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PROCEPT BioRobotics Reports Second Quarter 2026 Financial Results

(Positive)
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PROCEPT BioRobotics (Nasdaq: PRCT) reported second quarter 2026 revenue of $94.5 million, up 19% year over year, driven by higher U.S. handpiece, system, and international revenue. U.S. revenue grew 20% to $83.4 million, including $48.4 million from handpieces and consumables and $29.1 million from systems.

The Company delivered 65 U.S. HYDROS systems, including 14 replacements, with new system ASPs around $495,000. Second quarter U.S. procedures exceeded 13,100, up about 21%, with handpiece ASP rising 11% to $3,550. Gross margin improved to 66%, supported by pricing and a $2.9 million tariff refund, while operating expenses increased to $89.8 million. Net loss was $26.9 million (loss per share $0.47), and adjusted EBITDA loss was $11.3 million. Cash, cash equivalents and restricted cash totaled about $231 million at June 30, 2026.

According to the company, full‑year 2026 revenue guidance of $390–$410 million, gross margin of about 65%, U.S. procedure volume of 54,000–56,000, and adjusted EBITDA loss of $35–$30 million is reiterated or updated.

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Positive

  • Revenue up 19% YoY to $94.5 million in Q2 2026
  • U.S. revenue grew 20% YoY to $83.4 million
  • U.S. system revenue up 32% YoY to $29.1 million
  • U.S. procedures exceeded 13,100, up ~21% YoY
  • Gross margin improved to 66% vs. 65% a year ago
  • Cash, cash equivalents and restricted cash of ~$231 million at June 30, 2026
  • Full-year 2026 revenue guidance of $390–$410 million, implying 27–33% growth
  • 2026 adjusted EBITDA loss guidance narrowed to $35–$30 million

Negative

  • Net loss widened to $26.9 million from $19.6 million YoY in Q2
  • Adjusted EBITDA loss increased to $11.3 million from $8.0 million YoY
  • Operating expenses rose to $89.8 million from $73.9 million YoY
  • Cash and cash equivalents declined to $227.9 million from $286.5 million year-end 2025
  • Accumulated deficit increased to $700.1 million at June 30, 2026

News Explained

Guidance is partly unchanged and partly reset: procedures are now expected at 54,000–56,000, with an adjusted EBITDA loss of $35 million to $30 million.

The August 4, 2026 release reports the completed second quarter and clarifies a mixed guidance status: revenue and gross margin are reiterated, while U.S. procedure volume and adjusted EBITDA loss are newly set at 54,000–56,000 procedures and a $35 million–$30 million loss range.

The prior quarter’s $245,641,000 cash-and-equivalents balance equaled 579.8 days of the last reported operating cash use, based on negative $38,127,000 operating cash flow.

The next quarterly report is the checkpoint for comparing reported U.S. procedures and adjusted EBITDA with the newly changed guidance ranges.

Sources and calculations
  • Cash and equivalents vs quarterly operating cash outflow, in days of cash use $245,641,000 / ($38,127,000 / 90) = [object Object]

Market Reaction – PRCT

-5.36% $17.30 2.4x vol
15m delay
-5.36% Vs previous close
$17.30 Last Price
$16.90 $18.48 Day Range
$984.70M Market Cap
2.4x Rel. Volume

Following this news, PRCT has declined 5.36%, reflecting a notable negative market reaction. Our momentum scanner has triggered 8 alerts so far, indicating moderate trading interest and price volatility. The stock is currently trading at $17.30. Trading volume is elevated at 2.4x the average, suggesting increased selling activity.

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Market Context

The tag-specific earnings record averaged -6.62% across five events, placing this quarter's growth a...
Analysis

The tag-specific earnings record averaged -6.62% across five events, placing this quarter's growth and reiterated guidance in a broader context. ATEC also reported second-quarter results, while ongoing losses remain a material watchpoint.

Key Figures

Revenue: $94.5 million U.S. procedures: 13,100 procedures Gross margin: 66% +5 more
8 metrics
Revenue $94.5 million Second quarter 2026
U.S. procedures 13,100 procedures Second quarter 2026
Gross margin 66% Second quarter 2026 versus 65% prior-year period
Net loss $26.9 million Second quarter 2026 versus $19.6 million prior-year loss
Adjusted EBITDA $11.3 million loss Second quarter 2026 versus $8.0 million loss prior year
Cash balances $231 million Cash, cash equivalents, and restricted cash at June 30, 2026
FY 2026 revenue guidance $390 million to $410 million Full-year 2026 reiterated guidance
FY 2026 adjusted EBITDA guidance $35 million to $30 million loss Full-year 2026 guidance

Previous Earnings Reports

5 past events · Latest: Apr 29 (Positive)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Apr 29 Q1 earnings report Positive +10.7% Revenue growth, procedure expansion, and reiterated full-year guidance
Feb 25 Q4 earnings report Positive -15.1% Quarterly results, installed-base growth, and updated 2026 guidance
Nov 04 Q3 earnings report Positive -9.7% Revenue growth, gross-margin expansion, and initial 2026 guidance
Aug 06 Q2 earnings report Positive -13.3% Revenue growth, system sales, margin improvement, and raised guidance
Apr 24 Q1 earnings report Positive -5.6% Revenue growth, installed-base expansion, and raised 2025 guidance

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

Pattern Detected

Across five tag-specific earnings events, four had negative 24-hour reactions despite positive operating updates; the average move was -6.62%.

Key Terms

adjusted ebitda, gaap, gross margin, bph
4 terms
adjusted ebitda financial
"Adjusted EBITDA* was a loss of $11.3 million for the second quarter"
Adjusted EBITDA is a way companies measure how much money they make from their core operations, like running a business, by removing certain costs or income that aren’t part of regular business activities. It helps investors see how well a company is doing without distractions from unusual expenses or gains, making it easier to compare companies or track performance over time.
gaap financial
"not prepared in accordance with generally accepted accounting principles in the United States (GAAP)"
GAAP, or Generally Accepted Accounting Principles, are a set of standardized rules and guidelines that companies follow when preparing their financial statements. They ensure consistency, transparency, and comparability across different companies, making it easier for investors to understand and compare financial information accurately. This helps investors make informed decisions based on trustworthy and uniform financial reports.
View in glossary
gross margin financial
"Gross margin of 66% for the second quarter of 2026"
Gross margin is the difference between how much money a company makes from selling its products and how much it costs to produce them, expressed as a percentage of sales. It shows how efficiently a company is turning sales into profit before other expenses like marketing or salaries. Higher gross margin means the company keeps more money from each sale, which is a good sign of financial health.
View in glossary
bph medical
"men affected by benign prostatic hyperplasia (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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SAN JOSE, Calif., Aug. 04, 2026 (GLOBE NEWSWIRE) -- PROCEPT BioRobotics® Corporation (Nasdaq: PRCT) (the “Company”), a surgical robotics company focused on advancing patient care by developing transformative solutions in urology, today reported unaudited financial results for the quarter ended June 30, 2026.

"This was an important quarter for PROCEPT as we continued to strengthen the foundation of our business for long-term growth," said Larry Wood, Chief Executive Officer. "We delivered 19% revenue growth, achieved record HYDROS placements, demonstrated continued pricing discipline, executed a more robust replacement strategy and completed the commercial realignment that positions us to execute more effectively going forward. Importantly, HYDROS accounts continue to perform well - procedures in the second quarter of 2026 were significantly higher per HYDROS account as compared to our legacy AquaBeam systems.”

Wood continued, "We also reached several important strategic milestones during the quarter, including completing enrollment in our WATER IV prostate cancer study and receiving a strengthened recommendation for Aquablation therapy in the updated American Urological Association guidelines. As we enter the second half of the year, we remain focused on execution and confident in our long-term opportunity to advance the standard of care in prostate disease."

Second Quarter 2026 Financial Results

  • Total revenue of $94.5 million for the second quarter of 2026, an increase of 19% compared to the prior year period in 2025
  • U.S. procedures over 13,100 for the second quarter of 2026, an increase of approximately 21% compared to the prior year period
  • Delivered 65 U.S. HYDROS® systems, which included 14 replacement systems. U.S. average selling prices were approximately $495,000 for new HYDROS systems
  • U.S. handpieces sold as percent of U.S. procedures in the second quarter of 2026 was approximately 98%
  • Second quarter of 2026 handpiece average selling price of approximately $3,550 increased 11% compared to the second quarter of 2025
  • International revenue of $11.1 million for the second quarter of 2026, an increase of 15% compared to the prior year period
  • Gross margin of 66% for the second quarter of 2026, compared to 65% in the prior year period and 65% in the first quarter of 2026

Total revenue for the second quarter of 2026 was $94.5 million, an increase of 19% compared to the prior year period. The increase was driven by increased U.S. handpiece and system revenue and international revenue. U.S. revenue was $83.4 million, representing growth of 20% compared to the prior year period. U.S. handpiece and consumable revenue for the second quarter of 2026 was $48.4 million, an increase of 12% compared to the prior year period. U.S. system revenue for the second quarter of 2026 was $29.1 million, an increase of 32% compared to the prior year period. International revenue was $11.1 million for the quarter, an increase of 15% compared to the prior year period.

Gross margin for the second quarter of 2026 was 66% compared to 65% in the prior year period. Gross margin increase in the second quarter was primarily driven by increased U.S. system and consumable pricing and a $2.9 million tariff refund.

Operating expenses in the second quarter of 2026 were $89.8 million, compared with $73.9 million in the prior year period. The increase in operating expenses reflects continued investment in our commercial organization, innovation across our BPH platform, as well as costs associated with completing enrollment and advancing follow-up in our WATER IV Prostate Cancer trial.

Net loss was $26.9 million for the second quarter of 2026, compared to a loss of $19.6 million in the prior year period. Adjusted EBITDA* was a loss of $11.3 million for the second quarter of 2026, compared to a loss of $8.0 million in the prior year period.

Cash, cash equivalents and restricted cash balances as of June 30, 2026, totaled approximately $231 million.

The Company remains committed to advancing the standard of care in urology through continued innovation, combining AI, robotics, and real-time imaging to enable personalized, precise, and durable treatment for the millions of men affected by benign prostatic hyperplasia (BPH).

Full Year 2026 Financial Guidance

  • The Company reiterates revenue for the full year 2026 to be in the range of $390 million to $410 million, which represents growth of 27% to 33% compared to the prior year period
  • The Company now expects full year 2026 U.S. procedure volume to be 54,000-56,000 with growth to be in the range of 25% to 29% compared to the prior year period
  • The Company reiterates full year 2026 gross margin to be approximately 65%
  • The Company now expects full year 2026 adjusted EBITDA* loss to be in the range of $35 million to $30 million

*Adjusted EBITDA is a financial measure that is not prepared in accordance with generally accepted accounting principles in the United States (GAAP). For more information about the Company’s use of non-GAAP financial measures, please see the section below titled “Use of Non-GAAP Financial Measures (Unaudited).

Webcast and Conference Call Information
PROCEPT BioRobotics will host a conference call to discuss the second quarter 2026 financial results on Tuesday, August 4, 2026, at 4:30 p.m. Eastern Time.

Investors interested in listening to the conference call may do so by following one of the links below:

About PROCEPT BioRobotics Corporation
PROCEPT BioRobotics is a surgical robotics company focused on advancing patient care by developing transformative solutions in urology. PROCEPT BioRobotics manufactures the AQUABEAM® and HYDROS Robotic Systems. The HYDROS Robotic System is the only AI-powered, robotic technology that delivers Aquablation therapy. PROCEPT BioRobotics designed Aquablation therapy to deliver effective, safe, and durable outcomes for males suffering from lower urinary tract symptoms or LUTS, due to BPH that are independent of prostate size and shape or surgeon experience. BPH is the most common prostate disease and impacts approximately 40 million men in the United States. The Company has developed a significant and growing body of clinical evidence with approximately 250 peer-reviewed publications, supporting the benefits and clinical advantages of Aquablation therapy.

Use of Non-GAAP Financial Measures (Unaudited)
This press release references Adjusted EBITDA, a financial measure that is not prepared in accordance with generally accepted accounting principles in the United States (GAAP). The Company defines Adjusted EBITDA as earnings before interest expense, taxes, depreciation and amortization and stock-based compensation. Non-GAAP financial measures are not a substitute for or superior to measures of financial performance prepared in accordance with GAAP and should not be considered as an alternative to any other performance measures derived in accordance with GAAP.

The Company believes that presenting Adjusted EBITDA provides useful supplemental information to investors about the Company in understanding and evaluating its operating results, enhancing the overall understanding of its past performance and future prospects, and allowing for greater transparency with respect to key financial metrics used by its management in financial and operational decision making. However, there are a number of limitations related to the use of non-GAAP measures and their nearest GAAP equivalents. For example, other companies may calculate non-GAAP measures differently, or may use other measures to calculate their financial performance, and therefore any non-GAAP measures the Company uses may not be directly comparable to similarly titled measures of other companies.

Forward Looking Statements
This release contains forward‐looking statements within the meaning of federal securities laws, including with respect to the Company’s projected financial performance for full year 2026, statements regarding the potential utilities, values, benefits and advantages of Aquablation therapy performed using PROCEPT BioRobotics’ products, including AquaBeam or Hydros Robotic Systems, which involve risks and uncertainties that could cause the actual results to differ materially from the anticipated results and expectations expressed in these forward-looking statements. You are cautioned not to place undue reliance on these forward-looking statements. Forward-looking statements are only predictions based on the Company’s current expectations, estimates, and assumptions, valid only as of the date they are made, and subject to risks and uncertainties, some of which the Company is not currently aware.   Forward-looking statements may include statements regarding financial guidance, market opportunity and penetration, procedure growth, the Company’s possible or assumed future results of operations, including descriptions of the Company’s revenues, gross margins, profitability, operating expenses, installed base growth, commercial momentum and overall business strategy. Forward‐looking statements should not be read as a guarantee of future performance or results and may not necessarily be accurate indications of the times at, or by, which such performance or results will be achieved. These forward‐looking statements are based on the Company’s current expectations and inherently involve significant risks and uncertainties. Actual results and the timing of events could differ materially from those anticipated in such forward‐looking statements as a result of these risks and uncertainties. These risks and uncertainties are described more fully in the section titled “Risk Factors” in the Company’s filings with the Securities and Exchange Commission (the “SEC”), including the Company’s annual report on Form 10-K filed with the SEC on February 26, 2026, and subsequent quarterly reports on Form 10-Q. PROCEPT BioRobotics does not undertake any obligation to update forward‐looking statements and expressly disclaims any obligation or undertaking to release publicly any updates or revisions to any forward‐looking statements contained herein. These forward-looking statements should not be relied upon as representing PROCEPT BioRobotics’ views as of any date subsequent to the date of this press release.

Important Safety Information
All surgical treatments have inherent and associated side effects. For a list of potential side effects visit https://aquablation.com/safety-information/

Investor Contact:
Marissa Bych
Managing Director
Gilmartin Group LLC
Marissa@gilmartinir.com

PROCEPT BioRobotics Corporation
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited, in thousands, except per share data)
 
      
  Three Months Ended June 30, Six Months Ended June 30,
  2026
 2025
 2026
 2025
Revenue $94,498  $79,182  $177,631  $148,344 
Cost of sales  32,119   27,436   61,304   52,437 
Gross profit  62,379   51,746   116,327   95,907 
Operating expenses:        
Research and development  20,101   17,632   41,567   34,034 
Selling, general and administrative  69,668   56,303   134,756   111,499 
Total operating expenses  89,769   73,935   176,323   145,533 
Loss from operations  (27,390)  (22,189)  (59,996)  (49,626)
Interest expense  (842)  (895)  (1,660)  (1,773)
Interest and other income, net  1,465   3,642   3,208   7,172 
Loss before income taxes  (26,767)  (19,442)  (58,448)  (44,227)
Provision for income taxes  94   136   51   89 
Net loss $(26,861) $(19,578) $(58,499) $(44,316)
Net loss per share, basic and diluted $(0.47) $(0.35) $(1.03) $(0.80)
Weighted-average common shares used to        
Compute net loss per share attributable to        
Common shareholders, basic and diluted  57,067   55,445   56,790   55,182 
                 


PROCEPT BioRobotics Corporation
RECONCILIATION OF GAAP NET LOSS TO ADJUSTED EBITDA
(Unaudited, in thousands)
     
  Three Months Ended June 30, Six Months Ended June 30,
  2026
 2025
 2026
 2025
Net loss $(26,861) $(19,578) $(58,499) $(44,316)
Depreciation and amortization expense  1,989   1,588   3,724   3,063 
Stock-based compensation expense  14,534   12,163   27,606   22,271 
Interest (income) and interest expense, net  (992)  (2,167)  (2,284)  (4,821)
Adjusted EBITDA $(11,330) $(7,994) $(29,453) $(23,803)
                 


PROCEPT BioRobotics Corporation
RECONCILIATION OF GAAP NET LOSS TO ADJUSTED 2026 EBITDA Guidance
(Unaudited, in thousands)
 
  
For the Year Ending December 31, 2026
  LOW HIGH
Net loss $(96,000) $(91,000)
Depreciation and amortization expense  7,800   7,800 
Stock-based compensation expense  58,000   58,000 
Interest (income) and interest expense, net  (4,800)  (4,800)
Adjusted EBITDA $(35,000) $(30,000)
         


PROCEPT BioRobotics Corporation
CONDENSED CONSOLIDATED BALANCE SHEETS
(Unaudited, in thousands)
   
  June 30, 2026 December 31, 2025
Assets    
Current assets:    
Cash and cash equivalents $227,914  $286,503 
Accounts receivable, net  107,606   83,533 
Inventory  77,061   70,694 
Prepaid expenses and other current assets  7,704   9,648 
Total current assets  420,285   450,378 
Restricted cash, non-current  3,038   3,038 
Property and equipment, net  31,832   30,399 
Operating lease right-of-use assets, net  16,773   17,538 
Intangible assets, net  571   709 
Other assets  6,853   6,019 
Total assets $479,352  $508,081 
     
Liabilities and Stockholders' Equity    
Current liabilities:    
Accounts payable $15,069  $17,285 
Accrued compensation  20,443   23,175 
Deferred revenue  14,088   13,048 
Operating leases, current  2,505   2,214 
Other current liabilities  12,091   10,073 
Total current liabilities  64,196   65,795 
Long-term debt  51,715   51,615 
Operating leases, non-current  23,280   24,654 
Other non-current liabilities  91   147 
Total liabilities  139,282   142,211 
     
Stockholders’ equity:    
Additional paid-in capital  1,040,104   1,007,390 
Accumulated other comprehensive gain  22   37 
Accumulated deficit  (700,056)  (641,557)
Total stockholders’ equity  340,070   365,870 
Total liabilities and stockholders’ equity $479,352  $508,081 
         


PROCEPT BioRobotics Corporation
REVENUE BY TYPE AND GEOGRAPHY
(Unaudited, in thousands)
 
  Three Months Ended June 30, Six Months Ended June 30,
  2026
 2025
 2026
 2025
U.S.        
System sales and rentals $29,066 $22,082 $52,452 $40,769
Handpieces and other consumables  48,368  43,130  91,386  81,141
Service  5,986  4,373  11,600  7,968
Total U.S. revenue  83,420  69,585  155,438  129,878
Outside of U.S.        
System sales and rentals  3,400  2,945  7,253  6,798
Handpieces and other consumables  6,828  6,002  13,201  10,479
Service  850  650  1,739  1,189
Total outside of U.S. revenue  11,078  9,597  22,193  18,466
Total revenue $94,498 $79,182 $177,631 $148,344
         


PROCEPT BioRobotics Corporation
QUARTERLY U.S. INSTALL BASE AND PROCEDURES
(Unaudited, in thousands)
 
 Q1'24 Q2'24 Q3'24 Q4'24 Q1'25 Q2'25 Q3'25 Q4'25 Q1'26 Q2'26 Q3'26 Q4'26 FY 24 FY 25 FY 26
U.S. Install Base                             
Beginning install base315 354 400 445 505 547 595 653 718 765     315 505  
Systems placed39 46 45 60 42 48 58 65 47 51     190 213  
Ending install base354 400 445 505 547 595 653 718 765 816   505 718  
                              
U.S. Procedures (000)6.1 7.0 7.4 7.2 9.3 10.8 11.0 12.2 12.2 13.1          
                              

FAQ

How did PROCEPT BioRobotics (PRCT) perform in Q2 2026 earnings?

PROCEPT BioRobotics reported Q2 2026 revenue of $94.5 million, up 19% year over year. According to the company, U.S. revenue grew 20%, gross margin reached 66%, but net loss widened to $26.9 million, with adjusted EBITDA loss of $11.3 million.

What drove revenue growth for PROCEPT BioRobotics (PRCT) in Q2 2026?

Revenue growth was driven by higher U.S. handpiece, system, and international revenue. According to the company, U.S. system revenue rose 32% to $29.1 million, U.S. procedures exceeded 13,100 (about 21% growth), and international revenue increased 15% to $11.1 million.

What is PROCEPT BioRobotics’ 2026 revenue and EBITDA guidance (PRCT)?

For 2026, PROCEPT BioRobotics expects revenue of $390–$410 million, implying 27–33% growth. According to the company, it reiterates about 65% gross margin and now guides to a full-year adjusted EBITDA loss between $35 million and $30 million.

How many HYDROS systems and procedures did PROCEPT BioRobotics report in Q2 2026?

In Q2 2026, PROCEPT BioRobotics delivered 65 U.S. HYDROS systems, including 14 replacement systems. According to the company, U.S. procedures were over 13,100, up approximately 21% year over year, with handpiece ASP around $3,550 and ~98% handpiece utilization.

What was PROCEPT BioRobotics’ cash position and balance sheet at June 30, 2026?

At June 30, 2026, cash, cash equivalents and restricted cash totaled about $231 million. According to the company, total assets were $479.4 million, total liabilities $139.3 million, and stockholders’ equity $340.1 million, including long-term debt of $51.7 million.

Did PROCEPT BioRobotics (PRCT) improve gross margin in Q2 2026?

Yes, gross margin increased to 66% in Q2 2026 from 65% a year earlier. According to the company, the improvement was mainly driven by increased U.S. system and consumable pricing and a $2.9 million tariff refund.

How is PROCEPT BioRobotics progressing with its WATER IV prostate cancer study?

PROCEPT BioRobotics completed enrollment in its WATER IV prostate cancer study during Q2 2026. According to the company, this was highlighted as a key strategic milestone alongside a strengthened Aquablation therapy recommendation in updated American Urological Association guidelines.