Fourth-quarter gross margin was 75%, up 45 basis points year over year, driven primarily by favorable product mix. AtriCure reported fourth-quarter net income of $1.8 million versus a $15.6 million net loss a year earlier, and adjusted EBITDA of $19.9 million versus $12.7 million in 2024. EPS was $0.04 and adjusted EPS was $0.06, compared with a loss per share of $0.33 and adjusted loss per share of $0.08 in the prior-year quarter.In the fourth quarter, worldwide revenue was $140.5 million, increasing 13.1% ...

AtriCure (NasdaqGM:ATRC) Q4 2025 Earnings call February 17, 2026 04:30 PM ET Company ParticipantsAngie Wirick - CFODanny Stauder - Director of Equity Research in Medical TechnologyJohn McAulay - Associate VPMarissa Bych - Managing DirectorMike Carrel - President and CEOConference Call ParticipantsLily Lozada - Equity Research AnalystMarie Thibault - Managing Director and Medical Technology and Digital Health AnalystMike Matson - Senior AnalystSuraj Kalia - Managing Director and Senior Analyst in Medical Tec ...

AtriCure (NasdaqGM:ATRC) Q4 2025 Earnings call February 17, 2026 04:30 PM ET Speaker10Good afternoon, and welcome to AtriCure's fourth quarter and full year 2025 earnings conference call. This call is being recorded for replay purposes, and at this time, all participants are in listen-only mode. We will be facilitating a question-and-answer session following prepared remarks from AtriCure's management. I would now like to turn the call over to Marissa Bych from the Gilmartin Group for a few introductory com ...

Summary of AtriCure Conference Call Company Overview - **Company**: AtriCure - **Industry**: Medical Technology, specifically in cardiac solutions Key Points and Arguments Product Performance and Growth - **Q3 Growth**: AtriCure reported an 18.5% growth in Q3, marking an acceleration compared to the previous six quarters, driven primarily by the Flex Mini product [3][5] - **Flex Mini Product**: The Flex Mini is 60% smaller than existing products, enhancing visibility and ease of use for clinicians, which has led to its adoption in over 30% of systems across the U.S. [3][5][9] - **Market Penetration**: The Flex Mini could potentially become the predominant clip sold, with expectations of reaching similar penetration levels as the Flex-V product, which accounted for 75%-80% of volume in open test procedures [22] Competitive Advantage - **Patented Technology**: AtriCure's technology includes unique fabric around the clip and a parallel closure mechanism, making it difficult for competitors to replicate [23] - **Pricing Strategy**: The average selling price (ASP) for the Flex Mini ranges from $1,750 to $2,250, indicating a significant bump compared to previous products [24] Encompass Product Line - **Encompass Clamp**: Represents over 50% of AtriCure's revenue in the U.S. and has significantly reduced procedure times from 30-40 minutes to under 10 minutes [35][36] - **Market Opportunity**: There is a 60% penetration goal for AFib treatments, with additional opportunities in non-AFib patients, indicating substantial growth potential [36] Clinical Trials and Future Developments - **Box No AF Study**: A trial involving 960 patients aims to reduce post-operative AFib rates from 35%-40% to below 10%, with results expected in early 2028 [42][52] - **LEAPS Study**: No data is expected from the LEAPS study until the end of the decade, but the company remains optimistic about its progress [54][56] Pain Management Business - **Performance**: The pain management segment is performing well, driven by the cryoSPHERE MAX product, which has improved procedure times and outcomes [59][60] - **Market Size**: The U.S. market opportunity for amputations is approximately 180,000-190,000 cases, with a pricing of about $3,500 per device [73] Financial Outlook - **EBITDA Improvement**: AtriCure has seen a $25 million improvement in EBITDA, with expectations for continued growth driven by R&D investments [106][110] - **Earnings Potential**: The company anticipates strong double-digit revenue growth and a potential surprise in EPS growth due to high gross margins and effective cost management [115][116] Challenges - **MIS Business**: The minimally invasive surgery (MIS) segment has been soft, attributed to the current market dynamics where physicians are opting for initial ablations with other devices before considering AtriCure's offerings [90][93] Additional Important Insights - **Innovation Pipeline**: AtriCure is focused on maintaining its leadership in AFib solutions by integrating multiple energy sources, including RF and PFA, into its devices [104][105] - **Market Dynamics**: The company is aware of competitive pressures but believes its unique offerings and established market presence will sustain its growth trajectory [26][29] This summary encapsulates the key insights from the AtriCure conference call, highlighting the company's growth strategies, product innovations, market opportunities, and financial outlook.

Financial Data and Key Metrics Changes - Total revenue for Q3 2025 was $134 million, reflecting a 16% increase year over year [4] - Adjusted EBITDA was nearly $18 million, with over $30 million in cash generated during the quarter [4] - Gross margin improved to 75.5%, an increase of 59 basis points from Q3 2024 [16] - Adjusted loss per share was $0.01, compared to $0.17 in Q3 2024 [17] Business Line Data and Key Metrics Changes - Appendage management revenue grew over 20% globally, driven by the adoption of AtriClip FLEX Mini and AtriClip PRO Mini devices [5][6] - Open ablation product sales in the U.S. were $35.6 million, up 16.3% year over year [14] - Pain management franchise grew 28% in the quarter, driven by CryoSPHERE MAX and CryoSPHERE PLUS probes [10][11] Market Data and Key Metrics Changes - U.S. revenue was $109.3 million, a 14.5% increase from Q3 2024 [13] - International revenue totaled $25 million, up 22% on a reported basis [15] - European sales contributed $15.2 million, representing 24.2% growth [16] Company Strategy and Development Direction - The company is focused on product innovation and clinical science initiatives, with recent successful product launches [4] - AtriCure is expanding its market opportunity with the initiation of the BoxX no-AF clinical trial [5] - The company aims to drive awareness and access to AtriClip devices globally, with recent approvals in Japan [8] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the long-term growth trajectory for underpenetrated markets [18] - The company raised its full-year 2025 revenue guidance to approximately $532 million to $534 million, reflecting 14% to 15% growth [19] - Management highlighted the importance of continued investment in clinical science and product development to drive future growth [19] Other Important Information - The company completed enrollment of over 6,500 patients in the LEAPS clinical trial, aimed at evaluating AtriClip devices for stroke prevention [6] - A one-time cash inflow of approximately $6 million was recognized from a sale leaseback transaction [17] Q&A Session Summary Question: Impact of CMS proposal on EpiSense business - Management indicated that the CMS proposal may not materially affect the EpiSense business, as growth will depend on non-responders to PFA seeking alternative treatments [22][23] Question: Opportunity in Japan post-approvals - Management noted that there are about 40,000 cardiac surgeries in Japan, with expectations for gradual market preparation and rollout of new technologies [24][25] Question: Sustainability of open ablation growth - Management attributed growth to increased adoption among CABG surgeons and the efficiency of the Encompass clamp, with significant room for market penetration [27][28] Question: Guidance on adjusted EBITDA and margins - Management discussed strengths in gross margin due to favorable product mix and efficiency in manufacturing, while also indicating a conservative approach to fourth-quarter guidance [32][33] Question: Appendage management business growth sustainability - Management expressed optimism about the growth potential in the appendage management segment, citing ongoing market penetration and the impact of clinical trials [35][36] Question: Competition and differentiation of AtriClip - Management acknowledged competition but emphasized the strength of AtriClip's clinical data and ongoing innovation as key differentiators [59][60]

Financial Data and Key Metrics Changes - The company experienced growth acceleration from 13.6% in Q1 to 17.1% in Q2, driven by strong product launches and increased adoption of new products [3][4] - Gross margin faced headwinds due to international business growth outpacing U.S. growth, but new product launches in the U.S. are expected to benefit gross margin in the long term [5][6] Business Line Data and Key Metrics Changes - Pain management and open appendage management saw significant growth due to new products like Cryosphere Max and AtriClip Flex Mini, contributing to improved pricing and volume [3][4] - The Encompass clamp has shown continued adoption, with growth shifting from low double digits to mid to upper teens, indicating strong market penetration [4][7] Market Data and Key Metrics Changes - The company is currently underpenetrated in the AFib patient market, with only 40% penetration, suggesting substantial growth potential as education and adoption increase [8][9] - The total addressable market (TAM) for cardiac surgery is expected to triple due to ongoing clinical trials, expanding the opportunity significantly [14][15] Company Strategy and Development Direction - The company aims for $1 billion in revenue and over 20% EBITDA margin by 2030, focusing on innovation and clinical trials to drive growth [12][13] - The strategy includes expanding into new markets such as extremities for pain management and enhancing existing products to improve surgeon usability [20][76] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the sustainability of growth driven by new product launches and market expansion, despite current pressures from competition [6][25] - The company anticipates a rebound in its hybrid business as non-responders to existing treatments will seek alternative solutions, indicating a long-term growth opportunity [26][30] Other Important Information - The LEAPS trial, the largest cardiac surgery trial, aims to assess the efficacy of AtriClip in non-AFib patients, potentially tripling the addressable market for stroke reduction [57][60] - The company is also developing a PSA program to enhance surgical procedures, with key milestones expected in the near future [69][70] Q&A Session Summary Question: What are the drivers of growth for the company? - Management highlighted new product launches and market expansion as key growth drivers, with a focus on innovation and clinical trials [3][12] Question: How does the company view competition in the market? - The company welcomes competition as it validates the market's potential and drives awareness, while maintaining a strong focus on innovation and clinical evidence [41][48] Question: What is the outlook for the hybrid business? - Management is optimistic about the hybrid business's rebound, citing a significant patient population that may seek alternative solutions after unsuccessful treatments [26][30]

Financial Data and Key Metrics Changes - Total revenue for Q2 2025 was $136 million, reflecting a 17% year-over-year increase and a 10.1% sequential growth from Q1 2025 [4][18] - Adjusted EBITDA was $15.4 million, compared to $7.8 million in Q2 2024, indicating significant profitability improvement [23] - Cash generation for the quarter was nearly $18 million, with cash and investments totaling $117.8 million at the end of Q2 2025 [4][23] Business Line Data and Key Metrics Changes - Appendage management revenue grew over 20%, with U.S. sales of appendage management products reaching $45.1 million, up 18.9% year-over-year [6][19] - Pain management franchise grew nearly 43%, driven by the CryoSphere Max and CryoSphere Plus probes, with U.S. sales at $21.2 million, reflecting a 41.1% increase [14][20] - Open ablation product sales were $36.5 million, up 18.6% year-over-year, led by the Encompass clamp [19][11] Market Data and Key Metrics Changes - U.S. revenue was $110.6 million, a 15.7% increase from Q2 2024, with international sales showing strong growth across all franchises [18][21] - European sales accounted for $16.1 million, up 27.7%, while Asia Pacific and other international markets contributed $9.4 million, up 16.3% [21] Company Strategy and Development Direction - The company is focused on innovation, with new product launches such as the AtriClip Flex Mini and CryoStere Max driving growth [5][14] - The completion of the LEAPS clinical trial enrollment is expected to enhance the standard of care for stroke prevention in cardiac surgery [9][10] - The company anticipates continued growth in international markets, outpacing U.S. growth, driven by new product launches and increased adoption of existing products [24][25] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving revenue guidance of $527 million to $533 million for 2025, reflecting growth of approximately 13% to 15% [24][27] - The company expects to maintain gross margins comparable to 2024, with adjusted EBITDA projected to be between $49 million and $52 million for the full year [27][24] - Management acknowledged challenges in the minimally invasive hybrid therapy market due to increased adoption of PFA catheter technology but remains optimistic about long-term growth opportunities [13][48] Other Important Information - The company is preparing for the launch of the Cryo XD probe for pain management in lower limb amputations, with initial procedures completed [15][16] - The company is also focused on expanding clinical and economic data to support the value of non-opioid pain management solutions [16] Q&A Session Summary Question: Impact of LEAPS trial completion on physician utilization - Management indicated that the completion of the LEAPS trial has had minimal impact on overall revenue, with continued growth in appendage management adoption [32][34] Question: Managing discussions with electrophysiologists regarding PFA failures - Management emphasized open and transparent discussions with electrophysiologists, focusing on the clinical benefits of PFA and the importance of follow-up solutions [37][39] Question: Guidance implications for top-line growth - Management clarified that guidance reflects a conservative approach, with expectations for continued strong performance driven by new product launches and international growth [43][45] Question: Trends in minimally invasive hybrid therapy - Management acknowledged significant pressure in the hybrid therapy segment but highlighted the overall strength of the business in achieving 17% growth [48][50] Question: Progress on Cryosphere MAX adoption - Management reported that Cryosphere MAX is in over half of U.S. accounts, with cautious optimism for similar uptake in Europe [55][57] Question: Key milestones for clinical initiatives - Management outlined upcoming milestones for LEAPS, BOX No AF, and PFA programs, with expectations for first patient enrollment in BOX No AF this year [66][70]

Financial Data and Key Metrics Changes - Total revenue for Q1 2025 was $124 million, reflecting a 14% growth compared to Q1 2024, with adjusted EBITDA of $9 million, representing over 200% improvement from the previous year [5][26] - U.S. revenue was $101.1 million, a 12.1% increase from Q1 2024, while international revenue totaled $22.5 million, up 20.8% [20][24] - Gross margin for Q1 2025 was 74.9%, an increase of 27 basis points from the previous year [24] Business Line Data and Key Metrics Changes - Appendage management revenue grew 19%, driven by 23% growth in open AtriClip devices and 7% in minimally invasive (MIS) devices [8][9] - Open ablation franchise sales increased by 14%, with a notable 47% growth in Encompass clamp sales [12][13] - Pain management franchise saw a 39% growth, largely due to the adoption of CryoStur Max and CryoStur Plus probes [17][18] Market Data and Key Metrics Changes - International sales in Europe accounted for $14.2 million, up 25.1%, while Asia Pacific and other markets contributed $8.3 million, up 14% [24] - The U.S. experienced a decline in MIS ablation sales by approximately 31% due to increased use of PFA catheters [22][23] Company Strategy and Development Direction - The company aims to maintain leadership in multibillion-dollar markets through investments in product development and clinical research [6][7] - AtriCure is focused on expanding the utilization of the AtriClip Flex Mini and Pro Mini devices, which are expected to drive future growth [10][11] - The company is also developing a PFA-enabled version of the Encompass clamp, with expectations for clinical trials later this year [14][15] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving double-digit revenue growth and expanding profitability through the rest of the decade [6][7] - The company anticipates continued pressure in the U.S. MIS market but expects long-term adoption of hybrid AF therapy as physicians identify suitable patient segments [16][19] - AtriCure expects to generate positive cash flow for the remainder of 2025, with a modest gain for the year overall [27][28] Other Important Information - The company is reiterating its full-year revenue guidance of $517 million to $527 million, reflecting an 11% to 13% growth over 2024 [28][29] - AtriCure's LEAPS trial is expected to provide significant differentiation in the market by demonstrating the benefits of managing the appendage with AtriClip devices [12][100] Q&A Session Summary Question: Impact of tariffs on gross margin - Management expects a modest impact on gross margin due to the majority of suppliers being based in the U.S., with potential effects in the tens of basis points [36][38] Question: Acceleration in appendage management - The acceleration is attributed to the launch of the Flex Mini device, which has received positive feedback and increased adoption among physicians [39] Question: Guidance for revenue growth - Management is cautious about adjusting guidance upward at this early stage of the year, despite strong performance in key areas [42][43] Question: Pain management growth sources - Growth is driven by increased adoption of CryoStur Max, with significant improvements in existing accounts [45][47] Question: Confidence in MIS business recovery - Management believes there are signs of recovery, with many accounts starting to refer more patients as they experience failures with PFA [50][52] Question: Future contributions from new products - Management anticipates multiple years of growth from new product launches, including the Flex Mini and Encompass clamp [62][63] Question: Launch strategy for Cryo XT - The launch will be methodical, similar to previous product introductions, with expectations for gradual adoption [75][76] Question: Competitive landscape for AtriClip - Competition is seen as beneficial for market awareness, and AtriCure is focused on innovation and clinical evidence to maintain its competitive edge [88][90] Question: Longevity of Encompass clamp growth - There is significant room for growth in the U.S. market, with ongoing expansion into non-AFib patients expected to drive future sales [92][93] Question: Timeline for MIS market recovery - Management anticipates continued pressure this year but expects to see positive trends next year [96][98] Question: Differentiation from LEAPS trial - The LEAPS trial is expected to provide a unique stroke label for AtriCure, setting it apart from competitors [100]

Financial Data and Key Metrics Changes - Total revenue for Q1 2025 was $124 million, representing a 14% growth compared to the same period in 2024 [6][21] - Adjusted EBITDA for Q1 2025 was $9 million, an improvement of over 200% from Q1 2024 [6][26] - Gross margin for Q1 2025 was 74.9%, up 27 basis points from Q1 2024 [25] Business Line Data and Key Metrics Changes - Appendage management revenue grew 19%, with open AtriClip devices growing 23% and minimally invasive (MIS) devices growing 7% [10] - Open ablation franchise saw a 14% growth, with Encompass clamp sales increasing by over 47% [14] - Pain management franchise experienced a 39% growth, driven by the adoption of CryoStur Max and CryoStur Plus probes [18] Market Data and Key Metrics Changes - U.S. revenue was $101.1 million, a 12.1% increase from Q1 2024 [21] - International revenue totaled $22.5 million, up 20.8% on a reported basis [25] - European sales accounted for $14.2 million, reflecting a 25.1% increase [25] Company Strategy and Development Direction - The company aims to remain a leader in multibillion-dollar markets through investments in product development and clinical research [7][8] - A focus on double-digit revenue growth and expanding profitability through the rest of the decade is emphasized [7] - The company is expanding its Cryo nerve block therapy to address postoperative pain and reduce opioid dependency [19][20] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving positive cash flow for the remainder of 2025, with a modest gain expected for the year [27][28] - The company anticipates continued pressure in the U.S. MIS ablation and appendage management revenue in the near term [29] - Management highlighted the importance of maintaining relationships with electrophysiologists (EPs) to navigate competitive pressures from PFA technologies [81] Other Important Information - The company received FDA clearance for the AtriClip Pro Mini device, which is expected to enhance minimally invasive procedures [12] - The LEAPS trial is progressing rapidly, with total enrollment reaching 5,500 patients, aiming for 6,500 by Q3 2025 [13] Q&A Session Summary Question: Impact of tariffs on gross margin - Management expects a modest impact on gross margin due to tariffs, primarily because most suppliers are based in the U.S. [36] Question: Acceleration in appendage management - The acceleration is attributed to the launch of the Flex Mini device, which has received positive feedback from physicians [39] Question: Guidance for revenue growth - Management refrained from raising the low end of the revenue guidance range, citing it is early in the year [43] Question: Pain management growth sources - Growth is driven by increased adoption of CryoStur Max and improved procedure efficiency [47] Question: Confidence in MIS business recovery - Management believes there are signs of recovery, but anticipates continued pressure in the near term [100] Question: Future of Encompass clamp - The Encompass clamp is expected to continue driving growth, with significant market penetration still available [93]