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Xeris Biopharma Holdings, Inc.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 2 March 2026: press release. Guidance figures: 4 new. The quarter’s numbers.

Key takeaways

  • Full-year revenue rose about 44%: Full-year 2025 total revenue was $291.8 million, up 43.7% from $203.1 million. Product revenue, net, of $283.0 million made up most of it. Source
  • Fourth-quarter revenue rose 43%: Fourth-quarter total revenue was $85.8 million, up 42.8% from $60.1 million, with product revenue, net, of $83.4 million. Source
  • Net income turned positive for year: Full-year net income was $0.6 million, against a net loss of $54.8 million in 2024. Fourth-quarter net income was $11.1 million. Source
  • Recorlev revenue roughly doubled: Recorlev net revenue was $139.3 million for 2025, up about 117%, and $45.3 million in the fourth quarter, up about 100%. Management tied the growth to increased patient demand. Source
  • Keveyis sales fell on pricing: Keveyis net revenue was $47.6 million for 2025, down about 4%, due to unfavorable net pricing partly offset by higher patient demand. Fourth-quarter revenue rose about 15%. Source
  • R&D spending rose on XP-8121: R&D expense rose $5.6 million, or 22%, to $31.2 million for 2025. Fourth-quarter R&D expense was $7.9 million. Source
  • XP-8121 moving toward Phase 3: XP-8121 is described as a Phase 3-ready, once-weekly subcutaneous injection for hypothyroidism, with development ongoing ahead of the Phase 3 trial start. Source

“Thanks to the entire Xeris organization, 2025 was a transformational year, marked by focused execution, record revenue growth, and our emergence as a self-funding, sustainable biopharmaceutical company”

John Shannon, CEO

Guidance

AreaPeriodFigureAgainst last quarter
Total revenue Sourcefull year 2026$375 million to $390 millionNew
Gross margin Sourcefull year 2026Improve modestly compared to 2025New
R&D expense Sourcefull year 2026 versus 2025Increase by approximately $25 millionNew
SG&A expense Sourcefull year 2026 versus 2025Increase by approximately $45 millionNew

What changed from last quarter

  • New guidance: Full-year 2026 guidance was issued in this release. The January 8 preliminary release did not give 2026 figures. Source

Results and growth drivers

  • Full-year revenue rose about 44%: Full-year 2025 total revenue was $291.8 million, up 43.7% from $203.1 million. Product revenue, net, of $283.0 million made up most of it. Source
  • Fourth-quarter revenue rose 43%: Fourth-quarter total revenue was $85.8 million, up 42.8% from $60.1 million, with product revenue, net, of $83.4 million. Source
  • Net income turned positive for year: Full-year net income was $0.6 million, against a net loss of $54.8 million in 2024. Fourth-quarter net income was $11.1 million. Source
  • Adjusted EBITDA improved $58.2 million: Full-year Adjusted EBITDA was $59.4 million, a non-GAAP measure that adds back share-based compensation of $22.4 million. Source

Products and customers

  • Recorlev revenue roughly doubled: Recorlev net revenue was $139.3 million for 2025, up about 117%, and $45.3 million in the fourth quarter, up about 100%. Management tied the growth to increased patient demand. Source
  • Recorlev patients near 700: Recorlev ended 2025 with about 700 patients on therapy, according to the January 8 preliminary release.
  • Gvoke grew on demand and price: Gvoke net revenue was $94.1 million for 2025, up about 14%. Management attributed the rise to higher patient demand and favorable net pricing. Source
  • Keveyis sales fell on pricing: Keveyis net revenue was $47.6 million for 2025, down about 4%, due to unfavorable net pricing partly offset by higher patient demand. Fourth-quarter revenue rose about 15%. Source
  • Partner sales and milestone revenue: Other product revenue of $2.0 million for 2025 included sales of products to commercialization partners. Royalty, contract and other revenue of $8.8 million came mainly from partnership milestones. Source

“This outlook will further strengthen our balance sheet, which will create even more financial flexibility to drive value in both the near and long term.”

Steve Pieper, CFO

Costs and operating expenses

  • Cost of goods sold rose with sales: Cost of goods sold rose $5.7 million, or 16%, to $42.6 million for 2025. Management attributed the increase primarily to higher product revenue. Source
  • R&D spending rose on XP-8121: R&D expense rose $5.6 million, or 22%, to $31.2 million for 2025. Fourth-quarter R&D expense was $7.9 million. Source
  • SG&A rose on commercial personnel: SG&A rose $18.9 million, or 12%, to $182.4 million for 2025. Personnel-related expense accounted for $13.5 million of the increase. Source

Margins and profitability

  • Operating income turned positive: Income from operations was $24.9 million for 2025, against an operating loss of $33.6 million in 2024. Fourth-quarter operating income was $16.8 million. Source
  • Interest costs drove other expense: Other expenses were $24.3 million for 2025, against $23.5 million in 2024. Interest expense was $29.1 million, partly offset by interest and other income of $4.7 million. Source
  • Fourth-quarter diluted EPS turned positive: Fourth-quarter diluted EPS was $0.06, against a loss of $0.03 a year earlier. Full-year diluted EPS was shown as a dash, which is nil. Source

Cash, balance sheet and capital

  • Cash rose to $111.0 million: Cash and cash equivalents were $111.0 million at December 31, 2025, up from $71.6 million a year earlier. Source
  • Debt held near $220 million: Long-term debt, net of unamortized issuance costs, was $220.3 million at year end, against $217.0 million plus a $15.1 million current portion a year earlier. Source
  • Equity turned positive: Total stockholders’ equity was $13.7 million at year end, compared with a deficit of $29.6 million at December 31, 2024. Source
  • Inventory rose with sales: Inventory, net was $68.7 million at year end, up from $48.2 million. Trade accounts receivable were $51.1 million, up from $40.4 million. Source
  • Shares outstanding 172.4 million: Total shares outstanding were 172,431,290 at February 27, 2026. Fourth-quarter diluted weighted average shares were 180.1 million. Source

Strategy, pipeline and partners

  • XP-8121 moving toward Phase 3: XP-8121 is described as a Phase 3-ready, once-weekly subcutaneous injection for hypothyroidism, with development ongoing ahead of the Phase 3 trial start. Source
  • Patents strengthened in January release: The January 8 release reported a new Orange Book-listed U.S. patent for Recorlev and a composition of matter patent for XP-8121.
  • XeriSol and XeriJect partner platforms: Xeris has multiple early-stage programs leveraging its XeriSol and XeriJect technology platforms for partners. Source
  • Long-term targets presented at investor day: Per the January 8 release, the company presented long-term financial targets at its first Analyst and Investor Day.

Coming up, as management said on 2 March 2026

  • XP-8121 Phase 3 trial start: Management named the timely execution of XP-8121 development, leading into the start of its Phase 3 clinical trial, as a 2026 focus. No start date is given. Source
  • Needham virtual meetings in April: Senior management will take part in 1x1 virtual meetings at the Needham Virtual Healthcare Conference on April 13-16, 2026. Source

Figures management reported

FigureReported
Recorlev net revenue, full year 2025 Source$139.3 million
Gvoke net revenue, full year 2025 Source$94.1 million
Keveyis net revenue, full year 2025 Source$47.6 million
Product revenue, net, full year 2025 Source$283.0 million
R&D expense, full year 2025 Source$31.2 million
Recorlev patients on therapy, year end 2025approximately 700
XP-8121 development stage SourcePhase 3-ready; Phase 3 start to follow
Patents addedNew Orange Book-listed U.S. patent for Recorlev; composition of matter patent for XP-8121

Earlier plans management reported on

  • Ahead: The January 8 preliminary release said full-year 2025 total revenue would exceed the $285-$290 million guidance range.

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.