Summary of Xeris Biopharma FY Conference Call (March 11, 2026) Company Overview - **Company**: Xeris Biopharma (NasdaqGS:XERS) - **CEO**: John Shannon - **CFO**: Steve Pieper - **Business Model**: Fast-growing commercial biopharma company with three commercial products: - **Gvoke**: Rescue pen for hypoglycemia - **KEVEYIS**: Treatment for primary periodic paralysis - **Recorlev**: Treatment for hypercortisolemia and Cushing's syndrome, identified as the primary growth driver - **Pipeline**: XP-8121, a once-weekly SubQ levothyroxine for hypothyroidism, is phase 3-ready and expected to start trials in 2026 [5][6][8] Financial Performance - **2025 Revenue**: $292 million, exceeding expectations with a 44% growth year-over-year [8] - **Adjusted EBITDA**: $60 million, marking a transition to positive EBITDA [8] - **Net Income**: Achieved for the full year, indicating the ability to self-fund strategy and pipeline [8] Product Performance Recorlev - **Growth**: Over 100% growth for the past two years, with significant acceleration noted in late 2024 [10][14] - **Market Dynamics**: Increased patient screening and diagnosis in hypercortisolemia led to a larger patient base [14] - **Sales Organization Expansion**: Increased from 28 to 42 sales personnel to capture market opportunities [14] - **Future Guidance**: Majority of growth expected in 2026 will come from Recorlev, with confidence in meeting or exceeding guidance [28][30] Gvoke - **Steady Growth**: Consistent growth since launch, targeting insulin users who need protection from hypoglycemia [20] - **Market Penetration**: Approximately 15 million potential users, with only 1 million currently using Gvoke [20] - **Revenue Growth Expectation**: Anticipated growth in the high single digits to low double digits for the foreseeable future [21] KEVEYIS - **Resilience**: Despite generic competition, KEVEYIS returned to growth in Q4 2025 after initial declines [24] - **Patient Support Services**: Additional services around the product have contributed to its resilience [25] Competitive Landscape - **Market Dynamics**: Increased competition in the hypercortisolemia space is viewed positively, as it helps identify and treat more patients [34] - **RECORLEV Differentiation**: Unique mechanism of action that normalizes cortisol levels, distinguishing it from competitors that only block cortisol at the receptor level [42][43] Future Outlook - **Peak Sales Target for Recorlev**: $1 billion by 2035, with ongoing investments required to support growth [45][46] - **XP-8121 Potential**: Positioned as a blockbuster with a significant unmet medical need, targeting 3-5 million patients who struggle with GI absorption issues [81] - **Balance Sheet Strength**: Ended the year with over $110 million in cash, allowing for continued investment in key products [84] Conclusion - **Market Positioning**: Xeris Biopharma is focused on executing its strategy and believes that continued performance will lead to rational market movements and stock appreciation [86]

Company Overview - The company has undergone significant transformation in 2025, with positive developments stemming from strategic setups made in previous years [1] - The company is now valued at approximately $14.5 billion and operates as a public biopharma entity focused on late-stage drug development for underserved patient populations [2] Progress and Achievements - The company's portfolio has advanced meaningfully this year, contributing to heightened excitement and optimism within the organization [3]