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Ladies and gentlemen, thank you for standing by. My name is [ Desiree ], and I will be your conference operator today. At this time, I would like to welcome everyone to the Ceribell Q2 2025 Earnings Call. [Operator Instructions] I would now like to turn the conference over to Brian Johnston. You may begin.

Good afternoon, and thank you all for participating in today's call. Joining me from Ceribell are Jane Chao, Co-Founder and Chief Executive Officer; and Scott Blumberg, Chief Financial Officer. Earlier today, Ceribell issued a press release announcing financial results for the quarter ended June 30, 2025. A copy of the press release is available on the Investor Relations section of the company's website. Before we begin, I'd like to remind you that management will make remarks during this call that include forward-looking statements within the meaning of federal securities laws and that these are being made pursuant to the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995. Any statements contained in this call that relate to expectations or predictions of future events, results or performance are forward- looking statements. These statements involve material risks and uncertainties that could cause actual results or events to materially differ from those anticipated or implied by these forward-looking statements. Accordingly, you should not place undue reliance on these statements. For a list and description of the risks and uncertainties associated with our business, please refer to the Risk Factors section of our public filings with the Securities and Exchange Commission, including our quarterly report on Form 10-Q filed with the SEC on May 8, 2025. This conference call contains time-sensitive information and is accurate only as of the live broadcast today, August 5, 2025. Ceribell disclaims any intention or obligation, except as required by law, to update or revise any financial statements projections or forward- looking statements, whether because of new information, future events or otherwise. And with that, I will now turn the call over to Jane.

Thanks, Brian. Good afternoon, and thank you all for joining us on our second quarter 2025 earnings call. Today, I will share key highlights from our second quarter results and review our progress towards our strategic priorities for 2025. Scott will then provide overview of our financial performance and discuss our full year 2025 guidance. I'm pleased to report that the total revenue for the second quarter of 2025 was $21.2 million. This reflects 38% growth over the same period last year. As of June 30, 2025, we had 584 active accounts, which translates to an increase of 26 active accounts during the second quarter. These results demonstrate our team's ability to efficiently launch new accounts and drive revenue growth despite typical seasonal dynamics. As a reminder, we typically see reduced utilization in Q2 and Q3 as ICU census typically decreases in the summer months. Our core commercial strategy continues to be focused on driving account acquisition and increased utilization of the seizure detection system within our existing accounts. As we further expand our market presence, we continue to invest in our commercial infrastructure. We continue to target prospective accounts through our growing and increasingly tenured team of territory managers. We are on track to achieve our target of expanding coverage to 55 territories by the end of this month. While we expect our overall territory count to remain relatively stable in the near term, we will continue to explore opportunistic investments for future growth through 2025 and beyond. Given the nature of our sales cycle, we anticipate that the territory manager additions over the past 12 months will begin to positively impact account acquisition growth in 2026. Meanwhile, we are continuing to invest in our clinical account managers to support launch and utilization and expansion initiatives across our growing accounts base. Our second quarter performance has strengthened our conviction in the near- and long-term growth trajectory. Given our momentum and the strength of our performance year-to-date, we are raising our full year 2025 revenue guidance. We now expect to deliver 2025 revenue of $85 million to $88 million, which Scott will detail further in his remarks. Beyond investments in our direct sales organization, we are also advancing broader efforts to expand awareness of our novel technology. We are directly engaging with clinicians, investing in marketing initiatives and importantly, generating further clinical and health economic evidence. While investments in these marketing and clinical initiatives are important, I truly believe the tangible real-world value our platform delivers will remain our most effective marketing tool. It is immensely powerful when a clinician witnessed the impact of Ceribell solution on the patient firsthand. We have previously shared stories where Ceribell Systems' prompt identification of status epilepticus saved lives. Today, I'd like to share a recent patient story that illustrates the value in demonstrating the absence of seizures, which is even more common occurrence. In a recent case, the elderly woman in the Bay Area was unfortunately found unresponsive at the bus station and rushed to the emergency department of a local hospital. As her conditions remained unclear and seizure was suspected, the care team prepared to incubate her and admit her to the ICU. Just moments before proceeding, her care team applied the Ceribell System at the bedside. Our point-of-care EEG system continuously showed 0 seizure burden, helping the care team to rule out seizure. The care team was able to determine that the patient was in the deep sleep likely caused by a high dose of recreational drugs. With this information, the care team shifted its approach and focused on stimulation to wake the patient up. The patient regained consciousness within a few hours and was discharged without ever requiring ICU level care. Without Ceribell, the care team may not have been able to diagnose the patient so quickly. Instead, the patient may have received unnecessary antiseizure medication, potentially resulting in intubation and a prolonged ICU stay. This real-time data not only potentially changed the course of care for this patient, but also helped the broader care team avoid a cascade of unnecessary and costly interventions. As hospitals continue to emphasize expense management, we believe experience like this serve to cement the Ceribell value proposition in the minds of our users. Physicians trust Ceribell because it helps them provide better care for their patients. In addition, administrators value Ceribell because it can enable hospitals to substantially reduce costs, especially those associated with prolonged ICU stays. As we continue to invest in growing our commercial footprint, we are also advancing our mission to make the Ceribell seizure detection system available for even more patients. This includes our ongoing market development efforts and the pilot of Clarity for pediatric patients following our 510(k) clearance in April. We are also making good progress with the neonate population in piloting our FDA-cleared hardware and in continuing to develop seizure detection algorithm for this vulnerable population. I want to spend a couple of minutes on the clinical unmet needs for this vulnerable patient population. Seizures and seizure mimics are highly prevalent in the neonatal intensive care unit, or NICU. While research publications report that about 10% of NICU admits may have seizures, we believe that the true incidence could be even higher due to limited EEG access to identify seizures. The clinical consequences can impact the patient for their entire life. About 13% of patients with seizure in the NICU develop epilepsy within 2 years and up to 29% develop disabilities. A 1-hour delay in treatment can lead to significant declines in cognitive and language abilities. On the other hand, unnecessary exposure to antiseizure medication has neurotoxic effects, which can also impact long-term cognitive function. Appropriate management of high-risk patients is imperative and current EEG capabilities are not sufficient to serve the needs of our most fragile patients. Recent updates to clinical guidelines signal a growing shift towards proactive seizure detection in neonates. In January, the American Clinical Neurophysiology Society issued new guidelines recommending seizure screening in at-risk patients in the absence of clinical suspension of seizure. This presents a new opportunity for our unique technology. We now successfully launched the first NICU pilot using our FDA-cleared hardware. The care team used our product in about 10 patients and validated the ease of use and signal quality in the neonate population. While we believe that the introduction of a seizure detection algorithm will maximize value to our customer, early use of the headcap alone is already demonstrating clinical and economic value. Moving on to delirium. We are pleased with the positive reception we received at the American Delirium Society Conference in June. We presented Ceribell's product vision and prototypes to the key opinion leaders. Their consistently positive feedback and overall excitement underscores the alignment between Ceribell's development strategy and the future direction of delirium research and clinical practice. The strong alignment is particularly meaningful given the clinical unmet need in the delirium space. This is a market where there is no commercially available diagnostic device despite delirium impacting 20% to 50% of non-mechanically ventilated patients and 60% to 80% of mechanically ventilated patients in the ICU. Our algorithm would be significant to the market as it would be the first and only objective measurement of this very challenging condition. It would also potentially allow physicians to continuously monitor the patient and assess how situation evolves and determine whether the patient is on the correct path for delirium management. We are very excited about our pipeline, which we believe will significantly expand our total addressable market by extending the benefits of the Ceribell System to more patients in need. We look forward to providing more updates once the regulatory clearances or other strategic milestones are achieved. Overall, our near-term focus remains on becoming the standard-of-care for seizure management in the acute care setting. We aim to expand Ceribell access to the millions of patients who are receiving delayed or suboptimal diagnosis due to the inherent limitations of the conventional EEG. This represents a $2 billion annual revenue opportunity in the U.S. alone. Our longer-term mission is to make EEG a vital sign. With our continued commercial success and investment in R&D, we have high confidence in our ability to achieve this mission. Finally, before turning the call to Scott, I'd like to address our recently disclosed effort to defend our intellectual property against infringement. On July 7, we announced that we filed a complaint with the United States International Trade Commission and a separate related complaint in the U.S. District Court of Delaware against Natus Medical Incorporated and related subsidiaries. Our complaints alleged patent infringement and unfair competition by Natus. We assert that the recently launched Natus BrainWatch system infringes on 6 of our patents relating to important features of the EEG headband and electrode design. Together, the 2 complaints seek a judgment of infringement, a judgment for damages and injunction preventing further infringement and importation of infringing products from overseas suppliers. The ITC forum provides an expedited pathway to efficiently address Natus' alleged infringement. And the typical ITC case can be resolved as soon as 2 years or less. If we are successful at the ITC, Natus will no longer be able to import the infringing products for sale in the U.S. For context and clarity, we have been building our extensive patent portfolio since the founding of Ceribell, and our actions are consistent with our corporate strategy to rigorously protect our intellectual property rights. We believe we have a strong case. and remain committed to protecting our proprietary inventions for the benefits of patients, health care providers, shareholders, employees and others who rely on us. The complaints are a proactive measure to safeguard our innovations against unauthorized use. We remain the clear category leader and expect to maintain our position through the merits of our patented technology and our commitment to further innovation. In conclusion, we remain focused on the proven strategies that has driven our success to date and that we believe will continue to enable Ceribell to become the standard of care. This includes investing in our commercial organization to drive adoption of the Ceribell System for seizure detection in both new and existing accounts, continuing to drive awareness of seizures in the acute care setting by maintaining a leading presence in generating clinical and economic evidence. And finally, expanding our markets through further product development and commercial launches. With that, I will now turn the call over to Scott Blumberg, our CFO, to provide a review of our second quarter results and outlook for the remainder of 2025.

Thank you, Jane, and good afternoon, everyone. As Jane mentioned, total revenue for the second quarter was $21.2 million, a 38% increase from $15.3 million in the same period of the prior year. The increase was primarily driven by continued commercial expansion, resulting in increased adoption of the Ceribell System across new and existing accounts. Product revenue for the second quarter of 2025 was $15.9 million, representing an increase of 38% from $11.6 million in the second quarter of 2024. Subscription revenue for the second quarter of 2025 was $5.3 million, representing an increase of 41% from $3.7 million in the second quarter of 2024. Gross margin for the second quarter of 2025 was 88% compared to 86% in the prior year period. Total operating expenses for the second quarter of 2025 were $33.6 million, an increase of 56% compared to $21.6 million in the second quarter of 2024. Non-cash stock-based compensation expense was $3.2 million in the second quarter of 2025. The increase in operating expenses was primarily attributable to investments in our commercial organization, increased headcount to support the growth of the business and expenses related to operating as a public company. As a reminder, our investments to expand our sales force have a delayed impact on revenue contribution due to the time required to train reps, acquire customers and launch new accounts. We expect these investments, which were made over the past year and are continuing into Q3 to increase the rate of account acquisition beginning in 2026. Sales and marketing expense decreased $600,000 in Q2 compared to Q1. The sequential decline was driven by expenses related to our annual sales meeting included in Q1 and the timing of headcount and associated compensation expense. General and administrative expense in Q2 increased by $1.4 million relative to the prior quarter, largely as a result of expenses associated with preparation of our ITC and District Court IP complaints filed in July. Stock-based compensation expense increased in Q2 as a result of our move to public company equity compensation practices. We expect stock-based compensation expense to increase with full year 2025 stock-based compensation expense at or slightly below our guidance of $15 million. Net loss was $13.6 million for the second quarter of 2025 or a loss of $0.38 per share compared to a loss of $8.9 million or a loss of $1.61 per share in the second quarter of 2024. Average weighted share count of 36.3 million shares was used to determine loss per share for the second quarter of 2025. Our cash, cash equivalents and marketable securities as of June 30, 2025, were $177.4 million. Looking ahead, we remain committed to our goal of achieving cash flow breakeven with cash on hand and the strength of our balance sheet gives us a high degree of confidence that we can achieve this. Turning now to our outlook for the remainder of 2025. Given our momentum in the second quarter of 2025, we now expect full year 2025 revenue to range from $85 million to $88 million, up from our prior guidance of $83 million to $87 million, which represents annual growth of 30% to 34% over 2024. On gross margins, we expect full year 2025 to be in the mid- to high 80% range. We've accelerated acquisition of headbands from our supplier upon the temporary reduction in tariffs in China and estimate that we currently have sufficient inventory to service our anticipated demand for the remainder of the year. Additionally, we have initiated our previously discussed strategies to derisk our supply chain amidst the uncertainties of the current trade environment. Part of our near-term mitigation plan, we have taken steps to establish a production line in Vietnam to create redundancy and benefit from potentially more favorable trade policies. We expect our manufacturing site in Vietnam to be operational by the end of Q3. The speed of this transition illustrates our ability to quickly adapt to a changing trade environment, maintain supply chain security and continue to deliver industry-leading gross margins. We believe our supply chain strategies put us on track to deliver gross margins in the mid-80% range for the full year 2026, assuming no changes to currently proposed tariffs. With that, I'll turn the call back to Jane.

Thank you, Scott, and thank you all for your time today. In conclusion, I'm very pleased with our strong second quarter performance, which has positioned us well for continued success through 2025 and beyond. We have substantial growth runway ahead of us as we currently serve only around 3% of the U.S. patients who could benefit from our technology and are building further upon our industry-leading patent-protected platform. The future for Ceribell is brighter than ever, and we thank our employees, our customers and the patients we serve for enabling us to continue our mission to help save lives while delivering substantial value to our stakeholders. Finally, we appreciate your support and continued interest in Ceribell, and we look forward to providing you with updates on our progress in the quarters to come. I will now turn the call over to the operator for any Q&A. Operator?

[Operator Instructions] Our first question comes from the line of Travis Steed with Bank of America.

Congrats on the good quarter and the guide raise. Maybe just to start on the question. I'd love to kind of get kind of an update on some of the momentum in the business and what you're seeing on account adds and the awareness of Ceribell out there and utilization, kind of double-digit utilization growth, again, kind of sustainability around that and some of the new reps that you've hired and territory managers that you've hired, sustainability of the ramp on those adds.

Travis, I can take that. Yes, we're seeing good momentum on all fronts. As a reminder, we -- most of the commercial investments we've made over the past year, especially on the territory manager side, given the sales cycle, we don't expect to drive tangible growth in the account base until next year. Of course, internally, we're tracking along on the underlying metrics around the stages of pipeline and the number of customers we touched and how those progressed through the pre-PO stages, and it's going quite well. So we continue to have confidence that that's going to bear fruits. As far as usage goes, our CAMs continue to make an impact. As we've talked about over the past number of calls, we do see lower seasonal usage in Q2 and Q3 relative to Q4 and Q1, but the outcome this quarter was well in line with what we expected.

And then I just wanted to follow up on the gross margin. It looks like you're kind of getting back to your old run rate in 2026, kind of where you were before all the tariff stuff. How much of that is kind of the mitigation versus the rates being better? And could there even be potential upside to that over time?

It's both. Our strategy of diversifying our supply chain in Vietnam, both is to mitigate the macroeconomic and trade risk with being reliant on a single country. But beyond that, the current narrative of tariff rates coming out of Vietnam appears to be lower than what we're paying even during this break from China. And we'll continue to make decisions on our production jurisdiction based on what we learn along the way. But as you mentioned, we are continuing to make improvements in underlying cost structure, both in our China and Vietnam manufacturing sites. And a portion of that is included in our guide to be in the mid-80% range next year.

Our next question comes from the line of Robbie Marcus with JPMorgan.

Congrats on a good quarter as well. Maybe for me, can you remind us of what seasonality is like with respect to EEG? And just speak to some of the trends you saw on utilization at your hospitals, think about any color on new or existing accounts?

Typically, we see a reduced seasonal usage in Q2 and Q3 relative to Q4 and Q1. That aligns pretty well with the macro level data that we get from various sources around what ICU census is. So we believe that that's a direct cause. We've seen it over this year, and we've seen it in the past years as well. And so we've appropriately prepared for it. What we look at internally, and Jane can speak more to this, is some of the initiatives that our CAMs are undertaking to drive usage, and those are -- have been very effective.

Yes. And to add to what Scott said, many of the usage initiatives we are driving is in many ways independent of the seasonality. As we mentioned before, we continue to focus on very specific patient population with strong guideline support and help hospitals to protocolize those workflows. And also in this rapid changing macroenvironment, we are also partnering more with administrators to help both the care team as well as administrators to see the health economic benefits using their own data. So all these initiatives we have started a few quarters back, we start to see very measurable and quantitative impacts.

And then maybe on expenses, you had pretty good expense control in the quarter, particularly on selling expense. Maybe speak to some of the undertakings of the company, how you're deploying the sales force and how you're thinking about expenses for the rest of the year?

We don't provide specific OpEx guidance. But our investment philosophy hasn't changed, which is we're deploying the capital raised in our oversubscribed IPO to drive future growth, both in the R&D engine and commercial expansion. As Jane mentioned in her prepared remarks, we are on the territory manager side approaching the end of our planned expansion of territories and plan to hold relatively consistent there. But we will continue to invest in the CAM side of the business, which will grow relatively in line with the growth of the account base. We're also looking at other areas to invest opportunistically to drive future growth.

Next question comes from the line of Brandon Vazquez with William Blair.

Congrats on a nice quarter. I wanted to ask first on utilization. As the account base keeps growing, curious if you could talk a little bit about segmentations of utilization growth and how they grow over time. Is this simply a matter if you kind of look at tenure of accounts, do they kind of linearly grow in utilization? Or is there something else that you see in the data set that makes some accounts drive utilization more than others? Just trying to get an understanding of what kind of underlying trends there look like when you look at the accounts segmented by utilization.

Yes. We look at our utilization, I would say, in 3 dimensions in growth. The first one is departmental penetration or expansion. In many of our accounts, we are still not in all the departments and all the departments would include all the ICUs, emergency department as well as the floor. So in many of these accounts, we'll be intentionally driving departmental expansion. The second dimension is physician training. So in many of the departments we are already in, we have not been able to always train 100% of the providers on the bed side, partially driven by the natural turnover and also it's driven by -- it's very challenging to train the night shifts or the weekend shifts. So we have specific initiatives internally to address that. The third dimension, as I mentioned earlier, is really focused on specific population and supporting the nursing and physician team to think about driving protocolization. So these are overall the 3 dimensions, I would say, they apply to majority of our customers because most of our customers have ICU and ED, have the different physician provider groups as well as the different patient population.

Okay. And then, Jane, maybe I think you guys are kind of still early days in this, and kind of a limited launch in the pediatric side. Talk a little bit about what -- even if it's just anecdotal at this point, any updates there, how things are going and how that may progress from kind of a limited launch into a little bit of a broader launch in the coming quarters or year?

Yes. Since our FDA clearance in April, we started, we call it the pilot or limited market release of the pediatric. We are actually making progress on multiple fronts. As I mentioned in the last call, the 2 areas, one is in the children's hospital, and we have now penetrated the majority of the children's hospital. The other is the pediatric population in the emergency department. So the initiatives we are making progress and driving are, for example, doing QI, quality insurance, projects with key opinion leaders to show the prevalence of seizure in the pediatric, in the ED context because this population just never had EEG in the emergency department before. So we can see how many seizures could be potentially missed and also in parallel, work out what's the right workflow for this population, different departments. And meanwhile, all this exercise also help us to truly understand deeper of the patient needs here as well as the dynamics in this specific segment. And all this would enable us to maximize our go-to-market plan as we launch the product formally down the road.

Next question comes from the line of Joshua Jennings with TD Cowen.

I was hoping to start on the pipeline. Jane, it's great to hear that the early buzz is being generated by the delirium indication. And I was hoping to just review just the economic value proposition as you see it rolling out? And is it going to be driven by decreased length of stay, decreased kind of workup costs in terms of pinning down delirium. But if in the future, once approved, if a hospital adopts the Ceribell technology and utilizes the point-of-care EEG to make a delirium diagnosis, I mean, how much cost savings could we see and maybe compare the economic value proposition to the Ceribell EEG solution?

Yes. Thank you, Josh. We see a lot of parallel in terms of health economics benefit between delirium and seizure since we are not launching delirium yet, so we probably won't be able to provide super specific health economics benefit as we do on seizure. However, at a high level, one angle is what you already mentioned, since most of all these patients are under DRG -- most of these patients for inpatient under DRG, which means the revenue is relatively fixed. So reducing length of stay will be a major value driver. There are plenty of clinical evidence has shown that when patients have delirium, the ICU or the hospital length of stay is significantly higher. So we expect that when you have a more objective continuous measurement that help physicians to optimize the management of delirium, we could potentially see a signal there as we did in seizure. And also similar to seizure, we received the breakthrough on delirium as well, and there could be association of NTAP and breakthrough, which we commonly see. And of course, there's always uncertainty there. So overall, we see a lot of parallel, and this is what we will be focusing on in generating more clinical evidence as well as health economics evidence when we launch new indications.

And then I was hoping to just better understand the pricing strategy and what the experience was in the first half of this year? And any help just thinking through headband pricing and Clarity pricing for second half '25 and going into 2026. Any change from trend in '24? Congrats on the nice 2Q.

Thanks, Josh. The headband pricing has been relatively consistent year-over-year. We've continued to opportunistically look at price increases where appropriate, but we also want to be judicious with those and appreciate that a lot of hospitals are under economic strain right now. We have been able to effectively increase the rate of Clarity, the Clarity ASP over time, and a lot of that is attributable to driving more recorders through the subscriptions.

Our next question comes from the line of Bill Plovanic with Canaccord Genuity.

Just on the -- just to start off with costs for Scott. Just on the ongoing legal, you mentioned that your G&A was a little elevated in Q2 because you're prepping for all of this. How should we think about the incremental cost over the next couple of years for legal? And then just on the delirium, I think, how do we think about the -- as you come to market with this product, how do we just think about -- is there a certain like -- I guess, with status epilepticus, there's a certain pathway, a guideline on how to treat those patients already in place. Is there something similar with delirium that there's a specific pathway of how to treat them or it just changes the -- what the -- how they're going to treat them if they know they have delirium?

On the cost of legal, we do expect an ongoing cost associated with the action. Of course, that will depend on the response and how long that lasts. But what I'll say to guide you is the amount of increase that we saw relative to normal in Q2 should about reflect what we're going to see in the coming quarters of '25 and '26.

And on the delirium treatment, it is true that it's different from seizure management, in that seizure management focused on very clear first-line, second-line treatment, and that's mostly medication. Delirium doesn't have a single medication and that's proven to be effective or recommended by the guidelines, especially in the hypo delirium patient population. However, that being said, there's clear treatment pathways that the societies has developed a clear guideline and that involves in looking into potential medication, especially sedatives that can cause delirium, therefore, to eliminate certain medication from the patient or finding other root cause, potentially infection and other underlying unbalanced iron level. So those can be different root cause for delirium. It's critical to identify those root cause and that can help delirium management. Another factor of delirium is that these patients often stay ICU for days or even weeks. And it's a disease state that can wax and wane and evolve over time. So often when physicians put patients in one treatment path, it's very hard for physicians to know -- it could be hard for physicians to know whether or not they are on the right path. And this is where we received some of the feedback from the key opinion leaders at ADS that objective and the continuous monitoring device can help the physician not only to more accurately and potentially detect delirium early, but to know that whether or not they're on the right path in managing these patients.

Next question comes from the line of Jeffrey Cohen with Ladenburg Thalmann.

I guess, firstly, could you delve into the neonate indication a little bit? Could you talk a little bit more about the pilot and number of patients and number of centers that you would anticipate to run through this, and as far as timing, when we may see some initial data?

Yes. We don't disclose specific patient population or specific sites, but the pilot is still, I would say, relatively small. We are not talking about hundreds of sites. We're talking about probably single double -- low double-digits. And the reason is that for the pilot, we're really trying to achieve, one, to further validate the ease of use and signal quality of our FDA-cleared hardware, which is both the recorder as well as the headcap. And B, probably more importantly, it's, again, understand specific patient needs here in this very unique patient population and also the specific dynamics workflow in the NICU. So all this would inform us when we developed our -- when we are developing our go- to-market plan. As we mentioned in the last earnings call, we will be sharing FDA clearance or approval when they come or other strategic regulatory milestones. So at the moment, we do not have those milestones to share, but we are -- what we can share is everything is on track related to our pipeline according to our internal milestone and some of them are even ahead of schedule.

And then secondly, could you talk a little bit about the shift on the manufacturing to Vietnam? You did mention this could occur by the end of Q3. Is that going to be a sole shift in its entirety? Or do you expect to have 2 facilities running? And then just clarify for us, would that be separating both Clarity as well as the headbands?

We expect to maintain our current suppliers in China as well. The Vietnam facility is really to derisk the single country supplier as well as to be able to change our manufacturing jurisdiction in order to take advantage of the different trade policies we see. So I would consider it an added line. As it relates to manufacturing, we do a lot of the manufacturing related to the headbands internationally in China, Vietnam with final assembly and inspection here in the U.S. and the recorders have always been and will continue to be manufactured here in the U.S.

Next question comes from the line of Marie Thibault with BTIG.

Congrats on a nice quarter. I wanted to ask here, I think I heard in the prepared remarks that there would be opportunistic investments for the territory count. What are some of the drivers that would determine whether you make those investments?

It's part of our core strategy and how we operate is we always run pilots. So usually, before we invest extensively in any initiative or function, we would have a rather proven pilot. So we have multiple commercial pilot ongoing. And as we see strong signals, and that's when we will pull the trigger to take those opportunities.

Okay. So strong signals from within a region or specific territory. Okay. Very helpful, Jane. And then what are you hearing anecdotally so far? What are your sales folks seeing in the field from the competition given their recent launch?

Yes. We created the point-of-care EEG category. So there has been competition pretty much since day 1 we launched the product. With our success growing, we see more emerging players and more activities. However, we see the competition activity not really impacting our commercial performance, as you could see from our Q2 performance and that we have high confidence to raise our 2025 guidance. The reason is that we fundamentally believe that our product is significantly superior than what's available from the competition. It's highly validated by hundreds of thousands of patients and our clinical evidence. The fact that we have a FedRAMP, which is one of the highest cybersecurity certification that any company can get, it really differentiates us as our customers paying more attention to cybersecurity now. So overall, we remain highly confident that we will be the dominant -- remain the dominant category leader.

That concludes the question-and-answer session. I would like to turn the call back over to Jane Chao for closing remarks.

Well, thank you, everyone, for your time. We are very pleased with our strong Q2 performance, and we look forward to sharing more progress down the road. Thank you.