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ClearPoint Neuro (Nasdaq: CLPT) lifts Q2 2026 revenue while net loss deepens

(Moderate)
(Neutral)
Form Type
10-Q

Rhea-AI Filing Summary

ClearPoint Neuro, Inc. reported Q2 2026 total revenue of $10.9 million, up from $9.2 million in Q2 2025, and six‑month revenue of $23.0 million versus $17.7 million a year earlier. Growth was driven by neurosurgery navigation and therapy revenue of $5.6 million, up 62%, and capital equipment and software revenue of $1.3 million.

Biologics and drug delivery revenue was $4.0 million, down from $4.7 million due to a large prior‑year order that did not repeat. Gross profit was $6.7 million with a 62% gross margin. Operating loss widened to $10.2 million, and net loss to $11.3 million, or $(0.38) per share, as research and development, sales and marketing, and general and administrative expenses all increased.

At June 30, 2026, cash and cash equivalents were $29.4 million, total assets $86.7 million, and long‑term notes payable had a carrying amount of $50.2 million with an effective interest rate of 11.3%. The company recorded net cash used in operating activities of $15.0 million for the first half of 2026 and concluded its existing cash and cash equivalents are sufficient to support operations and meet obligations for at least the next twelve months from the date of issuance of these financial statements.

Positive

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Negative

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Filing Explained

The quarter added shares and expanded award capacity; the ATM remains unused, while debt is secured against substantially all assets.

Form 10-Q is the company’s unaudited quarterly report; for the quarter ended June 30, 2026, ClearPoint reports additional equity issuance, unused equity-raising capacity, and new lease commitments.

Common shares issued and outstanding increased from 29,368,760 at December 31, 2025 to 30,503,132 at June 30, 2026, through share-based compensation, option exercises, the IRRAS acquisition, and the employee stock purchase plan, partly offset by tax-withholding share settlements. Issuing additional shares increases the total share count and reduces an existing holder’s percentage ownership absent offsetting changes.

The company may sell up to $50.0 million of common stock through its at-the-market program, but disclosed that no shares had been sold under it as of June 30, 2026; this is available capacity rather than an issuance reported in the quarter.

The notes are secured by substantially all company assets, including intellectual property, and scheduled principal payments total $51,969 million in 2031. Beginning January 1, 2027, the investor is also entitled to revenue-based payments under the note agreement.

After quarter-end, a July 8, 2026 sublease extension was estimated to add a $2.3 million right-of-use asset and lease liability, the final CAL facility phase became available on July 13, 2026 with an estimated $6.7 million addition, and the company issued $3.1 million of capital-equipment purchase orders payable through 2028.

Q2 2026 Revenue $10,880,000 Total revenue for the three months ended June 30, 2026
Six-month 2026 Revenue $23,008,000 Total revenue for the six months ended June 30, 2026
Q2 2026 Net Loss $11,337,000 Net loss for the three months ended June 30, 2026
Cash and Cash Equivalents $29,363,000 Balance as of June 30, 2026
Net Cash Used in Operating Activities $14,982,000 Six months ended June 30, 2026
Long-term Notes Payable $50,232,000 Carrying amount as of June 30, 2026
Q2 2026 Gross Margin 62% Gross margin for the three months ended June 30, 2026
Shares Outstanding 30,504,227 Common shares outstanding as of July 27, 2026
510(k) clearance regulatory
"The Company received 510(k) clearance from the U.S. Food and Drug Administration"
A 510(k) clearance is a U.S. regulatory approval that lets a medical device be sold because it is shown to be substantially similar to an already-legal device; think of it as a passport saying the new product is close enough to a known item to enter the market without a full, lengthy review. For investors, 510(k) clearance signals faster, lower-cost market access and reduced regulatory risk compared with new, untested device pathways, which can materially affect timelines, costs and revenue prospects.
at-the-market equity offering program financial
"established an at-the-market equity offering program under which the Company may offer"
A program that lets a company sell newly issued shares directly into the open market at whatever the current trading price is, usually through a broker, and do so gradually over time instead of all at once. Investors care because it can dilute existing ownership and put steady selling pressure on the stock price, while giving the company a flexible, on-demand way to raise cash — like adding small amounts of water to a pool rather than dumping in a bucket.
goodwill impairment financial
"Goodwill is not amortized; however, it is reviewed for impairment at least annually"
Goodwill impairment occurs when a company’s valued reputation or brand strength, known as goodwill, is found to be worth less than previously recorded on its financial statements. This usually happens when the company's performance declines or market conditions change, signaling that the expected benefits from acquisitions or brand value are no longer as strong. It matters to investors because it can indicate that a company's assets are less valuable than initially thought, potentially affecting its overall financial health.
contract liabilities financial
"Contract liabilities consist of amounts that have been invoiced to customers and for which"
Contract liabilities are amounts a company has been paid in advance for goods or services it still owes to customers — think of them like gift cards or prepaid subscriptions the company must fulfill later. For investors, they show promised future work or deliveries that will turn into revenue over time, reveal cash already collected, and help assess whether a firm has a backlog of obligations that could affect future earnings and cash flow.
net share settlement financial
"equity awards granted to certain employees provide for net share settlement"
Net share settlement is a way of paying for financial transactions using only the difference in shares rather than exchanging full amounts of stock or cash. It’s like settling a debt by giving someone the exact number of shares needed to balance the books, making trades quicker and simpler. This method helps reduce the number of shares changing hands, saving time and costs.
Term SOFR financial
"bears interest at a rate per annum equal to the sum of: (i) the greater of the Term SOFR"
Term SOFR is a benchmark interest rate that reflects the cost of borrowing money over a specific period, based on actual transactions in the financial markets. It is used by lenders and borrowers to set the interest rates on loans and financial contracts, helping to ensure rates are fair and transparent. For investors, understanding term SOFR helps gauge borrowing costs and the overall direction of interest rates in the economy.

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

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FAQ

How did ClearPoint Neuro (CLPT) Q2 2026 revenue compare to last year?

ClearPoint Neuro posted Q2 2026 revenue of $10.9 million, up from $9.2 million in Q2 2025. Six‑month revenue rose to $23.0 million from $17.7 million, reflecting growth in neurosurgery navigation, therapy, and capital equipment placements.

What was ClearPoint Neuro (CLPT)’s profitability in Q2 2026?

ClearPoint Neuro recorded a Q2 2026 net loss of $11.3 million, compared with $5.8 million a year earlier. Operating loss was $10.2 million as higher research and development, sales and marketing, and general and administrative expenses outpaced revenue growth.

What is ClearPoint Neuro (CLPT)’s cash position and cash burn as of June 30, 2026?

As of June 30, 2026, ClearPoint Neuro held $29.4 million in cash and cash equivalents and $30.3 million including restricted cash. Net cash used in operating activities was $15.0 million for the first half of 2026, indicating substantial ongoing cash usage.

How much debt does ClearPoint Neuro (CLPT) have under its 2025 note purchase agreement?

ClearPoint Neuro reported long‑term notes payable with a carrying amount of $50.2 million and scheduled principal of $52.0 million as of June 30, 2026. The notes bear a variable interest rate with an effective rate of 11.3% during the period.

How is the IRRAS acquisition affecting ClearPoint Neuro (CLPT)’s results?

Through the IRRAS acquisition, ClearPoint Neuro added the IRRAflow neurocritical care system and related products. Management attributes part of the 62% increase in neurosurgery navigation and therapy revenue to IRRAflow sales and a larger combined commercial organization.

Does ClearPoint Neuro (CLPT) expect to continue as a going concern?

Management evaluated its outlook under U.S. GAAP and determined existing cash and cash equivalents at June 30, 2026 are sufficient to support operations and meet obligations for at least the next twelve months from the date of issuance of the financial statements.

What were ClearPoint Neuro (CLPT)’s gross profit and margin in Q2 2026?

ClearPoint Neuro generated Q2 2026 gross profit of $6.7 million on cost of revenue of $4.2 million. This equated to a 62% gross margin, compared with 60% for the same quarter in 2025, helped by lower excess and obsolete inventory charges.
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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

þ

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

 

 

For the quarterly period ended June 30, 2026

 

 

Or

 

 

o

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

 

 

For the transition period from_____to _____

Commission file number: 001-34822

ClearPoint Neuro, Inc.

(Exact Name of Registrant as Specified in Its Charter)

Delaware

58-2394628

(State or Other Jurisdiction

(IRS Employer

of Incorporation or Organization)

Identification Number)

 

120 S. Sierra Ave., Suite 100

Solana Beach, California

92075

(Address of Principal Executive Offices)

(Zip Code)

(888) 287-9109

(Registrant’s Telephone Number, Including Area Code)

Securities registered pursuant to Section 12(b) of the Act:

Title of each class

Trading Symbol(s)

Name of each exchange on which registered

Common Stock, $0.01 par value per share

CLPT

Nasdaq Capital Market

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. þ Yes o No

 


 

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files.) þ Yes o No

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer” “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer o

Accelerated filer ☐

Non-accelerated filer þ

Smaller reporting company þ

 

Emerging growth company o

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). o Yes þ No

As of July 27, 2026, there were 30,504,227 shares of common stock outstanding.

 

 

 


 

CLEARPOINT NEURO, INC.

TABLE OF CONTENTS

 

 

Page

Number

PART I – FINANCIAL INFORMATION

1

 

 

 

Item 1.

Financial Statements (unaudited)

1

 

Condensed Consolidated Balance Sheets as of June 30, 2026 and December 31, 2025

1

 

Condensed Consolidated Statements of Operations for the three and six months ended June 30, 2026 and 2025

2

 

Condensed Consolidated Statements of Stockholders’ Equity for the three and six months ended June 30, 2026 and 2025

3

 

Condensed Consolidated Statements of Cash Flows for the six months ended June 30, 2026 and 2025

4

 

Notes to Condensed Consolidated Financial Statements

6

Item 2.

Management’s Discussion and Analysis of Financial Condition and Results of Operations

23

Item 3.

Quantitative and Qualitative Disclosures About Market Risk

32

Item 4.

Controls and Procedures

32

 

 

 

PART II – OTHER INFORMATION

 

 

 

 

Item 1.

Legal Proceedings

32

Item 1A.

Risk Factors

32

Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds

33

Item 3.

Defaults Upon Senior Securities

34

Item 4.

Mine Safety Disclosures

34

Item 5.

Other Information

34

Item 6.

Exhibits

35

 

 

 

SIGNATURES

36

 

 


 

Trademarks, Trade Names and Service Marks

ClearPoint Neuro®, ClearPoint®, SmartFlow®, SmartFrame®, SmartGrid®, Inflexion®, ClearPoint Maestro®, SmartFrame Array®, SmartFrame OR®, ClearPoint Neuro Orchestra®, ClearPoint Prism®, ClearPointer®, When Your Path is Unclear, We Point The Way®, ClearPoint Advanced Laboratories™, IRRAS®, and IRRAFLOW® are all trademarks of ClearPoint Neuro, Inc. and its affiliates. Any other trademarks, trade names or service marks referred to in this Quarterly Report on Form 10-Q (this “Quarterly Report”) are the property of their respective owners.

 

 

 


 

SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS

This Quarterly Report on Form 10-Q contains “forward-looking statements” as defined under the U.S. federal securities laws. All statements, other than statements of historical fact, in this Quarterly Report, including statements relating to our expectations for performance, revenues and costs, and the adequacy of cash and cash equivalent balances to support operations and meet future obligations, are forward-looking statements. Forward-looking statements involve known and unknown risks, uncertainties and other factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements, expressed or implied by the forward-looking statements.

In some cases, you can identify forward-looking statements by terms such as “anticipates,” “believes,” “could,” “estimates,” “expects,” “intends,” “may,” “plans,” “potential,” “predicts,” “projects,” “should,” “will,” “would,” and similar expressions intended to identify forward-looking statements, although not all forward-looking statements contain these words. We caution you that the forward-looking statements in this Quarterly Report are based on a combination of facts and factors currently known by us and our projections of the future, about which we cannot be certain. In addition, statements that “we believe” and similar statements reflect our beliefs and opinions on the relevant subject. These statements are based upon information available to us as of the date of this Quarterly Report, and while we believe such information forms a reasonable basis for such statements, such information may be limited or incomplete, and our statements should not be read to indicate that we have conducted an exhaustive inquiry into, or review of, all potentially available relevant information. These statements are inherently uncertain and investors are cautioned not to unduly rely upon these statements.

In evaluating forward-looking statements, you should refer to: (i) the section titled “Risk Factors” in our Annual Report on Form 10-K for the fiscal year ended December 31, 2025, which we filed with the United States Securities and Exchange Commission (“SEC”) on March 17, 2026 (the “2025 Form 10-K”); (ii) Item 2 of this Quarterly Report, under the heading “Management's Discussion and Analysis of Financial Condition and Results of Operations -- Factors Which May Influence Future Results of Operations;” and (iii) Part II, Item 1.A of this Quarterly Report. As a result of these risk factors, we cannot assure you that the forward-looking statements in this Quarterly Report will prove to be accurate. Furthermore, if our forward-looking statements prove to be inaccurate, the inaccuracy may be material. In light of the significant uncertainties in these forward-looking statements, you should not regard these statements as a representation or warranty by us or any other person that we will achieve our objectives and plans in any specified time frame, or at all. We do not undertake to update any of the forward-looking statements after the date of this Quarterly Report, except to the extent required by applicable securities laws.

 


 

PART I – FINANCIAL INFORMATION

ITEM 1. FINANCIAL STATEMENTS

 

CLEARPOINT NEURO, INC.

Condensed Consolidated Balance Sheets

(in thousands, except for par value and share data)

 

June 30,

 

 

 

 

 

 

2026

 

 

December 31,

 

 

(Unaudited)

 

 

2025

 

ASSETS

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

Cash and cash equivalents

 

$

29,363

 

 

$

45,923

 

Accounts receivable, net

 

 

8,395

 

 

 

6,549

 

Inventory, net

 

 

8,813

 

 

 

8,359

 

Prepaid expenses and other current assets

 

 

2,361

 

 

 

2,769

 

Total current assets

 

 

48,932

 

 

 

63,600

 

Property and equipment, net

 

 

2,986

 

 

 

2,621

 

Operating lease right-of-use assets

 

 

12,644

 

 

 

8,430

 

Goodwill

 

 

7,472

 

 

 

7,472

 

Intangible assets, net

 

 

12,915

 

 

 

13,922

 

Other assets

 

 

1,792

 

 

 

1,702

 

Total assets

 

$

86,741

 

 

$

97,747

 

 

 

 

 

 

 

LIABILITIES AND STOCKHOLDERS’ EQUITY

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

Accounts payable

 

$

2,153

 

 

$

1,256

 

Accrued compensation

 

 

4,141

 

 

 

4,360

 

Other accrued liabilities

 

 

1,983

 

 

 

2,786

 

Operating lease liabilities, current portion

 

 

194

 

 

 

694

 

Contract liabilities, current portion

 

 

1,842

 

 

 

1,669

 

Total current liabilities

 

 

10,313

 

 

 

10,765

 

 

 

 

 

 

 

Operating lease liabilities, net of current portion

 

 

13,520

 

 

 

8,461

 

Contract liabilities, net of current portion

 

 

511

 

 

 

581

 

Long-term notes payable, net

 

 

50,232

 

 

 

49,077

 

Deferred tax liabilities, net

 

 

321

 

 

 

354

 

Other long-term liabilities

 

 

1,068

 

 

 

489

 

Total liabilities

 

 

75,965

 

 

 

69,727

 

Commitments and contingencies

 

 

 

 

 

 

Stockholders’ equity:

 

 

 

 

 

 

Preferred stock, $0.01 par value; 25,000,000 shares authorized; none issued and outstanding at June 30, 2026 and December 31, 2025

 

 

 

 

 

 

Common stock, $0.01 par value; 90,000,000 shares authorized at June 30, 2026 and December 31, 2025; 30,503,132 and 29,368,760 shares issued and outstanding at June 30, 2026 and December 31, 2025, respectively

 

 

305

 

 

 

294

 

Additional paid-in capital

 

 

245,703

 

 

 

238,995

 

Shares to be issued

 

 

2,567

 

 

 

5,641

 

Accumulated deficit

 

 

(237,799

)

 

 

(216,910

)

Total stockholders’ equity

 

 

10,776

 

 

 

28,020

 

Total liabilities and stockholders’ equity

 

$

86,741

 

 

$

97,747

 

 

See accompanying notes to Condensed Consolidated Financial Statements.

1


 

CLEARPOINT NEURO, INC.

Condensed Consolidated Statements of Operations

(Unaudited)

(in thousands, except for share and per share data)

 

Three Months Ended June 30,

 

 

Six Months Ended June 30,

 

 

2026

 

 

2025

 

 

2026

 

 

2025

 

Revenue:

 

 

 

 

 

 

 

 

 

 

 

 

Product revenue

 

$

7,376

 

 

$

5,997

 

 

$

16,178

 

 

$

11,288

 

Service and other revenue

 

 

3,504

 

 

 

3,218

 

 

 

6,830

 

 

 

6,412

 

Total revenue

 

 

10,880

 

 

 

9,215

 

 

 

23,008

 

 

 

17,700

 

Cost of revenue

 

 

4,170

 

 

 

3,659

 

 

 

8,542

 

 

 

7,012

 

Gross profit

 

 

6,710

 

 

 

5,556

 

 

 

14,466

 

 

 

10,688

 

Research and development costs

 

 

4,632

 

 

 

3,829

 

 

 

9,154

 

 

 

7,208

 

Sales and marketing expenses

 

 

6,768

 

 

 

4,019

 

 

 

13,483

 

 

 

7,853

 

General and administrative expenses

 

 

5,554

 

 

 

3,388

 

 

 

10,551

 

 

 

7,470

 

Operating loss

 

 

(10,244

)

 

 

(5,680

)

 

 

(18,722

)

 

 

(11,843

)

Other income (expense):

 

 

 

 

 

 

 

 

 

 

 

 

Other expense, net

 

 

(7

)

 

 

(52

)

 

 

(42

)

 

 

(48

)

Interest income

 

 

289

 

 

 

285

 

 

 

640

 

 

 

436

 

Interest expense

 

 

(1,413

)

 

 

(365

)

 

 

(2,795

)

 

 

(365

)

Net loss before income taxes

 

 

(11,375

)

 

 

(5,812

)

 

 

(20,919

)

 

 

(11,820

)

Income tax (benefit) expense

 

 

(38

)

 

 

25

 

 

 

(30

)

 

 

43

 

Net loss

 

$

(11,337

)

 

$

(5,837

)

 

$

(20,889

)

 

$

(11,863

)

Net loss per share attributable to common stockholders:

 

 

 

 

 

 

 

 

 

 

 

 

Basic and diluted

 

$

(0.38

)

 

$

(0.21

)

 

$

(0.70

)

 

$

(0.42

)

Weighted average shares outstanding:

 

 

 

 

 

 

 

 

 

 

 

 

Basic and diluted

 

 

30,166,640

 

 

 

28,258,305

 

 

 

29,858,476

 

 

 

27,990,102

 

 

See accompanying notes to Condensed Consolidated Financial Statements.

2


 

 

 

CLEARPOINT NEURO, INC.

Condensed Consolidated Statements of Stockholders’ Equity

(Unaudited)

(Dollars in thousands)

 

 

Three and Six Months Ended June 30, 2026

 

 

 

Common Stock

 

 

Additional

 

 

 

 

 

 

 

 

 

 

 

Shares

 

 

Amount

 

 

Paid-in
Capital

 

 

Shares to be Issued

 

 

Accumulated
Deficit

 

 

Total

 

Balances, December 31, 2025

 

 

29,368,760

 

 

$

294

 

 

$

238,995

 

 

$

5,641

 

 

$

(216,910

)

 

$

28,020

 

Issuances of common stock:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Share-based compensation

 

 

748,681

 

 

 

7

 

 

 

2,211

 

 

 

 

 

 

 

 

 

2,218

 

Option exercises (cash and cashless)

 

 

47,292

 

 

 

1

 

 

 

147

 

 

 

 

 

 

 

 

 

148

 

Acquisition of IRRAS

 

 

7,885

 

 

 

 

 

 

106

 

 

 

(106

)

 

 

 

 

 

 

Payments for taxes related to net share settlement of equity awards

 

 

(185,979

)

 

 

(2

)

 

 

(1,991

)

 

 

 

 

 

 

 

 

(1,993

)

Net loss for the period

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(9,552

)

 

 

(9,552

)

Balances, March 31, 2026

 

 

29,986,639

 

 

$

300

 

 

$

239,468

 

 

$

5,535

 

 

$

(226,462

)

 

$

18,841

 

Issuances of common stock:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Share-based compensation

 

 

92,773

 

 

 

1

 

 

 

2,270

 

 

 

 

 

 

 

 

 

2,271

 

Option exercises (cash and cashless)

 

 

158,256

 

 

 

2

 

 

 

453

 

 

 

 

 

 

 

 

 

455

 

Acquisition of IRRAS

 

 

219,671

 

 

 

2

 

 

 

2,966

 

 

 

(2,968

)

 

 

 

 

 

 

Issuance of common stock under employee stock purchase plan

 

 

45,793

 

 

 

 

 

 

546

 

 

 

 

 

 

 

 

 

546

 

Net loss for the period

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(11,337

)

 

 

(11,337

)

Balances, June 30, 2026

 

 

30,503,132

 

 

$

305

 

 

$

245,703

 

 

$

2,567

 

 

$

(237,799

)

 

$

10,776

 

 

 

 

Three and Six Months Ended June 30, 2025

 

 

 

Common Stock

 

 

Additional

 

 

 

 

 

 

 

 

Shares

 

 

Amount

 

 

Paid-in
Capital

 

 

Accumulated
Deficit

 

 

Total

 

Balances, December 31, 2024

 

 

27,617,415

 

 

$

276

 

 

$

216,483

 

 

$

(191,370

)

 

$

25,389

 

Issuances of common stock:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Share-based compensation

 

 

453,832

 

 

 

5

 

 

 

1,903

 

 

 

 

 

 

1,908

 

Option exercises (cash and cashless)

 

 

7,851

 

 

 

 

 

 

21

 

 

 

 

 

 

21

 

Payments for taxes related to net share settlement of equity awards

 

 

(98,914

)

 

 

(1

)

 

 

(1,304

)

 

 

 

 

 

(1,305

)

Net loss for the period

 

 

 

 

 

 

 

 

 

 

 

(6,026

)

 

 

(6,026

)

Balances, March 31, 2025

 

 

27,980,184

 

 

$

280

 

 

$

217,103

 

 

$

(197,396

)

 

$

19,987

 

Issuances of common stock:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Registered direct offering of common stock

 

 

275,808

 

 

 

3

 

 

 

3,338

 

 

 

 

 

 

3,341

 

Share-based compensation

 

 

157,827

 

 

 

1

 

 

 

2,268

 

 

 

 

 

 

2,269

 

Option exercises (cash)

 

 

6,000

 

 

 

 

 

 

28

 

 

 

 

 

 

28

 

Payments for taxes related to net share settlement of equity awards

 

 

(26,818

)

 

 

 

 

 

(356

)

 

 

 

 

 

(356

)

Issuance of common stock under employee stock purchase plan

 

 

30,610

 

 

 

 

 

 

311

 

 

 

 

 

 

311

 

Net loss for the period

 

 

 

 

 

 

 

 

 

 

 

(5,837

)

 

 

(5,837

)

Balances, June 30, 2025

 

 

28,423,611

 

 

$

284

 

 

$

222,692

 

 

$

(203,233

)

 

$

19,743

 

 

See accompanying notes to Condensed Consolidated Financial Statements.

3


 

CLEARPOINT NEURO, INC.

Condensed Consolidated Statements of Cash Flows

(Unaudited)

(in thousands)

 

Six Months Ended June 30,

 

 

2026

 

 

2025

 

Cash flows from operating activities:

 

 

 

 

 

 

Net loss

 

$

(20,889

)

 

$

(11,863

)

Adjustments to reconcile net loss to net cash used in operating activities:

 

 

 

 

 

 

Allowance for credit losses (recoveries)

 

 

(95

)

 

 

217

 

Depreciation and amortization

 

 

236

 

 

 

499

 

Amortization of intangible assets

 

 

1,007

 

 

 

 

Share-based compensation

 

 

4,489

 

 

 

4,177

 

Payment-in-kind interest

 

 

1,061

 

 

 

172

 

Amortization of debt issuance costs and original issue discounts

 

 

94

 

 

 

21

 

Amortization of lease right-of-use assets, net of accretion in lease liabilities

 

 

1,244

 

 

 

461

 

Deferred income taxes

 

 

(33

)

 

 

 

Increase (decrease) in cash resulting from changes in:

 

 

 

 

 

 

Accounts receivable

 

 

(1,751

)

 

 

237

 

Inventory, net

 

 

(452

)

 

 

482

 

Prepaid expenses and other current assets

 

 

342

 

 

 

(136

)

Other assets

 

 

(215

)

 

 

 

Accounts payable and accrued expenses

 

 

777

 

 

 

(1,944

)

Lease liabilities

 

 

(900

)

 

 

(471

)

Contract liabilities

 

 

103

 

 

 

(576

)

Net cash used in operating activities

 

 

(14,982

)

 

 

(8,724

)

Cash flows from investing activities:

 

 

 

 

 

 

Purchases of property and equipment

 

 

(859

)

 

 

(274

)

Net cash used in investing activities

 

 

(859

)

 

 

(274

)

Cash flows from financing activities:

 

 

 

 

 

 

Proceeds from offerings of common stock, net of offering costs

 

 

 

 

 

3,263

 

Proceeds from issuance of note payable, net of financing costs and discount

 

 

 

 

 

28,653

 

Proceeds from stock option exercises

 

 

603

 

 

 

49

 

Payments for taxes related to net share settlement of equity awards

 

 

(1,993

)

 

 

(1,661

)

Proceeds from issuance of common stock under employee stock purchase plan

 

 

546

 

 

 

311

 

Net cash (used in) provided by financing activities

 

 

(844

)

 

 

30,615

 

Net change in cash, cash equivalents and restricted cash

 

 

(16,685

)

 

 

21,617

 

Cash, cash equivalents and restricted cash, beginning of period

 

 

46,973

 

 

 

20,104

 

Cash, cash equivalents and restricted cash, end of period

 

$

30,288

 

 

$

41,721

 

Cash and cash equivalents

 

 

29,363

 

 

 

41,541

 

Restricted cash included in other current assets and other assets, non-current

 

 

925

 

 

 

180

 

Total cash, cash equivalents and restricted cash

 

$

30,288

 

 

$

41,721

 

SUPPLEMENTAL CASH FLOW INFORMATION

 

 

 

 

 

 

Cash paid for:

 

 

 

 

 

 

Income taxes

 

$

30

 

 

$

12

 

Interest

 

$

1,061

 

 

$

172

 

 

NON-CASH INVESTING AND FINANCING TRANSACTIONS:

The Company had $0.1 million in capital expenditures accrued but not yet paid as of June 30, 2025.
During each of the six months ended June 30, 2026 and 2025, the Company recorded net transfers of reusable components having an aggregate net book value of $0.1 million between systems at customer sites, which are included in property and equipment in the accompanying condensed consolidated balance sheets, and inventory.

4


 

As discussed in Note 9, the Company entered into a lease for a building in San Diego, California being developed as a preclinical contract research organization facility, known as the ClearPoint Advanced Laboratories (the “CAL”) in June 2025. The delivery of the second phase of the lease was in March 2026. In connection with these, the Company recorded right-of-use assets in exchange for operating lease liabilities in the amounts of $3.3 million and $4.9 million in June 2025 and March 2026, respectively.

 

See accompanying notes to Condensed Consolidated Financial Statements.

5


CLEARPOINT NEURO, INC.

Notes to Condensed Consolidated Financial Statements

(Unaudited)

 

1.
Description of the Business and Financial Condition

ClearPoint Neuro, Inc. (the “Company”) is a commercial-stage medical device company focused on the development and commercialization of innovative platforms for performing minimally invasive surgical procedures in the brain. The Company deployed significant resources to fund its efforts to develop the foundational capabilities for enabling MRI-guided interventions, building an intellectual property portfolio, and identifying and building out commercial applications for the technologies it develops. Over the past several years, the Company’s efforts expanded beyond the MRI suite to encompass development and commercialization of new neurosurgical device products for the operating room setting, as well as consulting services for pharmaceutical and biotech companies, academic institutions, and contract research organizations. The Company was incorporated in the state of Delaware in March 1998, and has headquarters located in Solana Beach, California.

The Company’s initial product offering, the ClearPoint system, is an integrated system comprised of capital equipment and disposable products, designed to allow minimally invasive procedures in the brain to be performed in an MRI suite. The ClearPoint Array Neuro Navigation System and its principal disposable component, introduced in 2021, is designed to be deployed in an operating room setting while also being usable in an MRI suite. Both systems provide guidance for the placement and operation of instruments or devices during the planning and operation of neurosurgical procedures. The Company received 510(k) clearance from the U.S. Food and Drug Administration (“FDA”) in 2010 to market the ClearPoint system in the United States for general neurosurgical interventional procedures; in February 2011, the Company also obtained CE marking for its ClearPoint system. In 2011 and 2018, the Company received 510(k) clearance and CE marking, respectively, for its SmartFlow Neuro cannula which is being used, or is under evaluation, along with the Company's services, by more than 60 pharmaceutical and biotech companies, academic institutions, or contract research organizations having a focus on biologics and drug delivery. The Company provides consulting services to pharmaceutical and other medical technology customers for improving outcome predictability and optimizing preclinical and clinical workflows. The Company's expertise is concentrated in benchtop testing, preclinical studies, clinical trial support, regulatory consultation, and over-arching translation from the preclinical to the clinical setting to enhance accuracy and precision of drug delivery. In September 2022, the ClearPoint Prism Neuro Laser Therapy System, for which the Company has exclusive global commercialization rights, received 510(k) clearance through the Company’s Swedish partner CLS. The Prism laser represents the Company's first therapy product offering.

In 2025, through the acquisition of IRRAS, the Company expanded its portfolio into neurocritical care. IRRAS is a commercial-stage medical technology company focused on treatments for intracerebral hemorrhage, intraventricular hemorrhage, and other conditions requiring intracranial fluid management.

The Company has several foreign wholly owned subsidiaries, primarily established for the purpose of employing the Company’s clinical services representatives serving the Company’s customers in the United Kingdom and the EU. The activities of all subsidiaries are reflected in these condensed consolidated financial statements.

Macroeconomic Trends

The Company continues to monitor the impacts of various macroeconomic trends, such as inflationary pressure, changes in monetary policy, constraints on hospital capital spending, the introduction of or changes in tariffs or trade barriers, and global or local recession and geopolitical instability. Such changes in domestic and global macroeconomic conditions may lead to increased costs for the Company's business. Additionally, these macroeconomic trends could adversely affect the Company’s customers, which could impact their willingness to spend on the Company’s products and services, or their ability to make payments, which could harm the collection of accounts receivable and financial results. In particular, a portion of the Company's revenue is derived from

6


CLEARPOINT NEURO, INC.

Notes to Condensed Consolidated Financial Statements

(Unaudited)

 

products and services supporting pharmaceutical and biotechnology partners' preclinical and clinical development programs, and constraints in the funding environment for these partners, whether due to capital markets conditions or changes in government research funding, could cause partners to delay, scale back or discontinue programs utilizing the Company's products and services. The world’s financial markets remain susceptible to significant stresses, resulting in reductions in available credit and government spending, economic downturn or stagnation, foreign currency fluctuations and volatility in the valuations of securities generally. As a result, the Company’s ability to access capital markets and other funding sources may not be available in the future on commercially reasonable terms, if at all. The Company cannot predict with certainty the ultimate impact of these trends on its business, financial condition, results of operations or cash flows, which will depend on future developments. To date, these trends have not had a material adverse impact on our business, financial condition or results of operations.

Liquidity

The Company has incurred net losses since its inception, which has resulted in a cumulative deficit at June 30, 2026 of $237.8 million. In addition, the Company’s use of cash from operations amounted to $15.0 million for the six months ended June 30, 2026, and $23.9 million for the year ended December 31, 2025. Since its inception, the Company has financed its operations principally from the sale of equity securities and the issuance of notes payable.

In May 2025, the Company received net proceeds of approximately $3.3 million, after deducting offering expenses payable by the Company, from a registered direct offering. See Note 10 below for additional information.

Also in May 2025, the Company entered into a note purchase agreement under which it may sell tranches of notes in an aggregate principal amount of up to $105.0 million. As of June 30, 2026, the Company has received net proceeds of approximately $48.1 million from the sale of two notes thereunder. See Note 8 below for additional information.

In November 2024, the Company established an at-the-market equity offering program under which the Company may offer and sell, from time to time, shares of its common stock having aggregate sales proceeds of up to $50.0 million. As of June 30, 2026, the Company had not sold any shares of common stock under the at-the-market equity offering program. See Note 10 below for additional information.

As required by accounting principles generally accepted in the United States (“GAAP”), the Company has evaluated its ability to continue as a going concern for at least the next twelve months from the date of issuance of these financial statements. The Company has determined that based on its current forecasts, its existing cash and cash equivalent balances at June 30, 2026 are sufficient to support the Company’s operations and meet its obligations for at least the next twelve months from the date of issuance of these financial statements.

2.
Basis of Presentation and Summary of Significant Accounting Policies

Basis of Presentation and Use of Estimates

In the opinion of management, the accompanying unaudited condensed consolidated financial statements have been prepared on a basis consistent with the Company’s December 31, 2025 audited consolidated financial statements, and include all adjustments, consisting of only normal recurring adjustments, necessary to fairly state the information set forth therein. These condensed consolidated financial statements have been prepared in accordance with SEC rules for interim financial information, and, therefore, omit certain information and footnote disclosures necessary to present such statements in accordance with GAAP. The preparation of these condensed consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities, revenue, expenses and the related disclosures at the date of the financial statements and during the reporting period. Actual results could materially differ from these estimates. These

7


CLEARPOINT NEURO, INC.

Notes to Condensed Consolidated Financial Statements

(Unaudited)

 

condensed consolidated financial statements should be read in conjunction with the audited consolidated financial statements and notes thereto included in the 2025 Form 10-K. The accompanying condensed consolidated balance sheet as of December 31, 2025 has been derived from the audited consolidated financial statements at that date but does not include all information and footnotes required by GAAP for a complete set of financial statements. The results of operations for the three and six months ended June 30, 2026, may not be indicative of the results to be expected for the entire year or any future periods.

Restricted Cash

The Company has restricted cash pledged as a security deposit and collateral related to its operating leases. Amounts related to the cash pledged as collateral expected to be released within twelve months of the accompanying consolidated balance sheet are classified in other current assets. The remaining noncurrent balance is presented in other assets in the accompanying condensed consolidated balance sheets.

Inventory

Inventory, which consists of raw materials, work in process, and finished goods available for sale, is carried at the lower of cost or net realizable value. The costs of inventory are determined using the standard cost method, which approximates actual cost based on a first-in, first-out method. The Company periodically reviews its inventory for excess and obsolete items and provides a reserve upon identification of potentially excess or obsolete items.

Business Combinations

Under the acquisition method of accounting, the Company allocates the fair value of the total consideration transferred to the tangible and identifiable intangible assets acquired and liabilities assumed based on their estimated fair values on the date of acquisition. These valuations require the Company to make estimates and assumptions, especially with respect to intangible assets. The excess consideration over the aggregate fair value of tangible and intangible assets, net of liabilities assumed, is recorded as goodwill. Costs incurred to complete a business combination, such as legal and other professional fees, are expensed as incurred.

If the initial accounting for a business combination is incomplete by the end of a reporting period that falls within the measurement period, the Company reports provisional amounts in the financial statements. During the measurement period, the Company adjusts the provisional amounts recognized at the acquisition date to reflect new information obtained about facts and circumstances that existed as of the acquisition date that, if known, would have affected the measurement of the amounts recognized as of that date. These adjustments to the provisional amounts are recorded with a corresponding offset to goodwill. Any adjustments identified after the measurement period are recorded in the consolidated statements of operations.

Goodwill, Intangible Assets and Other Long-Lived Assets

Assets acquired, including intangible assets, and liabilities assumed are measured at fair value as of the acquisition date. Goodwill, which has an indefinite useful life, represents the excess of cost over fair value of the net assets acquired.

Goodwill is not amortized; however, it is reviewed for impairment at least annually, or more frequently if an event occurs indicating the potential for impairment. Goodwill is considered to be impaired if the carrying value of the reporting unit exceeds its respective fair value.

8


CLEARPOINT NEURO, INC.

Notes to Condensed Consolidated Financial Statements

(Unaudited)

 

The Company performs the goodwill impairment analysis at the reporting unit level, which aligns with its reporting and operating segment structure and availability of discrete financial information. During the goodwill impairment review, the Company assesses qualitative factors to determine whether it is more likely than not that the fair values of the reporting unit is less than the carrying amount, including goodwill. The qualitative factors include, but are not limited to, macroeconomic conditions, industry and market considerations, and the Company's overall financial performance. If this qualitative assessment indicates that it is more likely than not that the fair value of a reporting unit is less than its carrying amount, the Company performs a quantitative goodwill impairment test. If the carrying amount of the reporting unit exceeds the fair value, the Company records an impairment loss based on the difference. The qualitative assessment for the reporting unit may be bypassed and instead the Company may proceed directly to the quantitative goodwill impairment test.

Intangible assets with finite lives are amortized using the straight-line method over the estimated economic lives of the assets, which range from one to ten years. The Company's intangible assets with finite lives are reviewed for impairment whenever events or change in circumstances indicate that the carrying amount of such assets may not be fully recoverable. The carrying value is not recoverable if it exceeds the sum of the undiscounted cash flows expected to result from the use and eventual disposition of the asset. An impairment loss is measured as the amount by which the carrying amount exceeds its fair value.

Revenue Recognition

The Company’s revenue is comprised primarily of: (1) product revenue resulting from the sale of disposable products related to neurosurgery navigation, therapy, neurocritical care, and biologics and drug delivery, as well as ClearPoint and IRRAflow capital equipment and ClearPoint software; and (2) service revenue resulting from development services and consultation revenue in connection with customer-sponsored preclinical and clinical trials, as well as revenue resulting from the service, installation, training, and shipping related to ClearPoint capital equipment and software. The Company recognizes revenue when (i) control of the Company’s products is transferred to its customers or (ii) services are provided to customers, each in an amount that reflects the consideration the Company expects to receive from its customers in exchange for those products and services, in a process that involves identifying the contract with a customer, identifying the performance obligations in the contract, determining the transaction price, allocating the transaction price to the distinct performance obligations in the contract, and recognizing revenue when or as the performance obligations have been satisfied. A performance obligation is considered distinct from other obligations in a contract when it provides a benefit to the customer either on its own or together with other resources that are readily available to the customer and is separately identified in the contract. When a contract calls for the satisfaction of multiple performance obligations for a single contract price, the Company typically allocates the contract price among the performance obligations based on the relative stand-alone selling prices for each such performance obligation customarily charged by the Company. The Company considers a performance obligation satisfied once it has transferred control of a good or service to the customer, meaning the customer has the ability to use and obtain the benefit of the good or service. The Company recognizes revenue for satisfied performance obligations only when it determines there are no uncertainties regarding payment terms or transfer of control.

Lines of Business; Timing of Revenue Recognition

Product Revenue:

Neurosurgery navigation, therapy, neurocritical care, and biologics and drug delivery product sales: Revenue from the sale of neurosurgery navigation products (consisting of disposable products sold commercially and related to cases utilizing the ClearPoint system), therapy products (consisting primarily of disposable laser-related products used in neurosurgical procedures), neurocritical care products (consisting of disposable products

9


CLEARPOINT NEURO, INC.

Notes to Condensed Consolidated Financial Statements

(Unaudited)

 

sold commercially and related to cases utilizing the IRRAflow system), biologics and drug delivery products (consisting primarily of disposable products related to customer-sponsored preclinical and clinical trials), is generally based on customer purchase orders, and is recognized at the point in which legal title, and risks and rewards of ownership, transfer to the customer.
Capital equipment and software sales:
Capital equipment and software sales preceded by evaluation periods: Revenue for capital equipment and software sales (consisting of computer hardware and software that are integral components of the ClearPoint system or the IRRAflow system) which are preceded by customer evaluation periods is recognized at the point in time that the Company is in receipt of a purchase order and all related items have been shipped to the customer. During these evaluation periods, installation of the systems has been completed, if required, training of customer personnel has been completed, and the systems have been in operation.
Capital equipment and software sales not preceded by evaluation periods: Revenue from sales of capital equipment and software not having been preceded by an evaluation period is recognized upon delivery to the customer and installation, if required.

For both types of capital equipment and software sales described above, the determination of the point in time at which to recognize revenue represents that point at which the customer has legal title, physical possession, and the risks and rewards of ownership, and the Company has a present right to payment.

Service Revenue:

Neurosurgery navigation and therapy services: The Company recognizes revenue for such services over time as the services are delivered to the customer based on the extent of progress towards completion of the performance obligation.
Biologics and drug delivery services and other revenue:
Consultation and Development Services: The Company recognizes consultation and development service revenue over time as the services are delivered to the customer based on the extent of progress towards completion of the performance obligation. The Company may use output methods, such as time elapsed, or input methods, such as labor hours expended or costs incurred, to measure progress depending on which better depicts the transfer of control to the customer.
License fees: The Company grants licenses to customers to develop and commercialize its SmartFlow Neuro cannula devices with the customers' proprietary biologics as a combination device. License fees represent the use of functional intellectual property as it exists at the point in time at which the license is granted and does not require any significant development or customization. Accordingly, the Company recognizes license revenue at the point in time in which the license becomes effective and the intellectual property is made available to the customer.
Milestone fees: Event-based payments which are subject to the customer's achievement of specified development or regulatory milestones are included in the transaction price if, in the Company's judgment, it is probable that these milestones will be achieved and a significant future reversal of cumulative revenue under the contract will not occur. The Company re-evaluates the probability of

10


CLEARPOINT NEURO, INC.

Notes to Condensed Consolidated Financial Statements

(Unaudited)

 

achievement of such milestone at the end of each reporting period and adjusts the transaction price as necessary.
Capital equipment-related services:
Equipment service: Revenue from service of ClearPoint capital equipment and software previously sold to customers is based on agreements with terms ranging from one to three years and is recognized ratably on a monthly basis over the term of the service agreement. A time-elapsed output method is used for service revenue because the Company transfers control evenly by providing a stand-ready service.

The Company may also enter into contracts with customers for capital equipment, which bundle maintenance and support services and access to software and hardware upgrades made commercially available over the term of the contract, for a single contract price, typically paid on an annual basis. The Company allocates the contract price among the performance obligations based on the relative stand-alone prices for each such performance obligation and recognizes the revenue ratably on a monthly basis. A time-elapsed output method is used as the Company is providing a stand-ready service for each of the performance obligations.

Installation, training, and shipping: Consistent with the Company's recognition of revenue for capital equipment and software sales as described above, fees for installation, training, and shipping in connection with sales of capital equipment and software that have been preceded by customer evaluation periods are recognized as revenue at the point in time the Company is in receipt of an executed purchase order for the equipment and software. Installation, training, and shipping fees related to capital equipment and software sales not having been preceded by an evaluation period are recognized as revenue concurrent with the recognition of revenue of the related capital equipment.

Payment terms under contracts with customers generally are in a range of 30-60 days after the customers’ receipt of the Company’s invoices.

The Company's terms and conditions do not provide for a right of return unless for: (a) product defects; or (b) other conditions subject to the Company's approval.

See Note 4 below for additional information regarding revenue recognition.

Net Loss Per Share

The Company computes net loss per share using the weighted-average number of common shares outstanding during the period. Basic and diluted net loss per share are the same because the conversion, exercise or issuance of all potential common stock equivalents, which consist of the Company’s outstanding common stock options and unvested restricted stock units, as described in Note 10, would be anti-dilutive, due to the reporting of a net loss for each of the periods in the accompanying condensed consolidated statements of operations.

Concentration Risks and Other Risks and Uncertainties

Financial instruments that potentially subject the Company to significant concentrations of credit risk consist primarily of cash and cash equivalents and accounts receivable. The Company classifies all highly liquid investments with original stated maturities of three months or less from the date of purchase as cash equivalents and all highly

11


CLEARPOINT NEURO, INC.

Notes to Condensed Consolidated Financial Statements

(Unaudited)

 

liquid investments with stated maturities of greater than three months but less than twelve months as short-term investments.

The Company holds substantially all its cash and cash equivalents on deposit with financial institutions in the U.S.that are insured by the Federal Deposit Insurance Corporation or in U.S. government debt securities. At June 30, 2026, the Company had approximately $1.4 million in bank balances that were in excess of the insured limits.

There were no customers whose accounts receivable balances represented greater than 10% of accounts receivable at either June 30, 2026 or December 31, 2025.

One pharmaceutical customer, a related party who is a former stockholder and former noteholder, and whose chief executive officer is a member of the Company's Board of Directors, for whom the Company provides hardware, software, clinical services and market development services in support of the customer's clinical trials, and from whom the Company earns a quarterly fee, accounted for 6% of total sales for each of the three and six months ended June 30, 2026, and 8% of total sales for each of the three and six months ended June 30, 2025.

Prior to granting credit to a customer, the Company generally performs credit evaluations of the customers’ financial condition. In general, the Company does not require collateral from customers in connection with an extension of credit. The accounts receivable balance is reduced by an allowance for credit losses from the potential inability of the Company's customers to make required payments. The allowance for credit losses at June 30, 2026 and December 31, 2025 was $1.1 million and $1.2 million, respectively. The Company evaluates the historic loss experience on the accounts receivable balance and also considers separately customers with receivable balances that may be negatively impacted by current economic developments and market conditions. The estimate is a result of the Company's ongoing evaluation of collectability, customer creditworthiness, historical levels of credit losses and future expectations.

The Company is subject to risks common to emerging companies in the medical device industry, including, but not limited to: new technological innovations; acceptance and competitiveness of its products; dependence on key personnel; dependence on key suppliers; its ability to maintain its third-party collaboration, license and joint development partners; changes in general economic conditions and interest rates; its ability to obtain additional funding to support its business; regulatory uncertainty; protection of proprietary technology; compliance with changing government regulations; uncertainty of widespread market acceptance of products; access to credit for capital purchases by customers; and product liability claims. Certain components used in manufacturing have relatively few alternative sources of supply and establishing additional or replacement suppliers for such components cannot be accomplished quickly. The inability of any of these suppliers to fulfill the Company’s supply requirements may negatively impact future operating results.

Recent Accounting Standards Not Yet Adopted

In November 2024, the FASB issued ASU 2024-03, “Income Statement-Reporting Comprehensive Income-Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses,” which requires disclosure about the types of costs and expenses included in certain expense captions presented on the income statement. The new disclosure requirements are effective for the Company's annual periods beginning after December 15, 2026, and interim periods beginning after December 15, 2027, with early adoption permitted. The Company is currently evaluating the impact of this pronouncement on its related disclosures.

In September 2025, the FASB issued ASU 2025-06, “Intangibles - Goodwill and Other - Internal Use Software (Subtopic 350-40): Targeted Improvements to the Accounting for Internal-Use Software,” which improves the operability of the accounting for internal-use software by removing all references to software development project

12


CLEARPOINT NEURO, INC.

Notes to Condensed Consolidated Financial Statements

(Unaudited)

 

stages so that the guidance is neutral to different software development methods. This standard is effective for annual periods beginning after December 15, 2027, including interim periods within those fiscal years, with early adoption permitted. The Company is currently evaluating the potential impact of the new pronouncement.

In December 2025, the FASB issued ASU 2025-11, “Interim Reporting (Topic 270): Narrow-Scope Improvements,” which clarifies the guidance in Topic 270 to improve the consistency of interim financial reporting. ASU 2025-11 provides a comprehensive list of required interim disclosures and introduces a disclosure principle requiring entities to disclose events since the end of the last annual reporting period that have a material impact on the entity. This standard is effective for fiscal years beginning December 15, 2027, including interim periods within those fiscal years, with early adoption permitted. The Company is currently evaluating the potential impact of the new pronouncement.

Subsequent Events

The Company evaluated subsequent events and transactions that occurred after the balance sheet date through the date that the condensed consolidated financial statements are available to be issued. Material subsequent events that required recognition or additional disclosure in the condensed consolidated financial statements are presented.

3.
Business Combination

On November 20, 2025, the Company acquired all of the outstanding equity interests of IRRAS Holdings, Inc., or IRRAS, a medical technology company focused on neurocritical care. The total consideration for the acquisition, payable as of closing, was $5.0 million in cash and 1,325,000 shares of the Company’s common stock, subject to certain adjustments including for indebtedness, working capital and the satisfaction of indemnification obligations. As described below, the former equityholders of IRRAS are also eligible for earnout cash payments.

Of the total consideration, payable as of closing, (i) the Company paid $5.0 million on behalf of IRRAS directly to third parties to satisfy IRRAS' outstanding liabilities, (ii) the Company paid the former equityholders of IRRAS cash consideration of $0.02 million, and (iii) the Company paid or will pay the former equityholders of IRRAS equity consideration of $17.8 million in the form of 1,319,010 shares of the Company's common stock, subject to adjustment for the satisfaction of indemnification obligations.

Of the $17.8 million of equity consideration, up to 0.2 million shares of the Company's common stock remain to be issued, consisting of shares issuable to the extent not applied to satisfy the indemnification obligations of the former equityholders of IRRAS, which shares may be issued, in whole or in part, sixteen months following the closing of the acquisition, subject to the terms of the merger agreement. During the three and six months ended June 30, 2026, the Company issued 219,671 and 227,556 shares, respectively, of common stock to the former equityholders of IRRAS.

The Company also agreed to pay the former equityholders of IRRAS a contingent cash payment equal to 25% of that portion of net sales of IRRAS products that exceeds (a) $13.0 million in 2026, (b) $17.0 million in 2027, and (c) $22.0 million in 2028, in each case, within 90 days after the end of the applicable year. The Company determined that the fair value of the earnout liability is nominal as of the acquisition date and as of June 30, 2026.

The acquisition of IRRAS has been accounted for as a business combination using the acquisition method of accounting in accordance with ASC 805, “Business Combinations,” with the Company treated as the accounting acquirer, which requires, among other things, that the assets acquired and liabilities assumed be recognized at their fair value as of the acquisition date. The Company is still finalizing the allocation of the purchase price and changes to this allocation may occur as additional information becomes available related to the valuation of the intangible

13


CLEARPOINT NEURO, INC.

Notes to Condensed Consolidated Financial Statements

(Unaudited)

 

assets, indemnification claims, and accrued expenses, with such changes recorded as an adjustment to goodwill during the measurement period. The Company has not recorded any measurement period adjustments during the three or six months ended June 30, 2026.

4.
Revenue Recognition

Revenue by Service Line

 

Three Months Ended June 30,

 

 

Six Months Ended June 30,

 

(in thousands)

 

2026

 

 

2025

 

 

2026

 

 

2025

 

Biologics and drug delivery

 

 

 

 

 

 

 

 

 

 

 

 

Disposable products

 

$

943

 

 

$

1,871

 

 

$

2,838

 

 

$

3,651

 

Services and license fees

 

 

3,088

 

 

 

2,868

 

 

 

6,001

 

 

 

5,779

 

Subtotal – Biologics and drug delivery revenue

 

 

4,031

 

 

 

4,739

 

 

 

8,839

 

 

 

9,430

 

Neurosurgery navigation and therapy

 

 

 

 

 

 

 

 

 

 

 

 

Disposable products

 

 

5,552

 

 

 

3,432

 

 

 

11,439

 

 

 

6,709

 

Subtotal – Neurosurgery navigation and therapy revenue

 

 

5,552

 

 

 

3,432

 

 

 

11,439

 

 

 

6,709

 

Capital equipment and software

 

 

 

 

 

 

 

 

 

 

 

 

Systems and software products

 

 

881

 

 

 

694

 

 

 

1,901

 

 

 

928

 

Services

 

 

416

 

 

 

350

 

 

 

829

 

 

 

633

 

Subtotal – Capital equipment and software revenue

 

 

1,297

 

 

 

1,044

 

 

 

2,730

 

 

 

1,561

 

Total revenue

 

$

10,880

 

 

$

9,215

 

 

$

23,008

 

 

$

17,700

 

Contract Balances

Contract assets – The timing of revenue recognition may differ from the time of billing to the Company's customers. In most cases, customers are billed upon shipment of products or delivery of services and the related contract assets, which represent an unconditional right to consideration, comprise the accounts receivable balance. When revenue is recognized in advance of its right to bill and receive consideration, the Company records this unbilled receivable as a contract asset, which is classified as other current assets in the accompanying condensed consolidated balance sheets.

(in thousands)

 

June 30, 2026

 

 

December 31, 2025

 

Accounts receivable, net

 

$

8,395

 

 

$

6,549

 

Other contract assets

 

 

 

 

 

 

Unbilled receivables

 

$

960

 

 

$

714

 

Deferred contract costs

 

$

199

 

 

$

150

 

Contract liabilities – Contract liabilities consist of amounts that have been invoiced to customers and for which the Company has the right to bill, but that have not been recognized as revenue as the related goods or services have not been transferred. The Company's contract liabilities are generally comprised of the following: (1) capital equipment and software-related service fees that are typically billed and collected at the inception of the service agreements, which have terms ranging from one to three years; (2) annual fees for agreements with customers that bundle the capital equipment and software-related service fees with software and hardware upgrades that are made commercially available over the term of the contract; and (3) up-front payments from customers made in connection with consulting services. The unearned portion of all such fees is classified as contract liabilities.

14


CLEARPOINT NEURO, INC.

Notes to Condensed Consolidated Financial Statements

(Unaudited)

 

(in thousands)

 

June 30, 2026

 

 

December 31, 2025

 

Contract liabilities

 

$

2,353

 

 

$

2,250

 

During the three and six months ended June 30, 2026, the Company recognized approximately $0.4 million and $1.1 million, respectively, of revenue which was previously included in contract liabilities in the condensed consolidated balance sheet at December 31, 2025. During the three and six months ended June 30, 2025, the Company recognized approximately $0.2 million and $1.0 million, respectively, of revenue which was previously included in contract liabilities in the condensed consolidated balance sheet at December 31, 2024.

Transaction price allocated to remaining performance obligations represents contracted revenue that has not yet been recognized, which includes contract liabilities that will be recognized as revenue in future periods. The majority of the remaining performance obligations relate to capital equipment and software-related service agreements and the upfront payments discussed under the heading "Contract Balances" above, which amounted to approximately $2.2 million at June 30, 2026. The Company expects to recognize approximately 77% of this revenue over the next twelve months and the remainder thereafter.

5.
Fair Value Measurement

Fair value measurements are based on a three-tier hierarchy that prioritizes the inputs used to measure fair value. These tiers include: Level 1, defined as observable inputs such as quoted market prices in active markets; Level 2, defined as inputs other than quoted prices included within Level 1 that are observable for the asset or liability, either directly or indirectly; and Level 3, defined as unobservable inputs for which little or no market data exists, therefore requiring an entity to develop its own assumptions.

The fair value of cash and cash equivalents of $29.4 million and $45.9 million as of June 30, 2026 and December 31, 2025, respectively, is derived using Level 1 inputs. The cash equivalents are comprised of short-term bank deposits, money market funds, and U.S. Government debt securities with original maturities of three months or less, for which the Company believes that the carrying value is a reasonable estimate of fair value.

6.
Inventory

Inventory consists of the following as of June 30, 2026 and December 31, 2025:

(in thousands)

 

June 30, 2026

 

 

December 31, 2025

 

Raw materials and work in process

 

$

7,409

 

 

$

7,052

 

Finished goods

 

 

5,060

 

 

 

4,813

 

Reserve for excess and obsolete inventory

 

 

(3,656

)

 

 

(3,506

)

Total inventory, net

 

$

8,813

 

 

$

8,359

 

 

7.
Goodwill and Intangible Assets

Goodwill

A summary of the activity impacting goodwill is presented below (in thousands):

Balance as of December 31, 2025

 

$

7,472

 

Measurement period adjustments

 

 

 

Balance as of June 30, 2026

 

$

7,472

 

 

15


CLEARPOINT NEURO, INC.

Notes to Condensed Consolidated Financial Statements

(Unaudited)

 

Intangible Assets

The following table shows the cost, accumulated amortization, and weighted average remaining life for the acquired intangible assets as of the dates indicated in the tables below (in thousands):

 

 

June 30, 2026

 

 

 

Weighted average remaining life
(in years)

 

Gross Carrying Value

 

 

Accumulated Amortization

 

 

Net Carrying Value

 

Developed Technology

 

9

 

$

11,890

 

 

$

(694

)

 

$

11,196

 

Customer Relationships

 

5

 

 

1,650

 

 

 

(160

)

 

 

1,490

 

Trademark/Trade Name

 

<1

 

 

550

 

 

 

(321

)

 

 

229

 

Total intangible assets

 

9

 

$

14,090

 

 

$

(1,175

)

 

$

12,915

 

 

 

 

December 31, 2025

 

 

 

Weighted average remaining life
(in years)

 

Gross Carrying Value

 

 

Accumulated Amortization

 

 

Net Carrying Value

 

Developed Technology

 

10

 

$

11,890

 

 

$

(99

)

 

$

11,791

 

Customer Relationships

 

6

 

 

1,650

 

 

 

(23

)

 

 

1,627

 

Trademark/Trade Name

 

1

 

 

550

 

 

 

(46

)

 

 

504

 

Total intangible assets

 

9

 

$

14,090

 

 

$

(168

)

 

$

13,922

 

The tables below set forth amortization expense for the periods presented (in thousands):

 

 

 

 

Three Months Ended June 30,

 

Intangible asset

 

Location

 

2026

 

 

2025

 

Developed Technology

 

Cost of revenue

 

$

298

 

 

$

-

 

Customer Relationships

 

Sales and marketing expenses

 

 

68

 

 

 

-

 

Trademark/Trade Name

 

Sales and marketing expenses

 

 

137

 

 

 

-

 

Total amortization expense

 

 

 

$

503

 

 

$

-

 

 

 

 

 

 

Six Months Ended June 30,

 

Intangible asset

 

Location

 

2026

 

 

2025

 

Developed Technology

 

Cost of revenue

 

$

595

 

 

$

-

 

Customer Relationships

 

Sales and marketing expenses

 

 

137

 

 

 

-

 

Trademark/Trade Name

 

Sales and marketing expenses

 

 

275

 

 

 

-

 

Total amortization expense

 

 

 

$

1,007

 

 

$

-

 

The estimated future annual amortization of finite-lived intangible assets is shown in the following table (in thousands). Actual amortization expense to be reported in future periods could differ from these estimates as a result of acquisitions, divestitures, and asset impairments, among other factors.

Year:

 

Amortization Expense

 

Remainder of 2026

 

$

961

 

2027

 

 

1,464

 

2028

 

 

1,464

 

2029

 

 

1,464

 

2030

 

 

1,464

 

Thereafter

 

 

6,098

 

Total

 

$

12,915

 

 

16


CLEARPOINT NEURO, INC.

Notes to Condensed Consolidated Financial Statements

(Unaudited)

 

8.
Note Payable

On May 12, 2025, the Company entered into a note purchase agreement (the “2025 NPA”) with TPC Investments III, LP, an affiliate of Oberland Capital Management LLC (the “2025 Investor”), and CALW SA, LLC, as purchaser agent, under which the Company may sell to the 2025 Investor tranches of notes (“Notes”) in an aggregate principal amount of up to $105.0 million. Under the terms of the 2025 NPA, (a) the Company sold a Note in the principal amount of $30.0 million (the “First Purchase Note”) to the 2025 Investor upon signing of the 2025 NPA, (b) at the option of the Company, the Company may sell an additional $25.0 million in principal amount of Notes, in up to two increments of $12.5 million each, at any time prior to December 31, 2026, and (c) at the option of the Company and the 2025 Investor, the Company may sell up to $50.0 million in principal amount of Notes, at any time prior to December 31, 2026 (the “Third Tranche of Notes”).

In connection with the signing of the merger agreement pursuant to which the Company acquired IRRAS, the Company and the 2025 Investor entered into an amendment to the 2025 NPA pursuant to which the 2025 Investor agreed to purchase $20.0 million in principal amount of the Third Tranche of Notes under the 2025 NPA following the closing of the IRRAS acquisition (the “Third Tranche Note”). The Third Tranche Note was sold to the 2025 Investor on November 20, 2025.

The purchase price of the Notes is, in each case, 98% of the principal amount thereof. The net proceeds from the sale of the First Purchase Note, after deducting the debt discount and debt issuance costs of $0.6 million and $0.7 million, respectively, was approximately $28.7 million. The net proceeds from the sale of the Third Tranche Note, after deducting the debt discount and debt issuance costs, was approximately $19.4 million.

The outstanding principal amount of the Notes bears interest at a rate per annum equal to the sum of: (i) the greater of the Term SOFR (as defined in the 2025 NPA) and 4.30%; and (ii) 3.95%, with a minimum rate of 8.25% and a cap of 9.50%, payable quarterly in arrears. For the first six quarters following the purchase date for each sale of Notes (each, a “Purchase Date”), 50% of the interest due will be paid-in-kind and added to the then-outstanding principal balance of the Notes, which may be extended by two quarters at the Company’s option.

For the three and six months ended June 30, 2026, the Company recognized interest expense of $1.4 million and $2.8 million which is recorded in the condensed consolidated statements of operations. For the three and six months ended June 30, 2025, such amounts were not material. As of June 30, 2026, the effective interest rate on the Notes was 11.3%.

The Notes mature on the sixth anniversary of their Purchase Date or the date on which all amounts owing to the 2025 Investor have been paid in full (the “Maturity Date”). Upon the occurrence and during the continuance of an Event of Default (as defined in the 2025 NPA) under the 2025 NPA, the then-applicable interest rate on all outstanding obligations will increase by 4.00%.

Beginning on January 1, 2027 and continuing until the Maturity Date of the First Purchase Note, the 2025 Investor will receive 0.375% of Net Revenue (as defined in the 2025 NPA) for any fiscal quarter (of up to $50,000,000 of Net Revenue for each fiscal year), payable quarterly. As a result of the sale of the Third Tranche Note, this percentage increased by 0.15% and is payable beginning on January 1, 2027 and continuing until the Maturity Date of the Third Tranche Note. The outstanding principal amount of the Notes, interest accrued thereon and any other amounts owing to the 2025 Investor under the 2025 NPA, will be due and payable on the applicable Maturity Date.

All of the Notes may be redeemed prior to the Maturity Date at the option of the Company, subject to payment of the Repayment Amount (as defined in the 2025 NPA). The 2025 Investor may demand redemption of the Notes prior to the Maturity Date in the event of a Change of Control (as defined in the 2025 NPA) of the Company or an Event of

17


CLEARPOINT NEURO, INC.

Notes to Condensed Consolidated Financial Statements

(Unaudited)

 

Default. The Repayment Amount will be: (a) if redemption occurs before the first anniversary of the date of issuance of a Note, 117.5% of the principal amount of such Note; (b) if redemption occurs after the first anniversary and prior to the second anniversary of the date of issuance of a Note, 125% of the principal amount of such Note; (c) if redemption occurs after the second anniversary and prior to the third anniversary of the date of issuance of a Note, 135% of the principal amount of such Note; (d) if redemption occurs after the third anniversary and prior to the fourth anniversary of date of issuance of a Note, an amount that would generate an internal rate of return to the Purchasers of such Note of 11.50%; (e) if redemption occurs after the fourth anniversary of the date of issuance of a Note and prior to the sixth anniversary of the date of issuance of a Note, an amount that would generate an internal rate of return to the Purchasers of such Note of 10.50%; (f) if redemption occurs on the sixth anniversary of the date of issuance of a Note, an amount that would generate an internal rate of return to the Purchasers of such Note of 9.50%, minus, in each case, the sum of regularly scheduled interest paid in cash, payments of proceeds of insurance policies pursuant to the terms of the NPA, and payments of revenue participation in cash prior to such redemption date.

The 2025 NPA contains no financial covenants. The Company’s obligations under the 2025 NPA are subject to customary covenants, including limitations on the Company’s ability to dispose of assets, undergo a change of control, merge with or acquire other entities, incur debt, incur liens, pay dividends or other distributions to holders of its capital stock, repurchase stock and make investments, in each case subject to certain exceptions. The Company’s obligations under the 2025 NPA are secured by a security interest on substantially all of the Company’s assets, including its intellectual property. The obligations of the 2025 Investor to purchase Notes are subject to certain customary conditions precedent.

The Company assessed the provisions of the 2025 NPA to determine if the agreement included any embedded derivative features by evaluating each feature against the nature of the host instrument. The only embedded feature which was determined to meet the characteristics of a derivative and require bifurcation and separate accounting was the 2025 Investor's right to demand redemption prior to the Maturity Date in the event of a Change of Control or an Event of Default. The fair value of the identified derivative was determined to be nominal as the probability of Change of Control or Event of Default was negligible at inception and at June 30, 2026. For each subsequent reporting period, the Company will evaluate the probability of the Investor's right to demand redemption and record the applicable fair value as of the end of each reporting period.

Scheduled principal payments as of June 30, 2026 with respect to the Notes is summarized as follows (in thousands):

Year ending December 31,

 

 

 

2031

 

$

51,969

 

Total scheduled principal payments

 

 

51,969

 

Less: unamortized discounts and financing costs

 

 

(1,737

)

Total carrying amount

 

$

50,232

 

 

 

9.
Commitments and Contingencies

Operating Leases

The Company subleases office space in Solana Beach, California, which serves as its corporate headquarters and houses certain management and personnel. The sublease term commenced on December 15, 2020, was set to expire on December 31, 2026, and was renewable for an additional five-year period, at the Company’s option, at the then fair market value. See Note 12 below for additional information regarding this sublease.

18


CLEARPOINT NEURO, INC.

Notes to Condensed Consolidated Financial Statements

(Unaudited)

 

The Company leases space in Carlsbad, California, that serves as office space and a manufacturing facility under a lease that commenced on June 1, 2023 and ends on May 31, 2033. The Company has two options to extend the lease term for thirty-six or sixty months, at the then fair market rental value.

On June 16, 2025, the Company entered into a lease agreement to expand into approximately 30,171 square feet within a life science building located in San Diego, California. The Company will use the facility, known as the ClearPoint Advanced Laboratories (the “CAL”), for office, research and development, and laboratory purposes, supporting preclinical contract research. The building will be occupied in three phases, the first of which (6,818 square feet) was made available upon lease signing. The next phase (9,833 square feet) was made available in March 2026, and the final phase (13,520 square feet) was made available in July 2026. The lease agreement expires 132 months (11 years) from the date on which the last phase is made available, subject to the Company's right to extend the lease term for one additional five-year period, at the then fair market rental value. The initial monthly base rent is $5.95 per square foot, subject to annual increases of 3%, with payment for the first and second phases to commence after occupation of the second phase and the payment for the third phase to commence after occupation of the third phase. The monthly base rent will be abated: (i) for the second through thirteenth months after the second phase occupation for the first and second phases; and (ii) for the first through twelfth months after the third phase occupation solely for the third phase. The Company determined that the three phases of the lease agreement constitute separate lease components, and calculated the right-of-use assets and lease liabilities of the first and second phases of $3.3 million and $4.9 million, respectively. See Note 12 below for additional information regarding this lease.

In connection with the IRRAS acquisition, the Company assumed an operating lease for 21,200 square feet used for manufacturing and office purposes located in San Diego, California. The lease is set to expire in April 2031, with the option to extend the lease for one additional five-year term, at the then fair market rental rate.

The aforementioned leases are classified as operating leases in conformity with GAAP. The aggregate lease costs were $0.7 million and $1.2 million for the three and six months ended June 30, 2026, respectively, and $0.2 million and $0.5 million for the three and six months ended June 30, 2025, respectively.

10.
Stockholders’ Equity

2025 Stock Purchase Agreement (“2025 SPA)

On May 12, 2025, the Company entered into the 2025 SPA with TPC Investments III, LP, an affiliate of Oberland Capital Management, relating to the purchase and sale in a registered direct offering of an aggregate of 275,808 shares of the Company’s common stock at a price of $12.69 per share, based on the trailing 30-trading day volume-weighted average price of the Company’s common stock. The aggregate net proceeds to the Company from the offering totaled approximately $3.3 million after deducting offering expenses payable by the Company.

2024 At-The-Market (“ATM) Equity Offering

In November 2024, the Company entered into an At-The-Market Equity Offering Sales Agreement with Stifel, Nicolaus & Company, Incorporated, as sales agent (the “ATM Agreement”) to, from time to time, sell shares of its common stock having aggregate sales proceeds of up to $50.0 million, subject to the terms and conditions of the

19


CLEARPOINT NEURO, INC.

Notes to Condensed Consolidated Financial Statements

(Unaudited)

 

ATM Agreement. As of June 30, 2026, the Company has not sold any shares of common stock under the ATM Agreement.

Equity Compensation Plans

The Seventh Amended and Restated 2013 Incentive Compensation Plan became effective in May 2026, which amended and restated the previous plan primarily to increase the number of shares of common stock available for awards by 1,000,000 shares. The plan permits the issuance of stock options, restricted stock awards (“RSAs”), restricted stock units (“RSUs”) and other awards to selected employees, directors, and consultants of the Company. The equity incentive plans are more fully described in Note 11 to the consolidated financial statements in the 2025 Form 10-K.

The Company's equity awards granted to certain employees provide for net share settlement, pursuant to which shares otherwise issuable upon vesting are withheld to satisfy the applicable employee's statutory tax withholding obligations. The Company remits cash to the applicable taxing authorities related to these withheld shares at the time of vesting.

Share-Based Compensation Expense

The Company records share-based compensation expense on a straight-line basis over the vesting periods of the related grants and recognizes forfeitures as they occur. The following table sets forth share-based compensation expense included in the condensed consolidated statements of operations:

 

Three Months Ended June 30,

 

 

Six Months Ended June 30,

 

(in thousands)

 

2026

 

 

2025

 

 

2026

 

 

2025

 

Cost of revenue

 

$

52

 

 

$

37

 

 

$

104

 

 

$

69

 

Research and development costs

 

 

499

 

 

 

573

 

 

 

972

 

 

 

1,056

 

Sales and marketing expenses

 

 

666

 

 

 

633

 

 

 

1,318

 

 

 

1,125

 

General and administrative expenses

 

 

1,054

 

 

 

1,026

 

 

 

2,095

 

 

 

1,927

 

Total share-based compensation expense

 

$

2,271

 

 

$

2,269

 

 

$

4,489

 

 

$

4,177

 

Share-based compensation expense by type of share-based award is summarized below:

 

Three Months Ended June 30,

 

 

Six Months Ended June 30,

 

(in thousands)

 

2026

 

 

2025

 

 

2026

 

 

2025

 

Stock options

 

$

 

 

$

83

 

 

$

28

 

 

$

193

 

RSAs and RSUs

 

 

2,149

 

 

 

2,115

 

 

 

4,192

 

 

 

3,842

 

ESPP

 

 

122

 

 

 

71

 

 

 

269

 

 

 

142

 

Total share-based compensation expense

 

$

2,271

 

 

$

2,269

 

 

$

4,489

 

 

$

4,177

 

Total unrecognized compensation expense by type of award and the weighted-average remaining requisite service period over which such expense is expected to be recognized:

 

June 30, 2026

 

 

Unrecognized
Expense
(in thousands)

 

 

Remaining
Weighted-
Average
Recognition
Period (in years)

 

RSUs

 

$

14,329

 

 

 

2.06

 

 

20


CLEARPOINT NEURO, INC.

Notes to Condensed Consolidated Financial Statements

(Unaudited)

 

Stock Option Activity

Stock option activity for the six months ended June 30, 2026 is summarized below:

 

Stock
Options

 

 

Weighted-
average
Exercise
price
per share

 

 

Weighted-
average
Remaining
Contractual
Life (in years)

 

 

Intrinsic
Value
(in thousands)
(1)

 

Outstanding as of December 31, 2025

 

 

1,302,072

 

 

$

5.78

 

 

 

 

 

 

 

Exercised

 

 

(211,871

)

 

$

3.27

 

 

 

 

 

 

 

Forfeited or expired

 

 

(1,875

)

 

$

12.40

 

 

 

 

 

 

 

Outstanding as of June 30, 2026

 

 

1,088,326

 

 

$

6.26

 

 

 

3.55

 

 

$

12,715

 

Exercisable as of June 30, 2026

 

 

1,088,326

 

 

$

6.26

 

 

 

3.55

 

 

$

12,715

 

 

(1)

Intrinsic value is calculated as the estimated fair value of the Company’s stock at the end of the related period less the option exercise price of in-the-money options.

Restricted Stock Unit Activity

Restricted stock unit (“RSU”) activity for the six months ended June 30, 2026 is summarized below:

 

Restricted Stock
Units

 

 

Weighted-
Average
Grant
Date Fair Value

 

Outstanding as of December 31, 2025

 

 

1,651,867

 

 

$

9.16

 

Granted

 

 

780,714

 

 

$

13.32

 

Vested

 

 

(841,454

)

 

$

8.28

 

Forfeited or expired

 

 

(29,271

)

 

$

12.27

 

Outstanding as of June 30, 2026

 

 

1,561,856

 

 

$

11.65

 

ESPP

In June 2021, the Company’s stockholders adopted and approved the ClearPoint Neuro, Inc. Employee Stock Purchase Plan (the “ESPP”), which allows eligible employees to acquire shares of the Company’s common stock through payroll deductions at a discount to market price. In May 2025, the ESPP was amended to increase the number of shares of common stock reserved for issuance from 400,000 to 700,000 shares. During the six months ended June 30, 2026, 45,793 shares were purchased under the ESPP at an average offering price of $11.93. There are 336,670 shares remaining available for issuance under the ESPP as of June 30, 2026.

11.
Segment Disclosures

The Company is a medical device company offering precise navigation to the brain, and provides clinical products and preclinical development services for controlled drug and device delivery. Even with the acquisition of IRRAS, the Company's operations are based in, and revenues are derived predominantly in, the United States, and business activities are managed on a consolidated basis. The Company operates in one reportable segment.

The Company's Chief Executive Officer is the Chief Operating Decision Maker (“CODM”). The CODM regularly reviews disaggregated revenue data by product line as disclosed in Note 4; however, consolidated net income is utilized as the measure of profit and loss to assess performance of the business and determination on how to allocate resources. Significant expenses within net income include cost of revenue, research and development, sales and

21


CLEARPOINT NEURO, INC.

Notes to Condensed Consolidated Financial Statements

(Unaudited)

 

marketing, and general and administrative expenses, which are each separately presented on the Company's Consolidated Statements of Operations. Segment asset information is not used by the CODM to allocate resources.

12.
Subsequent Events

Operating Leases

On July 8, 2026, the Company entered into an amendment to the sublease for its office space in Solana Beach, California, under which the term of the sublease was extended by an additional five years to December 31, 2031. The Company estimates it will recognize an incremental right-of-use asset and corresponding lease liability of approximately $2.3 million, reflecting the extended lease term.

On July 13, 2026, the final phase of the Company's lease for its ClearPoint Advanced Laboratories (the “CAL”) facility located in San Diego, California, became available for its intended use. The Company estimates it will recognize a right-of-use asset and corresponding lease liability of approximately $6.7 million.

See Note 9 above for additional information regarding the Company's leases.

Purchase Commitments

Subsequent to June 30, 2026, the Company issued purchase orders for capital equipment totaling approximately $3.1 million. Delivery of the equipment is expected in 2027, with payments due through 2028.

 

22


 

ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.

The following discussion and analysis of our financial condition and results of operations should be read together with our unaudited condensed consolidated financial statements and the related notes thereto appearing in Part I, Item 1 of this Quarterly Report. This discussion and analysis contains forward-looking statements that are based upon current expectations and involve risks, assumptions and uncertainties. You should review the section titled “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2025 ("2025 10-K") and in Part II, Item 1.A of this Quarterly Report for a discussion of important risk factors that could cause actual results to differ materially from the results described in or implied by the forward-looking statements described in the following discussion and analysis. In addition, historical results and trends that might appear in this Quarterly Report should not be interpreted as being indicative of future operations.

Overview

We are a commercial-stage medical device company that develops and commercializes integrated systems used in minimally invasive neurosurgical procedures in the brain. We have deployed significant resources to fund our efforts to develop the foundational capabilities for enabling MRI-guided interventions, building an intellectual property portfolio, and identifying and building out commercial applications for the technologies developed by our company. Over the past several years, we have expanded our capabilities beyond the MRI suite to include operating room based neurosurgical device products and a growing portfolio of services that support pharmaceutical and biotechnology partners developing gene and cell therapies. In 2025, with the acquisition of IRRAS, we expanded our portfolio into neurocritical care, focusing on treatments for intracerebral hemorrhage, intraventricular hemorrhage, and other conditions requiring intracranial fluid management.

Our business today consists of two integrated components: (i) a business providing medical devices for neurosurgical applications, and (ii) a business focused on partnerships in the biologics and drug delivery space.

Our primary medical device product, the ClearPoint system, is an integrated system comprised of hardware components, disposable components, and intuitive, menu-driven software. The primary applications for the ClearPoint system are to target and guide: (a) the insertion of deep brain stimulation electrodes, biopsy needles, and laser catheters; and (b) the infusion of pharmaceuticals into the brain. The ClearPoint system was originally designed for use in an MRI setting. In 2021, we launched the SmartFrame Array Neuro Navigation System and Software, which allows for operating room placement of the ClearPoint system and completion of the procedure in the MRI suite. In 2024, we introduced the SmartFrame OR Stereotactic System to the market, which allows for complete procedures to be performed in the operating room. In 2025, we released the ClearPoint Navigation Software Version 3.0, which allows for the ClearPoint system navigation software to support end-to-end procedures in the operating room.

In 2022, we commenced commercialization of the ClearPoint Prism Neuro Laser Therapy System, a laser ablation system. The ClearPoint Prism Neuro Laser Therapy System was developed and is manufactured for us by CLS. We have exclusive global rights to commercialize the system for neuro applications.

In 2025, through the acquisition of IRRAS, we added the IRRAflow system to our portfolio of medical devices. The IRRAflow system integrates continuous irrigation, drainage, and real-time intracranial pressure monitoring to provide controlled, automated intracranial fluid management within neurocritical care and operating room settings.

The second component of our business is focused on partnerships in the biologics and drug delivery space, supporting our customers from the earliest stages of their research through their clinical study and commercialization process. Since 2021, a growing and significant part of the revenue from our business has been derived from preclinical development services, which include protocol consultation and solutions for preclinical study design and execution. Our consulting services include a core competency of in vivo biology services in large and small research models to assist our customers with establishing drug safety prior to and in support of their human clinical trials.

23


 

Currently, we have more than 60 biologics and drug delivery customers who are evaluating using our products and services in trials to inject gene and cell therapies directly into the brain. These customers have drug development programs at various stages of development, ranging from preclinical research to late-stage regulatory trials for multiple distinct disease states. This part of our business potentially represents the largest opportunity for growth; however, our ability to grow in this market is dependent on our ability to maintain and establish new relationships with pharmaceutical company customers, such customers' continuation of research and product development plans, such customers successfully completing clinical trials and obtaining regulatory approvals of their drugs and biologics, and such customers’ realization of commercial success for their therapies, including overcoming barriers in reimbursement, physician adoption, and patient access to their therapies. In 2024, the U.S. Food and Drug Administration (the “FDA”) granted marketing authorization for our SmartFlow cannula to be used to deliver a gene therapy for the treatment of aromatic L-amino acid decarboxylase deficiency to regions of interest within the brain.

Factors Which May Influence Future Results of Operations

The following is a description of factors that may influence our future results of operations, and that we believe are important to an understanding of our business and results of operations.

Macroeconomic Trends

We continue to monitor the impacts of various macroeconomic trends, such as inflationary pressure, changes in monetary policy, constraints on hospital capital spending, the introduction of or changes in tariffs or trade barriers, and global or local recession and geopolitical instability. Such changes in domestic and global macroeconomic conditions may lead to increased costs for our business. Additionally, these macroeconomic trends could adversely affect our customers, which could impact their willingness to spend on our products and services, or their ability to make payments, which could harm our collection of accounts receivable and financial results. In particular, a portion of our revenue is derived from products and services supporting pharmaceutical and biotechnology partners' preclinical and clinical development programs, and constraints in the funding environment for these partners, whether due to capital markets conditions or changes in government research funding, could cause partners to delay, scale back or discontinue programs utilizing our products and services. The world’s financial markets remain susceptible to significant stresses, resulting in reductions in available credit and government spending, economic downturn or stagnation, foreign currency fluctuations and volatility in the valuations of securities generally. As a result, our ability to access capital markets and other funding sources may not be available in the future on commercially reasonable terms, if at all. We cannot predict with certainty the ultimate impact of these trends on our business, financial condition, results of operations or cash flows, which will depend on future developments. To date, these trends have not had a material adverse impact on our business, financial condition or results of operations.

Revenue

In 2010, we received 510(k) clearance from the FDA to market our ClearPoint system in the U.S. for general neurosurgical procedures; in February 2011 and May 2018, we also obtained CE marking for our ClearPoint system and SmartFlow Neuro cannula, respectively; and in June 2020 we obtained CE marking for version 2.0 of our ClearPoint software and our Inflexion head fixation frame. In January 2021, we received 510(k) clearance for the SmartFrame Array Neuro Navigation System. In September 2022, the ClearPoint Prism Neuro Laser Therapy System, for which we have exclusive global rights to commercialize, received 510(k) clearance through our Swedish partner, CLS. The Prism laser is the first therapy product we have commercialized. In January 2024, we received 510(k) clearance from the FDA for the SmartFrame OR Stereotactic System.

In 2021, we started providing consulting services to our pharmaceutical and other medical technology customers for improving outcome predictability and optimizing preclinical and clinical workflows. Our expertise is concentrated in

24


 

benchtop testing, preclinical studies, clinical trial support, regulatory consultation, and over-arching translation from the preclinical to the clinical setting to enhance accuracy and precision of drug delivery.

Our neurosurgery navigation and therapy revenue primarily consists of disposable product commercial sales related to cases utilizing the ClearPoint and IRRAflow systems. Generating recurring revenue from the sale of disposable products is an important part of our business model. Future revenue from sales of such products is difficult to predict and may not be sufficient to offset our continuing research and development expenses and our increasing selling, general and administrative expenses. As a result of the IRRAS acquisition, revenue is expected to grow over the coming years due to a larger combined organization, expanded product offerings, and increased customer reach, both in the U.S. and internationally.

Our biologics and drug delivery revenue comes from sales of products, including disposable products, and services related to customer-sponsored preclinical and clinical trials utilizing our products. Our biologics and drug delivery customers are pharmaceutical and biotech companies, academic institutions, and customer-sponsored contract research organizations that are developing methods to deliver a wide variety of molecules, genes or proteins to targeted brain tissue or structures (our “Partners”) that would need to bypass the blood-brain barrier for the treatment of a variety of disorders. This is a novel area in which commercialization must be preceded by FDA-mandated clinical trials, which are expensive and time consuming to conduct, and for which the commercial success is uncertain, pending, in part, on the outcome of those trials. The number of Partner relationships is of importance as we recognize the possibility that some Partners’ research will reach commercial success, and others may not. To the extent our Partners achieve commercial success, our expectation is that we will share in such success through our Partners’ use of our products and services in their delivery of therapies. At June 30, 2026, we had more than 60 Partners, similar to the number of Partners as of the same date in 2025.

Our capital equipment and software revenue consists of sales of ClearPoint and IRRAflow reusable hardware and software and related services.

Substantially all our revenue for the three and six months ended June 30, 2026 and 2025 relates to: (i) sales of our ClearPoint and IRRAflow system products and related services; and (ii) consulting services provided to our biologics and drug delivery customers. Our product revenue was $7.4 million and $16.2 million for the three and six months ended June 30, 2026, respectively, and was almost entirely related to our ClearPoint system. Our service revenue was $3.5 million and $6.8 million for the three and six months ended June 30, 2026, respectively, of which 88% was related to the biologics and drug delivery service line.

Our revenue recognition policies are more fully described in Note 2 to the condensed consolidated financial statements included above in Part I, Item 1 in this Quarterly Report.

Cost of Revenue

Cost of revenue includes the direct costs associated with the assembly and purchase of components for neurosurgery navigation products, biologics and drug delivery products, non-neurosurgery therapy products, and capital equipment that we have sold, and for which we have recognized revenue in accordance with our revenue recognition policy, as well as labor hours for the cost of providing preclinical and consulting services. Cost of revenue also includes the allocation of manufacturing overhead costs and depreciation of loaned systems installed under our ClearPoint placement program, as well as provisions for obsolete, impaired, or excess inventory.

Research and Development Costs

Our research and development costs consist primarily of costs associated with the conceptualization, design, testing, and prototyping of our ClearPoint system products, cannulas, and enhancements. Such costs include salaries, travel, and benefits for research and development personnel; materials and laboratory supplies in research and development activities; outside consultant costs; and licensing costs related to technology not yet commercialized. We anticipate that, over time, our research

25


 

and development costs may increase as we: (i) develop devices and services for delivery of therapeutics into the central nervous system, (ii) expand products into the operating room and therapeutics space, (iii) expand the application of our technological platforms internationally, (iv) invest in the IRRAflow product portfolio and clinical evidence, and (v) develop robotics and focused ultrasound technologies.

Product development timelines, likelihood of success, and total costs can vary widely by product candidate. There are also risks inherent in the regulatory clearance and approval process. At this time, we are unable to estimate with any certainty the costs that we will incur in our efforts to expand the application of our technological platforms.

Sales and Marketing, and General and Administrative Expenses

Our sales and marketing, and general and administrative expenses consist primarily of salaries, incentive-based compensation, travel and benefits, including related share-based compensation; marketing costs; professional fees, including fees for outside attorneys and accountants; occupancy costs; insurance; and other general and administrative expenses, which include, but are not limited to, corporate licenses, director fees, hiring costs, taxes, postage, office supplies, information technology and meeting costs. We expect increases in our sales and marketing expenses as a result of a larger combined sales organization following the IRRAS acquisition, primarily reflecting higher salary and personnel-related costs associated with the larger commercial team following the IRRAS acquisition.

Critical Accounting Policies and Estimates

There have been no significant changes in our critical accounting policies and estimates during the six months ended June 30, 2026, as compared to the critical accounting policies and estimates described in our 2025 10-K.

Results of Operations

Three Months Ended June 30, 2026, Compared to the Three Months Ended June 30, 2025

 

Three Months Ended June 30,

 

 

Percentage

 

(Dollars in thousands)

 

2026

 

 

2025

 

 

Change

 

Product revenue

 

$

7,376

 

 

$

5,997

 

 

 

23

%

Service and other revenue

 

 

3,504

 

 

 

3,218

 

 

 

9

%

Total revenue

 

 

10,880

 

 

 

9,215

 

 

 

18

%

Cost of revenue

 

 

4,170

 

 

 

3,659

 

 

 

14

%

Gross profit

 

 

6,710

 

 

 

5,556

 

 

 

21

%

Research and development costs

 

 

4,632

 

 

 

3,829

 

 

 

21

%

Sales and marketing expenses

 

 

6,768

 

 

 

4,019

 

 

 

68

%

General and administrative expenses

 

 

5,554

 

 

 

3,388

 

 

 

64

%

Other income (expense):

 

 

 

 

 

 

 

 

 

Other expense, net

 

 

(7

)

 

 

(52

)

 

 

(87

)%

Interest income

 

 

289

 

 

 

285

 

 

 

1

%

Interest expense

 

 

(1,413

)

 

 

(365

)

 

NM

 

Net loss before income taxes

 

 

(11,375

)

 

 

(5,812

)

 

 

96

%

Income tax (benefit) expense

 

 

(38

)

 

 

25

 

 

NM

 

Net loss

 

$

(11,337

)

 

$

(5,837

)

 

 

94

%

NM – The percentage change is not meaningful.

Revenue. Total revenue was $10.9 million for the three months ended June 30, 2026, and $9.2 million for the three months ended June 30, 2025, which represents an increase of $1.7 million, or 18%.

26


 

 

Three Months Ended June 30,

 

 

Percentage

 

(Dollars in thousands)

 

2026

 

 

2025

 

 

Change

 

Biologics and drug delivery

 

 

 

 

 

 

 

 

 

Disposable products

 

$

943

 

 

$

1,871

 

 

 

(50

)%

Services and license fees

 

 

3,088

 

 

 

2,868

 

 

 

8

%

Subtotal – Biologics and drug delivery revenue

 

 

4,031

 

 

 

4,739

 

 

 

(15

)%

Neurosurgery navigation and therapy

 

 

 

 

 

 

 

 

 

Disposable products

 

 

5,552

 

 

 

3,432

 

 

 

62

%

Subtotal – Neurosurgery navigation and therapy revenue

 

 

5,552

 

 

 

3,432

 

 

 

62

%

Capital equipment and software

 

 

 

 

 

 

 

 

 

Systems and software products

 

 

881

 

 

 

694

 

 

 

27

%

Services

 

 

416

 

 

 

350

 

 

 

19

%

Subtotal – Capital equipment and software revenue

 

 

1,297

 

 

 

1,044

 

 

 

24

%

Total revenue

 

$

10,880

 

 

$

9,215

 

 

 

18

%

Biologics and drug delivery revenue decreased to $4.0 million for the three months ended June 30, 2026 from $4.7 million for the three months ended June 30, 2025. This decrease is attributable to lower product revenue due to a single customer order that occurred in the quarter of the prior year and did not recur in the current quarter.

Neurosurgery navigation and therapy revenue increased 62% to $5.6 million for the three months ended June 30, 2026, from $3.4 million for the same period in 2025. The increase is driven primarily by additional revenues due to sales of the IRRAflow product as well as the introduction of our 3.0 operating room navigation software, which has positively impacted procedural volumes in the operating room during the three months ended June 30, 2026, compared to the same period in 2025. We acquired the IRRAflow product in connection with our acquisition of IRRAS in the fourth quarter of 2025.

Capital equipment and software revenue increased 24% to $1.3 million for the three months ended June 30, 2026, from $1.0 million for the same period in 2025 primarily due to an increase in placements of ClearPoint navigation capital and software, IRRAflow control units, and Prism laser units.

Cost of Revenue and Gross Profit. Cost of revenue was $4.2 million, resulting in gross profit of $6.7 million for the three months ended June 30, 2026, and was $3.7 million, resulting in gross profit of $5.6 million for the three months ended June 30, 2025. Gross margin was 62% for the three months ended June 30, 2026, as compared to 60% in the same period in 2025. The increase in gross margin is primarily due to lower excess and obsolete inventory for the three months ended June 30, 2026, as compared to the same period in 2025.

Research and Development Costs. Research and development costs were $4.6 million for the three months ended June 30, 2026, compared to $3.8 million for the same period in 2025, an increase of $0.8 million, or 21%. The increase was due primarily to higher personnel costs of $0.8 million.

Sales and Marketing Expenses. Sales and marketing expenses were $6.8 million for the three months ended June 30, 2026, compared to $4.0 million for the same period in 2025, an increase of $2.7 million, or 68%. This increase was due primarily to additional personnel costs of $1.8 million and increases in travel costs of $0.3 million, resulting from the expansion of our clinical and sales teams. The increase was also driven by additional amortization expense of acquired intangible assets of $0.2 million and marketing material costs of $0.2 million.

General and Administrative Expenses. General and administrative expenses were $5.6 million for the three months ended June 30, 2026, compared to $3.4 million for the same period in 2025, an increase of $2.2 million, or 64%. This increase was due primarily to increases in occupancy costs of $0.7 million, professional service fees of $0.5 million, personnel costs of $0.3 million, general corporate costs of $0.3 million, and information technology and software costs of $0.2 million.

Interest Income. Interest income was $0.3 million for each of the three months ended June 30, 2026 and 2025.

27


 

Interest Expense. Interest expense was $1.4 million for the three months ended June 30, 2026, compared to $0.4 million for the same period in 2025, an increase of $1.0 million. Interest expense increased due to the issuance of notes payable in May and November 2025. See Note 8 to the condensed consolidated financial statements included elsewhere in this Quarterly Report for additional information with respect to the notes payable issued in May and November 2025.

Six Months Ended June 30, 2026, Compared to the Six Months Ended June 30, 2025

 

Six Months Ended June 30,

 

 

Percentage

 

(Dollars in thousands)

 

2026

 

 

2025

 

 

Change

 

Product revenue

 

$

16,178

 

 

$

11,288

 

 

 

43

%

Service and other revenue

 

 

6,830

 

 

 

6,412

 

 

 

7

%

Total revenue

 

 

23,008

 

 

 

17,700

 

 

 

30

%

Cost of revenue

 

 

8,542

 

 

 

7,012

 

 

 

22

%

Gross profit

 

 

14,466

 

 

 

10,688

 

 

 

35

%

Research and development costs

 

 

9,154

 

 

 

7,208

 

 

 

27

%

Sales and marketing expenses

 

 

13,483

 

 

 

7,853

 

 

 

72

%

General and administrative expenses

 

 

10,551

 

 

 

7,470

 

 

 

41

%

Other income (expense):

 

 

 

 

 

 

 

 

 

Other expense, net

 

 

(42

)

 

 

(48

)

 

 

(13

)%

Interest income

 

 

640

 

 

 

436

 

 

 

47

%

Interest expense

 

 

(2,795

)

 

 

(365

)

 

NM

 

Net loss before income taxes

 

 

(20,919

)

 

 

(11,820

)

 

 

77

%

Income tax (benefit) expense

 

 

(30

)

 

 

43

 

 

NM

 

Net loss

 

$

(20,889

)

 

$

(11,863

)

 

 

76

%

NM – The percentage change is not meaningful.

Revenue. Total revenue was $23.0 million for the six months ended June 30, 2026, and $17.7 million for the six months ended June 30, 2025, which represents an increase of $5.3 million, or 30%.

 

Six Months Ended June 30,

 

 

Percentage

 

(Dollars in thousands)

 

2026

 

 

2025

 

 

Change

 

Biologics and drug delivery

 

 

 

 

 

 

 

 

 

Disposable products

 

$

2,838

 

 

$

3,651

 

 

 

(22

)%

Services and license fees

 

 

6,001

 

 

 

5,779

 

 

 

4

%

Subtotal – Biologics and drug delivery revenue

 

 

8,839

 

 

 

9,430

 

 

 

(6

)%

Neurosurgery navigation and therapy

 

 

 

 

 

 

 

 

 

Disposable products

 

 

11,439

 

 

 

6,709

 

 

 

71

%

Subtotal – Neurosurgery navigation and therapy revenue

 

 

11,439

 

 

 

6,709

 

 

 

71

%

Capital equipment and software

 

 

 

 

 

 

 

 

 

Systems and software products

 

 

1,901

 

 

 

928

 

 

 

105

%

Services

 

 

829

 

 

 

633

 

 

 

31

%

Subtotal – Capital equipment and software revenue

 

 

2,730

 

 

 

1,561

 

 

 

75

%

Total revenue

 

$

23,008

 

 

$

17,700

 

 

 

30

%

Biologics and drug delivery revenue decreased to $8.8 million for the six months ended June 30, 2026 from $9.4 million for the six months ended June 30, 2025. This decrease is attributable to lower product revenue due to a single customer order that occurred in the six-month period of the prior year and did not recur in the current period. In general, this category of revenue is impacted by timing of our Partners’ drug development programs and tends to be uneven quarter to quarter.

Neurosurgery navigation and therapy revenue increased 71% to $11.4 million for the six months ended June 30, 2026, from $6.7 million for the same period in 2025. The increase is driven primarily by additional revenues due to sales of the IRRAflow product as well as the introduction of our 3.0 operating room navigation software, which has positively impacted procedural

28


 

volumes in the operating room during the six months ended June 30, 2026, compared to the same period in 2025. We acquired the IRRAflow product in connection with our acquisition of IRRAS in the fourth quarter of 2025.

Capital equipment and software revenue increased 75% to $2.7 million for the six months ended June 30, 2026, from $1.6 million for the same period in 2025 primarily due to an increase in placements of ClearPoint navigation capital and software, IRRAflow control units, and Prism laser units.

Cost of Revenue and Gross Profit. Cost of revenue was $8.5 million, resulting in gross profit of $14.5 million for the six months ended June 30, 2026, and was $7.0 million, resulting in gross profit of $10.7 million for the six months ended June 30, 2025. Gross margin was 63% for the six months ended June 30, 2026, as compared to 60% in the same period in 2025. The increase in gross margin is primarily due to lower excess and obsolete inventory for the six months ended June 30, 2026, as compared to the same period in 2025.

Research and Development Costs. Research and development costs were $9.2 million for the six months ended June 30, 2026, compared to $7.2 million for the same period in 2025, an increase of $1.9 million, or 27%. The increase was due primarily to increases in personnel costs of $1.4 million, repair costs of $0.2 million, quality audit fees of $0.1 million, and travel costs of $0.1 million.

Sales and Marketing Expenses. Sales and marketing expenses were $13.5 million for the six months ended June 30, 2026, compared to $7.9 million for the same period in 2025, an increase of $5.6 million, or 72%. This increase was due primarily to additional personnel costs of $3.7 million and increases in travel costs of $0.8 million, resulting from the expansion of our clinical and sales teams. The increase was also driven by additional amortization expense of acquired intangible assets of $0.4 million and marketing material costs of $0.4 million.

General and Administrative Expenses. General and administrative expenses were $10.6 million for the six months ended June 30, 2026, compared to $7.5 million for the same period in 2025, an increase of $3.1 million, or 41%. This increase was due primarily to increases in occupancy costs of $1.3 million, personnel costs of $0.5 million, professional service fees of $0.5 million, information technology and software costs of $0.4 million, and general corporate costs of $0.4 million.

Interest Income. Interest income was $0.6 million for the six months ended June 30, 2026, compared to $0.4 million for the same period in 2025, an increase of $0.2 million, or 47%. The increase is due to higher investment in U.S. government debt securities.

Interest Expense. Interest expense was $2.8 million for the six months ended June 30, 2026, compared to $0.4 million for the same period in 2025, an increase of $2.4 million. Interest expense increased due to the issuance of notes payable in May and November 2025. See Note 8 to the condensed consolidated financial statements included elsewhere in this Quarterly Report for additional information with respect to the notes payable issued in May and November 2025.

Liquidity and Capital Resources

We have incurred net losses since our inception as we have devoted substantial efforts to research and development, which has resulted in a cumulative deficit at June 30, 2026 of $237.8 million. Our use of cash from operations amounted to $15.0 million for the six months ended June 30, 2026, and $23.9 million for the year ended December 31, 2025. Our primary uses of cash and operating expenses relate to paying employees and consultants, marketing our products, and supporting our research and development of future product offerings. Since inception, we have financed our operations principally from the sale of equity securities and the issuance of notes payable.

29


 

In May 2025, we received net proceeds of approximately $3.3 million, after deducting offering expenses payable by the Company, from a registered direct offering. See Note 10 to the condensed consolidated financial statements included elsewhere in this Quarterly Report.

Also in May 2025, we entered into a note purchase agreement under which we may sell tranches of notes in an aggregate principal amount of up to $105.0 million. As of June 30, 2026, we have received net proceeds of approximately $48.1 million from the sale of two notes thereunder. See Note 8 to the condensed consolidated financial statements included elsewhere in this Quarterly Report.

In November 2024, we established an at-the-market equity offering program under which we may offer and sell, from time to time, shares of our common stock having aggregate sales proceeds of up to $50.0 million. As of June 30, 2026, we had not sold any shares of common stock under our at-the-market equity offering program. See Note 10 to the condensed consolidated financial statements included elsewhere in this Quarterly Report.

Our cash and cash equivalents totaled $29.4 million at June 30, 2026. In management’s opinion, based on our current forecasts, our cash and cash equivalent balances at June 30, 2026 are sufficient to support our operations and meet our obligations for at least the next twelve months from the date of issuance of the condensed consolidated financial statements included elsewhere in this Quarterly Report.

We may offer and sell additional equity or issue additional notes payable to raise funds for working capital, capital expenditures, or other general corporate purposes.

Cash Flows

Cash activity for the six months ended June 30, 2026 and 2025 is summarized as follows:

 

Six Months Ended June 30,

 

(in thousands)

 

2026

 

 

2025

 

Net cash used in operating activities

 

$

(14,982

)

 

$

(8,724

)

Net cash used in investing activities

 

 

(859

)

 

 

(274

)

Net cash (used in) provided by financing activities

 

 

(844

)

 

 

30,615

 

Net change in cash, cash equivalents and restricted cash

 

$

(16,685

)

 

$

21,617

 

Net Cash Used in Operating Activities. Net cash used in operating activities for the six months ended June 30, 2026 was $15.0 million, an increase of $6.3 million from the six months ended June 30, 2025. This increase was primarily due to a higher net loss of $9.0 million, which was partially offset by higher non-cash expenses of $2.5 million attributed to amortization of intangible assets, share-based compensation, and payment-in-kind interest. We expect our net cash used in operating activities to decrease during the remainder of 2026 as we benefit from the completion of the IRRAS integration.

Net Cash Used in Investing Activities. Net cash used in investing activities for the six months ended June 30, 2026 and June 30, 2025 was $0.9 million and $0.3 million, respectively, and related to equipment acquisitions.

Net Cash (Used in) Provided by Financing Activities. Net cash used in financing activities for the six months ended June 30, 2026 consisted primarily of $2.0 million in payments for taxes related to shares withheld in connection with the vesting of restricted stock awards; partially offset by $0.6 million of proceeds from stock option exercises and $0.5 million of proceeds from the issuance of common stock under our employee stock purchase plan.

Net cash provided by financing activities for the six months ended June 30, 2025 consisted primarily of proceeds, net of financing costs and discount, of $28.7 million from the issuance of a note payable; proceeds, net of offering costs, of $3.3

30


 

million from the registered direct offering of common stock; partially offset by $1.7 million in payments for taxes related to shares withheld in connection with the vesting of restricted stock awards.

Operating Capital and Capital Expenditure Requirements

To date, we have not achieved profitability. We expect to continue to incur net losses as we continue our efforts to expand the commercialization of our products and services and pursue additional applications for our technology platforms. Our cash balances are primarily held in a variety of demand accounts with a view to liquidity and capital preservation.

Our short- and long-term liquidity requirements include the obligations under notes payable and under lease arrangements related to our office and manufacturing facilities under non-cancellable operating leases. See Notes 8, 9, and 12 to the condensed consolidated financial statements included elsewhere in this Quarterly Report. We typically enter into short-term agreements with vendors and suppliers of goods and services in the normal course of business through purchase orders, which are settled in cash upon our receipt of such goods or services. We may also at times enter into long-term commitments or license and collaboration agreements which require commitments that are noncancellable. See Note 10 to the consolidated financial statements included in our 2025 10-K.

Because of the numerous risks and uncertainties associated with the development and commercialization of medical devices, we are unable to estimate the exact amounts of capital outlays and operating expenditures necessary to successfully commercialize our products and pursue additional applications for our technology platforms. Our future capital requirements will depend on many factors, including, but not limited to, the following:

the ability of our Partners to achieve commercial success, including their use of our products and services in their preclinical studies, clinical trials and delivery of therapies;
the timing of broader market acceptance and adoption of our products;
the cost and timing of completing the build-out of, and achieving operational readiness at, our ClearPoint Advanced Laboratories facility, including the purchase and installation of related equipment;
the scope, rate of progress and cost of our ongoing product development activities relating to our products, including our development of robotics and focused ultrasound technologies;
the cost and timing of expenditures for sales, clinical support, marketing and distribution capabilities, and other corporate infrastructure;
the cost of pursuing additional applications of our technology platforms under current collaborative arrangements, and the terms and timing of any future collaborative, licensing or other arrangements that we may establish;
the cost and timing of any clinical trials;
the cost and timing of regulatory filings, clearances and approvals;
the cost and timing of establishing inventories at levels sufficient to support our sales;
the cost of filing, prosecuting, defending and enforcing any patent claims and other intellectual property rights;
the duration and impact of macroeconomic trends, including inflationary pressures, changes in monetary policy, constraints on hospital capital spending, the introduction of or changes in tariffs or trade barriers, global or local recession and geopolitical instability; and
the effect of competing technological and market developments.

31


 

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK.

We are a smaller reporting company as defined by Rule 12b-2 of the Exchange Act and are not required to provide the information otherwise required under this Item.

ITEM 4. CONTROLS AND PROCEDURES.

Disclosure Controls and Procedures

We have established disclosure controls and procedures, as such term is defined in Rule 13a-15(e) under the Securities Exchange Act of 1934 (the “Exchange Act”). Our disclosure controls and procedures are designed to ensure that material information relating to us is made known to our principal executive officer and principal financial officer by others within our organization. Under the supervision and with the participation of our management, including our principal executive officer and principal financial officer, we conducted an evaluation of the effectiveness of our disclosure controls and procedures as of June 30, 2026 to ensure that the information required to be disclosed by us in the reports that we file or submit under the Exchange Act is recorded, processed, summarized, and reported within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by us in the reports that we file or submit under the Exchange Act is accumulated and communicated to our management, including our principal executive officer and principal financial officer as appropriate, to allow timely decisions regarding required disclosure. Based on this evaluation, our principal executive officer and principal financial officer concluded that our disclosure controls and procedures were effective as of June 30, 2026.

Changes in Internal Control Over Financial Reporting

During the quarter ended June 30, 2026, there were no changes in our internal control over financial reporting that materially affected, or that are reasonably likely to materially affect, our internal control over financial reporting.

PART II – OTHER INFORMATION

ITEM 1. LEGAL PROCEEDINGS.

In the ordinary course of our business, we may be subject to various claims, pending and potential legal actions for damages, investigations relating to governmental laws and regulations and other matters arising out of the normal conduct of our business. Regardless of outcome, litigation and other legal proceedings can have an adverse impact on us because of defense and settlement costs, diversions of management resources and other factors. As of the date of filing this Quarterly Report, we are not aware of any material pending legal proceeding to which we are a party or to which any of our property is subject.

ITEM 1A. RISK FACTORS.

An investment in shares of our common stock involves a high degree of risk. You should carefully consider the risks and uncertainties described in our 2025 10-K, in addition to other information in this report, before investing in our common stock. The occurrence of any of these risks could have a material adverse effect on our business, financial condition, results of operations and growth prospects. In these circumstances, the market price of our common stock could decline, and you may lose all or part of your investment. There have been no material changes to the risk factors disclosed under Part I, Item 1A. "Risk Factors" in our 2025 10-K, other than the risks discussed below:

Establishing and operating our preclinical CRO facility (CAL) is capital intensive and subject to significant execution risk, and we may not realize the anticipated benefits of this investment.

32


 

We are investing significant capital and management resources to build out, equip, and operate our preclinical contract research organization facility (CAL) to provide preclinical services, including Good Laboratory Practice (GLP) study services, to biopharmaceutical customers. Standing up and scaling this facility is capital intensive and requires substantial expenditures, including facility rent and related occupancy costs, leasehold improvements and construction, the purchase and installation of specialized capital equipment, and the hiring, training, and retention of qualified scientific and technical personnel. Many of these costs are fixed or must be incurred in advance of, and without assurance of, corresponding revenue.

The build-out and commissioning of the facility are subject to risks that could delay or increase the cost of making it operational, including construction and permitting delays, cost overruns, supply chain constraints or delays in the delivery, installation, and qualification of capital equipment, contractor or vendor performance issues, and other factors, some of which are beyond our control. Delays in taking possession of, building out, remediating, or commissioning the facility could postpone the date on which we are able to begin performing services and generating associated revenue.

Our ability to perform certain services, including GLP-compliant studies, depends on achieving and maintaining the appropriate regulatory and quality standards for the facility and its processes. We may be unable to establish, validate, or maintain GLP compliance or other required standards on the timeline we anticipate or at all, which could prevent us from performing GLP studies. Any failure or delay in achieving or maintaining these standards, or any finding of noncompliance, could result in lost or delayed revenue, reputational harm, loss of customers, or the need for additional expenditures to remediate.

Even if the facility becomes operational, we may be unable to attract sufficient customer demand, execute or retain a sufficient volume of statements of work, or scale our capacity and throughput to the levels necessary to utilize the facility efficiently. Customer statements of work may be delayed, rescheduled, reduced in scope, or terminated, and demand for our preclinical services may not materialize at the levels or on the timeline we expect. Our ability to expand capacity depends on factors including facility readiness, equipment availability, and our ability to recruit and retain qualified personnel, and we may be unable to scale on the timeline we anticipate or at all.

As a result of these factors, the revenue generated by the facility may be insufficient to offset the significant fixed and variable costs of building, equipping, and operating it, and we may not achieve a return on this investment that justifies the capital and resources deployed, or may not do so within the timeframe we expect. The investment required to establish and expand the facility may also divert capital and management attention from our other business operations. If we are unable to make the facility operational, achieve and maintain required compliance standards, generate sufficient demand, or scale efficiently, our business, financial condition, and results of operations could be materially and adversely affected.

ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS.

(a) During the period covered by this report, we issued 219,671 shares of our common stock to the former equityholders of IRRAS following receipt of documentation required to complete the issuances, as previously described in our Quarterly Report on Form 10-Q for the quarter ended March 31, 2026. For additional information regarding the IRRAS acquisition, see Note 3 “Business Combination” to the accompanying condensed consolidated financial statements. The former equityholders of IRRAS represented to us, among other things, that they are “accredited investors” as such term is defined in Rule 501(a)(3) of Regulation D under the Securities Act. The shares of common stock issued to the former equityholders of IRRAS were issued in reliance upon an exemption from the registration requirements of the Securities Act afforded by Section 4(a)(2) of the Securities Act and/or Rule 506 of Regulation D promulgated under the Securities Act.

(b) None.

(c) None.

33


 

ITEM 3. DEFAULTS UPON SENIOR SECURITIES.

None.

ITEM 4. MINE SAFETY DISCLOSURES.

None.

ITEM 5. OTHER INFORMATION.

(a) None.

(b) None.

(c) During the quarter ended June 30, 2026, none of our officers or directors adopted or terminated a “Rule 10b5-1 trading arrangement” or “non-Rule 10b5-1 trading arrangement,” as each term is defined in Item 408 of Regulation S-K, except as follows:

On June 4, 2026, Lynnette C. Fallon, a member of our Board of Directors, adopted a new Rule 10b5-1 trading arrangement intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). The plan's maximum duration is until December 31, 2027. The maximum number of shares to be sold under the plan is 5,256.
On June 10, 2026, Matthew Klein, a member of our Board of Directors, adopted a new Rule 10b5-1 trading arrangement intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). The plan's maximum duration is until July 31, 2027. The maximum number of shares to be sold under the plan is 59,120.

34


 

ITEM 6. EXHIBITS.

The exhibits listed below are filed, furnished, or incorporated by reference as part of this Quarterly Report.

Exhibit

Number

 

Exhibit Description

 

 

 

3.1

 

Amended and Restated Certificate of Incorporation of MRI Interventions, Inc. (incorporated by reference to Exhibit 3.1 to the Company's Quarterly Report on Form 10-Q, filed with the SEC on May 11, 2012).

3.2

 

Certificate of Amendment to the Amended and Restated Certificate of Incorporation of MRI Interventions, Inc. (incorporated by reference to Exhibit 3.1 to the Company's Current Report on Form 8-K, filed with the SEC on June 8, 2015).

3.3

 

Certificate of Amendment to the Amended and Restated Certificate of Incorporation of MRI Interventions, Inc. (incorporated by reference to Exhibit 3.3 to the Company's Registration Statement on Form S-1, filed with the SEC on August 2, 2016).

3.4

 

Certificate of Amendment to the Amended and Restated Certificate of Incorporation of ClearPoint Neuro, Inc. (incorporated by reference to Exhibit 3.1 to the Company's Current Report on Form 8-K, filed with the SEC on February 12, 2020).

3.5

 

Certificate of Amendment to the Amended and Restated Certificate of Incorporation of ClearPoint Neuro, Inc. (incorporated by reference to Exhibit 3.1 to the Company's Current Report on Form 8-K, filed with the SEC on May 25, 2023).

3.6

 

Fourth Amended and Restated Bylaws of ClearPoint Neuro, Inc. (incorporated by reference to Exhibit 3.1 to the Company's Current Report on Form 8-K filed with the SEC on December 14, 2022).

10.1++

 

ClearPoint Neuro, Inc. Seventh Amended and Restated 2013 Incentive Compensation Plan (incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K filed with the SEC on May 21, 2026).

31.1*

 

Certification of Chief Executive Officer Pursuant to Rule 13a-14(a) Under the Securities Exchange Act of 1934

31.2*

 

Certification of Chief Financial Officer Pursuant to Rule 13a-14(a) Under the Securities Exchange Act of 1934

32+

 

Certification of Chief Executive Officer and Chief Financial Officer Pursuant to Rule 13a-14(b) under the Securities Exchange Act of 1934 and Section 1350 of Chapter 60 of Title 18 of the United States Code

101.INS

 

Inline XBRL Instance Document – the instance document does not appear in the Interactive Data File as its XBRL tags are embedded within the Inline XBRL document.

101.SCH

 

Inline XBRL Taxonomy Extension Schema With Embedded Linkbase Documents

104

 

Cover page formatted as Inline XBRL and contained in Exhibit 101

*
Filed herewith.

+ This certification is being furnished solely to accompany this Quarterly Report pursuant to 18 U.S.C. Section 1350, and it is not being filed for purposes of Section 18 of the Securities Exchange Act of 1934 and is not to be incorporated by reference into any filing of the Company, whether made before or after the date hereof, regardless of any general incorporation language in such filing.

++ Indicates management contract or compensatory plan.

35


 

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

Date: August 3, 2026

 

 

 

 

 

 

CLEARPOINT NEURO, INC.

 

 

 

 

By:

/s/ Joseph M. Burnett

 

 

Joseph M. Burnett

 

 

Chief Executive Officer

 

 

(Principal Executive Officer)

 

 

 

 

By:

/s/ Danilo D’Alessandro

 

 

Danilo D’Alessandro

 

 

Chief Financial Officer

 

 

(Principal Financial Officer and Principal Accounting Officer)

 

36