Heron Therapeutics
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Heron Therapeutics (HRTX) investor relations material

Heron Therapeutics Q4 2025 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q4 2025 earnings summary26 Feb, 2026

Executive summary

  • Achieved $154.9 million in net revenue for 2025, a 7.4% increase year-over-year, with adjusted EBITDA of $14.7 million, surpassing guidance and driven by strong Acute Care franchise growth.

  • Completed significant refinancing of convertible debt, strengthening the balance sheet and eliminating capital structure overhang.

  • Acute Care franchise saw robust momentum, with ZYNRELEF and APONVIE driving substantial growth; Oncology franchise generated over $105 million despite SUSTOL wind-down.

  • Fourth quarter 2025 marked record Acute Care results, with 57.3% year-over-year growth.

Financial highlights

  • Total net product sales for 2025 reached $154.9 million, up from $144.3 million in 2024, with gross margin at 73%.

  • Adjusted EBITDA for 2025 was $14.7 million, more than doubling the previous year and exceeding guidance.

  • FY 2025 net loss was $(20.2) million, improved from $(110.6) million in FY 2023.

  • Cash, cash equivalents, and short-term investments totaled $46.6 million at year-end 2025.

  • Q4 2025 net product sales were $40.6 million, with Acute Care net sales at $16.3 million and Oncology supportive care at $24.2 million.

Outlook and guidance

  • 2026 guidance: net product sales of $173 million–$183 million and adjusted EBITDA of $10 million–$20 million, reflecting continued growth in ZYNRELEF and APONVIE.

  • Strategy is to remain EBITDA positive in 2026 while making targeted commercial investments; free cash flow generation targeted for 2027.

  • Management anticipates continued share gains and revenue expansion in 2026, supported by commercial momentum and improved reimbursement.

  • SUSTOL planned wind-down for potential future product enhancement.

Oncology revenue decline: specific market dynamics?
ZYNRELEF prefilled syringe: expected market impact?
Path to sustainable cash generation?
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Frequently asked questions

Heron Therapeutics Inc. is a biotechnology company focused on developing and commercializing therapies to address unmet medical needs in acute care and oncology. The company specializes in creating treatments for pain management and chemotherapy-induced side effects, such as nausea and vomiting. Heron Therapeutics utilizes its proprietary technology platforms to develop extended-release therapies that aim to improve patient comfort and treatment outcomes. The company is headquartered in San Diego, California, and its shares are listed on the NASDAQ.

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