EDAP Reports Strong Second Quarter 2025 HIFU Results

+140% Focal One® Net Placement Growth Year over Year+76.8% HIFU Revenue Growth Year over Year 36 million Euro Credit Facility Letter of Intent Executed with European Investment Bank (EIB) to further accelerate HIFU Growth and Strategic Expansion Company raises 2025 HIFU Year over Year Revenue Growth Guidance range to 26% to 34%, up from the prior range of 16% to 25% Company to Host Conference Call and Webcast Today, August 28th, at 8:30 a.m. EDT AUSTIN, Texas, August 28, 2025 - EDAP TMS SA (Nasdaq: EDAP), the global leader in robotic energy-based therapies, reported today unaudited consolidated financial results for the second quarter of 2025. “We experienced our strongest second quarter performance in our company’s history, placing a net total of 12 Focal One Robotic HIFU Systems with increased customer demand coming from both U.S. and international markets,” said Ryan Rhodes, Chief Executive Officer. “The strong year over year growth in the second quarter underscores the accelerating momentum of our leading Focal One platform and its increased adoption amongst urologists. To continue to advance the expansion of Focal One, including new indications and further development of focused ultrasound technologies, we executed a letter of intent with the European Investment Bank that will provide a significant source of low interest rate capital. As we enter the second half of 2025, our Focal One pipeline continues to strengthen, and we anticipate demand for Focal One continuing to grow as more prostate cancer patients recognize the advantages of the Focal One treatment. This momentum is further supported by the groundbreaking publication from the large multicenter prospective comparative HIFI study and the compelling Level 1 clinical evidence from the FARP Randomized Controlled Trial, both of which are gaining wider dissemination within the global urology community.” Business Update On August 26, 2025, the Company announced a letter of intent for credit facility with the European Investment Bank (EIB) for 36 million EurosOn July 1, 2025, the Company announced that, effective January 1, 2026, EDAP will become a U.S. domestic filer and will begin complying with corresponding U.S. SEC reporting rules and Nasdaq listing requirementsOn April 29, 2025, the Company announced that the positive final 3-year outcomes of Focal Ablation versus Radical Prostatectomy (FARP) Randomized Controlled Trial (RCT) were presented at the 120th AUA Annual MeetingOn April 24, 2025, the Company announced the launch of the new Focal One i Robotic HIFU System Upcoming Meetings and Events EDAP management will attend and present at the upcoming H.C. Wainwright 27th Annual Global Investment Conference, in New York City from September 8-10, 2025. The Company is scheduled to present on September 9th from 8:30AM - 9:00AM ET and will also conduct 1x1 investor meetings. Click https://journey.ct.events/view/ede7e5df-b6f5-4ffb-a947-50a936dfb93b to register for the EDAP webcast. 2025 Financial Guidance The Company is updating its 2025 financial guidance. Core HIFU business revenue is now expected to grow within the range of 26% to 34% year over year, and combined non-core ESWL and Distribution business revenue is expected to decline within the range of 25% to 30% year over year. This compares to previous revenue guidance issued at the beginning of the calendar year 2025 of year over year revenue growth between 16% and 25% in core HIFU business, and year over year revenue decline between 20% and 25% in non-core ESWL and Distribution business. Second Quarter 2025 Results Total revenue in the HIFU business for the second quarter of 2025 was EUR 8.5 million (USD 9.7 million), as compared to EUR 4.8 million (USD 5.2 million) for the second quarter of 2024, representing growth of +76.8% on a year over year basis. The increase in year over year growth of the HIFU division was driven by nine Focal One capital sales in the second quarter of 2025 versus three systems sales in the second quarter of 2024. The Company recorded a 23.9% year over year growth in worldwide disposable revenue. Focal One procedures grew 4.8% in the U.S. on a year over year basis. Total revenue in the Company’s non-core business (ESWL and Distribution) for the second quarter of 2025 was EUR 7.6 million (USD 8.7 million), as compared to EUR 11.0 (USD 11.8 million) for the second quarter of 2024. The decline in non-core business revenue was expected based on the Company’s strategic decision to focus exclusively on the high growth opportunity in focal therapy with the Focal One Robotic HIFU platform. Total worldwide revenue for the second quarter of 2025 was EUR 16.0 million (USD 18.4 million), an increase of 1.6% as compared to worldwide revenue of EUR 15.8 million (USD 17.0 million) for the same period in 2024. Gross profit for the second quarter of 2025 was EUR 6.8 million (USD 7.8 million), compared to gross profit of EUR 5.9 million (USD 6.4 million) for the year-ago period. Gross profit margin on net sales was 42.5% in the second quarter of 2025, compared to 37.5% for the comparable period in Q2 2024. The increase in gross profit margin on a year over year basis was primarily due to Company’s strategic focus on its core HIFU business segment, which drives higher gross margins. Operating expenses were EUR 12.6 million (USD 14.5 million) for the second quarter, compared to EUR 12.1 million (USD 13.0 million) for the same period in 2024. The increase in operating expenses was primarily due to focused investments in our HIFU business. Operating loss for the second quarter of 2025 was EUR 5.8 million (USD 6.6 million), compared to an operating loss of EUR 6.1 million (USD 6.6 million) in the second quarter of 2024. Net loss for the second quarter of 2025 was EUR 5.6 million (USD 6.4 million), or EUR (0.15) per share, as compared to net loss of EUR 6.1 million (USD 6.6 million), or EUR (0.16) per share in the second quarter of 2024. First Half 2025 Results Total revenue in the HIFU business for the six months ended June 30, 2025, was EUR 14.7 million (USD 16.1 million), an increase of 38.5% as compared to EUR 10.6 million (USD 11.4 million) for the six months ended June 30, 2024. Total revenue in the Company’s non-core business (ESWL and Distribution) business for the six months ended June 30, 2025, was EUR 15.0 million (USD 16.5 million), a 25.7% decrease compared to EUR 20.1 million (USD 21.7 million) for the six months ended June 30, 2024. Total worldwide revenue for the six months ended June 30, 2025, was EUR 29.6 million (USD 32.6 million), a decrease of 3.6% from total worldwide revenue of EUR 30.7 million (USD 33.1 million) for the same period in 2024. Gross profit for the six months ended June 30, 2025, was EUR 12.5 million (USD 13.8 million), compared to EUR 12.3 million (USD 13.3 million), for the six months ended June 30, 2024. Gross profit margin on net sales was 42.3% for the six months ended June 30, 2025, compared to 40.1% for the comparable period in 2024. Operating expenses were EUR 24.3 million (USD 26.7 million) for the six months ended June 30, 2025, compared to EUR 23.3 million (USD 25.1 million) for the same period in 2024. Operating loss for the six months ended June 30, 2025, was EUR 11.8 million (USD 13.0 million), compared to an operating loss of EUR 11.0 million (USD 11.8 million) for the six months ended June 30, 2024. Net loss for the six months ended June 30, 2025, was EUR 12.7 million (USD 14.0 million), or EUR (0.34) per share, as compared to a net loss of EUR 10.7 million (USD 11.5 million), or EUR (0.29) per share for the six months ended June 30, 2024. As of June 30, 2025, the Company held cash and cash equivalents of EUR 16.3 million (USD 19.1 million) as compared to EUR 22.8 million (USD 24.6 million) as of March 31, 2025. Conference Call Information A conference call and webcast to discuss the second quarter 2025 financial results will be hosted by Ryan Rhodes, Chief Executive Officer, Ken Mobeck, Chief Financial Officer, and François Dietsch, Chief Accounting Officer. Please refer to the information below for conference call dial-in information and webcast registration. Date: Thursday, August 28th @ 8:30am Eastern TimeDomestic: 1-800-274-8461International: 1-203-518-9814Passcode (Conf ID): EDAP Webcast: https://viavid.webcasts.com/starthere.jsp?ei=1726716&tp_key=220919ac3d About EDAP TMS SA A recognized leader in robotic energy-based therapies, EDAP TMS develops, manufactures, promotes and distributes worldwide minimally invasive medical devices for various conditions using ultrasound technology. By combining the latest technologies in imaging, robotics and precise non-invasive energy delivery, EDAP introduced the Focal One® in Europe and in the U.S. as the leading prostate focal therapy controlled by urologists with the potential to expand to multiple indications beyond prostate cancer. For more information on the Company, please visit https://focalone.com/. Forward-Looking Statements In addition to historical information, this press release contains forward-looking statements within the meaning of applicable federal securities laws, including Section 27A of the U.S. Securities Act of 1933 (the “Securities Act”) or Section 21E of the U.S. Securities Exchange Act of 1934, which may be identified by words such as “believe,” “can,” “contemplate,” “could,” “plan,” “intend,” “is designed to,” “may,” “might,” “potential,” “objective,” “target,” “project,” “predict,” “forecast,” “ambition,” “guideline,” “should,” “will,” “estimate,” “expect” and “anticipate,” or the negative of these and similar expressions, which reflect our views about future events and financial performance. Such statements include our expectations to enter into a credit facility with EIB, the size thereof, the timing thereof and the use of proceeds from such credit facility. Such statements are based on management's current expectations and are subject to a number of risks and uncertainties, including matters not yet known to us or not currently considered material by us, and there can be no assurance that anticipated events will occur or that the objectives set out will actually be achieved. Important factors that could cause actual results to differ materially from the results anticipated in the forward-looking statements include, among others, the clinical status and market acceptance of our HIFU devices and the continued market potential for our lithotripsy and distribution divisions, as well as risks associated with the current worldwide inflationary environment, the uncertain worldwide economic, political and financial environment, geopolitical instability, climate change and pandemics like the COVID 19 pandemic, or other public health crises, and their related impact on our business operations, including their impacts across our businesses or demand for our devices and services. Other factors that may cause such a difference may also include, but are not limited to, those described in the Company's filings with the Securities and Exchange Commission and in particular, in the sections "Cautionary Statement on Forward-Looking Information" and "Risk Factors" in the Company's Annual Report on Form 20-F. Forward-looking statements speak only as of the date they are made. Other than required by law, we do not undertake any obligation to update them in light of new information or future developments. These forward-looking statements are based upon information, assumptions and estimates available to us as of the date of this press release, and while we believe such information forms a reasonable basis for such statements, such information may be limited or incomplete. Company ContactBlandine ConfortInvestor Relations / Legal AffairsEDAP TMS SA+33 4 72 15 31 50bconfort@edap-tms.com Investor ContactJohn FrauncesLifeSci Advisors, LLC(917) 355-2395jfraunces@lifesciadvisors.com EDAP TMS S.A.UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS(Amounts in thousands of Euros and U.S. Dollars, except per share data) Three Months Ended: Three Months Ended: June 30, June 30, June 30, June 30, 2025 2024 2025 2024 Euros Euros $US $US Sales of medical equipment 11,221 11,118 12,891 11,948 Net sales of RPP and leases 2,246 1,886 2,580 2,027 Sales of spare parts, supplies and services 2,576 2,787 2,960 2,995 TOTAL REVENUES 16,043 15,791 18,431 16,970 Cost of sales (9,221) (9,872) (10,594) (10,609) GROSS PROFIT 6,822 5,919 7,838 6,361 Research & development expenses (2,208) (2,077) (2,537) (2,232) Selling, general & administrative expenses (10,382) (9,989) (11,928) (10,736) Total operating expenses (12,591) (12,066) (14,465) (12,967) OPERATING LOSS (5,769) (6,147) (6,628) (6,606) Interest (expense) income, net (57) 190 (66) 204 Currency exchange gains (loss), net 319 (49) 367 (52) LOSS BEFORE INCOME TAXES (5,507) (6,005) (6,327) (6,454) Income tax (expense) credit, net (93) (127) (107) (136) NET LOSS (5,600) (6,132) (6,434) (6,590) Earning per share – basic and diluted (0.15) (0.16) (0.17) (0.18) Average number of shares used in computation of basic and diluted EPS 37,420,318 37,205,307 37,420,318 37,205,307 NOTE: Translated for convenience of the reader to U.S. dollars at the 2025 average three months’ exchange rate of 1 Euro = 1.1489 USD, and 2024 average three months’ exchange rate of 1 Euro = 1.0747 USD EDAP TMS S.A.UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS(Amounts in thousands of Euros and U.S. Dollars, except per share data) Six Months Ended: Six Months Ended: June 30, June 30, June 30, June 30, 2025 2024 2025 2024 Euros Euros $US $US Sales of medical equipment 20,184 21,085 22,224 22,735 Net sales of RPP and leases 4,406 3,661 4,851 3,948 Sales of spare parts, supplies and services 5,011 5,952 5,518 6,418 TOTAL REVENUES 29,601 30,698 32,593 33,102 Cost of sales (17,084) (18,394) (18,811) (19,834) GROSS PROFIT 12,517 12,304 13,782 13,267 Research & development expenses (4,663) (4,146) (5,134) (4,470) Selling, general & administrative expenses (19,619) (19,121) (21,602) (20,618) Total operating expenses (24,282) (23,267) (26,736) (25,088) OPERATING LOSS (11,765) (10,963) (12,954) (11,821) Interest (expense) income, net (43) 335 (47) 361 Currency exchange gains (loss), net (637) 187 (701) 202 LOSS BEFORE INCOME TAXES (12,444) (10,440) (13,702) (11,258) Income tax (expense) credit, net (230) (238) (253) (257) NET LOSS (12,674) (10,678) (13,955) (11,514) Earning per share – basic and diluted (0.34) (0.29) (0.37) (0.31) Average number of shares used in computation of basic and diluted EPS 37,406,202 37,104,348 37,406,202 37,104,348 NOTE: Translated for convenience of the reader to U.S. dollars at the 2025 average six months’ exchange rate of 1 Euro = 1.1011 USD, and 2024 average six months’ exchange rate of 1 Euro = 1.0783 USD EDAP TMS S.A.UNAUDITED CONDENSED CONSOLIDATED BALANCE SHEETS (Amounts in thousands of Euros and U.S. Dollars) June 30, December 31, June 30, December 31, 2025 2024 2025 2024 Euros Euros $US $US Cash, cash equivalents and short-term investments 16,265 29,836 19,144 30,883 Accounts receivable, net 18,527 20,288 21,806 21,000 Inventory 15,531 18,495 18,281 19,143 Other current assets 1,157 1,258 1,362 1,302 TOTAL CURRENT ASSETS 51,480 69,876 60,593 72,328 Property, plant and equipment, net 10,202 10,336 12,009 10,699 Goodwill 2,412 2,412 2,839 2,496 Other non-current assets 4,248 3,439 5,000 3,560 TOTAL ASSETS 68,343 86,063 80,441 89,083 Accounts payable & other accrued liabilities 18,549 21,350 21,833 22,099 Deferred revenues, current portion 5,898 6,641 6,942 6,874 Short term borrowing 6,276 6,243 7,387 6,462 Other current liabilities 3,392 3,577 3,993 3,702 TOTAL CURRENT LIABILITIES 34,115 37,811 40,154 39,138 Obligations under operating and finance leases non-current 1,660 1,939 1,954 2,007 Long-term debt, non-current 1,022 2,162 1,203 2,238 Deferred revenues, non-current 718 358 845 370 Other long-term liabilities 3,006 2,897 3,538 2,999 TOTAL LIABILITIES 40,521 45,167 47,694 46,752 TOTAL SHAREHOLDERS’EQUITY 27,822 40,896 32,747 42,331 TOTAL LIABILITIES & SHAREHOLDERS’ EQUITY 68,343 86,063 80,441 89,083 NOTE: Translated for convenience of the reader to U.S. dollars at the exchange rate of 1 Euro = 1.1770 USD, on June 30, 2025 and at the exchange rate of 1 Euro = 1.0351 USD, on December 31, 2024. EDAP TMS S.A.UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS(Amounts in thousands of Euros and U.S. Dollars) Six Months Ended Twelve Months Ended Six Months Ended Twelve Months Ended June 30, December 31, June 30, December 31, 2025 2024 2025 2024 (Euros) (Euros) ($US) ($US) NET INCOME (LOSS) (12,674) (19,018) (13,955) (20,520) Adjustments to reconcile net income (loss) to net cash generated by (used in) operating activities(1) 2,767 7,395 3,046 7,979 OPERATING CASH FLOW (9,907) (11,623) (10,909) (12,541) Increase/Decrease in operating assets and liabilities 713 (1,961) 785 (2,116) NET CASH GENERATED BY (USED IN) OPERATING ACTIVITIES (9,194) (13,584) (10,123) (14,657) Additions to capitalized assets produced by the company and other capital expenditures (2,669) (4,120) (2,939) (4,445) NET CASH GENERATED BY (USED IN) INVESTING ACTIVITIES (2,669) (4,120) (2,939) (4,445) NET CASH GENERATED BY (USED IN) FINANCING ACTIVITIES (1,096) 4,635 (1,207) 5,001 NET EFFECT OF EXCHANGE RATE CHANGES ON CASH AND CASH EQUIVALENTS (611) (566) 2,531 (3,103) NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS (13,571) (13,635) (11,738) (17,204) (1) including share based compensation expenses for 775 thousand of Euros for the six months ended June 30, 2025 and 3,283 thousand of Euros for the full year ended December 31, 2024. NOTE: Translated for convenience of the reader to U.S. dollars at the 2025 average six months’ exchange rate of 1 Euro = 1.1011 USD, and 2024 average twelve months exchange rate of 1 Euro = 1.0790 USD EDAP TMS S.A.UNAUDITED CONDENSED STATEMENTS OF OPERATIONS BY DIVISIONsix months ended June 30, 2025(Amounts in thousands of Euros) HIFU ESWL Distribution Reconciling Total After Division Division Division Items Consolidation Sales of medical equipment 9,321 681 10,181 — 20,184 Net sales of RPP and leases 3,752 538 117 — 4,406 Sales of spare parts, supplies and services 1,578 2,069 1,365 — 5,011 TOTAL REVENUES 14,650 3,288 11,663 — 29,601 GROSS PROFIT (% of Net Sales) 7,339 50.1 % 1,468 44.6 % 3,710 31.8 % — 12,517 42.3 % Research & development expenses (4,254) (84) (325) — (4,663) Selling, general & administrative expenses (13,248) (507) (4,035) (1,828) (19,619) OPERATING PROFIT (LOSS) (10,163) 876 (650) (1,828) (11,765) EDAP Q2 2025 Financial Results

EDAP Reports Strong Second Quarter 2025 HIFU Results

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