Avita Medical, Inc.: Q2 FY2026 earnings call
What management said about Q2 FY2026, from the documents filed with the SEC on 6 August 2026: press release. Guidance figures: 2 raised. The quarter’s numbers.
Key takeaways
- Record quarterly revenue, up 18%: Total revenue was $21.7 million, up from $18.4 million a year earlier and 13% above the first quarter. Management described the figure as a record. Source
- RECELL drove sequential growth: RECELL revenue was $18.5 million, about 11% above the first quarter. Management linked the rise to physician confidence after reimbursement stabilization and use of RECELL GO mini in smaller wounds. Source
- Operating expenses fell 6%: Operating expenses were $24.6 million, down $1.5 million from $26.1 million a year earlier. Management attributed the decline to 2025 cost optimization and restructuring. Source
- Gross margin rose to 81.9%: Gross profit margin was 81.9%, compared with 81.2% a year earlier, despite continued expansion of the product portfolio. Source
- Net cash use improved to $3.2 million: Net cash use was about $3.2 million, down from $9.9 million in the first quarter. Cash, cash equivalents and marketable securities ended at about $11.1 million, versus $14.3 million at the start. Source
- Revenue guidance raised to $86-89 million: Full-year 2026 revenue guidance rose from $80 million to $85 million, representing 20% to 24% growth on $71.6 million of 2025 revenue. Source
- Cash flow breakeven targeted for Q4: Management expects to reach cash flow breakeven and begin generating cash in the fourth quarter of 2026. Source
- Proposed national physician payment: CMS proposed 2027 rules that, if adopted, would set national rather than region-by-region physician payment for RECELL. Source
“We are delivering this growth while maintaining a high gross margin and disciplined operating expenses and use of cash.”
Cary Vance, President and Chief Executive Officer
Guidance
| Area | Period | Figure | Against last quarter |
|---|---|---|---|
| Revenue Source | Full year 2026 | $86 million to $89 million | Raised from $80 million to $85 million |
| Revenue growth Source | Full year 2026, compared with 2025 | 20% to 24% | Raised from 12% to 19% |
What changed from last quarter
- Guidance raised: Full-year 2026 revenue guidance raised to $86 million to $89 million from $80 million to $85 million. Source
- New guidance: Cash flow breakeven in the fourth quarter of 2026 was announced as a target; the first quarter release did not include it. Source
- New: CMS released proposed 2027 Medicare payment updates for RECELL in July, which the first quarter release did not cover. Source
Revenue and growth drivers
- Record quarterly revenue, up 18%: Total revenue was $21.7 million, up from $18.4 million a year earlier and 13% above the first quarter. Management described the figure as a record. Source
- RECELL drove sequential growth: RECELL revenue was $18.5 million, about 11% above the first quarter. Management linked the rise to physician confidence after reimbursement stabilization and use of RECELL GO mini in smaller wounds. Source
- Net loss narrowed year over year: Net loss was $7.7 million, or $0.25 per basic and diluted share, against $9.9 million, or $0.38, a year earlier. Weighted-average shares rose to 30.7 million from 26.4 million. Source
Product lines and international
- Cohealyx revenue grew about 16%: Cohealyx revenue was $1.7 million. Interim Cohealyx I data reported in April showed faster time to skin grafting readiness than leading competitive products. Source
- PermeaDerm gained traction: PermeaDerm revenue was $0.6 million, about 40% above the first quarter. The PermeaDerm I study, a lower-cost alternative to allograft, is expected in August. Source
- International revenue held steady: International revenue was $0.9 million, about 26% above the first quarter. Management said established international markets continued to contribute consistent revenue. Source
“we expect to reach cash flow breakeven and to start generating cash in the fourth quarter of 2026.”
David O'Toole, Chief Financial Officer
Operating expense reduction
- Operating expenses fell 6%: Operating expenses were $24.6 million, down $1.5 million from $26.1 million a year earlier. Management attributed the decline to 2025 cost optimization and restructuring. Source
- Sales and marketing down $0.7 million: Sales and marketing expense fell by $0.7 million, reflecting the 2025 commercial restructuring. Source
- G&A down, R&D flat: General and administrative expense decreased $0.7 million, while research and development expense was flat with the prior-year quarter. Source
Gross margin and product mix
- Gross margin rose to 81.9%: Gross profit margin was 81.9%, compared with 81.2% a year earlier, despite continued expansion of the product portfolio. Source
- RECELL-only margin reached 86.0%: RECELL-only gross margin was 86.0% for the quarter, shown separately from the blended company figure. Source
- Shared pricing lowers blended margin: Management said the company shares average sales prices for Cohealyx at 50% and for PermeaDerm at 60%, which lowers the overall gross margin percentage. Source
“Together, these results demonstrate that AVITA has evolved into a business capable of sustained, durable growth”
Cary Vance, President and Chief Executive Officer
Cash use and liquidity
- Net cash use improved to $3.2 million: Net cash use was about $3.2 million, down from $9.9 million in the first quarter. Cash, cash equivalents and marketable securities ended at about $11.1 million, versus $14.3 million at the start. Source
- Collections timing cited as support: Management said sustained high gross margins, expense management and improved timely customer cash collections support the path to cash flow breakeven. Source
- Credit tranche remains available: An additional $10 million tranche under the credit facility stays available once trailing twelve-month net revenue reaches $85 million in any month before March 31, 2027. Source
Guidance and cash flow breakeven
- Revenue guidance raised to $86-89 million: Full-year 2026 revenue guidance rose from $80 million to $85 million, representing 20% to 24% growth on $71.6 million of 2025 revenue. Source
- Cash flow breakeven targeted for Q4: Management expects to reach cash flow breakeven and begin generating cash in the fourth quarter of 2026. Source
- Guidance reaffirmed in May: The first quarter release reaffirmed the $80 million to $85 million range, citing confidence in continued execution and commercial momentum.
Medicare reimbursement for RECELL
- Proposed national physician payment: CMS proposed 2027 rules that, if adopted, would set national rather than region-by-region physician payment for RECELL. Source
- New Category I CPT code family: The proposed rules reflect a new Category I CPT code family, effective January 1, 2027, with proposed national physician relative value units. Source
- Facility rates to rise: The proposed rules also include increases to hospital outpatient and ambulatory surgical center facility payment rates. Source
Coming up, as management said on 6 August 2026
- PermeaDerm I data in August: Management expects to present PermeaDerm I study data in August 2026. Source
- Final CMS rules due later this year: CMS is expected to issue final rules later this year, with implementation effective January 1, 2027. Source
Risks management discussed
- Regulatory: The national RECELL physician payment figures are still proposed and depend on CMS issuing final rules later this year. Source
- Financial: Management said the shared pricing of Cohealyx and PermeaDerm lowers the blended gross margin percentage as those products grow. Source
Earlier plans management reported on
- Met: The first quarter release expected cash use to decrease significantly in the second quarter. Second-quarter net cash use was about $3.2 million, down from $9.9 million. 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.