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    STXS
    Earnings call· Jun 2026(Q2 FY26)

    Stereotaxis Q2 FY26 earnings call STXS

    Aug 11, 2026 Source

    Executive summary

    Stereotaxis Q2 FY26 — Commercial Inflection Point with New Product Ecosystem

    Stereotaxis reached a commercial inflection point in Q2 FY26, driven by accelerating adoption of its expanded product offering, including the new MAGIC catheter and Synchrony digital surgery system. While supply constraints and the need to prove Genesis X compatibility with various X-rays remain challenges, the company is seeing strong early feedback and is focused on ramping manufacturing and aggressive commercialization. Management anticipates continued revenue momentum and aims for cash flow profitability by H1 2027.

    Highlights

    5
    • Recurring revenue reached a multi-year high of $6.2 million in Q2 FY26, up 450% year-over-year.

    • Robotic catheter revenue surpassed $1 million in Q2 FY26, with nearly 300% sequential growth.

    • FDA clearance for Synchrony system received in Q2 FY26, with initial orders and shipments contributing to system revenue.

    • First Genesis X purchase in the U.S. from an academic medical center announced, expected to be installed this fall.

    • Company is internally modeling to reach cash flow profitability in H1 2027.

    Concerns

    5
    • Revenue declined year-over-year due to lack of robotic system delivery in Q2 FY26.

    • Sales remain supply constrained for robotic catheters, with a backlog of orders.

    • Gross margins for both recurring revenue (66%) and systems (29%) are impacted by low manufacturing volumes.

    • Operating loss increased to $4.6 million in Q2 FY26 from $4.0 million in the prior year.

    • Negative free cash flow of $3.7 million in Q2 FY26, consistent with the previous year.

    Guidance & targets

    8
    CategoryTargetConfidence
    Robotic Catheter Revenue
    approximate $1 million incremental step up
    high materiality
    High
    Recurring Revenue
    approximately $7 million
    high materiality
    High
    Recurring Revenue
    approximately $8 million
    high materiality
    High
    System Revenue
    approximately $3 million
    high materiality
    High
    System Revenue
    approximately $3 million
    high materiality
    High
    Synchrony System Revenue
    over $1 million each quarter
    medium materiality
    Medium
    Cash Flow Profitability
    cash flow profitability
    high materiality
    High
    Full Year FY26 Revenue
    about $35 million
    high materiality
    High

    Operational metrics

    14
    Recurring Revenue
    $6.2 millionup 450% year-over-year, up 270% sequentially
    Q2 FY26

    Reached a multi-year high, countered by general pressure on procedures as the company transitions away from Johnson & Johnson and manufacturing of its catheters.

    Robotic Catheter Revenue
    over $1 millionnearly 300% sequential growth
    Q2 FY26

    Scaling significantly in both the U.S. and Europe, driven by early adoption of MAGIC.

    System Revenue
    $1.5 milliondeclined year over year
    Q2 FY26

    Includes modest revenue recognition from previously delivered Genesis systems and ancillary equipment, and a notable contribution from the initial launch of Synchrony.

    Gross Margin
    58%
    Q2 FY26

    Impacted by low manufacturing volumes.

    Gross Margin
    66%
    Q2 FY26

    Impacted by low manufacturing volumes. Expected to remain at approximate levels over the next few quarters, with significant opportunity for expansion in 2027 and 2028 to mid-70s.

    Gross Margin
    29%
    Q2 FY26

    Impacted by low manufacturing volumes. Expected to remain at approximate levels over the next few quarters.

    Operating Expenses
    $9.1 million
    Q2 FY26

    Includes $2.5 million in non-cash charges for stock compensation, mark-to-market adjustment for earn-out, and amortization of acquired intangible assets.

    Adjusted Operating Expenses
    $6.6 millionconsistent with a year-ago period (when adjusting for one-time employee retention tax credit)
    Q2 FY26

    Excludes non-cash charges.

    Operating Loss
    $4.6 millioncompared with $4.0 million in previous year
    Q2 FY26
    Net Loss
    $4.5 millioncompared with $3.8 million in previous year
    Q2 FY26
    Adjusted Operating Loss
    $2.1 millioncompared with $1.4 million in previous year
    Q2 FY26

    Excludes non-cash charges.

    Adjusted Net Loss
    $2.0 millioncompared with $1.3 million in previous year
    Q2 FY26

    Excludes non-cash charges.

    Cash and Cash Equivalents
    $10.5 million
    as of June 30th, 2026

    No debt.

    Revenue per procedure (disposables)
    $5,000-$8,000+
    current

    Consistent ASP for disposables used in a procedure when adopting MAGIC, including Quick Cast and MAGIC catheter, potentially with robotic high-density mapping or diagnostic catheters.

    Industry KPIs

    6
    MetricValueDetails
    Pricing realized price$5,000-$8,000+USD
    New product launch rampMAGICproduct
    FCF conversion leverage guidanceNegative $3.7 millionUSD
    Installed base system placementsover 100hospitals
    Consumables recurring revenue mix$6.2 millionUSD
    Indicated addressable patient populationmany thousandsrobotic systems

    Product announcements

    2
    ProductTypeDetails
    MAGIClaunch
    Synchrony Systemlaunch

    Deals & partnerships

    1
    RoboCathAcquisition of a fully complementary and separate robotic system for endovascular device navigation.

    Acquisition closed in July. Energetically advancing their system with a vision of offering a full ecosystem for remote, automated, and fully robotic treatment of stroke and cardiovascular disease.

    Risks & headwinds

    5
    Robotic catheter supply constraintsNext few quarters

    Backlog of catheter orders from customers

    Mitigation: Ramping manufacturing, establishing supply redundancy, methodical progress in increasing supply.

    Transition away from Johnson & Johnson cathetersOngoing, next year

    General pressure on procedures

    Mitigation: Methodically working through hospital approvals and initial launches of proprietary robotic catheters; expect vast majority to shift within the next year.

    Low manufacturing volumes impacting gross marginsNext few quarters

    Recurring revenue gross margin 66%, System gross margin 29%

    Mitigation: Expect margins to remain at approximate levels, with significant opportunity for expansion in 2027 and 2028 as manufacturing volumes increase.

    Proving Genesis X real-world reliability and X-ray compatibilityNext few months

    Customers' minds have 'more of a question mark' until proven

    Mitigation: Initial U.S. and European installations with non-modified X-rays to demonstrate compatibility and reliability; formal compatibility statements with main X-ray manufacturers.

    Overall market share in electrophysiology and other fieldsLong-term

    Just a fraction of a percent market share in EP, no presence yet in interventional cardiology and neurointerventional fields

    Mitigation: Scaling robotic adoption with Genesis X, expanding product ecosystem, robust innovation pipeline for multi-specialty applications.

    What to watch in Q3 FY26

    5

    Robotic Catheter Revenue Growth

    Q3 FY26
    Currentover $1 million in Q2 FY26, nearly 300% sequential growth
    Targetapproximate $1 million incremental step up

    Why it matters

    This metric is a key driver of recurring revenue growth and reflects the success of the new MAGIC catheter launch and manufacturing ramp-up.

    We're guiding for an approximate $1 million incremental step up in catheter revenue in each of the next couple quarters, with significantly more opportunities beyond that in 2027.

    Q&A highlights

    6

    The analyst noted the full-year revenue guidance implies about $35 million and asked about visibility, confidence, and assumptions regarding catheter manufacturing improvements and capital adoption/installation timing.

    David Fischel confirmed the guidance was a helpful way to share expectations. He stated that recurring revenue growth is primarily driven by MAGIC catheter adoption and is currently supply-constrained. System revenue guidance is a mix of Synchrony ($1M+ per quarter) and robotic systems, with one GenesisX revenue recognition expected in Q3 and Q4 each, plus additional Genesis orders.

    We thought that would be kind of a helpful way to share our expectations. The growth in recurring revenue is essentially all driven by adoption of our proprietary catheters, of kind of our robotically steered catheters.

    asked by Unknown Speaker · answered by David Fischel

    2 min read6 chapters

    Detailed Narrative

    01

    Commercial Inflection and Product Adoption

    Stereotaxis has reached a commercial inflection point in Q2 FY26, driven by accelerating adoption of its expanded product offering. The launch of MAGIC in the U.S. following FDA approval has led to a multi-year high in recurring revenue and significant growth in robotic catheter revenue. Early feedback from physicians on MAGIC is highly encouraging, noting improved targeting, ablation effectiveness, and efficiency. The company is methodically working through hospital approvals and initial launches of robotic catheters across its U.S. and European installed base.

    02

    Supply Chain and Manufacturing Ramp-up

    Robotic catheter sales remain supply constrained, with a backlog of orders exceeding current supply from contract manufacturer Asipka. The company is putting significant effort into ramping manufacturing and establishing supply redundancy. This progress supports expectations of sustained growth in catheter revenue, with an anticipated $1 million incremental step up in catheter revenue in each of the next two quarters, and further opportunities in 2027.

    03

    Synchrony System Launch and Market Opportunity

    The Synchrony system received FDA clearance in Q2 FY26, with initial orders and shipments contributing to system revenue. Synchrony modernizes the interventional surgical suite with enhanced workflow, remote connectivity, and AI capabilities. While current contribution is modest, the market opportunity is large, extending to non-robotic operating rooms. The company expects over $1 million in Synchrony system revenue each quarter for the next few quarters and plans to increase sales efforts as the pipeline builds and manufacturing matures.

    04

    Genesis X Commercialization and X-ray Compatibility

    Genesis X is critical for scaling robotic adoption by removing the historical requirement for specific modified X-rays. The company announced its first U.S. Genesis X purchase from an academic medical center, expected to be installed this fall with a non-modified X-ray. This installation will enable formal compatibility declaration with a major X-ray manufacturer. The European Genesis X installation is also back on track for year-end. Proving Genesis X's reliability and compatibility with various X-rays is key to a more aggressive commercial launch.

    05

    Robust Innovation Pipeline

    Stereotaxis continues to advance a robust innovation pipeline across several categories. This includes a future generation of fully wireless, battery-operated, and mobile Genesis X robots, and an expanded portfolio of EP catheter innovations, with first human procedures for MAGIC and pulse field ablation expected by year-end. The company is also developing robotic systems and interventional devices for broader cardiology and neurointerventional fields, including the Imagine family of magnetic guide catheters and guide wires, and the recently acquired RoboCath system for endovascular device navigation.

    06

    Financial Outlook and Profitability Path

    The company maintains a lean operating budget while managing multiple product launches and R&D efforts. Management is confident in advancing its strategy without significant investor dilution. They are internally modeling to reach cash flow profitability in the first half of 2027, driven by the ramp-up in recurring revenue, where the majority of incremental revenue flows to operating profit. Profits will be reinvested into the commercial organization to support accelerated growth.

    AI-generated summary of the company’s earnings call. Not investment advice.