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Artivion, Inc.: Q3 FY2026 earnings call

What management said about Q3 FY2026, from the documents filed with the SEC on 5 November 2026: press release. Guidance figures: 1 kept. The quarter’s numbers.

Key takeaways

  • Revenue grew 9 percent: Revenue was $123.8 million, up 9% on a GAAP basis and 9% in constant currency, from $113.4 million a year earlier. On-X was the lead growth product. Source
  • Adjusted EBITDA down 8 percent: Adjusted EBITDA was $22.5 million, against $24.6 million. Operating income was $2.9 million, compared with $12.5 million a year earlier. Source
  • On-X growth led revenue: On-X revenue was $30.3 million, up 13% in constant currency from $26.8 million a year earlier. Source
  • AMDS implants rose from Q2: Management said U.S. AMDS implants increased from the second quarter, which it believes reflects the recent PMA approval and efforts to drive adoption of the technology. Source
  • Revenue range narrowed: Full-year 2026 revenue guidance is $484 million to $492 million, or growth of 8% to 10% on an adjusted constant currency basis. The prior range was $480 million to $496 million. Source
  • Adjusted EBITDA range narrowed: Full-year 2026 adjusted EBITDA guidance is $93 million to $98 million, against the prior $92 million to $99 million. Source
  • NEXUS U.S. launch planned: Management cites recent U.S. PMA approvals of AMDS and NEXUS, with NEXUS commercial launch planned for January 2027 and first surgeon training in December. Source

“In the third quarter of 2026, we delivered 9% constant currency revenue growth, reflecting continued execution of our strategy to drive long-term, profitable growth through an expanding and clinically differentiated product portfolio.”

Pat Mackin, Chairman, President, and Chief Executive Officer

Guidance

AreaPeriodFigureAgainst last quarter
Revenue Sourcefull year 2026$484 to $492 million
Revenue growth, adjusted constant currency Sourcefull year 2026 vs 2025 adjusted revenue8% to 10%
Adjusted EBITDA Sourcefull year 2026$93 to $98 million
Endospan acquisition expense Sourcefull year 2026approximately $8 millionKept

What changed from last quarter

  • New: Management now refers to recent U.S. PMA approvals for both AMDS and NEXUS. The prior release described the AMDS approval only. Source
  • New: A January 2027 U.S. commercial launch date for NEXUS is stated. The prior release gave no launch date. Source

Results and growth drivers

  • Revenue grew 9 percent: Revenue was $123.8 million, up 9% on a GAAP basis and 9% in constant currency, from $113.4 million a year earlier. On-X was the lead growth product. Source
  • GAAP net loss against prior-year profit: The GAAP net loss was $(7.9) million, or $(0.16) per diluted share, compared with net income of $6.5 million, or $0.13 per diluted share, a year earlier. Source
  • Non-GAAP earnings fell year over year: Non-GAAP net income was $3.8 million, or $0.08 per diluted share, against $7.9 million, or $0.16. Non-GAAP results include $0.6 million of pretax foreign currency revaluation losses. Source
  • Adjusted EBITDA down 8 percent: Adjusted EBITDA was $22.5 million, against $24.6 million. Operating income was $2.9 million, compared with $12.5 million a year earlier. Source

Products and customers

  • On-X growth led revenue: On-X revenue was $30.3 million, up 13% in constant currency from $26.8 million a year earlier. Source
  • Stent grafts grew 12 percent: Aortic stent grafts revenue was $44.3 million, up 12% in constant currency. Management noted the growth came despite a tougher AMDS prior-year comparison. Source
  • AMDS implants rose from Q2: Management said U.S. AMDS implants increased from the second quarter, which it believes reflects the recent PMA approval and efforts to drive adoption of the technology. Source
  • On-X supply position improved: Management said it exited the quarter in a supply position for On-X after investments at its Austin manufacturing facility. Source
  • Sealants and preservation flat: Surgical sealants revenue was $18.9 million, flat year over year. Preservation services revenue was $25.6 million, also flat in constant currency. Source

“we believe we are on track to being the only company with a comprehensive aortic arch portfolio, which represents an approximately $330 million annual U.S. market opportunity.”

Pat Mackin, Chairman, President, and Chief Executive Officer

Segments and regions

  • Europe, Middle East, Africa up 11%: Revenue in Europe, the Middle East, and Africa was $40.1 million, up 11% in constant currency from $36.2 million a year earlier. Source
  • North America grew 8 percent: North America revenue was $63.2 million, up 8% in constant currency from $58.3 million a year earlier. Source
  • Asia Pacific and Latin America growth: Asia Pacific revenue was $13.3 million, up 8% in constant currency. Latin America revenue was $7.2 million, up 5% in constant currency. Source

Costs, margins and pricing

  • Gross margin dollars rose modestly: Gross margin was $76.0 million, against $74.4 million. Calculated from reported figures, gross margin was 61.4% of revenue, against 65.6% a year earlier. Source
  • G&A expense rose year over year: General, administrative, and marketing expense was $63.2 million, against $57.3 million. Adjusted G&A, which excludes certain items, was $57.7 million, up from $53.6 million. Source
  • R&D spending increased: Research and development expense was $9.8 million, up from $8.1 million a year earlier. Source
  • Interest expense rose: Interest expense was $8.5 million, up from $6.1 million. Income tax expense was $2.0 million, against $0.6 million. Source

“Overall, we are encouraged by our third quarter performance and the progress we have made so far in 2026.”

Pat Mackin, Chairman, President, and Chief Executive Officer

Full-year 2026 guidance

  • Revenue range narrowed: Full-year 2026 revenue guidance is $484 million to $492 million, or growth of 8% to 10% on an adjusted constant currency basis. The prior range was $480 million to $496 million. Source
  • Adjusted EBITDA range narrowed: Full-year 2026 adjusted EBITDA guidance is $93 million to $98 million, against the prior $92 million to $99 million. Source
  • Currency tailwind expectation unchanged: Guidance continues to assume currency adds about one percentage point to full-year revenue growth, as previously expected. Source
  • Endospan expense expectation unchanged: Management continues to expect about $8 million of expense through full-year 2026 for the Endospan acquisition, which closed in May 2026. Source

Capital, cash and returns to shareholders

  • Operating cash flow negative year to date: Net cash used in operating activities was $4.7 million for the nine months, against $20.3 million provided a year earlier. Capital expenditures for the nine months were $31.8 million. Source
  • Third-quarter free cash flow negative: Free cash flow, non-GAAP, was $(17.6) million in the quarter, against $17.7 million a year earlier. Capital expenditures in the quarter were $13.0 million. Source
  • Endospan funded partly with debt: Acquisition of Endospan used $116.7 million, net of cash acquired. Long-term debt, net, was $363.8 million at September 30, against $215.1 million at December 31, 2025. Source
  • Cash balance declined: Cash and cash equivalents were $48.4 million at September 30, 2026, against $64.9 million at December 31, 2025. Source

Strategy and pipeline

  • NEXUS U.S. launch planned: Management cites recent U.S. PMA approvals of AMDS and NEXUS, with NEXUS commercial launch planned for January 2027 and first surgeon training in December. Source
  • ARTIZEN trial enrolling on schedule: ARTIZEN, the clinical trial for ARCEVO LSA, continues to enroll on schedule. Management said ARCEVO LSA is on track with enrollment in the ARTIZEN IDE trial. Source
  • Integration and severance costs rose: Business development, integration, and severance costs were $5.8 million in the quarter, against $2.5 million. For nine months they were $23.8 million, against $2.0 million. Source

Coming up, as management said on 5 November 2026

  • NEXUS U.S. commercial launch: Commercial launch of NEXUS in the U.S. is planned for January 2027. Source
  • First NEXUS surgeon training event: Management expects its first surgeon training event for NEXUS in December. Source

Figures management reported

FigureReported
U.S. AMDS implants Sourceincreased from Q2; no figure given

Risks management discussed

  • External: Foreign currency revaluation produced pretax losses of $0.6 million in the quarter, which are included in non-GAAP net income. Source
  • Financial: The company states it expects to incur similar types of expenses in the future, so the non-GAAP exclusions of such costs may recur. Source
  • Demand: Stent grafts growth came against a tougher AMDS prior-year comparison. Source

Earlier plans management reported on

  • On track: Management states ARCEVO LSA is on track with enrollment in the ARTIZEN IDE trial. Source
  • On track: Management says the ARTIZEN trial for ARCEVO LSA continues to enroll on schedule. Source
  • Not stated: The company refers to its previously articulated expectation of about $8 million of expense for full-year 2026. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.