify the performance obligations as well as the transaction price, and otherwise outline the rights and obligations of each party. We allocate the transaction price of each contract among the performance obligations in accordance with the pricing of each item specified on the purchase order, which is in turn based on standalone selling prices per our published price lists. In cases where we discount products or provide certain items free of charge, we allocate the discount proportionately to all performance obligations, unless it can be demonstrated that the discount should be allocated entirely to one or more, but not all, of the performance obligations.

We record revenue, net of allowances for returns and discounts, fees paid to group purchasing organizations, and any sales and value added taxes required to be invoiced, which we have elected to exclude from the measurement of the transaction price as allowed by the standard, at the time of shipment (taking into consideration contractual shipping terms), or in the case of consigned inventory, when it is consumed. Shipment is the point at which control of the product and title passes to our customers, and at which LeMaitre has a present right to receive payment for the goods.

Below is a disaggregation of our revenue by major geographic area, which is among the primary categorizations used by management in evaluating financial performance, for the periods indicated (in thousands):

	Three months ended June 30,				Six months ended June 30,
	2024		2023		2024		2023
	(in thousands)				(in thousands)

Americas	$	36,907	$	33,507	$	72,152	$	65,633
Europe, Middle East and Africa		15,298		13,580		29,693		25,857
Asia Pacific		3,644		3,028		7,482		5,700
Total	$	55,849	$	50,115	$	109,327	$	97,190

We do not carry any contract assets or contract liabilities, as there are generally no unbilled amounts due from customers under contracts for which we have partially satisfied performance obligations, or amounts received from customers for which we have not satisfied performance obligations. We satisfy our performance obligations under revenue contracts within a short time period from receipt of the orders, and payments from customers are typically received within 30 to 60 days of fulfillment of the orders, except in certain geographies such as Italy, Spain and France where the payment cycle is customarily longer. Accordingly, there is no significant financing component to our revenue contracts. Additionally, we have elected as a policy that incremental costs (such as commissions) incurred to obtain contracts are expensed as incurred, due to the short-term nature of the contracts.

Customers returning products may be entitled to full or partial credit based on the condition and timing of the return. To be accepted, a returned product must be unopened (if sterile), unadulterated, and undamaged, must have at least 18 months remaining prior to its expiration date, or twelve months for our hospital customers in Europe, and generally be returned within 30 days of shipment. These return policies apply to sales to both hospitals and distributors. The amount of products returned to us, either for exchange or credit, has not been material. Nevertheless, we provide for an allowance for future sales returns based on historical returns experience, which requires judgment. Our cost of replacing defective products has not been material and is accounted for at the time of replacement.

Recent Accounting Pronouncements

From time to time, new accounting pronouncements are issued by the Financial Accounting Standards Board (FASB) or other standard setting bodies and are generally adopted by the Company as of the specified effective date.

In December 2023 the FASB issued ASU 2023-09, Income Taxes Topic 740 - Improvements to Income Tax Disclosures. This amendment is expected to enhance the transparency and decision usefulness of income tax disclosures by requiring public business entities, on an annual basis, to disclose specific categories in the rate reconciliation, additional information for reconciling items that meet a quantitative threshold and certain information about income taxes paid. This revised guidance is effective for financial statements issued for fiscal years beginning after December 15, 2024. We are currently evaluating the impacts of the new standard.

In November 2023 the FASB issued ASU 2023-07, Segment Reporting Topic 280- Improvements to Reportable Segment Disclosures. This amendment requires disclosure of incremental segment information on an annual and interim basis. This ASU is effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024, and requires retrospective application to all prior periods presented in the financial statements. We are currently evaluating the impacts of the new standard.

There are no other accounting pronouncements recently issued or newly effective that had, or are expected to have, a material impact on the Company’s consolidated financial statements.

2. Income Tax Expense

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

We recognize, measure, present and disclose in our financial statements any uncertain tax positions that we have taken, or expect to take, on a tax return. We operate in multiple taxing jurisdictions, both inside and outside the United States (U.S.), and may be subject to audits from various tax authorities. Management’s judgment is required in determining our provision for income taxes, our deferred tax assets and liabilities, liabilities for uncertain tax positions, and any valuation allowance recorded against our net deferred tax assets. We will monitor the realizability of our deferred tax assets and adjust the valuation allowance accordingly.

Our policy is to classify interest and penalties related to unrecognized tax benefits as income tax expense. Our 2024 income tax expense varies from the statutory rate mainly due to the generation of federal and state tax credits, permanent items, different statutory rates from our foreign subsidiaries, and discrete stock option exercises. Our 2023 income tax expense varied from the statutory rate mainly due to the generation of federal and state tax credits, permanent items, different statutory rates from our foreign subsidiaries, and discrete stock option exercises.

We have reviewed the tax positions taken, or to be taken, in our tax returns for all tax years currently open to examination by a taxing authority. As of June 30, 2024, the gross amount of unrecognized tax benefits exclusive of interest and penalties was $510,000. We remain subject to examination until the statute of limitations expires for each remaining respective tax jurisdiction. The statute of limitations will be open with respect to these tax positions until 2031. A reconciliation of beginning and ending amount of our unrecognized tax benefits is as follows:

	Six months ended June 30, 2024
	(in thousands)
Unrecognized tax benefits as of December 31, 2023	$	587
Additions/adjustments for tax positions of current year		-
Additions/adjustments for tax positions of prior years		(39	)
Reductions for settlements with taxing authorities		-
Reductions for lapses of the applicable statutes of limitations		(38	)
Unrecognized tax benefits as of June 30, 2024	$	510

As of June 30, 2024, a summary of the tax years that remain subject to examination in our taxing jurisdictions is as follows:

United States	2020 and forward
Foreign	2015 and forward

3. Inventories and Other Deferred Costs

Inventories and other deferred costs consist of the following:

	June 30, 2024		December 31, 2023
	(in thousands)
Raw materials	$	19,006	$	18,333
Work-in-process		3,138		2,869
Finished products		34,515		31,131
Other deferred costs		7,014		5,747

Total inventory and other deferred costs	$	63,673	$	58,080

We had inventory on consignment at customer sites of $2.0 million as of June 30, 2024 and December 31, 2023, respectively.

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

4. Divestitures

On April 26, 2022, we committed to a plan to close our St. Etienne, France factory, which supported our LeMaitre Cardial SAS (Cardial) business, to streamline manufacturing operations and reduce expenses. The Cardial business consisted of the manufacture of polyester vascular grafts, valvulotomes, surgical glue and selected OEM devices. We acquired the Cardial business in 2018.

On June 30, 2022, we ceased operations at the St. Etienne, France factory. The closure resulted in a restructuring charge of $3.1 million for the year ended December 31, 2022. Charges primarily consisted of employment termination costs, impairment of fixed assets and inventory, and third-party costs.

On October 10, 2022, we sold the St. Etienne, France building, building improvements, and land for $0.9 million less closing costs of $0.1 million, resulting in a gain of approximately $0.1 million recorded for the year ended December 31, 2022.

For the three and six months ended June 30, 2023, we recorded additional restructuring charges of $0.2 million and $0.5 million, respectively, in conjunction with the St. Etienne, France factory closure. The additional charges consisted primarily of employment termination, settlement, legal and other third-party costs. There were no additional restructuring charges recorded for the three and six months ended June 30, 2024.

5. Goodwill and Other Intangible Assets

There was no change to goodwill during the six months ended June 30, 2024. Other intangible assets consist of the following:

	June 30, 2024						December 31, 2023
	Gross				Net		Gross				Net
	Carrying		Accumulated		Carrying		Carrying		Accumulated		Carrying
	Value		Amortization		Value		Value		Amortization		Value
	(in thousands)
Product technology and intellectual property	$	29,549	$	17,379	$	12,170	$	29,549	$	16,048	$	13,501
Trademarks, tradenames and licenses		3,767		2,085		1,682		3,767		1,909		1,858
Customer relationships		37,171		12,386		24,785		37,171		11,064		26,107
Other intangible assets		1,643		1,513		130		1,643		1,398		245

Total identifiable intangible assets	$	72,130	$	33,363	$	38,767	$	72,130	$	30,419	$	41,711

These assets are being amortized over useful lives ranging from 2 to 16 years. The weighted-average amortization period for these intangibles as of June 30, 2024 is 9.4 years. Amortization expense is included in general and administrative expense and is as follows:

	Three months ended June 30,				Six months ended June 30,
	2024		2023		2024		2023
	(in thousands)				(in thousands)

Amortization expense	$	1,472	$	1,509	$	2,944	$	3,068

Estimated amortization expense for the remainder of 2024 and for each of the next five fiscal years is as follows:

	Year ended December 31,
	2024		2025		2026		2027		2028		2029
	(in thousands)

Amortization expense	$	2,913	$	5,601	$	5,119	$	4,842	$	4,456	$	4,423

6. Leases

The Company determines if an arrangement is a lease at inception of the contract. The Company has operating leases for buildings, primarily for office space, manufacturing and distribution, as well as automobiles and printing equipment. As of June 30, 2024, the Company had the following building and facility leases capitalized on the balance sheet:

Location (leases)	Purpose	Approx. Sq. Ft.		Expiration

Americas
Burlington, MA (4)	Corporate headquarters and manufacturing		96,476	December 2034
North Brunswick, NJ (1)	Artegraft biologic business		16,732	October 2029
Burlington, MA (1)	US distribution		12,878	December 2030
Fox River Grove, IL (3)	RestoreFlow allografts business		11,765	November 2025
Vaughn, Canada	Canada sales office and distribution		3,192	February 2026
Chandler, Arizona	US sales office		2,058	August 2025

Europe, Middle East and Africa
Sulzbach, Germany	European headquarters and distribution		21,410	June 2031
Milan, Italy	Italy sales office and distribution		5,705	July 2027
Hereford, England	United Kingdom sales office and distribution		3,575	October 2029
Maisons-Alfort, France	France sales office		3,492	February 2030
Madrid, Spain	Spain sales office		2,260	June 2029

Asia Pacific
Tokyo, Japan	Japan sales office and distribution		4,236	July 2025
Bangkok, Thailand	Thailand sales office and distribution		2,810	August 2026
Kensington, Australia	Australia sales office and distribution		2,551	June 2025
Seoul, Korea	Korea sales office and distribution		2,300	April 2027
Singapore	Asia Pacific headquarters and distribution		1,270	June 2026
Shanghai, China	China sales office and distribution		1,152	August 2024
Ballarat, Australia	Supply facility	Up to 350 acres		December 2030

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

None of our noncancelable lease payments include non-lease components such as maintenance contracts; we generally reimburse the landlord for direct operating costs associated with the leased space. We have no subleases, and there are no residual value guarantees associated with, or restrictive covenants imposed by, any of our leases. There were no assets held under capital leases as of June 30, 2024. We elected the package of practical expedients that allow us to omit leases with initial terms of 12 months or less from our balance sheet, which are expensed on a straight-line basis over the life of the lease.

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

Additional information with respect to our leases is as follows:

	Three months ended June 30,				Six months ended June 30,
	2024		2023		2024			2023
	(in thousands)				(in thousands)
Lease cost
Operating lease cost	$	709	$	564	$	1,449		$	1,144
Short-term lease cost		17		158		46			320
Total lease cost	$	726	$	722	$	1,495		$	1,464

Other information
Cash paid for amounts included in the measurement of operating lease liabilities	$	977	$	729	$	1,999		$	1,466

Right-of-use assets obtained in exchange for new operating lease liabilities	$	208	$	841	$	717		$	1,313


Weighted average remaining lease term - operating leases (in years)						7.8			6.8

Weighted average discount rate - operating leases						6.60	%		5.07	%

As of June 30, 2024, the minimum noncancelable operating lease rental commitments with initial or remaining terms of more than one year are as follows:

Remainder of 2024	$	1,873
Year ending December 31,
2025		3,528
2026		2,817
2027		2,587
2028		2,554
2029		2,500
Thereafter		8,525
Adjustment to net present value as of June 30, 2024		(5,975	)

Minimum noncancelable lease liability	$	18,409

7. Accrued Expenses and Other Long-term Liabilities

Accrued expenses consist of the following:

	June 30, 2024		December 31, 2023
	(in thousands)
Compensation and related taxes	$	9,749	$	13,353
Accrued purchases		6,533		5,152
Accrued expenses		3,033		4,251
Income and other taxes		927		390
Professional fees		67		104
Other		476		400

Total	$	20,785	$	23,650

Other long-term liabilities consist of the following:

	June 30, 2024		December 31, 2023
	(in thousands)
Acquisition-related liabilities	$	1,377	$	1,406
Income taxes		560		637
Other		242		225

Total	$	2,179	$	2,268

8. Segment and Enterprise-Wide Disclosures

The FASB establishes standards for reporting information regarding operating segments in financial statements. Operating segments are identified as components of an enterprise that engage in business activities for which separate, discrete financial information is available and is regularly reviewed by the chief operating decision-maker in making decisions on how to allocate resources and assess performance. We view our operations and manage our business as one operating segment. No discrete operating information is prepared by us except for sales by product line and operations by legal entity for local purposes.

Most of our revenues are generated in the U.S., Canada, Germany, the United Kingdom (UK) and other European countries. Substantially all our assets are located in the U.S. and Germany. Net sales to unaffiliated customers by country were as follows:

	Three months ended				Six months ended
	June 30,				June 30,
	2024		2023		2024		2023
	(in thousands)				(in thousands)
United States	$	32,798	$	30,322	$	63,923	$	59,337
Canada		3,618		2,716		7,230		5,478
Germany		3,509		3,583		7,027		6,929
United Kingdom		2,718		2,149		5,246		4,112
Other countries		13,206		11,345		25,901		21,334

Net Sales	$	55,849	$	50,115	$	109,327	$	97,190

9. Share-based Compensation

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

	Three months ended				Six months ended
	June 30,				June 30,
	2024		2023		2024		2023
	(in thousands)				(in thousands)
Stock option awards	$	732	$	671	$	1,473	$	1,333
Restricted stock units		573		485		1,134		962
Performance-based restricted stock units		304		156		612		307

Total share-based compensation	$	1,609	$	1,312	$	3,219	$	2,602

Stock-based compensation is included in our consolidated statements of operations as follows:

	Three months ended				Six months ended
	June 30,				June 30,
	2024		2023		2024		2023
	(in thousands)				(in thousands)
Cost of sales	$	228	$	166	$	439	$	336
Sales and marketing		274		250		545		464
General and administrative		943		768		1,908		1,545
Research and development		164		128		327		257

Total stock-based compensation	$	1,609	$	1,312	$	3,219	$	2,602

We did not grant any options during the six months ended June 30, 2024. During the six months ended June 30, 2023, we granted options for the purchase of 1,660 shares of our common stock. During the six months ended June 30, 2024 and 2023, we granted restricted stock units of 222 and 765, respectively. We did not grant any performance-based restricted stock units during the six months ended June 30, 2024. During the six months ended June 30, 2023, we granted performance-based restricted stock units of 310. We issued 147,540 and 179,775 shares of common stock following the exercise or vesting of underlying stock options, restricted stock units and performance-based restricted stock units during the six months ended June 30, 2024 and 2023, respectively.

10. Net Income per Share

The computation of basic and diluted net income per share is as follows:

	Three months ended				Six months ended
	June 30,				June 30,
	2024		2023		2024		2023
	(in thousands, except per share data)				(in thousands, except per share data)
Basic:
Net income available for common stockholders	$	11,826	$	8,098	$	21,713	$	14,138

Weighted average shares outstanding		22,458		22,213		22,412		22,162

Basic earnings per share	$	0.53	$	0.36	$	0.97	$	0.64

Diluted:
Net income available for common stockholders	$	11,826	$	8,098	$	21,713	$	14,138

Weighted-average shares outstanding		22,458		22,213		22,412		22,162
Common stock equivalents, if dilutive		267		238		245		209
Shares used in computing diluted earnings per common share		22,725		22,451		22,657		22,371

Diluted earnings per share	$	0.52	$	0.36	$	0.96	$	0.63

Shares excluded in computing diluted earnings per share as those shares would be anti-dilutive		26		163		147		290

11. Stockholders’ Equity

Share Repurchase Program

On February 21, 2024, our Board of Directors authorized the repurchase of up to $50.0 million of the Company’s common stock through transactions on the open market, in privately negotiated purchases or otherwise until February 21, 2025. The repurchase program may be suspended or discontinued at any time. To date we have not made any repurchases under this program.

Dividends

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

Record Date	Payment Date	Per Share Amount		Dividend Payment
				(in thousands)
Fiscal Year 2024
March 14, 2024	March 28, 2024	$	0.16	$	3,589
May 16, 2024	May 30, 2024	$	0.16	$	3,593

Fiscal Year 2023
March 9, 2023	March 23, 2023	$	0.14	$	3,099
May 17, 2023	June 1, 2023	$	0.14	$	3,116
August 17, 2023	August 31, 2023	$	0.14	$	3,117
November 16, 2023	November 30, 2023	$	0.14	$	3,117

On July 25, 2024, our Board of Directors approved a quarterly cash dividend on our common stock of $0.16 per share payable on August 29, 2024, to stockholders of record at the close of business on August 15, 2024.

12. Supplemental Cash Flow Information

	For the six months ended
	June 30,
	2024		2023
	(in thousands)
Cash paid for income taxes, net	$	5,353	$	2,783

13. Fair Value Measurements

The fair value accounting guidance requires that assets and liabilities carried at fair value be classified and disclosed in one of the following three categories:

•

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

•

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

•

Level 3 — Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. This includes certain pricing models, discounted cash flow methodologies and similar techniques that use significant unobservable inputs.

Level 1 assets being measured at fair value on a recurring basis as of June 30, 2024, included our short-term investment and short-duration bond mutual fund accounts.

We had no Level 2 assets being measured at fair value on a recurring basis as of June 30, 2024.

Several of our acquisition-related assets and liabilities have been measured using Level 3 techniques. During 2020 we recorded a contingent liability associated with our acquisition of the bovine carotid graft business from Artegraft. The agreement required us to make potential additional payments to Artegraft of up to $17.5 million depending on the achievement of certain unit sales milestones during the first three calendar years following the acquisition through December 31, 2023. We recorded this liability at a fair value of $0.4 million in 2020 to reflect management’s estimate of the likelihood of achieving these targets at the time of the Closing, as well as the time value of money until payment. This amount was remeasured each quarter during the earn-out period, with any adjustments recorded in income from operations. As of December 31, 2023, there were no unit sales milestones achieved during the earn-out period and therefore we reduced the remaining liability to zero.

During 2019, we recorded contingent liabilities associated with our acquisition of the Anteris biologic patch business. The agreement includes the potential for us to pay up to $7.8 million of additional consideration beyond payments made to date, with $0.3 million contingent upon the delivery of audited financial statements of the acquired business to us; $2.0 million (CE Mark Contingency) contingent on LeMaitre’s success in obtaining CE marks under MDR regulations on the acquired products; $0.5 million contingent upon Anteris’ success in extending the shelf life of the acquired products as specified in the agreement; and another $5.0 million contingent on the achievement of specified levels of revenues in the first 12 and 24 months following the acquisition date. This additional contingent consideration was initially valued in total at $2.3 million and is being re-measured each quarter until the payment requirement ends, with any adjustments reported in income from operations. The contingent payment related to the delivery of audited financial statements of the business was paid in November 2019 upon satisfaction of the deliverable. The contingent payments related to Anteris’ extending the shelf life of the acquired products and achieving the revenue targets during the first 12- and 24-month periods following the acquisition were not met, and the portion of the liabilities related to these items was adjusted through income from operations. The agreement was amended in August 2021 such that the CE Mark Contingency amount may be reduced for certain costs incurred by LeMaitre in achieving the CE marks. During the quarter ended September 30, 2021, we recorded a reduction to the liability of $0.5 million, with the offset recorded in income from operations, to reflect our estimate of costs to be deducted from the contingent payment in connection with this amendment. Additionally, during the quarter ended December 31, 2022, we recorded a reduction to the liability of approximately $0.1 million, with the offset recorded in income from operations.

In September 2023 the agreement was amended in order to (i) place a cap on the total amount of costs incurred by LeMaitre in achieving the CE marks under MDR regulations that could be used as a deduction toward the $2.0 million holdback, and (ii) require a prorata payment to Anteris of the CE Mark Contingency, less costs described above, by January 2025 if the CE marks are not obtained by that date. During the quarter ended September 30, 2023, we recorded a reduction to the liability of $0.1 million, with the offset recorded in income from operations.

The following table provides a roll-forward of the fair value of these liabilities, as determined by Level 3 unobservable inputs including management’s forecast of future revenues for the acquired businesses, as well as management’s estimates of the likelihood of achieving the other specified criteria:

	Six months ended June 30,
	2024		2023
	(in thousands)
Beginning balance	$	1,224	$	1,339
Additions		-		-
Payments		-		-
Change in fair value included in earnings		46		40

Ending balance	$	1,270	$	1,379

14. Accumulated Other Comprehensive Loss

Changes to our accumulated other comprehensive loss for the six months ended June 30, 2024 and 2023 consisted primarily of foreign currency translation and unrealized losses on short-term marketable securities:

	Six months ended
	June 30,
	2024			2023
	(in thousands)
Beginning balance	$	(4,625	)	$	(6,031	)

Other comprehensive (loss) income before reclassifications		(469	)		209

Ending Balance	$	(5,094	)	$	(5,822	)

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

This Quarterly Report on Form 10-Q contains forward-looking statements (within the meaning of the U.S. Private Securities Litigation Reform Act of 1995) that involve substantial risks and uncertainties, particularly risks related to the regulatory environment, our common stock, fluctuations in our quarterly and annual results, our ability to successfully integrate acquisitions into our business, and risks related to our business and industry generally, such as risks inherent in the process of developing and commercializing products and services that are safe and effective for use in the peripheral vascular disease market. All statements, other than statements of historical facts, included in this report regarding our strategy, future operations, future financial position, future net sales, gross margin expectations, projected costs, projected expenses, prospects and plans and objectives of management are forward-looking statements. The words “anticipates,” “believes,” “estimates,” “expects,” “intends,” “may,” “plans,” “projects,” “will,” “would,” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. We have based these forward-looking statements on our current expectations and projections about future events. Although we believe that the expectations underlying any of our forward-looking statements are reasonable, these expectations may prove to be incorrect, and all of these statements are subject to risks and uncertainties. Should one or more of these risks and uncertainties materialize, or should underlying assumptions, projections, or expectations prove incorrect, our actual results, performance, or financial condition may vary materially and adversely from those anticipated, estimated, or expected. No forward-looking statement can be guaranteed and actual results may vary materially from those projected in the forward-looking statements. We intend to take advantage of the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995 regarding our forward-looking statements, and are including this sentence for the express purpose of enabling us to use the protections of the safe harbor with respect to all forward-looking statements. These risks and uncertainties include, but are not limited to: the risk of companies that develop products or services that may impact the use of our products such as drugs to treat diabetes or weight loss; the risks from competition from other companies; the status of our global regulatory approvals and compliance with regulatory requirements to market and sell our products both in the U.S. and outside of the U.S.; risks related to product demand and market acceptance of the Company’s products and pricing; risks from implementing a new enterprise resource planning system; the risk of significant fluctuations in our quarterly and annual results due to numerous factors; the risk that we may not be able to maintain our recent levels of profitability; our reliance on sole source suppliers; disruptions or breaches of information technology systems; the risk that the Company may not realize the anticipated benefits of its strategic activities; the risk that assumptions about the market for the Company’s products and the productivity of the Company’s direct sales force and distributors may not be correct; the acceleration or deceleration of product growth rates; the risk that a recall of our products could result in significant costs or negative publicity; the risk that the Company is not successful in transitioning to a direct-selling model in new territories.

Forward-looking statements reflect management’s analysis as of the date of this quarterly report. Further information on potential risk factors that could affect our business and financial results is detailed in Part II, Item 1A, “Risk Factors” in this Quarterly Report on Form 10-Q and in our other filings with the Securities and Exchange Commission, including under the section headed “Risk Factors” in our most recent Annual Report on Form 10-K. Given these risks, uncertainties and other factors, you should not place undue reliance on these forward-looking statements. The following discussion and analysis should be read in conjunction with our consolidated financial statements and the related notes included in this report and our other SEC filings, including our audited consolidated financial statements and the related notes contained in our Annual Report on Form 10-K for the year ended December 31, 2023, as filed with the SEC on February 29, 2024. We do not assume any obligation to update any forward-looking statements, whether as a result of new information, future events, or otherwise, except as required by law. Unless the context indicates otherwise, references to “LeMaitre Vascular,” “we,” “LeMaitre,” “our,” and “us” in this Quarterly Report on Form 10-Q refer to LeMaitre Vascular, Inc. and its subsidiaries.

LeMaitre, AlboGraft, AnastoClip, AnastoClip GC, Artegraft, Cardial, CardioCel, DuraSure, Eze-Sit, Glow ‘N Tell, LeverEdge, LifeSpan, OmniFlow, PhasTipp, ProCol, Pruitt, Pruitt F3, RestoreFlow, TufTex, VascuCel, VascuTape, and XenoSure are registered trademarks of LeMaitre Vascular or one of its subsidiaries, and Chevalier, Flexcel, PeriVu and Syntel are trademarks of LeMaitre Vascular. This Quarterly Report on Form 10-Q also includes the registered and unregistered trademarks of other persons, which are the property of their respective owners. Solely for convenience, trademarks and trade names referred to in this report may appear without the ® or TM symbols.

Overview

We are a global provider of medical devices and human tissue cryopreservation services largely used in the treatment of peripheral vascular disease, end-stage renal disease, and to a lesser extent cardiovascular disease. We develop, manufacture, and market vascular devices to address the needs of vascular surgeons and, to a lesser degree, other specialties such as cardiac surgeons, general surgeons and neurosurgeons. Our diversified portfolio of devices consists of brand name products that are used in arteries and veins and are well known to vascular surgeons. Our principal product offerings are sold globally, primarily in the U.S., Europe, Canada and Asia Pacific. We estimate that the annual worldwide market for peripheral vascular devices exceeds $5 billion, within which we estimate that the market for our products is approximately $800 million. We have grown our business using a three-pronged strategy: 1) pursuing a focused call point, 2) competing for sales of low-rivalry, niche products, and 3) expanding our worldwide direct sales force while acquiring complementary devices. We have used acquisitions as a primary means of further penetrating the peripheral vascular device market, and we expect to continue this strategy in the future. We currently manufacture most of our products in our Burlington, Massachusetts headquarters.

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

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

Our principal biologic offerings include vascular and cardiac patches as well as vascular and dialysis grafts. In Q2 2024, biologics represented 52% of our worldwide sales. We believe our biologic devices represent differentiated and, in some cases, growing product segments.

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

Our business opportunities include the following:

	•	growing our direct sales force in North America, Europe, the UK, and Asia Pacific, including replacing distributors with our direct sales personnel;

	•	increasing the average selling prices for our devices;

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

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

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

	•	consolidating product manufacturing into our Burlington, Massachusetts facilities.

We sell our products and services primarily through a direct sales force. As of June 30, 2024, our sales force was comprised of 144 sales representatives in North America, Europe, the UK, and Asia Pacific, including four export managers. Our worldwide headquarters is located in Burlington, Massachusetts, and we also have North American sales offices in Chandler, Arizona and Vaughan, Canada. Our European headquarters is located in Sulzbach, Germany, and we also have European sales offices in Milan, Italy; Madrid, Spain; Hereford, England; Dublin, Ireland; and Maisons-Alfort, France. Our Asia Pacific headquarters is located in Singapore, and we also have Asia Pacific sales offices in Tokyo, Japan; Shanghai, China; Kensington, Australia; Seoul, Korea; and Bangkok, Thailand. During the current quarter, approximately 95% of our net sales were generated in territories in which we employ direct sales representatives. We sell our products in other countries through distributors.

Historically we have experienced success in lower-rivalry niche segments. In the valvulotome market, for example, our differentiated devices have historically allowed us to increase our selling prices while maintaining unit share. In contrast, we have experienced less success in competitive markets such as the polyester vascular graft market, where we face competition from larger companies with greater resources and lower per unit costs.

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

We obtain regulatory approvals for our devices and services in new segments and geographies in order to further access the broader peripheral device market and selected other markets. While much of our regulatory effort is focused on maintaining regulatory approvals in various geographies, we will continue to obtain new product approvals in new geographies in order to extend our geographic reach and increase sales. Recent approvals include the approval to sell the XenoSure patch for carotid indication in Japan in May 2023, and the approval to sell the Pruitt Irrigation Occlusion Catheter in China in October 2023.

Separately, in July 2024, we received MDR CE marks allowing for the continued sale of 10 devices into the European market. Previously we had obtained 4 MDR CE marks. In total, we expect to receive 22 MDR CE marks by the end of 2025. The European Commission has designated the end of 2027 as the final MDR CE mark deadline.

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

•

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

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

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

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

	•	During 2023, we made the decision to discontinue the sales of AlboGraft and LifeSpan synthetic graft product lines in the U.S. These products totaled approximately $0.3 million and less than $0.1 million, respectively, in 2023 revenues.

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

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

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

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

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

•

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

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

	•	In October 2018, we acquired the Cardial business from Becton Dickinson. Cardial manufactured polyester vascular grafts, valvulotomes and surgical glue at its St. Etienne, France facility. In June 2022, we closed the St. Etienne factory to streamline manufacturing operations and to reduce expenses. We are transitioning Cardial graft sales to our Burlington-manufactured AlboGraft product for additional cost savings and improved margins.

	•	In October 2019, we acquired the CardioCel and VascuCel biologic patch businesses from Anteris. In July 2020, we initiated a project to transfer production to our Burlington facilities. The transfer to Burlington was substantially completed in 2023. In June 2023, the MDR CE mark application for these Burlington-produced devices was submitted, and we anticipate this application process to take 18-30 months. We began distributing these Burlington-produced patches in the U.S. and select APAC markets in Q2 2024, and in Canada in July 2024.

Finally, from time to time we enter into distribution agreements of complementary product lines with an option to acquire the product line in the future.

•

In April 2023, we entered into an agreement with Elutia Inc. to become the exclusive U.S. distributor of their cardiovascular porcine patches. Under the agreement, we can distribute the products for three years with an option to acquire Elutia Inc’s worldwide cardiovascular porcine patch business during the second and third year of the agreement. Sales through LeMaitre Vascular for the nine months ended December 31, 2023, were $4.1 million. Sales through LeMaitre Vascular for the six months ended June 30, 2024 were $2.7 million.

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

In February 2024, we began implementing a new enterprise resource planning system (ERP) to replace our financial reporting and planning system. We expect that the new ERP system will be beneficial in a number of areas, including inventory management, pricing programs, financial operations and real-time reporting. We have been preparing for this transition since 2022 and have hired an experienced consulting team to assist in this transition, and in the U.S., we transitioned from our legacy ERP system to our newly implemented Microsoft Dynamics D365 system in Q1 2024. We expect to implement this new system in selected countries in Europe in 2025. As of June 30, 2024, we have capitalized costs on our balance sheet of approximately $3.9 million associated with this ERP system.

Fluctuations in the exchange rates between the U.S. dollar and foreign currencies, primarily the Euro, affect our financial results. For the six months ended June 30, 2024, approximately 42% of our sales took place outside of the U.S., largely in currencies other than the U.S. dollar. We expect foreign currencies will represent a significant percentage of future sales. Selling, marketing, and administrative costs related to these sales are also denominated in foreign currencies, thereby partially mitigating our bottom-line exposure to exchange rate fluctuations. However, if there is an increase in the rate at which a foreign currency is exchanged for U.S. dollars, it will require more of the foreign currency to equal a specified amount of U.S. dollars than before the rate increase. In such cases we will record less revenue in U.S. dollars than we did before the exchange rate changed. For the six months ended June 30, 2024, we estimate that the effects of changes in foreign exchange rates decreased our reported sales by $0.4 million, as compared to rates in effect for the six months ended June 30, 2023.

Net Sales and Expense Components

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

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

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

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

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

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

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

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

Results of Operations

Comparison of the three- and six-month periods ended June 30, 2024 to the three- and six-month periods ended June 30, 2023:

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

	Three months ended June 30,							Six months ended June 30,
(unaudited)					Percent							Percent
	2024		2023		change			2024		2023		change
	(in thousands)							(in thousands)
Net sales	$	55,849	$	50,115		11	%	$	109,327	$	97,190		12	%

Net sales by geography:
Americas	$	36,907	$	33,507		10	%	$	72,152	$	65,633		10	%
Europe, Middle East and Africa		15,298		13,580		13	%		29,693		25,857		15	%
Asia Pacific		3,644		3,028		20	%		7,482		5,700		31	%
Total	$	55,849	$	50,115		11	%	$	109,327	$	97,190		12	%

Net sales. Net sales increased by $5.7 million, or 11%, to $55.8 million for the three months ended June 30, 2024, compared to $50.1 million for the three months ended June 30, 2023. The increase was driven primarily by higher average selling prices, strong hospital procedure volumes, and additional sales representatives. Allograft preservation services increased $1.3 million, carotid shunt sales increased $1.0 million, bovine vascular patch sales increased $0.9 million, and valvulotome sales increased $0.8 million. We estimate that the stronger U.S. dollar decreased net sales by $0.4 million during the three months ended June 30, 2024 as compared to the three months ended June 30, 2023.

Direct-to-hospital net sales were 95% of our total net sales for both the three months ended June 30, 2024 and 2023.

Net sales increased by $12.1 million, or 12%, to $109.3 million for the six months ended June 30, 2024, compared to $97.2 million for the six months ended June 30, 2023. The increase was driven primarily by higher average selling prices, strong hospital procedure volumes, additional sales representatives, and sales related to our new porcine patch product line. Allograft preservation services increased $2.6 million, carotid shunt sales increased $2.2 million, bovine vascular patch sales increased $1.9 million, and porcine patch sales increased $1.5 million. We estimate that the stronger U.S. dollar decreased net sales by $0.4 million during the six months ended June 30, 2024 as compared to the six months ended June 30, 2023.

Direct-to-hospital net sales were 95% and 96% of our total net sales for the six months ended June 30, 2024 and 2023, respectively.

Net sales by geography. Net sales in the Americas increased $3.4 million, or 10%, for the three months ended June 30, 2024 as compared to the three months ended June 30, 2023. The increase was driven primarily by increased sales of allograft preservation services of $1.0 million, bovine grafts and bovine vascular patches of $0.7 million each, and valvulotomes of $0.5 million.

Net sales in the Americas increased $6.5 million, or 10%, for the six months ended June 30, 2024 as compared to the six months ended June 30, 2023. The increase was driven primarily by increased sales of allograft preservation services of $2.2 million, porcine patches of $1.5 million, and bovine vascular patches and bovine grafts of $1.0 million each.

EMEA net sales increased $1.7 million, or 13%, for the three months ended June 30, 2024 as compared to the three months ended June 30, 2023. The increase was driven primarily by increased sales of carotid shunts of $0.7 million, and polyester grafts and allograft preservation services of $0.3 million each.

EMEA net sales increased $3.8 million, or 15%, for the six months ended June 30, 2024 as compared to the six months ended June 30, 2023. The increase was driven primarily by increased sales of carotid shunts of $1.6 million, bovine vascular patches of $0.7 million, allograft preservation services of $0.4 million, and polyester grafts of $0.3 million.

Asia Pacific net sales increased $0.6 million, or 20%, for the three months ended June 30, 2024 as compared to the three months ended June 30, 2023. The increase was driven primarily by increased sales of over-the-wire embolectomy catheters of $0.3 million and ePTFE vascular grafts of $0.1 million.

Asia Pacific net sales increased $1.8 million, or 31%, for the six months ended June 30, 2024 as compared to the six months ended June 30, 2023. The increase was driven primarily by increased sales of over-the-wire embolectomy catheters of $0.5 million, ePTFE vascular grafts of $0.4 million, and occlusion catheters and embolectomy catheters of $0.2 million each.

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

	Three months ended June 30,												Six months ended June 30,
(unaudited)										Percent												Percent
	2024			2023			Change			change			2024			2023			Change			change
	(in thousands)												(in thousands)
Gross profit	$	38,468		$	32,086		$	6,382			20	%	$	75,133		$	62,969		$	12,164			19	%

Gross margin		68.9	%		64.0	%		4.9	%		*			68.7	%		64.8	%		3.9	%		*

*Not applicable

Gross profit increased $6.4 million, or 20%, to $38.5 million for the three months ended June 30, 2024, and gross margin increased 490 basis points to 68.9% in the period. The increase in gross profit was driven primarily by increased sales, particularly from allograft preservation services, carotid shunts, bovine vascular patches and valvulotomes. The increase in gross margin was driven primarily by greater manufacturing efficiencies, sales price increases, and favorable product mix, which was partially offset by increased shipping and warehousing costs and unfavorable foreign exchange rates due to the stronger U.S. dollar.

Gross profit increased $12.2 million, or 19%, to $75.1 million for the six months ended June 30, 2024, and gross margin increased 390 basis points to 68.7% in the period. The increase in gross profit was driven primarily by increased sales, particularly from allograft preservation services, carotid shunts, bovine vascular patches and porcine patches. The increase in gross margin was driven primarily by greater manufacturing efficiencies and sales price increases, which was partially offset by increased shipping and warehousing costs, unfavorable product mix, including sales of comparatively lower margin porcine patches and sales of our existing allograft preservation services, and increased excess and obsolescence charges.

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

	Three months ended June 30,										Six months ended June 30,
(unaudited)								Percent										Percent
	2024		2023		$ Change			change			2024		2023		$ Change			change
	(in thousands)										(in thousands)
Sales and marketing	$	10,984	$	10,216	$	768			8	%	$	22,670	$	21,113	$	1,557			7	%
General and administrative		8,820		7,722		1,098			14	%		17,833		15,654		2,179			14	%
Research and development		4,284		4,516		(232	)		(5	%)		8,376		8,391		(15	)		(0	%)
Restructuring		-		180		(180	)		*			-		485		(485	)		*
Total	$	24,088	$	22,634	$	1,454			6	%	$	48,879	$	45,643	$	3,236			7	%

	Three months ended June 30,									Six months ended June 30,
	2024			2023						2024			2023
	% of Net Sales			% of Net Sales			Change			% of Net Sales			% of Net Sales			Change

Sales and marketing		20	%		20	%		0	%		21	%		22	%		(1	%)
General and administrative		16	%		15	%		1	%		16	%		16	%		0	%
Research and development		8	%		9	%		(1	%)		8	%		9	%		(1	%)
Restructuring		0	%		0	%		0	%		0	%		0	%		0	%

* Not a meaningful percentage relationship.

Sales and marketing. For the three months ended June 30, 2024, sales and marketing expenses increased 8% to $11.0 million. The increase was driven primarily by higher sales representative headcount, which resulted in increased compensation and related expenses of $0.7 million. Additionally, travel and training expenses increased $0.2 million and facility expenses increased $0.1 million. The increase was partially offset by lower outside services and general supplies of $0.2 million. Sales rep headcount was 144 as of June 30, 2024, an 8% increase from June 30, 2023. As a percentage of sales, sales and marketing expenses remained consistent at 20% for the three months ended June 30, 2024 versus the prior year period.

For the six months ended June 30, 2024, sales and marketing expenses increased 7% to $22.7 million. The increase was driven primarily by higher sales representative headcount, which resulted in increased compensation and related expenses of $1.0 million. Additionally, travel, training and sales meetings expenses increased $0.9 million and facility expenses increased $0.1 million. The increase was partially offset by lower outside services and general supplies of $0.4 million. As a percentage of sales, sales and marketing expenses decreased to 21% for the six months ended June 30, 2024, down from 22% in the prior year period.

General and administrative. For the three months ended June 30, 2024, general and administrative expenses increased 14% to $8.8 million. The increase was driven primarily by higher outside services and professional fees, compensation and related expenses, and facilities expenses of $0.3 million each. Additionally, bad debt expenses increased $0.1 million due to increased uncertainty of accounts receivable collectability related to a small number of our customers. As a percentage of sales, general and administrative expenses increased to 16% for the three months ended June 30, 2024, up from 15% in the prior year period.

For the six months ended June 30, 2024, general and administrative expenses increased 14% to $17.8 million. The increase was driven primarily by higher outside services and professional fees of $1.1 million, compensation and related expenses of $0.5 million, facilities expenses of $0.2 million, and travel and training of $0.1 million. Additionally, bad debt expenses increased $0.2 million due to the increased uncertainty of accounts receivable collectability related to a small number of our customers. As a percentage of sales, general and administrative expenses remained consistent at 16% for the six months ended June 30, 2024 versus the prior year period

Research and development. For the three months ended June 30, 2024, research and development expenses decreased 5% to $4.3 million. The decrease was driven by lower outside services, professional fees and testing of $0.3 million related to elevated MDD and MDR services performed in the prior period. Additionally, process engineering expenses decreased $0.1 million as CardioCel device manufacturing was initiated at our Burlington facility, and related expenses were allocated to cost of sales. The decrease was partially offset by higher compensation and related expenses of $0.2 million. As a percentage of sales, research and development expenses decreased to 8% for the three months ended June 30, 2024, down from 9% in the prior year period.

For the six months ended June 30, 2024, research and development expenses were unchanged at $8.4 million. Compensation and related expenses increased $0.4 million, offset primarily by lower outside services, professional fees and testing of $0.3 million and facilities expenses of $0.2 million. As a percentage of sales, research and development expenses decreased to 8% for the six months ended June 30, 2024, down from 9% in the prior year period.

Restructuring. For the three and six months ended June 30, 2024, there were no restructuring expenses. On June 30, 2022, we ceased operations at our St. Etienne, France factory. The closure resulted in a restructuring charge of $3.1 million for the year ended December 31, 2022. These charges consisted primarily of employment termination costs, impairment of fixed assets and inventory, and third-party costs. For the three and six months ended June 30, 2023, we recorded additional restructuring expenses of $0.2 million and $0.5 million, respectively. The additional expenses consisted primarily of employment termination, settlement, legal and other third-party costs.

Income tax expense. We recorded a tax provision of $3.7 million on pre-tax income of $15.5 million for the three months ended June 30, 2024, compared to a $2.2 million tax provision on pre-tax income of $10.3 million for the three months ended June 30, 2023. We recorded a tax provision of $6.6 million on pre-tax income of $28.3 million for the six months ended June 30, 2024, compared to a tax provision of $4.2 million on pre-tax income of $18.3 million for the six months ended June 30, 2023. Our effective income tax rate was 23.7% and 23.3% for the three- and six-month periods ended June 30, 2024. Our tax expense for the current period is based on an estimated annual effective tax rate of 24.3%, adjusted in the applicable quarterly periods for discrete stock option exercises and other discrete items. Our income tax expense for the current period varies from the statutory rate mainly due to the generation of federal and state tax credits, permanent items, different statutory rates from our foreign entities, and a discrete item for stock option exercises.

Our effective income tax rate was 21.5% and 22.8% for the three- and six-month periods ended June 30, 2023. Our 2023 provision was based on the estimated annual effective tax rate of 25.6%, adjusted in the applicable quarterly period for discrete stock option exercises and other discrete items. Our income tax expense for the three- and six-month periods ended June 30, 2023 varied from the statutory rate mainly due to the generation of federal and state tax credits, permanent items, different statutory rates from our foreign entities, and a discrete item for stock option exercises.

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

We assess the likelihood that our deferred tax assets will be realized through future taxable income and record a valuation allowance to reduce gross deferred tax assets to an amount that we believe is more likely than not to be realized. As of June 30, 2024, we have provided a valuation allowance of $1.7 million for deferred tax assets primarily related to Australian net operating loss and capital loss carry forwards and Massachusetts tax credit carry forwards that are not expected to be realized.

The Inflation Reduction Act (IRA) was enacted into law on August 16, 2022. Included in the IRA was a provision to implement a 15% corporate alternative minimum tax on “adjusted financial statement income” for applicable corporations and a 1% excise tax on repurchases of stock. These provisions are effective for tax years beginning after December 31, 2022. We do not currently believe the IRA will have a material impact on our reported results, cash flows or financial position.

Liquidity and Capital Resources

As of June 30, 2024, our cash and cash equivalents were $22.3 million as compared to $24.3 million as of December 31, 2023. We had $90.8 million in short-term marketable securities as of June 30, 2024, and $80.8 million as of December 31, 2023. Our cash and cash equivalents are liquid investments with maturities of 90 days or less at the date of purchase and consist primarily of operating bank accounts. Our short-term marketable securities consist of a managed income mutual fund investing mainly in short-term investment grade, U.S. dollar denominated fixed and floating-rate debt, and a short-duration bond fund. As of June 30, 2024, our short-term marketable securities reflected an unrealized loss of $1.2 million as a result of increasing market interest rates.

Operating and Capital Expenditure Requirements

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

We recognized operating income of $26.3 million for the six months ended June 30, 2024, compared to $17.3 million for the six months ended June 30, 2023. For the year ended December 31, 2023, we had operating income of $36.7 million. We expect to fund any increased costs and expenditures from our existing cash and cash equivalents, though our future capital requirements depend on numerous factors. These factors include, but are not limited to, the following:

	•	revenues generated by sales of our products and services;

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

	•	future acquisition-related payments;

	•	payments associated with income and other taxes;

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

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

	•	costs of obtaining and maintaining U.S. FDA and other regulatory clearances;

	•	costs associated with obtaining European MDR CE mark approvals;

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

	•	potential future share repurchases.

Our cash balances may decrease as we continue to use cash to fund our operations, make acquisitions, pay dividends, repurchase shares of our common stock and make deferred payments related to prior acquisitions. We believe that our cash, cash equivalents, investments and the interest we earn on these balances will be sufficient to meet our anticipated cash requirements for at least the next twelve months and to meet our known long-term cash requirements. If these sources of cash are insufficient to satisfy our liquidity requirements beyond the next twelve months, we may seek to sell additional equity or debt securities or take out a loan. The sale of additional equity and debt securities may result in dilution to our stockholders, as was the case with our July 2021 equity offering. If we raise additional funds through the issuance of debt securities, such securities could have rights senior to those of our common stock and could contain covenants that would restrict our operations and possibly our ability to pay dividends. We may require additional capital beyond our currently forecasted amounts. Any required additional capital may not be available on reasonable terms, if at all.

Dividends

Record Date	Payment Date	Per Share Amount		Dividend Payment
				(in thousands)
Fiscal Year 2024
March 14, 2024	March 28, 2024	$	0.16	$	3,589
May 16, 2024	May 30, 2024	$	0.16	$	3,593

Fiscal Year 2023
March 9, 2023	March 23, 2023	$	0.14	$	3,099
May 17, 2023	June 1, 2023	$	0.14	$	3,116
August 17, 2023	August 31, 2023	$	0.14	$	3,117
November 16, 2023	November 30, 2023	$	0.14	$	3,117

Cash Flows

	Six months ended June 30,
	2024			2023			Net Change
	(in thousands)
Cash and cash equivalents	$	22,268		$	19,488		$	2,780

Cash flows provided by (used in):
Operating activities	$	14,696		$	14,182		$	514
Investing activities		(13,364	)		(12,603	)		(761	)
Financing activities		(2,831	)		(1,323	)		(1,508	)

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

Net cash provided by operating activities was $14.2 million for the six months ended June 30, 2023, consisting of $14.1 million in net income, adjustments for non-cash or non-operating items of $8.6 million (including primarily depreciation and amortization of $4.7 million, stock-based compensation of $2.6 million, provisions for inventory write-offs and credit losses of $0.8 million, and loss on divestiture of $0.5 million), and a net use of working capital of $8.6 million. The net cash used for working capital was driven by an increase in accounts receivable of $4.2 million, an increase in inventory and other deferred costs of $4.3 million, and payments of accounts payable and other liabilities of $1.0 million. These cash uses were offset by a decrease in prepaid expenses and other assets of $0.9 million.

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

Net cash used in investing activities was $12.6 million for the six months ended June 30, 2023, consisting of expenditures on property and equipment of $4.9 million, purchases of marketable securities of $7.2 million, and acquisition related payments of $0.4 million.

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

Net cash used in financing activities was $1.3 million for the six months ended June 30, 2023, consisting of proceeds from stock option exercises of $4.9 million, net of shares repurchased used to pay employee payroll taxes. This proceed of cash was offset by dividend payments of $6.2 million.

Critical Accounting Policies and Estimates

We have adopted various accounting policies to prepare our consolidated financial statements in accordance with U.S. generally accepted accounting principles, or U.S. GAAP. Our most significant accounting policies are described in Note 1 to our consolidated financial statements included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2023. There have been no material changes in our critical accounting policies during the six months ended June 30, 2024. The preparation of our consolidated financial statements in conformity with U.S. GAAP requires us to make estimates and assumptions that affect the amounts reported in our consolidated financial statements and accompanying notes. Our estimates and assumptions, including those related to revenue recognition, inventory valuation, valuation of intangible assets and goodwill, contingent consideration and income taxes are reviewed on an ongoing basis and updated as appropriate. Actual results may differ from those estimates.

Recent Accounting Pronouncements

A summary of recent accounting pronouncements that may impact our financial statements upon adoption in future periods can be found in Note 1 to our financial statements included under Part 1, Item 1 of this Quarterly Report on Form 10-Q.

Item 3. Quantitative and Qualitative Disclosures About Market Risk

In the ordinary course of conducting business, we are exposed to certain risks associated with potential changes in market conditions. These market risks include changes in currency exchange rates and interest rates which could affect operating results, financial position and cash flows. We manage our exposure to these market risks through our regular operating and financing activities and, if considered appropriate, we may enter into derivative financial instruments such as forward currency exchange contracts, although we have not done so in 2024 or in recent years. There have been no material changes in our quantitative and qualitative market risks since the disclosure in our Annual Report on Form 10-K for the year ended December 31, 2023.

Item 4. Controls and Procedures

Evaluation of Disclosure Controls and Procedures

Our management, with the participation and supervision of our Chief Executive Officer and Chief Financial Officer, is responsible for our disclosure controls and procedures pursuant to Rules 13a-15(e) and 15d-15(e) under the Exchange Act. Disclosure controls and procedures are controls and other procedures that are designed to ensure that information required to be disclosed in our reports filed or submitted under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified under SEC rules and forms. Disclosure controls and procedures include controls and procedures designed to ensure that information required to be disclosed in our reports filed under the Exchange Act is accumulated and communicated to our principal executive officer and our principal financial officer, as appropriate, to allow timely decisions regarding required disclosure. We design our disclosure controls and procedures to ensure, at reasonable assurance levels, that such information is timely recorded, processed, summarized and reported, and then accumulated and communicated appropriately.

Based on an evaluation of our disclosure controls and procedures as of June 30, 2024, our Chief Executive Officer and Chief Financial Officer concluded that, as of such date, our disclosure controls and procedures were effective at reasonable assurance levels.

Changes in Internal Control

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

Other than the new ERP system implementation, there have been no changes to our internal control over financial reporting during the quarter ended June 30, 2024, that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

Inherent Limitations of Internal Controls

Notwithstanding the foregoing, our management, including our Chief Executive Officer and Chief Financial Officer, does not expect that our disclosure controls and procedures or our internal controls will prevent all error and all fraud. A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, within the Company have been detected. These inherent limitations include the realities that judgments in decision-making can be faulty, and that breakdowns can occur because of a simple error or mistake. Additionally, controls can be circumvented by the individual acts of some persons, by collusion of two or more people, or by management override of the control. The design of any system of controls is based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any system will succeed in achieving its stated goals under all potential future conditions. Over time, control may become inadequate because of changes in conditions, or the degree of compliance with the policies or procedures may deteriorate. Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud may occur and not be detected.

Part II. Other Information

Item 1. Legal Proceedings

In the ordinary course of business, we are from time to time involved in lawsuits, claims, investigations, proceedings, and threats of litigation relating to employment, product liability, commercial arrangements, contracts, intellectual property and other matters. While the outcome of these proceedings and claims cannot be predicted with certainty, there are no matters, as of August 8, 2024, that management believes would have a material adverse effect on our financial position, results of operations or cash flows.

Item 1A. Risk Factors

There have been no material changes to the risk factors we previously disclosed in our Annual Report on Form 10-K for the year ended December 31, 2023. However, we cannot provide any assurance that any risk factor will not materialize.

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

Recent Sales of Unregistered Securities

None.

Issuer Purchases of Equity Securities

	Issuer Purchases of Equity Securities
							Maximum Number
							(or Approximate
					Total Number of		Dollar Value) of
					Shares (or Units)		Shares (or Units)
	Total		Average		Purchased as		that may yet be
	Number of		Price		Part of Publicly		Purchased under
	Shares (or Units)		Paid Per		Announced Plans		the Plans or
Period	Purchased (1)		Share (or Unit)		or Program		Program
April 1, 2024 through April 30, 2024		77	$	65.69		-	$	-
May 1, 2024 through May 31, 2024		18	$	76.00		-	$	-
June 1, 2024 through June 30, 2024		-	$	-		-	$	-
Total		95	$	67.64		-	$	-

(1) For the three months ended June 30, 2024, we repurchased 95 shares of our common stock to satisfy employees’ obligations with respect to minimum statutory withholding taxes in connection with the vesting of restricted stock units.

Item 5. Other Information

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

During the fiscal quarter ended June 30, 2024, none of our directors or officers informed us of the adoption, modification or termination of a Rule 10b5-1 trading arrangement or non-Rule 10b5-1 trading arrangement, as those terms are defined in Regulation S-K, Item 408.

Item 6. Exhibits

		Incorporated by Reference
Exhibit Number	Exhibit Description	Form	Date	Number	Filed Herewith

3.1	Amended and Restated By-laws of the Registrant	S-1/A	5/26/06	001-33092
3.2	Second Amended and Restated Certificate of Incorporation of the Registrant	10-K	3/29/10	001-33092
3.3	Amendment to Second Amended and Restated Certificate of Incorporation of the Registrant	8-K	6/5/12	001-33092
10.1	LeMaitre Vascular, Inc. Fourth Amendment and Restated 2006 Stock Option and Incentive Plan	8-K	6/3/24	001-33092
31.1	Certification of Chief Executive Officer, as required by Rule 13a-14(a) or Rule 15 d-14(a).				X
31.2	Certification of Chief Financial Officer, as required by Rule 13a-14(a) or Rule 15d-14(a).				X
32.1	Certification by the Chief Executive Officer, as required by Rule 13a-14(b) or Rule 15d-14(b) and Section 1350 of Chapter 63 of Title 18 of the United States Code (18 U.S.C. §1350).*				X
32.2	Certification by the Chief Financial Officer, as required by Rule 13a-14(b) or Rule 15d-14(b) and Section 1350 of Chapter 63 of Title 18 of the United States Code (18 U.S.C. §1350).*				X
101.INS	Inline XBRL Instance Document.				X
101.SCH	Inline XBRL Taxonomy Extension Schema Document.				X
101.CAL	Inline XBRL Taxonomy Extension Calculation Linkbase Document.				X
101.DEF	Inline XBRL Taxonomy Extension Definition Linkbase Document.				X
101.LAB	Inline XBRL Taxonomy Extension Label Linkbase Document.				X
101.PRE	Inline XBRL Taxonomy Extension Presentation Linkbase Document.				X

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

†

Indicates a management contract or any compensatory plan, contract, or arrangement.

The certifications attached as Exhibit 32.1 and Exhibit 32.2 that accompany this Quarterly Report on Form 10-Q, are not deemed filed with the SEC and are not to be incorporated by reference into any filing of LeMaitre Vascular, Inc. under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended, whether made before or after the date of this Quarterly Report on Form 10-Q, irrespective of any general incorporation language contained in such filing.

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized on August 8, 2024.

LEMAITRE VASCULAR, INC.

/s/ George W. LeMaitre
George W. LeMaitre
Chairman and Chief Executive Officer

/s/ Joseph P. Pellegrino, Jr.
Joseph P. Pellegrino, Jr.
Chief Financial Officer and Director

EXHIBIT 31.1

CERTIFICATION

I, George W. LeMaitre, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of LeMaitre Vascular, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of registrant’s board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

	/s/ George W. LeMaitre
	George W. LeMaitre
	Chairman and Chief Executive Officer
	(Principal Executive Officer)

Date: August 8, 2024

EXHIBIT 31.2

CERTIFICATION

I, Joseph P. Pellegrino, Jr., certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of LeMaitre Vascular, Inc.;

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

	/s/ Joseph P. Pellegrino, Jr.
	Joseph P. Pellegrino, Jr.
	Chief Financial Officer and Director
	(Principal Accounting and Financial Officer)

Date: August 8, 2024

EXHIBIT 32.1

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Pursuant to the requirement set forth in Rule 13a-14(b) of the Securities Exchange Act of 1934, as amended, (the “Exchange Act”), and Section 1350 of Chapter 63 of Title 18 of the United States Code (18 U.S.C. §1350), George W. LeMaitre, Chairman and Chief Executive Officer of LeMaitre Vascular, Inc. (the “Company”), certifies to the best of his knowledge that:

(1) The Company’s Quarterly Report on Form 10-Q for the period ended June 30, 2024 (the “Report”) fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

This certification is being provided pursuant to 18 U.S.C. § 1350 and is not deemed to be a part of the Report, nor is it to deemed to be “filed” for any purpose whatsoever.

/s/ George W. LeMaitre
George W. LeMaitre
Chairman and Chief Executive Officer
(Principal Executive Officer)
August 8, 2024

EXHIBIT 32.2

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Pursuant to the requirement set forth in Rule 13a-14(b) of the Securities Exchange Act of 1934, as amended, (the “Exchange Act”), and Section 1350 of Chapter 63 of Title 18 of the United States Code (18 U.S.C. §1350), Joseph P. Pellegrino, Jr., Chief Financial Officer of LeMaitre Vascular, Inc. (the “Company”), certifies to the best of his knowledge that:

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

This certification is being provided pursuant to 18 U.S.C. § 1350 and is not deemed to be a part of the Report, nor is it to deemed to be “filed” for any purpose whatsoever.

/s/ Joseph P. Pellegrino, Jr.
Joseph P. Pellegrino, Jr.
Chief Financial Officer and Director
(Principal Accounting and Financial Officer)
August 8, 2024

Document And Entity Information - shares	6 Months Ended
Document And Entity Information - shares	Jun. 30, 2024	Aug. 05, 2024
Document Information [Line Items]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Jun. 30, 2024
Document Transition Report	false
Entity File Number	001-33092
Entity Registrant Name	LEMAITRE VASCULAR, INC.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	04-2825458
Entity Address, Address Line One	63 Second Avenue
Entity Address, City or Town	Burlington
Entity Address, State or Province	MA
Entity Address, Postal Zip Code	01803
City Area Code	781
Local Phone Number	221-2266
Title of 12(b) Security	Common stock, $0.01 par value per share
Trading Symbol	LMAT
Security Exchange Name	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding (in shares)		22,468,843
Entity Central Index Key	0001158895
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2024
Document Fiscal Period Focus	Q2
Amendment Flag	false

Consolidated Balance Sheets (Current Period Unaudited) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Current assets:
Cash and cash equivalents	$ 22,268	$ 24,269
Short-term marketable securities	90,831	80,805
Accounts receivable, net of allowances of $1,285 at March 31, 2024 and $941 at December 31, 2023	30,822	25,064
Inventory and other deferred costs	63,673	58,080
Prepaid expenses and other current assets	5,217	6,380
Total current assets	212,811	194,598
Property and equipment, net	23,117	21,754
Right-of-use leased assets	17,294	18,027
Goodwill	65,945	65,945
Other intangibles, net	38,767	41,711
Deferred tax assets	1,028	1,003
Other assets	4,117	3,740
Total assets	363,079	346,778
Current liabilities:
Accounts payable	1,995	3,734
Accrued expenses	20,785	23,650
Acquisition-related obligations	75	24
Lease liabilities - short-term	2,591	2,471
Total current liabilities	25,446	29,879
Lease liabilities - long-term	15,818	16,624
Deferred tax liabilities	104	107
Other long-term liabilities	2,179	2,268
Total liabilities	43,547	48,878
Stockholders’ equity:
Preferred stock, $0.01 par value; authorized 3,000,000 shares; none outstanding	0	0
Common stock, $0.01 par value; authorized 37,000,000 shares; issued 24,036,300 shares at March 31, 2024, and 23,911,760 shares at December 31, 2023	240	239
Additional paid-in capital	208,689	200,755
Retained earnings	129,961	115,430
Accumulated other comprehensive loss	(5,094)	(4,625)
Treasury stock, at cost; 1,590,362 shares at March 31, 2024 and 1,584,512 shares at December 31, 2023	(14,264)	(13,899)
Total stockholders’ equity	319,532	297,900
Total liabilities and stockholders’ equity	$ 363,079	$ 346,778

Consolidated Balance Sheets (Current Period Unaudited) (Parentheticals) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023	Dec. 31, 2022
Accounts Receivable, Allowance for Credit Loss, Current	$ 1,286		$ 941
Preferred stock, par value (in dollars per share)	$ 0.01	$ 0.01
Preferred stock, shares authorized (in shares)	3,000,000	3,000,000
Preferred stock, shares outstanding (in shares)	0		0
Common stock, par value (in dollars per share)	$ 0.01		$ 0.01
Common stock, shares authorized (in shares)	37,000,000	37,000,000
Common Stock, Shares, Issued (in shares)	24,059,300	23,911,760
Treasury Stock, Common, Shares (in shares)	1,590,457	1,584,512

Consolidated Statements of Operations (Unaudited) - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Net sales	$ 55,849	$ 50,115	$ 109,327	$ 97,190
Cost of sales	17,381	18,029	34,194	34,221
Gross profit	38,468	32,086	75,133	62,969
Sales and marketing	10,984	10,216	22,670	21,113
General and administrative	8,820	7,722	17,833	15,654
Research and development	4,284	4,516	8,376	8,391
Restructuring	0	180	0	485
Total operating expenses	24,088	22,634	48,879	45,643
Income from operations	14,380	9,452	26,254	17,326
Other income (expense):
Interest income	1,137	682	2,138	1,250
Foreign currency loss	(11)	185	(89)	(240)
Income before income taxes	15,506	10,319	28,303	18,336
Provision for income taxes	3,680	2,221	6,590	4,198
Net income	$ 11,826	$ 8,098	$ 21,713	$ 14,138
Earnings per share of common stock:
Basic (in dollars per share)	$ 0.53	$ 0.36	$ 0.97	$ 0.64
Diluted (in dollars per share)	$ 0.52	$ 0.36	$ 0.96	$ 0.63
Weighted-average shares outstanding:
Basic (in shares)	22,458	22,213	22,412	22,162
Diluted (in shares)	22,725	22,451	22,657	22,371
Cash dividends declared per common share (in dollars per share)	$ 0.16	$ 0.14	$ 0.32	$ 0.28

Consolidated Statements of Comprehensive Income (Unaudited) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Net income	$ 11,826	$ 8,098	$ 21,713	$ 14,138
Other comprehensive income (loss):
Foreign currency translation adjustment, net	451	89	(380)	341
Unrealized loss on short-term marketable securities	13	(339)	(89)	(132)
Total other comprehensive loss	464	(250)	(469)	209
Comprehensive income	$ 12,290	$ 7,848	$ 21,244	$ 14,347

Consolidated Statements of Stockholders' Equity (Unaudited) - USD ($) $ in Thousands	Common Stock [Member] Restricted Stock Units (RSUs) [Member]	Common Stock [Member] Performance-based Restricted Units [Member]	Common Stock [Member]	Additional Paid-in Capital [Member]	Retained Earnings [Member]	AOCI Attributable to Parent [Member]	Treasury Stock, Common [Member]	Restricted Stock Units (RSUs) [Member]	Performance-based Restricted Units [Member]	Total
Balance (in shares) at Dec. 31, 2022			23,655,716				1,568,595
Balance at Dec. 31, 2022			$ 237	$ 189,268	$ 97,773	$ (6,031)	$ (13,046)			$ 268,201
Net income					6,040					6,040
Other comprehensive income (loss)						459				459
Issuance of common stock for stock options exercised (in shares)			50,424
Issuance of common stock for stock options exercised			$ 1	1,445						1,446
Vested restricted stock units (in shares)	8,773
Vested restricted stock units	$ 0							$ 0
Repurchase of common stock for net settlement of equity awards (in shares)							3,602
Repurchase of common stock for net settlement of equity awards							$ (172)			(172)
Stock-based compensation expense				1,290						1,290
Common stock dividend paid					(3,099)					(3,099)
Balance (in shares) at Dec. 31, 2022			23,655,716				1,568,595
Balance at Dec. 31, 2022			$ 237	189,268	97,773	(6,031)	$ (13,046)			268,201
Net income										14,138
Other comprehensive income (loss)										209
Balance (in shares) at Mar. 31, 2023			23,714,913				1,572,197
Balance at Mar. 31, 2023			$ 238	192,003	100,714	(5,572)	$ (13,218)			274,165
Net income					8,098					8,098
Other comprehensive income (loss)						(250)				(250)
Issuance of common stock for stock options exercised (in shares)			120,179
Issuance of common stock for stock options exercised			$ 1	3,626						3,627
Vested restricted stock units (in shares)			399
Vested restricted stock units			$ 0							0
Repurchase of common stock for net settlement of equity awards (in shares)							151
Repurchase of common stock for net settlement of equity awards							$ (9)			(9)
Stock-based compensation expense				1,312						1,312
Common stock dividend paid					(3,116)					(3,116)
Balance (in shares) at Dec. 31, 2023			23,911,760				1,584,512
Balance at Dec. 31, 2023			$ 239	200,755	115,430	(4,625)	$ (13,899)			297,900
Net income					9,887					9,887
Other comprehensive income (loss)						(933)				(933)
Issuance of common stock for stock options exercised (in shares)			107,930
Issuance of common stock for stock options exercised			$ 1	3,985						3,986
Vested restricted stock units (in shares)	9,547	7,063
Vested restricted stock units	$ 0	$ 0						0	$ 0
Repurchase of common stock for net settlement of equity awards (in shares)							5,850
Repurchase of common stock for net settlement of equity awards							$ (358)			(358)
Stock-based compensation expense				1,610						1,610
Common stock dividend paid					(3,589)					(3,589)
Balance (in shares) at Dec. 31, 2023			23,911,760				1,584,512
Balance at Dec. 31, 2023			$ 239	200,755	115,430	(4,625)	$ (13,899)			297,900
Net income										21,713
Other comprehensive income (loss)										(469)
Balance (in shares) at Mar. 31, 2024			24,036,300				1,590,362
Balance at Mar. 31, 2024			$ 240	206,350	121,728	(5,558)	$ (14,257)			308,503
Net income					11,826					11,826
Other comprehensive income (loss)						$ 464				464
Issuance of common stock for stock options exercised (in shares)			22,700
Issuance of common stock for stock options exercised			$ 0	730						730
Vested restricted stock units (in shares)	223	77
Vested restricted stock units	$ 0	$ 0						$ 0	$ 0
Repurchase of common stock for net settlement of equity awards (in shares)							95
Repurchase of common stock for net settlement of equity awards										(7)
Stock-based compensation expense				$ 1,609						1,609
Common stock dividend paid					$ (3,593)					$ (3,593)

Consolidated Statements of Stockholders' Equity (Unaudited) 2 - USD ($) $ in Thousands	Common Stock [Member] Restricted Stock Units (RSUs) [Member]	Common Stock [Member]	Additional Paid-in Capital [Member]	Retained Earnings [Member]	AOCI Attributable to Parent [Member]	Treasury Stock, Common [Member]	Restricted Stock Units (RSUs) [Member]	Total
Balance (in shares) at Dec. 31, 2022		23,655,716				1,568,595
Balance at Dec. 31, 2022		$ 237	$ 189,268	$ 97,773	$ (6,031)	$ (13,046)		$ 268,201
Net income				6,040				6,040
Other comprehensive income (loss)					459			459
Issuance of common stock for stock options exercised (in shares)		50,424
Issuance of common stock for stock options exercised		$ 1	1,445					1,446
Vested restricted stock units (in shares)	8,773
Vested restricted stock units	$ 0						$ 0
Repurchase of common stock for net settlement of equity awards (in shares)						3,602
Repurchase of common stock for net settlement of equity awards						$ (172)		(172)
Stock-based compensation expense			1,290					1,290
Common stock dividend paid				(3,099)				(3,099)
Balance (in shares) at Mar. 31, 2023		23,714,913				1,572,197
Balance at Mar. 31, 2023		$ 238	192,003	100,714	(5,572)	$ (13,218)		274,165
Balance (in shares) at Dec. 31, 2022		23,655,716				1,568,595
Balance at Dec. 31, 2022		$ 237	189,268	97,773	(6,031)	$ (13,046)		268,201
Net income								14,138
Other comprehensive income (loss)								209
Balance (in shares) at Jun. 30, 2023		23,835,491				1,572,348
Balance at Jun. 30, 2023		$ 239	196,941	105,696	(5,822)	$ (13,227)		283,827
Balance (in shares) at Mar. 31, 2023		23,714,913				1,572,197
Balance at Mar. 31, 2023		$ 238	192,003	100,714	(5,572)	$ (13,218)		274,165
Net income				8,098				8,098
Other comprehensive income (loss)					(250)			(250)
Issuance of common stock for stock options exercised (in shares)		120,179
Issuance of common stock for stock options exercised		$ 1	3,626					3,627
Vested restricted stock units (in shares)		399
Vested restricted stock units		$ 0						0
Repurchase of common stock for net settlement of equity awards (in shares)						151
Repurchase of common stock for net settlement of equity awards						$ (9)		(9)
Stock-based compensation expense			1,312					1,312
Common stock dividend paid				(3,116)				(3,116)
Balance (in shares) at Jun. 30, 2023		23,835,491				1,572,348
Balance at Jun. 30, 2023		$ 239	196,941	105,696	(5,822)	$ (13,227)		283,827
Balance (in shares) at Dec. 31, 2023		23,911,760				1,584,512
Balance at Dec. 31, 2023		$ 239	200,755	115,430	(4,625)	$ (13,899)		297,900
Net income				9,887				9,887
Other comprehensive income (loss)					(933)			(933)
Issuance of common stock for stock options exercised (in shares)		107,930
Issuance of common stock for stock options exercised		$ 1	3,985					3,986
Vested restricted stock units (in shares)	9,547
Vested restricted stock units	$ 0						0
Repurchase of common stock for net settlement of equity awards (in shares)						5,850
Repurchase of common stock for net settlement of equity awards						$ (358)		(358)
Stock-based compensation expense			1,610					1,610
Common stock dividend paid				(3,589)				(3,589)
Balance (in shares) at Mar. 31, 2024		24,036,300				1,590,362
Balance at Mar. 31, 2024		$ 240	206,350	121,728	(5,558)	$ (14,257)		308,503
Balance (in shares) at Dec. 31, 2023		23,911,760				1,584,512
Balance at Dec. 31, 2023		$ 239	200,755	115,430	(4,625)	$ (13,899)		297,900
Net income								21,713
Other comprehensive income (loss)								(469)
Balance (in shares) at Jun. 30, 2024		24,059,300				1,590,457
Balance at Jun. 30, 2024		$ 240	208,689	129,961	(5,094)	$ (14,264)		319,532
Balance (in shares) at Mar. 31, 2024		24,036,300				1,590,362
Balance at Mar. 31, 2024		$ 240	206,350	121,728	(5,558)	$ (14,257)		308,503
Net income				11,826				11,826
Other comprehensive income (loss)					464			464
Issuance of common stock for stock options exercised (in shares)		22,700
Issuance of common stock for stock options exercised		$ 0	730					730
Vested restricted stock units (in shares)	223
Vested restricted stock units	$ 0						$ 0
Repurchase of common stock for net settlement of equity awards (in shares)						95
Repurchase of common stock for net settlement of equity awards								(7)
Stock-based compensation expense			1,609					1,609
Common stock dividend paid				(3,593)				(3,593)
Balance (in shares) at Jun. 30, 2024		24,059,300				1,590,457
Balance at Jun. 30, 2024		$ 240	$ 208,689	$ 129,961	$ (5,094)	$ (14,264)		$ 319,532

Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023
Operating activities
Net income	$ 21,713	$ 14,138
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	4,766	4,677
Stock-based compensation	3,219	2,602
Provision for inventory write-downs	1,260	834
Provision for doubtful accounts	400	(27)
Fair value adjustment to contingent consideration obligations	46	48
Loss on divestitures	0	485
Foreign currency effect on net income	678	1
Changes in operating assets and liabilities:
Accounts receivable	(6,493)	(4,239)
Inventory and other deferred costs	(7,287)	(4,272)
Prepaid expenses and other assets	729	922
Accounts payable and other liabilities	(4,335)	(987)
Net cash provided by operating activities	14,696	14,182
Investing activities
Purchases of property and equipment and other assets	(3,248)	(4,933)
Purchases of short-term marketable securities	(10,116)	(7,239)
Payments related to acquisitions	0	(431)
Net cash used in investing activities	(13,364)	(12,603)
Financing activities
Proceeds from stock option exercises	4,716	5,073
Purchase of treasury stock for net settlement of equity awards	(365)	(181)
Common stock cash dividend paid	(7,182)	(6,215)
Net cash used in financing activities	(2,831)	(1,323)
Effect of exchange rate changes on cash and cash equivalents	(502)	98
Net increase (decrease) in cash and cash equivalents	(2,001)	354
Cash and cash equivalents at beginning of period	24,269	19,134
Cash and cash equivalents at end of period	$ 22,268	$ 19,488

Note 1 - Organization and Basis for Presentation

6 Months Ended

Jun. 30, 2024

Significant Accounting Policies [Text Block]

1. Organization and Basis for Presentation

Description of Business

Basis of Presentation

Consolidation

Revenue Recognition

Step 1: Identify the contract with a customer

Step 2: Identify the performance obligations in the contract

Step 3: Determine the transaction price

Step 4: Allocate the transaction price to the performance obligations

Step 5: Recognize revenue when or as the entity satisfies a performance obligation

	Three months ended June 30,				Six months ended June 30,
	2024		2023		2024		2023
	(in thousands)				(in thousands)

Americas	$	36,907	$	33,507	$	72,152	$	65,633
Europe, Middle East and Africa		15,298		13,580		29,693		25,857
Asia Pacific		3,644		3,028		7,482		5,700
Total	$	55,849	$	50,115	$	109,327	$	97,190

Recent Accounting Pronouncements

There are no other accounting pronouncements recently issued or newly effective that had, or are expected to have, a material impact on the Company’s consolidated financial statements.

Note 2 - Income Tax Expense

6 Months Ended

Jun. 30, 2024

Income Tax Disclosure [Text Block]

2. Income Tax Expense

	Six months ended June 30, 2024
	(in thousands)
Unrecognized tax benefits as of December 31, 2023	$	587
Additions/adjustments for tax positions of current year		-
Additions/adjustments for tax positions of prior years		(39	)
Reductions for settlements with taxing authorities		-
Reductions for lapses of the applicable statutes of limitations		(38	)
Unrecognized tax benefits as of June 30, 2024	$	510

As of June 30, 2024, a summary of the tax years that remain subject to examination in our taxing jurisdictions is as follows:

United States	2020 and forward
Foreign	2015 and forward

Note 3 - Inventories and Other Deferred Costs

6 Months Ended

Jun. 30, 2024

Inventory and Other Deferred Costs Disclosure [Text Block]

3. Inventories and Other Deferred Costs

Inventories and other deferred costs consist of the following:

	June 30, 2024		December 31, 2023
	(in thousands)
Raw materials	$	19,006	$	18,333
Work-in-process		3,138		2,869
Finished products		34,515		31,131
Other deferred costs		7,014		5,747

Total inventory and other deferred costs	$	63,673	$	58,080

We had inventory on consignment at customer sites of $2.0 million as of June 30, 2024 and December 31, 2023, respectively.

Note 4 - Divestitures

6 Months Ended

Jun. 30, 2024

Restructuring and Related Activities Disclosure [Text Block]

4. Divestitures

Note 5 - Goodwill and Other Intangible Assets

6 Months Ended

Jun. 30, 2024

Goodwill and Intangible Assets Disclosure [Text Block]

5. Goodwill and Other Intangible Assets

There was no change to goodwill during the six months ended June 30, 2024. Other intangible assets consist of the following:

	June 30, 2024						December 31, 2023
	Gross				Net		Gross				Net
	Carrying		Accumulated		Carrying		Carrying		Accumulated		Carrying
	Value		Amortization		Value		Value		Amortization		Value
	(in thousands)
Product technology and intellectual property	$	29,549	$	17,379	$	12,170	$	29,549	$	16,048	$	13,501
Trademarks, tradenames and licenses		3,767		2,085		1,682		3,767		1,909		1,858
Customer relationships		37,171		12,386		24,785		37,171		11,064		26,107
Other intangible assets		1,643		1,513		130		1,643		1,398		245

Total identifiable intangible assets	$	72,130	$	33,363	$	38,767	$	72,130	$	30,419	$	41,711

	Three months ended June 30,				Six months ended June 30,
	2024		2023		2024		2023
	(in thousands)				(in thousands)

Amortization expense	$	1,472	$	1,509	$	2,944	$	3,068

Estimated amortization expense for the remainder of 2024 and for each of the next five fiscal years is as follows:

	Year ended December 31,
	2024		2025		2026		2027		2028		2029
	(in thousands)

Amortization expense	$	2,913	$	5,601	$	5,119	$	4,842	$	4,456	$	4,423

Note 6 - Leases

6 Months Ended

Jun. 30, 2024

Lessee, Operating Leases [Text Block]

6. Leases

Location (leases)	Purpose	Approx. Sq. Ft.		Expiration

Americas
Burlington, MA (4)	Corporate headquarters and manufacturing		96,476	December 2034
North Brunswick, NJ (1)	Artegraft biologic business		16,732	October 2029
Burlington, MA (1)	US distribution		12,878	December 2030
Fox River Grove, IL (3)	RestoreFlow allografts business		11,765	November 2025
Vaughn, Canada	Canada sales office and distribution		3,192	February 2026
Chandler, Arizona	US sales office		2,058	August 2025

Europe, Middle East and Africa
Sulzbach, Germany	European headquarters and distribution		21,410	June 2031
Milan, Italy	Italy sales office and distribution		5,705	July 2027
Hereford, England	United Kingdom sales office and distribution		3,575	October 2029
Maisons-Alfort, France	France sales office		3,492	February 2030
Madrid, Spain	Spain sales office		2,260	June 2029

Asia Pacific
Tokyo, Japan	Japan sales office and distribution		4,236	July 2025
Bangkok, Thailand	Thailand sales office and distribution		2,810	August 2026
Kensington, Australia	Australia sales office and distribution		2,551	June 2025
Seoul, Korea	Korea sales office and distribution		2,300	April 2027
Singapore	Asia Pacific headquarters and distribution		1,270	June 2026
Shanghai, China	China sales office and distribution		1,152	August 2024
Ballarat, Australia	Supply facility	Up to 350 acres		December 2030

Additional information with respect to our leases is as follows:

	Three months ended June 30,				Six months ended June 30,
	2024		2023		2024			2023
	(in thousands)				(in thousands)
Lease cost
Operating lease cost	$	709	$	564	$	1,449		$	1,144
Short-term lease cost		17		158		46			320
Total lease cost	$	726	$	722	$	1,495		$	1,464

Other information
Cash paid for amounts included in the measurement of operating lease liabilities	$	977	$	729	$	1,999		$	1,466

Right-of-use assets obtained in exchange for new operating lease liabilities	$	208	$	841	$	717		$	1,313


Weighted average remaining lease term - operating leases (in years)						7.8			6.8

Weighted average discount rate - operating leases						6.60	%		5.07	%

As of June 30, 2024, the minimum noncancelable operating lease rental commitments with initial or remaining terms of more than one year are as follows:

Remainder of 2024	$	1,873
Year ending December 31,
2025		3,528
2026		2,817
2027		2,587
2028		2,554
2029		2,500
Thereafter		8,525
Adjustment to net present value as of June 30, 2024		(5,975	)

Minimum noncancelable lease liability	$	18,409

Note 7 - Accrued Expenses and Other Long-term Liabilities

6 Months Ended

Jun. 30, 2024

Accounts Payable, Accrued Liabilities, and Other Liabilities Disclosure, Noncurrent [Text Block]

7. Accrued Expenses and Other Long-term Liabilities

Accrued expenses consist of the following:

	June 30, 2024		December 31, 2023
	(in thousands)
Compensation and related taxes	$	9,749	$	13,353
Accrued purchases		6,533		5,152
Accrued expenses		3,033		4,251
Income and other taxes		927		390
Professional fees		67		104
Other		476		400

Total	$	20,785	$	23,650

Other long-term liabilities consist of the following:

	June 30, 2024		December 31, 2023
	(in thousands)
Acquisition-related liabilities	$	1,377	$	1,406
Income taxes		560		637
Other		242		225

Total	$	2,179	$	2,268

Note 8 - Segment and Enterprise-wide Disclosures

6 Months Ended

Jun. 30, 2024

Segment Reporting Disclosure [Text Block]

8. Segment and Enterprise-Wide Disclosures

	Three months ended				Six months ended
	June 30,				June 30,
	2024		2023		2024		2023
	(in thousands)				(in thousands)
United States	$	32,798	$	30,322	$	63,923	$	59,337
Canada		3,618		2,716		7,230		5,478
Germany		3,509		3,583		7,027		6,929
United Kingdom		2,718		2,149		5,246		4,112
Other countries		13,206		11,345		25,901		21,334

Net Sales	$	55,849	$	50,115	$	109,327	$	97,190

Note 9 - Share-based Compensation

6 Months Ended

Jun. 30, 2024

Share-Based Payment Arrangement [Text Block]

9. Share-based Compensation

	Three months ended				Six months ended
	June 30,				June 30,
	2024		2023		2024		2023
	(in thousands)				(in thousands)
Stock option awards	$	732	$	671	$	1,473	$	1,333
Restricted stock units		573		485		1,134		962
Performance-based restricted stock units		304		156		612		307

Total share-based compensation	$	1,609	$	1,312	$	3,219	$	2,602

Stock-based compensation is included in our consolidated statements of operations as follows:

	Three months ended				Six months ended
	June 30,				June 30,
	2024		2023		2024		2023
	(in thousands)				(in thousands)
Cost of sales	$	228	$	166	$	439	$	336
Sales and marketing		274		250		545		464
General and administrative		943		768		1,908		1,545
Research and development		164		128		327		257

Total stock-based compensation	$	1,609	$	1,312	$	3,219	$	2,602

Note 10 - Net Income Per Share

6 Months Ended

Jun. 30, 2024

Earnings Per Share [Text Block]

10. Net Income per Share

The computation of basic and diluted net income per share is as follows:

	Three months ended				Six months ended
	June 30,				June 30,
	2024		2023		2024		2023
	(in thousands, except per share data)				(in thousands, except per share data)
Basic:
Net income available for common stockholders	$	11,826	$	8,098	$	21,713	$	14,138

Weighted average shares outstanding		22,458		22,213		22,412		22,162

Basic earnings per share	$	0.53	$	0.36	$	0.97	$	0.64

Diluted:
Net income available for common stockholders	$	11,826	$	8,098	$	21,713	$	14,138

Weighted-average shares outstanding		22,458		22,213		22,412		22,162
Common stock equivalents, if dilutive		267		238		245		209
Shares used in computing diluted earnings per common share		22,725		22,451		22,657		22,371

Diluted earnings per share	$	0.52	$	0.36	$	0.96	$	0.63

Shares excluded in computing diluted earnings per share as those shares would be anti-dilutive		26		163		147		290

Note 11 - Stockholders' Equity

6 Months Ended

Jun. 30, 2024

Equity [Text Block]

11. Stockholders’ Equity

Share Repurchase Program

Dividends

Record Date	Payment Date	Per Share Amount		Dividend Payment
				(in thousands)
Fiscal Year 2024
March 14, 2024	March 28, 2024	$	0.16	$	3,589
May 16, 2024	May 30, 2024	$	0.16	$	3,593

Fiscal Year 2023
March 9, 2023	March 23, 2023	$	0.14	$	3,099
May 17, 2023	June 1, 2023	$	0.14	$	3,116
August 17, 2023	August 31, 2023	$	0.14	$	3,117
November 16, 2023	November 30, 2023	$	0.14	$	3,117

Note 12 - Supplemental Cash Flow Information

6 Months Ended

Jun. 30, 2024

Cash Flow, Supplemental Disclosures [Text Block]

12. Supplemental Cash Flow Information

	For the six months ended
	June 30,
	2024		2023
	(in thousands)
Cash paid for income taxes, net	$	5,353	$	2,783

Note 13 - Fair Value Measurements

6 Months Ended

Jun. 30, 2024

Fair Value Disclosures [Text Block]

13. Fair Value Measurements

The fair value accounting guidance requires that assets and liabilities carried at fair value be classified and disclosed in one of the following three categories:

•

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

•

Level 1 assets being measured at fair value on a recurring basis as of June 30, 2024, included our short-term investment and short-duration bond mutual fund accounts.

We had no Level 2 assets being measured at fair value on a recurring basis as of June 30, 2024.

	Six months ended June 30,
	2024		2023
	(in thousands)
Beginning balance	$	1,224	$	1,339
Additions		-		-
Payments		-		-
Change in fair value included in earnings		46		40

Ending balance	$	1,270	$	1,379

Note 14 - Accumulated Other Comprehensive Income (Loss)

6 Months Ended

Jun. 30, 2024

Comprehensive Income (Loss) Note [Text Block]

14. Accumulated Other Comprehensive Loss

	Six months ended
	June 30,
	2024			2023
	(in thousands)
Beginning balance	$	(4,625	)	$	(6,031	)

Other comprehensive (loss) income before reclassifications		(469	)		209

Ending Balance	$	(5,094	)	$	(5,822	)

Insider Trading Arrangements	3 Months Ended	6 Months Ended
Insider Trading Arrangements	Jun. 30, 2024	Jun. 30, 2024
Insider Trading Arr Line Items
Material Terms of Trading Arrangement [Text Block]		Item 5. Other Information Rule 10b5-1 and non-Rule 10b5-1 trading arrangements During the fiscal quarter ended June 30, 2024, none of our directors or officers informed us of the adoption, modification or termination of a Rule 10b5-1 trading arrangement or non-Rule 10b5-1 trading arrangement, as those terms are defined in Regulation S-K, Item 408.
Rule 10b5-1 Arrangement Adopted [Flag]	false
Non-Rule 10b5-1 Arrangement Adopted [Flag]	false
Rule 10b5-1 Arrangement Terminated [Flag]	false
Non-Rule 10b5-1 Arrangement Terminated [Flag]	false

Significant Accounting Policies (Policies)

6 Months Ended

Jun. 30, 2024

Accounting Policies [Abstract]

Basis of Accounting, Policy [Policy Text Block]

Basis of Presentation

Consolidation, Policy [Policy Text Block]

Consolidation

Revenue from Contract with Customer [Policy Text Block]

Revenue Recognition

Step 1: Identify the contract with a customer

Step 2: Identify the performance obligations in the contract

Step 3: Determine the transaction price

Step 4: Allocate the transaction price to the performance obligations

Step 5: Recognize revenue when or as the entity satisfies a performance obligation

	Three months ended June 30,				Six months ended June 30,
	2024		2023		2024		2023
	(in thousands)				(in thousands)

Americas	$	36,907	$	33,507	$	72,152	$	65,633
Europe, Middle East and Africa		15,298		13,580		29,693		25,857
Asia Pacific		3,644		3,028		7,482		5,700
Total	$	55,849	$	50,115	$	109,327	$	97,190

New Accounting Pronouncements, Policy [Policy Text Block]

Recent Accounting Pronouncements

There are no other accounting pronouncements recently issued or newly effective that had, or are expected to have, a material impact on the Company’s consolidated financial statements.

Note 1 - Organization and Basis for Presentation (Tables)

6 Months Ended

Jun. 30, 2024

Disaggregation of Revenue [Table Text Block]

	Three months ended June 30,				Six months ended June 30,
	2024		2023		2024		2023
	(in thousands)				(in thousands)

Americas	$	36,907	$	33,507	$	72,152	$	65,633
Europe, Middle East and Africa		15,298		13,580		29,693		25,857
Asia Pacific		3,644		3,028		7,482		5,700
Total	$	55,849	$	50,115	$	109,327	$	97,190

Note 2 - Income Tax Expense (Tables)

6 Months Ended

Jun. 30, 2024

Schedule of Unrecognized Tax Benefits Roll Forward [Table Text Block]

	Six months ended June 30, 2024
	(in thousands)
Unrecognized tax benefits as of December 31, 2023	$	587
Additions/adjustments for tax positions of current year		-
Additions/adjustments for tax positions of prior years		(39	)
Reductions for settlements with taxing authorities		-
Reductions for lapses of the applicable statutes of limitations		(38	)
Unrecognized tax benefits as of June 30, 2024	$	510

Note 3 - Inventories and Other Deferred Costs (Tables)

6 Months Ended

Jun. 30, 2024

Schedule of Inventory, Current [Table Text Block]

	June 30, 2024		December 31, 2023
	(in thousands)
Raw materials	$	19,006	$	18,333
Work-in-process		3,138		2,869
Finished products		34,515		31,131
Other deferred costs		7,014		5,747

Total inventory and other deferred costs	$	63,673	$	58,080

Note 5 - Goodwill and Other Intangible Assets (Tables)

6 Months Ended

Jun. 30, 2024

Schedule of Finite-Lived Intangible Assets [Table Text Block]

	June 30, 2024						December 31, 2023
	Gross				Net		Gross				Net
	Carrying		Accumulated		Carrying		Carrying		Accumulated		Carrying
	Value		Amortization		Value		Value		Amortization		Value
	(in thousands)
Product technology and intellectual property	$	29,549	$	17,379	$	12,170	$	29,549	$	16,048	$	13,501
Trademarks, tradenames and licenses		3,767		2,085		1,682		3,767		1,909		1,858
Customer relationships		37,171		12,386		24,785		37,171		11,064		26,107
Other intangible assets		1,643		1,513		130		1,643		1,398		245

Total identifiable intangible assets	$	72,130	$	33,363	$	38,767	$	72,130	$	30,419	$	41,711

Finite-Lived Intangible Assets Amortization Expense [Table Text Block]

	Three months ended June 30,				Six months ended June 30,
	2024		2023		2024		2023
	(in thousands)				(in thousands)

Amortization expense	$	1,472	$	1,509	$	2,944	$	3,068

Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block]

	Year ended December 31,
	2024		2025		2026		2027		2028		2029
	(in thousands)

Amortization expense	$	2,913	$	5,601	$	5,119	$	4,842	$	4,456	$	4,423

Note 6 - Leases (Tables)

6 Months Ended

Jun. 30, 2024

Lease, Cost [Table Text Block]

Location (leases)	Purpose	Approx. Sq. Ft.		Expiration

Americas
Burlington, MA (4)	Corporate headquarters and manufacturing		96,476	December 2034
North Brunswick, NJ (1)	Artegraft biologic business		16,732	October 2029
Burlington, MA (1)	US distribution		12,878	December 2030
Fox River Grove, IL (3)	RestoreFlow allografts business		11,765	November 2025
Vaughn, Canada	Canada sales office and distribution		3,192	February 2026
Chandler, Arizona	US sales office		2,058	August 2025

Europe, Middle East and Africa
Sulzbach, Germany	European headquarters and distribution		21,410	June 2031
Milan, Italy	Italy sales office and distribution		5,705	July 2027
Hereford, England	United Kingdom sales office and distribution		3,575	October 2029
Maisons-Alfort, France	France sales office		3,492	February 2030
Madrid, Spain	Spain sales office		2,260	June 2029

Asia Pacific
Tokyo, Japan	Japan sales office and distribution		4,236	July 2025
Bangkok, Thailand	Thailand sales office and distribution		2,810	August 2026
Kensington, Australia	Australia sales office and distribution		2,551	June 2025
Seoul, Korea	Korea sales office and distribution		2,300	April 2027
Singapore	Asia Pacific headquarters and distribution		1,270	June 2026
Shanghai, China	China sales office and distribution		1,152	August 2024
Ballarat, Australia	Supply facility	Up to 350 acres		December 2030

	Three months ended June 30,				Six months ended June 30,
	2024		2023		2024			2023
	(in thousands)				(in thousands)
Lease cost
Operating lease cost	$	709	$	564	$	1,449		$	1,144
Short-term lease cost		17		158		46			320
Total lease cost	$	726	$	722	$	1,495		$	1,464

Other information
Cash paid for amounts included in the measurement of operating lease liabilities	$	977	$	729	$	1,999		$	1,466

Right-of-use assets obtained in exchange for new operating lease liabilities	$	208	$	841	$	717		$	1,313


Weighted average remaining lease term - operating leases (in years)						7.8			6.8

Weighted average discount rate - operating leases						6.60	%		5.07	%

Lessee, Operating Lease, Liability, to be Paid, Maturity [Table Text Block]

Remainder of 2024	$	1,873
Year ending December 31,
2025		3,528
2026		2,817
2027		2,587
2028		2,554
2029		2,500
Thereafter		8,525
Adjustment to net present value as of June 30, 2024		(5,975	)

Minimum noncancelable lease liability	$	18,409

Note 7 - Accrued Expenses and Other Long-term Liabilities (Tables)

6 Months Ended

Jun. 30, 2024

Schedule of Accrued Liabilities [Table Text Block]

	June 30, 2024		December 31, 2023
	(in thousands)
Compensation and related taxes	$	9,749	$	13,353
Accrued purchases		6,533		5,152
Accrued expenses		3,033		4,251
Income and other taxes		927		390
Professional fees		67		104
Other		476		400

Total	$	20,785	$	23,650

Other Noncurrent Liabilities [Table Text Block]

	June 30, 2024		December 31, 2023
	(in thousands)
Acquisition-related liabilities	$	1,377	$	1,406
Income taxes		560		637
Other		242		225

Total	$	2,179	$	2,268

Note 8 - Segment and Enterprise-wide Disclosures (Tables)

6 Months Ended

Jun. 30, 2024

Schedule of Revenue from External Customers Attributed to Foreign Countries by Geographic Area [Table Text Block]

	Three months ended				Six months ended
	June 30,				June 30,
	2024		2023		2024		2023
	(in thousands)				(in thousands)
United States	$	32,798	$	30,322	$	63,923	$	59,337
Canada		3,618		2,716		7,230		5,478
Germany		3,509		3,583		7,027		6,929
United Kingdom		2,718		2,149		5,246		4,112
Other countries		13,206		11,345		25,901		21,334

Net Sales	$	55,849	$	50,115	$	109,327	$	97,190

Note 9 - Share-based Compensation (Tables)

6 Months Ended

Jun. 30, 2024

Share-Based Payment Arrangement, Cost by Plan [Table Text Block]

	Three months ended				Six months ended
	June 30,				June 30,
	2024		2023		2024		2023
	(in thousands)				(in thousands)
Stock option awards	$	732	$	671	$	1,473	$	1,333
Restricted stock units		573		485		1,134		962
Performance-based restricted stock units		304		156		612		307

Total share-based compensation	$	1,609	$	1,312	$	3,219	$	2,602

Share-Based Payment Arrangement, Expensed and Capitalized, Amount [Table Text Block]

	Three months ended				Six months ended
	June 30,				June 30,
	2024		2023		2024		2023
	(in thousands)				(in thousands)
Cost of sales	$	228	$	166	$	439	$	336
Sales and marketing		274		250		545		464
General and administrative		943		768		1,908		1,545
Research and development		164		128		327		257

Total stock-based compensation	$	1,609	$	1,312	$	3,219	$	2,602

Note 10 - Net Income Per Share (Tables)

6 Months Ended

Jun. 30, 2024

Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]

	Three months ended				Six months ended
	June 30,				June 30,
	2024		2023		2024		2023
	(in thousands, except per share data)				(in thousands, except per share data)
Basic:
Net income available for common stockholders	$	11,826	$	8,098	$	21,713	$	14,138

Weighted average shares outstanding		22,458		22,213		22,412		22,162

Basic earnings per share	$	0.53	$	0.36	$	0.97	$	0.64

Diluted:
Net income available for common stockholders	$	11,826	$	8,098	$	21,713	$	14,138

Weighted-average shares outstanding		22,458		22,213		22,412		22,162
Common stock equivalents, if dilutive		267		238		245		209
Shares used in computing diluted earnings per common share		22,725		22,451		22,657		22,371

Diluted earnings per share	$	0.52	$	0.36	$	0.96	$	0.63

Shares excluded in computing diluted earnings per share as those shares would be anti-dilutive		26		163		147		290

Note 11 - Stockholders' Equity (Tables)

6 Months Ended

Jun. 30, 2024

Schedule of Dividends Payable [Table Text Block]

Record Date	Payment Date	Per Share Amount		Dividend Payment
				(in thousands)
Fiscal Year 2024
March 14, 2024	March 28, 2024	$	0.16	$	3,589
May 16, 2024	May 30, 2024	$	0.16	$	3,593

Fiscal Year 2023
March 9, 2023	March 23, 2023	$	0.14	$	3,099
May 17, 2023	June 1, 2023	$	0.14	$	3,116
August 17, 2023	August 31, 2023	$	0.14	$	3,117
November 16, 2023	November 30, 2023	$	0.14	$	3,117

Note 12 - Supplemental Cash Flow Information (Tables)

6 Months Ended

Jun. 30, 2024

Schedule of Cash Flow, Supplemental Disclosures [Table Text Block]

	For the six months ended
	June 30,
	2024		2023
	(in thousands)
Cash paid for income taxes, net	$	5,353	$	2,783

Note 13 - Fair Value Measurements (Tables)

6 Months Ended

Jun. 30, 2024

Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]

	Six months ended June 30,
	2024		2023
	(in thousands)
Beginning balance	$	1,224	$	1,339
Additions		-		-
Payments		-		-
Change in fair value included in earnings		46		40

Ending balance	$	1,270	$	1,379

Note 14 - Accumulated Other Comprehensive Income (Loss) (Tables)

6 Months Ended

Jun. 30, 2024