1Q 2026 Total Revenue of
1Q 2026 ASCENIV Revenue +28% Year-Over-Year; BIVIGAM Revenue -54% Year-Over-Year
1Q 2026 Adjusted Net Income(1) of
1Q 2026 Adjusted EBITDA(2) of
1Q 2026 Cash from Operations of
Strong Balance Sheet and Financial Flexibility Support Continued Execution
Reiterates Confidence in ASCENIV Growth Outlook Driven by Durable Demand Fundamentals
Updates FY 2026 Outlook and Withdraws Long-Term Guidance to Reflect Evolving
“During the first quarter, the market for
Updated Financial Guidance and Outlook
- FY 2026 total revenue expected to be
$530 million to$560 million - FY 2026 Adjusted Net Income expected to be
$170 million to$200 million - FY 2026 Adjusted EBITDA expected to be
$265 million to$300 million - Withdrawing previously provided long-term guidance due to current competitive dynamics in the PDT & IG market
FY 2026 outlook reflects the rapidly changing competitive dynamics and sustained pressure with standard IG pricing throughout the balance of the year. ASCENIV growth outlook remains strong, supported by durable underlying demand fundamentals.
Commercial and Operational Execution Supporting Long-Term ASCENIV Growth
- ASCENIV Demand Remained Strong. ASCENIV delivered 28% year-over-year revenue growth in the first quarter of 2026, with underlying demand and utilization reaching record levels. The second quarter 2026 run rate based on April demand is in-line with the level of first quarter 2026 direct sales, reinforcing that end-market demand remains robust. ASCENIV’s differentiated product profile and positioning as a later-line therapy for the most complex and refractive immunodeficient patients continues to support demand resilience and sustained growth despite broader competitive pressures currently facing the standard IG complex.
- Strong Balance Sheet Provides Optionality. ADMA exited the first quarter of 2026 with net leverage below 0.5x, driven by robust operating cash flow of
$58 million during the quarter and continued growth in Adjusted EBITDA. This combination of strong cash generation and expanding earnings is expected to provide the Company with significant financial flexibility to fund organic growth initiatives, support continued commercial expansion and execute on capital allocation priorities. Additionally, the Company has been actively executing share repurchases through its Accelerated Share Repurchase (ASR) program and Rule 10b5-1 trading plan. ThroughMarch 31, 2026 , this has resulted in ADMA converting approximately 3.7% of the outstanding share count into treasury stock. - 1Q 2026 IG Market Reset Drove Near-Term Dislocation, with ASCENIV Remaining Substantially Insulated. During the first quarter of 2026, the
U.S. IG market experienced a reset due to elevated raw material plasma supply, increased competitive PDT inventories across the distribution network and aggressive discounting and rebating in standard IG, creating what we believe is near-term dislocation. While these dynamics impacted the broader standard IG market, ASCENIV remained relatively insulated. Given the rapid evolution of the market dynamics, ADMA, for guidance purposes, is conservatively assuming that pressures in standard IG persist. - Reported 1Q 2026 Results Largely Reflect Timing and Inventory Dynamics. Late-quarter inventory dynamics shifted certain contractual purchase orders anticipated for March into early April, impacting reported revenue timing. We believe these timing dynamics were driven in part by temporary shortfalls in contractual safety stock levels at certain of the Company’s customers and were resolved within the applicable cure period. Separately, certain receivables extended into April, impacting cash flow and Days Sales Outstanding (DSOs), and were subsequently collected during the first week of April.
- Early Signs of Normalization Emerging in 2Q 2026. ADMA is beginning to see normalization in ordering patterns from its direct customers. The recently implemented McKesson Specialty distribution agreement is expected to enhance distribution reach, improve purchasing consistency, open new classes of trade and support working capital efficiency over time.
- 1Q 2026 Earnings Growth and Cash Generation at a Trough Baseline. Despite top-line variability, ADMA delivered Adjusted Net Income growth of 22%, expanded corporate gross margins to 71% and generated approximately
$58 million of operating cash flow in the first quarter of 2026, demonstrating the resilience of the business at what management believes represents a trough revenue baseline. - Successful Diversification of Plasma Sourcing & Monetization of Select Centers. During the first quarter of 2026, ADMA successfully closed the transaction to monetize three of its plasma collection centers, while continuing to execute on plasma sourcing diversification through additional supply agreements and targeted cost discipline initiatives to support profitability and scalability.
- SG-001 Expected to Add Long-Term Value. SG-001, the Company’s S. pneumoniae hyperimmune globulin program, continues to advance through a capital-efficient development pathway, with upcoming data expected to be presented through oral and poster presentations, further supporting its development strategy. Leveraging ADMA’s existing platform and commercial infrastructure, the Company is positioned for a potentially rapid commercial ramp-up toward an approximately
$300 to$500 million market opportunity.
Audit Committee Review Reinforces Confidence in Business Practices. Following allegations of illicit channel stuffing and undisclosed related party transactions, the Audit Committee of the Company’s Board of Directors completed an internal review with the assistance of independent forensic accountants and external legal counsel, which concluded that ADMA has not engaged in any improper channel stuffing or any undisclosed related party transactions. The investigation also concluded that there is no evidence of any illegal activity. ADMA’s audited consolidated financial statements, as filed with the U.S. Securities and Exchange Commission in the Company’s Annual Report on Form 10-K for the year ended
First Quarter 2026 Financial Results:
Total revenue for the quarter ended
Gross profit for the quarter ended
Research and development expenses for the quarter ended
Selling, general and administrative expenses for the quarter ended
GAAP net income for the quarter ended
Adjusted Net Income for the quarter ended
Adjusted EBITDA for the quarter ended
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About ASCENIV™
ASCENIV (immune globulin intravenous, human – slra 10% liquid) is a plasma-derived, polyclonal, intravenous immune globulin (IVIG). ASCENIV was approved by the
Additional Important Safety Information About ASCENIV™
| WARNING: THROMBOSIS, RENAL DYSFUNCTION AND ACUTE RENAL FAILURE |
| Thrombosis may occur with immune globulin intravenous (IGIV) products, including ASCENIV. Risk factors may include: advanced age, prolonged immobilization, hypercoagulable conditions, history of venous or arterial thrombosis, use of estrogens, indwelling vascular catheters, hyperviscosity, and cardiovascular risk factors. Renal dysfunction, acute renal failure, osmotic nephrosis, and death may occur with the administration of IGIV products in predisposed patients. Such events require immediate medical intervention, if not recognized or managed appropriately, may result in persistent or significant disability or lead to fatal outcome. For patients at risk of thrombosis, renal dysfunction or renal failure, administer ASCENIV at the minimum dose and infusion rate practicable. Ensure adequate hydration in patients before administration. Monitor for signs and symptoms of thrombosis and assess blood viscosity in patients at risk for hyperviscosity. |
ASCENIV™ Contraindications:
History of anaphylactic or severe systemic reactions to human immunoglobulin.
IgA deficient patients with antibodies to IgA and a history of hypersensitivity.
ASCENIV™ Warnings and Precautions:
IgA-deficient patients with antibodies against IgA are at greater risk of developing severe hypersensitivity and anaphylactic reactions. Have medications such as epinephrine available to treat any acute severe hypersensitivity reactions. [4, 5.1]
Thrombotic events have occurred in patients receiving IGIV treatments. Monitor patients with known risk factors for thrombotic events; consider baseline assessment of blood viscosity for patients at risk of hyperviscosity. [5.2, 5.4]
In patients at risk of developing acute renal failure, monitor renal function, including blood urea nitrogen (BUN), serum creatinine, and urine output. [5.3, 5.9]
Hyperproteinemia, increased serum viscosity, and hyponatremia or pseudohyponatremia can occur in patients receiving IGIV treatment.
Aseptic meningitis syndrome (AMS) has been reported with IGIV treatments, especially with high doses or rapid infusion. [5.5]
Hemolytic anemia can develop subsequent to IGIV treatment. Monitor patients for hemolysis and hemolytic anemia. [5.6]
Monitor patients for pulmonary adverse reactions (Transfusion-related acute lung injury [TRALI]). If transfusion related acute lung injury is suspected, test the product and patient for antineutrophil antibodies. [5.7]
Because this product is made from human blood, it may carry a risk of transmitting infectious agents, e.g., viruses, and theoretically, the Creutzfeldt-Jakob disease (CJD) agent.
ASCENIV™ Adverse Reactions:
The most common adverse reactions to ASCENIV (=5% of study subjects) were headache, sinusitis, diarrhea, gastroenteritis viral, nasopharyngitis, upper respiratory tract infection, bronchitis, and nausea.
To report SUSPECTED ADVERSE REACTIONS, contact
About
Use of Non-GAAP Financial Measures
This press release includes certain non-GAAP financial measures that are not prepared in accordance with accounting principles generally accepted in
Cautionary Note Regarding Forward-Looking Statements
This press release contains “forward-looking statements” pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995, about
(1) Adjusted Net Income is a non-GAAP financial measure. For a reconciliation of Adjusted Net Income to the most comparable GAAP measure, see the reconciliation included in the financial tables. All non-GAAP adjustments are presented pre-tax.
(2) Adjusted EBITDA is a non-GAAP financial measure. For a reconciliation of Adjusted EBITDA to the most comparable GAAP measure, see the reconciliation included in the financial tables.
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MEDIA CONTACT:
| 2026 | 2025 | ||||||
| (In thousands, except share and per share data) | |||||||
| Unaudited | |||||||
| ASSETS | |||||||
| Current assets: | |||||||
| Cash and cash equivalents | 138,153 | 87,630 | |||||
| Accounts receivable, net | 135,862 | 158,429 | |||||
| Inventories, net | 222,098 | 206,465 | |||||
| Prepaid expenses and other current assets | 15,060 | 7,458 | |||||
| Assets held for sale | - | 6,530 | |||||
| Total current assets | 511,173 | 466,512 | |||||
| Property and equipment, net | 65,010 | 65,057 | |||||
| Intangible assets, net | 630 | 632 | |||||
| 3,530 | 3,530 | ||||||
| Deferred tax assets, net | 69,969 | 73,261 | |||||
| Right-of-use assets | 6,402 | 6,650 | |||||
| Deposits and other assets | 8,470 | 8,600 | |||||
| TOTAL ASSETS | $ | 665,184 | $ | 624,242 | |||
| LIABILITIES AND STOCKHOLDERS' EQUITY | |||||||
| Current liabilities: | |||||||
| Accounts payable | $ | 20,523 | $ | 22,519 | |||
| Accrued expenses and other current liabilities | 48,561 | 40,466 | |||||
| Current portion of long-term debt | 3,281 | 2,813 | |||||
| Current portion of lease obligations | 1,176 | 1,096 | |||||
| Liabilities held for sale | - | 2,647 | |||||
| Total current liabilities | 73,541 | 69,541 | |||||
| Long-term debt | 193,584 | 69,330 | |||||
| Deferred revenue, net of current portion | 1,369 | 1,405 | |||||
| Lease obligations, net of current portion | 6,365 | 6,646 | |||||
| TOTAL LIABILITIES | $ | 274,859 | $ | 146,922 | |||
| COMMITMENTS AND CONTINGENCIES | |||||||
| STOCKHOLDERS' EQUITY | |||||||
| Preferred Stock, | |||||||
| no shares issued and outstanding | - | - | |||||
| Common Stock - voting, | |||||||
| 24 | 24 | ||||||
| (143,170 | ) | (32,090 | ) | ||||
| Additional paid-in capital | 649,796 | 671,039 | |||||
| Accumulated deficit | (116,325 | ) | (161,653 | ) | |||
| TOTAL STOCKHOLDERS' EQUITY | 390,325 | 477,320 | |||||
| TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY | $ | 665,184 | $ | 624,242 | |||
| Three Months ended | ||||||||
| 2026 | 2025 | |||||||
| (In thousands, except share and per share data) | ||||||||
| Unaudited | ||||||||
| REVENUES | $ | 114,493 | $ | 114,802 | ||||
| Cost of product revenue | 33,743 | 53,705 | ||||||
| Gross profit | 80,750 | 61,097 | ||||||
| OPERATING EXPENSES: | ||||||||
| Research and development | 2,597 | 826 | ||||||
| Plasma center operating expenses | 1,062 | 1,286 | ||||||
| Amortization of intangible assets | 55 | 25 | ||||||
| Gain on sale of plasma centers | (7,980 | ) | - | |||||
| Selling, general and administrative | 26,742 | 24,079 | ||||||
| Total operating expenses | 22,476 | 26,216 | ||||||
| INCOME FROM OPERATIONS | 58,274 | 34,881 | ||||||
| OTHER INCOME (EXPENSE): | ||||||||
| Interest and other income | 1,093 | 608 | ||||||
| Interest expense | (2,100 | ) | (1,975 | ) | ||||
| Other expense | (140 | ) | (64 | ) | ||||
| Other income (expense), net | (1,147 | ) | (1,431 | ) | ||||
| INCOME BEFORE INCOME TAXES | 57,127 | 33,450 | ||||||
| Provision for income taxes | 11,799 | 6,546 | ||||||
| NET INCOME | $ | 45,328 | $ | 26,904 | ||||
| BASIC EARNINGS PER COMMON SHARE | $ | 0.19 | $ | 0.11 | ||||
| DILUTED EARNINGS PER COMMON SHARE | $ | 0.19 | $ | 0.11 | ||||
| WEIGHTED AVERAGE COMMON SHARES OUTSTANDING: | ||||||||
| Basic | 236,072,751 | 237,775,476 | ||||||
| Diluted | 239,955,762 | 244,676,350 | ||||||
| NON-GAAP RECONCILIATION RECONCILIATION OF GAAP NET INCOME TO ADJUSTED EBITDA(2) | |||||||
| Three Months ended | |||||||
| 2026 | 2025 | ||||||
| (In thousands) | |||||||
| Net income | $ | 45,328 | $ | 26,904 | |||
| Depreciation | 1,784 | 1,944 | |||||
| Amortization | 55 | 25 | |||||
| Income taxes | 11,799 | 6,546 | |||||
| Interest expense, net | 983 | 1,975 | |||||
| EBITDA | 59,949 | 37,393 | |||||
| Stock-based compensation | 6,329 | 4,624 | |||||
| Voluntary Withdrawal and product replacements | - | 3,837 | |||||
| Yield enhancement | 412 | 902 | |||||
| Gain on sale of plasma centers | (7,980 | ) | - | ||||
| Non-recurring professional fees | 942 | 1,182 | |||||
| Adjusted EBITDA | $ | 59,652 | $ | 47,939 | |||
| NON-GAAP RECONCILIATION RECONCILIATION OF GAAP NET INCOME TO ADJUSTED NET INCOME(1) | |||||||
| Three Months ended | |||||||
| 2026 | 2025 | ||||||
| (In thousands) | |||||||
| Net income | $ | 45,328 | $ | 26,904 | |||
| Stock-based compensation modifications | 609 | 474 | |||||
| Voluntary Withdrawal and product replacements | - | 3,837 | |||||
| Yield Enhancement | 327 | 902 | |||||
| Gain on sale of plasma centers | (6,332 | ) | - | ||||
| Non-recurring professional fees | 747 | 1,182 | |||||
| Adjusted net income(a) | $ | 40,679 | $ | 33,299 | |||
| (a) Add-backs reflected during the three months ended | |||||||
| PRODUCT-LEVEL TOTAL REVENUE | ||||||||||||
| Three Months Ended | ||||||||||||
| 2026 | 2025 | Increase/ (Decrease) | Increase/ (Decrease) % | |||||||||
| (in thousands) | ||||||||||||
| ASCENIV | $ | 97,486 | $ | 76,332 | $ | 21,154 | 27.7 | % | ||||
| BIVIGAM | 15,422 | 33,512 | (18,090 | ) | -54.0 | % | ||||||
| Intermediates and other products(1) | 833 | 3,872 | (3,039 | ) | -78.5 | % | ||||||
| ADMA BioManufacturing | 113,741 | 113,716 | 25 | 0.0 | % | |||||||
| Plasma Collection Centers | 716 | 1,050 | (334 | ) | -31.8 | % | ||||||
| License revenue | 36 | 36 | - | 0.0 | % | |||||||
| Total Revenues | $ | 114,493 | $ | 114,802 | $ | (309 | ) | -0.3 | % | |||
| (1)Due to Nabi-HB historically representing less than 10% of the Company's revenue within the ADMA BioManufacturing segment, it has been included under intermediates and other products. | ||||||||||||
Source: 