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Tenon(R) Medical Reports First Quarter 2026 Financial Results

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Tenon Medical (NASDAQ:TNON) reported first quarter 2026 revenue of $1.4 million, up about 90% year-over-year, with gross profit of $0.9 million and gross margin expanding to 68.5%.

The company posted a net loss of $3.5 million, closed a $4.3 million senior convertible note financing, and expanded its IP, training, and commercial footprint.

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Positive

  • Revenue rose about 90% year-over-year to $1.4 million in Q1 2026
  • Gross profit increased about 193% to $0.9 million, margin to 68.5%
  • Cash and equivalents increased to $4.6 million at March 31, 2026
  • $4.3 million senior convertible note placement to fund growth initiatives
  • Expanded IP portfolio with multiple new patent allowances and 38 issued patents
  • Hosted 21 physicians in targeted Catamaran and SImmetry training sessions

Negative

  • Net loss remained high at $3.5 million, or $0.31 per share
  • Operating expenses increased to $4.2 million in Q1 2026
  • Higher interest expense from March 2026 convertible notes impacted results

News Market Reaction – TNON

-11.55% 2.9x vol
14 alerts
-11.55% Session close to close
-15.1% Trough in 23 hr 42 min
$9.20M Market Cap
2.9x Rel. Volume

In the May 13 session, TNON declined 11.55%, reflecting a significant negative market reaction. Argus tracked a trough of -15.1% from its starting point during tracking. Our momentum scanner triggered 14 alerts that day, indicating notable trading interest and price volatility. Trading volume was elevated at 2.9x the daily average, suggesting increased selling activity.

Data tracked by StockTitan Argus on the day of publication.

Market Context

The stock dropped -11.6% in the session following this news. A negative reaction despite strong Q1 2...
Analysis

The stock dropped -11.6% in the session following this news. A negative reaction despite strong Q1 2026 figures would have fit prior patterns, where earnings events averaged a -4.18% move. Revenue of $1.4 million and gross margin of 68.5% showed clear improvement, but the company still reported a net loss of $3.5 million. In such a scenario, attention would likely focus on ongoing losses, reliance on the recent $4.3 million convertible note financing, and execution risks in scaling procedures.

Key Figures

Q1 2026 revenue: $1.4 million Q1 2026 gross profit: $0.9 million Gross margin: 68.5% +5 more
8 metrics
Q1 2026 revenue $1.4 million First quarter 2026, up approximately 90% vs. $0.7M in Q1 2025
Q1 2026 gross profit $0.9 million First quarter 2026, up approximately 193% vs. $0.3M in Q1 2025
Gross margin 68.5% First quarter 2026 vs. 44.5% in first quarter 2025
Net loss $3.5 million (‑$0.31/share) Q1 2026 vs. $3.6 million (‑$1.01/share) in Q1 2025
Cash and cash equivalents $4.6 million As of March 31, 2026 vs. $3.8 million at December 31, 2025
Convertible note proceeds $4.3 million Senior convertible promissory notes private placement closed in March 2026
Patent portfolio 29 U.S., 9 international, 31 pending Issued and pending patents covering Catamaran and SImmetry+ systems
Physicians trained 21 physicians Targeted training sessions for Catamaran and SImmetry during Q1 2026

Previous Earnings Reports

5 past events · Latest: Mar 19 (Positive)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Mar 19 Quarterly earnings Positive -3.9% Record Q4 and full-year 2025 revenue with margin expansion and FDA clearance.
Nov 13 Quarterly earnings Positive +0.0% Q3 2025 revenue growth, higher gross margin, SiVantage acquisition integration.
Nov 03 Earnings timing update Neutral -0.8% Announcement of Q3 2025 results release date and conference call details.
Aug 13 Quarterly earnings Negative -16.2% Q2 2025 revenue decline despite expense cuts and new FDA clearance.
Aug 05 Earnings timing update Neutral +0.0% Scheduling announcement for Q2 2025 results and related conference call.

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

Pattern Detected

Earnings-related headlines have historically skewed flat-to-negative, with an average move of -4.18% around such events. Positive fundamental updates have not consistently produced sustained price gains.

Recent Company History

Over the past several quarters, Tenon has used earnings updates to highlight accelerating revenue and margin trends alongside balance-sheet actions. Q2 and Q3 2025 results showed acquisition-driven portfolio expansion, cost reductions, and cash raises, but market reactions ranged from flat to sharply negative (e.g., -16.17% on Q2 2025 results). The Q4 2025 report delivered record revenue and margins yet saw a -3.88% move. Against this backdrop, the current quarter’s strong growth and margin expansion fit the operational trajectory but contrast with the typically muted or negative stock responses.

Key Terms

senior convertible promissory notes, private placement, gross margin
3 terms
senior convertible promissory notes financial
"Closed a private placement of senior convertible promissory notes with institutional..."
A senior convertible promissory note is a formal IOU where a company borrows money and promises to repay it, with this loan getting first priority for repayment if the company runs into trouble. The note also gives the lender the option to swap the debt for company shares, like turning an IOU into ownership, which can dilute existing shareholders. Investors care because it affects a company’s cash needs, its risk profile (higher priority reduces lender risk), and the potential for future share dilution if conversion occurs.
private placement financial
"Closed a private placement of senior convertible promissory notes with institutional..."
A private placement is a sale of securities directly to a selected group of investors, typically institutions or accredited investors, instead of through a public offering. It lets a company raise money faster and with fewer regulatory steps; for existing shareholders it matters because the newly issued shares, often sold at a discount, increase the share count and can dilute their ownership.
gross margin financial
"Gross margin of 68.5%, a twenty-four percentage point improvement from 44.5%..."
Gross margin is the difference between how much money a company makes from selling its products and how much it costs to produce them, expressed as a percentage of sales. It shows how efficiently a company is turning sales into profit before other expenses like marketing or salaries. Higher gross margin means the company keeps more money from each sale, which is a good sign of financial health.
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~ First Quarter 2026 Revenue of $1.4 Million, an Increase of Approximately 90% Compared to Prior Year ~

~ First Quarter Gross Profit of $0.9 Million, an Increase of Approximately 193% Compared to Prior Year ~

~ Gross Margin Expanded Approximately 24 Percentage Points Year-Over-Year to 68.5% ~

~ Closed $4.3 Million Senior Convertible Note Private Placement to Fund Commercial Expansion and Product Development ~

~ Subsequent to Quarter End The Company Opened a new Center of Excellence Training Center in Tampa, FL, Along with Expansion of the Company's Sales Leadership Throughout the Eastern Region~

LOS GATOS, CA / ACCESS Newswire / May 12, 2026 / Tenon Medical, Inc. (NASDAQ:TNON) ("Tenon Medical" or the "Company"), a company redefining care for patients suffering from sacro-pelvic disorders, today reported financial results for the first quarter ended March 31, 2026.

Financial Results and Business Updates

  • First Quarter 2026 Results:

    • First quarter revenue of $1.4 million, an increase of approximately 90% compared to $0.7 million in the first quarter of 2025.

    • First quarter gross profit of $0.9 million, an increase of approximately 193% compared to $0.3 million in the first quarter of 2025.

    • Gross margin of 68.5%, a twenty-four percentage point improvement from 44.5% in the first quarter of 2025.

    • Cash and cash equivalents of $4.6 million as of March 31, 2026, compared to $3.8 million as of December 31, 2025.

    • Net loss of $3.5 million, or $0.31 per share, in the first quarter of 2026, compared to a net loss of $3.6 million, or $1.01 per share, in the first quarter of 2025.

  • Strengthened the Company's intellectual property portfolio with multiple Notices of Allowance from the U.S. Patent and Trademark Office for patent applications expected to issue in 2026, building on the ten patents issued in 2025 (five U.S. and five international). The portfolio currently includes 29 issued U.S. patents and 9 issued international patents, along with 31 pending U.S. and foreign applications, further reinforcing protection around the Catamaran® and SImmetry®+ SI Joint Fusion Systems.

  • Closed a private placement of senior convertible promissory notes with institutional and high-net-worth investors for aggregate gross proceeds of $4.3 million. The Company expects to use the net proceeds for commercial expansion, product development, clinical studies, working capital and general corporate purposes.

  • Hosted 21 physicians in targeted training sessions for both Catamaran® and SImmetry® within the first quarter.

"The first quarter of 2026 reflects the early returns on the strategy we have been executing, broadening our SI joint fusion platform, deepening surgeon engagement, and translating those investments into meaningful top-line growth. We delivered significant first quarter revenue of $1.4 million, up approximately 90% year-over-year, and significant first quarter gross profit of $0.9 million, up approximately 193%, demonstrating both the commercial traction of our Catamaran® and SImmetry®+ systems and the operating leverage we have been working to build." said Steven M. Foster, President and CEO of Tenon Medical, Inc. "Looking ahead, our priorities are clear: drive continued procedure growth across both Catamaran® and SImmetry®+, expand our base of trained surgeons, and maintain the disciplined cost structure that is now showing through in our gross margin and field productivity. With a differentiated multi-approach portfolio, a strengthened balance sheet, and the capital flexibility from our recent financing, we believe Tenon is well positioned to build on this quarter's momentum and deliver increasing value to patients, providers, and stockholders."

First Quarter 2026 Financial Results

Revenue was $1.4 million in the first quarter of 2026, an increase of approximately 90% compared to $0.7 million in the same period of 2025. The increase in revenue for the three months ended March 31, 2026 as compared to 2025 was primarily driven by continued adoption of our Catamaran system, leading to an increase in the number of surgical procedures, and the addition of revenue related to the SImmetry®+ System following the August 2025 acquisition.

Gross profit was $0.9 million, or 68.5% of revenue, in the first quarter of 2026, compared to $0.3 million, or 44.5% of revenue, in the first quarter of 2025. The twenty-four percentage point gross margin improvement was primarily driven by higher revenue in the period, driving further absorption of production overhead costs within cost of goods sold.

Operating expenses totaled $4.2 million in the first quarter of 2026, compared to $4.0 million in the first quarter of 2025. The increase in the three months ended March 31, 2026 was driven by higher sales and marketing expenses associated with increased commercial activity due to higher revenue and ongoing rollout of the SImmetry®+ System, partially offset by lower research and development expenses.

Net loss was $3.5 million, or $0.31 per share, in the first quarter of 2026, compared to a net loss of $3.6 million, or $1.01 per share, in the first quarter of 2025. The year-over-year improvement was largely driven by increased revenue and gross profit, partially offset by higher operating expenses and interest expense related to the convertible notes issued in March 2026.

As of March 31, 2026, cash and cash equivalents totaled $4.6 million, compared to $3.8 million at December 31, 2025. In March 2026, the Company closed a private placement of senior convertible notes for gross proceeds of $4.3 million to fund continued commercial expansion, upcoming product launches, clinical studies, working capital and general corporate purposes.

First Quarter 2026 Earnings Conference Call

Management will host a conference call at 4:30 p.m. ET (1:30 p.m. PT) today, May 12, 2026, to discuss Tenon's first quarter 2026 financial results, provide a corporate update, and conclude with Q&A with the Company's covering analyst. To participate, please use the following information:

Date:

Tuesday, May 12, 2026

Time:

4:30 p.m. Eastern time

Dial-in:

1-877-407-0792

International Dial-in:

1-201-689-8263

Webcast:

TNON Conference Call

Please dial in at least 10 minutes before the start of the call to ensure timely participation.

An audio playback of the call will be available through May 26, 2026, on Tenon's Investor Relations website at http://ir.tenonmed.com/ or via telephone replay by dialing 1-844-512-2921 (USA) or 1-412-317-6671 (International). The access code will be 13759830.

About Tenon Medical, Inc.

Tenon Medical, Inc. is a medical device company founded in 2012 and committed to developing novel technologies for patients suffering from debilitating SI joint pain and dysfunction. The Company markets the Catamaran® and SImmetry+® SI Joint Fusion Systems, which offer a novel, less invasive approach to treating SI joint disease. Together, these platforms uniquely position Tenon with multiple surgical approaches, lateral and inferior-posterior, both designed to be minimally invasive, enable authentic arthrodesis, and supported by robust clinical evidence, including the published prospective Mainsail and EVoluSIon SI joint fusion studies. These differentiated technologies enable physicians to customize treatment plans through an innovative portfolio spanning SI joint fusion, spinal fusion, and deformity adjuncts, each solution engineered to deliver fusion outcomes more reliably. This multi-platform, multiapproach strategy strengthens Tenon's competitive advantage in the expanding SI joint fusion market and underscores the Company's commitment to delivering proven, durable outcomes for physicians and patients. Tenon is focused on three commercial opportunities in the SI joint market: 1) primary SI joint procedures, 2) revision of failed SI joint implants, and 3) augmenting spinal fusion. For more information, please visit www.tenonmed.com.

The Tenon Medical logo shown above, and Catamaran®, PiSIF®, CAT PiSIF®, ETAD®, Posterior Inferior Sacroiliac Fusion®, CAT SIJ Fusion System®, Catamaran SIJ Fusion System®, Catamaran Inferior Posterior Fusion System®, Catamaran Transfixation Fusion System®, Catamaran Transfixation Fusion Device®, SImmetry® are registered trademarks of Tenon Medical, Inc. MAINSAILTM, and SImmetry+ are also trademarks of Tenon Medical, Inc.

Safe Harbor

This press release contains "forward-looking statements," which are statements related to events, results, activities or developments that Tenon expects, believes or anticipates will or may occur in the future. Forward-looking often contains words such as "intends," "estimates," "anticipates," "hopes," "projects," "plans," "expects," "seek," "believes," "see," "should," "will," "would," "target," and similar expressions and the negative versions thereof. These forward-looking statements, include, but are not limited to, statements regarding the completion of the Offering, the satisfaction of customary closing conditions related to the Offering and the anticipated use of proceeds therefrom. Such statements are based on Tenon's experience and perception of current conditions, trends, expected future developments and other factors it believes are appropriate under the circumstances, and speak only as of the date made. Forward-looking statements are inherently uncertain and actual results may differ materially from assumptions, estimates or expectations reflected or contained in the forward-looking statements as a result of various factors. For details on the uncertainties that may cause Tenon's actual results to be materially different than those expressed in any forward-looking statements, please review Tenon's Annual Report on Form 10-K for the fiscal year ended December 31, 2025 and updated from time to time in our Form 10-Q filings and in our other public filings on file with the SEC at www.sec.gov, particularly the information contained in the section entitled "Risk Factors." We undertake no obligation to publicly update or revise any forward-looking statements to reflect new information or future events or otherwise unless required by law.

Investor Contact

Shannon Devine
MZ North America
203-741-8811
tenon@mzgroup.us

Tenon Medical, Inc.
Condensed Balance Sheets (Unaudited)
(In thousands, except share data)

March 31,

December31,

2026

2025

ASSETS
Current assets:
Cash and cash equivalents

$

4,607

$

3,756

Accounts receivable, net

1,969

1,698

Inventory

806

1,054

Prepaid expenses and other current assets

238

260

Total current assets

7,620

6,768

Property and equipment, net

901

918

Deposits

51

51

Operating lease right-of-use asset

1,389

131

Intangible assets, net

470

485

Goodwill

2,407

2,407

TOTAL ASSETS

$

12,838

$

10,760

Liabilities and Stockholders' EQUITY
Current liabilities:
Accounts payable

$

646

$

845

Accrued expenses

1,774

1,637

Current portion of accrued commissions

686

590

Current portion of operating lease liability

211

141

Convertible notes

3,480

-

Derivative liability

608

-

Total current liabilities

7,405

3,213

Accrued commissions, net of current portion

1,392

1,514

Operating lease liability, net of current portion

1,186

-

Contingent consideration

960

993

Total liabilities

10,943

5,720

Commitments and contingencies
Stockholders' equity:

Series A convertible preferred stock, $0.001 par value; 4,500,000 shares authorized at March 31, 2026 and December 31, 2025; 204,159 shares issued and outstanding at March 31, 2026 and December 31, 2025

2,622

2,622

Series B convertible preferred stock, $0.001 par value; 491,222 shares authorized at March 31, 2026 and December 31, 2025; 86,454 shares issued and outstanding at March 31, 2026 and December 31, 2025

452

452

Common stock, $0.001 par value; 130,000,000 shares authorized at March 31, 2026 and December 31, 2025; 11,296,378 and 10,851,273 shares issued and outstanding at March 31, 2026 and December 31, 2025, respectively

11

11

Additional paid-in capital

83,588

83,257

Accumulated deficit

(84,778

)

(81,302

Total stockholders' equity

1,895

5,040

TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY

$

12,838

$

10,760

Tenon Medical, Inc.
Condensed Statements of Operations and Comprehensive Loss (Unaudited)
(In thousands, except per share data)

Three Months Ended

March 31,

2026

2025

Revenue

$

1,379

$

726

Cost of revenue

434

403

Gross Profit

945

323

Operating Expenses
Research and development

662

691

Sales and marketing

1,858

1,647

General and administrative

1,705

1,662

Total Operating Expenses

4,225

4,000

Loss from Operations

(3,280

)

(3,677

)

Other (Expense) Income, net
Gain on investments

25

61

Interest expense

(176

)

-

Other expense

(45

)

-

Total Other (Expense) Income, net

(196

)

61

Net Loss

$

(3,476

)

$

(3,616

)

Net Loss Per Share of Common Stock
Basic and diluted

$

(0.31

)

$

(1.01

)

Weighted Average Shares of Common Stock Outstanding
Basic and diluted

11,268

3,597

SOURCE: Tenon Medical, Inc.



View the original press release on ACCESS Newswire

FAQ

How did Tenon Medical (TNON) perform in Q1 2026?

Tenon Medical reported Q1 2026 revenue of $1.4 million, up about 90% year-over-year. According to Tenon Medical, gross profit reached $0.9 million with 68.5% gross margin, while net loss was $3.5 million, or $0.31 per share.

What drove Tenon Medical’s revenue growth in the first quarter of 2026?

Tenon Medical’s Q1 2026 revenue growth was mainly driven by higher adoption of the Catamaran system and added SImmetry+ revenue. According to Tenon Medical, increased surgical procedure volume and the August 2025 SImmetry+ acquisition contributed to the approximately 90% year-over-year revenue increase.

How did Tenon Medical’s gross margin change in Q1 2026 versus 2025?

Tenon Medical’s gross margin improved to 68.5% in Q1 2026 from 44.5% a year earlier. According to Tenon Medical, the roughly 24-percentage-point increase was primarily due to higher revenue, which improved absorption of production overhead within cost of goods sold.

What was Tenon Medical’s net loss and EPS for Q1 2026?

Tenon Medical reported a Q1 2026 net loss of $3.5 million, or $0.31 per share. According to Tenon Medical, this compares with a $3.6 million net loss, or $1.01 per share, in Q1 2025, reflecting higher revenue and gross profit partially offset by higher expenses.

How much cash did Tenon Medical have at March 31, 2026?

Tenon Medical had $4.6 million in cash and cash equivalents as of March 31, 2026. According to Tenon Medical, this compares with $3.8 million at December 31, 2025 and reflects proceeds from a $4.3 million senior convertible note private placement in March 2026.

What are the details of Tenon Medical’s $4.3 million senior convertible note financing?

Tenon Medical closed a $4.3 million private placement of senior convertible promissory notes with institutional and high-net-worth investors. According to Tenon Medical, net proceeds are intended for commercial expansion, product development, clinical studies, working capital, and general corporate purposes.

How is Tenon Medical expanding its SI joint fusion platform and surgeon engagement?

Tenon Medical is broadening its SI joint fusion portfolio and increasing surgeon training activities in 2026. According to Tenon Medical, it hosted 21 physicians for Catamaran and SImmetry training in Q1, opened a new Tampa Center of Excellence, and expanded sales leadership in the Eastern region.