Avita Medical, 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: 2 raised, 2 new. The quarter’s numbers.
Key takeaways
- Revenue rose 53% year over year: Total revenue was $26.1 million, up from $17.1 million a year earlier and 20% above the second quarter, led by RECELL with Cohealyx and PermeaDerm alongside. Source
- Net loss narrowed to $0.20 per share: Net loss was $6.2 million, or $0.20 per basic and diluted share, compared with $13.2 million, or $0.46, in the prior-year quarter. Source
- RECELL revenue grew about 20%: RECELL U.S. revenue was $22.4 million, about 20% above the second quarter, reflecting higher procedure volumes and increased account ordering. Source
- Gross margin rose to 84.0%: Gross margin across all products was 84.0%, up 270 basis points from 81.3% a year earlier and from 81.9% in the second quarter. Source
- Net cash use fell to $0.6 million: Net cash use was about $0.6 million, down from $3.2 million in the second quarter. Source
- PermeaDerm I met primary endpoint: PermeaDerm I met its primary endpoint, with outcomes comparable to allograft, 70% lower product cost and 95.7% less preparation time. Source
- Full-year revenue guidance raised: Full-year 2026 revenue guidance rose to $92 million to $94 million from $86 million to $89 million. Source
“RECELL continued to drive our growth, supported by increasing adoption of Cohealyx, while disciplined expense management contributed to a substantial improvement in cash use.”
Cary Vance, President and Chief Executive Officer
Guidance
| Area | Period | Figure | Against last quarter |
|---|---|---|---|
| Full-year revenue Source | Full year 2026 | $92 million to $94 million | Raised from $86 million to $89 million |
| Revenue growth Source | Full year 2026 | approximately 28% to 31% | Raised from 20% to 24% |
| Revenue Source | Fourth quarter 2026 | $24.9 to $26.9 million | New |
| RECELL gross margin Source | Coming quarters | 86% to 90% | New |
What changed from last quarter
- Guidance raised: Full-year 2026 revenue guidance raised to $92 million to $94 million from $86 million to $89 million. Source
- New guidance: A RECELL-only gross margin range of 86% to 90% for coming quarters was given; the prior release gave no range. Source
- New guidance: Implied fourth-quarter revenue of $24.9 million to $26.9 million was given; the prior release did not give one. Source
- Guidance kept: Expectation of cash flow breakeven in the fourth quarter of 2026 was reaffirmed. Source
- New: CMS finalized national physician payment values and simplified billing codes for RECELL, effective January 1, 2027. Source
- New: The $10 million credit facility tranche was drawn after quarter-end, bringing total borrowings to $60 million. Source
- Ended: The going concern qualification was removed, based on operating performance and cash liquidity. Source
Results and growth drivers
- Revenue rose 53% year over year: Total revenue was $26.1 million, up from $17.1 million a year earlier and 20% above the second quarter, led by RECELL with Cohealyx and PermeaDerm alongside. Source
- Net loss narrowed to $0.20 per share: Net loss was $6.2 million, or $0.20 per basic and diluted share, compared with $13.2 million, or $0.46, in the prior-year quarter. Source
- Nine-month revenue and loss: Nine-month total revenues were $67.1 million against $54.0 million a year earlier. Nine-month net loss was $24.5 million, or $0.80 per share. Source
Product lines and international
- RECELL revenue grew about 20%: RECELL U.S. revenue was $22.4 million, about 20% above the second quarter, reflecting higher procedure volumes and increased account ordering. Source
- Cohealyx grew about 21% sequentially: Cohealyx revenue was $2.1 million, about 21% above the second quarter, reflecting an expanding customer base and additional hospital value analysis committee approvals. Source
- PermeaDerm revenue held flat: PermeaDerm revenue was $0.6 million, essentially flat compared with the second quarter. Source
- International revenue held flat: International revenue was $0.9 million, essentially flat compared with the second quarter, from established international markets. Source
“Reaching $85 million in trailing twelve-month revenue reflects the continued execution of our commercial strategy and satisfied the revenue condition required to draw down the remaining $10 million under our credit facility with Perceptive Advisors LLC.”
David O'Toole, Chief Financial Officer
Gross margin and pricing
- Gross margin rose to 84.0%: Gross margin across all products was 84.0%, up 270 basis points from 81.3% a year earlier and from 81.9% in the second quarter. Source
- RECELL-only margin was 88.4%: Gross margin on RECELL products alone was 88.4% for the quarter, against 86.0% in the second quarter. Source
- Partner shares reduce blended margin: The company receives 50% of average sales price for Cohealyx and up to 55% for PermeaDerm, which lowers overall gross margin. The prior release cited 60% for PermeaDerm. Source
Operating expenses and net loss
- Operating expenses flat sequentially: Operating expenses were $24.6 million, flat with the second quarter and up 7%, or $1.6 million, from $23.0 million a year earlier. Source
- Sales and marketing rose on commissions: Sales and marketing rose $1.5 million, mainly from commissions and compensation, including annual incentive costs. Source
- R&D up, G&A down: Research and development rose $1.0 million, mainly on compensation, while general and administrative expenses fell $0.9 million. Source
“Based on our improved operating performance and liquidity, management concluded that the substantial doubt about our ability to continue as a going concern has been alleviated.”
David O'Toole, Chief Financial Officer
Cash, liquidity and debt
- Net cash use fell to $0.6 million: Net cash use was about $0.6 million, down from $3.2 million in the second quarter. Source
- Cash balance declined to $10.5 million: Cash, cash equivalents and marketable securities ended the quarter at about $10.5 million, down from $11.1 million at the start of the quarter. Source
- Credit facility debt now long-term: Debt under the Perceptive Advisors facility is classified as long-term, shown at $45.5 million on the September 30 balance sheet. Source
Reimbursement and clinical data
- Medicare payments finalized nationally: CMS finalized national physician payment values and simplified RECELL billing codes, effective January 1, 2027. The prior release said regional contractor pricing would change. Source
- PermeaDerm I met primary endpoint: PermeaDerm I met its primary endpoint, with outcomes comparable to allograft, 70% lower product cost and 95.7% less preparation time. Source
- July proposal raised facility rates: The July proposal included higher hospital outpatient and ambulatory surgical center facility payment rates alongside the physician changes.
Guidance and fourth-quarter path
- Full-year revenue guidance raised: Full-year 2026 revenue guidance rose to $92 million to $94 million from $86 million to $89 million. Source
- Implied fourth-quarter revenue range: Based on year-to-date results, the new full-year guidance implies fourth-quarter revenue of $24.9 million to $26.9 million. Source
- Q4 cash flow breakeven reaffirmed: The company reaffirmed its expectation of cash flow breakeven in the fourth quarter of 2026. Source
Coming up, as management said on 5 November 2026
- Fourth-quarter cash generation targeted: Management said the additional capital supports advancing toward cash flow breakeven and cash generation in the fourth quarter. Source
- Medicare payment changes take effect: The national physician payment values and simplified billing codes for RECELL procedures take effect January 1, 2027. Source
Risks management discussed
- Financial: Net loss in the quarter included a $2.1 million non-cash charge from revaluing warrants, tied to the rise in the share price. Source
- Operational: Higher performance-based compensation tied to commercial growth was an added cost pressure on operating expenses this quarter. Source
Earlier plans management reported on
- On track: Management said it remains on track to achieve cash flow breakeven in the fourth quarter. Source
- Met: The release reports PermeaDerm I results were reported in August, showing comparable graft take and wound healing to allograft. 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.