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Apyx Medical Corp (APYX)·Q3 2025 Earnings Summary
Executive Summary
- Q3 revenue of $12.9M grew 12.1% year over year; Surgical Aesthetics rose 19% to $11.1M while OEM fell 17.6%; gross margin expanded to 64.4% from 60.5% .
- EPS of -$0.05 was a clear beat vs Wall Street consensus of -$0.10*, and revenue beat $12.0M consensus*; adjusted EBITDA loss improved to -$0.1M from -$2.4M YoY .
- Guidance raised: FY25 revenue to $50.5–$52.5M (prior $50.0–$52.0M); Surgical Aesthetics $43–$45M (prior $42–$44M); OEM ~$7.5M (prior ~$8.0M); OpEx maintained “< $40M”; management added gross margin outlook of ~61% for FY25 .
- Catalysts: Full U.S. commercial launch of AYON in September with pre-orders exceeding expectations; new 510(k) submitted to expand AYON label to power liposuction (anticipated clearance Q1’26), reinforcing mix shift to higher-margin Surgical Aesthetics .
What Went Well and What Went Wrong
- What Went Well
- AYON full U.S. launch exceeded expectations with strong pre-orders and initial deliveries; CEO: “Initial feedback…continues to be overwhelmingly positive…resulted in pre-orders for AYON” .
- Mix-driven margin expansion: gross margin rose to 64.4% on higher Surgical Aesthetics share and domestic mix .
- Operating discipline: OpEx fell $1.5M YoY to $9.1M; adjusted EBITDA loss improved 96% YoY to -$0.1M .
- What Went Wrong
- OEM revenue decreased 17.6% YoY to $1.8M on lower volumes to existing customers (including Symmetry Surgical) .
- International revenue fell 4% YoY; domestic growth largely offset but geographic mix remains a watch item .
- Continued GAAP net loss (-$2.0M) and cash used in operations ($3.5M in Q3), though improving vs last year; tariff impacts remain uncertain per management .
Financial Results
Actual vs Wall Street Consensus (Q3 2025)
Segment Revenue Breakdown
Geographic Revenue Breakdown
Additional KPIs
Guidance Changes
Earnings Call Themes & Trends
Management Commentary
- “Initial feedback from leading board-certified plastic and cosmetic surgeons continues to be overwhelmingly positive…resulted in pre-orders for AYON” — Charlie Goodwin, CEO .
- “Upon receiving [power liposuction] market clearance, we will be able to activate this new functionality in AYON systems already installed” — CEO .
- “Operating expenses decreased…driven by [SG&A], R&D, salaries and professional services” — CFO .
- “We now anticipate gross margins of approximately 61% for the year and total operating expenses not to exceed $40 million” — CFO .
- “We…shifted our focus and manufacturing resource from OEM towards our Surgical Aesthetics segment, particularly the AYON launch” — CEO .
Q&A Highlights
- Classification of generator sales with AYON: management clarified that AYON systems include Apyx One generator integration, which changes how generator sales are classified within AYON packages .
- Margin trajectory: while not guiding long-term margins, management reiterated U.S. Surgical Aesthetics has highest gross margins; gross margin outlook set at ~61% for FY25 .
- Consumables pull-through: strongest driver is adding new customers; Q3 consumables were “good” in U.S. and internationally; utilization focus continues .
- Pipeline and installations: demand accelerating; supply chain shored up; third-party installers used to scale implementations; international registrations targeted in 2026 (CE mark, Middle East accepting FDA) .
- GLP-1 tailwinds: growing patient population new to aesthetics; AYON + Renuvion positioned to address skin laxity needs; multi-year opportunity .
Estimates Context
- Q3 2025 results beat consensus: revenue $12.877M vs $12.001M*; EPS -$0.05 vs -$0.1025*; both had 4 estimates*. Management’s guidance raise supports estimate revisions higher for Surgical Aesthetics, with OEM reduced modestly .
- Forward implications: gross margin outlook of ~61% and AYON launch ramp suggest upward bias to FY25 revenue/margin models, with OEM softness offset by mix; watch international rollout pacing and timing of power lipo clearance .
Key Takeaways for Investors
- AYON is the primary growth and margin driver; full U.S. launch plus pending power lipo clearance positions FY25/26 for mix-led margin expansion .
- Surgical Aesthetics strength offsetting OEM softness; guidance explicitly reweights toward higher-margin segment .
- Operating discipline is tangible: OpEx down, EBITDA loss near breakeven; path to improved cash burn in back half supported by working capital management .
- Domestic momentum robust (+19.7% YoY); international softness merits monitoring ahead of broader registrations in 2026 .
- GLP-1 tailwinds are structurally expanding addressable market; Renuvion attach and AYON capabilities create a compelling platform story .
- Near-term trading lens: focus on AYON order flow, handpiece utilization, Q4 revenue cadence implied by guidance increase; regulatory clearance for power lipo is a key 1H’26 catalyst .
- Risk checks: OEM demand variability, tariff uncertainty, international registration timelines; however, mix shift and domestic strength create buffer .
- Values retrieved from S&P Global