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PROCEPT BioRobotics Reports Fourth Quarter 2025 Financial Results and Updates 2026 Revenue Guidance

Key Takeaway: PROCEPT BioRobotics reported its fourth quarter 2025 financial results, highlighting a 12% increase in total revenue year-over-year. The company achieved record procedure volumes but faced a net loss of $29.8 million. Looking ahead, PROCEPT has adjusted its 2026 revenue guidance to $390-$410 million, anticipating a growth rate of 27%-33%. The company is focusing on aligning handpiece sales with procedure volumes to drive sustainable growth.
Price reaction · baseline $27.84 (2026-02-25 close) · hit pre-market · 1 other PRCT headline(s) in the window, move may be shared
day 0 close
-15.1%
day 1
-18.5%
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-5.7%

Market Sentiment Analysis

POSITIVE FACTORS

  • Achieved highest procedure volume to date with 12,200 procedures.
  • Increased total revenue by 12% year-over-year.
  • Successful realignment of commercial organization to enhance growth.

CONCERNS & RISKS

  • Net loss increased to $29.8 million compared to $18.9 million last year.
  • Gross margin declined from 64% to 61% due to lower consumable revenue.
  • Operating expenses rose significantly, impacting overall profitability.

BiopharmaWatch Analysis

From our catalyst data and publicly available data · not financial advice
Cash runway
~35 mo
Minimal dilution risk
Lead asset
PRO 2000
Phase 1 · HIV Infections

Full Press Release Details

SAN JOSE, Calif., Feb. 25, 2026 (GLOBE NEWSWIRE) -- PROCEPT BioRobotics® Corporation (Nasdaq: PRCT) (the “Company”), a surgical robotics company focused on advancing patient care by developing transformative solutions in urology, today reported unaudited financial results for the quarter ended December 31, 2025.
“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 Larry Wood, Chief Executive Officer. “At the same time, we took meaningful steps to position the Company for its next phase of growth. To sharpen our focus on delivering durable procedure growth, we realigned our commercial organization, established a dedicated launch team to reduce activation variability, and implemented a more disciplined handpiece pricing strategy. Furthermore, we successfully reduced field inventory levels and eliminated end-of-quarter purchasing incentives, which led to a fourth quarter revenue shortfall but improved handpiece average selling price by approximately 5%.”

Fourth Quarter2025Financial Results

Total revenue for the fourth quarter of 2025 was $76.4 million, an increase of 12% compared to the prior year period. U.S. revenue was $66.6 million, representing growth of 10% compared to the prior year period. The increase was primarily driven by increased handpiece revenue. U.S. handpiece and consumable revenue for the fourth quarter of 2025 was $34.0 million, an increase of 16% compared to the prior year period. U.S. system revenue for the fourth quarter of 2025 was $27.6 million, which was flat compared to the prior year period. As of December 31, 2025, the install base of robotic systems in the U.S. was 718 systems, an increase of 42% compared to the prior year period. International revenue was $9.8 million for the quarter, an increase of 25% compared to the prior year period.
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 U.S. consumable revenue, as well as a one-time cost associated with a voluntary field action.
Operating expenses in the fourth quarter of 2025 were $77.4 million, compared with $63.4 million in the prior year period. The increase in operating expenses reflects continued investment to support commercial expansion, innovation across our BPH platform technology and increased funding for our Water IV Prostate Cancer trial.
Net loss was $29.8 million for the fourth quarter of 2025, compared to a loss of $18.9 million in the prior year period. Adjusted EBITDA* was a loss of $19.0 million for the fourth quarter of 2025, compared to a loss of $10.3 million in the prior year period.
Cash, cash equivalents and restricted cash balances as of December 31, 2025, totaled $289.5 million.
Full Year 2025 Financial ResultsRevenue for the full year 2025 was $308.1 million, an increase of 37% compared to the prior year period. The growth was primarily driven by increases in U.S. revenue attributable to system placements and increased handpieces sold.
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 U.S. handpieces sold.
Operating expenses were $300.1 million for the full year 2025, compared to $233.7 million for the full year 2024, an increase of 28%. The increase was driven by increased sales and marketing expenses primarily to expand the commercial organization, and increased research and development and general and administrative expenses.
Net loss was $95.6 million for the full year 2025, compared to $91.4 million for the full year 2024. Adjusted EBITDA was a loss of $50.2 million for full year 2024, compared to a loss of $61.1 million for the full year 2024.
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 Larry Wood. “While annual U.S. procedure growth will be in the range of 39% to 48%, our decision to forecast procedure and handpiece volumes in close alignment has reduced our projected 2026 handpiece revenue guidance; however, this impact is meaningfully offset by higher handpiece prices of $3,500 per unit. Considering these factors, together with the short-term disruption associated with the sales force realignment, we are resetting our 2026 guidance to $390 to $410 million, representing annual growth of 27% to 33%. We believe these actions are essential to our long-term goals of sustained high growth and establishing a favorable financial profile.”

First Quarter 2026 Financial Guidance

*Adjusted EBITDA is a financial measure that is not prepared in accordance with generally accepted accounting principles in the United States (GAAP). For more information about the Company’s use of non-GAAP financial measures, please see the section below titled “Use of Non-GAAP Financial Measures (Unaudited).
Webcast and Conference Call InformationPROCEPT BioRobotics will host a conference call to discuss the fourth quarter 2025 financial results on Wednesday, February 25, 2026, at 4:30 p.m. Eastern Time.
Investors interested in listening to the conference call may do so by following one of the links below:
Investor Day in New York and WebcastThe Company will also host an in-person investor day event on Thursday, February 26, 2026, at the NASDAQ Headquarters in New York City beginning at 8:00am Eastern Time. A live, as well as an archived recording, will be available on the “Investors” section of the Company’s website at https://ir.procept-biorobotics.com.
About PROCEPT BioRobotics CorporationPROCEPT 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. PROCEPT BioRobotics manufactures the AQUABEAM® and HYDROS® Robotic Systems. The HYDROS Robotic System is the only AI-Powered, robotic technology that delivers Aquablation® therapy. PROCEPT BioRobotics designed Aquablation therapy to deliver effective, safe, and durable outcomes for males suffering from lower urinary tract symptoms or LUTS, due to BPH that are independent of prostate size and shape or surgeon experience. BPH is the most common prostate disease and impacts approximately 40 million men in the United States. The Company has developed a significant and growing body of clinical evidence with over 150 peer-reviewed publications, supporting the benefits and clinical advantages of Aquablation therapy.
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 United States (GAAP). The Company defines Adjusted EBITDA as earnings before interest expense, taxes, depreciation and amortization and stock-based compensation. Non-GAAP financial measures are not a substitute for or superior to measures of financial performance prepared in accordance with GAAP and should not be considered as an alternative to any other performance measures derived in accordance with GAAP.
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 StatementsThis 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 SEC on February 27, 2025, and amended on April 11, 2025, and subsequent quarterly reports on Form 10-Q. PROCEPT BioRobotics does not undertake any obligation to update forward‐looking statements and expressly disclaims any obligation or undertaking to release publicly any updates or revisions to any forward‐looking statements contained herein. These forward-looking statements should not be relied upon as representing PROCEPT BioRobotics’ views as of any date subsequent to the date of this press release.
Important Safety InformationAll surgical treatments have inherent and associated side effects. For a list of potential side effects visit https://aquablation.com/safety-information/

Investor Contact:Matt BacsoVP, Investor Relations and Business Operationsm.bacso@procept-biorobotics.com

PROCEPT BioRobotics CorporationCONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS(Unaudited, in thousands, except per share data)
Three Months EndedDecember 31, Twelve Months EndedDecember 31,
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
PROCEPT BioRobotics CorporationRECONCILIATION OF GAAP NET LOSS TO ADJUSTED EBITDA(Unaudited, in thousands)
Three Months EndedDecember 31, Twelve Months EndedDecember 31,
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 )
PROCEPT BioRobotics CorporationRECONCILIATION OF GAAP NET LOSS TO ADJUSTED 2026 EBITDA Guidance(Unaudited, in thousands)
For the Year EndingDecember 31, 2026
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 )
PROCEPT BioRobotics CorporationCONDENSED CONSOLIDATED BALANCE SHEETS(Unaudited, in thousands)
December 31, 2025 December 31, 2024
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
PROCEPT BioRobotics CorporationREVENUE BY TYPE AND GEOGRAPHY(Unaudited, in thousands)
Three Months EndedDecember 31, Twelve Months EndedDecember 31,
2025 2024 2025 2024
U.S.
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 U.S. revenue 66,587 60,389 270,378 200,472
Outside of U.S.
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 U.S. revenue 9,796 7,847 37,676 24,026
Total revenue $ 76,383 $ 68,236 $ 308,054 $ 224,498
PROCEPT BioRobotics CorporationQUARTERLY U.S. INSTALL BASE AND PROCEDURES(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
U.S. Install Base
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
U.S Procedures (000) 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

Frequently Asked Questions

What were PROCEPT BioRobotics' Q4 2025 revenues?

Total revenue for Q4 2025 was $76.4 million, a 12% increase from the previous year.

How did the net loss change in Q4 2025?

The net loss increased to $29.8 million in Q4 2025, compared to $18.9 million in Q4 2024.

What is the 2026 revenue guidance for PROCEPT?

PROCEPT has adjusted its 2026 revenue guidance to between $390 million and $410 million.

What drove the revenue growth in 2025?

Revenue growth was primarily driven by increased handpiece sales and system placements.

Last updated: Feb 26, 2026