ADMA Biologics — Third Quarter 2026 Earnings Summary
Financial Performance:
- Total revenue for Q3 2026 was $141.1 million, a 5% increase year-over-year (YoY) and 13% increase sequentially.
- ASCENIV revenue was $124.7 million, up 31% YoY and 21% sequentially.
- BIVIGAM revenue was $15.4 million, down 35.2% YoY and 20.6% sequentially.
- GAAP net income was $49.9 million, up 37% YoY and 32% sequentially.
- Adjusted net income was $51.1 million, up 31% YoY and 31% sequentially.
- GAAP basic EPS was $0.22, up 47% YoY and 29% sequentially.
- Adjusted basic EPS was $0.23, up 44% YoY.
- Adjusted EBITDA was $77.3 million, up 32% YoY and 25% sequentially.
- Gross margin was 71%, expanding approximately 1,450 basis points YoY and 200 basis points sequentially.
- Gross profit was $99.9 million, up from $75.6 million in the prior-year quarter.
- Research and development expenses were $4.5 million, up from $1.5 million YoY.
- Selling, general and administrative expenses were $26.6 million, up from $21.7 million YoY.
- For the nine months ended September 30, 2026, total revenue was $380.0 million (up 2% YoY), and GAAP net income was $133.0 million.
- Cash and cash equivalents were $124.6 million as of September 30, 2026, compared to $87.6 million as of December 31, 2025.
- Total debt (current and long-term) was $195.9 million as of September 30, 2026, compared to $72.1 million as of December 31, 2025.
Guidance and Future Outlook:
- Reiterated FY2026 total revenue guidance of at least $530 million.
- Increased FY2026 Adjusted Net Income guidance to at least $180 million.
- Increased FY2026 Adjusted EBITDA guidance to at least $275 million.
- Outlook reflects continued ASCENIV commercial momentum and conservative assumptions for competitive conditions in the U.S. standard immune globulin market.
- Favorable ASCENIV utilization trends are expected to continue into the fourth quarter.
- SG-001 development is advancing toward clinical trials following constructive FDA feedback on the pre-IND meeting package.
Business Segments and Product Lines:
- ASCENIV growth was driven by expanding physician adoption, new patient starts, and growing end-user utilization.
- BIVIGAM utilization showed encouraging signs of stabilization despite competitive pricing and channel inventory pressures.
- ADMA plans to present real-world health outcomes data for 127 medically complex primary immunodeficiency patients at the ACAAI annual conference in mid-November.
- SG-001, an investigational pneumococcal hyperimmune globulin, advanced preclinical, assay development, and manufacturing-readiness activities.
- SG-001 development utilized the ADMAlytics screening platform incorporating computational modeling and AI to improve analytical efficiency.
- If approved, SG-001 represents a potential $300-500 million annual revenue opportunity.
- ADMA repurchased 2.7 million shares in Q3 2026; year-to-date repurchases totaled 16.5 million shares (6.3% of outstanding stock as of Dec 31, 2025).
- The company is on track to complete its $200 million or more 2026 share repurchase target.
Market and Competitive Landscape:
- ASCENIV demonstrates a strong clinical value proposition among medically complex primary immunodeficiency patients, supported by real-world evidence showing reductions in infection-related hospitalizations and healthcare utilization.
- The standard immune globulin market faces competitive pricing and aggressive competitor rebating and discounting.
- ADMA maintains a disciplined commercial participation strategy rather than matching aggressive competitor discounting.
- ASCENIV is protected by numerous issued patents in the U.S. and internationally.
Risks and Challenges:
- Competitive pressures in the standard immune globulin market continue to impact BIVIGAM revenue.
- Ongoing litigation matters have contributed to increased legal fees and professional expenses.
- Forward-looking statements regarding SG-001 development, regulatory approvals, and financial guidance are subject to risks and uncertainties.
- ASCENIV carries warnings regarding thrombosis, renal dysfunction, acute renal failure, and other adverse reactions including aseptic meningitis and hemolytic anemia.
Management Commentary and Tone:
- CEO Adam Grossman stated that results demonstrate the ability to translate accelerating ASCENIV demand into substantial earnings growth.
- Management expressed confidence in the durability of ASCENIV's growth trajectory and significant remaining market opportunity.
- Management noted encouraging signs of stabilization in underlying BIVIGAM utilization despite competitive pressures.
- Management highlighted the scalability and increasing profitability of the business, supported by expanding margins and operating leverage.
- Management emphasized disciplined capital allocation and robust cash generation as drivers for long-term stockholder value.
- Management expressed encouragement regarding constructive FDA feedback on the SG-001 pre-IND package, viewing it as an important milestone.
Other Key Points:
- The company received constructive FDA feedback regarding the proposed clinical development strategy and assay for SG-001.
- The company intends to incorporate FDA recommendations into the final clinical protocol for SG-001 and advance preparations for an IND submission.
- A gain on the sale of plasma centers of $7.98 million was recognized in the nine months ended September 30, 2026.
- The company operates an FDA-licensed plasma fractionation and purification facility in Boca Raton, Florida, and source plasma collection centers via its ADMA BioCenters subsidiary.
- The company has a $200 million or more share repurchase target for 2026.
- Company
- ADMA BIOLOGICS INC
- Sector
- Healthcare
- Industry
- Biotechnology