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Axonics Reports Third Quarter 2024 Financial Results


IRVINE, Calif. – November 7, 2024 – Axonics, Inc. (Nasdaq: AXNX), a medical technology company that develops, manufactures and commercializes innovative and minimally invasive products to treat bladder and bowel dysfunction, today reported financial results for the three months ended September 30, 2024.

“Axonics continued to execute at a high level in the third quarter, generating revenue growth of 25% year over year,” said Raymond W. Cohen, chief executive officer. “Revenue growth for both sacral neuromodulation and Bulkamid® was driven by higher utilization at existing customers and the onboarding of new accounts.”

Mr. Cohen continued, “Our commitment to innovation, quality, direct-to-consumer advertising and providing strong clinical support continues to expand the market for life-changing incontinence therapies and propel Axonics on its path to market leadership. We look forward to the global impact the Axonics portfolio can make as part of Boston Scientific as we endeavor to treat more patients than ever before.”

Third Quarter 2024 Financial Results
•Net revenue was $116.2 million, an increase of 25% compared to the prior year period.
◦Sacral neuromodulation revenue was $92.3 million, an increase of 25% compared to the prior year period.
◦Bulkamid revenue was $23.8 million, an increase of 25% compared to the prior year period.
•Gross margin was 77.2% compared to 74.2% in the prior year period.
•Loss from operations was $6.3 million and includes $8 million of one-time legal and acquisition-related costs. This compares to a loss from operations of $0.7 million in the prior year period.
•Net loss was $21,000 compared to net income of $3.9 million in the prior year period.
•Adjusted EBITDA was $23.6 million compared to $14.0 million in the prior year period.
•Cash, cash equivalents, short-term investments and restricted cash were $367 million as of September 30, 2024.
About Axonics
Axonics is a global medical technology company that is developing and commercializing novel products for adults with bladder and bowel dysfunction. Axonics ranked No. 2 on the 2023 Financial Times ranking of the fastest growing companies in the Americas after being ranked No. 1 in 2022.

Axonics® sacral neuromodulation systems provide adults with overactive bladder and/or fecal incontinence with long-lived, easy to use, safe, clinically effective therapy. In addition, Axonics’ best-in-class urethral bulking hydrogel, Bulkamid®, provides safe and durable symptom relief to women with stress urinary incontinence. In the U.S., moderate to severe urinary incontinence affects an estimated 28 million women and fecal incontinence affects an estimated 19 million adults. For more information, visit www.axonics.com.


Use of Non-GAAP Financial Measures
To supplement Axonics’ consolidated financial statements prepared in accordance with generally accepted accounting principles (GAAP), Axonics provides certain non-GAAP financial measures in this release as supplemental financial metrics.

Adjusted EBITDA is calculated as net loss before other income/expense (including interest), income tax expense (benefit), depreciation and amortization expense, stock-based compensation expense, acquisition-related costs, cash compensation in lieu of equity compensation due to pending merger, one-time litigation-related expense, acquired in-process research and development expense, loss on disposal of property and equipment, and expense related to impairment of intangible assets. Management believes that in order to properly understand short-term and long-term financial trends, investors may want to consider the impact of these excluded items in addition to GAAP measures. The excluded items vary in frequency and/or impact on our results of operations and management believes that the excluded items are typically not reflective of our ongoing core business operations and financial condition. Further, management uses adjusted EBITDA for both strategic and annual operating planning. A reconciliation of adjusted EBITDA reported in this release to the most comparable GAAP measure for the respective periods appears in the table captioned “Reconciliation of GAAP Net (Loss) Income to Adjusted EBITDA” later in this release.

The non-GAAP financial measures used by Axonics may not be the same or calculated in the same manner as those used and calculated by other companies. Non-GAAP financial measures have limitations as analytical tools and should not be considered in isolation or as a substitute for Axonics’ financial results prepared and reported in accordance with GAAP. We urge investors to review the reconciliation of these non-GAAP financial measures to the comparable GAAP financial measures included in this press release, and not to rely on any single financial measure to evaluate our business.
Cautionary Statement Regarding Forward-Looking Statements
This press release contains “forward-looking statements” within the meaning of the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995. Forward-looking statements can be identified by words like “may,” “will,” “likely,” “should,” “expect,” “anticipate,” “future,” “plan,” “believe,” “intend,” “goal,” “seek,” “endeavor,” “estimate,” “project,” “continue,” and variations of such words and similar expressions. These forward-looking statements are not guarantees of future performance and involve risks, assumptions, and uncertainties, including, but not limited to, risks related to: Axonics’ ability to consummate the transactions contemplated by the Agreement and Plan of Merger, dated January 8, 2024 (the “Merger Agreement”), by and among Axonics, Boston Scientific Corporation (“Boston Scientific”), and Sadie Merger Sub, Inc., a wholly owned subsidiary of Boston Scientific (“Merger Sub”), providing for the merger of Merger Sub with and into Axonics with Axonics continuing as the surviving company and a wholly owned subsidiary of Boston Scientific (the “Merger”), in a timely manner or at all; the risk that the Merger Agreement may be terminated in circumstances requiring the payment by Axonics of a termination fee; the satisfaction (or waiver) of the conditions to the closing of the Merger; potential delays in consummating the Merger; the occurrence of any event, change or other circumstance or condition that could give rise to termination of the Merger Agreement; Axonics’ ability to timely and successfully realize the anticipated benefits of the Merger; the ability to successfully integrate the businesses of Axonics and Boston Scientific; the effect of the announcement or pendency of the Merger on Axonics’ current plans, business relationships, operating results and business generally; the effect of limitations placed on Axonics’ business under the Merger Agreement; significant transaction costs and unknown liabilities; litigation or regulatory actions related to the Merger Agreement or Merger; FDA or other U.S. or foreign regulatory or legal actions or changes affecting Axonics or Axonics’ industry; the results of any ongoing or future legal proceedings, including the litigation with Medtronic, Inc., Medtronic Puerto Rico Operations Co., Medtronic Logistics LLC and Medtronic USA, Inc. (the “Medtronic Litigation”); any termination or loss of intellectual property rights, including as a result of the


Medtronic Litigation; introductions and announcements of new technologies by Axonics, any commercialization partners or Axonics’ competitors, and the timing of these introductions and announcements; changes in macroeconomic and market conditions and volatility, including the risk of recession, inflation, supply chain constraints or disruptions and rising interest rates; and economic and market conditions in general and in the medical technology industry specifically, including the size and growth, if any, of Axonics’ markets, and risks related to other factors described under “Risk Factors” in other reports and statements filed with the U.S. Securities and Exchange Commission (“SEC”), including Axonics’ most recent Annual Report on Form 10-K, which is available on the investor relations section of Axonics’ website at www.axonics.com and on the SEC’s website at www.sec.gov. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those indicated or anticipated by these forward-looking statements. Therefore, you should not rely on any of these forward-looking statements.

The forward-looking statements included in this press release are made only as of the date of this press release, and except as otherwise required by federal securities law, Axonics does not assume any obligation nor does it intend to publicly update or revise any forward-looking statements to reflect new information, changed circumstances or unanticipated events.

Axonics contact:
Neil Bhalodkar
IR@axonics.com


Axonics, Inc.
Consolidated Balance Sheets
(in thousands, except share and per share data)
September 30,December 31,
20242023
(unaudited)
ASSETS
Current assets
Cash and cash equivalents$239,452 $104,811 
Short-term investments105,773 240,149 
Accounts receivable, net of allowance for credit losses of $1,198 and $442 at September 30, 2024 and December 31, 2023, respectively
62,644 57,243 
Inventory, net113,861 79,940 
Prepaid expenses and other current assets4,184 9,279 
Total current assets525,914 491,422 
Restricted cash22,082 12,714 
Property and equipment, net20,698 10,760 
Intangible assets, net78,454 81,375 
Other assets22,478 24,235 
Goodwill104,545 99,417 
Total assets$774,171 $719,923 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities
Accounts payable$20,109 $18,452 
Accrued liabilities5,701 10,527 
Accrued compensation and benefits35,998 15,060 
Operating lease liabilities, current portion2,611 1,777 
Total current liabilities64,419 45,816 
Operating lease liabilities, net of current portion29,900 25,840 
Deferred tax liabilities, net15,363 10,703 
Total liabilities109,682 82,359 
Commitments and contingencies
Stockholders’ equity
Preferred stock, par value $0.0001 per share; 10,000,000 shares authorized, no shares issued and outstanding at September 30, 2024 and December 31, 2023
— — 
Common stock, par value $0.0001, 75,000,000 shares authorized at September 30, 2024 and December 31, 2023; 51,110,021 and 50,770,520 shares issued and outstanding at September 30, 2024 and December 31, 2023, respectively
5 5 
Additional paid-in capital1,063,185 1,033,778 
Accumulated deficit(392,586)(380,352)
Accumulated other comprehensive loss(6,115)(15,867)
Total stockholders’ equity664,489 637,564 
Total liabilities and stockholders’ equity$774,171 $719,923 


Axonics, Inc.
Consolidated Statements of Comprehensive Income (Loss)
(in thousands, except share and per share data)
(unaudited)
Three Months Ended
September 30,		Nine Months Ended
September 30,
2024202320242023
Net revenue$116,193 $93,100 $322,167 $256,644 
Cost of goods sold26,542 23,996 74,120 64,850 
Gross profit89,651 69,104 248,047 191,794 
Operating expenses
Research and development13,491 8,167 37,339 25,172 
General and administrative23,761 11,778 55,192 34,659 
Sales and marketing52,972 47,544 160,607 134,468 
Amortization of intangible assets2,221 2,302 6,722 6,803 
Acquisition-related costs3,474 — 9,953 2,368 
Acquired in-process research & development— — — 15,447 
Total operating expenses95,919 69,791 269,813 218,917 
Loss from operations(6,268)(687)(21,766)(27,123)
Other income (expense)
Interest and other income4,704 4,271 13,379 12,149 
Interest and other expense8 (83)(83)774 
Other income, net4,712 4,188 13,296 12,923 
(Loss) income before income tax (benefit) expense(1,556)3,501 (8,470)(14,200)
Income tax (benefit) expense(1,535)(427)3,764 (1,538)
Net (loss) income(21)3,928 (12,234)(12,662)
Foreign currency translation adjustment10,438 (6,185)9,752 636 
Comprehensive income (loss)$10,417 $(2,257)$(2,482)$(12,026)
Net (loss) income per share, basic$(0.00)$0.08 $(0.24)$(0.26)
Weighted-average shares used to compute basic net (loss) income per share51,088,073 49,244,981 51,010,885 48,973,252 
Net (loss) income per share, diluted$(0.00)$0.08 $(0.24)$(0.26)
Weighted-average shares used to compute diluted net (loss) income per share51,088,073 50,086,491 51,010,885 48,973,252 


Axonics, Inc.
Net Revenue by Product and Region
(in thousands)
(unaudited)
Three Months Ended
September 30,		Nine Months Ended
September 30,
2024202320242023
Sacral neuromodulation
United States$90,072 $72,212 $248,988 $198,270 
International2,277 1,737 6,255 5,025 
Sacral neuromodulation total$92,349 $73,949 $255,243 $203,295 
Bulkamid
United States$19,050 $15,579 $52,575 $41,998 
International4,794 3,572 14,349 11,351 
Bulkamid total$23,844 $19,151 $66,924 $53,349 
Total net revenue$116,193 $93,100 $322,167 $256,644 

Axonics, Inc.
Reconciliation of GAAP Net (Loss) Income to Adjusted EBITDA
(in thousands)
(unaudited)
Three Months Ended
September 30,		Nine Months Ended
September 30,
2024202320242023
GAAP Net (loss) income$(21)$3,928 $(12,234)$(12,662)
Non-GAAP Adjustments:
Interest and other income(4,704)(4,271)(13,379)(12,149)
Interest and other expense(8)83 83 (774)
Income tax (benefit) expense(1,535)(427)3,764 (1,538)
Depreciation and amortization expense3,215 3,254 9,298 9,295 
Stock-based compensation expense8,231 11,470 26,393 33,388 
Acquisition-related costs3,474 — 9,953 2,368 
Cash compensation in lieu of equity compensation due to pending merger10,404 — 21,586 — 
One-time litigation-related expense4,500 — 4,500 — 
Acquired in-process research & development— — — 15,447 
Adjusted EBITDA$23,556 $14,037 $49,964 $33,375