axnx-20220224
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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): February 24, 2022
_________________________________________________________________
Axonics, Inc.
(Exact name of registrant as specified in its charter)
_________________________________________________________________
Delaware 001-38721 45-4744083
(State or other jurisdiction
of incorporation)
 (Commission File Number) (I.R.S. Employer
Identification No.)
26 Technology Drive
Irvine, California 92618
(Address of principal executive offices) (Zip Code)
(949) 396-6322
(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:
 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))
Indicate by check mark whether the registrant is an emerging growth company as defined in 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.  ☐
Securities registered pursuant to Section 12(b) of the Exchange Act:
Title of classTrading symbolName of exchange on which registered
Common stock, par value $0.0001 per shareAXNXNasdaq Global Select Market



Item 2.02.    Results of Operations and Financial Condition.
    On February 24, 2022, Axonics, Inc. (the Company) issued a press release announcing its financial results for the quarter and fiscal year ended December 31, 2021. The full text of the press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated herein by reference.
    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 Exchange Act), or otherwise subject to the liabilities of that Section, nor shall it be deemed to be incorporated by reference into any filing of the Company under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such filing.
Item 9.01.    Financial Statements and Exhibits.
    (d) Exhibits.
Exhibit No.Description
99.1
104Cover Page Interactive Date File - the cover page XBRL tags are embedded within the Inline XBRL document.



SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
 AXONICS, INC.
Date: February 24, 2022
 By: /s/ Raymond W. Cohen
  Raymond W. Cohen
  Chief Executive Officer

Document

Exhibit 99.1
Axonics® Reports Fourth Quarter and
Fiscal Year 2021 Financial Results

Total revenue of $53.1 million in 4Q21, an increase of 53% year over year

Fiscal year 2022 revenue outlook of $234 million, an increase of 30% year over year

IRVINE, Calif – February 24, 2022 – Axonics, Inc. (Nasdaq: AXNX), a global medical technology company that is developing and commercializing novel products for the treatment of bladder and bowel dysfunction, today reported financial results for the three months and fiscal year ended December 31, 2021.
“We are proud of our fourth quarter and fiscal year 2021 results considering the disruption Covid-19 has had on elective procedures in the U.S. and around the world,” said Raymond W. Cohen, chief executive officer of Axonics. “In 2021, in addition to strong commercial execution, Axonics made important progress on several strategic initiatives, including the successful acquisition and launch of Bulkamid® in the U.S., growth of our commercial field team, expansion of our in-house manufacturing capabilities, and the FDA submission of our recharge-free SNM system.”
Cohen continued, “We expect to begin shipping our long-lived, recharge-free SNM system in early second quarter following FDA approval. We believe this new device will set a new standard for what is possible in the SNM category. We are also in the final stages of launching a national television direct-to-consumer advertising campaign to broaden awareness for Axonics therapies that treat all forms of incontinence. We remain confident that our commitment to innovation, quality and providing physicians and patients strong support will continue to drive market expansion and advance Axonics on its path to market leadership.”
Fourth Quarter 2021 Financial Results
Net revenue was $53.1 million in fourth quarter 2021, an increase of 53% compared to $34.8 million in the prior year period.
Sacral neuromodulation (SNM) revenue was $44.4 million, of which $43.7 million was generated in the U.S. and the remainder in select international markets.
Bulkamid revenue was $8.7 million, of which $5.8 million was generated in the U.S. and the remainder in international markets.
Gross margin was 66.6% in fourth quarter 2021 compared to 63.6% in the prior year period.
Operating expenses were $53.1 million in fourth quarter 2021 compared to $33.0 million in the prior year period.
Net loss was $15.2 million in fourth quarter 2021 compared to a net loss of $11.3 million in the prior year period.
As of December 31, 2021, cash and cash equivalents were $220.9 million.
Fiscal Year 2021 Financial Results
Net revenue was $180.3 million in fiscal year 2021, an increase of 62% compared to $111.5 million in the prior year.
SNM revenue was $157.6 million, an increase of 41% compared to $111.5 million in the prior year.



Bulkamid revenue was $22.7 million. (1)
Gross margin was 64.2% in fiscal year 2021 compared to 60.2% in the prior year.
Operating expenses were $187.5 million in fiscal year 2021 compared to $120.9 million in the prior year.
Net loss was $80.1 million in fiscal year 2021 compared to a net loss of $54.9 million in the prior year.
___________
(1) The acquisition of Bulkamid was completed on February 25, 2021. Reported revenue includes sales from February 26, 2021 onwards.
Fiscal Year 2022 Revenue Outlook
Axonics continues to closely monitor the impact that the Covid-19 pandemic has had, and continues to have, on elective procedure volumes.
Axonics’ fiscal year 2022 revenue outlook is as follows:
Total company revenue of $234 million, an increase of 30% compared to fiscal year 2021.
SNM revenue of $197 million, an increase of 25% compared to fiscal year 2021.
Bulkamid revenue of $37 million, an increase of 63% compared to fiscal year 2021.
Webcast and Conference Call
Axonics will host a conference call today, February 24, 2022, at 4:30 p.m. Eastern Time, to discuss financial results and recent business developments. The live teleconference may be accessed by dialing 866-687-5771 (U.S.) or 409-217-8725 (international) and using passcode 6189042.
A live webcast of the conference call may be accessed by visiting the Events & Presentations section of the Axonics investor relations website. A replay of the webcast will be available shortly after the conclusion of the call and will be archived on the Axonics website.
About Axonics
Based in Irvine, Calif., Axonics is a global medical technology company that is developing and commercializing novel products for adults with bladder and bowel dysfunction. Axonics recently ranked No. 1 on the 2021 Deloitte Technology Fast 500™, a ranking of the 500 fastest-growing technology, media, telecommunications, life sciences, fintech, and energy tech companies in North America.
The company’s rechargeable sacral neuromodulation (SNM) system provides patients suffering from overactive bladder and/or fecal incontinence with long-lived, easy to use, safe, clinically effective therapy. In addition, Axonics’ best-in-class urethral bulking hydrogel, Bulkamid®, provides safe and durable symptom relief to women with stress urinary incontinence (SUI). Overactive bladder affects an estimated 87 million adults in the U.S. and Europe, with an additional 40 million adults estimated to suffer from fecal incontinence. SUI affects an estimated 29 million women in the U.S. alone. Axonics’ clinically proven products are offered at hundreds of medical centers across the U.S. and abroad. Reimbursement coverage is well established in the U.S. and is a covered service in most European countries. For more information, visit www.axonics.com.
Forward-Looking Statements
Statements made in this press release that relate to future plans, events, prospects or performance are forward-looking statements as defined under the Private Securities Litigation Reform Act of 1995. Words such as “planned,” “expects,” “believes,” “anticipates,” “designed,” and similar words are intended to



identify forward-looking statements. While these forward-looking statements are based on the current expectations and beliefs of management, such forward-looking statements are subject to a number of risks, uncertainties, assumptions and other factors that could cause actual results to differ materially from the expectations expressed in this press release, including the risks and uncertainties disclosed in Axonics filings with the Securities and Exchange Commission, all of which are available online at www.sec.gov. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof. Except as required by law, Axonics undertakes no obligation to update or revise any forward-looking statements to reflect new information, changed circumstances or unanticipated events.

Axonics contact:
Neil Bhalodkar
Investor Relations
949-336-5293
ir@axonics.com



Axonics, Inc.
Consolidated Balance Sheets
(in thousands, except share and per share data)
December 31,
20212020
(unaudited)
ASSETS
Current assets
Cash and cash equivalents$220,878 $241,181 
Accounts receivable, net of allowance for credit losses of $355 and $465 at December 31, 2021 and 2020, respectively29,044 18,270 
Inventory, net64,946 63,060 
Prepaid expenses and other current assets6,449 5,435 
Total current assets321,317 327,946 
Property and equipment, net6,915 6,328 
Intangible assets, net106,469 196 
Other assets7,734 7,736 
Goodwill105,510 — 
Total assets$547,945 $342,206 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities
Accounts payable$7,654 $10,660 
Accrued liabilities5,435 6,684 
Accrued compensation and benefits12,413 5,948 
Operating lease liability, current portion1,366 1,280 
Debt, net of unamortized debt issuance costs, current portion— 21,110 
Total current liabilities26,868 45,682 
Operating lease liability, net of current portion9,052 9,154 
Deferred tax liabilities, net19,217 — 
Other long-term liabilities10,370 — 
Total liabilities65,507 54,836 
Stockholders’ equity
Preferred stock, par value $0.0001 per share; 10,000,000 shares authorized, no shares issued and outstanding at December 31, 2021 and 2020— — 
Common stock, par value $0.0001 per share, 50,000,000 shares authorized at December 31, 2021 and 2020; 46,330,167 and 39,931,030 shares issued and outstanding at December 31, 2021 and 2020, respectively
Additional paid-in capital803,559 522,296 
Accumulated deficit(314,566)(234,499)
Accumulated other comprehensive loss(6,560)(431)
Total stockholders’ equity482,438 287,370 
Total liabilities and stockholders’ equity$547,945 $342,206 




Axonics, Inc.
Consolidated Statements of Comprehensive Loss
(in thousands, except share and per share data)
Three Months Ended December 31,Years Ended December 31,
2021202020212020
(unaudited)(unaudited)(unaudited)
Net revenue$53,135 $34,783 $180,290 $111,535 
Cost of goods sold17,744 12,652 64,572 44,444 
Gross profit35,391 22,131 115,718 67,091 
Operating expenses
Research and development10,182 8,111 37,297 29,055 
General and administrative9,404 6,588 32,785 25,551 
Sales and marketing31,338 18,284 105,789 66,130 
Amortization of intangible assets2,147 29 7,241 115 
Acquisition-related costs— — 4,414 — 
Total operating expenses53,071 33,012 187,526 120,851 
Loss from operations(17,680)(10,881)(71,808)(53,760)
Other income (expense)
Interest income16 19 40 761 
Loss on disposal of property and equipment(91)(41)(91)(41)
Interest and other expense102 (445)(7,426)(1,874)
Other income (expense), net27 (467)(7,477)(1,154)
Loss before income tax (benefit) expense(17,653)(11,348)(79,285)(54,914)
Income tax (benefit) expense(2,487)— 782 
Net loss(15,166)(11,348)(80,067)(54,915)
Foreign currency translation adjustment352 183 (6,129)(3)
Comprehensive loss$(14,814)$(11,165)$(86,196)$(54,918)
Net loss per share, basic and diluted$(0.34)$(0.29)$(1.86)$(1.48)
Weighted-average shares used to compute basic and diluted net loss per share44,960,262 38,971,859 43,072,298 36,981,335 




Axonics, Inc.
Net Revenue by Product and Region
(in thousands)
Three Months Ended December 31,Years Ended December 31,
2021202020212020
(unaudited)(unaudited)(unaudited)
SNM
United States$43,702 $33,709 $153,837 $107,542 
International722 1,074 3,753 3,993 
SNM total$44,424 $34,783 $157,590 $111,535 
Bulkamid
United States$5,790 $— $12,660 $— 
International2,921 — 10,040 — 
Bulkamid total$8,711 $— $22,700 $— 
Total net revenue$53,135 $34,783 $180,290 $111,535