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EDAP Reports Record Fourth Quarter and Full-Year 2025 HIFU Revenue

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EDAP (Nasdaq: EDAP) reported record fourth-quarter and full-year 2025 HIFU revenue, driven by higher Focal One system sales and U.S. procedure growth.

Full-year HIFU revenue rose 39% YoY; the company reiterated 2026 revenue guidance of $72.0M–$80.0M, with core HIFU revenue expected to grow 34%–45% YoY.

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Positive

  • HIFU revenue +39% YoY for full-year 2025
  • Focal One placements +69% YoY for full-year 2025
  • Q4 HIFU revenue +34% YoY (€11.7M vs €8.8M)
  • Worldwide disposables +43% YoY in Q4 driven by procedure growth
  • 2026 revenue guidance reiterated at $72.0M–$80.0M

Negative

  • Company total revenue down 3% YoY for full-year 2025 (€62.4M vs €64.1M)
  • Net loss widened to €25.9M in 2025 from €19.0M in 2024
  • Cash and equivalents declined to €17.4M at year-end 2025 from €29.8M

Key Figures

Full-year HIFU growth: 39% YoY Focal One placements growth: 69% YoY Q4 2025 HIFU revenue: €11.7M ($13.5M) +5 more
8 metrics
Full-year HIFU growth 39% YoY HIFU revenue growth in 2025 vs 2024
Focal One placements growth 69% YoY Full-year 2025 Focal One system placements
Q4 2025 HIFU revenue €11.7M ($13.5M) Q4 2025 vs €8.8M ($9.4M) in Q4 2024, up 34% YoY
Q4 2025 total revenue €18.9M ($21.9M) Q4 2025 vs €20.3M ($21.8M) in Q4 2024, down 7% YoY
Q4 2025 net loss €8.2M ($9.5M), (€0.22)/share Q4 2025 vs €1.9M ($2.0M), (€0.05)/share in Q4 2024
Full-year 2025 HIFU revenue €33.1M ($37.4M) 2025 vs €23.8M ($25.8M) in 2024, up 39% YoY
Full-year 2025 total revenue €62.4M ($70.5M) 2025 vs €64.1M ($69.4M) in 2024, down 3% YoY
2026 revenue guidance $72.0M–$80.0M Company-wide 2026 total revenue guidance

Market Reality Check

Price: $3.83 Vol: Volume 41,593 is slightly...
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Technical Shares at $3.83 are trading above the 200-day MA of $2.65, and about 24.16% below the 52-week high.

Peers on Argus

EDAP is up 4.83% while key peers show mixed moves: OMI up 2.19%, YI down 4.44%, ...

EDAP is up 4.83% while key peers show mixed moves: OMI up 2.19%, YI down 4.44%, ZYXI down 37.34%, and others flat to slightly negative. This cross-section points to a stock-specific reaction rather than a broad medical distribution sector move.

Historical Context

5 past events · Latest: Mar 10 (Positive)
Pattern 5 events
Date Event Sentiment Move Catalyst
Mar 10 Conference presentation Positive +4.8% Oppenheimer healthcare conference presentation and investor meetings announcement.
Mar 04 Earnings date notice Neutral +6.5% Announcement of timing for Q4 and full-year 2025 results release.
Feb 12 Board change Neutral -2.6% Director resignation and appointment of David Horn to the Board.
Jan 12 Prelim HIFU results Positive +11.4% Preliminary record Q4/full-year 2025 HIFU revenue and 2026 guidance.
Nov 20 FDA clearance Positive +5.8% FDA 510(k) clearance for Focal One imaging and workflow enhancements.
Pattern Detected

Recent EDAP headlines, especially around HIFU growth, guidance, and FDA clearance, have generally coincided with positive share moves, indicating news-sensitive trading skewed to the upside.

Recent Company History

Over the past several months, EDAP has highlighted steady progress around its Focal One HIFU platform. Preliminary record Q4 and full-year 2025 HIFU revenue and 2026 guidance on Jan 12, 2026 were followed by a strong positive move. FDA 510(k) clearance for Focal One enhancements on Nov 20, 2025 also drew a favorable reaction. More routine items like conference appearances and earnings date notices in March 2026 produced modest gains, while a February 2026 board change saw a small decline. Today’s detailed 2025 results and reiterated guidance fit this pattern of HIFU-focused growth news driving interest.

Market Pulse Summary

This announcement details record 2025 HIFU revenue, strong double-digit growth in Focal One system p...
Analysis

This announcement details record 2025 HIFU revenue, strong double-digit growth in Focal One system placements and U.S. procedures, and reiterated 2026 guidance of $72.0M–$80.0M total revenue with $50.0M–$54.0M from core HIFU. At the same time, total company revenue declined modestly and net losses widened in both Q4 and full-year 2025. Historically, EDAP’s stock has reacted positively to HIFU-focused growth and FDA milestones, while governance changes drew a weaker response. Investors may watch HIFU mix, non-core trends, and loss trajectory in upcoming quarters.

AI-generated analysis. Not financial advice.

EDAP Reports Record Fourth Quarter and Full-Year 2025 HIFU Revenue

  • 39% Full-Year YoY HIFU Revenue Growth, Record Performance Driven by Increased Focal One® System Sales and Growth in the Number of U.S. Focal One Procedures
  • 69% Full-Year YoY Growth in Focal One System Placements
  • 28% Q4 YoY Growth in U.S. Procedures, Marking the Second Consecutive Quarter of Double-Digit Procedure Growth
  • Demand for Focal One Systems Remains Strong with System Placements in Academic Cancer Centers, Community Hospitals, and Large Integrated Healthcare Networks
  • Company Reiterates its Previously Issued 2026 Revenue Guidance; HIFU Revenue Expected to Grow Between 34% and 45% YoY

AUSTIN, Texas, March 25, 2026 - EDAP TMS SA (Nasdaq: EDAP), the global leader in robotic energy-based therapies, reported today financial results for the fourth quarter and full-year 2025.

“We experienced strong global demand for Focal One Robotic HIFU as demonstrated by our 2025 results,” said Ryan Rhodes, Chief Executive Officer. “In the fourth quarter, we achieved a quarterly record of net system placements of 15, of which 14 were cash sales and one was an operating lease. We also experienced robust Focal One procedure growth in the U.S., which reflects a growing number of urologists utilizing focal therapy to manage early-stage prostate cancer. We believe demand for Focal One is being driven by growing clinical data, the versatility and adaptability of the Focal One platform, and increasing patient demand for a non-invasive treatment option designed to help preserve urinary and sexual function.”     

Mr. Rhodes added, “Entering 2026, our pipeline continues to build, and demand for Focal One remains well balanced across both academic and community treatment centers. Importantly, we are also beginning to see large, integrated healthcare networks purchase multiple Focal One systems, signifying that Focal One is increasingly being adopted as an important technology platform for addressing early-stage prostate cancer. Looking ahead, we believe the adoption of focal therapy will continue to expand globally, and we remain well positioned to meet this growing demand from urologists and their patients.”

2026 Financial Guidance

The Company reiterates its previously issued 2026 revenue guidance of $72.0 million to $80.0 million. The Company’s core HIFU business revenue is expected to be in the range of $50.0 million to $54.0 million, which represents 34% to 45% year-over-year growth in the Company’s core HIFU business revenue.

Fourth Quarter 2025 Results

High-Intensity Focused Ultrasound (HIFU) Business

Total revenue in the HIFU business for the fourth quarter of 2025 was €11.7 million ($13.5 million), compared to €8.8 million ($9.4 million) for the same period in 2024, representing an increase of 34% year-over-year. The Company sold fourteen Focal One systems during the quarter, compared to eleven system sales in the same period in 2024. Worldwide disposables revenue grew 43% year-over-year, driven primarily by 28% growth in Focal One procedures in the U.S.

Non-Core Businesses (ESWL and Distribution)

Total revenue from the Company’s non-core businesses (ESWL and Distribution) for the fourth quarter of 2025 was €7.2 million ($8.4 million), compared to €11.5 million ($12.3 million) for the same period in 2024. The decline primarily reflects lower revenue in the Company’s non-core businesses as the Company continues to prioritize growth in its HIFU business.

Company

Total worldwide revenue for the fourth quarter of 2025 was €18.9 million ($21.9 million), compared to €20.3 million ($21.8 million) for the same period in 2024, representing a 7% decrease year-over-year.

Gross margin for the fourth quarter of 2025 was €8.1 million ($9.3 million), compared to €9.1 million ($9.8 million) for the same period in 2024. Gross margin on net sales was 42.6%, down from 44.8% for the same period in 2024. The decline in gross margin was primarily due to the impact of tariffs on imports of finished goods from France and an inventory reserve related to legacy parts. Excluding these items, gross margin would have been approximately 46.9%.

Operating expenses for the fourth quarter of 2025 were €13.2 million ($15.3 million), compared to €12.8 million ($13.7 million) for the same period in 2024.

Operating loss for the fourth quarter of 2025 was €5.2 million ($6.0 million), compared to €3.7 million ($4.0 million) for the same period in 2024.

Net loss for the fourth quarter of 2025 was €8.2 million ($9.5 million), or (€0.22) per share, compared to €1.9 million ($2.0 million), or (€0.05) per share, for the same period in 2024.

Full-Year 2025 Results

High-Intensity Focused Ultrasound (HIFU) Business

Total revenue in the HIFU business for the twelve months ended December 31, 2025, was €33.1 million ($37.4 million), an increase of 39% as compared to €23.8 million ($25.8 million) for the twelve months ended December 31, 2024.

Non-Core Businesses (ESWL and Distribution)

Total revenue in the Company’s non-core businesses (ESWL and Distribution) for the twelve months ended December 31, 2025, was €29.4 million ($33.2 million), a 27% decrease compared to €40.3 million ($43.6 million) for the twelve months ended December 31, 2024.

Company

Total worldwide revenue for the twelve months ended December 31, 2025, was €62.4 million ($70.5 million), a decrease of 3% compared to €64.1 million ($69.4 million) for the same period in 2024.

Gross profit for the twelve months ended December 31, 2025, was €26.6 million ($30.0 million), compared to €26.6 million ($28.7 million), for the twelve months ended December 31, 2024. Gross profit margin on net sales was 42.5% for the twelve months ended December 31, 2025, compared to 41.4% for the comparable period in 2024.

Operating expenses were €48.4 million ($54.7 million) for the twelve months ended December 31, 2025, compared to €47.1 million ($51.0 million) for the same period in 2024.

Operating loss for the twelve months ended December 31, 2025, was €21.9 million ($24.7 million), compared to an operating loss of €20.5 million ($22.2 million) for the twelve months ended December 31, 2024.

Net loss for the twelve months ended December 31, 2025, was €25.9 million ($29.2 million), or €(0.69) per share, as compared to a net loss of €19.0 million ($20.6 million), or €(0.51) per share for the twelve months ended December 31, 2024.

As of December 31, 2025, the Company held cash and cash equivalents of €17.4 million ($20.5 million) as compared to €29.8 million ($31.0 million) as of December 31, 2024.

Upcoming Meetings and Events

  • American Urological Association (AUA) Annual Meeting, which will take place from May 15-18, 2026, in Washington, D.C.

  • Investor Day Meeting – June 1, 2026, Nasdaq MarketSite, in New York City                                                           

  • Jefferies Global Healthcare Conference – June 2–4, 2026, in New York City

Conference Call Information

A conference call and webcast to discuss the fourth quarter and full-year 2025 financial results will be hosted by Ryan Rhodes, Chief Executive Officer, Ken Mobeck, Chief Financial Officer, and François Dietsch, Chief Accounting Officer. Please refer to the information below for conference call dial-in information and webcast registration.         

Date:                        Wednesday, March 25, 2026, at 8:30 a.m. Eastern Time
Domestic:                 1-800-579-2543
International:                 1-785-424-1789
Passcode (Conf ID):         EDAP

Webcast:                 https://viavid.webcasts.com/starthere.jsp?ei=1751611&tp_key=27ba007fb5

Currency Translation

Euro-denominated amounts have been translated into U.S. dollars for convenience using an average exchange rate of $1.15 = €1.00 for the fourth quarter of 2025, $1.13 = €1.00 for the full year 2025, and $1.17 = €1.00 for 2026 financial guidance for illustrative purposes.

About EDAP TMS SA

A recognized leader in robotic energy-based therapies, EDAP TMS develops, manufactures, promotes, and distributes worldwide minimally invasive medical devices for various conditions using ultrasound technology. By combining the latest technologies in imaging, robotics, and precise non-invasive energy delivery, EDAP introduced the Focal One® in Europe and the United States as a leading prostate focal therapy platform controlled by urologists, with the potential to expand to multiple indications beyond prostate cancer. For more information on the Company, please visit https://focalone.com.

Forward-Looking Statements

In addition to historical information, this press release contains forward-looking statements within the meaning of applicable federal securities laws, including Section 27A of the U.S. Securities Act of 1933 (the “Securities Act”) or Section 21E of the U.S. Securities Exchange Act of 1934, which may be identified by words such as “believe,” “can,” “contemplate,” “could,” “plan,” “intend,” “is designed to,” “may,” “might,” “potential,” “objective,” “target,” “project,” “predict,” “forecast,” “ambition,” “guideline,” “should,” “will,” “estimate,” “expect” and “anticipate,” or the negative of these and similar expressions, which reflect our views about future events and financial performance. Such statements are based on management's current expectations and are subject to a number of risks and uncertainties, including matters not yet known to us or not currently considered material by us, and there can be no assurance that anticipated events will occur or that the objectives set out will actually be achieved. Important factors that could cause actual results to differ materially from the results anticipated in the forward-looking statements include, among others, the clinical status and market acceptance of our HIFU devices and the continued market potential for our lithotripsy and distribution divisions, as well as risks associated with the current worldwide inflationary environment, the uncertain worldwide economic, political and financial environment, geopolitical instability, climate change and pandemics, or other public health crises, and their related impact on our business operations, including their impacts across our businesses or demand for our devices and services.

Other factors that may cause such a difference may also include, but are not limited to, those described in the Company's filings with the Securities and Exchange Commission and in particular, in the sections "Cautionary Statement on Forward-Looking Information" and "Risk Factors" in the Company's Annual Report on Form 10-K.

Forward-looking statements speak only as of the date they are made. Other than required by law, we do not undertake any obligation to update them in light of new information or future developments. These forward-looking statements are based upon information, assumptions and estimates available to us as of the date of this press release, and while we believe such information forms a reasonable basis for such statements, such information may be limited or incomplete.

Investor Contact
Louisa Smith
Gilmartin Group
investor.relations@focalone.com

EDAP TMS S.A.
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Amounts in thousands of Euros and U.S. Dollars, except per share data)

         
  Three Months Ended: Three Months Ended:
     December 31,     December 31,     December 31,     December 31, 
  2025 2024 2025 2024
  Euros Euros U.S. Dollars U.S. Dollars
Sales of medical equipment  13,659  14,559  15,764  15,619
Net sales of RPP and leases  2,506  2,363  2,905  2,533
Sales of spare parts, supplies and services  2,771  3,395  3,212  3,632
TOTAL REVENUES  18,936  20,318  21,880  21,785
Cost of sales  (10,874)  (11,220)  (12,564)  (12,020)
GROSS PROFIT  8,063  9,098  9,316  9,765
Research & development expenses  (1,800)  (1,865)  (2,109)  (1,991)
Selling, general & administrative expenses  (11,426)  (10,971)  (13,227)  (11,741)
Total operating expenses  (13,226)  (12,836)  (15,336)  (13,732)
OPERATING LOSS  (5,164)  (3,738)  (6,020)  (3,967)
Financial (expense) income, net  (2,660)  122  (3,007)  130
Currency exchange gains (loss), net  (316)  1,664  (363)  1,803
LOSS BEFORE INCOME TAXES  (8,140)  (1,952)  (9,391)  (2,034)
Income tax (expense) credit, net  (55)  11  (65)  14
NET LOSS  (8,194)  (1,940)  (9,456)  (2,020)
Earnings per share – Basic and diluted  (0.22)  (0.05)  (0.25)  (0.05)
Average number of shares used in computation of basic and diluted EPS  37,447,486  37,371,992  37,447,486  37,371,992

EDAP TMS S.A.
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Amounts in thousands of Euros and U.S. Dollars, except per share data)

         
  Year Ended: Year Ended:
     December 31,     December 31,     December 31,     December 31, 
  2025 2024 2025 2024
  Euros Euros U.S. Dollars U.S. Dollars
Sales of medical equipment  43,273  44,037  48,896  47,664
Net sales of RPP and leases  9,106  7,610  10,289  8,237
Sales of spare parts, supplies and services  10,037  12,468  11,342  13,495
TOTAL REVENUES  62,416  64,114  70,527  69,395
Cost of sales  (35,865)  (37,558)  (40,526)  (40,652)
GROSS PROFIT  26,551  26,556  30,001  28,744
Research & development expenses  (8,550)  (7,726)  (9,661)  (8,363)
Selling, general & administrative expenses  (39,856)  (39,364)  (45,035)  (42,606)
Total operating expenses  (48,406)  (47,090)  (54,695)  (50,969)
OPERATING LOSS  (21,854)  (20,534)  (24,694)  (22,225)
Financial (expense) income, net  (2,753)  560  (3,110)  606
Currency exchange gains (loss), net  (888)  1,245  (1,003)  1,348
LOSS BEFORE INCOME TAXES  (25,495)  (18,729)  (28,808)  (20,271)
Income tax (expense) credit, net  (388)  (289)  (438)  (313)
NET LOSS  (25,883)  (19,018)  (29,246)  (20,584)
Earnings per share – Basic and diluted  (0.69)  (0.51)  (0.78)  (0.55)
Average number of shares used in computation of basic and diluted EPS  37,442,155  37,286,446  37,442,155  37,286,446

EDAP TMS S.A.
UNAUDITED CONDENSED CONSOLIDATED BALANCE SHEETS
(Amounts in thousands of Euros and U.S. Dollars)

         
     December 31,     December 31,     December 31,     December 31, 
  2025 2024 2025 2024
  Euros Euros U.S. Dollars U.S. Dollars
Cash, cash equivalents and short-term investments  17,407  29,836  20,452  30,995
Accounts receivable, net  19,220  20,288  22,583  21,077
Inventory  10,919  18,495  12,830  19,213
Other current assets  1,105  1,258  1,299  1,307
TOTAL CURRENT ASSETS  48,652  69,876  57,164  72,591
Property, plant and equipment, net  11,494  10,336  13,505  10,738
Goodwill  2,412  2,412  2,834  2,505
Other non-current assets  4,677  3,439  5,495  3,573
TOTAL ASSETS  67,235  86,063  78,997  89,407
Accounts payable and other accrued liabilities  17,611  21,350  20,692  22,180
Deferred revenues, current portion  6,041  6,641  7,098  6,899
Short-term borrowing  5,095  6,243  5,986  6,485
Other current liabilities  2,864  3,577  3,365  3,716
TOTAL CURRENT LIABILITIES  31,610  37,811  37,141  39,280
Obligations under operating and finance leases non-current  2,067  1,939  2,429  2,014
Long-term debt, non-current  13,535  2,162  15,903  2,246
Deferred revenues, non-current  822  358  966  372
Other long-term liabilities  2,677  2,897  3,145  3,010
TOTAL LIABILITIES  50,712  45,167  59,584  46,922
TOTAL SHAREHOLDERS’ EQUITY  16,523  40,896  19,413  42,485
TOTAL LIABILITIES & SHAREHOLDERS’ EQUITY  67,235  86,063  78,997  89,407

EDAP TMS S.A.
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Amounts in thousands of Euros and U.S. Dollars)

         
     Year Ended    Twelve Months Ended    Year Ended    Twelve Months Ended
  December 31,  December 31,  December 31,  December 31, 
  2025 2024 2025 2024
  (Euros) (Euros) (U.S. Dollars) (U.S. Dollars)
NET INCOME (LOSS)  (25,883)  (19,018)  (29,246)  (20,584)
Adjustments to reconcile net income (loss) to net cash generated by (used in) operating activities (1)  8,769  7,395  9,908  8,004
OPERATING CASH FLOW  (17,114)  (11,623)  (19,338)  (12,580)
Increase/Decrease in operating assets and liabilities  2,592  (1,961)  2,929  (2,123)
NET CASH GENERATED BY (USED IN) OPERATING ACTIVITIES  (14,522)  (13,584)  (16,409)  (14,703)
Additions to capitalized assets produced by the company and other capital expenditures  (5,058)  (4,120)  (5,715)  (4,459)
NET CASH GENERATED BY (USED IN) INVESTING ACTIVITIES  (5,058)  (4,120)  (5,715)  (4,459)
NET CASH GENERATED BY (USED IN) FINANCING ACTIVITIES  7,620  4,635  8,610  5,016
NET EFFECT OF EXCHANGE RATE CHANGES ON CASH AND CASH EQUIVALENTS  (469)  (566)  2,972  (2,893)
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS  (12,429)  (13,635)  (10,543)  (17,039)

(1) including share-based compensation expenses for 2,265 thousand of Euros for the year ended December 31, 2025 and 3,283 thousand of Euros for the year ended December 31, 2024.

EDAP TMS S.A.
UNAUDITED CONDENSED STATEMENTS OF OPERATIONS BY DIVISION
Twelve months ended December 31, 2025
(Amounts in thousands of Euros)

                    
     HIFU            ESWL            Distribution            Reconciling    Total After         
  Division   Division   Division   Items Consolidation   
Sales of medical equipment  21,998     1,515     19,760      43,273    
Net sales of RPP and leases  7,780     1,025     300      9,106    
Sales of spare parts, supplies and services  3,277     4,065     2,695      10,037    
TOTAL REVENUES  33,056     6,605     22,756      62,416    
GROSS PROFIT (% of Net Sales)  15,911  48.1%   3,050  46.2%   7,591  33.4%    26,551  42.5%
Research & development expenses  (7,884)     (169)     (496)      (8,550)    
Selling, general & administrative expenses  (26,327)     (1,023)     (7,810)     (4,695)  (39,856)    
OPERATING PROFIT (LOSS)  (18,301)     1,857     (716)     (4,695)  (21,854)    

Attachment


FAQ

What were EDAP's full-year 2025 HIFU revenue and growth rate (EDAP)?

EDAP reported full-year 2025 HIFU revenue of €33.1M ($37.4M), a 39% increase year-over-year. According to the company, growth was driven by higher Focal One system sales and more U.S. procedures.

How many Focal One systems did EDAP place in 2025 and what was the growth (EDAP)?

EDAP placed significantly more Focal One systems in 2025, with placements up 69% YoY for the full year. According to the company, placements included academic centers, community hospitals, and integrated healthcare networks.

What 2026 revenue guidance did EDAP reiterate on March 25, 2026 (EDAP)?

EDAP reiterated 2026 revenue guidance of $72.0M to $80.0M, with core HIFU revenue expected at $50.0M to $54.0M. According to the company, this implies 34%–45% YoY growth in core HIFU revenue.

How did EDAP's Q4 2025 performance compare to Q4 2024 for HIFU revenue and disposables (EDAP)?

In Q4 2025, EDAP's HIFU revenue was €11.7M, up 34% YoY, and worldwide disposables revenue rose 43% YoY. According to the company, U.S. procedure growth primarily drove disposables expansion.

What were EDAP's cash position and net loss at year-end 2025 (EDAP)?

EDAP reported cash and equivalents of €17.4M and a net loss of €25.9M for 2025. According to the company, cash declined from €29.8M at year-end 2024.
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