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): February 25, 2021
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 February 25, 2021, Axonics Modulation Technologies, Inc. (the Company) issued a press release announcing its financial results for the quarter ended December 31, 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 (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
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: February 25, 2021 By: /s/ Raymond W. Cohen
  Raymond W. Cohen
  Chief Executive Officer


Exhibit 99.1
Axonics® Reports Fourth Quarter and
Fiscal Year 2020 Results

IRVINE, Calif – February 25, 2021 – 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 fourth quarter and fiscal year ended December 31, 2020.
Raymond W. Cohen, Axonics CEO, said, “In the first year of Axonics’ commercial launch in the United States, we exceeded our ambitious goals despite the pandemic and only having approximately ten months of selling time. We are grateful for the overwhelmingly positive response from physicians and patients to the introduction of our r-SNM System. We look forward to more Americans getting vaccinated and a return to a more normalized elective procedure environment in which we can take full advantage of the strong growth outlook for Axonics and the SNM market.”
Fourth Quarter 2020 Financial Results
Net revenue was $34.8 million in the fourth quarter 2020, as compared to net revenue of $9.9 million for the same period of the prior year. Net revenue was consistent with the preliminary revenue result Axonics previously reported in January.
U.S. net revenue accounted for $33.7 million, with select international markets accounting for $1.1 million of net revenue.
Management estimates that in the fourth quarter 2020, approximately 320 confirmed and scheduled permanent implants were canceled due to COVID-19 based upon a detailed territory by territory analysis. These cancellations represented approximately $5 million of revenue that was not recognized in fourth quarter 2020. Management expects the majority of deferred cases to be rescheduled for the second half of 2021 as more individuals are vaccinated.
Gross margin was 63.6% in the fourth quarter 2020, as compared to 54.4% for the same period of the prior year.
Operating expenses were $33.0 million in the fourth quarter 2020, as compared to $28.1 million for the same period of the prior year.
Net loss was $11.3 million in the fourth quarter 2020, as compared to a net loss of $22.8 million for the same period of the prior year.
As of December 31, 2020, cash and cash equivalents were $241.2 million.
Fiscal Year 2020 Financial Results
Net revenue was $111.5 million in fiscal year 2020, as compared to net revenue of $13.8 million in fiscal year 2019.
U.S. net revenue accounted for $107.5 million, with select international markets accounting for $4.0 million of net revenue.
Gross margin was 60.2% in fiscal year 2020, as compared to 53.0% in fiscal year 2019.
Operating expenses were $120.9 million in fiscal year 2020, as compared to $87.9 million in fiscal year 2019.
Net loss was $54.9 million in fiscal year 2020, as compared to a net loss of $79.9 million in fiscal year 2019.

Clinical and Regulatory Highlights
On October 5, 2020, Axonics published survey results of patients treated with the Axonics r-SNM System that were previously implanted with InterStim™ II.
On October 20, 2020, Axonics launched the ARTISTRY study, a post-market clinical registry following patients treated with the Axonics r-SNM System.
On October 29, 2020, Axonics announced the submission of a premarket approval supplement to the FDA for the purpose of gaining detachable extremity coil MRI conditional labeling for 1.5T and 3.0T MR scanners. The filing is currently under review by FDA.
On November 10, 2020, Axonics announced the publication of fecal incontinence study results for patients treated with its r-SNM System.
On January 28, 2021, a manuscript was published online in Neurourology and Urodynamics discussing the two-year outcomes of the ARTISAN-SNM study.
On February 16, 2021, Axonics announced FDA approval of its third-generation implantable neurostimulator.
Webcast and Conference Call
Axonics will host a conference call today, February 25, 2021, at 4:30 p.m. Eastern Time, to discuss financial results and recent business developments.
The live teleconference may be accessed by dialing 888-771-4371 (U.S.) or 847-585-4405 (International) and using passcode 50112306.
The live webcast of the conference call may be accessed by visiting the Events & Presentations section of the Axonics investor relations website. The 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.
Based in Irvine, Calif, Axonics has developed and is commercializing novel implantable SNM devices for patients with urinary and bowel dysfunction, and through its acquisition of Bulkamid, offers solutions for patients with stress urinary incontinence. These conditions significantly impact quality of life. Overactive bladder affects an estimated 87 million adults in the U.S. and Europe, and another estimated 40 million adults are reported to suffer from fecal incontinence/accidental bowel leakage. Stress urinary incontinence affects an estimated 20 million women in the U.S. 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
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.
Consolidated Balance Sheets
(in thousands, except share and per share data)
December 31,
Current assets
Cash and cash equivalents$241,181 $171,082 
Short-term investments— 12,592 
Accounts receivable, net of allowance for doubtful accounts of $465 and $75 at December 31, 2020 and 2019, respectively18,270 7,879 
Inventory, net63,060 15,659 
Prepaid expenses and other current assets5,435 4,468 
Total current assets327,946 211,680 
Property and equipment, net6,328 3,047 
Intangible asset, net196 311 
Other assets7,736 4,784 
Total assets$342,206 $219,822 
Current liabilities
Accounts payable$10,660 $5,882 
Accrued liabilities6,684 2,174 
Accrued compensation and benefits5,948 3,375 
Operating lease liability, current portion1,280 602 
Debt, net of unamortized debt issuance costs, current portion21,110 — 
Total current liabilities45,682 12,033 
Operating lease liability, net of current portion9,154 4,450 
Debt, net of unamortized debt issuance costs— 20,336 
Total liabilities54,836 36,819 
Stockholders’ Equity
Preferred stock, par value $0.0001 per share; 10,000,000 shares authorized, no shares issued and outstanding at December 31, 2020 and 2019— — 
Common stock, par value $0.0001 per share, 50,000,000 shares authorized at December 31, 2020 and 2019; 39,931,030 and 34,110,995 shares issued and outstanding at December 31, 2020 and 2019, respectively
Additional paid-in capital522,296 363,012 
Accumulated deficit(234,499)(179,584)
Accumulated other comprehensive loss(431)(428)
Total stockholders’ equity287,370 183,003 
Total liabilities and stockholders’ equity$342,206 $219,822 

Axonics Modulation Technologies, Inc.
Consolidated Statements of Comprehensive Loss
(in thousands, except share and per share data)
Three Months Ended December 31,Years Ended December 31,
Net revenue$34,783 $9,946 $111,535 $13,820 
Cost of goods sold12,652 4,538 44,444 6,490 
Gross profit22,131 5,408 67,091 7,330 
Operating Expenses
Research and development8,140 6,233 29,170 20,181 
General and administrative6,588 5,537 25,551 19,076 
Sales and marketing18,284 16,301 66,130 48,672 
Total operating expenses33,012 28,071 120,851 87,929 
Loss from operations(10,881)(22,663)(53,760)(80,599)
Other Income (Expense)
Interest income19 474 761 2,974 
Loss on disposal of property and equipment(41)— (41)— 
Interest and other expense(445)(562)(1,874)(2,309)
Other income (expense), net(467)(88)(1,154)665 
Loss before income tax expense(11,348)(22,751)(54,914)(79,934)
Income tax expense— — 
Net loss(11,348)(22,751)(54,915)(79,935)
Foreign currency translation adjustment183 153 (3)(12)
Comprehensive loss$(11,165)$(22,598)$(54,918)$(79,947)
Net loss per share, basic and diluted$(0.29)$(0.75)$(1.48)$(2.80)
Weighted-average shares used to compute basic and diluted net loss per share38,971,859 30,374,223 36,981,335 28,567,302