TELA Bio, Inc.(TELA)Stock Analysis
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Rank #2,567 of 2,879 stocks
Rankings refresh quarterly once 80% of peers have filed (~45 days after quarter-end). Next update: ~Aug 14, 2026.
Revenue Growth
Profitability
Balance Sheet
Earnings Quality
Free Cash Flow
Institutional Flow
Revenue Scale
Dilution Risk
TELA Stock Analysis & AI Quality Score
AI stock analysis and institutional research for TELA Bio, Inc. (TELA), a Healthcare sector company. 13F Pro's AI-powered ranking engine scores TELA at 24.9/100 on a 32-signal composite quality model, placing it at rank #2,567 of 2,879 stocks — the bottom half of the AI-ranked universe. TELA scores in the top quartile across revenue growth (76.8). Areas of concern include balance sheet strength (3.2) and institutional flow (6.7), which score below median versus the broader universe. Shareholder dilution risk is elevated at 26.7/100, reflecting ongoing share issuance or stock-based compensation. Based on the latest XBRL financial filings (Q1 2026), TELA Bio, Inc. reports quarterly revenue of $19.1M, net income of $-12.3M, an operating margin of -55.2%. Top institutional holders of TELA by reported 13-F value include Essex Woodlands Management,, Nantahala Capital Management,, Stonepine Capital Management,, based on the most recent SEC filings. TELA trades on the Nasdaq exchange and files with the SEC under CIK 1561921. 13F Pro's AI research platform runs 10 specialized AI analysts — value, growth, momentum, macro, and activist specialists — that debate TELA daily and publish AI-generated analysis with cited SEC sources. The platform aggregates historical XBRL financial facts, 10-Q and 10-K filings, insider Form 4 transactions, and institutional 13-F holdings for TELA Bio, Inc. directly from SEC EDGAR. TELA Bio, Inc.'s 13F Pro composite quality score has ranged between 25 and 32 since 2022, currently 24.9 — a declining long-term trajectory across 24 quarterly and live scoring snapshots.
Revenue
Q1 2026
$19.1M
Net Income
Q1 2026
$-12.3M
Free Cash Flow
Q1 2026
$-11.3M
Operating Margin
Q1 2026
-55.2%
Revenue & Net Income
Earnings Per Share
Key Financials Over Time
Export Financial Table · Pro+Revenue
+15.8% YoYNet Income
-2.6% YoYOperating Income
+1.1% YoYEPS (Diluted)
+37.6% YoYTotal Assets
-6.0% YoYTotal Debt
+35.3% YoYOp. Cash Flow
+32.2% YoY| Metric | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 |
|---|---|---|---|---|---|---|
| Revenue | $80.3M +15.8% | $69.3M +18.6% | $58.5M +41.1% | $41.4M +40.6% | $29.5M +61.8% | $18.2M |
| Net Income | $-38.8M -2.6% | $-37.8M +19.0% | $-46.7M -5.3% | $-44.3M -33.1% | $-33.3M -15.6% | $-28.8M |
| Operating Income | $-33.8M +1.1% | $-34.1M +22.6% | $-44.1M -13.0% | $-39.0M -32.4% | $-29.5M -16.5% | $-25.3M |
| EPS (Diluted) | $-0.83 +37.6% | $-1.33 +34.8% | $-2.04 +25.0% | $-2.72 -18.3% | $-2.30 -3.1% | $-2.23 |
| Total Assets | $81.4M -6.0% | $86.6M +10.9% | $78.0M +15.0% | $67.9M +8.5% | $62.5M -27.7% | $86.5M |
| Total Debt | $55.7M +35.3% | $41.1M +1.5% | $40.5M +1.5% | $39.9M +26.8% | $31.5M +2.2% | $30.8M |
| Operating Cash Flow | $-28.2M +32.2% | $-41.6M -1.8% | $-40.9M -0.3% | $-40.7M -33.9% | $-30.4M -24.4% | $-24.5M |
AI Insight: TELA Financial Trends
TELA is burning cash despite modest revenue stabilization; operating losses persist and leverage has increased 37% since Q2 2024.
• Revenue flat at $19–21M across last 6 quarters; Q1 2026 dipped to $19M. No meaningful growth trajectory evident.
• Operating cash outflow improved from $-11M (Q2 2024) to $-5M (Q4 2025), but reversed sharply to $-11M in Q1 2026.
• Total debt rose from $41M (Q2 2024) to $56M (Q4 2025–Q1 2026), a 37% increase. Equity eroded to $-5M (Q1 2026).
⚠ Negative equity of $-5M in Q1 2026 signals balance-sheet stress. Liabilities now exceed assets.
⚠ Operating losses remain structural at $-7M to $-12M per quarter. No path to profitability apparent in current data.
⚠ Q1 2026 cash burn ($-11M) matches worst quarters in dataset. Recent improvement trend has stalled.
AI Insight: TELA Ratio Trends
Operating margin deteriorated sharply to -55.2% in Q1 2026, reversing nine months of sequential improvement and signaling a significant operational setback.
• Operating margin improved from -71.9% in Q2 2024 to -31.9% in Q4 2025, but collapsed back to -55.2% in Q1 2026—largest quarterly decline in dataset.
• ROA swung from -83.7% in Q2 2024 to -44.4% in Q4 2025, but deteriorated to -70.2% in Q1 2026, erasing four quarters of gains.
• Debt-to-equity spiked to 26.65x in Q3 2025 before moderating; capital structure remains unstable and highly leveraged.
⚠ Q1 2026 NPM at -64.4%—worst since Q2 2024—suggests cost structure deterioration or revenue cliff unrelated to gross margin.
⚠ ROIC collapsed 40.2pp from Q4 2025 (-42.9%) to Q1 2026 (-83.1%), indicating severe capital inefficiency in latest quarter.
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Top Institutional Holders of TELA
Essex Woodlands Management, Inc.
$4.8M7,714,709 shNantahala Capital Management, LLC
$3.2M5,144,114 shStonepine Capital Management, LLC
$1.6M2,617,252 shSILVERARC CAPITAL MANAGEMENT, LLC
$1.4M2,259,312 shVANGUARD CAPITAL MANAGEMENT LLC
$955.2K1,540,624 shDAFNA Capital Management LLC
$893.4K1,441,029 shPERKINS CAPITAL MANAGEMENT INC
$879.4K1,418,328 shUBS Group AG
$656.9K1,059,524 shCITIGROUP INC
$465.0K750,000 shNantahala Capital Management, LLC
$465.0K750,000 sh
| Fund | Value | Shares |
|---|---|---|
| Essex Woodlands Management, Inc. | $4.8M | 7,714,709 |
| Nantahala Capital Management, LLC | $3.2M | 5,144,114 |
| Stonepine Capital Management, LLC | $1.6M | 2,617,252 |
| SILVERARC CAPITAL MANAGEMENT, LLC | $1.4M | 2,259,312 |
| VANGUARD CAPITAL MANAGEMENT LLC | $955.2K | 1,540,624 |
| DAFNA Capital Management LLC | $893.4K | 1,441,029 |
| PERKINS CAPITAL MANAGEMENT INC | $879.4K | 1,418,328 |
| UBS Group AG | $656.9K | 1,059,524 |
| CITIGROUP INC | $465.0K | 750,000 |
| Nantahala Capital Management, LLC | $465.0K | 750,000 |
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Popular Research
Is TELA a good stock to buy?
13F Pro's AI-powered analysis of TELA Bio, Inc. (TELA) draws on SEC EDGAR-sourced fundamentals, institutional 13F holdings, and insider Form 4 transactions in the Healthcare sector (listed on Nasdaq). The 32-signal AI Quality Score, current rank, and full bull/bear verdict for TELA are available on the TELA stock profile dashboard — with the same data, AI insights, ratios, and institutional activity refreshed after every 10-K, 10-Q, 13F, and Form 4 filing.
Which hedge funds own TELA?
Institutional investors are required to disclose their holdings quarterly via SEC Form 13F. 13F Pro aggregates these filings to show which hedge funds, mutual funds, and asset managers are buying or selling TELA. Combined with insider transaction data from Form 4 filings and AI-powered analysis from 10 specialized research agents, 13F Pro provides a comprehensive view of TELA Bio, Inc.'s investment landscape.