Apyx Medical Corporation

Ladies and gentlemen, good morning, and welcome to APEX Medical First Quarter 2026 Earnings Conference Call. At this time, all participants are in listen-only mode. A brief question-and-answer session will follow the formal presentation. If anyone should require operator assistance during the conference, please press star and zero on your telephone keypad. As a reminder, this conference is being recorded. It is now my pleasure to introduce your host, Jeremy Pepper from Lifestyle Advisors. Please, go ahead.

Thank you, and welcome everyone to our first quarter 2026 earnings call. Representing the company on the call are Charlie Goodwin, Chief Executive Officer, and Matt Hill, Chief Financial Officer of Apex. Before we begin, I would like to remind everyone that our remarks and responses to your questions today may contain forward-looking statements that are based on the current expectations of management and involve inherent risks and uncertainties that could cause actual results to differ materially from those indicated, including, without limitation, those identified in the risk factor section of our most recent annual report on Form 10-K, our most recent 10-Q filing, and the company's other filings with the Securities and Exchange Commission. Such factors may be updated from time to time in our filings with the SEC, which are available on our website. We undertake no obligation to publicly update or revise our forward-looking statements as a result of new information, future events, or otherwise. This call will also include references to certain financial measures that are not calculated in accordance with generally accepted accounting principles or GAAP. We generally refer to these as non-GAAP financial measures. Reconciliations of those non-GAAP financial measures to the most comparable measures calculated and presented in accordance with GAAP are available in the earnings press release on the investor relations portion of our website. I would now like to turn the call over to Mr. Charlie Goodwin, Apex Medical's President and Chief Executive Officer. Please go ahead.

Thank you, Jeremy, and thank you all for joining us today. Per our usual format on these quarterly calls, I will begin with a review of our performance over the past several months, and then turn the call over to Matt for a review of our first quarter 2026 financial results, along with our updated guidance for full year 2026. We will then open the call for your questions. Let me begin with a review of a few key highlights from our first quarter 2026 performance. we reported total quarterly revenue of $12.5 million compared to $9.4 million in the same period last year. This growth was driven by a 36% increase in sales of our surgical aesthetics products to $10.7 million for the first quarter, which was primarily attributable to the continued strong sales ramp of our Aon body contouring system in the U.S., demand for single-use handpieces worldwide, and increase in Renuvion generator sales internationally. This represents our second full quarter of Aon sales following its full commercial launch in September 2025. Notably, while demand from our existing generator and Renuvion customer base continues to be strong, we are also generating a steady increase in engagement from new accounts, reflecting growing market awareness of Aon and increasing confidence in the breadth of its capabilities. Importantly, we continue to believe adoption remains in the early stages. Over these past several months, I have been very pleased by how the commercial program for Aon has quickly ramped up activity. Our team has risen to the occasion and executed a disciplined, high-quality launch focused on training and workflow integration to achieve customer success. We are also pleased the release of Aon has coincided so well with the continued rapid adoption of GLP-1s. As of early 2026, roughly one in eight U.S. adults report have taken a GLP-1, according to KFF health tracking polls and RAND reports. While approximately 6% of adults are currently using them, projections indicate that demand will continue to grow, with estimates suggesting around 30 million Americans could be using GLP-1 treatments by 2030. the rapid weight loss that occurs using these drugs can lead to significant loose and lax skin that can only be effectively managed using a surgical intervention, and we believe Renuvion and Aon are the most advanced and effective method for treating loose and lax skin through body contouring. In addition to our revenue growth, we remain proud of the lean operating structure we implemented just over a year ago, which has materially reduced our operating expenses and cash burn. Those changes have strengthened our financial position and given us the flexibility to selectively reinvest in high return growth initiatives, including the continued rollout of Aon and our broader surgical aesthetic strategy. Through the launch of Aon, we have expanded our customer relationships beyond individual technologies to a more comprehensive presence in the surgical suite, supporting a wider range of procedures and workflows. As I have mentioned previously, this is a groundbreaking body contouring offering designed by leading surgeons to address many of the challenges and limitations of existing systems. Aon is differentiated by its ability to integrate multiple core body contouring modalities on a single platform, allowing surgeons to streamline procedures, reduce equipment complexity, and support optimal patient outcomes. As a result, we are seeing strong market receptivity, reinforcing our view that Aon is addressing a meaningful unmet need and adoption remains in the early stages. Building on this success and expanding upon the AON suite of offerings even further, we anticipate FDA 510 clearance for the AON platform to include power liposuction sometime this quarter. This is a core modality in modern body contouring procedures, and this clearance meaningfully expands AON's functionality so that it now supports multiple advanced fat removal modalities on one platform. Importantly, we believe this further differentiates Aon in the market and broadens its addressable customer base. When cleared, our strategy for bringing the power liposuction functionality live, our team is implementing a limited commercial launch of power liposuction with highly targeted early adopters. Over the coming months, this program will serve as a critical proving ground to refine training, optimize utilization, and evaluate the end-to-end customer experience. As we did with our Aon system in advance of its full launch, we will take a disciplined approach before scaling commercial implementation. We look forward to sharing further updates on this program as this program progresses. Looking beyond the U.S., we have tremendous opportunities following key regulatory approvals over just the past few quarters, including Renuvion in Asia. In South Korea, we experienced solid interest around the Apix-1 console and single-use handpieces immediately following our regulatory approval in December of 2025. As a reminder, South Korea represents an attractive market for surgical aesthetics and early customer interest and initial purchase activity reinforce our confidence and the long-term opportunity there. While it is still in the early stages, the initial customer demand for our generators and handpieces exceeded expectations, and we look forward to building on this initial momentum. To summarize, our long-term vision is simple. to walk into every surgical center and see an aeon at the center of the operating room, I believe we are off to an excellent start. I will now turn the call over to Matt for a review of our first quarter 2026 financial results in more detail, along with our updated financial guidance for 2026. Thank you, Charlie.

Before I get started, Please note that all references to our first quarter financial results will be on a gap and a year-over-year basis unless noted otherwise. As Charlie mentioned, total revenue for the first quarter of 26 increased 32% to $12.5 million compared to $9.4 million in the prior year period. Revenue for surgical aesthetic segment increased 36%, or $2.8 million, to $10.7 million, compared to $7.9 million for the prior year period. As Charlie referenced, this growth was driven by sales of Aon as we commenced our commercial launch towards the end of the third quarter of 2025, increased sales of generators internationally, and increased volume of single-use handpieces in both domestic and international markets. These increases were partially offset by decreases in domestic sales of generators. Turning to the OEM segment, sales increased 14% for approximately $0.2 million to $1.8 million for the first quarter of 26, compared to $1.5 million for the first quarter of 25. The increase in OEM sales was due to increases in sales volumes to existing customers. While OEM segment sales increased for the three-month period with an increased focus on surgical aesthetics, we expect the OEM segment revenue will decrease for the year and that this trend will continue over time. Domestic revenue increased 20% year-over-year to $8.1 million. and international revenue increased 63% year-over-year to $4.4 million for the first quarter of 2026. As a reminder, the medical device industry typically experiences some seasonality, with revenue trends generally lowest in the first and the third quarters and strongest in the second and fourth. Gross profit for the first quarter of 2026 increased 40% to $7.9 million, compared with $5.7 million in the prior year period. Gross profit margin for the first quarter of 26 increased to 63.5%, compared to 60.1% in the prior year period. The increase in gross margin for the three months ended March 31, 2026, from the prior year period is primarily attributable to mix between our segments, with the surgical aesthetics comprising a higher percentage of total sales and product mix within our OEM segment. This was partially offset by geographic mix, with international sales comprising a higher percentage of total sales and tariffs that began affecting us in the second half of 2025. Operating expenses were relatively flat year over year, with $8.8 million for the first quarter of 26 compared to $8.7 million for the prior year period. This was due to a combined $0.3 million increase in selling, general, and administrative expenses, and salaries and related costs, which was offset by a combined $0.2 million decrease in research and development and professional service expenses. Loss from operations was $0.9 million compared with a loss from operations of $3.1 million for the first quarter of 2025. Net loss attributed to stockholders was $2.1 million, or 5 cents per share, for the first quarter of 2026, compared with $4.2 million, or 10 cents per share, in the prior year period. Adjusted EBITDA loss was $0.3 million in the first quarter of 26, compared to an adjusted EBITDA loss of $2.4 million in the first quarter of 25. As a reminder, we provide a detailed reconciliation for net loss attributable to stockholders to non-GAAP adjusted EBITDA loss in our earnings press release. For the three months ended March 31, 2026, cash used in operating activities decreased to $0.6 million compared to $0.7 million used in the prior year period. As of March 31, 2026, the company had cash and cash equivalents of $31.1 million. We believe, based on our projections, including the uptake of the AAM platform, working capital management, and our strict cost controls, we'll yield cash through 2027. Turning to our 26 guidance. For the 12 months ended December 31, 2026, we announced an upward revision to our expected total revenue to be in the range of $59 million to $60 million, up from the previous guidance of $57.5 million to $58.5 million. This is compared with $52.8 million reported for the year ended December 31, 2025. Our revenue guidance assumes surgical aesthetic segment revenue in the range of $54 million to $55 million, up from the previous guidance of $53 million to $54 million. This is compared with approximately $45.3 million reported for the year ended December 31, 2025. OEM revenue is now expected to be approximately $5 million, up from the previous guidance of $4.5 million. This is compared with approximately $7.5 million for the year ended December 31, 2025. We now, depending on product and geographic mix, anticipate gross margins of approximately 62% to 63% for the year and total operating expenses not to exceed $45 million. This completes our prepared remarks.

Charlie and I will now open the call for questions. Thank you.

Ladies and gentlemen, we will now be conducting a question and answer session. If you would like to ask a question, please press star and 1 on your telephone keypad. The confirmation tone will indicate your line is in the question queue. You may press star and 2 if you would like to remove your question from the queue. For participants using speaker equipment, it may be necessary to pick up your handset before pressing the star keys. We'll wait for a moment while we poll for questions. Okay. The first question comes from David from Citizens. Please, go ahead.

Hey, good morning, guys. Congrats on the quote and the guide. Charlie, just really quick, I heard Matt say the U.S. generator sale decreased, and I noticed in the press release he kind of pulled out a comment that said we're was not part of the sale. I just want to be clear because it seems like everything was really strong. Can you explain that detail that's there, like exactly what you're saying in the press release?

Yeah. Yeah, it's a good question, Dave. Basically, when we're selling AONs now, we're counting those as AON sales and not generator sales, even though if they're a brand-new customer, they would have a generator with them, or if they're an RS3 upgrade, they would need to upgrade to the APX1. We don't capture those generators separately. We count it all as an Aeon sale now. So more than anything else, it's just a geography. You're going to see that in the U.S. as we continue. More people are going to buy full Aeon systems as opposed to just buying generators as they were before.

Thanks for that. Thanks for clarifying that. And then as we look, you know, obviously, OUS was really strong. You called out South Korea. Will you bring it on there? I think Apex 1 is there right now, but is that the plan? And any color on sort of OUS rollout with that system? Thanks.

Yeah, if you look at the international business, it was a good, obviously, quarter for the international business. And as Matt and I both said, it was strength on hand pieces, both from an international and a domestic perspective. But new generator sales and new upticks in South Korea in particular for outside the United States. And, yes, we are working on registering Aon. outside the United States, obviously. And so we will be working on various countries throughout this year. And as we make progress on that, we will obviously let the investors know of what we're doing there. But, yeah, we plan to have Aon registered everywhere in the world at some point in time.

Thank you. Yep, thank you. Thank you.

Next question comes from Sam Iver from VTIG. Please, go ahead.

Hi, good morning. Thanks for taking the questions here. Charlotte, maybe a two-part question on Aon. You know, first, maybe I can get your thoughts on where you think we are, you know, in this rollout, in the launch. It sounds like maybe you're starting to expand beyond the existing group of Renuvion accounts. And then, you know, just as a follow-up there on power-assisted liposuction, I see here that you're expecting label expansion this quarter. Has that been an impediment at all toward adoption? And, you know, with the label, you know, could we expect some inflection thereafter? And how important is that going to be for surgeons?

Yeah, no, it's a good question, and there's a lot in there. I'll try to unpack it for you. It's a multi-tiered question for sure. When we're talking about the existing Renuvion customers upgrading to Aon, we've actually just started with that. So that is a whole huge group of people that we have that could upgrade to Aon. And then, obviously, to your point, it brings in a whole bunch of people that don't even have Renuvion at this time that could upgrade to that. And so we are, if we're looking at Aon sales in the United States and this is a baseball game, we're just in the top of the first inning. We're just basically getting started with this. As regards to power lipo, yes, to answer your question directly, there are people that are waiting for power lipo before they get A on because some doctors do not use ultrasonic liposuction. They only use power liposuction. So if you look at the market, You've got groups of doctors that use both ultrasonic and power. You've got doctors that use ultrasonic by itself and not power. And then you've got doctors that use power liposuction and not ultrasonic. And obviously the doctors that use only power liposuction are waiting for that label and that product to be available. before they would get Aon. So from our perspective, power lipo is a huge indication for us and a huge approval because it rounds out the liposuction capabilities of Aon and give doctors both modalities on the system as it is today. So we do see it as being very significant.

Okay, that's really helpful. Thanks for the explanation there. Maybe I can just use my follow-up here on the demand environment. It sounds like consumables globally were up in the quarter. You guys have this tailwind with the GLP-1 wave that's coming in, but obviously now there's some geopolitical tensions, macroeconomic dynamics in the current environment. Just curious what you're seeing out in the field for underlying procedure demand at this moment.

Yeah, I don't think there's any question that people that have been on these drugs and have lost the weight that they want to lose are looking for solutions to help their body. And yes, there is a lot of noise out there on the geopolitical front. There's no question about that. But from a demand perspective, we're still seeing patients coming into practices and wanting these procedures.

Hello? Yep. Thanks for taking the questions, guys. Yeah. Thank you. Okay. Next question comes from Alex Truman from Lucid Capital Market.

Please, go ahead.

Hey, guys, thanks very much for taking my question, and congratulations on a really strong start to the year. It sounds like most of the Aon customers have been skewing towards new customers, if you're only just starting to sell as an upgrade to your longstanding customers. I'm curious, Charlie, what kinds of clinics has it been resonating the most with, and are there practices that you had a hard time getting into when it was just Renuvion that are now taking another look with the full all-in-ones?

Yeah, so I actually want to just clarify one thing. So far, all of the Aeons that we've sold, probably about 80% of them have been through existing Renuvion customers. But if you look at the total base of Renuvion customers, we still have a long ways to go before we upgrade all of them. Okay, and to answer your question about the new customers that weren't Renuvion customers before or Apex customers before, to answer your question, yes, it is a huge help having Aeon because now you're talking about the entire body contouring procedure. You're talking about adding technologies that increase efficiency for the doctor and their staff. lower procedure times for the patient, which is huge because they're less time under anesthesia. And we're even being told anecdotally from doctors that the outcomes are better for the patient. So, yes, it is helping us immensely get into practices that we weren't in before, for sure.

Okay, that's really helpful. And then you referenced a A study earlier in the call that, you know, suggested about one in eight Americans have taken a GLP-1. Obviously, your business is doing very well here at a time when GLP-1 adoption is growing. Do you have any sense, just kind of anecdotally, you know, customers having Renuvion treatment? I mean, do you feel like there's more than one in eight, you know, or about that share that have taken a GLP-1? Just curious if that's been – kind of a driver of the business or, you know, what you're hearing from your surgeons.

Yeah, and, you know, we follow, like, Google searches and things like that, too, about, you know, what consumers are looking for and what they're seeing. And if you take a look at Google searches and you go over the last 12 months, one of the biggest increases is on loose skin. And so, yes, we are seeing patients that are coming to the doctor's practices and they're asking for solutions for that. And it is, if you look at, I think, the three biggest things in Google searches that are looking for right now, it's loose skin, body contouring, and liposuction still. So, people are looking for these solutions. They're taking these drugs. They're losing the weight, and obviously, they've got loose and lax skin after that. So, we are seeing this in the marketplace, and I think that's you know, that's why we're seeing the strength that we're seeing and the growth that we're having is because we think that the technologies and solutions that we're helping doctors with are squarely in the sights of what the patients are looking for.

Okay, that's really helpful. Thank you very much. Next question would be from Matt Hewitt. from Craig Cullen. Please, go ahead.

Taking the question. This is Talv Korman on for Matt Hewitt. Congrats on the great quarter. So, what's the assumed tariff impact embedded in the guide and how should we think about any potential changes in the policy going forward? Thank you.

Yeah, look. You know, I don't know about changes in the guide. We've been anticipating that the tariffs are going to remain throughout the rest of the year, and they're factored in there from, obviously, a cost and a gross profit point of view. So, I mean, could things change and we have different tariffs? Absolutely. You know, one of the advantages that we have is that we manufacture both in Sofia, Bulgaria and Clearwater, Florida. And so, you know, we've been able to minimize the tariff impact so far to the business. But it is something that we're always looking at and finding the best way to keep our costs as low as they possibly can be.

Excellent. And then early in the call, you cited you wanted to place Aon outside of the U.S., specifically everywhere. Do you have a timeline, key specific countries you're looking at right now? Thank you.

What's up? So I can't give a timeline, unfortunately, because anything I would give you would be wrong because it takes time in each individual country. But obviously, there's major places that we'd like to have Aon registered from a body contouring perspective. Obviously, all of Europe, we'd like to have it there. When we're looking at Latin America, we'd be looking at countries like Brazil and Colombia that do a lot of... a lot of body contouring. We'd obviously be looking at the Middle East because there's a lot of business there and then key markets in Asia. So those would be the, you know, the big areas that we'd be looking for for AM.

Great. Thank you. Yeah. As a reminder, if you wish to ask questions, please press star 1. Thank you. Ladies and gentlemen, this concludes our question and answer session.

I would now hand the conference over to Charlie Goodwin for his closing comments.

Thank you, everybody, for attending the call. I want to really thank the entire APEX medical team for their tireless dedication and execution as we move into mid-2026 with tremendous energy and momentum towards driving growth. We appreciate all the support we have received from our customers and shareholders during this time.

Thank you very much. Thank you. The conference of Apex Medical has concluded. Thank you for your participation. You may now disconnect your lines.