Avita Medical, Inc.: Q4 FY2025 earnings call
What management said about Q4 FY2025, from the documents filed with the SEC on 12 February 2026: press release. Guidance figures: 4 kept. The quarter’s numbers.
Key takeaways
- Full-year revenue rose 11%: Full-year 2025 revenue was $71.6 million, up about 11% from $64.3 million, which the company said was within its revised revenue guidance for the year. Source
- Fourth-quarter revenue fell 4%: Q4 revenue was $17.6 million, down $0.8 million or 4% from $18.4 million. Management attributed the drop mainly to MAC reimbursement headwinds. Source
- Six of seven MACs published rates: The company said publication of payment rates removes a key constraint on RECELL utilization that applied in 2025. Source
- Gross margin fell on mix and inventory: Q4 gross margin was 81.2% against 87.6% a year earlier, reflecting product mix and inventory adjustments. RECELL-only gross margin was 83.1%; full-year margin was 82.1%. Source
- Cash use improved for third quarter: Net cash use was about $5.1 million in Q4, against $6.2 million in Q3 and $10.1 million in Q2. Cash and marketable securities ended the quarter at $18.2 million. Source
- New $60 million Perceptive facility: A five-year facility from Perceptive Advisors provides up to $60 million. The proceeds repaid existing debt, and the company said the balance supports its acute wound care portfolio. Source
- Shift from stabilization to execution: The company described 2025 as a year of stabilization and 2026 as a more execution-focused phase, with a clearer commercial focus. Source
“The fourth quarter marked the close of a year of stabilization and the beginning of a more execution-focused phase, for the Company.”
Cary Vance, Interim Chief Executive Officer of AVITA Medical
Guidance
| Area | Period | Figure | Against last quarter |
|---|---|---|---|
| Revenue Source | full year 2026 | $80 to $85 million | Kept |
| Revenue required for covenant, Q1 2026 Source | first quarter 2026 | $15.4 million | Kept |
| TTM revenue covenant Source | quarter ending March 31, 2026 | $68.5 million | Kept |
| TTM revenue covenant Source | full year 2026 | $73 million | Kept |
What changed from last quarter
- Guidance kept: The 2026 revenue range of $80 to $85 million is the same as in the January 13, 2026 preliminary update. Source
- New: Six of seven MACs have published RECELL payment rates as of January 2026. This is not mentioned in the January 13, 2026 preliminary update. Source
Results and growth drivers
- Full-year revenue rose 11%: Full-year 2025 revenue was $71.6 million, up about 11% from $64.3 million, which the company said was within its revised revenue guidance for the year. Source
- Fourth-quarter revenue fell 4%: Q4 revenue was $17.6 million, down $0.8 million or 4% from $18.4 million. Management attributed the drop mainly to MAC reimbursement headwinds. Source
- Growth came from deeper account use: Full-year growth was largely driven by deeper penetration within customer accounts and new accounts for traumatic and surgical wounds, with a smaller contribution from new launches. Source
- Net loss narrowed in 2025: Full-year net loss was $48.6 million, or $1.74 per share, against $61.8 million, or $2.39 per share, in 2024. Q4 net loss was $11.6 million, or $0.38 per share, against $0.44 a year earlier. Source
Products, reimbursement and customers
- Six of seven MACs published rates: The company said publication of payment rates removes a key constraint on RECELL utilization that applied in 2025. Source
- Early signs of normal clinician use: The interim CEO said early normalization is visible in clinician use of RECELL, with reimbursement disruption now largely behind the company. Source
- Shared sales price on two products: The company shares the average sales price for Cohealyx and PermeaDerm, which lowers the overall gross margin percentage while increasing gross profit. Source
- Growth tied to core burn centers: The company said growth will come from deeper utilization within its core burn and trauma centers, with execution-led growth each quarter. Source
“While reimbursement disruption and operational transition weighed on revenue performance in 2025, those issues are now largely behind us, and we are seeing early signs of normalization in clinician use of RECELL.”
Cary Vance, Interim Chief Executive Officer of AVITA Medical
Costs, margins and pricing
- Operating expenses fell 9% in 2025: Full-year operating expenses were $101.4 million, down $10.4 million or 9%, led by a $5.1 million fall in sales and marketing and a $5.8 million fall in G&A. Source
- Q4 expenses fell 5% with severance: Q4 operating expenses were $24.7 million, down 5%, including $1.2 million of one-time severance. R&D rose $0.8 million on Cohealyx and PermeaDerm post-market studies. Source
- Gross margin fell on mix and inventory: Q4 gross margin was 81.2% against 87.6% a year earlier, reflecting product mix and inventory adjustments. RECELL-only gross margin was 83.1%; full-year margin was 82.1%. Source
- Sales and marketing spend fell: Sales and marketing expense fell $2.2 million in Q4, mainly from lower salaries, benefits, stock-based compensation and commissions. Source
Cash, debt and covenants
- Cash use improved for third quarter: Net cash use was about $5.1 million in Q4, against $6.2 million in Q3 and $10.1 million in Q2. Cash and marketable securities ended the quarter at $18.2 million. Source
- New $60 million Perceptive facility: A five-year facility from Perceptive Advisors provides up to $60 million. The proceeds repaid existing debt, and the company said the balance supports its acute wound care portfolio. Source
- Revenue covenants reset to trajectory: The new facility sets trailing twelve-month revenue covenants, which the company said are aligned with its current operating trajectory. Source
- Less restrictive covenants stated: The CFO said the facility, with less restrictive covenants, lets the organization focus on execution and operating discipline as it enters 2026. Source
“With less restrictive covenants, this new credit facility will allow the organization to focus on execution and operating discipline as we enter 2026.”
David O'Toole, Chief Financial Officer
Clinical pipeline and strategy
- Two clinical studies report in 2026: The Cohealyx-I study fully enrolled and PermeaDerm-I passed 75% enrollment in December 2025. Data from both studies is expected in 2026. Source
- First integrated pathway use presented: Data at the January 2026 Boswick Burn & Wound Symposium showed the first surgeon-reported integrated use of the three products in a staged wound care pathway. Source
- Shift from stabilization to execution: The company described 2025 as a year of stabilization and 2026 as a more execution-focused phase, with a clearer commercial focus. Source
Leadership and cost actions
- 2025 cost base lowered: The CFO said 2025 actions lowered the operating cost base and improved cash efficiency, with cash use improving through the second half of the year. Source
- Interim CEO stresses commercial focus: Cary Vance, Interim CEO, said the company enters 2026 with a clearer commercial focus and a validated portfolio. Source
- Execution-led growth quarter by quarter: The interim CEO said the priority is consistent growth delivered quarter by quarter, through deeper utilization in core centers. Source
Coming up, as management said on 12 February 2026
- Q1 2026 covenant test: The first TTM revenue covenant test falls at the quarter ending March 31, 2026, at $68.5 million. Source
- Full-year 2026 covenant test: A trailing twelve-month revenue covenant of $73 million applies for the full year 2026. Source
- Clinical study data later in 2026: The company expects data from both the Cohealyx-I and PermeaDerm-I clinical studies during 2026. Source
Risks management discussed
- Regulatory: MAC reimbursement headwinds reduced Q4 revenue, and payment rates set by contractors affect utilization. Source
- Financial: The company must reach $15.4 million of revenue in Q1 2026 to comply with the initial $68.5 million TTM revenue covenant. Source
- Operational: Gross margin decline was primarily caused by product mix and a higher inventory reserve. Source
- Operational: The CEO said reimbursement disruption and operational transition weighed on 2025 revenue performance. Source
- Financial: Cash and marketable securities fell to $18.2 million, from $23.3 million at the start of Q4 and $35.9 million at end-2024. Source
- Demand: Payment rates constrained RECELL utilization in 2025; the company says this constraint is now being removed. Source
Earlier plans management reported on
- Met: Full-year 2025 revenue of $71.6 million was within the company's revised revenue guidance for the year. 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.