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MIMEDX Announces Record Revenue for Third Quarter 2025

Key Takeaway: MiMedx Group, Inc. reported record net sales of $114 million for the third quarter of 2025, marking a 35% increase compared to the previous year. The company achieved its highest quarterly revenue and adjusted EBITDA, driven by strong growth in its Wound and Surgical product lines. Management raised expectations for 2025 net sales growth and adjusted EBITDA margins, indicating a positive outlook despite pending reimbursement rules from CMS.

Market Sentiment Analysis

POSITIVE FACTORS

  • Record net sales of $114 million, a 35% increase year-over-year.
  • Highest quarterly revenue and adjusted EBITDA in company history.
  • Positive long-term outlook despite uncertainties in reimbursement rules.

Full Press Release Details

Second Consecutive Quarter of Highest Quarterly Net Sales in MIMEDX History
Third QuarterNet Sales of$114 millionGrew35%Year-Over-Year
Third QuarterGAAP Net Income and Diluted Earnings Per Share were$17Million and$0.11, Respectively
Third QuarterAdjusted EBITDA was$35Million, or31%of Net Sales
Raises 2025 Net Sales Growth and Adjusted EBITDA Expectations
Management to Host Conference Call Today, October 29, 2025,at 4:30 PM ET
MARIETTA, Ga., Oct. 29, 2025 (GLOBE NEWSWIRE) -- MiMedx Group, Inc. (Nasdaq: MDXG) (“MIMEDX” or the “Company”), today announced operating and financial results for the third quarter 2025.
Joseph H. Capper, MIMEDX Chief Executive Officer, commented, "I am pleased to once again report another excellent quarterly financial performance for the Company. Third quarter 2025 net sales grew 35%, driven by double-digit growth in both our Wound and Surgical franchises. By capitalizing on various growth opportunities and continuing to drive efficiencies, we achieved the highest quarterly revenue, adjusted EBITDA and cash flow in the Company's history."
Mr. Capper continued, "As we await the final 2026 reimbursement rules from the Centers for Medicare and Medicaid Services (“CMS”), we are planning for a range of potential scenarios. We made certain recommendations to CMS during the comment period, which we believe will improve upon the proposed rules, if incorporated. Importantly, MIMEDX is well positioned to adapt, regardless of the outcome. We believe these reforms will have a much-needed stabilizing effect on our industry and are a net positive for US taxpayers, the Medicare Trust Fund, Medicare beneficiaries and for MIMEDX. As such, we continue to believe the long-term outlook for this Company is incredibly bright."

Third Quarter 2025 Results Discussion

Net Sales

MIMEDX reported net sales for the three months ended September 30, 2025, of $114 million, compared to $84 million for the three months ended September 30, 2024, an increase of 35%. The increase was primarily driven by Wound product sales growth of 40% compared to the prior year period, driven by sales of our newer products, CELERA™ and EMERGE™. Additionally, net sales of our Surgical products increased 26% compared to the prior year period, including double-digit growth of our Surgical portfolio, including AMNIOFIX® and AMNIOEFFECT® and accelerating contributions from HELIOGEN®.

Gross Profit and Margin

Gross profit for the three months ended September 30, 2025, was $95 million, compared to $69 million the prior year period. Gross margin for the three months ended September 30, 2025 was 84%, compared to 82% in the prior year period. The year-over-year increase in gross margin was driven primarily by product mix.

Operating Expenses

Selling, general and administrative ("SG&A") expenses for the three months ended September 30, 2025, were $69 million compared to $54 million for the three months ended September 30, 2024. The increase in SG&A was driven primarily by year-over-year increases in commissions.
Research and development ("R&D") expenses for the three months ended September 30, 2025 and 2024, were $4 million and $3 million, respectively. R&D spend in the quarter reflects the randomized controlled trial for EPIEFFECT® and ongoing investments in the development of future products in our pipeline.

Net Income

Net income for the three months ended September 30, 2025 was $17 million compared to $8 million for the three months ended September 30, 2024.

Cash and Cash Equivalents

As of September 30, 2025, the Company had $142 million of cash and cash equivalents compared to $104 million as of December 31, 2024. As of September 30, 2025, our cash position, net of debt on our balance sheet, was $124 million.
Financial OutlookFor 2025, MIMEDX now expects net sales growth to be in the mid-to-high teens as a percentage compared to 2024. 2025 Adjusted EBITDA margin is expected to be at least in the mid-20% range on a full year basis.
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%.

Conference Call and Webcast

MIMEDX will host a conference call and webcast to review its third quarter 2025 results on Wednesday, October 29, 2025, beginning at 4:30 p.m., Eastern Time. The call can be accessed using the following information:

Webcast:Click hereU.S. Investors: 877-407-6184International Investors: 201-389-0877Conference ID: 13755619

A replay of the webcast will be available for approximately 30 days on the Company’s website atwww.mimedx.comfollowing the conclusion of the event.

Important Cautionary Statement

This press release includes forward-looking statements, including (i) statements regarding our 2025 and longer term financial goals and expectations for future financial results, including net sales growth and Adjusted EBITDA margin; and (ii) our expectations regarding the impact of CMS regulatory actions, including CMS’s 2026 reimbursement rules, on our financial results, outlook and industry. 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 reimbursement environment and many other factors; (ii) the Company may change its plans due to unforeseen circumstances; (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) changes in Medicare spending rules; (viii) changes in the size of the addressable market for our product; and (ix) continued market acceptance of our newer products, including CELERA and EMERGE, and continued uptake in demand for surgical products s. 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 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 NotarianniInvestor Relations470.304.7291mnotarianni@mimedx.com

Selected Unaudited Financial Information

MiMedx Group, Inc.
Condensed Consolidated Balance Sheets
(in thousands) Unaudited
September 30,2025 December 31,2024
ASSETS
Current assets:
Cash and cash equivalents $ 142,083 $ 104,416
Accounts receivable, net 78,186 55,828
Inventory 26,502 23,807
Prepaid expenses 4,248 5,018
Other current assets 3,076 2,817
Total current assets 254,095 191,886
Property and equipment, net 5,003 5,944
Right of use asset 4,668 5,606
Deferred tax asset, net 21,647 28,306
Goodwill 19,441 19,441
Intangible assets, net 11,147 11,626
Other assets 2,987 $ 1,106
Total assets $ 318,988 $ 263,915
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Current portion of long term debt $ 1,375 $ 1,000
Accounts payable 11,415 7,409
Accrued compensation 27,650 23,667
Accrued expenses 12,825 9,012
Other current liabilities 4,417 4,507
Total current liabilities 57,682 45,595
Long term debt, net 16,839 17,830
Other liabilities 5,521 7,383
Total liabilities 80,042 70,808
Total stockholders' equity 238,946 193,107
Total liabilities and stockholders’ equity $ 318,988 $ 263,915
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,
2025 2024 2025 2024
Net sales $ 113,725 $ 84,057 $ 300,535 $ 255,972
Cost of sales 18,719 15,322 53,958 43,164
Gross profit 95,006 68,735 246,577 212,808
Operating expenses:
Selling, general and administrative 69,001 53,516 193,121 164,044
Research and development 3,703 2,918 10,336 8,770
Investigation, restatement and related 649 (8,741 )
Amortization of intangible assets 112 192 310 572
Impairment of intangible assets 298 352
Operating income 22,190 11,162 42,810 47,811
Other expense, net
Interest income (expense), net 785 278 2,029 (1,409 )
Other expense, net (126 ) (21 ) (372 ) (357 )
Income from continuing operations before income tax 22,849 11,419 44,467 46,045
Income tax provision (6,101 ) (3,541 ) (11,080 ) (11,485 )
Net income from continuing operations 16,748 7,878 33,387 34,560
Income from discontinued operations, net of tax 217 421
Net income $ 16,748 $ 8,095 $ 33,387 $ 34,981
Basic net income per common share:
Continuing operations 0.11 0.05 0.23 0.24
Discontinued operations 0.00 0.00
Basic net income per common share $ 0.11 $ 0.05 $ 0.23 $ 0.24
Diluted net income per common share:
Continuing operations 0.11 0.05 0.22 0.23
Discontinued operations 0.00 0.00
Diluted net income per common share $ 0.11 $ 0.05 $ 0.22 $ 0.23
Weighted average common shares outstanding - basic 148,035,283 146,958,986 147,692,441 147,008,732
Weighted average common shares outstanding - diluted 149,713,653 148,373,631 149,579,861 148,964,788
MiMedx Group, Inc.
Condensed Consolidated Statements of Cash Flows
(in thousands) Unaudited
Nine Months Ended September 30,
2025 2024
Net cash flows provided by operating activities 49,047 47,416
Net cash flows used in investing activities (6,551 ) (6,816 )
Net cash flows used in financing activities (4,829 ) (33,799 )
Net change in cash $ 37,667 $ 6,801

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, Adjusted SG&A 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:
Adjusted EBITDA and Adjusted EBITDA margin
Adjusted EBITDA consists of GAAP net income excluding (i) share-based compensation, (ii) income tax provision, (iii) amortization of intangible assets (iv) strategic legal and regulatory expenses, (v) interest (income) expense, net, (vi) depreciation expense, (vii) reorganization expenses, (viii) transaction-related expenses, (ix) investigation, restatement and related expenses, (x) impairment of intangible assets , and (xi) expenses related to disbanding of Regenerative Medicine Business Unit.
A reconciliation of GAAP net income to Adjusted EBITDA appears in the table below (dollars in thousands):
Three Months Ended September 30, Nine Months Ended September 30,
2025 2024 2025 2024
Net Income $ 16,748 $ 8,095 $ 33,387 $ 34,981
Non-GAAP Adjustments:
Share-based compensation 4,920 3,810 13,933 12,240
Income tax provision 6,101 3,541 11,080 11,485
Amortization of intangible assets 4,719 575 9,969 1,336
Strategic legal and regulatory expenses 2,515 1,035 6,691 1,666
Interest (income) expense, net (785 ) (278 ) (2,029 ) 1,409
Depreciation expense 573 580 1,692 1,715
Reorganization expenses 826
Transaction related expenses 159 95 799 651
Investigation, restatement and related benefit 649 (8,741 )
Impairment of intangible assets 298 352
Expenses related to disbanding of Regenerative Medicine Business Unit (217 ) (421 )
Adjusted EBITDA $ 34,950 $ 18,183 $ 76,348 $ 56,673
Adjusted EBITDA margin 30.7 % 21.6 % 25.4 % 22.1 %
Adjusted Net Income
Adjusted Net Income 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 is defined as GAAP net income plus (i) amortization of acquired intangible assets, (ii) strategic legal and regulatory expenses, (iii) reorganization expenses, (iv) transaction related expenses, (v) investigation, restatement and related expense (benefit), (vi) loss on extinguishment of debt, (vii) expenses related to disbanding of Regenerative Medicine business unit, (viii) impairment of intangible assets, and (ix) the long-term effective income tax rate adjustment.
A reconciliation of GAAP net income to Adjusted Net Income appears in the table below (in thousands):
Three Months Ended September 30, Nine Months Ended September 30,
2025 2024 2025 2024
Net income $ 16,748 $ 8,095 $ 33,387 $ 34,981
Amortization of acquired intangible assets 4,615 383 9,667 765
Strategic legal and regulatory expenses 2,515 1,035 6,691 1,666
Reorganization expenses 826
Transaction related expenses 159 95 799 651
Investigation, restatement and related benefit 649 (8,741 )
Impairment of intangible assets 298 352
Expenses related to disbanding of Regenerative Medicine Business Unit (217 ) (421 )
Loss on extinguishment of debt 1,401
Long-term effective income tax rate adjustment (1,433 ) 71 (4,532 ) 950
Adjusted net income $ 22,604 $ 10,409 $ 46,838 $ 31,604
A reconciliation of various line items included in our GAAP unaudited condensed consolidated statements of operations to Adjusted Net Income for the three months ended September 30, 2025 and 2024 are presented in the tables below (in thousands):
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
Reorganization expenses
Transaction related expenses (124 ) 159
Long-term effective income tax rate adjustment (1,433 )
Non-GAAP Measure $ 99,613 $ 66,362 $ 3,703 $ 22,604
Reported Gross Profit Margin 83.5 %
Gross Profit Margin, as adjusted 87.6 %
Three months ended September 30, 2024
Gross Profit Selling, General & Administrative Expense Research and Development Expense Net Income
Reported GAAP Measure $ 68,735 $ 53,516 $ 2,918 $ 8,095
Amortization of acquired intangible assets 383 383
Strategic legal and regulatory expenses (1,035 ) 1,035
Transaction related expenses (36 ) 95
Investigation, restatement and related expenses 649
Impairment of intangible assets 298
Expenses related to disbanding of Regenerative Medicine Business Unit (217 )
Long-term effective income tax rate adjustment 71
Non-GAAP Measure $ 69,118 $ 52,445 $ 2,918 $ 10,409
Reported Gross Profit Margin 81.8 %
Gross Profit Margin, as adjusted 82.2 %
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 intangible assets 9,659 9,659
Strategic legal and regulatory expenses (6,691 ) 6,691
Reorganization expenses (826 ) 826
Transaction related expenses (689 ) 799
Long-term effective income tax rate adjustment (4,532 )
Non-GAAP Measure 256,236 $ 184,915 $ 10,336 $ 46,830
Reported Gross Profit Margin 82.0 %
Gross Profit Margin, as adjusted 85.3 %
Nine Months Ended September 30, 2024
Gross Profit Selling, General & Administrative Expense Research and Development Expense Net Income
Reported GAAP Measure $ 212,808 $ 164,044 $ 8,770 $ 34,981
Amortization of acquired intangibles 765 765
Strategic legal and regulatory expenses (1,666 ) 1,666
Transaction related expenses (522 ) 651
Investigation, restatement and related benefit (8,741 )
Impairment of intangible assets 352
Expenses related to disbanding of Regenerative Medicine Business Unit (421 )
Loss on extinguishment of debt 1,401
Long-term effective income tax rate adjustment 950
Non-GAAP Measure $ 213,573 $ 161,856 $ 8,770 $ 31,604
Reported Gross Profit Margin 83.1 %
Gross Profit Margin, as adjusted 83.4 %
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 income per common share including adjustments for (i) loss on extinguishment of debt, (ii) investigation restatement and related benefit, (iii) impairment of intangible assets, (iv) amortization of acquired intangible assets, (v) strategic legal and regulatory expenses, (vi) transaction-related expenses, (vii) expenses related to disbanding of our Regenerative Medicine business unit, (viii) reorganization expenses, and (ix) the 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,
2025 2024 2025 2024
GAAP net income per common share - diluted $ 0.11 $ 0.05 $ 0.22 $ 0.23
Amortization of acquired intangible assets 0.03 0.00 0.06 0.01
Strategic legal and regulatory expenses 0.02 0.01 0.04 0.01
Reorganization expenses 0.00 0.00 0.01 0.00
Transaction related expenses 0.00 0.00 0.01 0.00
Investigation, restatement and related benefit 0.00 0.01 0.00 (0.06 )
Impairment of intangible assets 0.00 0.00 0.00 0.00
Expenses related to disbanding of Regenerative Medicine business unit 0.00 0.00 0.00 0.00
Loss on extinguishment of debt 0.00 0.00 0.00 0.01
Long-term effective income tax rate adjustment (0.01 ) 0.00 (0.03 ) 0.01
Adjusted Earnings Per Share 0.15 0.07 0.31 0.21
GAAP weighted average common shares outstanding - diluted 149,713,653 148,373,631 149,579,861 148,964,788
Weighted average common shares outstanding - adjusted 149,713,653 148,373,631 149,579,861 148,964,788
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,
2025 2024 2025 2024
Net cash flows provided by operating activities $ 29,329 $ 19,624 $ 49,047 $ 47,416
Capital expenditures, including purchases of equipment (192 ) (171 ) (748 ) (1,420 )
Free Cash Flow $ 29,137 $ 19,453 $ 48,299 $ 45,996

Supplemental Financial 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,
2025 2024 2025 2024
Wound $ 77,098 $ 55,052 $ 197,647 $ 169,647
Surgical 36,627 29,005 102,888 86,325
Net sales $ 113,725 $ 84,057 $ 300,535 $ 255,972

Frequently Asked Questions

What were MIMEDX's net sales for Q3 2025?

MIMEDX reported net sales of $114 million for the third quarter of 2025.

How much did MIMEDX's net sales grow year-over-year?

Net sales grew by 35% compared to the same quarter in the previous year.

What is the adjusted EBITDA for Q3 2025?

The adjusted EBITDA for the third quarter of 2025 was $35 million.

What are MIMEDX's expectations for 2025?

MIMEDX raised its expectations for net sales growth to the mid-to-high teens.

When will MIMEDX host its conference call?

MIMEDX will host a conference call on October 29, 2025, at 4:30 PM ET.

Last updated: Oct 29, 2025