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FocalTherics™ Reports Second Quarter 2026 Financial Results

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FocalTherics (Nasdaq: FOCL) reported second quarter 2026 continuing-operations (HIFU segment) revenue of $13.2 million, up 39% year-over-year, with U.S. Focal One procedure volume increasing 47%. The company sold 13 Focal One systems versus 9 a year ago and expanded its installed base to 184 systems worldwide.

Gross margin improved to 55.6% from 51.1%, while operating expenses rose to $15.4 million, including about $0.8 million of one-time rebranding and transition costs. FocalTherics posted an operating loss of $8.0 million and a net loss of $14.5 million (loss per share $0.39), influenced by a $5.5 million warrant valuation impact. Cash and equivalents were $21.5 million at June 30, 2026. The company reiterated 2026 HIFU revenue guidance of $50–54 million, implying 34–45% growth, completed its corporate name change, launched its first commercial Focal One endometriosis program in Europe, and announced a $40 million underwritten public offering expected to close August 14, 2026. ESWL and Distribution businesses are now classified as discontinued operations.

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Positive

  • Q2 2026 revenue $13.2 million, up 39% year-over-year
  • U.S. Focal One procedures grew 47% year-over-year in Q2 2026
  • Focal One system sales 13 units vs. 9 a year ago (44% growth)
  • Gross margin improved to 55.6% from 51.1% year-over-year
  • 2026 HIFU revenue guidance $50–54 million, implying 34–45% growth
  • Cash and equivalents $21.5 million at June 30, 2026, up from $20.5 million year-end 2025

Negative

  • Q2 2026 net loss $14.5 million vs. $6.4 million prior year
  • Operating loss $8.0 million in Q2 2026 vs. $6.6 million in 2025
  • Loss from warrant liability fair value change $5.5 million in Q2 2026
  • Total shareholders’ equity negative $3.2 million vs. positive $19.4 million at year-end 2025
  • Long-term debt $37.2 million vs. $15.9 million at December 31, 2025
  • Operating cash outflow $6.7 million for first half 2026, though improved vs. $10.0 million in 2025

News Explained

At June 30, $37,197 thousand of long-term debt accompanied negative shareholders’ equity of $3,225 thousand.

The June 30 balance sheet reported total liabilities of $77,773 thousand against total assets of $74,548 thousand, with shareholders’ equity at negative $3,225 thousand; the reported balance-sheet equity is therefore negative.

The balance sheet also listed $37,197 thousand of long-term debt and $21,542 thousand of cash and cash equivalents at quarter-end.

For the six months ended June 30, operating cash flow was negative $6,663 thousand, so cash remained positive at the reporting date while operations used cash during the period.

Market Context

FOCL’s prior earnings event recorded a -20.97% 24-hour reaction, adding a negative historical benchm...
Analysis

FOCL’s prior earnings event recorded a -20.97% 24-hour reaction, adding a negative historical benchmark to this release. Revenue and margin gains are balanced by the net loss and offering, leaving financing execution a key risk to monitor.

Key Figures

Q2 revenue: $13.2 million U.S. procedure growth: 47% Focal One systems sold: 13 systems +5 more
8 metrics
Q2 revenue $13.2 million Q2 2026 continuing operations; $9.5 million prior year
U.S. procedure growth 47% Year-over-year growth in Q2 2026
Focal One systems sold 13 systems Q2 2026 versus 9 in the prior year period
Gross margin 55.6% Q2 2026 versus 51.1% in the prior year period
Net loss $14.4 million Q2 2026, or ($0.38) per share
Cash and equivalents $21.5 million As of June 30, 2026
2026 revenue guidance $50.0-$54.0 million Continuing operations; 34%-45% year-over-year growth
Public offering proceeds $40 million Expected gross proceeds from underwritten public offering

Previous Earnings Reports

1 past event · Latest: Aug 11 (Negative)
Same Type Pattern 1 events
Date Event Sentiment 24h Move Catalyst
Aug 11 Q2 preliminary earnings Negative -21.0% Preliminary Q2 results, segment reclassification, and announced $40 million capital raise

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

The tag-specific record showed a negative 24-hour reaction of -20.97% to preliminary Q2 2026 earnings despite reported revenue and gross-margin growth.

Key Terms

hifu, eswl, discontinued operations, asc 205-20, +1 more
5 terms
hifu medical
"continuing operations (HIFU Segment)"
High-Intensity Focused Ultrasound (HIFU) is a non-invasive medical treatment that uses tightly focused ultrasound waves to heat and destroy targeted tissue inside the body without cutting skin, like using a magnifying glass to burn a tiny spot with sunlight. For investors, HIFU matters because it represents a device and therapy market where clinical results, regulatory approvals, equipment sales, and insurance coverage determine revenue potential and adoption rates.
eswl medical
"its ESWL and Distribution businesses as discontinued operations"
Extracorporeal shock wave lithotripsy (ESWL) is a noninvasive medical procedure that uses focused sound waves to break up stones in the kidney or urinary tract so they can pass more easily, like using targeted vibrations to shatter a pebble into sand. It matters to investors because demand, reimbursement rates and improvements in ESWL machines affect sales and revenue for medical device makers, hospitals and clinics that offer the treatment.
discontinued operations financial
"its ESWL and Distribution businesses as discontinued operations"
Discontinued operations are parts of a company that it has decided to sell or shut down, and no longer plans to run in the future. This matters to investors because it helps them understand which parts of the business are ongoing and which are being phased out, providing a clearer picture of the company’s current performance and future prospects. Think of it like a store closing a department—it no longer contributes to sales or profits.
asc 205-20 financial
"held for sale under ASC 205-20, Presentation of Financial Statements"
A U.S. accounting standard that sets the rules for when a company must report a major part of its business as a "discontinued operation" and how to show the related results on financial statements. It matters to investors because labeling a business as discontinued separates past performance and any one-time gains or losses from ongoing operations, much like pulling a movie clip out of a long film so viewers can judge the remaining story more clearly, improving comparability and decision-making.
bph medical
"expanding into benign prostatic hyperplasia or BPH"
Benign prostatic hyperplasia (BPH) is a non‑cancerous enlargement of the prostate gland that can squeeze the urethra and cause urinary symptoms such as frequent urination, weak stream, or incomplete bladder emptying. For investors, BPH matters because it creates steady demand for medicines, medical devices and procedures, often producing recurring revenue and sizable market opportunities tied to an aging population; think of it as a plumbing constriction that many older men need treatment to fix.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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39% Revenue Increase and 47% Growth in U.S. Procedures

FocalTherics™ Reports Second Quarter 2026 Financial Results

39% Revenue Increase and 47% Growth in U.S. Procedures

AUSTIN, Texas, Aug. 13, 2026 (GLOBE NEWSWIRE) -- FocalTherics™ (Nasdaq: FOCL) (the “Company”), a global leader in robotic focal therapy, today announced financial results for the second quarter of 2026. This marks the Company's first reporting period presenting its HIFU business as continuing operations and its ESWL and Distribution businesses as discontinued operations.

Second Quarter 2026 Results and Recent Highlights of Continuing Operations (HIFU Segment)

  • Increased Revenue to $13.2 million, a 39% Increase Compared to the Prior Year Period
  • Delivered 47% U.S. Procedure Volume Growth over the Prior Year Period
  • Recorded 13 Focal One® Capital System Sales compared to 9 in the Prior Year Period, including 2 Conversions from Operating Leases
  • Expanded Focal One System Installed Base to 184, including 96 in the U.S. and 88 Internationally
  • Achieved 55.6% Gross Margin, Compared to 51.1% in the Prior Year Period
  • Completed Corporate Name Change to FocalTherics™ 
  • Launched First Commercial Focal One Endometriosis Program in Europe
  • Announced Underwritten Public Offering for $40 million of Gross Proceeds Expected to Close August 14, 2026

“We continue to demonstrate commercial success with our strongest second quarter ever, reflecting the growing strength of our core business and further supporting the strategic shift to Focal Therapy with our corporate rebranding to FocalTherics,” said Ryan Rhodes, CEO of FocalTherics. “Along with strong commercial momentum, we are also pleased with the developing progress of the endometriosis commercial launch in Europe and look forward to establishing additional Focal One programs to increase access to an important, non-surgical option for women with this highly debilitating condition. In addition, with expected proceeds from our ongoing capital raise, we will continue to accelerate commercial adoption in the global prostate cancer market while leveraging our multi-indication Focal One platform to grow market opportunities in treating endometriosis and expanding into benign prostatic hyperplasia or BPH. We will also continue to invest in our innovation and product development initiatives driving advances in AI-assisted treatments, FocalConnect™ telecollaboration technology, and integrating histotripsy together with HIFU on our Focal One platform.”

Second Quarter 2026 Financial Results for Continuing Operations (HIFU Segment)
Total revenue for the second quarter of 2026 was $13.2 million, compared to $9.5 million for the same period in 2025, representing an increase of 39% year-over-year. The Company sold thirteen Focal One systems during the quarter, versus nine systems in the same period in 2025, representing a year-over-year growth of 44%. The Company’s U.S. Focal One procedures grew 47% year-over-year.

Gross margin for the second quarter of 2026 was 55.6%, compared to 51.1% in the prior year period. The increase in gross margin was primarily attributable to improvement of the standard cost of the Focal One system and favorable absorption due to higher production volumes.

Operating expenses were $15.4 million for the second quarter of 2026, compared to $11.5 million in the prior year period. These expenses included approximately $0.8 million in one-time costs primarily attributable to corporate initiatives regarding rebranding, domestic filer transition and discontinued operations classification.

Operating loss was $8.0 million for the second quarter of 2026, compared to $6.6 million in the prior year period. Net loss was $14.4 million for the second quarter of 2026, or ($0.38) per share, compared to a net loss of $6.4 million, or ($0.17) per share in the prior year period. The increase in net loss was primarily attributable to the European Investment Bank warrant valuation impact of $5.5 million during the quarter.

Cash and cash equivalents as of June 30, 2026 totaled $21.5 million.

Reiterating 2026 Guidance for Continuing Operations (HIFU Segment)

  • Total revenue of $50.0 - $54.0 million, representing 34% - 45% year-over-year growth

Discontinued Operations
During the second quarter of 2026, the ESWL and Distribution segments met the criteria to be classified as held for sale under ASC 205-20, Presentation of Financial Statements — Discontinued Operations, and ASC 360-10, Property, Plant, and Equipment, and the Company determined that the planned exit represents a strategic shift that will have a significant effect on the Company’s operations and financial results. Accordingly, the Company’s unaudited financial results as of and for the three and six months ended June 30, 2026 reflect the Company’s ESWL and Distribution operating segments as discontinued operations.

Prior-period results presented in this release have been recast to reflect this classification on a consistent basis. As a result, all continuing operations figures and growth rates presented herein reflect the Company's HIFU business only.

Conference Call Information
A conference call and webcast to discuss the second quarter 2026 financial results will be hosted by Ryan Rhodes, Chief Executive Officer and Ken Mobeck, Chief Financial Officer. Please refer to the information below for conference call dial-in information and webcast registration.
               

Date: Thursday, August 13, 2026, at 4:30 p.m. Eastern Time
Domestic: 1-800-245-3047
International: 1-203-518-9765
Passcode: FOCAL 
Webcast: https://viavid.webcasts.com/starthere.jsp?ei=1767672&tp_key=2d69d92ca7

About FocalTherics
A recognized global leader in robotic focal therapy, FocalTherics develops, manufactures, and markets minimally invasive medical devices worldwide to treat various conditions using proprietary focused ultrasound technology. The Company’s flagship platform, Focal One Robotic HIFU, combines advanced imaging, real-time treatment planning, robotic precision, and HIFU technology to deliver personalized focal therapy designed to optimize clinical outcomes while preserving quality of life.

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, and include statements such as quote from our Chief Executive Officer, the expected closing and proceeds from our offering, and our financial performance guidance. 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 and Quarterly Report on Form 10-Q.

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 U.S. Dollars, except per share data)

     
  Three Months Ended:
     June 30,     June 30, 
  2026 2025
  $US $US
Sales of goods  9,527  6,385
Sales of RPPs & leases  2,758  2,155
Sales of spare parts and services  918  969
TOTAL NET SALES  13,203  9,509
Other revenues  (0)  —
TOTAL REVENUES  13,203  9,509
Cost of sales  (5,865)  (4,646)
GROSS PROFIT  7,338  4,863
Research & development expenses  (2,317)  (2,291)
Selling, general & administrative expenses  (13,054)  (9,194)
Total operating expenses  (15,371)  (11,485)
LOSS FROM OPERATIONS  (8,033)  (6,623)
Interest (expense) income, net  (748)  (79)
Loss from change in fair value of warrant liability  (5,547) 
  •  
Currency exchange gains (loss), net  (76)  362
LOSS BEFORE TAXES FROM CONTINUING OPERATIONS  (14,404)  (6,340)
Income tax (expense) credit, net from continuing operations  (8)  (14)
LOSS FROM CONTINUING OPERATIONS  (14,412)  (6,354)
Income(loss) from discontinued operations, net of tax  (75)  (51)
NET LOSS  (14,487)  (6,406)
Loss per share – Basic and diluted  (0.39)  (0.17)
Average number of shares used in computation of EPS - basic and dilutive  37,527,950  37,420,318

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

     
  Six Months Ended:
     June 30,     June 30, 
  2026 2025
  $US $US
Sales of goods  17,782  10,185
Sales of RPPs & leases  5,250  4,100
Sales of spare parts and services  1,764  1,724
TOTAL REVENUES  24,796  16,009
Cost of sales  (11,496)  (7,989)
GROSS PROFIT  13,300  8,020
Research & development expenses  (4,784)  (4,648)
Selling, general & administrative expenses  (24,574)  (16,739)
Total operating expenses  (29,357)  (21,388)
LOSS FROM OPERATIONS  (16,057)  (13,368)
Interest (expense) income, net  (1,151)  (81)
Loss from change in fair value of warrant liability  (6,851) 
Currency exchange gains (loss), net  77  (664)
LOSS BEFORE TAXES FROM CONTINUING OPERATIONS  (23,982)  (14,113)
Income tax (expense) credit, net from continuing operations  (25)  (23)
LOSS FROM CONTINUING OPERATIONS  (24,007)  (14,135)
Income(loss) from discontinued operations, net of tax  437  285
NET LOSS  (23,570)  (13,850)
Loss per share – Basic and diluted  (0.63)  (0.37)
Average number of shares used in computation of EPS - basic and dilutive  37,481,986  37,406,202

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

     
     June 30,     December 31, 
  2026 2025
  $US $US
Cash, cash equivalents   21,542  20,452
Accounts receivable, net  10,060  14,948
Inventory  8,251  7,770
Other current assets  2,350  2,439
Total current assets of discontinued operations  16,812  11,555
TOTAL CURRENT ASSETS 59,015  57,164
Property, plant and equipment, net  8,635  8,789
Goodwill  735  757
Other non-current assets  6,164  6,181
Total non-current assets of discontinued operations  -  6,106
TOTAL ASSETS  74,548  78,997
Accounts payable & other accrued liabilities  17,830  17,436
Deferred revenues, current portion  6,395  6,452
Short term borrowing  1,860  4,386
Other current liabilities  1,786  3,005
Total current liabilities of discontinued operations 8,978  5,862
TOTAL CURRENT LIABILITIES  36,849  37,141
Obligations under operating and finance leases non-current  835  1,183
Long-term debt, non-current  37,197  15,903
Deferred revenues, non-current  923  768
Other long-term liabilities  1,970  1,632
Total non-current liabilities of discontinued operations -  2,957
TOTAL LIABILITIES  77,773  59,584
TOTAL SHAREHOLDERS’EQUITY  (3,225)  19,413
TOTAL LIABILITIES & SHAREHOLDERS’ EQUITY  74,548  78,997

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

     
     Six Months Ended    Six Months Ended
  June 30,  June 30, 
  2026 2025
  ($US) ($US)
NET INCOME (LOSS)  (23,570)  (13,850)
Adjustments to reconcile net income (loss) to net cash generated by (used in) operating activities(1)  11,750  3,024
OPERATING CASH FLOW  (11,820)  (10,827)
Increase/Decrease in operating assets and liabilities  5,157  779
NET CASH GENERATED BY (USED IN) OPERATING ACTIVITIES  (6,663)  (10,047)
Short term investments   —  —
Additions to capitalized assets produced by the company and other capital expenditures  (2,017)  (2,917)
NET CASH GENERATED BY (USED IN) INVESTING ACTIVITIES  (2,017)  (2,917)
NET CASH GENERATED BY (USED IN) FINANCING ACTIVITIES  10,402  (1,198)
NET EFFECT OF EXCHANGE RATE CHANGES ON CASH AND CASH EQUIVALENTS  (632)  2,231
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS  1,090  (11,931)

(1) including share-based compensation expenses for $1,157,000 for the six months ended June 30, 2026 and $847,000 for the six months ended June 30, 2025, as well as warrant fair value adjustment of $4,847,000 related to Tranche A and $1,597,000 related to Tranche B for the six months ended June 30, 2026

EDAP TMS S.A.
UNAUDITED CONDENSED STATEMENTS OF OPERATIONS BY DIVISION
six months ended June 30, 2026
(Amounts in thousands of U.S. Dollars)

            
Six months ended     HIFU            Reconciling    Total After         
June 30, 2026 Division   Items Consolidation   
Sales of goods  17,782     —  17,782    
Sales of RPPs & leases  5,250     —  5,250    
Sales of spare parts and services  1,764     —  1,764    
TOTAL REVENUES  24,796     —  24,796    
GROSS PROFIT (% of Net Sales)  13,300  53.6%   —  13,300  53.6%
Research & development expenses  (4,784)     —  (4,784)    
Selling, general & administrative expenses  (20,309)     (4,265)  (24,574)    
OPERATING PROFIT (LOSS)  (11,792)     (4,265)  (16,057)    

FAQ

How did FocalTherics (FOCL) perform in Q2 2026?

FocalTherics reported Q2 2026 HIFU revenue of $13.2 million, up 39% year-over-year. According to FocalTherics, gross margin reached 55.6%, but the company recorded a net loss of about $14.5 million, or $0.39 per share.

What drove revenue growth for FocalTherics (FOCL) in Q2 2026?

Revenue growth was driven by higher Focal One system sales and procedure volume. According to FocalTherics, Q2 2026 revenue rose 39% year-over-year, with 13 Focal One systems sold and U.S. procedure volume increasing 47% compared with the prior-year quarter.

Why did FocalTherics (FOCL) report a larger net loss in Q2 2026?

The larger net loss mainly reflected higher operating expenses and a warrant valuation impact. According to FocalTherics, Q2 2026 net loss was about $14.5 million, influenced by a $5.5 million loss from change in fair value of a warrant liability.

What is FocalTherics (FOCL) 2026 revenue guidance for its HIFU segment?

FocalTherics reaffirmed 2026 HIFU revenue guidance of $50–54 million. According to FocalTherics, this outlook represents expected year-over-year growth of approximately 34–45% for continuing operations, reflecting anticipated expansion of its Focal One installed base and procedure volumes.

How strong is FocalTherics (FOCL) balance sheet as of June 30, 2026?

FocalTherics reported $21.5 million in cash and equivalents at June 30, 2026. According to FocalTherics, long-term debt was about $37.2 million and total shareholders’ equity was negative $3.2 million, before considering proceeds from the announced public offering.

What discontinued operations did FocalTherics (FOCL) classify in Q2 2026?

FocalTherics classified its ESWL and Distribution segments as discontinued operations in Q2 2026. According to FocalTherics, these businesses met held-for-sale criteria, and prior-period results were recast so continuing operations now reflect only the HIFU segment.

What is the size and timing of FocalTherics (FOCL) 2026 public offering?

FocalTherics announced an underwritten public offering targeting $40 million in gross proceeds. According to FocalTherics, the offering is expected to close on August 14, 2026, with proceeds intended to support commercial expansion and product development initiatives.