PROCEPT BioRobotics
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PROCEPT BioRobotics (PRCT) investor relations material

PROCEPT BioRobotics Q2 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q2 2026 earnings summary4 Aug, 2026

Executive summary

  • Q2 2026 revenue reached $94.5 million, up 19% year-over-year, with over 13,100 U.S. procedures completed, a 21% increase, though below expectations due to softness in legacy AquaBeam accounts.

  • HYDROS system adoption accelerated, with 65 systems placed in the U.S. (50 greenfield, 14 replacements, 1 lease), and replacement activity is expected to remain a key growth driver.

  • Revenue for the six months ended June 30, 2026, was $177.6 million, up 20% year-over-year, driven by higher sales volumes of systems, consumables, and service contracts.

  • Completed enrollment in the WATER IV prostate cancer study and received strengthened guideline recommendations for Aquablation therapy.

  • Commercial reorganization and launch team model are largely complete, enabling improved sales focus and faster system ramp-up.

Financial highlights

  • U.S. revenue was $83.4 million, up 20% year-over-year; international revenue was $11.1 million, up 15%.

  • Gross margin improved to 66% from 65% last year, aided by a $2.9 million tariff recovery.

  • Net loss widened to $26.9 million from $19.6 million in Q2; for the six months, net loss was $58.5 million, compared to $44.3 million in the prior year.

  • Operating expenses rose to $89.8 million from $73.9 million in Q2, and to $176.3 million for the six months, mainly due to higher R&D and SG&A costs.

  • Cash and equivalents totaled $231 million as of June 30, 2026.

Outlook and guidance

  • 2026 revenue guidance remains $390–$410 million (27–33% growth); international revenue expected at $50–$51 million.

  • U.S. procedures forecasted at 54,000–56,000 (25–29% growth); new system ASP expected at $480,000–$490,000 in H2.

  • Adjusted EBITDA loss expected at $35–$30 million, with positive adjusted EBITDA in Q4.

  • Full-year gross margin expected at 65%; operating expenses guided to $355–$360 million.

  • Management expects continued revenue growth as the install base and utilization of robotic systems expand, particularly in the U.S.

Compare HYDROS vs AquaBeam procedure utilization
Impact of tariff refund on Q2 2026 gross margin
WATER IV prostate cancer study enrollment status
Sales rep focus after case coverage shift
Competitive dynamics of PAE and RVU changes
Status of WATER IV AS clinical trial
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