AngioDynamics (ANGO) Q2 2026 Earnings Transcript

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DATE

Jan. 6, 2026, 8 a.m. ET

CALL PARTICIPANTS

• President and Chief Executive Officer — James Clemmer
• Executive Vice President and Chief Financial Officer — Stephen Trowbridge

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TAKEAWAYS

• Total Revenue -- $79.4 million, up 8.8%, with growth attributed to both Med Tech and Med Device segments.
• Med Tech Revenue -- $35.7 million, representing a 13% increase year over year; year-to-date Med Tech growth stands at 19.1%.
• Med Device Revenue -- $43.8 million, reflecting an increase of 5.6% from the prior year.
• Adjusted EBITDA -- $5.9 million versus $3.1 million in the second quarter of fiscal 2026 versus the prior-year period; includes $1.4 million from the France distribution transaction.
• Gross Margin -- 56.4%, an increase of 170 basis points, driven by product mix shift, accelerated manufacturing cost savings, and the France sales channel transaction.
• Operating Expenses -- $50.9 million in the second quarter of fiscal 2026, accounting for 64.1% of sales, down from 69.9% in the prior-year period.
• Adjusted Net Loss -- Adjusted net loss of $0.1 million (adjusted loss per share of $0.10), improved from an adjusted net loss of $1.7 million.
• Med Tech as % of Revenue -- Med Tech comprised 45% of total revenue, up from 43%.
• Auryon Platform -- $16.3 million in revenue, up 18.6%; 18th consecutive quarter of double-digit growth.
• Mechanical Thrombectomy Revenue -- $11 million, up 3.9%; AlphaVac up 40.2% to $3.5 million, AngioVac down 7.5% to $7.5 million but with 11.2% year-to-date growth.
• NanoKnife Revenue -- $7.3 million, up 22.2%; probe growth 14.4% with record prostate procedure volumes.
• International Transaction -- France distributor transition generated ~$1 million in NanoKnife sales and ~$250,000 each for Auryon, Microwave, and EVLT capital sales.
• Cash Position -- $41.6 million in cash and equivalents as of November 30, 2025, up from $38.8 million; $4.7 million cash generated in the quarter.
• Full-Year Guidance Raised -- Net sales now expected at $312 million–$314 million (prior $308 million–$313 million); Med Tech sales growth reiterated at 14%–16%, and Med Device sales now guided to 0%–1%.
• Full-Year Margin Guidance -- Gross margin expected at 53.5%–55.5%, with $4 million–$6 million of tariff expenses included.
• Adjusted EBITDA Guidance -- Now anticipated at $8 million–$10 million (previously $6 million–$10 million); adjusted loss per share remains at negative $0.33 to negative $0.23.
• Regulatory Milestones -- Three significant: IDE approval for APEX-Return (AlphaReturn with AlphaVac for pulmonary embolism), IDE approval for PAVE (AngioVac in right-sided infective endocarditis), and 510(k) clearance for AlphaVac F18 85 system modifications.
• Leadership Transition -- CEO James Clemmer announced intention to retire; Board leading search, transition to occur during fiscal 2027.
• Patent Litigation Resolution -- U.S. Court of Appeals affirmed judgment invalidating C.R. Bard’s patents; eliminates potential $3 million settlement payment.

SUMMARY

AngioDynamics (NASDAQ:ANGO) reported broad-based revenue growth and margin expansion, supported by improved profitability in both core segments. The France distribution transition materially contributed to quarterly financial metrics but was accompanied by continued cash generation and disciplined cost management. Notable regulatory advances were announced in mechanical thrombectomy, expanding future clinical and commercial opportunities. The company concluded a major patent dispute, removing a potential cash liability. CEO James Clemmer revealed succession plans with a pending leadership transition targeted for fiscal 2027.

• France sales channel restructuring in the quarter influenced capital sales mix and contributed to non-recurring adjusted EBITDA.
• Shifts in product mix and early realization of manufacturing cost savings were explicitly cited as key drivers for higher gross margins.
• "Probe growth continues to be driven by increasing growth in demand and utilization of NanoKnife to treat prostate cancer patients, and Q2 was a record quarter for us for prostate procedure cases," according to Trowbridge.
• The CPT code activation for NanoKnife prostate procedures is expected to gradually increase adoption, with physician interest reportedly high.
• AlphaVac showed sustained sequential quarterly gains, bolstered by "strong physician feedback on the unique design advantages."
• Cash generation trends are expected to fluctuate in fiscal 2026, with third-quarter outflows and higher inflows in the fourth quarter, per management guidance.

INDUSTRY GLOSSARY

• 510(k) clearance: FDA process that allows medical devices to be marketed in the United States based on demonstrated substantial equivalence to legally marketed devices.
• IDE (Investigational Device Exemption): FDA approval permitting clinical studies of medical devices in humans prior to full market clearance.
• CPT Code: Current Procedural Terminology code used for billing and reimbursement of medical procedures.
• EVLT: Endovenous Laser Therapy, a minimally invasive procedure to treat varicose veins.
• OBL: Office-Based Lab, an outpatient clinical environment for performing interventional vascular procedures.
• PICC: Peripherally Inserted Central Catheter used for intravenous access over extended periods.

Full Conference Call Transcript

This presentation should be read in conjunction with the press release discussing the company's operating results and financial performance during this morning's conference call. Unless otherwise noted, all metrics and growth rates mentioned during today's call are on a pro forma basis, which exclude the results of the Dialysis and BioSentry businesses that were divested in June 2023, the PICC and Midline products that were divested in February 2024 and the Radiofrequency and Syntrax support catheter products that we discontinued in February 2024. Also, unless otherwise noted, all comparisons will be the second fiscal quarter of 2026 versus the second fiscal quarter of 2025.

Now I'd like to turn the call over to Jim Clemmer, AndioDynamics' President and Chief Executive Officer. Mr. Clemmer?

James Clemmer: Thank you, operator. Good morning, everyone, and thank you for joining us for AngioDynamics' Fiscal 2026 Second Quarter Earnings Call. Joining me today is Steve Trowbridge, AngioDynamics' Executive Vice President and Chief Financial Officer. We delivered strong results in the second quarter. Revenue grew 8.8% with Med Tech up 13%, and we translated that top line performance into improved profitability. Adjusted EBITDA nearly doubled year-over-year, and we generated positive cash flow. These results prove that we can drive both revenue growth and profitability simultaneously. Based on our strong performance, we are raising our full year guidance for both revenue and adjusted EBITDA, which Steve will detail later in the call.

What's particularly encouraging is the breadth of our execution across our portfolio. Auryon delivered another quarter of double-digit year-over-year growth. Our Mechanical Thrombectomy platforms continue to gain traction, both commercially and from a regulatory product development standpoint. NanoKnife is well positioned to capitalize on the prostate opportunity with the CPT code becoming effective a few days ago, and our Med Device business delivered solid results. Now let me walk you through each of our businesses. Auryon continues to perform exceptionally well. We delivered our 18th consecutive quarter of double-digit growth, and we continue to take share in the atherectomy market. Our strategy to increase penetration in hospitals is working, driving both higher volumes and better economics.

International is starting to contribute following our CE Mark approval. We're also making progress on expanding the addressable market. The AMBITION BTK study is enrolling well, and we're advancing our work towards coronary applications. These initiatives will take time, but they represent opportunities to broaden where Auryon can compete. Moving to mechanical thrombectomy. We are pleased with the continued trajectory of our mechanical thrombectomy platform and we are thrilled with the 3 regulatory milestones that we announced today in this portfolio. Our combined mechanical thrombectomy portfolio grew 3.9% over the prior year, driven by continued growth in AlphaVac. In addition, we are pleased with the continued performance of AngioVac.

AlphaVac maintained its momentum, delivering sequential quarterly growth and strong year-over-year growth this quarter. We continue to win new accounts, move through the hospital value analysis committees and see strong physician feedback on the unique design advantages of our platform. AngioVac was down year-over-year this quarter, impacted by a tough comparison against a particularly strong second quarter in 2025. We will continue to be excited about the trajectory of the business, and we remain confident in the long-term opportunity ahead. From a regulatory standpoint, we made significant progress this quarter with 3 important milestones for our mechanical thrombectomy portfolio, that strengthen our competitive position and expand our clinical applications.

First, we received IDE approval for our APEX-Return study, a pivotal trial evaluating the AlphaReturn Blood Management System when used with AlphaVac for treating acute pulmonary embolism. AlphaReturn addresses a hurdle to initial adoption that a number of prospective new customers have raised, which is the ability to collect, filter and reinfuse aspirated blood during thrombectomy procedures. We believe that this additional offering will be a catalyst to accelerating the already impressive growth profile of AlphaVac. Second, we received IDE approval for our PAVE study, a pilot trial evaluating AngioVac for the percutaneous removal of right heart vegetation in patients with right-sided infective endocarditis. This addresses an underserved patient population with limited treatment options, particularly when surgical risk is high.

Third, we received 510(k) clearance for a modified AlphaVac F18 85 system with expanded indications. The clearance expands the cannula indication to allow aspiration and injection of contrast media and other fluids and includes the sheath as an alternative introducer that minimizes blood loss. These enhancements give physicians greater flexibility in how they use the device across a broader range of cases. Together, these regulatory wins demonstrate the versatility and innovation of our mechanical thrombectomy platform. They represent meaningful opportunities to expand clinical applications, address unmet patient needs and strengthen our competitive position in the thrombectomy market by delivering improved treatment options that physicians are seeking to improve patient outcomes. NanoKnife delivered strong growth this quarter, driven by prostate procedures.

The CPT code went live on January 1, which should provide a tailwind for adoption. We've been consistent in our messaging that this adoption will build over time rather than be an immediate step change, and that's what we're seeing. Physician interest is high. Procedure volumes are growing and we are executing on our commercial and awareness building initiatives. We believe we're well positioned as this market continues to develop. Finally, in October, we were excited that the NanoKnife system was named to TIME's 2025 Best Innovations list, which we believe will accelerate patient awareness in this growing market. Med Device grew over 5% this quarter, ahead of our expectations.

The team running this business executes consistently, and it provides profitable cash flow that supports our Med Tech investments. Looking at the quarter overall, we're executing on multiple fronts. We grew revenue, expanded margins, we advanced important clinical programs, and we generated cash. Our first half performance gives us confidence in our ability to operate efficiently while investing in the initiatives that position us for sustained growth. That balance between delivering today and investing for tomorrow is what will drive long-term value creation. Now let me turn the call to Steve for the financial details.

Stephen Trowbridge: Thanks, Jim, and good morning, everybody. As always, before I begin, I'd like to direct everyone to the presentation on our Investor Relations website summarizing the key items from our quarterly results. Unless otherwise noted, all metrics and growth rates mentioned during today's call are on a pro forma basis, which excludes the results of the Dialysis and BioSentry businesses that we divested in June 2023, the PICC and Midline products that we divested in February 2024 and the Radiofrequency and Syntrax support catheter products that we discontinued also in February 2024. Additionally, unless otherwise noted, all comparisons will be the second fiscal quarter of 2026 versus the second fiscal quarter of 2025.

Top line revenue performance was strong again in the quarter. Revenue increased 8.8% to $79.4 million, driven by growth across both our Med Tech and Med Device segments. Med Tech revenue was $35.7 million, a 13% increase. We're very pleased with the performance of our Med Tech segment. Now the comp for our second quarter was much more difficult than the comp for our first quarter. And year-to-date, Med Tech is up 19.1%. In the quarter, our Med Device revenue was $43.8 million, an increase of 5.6%.

For the second fiscal quarter, our Med Tech platforms comprised 45% of our total revenue, compared to 43% of total revenue a year ago, further illustrating the sustained execution of our strategy to increase the percentage of our overall revenue base coming from our higher growth, higher-margin Med Tech segment. Digging into our Med Tech segment, our Auryon platform contributed $16.3 million in revenue, growing 18.6% compared to last year. Auryon has now delivered double-digit year-over-year growth for 18 consecutive quarters. As Jim mentioned, this growth is supported by our strategy to increase the percentage of our atherectomy business in the hospital side of care.

In addition to this mix shift, we continue to grow our customer base in both the hospital and OBL settings and are benefiting from continued adoption internationally following CE Mark approval in September of last year. Mechanical thrombectomy revenue, which includes AngioVac and AlphaVac sales, increased 3.9% year-over-year with revenue of $11 million. In the quarter, AngioVac revenue was $7.5 million, a 7.5% year-over-year decrease and AlphaVac revenue was $3.5 million, a 40.2% year-over-year increase. While AngioVac revenue was down year-over-year, we are pleased with the continued strength in this business, which delivered year-to-date growth of 11.2%. Q2 of last year exhibited the initial step-up in AngioVac revenue and therefore, provided for a tough comp.

We remain bullish on AngioVac going forward and are particularly encouraged by the sustained procedure volumes for this product. The approval of our IDE to study the use of AngioVac to treat right-sided infective endocarditis will be an enabler of sustained growth for AngioVac in the future. AlphaVac continued its sequential quarter-over-quarter growth. And as Jim mentioned, the approval of our IDE for our blood return product will be an additional catalyst to accelerate momentum in AlphaVac. Combined mechanical thrombectomy portfolio continues to demonstrate strong momentum with our sales teams effectively positioning both AngioVac and AlphaVac based on clinical need and physician preference. Total NanoKnife revenue was $7.3 million, an increase of 22.2% with probe growth of 14.4%.

Probe growth continues to be driven by increasing growth in demand and utilization of NanoKnife to treat prostate cancer patients, and Q2 was a record quarter for us for prostate procedure cases. NanoKnife capital sales, were bolstered by a transaction in France in which we moved from a direct sales model to a distribution model. As part of this transaction, the new distribution partner purchased NanoKnife systems that were previously placed at customer sites and were included on our balance sheet. In addition to NanoKnife sales, this transaction also included Auryon, Microwave and EVLT capital sales. NanoKnife capital sales in the transaction were approximately $1 million and Auryon, Microwave and EVLT capital sales were approximately $250,000 each.

Now this represents a smart transaction that will enable growth in a strategic international market. I applaud the efforts of our international team and specifically Laura Piccinini, our GM of Global Cardiovascular International for executing on this deal. In the second quarter, our Med Device segment increased 5.6% year-over-year. Year-to-date, our Med Device segment is up 4%. We are very pleased with the performance of this segment. And while we do not expect our Med Device segment to grow at this level for the full year, as I will discuss in more detail in a moment, we are raising our expectations for Med Device for the full year, up from our previous guidance. Now moving down the income statement.

Our gross margin for the second quarter of FY '26 was 56.4%, a 170 basis point increase from the second quarter of fiscal year 2025. The year-over-year improvement was driven by continued product mix shift towards Med Tech sales, accelerated benefits from our manufacturing transfer initiatives and the sales channel transaction in France. With respect to our manufacturing transfer initiative, our operations team has done a fantastic job executing on our manufacturing optimization strategy, and we have been able to accelerate a meaningful portion of the cost savings ahead of schedule. Touching briefly on tariffs, the expense in Q2 was in line with our expectations.

And as we discussed last quarter, we continue to expect to incur between $4 million and $6 million of tariff expenses for the full fiscal year 2026. Total operating expenses in the quarter were $50.9 million, down to 64.1% of sales, compared to $51 million or 69.9% of sales last year as we continue to drive operating leverage in the business. Turning to R&D. Our research and development expense was $7.8 million or 9.8% of sales, compared to $6.4 million or 8.8% of sales a year ago. As previously mentioned, we remain committed to investing in R&D initiatives to support the long-term growth of our Med Tech segment and are targeting approximately 10% of sales going forward.

Clinical initiatives that we previously mentioned, including the IDEs for blood return and infective endocarditis treated with AngioVac are included in our projections for the balance of the year. SG&A expense for the second quarter of FY '26 was $36.9 million, representing 46.4% of sales compared to $36 million or 49.3% of sales a year ago. Our adjusted net loss for the second quarter of FY '26 was $0.1 million or an adjusted loss per share of $0.10 compared to an adjusted net loss of $1.7 million or an adjusted loss per share of $0.04 in the second quarter of last year.

This year-over-year improvement is largely attributable to our Med Tech revenue growth and the success of our gross margin initiatives and operating efficiencies. Adjusted EBITDA in the second quarter of FY '26 was $5.9 million compared to an adjusted EBITDA of $3.1 million in the second quarter of 2025. The France distribution transaction I discussed earlier contributed approximately $1.4 million of adjusted EBITDA in the quarter. We are very pleased with the adjusted EBITDA generation in the quarter, both including and excluding the France transaction. At November 30, 2025, we had $41.6 million in cash and cash equivalents compared to $38.8 million in cash and cash equivalents at August 31, 2025.

In the second quarter of fiscal '26, the company generated $4.7 million of cash ahead of the company's expectations. We continue to expect to be cash flow positive for the full fiscal year 2026. Following the strong cash generation in the second fiscal quarter, we expect to utilize between $3 million and $5 million of cash in the third quarter and then generate substantial cash in the fourth fiscal quarter and in line with historical trends. Turning now to guidance. Based on our strong second quarter performance and our expectations for the balance of the year, we are raising components of our full year fiscal 2026 guidance.

We now expect net sales to be in the range of $312 million to $314 million raised from our previously issued range of $308 million to $313 million. This increased range represents growth of between 6.6% and 7.3% over fiscal 2025 revenue of $292.7 million. On a segment basis, we continue to expect Med Tech net sales to grow 14% to 16%, and we now expect Med Device sales to grow 0% to 1%, an increase from our prior guidance of flat growth. For fiscal '26, we continue to expect gross margin to be in the range of 53.5% to 55.5%.

This is inclusive of our reiterated estimate of $4 million to $6 million of tariff impact for the full year. As I mentioned, we've accelerated some of our gross margin improvement initiatives during the first half of this fiscal year, so we don't expect to see a significant step-up in gross margin during the balance of the year. We now expect adjusted EBITDA to be in the range of $8 million to $10 million, up from prior guidance of $6 million to $10 million, again, inclusive of our estimated tariff impact.

We continue to be pleased about our ability to generate increasing adjusted EBITDA while accelerating investments into initiatives to support the long-term growth of our business, which speaks to the effectiveness of our overall strategy. As a reminder, adjusted EBITDA will be lower in the second half of the year than it was in the first half as our planned investments in clinical data development hit the P&L. And finally, we continue to expect adjusted loss per share in the range of negative $0.33 to negative $0.23, unchanged from our prior guidance. We're pleased with our second quarter performance and the momentum we're building across the business. Our raised guidance reflects confidence in our ability to deliver sustained profitable growth.

Before ending, I want to briefly mention that following the quarter, we received notice that the U.S. Court of Appeals for the Fed Circuit affirmed the District Court's judgment in our previously settled port patent litigation with C.R. Bard invalidating Bard's patents. This decision concludes C.R. Bard's appeal and eliminates the potential that Angio would make a $3 million payment under the settlement agreement. This brings to a close litigation that we've successfully defended for more than a decade. Now with that, I'll turn the call back to Jim.

James Clemmer: Before we open the line for questions, I want to share an update on the leadership transition we announced earlier today. After a decade with the company, I have announced my intention to retire. I have spent over 30 years in the industry and have made the decision, along with my family to move on to the next chapter of my life. The last 10 years at AngioDynamics have been tremendously rewarding as we have transformed the company into a leading innovator of novel solutions that directly address the world's 2 leading causes of death.

Within our Med Tech segment, we now have products addressing over a $10 billion global addressable market, and we have set ourselves up to be a physician partner and focus on expanding the applicability of these platforms to help more health care providers and their patients. With all of the work we have done, particularly over the last few years, the organization has earned enormous trust through the efficacy of our life-changing platforms, and we are in a fantastic position to execute on our strategy and continue the momentum we have built.

I worked with the Board with regard to the timing of my retirement and the Board has established a search committee and is conducting a comprehensive process, assisted by a leading executive search firm to identify our next CEO, which we expect to occur during fiscal 2027. Until my successor is appointed, I will continue to oversee the company's strategic and financial initiatives and will continue with the company to ensure a seamless transition.

I will have plenty of time to reflect before my transition occurs, but I wanted to take this opportunity to thank each and every one of our employees, our partners and the talented health care providers that I have had the good fortune to work alongside during these last 10 years as we have collectively worked to help health care providers deliver the best care to patients with unmet needs. With that, we can open the line for questions.

Operator: [Operator Instructions] Our first question is from the line of Frank Takkinen with Lake Street Capital.

Frank Takkinen: Jim, congratulations on the retirement. Wishing you all the best in that new chapter. I was hoping to start with a question around gross margin. It feels like that really outperformed nicely in the quarter, and obviously saw the guidance stay unchanged. And I think I heard a comment around staying relatively stable, which would imply gross margin actually doing a little bit better than where the consensus is at right now for the year? Any comments around kind of gross margin expectations and why we shouldn't see that kind of mid-50% gross margin stay throughout the end of the year and into the following years?

Stephen Trowbridge: Frank, this is Steve. I'll take the gross margin question. So you're right. We were very pleased with the performance that we've seen on gross margin, particularly in the first half. And as we mentioned, there's a couple of dynamics that are driving that. We're seeing positive price in both our Med Tech and our Med Device businesses. And we're seeing a benefit of the production related to us getting ready to do is the move of some of those materials down to Costa Rica. So increased price along with the mix shift to Med Tech and then some of those production volumes are what we're seeing as a nice positive for gross margin in the first half.

In the back half of the year, the price that we took is still going to continue to stay there. That mix shift will continue, but we're going to have a little bit of a structural underabsorption as we move some of those final products out of Queensbury and having them being produced by our third-party manufacturing partner down in Costa Rica. As we talked about this plan originally, we knew that there was going to be some of that structural underabsorption. And we had mentioned that, that would be somewhat offset by taking costs out, and that has been the overall plan as we take some costs out of indirect labor.

The good thing that our team has done is we've accelerated some of those costs coming out of the plant. So you're seeing that in the first half of the year. So really, the dynamic going into the second half is some of those products now finalizing their move according with our plans, you'll see some of that structural underabsorption. You won't have the offsetting cost cuts, but that's because those costs have already come out. So that's really the dynamic and the difference between the first and the second half.

Frank Takkinen: Got it. Okay. That's helpful. And then maybe just for my second one, I was hoping to talk a little bit more about mechanical thrombectomy. I heard the comments around AngioVac had a more challenging year-over-year comp, but I was curious if there's anything else going on in that business. We were hoping it would be a little bit stronger growth, but I understand it was off a pretty tough comp. And then maybe as a second part to that, if you could talk about kind of ApexReturn and some of the other work in right heart and what that might do to the growth profile of that line item over time?

James Clemmer: Yes, Frank, thanks for the question. Really, really pleased with the performance of AlphaVac and PE as we're gaining new cases, new doctors and getting awarded kind of status in the hospital through VAC committees, getting "on the shelf in inventory". In new accounts, the performance of AlphaVac is terrific. We see pictures every day, hear stories of new physicians using it because of the unique design elements that we innovatively put into the product. So really excited about that continued growth at a strong level for a long time to come. AngioVac will be fine. If you look back a year ago, we had a really strong Q2, and revenue went down in Q3 and back in Q4.

There are cycles that just happen sometimes. So we're pleased. And you saw, I think we're up 11% in AngioVac in the first 6 months of the year. So we're really pleased with the platform. It will be one of our key growth categories for a long time to come. We have 2 amazing products that work really well in that place and it will drive growth. And then Steve, as far as...

Stephen Trowbridge: Yes. And then, Frank, to follow up on the question on AlphaReturn. As we've always said, we've got the best product on the market. We're very confident in that. We think when we take the AlphaVac product, we get that into the hands of physicians, consistently, the feedback that we're getting is that it gives them what they need and it's the best product that is out there. As we've talked about, a hurdle to adoption in some areas because of the way that the market has been conditioned has been the ability to then return the blood. AlphaVac is designed upfront to limit blood loss and mitigate that.

But there's no doubt that the market is looking for an opportunity to return that blood in certain scenarios. And so we think that the AlphaReturn product is really important for us to get over some of those initial humps to have people choose AlphaVac if maybe in the past, they've been used to using competitive products. So we're really excited about it. We've talked about the conversations we've been having FDA for a while. We are very pleased to get this over the finish line.

We're excited about the IDE study starting it and then getting this into the bag of our sales force really as a way to take away an objection, and we expect it to be a catalyst to accelerating growth in the future.

Operator: The next questions are from the line of Bill Plovanic with Canaccord Genuity.

William Plovanic: Just first, Jim, congratulations. I know 10 years is a long time, and it's a lot of work that you've accomplished and some great outcomes. So my hats off to you and you'll definitely be missed. In terms of my questions are, I want to start with prostate. I know you're only a few days in. Just talk about the change to the Level 1 CPT code. How many insurers have really made that back-end change to reflect the coding change to prevent the automatic denials so far by your estimation? And then I noticed that the capital was a really strong quarter. I mean disposables were good.

They saw a very strong, but it seems like capital was even stronger. And I'm curious, is that a precursor to the prostate is they're buying the systems to get ready to do procedures?

Stephen Trowbridge: Bill, thanks for the question. This is Steve. And we want to congratulate Jim too, although he's not going anywhere right away. So he's going to be with us for a while. So we're happy about that, and there will be time to talk about everything that he's done. On your question on prostate, we're just a few days into it, so we don't have an estimate for the changes that you were talking about, but it's something that our team is absolutely keyed in on, and we're going to continue to watch and monitor. We think that this is going to be a catalyst for us, particularly on the Medicare side.

So it's something that we're going to stay close to and watch. But we're pleased now with over the last year, I've been talking about the code going into effect. So the turn of the calendar was a good move for us, and we're excited about that. On capital, there's 2 dynamics. Capital was strong. There was also the capital sales that we talked about in the distribution channel move in France that added some additional NanoKnife capital. But on top of that, we were still pretty pleased with the capital sales that we saw. So as we've mentioned, capital sales are mostly going to be in the international markets.

Here in the U.S., it's going to be a mixture of different models to make sure that we get capital into the hands of our physicians that could be through placement models, that could be through sales. I think the arbiter that we're looking at are those probe sales. And so we were really pleased with the nice increase in probe sales. And it's all coming from increased awareness and enthusiasm on the part of urologists. And it's really a prostate that's driving the NanoKnife results that we've seen so far.

William Plovanic: And then just on EBITDA, you mentioned that the back half would be, I think, lower than the first half. And -- just directionally, how do we think of adjusted EBITDA in the third quarter? Is it going to be negative?

Stephen Trowbridge: Yes. Thanks, Bill. So on EBITDA, we just wanted to make sure we were very pleased with the performance that we've seen here in the first half in EBITDA. We think it does prove out that the model is and can generate positive EBITDA, can generate cash as well as driving the top line. So we're excited to keep that continuing. We've also talked about wanting to balance that with investments that are necessary to continue to drive the top line growth in those Med Tech businesses.

And so we've talked about investments into feet on the street in terms of the sales force as well as some of those R&D investments that Jim mentioned with his prepared remarks today for some of the nice trials that are coming up. So some of that's going to come into the back half. We don't expect negative in the third quarter. Maybe just not as robust as what we saw in the first half.

Operator: The next question is from the line of Eduardo Martinez with H.C. Wainwright.

Eduardo Martinez-Montes: Congrats on the quarter. I had a few questions on Auryon. You mentioned the CE Mark, and I'm just curious what your expectations are for international sales, if there are any specific regions you guys are going to target. And if that would be associated with any increased sales spend? And also if you could quantify the opportunity there and your expectations for this year?

James Clemmer: Thanks, Eduardo. Good question. We're really pleased the fact that our team got the CE Mark for Auryon. And then our commercial and clinical teams have really done a great job driving awareness outside of the U.S. Atherectomy isn't chosen at the same rate outside the U.S. to treat PAD as it is here. But we've used a series of clinical forms and educational programs that our team has driven outside of the U.S. to really give people confidence in Auryon as a platform, how the science works. And it's important for us because once people see how the science works, how safe and effective the product is in treating that artery, above or below the need, flexible and safe.

So it doesn't take a lot of hands-on user training by us. So we're able to use our really good distributor network to support growth, support customers during the use of the product. So we've not identified or targeted yet a size of the market that we think we'll capture, but we're really pleased with the uptake already in people getting new Auryon systems, buying the disposables, treating patients with PAD and having really good results. So over time, you'll see our international sales creep up as a larger percentage of our overall sales.

Eduardo Martinez-Montes: Got it. That's really helpful. And also on Auryon, you mentioned expansion into coronary applications. I'm just curious if you had a time line for that? And also any increased spend, if that's something we can expect in the R&D line item this year in 2026?

Stephen Trowbridge: I wouldn't expect a significant amount of spend in the R&D line item this year as we talk about coronary. Clearly, it's a strategic imperative of ours to take the product and move into the coronary space. It's a little bit of a longer-term initiative. As we talked about, it's probably a PMA trial. So we gave some highlights in the past of the ability to take our current platform technologies and through clinical and regulatory pathway expansion, move into additional TAMs. A very good example of that is Auryon moving into the coronary space, but it's not something that's going to be impactful in terms of the spend in this year.

Operator: At this time, I'll hand the call back to Mr. Jim Clemmer for closing remarks.

James Clemmer: Thanks, Rob. Rob, I'd like to thank all of our employees here at AngioDynamics, who've made these great results possible by their commitment and dedication to our customer and our products. So we've changed this company by its portfolio. You've seen us become active portfolio managers to make sure our company is positioned in the right places at the right time with the right products for future growth. The company is doing a really good job executing today, but we're also building for tomorrow and investing in opportunities to expand the application of our products geographically and in new clinical applications. So we're really pleased with where the company is headed.

We can't wait to share more results with you in the future. Thanks to all of our teammates.

Operator: This will conclude today's conference. You may disconnect your lines at this time. Thank you for your participation. Have a wonderful day.

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