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TriSalus Life Sciences, Inc.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 5 March 2026: press release. Guidance figures: 1 kept. The quarter’s numbers.

Key takeaways

  • Fourth-quarter revenue rose 60%: The company reported fourth-quarter 2025 net sales of $13.2 million, up 60% year over year and 14% sequentially from the third quarter. Source
  • Full-year revenue rose 53%: Full-year 2025 revenue was $45.2 million, up 53% from 2024, and all of it came from sales of the TriNav system. Source
  • Fourth-quarter gross margin rose: Gross margin was 86.7% for the fourth quarter of 2025, up from 85.3% a year earlier. Source
  • Full-year gross margin declined: Full-year gross margin fell to 84.6% from 86.1%, as stated in the release. Source
  • Adjusted EBITDA loss narrowed: Adjusted EBITDA was a loss of $0.9 million for the fourth quarter, against a loss of $5.7 million a year earlier. The full-year loss was $17.2 million, against $30.0 million. Source
  • $46 million raised after quarter: After the fourth quarter, the company raised $46 million in gross proceeds through a public offering to support continued growth. Source

“During our fourth quarter and throughout 2025, we continued to deliver strong commercial performance”

Mary Szela, President and CEO of TriSalus

Guidance

AreaPeriodFigureAgainst last quarter
Revenue Source2026 full year$60 million to $62 millionKept

What changed from last quarter

  • Guidance kept: The 2026 revenue guidance range of $60 million to $62 million was reaffirmed in the March release, with no change from the January figure. Source
  • New: The company launched the TriNav XP Infusion System, which is designed for larger embolic particles and comes in two catheter lengths. Source
  • New: After the fourth quarter, the company raised $46 million in gross proceeds through a public offering. Source
  • New: Veteran healthcare investor Michael Stansky was appointed to the Board of Directors in February 2026. Source

Results and growth drivers

  • Fourth-quarter revenue rose 60%: The company reported fourth-quarter 2025 net sales of $13.2 million, up 60% year over year and 14% sequentially from the third quarter. Source
  • Full-year revenue rose 53%: Full-year 2025 revenue was $45.2 million, up 53% from 2024, and all of it came from sales of the TriNav system. Source
  • Liver use drove unit growth: Management attributed revenue growth primarily to higher TriNav unit sales in liver-directed applications. Source
  • Operating loss narrowed to $26.9M: The operating loss was $26.9 million for 2025, against $36.2 million in 2024. Management credited the higher revenue. Source

Products, applications and strategy

  • TriNav XP infusion system launched: The TriNav XP launch is built for beads up to 700 μm, has a more flexible distal tip, and comes in 130 cm and 150 cm lengths for 1.5 mm to 3.5 mm vessels. Source
  • TriNav use extends beyond liver: Management said the TriNav platform expanded across several indications beyond the liver during the year. Source
  • PEDD adoption growing across tumors: Management said clinical adoption of the TriNav suite and the PEDD platform is growing across a range of solid tumor indications. Source
  • Two KOL events held: The company hosted virtual KOL events on the TriNav system for uterine fibroids on November 12, 2025, and for symptomatic thyroid disease on December 15, 2025. Source
  • Nelitolimod trials near data completion: Several phase 1 trials for nelitolimod are nearing data completion, and the company will begin exploring partnerships for development. Source

“The $46 million in growth capital raised through our recent public offering, will substantially broaden and accelerate these strategic initiatives”

Mary Szela, President and CEO of TriSalus

Operating expenses

  • R&D fell on trial close-out: R&D expenses fell $2.7 million in 2025, mainly from closing out clinical trial expenses for nelitolimod. Source
  • Sales costs rose with pay: Sales and marketing expenses rose $2.9 million, mainly from higher performance-related compensation tied to 2025 sales growth. Source
  • G&A rose on stock award: G&A rose $3.5 million, including about $1.8 million from accelerating a non-cash stock-based award and about $0.7 million of patent costs moved from R&D. Source
  • Earnout liability charge in Q4: The change in fair value of the contingent earnout liability was a $5.1 million charge in the fourth quarter of 2025, against $0.8 million a year earlier. Source

Margins and profitability

  • Fourth-quarter gross margin rose: Gross margin was 86.7% for the fourth quarter of 2025, up from 85.3% a year earlier. Source
  • Full-year gross margin declined: Full-year gross margin fell to 84.6% from 86.1%, as stated in the release. Source
  • Adjusted EBITDA loss narrowed: Adjusted EBITDA was a loss of $0.9 million for the fourth quarter, against a loss of $5.7 million a year earlier. The full-year loss was $17.2 million, against $30.0 million. Source
  • Net loss for the quarter and year: The fourth-quarter net loss was $9.8 million, against $10.1 million a year earlier. The full-year net loss was $39.2 million, against $30.0 million. Source

Capital and cash

  • Year-end cash of $20.4 million: Cash and cash equivalents were $20.4 million at year-end 2025, down $2.3 million from $22.7 million at the start of the fourth quarter.
  • Operating cash outflow narrowed: Net cash used in operating activities was $18.0 million in 2025, against $40.8 million in 2024. Source
  • $46 million raised after quarter: After the fourth quarter, the company raised $46 million in gross proceeds through a public offering to support continued growth. Source
  • Interest expense rose: Interest expense was $5.5 million for 2025, against $3.1 million in 2024. Source

Board, equity and reporting

  • Investor joins the Board: Management announced in February 2026 the appointment of veteran healthcare investor Michael Stansky to the Board. Source
  • Preferred conversion drove loss: Net loss attributable to common stockholders was $69.7 million for 2025, with about $30.5 million from the Series A preferred conversion in the third quarter. Source
  • Loss per share rose to $1.84: Basic and diluted loss per share was $1.84, against $1.31 in 2024. Management attributed the increase primarily to the preferred stock conversion. Source
  • Common shares outstanding rose: Common shares outstanding were 49,997,836 at year-end 2025, up from 31,279,264 a year earlier. Source
  • Preliminary revenue figures unchanged: The January preliminary release gave fourth-quarter revenue of about $13.2 million and full-year revenue of about $45.2 million, the same figures reported as final.

Coming up, as management said on 5 March 2026

  • Sales organization to expand: In 2026 the company intends to deepen engagement with the interventional radiology community by expanding its sales and commercial organizations. Source
  • Registry and clinical studies planned: The company plans to invest in foundational registry and clinical studies to show the value of PEDD in the liver and in new applications. Source
  • Further PEDD product launches: The company said it will continue to advance PEDD product launches that add to its embolization toolkit. Source

Risks management discussed

  • Operational: Management cited lower manufacturing efficiency on newly launched products as the cause of the full-year gross margin decline, and expects it to improve as production scales. Source

Earlier plans management reported on

  • Ahead: Management said 2025 revenue exceeded the 50% growth guidance, reaching 53%. Source
  • Not stated: The January release said full-year 2025 results would be announced during the March 2026 earnings call; the March release states no status on this.

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.