PROCEPT BioRobotics
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PROCEPT BioRobotics (PRCT) investor relations material

PROCEPT BioRobotics Q1 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q1 2026 earnings summary29 Apr, 2026

Executive summary

  • Q1 2026 revenue reached $83.1 million, up 20% year-over-year, driven by strong U.S. system sales, consumables, and service contracts, reflecting early benefits from operational and commercial realignment initiatives.

  • Approximately 12,200 U.S. procedures were completed, growing 30% year-over-year, with handpiece sales at 95% of procedures.

  • Net loss widened to $31.6 million from $24.7 million in Q1 2025, reflecting increased investments in R&D and commercial expansion.

  • Commercial team realignment and launch team implementation were finalized in early Q1, expected to drive sustained high growth in the second half of 2026.

  • FDA clearance received for second-generation FirstAssist AI software, enhancing HYDROS system capabilities.

Financial highlights

  • Total Q1 revenue: $83.1 million (+20% year-over-year); U.S. revenue: $72 million (+19%); International revenue: $11.1 million (+25%).

  • U.S. system revenue: $23.4 million (+25% year-over-year); 49 HYDROS systems sold at an average price of $485,000.

  • U.S. handpiece and consumable revenue: $43 million (+13% year-over-year); handpiece ASP: $3,500 (+10% year-over-year).

  • Gross margin: 65% (up from 61% in Q4 2025 and 64% in Q1 2025), driven by pricing discipline and favorable product mix.

  • Operating expenses rose to $86.6 million (from $71.6 million), reflecting investments in commercial expansion and clinical trials.

  • Net loss per share: $(0.56) (Q1 2026) vs. $(0.45) (Q1 2025).

  • Adjusted EBITDA loss: $18.1 million (vs. $15.8 million in Q1 2025).

  • Cash and equivalents: $249 million as of March 31, 2026.

Outlook and guidance

  • Full-year 2026 revenue expected at $390–$410 million (+27–33% year-over-year); international revenue guidance: $50–$51 million.

  • U.S. procedures for 2026 projected at 60,000–64,000 (+39–48% year-over-year).

  • U.S. system ASP for the remainder of 2026 expected at $450,000–$460,000; full-year average likely near $460,000.

  • Full-year gross margin guidance maintained at 65%, with potential upside from tariff refunds.

  • Adjusted EBITDA loss for 2026 expected between $30 million and $17 million, with positive EBITDA anticipated in Q4.

  • Q2 2026 revenue guidance: $91–$95 million (+15–20% year-over-year).

Commercial realignment near-term disruptions
Handpiece inventory normalization drivers
FirstAssist AI software impact on Hydros
Launch team impact on procedure volume ramp
Sustainability of record Hydros system pricing
WATER IV study impact on prostate cancer market
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Bank of America Global Healthcare Conference 202612 May, 2026
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Bank of America Global Healthcare Conference 202612 May, 2026

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