Washington, D.C. 20549
Pursuant to Section 13 OR 15(d) of The
Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): November 4, 2020
Axonics Modulation Technologies, 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)
(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 November 4, 2020, Axonics Modulation Technologies, Inc. (the Company) issued a press release announcing its financial results for the quarter ended September 30, 2020. 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, 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, except as expressly set forth by specific reference in such filing.
Item 9.01.    Financial Statements and Exhibits.
    (d) Exhibits.
Exhibit No.Description
104Cover Page Interactive Date File - the cover page XBRL tags are embedded within the Inline XBRL document.

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.
Date: November 4, 2020 By: /s/ Raymond W. Cohen
  Raymond W. Cohen
  Chief Executive Officer


Exhibit 99.1
Axonics® Reports Third Quarter 2020 Results

Axonics generated net revenue of $35.2 million in the third quarter ended September 30, 2020

Over 5,500 patients have been implanted with the Axonics r-SNM System since U.S. commercial launch

IRVINE, CA – November 4, 2020 – Axonics Modulation Technologies, Inc. (NASDAQ: AXNX), a medical technology company that has developed and is commercializing novel implantable sacral neuromodulation (SNM) devices for the treatment of urinary and bowel dysfunction, today reported results for the third quarter 2020.
Raymond W. Cohen, CEO of Axonics, said, “In the third quarter, despite headwinds from COVID-19 and the launch of a rechargeable device by our competitor, we continued to add new customers, sign additional hospital system agreements, gain regulatory approvals, and expand our growing body of clinical literature. Our strong revenue results reflect the close working relationships we have developed with implanting physicians, the successful launch of our second-generation implantable neurostimulator, and most importantly, the high satisfaction rates being reported by patients since our U.S. launch a year ago. It is our conviction that the SNM market is poised for significant market expansion and given the quality of our team and product pipeline, we are confident that Axonics is well positioned for continued growth in the years ahead.”
Third Quarter 2020 Financial Results
Net revenue was $35.2 million in the third quarter ended September 30, 2020, as compared to net revenue of $1.3 million for the same period of the prior year.
U.S. net revenue accounted for $34.1 million, with select international markets accounting for $1.1 million of net revenue.
Over 600 unique accounts (hospitals and ambulatory surgery centers) in the United States have implanted patients with the Axonics r-SNM® System since commercial launch in November 2019, including more than 115 new accounts that were added in the third quarter of 2020.
Net revenue through the first nine months of 2020 was $76.8 million, as compared to $3.9 million for the same period of the prior year.
Gross margin was 61.9% in the third quarter 2020, as compared to 51.7% for the same period of the prior year.
Operating expenses were $30.6 million in the third quarter 2020, as compared to $25.7 million for the same period of the prior year. This increase was primarily due to higher personnel costs for the U.S. commercial team and in other parts of the organization.
Net loss was $9.2 million in the third quarter 2020, as compared to a net loss of $25.0 million for the same period of the prior year.
As of September 30, 2020, cash and cash equivalents were $269.3 million.
Clinical and Regulatory Highlights
On July 1, 2020, the Axonics r-SNM System received FDA approval for 3.0 Tesla full-body MRI scans.

In August 2020, Axonics began shipping its second-generation implantable neurostimulator (INS) to U.S. customers. The new INS extends the recharge interval for patients to just once a month for one hour.
On September 8, 2020, Axonics announced NICE’s recommendation of the Axonics r-SNM System.
On September 10, 2020, Axonics reported 2-year clinical results from its ARTISAN-SNM pivotal study.
On September 21, 2020, Axonics announced Health Canada’s approval of its second-generation INS.
On September 24, 2020, Axonics announced that the U.S. Patent Trial and Appeal Board has instituted a review regarding the validity of six Medtronic patents that Axonics is contesting.
On October 5, 2020, Axonics announced survey results of patients treated with the Axonics r-SNM System that were previously implanted with InterStim™ II.
Webcast and Conference Call
Axonics will host a conference call today, November 4, 2020, at 4:30 p.m. Eastern Time, to discuss financial results and recent business developments. Interested parties may access the live teleconference by dialing 866-687-5771 (U.S.) or 409-217-8725 (International) and using conference ID 8446338.
A live webcast of the conference call may be accessed by visiting the Events & Presentations section of the Axonics investor relations website at A replay of the webcast will be available shortly after the conclusion of the call and will be archived on the Axonics website for 90 days.
About Axonics Modulation Technologies, Inc.
Axonics, based in Irvine, Calif., has developed and is commercializing novel implantable SNM devices for patients with urinary and bowel dysfunction. These conditions are caused by a miscommunication between the bladder and the brain and significantly impacts quality of life. Overactive bladder affects an estimated 87 million adults in the U.S. and Europe. Another estimated 40 million adults are reported to suffer from fecal incontinence/accidental bowel leakage. Axonics SNM therapy, which has been clinically proven to reduce symptoms and restore pelvic floor function, is now being offered at hundreds of medical centers across the U.S. and in dozens of select hospitals in Western Europe. Reimbursement coverage is well established in the U.S. and is a covered service in most European countries. The Axonics System is the first long-lived rechargeable SNM system approved for sale in the world, and the first to gain full-body MRI conditional labeling. For more information, visit
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 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

Axonics Modulation Technologies, Inc.
Condensed Consolidated Balance Sheets
(in thousands, except share and per share data)
September 30,December 31,
Current assets
Cash and cash equivalents$269,280 $171,082 
Short-term investments— 12,592 
Accounts receivable, net of allowance for doubtful accounts of $465 and $75 at September 30, 2020 and December 31, 2019, respectively17,650 7,879 
Inventory, net44,308 15,659 
Prepaid expenses and other current assets3,220 4,468 
Total current assets334,458 211,680 
Property and equipment, net5,792 3,047 
Intangible asset, net225 311 
Other assets7,196 4,784 
Total assets$347,671 $219,822 
Current liabilities
Accounts payable$9,415 $5,882 
Accrued liabilities5,977 2,174 
Accrued compensation and benefits7,516 3,375 
Operating lease liability, current portion908 602 
Debt, current portion15,000 — 
Total current liabilities38,816 12,033 
Operating lease liability, net of current portion9,027 4,450 
Debt, net of unamortized debt issuance costs, net of current portion5,930 20,336 
Total liabilities53,773 36,819 
Stockholders’ equity
Preferred stock, par value $0.0001 per share; 10,000,000 shares authorized, no shares issued and outstanding at September 30, 2020 and December 31, 2019— — 
Common stock, par value $0.0001, 50,000,000 shares authorized at September 30, 2020 and December 31, 2019; 39,753,638 and 34,110,995 shares issued and outstanding at September 30, 2020 and December 31, 2019, respectively
Additional paid-in capital517,659 363,012 
Accumulated deficit(223,151)(179,584)
Accumulated other comprehensive loss(614)(428)
Total stockholders’ equity293,898 183,003 
Total liabilities and stockholders’ equity$347,671 $219,822 

Axonics Modulation Technologies, Inc.
Condensed Consolidated Statements of Comprehensive Loss
(in thousands, except share and per share data)
Three Months Ended
September 30,
Nine Months Ended
September 30,
Net revenue$35,243 $1,309 $76,752 $3,874 
Cost of goods sold13,434 632 31,792 1,952 
Gross profit21,809 677 44,960 1,922 
Operating Expenses
Research and development7,748 4,855 21,030 13,948 
General and administrative5,773 5,162 18,963 13,539 
Sales and marketing17,057 15,707 47,846 32,371 
Total operating expenses30,578 25,724 87,839 59,858 
Loss from operations(8,769)(25,047)(42,879)(57,936)
Other Income (Expense)
Interest income35 627 742 2,500 
Interest and other expense(434)(586)(1,429)(1,747)
Other income (expense), net(399)41 (687)753 
Loss before income tax expense(9,168)(25,006)(43,566)(57,183)
Income tax expense— — 
Net loss(9,168)(25,006)(43,567)(57,184)
Foreign currency translation adjustment99 (112)(186)(165)
Comprehensive loss$(9,069)$(25,118)$(43,753)$(57,349)
Net loss per share, basic and diluted$(0.24)$(0.89)$(1.20)$(2.05)
Weighted-average shares used to compute basic and diluted net loss per share38,830,924 28,098,564 36,312,984 27,958,376