4Q25 Financial Highlights
- Revenues increased 27% year over year to
$968 thousand in 4Q25. - Operating loss increased 17% year over year, primarily due to higher selling expenses directly related to increased sales volume and compensation expenses to facilitate growth.
- Cash balance was
$5.0 million as ofDecember 31, 2025 .
FY2025 Financial Highlights
- Revenues for FY2025 increased 33% year over year to
$3.6 million . - Operating loss increased 9% year over year, primarily due to a one-time non-recurring legal settlement. Excluding the legal settlement, the Company’s operating loss was flat year over year despite its investment in selling expenses that were offset by higher gross profit from increased sales volume.
Recent Operational Highlights
- Category I CPT® code assignment to report Percutaneous Electrical Nerve Field Stimulation (PENFS) procedures is now in effect, completing a successful commercial milestone for the Company’s proprietary technology, IB-Stim®.
- Awarded a Veterans Affairs Federal Supply Schedule (FSS) contract, officially designating NeurAxis as a federal contractor and creates a clear commercial pathway into the
Veterans Affairs health system, which serves nearly 7 million patients annually. - Awarded the first-ever FDA clearance for the treatment of abdominal pain in functional dyspepsia (FD), with associated nausea symptoms, in patients 8 years of age and older, expanding the total addressable market for IB-Stim.
- Secured key academic society guidelines recommendation for treatment of functional abdominal pain (FAP) in irritable bowel syndrome (IBS) in pediatrics. NeurAxis’s PENFS technology is the only FDA-cleared or approved treatment recommended in the pediatrics guidelines, enabling momentum for large-scale insurance coverage for IB-Stim.
- Received and expanded FDA clearance for the age and treatment time per patient for IB-Stim:
- The age range expanded from 8-21 years to 8 years and older.
- The recommended treatment per patient increased from 3 devices to 4 devices, one device per week, for 4 consecutive weeks.
Management Commentary
Our highest priority remains expanding medical policy coverage across the payer landscape, as each additional coverage win meaningfully increases patient access and reduces friction for providers. In parallel, our internal prior-authorization team continues to expand, helping hospital partners streamline reimbursement and increase confidence in adopting IB-Stim.
The early part of 2026 has been focused on deploying our commercial strategy, learning from real-world utilization, and identifying the key drivers that accelerate adoption. With those insights now in hand and the reimbursement framework established, we believe we are positioned at the beginning of a multi-year growth cycle, with our focus squarely on disciplined execution and scaling utilization nationwide.”
Fourth Quarter and Fiscal Year 2025 Financial Results
Revenues in the fourth quarter of 2025 were
Revenue in fiscal year 2025 was
Gross margin in the fourth quarter of 2025 of 85.4% declined 100 basis points compared to 86.4% in the fourth quarter of 2024 due to higher discounting in the financial assistance program to patients with lower income levels and the lower margin profile of the RED device.
Gross margin in fiscal year 2025 of 84.2% declined 130 basis points compared to 86.5% in fiscal year 2024 due to higher growth from and discounting of the Company's financial assistance programs and charges related to expired RED inventory.
Selling, general and administrative expenses in the fourth quarter of 2025 were
Selling, general, and administrative expenses in fiscal year 2025 were
Operating loss in the fourth quarter of 2025 was
Operating loss in fiscal year 2025 was
Net loss in the fourth quarter of 2025 was
Net loss for the full year 2025 was
Cash on hand as of
Conference Call Details
Date and Time:
Live Webcast Information: Interested parties can access the conference call via a live webcast, which is available in the Investor Relations section of the Company's website at https://ir.neuraxis.com/ or https://edge.media-server.com/mmc/p/4ig827me. For participants listening through the webcast, questions can be sent in through the portal using the “Ask a Question” link or by emailing questions to NRXS@lythampartners.com.
Call-in Information: Interested parties can also access the live conference call by initially registering at the following link. Upon completion of the registration link, call-in participants will receive the dial-in info and a unique PIN to join the call as well as an email confirmation with the details.
Replay: A webcast replay will be available in the Investor Relations section of the Company's website at https://ir.neuraxis.com/ or https://edge.media-server.com/mmc/p/4ig827me.
About
Forward-Looking Statements
Certain statements in this press release are forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. All statements other than statements of historical fact are forward-looking statements. Forward-looking statements are based on management’s current assumptions and expectations of future events and trends, which affect or may affect the Company’s business, strategy, operations or financial performance, and actual results and other events may differ materially from those expressed or implied in such statements due to numerous risks and uncertainties. Forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified. There are a number of important factors that could cause actual results, developments, business decisions or other events to differ materially from those contemplated by the forward-looking statements in this press release. These factors include, among other things, the conditions in the
For contraindications, precautions, warnings, and IFU, please see: https://ibstim.com/important-information/.
For important RED information, including indications, precautions, and contraindications, visit: https://red4constipation.com/information/
Contacts:
Company
info@neuraxis.com
Investor Relations
646-829-9701
shamsian@lythampartners.com
Condensed Statements of Operations | |||||||
| For the Years Ended | |||||||
| 2025 | 2024 | ||||||
| Net sales | $ | 3,569,282 | $ | 2,685,925 | |||
| Cost of goods sold | 562,916 | 362,002 | |||||
| Gross profit | 3,006,366 | 2,323,923 | |||||
| Selling expenses | 2,279,974 | 1,468,884 | |||||
| Research and development | 493,611 | 433,614 | |||||
| General and administrative | 8,062,689 | 7,578,242 | |||||
| Operating loss | (7,829,908 | ) | (7,156,817 | ) | |||
| Other income (expense): | |||||||
| Financing charges | (30,240 | ) | (230,824 | ) | |||
| Interest expense, net | (73,969 | ) | (174,328 | ) | |||
| Change in fair value of warrant liability | (7,634 | ) | (941 | ) | |||
| Amortization of debt discount and issuance costs | - | (126,387 | ) | ||||
| Other income (expense) | 141,196 | (552,204 | ) | ||||
| Total other income (expense), net | 29,353 | (1,084,684 | ) | ||||
| Net loss | $ | (7,800,555 | ) | $ | (8,241,501 | ) | |
Source: