Fourth Quarter 2025 Financial Highlights & Key Metrics
- Net sales of
$32.1 million , up 57% compared to$20.4 million in the fourth quarter of 2024.
- Durable Medical Equipment (DME) channel net sales of
$22.3 million , up 24% compared to$18.0 million in the fourth quarter of 2024. - Pharmacy Benefit Plan (PBP) channel net sales of
$9.8 million , up 295% compared to$2.5 million in the fourth quarter of 2024.
- Durable Medical Equipment (DME) channel net sales of
- Gross margin of 59.0%, up 179 basis points compared to 57.2% in the fourth quarter of 2024.
- Installed customer base (calculated as all new patient starts over a rolling four-year period) of 35,011 users, up 129% compared to 15,298 in the fourth quarter of 2024.
- 5,592 new patient starts, up 37% compared to 4,084 new patient starts in the fourth quarter of 2024.
- 69% of new patient starts came from multiple daily injections (MDI).
- Low-30s percentage of new patient starts reimbursed through the PBP channel.
Full Year 2025 Financial Highlights & Key Metrics
- Net sales of
$100.3 million , up 54% compared to$65.1 million in the prior year.
- DME channel net sales of
$75.8 million , up 29% compared to$58.8 million in the prior year. - PBP channel net sales of
$24.4 million , up 287% compared to$6.3 million in the prior year.
- DME channel net sales of
- Gross margin of 55.4%, up 29 basis points compared to 55.1% in the prior year.
- 19,713 new patient starts, up 52% compared to 12,994 new patient starts in the prior year.
- 70% of new patient starts came from MDI.
- High-20s percentage of new patient starts reimbursed through the PBP channel.
Recent Strategic Highlights
- Completed first-in-human Phase 2a feasibility trial in
New Zealand for the bihormonal system in development, including the glucagon asset, pump, and dosing algorithms.
- The company expects to initiate an additional Phase 2a feasibility trial in the first half of 2026 to prepare the system for the more advanced stages of development.
- Following completion of the Phase 2a feasibility trial, the company expects to progress to Phase 2b, which is anticipated to be a pivotal trial-enabling, more robust feasibility trial compared to previous Phase 2a trials.
“Beta Bionics exists to deliver solutions to people with diabetes that reduce burden, expand access, and ultimately improve outcomes at the population level. We believe our performance throughout 2025 is strongly indicative that we are on the right track.
2026 Full Year Guidance
- Estimated total revenue of approximately
$130 million to$135 million - Estimated 36% to 38% of new patient starts reimbursed through the PBP channel
- Estimated gross margin of 55.5% to 57.5%
Fourth Quarter 2025 Additional Financial Results
- Loss from operations of
$16.1 million , or negative 50% of sales, compared to$13.0 million or negative 64% of sales in the fourth quarter of 2024. - Net loss of
$13.5 million , or negative 42% of sales, compared to$18.1 million or negative 89% of sales in the fourth quarter of 2024. - Adjusted EBITDA(1) of negative
$10.5 million , or negative 33% of sales, compared to negative$11.3 million or negative 55% of sales in the fourth quarter of 2024. $264.7 million in cash, cash equivalents, short and long-term investments as ofDecember 31, 2025 .
Full Year 2025 Additional Financial Results
- Loss from operations of
$71.7 million , or negative 72% of sales, compared to$45.3 million or negative 69% of sales in the prior year. - Net loss of
$73.2 million , or negative 73% of sales, compared to$54.8 million or negative 84% of sales in the prior year. - Adjusted EBITDA(1) of negative
$52.8 million , or negative 53% of sales, compared to negative$37.7 million or negative 58% of sales in the prior year.
(1) See “Non-GAAP Financial Measures” below for additional information. A reconciliation of the non-GAAP financial measure to its most directly comparable GAAP financial measure can be found in Table E.
Webcast & Conference Call Details
Non-GAAP Financial Measures
The Company calculates adjusted EBITDA as net loss adjusted to exclude (i) depreciation expense, (ii) stock-based compensation expense, (iii) interest income, (iv) income tax expense, (v) change in fair value of warrant liabilities, (vi) litigation settlement and other related expense, and (vii) other non-recurring expense.
Some of the limitations of adjusted EBITDA include: (i) adjusted EBITDA does not properly reflect capital commitments to be paid in the future and (ii) although depreciation and amortization expense are non-cash charges, the underlying assets may need to be replaced and adjusted EBITDA does not reflect these capital expenditures. The Company’s adjusted EBITDA may not be comparable to similarly titled measures of other companies because they may not calculate adjusted EBITDA in the same manner as the Company calculates the measure, limiting its usefulness as a comparative measure. In evaluating adjusted EBITDA, you should be aware that in the future the Company will incur expenses similar to the adjustments in this presentation. The Company’s presentation of adjusted EBITDA should not be construed as an inference that the Company’s future results will be unaffected by these expenses or any unusual or non-recurring items. When evaluating the Company’s performance, you should consider adjusted EBITDA alongside other financial performance measures, including the Company’s net loss and other GAAP results.
Investors are encouraged to review the related GAAP financial measures and the reconciliation of this non-GAAP financial measure to its most directly comparable GAAP financial measure, and not to rely on any single financial measure to evaluate the Company’s business. This non-GAAP measure has limitations as an analytical tool and should not be construed as an inference that the Company’s future results will be unaffected by unusual or non-recurring items. Therefore, this non-GAAP financial measure should be considered in addition to, not as a substitute for, or in isolation from, measures prepared in accordance with GAAP.
About
Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Statements in this press release that are not statements of historical fact are forward-looking statements. Such forward-looking statements include, without limitation, statements regarding: expectations of
| Statements of Operations and Comprehensive Loss (unaudited) | ||||||||||||||||
| Table A | ||||||||||||||||
| (In thousands, except number of shares and per share data) | Three Months Ended | Year Ended | ||||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||||
| Net sales | $ | 32,121 | $ | 20,440 | $ | 100,251 | $ | 65,124 | ||||||||
| Cost of sales | 13,177 | 8,751 | 44,714 | 29,236 | ||||||||||||
| Gross profit | 18,944 | 11,689 | 55,537 | 35,888 | ||||||||||||
| Gross margin | 59.0 | % | 57.2 | % | 55.4 | % | 55.1 | % | ||||||||
| Operating expenses: | ||||||||||||||||
| Research and development | 10,131 | 9,214 | 34,789 | 26,184 | ||||||||||||
| Sales and marketing | 16,334 | 10,804 | 61,404 | 37,086 | ||||||||||||
| General and administrative | 8,603 | 4,708 | 31,025 | 17,869 | ||||||||||||
| Total operating expenses | 35,068 | 24,726 | 127,218 | 81,139 | ||||||||||||
| Loss from operations | (16,124 | ) | (13,037 | ) | (71,681 | ) | (45,251 | ) | ||||||||
| Other income (expense): | ||||||||||||||||
| Interest income | 2,658 | 951 | 10,932 | 3,909 | ||||||||||||
| Other income (expense), net | — | — | (1 | ) | (2 | ) | ||||||||||
| Change in fair value of warrant liabilities | — | (6,022 | ) | (12,450 | ) | (13,412 | ) | |||||||||
| Total other income (expense), net | 2,658 | (5,071 | ) | (1,519 | ) | (9,505 | ) | |||||||||
| Net loss | $ | (13,466 | ) | $ | (18,108 | ) | $ | (73,200 | ) | $ | (54,756 | ) | ||||
| Other comprehensive income (loss): | ||||||||||||||||
| Unrealized gain (loss) on short-term and long-term investments | 49 | 7 | 338 | (72 | ) | |||||||||||
| Comprehensive loss | $ | (13,417 | ) | $ | (18,101 | ) | $ | (72,862 | ) | $ | (54,828 | ) | ||||
| Net loss per share attributable to common stockholders, basic and diluted | $ | (0.30 | ) | $ | (2.72 | ) | $ | (1.81 | ) | $ | (8.60 | ) | ||||
| Weighted-average common shares outstanding, basic and diluted | 44,194,535 | 6,665,565 | 40,529,051 | 6,365,064 | ||||||||||||
| Balance Sheets (unaudited) | ||||||||||||||||
| Table B | ||||||||||||||||
| (In thousands, except number of shares) | Year Ended | |||||||||||||||
| 2025 | 2024 | |||||||||||||||
| Assets | ||||||||||||||||
| Current assets: | ||||||||||||||||
| Cash and cash equivalents | $ | 31,576 | $ | 30,432 | ||||||||||||
| Restricted cash, current | 100 | — | ||||||||||||||
| Short-term investments | 187,549 | 73,143 | ||||||||||||||
| Accounts receivable, net | 17,118 | 11,996 | ||||||||||||||
| Inventories, net | 21,722 | 13,320 | ||||||||||||||
| Prepaid expenses and other current assets | 9,840 | 4,032 | ||||||||||||||
| Total current assets | 267,905 | 132,923 | ||||||||||||||
| Property and equipment, net | 8,600 | 4,776 | ||||||||||||||
| Operating lease right-of-use asset | 6,627 | 6,645 | ||||||||||||||
| Restricted cash, noncurrent | — | 100 | ||||||||||||||
| Deferred offering costs | — | 5,051 | ||||||||||||||
| Long-term investments | 45,431 | — | ||||||||||||||
| Other long-term assets | 180 | 150 | ||||||||||||||
| Total assets | $ | 328,743 | $ | 149,645 | ||||||||||||
| Liabilities, Convertible Preferred Stock and Stockholders’ Deficit | ||||||||||||||||
| Current liabilities: | ||||||||||||||||
| Accounts payable | $ | 4,998 | $ | 2,852 | ||||||||||||
| Accrued expenses and other current liabilities | 22,431 | 15,828 | ||||||||||||||
| Operating lease liabilities | 1,938 | 1,529 | ||||||||||||||
| Deferred revenue | 1,557 | 939 | ||||||||||||||
| Total current liabilities | 30,924 | 21,148 | ||||||||||||||
| Operating lease liabilities, net of current portion | 5,365 | 5,726 | ||||||||||||||
| Deferred revenue, net of current portion | 3,297 | 1,860 | ||||||||||||||
| Warrant liabilities | — | 44,898 | ||||||||||||||
| Other long-term liabilities | 1,547 | — | ||||||||||||||
| Total liabilities | 41,133 | 73,632 | ||||||||||||||
| Commitments and contingencies | ||||||||||||||||
| Convertible preferred stock (Series A, A-2, B, B-2, C, | — | 321,373 | ||||||||||||||
| Stockholders’ equity (deficit): | ||||||||||||||||
| Preferred stock, | — | — | ||||||||||||||
| Common stock, | 4 | 1 | ||||||||||||||
| Additional paid-in capital | 657,140 | 51,311 | ||||||||||||||
| Accumulated other comprehensive income | 403 | 65 | ||||||||||||||
| Accumulated deficit | (369,937 | ) | (296,737 | ) | ||||||||||||
| Total stockholders’ equity (deficit) | 287,610 | (245,360 | ) | |||||||||||||
| Total liabilities, convertible preferred stock and stockholders’ equity (deficit) | $ | 328,743 | $ | 149,645 | ||||||||||||
| Table C | ||||||||||||||||
| (In thousands) | Three Months Ended | Year Ended | ||||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||||
| DME channel: | ||||||||||||||||
| iLet(1) | $ | 14,838 | $ | 13,512 | $ | 52,055 | $ | 46,617 | ||||||||
| Single-use products | 7,496 | 4,449 | 23,765 | 12,189 | ||||||||||||
| Total DME channel | 22,334 | 17,961 | 75,820 | 58,806 | ||||||||||||
| PBP channel: | ||||||||||||||||
| iLet(1) | (167 | ) | 351 | 692 | 2,099 | |||||||||||
| Single-use products | 9,954 | 2,128 | 23,739 | 4,219 | ||||||||||||
| Total PBP channel | 9,787 | 2,479 | 24,431 | 6,318 | ||||||||||||
| Total net sales | $ | 32,121 | $ | 20,440 | $ | 100,251 | $ | 65,124 | ||||||||
| (1)iLet includes the over-time recognition software updates and mobile app access. | ||||||||||||||||
| Key Business Metrics (unaudited) | ||||||||||||||||
| Table D | ||||||||||||||||
| Three Months Ended | Year Ended | |||||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||||
| New patient starts(1) | 5,592 | 4,084 | 19,713 | 12,994 | ||||||||||||
| New patient starts from MDI as a percentage of total new patient starts | 69 | % | 70 | % | 70 | % | 69 | % | ||||||||
| Installed customer base(2) | 35,011 | 15,298 | 35,011 | 15,298 | ||||||||||||
| (1)In the year ended | ||||||||||||||||
| (2)The installed customer base represents all new patient starts, over a rolling four-year period basis. This period reflects our in-warranty customer base under the typical four-year reimbursement cycle and helps us understand the total number of patients using the iLet. | ||||||||||||||||
| Reconciliation of GAAP versus Non-GAAP Financial Results (unaudited) | ||||||||||||||||
| Table E | ||||||||||||||||
| (In thousands) | Three Months Ended | Year Ended | ||||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||||
| Net loss | $ | (13,466 | ) | $ | (18,108 | ) | $ | (73,200 | ) | $ | (54,756 | ) | ||||
| Add: | ||||||||||||||||
| Depreciation expense | 537 | 232 | 1,573 | 1,151 | ||||||||||||
| Stock-based compensation expense | 4,303 | 1,551 | 16,384 | 6,384 | ||||||||||||
| Interest income | (2,658 | ) | (951 | ) | (10,932 | ) | (3,909 | ) | ||||||||
| Income tax expense (benefit) | — | — | 1 | 2 | ||||||||||||
| Litigation settlement and other related expense | 210 | — | 410 | — | ||||||||||||
| Other non-recurring | 562 | — | 562 | — | ||||||||||||
| Change in fair value of warrant liabilities | — | 6,022 | 12,450 | 13,412 | ||||||||||||
| Adjusted EBITDA | $ | (10,512 | ) | $ | (11,254 | ) | $ | (52,752 | ) | $ | (37,716 | ) | ||||
Investor Relations:
Head of Investor Relations
ir@betabionics.com
Media and Public Relations:
Vice President of Marketing
media@betabionics.com
Source: Beta Bionics, Inc.
Source: