Paragon 28, Inc. designs, develops, distributes, and sells foot and ankle surgical systems in the United States and internationally. It offers plating systems, including gorilla plating systems, such as lisfranc, lapidus, lateral column, calcaneus slide, and naviculocuneiform (NC) fusion plating systems; baby gorilla plate-specific screws, navicular fracture plates, and 5th metatarsal hook plates; and silverback plating systems. The company also provides precision guide technology for various procedures consisting of fusion, a procedure to address bunion deformities that fuses two bones on the big toe; first tarsometatarsal arthrodesis; and metatarsal osteotomy for bunion correction, medial column beaming for charcot foot reconstruction, ankle fusion plating, and NC joint arthrodesis. In addition, it offers monster, mini monster, and joust beaming screw systems for use in bone reconstruction, osteotomy, arthrodesis, joint fusion, ligament fixation, fracture repair, and fracture fixation; and APEX 3D total ankle replacement systems; total talus spacers to replace the talus and bone in the ankle that connects the leg and foot. Further, the company provides bunion or hallux valgus correction systems, including nail systems phantom intramedullary nail systems for the treatment of severe hallux valgus; and various orthobiologics comprising bone wedges, grafts, demineralized bone matrices, bone void fillers, synthetic materials, amniotic products, and a biocompatible collagen matrix, as well as PRESERVE bone graft systems for homologous application. Additionally, it offers soft tissue fixation systems, titanium sprayed polyetheretherketone implants, nitinol staple systems, stabilization systems, and curved instruments. The company serves hospitals and ambulatory surgery centers through a network of sales representatives and stocking distributors. Paragon 28, Inc. was founded in 2010 and is headquartered in Englewood, Colorado.

Paragon 28, Inc.

Paragon 28 Medical Education

Paragon 28 was established in 2010 as an orthopedic foot and ankle company. The name “Paragon 28” was chosen to show that we are exclusively a foot and ankle company, with the “28” representing the number of bones in the foot. We will remain true to that vision. Paragon 28 was started as a small, family-based company and we have kept those core ideals as we have grown.

Our mission is to strategically build a company around the core principles that drive innovation and quality. Relentlessly working to advance the science behind foot and ankle surgery, Paragon 28 is passionate about and committed to:

       - Creation and Innovation: Blending different surgical philosophies from various global thought leaders to develop bio-mechanically and clinically relevant surgical solutions.
       - A Focus on Service: A customer service based, dedicated, and highly trained distribution network to the foot and ankle market.
       - Efficient Practices: Meeting the needs of increasing pricing pressures and reimbursement while continuing to develop cutting-edge surgical implants.
      - Practical and Comprehensive Solutions: Creating complete surgeon-centric systems, specialty instruments, and next generation implants to solve real world issues faced by foot and ankle surgeons.
      - Research Motivated: Improving clinical outcomes through meaningful and unbiased research. We are ready to embrace research data regardless of marketing impact.

Motivation, competition and the desire to learn are unique characteristics that are incredibly valuable to our success. Paragon 28’s work environment is modern and exciting. We are seeking experienced and energetic individuals to join our team in areas of Quality, Engineering, Marketing, Sales, Administration and Accounting.

Piper Jaffray Merchant Banking

MVM Life Science Partners

Paragon 28

Paragon 28 partnered with the The Salvation Army and helped support 102 children this holiday season in the Denver metropolitan area!

Thank you to our amazing employees who contributed to this gift giving. We had two pallets full of presents! Imagine all the smiles on the kids’ faces! Grateful to support those in the communities we live in.

#paragon28 #P28 #FNA #salvationarmy #giftgiving #givingtree #happyholidays #community

Paragon 28 was honored to hold its 4th Annual Podiatric Foot and Ankle Fellows Course at our global headquarters in Denver, Colorado last month!

The weekend was a medical education DPM Fellows-only course focused on forefoot, midfoot, and rearfoot technologies and surgical solutions.

A huge thank you to our incredible faculty which included Tom Chang, DPM (course co-chair), Mark Myerson, MD (course co-chair), Douglas Blacklidge, DPM, Byron Hutchinson, DPM, Mark A Prissel, DPM, and Patrick DeHeer, DPM for helping us put together such a valuable course and to all the surgeon attendees from across the US.

Together the faculty team has constructed an outstanding program focused on current topics in foot and ankle reconstruction and trauma.

Visit p28meded.com to learn about upcoming education opportunities!

#dedicatedtofootandankle #researchdriven #solutionfocused #medicaleducation #meded #innovativemedical #medicaldevices #medicaltechnology #podiatry #podiatricsurgeon #podiatricsurgery #podiatricfellow

A Balanced Approach to the Lapidus - PATENTED Precision® Guide Gorilla® Lapidus Plating System!

Paragon 28 developed and patented its Precision® Guide technology to allow surgeons a streamlined and reproducible method of balancing their plating construct with an interfragmentary screw. The PATENTED Precision® Guide when used in conjunction with the Gorilla® Lapidus Plate provides for accurate placement of a homerun screw across the joint while avoiding plate hardware.

This guide positions the interfragmentary screw in a predictable location closing down the tension side of the joint (screw is positioned as far from plate as possible and centered through the joint).

Multiple trajectories are provided with each guide to accommodate variations in patient anatomy and the size of the bone.

The guide limits the opportunity for the crossing wire to skive and achieves a true center position through the joint no matter the starting point.

Learn more about this PATENTED Lapidus Plating System - https://lnkd.in/einBPYtq

#paragon28 #P28 #footandankle #FNA #improvingpatientlives #dedicatedtofootandankle #lapidus #lowprofile #precisionguided #HAV

"Many implants are re-iterations of existing products, however the Phantom® Metatarsal Shortening System is truly unique, innovative, and quite novel. The ability to precisely and accurately shorten the metatarsal with simple and rigid fixation will be a tremendous addition to the management of various forefoot pathologies." - Mark Myerson, MD

Learn more about this novel technology designed for shortening of the lesser metatarsals - https://lnkd.in/esBJBAxc

#paragon28 #P28 #footandankle #FNA #improvingpatientlives #dedicatedtofootandankle #phantom #metshortening #osteotomy #lessermets #cutguide #intramedullary

Dr. Myerson is a paid consultant for Paragon 28

INDEPENDENTLY TENSION in MULTIPLE PLANES

The Paratrooper™ Plantar Plate System implant features two connected all-suture anchors providing for independent tensioning to assist in valgus and varus correction. 

The implant provides for self-retention of suture prior to knotting, allowing for partial tensioning of one side of the implant, and then the other to achieve precise correction. 

Tension may be reapproximated throughout the procedure prior to knotting. 

The implant is designed for maximum control to place the toe in a desired position.

Learn more about the revolutionary Paratrooper™ Plantar Plate System today! https://lnkd.in/g49uQ-Y7

#paragon28 #P28 #footandankle #FNA #improvingpatientlives #dedicatedtofootandankle #paratrooper #plantarplate #plantarplaterepair #medicaldevices

HammerTube™ Hammertoe System – Next Level FORM, FIT, FUNCTION

Designed to meet the complex requirements to achieve fusion of the PIPJ:

• Non-catastrophic Failure - PEEK material is biocompatible and closely matches the mechanical properties of bone
• Fixation and Maintained Compression on Either Side of Joint - Spray thickness used is optimized to be coarse and aid in stick fit
• Simplified Removal - Titanium plasma spray is absent at the joint to facilitate removal
• Cannulated - Accommodates a K-Wire to provide stabilization at the MPJ

Learn more about this novel system today! https://lnkd.in/gdWZb-nM

#paragon28 #P28 #footandankle #FNA #improvingpatientlives #dedicatedtofootandankle #forefoot #forefrontofforefoot #hammertoe #PEEK #titaniumcoated #dontsettleformetal

The P28 Mobile Lab motored through the Mid-Atlantic this past week with stops in Maryland, Pennsylvania and Virginia!

Be on the lookout for the mobile lab coming to a city near you. Contact your local Paragon 28 rep to schedule training! https://lnkd.in/gdXb7_cx

#paragon28 #p28 #footandankle #FNA #improvingpatientlives #dedicatedtofootandankle #mobilemondays #mobilelab #medicalinnovation #maryland #pennsylvania #virginia

Each of the plates in the Gorilla® Lisfranc Plating System are contoured to match the convexity of the Lisfranc joint.

Dual ray plates are available for either the 1st and 2nd metatarsals, or the 2nd and 3rd metatarsals | Single ray options include a Slanted T-Plate, a Slanted Straight Plate and a Clover Plate | Each of these plates have several individual size options to fit different sized patients

Learn more about how the Gorilla® Lisfranc/TMT Plating System can impact your practice - https://lnkd.in/e3vU8t4N

#paragon28 #p28 #footandankle #FNA #improvingpatientlives #dedicatedtofootandankle #lisfranc #tmt #trauma

Jones Fractures are understood to be technically challenging procedures which often require a surgeon to attempt multiple passes of the K-wire into the metatarsal to achieve the desired trajectory. The soft tissue presence as well as the lateral malleolus make positioning of the K-wire very difficult.

Straight guides pushed against the side of the foot have a tendency to slip and point the K-wire medially positioning it into the 3rd or 4th metatarsal.

The patent pending PRECISION® Jones Curved K-wire Guide positions a nitinol K-wire into the center of the intramedullary canal, simplifying placement which may reduce intraoperative fluoroscopy time.

The PRECISION® Jones Curved K-Wire guide allows the surgeon to assess the position of the wire in both an AP and Lateral view prior to drilling which limits the chance of malpositioning of the K-wire. The PRECISION® Jones Curved K-wire Guide aligns with the proximal tuberosity of the 5th metatarsal while avoiding impingement of the lateral malleolus.
• Allows for alignment parallel to the long axis of the bone
• Allows surgeon’s hand to be positioned away from crowded lateral structures of the foot

The Nitinol wire will flex through the guide and then straighten and follow the path of least resistance down the intramedullary canal.
• This limits the chance of the K-wire broaching the cortex and minimizes the chance of missing the canal and “swiss cheesing” the bone which can significantly increase surgical time

Learn what The PRECISION® Jones Fracture Screw can do in your hands! https://lnkd.in/gZmba-k3

#paragon28 #p28 #footandankle #FNA #improvingpatientlives #dedicatedtofootandankle #precision #precisionjones #jonesfracture #trauma

The Straight Plates included in the Baby Gorilla® Plating System are designed to be universal in application to contribute to an array of solutions for foot and ankle procedures. Including 8 different locking and compression options, these plates equip surgeons with a variety of lengths and hole configurations.

Discover all that the Baby Gorilla® Plating System has to offer - https://lnkd.in/gVcgY9qw

#paragon28 #p28 #footandankle #FNA #improvingpatientlives #dedicatedtofootandankle #babygorilla #comprehensive #trauma #traumasurgery

	Dec '19	Dec '20	Dec '21	Dec '22	Dec '23
net income	3.12M -	3.50M 12.22%	-13.69M 491.45%	-67.33M 391.68%	-47.84M 28.94%
depreciation and amortization	4.20M -	6.38M 51.93%	8.96M 40.37%	13.73M 53.20%	15.54M 13.21%
deferred income tax	-1.11M -	1.31M 217.22%	170K 86.99%	-514K 402.35%	-6.23M 1,111.87%
stock based compensation	1.75M -	1.81M 3.08%	4.95M 173.67%	10.37M 109.48%	12.36M 19.29%
change in working capital	1.72M -	-20.79M 1,305.92%	-8.83M 57.53%	-8.57M 2.92%	-46.29M 440.03%
accounts receivables	-5.22M -	386K 107.39%	-6.46M 1,773.83%	-12.01M 85.93%	-161K 98.66%
inventory	-3.56M -	-14.83M 316.60%	-11.10M 25.17%	-21.51M 93.84%	-36.59M 70.11%
accounts payables	8.43M -	-6.24M 174.00%	3.43M 155.00%	1.90M 44.77%	6.74M 255.78%
other working capital	2.08M -	-107K 105.16%	5.30M 5,051.40%	23.06M 335.22%	-16.28M 170.59%
other non cash items	2.62M -	8.90M 240.37%	5.13M 42.42%	3.14M 38.79%	8.56M 172.94%
net cash provided by operating activities	12.30M -	1.11M 90.97%	-3.32M 398.56%	-49.18M 1,382.70%	-63.89M 29.91%
investments in property plant and equipment	-18.03M -	-10.84M 39.89%	-21.29M 96.39%	-43.09M 102.39%	-28.03M 34.94%
acquisitions net	580K -	522K 10%	-15M 2,973.56%	-18.50M 23.36%	1.04M 105.64%
purchases of investments
sales maturities of investments
other investing activites			799K -	897K 12.27%	1 100.00%
net cash used for investing activites	-17.45M -	-10.32M 40.88%	-35.49M 243.96%	-60.69M 71.01%	-26.99M 55.54%
debt repayment	-2.20M -	-14.51M 559.41%	-6.03M 58.41%	-570K 90.55%	-64.85M 11,277.19%
common stock issued	115K -	1.84M 1,501.74%	130.38M 6,978.45%	5.27M 95.96%	70.86M 1,244.32%
common stock repurchased	-3.88M -	-1.54M 60.41%	-561K 63.52%
dividends paid	-115K -	-38.27M 33,176.52%	-10.45M 72.71%
other financing activites	12.63M -	76.48M 505.57%	17.75M 76.79%	34.79M 95.97%	122.64M 252.57%
net cash used provided by financing activities	6.54M -	24.01M 266.88%	131.10M 445.96%	39.49M 69.88%	128.65M 225.81%
effect of forex changes on cash	29K -	86K 196.55%	-438K 609.30%	-497K 13.47%	-605K 21.73%
net change in cash	1.42M -	14.89M 950.14%	91.85M 516.82%	-70.88M 177.17%	37.17M 152.44%
cash at beginning of period	1.19M -	2.61M 118.96%	17.50M 570.54%	109.35M 524.83%	38.47M 64.82%
cash at end of period	2.61M -	17.50M 570.54%	109.35M 524.83%	38.47M 64.82%	75.64M 96.63%
operating cash flow	12.30M -	1.11M 90.97%	-3.32M 398.56%	-49.18M 1,382.70%	-63.89M 29.91%
capital expenditure	-18.03M -	-10.84M 39.89%	-21.29M 96.39%	-43.09M 102.39%	-28.03M 34.94%
free cash flow	-5.74M -	-9.73M 69.61%	-24.61M 152.91%	-92.27M 274.98%	-91.92M 0.38%

COM:PARAGON28

Paragon 28, Inc.

Last Close

10.35

21/11 21:00

Market Cap

563.24M

Beta: -

Volume Today

517.15K

Avg: -

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