EPIS-BNasdaq StockholmHealth CareIFRS · SEK

Episurf

Episurf Medical is a Swedish medical technology company focused on patient-specific orthopedic implants and surgical planning tools for focal cartilage damage in joints. Its core platform centers on the Episealer® implant family and the Epioscopy® image-analysis workflow, with commercial activity concentrated in Europe and selected international markets.

Revenue13.5m SEK
+3.8 %y/y
Operating profit (EBIT)-57.9m SEK
+25.0 %y/y
EBIT margin-428.9%
+165.0 ppy/y
Net income-58.2m SEK
+23.4 %y/y

Fiscal year 2025 · change from previous year

Development 2020–2025

-100-75-50-25025m SEK2020: 5.0 m SEK2020: EBIT -63 m SEK20202021: 6.5 m SEK2021: EBIT -69 m SEK20212022: 6.6 m SEK2022: EBIT -77 m SEK20222023: 10 m SEK2023: EBIT -97 m SEK20232024: 13 m SEK2024: EBIT -77 m SEK20242025: 14 m SEK2025: EBIT -58 m SEK202514-58
RevenueOperating profit (EBIT)

Business

Share of revenue
Patient-specific implants70 %

Custom orthopedic implants designed for focal cartilage and bone lesions in joints.

Pre-operative imaging and planning15 %

Image analysis and workflow tools used to design and fit patient-specific implants.

Clinical and surgeon support15 %

Clinical evidence generation, advisory support, and implementation assistance for surgeons.

Customers

Episurf sells primarily to orthopedic surgeons, hospitals, and specialist clinics that treat cartilage damage in the knee and ankle. These buyers use the company’s patient-specific solutions to address focal lesions in patients who need joint-preserving treatment options and a faster return to activity.

Orthopedic surgeons

Buy Episealer-based treatment solutions and planning tools to treat focal cartilage lesions.

Hospitals and specialist clinics

Purchase the implants and related workflow for joint-preserving orthopedic procedures.

Key opinion leaders and clinical centers

Adopt and evaluate the technology, helping build clinical evidence and market credibility.

Payers and reimbursement stakeholders

Influence adoption by determining whether the treatment is reimbursed in each market.

Strategy

Episurf’s strategy is built around clinical evidence, surgeon adoption, reimbursement access, and manufacturing capability for its patient-specific implant platform. The company aims to expand its installed user base and strengthen the clinical and economic case for Episealer® in prioritized markets.

Clinical evidence generationShort term

Surgeons and payers need proof of outcomes before adopting a new implant platform.

Market access and reimbursementMedium term

Coverage decisions determine whether the products can be used broadly in each market.

Surgeon and KOL adoptionMedium term

A larger user base improves credibility and supports repeat utilization.

Manufacturing and product enablementLong term

Patient-specific implants require reliable production and delivery to support commercialization.

Geography

Episurf is headquartered in Sweden and has focused commercialization in Europe, including the Nordics, Germany, the UK, Switzerland, Benelux, and other EU markets. The company also has presence in the United States and selected Middle Eastern countries, but reported sales in some of these regions remain limited.

Risks

Episurf’s business depends on regulatory approvals, clinical outcomes, reimbursement decisions, and intellectual property protection, all of which can delay adoption or limit market access. As a medical device company with patient-specific manufacturing, it also faces execution risk around production, partner dependence, cybersecurity, and broader geopolitical or supply-chain disruptions.

Sorted by severity
LowMediumHighLowMediumHighImpact →Likelihood →Regulatory approval risk1Clinical evidence and adoption risk2Reimbursement risk3Intellectual property risk4Partner and personnel dependence5
Impact is the risk’s severity and likelihood how probable it is over the next few years, both assessed from the company’s reports. Numbers match the list.
  1. Regulatory approval riskImpact: HighLikelihood: Medium

    The company must obtain approvals before selling in many markets, which can delay commercialization.

    Exposure: New product and market launches

  2. Clinical evidence and adoption riskImpact: HighLikelihood: Medium

    Surgeons and payers may not adopt the technology without strong outcomes data.

    Exposure: Episealer® market penetration

  3. Reimbursement riskImpact: HighLikelihood: Medium

    Coverage decisions directly affect whether hospitals and surgeons can use the products economically.

    ExposureEuropeUSOther prioritized markets
  4. Intellectual property riskImpact: MediumLikelihood: Medium

    The business relies on proprietary image analysis and implant design technology.

    Exposure: Technology platform and product differentiation

  5. Partner and personnel dependenceImpact: MediumLikelihood: Medium

    Commercialization and development rely on specialized partners and key staff.

    ExposureOperationsSalesProduct development
  6. Cybersecurity riskImpact: Medium

    The company depends on IT systems for design, operations, and communication.

    Exposure: Internal systems and data integrity

Accounting

Judgemental items
Capitalized development expenditure

The company must judge when development projects meet criteria for asset recognition.

Impact: Affects intangible assets, amortization, and reported operating expenses

Intangible asset impairment

If product programs underperform, capitalized assets may need write-downs.

Impact: Can create non-cash charges and reduce equity

Lease accounting

Right-of-use assets and lease liabilities are recognized for leased premises and equipment.

Impact: Affects EBITDA-like measures, depreciation, and leverage presentation

Government grants

Subsidies may be recognized against personnel costs when conditions are met.

Impact: Can reduce reported operating expenses in qualifying periods

Acquisition accounting and goodwill

Business combinations require fair value allocation and may create goodwill.

Impact: Introduces valuation judgments and future impairment risk

Publicly listed companies with a comparable business focus.

Last updated: 24/09/2026