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MIMEDX GROUP, INC.

For the period ended Sep 30, 2025. Filed Oct 29, 2025.

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About this filing

A company's report for each of its first three quarters. The financial statements are not audited. It shows how the business has moved since the last annual report, and what management says changed.

Sep 30, 2025 · Filed Oct 29, 2025

MDXG$3.31+0.9%Stored close · as of Nov 6, 2026
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Item 1. Financial Statements (Unaudited)

Condensed Consolidated Balance Sheets5
Condensed Consolidated Statements of Operations6
Condensed Consolidated Statements of Stockholders’ Equity7
Condensed Consolidated Statements of Cash Flows9
Notes to the Condensed Consolidated Financial Statements10
Item 2Management’s Discussion and Analysis of Financial Condition and Results of Operations18
Item 3Quantitative and Qualitative Disclosures About Market Risk24
Item 4Controls and Procedures24
Part II OTHER INFORMATION
Item 1Legal Proceedings25
Item 1ARisk Factors25
Item 2Unregistered Sales of Equity Securities and Use of Proceeds25
Item 3Defaults upon Senior Securities25
Item 4Mine Safety Disclosures25
Item 5Other Information25
Item 6Exhibits25
Signatures25

Explanatory Note and Important Cautionary Statement Regarding Forward-Looking Statements

As used herein, the terms “MIMEDX,” the “Company,” “we,” “our” and “us” refer to MiMedx Group, Inc., a Florida corporation, and its consolidated subsidiaries as a combined entity, except where it is clear that the terms mean only MiMedx Group, Inc.

Certain statements made in this Quarterly Report on Form 10-Q (this “Quarterly Report”) are “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and section 21E of the Securities Exchange Act of 1934, as amended. All statements herein relating to events or results that may occur in the future are forward-looking statements, including, without limitation, statements regarding the following:

our strategic focus and current business priorities, including broadening of our product portfolio, and our ability to implement these priorities;

our expectations regarding costs relating to compliance with regulatory requirements;

our expectations regarding capital allocation;

our expectations regarding future growth;

our expectations regarding the outcome of pending litigation and investigations;

our expectations regarding future income tax liability;

demographic and market trends; and

our ability to compete effectively.

Forward-looking statements generally can be identified by words such as “expect,” “will,” “change,” “intend,” “seek,” “target,” “future,” “plan,” “continue,” “potential,” “possible,” “could,” “estimate,” “may,” “anticipate,” “to be” and similar expressions. These statements are based on numerous assumptions and involve known and unknown risks, uncertainties and other factors that could significantly affect the Company’s operations and may cause the Company’s actual actions, results, financial condition, performance or achievements to differ materially from any future actions, results, financial condition, performance or achievements expressed or implied by any such forward-looking statements. Factors that may cause such a difference include, without limitation, those discussed under the heading “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2024 (our “2024 Form 10-K”), filed with the Securities and Exchange Commission (“SEC”) on February 26, 2025 and those discussed in Part II, Item 1A, Risk Factors, if any.

Unless required by law, the Company does not intend, and undertakes no obligation, to update or publicly release any revision to any forward-looking statements, whether as a result of the receipt of new information, the occurrence of subsequent events, a change in circumstances or otherwise. Each forward-looking statement contained in this Quarterly Report is specifically qualified in its entirety by the aforementioned factors. Readers are advised to carefully read this Quarterly Report in conjunction with the important disclaimers set forth above prior to reaching any conclusions or making any investment decisions and not to place undue reliance on forward-looking statements, which speak only as of the date of the filing of this Quarterly Report with the SEC.

PART I - FINANCIAL INFORMATION

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands, except share data)

September 30,2025December 31,2024
ASSETS
Current assets:
Cash and cash equivalents$142,083$104,416
Accounts receivable, net78,18655,828
Inventory26,50223,807
Prepaid expenses4,2485,018
Other current assets3,0762,817
Total current assets254,095191,886
Property and equipment, net5,0035,944
Right of use asset4,6685,606
Deferred tax asset, net21,64728,306
Goodwill19,44119,441
Intangible assets, net11,14711,626
Other assets2,9871,106
Total assets$318,988$263,915
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Current portion of long term debt1,3751,000
Accounts payable11,4157,409
Accrued compensation27,65023,667
Accrued expenses12,8259,012
Other current liabilities4,4174,507
Total current liabilities57,68245,595
Long term debt, net16,83917,830
Other liabilities5,5217,383
Total liabilities$80,042$70,808
Stockholders' equity
Common stock; $0.001 par value; 250,000,000 shares authorized; 148,075,930 issued and outstanding at September 30, 2025 and 146,932,032 issued and outstanding at December 31, 2024148147
Additional paid-in capital296,670284,219
Accumulated deficit(57,872)(91,259)
Total stockholders' equity238,946193,107
Total liabilities and stockholders’ equity$318,988$263,915

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands, except share and per share data)

Three Months Ended September 30,Nine Months Ended September 30,
2025202420252024
Net sales$113,725$84,057$300,535$255,972
Cost of sales18,71915,32253,95843,164
Gross profit95,00668,735246,577212,808
Operating expenses:
Selling, general and administrative69,00153,516193,121164,044
Research and development3,7032,91810,3368,770
Investigation, restatement and related—649—(8,741)
Amortization of intangible assets112192310572
Impairment of intangible assets—298—352
Operating income22,19011,16242,81047,811
Other expense, net
Interest income (expense), net7852782,029(1,409)
Other expense, net(126)(21)(372)(357)
Income from continuing operations before income tax22,84911,41944,46746,045
Income tax provision(6,101)(3,541)(11,080)(11,485)
Net income from continuing operations16,7487,87833,38734,560
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 - basic148,035,283146,958,986147,692,441147,008,732
Weighted average common shares outstanding - diluted149,713,653148,373,631149,579,861148,964,788

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

(in thousands, except share data)

Common Stock Issued · Additional Paid-In · Accumulated
SharesAmountCapitalDeficitTotal
Balance at June 30, 2025147,924,862$148$291,096$(74,620)$216,624
Share-based compensation expense——4,919—4,919
Employee stock purchase plan130,338—737—737
Issuance of restricted stock, net20,730—(82)—(82)
Net income———16,74816,748
Balance at September 30, 2025148,075,930$148$296,670$(57,872)$238,946
Common Stock Issued · Additional Paid-In · Accumulated
SharesAmountCapitalDeficitTotal
Balance at June 30, 2024146,749,402$147$274,685$(106,792)$168,040
Share-based compensation expense——3,810—3,810
Employee stock purchase plan123,857—785—785
Exercise of stock options61,666—387—387
Issuance of restricted stock, net27,887—(109)—(109)
Net Income———8,0958,095
Balance at September 30, 2024146,962,812$147$279,558$(98,697)$181,008
Common Stock Issued · Additional Paid-In · Accumulated
SharesAmountCapitalDeficitTotal
Balance at December 31, 2024146,932,032$147$284,219$(91,259)$193,107
Share-based compensation——13,933—13,933
Employee stock purchase plan279,795—1,586—1,586
Issuance of restricted stock, net864,1031(3,068)—(3,067)
Net Income———33,38733,387
Balance at September 30, 2025148,075,930$148$296,670$(57,872)$238,946
Common Stock Issued · Additional Paid-In · Accumulated
SharesAmountCapitalDeficitTotal
Balance at December 31, 2023146,227,639$146$276,249$(133,678)$142,717
Share-based compensation expense——12,240—12,240
Employee stock purchase plan245,640—1,583—1,583
Exercise of stock options207,686—1,398—1,398
Issuance of restricted stock, net1,481,8472(2,613)—(2,611)
Shares received in settlement of litigation(1,200,000)(1)(9,299)—(9,300)
Net income———34,98134,981
Balance at September 30, 2024146,962,812$147$279,558$(98,697)$181,008

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (in thousands)

Nine Months Ended September 30,
20252024
Cash flows from operating activities:
Net income from continuing operations$33,387$34,560
Adjustments to reconcile net income from continuing operations to net cash flows provided by operating activities from continuing operations:
Share-based compensation13,93312,240
Depreciation and amortization11,6613,051
Deferred income taxes6,65910,142
Credit loss expense3,149141
Non-cash lease expenses937972
Shares received in settlement of litigation—(9,300)
Loss on extinguishment of debt—1,401
Other5431,001
Increase (decrease) in cash resulting from changes in:
Accounts receivable(25,507)(299)
Inventory(2,695)(2,797)
Prepaid expenses7702,717
Other assets(5,701)(521)
Accounts payable3,705(2,123)
Accrued compensation5,571(600)
Accrued expenses3,812(931)
Other liabilities(1,177)(1,307)
Net cash flows from operating activities of continuing operations49,04748,347
Net cash flows used in operating activities of discontinued operations—(931)
Net cash flows provided by operating activities49,04747,416
Cash flows from investing activities:
Cash paid for acquisitions(3,764)(5,366)
Purchases of equipment(748)(1,420)
Patent application costs(39)(30)
Other investments(2,000)—
Net cash flows used in investing activities(6,551)(6,816)
Cash flows from financing activities:
Stock repurchased for tax withholdings on vesting of restricted stock(3,067)(2,611)
Principal payment on Citizens Term Loan Facility(750)(750)
Cash paid for Profit Share Payment (Note 12)(1,012)—
Proceeds from Citizens Revolving Credit Facility—30,000
Proceeds from Citizens Term Loan Facility—19,783
Prepayment premium on previous term loan—(500)
Deferred financing cost—(1,101)
Repayment of previous term loan—(50,000)
Repayment of Citizens Revolving Credit Facility—(30,000)
Proceeds from exercise of stock options—1,398
Principal payments on finance lease—(18)
Net cash flows used in financing activities(4,829)(33,799)
Net change in cash37,6676,801
Cash and cash equivalents, beginning of period104,41682,000
Cash and cash equivalents, end of period$142,083$88,801

MIMEDX GROUP, INC.

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2025 AND 2024

  1. Nature of Business

MiMedx Group, Inc. (together with its subsidiaries, except where the context otherwise requires, “MIMEDX,” or the “Company”) 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. All of the Company’s products sold in the United States are regulated by the United States Food and Drug Administration (“FDA”).

The Company’s product portfolio and product development focuses on Wound and Surgical markets.

The Company’s business is focused primarily on the United States, but the Company also has an emerging commercial presence in several international locations, including Japan.

  1. Significant Accounting Policies

Please see Note 2, Significant Accounting Policies, to the Company’s Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2024 (the “2024 Form 10-K”), filed with the Securities and Exchange Commission (“SEC”) on February 26, 2025 for a description of all significant accounting policies.

Basis of Presentation

The unaudited condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”) for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements. In the opinion of management, all adjustments considered necessary for a fair presentation of the results of operations for the periods presented have been included. The operating results for the three and nine months ended September 30, 2025 and 2024 are not necessarily indicative of the results that may be expected for the full fiscal year. The balance sheet as of December 31, 2024 was derived from the audited consolidated financial statements at that date, but does not include all of the information and footnotes required by GAAP for complete financial statements.

These unaudited condensed consolidated financial statements should be read in conjunction with the historical consolidated financial statements of the Company included in the 2024 Form 10-K.

Principles of Consolidation

The condensed consolidated financial statements include the accounts of MiMedx Group, Inc. and its wholly-owned subsidiaries. All intercompany balances and transactions have been eliminated upon consolidation.

Use of Estimates

GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the condensed consolidated financial statements and the reported condensed consolidated statements of operations during the reporting period. Actual results could differ from those estimates. Significant estimates include estimated useful lives and potential impairment of property and equipment, estimates of impairment for goodwill and intangible assets, estimates of useful lives for intangible assets, estimates of loss for contingent liabilities, estimate of allowance for doubtful accounts, estimates of fair value of and the probable achievement of performance conditions associated with share-based payment awards, estimates of returns and allowances, estimate of fair value of the remaining Profit Share Payments (as defined below), determination of fair value of hybrid instruments valued under the Fair Value Option, and valuation of deferred tax assets.

Recently Issued Accounting Standards Not Yet Adopted

Accounting Standards Update 2023-09 - Income Taxes

In December 2023, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2023-09, “Improvement to Income Tax Disclosures (Topic 740)”, which requires additional disclosures for income tax rate reconciliations, income taxes paid, and certain other tax disclosures. ASU 2023-09 is intended to enhance the transparency and decision usefulness of income tax disclosures. The amendments in ASU 2023-09 address investor requests for enhanced income tax information primarily through changes to the rate reconciliation and income taxes paid information. Adoption is required for annual periods beginning after December 15, 2024. The Company is currently evaluating the impact of this standard on its consolidated financial statements and related disclosures.

Accounting Standards Update 2024-04 - Income Statement - Reporting Comprehensive Income - Expense Disaggregation Disclosures

In November 2024, the FASB issued ASU 2024-03, “Income Statement - Reporting Comprehensive Income - Expense Disaggregation Disclosures (Subtopic 220-40),” which requires disaggregated disclosure of certain income statement expenses within the footnotes to the financial statements. ASU 2024-03 is intended to address requests from investors for more detailed information about the types of expenses in commonly presented expense captions such as cost of sales, selling, general and administrative expenses, and research and development. Adoption is required for annual periods beginning after December 15, 2026 and interim periods within annual periods beginning after December 15, 2027. The Company is currently evaluating the impact of this standard on its consolidated financial statements.

All other ASUs issued and not yet effective as of September 30, 2025, and through the date of this report, were assessed and determined to be either not applicable or are expected to have minimal impact on the Company’s current and future financial position and results of operations.

  1. Accounts Receivable, Net

Accounts receivable, net, consisted of the following (in thousands):

September 30, 2025December 31, 2024
Accounts receivable, gross$83,603$58,960
Less: allowance for doubtful accounts(5,417)(3,132)
Accounts receivable, net$78,186$55,828

Activity related to the Company’s allowance for doubtful accounts for the three and nine September 30, 2025 and 2024 were as follows (in thousands):

20252024
Balance at January 1$3,132$3,144
Credit loss expense742199
Write-offs—$(77)
Balance at March 313,874$3,266
Credit loss expense351220
Write-offs(281)(217)
Balance at June 303,9443,269
Credit loss expense (reversal)2,056(279)
Write-offs(583)(223)
Balance at September 30$5,417$2,767
  1. Inventory

Inventory consisted of the following (in thousands):

September 30, 2025December 31, 2024
Raw materials$933$1,010
Work in process6,2298,580
Finished goods19,34014,217
Inventory$26,502$23,807
  1. Property and Equipment, Net

Property and equipment, net, consisted of the following (in thousands):

September 30, 2025December 31, 2024
Laboratory and clean room equipment$15,750$15,549
Furniture and equipment1,9711,951
Leasehold improvements8,9378,213
Construction in progress437686
Asset retirement cost880867
Property and equipment, gross27,97527,266
Less: accumulated depreciation and amortization(22,972)(21,322)
Property and equipment, net$5,003$5,944

Depreciation expense was the following (in thousands):

Three Months Ended September 30,Nine Months Ended September 30,
2025202420252024
Depreciation Expense$572$580$1,692$1,715
  1. Intangible Assets, Net

Intangible assets, net, are summarized as follows (in thousands):

September 30, 2025 · December 31, 2024
Gross Carrying Amount · Accumulated Amortization · Net Carrying Amount · Gross Carrying Amount · Accumulated Amortization · Net Carrying Amount
Amortized intangible assets
Patents and know-how$10,574$(8,753)$1,821$10,320$(8,488)$1,832
Licenses1,500(150)1,3501,000(104)896
Customer and supplier relationships7,659(2,295)5,3647,659(1,147)6,512
Tradenames and trademarks11,888(10,360)1,5282,937(1,850)1,087
Total amortized intangible assets$31,621$(21,558)$10,063$21,916$(11,589)$10,327
Unamortized intangible assets:
Tradenames and trademarks$1,008$1,008$1,008$1,008
Patents in Process7676291291
Total intangible assets$32,705$11,147$23,215$11,626

The Company recognized $0.3 million and $0.4 million of impairment of intangible assets during the three and nine months ended September 30, 2024, respectively, which related to abandoned patents.

Expected future amortization of intangible assets as of September 30, 2025, is as follows (in thousands):

Year ending December 31,EstimatedAmortization Expense
2025 (excluding the nine months ended September 30, 2025)$2,039
20261,890
20271,890
20281,887
2029731
Thereafter1,626
Total amortized intangible assets$10,063
  1. Accrued Expenses

Accrued expenses consisted of the following (in thousands):

September 30, 2025December 31, 2024
Commissions to sales agents$4,611$3,843
Accrued rebates2,1521,223
Estimated sales returns2,2991,990
Legal costs2,084459
Other1,6791,497
Accrued expenses$12,825$9,012
  1. Long Term Debt, Net

Citizens Credit Agreement

On January 19, 2024, the Company entered into the Citizens Credit Agreement, which provided the Company with $30.0 million under the Revolving Credit Facility and $20.0 million under the Term Loan Facility. On February 27, 2024, the Company repaid the initial $30.0 million draw under the Revolving Credit Facility and hadno outstanding borrowings under this facility as of September 30, 2025. The Term Loan Facility matures on January 19, 2029 (the “Maturity Date”).

Borrowings under the Citizens Credit Agreement bear interest at a rate per annum equal to (i) the Alternate Base Rate, as defined therein, or (ii) a Term SOFR as defined therein, in each case plus an applicable margin ranging from 1.25% and 2.50% with respect to Alternate Base Rate borrowings and 2.25% and 3.50% for Term SOFR borrowings, plus a fallback provision of 0.1%. The Term Loan Facility carried an interest rate of 6.5% as of September 30, 2025.

The noncurrent portion of the Term Loan Facility was $16.8 million and $17.8 million as of September 30, 2025 and December 31, 2024, respectively. The current portion of the Term Loan Facility was $1.4 million and $1.0 million as of September 30, 2025 and December 31, 2024, respectively.

Interest expense related to the Term Loan Facility included in interest income (expense), net in the unaudited condensed consolidated statements of operations. Interest Expense related to the Term Loan Facility was $0.4 million for the three months ended September 30, 2025 and $0.4 million for the three months ended September 30, 2024. Interest Expense related to the Term Loan Facility was $1.2 million for the nine months ended September 30, 2025 and $1.5 million for the nine months ended September 30, 2024.

Interest expense related to the Revolving Credit Facility included in interest income (expense), net in the unaudited condensed consolidated statements of operations. Interest Expense related to the Revolving Credit Facility was $0.1 million for the three months ended September 30, 2025 and $0.1 million for the three months ended September 30, 2024. Interest Expense related to the Revolving Credit Facility was $0.3 million for the nine months ended September 30, 2025 and $0.3 million for the nine months ended September 30, 2024.

A summary of principal payments due on the Term Loan Facility, by year, from September 30, 2025 through maturity are as follows (in thousands):

Year ending December 31,Principal
2025 (excluding the nine months ended September 30, 2025)$250
20261,500
20271,500
20282,000
202913,000
Outstanding principal$18,250

As of September 30, 2025, the fair value of the Term Loan Facility was $18.0 million. This valuation was calculated based on a series of Level 2 and Level 3 inputs, including a discount rate based on the credit risk spread of debt instruments of similar risk character in reference to U.S. Treasury instruments with similar maturities, with an incremental risk premium for risk factors specific to the Company. Fair value was calculated by discounting the remaining cash flows associated with the Term Loan Facility to September 30, 2025 using this discount rate.

  1. Net Income Per Common Share

Net income per common share is calculated using two methods: basic and diluted.

Basic Net Income Per Common Share

The following table provides a reconciliation of net income from continuing operations and calculation of basic net income per common share for each of the three and nine months ended September 30, 2025 and 2024 (in thousands, except share and per share amounts).

Three Months Ended September 30,Nine Months Ended September 30,
2025202420252024
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
Weighted average common shares outstanding148,035,283146,958,986147,692,441147,008,732
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

The following table sets forth the computation of diluted net income per common share (in thousands, except share and per share amounts):

Three Months Ended September 30,Nine Months Ended September 30,
2025202420252024
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
Weighted average shares outstanding148,035,283146,958,986147,692,441147,008,732
Adjustments:
Potential common shares
Restricted stock unit awards1,030,191881,2371,206,0931,433,335
Outstanding stock options507,478394,767525,985450,168
Performance stock unit awards140,701114,050155,34257,629
Employee stock purchase plan—24,591—14,924
Total adjustments1,678,3701,414,6451,887,4201,956,056
Weighted average shares outstanding adjusted for potential common shares149,713,653148,373,631149,579,861148,964,788
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
  1. Income Taxes

On a continuing operations basis, the effective tax rates for the Company were 26.7% and 31.0% for the three months ended September 30, 2025 and September 30, 2024, respectively. On a continuing operating basis, the effective tax rates for the Company were 24.9% and 24.9% for the nine months ended September 30, 2025 and 2024, respectively.

Restricted stock vestings favorably impacted the effective tax rate for the three and nine months ended September 30, 2025 and 2024. In addition, the effective tax rate in each period was unfavorably impacted by deduction limitations on executive officer compensation.

One Big Beautiful Bill Act

On July 4, 2025, the “One Big Beautiful Bill Act” (the “Tax Act”) was enacted into law. The Tax Act includes changes to U.S. tax law that will be applicable to the Company beginning in tax year 2025. These changes include modifications to capitalization of research and development expenses, limitations on deductions for interest expense and accelerated fixed asset depreciation. The impact of these provisions resulted in a current tax benefit resulting from the utilization of deferred tax assets, and did not affect the Company’s effective tax rate in either the three or nine months ended September 30, 2025. This impact is expected to be temporary.

  1. Supplemental Disclosure of Cash Flow and Non-cash Investing and Financing Activities

Selected cash payments, receipts, and non-cash activities are as follows (in thousands):

Nine Months Ended September 30,
20252024
Cash paid for interest$1,071$2,297
Cash paid for income taxes4,0834,833
Non-cash activities:
Issuance of shares pursuant to employee stock purchase plan1,5861,583
Minimum Profit Share Payments pursuant to TELA APA—2,731
Right of use assets arising from operating lease liabilities—1,820
Fair value shares received in settlement of litigation—9,300
  1. Commitments and Contingencies

TELA and Regenity Agreements

On March 15, 2024, the Company entered into an Asset Purchase Agreement (the “TELA APA”) with TELA Bio, Inc. (“TELA”) to obtain exclusive rights to sell and market a 510(k)-cleared collagen particulate xenograft product in the United States. Pursuant to the TELA APA, the Company is required to make additional payments (the “Profit Share Payments”) of between a minimum of $3.0 million and a maximum of $7.0 million based on MIMEDX’s net sales of the product over thetwo years following its commercialization of the product, which occurred during the second quarter of 2024. The company’s remaining obligation of Profit Share Payments to TELA as of September 30, 2025 is $1.9 million.

As of September 30, 2025, the fair value for the minimum amount of Profit Share Payments was $1.9 million. This amount reflects the anticipated timing of such Profit Share Payments, discounted to present value at a discount rate approximating the Company’s borrowing rate plus a risk premium, all of which reflect Level 3 inputs. This amount is reflected as part of other current liabilities in the unaudited condensed consolidated balance sheet.

Litigation and Regulatory Matters

In the ordinary course of business, the Company and its subsidiaries may be a party to pending and threatened legal, regulatory, and governmental actions and proceedings (including those described below). In view of the inherent difficulty of predicting the outcome of such matters, particularly where the plaintiffs or claimants seek very large or indeterminate damages or where the matters present novel legal theories or involve a large number of parties, the Company generally cannot predict what the eventual outcome of the pending matters will be, what the timing of the ultimate resolution of these matters will be, or what the eventual recovery, loss, fines or penalties related to each pending matter may be. The Company's unaudited condensed consolidated balance sheet as of September 30, 2025 reflects the Company's current best estimate of probable losses associated with these matters, including costs to comply with various settlement agreements, where applicable. For more information regarding the Company’s legal proceedings, refer to Note 18, “Commitments and Contingencies” in the 2024 Form 10-K.

The Company hasno accrual for potential losses related to legal matters as of September 30, 2025. The Company madeno payments toward the resolution of legal matters involving the Company during the nine months ended September 30, 2025 and $0.6 million during the nine months ended September 30, 2024.

The following is a description of certain litigation and regulatory matters to which the Company is a party:

AXIOFILL

The Company received a Warning Letter from the FDA on December 21, 2023, relating to the inspections and classification of AXIOFILL. The Company received a determination letter in March 2024 reaffirming the FDA’s position that AXIOFILL does not meet the regulatory classification requirements of a Human Cell, Tissue or Cellular or Tissue-based Product under Section 361 of the Public Health Service Act. The Company strongly disagrees with this determination. On March 25, 2024, MIMEDX filed suit in the U.S. District Court for the Northern District of Georgia alleging violations of the Administrative Procedure Act and asking the Court to vacate FDA’s designation, declare FDA’s designation as arbitrary, capricious, an abuse of discretion, and contrary to law, and declare that AXIOFILL meets the criteria to be regulated under Section 361 of the Public Health Services Act. The parties each filed motions for summary judgment in the case. On September 25, 2025, the court denied both summary judgment motions without prejudice and requested additional briefing.

  1. Revenue

MIMEDX hastwo product categories: (1) Wound, which reflects products typically used in Advanced Wound Care settings, including the treatment of chronic, non-healing wounds, and (2) Surgical, which reflects products principally used in surgical settings, including the closure of acute wounds or to protect and reinforce tissues and/or regions of interest. The Company manages its product portfolio and pipeline based upon opportunities in each of these settings.

Below is a summary of net sales by product line (in thousands):

Three Months Ended September 30,Nine Months Ended September 30,
2025202420252024
Wound$77,09855,052197,647169,647
Surgical36,62729,005102,88886,325
Net sales$113,725$84,057$300,535$255,972

The Company did not have significant foreign operations or a single external customer from which 10% or more of net sales were derived during the three or nine months ended September 30, 2025 or 2024.

  1. Segment Information

The Company determines its operating segments based on how the Chief Operating Decision Maker (“CODM”) reviews the business and makes resource allocation decisions. The Company concluded that Joseph Capper, the Company’s Chief Executive Officer, is the CODM.

The Company has a single operating segment, which has not been aggregated with other operating segments.

The CODM uses several measures of profit or loss to assess Company performance and allocate resources. Of these measures, net income is the measure that most aligns to GAAP. Other measures used by the CODM include adjusted earnings before interest, taxes, depreciation and amortization. The CODM assesses actual results against budgets and forecasts, and uses this information to inform various strategic investments into the Company’s operations, including headcount and compensation.

Each financial statement caption included on the condensed consolidated statements of operations reflects a significant segment expense evaluated by the CODM. In addition to this, the CODM also evaluates selling and marketing expense and general and administrative expense, both of which are components of selling, general, and administrative expense on the condensed consolidated statements of operations.

The below table presents selling and marketing and general administrative expense (amounts in thousands):

Three Months Ended September 30,Nine Months Ended September 30,
2025202420252024
Selling and marketing$53,720$41,721$148,448$127,922
General and administrative15,28111,79544,67336,122
Selling, general and administrative$69,001$53,516$193,121$164,044

Below is a breakout of interest expense and interest income (amounts in thousands):

Three Months Ended September 30,Nine Months Ended September 30,
2025202420252024
Interest income$1,210$799$3,407$2,008
Interest expense(425)(521)(1,378)(3,417)
Interest expense, net$785$278$2,029$(1,409)

To see depreciation expense, amortization expense, income tax expense, and significant noncash items for this segment please refer to Note 5, Property and Equipment, Net, Note 6, Intangible Assets, Net, Note 10, Income Taxes, Note 11, Supplemental Disclosure of Cash Flow and Non-cash Investing and Financing Activities, respectively.

The CODM is not provided and does not review segment assets at a different asset level or category than the presentation on the consolidated balance sheet.

  1. Acquisitions and Investments

Celera and Emerge

During 2024 and the nine months ended September 30, 2025, the Company entered into various agreements which conveyed trademarks associated with CELERA and EMERGE to MiMedx. The agreements required MiMedx to make payments at the time of the acquisition and additional payments over time when and if product is manufactured. The Company accounted for these transactions as acquisitions of assets. Accordingly, the Company capitalized payments made to acquire assets as payments were made or as the contingencies surrounding such payment were resolved as part of the acquired assets. Any future payments associated with a contingency may also be capitalized as part of the acquired asset, to the extent that such payments are considered to be costs to acquire the associated asset.

Vaporox Agreement

Late in the second quarter of 2025, the Company entered into a Convertible Note Purchase Agreement (the “Vaporox Note”) with Vaporox, Inc.(“Vaporox”) for $2.0 million. The note matures in the second quarter of 2028, and contains certain contingent conversion features upon the occurrence of specified events. The Vaporox Note was funded early in the third quarter of 2025.

The Company elected to account for the Vaporox Note pursuant to the Fair Value Option guidance prescribed by Accounting Standards Codification (“ASC”) Topic 825. Management chose this optional guidance for ease of calculation. This requires the Company to measure the Fair Value of the Vaporox Note, in its entirety, at each reporting date. As a result of electing the fair value option, direct costs and fees related to the Vaporox Note are expensed as incurred.

As of September 30, 2025, the fair value of the note was $2.1 million. The fair value of the note was estimated using a relevant valuation techniques and a series of Level 3 inputs.

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