“In the fourth quarter, we delivered our highest procedure volume to date—approximately 12,200—and sold 65 new systems, marking our strongest capital quarter,” said
Fourth Quarter 2025 Financial Results
- Total revenue of
$76.4 million for the fourth quarter of 2025, an increase of 12% compared to the prior year period in 2024 U.S. procedures of approximately 12,200 for the fourth quarter of 2025, an increase of approximately 69% compared to the prior year periodU.S. handpieces sold of approximately 9,400 for the fourth quarter of 2025, an increase of approximately 7% compared to the prior year period- Fourth quarter of 2025 handpiece average selling price increased 5% sequentially to
$3,340 - 2025 ending
U.S. install base of 718 systems, representing a 42% increase compared to the prior year period - International revenue of
$9.8 million for the fourth quarter of 2025, an increase of 25% compared to the prior year period in 2024
Total revenue for the fourth quarter of 2025 was
Gross margin for the fourth quarter 2025 was 61% compared to 64% in the prior year period. Gross margin decline in the fourth quarter was primarily driven by lower-than-expected
Operating expenses in the fourth quarter of 2025 were
Net loss was
Cash, cash equivalents and restricted cash balances as of
Full Year 2025 Financial Results
Revenue for the full year 2025 was
Gross margin for full year 2025 was 64%, compared to 61% for the full year 2024. Gross margin improvement was primarily due to improved overhead absorption and favorable revenue mix of
Operating expenses were
Net loss was
Full Year 2026 Financial Guidance
“Historically, handpiece unit sales exceeded procedure volumes by approximately 8% to 16%. Going forward, we expect handpiece unit sales and procedure volumes to be closely aligned,” said
- The Company expects revenue for the full year 2026 to be in the range of
$390 million to$410 million , which represents growth of 27% to 33% compared to the prior year period - The Company expects full year 2026 U.S. procedure growth to be in the range of 39% to 48% compared to the prior year period
- The Company expects full year 2026 gross margin to be approximately 65%
- The Company expects full year 2026 operating expenses to be approximately
$350 million - The Company expects full year 2026 adjusted EBITDA* loss to be in the range of
$30 million to$17 million
First Quarter 2026 Financial Guidance
- The Company expects total procedures for the first quarter of 2026 to be in the range of 12,000 to 12,800, which represents growth of 31% to 36% compared to the prior year period.
- Total revenue for the first quarter of 2026 is expected to be in the range of
$79 million to$82 million dollars , which represents growth of 14% to 19% to the prior year period.
*Adjusted EBITDA is a financial measure that is not prepared in accordance with generally accepted accounting principles in
Webcast and Conference Call Information
Investors interested in listening to the conference call may do so by following one of the links below:
- Webcast link for interested listeners:
- Dial-in registration for sell-side research analysts:
Investor Day in
The Company will also host an in-person investor day event on
About
PROCEPT BioRobotics’ mission is to revolutionize BPH treatment globally in partnership with urologists by delivering best-in-class robotic solutions that positively impact patients and drive value.
Use of Non-GAAP Financial Measures (Unaudited)
This press release references Adjusted EBITDA, a financial measure that is not prepared in accordance with generally accepted accounting principles in
The Company believes that presenting Adjusted EBITDA provides useful supplemental information to investors about the Company in understanding and evaluating its operating results, enhancing the overall understanding of its past performance and future prospects, and allowing for greater transparency with respect to key financial metrics used by its management in financial and operational decision making. However, there are a number of limitations related to the use of non-GAAP measures and their nearest GAAP equivalents. For example, other companies may calculate non-GAAP measures differently, or may use other measures to calculate their financial performance, and therefore any non-GAAP measures the Company uses may not be directly comparable to similarly titled measures of other companies.
Forward Looking Statements
This release contains forward-looking statements within the meaning of federal securities laws, including with respect to the Company’s projected financial performance for full year 2026, statements regarding the potential utilities, values, benefits and advantages of Aquablation therapy performed using PROCEPT BioRobotics’ products, including AquaBeam or Hydros Robotic Systems, which involve risks and uncertainties that could cause the actual results to differ materially from the anticipated results and expectations expressed in these forward-looking statements. You are cautioned not to place undue reliance on these forward-looking statements. Forward-looking statements are only predictions based on the Company’s current expectations, estimates, and assumptions, valid only as of the date they are made, and subject to risks and uncertainties, some of which the Company is not currently aware. Forward-looking statements may include statements regarding financial guidance, market opportunity and penetration, procedure growth, the Company’s possible or assumed future results of operations, including descriptions of the Company’s revenues, gross margins, profitability, operating expenses, installed base growth, commercial momentum and overall business strategy. Forward-looking statements should not be read as a guarantee of future performance or results and may not necessarily be accurate indications of the times at, or by, which such performance or results will be achieved. These forward-looking statements are based on the Company’s current expectations and inherently involve significant risks and uncertainties. Actual results and the timing of events could differ materially from those anticipated in such forward-looking statements as a result of these risks and uncertainties. These risks and uncertainties are described more fully in the section titled “Risk Factors” in the Company’s filings with the Securities and Exchange Commission (the “SEC”), including the Company’s annual report on Form 10-K filed with the
Important Safety Information
All surgical treatments have inherent and associated side effects. For a list of potential side effects visit https://aquablation.com/safety-information/
Investor Contact:
VP, Investor Relations and Business Operations
m.bacso@procept-biorobotics.com
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (Unaudited, in thousands, except per share data) | ||||||||||||||||
| Three Months Ended | Twelve Months Ended | |||||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||||
| Revenue | $ | 76,383 | $ | 68,236 | $ | 308,054 | $ | 224,498 | ||||||||
| Cost of sales | 30,070 | 24,564 | 111,828 | 87,399 | ||||||||||||
| Gross profit | 46,313 | 43,672 | 196,226 | 137,099 | ||||||||||||
| Operating expenses: | ||||||||||||||||
| Research and development | 19,056 | 15,066 | 71,277 | 62,298 | ||||||||||||
| Selling, general and administrative | 58,298 | 48,316 | 228,808 | 171,415 | ||||||||||||
| Total operating expenses | 77,354 | 63,382 | 300,085 | 233,713 | ||||||||||||
| Loss from operations | (31,041 | ) | (19,710 | ) | (103,859 | ) | (96,614 | ) | ||||||||
| Interest expense | (894 | ) | (969 | ) | (3,586 | ) | (4,184 | ) | ||||||||
| Interest and other income, net | 2,280 | 2,191 | 12,063 | 9,753 | ||||||||||||
| Loss before income taxes | (29,655 | ) | (18,488 | ) | (95,382 | ) | (91,045 | ) | ||||||||
| Provision for income taxes | 190 | 368 | 190 | 368 | ||||||||||||
| Net loss | $ | (29,845 | ) | $ | (18,856 | ) | $ | (95,572 | ) | $ | (91,413 | ) | ||||
| Net loss per share, basic and diluted | $ | (0.53 | ) | $ | (0.35 | ) | $ | (1.72 | ) | $ | (1.75 | ) | ||||
| Weighted-average common shares used to | ||||||||||||||||
| Compute net loss per share attributable to | ||||||||||||||||
| Common shareholders, basic and diluted | 56,071 | 55,838 | 55,544 | 52,125 | ||||||||||||
RECONCILIATION OF GAAP NET LOSS TO ADJUSTED EBITDA (Unaudited, in thousands) | ||||||||||||||||
| Three Months Ended | Twelve Months Ended | |||||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||||
| Net loss | $ | (29,845 | ) | $ | (18,856 | ) | $ | (95,572 | ) | $ | (91,413 | ) | ||||
| Depreciation and amortization expense | 1,709 | 1,453 | 6,390 | 5,234 | ||||||||||||
| Stock-based compensation expense | 10,842 | 9,085 | 47,603 | 31,840 | ||||||||||||
| Interest (income) and interest expense, net | (1,719 | ) | (2,017 | ) | (8,632 | ) | (6,711 | ) | ||||||||
| Adjusted EBITDA | $ | (19,013 | ) | $ | (10,335 | ) | $ | (50,211 | ) | $ | (61,050 | ) | ||||
RECONCILIATION OF GAAP NET LOSS TO ADJUSTED 2026 EBITDA Guidance (Unaudited, in thousands) | ||||||||
| For the Year Ending | ||||||||
| LOW | HIGH | |||||||
| Net loss | $ | (91,500 | ) | $ | (78,500 | ) | ||
| Depreciation and amortization expense | 7,500 | 7,500 | ||||||
| Stock-based compensation expense | 59,000 | 59,000 | ||||||
| Interest (income) and interest expense, net | (5,000 | ) | (5,000 | ) | ||||
| Adjusted EBITDA | $ | (30,000 | ) | $ | (17,000 | ) | ||
CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited, in thousands) | ||||||||
| Assets | ||||||||
| Current assets: | ||||||||
| Cash and cash equivalents | $ | 286,503 | $ | 333,725 | ||||
| Accounts receivable, net | 83,533 | 83,496 | ||||||
| Inventory | 70,694 | 56,168 | ||||||
| Prepaid expenses and other current assets | 9,648 | 8,453 | ||||||
| Total current assets | 450,378 | 481,842 | ||||||
| Restricted cash, non-current | 3,038 | 3,038 | ||||||
| Property and equipment, net | 30,399 | 26,709 | ||||||
| Operating lease right-of-use assets, net | 17,538 | 18,941 | ||||||
| Intangible assets, net | 709 | 932 | ||||||
| Other assets | 6,019 | 2,555 | ||||||
| Total assets | $ | 508,081 | $ | 534,017 | ||||
| Liabilities and Stockholders' Equity | ||||||||
| Current liabilities: | ||||||||
| Accounts payable | $ | 17,285 | $ | 10,032 | ||||
| Accrued compensation | 23,175 | 21,537 | ||||||
| Deferred revenue | 13,048 | 9,565 | ||||||
| Operating leases, current | 2,214 | 1,910 | ||||||
| Loan facility liability | — | 2,000 | ||||||
| Other current liabilities | 10,073 | 8,089 | ||||||
| Total current liabilities | 65,795 | 53,133 | ||||||
| Long-term debt | 51,615 | 51,472 | ||||||
| Operating leases, non-current | 24,654 | 26,868 | ||||||
| Other liabilities | 147 | 324 | ||||||
| Total liabilities | 142,211 | 131,797 | ||||||
| Stockholders’ equity: | ||||||||
| Additional paid-in capital | 1,007,390 | 948,091 | ||||||
| Accumulated other comprehensive gain | 37 | 114 | ||||||
| Accumulated deficit | (641,557 | ) | (545,985 | ) | ||||
| Total stockholders’ equity | 365,870 | 402,220 | ||||||
| Total liabilities and stockholders’ equity | $ | 508,081 | $ | 534,017 | ||||
REVENUE BY TYPE AND GEOGRAPHY (Unaudited, in thousands) | ||||||||||||||||
| Three Months Ended | Twelve Months Ended | |||||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||||
| System sales and rentals | $ | 27,600 | $ | 27,636 | $ | 93,000 | $ | 78,614 | ||||||||
| Handpieces and other consumables | 34,001 | 29,325 | 159,669 | 110,542 | ||||||||||||
| Service | 4,986 | 3,428 | 17,709 | 11,316 | ||||||||||||
| Total | 66,587 | 60,389 | 270,378 | 200,472 | ||||||||||||
| Outside of | ||||||||||||||||
| System sales and rentals | 2,953 | 3,711 | 13,132 | 11,685 | ||||||||||||
| Handpieces and other consumables | 5,977 | 3,684 | 21,777 | 10,914 | ||||||||||||
| Service | 866 | 452 | 2,767 | 1,427 | ||||||||||||
| Total outside of | 9,796 | 7,847 | 37,676 | 24,026 | ||||||||||||
| Total revenue | $ | 76,383 | $ | 68,236 | $ | 308,054 | $ | 224,498 | ||||||||
QUARTERLY (Unaudited, in thousands) | |||||||||||||||||||||||||||||
| Q1'23 | Q2'23 | Q3'23 | Q4'23 | Q1'24 | Q2'24 | Q3'24 | Q4'24 | Q1'25 | Q2'25 | Q3'25 | Q4'25 | FY 23 | FY 24 | FY 25 | |||||||||||||||
| Beginning install base | 167 | 192 | 233 | 271 | 315 | 354 | 400 | 445 | 505 | 547 | 595 | 653 | 167 | 315 | 505 | ||||||||||||||
| Systems placed | 25 | 41 | 38 | 44 | 39 | 46 | 45 | 60 | 42 | 48 | 58 | 65 | 148 | 190 | 213 | ||||||||||||||
| Ending install base | 192 | 233 | 271 | 315 | 354 | 400 | 445 | 505 | 547 | 595 | 653 | 718 | 315 | 505 | 718 | ||||||||||||||
| 3.0 | 3.6 | 4.3 | 5.6 | 6.1 | 7.0 | 7.4 | 7.2 | 9.3 | 10.8 | 11.0 | 12.2 | 16.5 | 27.7 | 43.3 | |||||||||||||||
Source: