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Investor releaseQuarter not tagged2026-08-18Stereotaxis (STXS) Q2 2026 Earnings Call Transcript
Motley Fool
Stereotaxis (STXS) Q2 2026 Earnings Call Transcript
Image source: The Motley Fool. Tuesday, Aug. 11, 2026 at 4:30 p.m. ET Chairman and Chief Executive Officer - David Fischel Chief Financial Officer - Kimberly Peery Operator: Good afternoon. Thank you for joining us for Stereotaxis' Second Quarter 2026 Earnings Conference Call. Certain statements during the conference call and question-and-answer period to follow may relate to future events, expectations, and as such, constitute towards forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Such statements involve known and unknown risks, uncertainties, and other factors which may cause the actual results, performance, or achievements of the company in the future to be materially different from the statements that the company's executives may make today. These risks are described in detail in our public filings with the Securities and Exchange Commission, including our latest periodic report on Form 10-K or 10-Q. We assume no duty to update this statement. [Operator Instructions] As a reminder, today's call is being recorded. It is now my pleasure to turn the floor over to your host, David Fischel, Chairman and CEO of Stereotaxis. Please go ahead. David Fischel: Thank you, operator, and good afternoon, everyone. On our last call, we discussed in detail the structural transformations taking place at Stereotaxis. We just celebrated a particularly milestone-rich period with regulatory approvals for a new robot, both therapeutic and diagnostic catheters, and a digital surgery system. These products individually and collectively as a synergistic ecosystem create an attractive foundation for us to scale commercialization with reduced barriers to adoption and a much more attractive business model. During the second quarter, Stereotaxis reached an important commercial inflection point as our expanded product offering is now generating accelerating adoption. It is still just the initial green shoots of commercial success, but the early experience and feedback provides confidence in sustained progress. I'll discuss on today's call the primary areas of commercial progress, the feedback from the field, and our efforts to accelerate growth. I'll then share some additional updates on the robust pipeline of innovations that we continue to advance and that will drive a second wave of growth over the coming years. Kim will then…Read full documentShow less
Image source: The Motley Fool. Tuesday, Aug. 11, 2026 at 4:30 p.m. ET Chairman and Chief Executive Officer - David Fischel Chief Financial Officer - Kimberly Peery Operator: Good afternoon. Thank you for joining us for Stereotaxis' Second Quarter 2026 Earnings Conference Call. Certain statements during the conference call and question-and-answer period to follow may relate to future events, expectations, and as such, constitute towards forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Such statements involve known and unknown risks, uncertainties, and other factors which may cause the actual results, performance, or achievements of the company in the future to be materially different from the statements that the company's executives may make today. These risks are described in detail in our public filings with the Securities and Exchange Commission, including our latest periodic report on Form 10-K or 10-Q. We assume no duty to update this statement. [Operator Instructions] As a reminder, today's call is being recorded. It is now my pleasure to turn the floor over to your host, David Fischel, Chairman and CEO of Stereotaxis. Please go ahead. David Fischel: Thank you, operator, and good afternoon, everyone. On our last call, we discussed in detail the structural transformations taking place at Stereotaxis. We just celebrated a particularly milestone-rich period with regulatory approvals for a new robot, both therapeutic and diagnostic catheters, and a digital surgery system. These products individually and collectively as a synergistic ecosystem create an attractive foundation for us to scale commercialization with reduced barriers to adoption and a much more attractive business model. During the second quarter, Stereotaxis reached an important commercial inflection point as our expanded product offering is now generating accelerating adoption. It is still just the initial green shoots of commercial success, but the early experience and feedback provides confidence in sustained progress. I'll discuss on today's call the primary areas of commercial progress, the feedback from the field, and our efforts to accelerate growth. I'll then share some additional updates on the robust pipeline of innovations that we continue to advance and that will drive a second wave of growth over the coming years. Kim will then share financial details for the quarter and we'll open the line for questions. A key area of focus in the second quarter was on the launch of MAGiC in the U.S. following FDA approval in the first quarter. While supply constrained and still just in the early adoption phase, that launch allows us to reach a multi-year high point in recurring revenue, which surpassed $6 million in the quarter, driven by over $1 million in robotic catheter revenue. Our robotic catheter revenue is scaling significantly in both the U.S. and Europe with nearly 300% sequential growth from the first to the second quarter. We are in the early phase of adoption of MAGiC, with about a dozen U.S. sites receiving hospital approval to purchase the catheter and beginning procedures in the second quarter. Several physicians sent me unprompted feedback as they started to use the catheter. 1 physician commented, "MAGiC performs so much better than the old ablation catheter." Basically, you can more reliably target tissue and more effectively ablate the target tissue. It fundamentally changes the utility of the Stereotaxis system, more than doubling the value of having a robot. Another physician, upon completing his first 10 procedures, mentioned that he is, "loving it, and that the catheter is improving his efficiency significantly with a more stable and more powerful catheter delivering rapid, effective ablations." Another physician, after his first day of procedures, mentioned, "Wow, this catheter navigates well. You guys have something special." This feedback is highly encouraging. We have long known that the perception and value proposition of robotics in EP is only as good as the catheters available for use with the robot. Being tied to decades-old catheter that did not benefit from continued innovation limited our potential. It is very satisfying to see the innovations we took from concept to commercial reality benefit critical patients with complex arrhythmias and the physicians that treat them. It gives us confidence that our efforts to reestablish Stereotaxis on a healthy foundation and trajectory are off to a good start. We are continuing to methodically work through hospital approvals and initial launches of our robotic catheters across our U.S. and European installed base. We expect the vast majority to shift from their historical dependency on J&J to our catheters within the next year. While working through the commercial friction of transitioning each customer, we are putting significant effort into ramping manufacturing of catheters. Sales remain supply constrained as we work to increase output with catheters still on backlog as we receive more orders from customers than the supply we receive from our contract manufacturer, Osypka. We are seeing methodical progress in increasing supply and are separately reaching key milestones in establishing supply redundancy. These support our expectations of sustained growth in our catheter revenue stream, and we're guiding for an approximate $1 million incremental step up in catheter revenue in each of the next couple quarters, with significantly more opportunities beyond that in 2027. Shifting now to system revenue. There are 2 primary items to discuss, Synchrony and GenesisX. During the second quarter, we received FDA clearance for the Synchrony system. As a reminder, Synchrony and SynX are our digital solutions that modernize the interventional surgical suite with enhanced workflow, remote connectivity, and smart AI capabilities. Synchrony serves as the cockpit for every robot, but also has an independent, much larger opportunity in non-robotic operating rooms. Shortly after receiving regulatory clearance, we received orders for multiple systems from several hospitals. We shipped the first few systems in the second quarter, have continued to ship systems in the third quarter, and there are already several systems in daily clinical use. They're performing well in the field, and we have a pipeline of software feature enhancements over the coming months and years that will continue to expand the value proposition. Without a significant dedicated sales effort, we are seeing organic interest that should support over $1 million in Synchrony system revenue each quarter for the next few quarters. Most excitingly, there are several hospitals that are planning or considering standardizing their catheter labs on Synchrony and SynX. While the current contribution of Synchrony is a nice but modest boost to revenue, the market opportunity is large and we intend to increase the sales effort as our pipeline builds and our manufacturing capacity matures. As these initial installs mature, they will also start to drive service contract and Software-as-a-Service recurring revenue streams. Most impactful to system revenue over the coming few years will be scaling the adoption of our robotic technology. Our robotic technology has significant real-world validation with over 150,000 patients treated at over 100 leading hospitals globally. That said, we still have just a fraction of a percent market share in our beachhead market of electrophysiology and no presence yet in the larger interventional cardiology and neurointerventional fields. There is a market opportunity for many thousands of robotic systems across these markets. Our historical need to construct robotic labs was a major barrier to ever realizing that opportunity. GenesisX allows us to start envisioning a realistic way to scale robotic adoption much more significantly. Since we received regulatory clearance for GenesisX, we've been focused on how to ensure GenesisX can be installed alongside standard X-rays from leading manufacturers, removing the historical requirement that a robot only work with a specific modified X-ray. We focused our initial commercial launch on the early adopters who will demonstrate that potential and serve as reference sites for broad compatibility with various X-rays. We are pleased that in addition to the previously announced GenesisX purchase in Europe, we're able to announce our first GenesisX purchase in the U.S. from an academic medical center. The system is expected to be installed this fall with a non-modified X-ray from 1 of the larger X-ray manufacturers. With that installation, we expect to declare formal compatibility with that manufacturer's X-ray. The construction of the new wing of the hospital in Europe, where GenesisX is scheduled to be installed, also seems to be finally back on track with installation expected prior to year-end. We're continuing to advance several additional GenesisX sale or lease agreements that will further demonstrate the system being used in a variety of lab environments. With demonstration of GenesisX working reliably and compatibly with various X-rays, along with increased availability of MAGiC, we will initiate a more aggressive commercial launch of the technology. These initial green shoots of commercial success demonstrate the opportunity to build a highly successful business with our new product ecosystem. A proprietary catheter portfolio with its high margin razor blade business model has been central to our strategy and is now starting to become a material contributor. Accessibility of our robotic systems, such that we can reasonably scale to selling 10s and then 100s of robots a year is critical if we are to impact medicine in the way we should, and we have now begun that journey and will demonstrate the robot's performance in daily clinical use in the near term. This progress does not come easy and I want to recognize and congratulate the many Stereotaxis team members who make it possible. There are always hurdles and unforeseen challenges in the effort to pioneer new advanced technologies and to implement them in the complex healthcare market and demanding operating room environment. As a lean team working on multiple significant transitions in tandem, they're demonstrating our ability to rise to the challenge. Thank you everyone who makes this possible. It is particularly exciting for me that we are driving this operational and commercial progress while not slowing down on a robust innovation effort. There is much going on in the background and we are energetically nurturing significant opportunities that will blossom over the next few years. Our efforts can be summarized in a few key categories. First, robot accessibility. We're advancing a future generation of the GenesisX robot that will be fully wireless, battery operated and mobile. Second, a more robust portfolio of EP catheter innovation. Most imminently here, we expect first-in-human procedures with MAGiC and Pulsed Field Ablation before the end of this year. Third, a pipeline of robotic systems and interventional devices for the broader interventional cardiology and neurointerventional fields. We're advancing regulatory submissions and reviews for the EMAGIN family of magnetic guide catheters and guidewires that will be driven by GenesisX. Even more significantly, we closed the previously announced Robocath acquisition in July and are energetically advancing their fully complementary and separate robotic system for endovascular device navigation with a vision of offering a full ecosystem that enables remote, automated, and fully robotic treatment of stroke and cardiovascular disease. And fourth, AI efforts that will incorporate intelligent decision support features into Synchrony and automation to our robotic platforms. We will discuss these further on future calls and as they mature, but there is still much room to advance our technology in exciting ways that improve and expand our clinical impact and commercial opportunity. Our vision for what Stereotaxis can and will accomplish is becoming increasingly clear and tangible. The key puzzle pieces have come together in a remarkable fashion and we are enthusiastically advancing forward. Kim will now provide commentary on our financial results and then I'll make a few financial comments as well before opening the call to Q&A. Kim? Kimberly Peery: Thank you, David, and good afternoon, everyone. Revenue for the second quarter of 2026 totaled $7.7 million. Revenue in the quarter declined year-over-year due to the lack of a robotic system delivery in the quarter, but increased sequentially from the first quarter due to significantly higher catheter revenue. System revenue of $1.5 million and recurring revenue of $6.2 million compared to $3 million and $5.8 million in the prior year's second quarter. System revenue in the current quarter includes modest revenue recognition from previously delivered Genesis systems and ancillary equipment and a notable contribution from the initial launch of Synchrony. Recurring revenue in the quarter reflects a significant increase in revenue from our new portfolio of robotically navigated catheters, up 270% sequentially and 450% year-over-year, countered by general pressure on procedures as we transition away from Johnson & Johnson and manufacturing of our catheters. Gross margin for the second quarter of 2026 was 58% of revenue. Recurring revenue gross margin was 66% and system gross margin was 29%. Gross margins for both recurring revenue and systems are impacted by low manufacturing volumes. While we expect margins to remain at these approximate levels over the next few quarters, we see significant opportunity for margin expansion in 2027 and 2028. Operating expenses in the quarter of $9.1 million included $2.5 million in non-cash charges for stock compensation expense, mark-to-market adjustment for acquisition-related contingent earn-out consideration, and amortization of acquired intangible assets. Excluding these non-cash charges, adjusted operating expenses were $6.6 million, consistent with a year-ago period when adjusting for a one-time employee retention tax credit received in the prior year. Operating loss and net loss in the second quarter of 2026 were $4.6 million and $4.5 million compared with $4 million and $3.8 million in the previous year. Adjusted operating loss and adjusted net loss for the quarter, excluding non-cash charges, were $2.1 million and $2 million, compared with $1.4 million and $1.3 million in the previous year. Negative free cash flow for the second quarter was $3.7 million, consistent with the previous year. At June 30th, Stereotaxis had cash and cash equivalents of $10.5 million and no debt. I will now hand the call back to David. David Fischel: Thank you, Kim. We expect continued momentum in recurring revenue driven by increased manufacturing supply and expanded adoption of our robotic catheter portfolio. Recurring revenue is anticipated to grow to approximately $7 million in the third quarter and $8 million in the fourth quarter of this year, with significant room for continued momentum in 2027 and beyond. System revenue has been weak in the first half of this year, and we expect the second half to be stronger with approximately $3 million in each of the third and fourth quarters. From a financial perspective, we've maintained a lean operating budget while managing multiple product launches, ramping manufacturing, executing a strategic acquisition, and advancing a continued robust R&D effort. We are sensitive to subjecting investors to dilution and are confident we can advance our strategy on our current budget. We are internally modeling to reach cash flow profitability in the first half of 2027. As our recurring revenue ramps, the majority of incremental revenue flows to operating profit. This revenue ramp can be accomplished with our existing team, and as we reach cash flow profitability, we will reinvest our profits in our commercial organization supporting accelerated growth. We will now take your questions. Operator, can you please open the line to Q&A? Operator: [Operator Instructions] Your first question comes from Daniel Stauder from Citizens JMP. Daniel Stauder: Just the first one on guidance. I appreciate the level of quarterly detail for recurring revenue and capital. I believe that puts the full year at about $35 million. I was hoping you could give us some more color on, 1, your visibility, and 2, your confidence in terms of hitting these numbers in the back half, and more broadly, what is assumed or contemplated in terms of catheter manufacturing improvements, as well as some capital adoption and installation timing as we think about these expectations. David Fischel: Thanks for the questions. We thought that would be kind of a helpful way to share our expectations. And the growth in recurring revenue is essentially all driven by adoption of our proprietary catheters, of kind of our robotically steered catheters. And there's obviously volatility in any given quarter in terms of things like the Map-iT catheters and procedure volume. The third quarter is generally a seasonally weak quarter in terms of procedures just because of summer vacations, particularly in Europe, but also in the U.S. But generally, the growth is coming all from adoption of MAGiC, MAGiC Sweep, and in Europe we have kind of other catheters that we're able to also kind of supplement those. And so that's where all the growth comes from. We are looking at it both from a demand perspective and from a supply perspective, but in things like the third and fourth quarter, it's really still driven essentially all by supply. And so we're still supply constrained. We have a backlog of catheter orders from customers, from many customers. And as we get catheters in from that supply, we're able to ship it kind of very quickly to customers and recognize revenue. And so that's kind of the main factor in our determination. On the system side of things, it's a mix of both Synchrony and robotic systems. On the Synchrony side, we have been receiving, we have received orders that we've not yet filled. We're still receiving orders. I think the kind of the general guidance we gave in this call of around $1 million plus of Synchrony system sales per quarter seems very reasonable. And that obviously it's a lower ASP product in the near $200,000 range. And so that's something that we're shipping several of them out each quarter. On the system side, we are kind of the guidance -- kind of predicated on 1 system revenue recognition in each of the third and fourth quarter. We have obviously the GenesisX sale, which we expect to recognize revenue in the third quarter and install shortly thereafter. But -- and then kind of we have still a backlog and we have kind of additional Genesis orders that can be recognized as they get delivered and installed. And so that's kind of where the guidance comes from. Daniel Stauder: I appreciate that and thanks for the color. Just the next one on cash flow. It's great to get that update. But I was wondering if you could just parse out a little bit more in terms of granular assumptions, in terms of -- is there a certain revenue level? Are there any other specific improvements on the operating lines in order to get there? Just wanted to double hit on this and get any more commentary in terms of the cash flow. It'd be great. David Fischel: Sure. So I'll see if Kim wants to add to anything, but kind of from a very high level, right, we do scenario analyses all the time with conservative models, base models, and -- to kind of to evaluate the business and how we see it going. The main drivers of our business right now are the 3 that were discussed in the prepared remarks predominantly, again, the adoption of our robotically steered catheters and then capital sales both through Synchrony and through GenesisX. When we look at the ramp in catheter adoption given what we believe we will achieve from a manufacturing perspective and just the existing demand out there for those catheters, given the robotic procedures taking place at this time, I expect that our catheter innovations will improve utilization, but even without taking that into account, and with very modest assumptions on the capital side and kind of essentially the same kind of $1 million a quarter or so of Synchrony and system sales in line with our historical, we get to breakeven in the first half of next year and cash flow profitability kind of at that point. And so it requires relatively modest assumptions to get to breakeven. We are obviously staying lean on our operating expenses given that, but that doesn't mean that we don't continue to invest in the things that are impactful. And so we're still advancing a broad R&D pipeline. We're advancing some clinical studies. We're obviously doing all the operating work and commercial work to launch these new products. And so we think kind of with that balancing act of how to manage the expenses and then letting the recurring revenue start to kind of incrementally grow with that, with the availability of catheters, we'll be in a breakeven position at the beginning, at the early periods of next year. Daniel Stauder: And just 1 quick one, and I'll squeeze in on MAGiC catheters. Great to see the progress here on this side of the business. I know you mentioned last quarter that some of your customers were seeing revenue per procedure above $5,000, even up to $8,000. So I just wanted to ask on these dynamics, are you seeing that to continue in some of the early accounts or just any other trends you're seeing would be fantastic? David Fischel: Sure. So yes, obviously, kind of, the baseline when someone is adopting MAGiC is that they're using our QuikCAS device, that's a historical disposable device we've been selling for 20 years, plus now a MAGiC catheter, 1 of our catheters. And they can also then add to that if they want a robotic high density mapping catheter or other diagnostic catheters that we are now able to supply. And in the U.S., our pricing is extremely consistent across sites. And so that number of -- in the $5,000 to $8,000-plus range is a very consistent ASP we're receiving per procedure for the disposables used in a procedure. And in other geographies, it varies depending on the country. And so there's a tip -- and typically in Europe, it's at lower levels, but that's kind of the level that you quoted were the levels in the U.S. Daniel Stauder: Congrats on the progress. Operator: Your next question comes from Frank Takkinen from Lake Street Capital Markets. Nelson Cox: Hey, this is Nelson Cox on for Frank. Wanted to start with the U.S. GenesisX purchase. On the compatibility strategy, once you declare formal compatibility with that first X-ray manufacturer with the fall install, what's the path to other major OEMs? Does each need its own reference installation? Or does the first declaration shorten that work for the rest? And then on the at least 5 active programs you targeted for this year, is that something we should still be expecting? I think you had commented on maybe 1 being in the ASC setting, but just curious your thoughts there. David Fischel: Sure. Hi, Nelson. Thanks for the questions. And so on the X-ray compatibility side, we need to do the formal testing and there's a few stages of testing so we've already done various stages of testing with all of the large X-ray manufacturers and out there that initial phases of testing has gone well with all of the different X-ray manufacturers and that's what gives us confidence in GenesisX being able to serve as a robot that works compatibly, kind of broadly compatible with different X-rays in existing operating rooms. But the last stage of testing is actual formal compatibility testing, where in the clinical environment, we're placing the robot with the X-ray and doing formal testing compatibility of the 2 together. Once we do that with X-ray manufacturer A's and model A X-ray, then that becomes a compatibility statement that lasts for any of those X-rays, right? So then any other hospital that wants to use GenesisX with that X-ray, we can point to that compatibility statement and give them the confidence that it works together. And so that's really kind of this initial effort is with the 3, 4, 5 biggest X-ray manufacturers out there and making sure that kind of we have formal compatibility statements with their main X-rays and that we can kind of prove to the world and prove to our customer base that they are compatible in a regulatory-compliant fashion. And so that's the effort. We have kind of 1 of them, and that gets a little bit to your second question that, yes, we're still working. Obviously, the site in Italy is the second one that's actually an integrated X-ray that we've had other installs of Genesis in the past with. So we'll have kind of 2 X-rays working with GenesisX by the end of this year, 1 in Europe, 1 in the U.S., and we are still working. There's a pipeline of several hospitals, including an ASC that are working on lease agreements, and those are with actually other X-rays than the first 2 that I mentioned. And so we are expecting a few installs by the end of this year. I hope we can get towards 5, but we'll definitely have 2 and hopefully we'll have someone between that 2 and 5 by the end of this year installed and able to prove kind of work in the real world. Nelson Cox: And then maybe just on reoccurring gross margins, if I heard correctly, it sounds like the expectation is that sales are maybe around flat with the 66% through the end of the year. Maybe just remind us where you think these reoccurring margins can go into next year, as much as you can. David Fischel: So I would generally point us towards margins in the mid-70s as the robotic catheters become more and more a part of the overall revenue. And as we are manufacturing more of them, and so the overhead can be kind of laid out over a bigger base, we should be getting somewhere in the mid-70s, I'd say, as a kind of a margin that shouldn't be difficult for us to reach. Operator: And your next question comes from Joshua Jennings from TD Cowen. Joshua Jennings: Wanted to just punch in on the GenesisX sales funnel. Any updates there? I know you referenced the backlog in 1 of your answers, David, looking for just any quantitative levels of where the backlog stands now versus maybe this time last year. And then, the mix between new greenfield accounts versus replacements. David Fischel: Sure. Let me kind of comment, I guess, qualitatively, it's been very, very refreshing having GenesisX available as a system. We are engaging with many hospitals and many accounts where just historically there would be no opportunity or the opportunity would be years in the future, and we can actually have tangible discussions about how to bring a GenesisX system in there, how it can fit without construction, how -- at certain accounts where there is questioning over the clinical value and there's interest, but there's also uncertainty, there's the ability to talk about lease agreements and kind of the lack of permanence of the system and that kind of get your foot in the door, try it and kind of let us prove the value once we're already there. And so it definitely has helped us significantly have discussions with many accounts, including some of the most kind of prominent hospitals and kind of out there where historically before that we just didn't have our foot in the door and we couldn't really advance discussions in a very tangible way. And so that's kind of been awesome. It's been slow and the kind of the 2, I'd say, macro challenges in translating that overall interest in communication into conversion of deals has been obviously getting GenesisX actually working in the real world. And so let's say a month, a month and a half ago, right, we announced the launch of a new robotic program in Hungary and we have still hospitals that are more comfortable moving forward with Genesis, just because Genesis is a proven robot that has worked reliably in the real world. They can speak to physicians that have used it and kind of -- and so you have that kind of that certainty that it is a real reliable system for real world use. We need to prove the same for GenesisX. I have no doubts that we will prove that, but until you don't show it, there's always some more of a question mark in customers' minds. And so that's kind of 1 big thing that we need to do. The compatibility with various X-rays is a barrier because there are some physicians, some hospitals that are willing to be the first, but the average hospital prefers not to be the first 1 to prove things like that. And then obviously also MAGiC supply is the other third kind of barrier. Everyone who adopts GenesisX knows that they are -- that they need kind of to use MAGiC. And we're still in the phase of kind of -- making sure we have enough MAGiC to cover all the existing demand, let alone future demand. And so I'd say those are the 3 structural things that we're working on. I think we're making good methodical progress on all 3 of them. And over the next few months, should be able to at least with some of the X-rays, with the MAGiC manufacturing ramp with demonstrating GenesisX at these first 2 installs, we should be able to kind of reduce those and allow for kind of a higher momentum of GenesisX commercialization. Joshua Jennings: And just, great download and thorough download again today on the catheter buildout and the pipeline. I just wanted to circle back on just the future of GenesisX. I know I might imagine that your team is not standing still. I mean, can you talk about your ultimate vision as we think a couple years out, just I mean, and how GenesisX could open up or how you could enhance the platform with increased automation, maybe more telerobotic capabilities, and then how that all plays out in terms of potentially widening a competitive moat? It seems as if the electrophysiology community is warming up each quarter, each year to robotics having a bigger role in ablation and maybe other areas in the coming years. But maybe touch on continued advancement of GenesisX capabilities and also just the EP community's sentiment towards robotics and robotics technology going forward. David Fischel: Sure. So, let's say the Heart Rhythm Society, that's probably what you have in your mind, because I remember seeing you there at the Heart Rhythm Society conference this last May, I believe. There was the Society for Cardiac Robotic Navigation had their symposium in the middle of HRS. It was a huge room, and I was nervous that it would be relative, or at least look very empty. And we ended up having a great showing. It was clearly by far the largest showing we've had at an HRS conference for robotics that in any of my memory. And so we do see kind of that increased interest in that also. Kind of I think the innovations that we've been able to show and the ability to get multiple innovations actually to market and through regulatory approvals. I think there are many people who are recognizing that and that's why we're able to re-engage with some of these kind of preeminent hospitals in the U.S. that you know, historically we haven't had the relationships with and have meaningful conversations and kind of plan for how to work together in much more meaningful ways. And so I think you'll hopefully see some of that over the coming months as those come to fruition. And what I kind of say in terms of that kind of, on the 1 hand, we've done a lot. On the other hand, it feels like we're still in the very beginning of what should be done in terms of robotic innovation for this field and to really realize the full potential. And a little bit like in my prepared remarks, I think about our room for progress in 4 big buckets. And there's meaningful progress that is being made along each of -- in each of these 4 big buckets. The first is just again, increased accessibility. The easier you make it to adopt something, the better, and the more adoption you're going to get. GenesisX was a major step change versus Genesis and Niobe, but it still has some aspects which require kind of an actual installation and some aspects, cable -- some cable routing, some power cables. There's just, there are things still to be done there. And we are excited by -- at EHRA this past year, we kind of did a little demo of a fully wireless battery operated, fully mobile system that would help in various ways in smaller rooms. You'd be able to park the robot in corners of the room so you could fit it in smaller rooms. It would be a much easier even install, you literally roll it off a crate into the room. And it, kind of, it's a much more elegant system. And so that's, kind of, there's room for continued innovation there. And as we think about things like neuro or other fields, there's even much more dramatic steps beyond that. And the second big area is the interventional catheters and so having kind of a continued pipeline of interventional catheters that are robotically steered. Again, a robot is only as good as the catheters it drives. And so kind of there's a, you need to constantly think about how to innovate in that world. The third is, but then again, we've seen that things like the J&J catheter existed for 20 years and had a very long tail. So on the 1 hand, innovation is very important. On the other hand, there is such a value proposition to the robot that even when there wasn't innovation, you have a fairly sticky business given the value proposition of the robot. The third big area is how to make our robot multi-specialty. And that ties in with Robocath and the complementary mechanism of action and how to really make GenesisX plus/minus Robocath a multi-specialty robot. And then the fourth is kind of then what you were saying, how do you bring telerobotics? How do you bring automation? How do you bring augmented intelligence or artificial intelligence into the picture? And there are, there I'd say we're in our earliest phases but we have real tangible things there. Synchrony and SynX are approved and in use and, kind of, they're definitely a good technology platform now for that whole digital surgery effort and there's a whole pipeline there that in reality will take probably 10 years to realize fully the ideas that we have in our mind, but there will be many attractive stepping stones along the path with room for commercial impact along that journey. Operator: As there are no further questions at this time, I would now like to turn the call back over to David Fischel for the closing remarks. Please go ahead. David Fischel: Okay. Thank you for all the questions everyone and for your continued support. We'll continue working hard on your behalf and look forward to speaking again soon. Thank you. Operator: Ladies and gentlemen, thank you all for joining and that concludes today's conference call. All participants may now disconnect. Thank you. Before you buy stock in Stereotaxis, consider this: The Motley Fool Stock Advisor analyst team just identified what they believe are the 10 best stocks for investors to buy now… and Stereotaxis wasn’t one of them. The 10 stocks that made the cut are built for long-term growth and could produce monster returns in the coming years. Consider when Netflix made this list on December 17, 2004... if you invested $1,000 at the time of our recommendation, you’d have $409,970!* Or when Nvidia made this list on April 15, 2005... if you invested $1,000 at the time of our recommendation, you’d have $1,381,040!* That performance is why people listen. With a track record of beating the S&P 500 by nearly 5x, Stock Advisor offers a distinct advantage. Don't miss the latest top 10 list, available with Stock Advisor, and join an investing community built for the long haul. See the 10 stocks » *Stock Advisor returns as of August 18, 2026. This article is a transcript of this conference call produced for The Motley Fool. While we strive for our Foolish Best, there may be errors, omissions, or inaccuracies in this transcript. As with all our articles, The Motley Fool does not assume any responsibility for your use of this content, and we strongly encourage you to do your own research, including listening to the call yourself and reading the company's SEC filings. Please see our Terms and Conditions for additional details, including our Obligatory Capitalized Disclaimers of Liability. The Motley Fool has no position in any of the stocks mentioned. The Motley Fool has a disclosure policy. Stereotaxis (STXS) Q2 2026 Earnings Call Transcript was originally published by The Motley Fool
Investor releaseQuarter not tagged2026-08-12Stereotaxis Q2 Earnings Call Highlights
MarketBeat
Stereotaxis Q2 Earnings Call Highlights
Interested in Stereotaxis Inc.? Here are five stocks we like better. Second-quarter revenue was $7.7 million, with recurring revenue rising to $6.2 million as catheter sales offset lower system revenue. MAGiC catheter revenue grew sharply, but supply constraints limited shipments. Stereotaxis reported progress with its growth platforms: Synchrony systems began shipping, while GenesisX secured its first U.S. academic medical center order. Management expects two to five GenesisX installations by year-end 2026. The company projects recurring revenue of approximately $7 million in Q3 and $8 million in Q4, and is targeting cash-flow profitability in the first half of 2027, driven primarily by increased catheter adoption. 3 Underrated Robotics Stocks Poised for Huge Gains Stereotaxis (NYSEAMERICAN:STXS) reported second-quarter 2026 revenue of $7.7 million, as growth in sales of its robotic catheter portfolio helped lift recurring revenue to a multiyear high despite lower system revenue and continued supply constraints. Revenue declined from the prior-year quarter because the company did not deliver a robotic system during the period, Chief Financial Officer Kim Peery said. However, revenue increased sequentially from the first quarter, driven by higher catheter sales following the U.S. launch of the MAGiC catheter after first-quarter FDA clearance. → SoundHound AI Sends a Loud Signal After Its Q2 Earnings Beat System revenue was $1.5 million, compared with $3 million a year earlier, while recurring revenue rose to $6.2 million from $5.8 million. Recurring revenue included more than $1 million of robotic catheter revenue, Chairman and Chief Executive Officer David Fischel said. Fischel said robotic catheter revenue grew nearly 300% sequentially from the first quarter and 270% sequentially according to Peery’s financial commentary. The company said approximately a dozen U.S. sites received hospital approval to buy MAGiC and began procedures during the second quarter. → AST SpaceMobile Earnings Just Reminded Investors How Risky Space Can Be The CEO said early physician feedback on MAGiC had been positive, citing comments that the catheter improved targeting, ablation effectiveness and procedural efficiency. Stereotaxis is working through hospital approvals and launches across its U.S. and European installed base, and Fischel said the company expects the “vast majorit…Read full documentShow less
Interested in Stereotaxis Inc.? Here are five stocks we like better. Second-quarter revenue was $7.7 million, with recurring revenue rising to $6.2 million as catheter sales offset lower system revenue. MAGiC catheter revenue grew sharply, but supply constraints limited shipments. Stereotaxis reported progress with its growth platforms: Synchrony systems began shipping, while GenesisX secured its first U.S. academic medical center order. Management expects two to five GenesisX installations by year-end 2026. The company projects recurring revenue of approximately $7 million in Q3 and $8 million in Q4, and is targeting cash-flow profitability in the first half of 2027, driven primarily by increased catheter adoption. 3 Underrated Robotics Stocks Poised for Huge Gains Stereotaxis (NYSEAMERICAN:STXS) reported second-quarter 2026 revenue of $7.7 million, as growth in sales of its robotic catheter portfolio helped lift recurring revenue to a multiyear high despite lower system revenue and continued supply constraints. Revenue declined from the prior-year quarter because the company did not deliver a robotic system during the period, Chief Financial Officer Kim Peery said. However, revenue increased sequentially from the first quarter, driven by higher catheter sales following the U.S. launch of the MAGiC catheter after first-quarter FDA clearance. → SoundHound AI Sends a Loud Signal After Its Q2 Earnings Beat System revenue was $1.5 million, compared with $3 million a year earlier, while recurring revenue rose to $6.2 million from $5.8 million. Recurring revenue included more than $1 million of robotic catheter revenue, Chairman and Chief Executive Officer David Fischel said. Fischel said robotic catheter revenue grew nearly 300% sequentially from the first quarter and 270% sequentially according to Peery’s financial commentary. The company said approximately a dozen U.S. sites received hospital approval to buy MAGiC and began procedures during the second quarter. → AST SpaceMobile Earnings Just Reminded Investors How Risky Space Can Be The CEO said early physician feedback on MAGiC had been positive, citing comments that the catheter improved targeting, ablation effectiveness and procedural efficiency. Stereotaxis is working through hospital approvals and launches across its U.S. and European installed base, and Fischel said the company expects the “vast majority” of customers to transition from their historical dependence on Johnson & Johnson catheters to Stereotaxis catheters within the next year. Sales remain limited by available supply, however. The company has a backlog of catheter orders and is receiving more customer orders than it can supply through contract manufacturer Osypka AG, Fischel said. Management said it is making progress in raising production and establishing redundant supply sources. → First Solar’s Profit Engine Faces a New Policy Test in Washington Stereotaxis expects catheter revenue to increase by approximately $1 million in each of the next couple quarters, with a larger opportunity anticipated in 2027. In response to an analyst question, Fischel said U.S. disposable revenue per robotic procedure has been consistently in the range of $5,000 to more than $8,000, including the company’s QuikCAS device and MAGiC catheter, with potential additions from mapping or diagnostic catheters. The company also highlighted progress with Synchrony, its digital surgery platform designed to provide workflow, remote-connectivity and artificial-intelligence capabilities. Synchrony can serve as a control platform for Stereotaxis robots and has a separate potential application in non-robotic operating rooms. After receiving FDA clearance during the second quarter, Stereotaxis received orders for multiple Synchrony systems from several hospitals and shipped its first systems during the quarter. Additional systems shipped in the third quarter, and several are already in daily clinical use, Fischel said. Management expects Synchrony to generate more than $1 million of system revenue per quarter over the next several quarters, without a significant dedicated sales effort. The company said some hospitals are planning or considering standardizing catheter labs on Synchrony and SynX. Those installations could eventually generate service-contract and software-as-a-service recurring revenue. On its GenesisX robotic system, Stereotaxis announced its first U.S. purchase from an academic medical center. The system is expected to be installed this fall alongside a non-modified X-ray system from a major manufacturer. Following that installation, the company expects to declare formal compatibility with that manufacturer’s X-ray platform. GenesisX is intended to reduce adoption barriers by allowing the robot to work alongside standard X-ray systems rather than requiring a specific modified X-ray installation. Stereotaxis previously announced a GenesisX sale in Europe, where installation is expected before year-end as construction on a new hospital wing resumes. Fischel said the company expects to have GenesisX working with two X-ray systems by the end of 2026, one in Europe and one in the U.S. It is also pursuing several additional sales or lease agreements, including a potential ambulatory surgery center installation. He said the company hopes to have between two and five GenesisX systems installed by year-end. Second-quarter gross margin was 58%, including a 66% recurring-revenue gross margin and a 29% system gross margin. Peery said margins were affected by low manufacturing volumes and are expected to remain near current levels over the next several quarters. Management sees an opportunity for margin expansion in 2027 and 2028, and Fischel said recurring gross margins could reach the mid-70% range as catheter volume grows. Operating expenses totaled $9.1 million, including $2.5 million of non-cash charges related to stock compensation, acquisition-related contingent earn-out adjustments and amortization of acquired intangible assets. Adjusted operating expenses, excluding those charges, were $6.6 million. Operating loss was $4.6 million, compared with $4 million in the prior-year quarter. Net loss was $4.5 million, compared with $3.8 million a year earlier. Adjusted operating loss was $2.1 million, and adjusted net loss was $2 million. Negative free cash flow was $3.7 million, consistent with the prior year. Cash and cash equivalents totaled $10.5 million as of June 30, with no debt. For the second half, Stereotaxis expects recurring revenue of approximately $7 million in the third quarter and $8 million in the fourth quarter. System revenue is projected at about $3 million in each of those quarters, supported by Synchrony shipments and one robotic-system revenue recognition in each quarter. Fischel said the company is modeling for cash-flow profitability in the first half of 2027, based primarily on catheter adoption and relatively modest assumptions for capital sales. He said Stereotaxis intends to maintain a lean operating budget while continuing product launches, manufacturing expansion, research and development, and commercialization efforts. Beyond its current launches, Stereotaxis said it is advancing a wireless, battery-operated and mobile future version of GenesisX; a portfolio of electrophysiology catheter innovations; and products for interventional cardiology and neurointerventional markets. The company expects first human procedures using MAGiC with pulse field ablation before the end of 2026. It is also advancing regulatory submissions and reviews for the EMAGIN magnetic guide catheter and guidewire family. In July, Stereotaxis closed its previously announced acquisition of Robocath, which develops a separate robotic system for endovascular device navigation. Fischel said the company sees the combined technologies as part of an ecosystem intended to support remote, automated and robotic treatment of stroke and cardiovascular disease. Stereotaxis, Inc is a medical device company that develops and commercializes robotic magnetic navigation systems for use in electrophysiology procedures. Its core technology leverages precisely controlled magnetic fields to guide ultra-thin, magnetically enabled catheters through the vascular system, allowing physicians to perform complex cardiac ablation and diagnostic procedures with enhanced precision and stability. This platform aims to reduce procedure times and radiation exposure for both patients and clinical staff. The company's flagship offering, the Niobe Magnetic Navigation System, integrates with a variety of catheter types and electrophysiology mapping systems to support treatment of arrhythmias such as atrial fibrillation and ventricular tachycardia. This instant news alert was generated by narrative science technology and financial data from MarketBeat in order to provide readers with the fastest reporting and unbiased coverage. Please send any questions or comments about this story to [email protected]. The article "Stereotaxis Q2 Earnings Call Highlights" was originally published by MarketBeat. View MarketBeat's top stocks for August 2026.
Investor releaseQuarter not tagged2026-08-12Stereotaxis, Inc. Q2 2026 Earnings Call Summary
Moby
Stereotaxis, Inc. Q2 2026 Earnings Call Summary
Our analysts just identified a stock with the potential to be the next Nvidia. Tell us how you invest and we'll show you why it's our #1 pick. Tap here. Achieved a multi-year high in recurring revenue, surpassing $6 million, driven by the U.S. launch of the MAGiC robotic catheter following FDA approval. Robotic catheter revenue grew nearly 300% sequentially, validating the strategy to transition from legacy third-party catheters to a proprietary high-margin ecosystem. Early clinical feedback indicates the MAGiC catheter significantly improves ablation efficiency and navigation, effectively doubling the perceived value of the robotic system for physicians. The Synchrony digital surgery system received FDA clearance and immediate organic interest, serving as both a robotic cockpit and a standalone solution for non-robotic labs. GenesisX is designed to remove historical adoption barriers by enabling compatibility with standard X-ray systems from major manufacturers without requiring lab construction. Management attributes the current commercial momentum to the successful execution of a synergistic product ecosystem that reduces barriers to entry while improving the business model. Projecting a $1 million incremental step-up in catheter revenue for each of the next two quarters as manufacturing supply constraints are methodically addressed. Anticipating cash flow profitability in the first half of 2027, assuming modest capital sales and continued ramp of the recurring revenue stream. Planning a more aggressive commercial launch of GenesisX following formal compatibility declarations with major X-ray manufacturers expected this fall. Advancing a robust R&D pipeline including wireless, mobile robotic systems and first-in-human procedures for Pulsed Field Ablation (PFA) before year-end. Integrating the Robocath acquisition to develop a multi-specialty ecosystem for remote, automated treatment of stroke and cardiovascular disease. Current sales remain supply-constrained as the company works with contract manufacturer Osypka to increase output and clear the existing order backlog. Gross margins are currently impacted by low manufacturing volumes, with significant expansion opportunities projected for 2027 and 2028 as scale increases. The transition away from Johnson & Johnson catheters has created temporary pressure on procedure volumes during the customer conversion…Read full documentShow less
Our analysts just identified a stock with the potential to be the next Nvidia. Tell us how you invest and we'll show you why it's our #1 pick. Tap here. Achieved a multi-year high in recurring revenue, surpassing $6 million, driven by the U.S. launch of the MAGiC robotic catheter following FDA approval. Robotic catheter revenue grew nearly 300% sequentially, validating the strategy to transition from legacy third-party catheters to a proprietary high-margin ecosystem. Early clinical feedback indicates the MAGiC catheter significantly improves ablation efficiency and navigation, effectively doubling the perceived value of the robotic system for physicians. The Synchrony digital surgery system received FDA clearance and immediate organic interest, serving as both a robotic cockpit and a standalone solution for non-robotic labs. GenesisX is designed to remove historical adoption barriers by enabling compatibility with standard X-ray systems from major manufacturers without requiring lab construction. Management attributes the current commercial momentum to the successful execution of a synergistic product ecosystem that reduces barriers to entry while improving the business model. Projecting a $1 million incremental step-up in catheter revenue for each of the next two quarters as manufacturing supply constraints are methodically addressed. Anticipating cash flow profitability in the first half of 2027, assuming modest capital sales and continued ramp of the recurring revenue stream. Planning a more aggressive commercial launch of GenesisX following formal compatibility declarations with major X-ray manufacturers expected this fall. Advancing a robust R&D pipeline including wireless, mobile robotic systems and first-in-human procedures for Pulsed Field Ablation (PFA) before year-end. Integrating the Robocath acquisition to develop a multi-specialty ecosystem for remote, automated treatment of stroke and cardiovascular disease. Current sales remain supply-constrained as the company works with contract manufacturer Osypka to increase output and clear the existing order backlog. Gross margins are currently impacted by low manufacturing volumes, with significant expansion opportunities projected for 2027 and 2028 as scale increases. The transition away from Johnson & Johnson catheters has created temporary pressure on procedure volumes during the customer conversion process. Closed the Robocath acquisition in July 2026, expanding the strategic focus toward neurointerventional and interventional cardiology markets. One stock. Nvidia-level potential. 30M+ investors trust Moby to find it first. Get the pick. Tap here. Growth is primarily driven by MAGiC catheter adoption, which is currently limited by supply rather than demand, providing high visibility into revenue as manufacturing ramps. System revenue guidance assumes one robotic system recognition per quarter plus approximately $1 million per quarter from Synchrony digital systems. Profitability modeling relies on modest capital sales and the high-margin flow-through of recurring catheter revenue, which requires minimal additional operating expense. Management intends to maintain a lean budget, reinvesting future profits into the commercial organization to accelerate growth once breakeven is achieved. Formal compatibility testing with the first major X-ray OEM is expected this fall, which will serve as a reference for broader market adoption. The company is utilizing lease agreements to lower adoption barriers for hospitals that are interested in the clinical value but hesitant about permanent installations.
Investor releaseQuarter not tagged2026-08-11Stereotaxis Reports 2026 Second Quarter Financial Results & Business Updates
GlobeNewswire
Stereotaxis Reports 2026 Second Quarter Financial Results & Business Updates
Robotic catheter revenue surpasses $1M in the quarter, growing 270% sequentially First GenesisX robotic system purchase by US hospital to be installed this fall Multiple Synchrony digital operating room systems sold and installed following FDA clearance in April Completed previously announced acquisition of Robocath, strengthening robotic technology leadership across the full spectrum of endovascular procedures ST. LOUIS, Mo., Aug. 11, 2026 (GLOBE NEWSWIRE) -- Stereotaxis (NYSE: STXS), a pioneer and global leader in surgical robotics for minimally invasive endovascular intervention, today reported business updates and financial results for the second quarter ended June 30, 2026. “Stereotaxis has reached an important commercial inflection point. Following years of product development and regulatory milestones, the Company’s expanded robotic platform is now generating accelerating commercial adoption across multiple product lines,” said David Fischel, Stereotaxis Chairman and CEO. “Over the last several years we advanced an exciting ecosystem of robotic, catheter and digital innovations through development and regulatory milestones. We are now witnessing the initial green shoots of commercial success, including quarterly revenue from our novel robotic catheters exceeding one million dollars, the first Synchrony system sales, and the first US purchase of a GenesisX robot.” “We are making methodical progress on the operational and commercial efforts needed to drive revenue growth. We expect continued momentum throughout this year as we ramp manufacturing and address commercial friction. We have line of sight to sustained revenue growth and reaching cash flow profitability in the coming quarters.” “In parallel to our commercial efforts, we continue to invest in a broad pipeline of innovations that expand our technology into a platform across endovascular surgery, enhances our competitiveness in electrophysiology, and delivers digital connectivity, automation and intelligence to the operating room.” 2026 Second Quarter Financial ResultsRevenue for the second quarter of 2026 totaled $7.7 million. System revenue of $1.5 million declined from $3.0 million in the prior year second quarter, with the lack of a robotic system delivery in the quarter partially countered by initial Synchrony sales. Recurring revenue of $6.2 million increased from $5.8 million in the prior…Read full documentShow less
Robotic catheter revenue surpasses $1M in the quarter, growing 270% sequentially First GenesisX robotic system purchase by US hospital to be installed this fall Multiple Synchrony digital operating room systems sold and installed following FDA clearance in April Completed previously announced acquisition of Robocath, strengthening robotic technology leadership across the full spectrum of endovascular procedures ST. LOUIS, Mo., Aug. 11, 2026 (GLOBE NEWSWIRE) -- Stereotaxis (NYSE: STXS), a pioneer and global leader in surgical robotics for minimally invasive endovascular intervention, today reported business updates and financial results for the second quarter ended June 30, 2026. “Stereotaxis has reached an important commercial inflection point. Following years of product development and regulatory milestones, the Company’s expanded robotic platform is now generating accelerating commercial adoption across multiple product lines,” said David Fischel, Stereotaxis Chairman and CEO. “Over the last several years we advanced an exciting ecosystem of robotic, catheter and digital innovations through development and regulatory milestones. We are now witnessing the initial green shoots of commercial success, including quarterly revenue from our novel robotic catheters exceeding one million dollars, the first Synchrony system sales, and the first US purchase of a GenesisX robot.” “We are making methodical progress on the operational and commercial efforts needed to drive revenue growth. We expect continued momentum throughout this year as we ramp manufacturing and address commercial friction. We have line of sight to sustained revenue growth and reaching cash flow profitability in the coming quarters.” “In parallel to our commercial efforts, we continue to invest in a broad pipeline of innovations that expand our technology into a platform across endovascular surgery, enhances our competitiveness in electrophysiology, and delivers digital connectivity, automation and intelligence to the operating room.” 2026 Second Quarter Financial ResultsRevenue for the second quarter of 2026 totaled $7.7 million. System revenue of $1.5 million declined from $3.0 million in the prior year second quarter, with the lack of a robotic system delivery in the quarter partially countered by initial Synchrony sales. Recurring revenue of $6.2 million increased from $5.8 million in the prior year second quarter, reflecting contributions from Stereotaxis’ new robotic catheters counteracting general procedural pressure from limited catheter supply. Gross margin for the second quarter of 2026 was 58% of revenue. Recurring revenue gross margin was 66%, and system gross margin was 29%. Operating expenses in the quarter of $9.1 million included $2.5 million in non-cash charges for stock compensation expense, mark-to-market adjustment for acquisition related contingent earnout consideration, and amortization of acquired intangible assets. Excluding these non-cash charges, adjusted operating expenses were $6.6 million, consistent with the year-ago period when adjusting for a one-time employee retention tax credit received in the prior year. Operating loss and net loss in the second quarter of 2026 were ($4.6) million and ($4.5) million, respectively, compared with ($4.0) million and ($3.8) million in the previous year. Adjusted operating loss and adjusted net loss for the quarter, excluding non-cash charges, were ($2.1) million and ($2.0) million, respectively, compared with ($1.4) million and ($1.3) million in the previous year quarter. Negative free cash flow for the second quarter was ($3.7) million, consistent with the previous year. Cash Balance and LiquidityAt June 30, 2026, Stereotaxis had cash and cash equivalents of $10.5 million and no debt. Forward Looking ExpectationsStereotaxis anticipates recurring revenue to grow to approximately $7 million in the third quarter and $8 million in the fourth quarter of this year, driven by methodical increases in MAGiC catheter manufacturing. System revenue is expected to be approximately $3 million in each of the third and fourth quarters. Stereotaxis believes it can advance its strategy, integrate Robocath, and grow revenue significantly without having to subject investors to substantial dilution. Cash flow profitability is anticipated to be reached in the first half of 2027. Conference Call and WebcastStereotaxis will host a conference call and webcast today, August 11, 2026, at 4:30 p.m. Eastern Time. To access the conference call, dial 800-715-9871 (US and Canada) or 646-307-1963 (International) and give the participant pass code 4404741. To access the live and replay webcast, please visit the investor relations section of the Stereotaxis website at www.Stereotaxis.com. About StereotaxisStereotaxis (NYSE: STXS) is a pioneer and global leader in innovative surgical robotics for minimally invasive endovascular intervention. Its mission is the discovery, development and delivery of robotic systems, instruments, and information solutions for the interventional laboratory. These innovations help physicians provide unsurpassed patient care with robotic precision and safety, expand access to minimally invasive therapy, and enhance the productivity, connectivity, and intelligence in the operating room. Stereotaxis technology has been used to treat over 150,000 patients across the United States, Europe, Asia, and elsewhere. For more information, please visit www.Stereotaxis.com. This press release includes statements that may constitute “forward-looking” statements, usually containing the words “believe”, “estimate”, “project”, “expect” or similar expressions. These forward-looking statements include without limitation statements regarding the recently completed acquisition of Robocath, including the Company’s ability to advance its strategy, integrate Robocath, and grow revenue significantly without having to subject investors to substantial dilution. Forward-looking statements inherently involve risks and uncertainties that could cause actual results to differ materially. Factors that would cause or contribute to such differences include, but are not limited to, uncertainties involving the following: the Company’s ability to manage expenses at sustainable levels; acceptance of the Company’s products in the marketplace; the effect of global economic conditions, including tariffs, on the ability and willingness of customers to purchase its technology; competitive factors; changes resulting from healthcare policy; dependence upon third-party vendors; timing of regulatory approvals, including as it relates to Robocath’s products; the impact of pandemics or other disasters; statements generally relating to our recent acquisition of Robocath, including any benefits expected from the acquisitions, as well as any plans, forecasts and other expectations with respect to Robocath’s business following the completion of the transaction; and the other risks discussed in the Company's periodic and other filings with the Securities and Exchange Commission. By making these forward-looking statements, the Company undertakes no obligation to update these statements for revisions or changes after the date of this release. Additional information will also be set forth in future filings that we make with the SEC from time to time. All forward-looking statements in this press release are based on information available to us as of the date hereof, and we do not assume any obligation to update the forward-looking statements provided to reflect events that occur or circumstances that exist after the date on which they were made. There can be no assurance that the Company will recognize revenue related to its purchase orders and other commitments because some of these purchase orders and other commitments are subject to contingencies that are outside of the Company's control and may be revised, modified, delayed, or canceled. Company Contacts: David L. FischelChairman and Chief Executive Officer Kimberly R. Peery Chief Financial Officer [email protected]
TranscriptFY2026 Q22026-08-11FY2026 Q2 earnings call transcript
Earnings source - 60 paragraphs
FY2026 Q2 earnings call transcript
Good afternoon. Thank you for joining us for Stereotaxis Second Quarter 2026 earnings conference call. Certain statements during the conference call and question and answer period to follow may relate to future events, expectations, and as such, constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Such statements involve known and unknown risks, uncertainties and other factors which may cause the actual results, performance, or achievements of the company in the future to be materially different from the statements that the company's executives may make today.
These risks are described in detail in our public filings with the Securities and Exchange Commission, including our latest periodic report on Form 10-K or 10-Q. We assume no duty to update this statement. At this time, all participants have been placed on a listen-only mode. The floor will be opened for questions and comments following the presentation. As a reminder, today's call is being recorded. It is now my pleasure to turn the floor over to your host, David Fischel, Chairman and CEO of Stereotaxis. Please go ahead.
Thank you, operator, and good afternoon, everyone. On our last call, we discussed in detail the structural transformations taking place at Stereotaxis. We have just celebrated a particularly milestone-rich period with regulatory approvals for a new robot, both therapeutic and diagnostic catheters, and a digital surgery system. These products individually and collectively as a synergistic ecosystem, create an attractive foundation for us to scale commercialization with reduced barriers to adoption and a much more attractive business model. During the second quarter, Stereotaxis reached an important commercial inflection point as our expanded product offering is now generating accelerating adoption. It is still just the initial green shoots of commercial success, but the early experience and feedback provides confidence in sustained progress. I'll discuss on today's call the primary areas of commercial progress, the feedback from the field, and our efforts to accelerate growth.
I'll then share some additional updates on the robust pipeline of innovations that we continue to advance and that will drive a second wave of growth over the coming years. Kim will then share financial details for the quarter, and we'll open the line for questions. A key area of focus in the second quarter was on the launch of MAGiC in the U.S. following FDA approval in the first quarter. While supply-constrained and still just in the early adoption phase, that launch allows us to reach a multiyear high point in recurring revenue, which surpassed $6 million in the quarter, driven by over $1 million in robotic catheter revenue. Our robotic catheter revenue is scaling significantly in both the U.S. and Europe, with nearly 300% sequential growth from the first to the second quarter.
We are in the early phase of adoption of MAGiC, with about a dozen U.S. sites receiving hospital approval to purchase the catheter and beginning procedures in the second quarter. Several physicians sent me unprompted feedback as they started to use the catheter. One physician commented, quote, "MAGiC performs so much better than the old ablation catheter. Basically, you can more reliably target tissue and more effectively ablate the target tissue. It fundamentally changes the utility of the Stereotaxis system, more than doubling the value of having a robot." Another physician, upon completing his first 10 procedures, mentioned that he is, quote, "Loving it" and that the catheter is improving his efficiency significantly with a more stable and more powerful catheter delivering rapid, effective ablations. Another physician, after his first day of procedures, mentioned, quote, "Wow, this catheter navigates well. You guys have something special." This feedback is highly encouraging.
We have long known that the perception and value proposition of robotics in EP is only as good as the catheters available for use with the robot. Being tied to a decades-old catheter that did not benefit from continued innovation limited our potential. It is very satisfying to see the innovations we took from concept to commercial reality benefit critical patients with complex arrhythmias and the physicians that treat them. It gives us confidence that our efforts to reestablish Stereotaxis on a healthy foundation and trajectory are off to a good start. We are continuing to methodically work through hospital approvals and initial launches of our robotic catheters across our U.S. and European installed base. We expect the vast majority to shift from their historical dependency on J&J to our catheters within the next year.
While working through the commercial friction of transitioning each customer, we are putting significant effort into ramping manufacturing of catheters. Sales remain supply-constrained as we work to increase output, with catheters still on backlog as we receive more orders from customers than the supply we receive from our contract manufacturer, Osypka AG. We are seeing methodical progress in increasing supply and are separately reaching key milestones in establishing supply redundancy. These support our expectations of sustained growth in our catheter revenue stream, and we are guiding for an approximate $1 million incremental step-up in catheter revenue in each of the next couple quarters, with significantly more opportunity beyond that in 2027. Shifting now to system revenue. There are two primary items to discuss, Synchrony and GenesisX. During the second quarter, we received FDA clearance for the Synchrony system.
As a reminder, Synchrony and SynX are our digital solutions that modernize the interventional surgical suite with enhanced workflow, remote connectivity, and smart AI capabilities. Synchrony serves as the cockpit for every robot, but also has an independent, much larger opportunity in non-robotic operating rooms. Shortly after receiving regulatory clearance, we received orders for multiple systems from several hospitals. We shipped the first few systems in the second quarter, have continued to ship systems in the third quarter, and there are already several systems in daily clinical use. They are performing well in the field, and we have a pipeline of software feature enhancements over the coming months and years that will continue to expand the value proposition. Without a significant dedicated sales effort, we are seeing organic interest that should support over $1 million in Synchrony system revenue each quarter for the next few quarters.
Most excitingly, there are several hospitals that are planning or considering standardizing their catheter labs on Synchrony and SynX. While the current contribution of Synchrony is a nice but modest boost to revenue, the market opportunity is large, and we intend to increase the sales effort as our pipeline builds and our manufacturing capacity matures. As these initial installs mature, they will also start to drive service contract and Software-as-a-Service recurring revenue streams. Most impactful to system revenue over the coming few years will be scaling the adoption of our robotic technology. Our robotic technology has significant real-world validation, with over 150,000 patients treated at over 100 leading hospitals globally. That said, we still have just a fraction of a percent market share in our beachhead market of electrophysiology and no presence yet in the larger interventional cardiology and neurointerventional fields.
There is a market opportunity for many thousands of robotic systems across these markets. Our historical need to construct robotic labs was a major barrier to ever realizing that opportunity. GenesisX allows us to start envisioning a realistic way to scale robotic adoption much more significantly. Since we received regulatory clearance for GenesisX, we have been focused on how to ensure GenesisX can be installed alongside standard X-rays from leading manufacturers, removing the historical requirement that our robot only work with a specific modified X-ray. We focused our initial commercial launch on the early adopters who will demonstrate that potential and serve as reference sites for broad compatibility with various X-rays. We are pleased that in addition to the previously announced GenesisX purchase in Europe, we are able to announce our first GenesisX purchase in the U.S. from an academic medical center.
The system is expected to be installed this fall with a non-modified X-ray from one of the larger X-ray manufacturers. With that installation, we expect to declare formal compatibility with that manufacturer's X-ray. The construction of the new wing of the hospital in Europe, where GenesisX is scheduled to be installed, also seems to be finally back on track, with installation expected prior to year-end. We are continuing to advance several additional GenesisX sale or lease agreements that will further demonstrate the system being used in a variety of lab environments. With demonstration of GenesisX working reliably and compatibly with various X-rays, along with increased availability of MAGiC, we will initiate a more aggressive commercial launch of the technology. These initial green shoots of commercial success demonstrate the opportunity to build a highly successful business with our new product ecosystem.
A proprietary catheter portfolio with its high-margin razor blade business model has been central to our strategy and is now starting to become a material contributor. Accessibility of our robotic system, such that we can reasonably scale to selling tens and then hundreds of robots a year, is critical if we are to impact medicine in the way we should, and we have now begun that journey and will demonstrate the robot's performance in daily clinical use in the near term. This progress does not come easy, and I want to recognize and congratulate the many Stereotaxis team members who make it possible. There are always hurdles and unforeseen challenges in the effort to pioneer new advanced technologies and to implement them in the complex healthcare market and demanding operating room environment.
As a lean team working on multiple significant transitions in tandem, they are demonstrating our ability to rise to the challenge. Thank you everyone who makes this possible. It is particularly exciting for me that we are driving this operational and commercial progress while not slowing down on a robust innovation effort. There is much going on in the background, and we are energetically nurturing significant opportunities that will blossom over the next few years. Our efforts can be summarized in a few key categories. 1st, robot accessibility. We are advancing a future generation of the GenesisX robot that will be fully wireless, battery-operated, and mobile. 2nd, a more robust portfolio of EP catheter innovation.
Most imminently here, we expect first human procedures with MAGiC and pulse field ablation before the end of this year. 3rd, a pipeline of robotic systems and interventional devices for the broader interventional cardiology and neurointerventional fields. We are advancing regulatory submissions and reviews for the EMAGIN family of magnetic guide catheters and guide wires that will be driven by GenesisX. Even more significantly, we closed the previously announced Robocath acquisition in July and are energetically advancing their fully complementary and separate robotic system for endovascular device navigation with the vision of offering a full ecosystem that enables remote, automated, and fully robotic treatment of stroke and cardiovascular disease. 4th, AI efforts that will incorporate intelligent decision support features into Synchrony and automation to our robotic platforms.
We will discuss these further on future calls and as they mature, but there is still much room to advance our technology in exciting ways that improve and expand our clinical impact and commercial opportunity. Our vision for what Stereotaxis can and will accomplish is becoming increasingly clear and tangible. The key puzzle pieces have come together in a remarkable fashion, and we are enthusiastically advancing forward. Kim will now provide commentary on our financial results, and then I will make a few financial comments as well before opening the call to Q&A. Kim?
Thank you, David, and good afternoon, everyone. Revenue for the second quarter of 2026 totaled $7.7 million. Revenue in the quarter declined year-over-year due to the lack of a robotic system delivery in the quarter, but increased sequentially from the first quarter due to significantly higher catheter revenue. System revenue of $1.5 million and recurring revenue of $6.2 million compared to $3 million and $5.8 million in the prior year's second quarter. System revenue in the current quarter includes modest revenue recognition from previously delivered Genesis systems and ancillary equipment, and a notable contribution from the initial launch of Synchrony. Recurring revenue in the quarter reflects a significant increase in revenue from our new portfolio of robotically navigated catheters, up 270% sequentially and 450% year-over-year, countered by general pressure on procedures as we transition away from Johnson & Johnson and ramp manufacturing of our catheters.
Gross margin for the second quarter of 2026 was 58% of revenue. Recurring revenue gross margin was 66%, and system gross margin was 29%. Gross margins for both recurring revenue and systems are impacted by low manufacturing volumes. While we expect margins to remain at these approximate levels over the next few quarters, we see significant opportunity for margin expansion in 2027 and 2028. Operating expenses in the quarter of $9.1 million included $2.5 million in non-cash charges for stock compensation expense, mark-to-market adjustment for acquisition-related contingent earn-out consideration, and amortization of acquired intangible assets. Excluding these non-cash charges, adjusted operating expenses were $6.6 million, consistent with a year-ago period when adjusting for a one-time employee retention tax credit received in the prior year.
Operating loss and net loss in the second quarter of 2026 were $4.6 million and $4.5 million, compared with $4 million and $3.8 million in the previous year. Adjusted operating loss and adjusted net loss for the quarter, excluding non-cash charges, were $2.1 million and $2 million compared with $1.4 million and $1.3 million in the previous year. Negative free cash flow for the second quarter was $3.7 million, consistent with the previous year. At June 30th, Stereotaxis had cash and cash equivalents of $10.5 million and no debt. I will now hand the call back to David.
Thank you, Kim. We expect continued momentum in recurring revenue driven by increased manufacturing supply and expanded adoption of our robotic catheter portfolio. Recurring revenue is anticipated to grow to approximately $7 million in the third quarter and $8 million in the fourth quarter of this year, with significant room for continued momentum in 2027 and beyond. System revenue has been weak in the first half of this year, and we expect the second half to be stronger with approximately $3 million in each of the third and fourth quarters. From a financial perspective, we've maintained a lean operating budget while managing multiple product launches, ramping manufacturing, executing a strategic acquisition, and advancing a continued robust R&D effort. We are sensitive to subjecting investors to dilution and are confident we can advance our strategy on our current budget.
We are internally modeling to reach cash flow profitability in the first half of 2027. As our recurring revenue ramps, the majority of incremental revenue flows to operating profit. This revenue ramp can be accomplished with our existing team, and as we reach cash flow profitability, we will reinvest our profits in our commercial organization, supporting accelerated growth. We'll now take your questions. Operator, can you please open the line to Q&A?
Thank you. We will now begin the question and answer session. If you would like to ask a question, please press star one on your telephone keypad to join the queue. If you would like to withdraw your question, simply press star one again. If you are called upon to ask your question and are listening via loudspeaker on your device, please pick up your handset and ensure that your phone is not on mute when asking your question. Just a reminder, we ask that you please limit yourself to one question and one follow-up only. After that, you can just simply join the queue again for more questions. Thank you. Your first question comes from Daniel Stauder from Citizens. Please go ahead.
Yeah, great. Thanks for the questions. Just the first one on guidance. I appreciate the level of quarterly detail for recurring revenue and capital. I believe that puts the full year at about $35 million. But I was hoping you could give us some more color on, one, your visibility, and two, your confidence in terms of hitting these numbers in the back half, and more broadly, what is assumed or contemplated in terms of catheter manufacturing improvements, as well as some capital adoption and installation timing as we think about these expectations. Thank you.
Hi, Danny. Good afternoon. Thanks for the questions. We thought that would be kind of a helpful way to share our expectations. The growth in recurring revenue is essentially all driven by adoption of our proprietary catheters, of our robotically steered catheters. There is obviously volatility in any given quarter in terms of things like the MAGiC catheters and procedure volume. The third quarter is generally a seasonally weak quarter in terms of procedures, just because of summer vacations, particularly in Europe but also in the U.S. But generally, the growth is coming all from adoption of MAGiC Sweep. In Europe, we have other catheters that we are able to also kind of supplement those. And so that is where all the growth comes from.
We are looking at it both from a demand perspective and from a supply perspective, but in things like the third and fourth quarter, it is really still driven essentially all by supply. And so we are still supply constrained. We have a backlog of catheter orders from customers, from many customers. As we get catheters in from that supply, we are able to ship it very quickly to customers and recognize revenue. And so that is kind of the main factor in our determination. On the system side of things, it is a mix of both Synchrony and robotic systems. On the Synchrony side, we have received orders that we have not yet filled. We are still receiving orders. I think the general guidance we gave in this call of around $1 million plus of Synchrony system sales per quarter seems very reasonable.
That obviously it's a lower ASP product in the near $200,000 range. That's something that we're shipping several of them out each quarter. On the system side, the guidance is predicated on one system revenue recognition in each of the third and fourth quarter. We have obviously the GenesisX sale, which we expect to recognize revenue in the third quarter and install shortly thereafter. Then we have still a backlog, and we have additional Genesis orders that can be recognized as they get delivered and installed. That's kind of where the guidance comes from.
No, I appreciate that, and thanks for the color. Just the next one on cash flow. It's great to get that update, but I was wondering if you could just parse out a little bit more in terms of granular assumptions, in terms of, is there a certain revenue level? Are there any other specific improvements on the operating lines in order to get there? Just want to double hit on this and get any more commentary in terms of the cash flow would be great. Thank you.
Sure. I'll see if Kim wants to add to anything, but kind of from a very high level. We do scenario analyses all the time with conservative models, base models, to evaluate the business and how we see it going. The main drivers of our business right now are the three that were discussed in the prepared remarks. Predominantly again, the adoption of our robotically steered catheters, and then capital sales both through Synchrony and through GenesisX. When we look at the ramp in catheter adoption, given what we believe we will achieve from a manufacturing perspective and just the existing demand out there for those catheters, given the robotic procedures taking place at this time, I expect that our catheter innovations will improve utilization.
But even without taking that into account and with very modest assumptions on the capital side, kind of essentially the same $1 million a quarter or so of Synchrony and system sales in line with our historical, we get to break even in the first half of next year and cash flow profitability kind of at that point. It requires relatively modest assumptions to get to break even. We are obviously staying lean on our operating expenses given that, but that doesn't mean that we don't continue to invest in the things that are impactful.
We're still advancing a broad R&D pipeline. We're advancing some clinical studies. We're obviously doing all the operating work and commercial work to launch these new products. We think with that balancing act of how to manage the expenses and then letting the recurring revenue start to incrementally grow with the availability of catheters, we will be in a break-even position at the early periods of next year.
Great. Thanks so much. Just one quick one and I will squeeze in, on MAGiC catheters. Great to see the progress here on this side of the business. I know you mentioned last quarter that some of your customers were seeing revenue per procedure above $5,000, even up to $8,000. I just wanted to ask on these dynamics, are you seeing that to continue in some of the early accounts? Or just any other trends you are seeing would be fantastic. Thank you.
Sure. Yes, obviously, the baseline when someone is adopting MAGiC is that they are using our QuikCAS device. That is the historical disposable device we have been selling for 20 years. Plus now a MAGiC catheter, one of our catheters. They can also then add to that if they want a robotic high-density mapping catheter or other diagnostic catheters that we are now able to supply. In the U.S., our pricing is extremely consistent across sites, and so that number of in the $5,000-$8,000+ range is a very consistent ASP we are receiving per procedure for the disposables used in a procedure. In other geographies, it varies depending on the country. Typically, in Europe, it is at lower levels. But the levels that you quoted were the levels in the U.S.
Great. Thanks for the questions and congrats on the progress.
Thank you very much.
Your next question comes from Frank Takkinen from Lake Street Capital Markets. Please go ahead.
Hey, this is Nelson Cox on for Frank. Thanks for taking the questions. I wanted to start with the U.S. GenesisX purchase. On the compatibility strategy, once you declare formal compatibility with that first X-ray manufacturer with the fall install, what's the path to other major OEMs? Does each need its own reference installation, or does the first declaration shorten that work for the rest? On the at least five active programs you targeted for this year, is that something we should still be expecting? I think you had commented on maybe one being in the ASC setting, but just curious your thoughts there. Thanks.
Sure. Hi, Nelson. Thanks for the questions. On the X-ray compatibility side, we need to do the formal testing, and there's a few stages of that testing. We've already done various stages of testing with all of the large X-ray manufacturers out there. That initial phases of testing has gone well with all of the different X-ray manufacturers, and that's what gives us confidence in GenesisX being able to serve as a robot that works compatibly, kind of broadly compatible with different X-rays in existing operating rooms. But the last stage of testing is actual formal compatibility testing, where in the clinical environment, we're placing the robot with the X-ray and doing formal compatibility of the two together. Once we do that with X-ray manufacturer A's model A X-ray, then that becomes a compatibility statement that lasts for any of those X-rays, right?
Then any other hospital that wants to use GenesisX with that X-ray, we can point to that compatibility statement and give them the confidence that it works together. That is really kind of this initial effort is with the three, four, five biggest X-ray manufacturers out there, making sure that kind of we have formal compatibility statements with their main X-rays, and that we can kind of prove to the world and prove to our customer base that they are compatible in a regulatory compliant fashion. That is the effort. We have one of them, and that gets a little bit to your second question that, yeah, we are still working. Obviously, the site in Italy is a second one that is actually an integrated X-ray that we have had other installs of Genesis in the past with.
We will have two X-rays working with GenesisX by the end of this year, one in Europe, one in the U.S. And we are still working. There is a pipeline of several hospitals, including an ASC, that are working on lease agreements, and those are with actually other X-rays than the first two that I mentioned. We are expecting a few installs by the end of this year. I hope we can get towards five, but we will definitely have two, and hopefully we will have somewhere in between that two and five by the end of this year installed and able to prove kind of working in the real world.
Okay. Very helpful. Thank you. Then maybe just on recurring gross margins, if I heard correctly, it sounds like the expectation is that stays or maybe around flat with the 66% through the end of the year. Maybe just remind us where you think these recurring margins can go into next year as much as you can. Thanks.
Sure. I would generally point us towards margins in the mid-70s as the robotic catheters become more and more a part of the overall revenue. As we are manufacturing more of them, and so the overhead can be kind of laid out over a bigger base. We should be getting somewhere in the mid-70s, I would say, as a kind of a margin that should not be difficult for us to reach.
All right. Thank you for taking the questions.
Thank you.
Your next question comes from Joshua Jennings from TD Cowen. Please go ahead.
Hi. Good afternoon. Thanks, David and Kim. I wanted to just punch in on the GenesisX sales funnel. Any updates there? I know you referenced a backlog in one of your answers, David. I am looking for just any quantitative levels of where the backlog stands now versus maybe this time last year. And then, the mix between new greenfield accounts versus replacements.
Sure. Hey, Josh. Thanks for the question. Let me kind of comment, I guess, qualitatively, it's been very refreshing having GenesisX available as a system. We are engaging with many hospitals and many accounts where just historically there would be no opportunity or the opportunity would be years in the future, and we can actually have tangible discussions about how to bring a GenesisX system in there, how it can fit without construction. How at certain accounts where there is questioning over the clinical value and there's interest, but there's also uncertainty. There's the ability to talk about lease agreements and kind of the lack of permanence of the system and that kind of get your foot in the door, try it, and let us prove the value once we're already there.
It definitely has helped us significantly have discussions with many accounts, including some of the most kind of prominent hospitals out there, where historically before that, we just didn't have our foot in the door, and we couldn't really advance discussions in a very tangible way. That's kind of been awesome. It's been slow and the kind of the two, I'd say, macro challenges in translating that overall interest in communication into conversion of deals has been obviously getting GenesisX actually working in the real world. Let's say a month, a month and a half ago, we announced the launch of a new robotic program in Hungary. We have still hospitals that are more comfortable moving forward with Genesis just because Genesis is a proven robot that has worked reliably in the real world.
They can speak to physicians that have used it, and so you have that kind of that certainty that it is a real reliable system for real-world use. We need to prove the same for GenesisX. I have no doubts that we will prove that, but until you don't show it, there's always some more of a question mark in customers' minds. That's kind of one big thing that we need to do. The compatibility with various X-rays is a barrier because there are some physicians, some hospitals that are willing to be the first, but the average hospital prefers not to be the first one to prove things like that. Then obviously also MAGiC supply is the other third kind of barrier. Everyone who adopts GenesisX knows that they need to use MAGiC.
We're still in the phase of making sure we have enough MAGiC to cover all the existing demand, let alone future demand. I'd say those are the three structural things that we're working on. I think we're making good methodical progress on all three of them, and over the next few months should be able to, at least with some of the X-rays, with the MAGiC manufacturing ramp, with demonstrating GenesisX at these first two installs, we should be able to kind of reduce those and allow for kind of a higher momentum of GenesisX commercialization.
Great. Thank you for that. Just great download and thorough download again today on the catheter build-out and the pipeline. I just wanted to circle back on the future of GenesisX. I imagine that your team is not standing still. Can you talk about your ultimate vision as we think a couple of years out, just in how GenesisX could open up or how you could enhance the platform with increased automation, maybe more telerobotic capabilities, and then how that all plays out in terms of potentially widening a competitive mode? It seems as if the electrophysiology community is warming up each quarter, each year to robotics having a bigger role in ablation and maybe other areas in the coming years. Maybe touch on continued advancement of GenesisX capabilities and also the EP community's sentiment towards robotics and robotics technology going forward. Thanks.
Sure. At, let's say, the Heart Rhythm Society, that's probably what you have in your mind because I remember seeing you there at the Heart Rhythm Society conference this last May, I believe. There was the Society for Cardiac Robotic Navigation, had their symposium in the middle of HRS. It was a huge room. I was nervous that it would be relative or at least look very empty, and we ended up having a great showing. It was clearly by far the largest showing we've had at an HRS conference for robotics in any of my memory. We do see that increased interest and that also I think the innovations that we've been able to show and the ability to get multiple innovations actually to market and through regulatory approvals.
I think there are many people who are recognizing that. That's why we're able to re-engage with some of these preeminent hospitals in the U.S. that historically we haven't had relationships with and have meaningful conversations and plan for how to work together in much more meaningful ways. I think you'll hopefully see some of that over the coming months as those come to fruition. What I'd say in terms of that on the one hand, we've done a lot. On the other hand, it feels like we're still in the very beginning of what should be done in terms of robotic innovation for this field and to really realize the full potential.
A little bit like in my prepared remarks, I think about our room for progress in four big buckets. There's meaningful progress that is being made in each of these four big buckets. The first is just, again, increased accessibility. The easier you make it to adopt something, the better and the more adoption you're going to get. GenesisX was a major step change versus the Genesis and Niobe, but it still has some aspects which require an actual installation and some aspects, some cable routing, some power cables. There are things still to be done there. We are excited by Arrow this past year. We did a little demo of a fully wireless, battery-operated, fully mobile system that would help in various ways. In smaller rooms, you'd be able to park the robot in corners of the room, so you could fit it in smaller rooms.
It would be a much easier even install. You would literally roll it off a crate into the room. It is a much more elegant system. There is room for continued innovation there. As we think about things like neuro or other fields, there is even much more dramatic steps beyond that. The second big area is the interventional catheters. Having a continued pipeline of interventional catheters that are robotically steered. Again, a robot is only as good as the catheters it drives. You need to constantly think about how to innovate in that world. The third is. But then again, we have seen that things like the J&J catheter existed for 20 years and had a very long tail. On the one hand, innovation is very important.
On the other hand, there is such a value proposition to the robot that even when there was not innovation, you have a fairly sticky business given the value proposition of the robot. The third big area is how to make our robot multi-specialty, and that ties in with Robocath and the complementary mechanism of action, and how to really make GenesisX plus minus Robocath a multi-specialty robot. The fourth is what you were saying. How do you bring telerobotics?
How do you bring automation? How do you bring augmented intelligence or artificial intelligence into the picture? There I would say we are in our earliest phases, but we have real tangible things there. Synchrony and SynX are approved and in use, and they are definitely a good technology platform now for that whole digital surgery effort. There is a whole pipeline there that in reality will take probably 10 years to realize fully the ideas that we have in our mind. But there will be many attractive stepping stones along the path with room for commercial impact along that journey.
Appreciate that thorough answer. Thanks, David.
Thanks very much.
There are no further questions at this time. I would now like to turn the call back over to David Fischel for the closing remarks. Please go ahead.
Okay. Thank you for all the questions, everyone, and for your continued support. We'll continue working hard on your behalf and look forward to speaking again soon. Thank you.
Ladies and gentlemen, thank you all for joining, and that concludes today's conference call. All participants may now disconnect. Thank you.
Investor releaseQuarter not tagged2026-08-06Teleflex (TFX) Surpasses Q2 Earnings and Revenue Estimates
Zacks
Teleflex (TFX) Surpasses Q2 Earnings and Revenue Estimates
Teleflex (TFX) came out with quarterly earnings of $1.76 per share, beating the Zacks Consensus Estimate of $1.28 per share. This compares to earnings of $3.73 per share a year ago. These figures are adjusted for non-recurring items. This quarterly report represents an earnings surprise of +37.50%. A quarter ago, it was expected that this medical equipment maker would post earnings of $1.21 per share when it actually produced earnings of $1.39, delivering a surprise of +14.88%. Over the last four quarters, the company has surpassed consensus EPS estimates three times. Teleflex, which belongs to the Zacks Medical - Instruments industry, posted revenues of $570.33 million for the quarter ended June 2026, surpassing the Zacks Consensus Estimate by 1.89%. This compares to year-ago revenues of $780.89 million. The company has topped consensus revenue estimates three times over the last four quarters. The sustainability of the stock's immediate price movement based on the recently-released numbers and future earnings expectations will mostly depend on management's commentary on the earnings call. Teleflex shares have added about 12.1% since the beginning of the year versus the S&P 500's gain of 12.8%. While Teleflex has underperformed the market so far this year, the question that comes to investors' minds is: what's next for the stock? There are no easy answers to this key question, but one reliable measure that can help investors address this is the company's earnings outlook. Not only does this include current consensus earnings expectations for the coming quarter(s), but also how these expectations have changed lately. Empirical research shows a strong correlation between near-term stock movements and trends in earnings estimate revisions. Investors can track such revisions by themselves or rely on a tried-and-tested rating tool like the Zacks Rank, which has an impressive track record of harnessing the power of earnings estimate revisions. Ahead of this earnings release, the estimate revisions trend for Teleflex was favorable. While the magnitude and direction of estimate revisions could change following the company's just-released earnings report, the current status translates into a Zacks Rank #2 (Buy) for the stock. So, the shares are expected to outperform the market in the near future. You can see the complete list of today's Zacks #1 Rank (Strong Buy) s…Read full documentShow less
Teleflex (TFX) came out with quarterly earnings of $1.76 per share, beating the Zacks Consensus Estimate of $1.28 per share. This compares to earnings of $3.73 per share a year ago. These figures are adjusted for non-recurring items. This quarterly report represents an earnings surprise of +37.50%. A quarter ago, it was expected that this medical equipment maker would post earnings of $1.21 per share when it actually produced earnings of $1.39, delivering a surprise of +14.88%. Over the last four quarters, the company has surpassed consensus EPS estimates three times. Teleflex, which belongs to the Zacks Medical - Instruments industry, posted revenues of $570.33 million for the quarter ended June 2026, surpassing the Zacks Consensus Estimate by 1.89%. This compares to year-ago revenues of $780.89 million. The company has topped consensus revenue estimates three times over the last four quarters. The sustainability of the stock's immediate price movement based on the recently-released numbers and future earnings expectations will mostly depend on management's commentary on the earnings call. Teleflex shares have added about 12.1% since the beginning of the year versus the S&P 500's gain of 12.8%. While Teleflex has underperformed the market so far this year, the question that comes to investors' minds is: what's next for the stock? There are no easy answers to this key question, but one reliable measure that can help investors address this is the company's earnings outlook. Not only does this include current consensus earnings expectations for the coming quarter(s), but also how these expectations have changed lately. Empirical research shows a strong correlation between near-term stock movements and trends in earnings estimate revisions. Investors can track such revisions by themselves or rely on a tried-and-tested rating tool like the Zacks Rank, which has an impressive track record of harnessing the power of earnings estimate revisions. Ahead of this earnings release, the estimate revisions trend for Teleflex was favorable. While the magnitude and direction of estimate revisions could change following the company's just-released earnings report, the current status translates into a Zacks Rank #2 (Buy) for the stock. So, the shares are expected to outperform the market in the near future. You can see the complete list of today's Zacks #1 Rank (Strong Buy) stocks here. It will be interesting to see how estimates for the coming quarters and the current fiscal year change in the days ahead. The current consensus EPS estimate is $1.82 on $581.01 million in revenues for the coming quarter and $6.70 on $2.29 billion in revenues for the current fiscal year. Investors should be mindful of the fact that the outlook for the industry can have a material impact on the performance of the stock as well. In terms of the Zacks Industry Rank, Medical - Instruments is currently in the bottom 37% of the 250 plus Zacks industries. Our research shows that the top 50% of the Zacks-ranked industries outperform the bottom 50% by a factor of more than 2 to 1. Another stock from the same industry, Stereotaxis Inc. (STXS), has yet to report results for the quarter ended June 2026. The results are expected to be released on August 11. This company is expected to post quarterly loss of $0.03 per share in its upcoming report, which represents a year-over-year change of +40%. The consensus EPS estimate for the quarter has remained unchanged over the last 30 days. Stereotaxis Inc.'s revenues are expected to be $9.5 million, up 8% from the year-ago quarter. Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report Teleflex Incorporated (TFX) : Free Stock Analysis Report Stereotaxis Inc. (STXS) : Free Stock Analysis Report This article originally published on Zacks Investment Research (zacks.com). Zacks Investment Research
Investor releaseQuarter not tagged2026-07-30Veracyte (VCYT) Q2 Earnings and Revenues Surpass Estimates
Zacks
Veracyte (VCYT) Q2 Earnings and Revenues Surpass Estimates
Veracyte (VCYT) came out with quarterly earnings of $0.54 per share, beating the Zacks Consensus Estimate of $0.43 per share. This compares to earnings of $0.44 per share a year ago. These figures are adjusted for non-recurring items. This quarterly report represents an earnings surprise of +25.58%. A quarter ago, it was expected that this molecular diagnostic company would post earnings of $0.34 per share when it actually produced earnings of $0.52, delivering a surprise of +52.94%. Over the last four quarters, the company has surpassed consensus EPS estimates four times. Veracyte, which belongs to the Zacks Medical - Instruments industry, posted revenues of $150.32 million for the quarter ended June 2026, surpassing the Zacks Consensus Estimate by 4.13%. This compares to year-ago revenues of $130.16 million. The company has topped consensus revenue estimates four times over the last four quarters. The sustainability of the stock's immediate price movement based on the recently-released numbers and future earnings expectations will mostly depend on management's commentary on the earnings call. Veracyte shares have added about 32.3% since the beginning of the year versus the S&P 500's gain of 6.9%. While Veracyte has outperformed the market so far this year, the question that comes to investors' minds is: what's next for the stock? There are no easy answers to this key question, but one reliable measure that can help investors address this is the company's earnings outlook. Not only does this include current consensus earnings expectations for the coming quarter(s), but also how these expectations have changed lately. Empirical research shows a strong correlation between near-term stock movements and trends in earnings estimate revisions. Investors can track such revisions by themselves or rely on a tried-and-tested rating tool like the Zacks Rank, which has an impressive track record of harnessing the power of earnings estimate revisions. Ahead of this earnings release, the estimate revisions trend for Veracyte was unfavorable. While the magnitude and direction of estimate revisions could change following the company's just-released earnings report, the current status translates into a Zacks Rank #4 (Sell) for the stock. So, the shares are expected to underperform the market in the near future. You can see the complete list of today's Zacks #1 Rank (Strong…Read full documentShow less
Veracyte (VCYT) came out with quarterly earnings of $0.54 per share, beating the Zacks Consensus Estimate of $0.43 per share. This compares to earnings of $0.44 per share a year ago. These figures are adjusted for non-recurring items. This quarterly report represents an earnings surprise of +25.58%. A quarter ago, it was expected that this molecular diagnostic company would post earnings of $0.34 per share when it actually produced earnings of $0.52, delivering a surprise of +52.94%. Over the last four quarters, the company has surpassed consensus EPS estimates four times. Veracyte, which belongs to the Zacks Medical - Instruments industry, posted revenues of $150.32 million for the quarter ended June 2026, surpassing the Zacks Consensus Estimate by 4.13%. This compares to year-ago revenues of $130.16 million. The company has topped consensus revenue estimates four times over the last four quarters. The sustainability of the stock's immediate price movement based on the recently-released numbers and future earnings expectations will mostly depend on management's commentary on the earnings call. Veracyte shares have added about 32.3% since the beginning of the year versus the S&P 500's gain of 6.9%. While Veracyte has outperformed the market so far this year, the question that comes to investors' minds is: what's next for the stock? There are no easy answers to this key question, but one reliable measure that can help investors address this is the company's earnings outlook. Not only does this include current consensus earnings expectations for the coming quarter(s), but also how these expectations have changed lately. Empirical research shows a strong correlation between near-term stock movements and trends in earnings estimate revisions. Investors can track such revisions by themselves or rely on a tried-and-tested rating tool like the Zacks Rank, which has an impressive track record of harnessing the power of earnings estimate revisions. Ahead of this earnings release, the estimate revisions trend for Veracyte was unfavorable. While the magnitude and direction of estimate revisions could change following the company's just-released earnings report, the current status translates into a Zacks Rank #4 (Sell) for the stock. So, the shares are expected to underperform the market in the near future. You can see the complete list of today's Zacks #1 Rank (Strong Buy) stocks here. It will be interesting to see how estimates for the coming quarters and the current fiscal year change in the days ahead. The current consensus EPS estimate is $0.44 on $149.11 million in revenues for the coming quarter and $1.85 on $583.57 million in revenues for the current fiscal year. Investors should be mindful of the fact that the outlook for the industry can have a material impact on the performance of the stock as well. In terms of the Zacks Industry Rank, Medical - Instruments is currently in the bottom 38% of the 250 plus Zacks industries. Our research shows that the top 50% of the Zacks-ranked industries outperform the bottom 50% by a factor of more than 2 to 1. One other stock from the same industry, Stereotaxis Inc. (STXS), is yet to report results for the quarter ended June 2026. The results are expected to be released on August 11. This company is expected to post quarterly loss of $0.03 per share in its upcoming report, which represents a year-over-year change of +40%. The consensus EPS estimate for the quarter has remained unchanged over the last 30 days. Stereotaxis Inc.'s revenues are expected to be $9.5 million, up 8% from the year-ago quarter. Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report Veracyte, Inc. (VCYT) : Free Stock Analysis Report Stereotaxis Inc. (STXS) : Free Stock Analysis Report This article originally published on Zacks Investment Research (zacks.com). Zacks Investment Research
Investor releaseQuarter not tagged2026-07-21Stereotaxis to Report Second Quarter 2026 Financial Results on August 11, 2026
GlobeNewswire
Stereotaxis to Report Second Quarter 2026 Financial Results on August 11, 2026
ST. LOUIS, July 21, 2026 (GLOBE NEWSWIRE) -- Stereotaxis, Inc. (NYSE: STXS), a pioneer and global leader in surgical robotics for minimally invasive endovascular intervention, today announced that it will release financial results for its 2026 second quarter on Tuesday, August 11, 2026 at the close of the U.S. financial markets. The Company will host a conference call and webcast at 4:30 p.m. ET that day to discuss the Company’s results and corporate developments. About StereotaxisStereotaxis, Inc. (NYSE: STXS) is a pioneer and global leader in innovative surgical robotics for minimally invasive endovascular intervention. Its mission is the discovery, development and delivery of robotic systems, instruments, and information solutions for the interventional laboratory. These innovations help physicians provide unsurpassed patient care with robotic precision and safety, expand access to minimally invasive therapy, and enhance the productivity, connectivity, and intelligence in the operating room. Stereotaxis technology has been used to treat over 150,000 patients across the United States, Europe, Asia, and elsewhere. For more information, please visit www.stereotaxis.com. Investor Contacts: David L. Fischel Chairman and Chief Executive Officer Kimberly Peery Chief Financial Officer [email protected]
Investor releaseQuarter not tagged2026-07-10ISRG to Report Q2 Results Next Week: Should You Buy the Stock Now?
Zacks
ISRG to Report Q2 Results Next Week: Should You Buy the Stock Now?
Intuitive Surgical ISRG is set to release second-quarter results on July 16. The Zacks Consensus Estimate for sales is pegged at $2.81 billion, indicating year-over-year growth of 15%, and the same for earnings per share (EPS) implies an improvement of 13.2% to $2.48. The estimate for EPS has remained stable over the past seven days. In the last reported quarter, Intuitive Surgical delivered an earnings surprise of 20.19%. The company’s earnings beat estimates in each of the trailing four quarters, delivering an average surprise of 16.82%. Although ISRG’s top and bottom-line figures are likely to reflect strong growth during the second quarter, its shares have underperformed the Zacks Medical - Instrument industry as well as other robotic-surgery device makers — Stryker SYK, Zimmer Biomet ZBH, Globus Medical GMED and Stereotaxis STXS — so far this year. The stock has declined 27.4%, its industry has dipped 14.2%, and the S&P 500 Index has gained 9.5% in the same period. The share prices of SYK, ZBH, GMED and STXS have decreased 6.9%, 0.8%, 12.2% and 24.4%, respectively. YTD Price Performance Image Source: Zacks Investment Research While Stryker commercializes its Mako robotic system for orthopedic joint replacements, Zimmer Biomet has ROSA system, which is available for orthopedic and neurosurgical procedures. Globus Medical and Stereotaxis’ robotic portfolios include ExcelsiusGPS and Genesis systems, respectively, used for spine and cranial procedures, and endovascular interventions. The underperformance of the ISRG stock has led to a decline in its valuation multiples as well. The Price-to-Earnings Forward 12 Month (P/E F12M) valuation has fallen from a high of 96.05X at the beginning of 2025 to its current 37.12X, reflecting a significant decline despite robust earnings growth. At its current valuation multiples, the ISRG stock looks attractive amid its strong fundamentals. P/E F12M Valuation of ISRG vs Industry Image Source: Zacks Investment Research Despite consistently delivering double-digit revenue and earnings growth, Intuitive Surgical stock has remained under pressure this year as investors weigh near-term margin headwinds against its long-term growth story. The biggest concern stems from the ongoing rollout of the next-generation da Vinci 5 platform. Although customer adoption has exceeded expectations, the system currently carries lower margins…Read full documentShow less
Intuitive Surgical ISRG is set to release second-quarter results on July 16. The Zacks Consensus Estimate for sales is pegged at $2.81 billion, indicating year-over-year growth of 15%, and the same for earnings per share (EPS) implies an improvement of 13.2% to $2.48. The estimate for EPS has remained stable over the past seven days. In the last reported quarter, Intuitive Surgical delivered an earnings surprise of 20.19%. The company’s earnings beat estimates in each of the trailing four quarters, delivering an average surprise of 16.82%. Although ISRG’s top and bottom-line figures are likely to reflect strong growth during the second quarter, its shares have underperformed the Zacks Medical - Instrument industry as well as other robotic-surgery device makers — Stryker SYK, Zimmer Biomet ZBH, Globus Medical GMED and Stereotaxis STXS — so far this year. The stock has declined 27.4%, its industry has dipped 14.2%, and the S&P 500 Index has gained 9.5% in the same period. The share prices of SYK, ZBH, GMED and STXS have decreased 6.9%, 0.8%, 12.2% and 24.4%, respectively. YTD Price Performance Image Source: Zacks Investment Research While Stryker commercializes its Mako robotic system for orthopedic joint replacements, Zimmer Biomet has ROSA system, which is available for orthopedic and neurosurgical procedures. Globus Medical and Stereotaxis’ robotic portfolios include ExcelsiusGPS and Genesis systems, respectively, used for spine and cranial procedures, and endovascular interventions. The underperformance of the ISRG stock has led to a decline in its valuation multiples as well. The Price-to-Earnings Forward 12 Month (P/E F12M) valuation has fallen from a high of 96.05X at the beginning of 2025 to its current 37.12X, reflecting a significant decline despite robust earnings growth. At its current valuation multiples, the ISRG stock looks attractive amid its strong fundamentals. P/E F12M Valuation of ISRG vs Industry Image Source: Zacks Investment Research Despite consistently delivering double-digit revenue and earnings growth, Intuitive Surgical stock has remained under pressure this year as investors weigh near-term margin headwinds against its long-term growth story. The biggest concern stems from the ongoing rollout of the next-generation da Vinci 5 platform. Although customer adoption has exceeded expectations, the system currently carries lower margins than the mature Xi platform due to higher manufacturing, service and support costs. The company also expects elevated trade-in activity as hospitals replace older systems with da Vinci 5, creating an additional drag on profitability. Management further expects faster growth of newer da Vinci 5 and Ion platforms, along with higher depreciation from recent manufacturing expansions, to keep gross margins under pressure in 2026. Tariffs, higher freight expenses and rising semiconductor memory costs are expected to increase input costs through the remainder of the year, while management continues to monitor potential supply constraints across components. Internationally, China remains a difficult market due to lower tender activity, domestic competition and pricing pressure, while Japan continues to face slower capital placements despite supportive reimbursement initiatives. Investors are also watching the impact of GLP-1 obesity drugs, which continue to reduce bariatric procedure volumes. Although none of these challenges materially alter Intuitive Surgical’s long-term outlook, they have contributed to weaker investor sentiment and multiple compression in recent months. The entry of both large and smaller players, including Stryker, Zimmer Biomet, Globus Medical and Stereotaxis, into the robotic surgery market could intensify competition over time and erode ISRG's market share. While short-term concerns have weighed on the stock, Intuitive Surgical's underlying business remains exceptionally strong. The company continues to generate robust financial performance, reporting 23% revenue growth and a 36% increase in adjusted earnings during the first quarter of 2026, supported by 17% overall procedure growth across its da Vinci and Ion platforms. Recurring revenues accounted for 86% of total sales, highlighting the resilience of its business model. Higher utilization of installed systems continues to drive high-margin instruments, accessories and service revenues, creating a recurring revenue stream that becomes increasingly valuable as the installed base expands. U.S. da Vinci utilization increased 4% during the first quarter, while utilization of da Vinci 5 systems remains approximately 11% higher than the legacy Xi platform. The da Vinci 5 upgrade cycle is likely to remain Intuitive Surgical's biggest growth catalyst over the next several quarters. Customer adoption has been stronger than expected, with nearly 1,500 da Vinci 5 systems installed and approximately 13,000 surgeons already using the platform. Hospitals continue to upgrade their older systems, reflected by a sharp increase in trade-ins. da Vinci Market Opportunity Image Source: Intuitive Surgical New Force Feedback instruments, additional FDA clearances and ongoing software enhancements are expected to improve clinical outcomes and further accelerate adoption. Intuitive Surgical continues to invest heavily in AI-enabled capabilities through its digital ecosystem. The company is leveraging surgical video, robotic data, force-feedback information and electronic medical records to develop AI-powered anatomy identification, decision support, workflow optimization and, eventually, augmented dexterity and automation. Combined with rapid growth in the Ion lung biopsy platform, expanding SP procedures, rising international adoption and a growing installed base, these innovations provide multiple long-term growth drivers that reinforce Intuitive Surgical's leadership in robotic-assisted surgery. Our proven model predicts an earnings beat for ISRG this earnings season. The combination of a positive Earnings ESP and a Zacks Rank #1 (Strong Buy), 2 (Buy) or 3 (Hold) increases the chances of an earnings beat, which is the case here. Earnings ESP: Earnings ESP, which represents the difference between the Most Accurate Estimate ($2.55) and the Zacks Consensus Estimate ($2.48), is +2.78%. You can uncover the best stocks to buy or sell before they are reported with our Earnings ESP Filter. Zacks Rank: The company carries a Zacks Rank #2 at present. You can see the complete list of today’s Zacks #1 Rank stocks here. Image Source: Zacks Investment Research Although near-term margin pressure from the da Vinci 5 rollout, tariffs and higher input costs has weighed on investor sentiment, Intuitive Surgical's long-term investment thesis remains intact. The company continues to deliver industry-leading procedure growth, expanding recurring revenues, increasing system utilization, and driving strong adoption of its newest robotic platforms while building a differentiated AI-enabled surgical ecosystem. ISRG Short-Term Price Target Image Source: Zacks Investment Research With consistent strong execution and valuation multiples that have compressed significantly from its 2025 peak to around 37.1X despite healthy earnings growth, ISRG's valuation appears considerably more attractive than it was earlier this year. For long-term investors seeking exposure to robotic surgery, the recent pullback presents an opportunity to accumulate shares of a company with durable competitive advantages and robust growth fundamentals. Moreover, an expected earnings beat in the second quarter, along with its favorable rank, makes it an attractive bet before its second-quarter earnings release. Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report Intuitive Surgical, Inc. (ISRG) : Free Stock Analysis Report Stryker Corporation (SYK) : Free Stock Analysis Report Stereotaxis Inc. (STXS) : Free Stock Analysis Report Globus Medical, Inc. (GMED) : Free Stock Analysis Report Zimmer Biomet Holdings, Inc. (ZBH) : Free Stock Analysis Report This article originally published on Zacks Investment Research (zacks.com). Zacks Investment Research
Investor releaseQuarter not tagged2026-05-13Stereotaxis Reports 2026 First Quarter Financial Results & Business Updates
GlobeNewswire
Stereotaxis Reports 2026 First Quarter Financial Results & Business Updates
Proprietary robotically-navigated MAGiC catheter received U.S. FDA approval in January and is now being utilized at multiple sites across the United States as well as Europe Synchrony digital operating room system received U.S. FDA clearance in April and initial orders and shipments are ongoing Definitive agreement to acquire Robocath creates a leading robotic platform, combining complementary technologies to deliver next-generation fully-integrated robotic solutions for the full spectrum of endovascular procedures ST. LOUIS, May 12, 2026 (GLOBE NEWSWIRE) -- Stereotaxis (NYSE: STXS), a pioneer and global leader in surgical robotics for minimally invasive endovascular intervention, today reported business updates and financial results for the first quarter ended March 31, 2026. “Stereotaxis is in one of the most exciting periods of its history. We are achieving significant regulatory approvals, executing strategic acquisitions, and witnessing the initial green shoots of commercial success with our new product ecosystem,” said David Fischel, Stereotaxis Chairman and CEO. “The operational and commercial friction to ramp up manufacturing and implement new products makes progress gradual, but we are efficiently driving broad-based progress on many fronts in parallel towards an attractive business built on solid foundations.” “The streak of regulatory success that began last year continued in the first part of this year with two essential FDA approvals for the MAGiC cardiac ablation catheter and Synchrony digital surgery system. These regulatory approvals brought to market an entirely new foundational product ecosystem that structurally changes our commercial opportunity. We essentially developed a fresh start-up company on the shoulders of our legacy technology and funded by our legacy business.” “The transformational agreement to acquire Robocath gives Stereotaxis a fully complementary and separate robotic mechanism of action for endovascular device navigation. The combination of our technologies offers a clear vision for how our robotic solution, including the full ecosystem of digital innovations, will enable remote, automated and fully robotic treatment for electrophysiology, interventional cardiology and neurointerventions.” “The still minor revenue contribution from our new catheters is being countered by the headwind of winding down our relationship with J…Read full documentShow less
Proprietary robotically-navigated MAGiC catheter received U.S. FDA approval in January and is now being utilized at multiple sites across the United States as well as Europe Synchrony digital operating room system received U.S. FDA clearance in April and initial orders and shipments are ongoing Definitive agreement to acquire Robocath creates a leading robotic platform, combining complementary technologies to deliver next-generation fully-integrated robotic solutions for the full spectrum of endovascular procedures ST. LOUIS, May 12, 2026 (GLOBE NEWSWIRE) -- Stereotaxis (NYSE: STXS), a pioneer and global leader in surgical robotics for minimally invasive endovascular intervention, today reported business updates and financial results for the first quarter ended March 31, 2026. “Stereotaxis is in one of the most exciting periods of its history. We are achieving significant regulatory approvals, executing strategic acquisitions, and witnessing the initial green shoots of commercial success with our new product ecosystem,” said David Fischel, Stereotaxis Chairman and CEO. “The operational and commercial friction to ramp up manufacturing and implement new products makes progress gradual, but we are efficiently driving broad-based progress on many fronts in parallel towards an attractive business built on solid foundations.” “The streak of regulatory success that began last year continued in the first part of this year with two essential FDA approvals for the MAGiC cardiac ablation catheter and Synchrony digital surgery system. These regulatory approvals brought to market an entirely new foundational product ecosystem that structurally changes our commercial opportunity. We essentially developed a fresh start-up company on the shoulders of our legacy technology and funded by our legacy business.” “The transformational agreement to acquire Robocath gives Stereotaxis a fully complementary and separate robotic mechanism of action for endovascular device navigation. The combination of our technologies offers a clear vision for how our robotic solution, including the full ecosystem of digital innovations, will enable remote, automated and fully robotic treatment for electrophysiology, interventional cardiology and neurointerventions.” “The still minor revenue contribution from our new catheters is being countered by the headwind of winding down our relationship with Johnson & Johnson. Demand for MAGiC far exceeds supply, and we are rolling out the catheter in both Europe and the US in line with the manufacturing ramp, which continues to progress towards an expected 500 catheters a month by year end. Initial green shoots of adoption demonstrate the strength of our strategy to build a synergistic portfolio of catheters, with disposable revenue per procedure several fold higher than previously. This structural transformation to our disposable business model is taking place as we simultaneously structurally transform our capital business and prepare for multiple GenesisX placements.” 2026 First Quarter Financial Results Revenue for the first quarter of 2026 totaled $6.3 million compared to $7.5 million in the prior year first quarter. System revenue of $1.3 million and recurring revenue of $5.0 million compared to $2.0 million and $5.5 million respectively, in the prior year first quarter. System revenue in the quarter reflects partial revenue recognition on the installation of one Genesis system and other ancillary systems. Recurring revenue is pressured by the transition away from the dependency on legacy J&J catheters with still modest contributions from Stereotaxis’ new proprietary catheters. Gross margin for the first quarter of 2026 was 60% of revenue. Recurring revenue gross margin was 66%, and system gross margin was 39%. Operating expenses in the quarter of $9.8 million included $3.1 million in non-cash charges for stock compensation expense, mark-to-market adjustment for acquisition related contingent earnout consideration, and amortization of acquired intangible assets. Excluding these non-cash charges, adjusted operating expenses were $6.7 million, compared to the prior year adjusted operating expenses of $6.8 million. Operating loss and net loss in the first quarter of 2026 were ($6.0) million and ($5.9) million, respectively, compared with ($5.9) million and ($5.8) million in the previous year. Adjusted operating loss and adjusted net loss for the quarter, excluding non-cash charges, were ($2.9) million and ($2.8) million, respectively, compared with ($2.7) million and ($2.6) million in the previous year quarter. Negative free cash flow for the first quarter was ($3.5) million, compared to ($1.8) million in the previous year. Cash Balance and Liquidity At March 31, 2026, Stereotaxis had cash and cash equivalents of $14.6 million and no debt. Forward Looking Expectations Stereotaxis anticipates double digit revenue growth for the full year 2026, with annual revenue expected to surpass $40 million. Revenue will grow sequentially over the course of the year in line with manufacturing increases for GenesisX and MAGiC, with revenue in both the third and fourth quarters expected to exceed $10 million. Stereotaxis believes it can advance its strategy, integrate Robocath, and grow significantly without having to subject investors to substantial dilution. The Company expects its balance sheet to allow it to advance its transformative product ecosystem to market, fund its commercialization, and achieve profitability. Conference Call and Webcast Stereotaxis will host a conference call and webcast today, May 12, 2026, at 4:30 p.m. Eastern Time. To access the conference call, dial 800-715-9871 (US and Canada) or 646-307-1963 (International) and give the participant pass code 6082771. To access the live and replay webcast, please visit the investor relations section of the Stereotaxis website at www.Stereotaxis.com. About Stereotaxis Stereotaxis (NYSE: STXS) is a pioneer and global leader in innovative surgical robotics for minimally invasive endovascular intervention. Its mission is the discovery, development and delivery of robotic systems, instruments, and information solutions for the interventional laboratory. These innovations help physicians provide unsurpassed patient care with robotic precision and safety, expand access to minimally invasive therapy, and enhance the productivity, connectivity, and intelligence in the operating room. Stereotaxis technology has been used to treat over 150,000 patients across the United States, Europe, Asia, and elsewhere. For more information, please visit www.Stereotaxis.com. This press release includes statements that may constitute "forward-looking" statements, usually containing the words "believe”, "estimate”, "project”, "expect" or similar expressions. Forward-looking statements inherently involve risks and uncertainties that could cause actual results to differ materially. Factors that would cause or contribute to such differences include, but are not limited to, the Company's ability to manage expenses at sustainable levels, acceptance of the Company's products in the marketplace, the effect of global economic conditions, including tariffs, on the ability and willingness of customers to purchase its technology, competitive factors, changes resulting from healthcare policy, dependence upon third-party vendors, timing of regulatory approvals, the impact of pandemics or other disasters, statements relating to our recent acquisitions, including any benefits expected from the acquisitions, and other risks discussed in the Company's periodic and other filings with the Securities and Exchange Commission. By making these forward-looking statements, the Company undertakes no obligation to update these statements for revisions or changes after the date of this release. There can be no assurance that the Company will recognize revenue related to its purchase orders and other commitments because some of these purchase orders and other commitments are subject to contingencies that are outside of the Company's control and may be revised, modified, delayed, or canceled. Company Contacts: David L. Fischel Chairman and Chief Executive Officer Kimberly R. Peery Chief Financial Officer 314-678-6100 [email protected]
Investor releaseQuarter not tagged2026-05-13Stereotaxis Inc (STXS) Q1 2026 Earnings Call Highlights: Navigating Regulatory Wins and Revenue ...
GuruFocus.com
Stereotaxis Inc (STXS) Q1 2026 Earnings Call Highlights: Navigating Regulatory Wins and Revenue ...
This article first appeared on GuruFocus. Release Date: May 12, 2026 For the complete transcript of the earnings call, please refer to the full earnings call transcript. Stereotaxis Inc (STXS) received multiple regulatory approvals in the U.S., Europe, and China for new products, including a complex surgical robot and a digital surgery cockpit. The company launched the MAGIC cardiac ablation catheter, which is the first of its kind approved by the FDA for arrhythmia patients with complex congenital heart disease. Stereotaxis Inc (STXS) is transitioning to a new business model with higher disposable revenue per procedure, often above $8,000. The company is expanding its product portfolio with the launch of Genesys X, a new robotic system that doesn't require construction for installation in existing cath labs. Stereotaxis Inc (STXS) is actively working on AI and automation projects to enhance its robotic platforms, including a fully wireless and mobile future generation of the Genesis X robot. Revenue for the first quarter of 2026 decreased to $6.3 million from $7.5 million in the prior year, with system revenue particularly weak. The transition from Johnson & Johnson's ecosystem is causing turbulence and pressure on recurring revenue. Production capacity constraints are limiting the adoption of the MAGIC catheter, with demand outstripping supply. The company is experiencing a messy transition as it winds down its relationship with Johnson & Johnson, affecting reported quarterly financials. Negative free cash flow increased to $3.5 million in the first quarter compared to $1.8 million in the previous year. Warning! GuruFocus has detected 4 Warning Signs with STXS. Is STXS fairly valued? Test your thesis with our free DCF calculator. Q: Can you provide more details on the adoption and utilization of the MAGIC catheter portfolio? Are you seeing immediate uptake following adoption? A: (David Fischel, CEO) The adoption of the MAGIC catheter is currently limited by production capacity. We have sites eager to transition fully, some using both MAGIC and J&J catheters, and others still solely using J&J. As manufacturing ramps up, we expect more sites to transition completely to MAGIC. The transition is gradual, but we are working closely with each account to facilitate this shift. Q: Regarding your revenue guidance of over $40 million for the year, what assumptions a…Read full documentShow less
This article first appeared on GuruFocus. Release Date: May 12, 2026 For the complete transcript of the earnings call, please refer to the full earnings call transcript. Stereotaxis Inc (STXS) received multiple regulatory approvals in the U.S., Europe, and China for new products, including a complex surgical robot and a digital surgery cockpit. The company launched the MAGIC cardiac ablation catheter, which is the first of its kind approved by the FDA for arrhythmia patients with complex congenital heart disease. Stereotaxis Inc (STXS) is transitioning to a new business model with higher disposable revenue per procedure, often above $8,000. The company is expanding its product portfolio with the launch of Genesys X, a new robotic system that doesn't require construction for installation in existing cath labs. Stereotaxis Inc (STXS) is actively working on AI and automation projects to enhance its robotic platforms, including a fully wireless and mobile future generation of the Genesis X robot. Revenue for the first quarter of 2026 decreased to $6.3 million from $7.5 million in the prior year, with system revenue particularly weak. The transition from Johnson & Johnson's ecosystem is causing turbulence and pressure on recurring revenue. Production capacity constraints are limiting the adoption of the MAGIC catheter, with demand outstripping supply. The company is experiencing a messy transition as it winds down its relationship with Johnson & Johnson, affecting reported quarterly financials. Negative free cash flow increased to $3.5 million in the first quarter compared to $1.8 million in the previous year. Warning! GuruFocus has detected 4 Warning Signs with STXS. Is STXS fairly valued? Test your thesis with our free DCF calculator. Q: Can you provide more details on the adoption and utilization of the MAGIC catheter portfolio? Are you seeing immediate uptake following adoption? A: (David Fischel, CEO) The adoption of the MAGIC catheter is currently limited by production capacity. We have sites eager to transition fully, some using both MAGIC and J&J catheters, and others still solely using J&J. As manufacturing ramps up, we expect more sites to transition completely to MAGIC. The transition is gradual, but we are working closely with each account to facilitate this shift. Q: Regarding your revenue guidance of over $40 million for the year, what assumptions are made about manufacturing improvements and catheter production? A: (David Fischel, CEO) We are targeting 500 catheters per month by year-end. This production level will significantly increase our disposable revenue, potentially surpassing current recurring revenues. The shift in our business model allows us to capture more revenue per procedure without increasing hospital costs. We remain confident in achieving our revenue targets as manufacturing scales. Q: Can you quantify the impact of the disposable business on the quarter's results? A: (David Fischel, CEO) The MAGIC portfolio's contribution was minimal this quarter due to limited production in January and February. Production ramped up in March, but revenue recognition will mostly occur in April. The primary headwind is the inconsistent supply of J&J catheters, which affects our accounts. However, we expect the MAGIC portfolio to significantly boost revenue in the coming quarters. Q: What feedback have you received on the Genesis X system, and when do you expect the first orders? A: (David Fischel, CEO) Genesis X represents a structural change, allowing compatibility with non-integrated X-rays, expanding our market. We have shipped the first system, and it awaits installation. We are working with pioneering accounts to demonstrate its compatibility with major X-ray manufacturers, which will open new capital opportunities. Q: How is the MAGIC catheter being integrated with existing mapping platforms, and are there any potential issues with J&J's Carto system? A: (David Fischel, CEO) We support open ecosystems, and MAGIC is primarily used with Abbott's Nsight X system. There are ways to integrate MAGIC with Carto, and we also have integration with Microport's Columbus system in Europe and China. Our commitment is to provide flexibility and compatibility with various diagnostic technologies. For the complete transcript of the earnings call, please refer to the full earnings call transcript.
TranscriptFY2026 Q12026-05-12FY2026 Q1 earnings call transcript
Earnings source - 53 paragraphs
FY2026 Q1 earnings call transcript
Good afternoon. Thank you for joining us to Stereotaxis' First Quarter 2026 Earnings Conference Call. Certain statements during the conference call and question-and-answer period to follow may relate to future events, expectations, and as such, constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Such statements involve known and unknown risks, uncertainties, and other factors which may cause the actual results, performance, or achievements of the company in the future to be materially different from the statements that the company's executives may make today. These risks are described in detail in our public filings with the Securities and Exchange Commission, including our latest periodic report on Form 10-K or 10-Q. We assume no duty to update these statements. At this time, all participants have been placed on a listen-only mode.
The floor will be open for questions and comments following the presentation. As a reminder, today's call is being recorded. It is now my pleasure to turn the floor over to your host, David Fischel, Chairman and CEO of Stereotaxis.
Thank you, operator. Good afternoon, everyone. Stereotaxis has had an amazing start to this year. While our reported quarterly numbers don't yet reflect it, we're going through one of the most exciting periods in Stereotaxis' history, given the amount of progress, the initial commercial green shoots of success, and the clarity on the opportunity ahead of us. These give us confidence in our overall vision, reaching a new level of maturity in our near-term and long-term growth. In my prepared remarks, I'll touch upon the key areas of progress, the commercial green shoots, and the opportunities ahead of us. Kim will then review our first quarter results, and we will open the line to questions. The most notable achievement of the past year has been a string of regulatory approvals in the U.S. and Europe for an entirely new foundational ecosystem of products.
While Stereotaxis has a long history, our clinical and commercial experience is nearly all with first generation technology from 20 years ago. After spending the past eight years and over $75 million rebuilding an R&D pipeline, we brought to market an entirely new foundation of products. In just the past few months, we received four U.S. FDA regulatory approvals for a complex surgical robot, robotically steered therapeutic and diagnostic catheters, and a digital surgery cockpit. Outside of the U.S., we received multiple approvals in Europe and China. These product approvals are not just incremental innovations, but rather we structurally change our opportunity. We essentially developed a fresh new startup company on the shoulders of our legacy technology and funded by our legacy business. The streak of regulatory success that began last year continued in the first part of this year with two essential FDA approvals.
First, in January, we received PMA approval for the MAGiC cardiac ablation catheter. Just last month, we received FDA clearance for Synchrony, our digital surgery cockpit that introduces connectivity and intelligence to the operating room. MAGiC is Stereotaxis' first proprietary therapeutic catheter and is the first ablation catheter ever to be approved by FDA specifically for arrhythmia patients with complex congenital heart disease. The catheter strategically allows us to overcome our historical dependency on Johnson & Johnson and to participate robustly in the recurring revenue of each procedure. Following regulatory approval, we recently announced that we began first MAGiC procedures at multiple U.S. hospitals. Those procedures have gone well. The first patient treated with the catheter had complex congenital heart disease, was being cardioverted weekly, failed multiple attempts to be treated with manual catheters, and was now successfully treated using MAGiC.
The most beautiful example for why our innovations are critical and improve lives. The physician who did that procedure later commented, and I quote, "That was the most gratifying case I've ever done. I could have never done this without robotics." Demand for MAGiC is much higher than supply, and we are rolling out the catheter in both Europe and the U.S. in line with the manufacturing ramp. While the ramp is gradual, we're seeing meaningful progress, and our contract manufacturer still expects production to top 500 catheters a month by the end of this year. In addition, to mitigate catheter shortages, we began selling an additional catheter in Europe that we have exclusive rights to through our collaboration with MicroPort, and we are making meaningful progress on other efforts that expand production capacity and redundancy.
For now, the still small contribution from our new catheters is being countered by the headwind of winding down our relationship with Johnson & Johnson. This transition is messy and makes it difficult in reported quarterly financials to observe the underlying ramp of our new disposable business. The green shoots of this new business model are very evident to us, though, and are very attractive. In our initial U.S. MAGiC procedures, we are seeing disposable revenue often above $8,000 per procedure and always above $5,000. This robust razor blade business model benefits from our strategy to build a synergistic portfolio of catheters including MAGiC, MAGiC Sweep, and Map-iT. In Europe, just this month, we received an order for $100,000 in disposables from a single hospital for what it expects to be a month worth of procedures.
These amounts are in line with the EP market but are unprecedented for us. They demonstrate the transformation that is just starting to take shape in our business model. Still at low numbers, but increasingly very material as we advance through this year and transition our installed base of robotic accounts over to this new ecosystem. By the end of this year, we expect to have substantially transitioned customers as they use up remaining inventory of J&J catheters, work through hospital approvals and tender processes, and gain experience with MAGiC. The structural transformation to our disposable business model is taking place as we simultaneously structurally transform our capital business. This is happening primarily through the launch of GenesisX, the new robotic system that we received FDA clearance for at the end of last year, and which doesn't require construction to be installed in existing cath labs.
We have a healthy pipeline of physicians and hospitals that are working towards orders for GenesisX and who are prepared to be the first to demonstrate it installed rapidly in existing labs while working compatible with non-modified X-rays from major X-ray manufacturers. Compatibility testing and commercial agreements are advancing in tandem. We continue to expect to establish at least five active GenesisX programs over the course of this year. These initial adopters and their demonstrations of the technology's accessibility, interoperability, and performance will be very beneficial in expanding adoption. The second significant change to our capital business is the start of a synergistic but independent capital opportunity with Synchrony and SynX. As a reminder, Synchrony and SynX are our digital solutions that modernize the interventional surgical suite with enhanced workflow, remote connectivity, and smart AI capabilities. Just last month, we received FDA clearance for Synchrony.
We have already received orders for multiple systems and have shipped the first systems to customers. We're very confident in our guidance of $3 million in revenue from Synchrony this year. The initial commercial green shoots from our new product portfolio are exciting. The operational and commercial friction to ramp manufacturing and implement new products makes progress gradual. Everything is moving in the right direction, and we are efficiently driving broad-based progress on many fronts in parallel. We're doing this while weaning ourselves away from the dependencies and challenges of our legacy business. It's a tough transition. We are building a very attractive business on solid foundations. What is particularly exciting for me is that we aren't resting on our laurels.
While the benefits of this first wave of innovation start to become operational and commercial reality, we are energetically planting the seeds for significant opportunities that will blossom over the next few years. Our vision for what Stereotaxis can and will accomplish is becoming increasingly clear and tangible. That vision can be summarized as follows. Our core mission is to pioneer robotics across endovascular surgery. That means building fantastic robots that enable what is otherwise impossible, improving patient outcomes and physician experiences. It means these robots should be fully mobile, unobtrusive, interoperable, and accessible. It means robots that can do the full range of activity necessary across the breadth of endovascular procedures, EP, neuro, cardiac, and peripheral, with a matching portfolio of advanced interventional devices.
It means embedding these robots with the digital innovation, such that they not only mechanically manipulate devices, but add intelligence, connectivity, and automation to make procedures smarter, better, and quicker. This isn't an idle vision. We established a solid foundation for it with our initial portfolio of products. We've also been advancing in the background multiple efforts to realize the full vision. A few examples. First, at the European Heart Rhythm Association conference last month, we showed off a future generation of the GenesisX robot that is fully wireless, battery-operated, and mobile. We've invested in this project for a few years, and it is moving along well. In the future, all our robotic platforms will be fully mobile and wireless. Second, we are busy at work with two significant AI efforts.
One for decision support AI features incorporated into Synchrony to help physicians intraoperatively benefit from the wisdom of thousands of procedures. The second, a rehaul of our automated navigation software, so a physician simply designs a procedure and the robot executes it. A specific project here is with a larger industry partner who sees the opportunity for automation to offer the most efficient and yet personalized patient-specific therapy. Finally, and most significantly and transformationally, we announced the acquisition of Robocath last month. Which as mentioned at the time, gives Stereotaxis a fully complementary and separate robotic mechanism of action for endovascular device navigation. The combination of our technologies offers a clear vision for how our robotic solution, including the full ecosystem of digital innovations, will enable remote, automated, and fully robotic treatment of stroke and cardiovascular disease. The puzzle pieces have come together in a remarkable fashion.
We are fully focused on executing the key operational and commercial activities to reap the rewards from our recent regulatory approvals, grow revenue, and reach breakeven. We're simultaneously busy at work through the acquisition of Robocath, other business development activities, and in-house R&D on a robust innovation effort across robotics, interventional devices, AI, and automation. The goals, direction of the paths, and stepping stones of progress along the path have become increasingly clear to us. We are energetically and enthusiastically advancing forward. Kim will now provide commentary on our financial results, and then I'll make a few financial comments as well before opening the call to Q&A. Kim?
Thank you, David, and good afternoon, everyone. Revenue for the first quarter of 2026 totaled $6.3 million, compared to $7.5 million in the prior year first quarter. System revenue of $1.3 million and recurring revenue of $5 million, compared to $2 million and $5.5 million in the prior year first quarter. System revenue in the current quarter reflects revenue recognition on the installation of one Genesis system and partial revenue recognition of other ancillary systems. Recurring revenue in the quarter was pressured by the transition from the Johnson & Johnson ecosystem. Gross margin for the first quarter of 2026 was 60% of revenue. Recurring revenue gross margin was 66%, and system gross margin was 39%.
Operating expenses in the quarter of $9.8 million included $3.1 million in non-cash charges for stock compensation expense, mark-to-market adjustment for acquisition-related contingent earn-out consideration, and amortization of acquired intangibles. Excluding these non-cash charges, adjusted operating expenses were $6.7 million, similar to the prior year adjusted operating expenses of $6.8 million. Operating loss and net loss in the first quarter of 2026 were $6 million and $5.9 million, compared with $5.9 million and $5.8 million in the previous year. Adjusted operating loss and adjusted net loss for the quarter, excluding non-cash charges, were $2.9 million and $2.8 million, compared with $2.7 million and $2.6 million in the previous year.
Negative free cash flow for the first quarter was $3.5 million, compared to $1.8 million in the previous year. At March 31st, Stereotaxis had cash and cash equivalents of $14.6 million and no debt. I will now hand the call back to David.
Thank you, Kim. I want to conclude by emphasizing that while not yet reflected in our quarterly financial results, the commercial green shoots I mentioned previously have begun. Over the coming months, the positive impact will grow in momentum and overshadow the pressures on our legacy business. We are reiterating our revenue guidance for the year of double-digit revenue growth, with annual revenue expected to surpass $40 million. Revenue will ramp up sequentially each quarter, and we expect both the third and fourth quarters of this year to have revenue of above $10 million a quarter. From a financial perspective, we're confident that we can advance our strategy, integrate Robocath, and grow significantly without subjecting investors to substantial dilution. Operating losses will be reduced as we grow recurring revenue, with the majority of recurring revenue dropping to the bottom line.
We have opportunistically taken advantage of the ATM at prices significantly higher than our current valuation, with overall minimal dilution, strengthening our balance sheet and bridging us through the acquisition of Robocath and time needed to build momentum with recurring revenue. We have invested significantly in inventory that supports meaningful GenesisX and Synchrony revenue and maintain a clean balance sheet. We continue to pursue strategic opportunities for non-dilutive, non-debt financing. It is a delicate balancing act and there is much being done in parallel, but we feel comfortable with our balance sheet allowing us to advance our innovation strategy to market, fund a commercial ramp, and achieve profitability. We'll now take your questions. Operator, can you please open the line to Q&A?
Thank you. Yes, we will now begin the question and answer session. Please limit yourself to one question and one follow up. If you like to ask a question, please press star one to raise your hand. To withdraw your question, please press star one again. We ask that you pick up your handset when asking a question to allow for optimum sound quality if your are muted locally, please remember to unmute your device. Please stand by while we compile the Q&A roster. Your question from the line of Danny Stauder with Citizens. Your line is now open. Please go ahead.
Yeah, great. Thanks for taking the questions. Just for my first one on catheters. You mentioned some initial green shoots, and I know it's still early days, but for your customers that have started to use the MAGiC portfolio, I know you commented you're seeing revenue per procedure above $5,000, sometimes around $8,000, which is great to hear. I was just curious if you could give us more color here, specifically in terms of how sticky utilization has been for new users of MAGiC. Are you seeing a pretty immediate uptick following adoption? Does it take time to ramp? Any more commentary would be great. Thank you.
Sure. Hi, Danny. Good afternoon. So MAGiC adoption is right now still limited by production capacity. We have sites that would like to transition 100% over, we have sites that have tried it and still have J&J catheters and are kind of, you know, for a period would like to use both and gradually transition. We have sites that have stayed only with J&J at this point, but know that they have to transition over the coming months. Really kind of, all of our sites fall into one of those three buckets. Right now we're still capacity constrained, that is the main barrier. There will be sites where as manufacturing continues to ramp, and it is getting better as the weeks go on.
As manufacturing continues to ramp, there will be sites that will just, you know, they've completely shifted over and every procedure they do will be with MAGiC, MAGiC Sweep and Map-iT kind of, our ecosystem of catheters. There are other sites that will likely run things side by side for a period of time. There's others, like I mentioned, that kind of will stay in the J&J ecosystem as long as they can. Essentially, they all know that over the coming months, probably over the next year, they essentially have to transition, given the availability of J&J catheters. That kind of will drive a transition point.
We're working really to ground game account by account to get them over that transition, to get them comfortable and working well with MAGiC, and the whole new ecosystem and then kind of comfortable to start ordering MAGiC in a robust fashion as they've shifted over.
Okay, great. Just one follow-up from me on that. Just, you know, as we look at the quarter's results and your reiteration of guidance, I was hoping you'd give us a little bit more on what is assumed in reaching that $40 million plus number in terms of the timing of manufacturing improvement. I know you still called out the 500 monthly catheter metric by year-end, but, you know, have you seen a meaningful shift in catheter production yield or any notable trends since the end of March? How should we be thinking about some of these headwinds in the second quarter? Really here, just trying to get a sense of how confident you are in the continued improvement throughout the year on this front. Thank you.
Yeah, sure. If you think about the ASPs that our catheter portfolio provide, and you think that we're working towards 500 catheters a month by the end of this year, you can do kind of back-end envelope math, and you can see that the type of just disposable revenue that we would have in a quarter around the end of this year is higher than all of our recurring revenue right now. That's there is a lot of benefit to the shift in business model where you actually capture the revenue per procedure. And again, this is not with charging the hospital any more than what they're used to paying. This is really just participating in the revenue that previously we didn't participate in. That's the primary driver, obviously, to revenue.
You can start to model things where our recurring revenue by itself is reaching the near $10 million or so level as we ramp manufacturing of catheters to that level. On the systems side, this was a particularly weak quarter from a system perspective. We still have a pipeline, we still have a backlog, we still engage with accounts both on Genesis and GenesisX. I think the majority of GenesisX accounts will be in the lease plus disposable commitment category, though there are some definite opportunities for sales there, but the Genesis system is still fully a sale, that would be kind of revenue recognition up front. That's kind of the way we're looking at the opportunity as we go through this year.
Your next question comes from Adam Maeder with Piper Sandler. Your line is now open. Please go ahead.
Great. Thanks. This is Kyle on for Adam. I guess first to dig in a little more there on the disposable business. I was wondering if you could just kind of quantify the impact in the quarter for us, just to kind of try to help us, you know, understand where these impacts are in the quarter.
Sure. MAGiC and MAGiC Sweep, the MAGiC portfolio was very small in the quarter overall. I think like we mentioned in our call in March, we had very little production in January, February because they were shifting over a process in the manufacturing line to a newer process which improved the yield significantly. Essentially in January and February, the entire all production was meant for validating that shift in the process. Then we did have decent production in March, but that was most of the revenue from that production comes into April by the time it gets produced and sterilized and shipped to us, and then we can actually ship to customers and recognize revenue.
There was very little revenue recognition in the first quarter from MAGiC and MAGiC Sweep. The primary headwind is that Johnson & Johnson has not been supplying catheters well to accounts, there's obviously a pressure there in our accounts from that. That's kind of where the pressure on procedures from the Johnson & Johnson catheter and behavior versus the step up in revenue from shifting procedures to the MAGiC environment. That's kind of the give and take that's happening in our disposable revenue right now. The step up from the MAGiC portfolio should overshadow as we start to get meaningful numbers in the second quarter, third quarter. Should overshadow by far any pressures that we're seeing from Johnson & Johnson.
Okay, great. That's helpful. For my follow-up, maybe on the systems side, you know, heard some of the discussion around, you know, the pipeline and where discussions are. I was just hoping you could maybe dig in a little more, if you could just give kind of more on the qualitative measures. Just what's the early feedback? What are those discussions like? Maybe that can kinda help us understand, you know, when you expect that first order to come in for GenesisX.
Yep, sure. Maybe I'll step back a little bit and provide, again, context for why this is a structural change that we are working through that is very beneficial as you come out on the other side of it, but is more complicated than perhaps many people have appreciated till now. Historically, in our entire history, we have only sold our robot with an integrated, magnetically modified, magnetically shielded X-ray, all of our systems to date. We have built GenesisX such that it can work compatible with non-integrated X-rays.
That is a structural change that, as you implement it, provides you a much, much bigger base of accounts and labs where you can place your robot, and it makes the process of installing your robot much, much easier because you're not having to always install it concurrent with a specific unique X-ray. Implementing that, we obviously did receive our first order for GenesisX last year. We shipped the system. The system is awaiting installation at an account. That was done according to the historical model, which we'll still continue to do, where we sell our robots concurrent with selling magnetically shielded and integrated X-rays. That's kind of how all Genesis sales are still being done.
That's how we did the first GenesisX shipment as well. Making GenesisX such that it can work compatibly with the broad range of X-rays from the major X-ray manufacturers is a big effort. We've done a huge amount of that effort already. We're very confident in the assessments and testing that we've done to date. What we're really looking right now for the first few GenesisX systems, apart from that one that we've already sold, is proving the model that GenesisX can work compatible with any of the large X-ray manufacturers. That, to some extent, opens you up to a whole world of capital opportunity that previously was not available to us.
The first users who are going to work with us in that effort are obviously need to be physicians and hospitals who are comfortable in that type of pioneering work and in the kind of working through the uncertainty and the risk. We obviously, through all the kind of scientific testing, we can explain, and we can document why there isn't a real risk. There's always a somewhat of a risk when you're the first ones to demonstrate something. We're glad that we do have accounts that are kind of open and interested in working with us to demonstrate the robot working in this non-integrated fashion.
That's really what we're doing with these first kind of pioneering accounts that are gonna start using GenesisX and serving as some of the show places where GenesisX works in existing labs.
Your next question comes from Joshua Jennings with TD Cowen. Your line is now open. Please go ahead.
Hi. Thanks, David and Kim. Appreciate taking the question. Wanted to just ask about some of the Johnson & Johnson turbulence and just thinking about the MAGiC integration at these centers. You know, what mapping platform are electrophysiologists using today when they integrate MAGiC into ablation case. Could there be any turbulence going forward? I mean, should we be thinking that MAGiC will be used with CARTO as well as this catheter supply relationship ends with J&J?
Sure. Good afternoon, Josh. So we've been committed to the concept of open ecosystems around our robot, where you can pair the benefits of our robot with the broad range of diagnostic and therapeutic technologies out there. That has been kind of one of our commitments from the beginning to our physicians. It's the right thing for patients, for physicians, for hospitals, and overall for the progress of medicine. As part of that, we integrated with Abbott's EnSite X system, its latest mapping technology, and we're fully integrated with EnSite, and that has been the predominant mapping system that is being used with MAGiC. There are some ways to make MAGiC work also with CARTO, and we also obviously have a full integration with MicroPort's mapping system, Columbus.
That is not available in the U.S., that is available in Europe and in China obviously. There are kind of some others, in the majority of cases and definitely in the U.S. and mostly in Europe, you're seeing EnSite X being used with MAGiC, Abbott's EnSite X system.
Thanks for those details. Also at HRS, you know, in the robotics symposium, I think two topics we were impressed with. I mean, one, just some of the progress on the PFA development. If you could just share any incremental progress today. Then also, there seemed to be optimism from some electrophysiologists that are already involved in the cardiology ASCs or cardiology ambulatory procedure centers that robotics could be incorporated. Sorry for two questions in one, but maybe you could touch on both of those topics and how you see the PFA evolving with robotic, on the robotic platform and integrating in the MAGiC catheter and then also, just the opportunity in ASCs. Thanks for taking the questions.
Sure. Thanks a lot. Yeah, I'll definitely touch upon both PFA and the ASC setting. Maybe before that, just since you mentioned HRS and the Society for Cardiac Robotic Navigation symposium that happened at HRS, I mean, that was a beautiful demonstration of how the fact that we are innovating and bringing new solutions to the market does create a different level of excitement in the field. There With all of the challenges and all of the messiness to the transition, we had at HRS about, I don't know, it was a huge room and probably about 200 or so people who came. At the far end, you had to walk all the way at the end of the hallway in order to get to the room of SCRN.
Right, you had probably about 200 or so people who attended that session with fantastic talks from multiple physicians and KOL physicians. That was kind of a really nice event. I think it's reflective generally of the type of interest. We're still a small player in the EP field, but there is a renewed interest from many physicians who long had thought that robotics was an old technology and a stale technology, and are interested and kind of, starting to recognize that the technology that they remembered is not anymore how it is today, and the opportunity is there for them to actually engage with us in a much more meaningful way.
That was one of the highlights, obviously, of the last few weeks as the whole HRS conference, neuroconferences, and then specifically the SCRN session there. If we look at PFA specifically, I know I didn't include any discussions about that in the prepared remarks, not because there's anything negative, just because we're continuing as we've discussed in the March call, and we had enough other things to speak about on this call. We're still working, obviously with CardioFocus. We have the announced collaboration. We're working on the effort of getting compatibility between MAGiC and CardioFocus' generator, PFA generator approved in Europe. We've done kind of meaningful work and started actually the kind of regulatory engagement with a notified body. That's kind of clearly underway.
We also have kind of another collaboration, one of those that we've kind of not mentioned the name, but discussed over the last couple of years. That is also overall a clear opportunity for leveraging a variant of MAGiC with their generator. We continue to view that kind of as an exciting space. I think during the talks, the physician talks at the SCRN symposium, there was a few kind of where the speakers were noting how despite all of the enthusiasm for PFA, there is still various safety signals that things like stability of the catheter with the tissue are particularly important for PFA, both efficacy and safety. Our stability of the catheter is one of our hallmarks of our catheter and a great benefit there.
As you start to think about PFA in the ventricle, we have an ability to obviously get anywhere in the ventricle to stay steady on that tissue. We're probably in a very, very good position. Some of the speakers there weren't part of our animal studies, and so they, I believe, shared data from those animal studies in their presentations. On the ASC side, the ASC side is fascinating. It's obviously still a minority, right? The vast majority of cardiac ablation procedures are still done in the hospital setting. You've seen in several states that ASC starting to get set up to do cardiac ablation procedures.
There's obviously the precedent in many other areas of medical devices where ASCs have kind of become a dominant setting for procedures. We think and believe that the robot, the Stereotaxis' robot should be very well suited for the ASC, particularly because of our safety profile. That's obviously one of the biggest risks from moving from the hospital setting to the ASC setting, is that you don't have the same safety net in terms of all of the hospital resources around you. We think that our robot can provide a big benefit there. The vast majority of procedures currently being done in the ASC setting are paroxysmal AF. That's not where our robot shine.
Our robot can shine in, things like PVCs and in various other areas where stability and safety and navigation is more challenging. I very much hope, believe that one of those GenesisX installations this year will be in the ASC setting, and that will start to demonstrate also the financial and clinical merit of having a robot in the ASC setting. Again, this is small. This is something that will be a long-term, will have a long-term tailwind to it in the U.S. definitely think there's merit to us being there early on and starting to demonstrate the value there.
Hopefully that will give us another opportunity over the next few years to grow kind of and to help the ASC setting grow as a field for cardiac ablation.
There are no further questions at this time. I will now turn the call back to David Fischel for closing remarks.
Okay. Thank you very much for your questions and for your continued support. We look forward to hosting any investors visiting our office on Thursday for our annual shareholder meeting. And we will continue working hard for your benefit and look forward to speaking again soon. Thank you very much.
This concludes today's call. Thank you for attending. You may now disconnect.

