MIMEDX Announces Third Quarter 2026 Operating & Financial Results

Surgical sales grew, but Medicare reimbursement changes continued to weigh on the Wound business.

Rhea-AI Summary

MIMEDX (Nasdaq: MDXG) reported third-quarter 2026 net sales of $62.283 million, as Wound sales declines outweighed Surgical franchise growth. Sales fell 45% year over year; Surgical sales rose 9%, while Wound sales fell 71%. Net loss was $8.683 million, versus net income of $16.748 million a year earlier. Gross margin was 80%, versus 84% a year earlier and 69% last quarter.

MIMEDX expects 2026 sales of $250–$260 million and sequentially higher fourth-quarter adjusted EBITDA, an adjusted earnings measure. It repaid its remaining $17 million term loan and ended September debt-free with $120.791 million in cash. A patent license provides $25 million in five annual installments, with the first received. The proposed Sanara acquisition awaits antitrust clearance. A federal court vacated FDA classification determinations for AXIOFILL and returned both matters to the agency for reconsideration.

13 points · 0 major

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1 major · 16 points

Hollow bars mark forward-looking points. How the balance works

Positive

• Moderate pointSurgical sales increased 9% year over year in the third quarter.
• Moderate pointThird-quarter selling, general and administrative expenses fell to $58.313 million from $69.001 million a year earlier.
• Moderate pointThird-quarter adjusted EBITDA returned to positive following cost reductions.
• Moderate pointRemaining term loan of $17 million was repaid; quarter-end debt outstanding was zero. 3% of market cap
• Moderate pointNon-exclusive patent license provides $25 million in five $5 million installments; the first has been received. 4.4% of market cap
• Moderate point. Forward-looking: it has not happened yet and may not happen.MIMEDX expects 2026 net sales of $250–$260 million.
• Moderate point. Forward-looking: it has not happened yet and may not happen.MIMEDX expects fourth-quarter adjusted EBITDA above the third quarter.

6 minor points

• Minor pointSurgical unit volume delivered mid-teens growth against the prior-year quarter.
• Minor pointWound Care Center unit volume increased 7% sequentially and also grew year over year.
• Minor pointThird-quarter research and development expenses declined to $2.796 million from $3.703 million a year earlier.
• Minor pointCash increased $2 million sequentially in the third quarter.
• Minor pointAXIOFILL court ruling vacated two FDA classification determinations.
• Minor point. Forward-looking: it has not happened yet and may not happen.MIMEDX maintains longer-term targets of low-double-digit annual sales growth and adjusted EBITDA margin above 20%.

Negative

• Major pointThird-quarter net sales fell 45% year over year to $62.283 million.
• Moderate pointThird-quarter net loss was $8.683 million, versus $16.748 million net income a year earlier.
• Moderate pointThird-quarter gross profit fell to $49.702 million from $95.006 million a year earlier.
• Moderate pointGross margin was 80%, below 84% a year earlier but above 69% last quarter.
• Moderate pointNine-month operating cash use was $4.217 million, versus $49.047 million generated a year earlier.
• Moderate pointCash fell to $120.791 million at September 30, 2026, from $166.121 million at December 31, 2025.

10 minor points

• Minor pointWound sales declined 71% year over year, with Medicare reimbursement changes continuing to affect performance.
• Minor pointThird-quarter diluted earnings moved to a $0.06 loss per share from $0.11 income a year earlier.
• Minor pointThird-quarter operating loss was $11.702 million, versus $22.190 million operating income a year earlier.
• Minor pointIncremental legal, strategic and Sanara transaction expenses added $6 million to third-quarter expenses.
• Minor pointNine-month net sales declined to $185.636 million from $300.535 million a year earlier.
• Minor pointNine-month net loss was $34.383 million, versus $33.387 million net income a year earlier.
• Minor pointNine-month diluted earnings moved to a $0.23 loss per share from $0.22 income a year earlier.
• Minor pointProposed Sanara acquisition remains subject to FTC antitrust clearance.
• Minor pointTwo product submissions remain under FDA review through the 510(k) medical-device pathway.
• Minor pointAXIOFILL classification matters were returned to FDA for further consideration, rather than resolved by the court.

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Key Figures

Net sales: $62 million, down 45% year over year Surgical sales: Up 9% year over year Wound sales: Down 71% year over year +5 more

Net sales

$62 million, down 45% year over year

Third quarter 2026

Surgical sales

Up 9% year over year

Third quarter 2026

Wound sales

Down 71% year over year

Third quarter 2026

Gross margin

80%

Third quarter 2026; 84% a year earlier and 69% in the prior quarter

Net loss

$9 million

Third quarter 2026, versus net income of $17 million a year earlier

Adjusted EBITDA

$2.066 million

Third quarter 2026; positive for the quarter

2026 net sales outlook

$250–$260 million

Reduced from prior guidance of $260–$290 million

Patent license payments

$25 million total in five $5 million installments

License agreement announced today; first installment received

Previous Earnings Reports

2 past events · Latest: Jul 29

Same Type 2 events

1. Jul 29

   Q2 earnings

   24h Move

   +0.9%

   Sales fell 35%, Wound sales declined 61%, and net loss was $14.8 million.

2. Apr 29

   Q1 earnings

   24h Move

   +8.9%

   Net sales fell 33%, Wound sales dropped 60%, and 2026 guidance was cut.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Key Terms

adjusted ebitda, 510(k), hct/p, gaap

4 terms

adjusted ebitda financial

"a return to positive Adjusted EBITDA in the quarter"

Adjusted EBITDA is a way companies measure how much money they make from their core operations, like running a business, by removing certain costs or income that aren’t part of regular business activities. It helps investors see how well a company is doing without distractions from unusual expenses or gains, making it easier to compare companies or track performance over time.

510(k) regulatory

"our two 510(k) submissions under review"

A 510(k) is a U.S. regulatory submission that a medical device maker uses to show a new device is as safe and effective as an already-approved device, allowing the regulator to clear it for sale rather than requiring the longer, more stringent approval process. For investors, a cleared 510(k) usually means lower regulatory risk and a faster path to market, which can speed revenue generation and reduce uncertainty—similar to proving a new appliance works like a trusted existing model.

hct/p regulatory

"AXIOFILL is not a Section 361 HCT/P"

hct/p stands for human cells, tissues, and cellular and tissue‑based products — biological materials derived from human donors used for medical treatments such as grafts or regenerative therapies. Investors care because these products follow distinct regulatory rules and development timelines compared with conventional drugs or devices, which affects how quickly a product can reach the market, the cost and complexity of approval, and the potential commercial risk and reward; think of it like raw ingredients versus a fully processed consumer product.

gaap financial

"Net loss for the three months ended September 30, 2026"

GAAP, or Generally Accepted Accounting Principles, are a set of standardized rules and guidelines that companies follow when preparing their financial statements. They ensure consistency, transparency, and comparability across different companies, making it easier for investors to understand and compare financial information accurately. This helps investors make informed decisions based on trustworthy and uniform financial reports.

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Reports Continued Double-Digit Year-Over-Year Volume Growth for Surgical Franchise

Delivers Wound Care Center Volume Growth Both Sequentially and Year-Over-Year

Obtained Favorable Federal Court Ruling in AXIOFILL^® Regulatory Classification Matter During Quarter

Today Announced Patent License Agreement, Underscoring Strength of IP Portfolio

Management to Host Conference Call Today, October 28, 2026, at 4:30 PM ET

MARIETTA, Ga., Oct. 28, 2026 (GLOBE NEWSWIRE) -- MiMedx Group, Inc. (Nasdaq: MDXG) (“MIMEDX” or the “Company”) today announced operating and financial results for the third quarter of 2026.

Joseph H. Capper, MIMEDX Chief Executive Officer, commented, "Our third quarter results reflect the progress we have made in reshaping MIMEDX into a Surgical-led company with a leaner cost structure that returned us to positive Adjusted EBITDA. Our Surgical franchise delivered mid-teens volume growth against a strong prior-year comparison and softer U.S. surgical procedure volumes. While a few discrete items dampened reported Surgical sales growth of 9% in the quarter, underlying demand remained strong across the portfolio, and Surgical now represents nearly two-thirds of our net sales."

Mr. Capper continued, "As the Wound Care market works through a sluggish reset, we are beginning to see the anticipated signs of adjustment, including patient migration into Wound Care Centers, where MIMEDX unit volume grew 7% sequentially in the quarter. We continue to believe the market will ultimately favor established manufacturers that have scale and prioritize investment in robust clinical research. With our cost actions from earlier this year now fully reflected in our run rate, we delivered a significant sequential improvement in our GAAP net loss and a return to positive Adjusted EBITDA in the quarter.

"We are working diligently with the FTC to obtain HSR clearance and look forward to completing the acquisition of Sanara MedTech. As we prepare for the combination of the two companies, our conviction in both the strategic rationale and the financial merits of this transaction remains strong," concluded Mr. Capper.

Third Quarter 2026 Results Discussion

Net Sales

MIMEDX reported net sales for the three months ended September 30, 2026 of $62 million, compared to $114 million for the three months ended September 30, 2025, a decrease of 45%. During the quarter, Surgical product sales increased 9% compared to the prior year period, led by sales of AMNIOFIX^®, AMNIOEFFECT^® and HELIOGEN^®. These results were offset by a year-over-year decrease in Wound sales of 71%, despite continued sequential growth of sales to Wound Care Centers. The performance of the Wound business in the quarter continues to be negatively impacted by several Medicare reimbursement changes that went into effect on January 1, 2026.

Gross Profit and Margin

Gross profit for the three months ended September 30, 2026, was $50 million, compared to $95 million the prior year period. Gross margin for the three months ended September 30, 2026 was 80%, compared to 84% in the prior year period and 69% last quarter. The year-over-year decline in gross margin was driven primarily by the Medicare reimbursement rules negatively impacting the prices of our Wound products along with unfavorable product mix. However, the sequential improvement in gross margin highlights management's efforts to remove costs from the business and implement manufacturing efficiencies.

Operating Expenses

Selling, general and administrative ("SG&A") expenses for the three months ended September 30, 2026, were $58 million compared to $69 million for the three months ended September 30, 2025. The decrease in SG&A was driven primarily by lower expenses as a result of the cost reduction initiative announced in April as well as lower commissions on lower sales, partially offset by $6 million of incremental legal and strategic expenses associated with our ongoing litigation matters and other transaction costs incurred related to the proposed acquisition of Sanara.

Research and development ("R&D") expenses for the three months ended September 30, 2026 and 2025, were $3 million and $4 million, respectively. R&D spend in the quarter reflects ongoing investments in the development of future products in our pipeline, including the costs associated with our two 510(k) submissions under review with the United States Food & Drug Administration, offset by the impact of our cost reduction initiative.

Net Income

Net loss for the three months ended September 30, 2026 was $9 million compared to net income of $17 million for the three months ended September 30, 2025.

Cash and Cash Equivalents

As of September 30, 2026, the Company had $121 million of cash and cash equivalents compared to $166 million as of December 31, 2025. Net cash increased $2 million compared to the second quarter 2026. During the quarter, the Company repaid the remaining $17 million term loan balance and ended the quarter with no debt outstanding.

Financial Outlook

For 2026, MIMEDX now expects 2026 net sales to be in a range of $250 to $260 million.

The Company expects Adjusted EBITDA for the fourth quarter to be sequentially higher than the third quarter.

Longer-term, the Company continues to expect to achieve annual net sales growth in the low double-digits as a percentage with an adjusted EBITDA margin above 20%.

The Company has not provided a reconciliation of its forward-looking Adjusted EBITDA and Adjusted EBITDA margin to the most directly comparable GAAP measures because it is unable to do so without unreasonable efforts. The Company cannot predict with reasonable certainty the timing or amount of items excluded from these measures, such as acquisition and transaction-related costs relating to the proposed Sanara acquisition, strategic legal and regulatory expenses, reorganization expenses, share-based compensation and income tax effects, which could be material to the Company's GAAP results.

AXIOFILL

During the quarter, the Company announced that the U.S. District Court for the Northern District of Georgia issued a favorable ruling in the Company’s litigation challenging the U.S. Food and Drug Administration’s (“FDA”) regulatory classification of AXIOFILL, the Company’s human placental-derived extracellular matrix particulate product.

The Court vacated FDA’s determination that AXIOFILL is not a Section 361 HCT/P because it is more than minimally manipulated and FDA’s determination that AXIOFILL should be classified as a biological product rather than a medical device. The Court remanded both matters to FDA for further consideration consistent with its order.

Patent License Agreement

The Company also announced today that it has entered into a license agreement with a wound care competitor that resolves allegations of infringement of MIMEDX's patents.

Under the agreement:

• The licensee will pay MIMEDX a total of $25 million in five equal installments of $5 million.
• The first installment has been received, and the four remaining installments will be paid annually on the anniversary of the signing date.
• MIMEDX has granted the licensee a non-exclusive license to the covered patents.
  
  

Conference Call and Webcast

MIMEDX will host a conference call and webcast to review its third quarter 2026 results on Wednesday, October 28, 2026, beginning at 4:30 p.m., Eastern Time. The call can be accessed using the following information:

Webcast: Click here
U.S. Investors: 877-407-6184
International Investors: 201-389-0877
Conference ID: 13762954

A replay of the webcast will be available for approximately 30 days on the Company’s website at www.mimedx.com following the conclusion of the event.

Important Cautionary Statement

This press release includes forward-looking statements, including statements regarding (i) our 2026 and longer term financial goals and expectations for future financial results, including revenue, net sales growth and Adjusted EBITDA margin; (ii) any changes to underlying demand in the Wound segment; (iii) the impact of our restructuring and cost reduction initiatives, including expected cost savings, on our future profitability and growth; and (iv) the timing, completion and anticipated benefits of the proposed acquisition of Sanara, including the expected timing of closing, the receipt of required regulatory approvals, including expiration or termination of the waiting period under the Hart-Scott-Rodino Antitrust Improvements Act following the FTC’s Second Request, financing under the Hayfin commitment, anticipated ticking fees under the Hayfin commitment letter, potential termination fees payable to Sanara, and integration activities and expected synergies. Additional forward-looking statements may be identified by words such as "believe," "expect," "may," "plan," “goal,” “outlook,” "potential," "will," "preliminary," and similar expressions, and are based on management's current beliefs and expectations.

Forward-looking statements are subject to risks and uncertainties, and the Company cautions investors against placing undue reliance on such statements. Actual results may differ materially from those set forth in the forward-looking statements. Factors that could cause actual results to differ from expectations include: (i) future sales are uncertain and are affected by competition, access to customers, patient access to healthcare providers, the new reimbursement environment, which introduced tighter coverage parameters, lower reimbursement levels in certain categories, and incremental administrative complexity for providers and many other factors; (ii) the Company may change its plans due to unforeseen or evolving circumstances and market response to the reimbursement rules; (iii) the results of scientific research are uncertain and may have little or no value; (iv) our ability to sell our products in other countries depends on a number of factors including adequate levels of reimbursement, market acceptance of novel therapies, and our ability to build and manage a direct sales force or third party distribution relationship; (v) the effectiveness of amniotic tissue as a therapy for particular indications or conditions is the subject of further scientific and clinical studies; (vi) we may alter the timing and amount of planned expenditures for research and development based on regulatory developments; (vii) Medicare spending rules; and (viii) changes in the size of the addressable market for our products; and (ix) risks relating to the proposed Sanara transaction, including the timing of closing, the outcome and timing of the FTC review and Second Request process, the risk that financing under the Hayfin commitment is not available when needed, the impact of ticking fees or termination fees, integration risks, the possibility that expected synergies are not realized as expected, and the possibility that the transaction is delayed or not completed. The Company describes additional risks and uncertainties in the Risk Factors section of its most recent annual report and quarterly reports filed with the Securities and Exchange Commission. Any forward-looking statements speak only as of the date of this press release and the Company assumes no obligation to update any forward-looking statement.

About MIMEDX

MIMEDX is a pioneer and leader focused on helping humans heal. With more than a decade and a half of helping clinicians manage chronic and other hard-to-heal wounds, MIMEDX is dedicated to providing a leading portfolio of products for applications in the wound care, burn, and surgical sectors of healthcare. The Company’s vision is to be the leading global provider of healing solutions through relentless innovation to restore quality of life. For additional information, please visit www.mimedx.com.

Contact:
Matt Notarianni
Investor Relations
470.304.7291
mnotarianni@mimedx.com

Selected Unaudited Financial Information

MiMedx Group, Inc.
Condensed Consolidated Balance Sheets
(in thousands) Unaudited
		September 30, 2026				December 31, 2025
ASSETS
Current assets:
Cash and cash equivalents		$	120,791			$	166,121
Accounts receivable, net			37,269				75,707
Inventory			22,088				25,340
Other current assets			7,085				10,303
Total current assets			187,233				277,471
Property and equipment, net			4,710				4,713
Deferred tax asset, net			29,219				19,596
Goodwill			19,441				19,441
Intangible assets, net			11,120				14,158
Other assets			12,829				7,274
Total assets		$	264,552			$	342,653
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Current portion of long term debt		$	—			$	1,500
Accounts payable			11,828				14,528
Accrued compensation			15,246				31,065
Accrued expenses			12,768				11,383
Other current liabilities			3,189				5,790
Total current liabilities			43,031				64,266
Long term debt, net			—				16,467
Other liabilities			10,439				5,372
Total liabilities			53,470				86,105
Total stockholders' equity			211,082				256,548
Total liabilities and stockholders’ equity		$	264,552			$	342,653

MiMedx Group, Inc.
Condensed Consolidated Statements of Operations
(in thousands, except share and per share amounts) Unaudited
		Three Months Ended September 30,								Nine Months Ended September 30,
			2026				2025				2026				2025
Net sales		$	62,283			$	113,725			$	185,636			$	300,535
Cost of sales			12,581				18,719				49,929				53,958
Gross profit			49,702				95,006				135,707				246,577
Operating expenses:
Selling, general and administrative			58,313				69,001				171,323				193,121
Research and development			2,796				3,703				9,712				10,336
Amortization of intangible assets			295				112				887				310
Operating (loss) income			(11,702	)			22,190				(46,215	)			42,810
Other income (expense), net
Interest income, net			776				785				2,449				2,029
Other expense, net			(136	)			(126	)			(407	)			(372	)
(Loss) income before income tax			(11,062	)			22,849				(44,173	)			44,467
Income tax benefit (provision)			2,379				(6,101	)			9,790				(11,080	)
Net (loss) income		$	(8,683	)		$	16,748			$	(34,383	)		$	33,387
Basic net (loss) income per common share		$	(0.06	)		$	0.11			$	(0.23	)		$	0.23
Diluted net (loss) income per common share		$	(0.06	)		$	0.11			$	(0.23	)		$	0.22
Weighted average common shares outstanding - basic			145,865,259				148,035,283				147,359,552				147,692,441
Weighted average common shares outstanding - diluted			145,865,259				149,713,653				147,359,552				149,579,861

MiMedx Group, Inc.
Condensed Consolidated Statements of Cash Flows
(in thousands) Unaudited
		Nine Months Ended September 30,
			2026				2025
Net cash flows (used in) provided by operating activities			(4,217	)			49,047
Net cash flows used in investing activities			(6,470	)			(6,551	)
Net cash flows used in financing activities			(34,643	)			(4,829	)
Net change in cash		$	(45,330	)		$	37,667

Reconciliation of Non-GAAP Measures

In addition to our GAAP results, we provide certain non-GAAP measures including Adjusted EBITDA and related margins, Free Cash Flow, Adjusted Gross Profit, Adjusted Gross Margin, Adjusted Net Income, and Adjusted Earnings Per Share ("Adjusted EPS"). We believe that the presentation of these measures provides important supplemental information to management and investors regarding our performance. These measures are not a substitute for GAAP measures. Company management uses these non-GAAP measures as aids in monitoring our ongoing financial performance from quarter-to-quarter and year-to-year on a regular basis and for benchmarking against comparable companies.

These non-GAAP financial measures reflect the exclusion of the following items:

• Share-based compensation - expense recognized related to awards to employees and our board of directors issued pursuant to our share-based compensation plans. This expense is reflected amongst cost of sales, research and development expense, and selling, general, and administrative expense in the unaudited condensed consolidated statements of operations.
• Amortization of acquired intangible assets - reflects amortization expense recognized solely related to assets which were acquired as part of a transaction. These expenses are generally reflected in cost of sales in our unaudited condensed consolidated statements of operations.
• Acquisition and other transaction-related costs – reflects expenses incrementally incurred resulting from the consummation of material strategic transactions or the integration of acquired assets or operations into our core business. In the third quarter of 2026, this primarily reflected expenses relating to our proposed acquisition of Sanara. These expenses are generally reflected in selling, general and administrative expense and other expense, net in our unaudited condensed consolidated statements of operations.
• Strategic legal and regulatory expenses - relates to litigation and regulatory expenses deemed strategically important to our operations. Litigation expenses primarily relate to legal fees incurred and relate to suits filed against former employees and their employers for violation of non-compete and non-solicitation agreements and certain patent infringement matters. Regulatory expenses relate to legal fees incurred stemming from action taken against the United States Food & Drug Administration ("FDA") surrounding the designation of one of our products. These expenses are generally reflected in selling, general and administrative expense in our unaudited condensed consolidated statements of operations.
• Reorganization expense - expenses incurred toward the realignment of our operating strategy. These expenses relate to severance expenses related to certain executive leaders and other employment actions, including the implementation of our cost reduction initiative during the second quarter of 2026. These expenses are reflected as a component of cost of sales, selling, general and administrative expense, and research and development expense in the unaudited condensed consolidated statements of operations.
• Strategic software implementation costs - incremental expenses incurred toward the implementation of software as a service arrangements which are not capitalizable under GAAP and are determined to be material to the Company's operations. These expenses are reflected in the caption of the unaudited condensed consolidated statements of operations which is commensurate with the intended use of the software. For the quarter ended September 30, 2026, this is primarily cost of sales.
• Long-term effective income tax rate adjustment - for purposes of calculating Adjusted Net Income and Adjusted Earnings Per Share, reflects our expectation of a long-term effective tax rate, which is normalized and balance sheet-agnostic. Actual tax expense will be based on GAAP earnings, and may differ from the expected long-term effective tax rate due to a variety of factors, including the tax treatment of various transactions included in GAAP net income and other reconciling items that are excluded in determining Adjusted Net Income and Adjusted EPS. The actual long-term normalized effective tax rate was 25% for each of the quarters ended September 30, 2026 and 2025.
  
  

Adjusted EBITDA and Adjusted EBITDA margin

Adjusted EBITDA consists of GAAP net (loss) income excluding (i) strategic legal and regulatory expenses, (ii) acquisition and other transaction-related costs, (iii) share-based compensation expense, (iv) amortization of intangible assets, (v) depreciation expense, (vi) strategic software implementation costs, (vii) reorganization expense, (viii) interest income, net, and (ix) income tax provision (benefit).

Please refer to the tables below for reconciliation to GAAP net income.

		Three Months Ended September 30,								Nine Months Ended September 30,
			2026				2025				2026				2025
Net (loss) income		$	(8,683	)		$	16,748			$	(34,383	)		$	33,387
Non-GAAP Adjustments:
Strategic legal and regulatory expenses			5,688				2,515				14,117				6,691
Acquisition and other transaction-related costs			3,288				159				3,435				799
Share-based compensation expense			3,204				4,920				2,410				13,933
Amortization of intangible assets			1,094				4,719				3,274				9,969
Depreciation expense			370				573				1,336				1,692
Strategic software implementation costs			250				—				604				—
Reorganization expense			10				—				3,825				826
Interest income, net			(776	)			(785	)			(2,449	)			(2,029	)
Income tax (benefit) provision			(2,379	)			6,101				(9,790	)			11,080
Adjusted EBITDA		$	2,066			$	34,950			$	(17,621	)		$	76,348
Adjusted EBITDA margin			3.3	%			30.7	%			(9.5	)%			25.4	%

Adjusted Net Income (Loss)

Adjusted Net Income (Loss) provides a view of our operating performance, exclusive of certain items which are non-recurring or not reflective of our core operations.

Adjusted Net Income (Loss) is defined as GAAP net (loss) income plus (i) strategic legal and regulatory expenses, (ii) acquisition and other transaction-related expenses, (iii) amortization of acquired intangible assets, (iv) strategic software implementation costs, (v) loss on extinguishment of debt, (vi) reorganization expense, and (vii) long-term effective income tax rate adjustment.

A reconciliation of GAAP net income to Adjusted Net Income (Loss) appears in the table below (in thousands):

		Three Months Ended September 30,								Nine Months Ended September 30,
			2026				2025				2026				2025
Net (loss) income		$	(8,683	)		$	16,748			$	(34,383	)		$	33,387
Strategic legal and regulatory expenses			5,688				2,515				14,117				6,691
Acquisition and other transaction-related costs			3,288				159				3,435				799
Amortization of acquired intangible assets			826				4,615				2,475				9,667
Strategic software implementation costs			250				—				604				—
Loss on extinguishment of debt			43				—				43				—
Reorganization expenses			10				—				3,825				826
Long-term effective income tax rate adjustment			(2,140	)			(1,433	)			(4,872	)			(4,532	)
Adjusted net (loss) income		$	(718	)		$	22,604			$	(14,756	)		$	46,838

A reconciliation of various line items included in our GAAP unaudited condensed consolidated statements of operations to Adjusted Net Income (Loss) for the three months ended September 30, 2026 and 2025 are presented in the tables below (in thousands):

		Three Months Ended September 30, 2026
		Gross Profit				Selling, General & Administrative Expense				Research and Development Expense				Net Loss
Reported GAAP Measure		$	49,702			$	58,313			$	2,796			$	(8,683	)
Strategic legal and regulatory expenses			—				(5,688	)			—				5,688
Acquisition and other transaction-related costs			—				(3,282	)			—				3,288
Amortization of acquired intangible assets			799				—				—				826
Strategic software implementation costs			250				—				—				250
Loss on extinguishment of debt			—				—				—				43
Reorganization expenses			—				(10	)			—				10
Long-term effective income tax rate adjustment			—				—				—				(2,140	)
Non-GAAP Measure		$	50,751			$	49,333			$	2,796			$	(718	)

		Three months ended September 30, 2025
		Gross Profit				Selling, General & Administrative Expense				Research and Development Expense				Net Income
Reported GAAP Measure		$	95,006			$	69,001			$	3,703			$	16,748
Amortization of acquired intangible assets			4,607				—				—				4,615
Strategic legal and regulatory expenses			—				(2,515	)			—				2,515
Acquisition and other transaction-related costs			—				(124	)			—				159
Reorganization expense			—				—				—				—
Long-term effective income tax rate adjustment			—				—				—				(1,433	)
Non-GAAP Measure		$	99,613			$	66,362			$	3,703			$	22,604

		Nine Months Ended September 30, 2026
		Gross Profit				Selling, General & Administrative Expense				Research and Development Expense				Net Income
Reported GAAP Measure		$	135,707			$	171,323			$	9,712			$	(34,383	)
Strategic legal and regulatory expenses			—				(14,117	)			—				14,117
Acquisition and other transaction-related costs			—				(3,398	)			—				3,435
Amortization of acquired intangible assets			2,398				—				—				2,475
Strategic software implementation costs			604				—				—				604
Loss on extinguishment of debt			—				—				—				43
Reorganization expenses			1,901				(1,818	)			(106	)			3,825
Long-term effective income tax rate adjustment			—				—				—				(4,872	)
Non-GAAP Measure			140,610			$	151,990			$	9,606			$	(14,756	)

		Nine Months Ended September 30, 2025
		Gross Profit				Selling, General & Administrative Expense				Research and Development Expense				Net Income
Reported GAAP Measure		$	246,577			$	193,121			$	10,336			$	33,387
Amortization of acquired intangibles			9,659				—				—				9,667
Strategic legal and regulatory expenses			—				(6,691	)			—				6,691
Acquisition and other transaction-related costs			—				(689	)			—				799
Reorganization expense			—				(826	)			—				826
Long-term effective income tax rate adjustment			—				—				—				(4,532	)
Non-GAAP Measure		$	256,236			$	184,915			$	10,336			$	46,838

Adjusted Earnings Per Share

Adjusted Earnings Per Share is intended to provide a normalized view of earnings per share by removing items that may be irregular, one-time, or non-recurring from net income. This enables us to identify underlying trends in our business that could otherwise be masked by such items. Adjusted Earnings Per Share consists of GAAP diluted net (loss) income per common share adjusted for (i) strategic legal and regulatory expenses, (ii) acquisition and other transaction-related expenses, (iii) amortization of acquired intangible assets, (iv) strategic software implementation costs, (v) loss on extinguishment of debt, (vi) reorganization expense, and (vii) long-term effective income tax rate adjustment.

A reconciliation of GAAP diluted earnings per share to Adjusted Earnings Per Share appears in the table below (per diluted share):

		Three Months Ended September 30,								Nine Months Ended September 30,
			2026				2025				2026				2025
GAAP net (loss) income per common share - diluted		$	(0.06	)		$	0.11			$	(0.23	)		$	0.22
Strategic legal and regulatory expenses			0.04				0.02				0.09				0.04
Acquisition and other transaction-related costs			0.02				0.00				0.02				0.01
Amortization of acquired intangible assets			0.01				0.03				0.02				0.06
Strategic software implementation costs			0.00				0.00				0.00				0.00
Reorganization expense			0.00				0.00				0.03				0.01
Long-term effective income tax rate adjustment			(0.02	)			(0.01	)			(0.03	)			(0.03	)
Adjusted Earnings Per Share			(0.01	)			0.15				(0.10	)			0.31
Weighted average common shares outstanding - adjusted (in millions)			145.9				149.7				147.4				149.6

Free Cash Flow

Free Cash Flow is intended to provide a measure of our ability to generate cash in excess of capital investments. It provides management with a view of cash flows which can be used to finance operational and strategic investments.

Free Cash Flow is defined as net cash provided by operating activities less capital expenditures, including purchases of equipment.

A reconciliation of GAAP net cash flows provided by operating activities to Free Cash Flow appears in the table below (in thousands):

		Three Months Ended September 30,								Nine Months Ended September 30,
			2026				2025				2026				2025
Net cash flows provided by operating activities		$	3,919			$	29,329			$	(4,217	)		$	49,047
Capital expenditures, including purchases of equipment			(166	)			(192	)			(1,334	)			(748	)
Free Cash Flow		$	3,753			$	29,137			$	(5,551	)		$	48,299

Other Information

Net Sales by Product Category by Quarter

Below is a summary of net sales by product category (in thousands):

		Three Months Ended September 30,								Nine Months Ended September 30,
			2026				2025				2026				2025
Surgical		$	39,960			$	36,627			$	115,631			$	102,888
Wound			22,323				77,098				70,005				197,647
Net sales		$	62,283			$	113,725			$	185,636			$	300,535

FAQ

AI-generated questions and answers. How Rhea-AI works. Not financial advice.

What were MIMEDX's third-quarter 2026 sales and earnings?

MIMEDX reported $62.283 million in net sales and a $8.683 million net loss for the three months ended September 30, 2026. Sales declined 45% year over year. Diluted loss per share was $0.06, compared with diluted income per share of $0.11 a year earlier.

What is MIMEDX's 2026 sales outlook?

MIMEDX expects 2026 net sales of $250–$260 million. The company also expects fourth-quarter adjusted EBITDA to be sequentially higher than the third quarter.

Which AXIOFILL classification decisions did the court vacate?

The U.S. District Court for the Northern District of Georgia vacated FDA's determinations that AXIOFILL was more than minimally manipulated and should be classified as a biological product rather than a medical device. The first determination had prevented classification as a Section 361 human cell or tissue product. Both matters were returned to FDA for further consideration consistent with the court's order.

When will MIMEDX receive the remaining patent license payments?

The four remaining $5 million installments are payable annually on the anniversary of the license agreement's signing date. The first $5 million installment has already been received. The agreement grants the licensee a non-exclusive license to the covered patents.