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Stereotaxis, Inc. (STXS)·Q2 2025 Earnings Summary

Executive Summary

  • Strong top-line execution: revenue grew 95% Y/Y to $8.80M and 18% Q/Q, driven by partial recognition on two systems (incl. first commercial GenesisX) and ramping disposables from Map‑iT and initial MAGiC/MAGiC Sweep, with gross margin at 52% .
  • Estimates: Revenue beat and EPS beat; EBITDA missed. Actual revenue $8.80M vs $8.13M consensus; GAAP EPS −$0.05 vs −$0.065; EBITDA −$3.58M vs −$1.45M consensus. Bold beats on revenue and EPS; EBITDA a notable miss. Values retrieved from S&P Global.*
  • Guidance maintained: reiterated double‑digit FY25 revenue growth; system revenue of $2–$3M per quarter; recurring revenue scaling to $7M in Q4; modest GenesisX EU contribution and no China systems revenue .
  • Catalysts: FDA 510(k) clearance of MAGiC Sweep (first FDA interventional catheter clearance in ~20 years), initial GenesisX commercialization, and continued regulatory timelines (“GenesisX U.S. approval likely still this summer”; MAGIC U.S. approval expected later this year) position STXS for outsized 2026 growth narrative .

What Went Well and What Went Wrong

What Went Well

  • Commercial traction across both systems and recurring revenue: “Sequential and year‑over‑year growth in both recurring and system revenue reflects the early positive impact of our innovations on commercial adoption.”
  • Regulatory milestone: “Recent FDA clearance of MAGiC Sweep was a significant milestone as Stereotaxis’ first FDA clearance for an interventional catheter in nearly 20 years.”
  • Liquidity strengthened: Pro forma cash of $18.8M following July financing; no debt, supporting execution of the innovation strategy .

What Went Wrong

  • Profitability still pressured: Operating loss improved but remained at $(4.0)M; net loss $(3.8)M; negative FCF widened to $(3.7)M (vs $(3.1)M prior year) .
  • Margin headwinds: System GM only 22% and overall GM 52% due to acquisition‑related accounting on disposables and fixed overhead over low system production .
  • EBITDA underperformed consensus: Street expected a much smaller EBITDA loss than realized, implying higher opex/margin drag than modeled. Values retrieved from S&P Global.*

Financial Results

Core P&L vs Prior Periods

MetricQ4 2024Q1 2025Q2 2025
Revenue ($M)$6.34 $7.47 $8.80
GAAP EPS ($)$(0.09) $(0.07) $(0.05)
Gross Margin (%)51% 54% 52%
Operating Loss ($M)$(7.63) $(5.93) $(3.98)

Actual vs S&P Global Consensus (Q2 2025)

MetricConsensusActualSurprise
Revenue ($M)$8.13*$8.80 +$0.67M, bold beat*
GAAP EPS ($)−$0.065*−$0.05 +$0.015, bold beat*
EBITDA ($M)−$1.45*−$3.58*−$2.13, miss*
Values retrieved from S&P Global.*

Segment/Revenue Mix

Revenue ($M)Q4 2024Q1 2025Q2 2025
Systems$1.39 $1.96 $3.04
Disposables, Service & Accessories$4.95 $5.51 $5.76
Total Revenue$6.34 $7.47 $8.80

KPIs and Cash

KPIQ4 2024Q1 2025Q2 2025
Recurring GM (%)68% 68%
System GM (%)15% 22%
Free Cash Flow ($M)$1.30 $(1.80) $(3.70)
Cash & Equivalents ($M, period-end)$12.22 $10.60 $6.97
Pro Forma Cash ($M, post July financing)$18.8

Guidance Changes

MetricPeriodPrevious GuidanceCurrent GuidanceChange
Revenue GrowthFY 2025Double‑digit growth Double‑digit growth Maintained
System RevenueFY 2025$2–$3M per quarter $2–$3M per quarter Maintained
Recurring RevenueQ4 2025~$7M in Q4 ~$7M in Q4 Maintained
Geographic/Reg. AssumptionsFY 2025Modest GenesisX EU; no China systems Modest GenesisX EU; no China systems Maintained
Cash UsageFY 2025Expect reduced cash use vs 2024 Not updated in Q2 PR

Earnings Call Themes & Trends

TopicPrevious Mentions (Q4’24, Q1’25)Current Period (Q2’25)Trend
AI / Digital Surgery PlatformStrategic transformation foundation; focus on platform and ecosystem “Digital surgery platform that enables operating room connectivity and smart AI capabilities” highlighted by CEO on call Building visibility
Product Performance (GenesisX, MAGiC)First GenesisX sale; EU approval of MAGiC; growing backlog Partial revenue on first commercial GenesisX; MAGiC initial EU commercialization; MAGiC Sweep FDA clearance Positive momentum
Regulatory TimelinesMultiple 2025 submissions in flight GENESIS X U.S. approval “likely still this summer”; MAGIC U.S. approval expected “later this year” Nearing milestones
Margins & Cost StructureFY24 GM ~54%; system GM pressured by low production; opex elevated with APT integration GM 52%; system GM 22%; opex includes $2.6M non‑cash; negative FCF $(3.7)M Mixed; improving scale needed
Regional TrendsExpect modest EU GenesisX; China approvals but no revenue modeled Maintains modest EU GenesisX and no China systems in 2025 outlook Unchanged
R&D Execution6 active regulatory reviews; advancing magnet/catheter portfolio Continued catheter pipeline; MAGiC Sweep clearance reflects APT integration benefits On plan

Management Commentary

  • “This is an exciting milestone rich year with broad-based progress across the late stages of our comprehensive innovation strategy.” – David Fischel, CEO
  • “Recent FDA clearance of MAGiC Sweep was a significant milestone as Stereotaxis’ first FDA clearance for an interventional catheter in nearly 20 years.” – David Fischel, CEO
  • “Incorporating the net proceeds from [the July financing], Stereotaxis’ proforma cash balance would be $18.8 million in cash and no debt.” – Company release
  • “We view regulatory approval of GENESIS X as likely still this summer… We continue to expect U.S. regulatory approval of MAGIC later this year.” – CEO on earnings call

Q&A Highlights

  • Regulatory timing clarifications: Management reiterated near‑term expectations for GENESIS X U.S. clearance (“likely still this summer”) and MAGIC U.S. approval later this year, reducing timeline uncertainty .
  • Disposable revenue uplift: Management expects the combination of MAGiC and MAGiC Sweep to “increase our disposable revenue per procedure significantly and expand our user base,” supporting recurring revenue scale-up into Q4 .
  • Platform strategy: The digital surgery platform (OR connectivity and smart AI) was emphasized as a key pillar for long‑term adoption and TAM expansion .
  • Margin/opex drivers: Fixed overhead over low system production and acquisition accounting continue to weigh on margins; adjusted opex fell Y/Y to $6.0M (from $6.8M), aided by a favorable earnout adjustment and $0.5M ERTC .

Estimates Context

  • Q2 2025 vs S&P Global consensus: Revenue $8.80M vs $8.13M (beat); GAAP EPS −$0.05 vs −$0.065 (beat); EBITDA −$3.58M vs −$1.45M (miss). Values retrieved from S&P Global.*
  • Implications: Street likely raises near‑term revenue run‑rate on disposables and initial GenesisX, but may trim near‑term EBITDA/GM trajectories pending clearer system production leverage and disposable accounting normalization.*

Key Takeaways for Investors

  • Execution is improving: Two consecutive quarters of sequential growth culminating in 95% Y/Y revenue growth and better operating loss trajectory; revenue and EPS beats reinforce commercial traction .
  • 2H setup: Maintained FY25 outlook with recurring revenue targeted at ~$7M in Q4; regulatory catalysts (GENESIS X U.S., MAGIC U.S.) can de‑risk revenue inflection into 2026 .
  • Watch margin bridge: System GM (22%) and acquisition accounting on disposables cap near‑term margin; scaling system production and normalizing accounting should unlock GM expansion .
  • Liquidity improved: Pro forma $18.8M cash and no debt provide runway to execute commercialization and regulatory milestones without near‑term financing overhang .
  • Trading lens: Near‑term stock drivers include additional regulatory clearances, early MAGiC/MAGiC Sweep/GenesisX adoption updates, and any upside to recurring revenue cadence; EBITDA miss vs Street is a balancing factor until margin traction emerges.*
  • Medium‑term thesis: Transition from single‑application robot to platform endovascular ecosystem expands TAM and supports a higher‑quality recurring mix; 2026 outlook strengthens with broader launches if regulatory timelines hold .

Additional Source Documents (Q2‑related)

  • 8‑K and Exhibit 99.1 (Earnings Press Release, Q2 2025)
  • Press Release: Stereotaxis Reports 2025 Second Quarter Financial Results
  • Press Release: FDA 510(k) Clearance for MAGiC Sweep (July 28, 2025)
  • Press Release: $12.5M Registered Direct Offering (July 17, 2025)
  • Prior quarters for trend: Q1 2025 results (May 12, 2025) ; Q4/FY 2024 results (Mar 3, 2025)
  • Earnings call transcript (external): Yahoo/Quartr and other transcript portals

Notes: All company operational and financial figures are cited from company filings and press releases as referenced. Consensus figures and variances marked with an asterisk (*) are Values retrieved from S&P Global.