Strong Revenue Growth
Q4 2025 revenue of $6.0M, up 43% year-over-year from $4.2M; recurring revenue of $2.3M and one-time capital sales of $3.7M.
Growing Installed Base and Pipeline
78 TULSA‑PRO sites at year-end 2025 with a qualified sales pipeline cited at ~110 systems (up from 97 in prior reference); company expects ~120 installs by end of 2026 and is targeting a 200-site installed base.
Clinical Milestone — CAPTAIN Readout
CAPTAIN randomized multicenter trial completed enrollment; 6‑month primary safety and QoL endpoints and 90‑day perioperative data to be presented at EAU (mid‑March), positioning TULSA as a Level 1 comparative trial versus robotic prostatectomy.
Improved Reimbursement Environment
CMS/Medicare reimbursements favor iMRI procedures: 2026 Medicare national average for TULSA procedure $13,479 (vs $10,860 robotic surgery and $9,672 focal therapies); in‑bore MR biopsy reimbursement set at ~$5,500 vs ~$3,500 for MR‑registered ultrasound (≈57% higher).
Path to Profitable Growth Quantified
Management math: 200 TULSA sites × 50 procedures/site × $5,500 per procedure → $55M procedural revenue + $10M service + ~$20M capital sales (~40 systems × $500k) → ≈$85M revenue and profitability assuming 70%+ gross margins.
Recurring Revenue Model and Per‑Procedure Pricing
Reported fixed disposable price of $5,500 per TULSA procedure; management reiterates long‑term thesis that majority of revenue will be recurring (target >70% recurring long term).
BPH Module & TAM Expansion
New TULSA‑AI volume‑reduction module reduces procedure times to ~60–90 minutes, enabling stacked TULSA days and management claims potential to add ~400,000 patients to annual TAM (tripling prior TAM).
Sonalleve Platform Progress
Sonalleve: ~10 devices operational internationally; >4,000 women treated for adenomyosis/fibroids; pursuing FDA strategy and potential recurring revenue opportunities beyond capital sales.
Improving Cash Burn Trend and Cash Balance
Cash of $59.7M as of Dec 31, 2025; quarterly cash burn trend showed reduction from ~ $10M/quarter (first half) to ~ $8M (Q3) and under ~$6.5M (Q4), indicating movement toward lower burn and eventual cash flow positivity.