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home / news releases / AXNX - Axonics Reports Third Quarter 2023 Financial Results


AXNX - Axonics Reports Third Quarter 2023 Financial Results

Generated quarterly revenue of $93.1 million, an increase of 32% year over year

Fiscal year 2023 revenue guidance increased to $362 million

Axonics, Inc. (Nasdaq: AXNX), a global medical technology company that is developing and commercializing novel products for the treatment of bladder and bowel dysfunction, today reported financial results for the three months ended September 30, 2023.

“Our commercial team continues to execute at a high level, generating over 30% revenue growth in the third quarter,” said Raymond W. Cohen, chief executive officer. “Our growth was driven by higher utilization and share of wallet at existing customers and the onboarding of new accounts. Based on the strong results generated in the third quarter, we are raising our fiscal year 2023 revenue guidance to $362 million, representing growth of 32% year over year.”

Mr. Cohen continued, “In the third quarter, the company also generated adjusted EBITDA of $14 million and GAAP net income of $4 million, demonstrating the significant operating leverage of our business. Axonics is growing rapidly and profitably as we advance on our path to incontinence market leadership.”

3Q23 Financial Results

  • Net revenue was $93.1 million in 3Q23, an increase of 32% compared to the prior year period.
    • Sacral neuromodulation revenue was $73.9 million, of which $72.2 million was generated in the U.S. and the remainder in international markets.
    • Bulkamid revenue was $19.2 million, of which $15.6 million was generated in the U.S. and the remainder in international markets.
  • Gross margin was 74.2% in 3Q23 compared to 72.8% in the prior year period.
  • Operating expenses were $69.8 million in 3Q23 compared to $67.6 million in the prior year period.
    • Excluding acquisition-related costs, adjusted operating expenses were $59.4 million in the prior year period.
  • Adjusted EBITDA was $14.0 million in 3Q23 compared to $3.3 million in the prior year period.
  • Net income was $3.9 million in 3Q23 compared to a net loss of $16.3 million in the prior year period.
  • Cash, cash equivalents and short-term investments were $344.7 million as of September 30, 2023, an increase of $13.2 million compared to June 30, 2023.

Fiscal Year 2023 Revenue Guidance

Axonics has updated its fiscal year 2023 revenue guidance as follows:

  • Total company revenue of $362 million, an increase of 32% compared to fiscal year 2022. This compares to prior fiscal year 2023 revenue guidance of $358 million.
    • Sacral neuromodulation revenue of $288.5 million, an increase of 30% compared to fiscal year 2022.
    • Bulkamid revenue of $73.5 million, an increase of 42% compared to fiscal year 2022.

Webcast and Conference Call

Axonics will host a conference call today at 4:30 p.m. Eastern Time to discuss financial results and recent business developments. To access the conference call by telephone, interested parties may register at the following link: Axonics 3Q23 registration .

For those not planning to ask a question, the company recommends accessing the conference call by webcast at the following link: Axonics 3Q23 webcast . A replay of the webcast will be archived in the Events section of the Axonics investor relations website.

About Axonics

Axonics is a global medical technology company that is developing and commercializing novel products for adults with bladder and bowel dysfunction. Axonics recently ranked No. 2 on the 2023 Financial Times ranking of the fastest growing companies in the Americas and No. 4 on the 2022 Deloitte Technology Fast 500.

Axonics ® sacral neuromodulation systems provide adults with overactive bladder and/or fecal incontinence with long-lived, easy to use, safe, clinically effective therapy. In addition, the company’s best-in-class urethral bulking hydrogel, Bulkamid ® , provides safe and durable symptom relief to women with stress urinary incontinence. In the U.S., moderate to severe urinary incontinence affects an estimated 28 million women and fecal incontinence affects an estimated 19 million adults. For more information, visit www.axonics.com .

Forward-Looking Statements

Statements made in this press release that relate to future plans, events, prospects or performance are forward-looking statements as defined under the Private Securities Litigation Reform Act of 1995. Words such as “plans,” “expects,” “believes,” “anticipates,” “designs,” and similar words are intended to identify forward-looking statements. While these forward-looking statements are based on the current expectations and beliefs of management, such forward-looking statements are subject to a number of risks, uncertainties, assumptions and other factors that could cause actual results to differ materially from the expectations expressed in this press release, including the risks and uncertainties disclosed in Axonics filings with the Securities and Exchange Commission, all of which are available online at www.sec.gov . Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof. Except as required by law, Axonics undertakes no obligation to update or revise any forward-looking statements to reflect new information, changed circumstances or unanticipated events.

Use of Non-GAAP Financial Measures

To supplement Axonics’ consolidated financial statements prepared in accordance with generally accepted accounting principles (GAAP), Axonics provides certain non-GAAP financial measures in this release as supplemental financial metrics.

Adjusted EBITDA is calculated as net income (loss) before other income/expense (including interest), income tax expense (benefit), depreciation and amortization expense, stock-based compensation expense, acquisition-related costs, acquired in-process research and development expense, loss on disposal of property and equipment, and expense related to impairment of intangible assets. Management believes that in order to properly understand short-term and long-term financial trends, investors may want to consider the impact of these excluded items in addition to GAAP measures. The excluded items vary in frequency and/or impact on our results of operations and management believes that the excluded items are typically not reflective of our ongoing core business operations and financial condition. Further, management uses adjusted EBITDA for both strategic and annual operating planning. A reconciliation of adjusted EBITDA reported in this release to the most comparable GAAP measure for the respective periods appears in the table captioned “Reconciliation of GAAP Net Income (Loss) to Adjusted EBITDA” later in this release.

The non-GAAP financial measures used by Axonics may not be the same or calculated in the same manner as those used and calculated by other companies. Non-GAAP financial measures have limitations as analytical tools and should not be considered in isolation or as a substitute for Axonics’ financial results prepared and reported in accordance with GAAP. We urge investors to review the reconciliation of these non-GAAP financial measures to the comparable GAAP financial measures included in this press release, and not to rely on any single financial measure to evaluate our business.

Axonics, Inc.

Consolidated Balance Sheets

(in thousands, except share and per share data)

September 30,

December 31,

2023

2022

(unaudited)

ASSETS

Current assets

Cash and cash equivalents

$

147,323

$

238,846

Short-term investments

197,393

118,365

Accounts receivable, net of allowance for credit losses of $380 and $321 at September 30, 2023 and December 31, 2022, respectively

48,944

44,817

Inventory, net

74,909

55,765

Prepaid expenses and other current assets

6,816

7,282

Total current assets

475,385

465,075

Property and equipment, net

6,556

6,798

Intangible assets, net

80,274

86,253

Other assets

3,245

6,813

Goodwill

95,287

94,414

Total assets

$

660,747

$

659,353

LIABILITIES AND STOCKHOLDERS’ EQUITY

Current liabilities

Accounts payable

$

14,666

$

9,070

Accrued liabilities

5,962

6,520

Accrued compensation and benefits

12,994

15,495

Operating lease liabilities, current portion

1,971

1,562

Other current liabilities

32,600

Total current liabilities

35,593

65,247

Operating lease liabilities, net of current portion

876

7,555

Deferred tax liabilities, net

13,658

16,412

Total liabilities

50,127

89,214

Commitments and contingencies

Stockholders’ equity

Preferred stock, par value $0.0001 per share; 10,000,000 shares authorized, no shares issued and outstanding at September 30, 2023 and December 31, 2022

Common stock, par value $0.0001, 75,000,000 shares authorized at September 30, 2023 and December 31, 2022; 50,669,203 and 49,546,727 shares issued and outstanding at September 30, 2023 and December 31, 2022, respectively

5

5

Additional paid-in capital

1,022,052

969,545

Accumulated deficit

(386,926

)

(374,264

)

Accumulated other comprehensive loss

(24,511

)

(25,147

)

Total stockholders’ equity

610,620

570,139

Total liabilities and stockholders’ equity

$

660,747

$

659,353

Axonics, Inc.

Consolidated Statements of Comprehensive Loss

(in thousands, except share and per share data)

(unaudited)

Three Months Ended
September 30,

Nine Months Ended
September 30,

2023

2022

2023

2022

Net revenue

$

93,100

$

70,384

$

256,644

$

187,784

Cost of goods sold

23,996

19,124

64,850

53,086

Gross profit

69,104

51,260

191,794

134,698

Operating expenses

Research and development

8,167

7,936

25,172

26,307

General and administrative

11,778

9,389

34,659

29,974

Sales and marketing

47,544

39,751

134,468

112,195

Amortization of intangible assets

2,302

2,317

6,803

7,112

Acquisition-related costs

8,242

2,368

20,447

Acquired in-process research & development

15,447

Total operating expenses

69,791

67,635

218,917

196,035

Loss from operations

(687

)

(16,375

)

(27,123

)

(61,337

)

Other income (expense)

Interest and other income

4,271

1,501

12,149

1,904

Interest and other expense

(83

)

(1,898

)

774

(3,026

)

Other income (expense), net

4,188

(397

)

12,923

(1,122

)

Income (loss) before income tax benefit

3,501

(16,772

)

(14,200

)

(62,459

)

Income tax benefit

(427

)

(520

)

(1,538

)

(2,096

)

Net income (loss)

3,928

(16,252

)

(12,662

)

(60,363

)

Foreign currency translation adjustment

(6,185

)

(12,057

)

636

(29,625

)

Comprehensive loss

$

(2,257

)

$

(28,309

)

$

(12,026

)

$

(89,988

)

Net income (loss) per share, basic

$

0.08

$

(0.34

)

$

(0.26

)

$

(1.31

)

Weighted-average shares used to compute basic net income (loss) per share

49,244,981

47,208,192

48,973,252

46,185,209

Net income (loss) per share, diluted

$

0.08

$

(0.34

)

$

(0.26

)

$

(1.31

)

Weighted-average shares used to compute diluted net income (loss) per share

50,086,491

47,208,192

48,973,252

46,185,209

Axonics, Inc.

Net Revenue by Product and Region

(in thousands)

(unaudited)

Three Months Ended
September 30,

Nine Months Ended
September 30,

2023

2022

2023

2022

Sacral neuromodulation

United States

$

72,212

$

55,610

$

198,270

$

147,793

International

1,737

1,249

5,025

3,894

Sacral neuromodulation total

$

73,949

$

56,859

$

203,295

$

151,687

Bulkamid

United States

$

15,579

$

11,045

$

41,998

$

27,837

International

3,572

2,480

11,351

8,260

Bulkamid total

$

19,151

$

13,525

$

53,349

$

36,097

Total net revenue

$

93,100

$

70,384

$

256,644

$

187,784

Axonics, Inc.

Reconciliation of GAAP Net Income (Loss) to Adjusted EBITDA

(in thousands)

(unaudited)

Three Months Ended
September 30,

Nine Months Ended
September 30,

2023

2022

2023

2022

GAAP Net income (loss)

$

3,928

$

(16,252

)

$

(12,662

)

$

(60,363

)

Non-GAAP Adjustments

Interest and other income

(4,271

)

(1,501

)

(12,149

)

(1,904

)

Interest and other expense

83

1,898

(774

)

3,026

Income tax benefit

(427

)

(520

)

(1,538

)

(2,096

)

Depreciation and amortization expense

3,254

2,921

9,295

8,841

Stock-based compensation expense

11,470

8,218

33,388

23,261

Acquisition-related costs

8,242

2,368

20,447

Acquired in-process research & development

15,447

Impairment expense

287

287

Adjusted EBITDA

$

14,037

$

3,293

$

33,375

$

(8,501

)

View source version on businesswire.com: https://www.businesswire.com/news/home/20231030019757/en/

Axonics contact :
Neil Bhalodkar
949-336-5293
IR@axonics.com

Stock Information

Company Name: Axonics Modulation Technologies Inc.
Stock Symbol: AXNX
Market: NASDAQ
Website: axonics.com

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