Earnings summaries and quarterly performance for NeuroPace.
Executive leadership at NeuroPace.
Board of directors at NeuroPace.
Research analysts who have asked questions during NeuroPace earnings calls.
Rohin Patel
JPMorgan Chase & Co.
4 questions for NPCE
Frank Takkinen
Lake Street Capital Markets
3 questions for NPCE
Michael Kratky
Leerink Partners
3 questions for NPCE
Michael Polark
Wolfe Research
3 questions for NPCE
Priya Sachdeva
BTIG
3 questions for NPCE
Ross Osborn
Cantor Fitzgerald
3 questions for NPCE
Vikramjeet Chopra
Wells Fargo & Company
2 questions for NPCE
Junwoo Park
Cantor Fitzgerald
1 question for NPCE
Mike Kratky
Leerink Partners
1 question for NPCE
Nelson Cox
Lake Street Capital Markets
1 question for NPCE
Vik Chopra
Wells Fargo & Company
1 question for NPCE
Yi Chen
H.C. Wainwright & Co.
1 question for NPCE
Recent press releases and 8-K filings for NPCE.
- NeuroPace achieved a significant milestone in 2025 with its first-ever $100 million in revenue, marking 25% year-on-year growth, primarily driven by its RNS System which also grew 25% to $81.7 million and delivered 77.2% gross margins.
- For 2026, the company projects revenue of $98-$100 million, with RNS revenue growth of 20%-22% and an anticipated increase in gross margins to 81%-82%.
- Strategic growth initiatives include the recent PMA supplement submission to the FDA for idiopathic generalized epilepsy (IGE) patients and ongoing development for pediatric and Lennox-Gastaut indications, though 2026 guidance does not include revenue from potential IGE approval.
- The company is developing AI algorithms leveraging its over 24 million individualized EEG recordings to enhance therapy effectiveness and efficiency, and reported an increase in its cash balance from $60 million in Q3 2025 to $61 million in Q4 2025.
- NeuroPace remains confident in its ability to achieve cash flow break-even by 2027.
- NeuroPace reported preliminary unaudited total revenue of ~$100 million for FY2025, representing +25% YoY growth, with RNS Revenue at ~$81.7 million (+25% YoY growth) and a gross margin of ~77.2%. For Q4 2025, total revenue was ~$26.6 million (+24% YoY growth).
- The company provided FY26 guidance for revenue between $98 million and $100 million, with RNS Revenue growth of ~20-22% and a projected gross margin of ~81-82%.
- NeuroPace is pursuing market expansion into generalized epilepsy and pediatrics, with a PMA-S submitted to the FDA in Q4 2025 for indication expansion in idiopathic generalized epilepsy (IGE).
- The company is also focused on advancing its AI ecosystem built on a proprietary iEEG dataset, developing a robust product pipeline including next-gen PDMS and AI-Powered ADAPT, and expanding access through community channels.
- NeuroPace achieved $100 million in revenue for the first time in 2025, marking 25% year-on-year growth, with its core RNS System contributing $81.7 million.
- For 2026, the company provided revenue guidance of $98-$100 million, projecting 20%-22% RNS revenue growth and 81%-82% gross margins. This guidance is for the core focal RNS business and does not include potential revenue from new indications.
- The company reported an increase in its cash balance from $60 million in Q3 2025 to $61 million in Q4 2025 from operations, achieving its second consecutive quarter of positive adjusted EBITDA.
- Strategic initiatives include the submission of a PMA supplement to the FDA in December for idiopathic generalized epilepsy (IGE), a market representing approximately 250,000 patients, and ongoing development of an AI suite and next-generation hardware.
- The distribution relationship with Dixie Medical was wound down by the end of Q3 2024 to enhance focus on the higher-margin RNS business.
- NeuroPace achieved a significant milestone in 2025 with $100 million in total revenue, marking 25% year-on-year growth, primarily driven by its core RNS System revenue of $81.7 million. The company also reported a 77.2% gross margin for the year.
- For 2026, NeuroPace is guiding to revenue of $98-$100 million, with RNS revenue growth of 20%-22% and an anticipated gross margin of 81%-82%. This guidance excludes potential revenue from new indications.
- The company is actively pursuing indication expansion for its RNS System, having submitted a PMA supplement to the FDA for idiopathic generalized epilepsy (IGE) patients, following positive Nautilus trial results showing a 77% median seizure reduction rate at 18 months. Plans also include expansion into pediatric and Lennox-Gastaut patient populations.
- NeuroPace is developing AI algorithms and a next-generation hardware platform to leverage its unmatched dataset of over 24 million individualized EEGs, with the first AI product, "seizureID," submitted to the FDA.
- The company reported an increase in its cash balance from $60 million in Q3 to $61 million in Q4 2025 and remains confident in achieving cash flow break-even by the end of 2027.
- NeuroPace reported preliminary unaudited total revenue of approximately $26.6 million for Q4 2025, a 24% increase over Q4 2024, and approximately $100 million for full year 2025, a 25% increase over 2024.
- For 2026, total revenue is anticipated to be $98 million to $100 million, reflecting 20% to 22% growth in the core RNS business compared to 2025 RNS revenue.
- The company expects 2026 gross margin to be 81% to 82%, an increase from the 77.2% preliminary unaudited gross margin for full year 2025.
- As of December 31, 2025, NeuroPace held $61.1 million in cash equivalents and short-term investments.
- NeuroPace will report DIXI related financial results as a discontinued operation starting in Q1 2026, with comparable periods adjusted accordingly.
- NeuroPace has submitted a Premarket Approval Supplement (PMA-S) to the U.S. Food and Drug Administration (FDA) to expand the labeled indication for its RNS® System.
- The expansion seeks to include patients with antiseizure-medication (ASM) resistant idiopathic generalized epilepsy (IGE) with generalized tonic-clonic (GTC) seizures.
- This submission is supported by positive preliminary 18-month NAUTILUS trial data, which showed a 77% median GTC seizure reduction and a favorable safety profile.
- The RNS System has been granted Breakthrough Device Designation for this IGE indication, and PMA supplements are typically reviewed within approximately 180 days.
- NeuroPace reported record total revenue of $27.4 million in Q3 2025, representing 30% year-over-year growth, primarily driven by RNS revenue of $22.6 million.
- The company achieved positive adjusted EBITDA of $0.1 million in Q3 2025, marking the first time in its history.
- NeuroPace raised its full-year 2025 revenue guidance to $97 million-$98 million (from $94 million-$98 million) and its gross margin guidance to 76%-77% (from 75%-76%).
- The company is strategically shifting its focus to the core RNS business, with Dixie product sales expected to be substantially complete by the end of 2025.
- The PMA supplement for NAUTILIST (IGE) is on track for submission before year-end, while the pediatric indication submission timeline has been extended beyond 2025.
- NeuroPace reported record quarterly revenue of $27.4 million in Q3 2025, representing 30% growth compared to the third quarter of 2024.
- The company delivered a strong gross margin of 77.4% in Q3 2025, an increase from 73.2% in the third quarter of 2024.
- Net loss for the third quarter of 2025 was ($3.5) million, an improvement from a net loss of ($5.5) million in the third quarter of 2024.
- NeuroPace increased its full-year 2025 revenue guidance to between $97 million and $98 million and its gross margin guidance to between 76% and 77%.
- Operationally, NeuroPace remains on track to submit the NAUTILUS PMA Supplement to the FDA for IGE indication expansion by year-end 2025 and submitted its Seizure ID™ AI application to the FDA for approval.
- NeuroPace reported record quarterly revenue of $27.4 million for the third quarter of 2025, marking a 30% growth compared to the third quarter of 2024.
- The company achieved a gross margin of 77.4% in Q3 2025, an increase from 73.2% in the third quarter of 2024.
- NeuroPace increased its full-year 2025 revenue guidance to between $97 million and $98 million and its gross margin guidance to between 76% and 77%.
- The company remains on track to submit the NAUTILUS PMA Supplement to the FDA for IGE indication expansion by year-end 2025 and has submitted its Seizure ID™ AI application for approval.
- NeuroPace reported Q3 2025 revenue of $27.4M, reflecting 30% YoY growth, and achieved a gross margin of 77.4%, an increase of 417 basis points YoY.
- The company provided FY 2025 revenue guidance of $97M-$98M, indicating 18%-23% growth, and FY gross margin guidance of 76%-77%.
- NeuroPace identifies a $3.5B+ annual target market opportunity and projects 20%+ long-range plan (LRP) growth, with over 6,000 patients having received the RNS System.
- Strategic initiatives include expanding into generalized epilepsy, with the NAUTILUS trial completing 1-year follow-up in March 2025 and a planned PMA-S submission in Q4 2025, and leveraging its 22M+ iEEG recordings to develop an AI ecosystem for therapy optimization and product pipeline expansion.
Quarterly earnings call transcripts for NeuroPace.
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