Ceribell, Inc.: Q3 FY2026 earnings call
What management said about Q3 FY2026, from the documents filed with the SEC on 3 November 2026: press release. Guidance figures: 2 narrowed. The quarter’s numbers.
Key takeaways
- Revenue rose 30% year over year: Total revenue was $29.3 million, up 30% from $22.6 million in the third quarter of 2025. Source
- Active accounts reached 747: Active accounts ended the quarter at 747, with 35 net new customers added in the quarter, which the release describes as a record. The second-quarter release reported 712 accounts. Source
- Operating expenses rose 36%: Operating expenses were $46.9 million, up 36% from $34.6 million. Management cited commercial organization investment, including infrastructure ahead of the delirium launch, along with research and development, stock-based compensation, and legal costs. Source
- Gross margin rose to 90%: Gross margin was 90%, up from 88% a year earlier, which management credited to manufacturing cost reduction and the Vietnam manufacturing line. Gross profit was $26.3 million, compared with $19.9 million. Source
- Net loss widened to $21.4 million: Net loss was $21.4 million, or $0.55 per share, against $13.5 million, or $0.37 per share, a year earlier. Adjusted EBITDA loss was $12.1 million, against $9.2 million. Source
- Cash and securities at $117.5 million: Cash, cash equivalents and marketable securities totaled $117.5 million at September 30, 2026. Source
- Delirium monitoring fully launched: The company announced the full launch of its delirium monitoring solution after a commercial pilot. The updated revenue range does not include material delirium product contributions. Source
“Our third quarter results reflect new highs in account additions and utilization within our existing account base, demonstrating the strength of our core seizure business as a durable growth engine,”
co-founder and CEO Jane Chao, Ph.D.
Guidance
| Area | Period | Figure | Against last quarter |
|---|---|---|---|
| Full-year 2026 revenue Source | Full year 2026 | $115 million to $117 million | Narrowed, low end up from $114 million to $117 million |
| Full-year 2026 revenue growth Source | Full year 2026 | approximately 29% to 31% | Narrowed, low end up from approximately 28% to 31% |
What changed from last quarter
- Guidance raised: Prior full-year 2026 revenue range was $114 million to $117 million, per the second-quarter release. The current range is $115 million to $117 million.
- New: Full launch of the delirium monitoring solution announced after the commercial pilot concluded. Source
- New: FDA 510(k) clearance received for Quantitative EEG Trending and Amplitude-Integrated EEG Analysis. Source
Revenue and growth drivers
- Revenue rose 30% year over year: Total revenue was $29.3 million, up 30% from $22.6 million in the third quarter of 2025. Source
- Product revenue grew 31%: Product revenue was $22.2 million, up 31% from $17.0 million a year earlier. Source
- Subscription revenue grew 28%: Subscription revenue was $7.1 million, up 28% from $5.6 million, which management tied to growth in the installed base of Clarity subscriptions. Source
Customers, utilization and clearances
- Same-store growth drove the increase: Management attributed the increase mainly to its same-store growth strategy, which it said delivered record utilization within the existing account base, plus wider adoption of the Ceribell System. Source
- Active accounts reached 747: Active accounts ended the quarter at 747, with 35 net new customers added in the quarter, which the release describes as a record. The second-quarter release reported 712 accounts. Source
- Quantitative EEG clearance received: The company received FDA 510(k) clearance for Quantitative EEG Trending and Amplitude-Integrated EEG Analysis. Source
“With the full launch of our delirium monitoring solution and the coming introduction of our new hardware platform, we are well positioned for a pivotal 2027 as we advance our mission to establish EEG as a new vital sign.”
co-founder and CEO Jane Chao, Ph.D.
Costs and operating expenses
- Operating expenses rose 36%: Operating expenses were $46.9 million, up 36% from $34.6 million. Management cited commercial organization investment, including infrastructure ahead of the delirium launch, along with research and development, stock-based compensation, and legal costs. Source
- Research and development spending increased: Research and development spending was $7.4 million, up from $5.0 million, tied to the next-generation hardware platform, algorithm development and clinical studies. Source
- Stock compensation and IP costs rose: Stock-based compensation was $7.1 million, against $3.3 million a year earlier. IP litigation matter costs were $1.1 million, against $1.7 million. Source
- Natus suit fees excluded from adjusted: Legal fees for the July 2025 patent infringement action against Natus Medical are excluded from Adjusted EBITDA as a non-GAAP adjustment. Source
Margins and net loss
- Gross margin rose to 90%: Gross margin was 90%, up from 88% a year earlier, which management credited to manufacturing cost reduction and the Vietnam manufacturing line. Gross profit was $26.3 million, compared with $19.9 million. Source
- Prior quarter included tariff refunds: The second-quarter gross margin of 92% included the impact of refunds of previously paid tariffs. The third-quarter release does not describe a comparable item.
- Net loss widened to $21.4 million: Net loss was $21.4 million, or $0.55 per share, against $13.5 million, or $0.37 per share, a year earlier. Adjusted EBITDA loss was $12.1 million, against $9.2 million. Source
Cash and credit facility
- Cash and securities at $117.5 million: Cash, cash equivalents and marketable securities totaled $117.5 million at September 30, 2026. Source
- Prior-quarter cash balance was $129.3 million: Cash, cash equivalents and marketable securities were $129.3 million at June 30, 2026, per the second-quarter release.
- Credit facility of up to $60 million: The August 2026 facility comprises a $30 million term loan and a $30 million revolver, with a further $25 million uncommitted at the lender’s discretion. Source
Strategy and product launches
- Delirium monitoring fully launched: The company announced the full launch of its delirium monitoring solution after a commercial pilot. The updated revenue range does not include material delirium product contributions. Source
- Next-generation hardware clearances reported: The second-quarter release reported FDA clearances for new recorder and headband designs that form the foundation of the next-generation hardware platform.
- Delirium reimbursement effective October 1: The CMS New Technology Add-On Payment for the delirium monitoring solution is effective October 1, 2026, per the second-quarter release.
Coming up, as management said on 3 November 2026
- New hardware platform introduction coming: Management said the introduction of its new hardware platform is coming. The release gives no date for it. Source
Figures management reported
Risks management discussed
- Financial: Operating expenses grew 36%, faster than the 30% revenue increase, with commercial investment and legal costs among the drivers. Source
Earlier plans management reported on
- Not stated: Operating expenses included infrastructure built in advance of the delirium launch. The release does not state a status against plan. Source
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.