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Tenon Medical (NASDAQ: TNON) posts Q1 2026 surge in revenue and margin

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(Very High)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Tenon Medical reported strong top-line growth for the first quarter of 2026 while remaining unprofitable. Revenue reached $1.4 million, up about 90% from $0.7 million a year earlier, driven by broader adoption of its Catamaran and SImmetry+ SI joint fusion systems.

Gross profit rose to $0.9 million, with gross margin expanding from 44.5% to 68.5%, reflecting better overhead absorption. Operating expenses increased modestly to $4.2 million, and net loss narrowed slightly to $3.5 million, or $0.31 per share, from $3.6 million, or $1.01 per share.

Cash and cash equivalents were $4.6 million as of March 31, 2026, versus $3.8 million at year-end 2025, aided by a $4.3 million senior convertible note private placement completed in March. Total liabilities nearly doubled to $10.9 million, including $3.5 million of convertible notes and a new derivative liability, reducing stockholders’ equity to $1.9 million.

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Insights

Fast revenue growth and margin gains offset by rising leverage and continued losses.

Tenon Medical delivered Q1 2026 revenue of $1.4 million, about 90% above the prior year, helped by Catamaran and SImmetry+ adoption. Gross profit was $0.9 million and gross margin expanded to 68.5%, showing improved scale and manufacturing efficiency.

However, operating expenses of $4.2 million kept the company in loss-making territory, with a net loss of $3.5 million. To fund growth and product development, Tenon issued senior convertible notes for $4.3 million, which increased total liabilities to $10.9 million as of March 31, 2026.

Stockholders’ equity declined to $1.9 million, down from $5.0 million at December 31, 2025, reflecting cumulative losses and new financing structures. Future quarterly filings will clarify whether revenue growth and margin strength can outpace rising interest expense and operating costs as the SI joint fusion portfolio scales.

Item 2.02 Results of Operations and Financial Condition Financial
Disclosure of earnings results, typically an earnings press release or preliminary financials.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
Revenue $1.4 million Q1 2026 revenue, approximately 90% above Q1 2025
Gross profit $0.9 million Q1 2026 gross profit, margin 68.5% vs 44.5% prior year
Net loss $3.5 million Q1 2026 net loss vs $3.6 million in Q1 2025
Operating expenses $4.2 million Q1 2026 operating expenses vs $4.0 million prior year
Cash and cash equivalents $4.6 million Balance as of March 31, 2026 vs $3.8 million at Dec 31, 2025
Senior convertible notes proceeds $4.3 million Gross proceeds from March 2026 private placement
Total liabilities $10.9 million Total liabilities as of March 31, 2026 vs $5.7 million at Dec 31, 2025
Stockholders’ equity $1.9 million Equity as of March 31, 2026 vs $5.0 million at Dec 31, 2025
senior convertible notes financial
"Closed $4.3 Million Senior Convertible Note Private Placement to Fund Commercial Expansion and Product Development"
A senior convertible note is a loan a company issues that ranks near the top of payment priority and can be exchanged for the company’s stock under preset terms. Think of it as an IOU that promises interest payments and first dibs on repayments if assets are liquidated, but also gives the lender the option to become an owner later; investors watch these for repayment safety, interest income, and potential stock dilution.
gross margin financial
"Gross Margin Expanded Approximately 24 Percentage Points Year-Over-Year to 68.5%"
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.
derivative liability financial
"Derivative liability | | | 608 | | | | — |"
A derivative liability is an obligation a company owes because of a derivatives contract—such as an option, future, swap, or forward—that has moved against it and now has negative value. Think of it like a settled bet that turned into a bill: if market moves go the other way, the company may have to pay cash or deliver assets. Investors care because these liabilities can create sudden losses, add leverage or counterparty risk, and change a company’s true financial exposure beyond its everyday operations.
contingent consideration financial
"Contingent consideration | | | 960 | | | | 993 |"
Contingent consideration is an additional payment agreed when one company buys another that will be paid later only if specific future targets are met, such as revenue, profit, or regulatory milestones. It matters to investors because it shifts risk between buyer and seller and affects the acquiring company's future cash flow and reported value — like promising a bonus after results are proven.
operating lease right-of-use asset financial
"Operating lease right-of-use asset | | | 1,389 | | | | 131 |"
An operating lease right-of-use asset is the accounting entry that shows a company’s recorded value of its legal right to use leased property or equipment for a set period, similar to listing the worth of a long-term rental agreement on the balance sheet. It matters to investors because it makes leased obligations and the economic benefit of rented assets visible, affecting reported assets, leverage and how future lease costs are reflected in financial statements — like seeing both a rented shop’s utility and the remaining rent commitment.
Net Loss Per Share of Common Stock financial
"Net Loss Per Share of Common Stock | | | | | | | | Basic and diluted"
Revenue $1.4 million +90% YoY
Gross profit $0.9 million +193% YoY
Gross margin 68.5% +24 percentage points YoY
Net loss $3.5 million slight improvement vs $3.6 million prior year
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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

FORM 8-K

 

CURRENT REPORT

PURSUANT TO SECTION 13 OR 15(d)

OF THE SECURITIES EXCHANGE ACT OF 1934

 

Date of Report (Date of earliest event reported):

May 12, 2026

 

TENON MEDICAL, INC.

(Exact name of registrant as specified in its charter)

 

Delaware   001-41364   45-5574718
(State or other jurisdiction   (Commission File Number)   (IRS Employer
of incorporation)       Identification No.)

 

104 Cooper Court    
Los Gatos, CA   95032
(Address of principal executive offices)   (Zip Code)

 

(408) 649-5760

(Registrant’s telephone number, including area code)

 

N/A

(Former name or former address, if changed since last report.)

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

 

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class   Trading Symbol(s)   Name of each exchange on which registered
Common Stock, par value $0.001 per share   TNON   The Nasdaq Stock Market LLC
Warrants   TNONW   The Nasdaq Stock Market LLC

 

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

 

Emerging Growth Company

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

 

 

 

 

 

 

Item 2.02 Results of Operations and Financial Condition.

 

On May 12, 2026, Tenon Medical, Inc., a Delaware corporation (the “Company”), issued a press release (the “Press Release”) announcing its financial results for the first quarter ended March 31, 2026.

 

As previously announced and set forth in the Press Release, the Company will host a conference call to discuss its financial results for the first quarter ended March 31, 2026, provide a corporate update, and conclude with Q&A with the Company’s covering analyst, on May 12, 2026 at 4:30 p.m. ET (1:30 p.m. PT). An audio playback of the call will be available through May 26, 2026, on the Company’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.

 

A copy of the Press Release referenced above is being furnished as Exhibit 99.1 to this Current Report on Form 8-K.

 

The information in this Current Report on Form 8-K, including Exhibit 99.1, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “1934 Act”), nor shall it be deemed “incorporated by reference” into any filing under the Securities Act of 1933, as amended, or the 1934 Act, except as may be expressly set forth by specific reference in such filing.

 

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Item 9.01 Financial Statements and Exhibits.

 

(d) Exhibits.

 

The following exhibits are being filed herewith:

 

Exhibit No.   Description
99.1   Press Release of Tenon Medical, Inc., dated May 12, 2026.
104   Cover Page Interactive Data File (embedded with the Inline XBRL document).

 

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SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this Current Report on Form 8-K to be signed on its behalf by the undersigned hereunto duly authorized.

 

Date: May 12, 2026 TENON MEDICAL, INC.
  (Registrant)
   
  By: /s/ Steven M. Foster
  Name:  Steven M. Foster
  Title: Chief Executive Officer and President

 

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Exhibit 99.1

 

Tenon® Medical Reports First Quarter 2026 Financial Results

 

~ 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 – 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:

 

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

 

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

 

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

 

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

 

oNet 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.

 

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About Tenon Medical, Inc.

 

A blue and white logo

Description automatically generated

 

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

 

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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 

 

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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 

 

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FAQ

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

Tenon Medical reported strong revenue growth in Q1 2026 but remained unprofitable. Revenue reached $1.4 million, up about 90% year-over-year, while net loss was $3.5 million compared with $3.6 million in Q1 2025, showing only a modest improvement in bottom-line results.

What happened to Tenon Medical’s gross margin in the first quarter of 2026?

Tenon Medical’s gross margin improved significantly in Q1 2026. Gross profit was $0.9 million, or 68.5% of revenue, versus $0.3 million, or 44.5%, a year earlier. Management attributes this 24-point expansion mainly to higher revenue and better absorption of production overhead costs.

Did Tenon Medical reduce its net loss in Q1 2026 compared to 2025?

Tenon Medical slightly reduced its net loss in Q1 2026. The company posted a net loss of $3.5 million, or $0.31 per share, versus $3.6 million, or $1.01 per share, in Q1 2025, helped by higher revenue and gross profit despite increased operating and interest expenses.

What financing transaction did Tenon Medical complete in March 2026?

In March 2026, Tenon Medical closed a private placement of senior convertible notes for gross proceeds of $4.3 million. The company plans to use the capital for commercial expansion, upcoming product launches, clinical studies, working capital, and general corporate purposes as described in its disclosure.

How did Tenon Medical’s balance sheet change by March 31, 2026?

By March 31, 2026, Tenon Medical’s cash and equivalents increased to $4.6 million from $3.8 million at year-end 2025, but total liabilities rose to $10.9 million. Stockholders’ equity declined to $1.9 million, reflecting higher obligations and continuing accumulated deficit on the balance sheet.

What were Tenon Medical’s operating expenses in Q1 2026?

Operating expenses for Tenon Medical totaled $4.2 million in Q1 2026, up from $4.0 million a year earlier. The company cited higher sales and marketing costs tied to increased commercial activity and rollout of the SImmetry+ system, partially offset by lower research and development spending.

Filing Exhibits & Attachments

5 documents