Artivion Reports First Quarter 2026 Financial Results and Announces Exercise of Option to Acquire Endospan
First Quarter & Recent Business Highlights:
ATLANTA, May 7, 2026 /PRNewswire/ -- Artivion, Inc. (NYSE: AORT), a leading cardiac and vascular surgery company focused on aortic disease, today announced financial results for the first quarter ended March 31, 2026.
"In the first quarter of 2026, we achieved 12% constant currency revenue growth and 26% adjusted EBITDA growth, reflecting continued execution of our strategy to deliver long-term, profitable performance with an expanding and clinically differentiated product portfolio. Revenue results were driven by year-over-year gains in stent grafts of 21%, On-X of 20%, preservation services of 23%, BioGlue of 4%, all compared to the first quarter of 2025. On a constant currency basis, first quarter year-over-year stent grafts, On-X, and preservation services grew 10%, 17%, and 23%, respectively," said Pat Mackin, Chairman, President, and Chief Executive Officer.
Mr. Mackin continued, "We also continued to advance our best-in-class, aortic-focused product pipeline in the first quarter, driving strong enrollment in the ARTIZEN clinical trial. Further, we were pleased to see our partner Endospan receive U.S. FDA PMA approval for the NEXUS Aortic Arch System, ahead of our initial expectations. We have since exercised our option to acquire Endospan and expect the acquisition to close in the second quarter of 2026, subject to customary closing conditions. Our acquisition of the NEXUS system would expand our market-leading aortic arch portfolio, position us at the forefront of this segment, and broaden our pipeline with three additional PMA programs. With AMDS, NEXUS, and ultimately, Arcevo LSA, we stand to become the only company with a complete portfolio of aortic arch solutions."
Mr. Mackin concluded, "While our first quarter performance fell short of our constant currency expectations due to some transient factors, we are confident that the fundamentals underpinning our strategy remain intact. We are seeing strong reordering behavior within AMDS accounts, which exceeded our expectations and reinforces our conviction in long-term adoption. Meanwhile, On-X continues to take share from both mechanical and bioprosthetic valves as the leading aortic valve on the market for patients under the age of 65."
First Quarter 2026 Financial Results
Total revenues for the first quarter of 2026 were $116.3 million, an increase of 18% on a GAAP basis and 12% on a non-GAAP constant currency basis, both compared to the first quarter of 2025.
Net income for the first quarter of 2026 was $1.4 million, or $0.03 per fully diluted common share, compared to net loss of $(0.5) million, or $(0.01) per fully diluted common share for the first quarter of 2025. Non-GAAP net income for the first quarter of 2026 was $4.2 million, or $0.08 per fully diluted common share, compared to non-GAAP net income of $2.5 million, or $0.06 per fully diluted common share, for the first quarter of 2025. Non-GAAP net income for the first quarter of 2026 includes pretax losses related to foreign currency revaluation of $0.8 million.
2026 Financial Outlook
Artivion has lowered its expectations for revenue for the full year 2026 and now expects revenue to be in the range of $480 to $496 million, representing growth of 7% to 11% on an adjusted constant currency basis compared to 2025 adjusted revenue 1. This compares to the previous range of $486 to $504 million, representing growth of 10% to 14% on an adjusted constant currency basis compared to 2025 adjusted revenue 1. This guidance contemplates currency to represent an approximate one percentage point tailwind for the full year.
Additionally, Artivion has lowered its expectations for adjusted EBITDA, and now expects adjusted EBITDA growth of between 12% and 20% for the full year 2026, compared to 2025, resulting in an expected range of $100 to $107 million for 2026. This compares to the previous range of between 18% and 22% compared to 2025, or an expected range of $105 to $110 million.
Full year 2026 adjusted EBITDA guidance excludes approximately $8 million of Endospan-related expenses expected to be incurred through full year 2026, contingent on closing. U.S. revenue attributable to NEXUS product sales is expected to be negligible for full year 2026 as the Company builds inventory and secures value analysis committee approvals ahead of a planned January 1, 2027 commercial launch.
The Company's financial performance for 2026 and future periods is subject to the risks identified below.
____________________
1 Full year 2025 adjusted revenue excluded a $2.3 million reserve for estimated payback to the Italian government for fiscal years 2019 through 2025 as a result of legislation adopted in Italy that would require medical device manufacturers to repay previously paid amounts to the extent that such expenditures ostensibly exceed annual regional maximum ceilings. In the fourth quarter of 2025, the Company recorded a liability of $2.3 million as a reduction to revenue as an estimate of the amount that the Company may be required to repay for certain years after 2018. See "Non-GAAP Financial Measures" for important information about our use of non-GAAP measures.
Non-GAAP Financial Measures
This press release contains non-GAAP financial measures, including non-GAAP adjusted revenue, non-GAAP net income, EBITDA, adjusted EBITDA, non-GAAP general, administrative, and marketing expenses, and free cash flows. Investors should consider this non-GAAP information in addition to, and not as a substitute for, financial measures prepared in accordance with US GAAP. In addition, this non-GAAP financial information may not be the same as similar measures presented by other companies. The Company's non-GAAP adjusted constant currency growth rates compare current year revenues to prior period revenues adjusted for the impact of changes in currency exchange. The Company's non-GAAP net income, EBITDA, adjusted EBITDA, general, administrative, and marketing, and free cash flows results primarily exclude (as applicable) depreciation and amortization expense, interest income and expense, non-cash compensation expense, loss or gain on foreign currency revaluation, income tax expense or benefit, expense/(income) for business development, integration, and severance, non-cash interest expense, capital expenditures, and other non-recurring items.
The Company generally uses non-GAAP financial measures to facilitate management's review of the operational performance of the Company and as a basis for strategic planning. Company management believes that these non-GAAP presentations provide useful information to investors regarding unusual non-operating transactions, the operating expense structure of the Company's existing and acquired operations, without regard to its on-going efforts to acquire additional complementary products and businesses, and the transaction and integration expenses incurred in connection with recently acquired and divested product lines, and the operating expense structure excluding fluctuations resulting from foreign currency revaluation and non-cash compensation expense. The Company believes it is useful to exclude this revenue impact and certain expenses from non-GAAP financial measures because such amounts in any specific period may not directly correlate to the underlying performance of its business operations or can vary significantly between periods as a result of factors such as impact of recent acquisitions, non-cash expense related to amortization of previously acquired tangible and intangible assets, and any related adjustments to their carrying values. The Company has adjusted for the impact of changes in currency exchange from certain revenues to evaluate comparable product growth rates on a constant currency basis. The Company does, however, expect to incur similar types of expenses and currency exchange impacts in the future, and this non-GAAP financial information should not be viewed as a statement or indication that these types of expenses will not recur. Company management encourages investors to review the Company's consolidated financial statements and publicly filed reports in their entirety, including the reconciliation of GAAP to non-GAAP financial measures.
The Company's adjusted EBITDA expectations for fiscal 2026 exclude potential charges or gains that may be recorded during the fiscal year, relating to, among other things, non-cash compensation; expense/(income) for business development, integration, and severance; and foreign currency revaluations. The Company does not attempt to provide reconciliations of forward-looking adjusted EBITDA to the comparable GAAP measure because the impact and timing of these potential charges or gains are inherently uncertain and difficult to predict and are unavailable without unreasonable efforts. In addition, the Company believes such reconciliations would imply a degree of precision and certainty that could be confusing to investors. Such items could have a material impact on GAAP measures of the Company's financial performance.
Webcast and Conference Call Information
The Company will hold a teleconference call and live webcast on May 7, 2026, at 4:30 p.m. ET to discuss the results, followed by a question-and-answer session. To participate in the conference call dial 201-689-8261 a few minutes prior to 4:30 p.m. ET. The teleconference replay will be available approximately one hour following the completion of the event and can be accessed by calling (toll free) 877-660-6853 or 201-612-7415. The conference number for the replay is 13759187.
The live webcast and replay can be accessed by going to the Investors section of the Artivion website at www.Artivion.com and selecting the heading Webcasts & Presentations.
About Artivion, Inc.
Headquartered in suburban Atlanta, Georgia, Artivion, Inc., is a medical device company focused on developing simple, elegant solutions that address cardiac and vascular surgeons' most difficult challenges in treating patients with aortic diseases. Artivion's four major groups of products include: aortic stent grafts, surgical sealants, On-X mechanical heart valves, and implantable cardiac and vascular human tissues. Artivion markets and sells products in more than 100 countries worldwide. For additional information about Artivion, visit our website, www.Artivion.com.
Forward-Looking Statements
Statements made in this press release that look forward in time or that express management's beliefs, expectations, or hopes are forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Such forward-looking statements reflect the views of management at the time such statements are made. These statements include, but are not limited to, our beliefs and expectations about our revenue, year-over-year growth and growth drivers, earnings, currency impacts, and other financial measures and related information; our beliefs about our competitive advantages and market opportunities; our expected product mix and business strategy; anticipated quarterly fluctuations in our business; our ability to scale our business and expand adjusted EBITDA margins; that our revenues for the full year 2026 will be in the range of $480 to $496 million, representing revenue growth of between 7% to 11% compared to 2025 on an adjusted constant currency basis; that we expect non-GAAP adjusted EBITDA to increase between 12% and 20% for the full year 2026 compared to 2025, resulting in non-GAAP adjusted EBITDA in the range of $100 to $107 million in 2026; estimated timing of closing on our planned acquisition of Endospan and the expected benefits to be achieved therefrom; and our expected expenses to be incurred after close. These forward-looking statements are subject to a number of risks, uncertainties, estimates and assumptions that may cause actual results to differ materially from current expectations, including, but not limited to, the unpredictability of the timing and outcome of regulatory decisions and other regulatory developments; risks relating to our international operations; the benefits anticipated from the Ascyrus Medical LLC and Endospan transactions; the benefits anticipated from our clinical trials may not be achieved or achieved on our anticipated timelines; and the benefits anticipated from our expansion into APAC and LATAM may not be achieved or achieved on our anticipated timelines. These risks and uncertainties include the risk factors detailed in our Securities and Exchange Commission filings, including our Form 10-K for the year ended December 31, 2025. Artivion does not undertake to update its forward-looking statements, whether as a result of new information, future events, or otherwise.
Artivion, Inc. and Subsidiaries
Condensed Consolidated Statements of Operations and Comprehensive (Loss) Income
In Thousands, Except Per Share Data
(Unaudited)
Three Months Ended
March 31,
2026
2025
Revenues:
Products
$ 91,442
$ 78,798
Preservation services
24,895
20,180
Total revenues
116,337
98,978
Cost of products and preservation services:
Products
29,697
25,263
Preservation services
11,192
10,138
Total cost of products and preservation services
40,889
35,401
Gross margin
75,448
63,577
Operating expenses:
General, administrative, and marketing
60,820
54,704
Research and development
8,841
6,728
Total operating expenses
69,661
61,432
Operating income
5,787
2,145
Interest expense
5,367
7,663
Interest income
(205)
(144)
Other expense (income), net
286
(3,079)
Income (loss) before income taxes
339
(2,295)
Income tax benefit
(1,078)
(1,790)
Net income (loss)
$ 1,417
$ (505)
Income (loss) per share
Basic
$ 0.03
$ (0.01)
Diluted
$ 0.03
$ (0.01)
Weighted-average common shares outstanding:
Basic
48,074
42,232
Diluted
49,731
42,232
Net income (loss)
$ 1,417
$ (505)
Other comprehensive (loss) income:
Foreign currency translation adjustments, net of tax
(8,846)
6,331
Comprehensive (loss) income
$ (7,429)
$ 5,826
Artivion, Inc. and Subsidiaries
Condensed Consolidated Balance Sheets
In Thousands
March 31,
2026
December 31,
2025
(Unaudited)
ASSETS
Current assets:
Cash and cash equivalents
$ 55,764
$ 64,908
Trade receivables, net
91,871
89,758
Other receivables
13,749
13,921
Inventories
97,995
92,427
Deferred preservation costs
53,412
54,531
Prepaid expenses and other
44,725
42,537
Total current assets
357,516
358,082
Goodwill
251,660
254,091
Acquired technology, net
120,001
123,664
Operating lease right-of-use assets, net
34,555
34,701
Property and equipment, net
67,744
64,988
Other intangibles, net
34,886
32,831
Deferred tax assets, net
1,139
1,201
Other long-term assets
15,656
15,238
Total assets
$ 883,157
$ 884,796
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
Accounts payable
$ 18,337
$ 16,042
Accrued compensation
13,852
22,484
Accrued expenses
17,427
16,447
Accrued interest
4,482
4,815
Taxes payable
7,130
7,489
Accrued procurement fees
1,785
3,436
Current portion of contingent consideration
21,490
20,690
Current maturities of operating leases
4,667
4,649
Current portion of finance lease obligations
862
726
Other current liabilities
2,668
4,778
Total current liabilities
92,700
101,556
Long-term debt, net
215,352
215,114
Non-current contingent consideration
40,830
39,890
Non-current maturities of operating leases
34,231
34,427
Deferred tax liabilities, net
27,637
24,308
Deferred compensation liability
9,738
9,464
Non-current finance lease obligations
3,045
2,698
Other long-term liabilities
9,157
9,107
Total liabilities
$ 432,690
$ 436,564
Commitments and contingencies
Stockholders' equity:
Preferred stock $0.01 par value per share, 5,000 shares authorized, no shares issued
—
—
Common stock $0.01 par value per share, 75,000 shares authorized, 49,983 and 49,330 shares
issued as of March 31, 2026 and December 31, 2025, respectively
500
493
Additional paid-in capital
526,261
516,604
Retained deficit
(50,081)
(51,498)
Accumulated other comprehensive loss
(11,565)
(2,719)
Treasury stock, at cost, 1,487 shares as of March 31, 2026 and December 31, 2025
(14,648)
(14,648)
Total stockholders' equity
450,467
448,232
Total liabilities and stockholders' equity
$ 883,157
$ 884,796
Artivion, Inc. and Subsidiaries
Condensed Consolidated Statement of Cash Flows
In Thousands
(Unaudited)
Three Months Ended
March 31,
2026
2025
Net cash flows from operating activities:
Net income (loss)
$ 1,417
$ (505)
Adjustments to reconcile net income (loss) to net cash from operating activities:
Depreciation and amortization
6,340
5,446
Non-cash compensation
8,414
8,045
Non-cash lease expense
1,297
1,226
Write-down of inventories and deferred preservation costs
1,062
1,312
Deferred income taxes
(524)
—
Change in fair value of contingent consideration
1,740
(2,830)
Other
537
(2,891)
Changes in operating assets and liabilities:
Receivables
(2,760)
(7,922)
Inventories and deferred preservation costs
(6,379)
(2,453)
Prepaid expenses and other assets
(1,286)
(327)
Accounts payable, accrued expenses, and other liabilities
(8,704)
(16,054)
Net cash flows provided by (used in) operating activities
1,154
(16,953)
Net cash flows from investing activities:
Capital expenditures
(8,003)
(3,638)
Payments related to sale of non-financial assets
(1,500)
—
Payments for Endospan agreements
(1,000)
—
Net cash flows used in investing activities
(10,503)
(3,638)
Net cash flows from financing activities:
Repayment of debt
—
(66)
Proceeds from exercise of stock options and issuance of common stock
1,250
4,181
Principal payments on short-term notes payable
(577)
—
Other
(210)
(178)
Net cash flows provided by financing activities
463
3,937
Effect of exchange rate changes on cash and cash equivalents
(258)
884
Decrease in cash and cash equivalents
(9,144)
(15,770)
Cash and cash equivalents beginning of period
64,908
53,463
Cash and cash equivalents end of period
$ 55,764
$ 37,693
Artivion, Inc. and Subsidiaries
Financial Highlights
In Thousands
(Unaudited)
Three Months Ended
March 31,
2026
2025
Products:
Aortic stent grafts
$ 44,397
$ 36,602
On-X
25,951
21,574
Surgical sealants
18,805
18,106
Other
2,289
2,516
Total products
91,442
78,798
Preservation services
24,895
20,180
Total revenues
$ 116,337
$ 98,978
North America
$ 58,695
$ 47,793
Europe, the Middle East, and Africa
43,986
37,045
Asia Pacific
8,690
8,214
Latin America
4,966
5,926
Total revenues
$ 116,337
$ 98,978
Artivion, Inc. and Subsidiaries
Reconciliation of GAAP to Non-GAAP
Revenues
$ In Thousands
(Unaudited)
Revenues for the
Three Months Ended
March 31,
Percent
Change
From Prior
Year
2026
2025
US GAAP
US GAAP
Exchange
Rate Effect
Constant
Currency
Constant
Currency
Products:
Aortic stent grafts
$ 44,397
$ 36,602
$ 3,877
$ 40,479
10 %
On-X
25,951
21,574
634
22,208
17 %
Surgical sealants
18,805
18,106
749
18,855
— %
Other
2,289
2,516
25
2,541
-10 %
Total products
91,442
78,798
5,285
84,083
9 %
Preservation services
24,895
20,180
21
20,201
23 %
Total
$ 116,337
$ 98,978
$ 5,306
$ 104,284
12 %
North America
58,695
47,793
86
47,879
23 %
Europe, the Middle East, and Africa
43,986
37,045
4,681
41,726
5 %
Asia Pacific
8,690
8,214
—
8,214
6 %
Latin America
4,966
5,926
539
6,465
-23 %
Total
$ 116,337
$ 98,978
$ 5,306
$ 104,284
12 %
Artivion, Inc. and Subsidiaries
Reconciliation of GAAP to Non-GAAP
General, Administrative, and Marketing Expense, EBITDA, Adjusted EBITDA, and Free Cash Flows
In Thousands
(Unaudited)
Three Months Ended
March 31,
2026
2025
Reconciliation of G&A expenses, GAAP to adjusted G&A, non-GAAP:
General, administrative, and marketing expense, GAAP
$ 60,820
$ 54,704
Business development, integration, and severance
3,014
(2,784)
Cybersecurity incident
(1,478)
4,450
Adjusted G&A, non-GAAP
$ 59,284
$ 53,038
Three Months Ended
March 31,
2026
2025
Reconciliation of net income (loss), GAAP and EBITDA, non-GAAP to adjusted EBITDA, non-
GAAP:
Net income (loss), GAAP
$ 1,417
$ (505)
Adjustments:
Interest expense
5,367
7,663
Interest income
(205)
(144)
Income tax benefit
(1,078)
(1,790)
Depreciation and amortization expense
6,340
5,446
EBITDA, non-GAAP
11,841
10,670
Non-cash compensation
8,414
8,045
Business development, integration, and severance
2,484
(3,057)
Cybersecurity incident
(1,478)
4,746
Loss (gain) on foreign currency revaluation
822
(2,856)
Adjusted EBITDA, non-GAAP
$ 22,083
$ 17,548
Three Months Ended
March 31,
2026
2025
Reconciliation of cash flows from operating activities, GAAP to free cash flows, non-GAAP:
Net cash flows provided by (used in) operating activities
$ 1,154
$ (16,953)
Capital expenditures
(8,003)
(3,638)
Free cash flows, non-GAAP
$ (6,849)
$ (20,591)
Artivion Inc. and Subsidiaries
Reconciliation of GAAP to Non-GAAP
Net Income and Diluted Income Per Common Share
In Thousands, Except Per Share Data
(Unaudited)
Three Months Ended
March 31,
2026
2025
GAAP:
Income (loss) before income taxes
$ 339
$ (2,295)
Income tax benefit
(1,078)
(1,790)
Net income (loss)
$ 1,417
$ (505)
Diluted income (loss) per common share
$ 0.03
$ (0.01)
Diluted weighted-average common shares outstanding
49,731
42,232
Reconciliation of income (loss) before income taxes, GAAP to adjusted income, non-GAAP:
Income (loss) before income taxes, GAAP:
$ 339
$ (2,295)
Adjustments:
Amortization expense
3,911
3,388
Business development, integration, and severance
2,484
(3,057)
Non-cash interest expense
315
543
Cybersecurity incident
(1,478)
4,746
Adjusted income before income taxes, non-GAAP
5,571
3,325
Income tax expense calculated at a tax rate of 25%
1,393
831
Adjusted net income, non-GAAP
$ 4,178
$ 2,494
Reconciliation of diluted income (loss) per common share, GAAP to adjusted diluted income
per common share, non-GAAP:
Diluted income (loss) per common share, GAAP:
$ 0.03
$ (0.01)
Adjustments:
Amortization expense
0.08
0.08
Business development, integration, and severance
0.05
(0.07)
Non-cash interest expense
0.01
0.01
Cybersecurity incident
(0.03)
0.11
Tax effect of non-GAAP adjustments
(0.03)
(0.03)
Effect of 25% tax rate
(0.03)
(0.03)
Adjusted diluted income per common share, non-GAAP
$ 0.08
$ 0.06
Reconciliation of diluted weighted-average common shares outstanding GAAP to diluted
weighted-average common shares outstanding, non-GAAP:
Diluted weighted-average common shares outstanding, GAAP:
49,731
42,232
Adjustments:
Effect of dilutive stock options and awards
—
1,306
Diluted weighted-average common shares outstanding, non-GAAP
49,731
43,538
Contacts:
Artivion
Gilmartin Group LLC
Lance A. Berry
Brian Johnston
Executive Vice President,
Phone: 332-895-3222
Chief Operating Officer &
[email protected]
Chief Financial Officer
Phone: 770-419-3355
SOURCE Artivion, Inc.