Ceribell, Inc.: Q4 FY2025 earnings call
What management said about Q4 FY2025, from the documents filed with the SEC on 24 February 2026: press release. Guidance figures: 2 new. The quarter’s numbers.
Key takeaways
- Fourth-quarter revenue up 34%: Fourth-quarter total revenue was $24.8 million, up from $18.5 million. The company attributed the increase to expansion into new accounts and continued adoption within its active account base. Source
- Full-year revenue up 36%: Full-year 2025 total revenue was $89.1 million, up from $65.4 million in 2024, driven by new-account expansion and adoption within the active account base. Source
- Subscription revenue grew 37% in quarter: Fourth-quarter subscription revenue was $6.0 million, up from $4.4 million, a 37% increase. Source
- 647 total active accounts at year end: The company ended 2025 with 647 total active accounts, up from 615 at the end of the third quarter as stated in the prior release. Source
- Delirium monitoring cleared by FDA: The company received FDA 510(k) clearance for a continuous monitoring solution for delirium, which it describes as first-of-its-kind. Source
- Fourth-quarter operating expenses up 24%: Fourth-quarter operating expenses were $36.2 million, compared with $29.1 million a year earlier. Source
- Cash and securities total $159.3 million: Cash, cash equivalents and marketable securities totaled $159.3 million at December 31, 2025, down from $168.5 million at September 30, 2025. Source
“2025 was a milestone year for Ceribell,” said co-founder and CEO Jane Chao, Ph.D.”
Jane Chao, Ph.D., co-founder and CEO
Guidance
| Area | Period | Figure | Against last quarter |
|---|---|---|---|
| Revenue Source | full year 2026 | $111 million to $115 million | New |
| Revenue growth Source | full year 2026 | approximately 25% to 29% | New |
What changed from last quarter
- New guidance: Revenue guidance for full year 2026 given at $111 million to $115 million. Source
- New: FDA 510(k) clearance received for a continuous monitoring solution for delirium. Source
- New: FDA 510(k) clearance received for use of the Clarity algorithm in neonates. Source
- New: FDA Breakthrough Device Designation received for LVO stroke detection and monitoring. Source
Results and growth drivers
- Fourth-quarter revenue up 34%: Fourth-quarter total revenue was $24.8 million, up from $18.5 million. The company attributed the increase to expansion into new accounts and continued adoption within its active account base. Source
- Full-year revenue up 36%: Full-year 2025 total revenue was $89.1 million, up from $65.4 million in 2024, driven by new-account expansion and adoption within the active account base. Source
- Fourth-quarter net loss per share: Net loss was $13.5 million, or $0.36 per share, compared with $12.6 million, or $0.40 per share, a year earlier. Source
- Full-year net loss per share: Full-year net loss was $53.4 million, or $1.46 per share, against $40.5 million, or $3.39 per share, in 2024. Source
Product and subscription revenue
- Product revenue grew 33% in quarter: Fourth-quarter product revenue was $18.8 million, up from $14.1 million. Full-year product revenue was $67.3 million, up 34% from $50.1 million. Source
- Subscription revenue grew 37% in quarter: Fourth-quarter subscription revenue was $6.0 million, up from $4.4 million, a 37% increase. Source
- Full-year subscription growth outpaced product: Full-year subscription revenue was $21.7 million, up 41% from $15.4 million, compared with 34% growth in full-year product revenue. Source
“We accelerated adoption across new and existing accounts, broadened the age range of our seizure detection algorithm to include pediatric and neonatal populations, and achieved critical regulatory milestones, unlocking incremental market opportunities that we believe exceed $1.5 billion.”
Jane Chao, Ph.D., co-founder and CEO
Products, clearances and customers
- 647 total active accounts at year end: The company ended 2025 with 647 total active accounts, up from 615 at the end of the third quarter as stated in the prior release. Source
- Delirium monitoring cleared by FDA: The company received FDA 510(k) clearance for a continuous monitoring solution for delirium, which it describes as first-of-its-kind. Source
- Neonatal seizure algorithm cleared by FDA: The Clarity algorithm received FDA 510(k) clearance for neonates. The company says it is the only FDA-cleared seizure detection algorithm for pre-term neonates through adults. Source
- LVO stroke detection gets Breakthrough designation: The company received FDA Breakthrough Device Designation for a large vessel occlusion stroke detection and monitoring solution, which it calls first-in-class. Source
Operating expense growth
- Fourth-quarter operating expenses up 24%: Fourth-quarter operating expenses were $36.2 million, compared with $29.1 million a year earlier. Source
- Full-year operating expenses up 42%: Full-year operating expenses were $136.7 million, compared with $96.5 million in 2024. Source
- Commercial, headcount, legal and public-company costs: Management attributed the increase in operating expenses to investment in the commercial organization, higher headcount, legal expenses, and costs of operating as a public company. Source
Gross margin and profit
- Fourth-quarter gross margin at 87%: Gross margin was 87% in the fourth quarter, compared with 88% in the same period of 2024 and 88% in the third quarter of 2025. Source
- Full-year gross margin at 88%: Full-year gross margin was 88%, compared with 87% in 2024. Source
- Full-year gross profit reached $78.3 million: Full-year gross profit was $78.3 million, compared with $56.8 million in 2024. Fourth-quarter gross profit was $21.6 million, against $16.2 million a year earlier. Source
Cash, balance sheet and share count
- Cash and securities total $159.3 million: Cash, cash equivalents and marketable securities totaled $159.3 million at December 31, 2025, down from $168.5 million at September 30, 2025. Source
- Cash shifted into marketable securities: Cash and cash equivalents were $40.5 million, down from $194.4 million at December 31, 2024. Marketable securities were $118.8 million, against none a year earlier. Source
- Common shares outstanding rose: Common shares outstanding were 37,485,124 at year end 2025, up from 35,850,606 a year earlier. Source
Figures management reported
| Figure | Reported |
|---|---|
| Total active accounts Source | 647 |
Other quarters
Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.