Apyx Medical Q2 2026 Earnings Report

Apyx Medical EPS Results

• Actual EPS: -$0.07
• Consensus EPS: -$0.08
• Beat/Miss: Beat by +$0.01
• One Year Ago EPS: N/A

Apyx Medical Revenue Results

• Actual Revenue: $13.88 million
• Expected Revenue: $13.18 million
• Beat/Miss: Beat by +$709.00 thousand
• YoY Revenue Growth: N/A

Apyx Medical Announcement Details

• Quarter: Q2 2026
• Date: 8/6/2026
• Time: After Market Closes
• Conference Call Date: Thursday, August 6, 2026
• Conference Call Time: 4:30PM ET

Apyx Medical (NASDAQ:APYX) (NASDAQ: APYX) is a medical device company focused on the development and commercialization of energy-based solutions for surgical and aesthetic applications. The company’s product portfolio includes devices that utilize radiofrequency energy, cold plasma and proprietary technologies designed to deliver precise thermal control and tissue treatment. Its key offerings encompass the J-Plasma technology under the Renuvion brand, which is primarily used for subdermal skin tightening and aesthetic procedures, and its portfolio of advanced energy medical devices for general surgery, gynecology and dermatology.

Leveraging its dual focus on surgical and aesthetic markets, Apyx Medical serves physicians and healthcare providers across North America, Europe and select international regions. Its surgical devices are designed to enhance hemostasis, dissection and ablation in minimally invasive and open procedures, while its Renuvion system has gained adoption in cosmetic surgery for skin contraction and soft-tissue coagulation. The company supports its products with a combination of clinical training programs, customer service and collaborative research initiatives aimed at demonstrating safety and efficacy in various treatment settings.

Established in early 2021 through a strategic combination of assets acquired from Bovie Medical, Apyx Medical has pursued a growth strategy centered on innovation and targeted commercial expansion. The company operates its headquarters in Clearwater, Florida, and maintains manufacturing and distribution capabilities to support an expanding global footprint. Guided by a leadership team with experience in medical technology and regulatory affairs, Apyx Medical continues to invest in product development and clinical evidence to broaden its treatment applications and enhance patient outcomes.

Apyx Medical Q2 2026 Earnings Call Transcript

Key Takeaways

• Positive Sentiment: Second-quarter revenue rose 22% to $13.9 million, led by a 28% increase in surgical aesthetics sales to $12.4 million. Management attributed the growth to AYON adoption, higher international generator sales, and increased domestic single-use handpiece volume.
• Positive Sentiment: AYON received FDA clearance for power-assisted liposuction, with initial shipments beginning in June and a broader commercial launch planned for the third quarter. Management said early surgeon feedback was “exceptional” and expects more than 95% of new AYON customers to include the PowerLipo attachment.
• Positive Sentiment: Management highlighted clinical studies supporting Renuvion’s role in body contouring, including higher patient satisfaction and fewer abdominoplasty or revision procedures when combined with liposuction, while maintaining comparable complication rates.
• Neutral Sentiment: Profitability improved, with gross margin rising to 63.9%, operating loss narrowing to $1.8 million, and adjusted EBITDA loss improving to $0.7 million. However, operating cash use increased to $3.5 million, and the company ended the quarter with $27.6 million in cash.
• Negative Sentiment: The company reaffirmed 2026 revenue guidance of $59 million to $60 million and expects OEM revenue to decline to approximately $5 million from $7.5 million in 2025. Tariffs are also pressuring margins, although potential tariff refunds are not included in current guidance.

Presentation

[Operator]

Good afternoon, ladies and gentlemen, and welcome to the Apyx Medical 2Q 2026 Earnings Conference Call. At this time, all lines are in listen-only mode. Following the presentation, we will conduct a question and answer session. If at any time during this call you require immediate assistance, please press star zero for the operator. This call is being recorded on Thursday, August 6, 2026. I would now like to turn the conference over to Jeremy Feffer, LifeSci Advisors. Please go ahead.

[Jeremy Feffer, Managing Director at LifeSci Advisors]

Thank you. Welcome everyone to our second quarter 2026 earnings call. Representing the company on the call are Charlie Goodwin, Chief Executive Officer, and Matt Hill, Chief Financial Officer of Apyx. Before we begin, I would like to remind everyone that our remarks and responses to your questions today may contain forward-looking statements that are based on the current expectations of management and involve inherent risks and uncertainties that could cause actual results to differ materially from those indicated, including, without limitation, those identified in the Risk Factors section of our most recent annual report on Form 10-K, our most recent 10-Q filing, and the company's other filings with the Securities and Exchange Commission. Such factors may be updated from time to time in our filings with the SEC, which are available on our website.

[Jeremy Feffer, Managing Director at LifeSci Advisors]

We undertake no obligation to publicly update or revise our forward-looking statements as a result of new information, future events, or otherwise. This call will also include references to certain financial measures that are not calculated in accordance with generally accepted accounting principles or GAAP. We generally refer to these as non-GAAP financial measures. Reconciliations of those non-GAAP financial measures to the most comparable measures calculated and presented in accordance with GAAP are available in the earnings press release on the investor relations portion of our website. I would now like to turn the call over to Mr. Charlie Goodwin, Apyx Medical's President and Chief Executive Officer. Please go ahead.

[Charlie Goodwin, President and CEO at Apyx Medical]

Thank you, Jeremy. Thank you all for joining us today. Per our usual format on these quarterly calls, I will begin with a review of our performance over the past several months and then turn the call over to Matt for a review of our second quarter 2026 financial results, along with our guidance for full year 2026. We will then open the call for questions. Let me begin with a review of a few key highlights from our second quarter 2026 performance. We reported quarterly revenue of $13.9 million compared to $11.4 million in the same period last year, an increase of 22%. This growth was driven by a 28% increase in sales of our surgical aesthetics products to $12.4 million for the second quarter, primarily attributable to sales of our AYON Body Contouring System, increased revenue generator sales internationally, and increased volume of single-use hand pieces domestically.

[Charlie Goodwin, President and CEO at Apyx Medical]

This marks our fourth consecutive quarter of AYON sales following its full commercial launch in September 2025, and we are pleased to see increasing awareness of and demand for the platform across the U.S. market. U.S. surgeons are increasingly recognizing the value of our integrated all-in-one body contouring platform, which combines the core technologies they rely on every single day into a single streamlined system. We believe the growing adoption reinforces AYON's differentiated value proposition. We recently took another important step in expanding AYON's capabilities during the quarter when we received expanded 510(k) clearance from the FDA to add power liposuction to the platform. Power liposuction uses a reciprocating cannula to support more efficient fat removal while reducing the physical effort required of the surgeon. Since receiving clearance, we conducted a limited commercial launch of the reusable power liposuction handpiece with key surgeons in targeted geographies.

[Charlie Goodwin, President and CEO at Apyx Medical]

Based on positive feedback, we commenced initial commercial shipments in June 2026. Overall, the sales and interest that we are seeing in AYON comes at an important time for the body contouring market. As we have discussed on prior calls, the continued rapid adoption of GLP-1 medications is reshaping the patient population and creating what we believe will be a meaningful long-term opportunity for our business. While these therapies are helping a growing number of patients achieve significant weight loss, many are left with loose or lax skin that cannot be adequately addressed through non-surgical treatments. Once these patients reach or approach their target weight, we believe many will seek procedures to address skin laxity, excess fat, and overall body contouring in a more comprehensive manner.

[Charlie Goodwin, President and CEO at Apyx Medical]

AYON seamlessly combines advanced fat removal technologies, Renuvion's tissue contraction and electrosurgical capabilities, and empowers surgeons to deliver the most comprehensive body contouring treatments for patients while positioning Apyx to address this growing market. We believe in science-based medicine, and our clinical strategy is an important part of establishing that value proposition. During the quarter, a retrospective study of 113 patients showed that a combination procedure using Renuvion and liposuction was associated with statistically significantly higher patient satisfaction, lower rates of abdominoplasty and surgical revision, and comparable complication rates versus procedures that use liposuction alone. These findings are important because they suggest that Renuvion may help surgeons deliver a more satisfying aesthetic outcome while potentially reducing the need for more invasive or follow-on procedures without increasing the observed complication rate. We also reported data from a prospective study evaluating a single-session treatment combining Avéli and Renuvion.

[Charlie Goodwin, President and CEO at Apyx Medical]

The study demonstrated visible improvements in cellulite and skin laxity, including measurable reductions in dimple volume, surface area, and depth. In a subset of patients, histological analysis also showed increases in collagen and elastin through 180 days, providing evidence of progressive tissue remodeling following treatment. In addition, these peer-reviewed publications add to the clinical foundation supporting Renuvion and demonstrate its potential value across a broader range of aesthetic body contouring procedures. The publications reinforce the important point that as patients' needs become more complex, surgeons increasingly require technologies that can address not only fat removal, but also skin quality, laxity, and structural factors that influence the final aesthetic result. We also took the opportunity this quarter to build broader awareness of our platform, showcasing Renuvion and AYON at Miami Swim Week through our Body by Apyx showcase.

[Charlie Goodwin, President and CEO at Apyx Medical]

The event featured real Renuvion patients sharing their treatment journeys and walking the runway, allowing us to highlight the aesthetic outcomes and the self-confidence those patients gained from their procedures. This year's event underscored the progress we have made since last summer. At that time, AYON was still in the early stages of its commercial journey. This year, we returned with a commercially available platform supported by growing physician engagement, real-world experience, and enhanced capabilities through the FDA clearance of power liposuction, which has resulted in AYON gaining traction across the market. Together, those milestones reflect the disciplined execution of our commercial strategy and reinforce the foundation of the opportunity ahead. These accomplishments demonstrate the progress we are making in executing our commercial strategy and reinforce our confidence in the long-term opportunity for our cohesive platform of AYON and Renuvion.

[Charlie Goodwin, President and CEO at Apyx Medical]

Before I wrap up, I would like to briefly touch on a recent announcement that Stavros Vizirgianakis has been appointed Executive Chairman of our Board of Directors. Over the past two years, Stavros has become an increasingly important partner to both our board and management team. He has been deeply engaged in helping shape our strategic priorities, supporting key financing initiatives, and strengthening our operational focus and providing valuable guidance as we execute our commercial strategy. Formalizing his role as Executive Chairman recognizes the level of involvement he already has within the company and reflects our shared commitment to creating long-term shareholder value. Stavros brings decades of leadership experience, an extensive industry network, and a proven track record of building and growing healthcare businesses. I look forward to continuing to work closely with him as we execute on the significant opportunities ahead for Apyx.

[Charlie Goodwin, President and CEO at Apyx Medical]

I will now turn the call over to Matt for a review of our second quarter 2026 financial results in more detail, along with our financial guidance for 2026.

[Matt Hill, CFO at Apyx Medical]

Thank you, Charlie. Before I get started, please note that all references to our second quarter financial results will be on a GAAP and a year-over-year basis, unless noted otherwise. As Charlie mentioned, total revenue for the second quarter of 2026 increased 22% to $13.9 million, compared to $11.4 million in the prior year period. Revenue for the surgical aesthetics segment increased 28%, or $2.7 million, to $12.4 million, compared to $9.7 million for the prior year period. This growth was driven by sales of AYON, increased sales of generators internationally, and increased volume of single-use handpieces domestically. Turning to the OEM segment, sales decreased 12%, or approximately $0.2 million, to $1.5 million for the second quarter of 2026, compared to $1.7 million for the second quarter of 2025. The decrease in OEM sales was due to a decrease in sales volume to existing customers.

[Matt Hill, CFO at Apyx Medical]

With the increased focus on surgical aesthetics, we continue to expect our OEM segment revenue will decrease for the year. This trend will continue over time. Domestic revenue increased 21% year-over-year to $9.4 million, and international revenue increased 24% year-over-year to $4.5 million for the second quarter of 2026. Gross profit for the second quarter 2026 increased 25% to $8.9 million, compared with $7.1 million in the prior year period. Gross profit margin for the second quarter 2026 increased to 63.9%, compared to 62.3% in the prior period. The increase in gross margin was primarily attributable to mix between our segments, with surgical aesthetics comprising a higher percentage of total sales and product mix within our OEM segment. This was partially offset by tariffs that began affecting us in the second half of 2025.

[Matt Hill, CFO at Apyx Medical]

Operating expenses increased to $10.7 million for the second quarter of 2026, compared to $9.7 million for the prior year period. The increase was driven by $1 million increase in selling general and administrative expenses and $0.3 million increase in salaries and related costs, partially offset by a $0.3 million decrease in professional services. Loss from operations was $1.8 million, compared with a loss from operations of $2.6 million for the second quarter of 2025. Net loss attributable to stockholders was $3.2 million or $0.7 per share for the second quarter of 2026, compared with $3.8 million or $0.9 per share in the prior year period. Adjusted EBITDA loss was $0.7 million for the second quarter of 2026, compared to an adjusted EBITDA loss of $2 million in the second quarter of 2025.

[Matt Hill, CFO at Apyx Medical]

As a reminder, we provide a detailed reconciliation in the net loss attributable to stockholders to non-GAAP adjusted EBITDA in our earnings press release. For the three months ended June 30, 2026, net cash used in operating activities was $3.5 million, compared to $1.2 million used in the prior period. The increase was primarily due to changes in working capital, partially offset by a reduction in operating loss. As of June 30, 2026, the company had cash and cash equivalents of $27.6 million. We believe based on our projections, including uptake of the AYON platform, working capital management, and our strict cost controls, we expect to maintain sufficient liquidity into 2028. We are focused on growing sales, managing expenses, and getting to cash flow positive as quickly as possible.

[Matt Hill, CFO at Apyx Medical]

Turning to our 2026 guidance, we are reaffirming our full year total revenue guidance in the range of $59 million-$60 million, compared with $52.8 million reported for the year ended December 31, 2025. Our guidance continues to assume surgical aesthetics segment revenue in the range of $54 million-$55 million, compared with approximately $45.3 million for 2025. OEM revenue of approximately $5 million, compared with approximately $7.5 million for 2025. In addition, we continue to expect gross margins in the range of 62%-63% and total operating expenses not to exceed $45 million for the full year. This completes our prepared remarks. Charlie and I will now open the call for questions. Operator?

[Operator]

Thank you. Ladies and gentlemen, we will now begin the question and answer session. If you wish to ask a question, please press star one on your telephone keypad and wait for your name to be announced. Once again, star and one if you wish to ask a question. Please stand by while we compile the Q&A roster. Thank you for waiting. We will now take our first question, and this comes from David Turkaly from Citizens JMP Securities. Your line is now open. Please go ahead.

[David Turkaly, Analyst at Citizens JMP Securities]

Hey, good evening, guys. Charlie, I think I have a bunch of questions I want to ask that you may not want to answer. Let me just start off by asking you, in terms of the users that you're hitting with the new AYON product, are there non-Renuvion folks and any people sort of outside of your core plastic base?

[Charlie Goodwin, President and CEO at Apyx Medical]

Yeah. The answer to the first part of that question is yes, we are getting people that have never used Renuvion before that are buying the AYON platform. That is the first part of your question. The second part of your question is, for the most part, it's all plastic or cosmetics that are doing obviously bodies and seeing these GLP-1 patients coming into their practice. Those are the people who are acquiring AYON right now.

[David Turkaly, Analyst at Citizens JMP Securities]

Great. I think we all understand the footprint difference of having kind of an all-in-one option, but it seems like there's some other benefits. You mentioned power lipo, but even with your ultrasound-assisted liposuction and some of the other features that could save the physician's time. I was wondering if you could just maybe walk us through that quickly.

[Charlie Goodwin, President and CEO at Apyx Medical]

Yeah. It's a good question because what you see from the outside is just the fact that everything's put together in a nice streamlined package, but that really is the least important part of the story. The most important part of the story is that every technology that is in AYON is better than the existing technologies that exist today. Remember, the liposuction that we have for the ultrasound-assisted liposuction, that has been out since we originally launched AYON, but we just got approval for the power-assisted piece in May of this last year. The power-assisted piece is a very important part of AYON because that is the part that defines and sculpts the body and actually removes the fat or puts the fat back into other areas, that is the part that takes the longest in the procedure.

[Charlie Goodwin, President and CEO at Apyx Medical]

The ultrasonic separates the fat, then the power assist comes in and takes the fat out, then through our closed-loop contouring, you can put it back in. Let's not forget that in the quarter, we just did a soft launch in the quarter, we got feedback from the physicians. That feedback was incredibly well-received on the power lipo product. In fact, it was exceptional. We only started to ship to a very few units in June. Okay? We still have work to do as far as building power lipo handpieces and getting them out to customers that are still waiting for them.

[David Turkaly, Analyst at Citizens JMP Securities]

Great. Thank you.

[Charlie Goodwin, President and CEO at Apyx Medical]

Yeah.

[Operator]

Thank you. The next question comes from Alex Fuhrman from Lucid Capital Markets. Your line is now open.

[Alex Fuhrman, Analyst at Lucid Capital Markets]

Thanks for taking my question. Congratulations on another strong quarter of double-digit growth. Wanted to ask about gross margin. It was up very nicely year-over-year in the first and second quarter this year. It looks like the guidance implies that it's going to come in a little bit sequentially. Can you talk a little bit about what's driving that? It seems like the mix shift to surgical aesthetics has certainly been helping things, and that's expected to continue. Any color on what's driving that change in gross margin would be helpful. Thanks.

[Charlie Goodwin, President and CEO at Apyx Medical]

Yeah. Look, I don't know that it is "too much of a change." There's always a mix in there between international and OUS and U.S. I don't know that fundamentally that there's any change. It has overperformed the first two quarters, which is obviously very nice. We're very happy with that. Remember, we're in the process of rolling out the power lipo right now. Obviously, the first ones of anything that you make are going to be the most expensive ones, and you're going to see that get better and better as time goes on, as manufacturing has more throughput, as we get better at making them and all of those things. When we're looking at the second half, remember, we're just gearing up on the power lipo handpiece.

[Charlie Goodwin, President and CEO at Apyx Medical]

We're looking at that and making sure that we're able to deliver and do the things that we need to do there.

[Alex Fuhrman, Analyst at Lucid Capital Markets]

Okay. That's really helpful, Charlie. Thank you.

[Charlie Goodwin, President and CEO at Apyx Medical]

Yeah.

[Operator]

Thank you. The next question comes from Matt Hewett from Craig-Hallum. Your line is now open. Please go ahead.

[Tollef Kohrman, Analyst at Craig-Hallum]

Hello, and thank you for taking the question. This is Tollef Kohrman for Matt Hewett. For power lipo, is that at all embedded into the guidance? Thank you.

[Charlie Goodwin, President and CEO at Apyx Medical]

When you say embedded into the guidance, yes. I mean, power lipo is always something that we had anticipated to have in the back half of the year. Yes, it is in the guidance.

[Tollef Kohrman, Analyst at Craig-Hallum]

Okay. Are you guys expecting any tariff refunds this year?

[Charlie Goodwin, President and CEO at Apyx Medical]

We are in the process of going through that. We would expect to receive some, we don't really have any idea exactly what that would be at this time. If we did get any tariff refunds, they are not in the current guidance that is out there now.

[Tollef Kohrman, Analyst at Craig-Hallum]

All right. Thank you very much.

[Charlie Goodwin, President and CEO at Apyx Medical]

Thank you.

[Operator]

Thank you. The next question comes from Yi Chen from H.C. Wainwright. Your line is now open. Please go ahead.

[Yi Chen, Analyst at H.C. Wainwright]

Thank you for taking my question. Could you remind us how many AYON systems have been placed since launch? If a customer purchased a system today, do you expect all of them to purchase it with the power liposuction attachment?

[Charlie Goodwin, President and CEO at Apyx Medical]

We have not given the number of AYONs that are in the market, I will not be able to give you that number today. We would expect that the vast majority of people who are buying an AYON would have power lipo with it. I would say north of 95% of people would have power lipo with it.

[Yi Chen, Analyst at H.C. Wainwright]

Adding the power liposuction does increase recurring handpiece revenue, right? Or it just primarily improved the platform's competitiveness?

[Charlie Goodwin, President and CEO at Apyx Medical]

Well, so both, but remember, the power lipo handpiece is, and probes are reusable with a useful life. They're measured in hours. The handpieces would need to be replaced over time. Typically, a busy practice would go through two, three, four handpieces a year, and then the probes obviously with them too. They are reusable, but they have a useful life.

[Yi Chen, Analyst at H.C. Wainwright]

Okay. I don't know if you have some preliminary data you can share with us that for surgeons that purchase the AYON system, what is the average first year or second year recurring consumable revenue?

[Charlie Goodwin, President and CEO at Apyx Medical]

Yeah. We have talked about the procedures recurring revenue. There is obviously the Renuvion handpiece, and then there is about an extra $100 of tubings and canisters per case that would be recurring on the AYON system.

[Yi Chen, Analyst at H.C. Wainwright]

Got it. Thank you.

[Charlie Goodwin, President and CEO at Apyx Medical]

Thank you.

[Operator]

Thank you. Once again, for those who want to ask a question, please press star one on your telephone keypad. No further questions that came through at this time. I will now turn the call over back to Charlie Goodwin. Please go ahead, sir.

[Charlie Goodwin, President and CEO at Apyx Medical]

Yeah, I'd like to thank everybody for attending the call today. We're very pleased with the momentum in the business this quarter, and we look forward to the full commercial launch of power liposuction in the third quarter as the next step in building our AYON platform. We appreciate all the support we have received from our shareholders during this time, and I can't thank you all enough. Have a good night.

[Operator]

Thank you. This concludes our conference call for today. Thank you all for participating. You may now disconnect.

Participants

Executives

• Charlie Goodwin, President and CEO
• Matt Hill, CFO

Analysts

• Jeremy Feffer, Managing Director at LifeSci Advisors
• David Turkaly, Analyst at Citizens JMP Securities
• Alex Fuhrman, Analyst at Lucid Capital Markets
• Tollef Kohrman, Analyst at Craig-Hallum
• Yi Chen, Analyst at H.C. Wainwright