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Stereotaxis (STXS)
:STXS

Stereotaxis (STXS) AI Stock Analysis

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STXS

Stereotaxis

(STXS)

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Neutral 47 (OpenAI - 5.2)
Rating:47Neutral
Price Target:
$2.00
▲(9.89% Upside)
Action:ReiteratedDate:03/13/26
The score is held back primarily by weak financial performance, with persistent losses and ongoing negative free cash flow. Technicals also reflect a sustained downtrend versus major moving averages. Offsetting factors include a more positive earnings-call outlook driven by GenesisX FDA approval and recurring-revenue momentum, while valuation remains difficult to assess due to negative earnings.
Positive Factors
Regulatory Milestone - GenesisX
FDA approval for GenesisX is a structural catalyst that removes a regulatory barrier to U.S. system placements. This expands the addressable market, supports more rapid system installations and recurring consumable sales, and underpins multi-year revenue growth and commercialization plans.
Recurring Revenue Growth
Rising recurring revenue—from disposables, catheters and service—reflects stronger utilization of the installed base. Predictable procedure-driven revenues increase revenue visibility, support margin stability given solid gross margins, and reduce reliance on lumpy one-time system sales over the medium term.
Manageable Leverage / Improved Equity
Lower leverage and higher equity in 2025 enhance financial flexibility to fund commercialization and R&D. With limited debt pressure, the company has more runway to support product launches and absorb losses, reducing near-term refinancing risk relative to a high-debt profile.
Negative Factors
Persistent Operating Losses
Stereotaxis has sustained large operating and net losses, with net margin deeply negative (~-67% in 2025). Persistent losses erode equity, hinder return metrics, and mean the company must demonstrate durable margin improvement to reach breakeven, or face material dilution or financing risk.
Negative Free Cash Flow / Cash Burn
Consistent negative operating and free cash flow indicates the business burns cash to fund growth and operations. Continued cash outflows increase dependency on external funding, which can dilute shareholders or restrict investments if capital markets tighten, impairing long-term execution.
Regulatory / Commercialization Dependency (MAGiC)
Key catheter approvals (MAGiC) remain pending in the U.S.; revenue and adoption forecasts rely on these regulatory outcomes. Delays or conditional approvals would slow adoption, reduce expected recurring revenue tail, and increase execution risk for the company’s product-led growth strategy.

Stereotaxis (STXS) vs. SPDR S&P 500 ETF (SPY)

Stereotaxis Business Overview & Revenue Model

Company DescriptionStereotaxis, Inc. designs, manufactures, and markets robotic systems, instruments, and information systems for the interventional laboratory in the United States and internationally. Its robotic magnetic navigation (RMN) systems include the Genesis RMN and Niobe systems, which enable physicians to complete complex interventional procedures by providing image-guided delivery of catheters and guidewires through the blood vessels and chambers of the heart to treatment sites. The company also provides Odyssey, a real-time information solution to manage, control, record, and share procedures across networks; and Stereotaxis Imaging Model S X-ray system, a single-plane full-power x-ray system, including c-arm, powered table, motorized boom, and large high-definition monitors for a robotic interventional operating room. In addition, it offers disposables and other accessories, such as QuikCAS automated catheter advancement disposables for the remote advancement of electrophysiology catheters; and CARTO RMT navigation and ablation system, CELSIUS RMT, NAVISTAR RMT, NAVISTAR RMT DS, NAVISTAR RMT THERMOCOOL, and CELSIUS RMT THERMOCOOL irrigated tip diagnostic/ablation steerable tip catheters. Further, the company provides Vdrive, a system that offers navigation and stability for the diagnostic and therapeutic devices designed to improve interventional procedures; and V-Loop, V-Sono, and V-CAS disposable components. Stereotaxis, Inc. markets its products through direct sales force, distributors, and sales agents. The company has a strategic collaboration with Osypka AG to develop a magnetic ablation catheter using Stereotaxis' robotic technology. Stereotaxis, Inc. was incorporated in 1990 and is headquartered in Saint Louis, Missouri.
How the Company Makes MoneyStereotaxis makes money primarily by selling and supporting its robotic magnetic navigation ecosystem used in hospital electrophysiology labs. Key revenue streams typically include: (1) Capital equipment sales: one-time (or milestone-based) revenue from the sale and installation of its robotic navigation systems and associated hardware/software components to hospitals and medical centers. (2) Recurring revenue from disposables and consumables: revenue tied to procedure volume from the sale of single-use or limited-use items used with its systems, such as magnetically enabled catheter-related components and other procedure accessories (specific product mix and the extent of disposable revenue is company-dependent; if a particular disposable category is not disclosed, it is null). (3) Service, maintenance, and support contracts: recurring revenue from service agreements covering system maintenance, repairs, software support, and upgrades. (4) Software and upgrades: revenue from software modules, licenses, and/or system upgrades when offered separately from the initial system sale (if the company does not break this out publicly, it is null). The company’s earnings are influenced by the installed base of systems (driving service and procedure-related recurring revenue), adoption of robotic-assisted electrophysiology workflows by hospitals and physicians, and the pace of new system placements. Significant partnerships or distributor arrangements: null.

Stereotaxis Earnings Call Summary

Earnings Call Date:Nov 11, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:May 12, 2026
Earnings Call Sentiment Positive
The earnings call reflects a positive trajectory for Stereotaxis with significant achievements like FDA approval for GenesisX and strong recurring revenue growth. However, financial losses and pending approvals are ongoing challenges.
Q3-2025 Updates
Positive Updates
GenesisX FDA Approval
The GenesisX system received FDA approval, marking a significant milestone for Stereotaxis as it enhances their system opportunity by removing structural barriers and is expected to outpace the tempo of Genesis orders following full launch.
Growth in Recurring Revenue
Recurring revenue for the third quarter was $5.6 million, driven by increased adoption of MAGiC Sweep and Map-iT catheters, marking a significant increase from $4.8 million in the prior year.
Positive Reception of MAGiC Sweep
The MAGiC Sweep high-density mapping catheter achieved over $300,000 in revenue in its first two months of launch in the U.S., with only about 1/4 of robotic accounts ordering it so far.
Strong Financial Outlook for Q4 2025
Stereotaxis expects revenue this quarter to exceed $9 million, with system revenue of approximately $3 million and recurring revenue greater than $6 million, leading to over 20% annual revenue growth for the full year 2025.
Partnership with CardioFocus
Stereotaxis entered into a collaboration agreement with CardioFocus to enhance the compatibility of their PFA system with the MAGiC catheter, aiming for regulatory approval and commercialization.
Negative Updates
Operating and Net Losses
Operating loss and net loss in the third quarter were $6.6 million and $6.5 million respectively, compared with $6.3 million and $6.2 million in the previous year.
Negative Free Cash Flow
Negative free cash flow for the third quarter was consistent with the previous year at $4.2 million, indicating ongoing financial challenges.
Pending MAGiC Approval in the U.S.
While the MAGiC catheter has received CE Mark and launched in Europe, the U.S. approval is still pending, which could delay broader market penetration.
Company Guidance
During Stereotaxis' Third Quarter 2025 Earnings Conference Call, CEO David Fischel provided guidance emphasizing significant developments and future expectations. The company anticipates exceeding $9 million in revenue for the fourth quarter, with a system revenue of approximately $3 million and recurring revenue surpassing $6 million, projecting over 20% annual growth for 2025. Looking ahead to 2026, Stereotaxis expects quarterly revenues to average above $10 million, driven by the GenesisX launch, which is anticipated to outpace Genesis orders post-launch. This is expected to be supported by an expanding portfolio of proprietary catheters, including MAGiC and MAGiC Sweep, which are already generating strong adoption, evidenced by $300,000 in MAGiC Sweep revenue within the first two months of its U.S. launch. The company is also focused on advancing its digital solutions, with the Synchrony and SynX systems expected to contribute significantly to revenue. Additionally, Stereotaxis is working towards U.S. approval for its MAGiC catheter, which could further enhance its market presence and revenue growth.

Stereotaxis Financial Statement Overview

Summary
Revenue growth has resumed and gross margin remains solid, with manageable leverage. However, persistent large operating losses and deeply negative net margins, alongside worsening negative free cash flow and ongoing cash burn, materially weaken overall financial quality and raise funding-risk concerns.
Income Statement
22
Negative
Revenue is growing again in the latest year (+7.7% in 2025 vs. essentially flat in 2024), but profitability remains very weak. Gross margin is still solid (~53% in 2025), yet operating losses are large and have persisted every year, with net margin deeply negative (about -67% in 2025). While net loss improved versus 2024, the business is still far from breakeven and shows meaningful volatility in revenue and margins over time.
Balance Sheet
55
Neutral
Leverage looks manageable with low total debt and a reasonable debt-to-equity level (about 0.29 in 2025, improved from ~0.53 in 2024). Total assets are stable and equity increased in 2025 versus 2024, which helps financial flexibility. The key weakness is continued large losses driving very poor returns on equity (strongly negative), which can pressure the balance sheet over time if losses persist.
Cash Flow
24
Negative
Cash generation remains a major concern: operating cash flow and free cash flow are negative every year shown, including 2025 (operating cash flow about -$13.7M; free cash flow about -$13.8M). Free cash flow burn worsened in 2025 versus 2024 despite the reported growth rate, indicating higher cash usage. With ongoing cash burn alongside net losses, the company likely relies on external funding or balance-sheet resources to sustain operations.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue32.38M26.92M26.77M28.15M35.02M
Gross Profit17.07M14.59M14.86M18.47M23.23M
EBITDA-18.36M-23.77M-21.24M-18.35M-12.78M
Net Income-21.64M-24.05M-20.71M-18.29M-10.72M
Balance Sheet
Total Assets52.25M46.72M41.91M53.41M60.98M
Cash, Cash Equivalents and Short-Term Investments13.42M12.22M19.82M28.43M38.74M
Total Debt5.44M6.01M5.49M5.86M6.11M
Total Liabilities33.53M35.29M19.99M21.48M21.56M
Stockholders Equity18.72M11.43M21.92M31.93M39.42M
Cash Flow
Free Cash Flow-13.78M-8.53M-9.51M-10.79M-4.34M
Operating Cash Flow-13.69M-8.50M-9.14M-8.41M-2.95M
Investing Cash Flow-93.00K74.00K19.77M-22.09M-1.40M
Financing Cash Flow14.76M297.00K81.00K220.00K547.00K

Stereotaxis Technical Analysis

Technical Analysis Sentiment
Negative
Last Price1.82
Price Trends
50DMA
2.22
Negative
100DMA
2.35
Negative
200DMA
2.48
Negative
Market Momentum
MACD
-0.11
Positive
RSI
31.51
Neutral
STOCH
10.18
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For STXS, the sentiment is Negative. The current price of 1.82 is below the 20-day moving average (MA) of 2.03, below the 50-day MA of 2.22, and below the 200-day MA of 2.48, indicating a bearish trend. The MACD of -0.11 indicates Positive momentum. The RSI at 31.51 is Neutral, neither overbought nor oversold. The STOCH value of 10.18 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for STXS.

Stereotaxis Risk Analysis

Stereotaxis disclosed 57 risk factors in its most recent earnings report. Stereotaxis reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Stereotaxis Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
78
Outperform
$2.42B31.8015.58%0.95%13.07%27.98%
68
Neutral
$3.96B40.588.52%11.49%-2.89%
60
Neutral
$1.45B-165.01-2.43%15.80%26.94%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
47
Neutral
$174.08M-9.67-249.40%19.61%-3.42%
46
Neutral
$867.46M-14.54-23.24%-32.42%-540.37%
42
Neutral
$19.37M-8.10-164.78%0.59%-39.76%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
STXS
Stereotaxis
1.79
-0.16
-8.21%
ATRC
Atricure
29.18
-5.92
-16.86%
LMAT
Lemaitre Vascular
106.31
21.02
24.65%
MMSI
Merit Medical Systems
66.71
-37.97
-36.27%
STAA
Staar Surgical
17.52
-0.25
-1.41%
MLSS
Milestone Scientific
0.25
-0.76
-75.64%
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Mar 13, 2026