First Citizens Bank launches new Equipment Financing solution for VB Spine Solutions. Raleigh, NC - May 12, 2026 - First Citizens Bank's Healthcare Equipment Finance group today announced a new private label financing solution with VB Spine to provide hospitals, ambulatory surgical centers and other healthcare providers with lending and leasing solutions for VB Spine Solutions, a unique program that helps hospitals bring critical spine technology online faster, with structures built around patient need. Headquartered in Leesburg, Virginia, VB Spine provides solutions designed to improve access to modern spine care across various treatment settings. The company's latest program, VB Spine Solutions, works with hospitals to simplify how capital equipment is placed, so surgeons and care teams can focus on better patient outcomes. "With their expertise in healthcare financing and understanding of the growing spine market, we knew that First Citizens was the right partner for VB Spine Solutions," said Marc Viscogliosi, co-CEO of VB Spine, speaking on behalf of his brothers and fellow co-CEOs Anthony and John Viscogliosi. "This relationship combines VB Spine's technology and clinical focus with the scale and reliability of a leading financial institution, creating a path for surgeons to get the tools they need to better serve the patient." "We are thrilled to work with VB Spine and provide a specialized financing solution that will increase access to its innovative spine care program," said Todd Beaver, who leads the Healthcare Equipment Finance group at First Citizens Bank. "We look forward to continuing to support VB Spine and its mission to deliver improved patient outcomes with specialized spine surgery solutions." First Citizens Healthcare Equipment Finance group provides an array of lending and leasing solutions to equipment manufacturers and vendors who support hospitals, healthcare systems and ambulatory surgical centers nationwide. Learn more here: Business Equipment Financing & Loans | First Citizens Bank About First Citizens Bank First Citizens Bank helps personal, business, commercial and wealth clients build financial strength that lasts. Headquartered in Raleigh, N.C., First Citizens has built a unique legacy of strength, stability and long-term thinking that has spanned generations. First Citizens offers an array of general banking services including a network of branches and offices nationwide; commercial banking expertise delivering best-in-class lending, leasing and other financial services coast to coast; innovation banking serving businesses at every stage; and a nationwide direct bank. Parent company First Citizens BancShares, Inc. (NASDAQ: FCNCA) is a top 20 U.S. financial institution with more than $230 billion in assets and a member of the Fortune 500(TM). Discover more at firstcitizens.com.

VB Spine has launched VB Spine Solutions, a programme designed to help US hospitals acquire spine technology more quickly by removing traditional capital barriers. The initiative provides access to capital equipment owned by VB Spine and other manufacturers through flexible partnership structures. The programme aims to streamline equipment placement so surgeons can focus on patient outcomes rather than procurement processes. "It's a simple way to bring technology into the OR sooner, providing patients with state-of-the-art care," said co-CEO Marc Viscogliosi. VB Spine describes itself as the largest privately held spine company and among the largest family-owned medical technology companies globally. The company is owned and led by the Viscogliosi Brothers.

VB Spine has completed the first clinical cases using its Vulcan Spinal System for thoracolumbar fixation, marking the system's entry into Limited Market Release. The first procedure was performed on 26 February at MedStar Georgetown University Hospital in Washington, DC, followed by two additional successful cases over two days. The FDA-cleared Vulcan Degenerative System was engineered in collaboration with surgeons to support fixation strength, surgical precision and procedural efficiency. The privately held company, owned and led by the Viscogliosi Brothers, describes itself as the largest privately held spine company globally. The Limited Market Release phase will focus on gathering clinical feedback and supporting surgeon adoption ahead of full commercial launch. The system is intended for spinal fixation procedures as an adjunct to fusion.