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Apyx Medical Corp.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 10 March 2026: press release. Guidance figures: 3 new, 1 kept. The quarter’s numbers.

Key takeaways

  • Fourth-quarter revenue up 34.7%: Fourth-quarter 2025 total revenue was $19.2 million, up $4.9 million or 34.7% from $14.2 million a year earlier. Source
  • Net loss narrowed in quarter and year: Net loss attributable to stockholders was $1.3 million, or $0.03 per share, in the fourth quarter, against $4.6 million, or $0.12. For the year it was $11.2 million, or $0.27 per share, against $23.5 million, or $0.66. Source
  • Adjusted EBITDA positive in quarter: Adjusted EBITDA was $0.7 million in the fourth quarter, against a $2.2 million loss a year earlier. The full-year Adjusted EBITDA loss narrowed to $3.8 million from $14.3 million. Source
  • Surgical Aesthetics drove the quarter: Surgical Aesthetics revenue rose 38.1% to $16.7 million in the fourth quarter, mainly from U.S. AYON sales and international generator sales, partly offset by lower domestic generator and handpiece sales. Source
  • AYON combines several modalities: AYON combines fat removal, tissue contraction, contouring and electrosurgery in one system. Management said it continues to generate feedback from plastic and cosmetic surgeons. Source
  • Operating expenses fell for year: Full-year operating expenses fell to $39.5 million from $48.2 million, with lower salaries, SG&A, R&D and professional services. Fourth-quarter operating expenses were flat at $12.0 million. Source
  • AYON demand exceeds internal expectations: Management said customer demand for AYON continues to exceed internal expectations, following the September 2025 launch. Source

“We are making steady progress scaling the U.S. commercial program for AYON following its official launch in September 2025”

Charlie Goodwin, President and Chief Executive Officer

Guidance

AreaPeriodFigureAgainst last quarter
Total revenue Sourceyear ending December 31, 2026$57.5 million to $58.5 millionNew
Surgical Aesthetics revenue Sourceyear ending December 31, 2026$53.0 million to $54.0 millionNew
OEM revenue Sourceyear ending December 31, 2026approximately $4.5 millionNew
Operating expenses Sourceyear ending December 31, 2026less than $45.0 millionKept
Cash runway Sourcethrough 2027cash through 2027

What changed from last quarter

  • New guidance: The company set full-year 2026 guidance. The January preliminary release gave only 2025 revenue estimates and no 2026 targets. Source
  • New: A new head of U.S. sales, John Featherstone, is named as leading the U.S. team. Source

Results and growth drivers

  • Fourth-quarter revenue up 34.7%: Fourth-quarter 2025 total revenue was $19.2 million, up $4.9 million or 34.7% from $14.2 million a year earlier. Source
  • Full-year revenue up 9.9%: Full-year 2025 total revenue was $52.8 million, up 9.9% from $48.1 million in 2024, with Surgical Aesthetics up 17.4% and OEM down 20.9%. Source
  • Net loss narrowed in quarter and year: Net loss attributable to stockholders was $1.3 million, or $0.03 per share, in the fourth quarter, against $4.6 million, or $0.12. For the year it was $11.2 million, or $0.27 per share, against $23.5 million, or $0.66. Source
  • Adjusted EBITDA positive in quarter: Adjusted EBITDA was $0.7 million in the fourth quarter, against a $2.2 million loss a year earlier. The full-year Adjusted EBITDA loss narrowed to $3.8 million from $14.3 million. Source

Segments and regions

  • Surgical Aesthetics drove the quarter: Surgical Aesthetics revenue rose 38.1% to $16.7 million in the fourth quarter, mainly from U.S. AYON sales and international generator sales, partly offset by lower domestic generator and handpiece sales. Source
  • Domestic sales outpaced international: Domestic revenue rose 41.5% to $15.0 million in the fourth quarter, and domestic Surgical Aesthetics sales rose nearly 50%. International revenue rose 15.2% to $4.2 million. Source
  • OEM up in quarter, down for year: OEM revenue rose 15.6% to $2.5 million in the fourth quarter but fell 20.9% to $7.5 million for 2025. Management anticipates OEM revenue will decrease over time. Source

“we believe this commercial opportunity is still in its very early stage.”

Charlie Goodwin, President and Chief Executive Officer

Products and customers

  • AYON combines several modalities: AYON combines fat removal, tissue contraction, contouring and electrosurgery in one system. Management said it continues to generate feedback from plastic and cosmetic surgeons. Source
  • Console upgrades sold without AYON: Domestic generator sales fell, including Apyx One Console upgrades where AYON was not part of the sale. U.S. single-use handpiece volume also declined. Source
  • OEM work through partner agreements: The company applies its waveform expertise through OEM agreements with other medical device manufacturers. Source

Costs, margins and pricing

  • Fourth-quarter gross margin roughly flat: Fourth-quarter gross margin was 62.6%, against 63.0% a year earlier. Gross profit rose to $12.0 million from $9.0 million. Source
  • Full-year gross margin higher on mix: Full-year gross margin rose to 62.5% from 61.0%, mainly on segment mix and a higher domestic share of sales. Source
  • Operating expenses fell for year: Full-year operating expenses fell to $39.5 million from $48.2 million, with lower salaries, SG&A, R&D and professional services. Fourth-quarter operating expenses were flat at $12.0 million. Source
  • Lower interest expense cut other expense: Other expense, net was $1.2 million in the fourth quarter, against $1.5 million, mainly from lower interest expense. Full-year other expense was $4.4 million, against $4.5 million. Source

“As awareness of AYON increases, we expect demand to accelerate and scale meaningfully.”

Charlie Goodwin, President and Chief Executive Officer

Demand and the commercial ramp

  • AYON demand exceeds internal expectations: Management said customer demand for AYON continues to exceed internal expectations, following the September 2025 launch. Source
  • GLP-1 therapies cited as demand driver: The January preliminary release linked industry momentum partly to GLP-1 therapy adoption, which it said results in significant patient weight loss.
  • Sales team positioned for growth: Management said its sales team, led by the recently appointed head of U.S. sales, is well positioned to support growth. Source

Capital, cash and balance sheet

  • Cash flat year over year: Cash and cash equivalents were $31.7 million at December 31, 2025, essentially unchanged from December 31, 2024. Source
  • Long-term debt increased: Long-term debt, net of debt discounts and issuance costs, was $34.8 million at year-end, up from $33.9 million a year earlier. Source
  • Shares outstanding rose to 41.8 million: Common shares issued and outstanding rose to 41.8 million at December 31, 2025, from 37.8 million a year earlier. Source

Coming up, as management said on 10 March 2026

  • AYON power liposuction clearance expected: Management said the company now anticipates potential 510(k) clearance for the AYON power liposuction label expansion in mid-2026. Source

Risks management discussed

  • Demand: OEM sales declined because volumes fell with existing customers. Source
  • External: Tariffs began affecting the company in the second half of 2025 and partly offset gross margin gains. Source

Earlier plans management reported on

  • Not stated: Management continues to expect 2026 operating expenses of less than $45.0 million, the same target it has referred to. Source
  • Not stated: The January preliminary release said full fourth-quarter and full-year 2025 results would be released in March 2026.

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.