STOCK TITAN

Heartflow (Nasdaq: HTFL) posts 41% Q1 revenue jump and lifts 2026 outlook

Filing Impact
(Moderate)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Heartflow, Inc. reported strong first quarter 2026 results, with total revenue of $52.6 million, a 41% increase year-over-year, and raised its full year 2026 guidance. U.S. revenue was $48.3 million, up 42%, while international and other revenue reached $4.3 million, up 34%.

GAAP gross profit grew to $42.2 million and gross margin improved to 80.2% from 75.1%, helped by higher case volumes and AI-driven productivity gains. Total operating expenses increased to $71.7 million, including a $7.5 million non-cash impairment tied to optimizing facilities and moving the headquarters to San Francisco.

Net loss narrowed to $27.4 million, or $0.32 per share, from $32.3 million, while non-GAAP net loss improved to $13.3 million, or $0.16 per share. Adjusted EBITDA was a loss of $14.0 million. Heartflow ended March 31, 2026 with $254.9 million in cash, cash equivalents and investments, supporting continued investment in sales, technology, and clinical research.

Positive

  • Robust top-line growth and margin expansion: Q1 2026 revenue reached $52.6 million, up 41% year-over-year, while GAAP gross margin improved to 80.2% from 75.1%, indicating strong scaling of the core business.
  • Improving profitability metrics: Net loss narrowed to $27.4 million from $32.3 million, and non-GAAP net loss improved to $13.3 million, alongside Adjusted EBITDA loss of $14.0 million, showing progress toward breakeven.
  • Raised full year 2026 guidance: Management increased its 2026 outlook, signaling confidence in demand for Heartflow’s AI-driven coronary artery disease platform.
  • Strong liquidity position: Cash, cash equivalents and investments totaled $254.9 million as of March 31, 2026, providing substantial runway to support continued investment in sales expansion, technology, and clinical research.

Negative

  • Significant operating losses persist: Q1 2026 GAAP loss from operations was $29.5 million and Adjusted EBITDA remained negative at $14.0 million, indicating the business still requires substantial external funding or future profit improvement.
  • High and rising operating expenses: Total operating expenses increased to $71.7 million from $45.4 million year-over-year, including heavier spending on sales, technology, and clinical research, as well as a $7.5 million impairment.
  • Business model not yet self-sustaining: Despite strong growth, non-GAAP operating expenses at 110% of revenue and an accumulated deficit of $1.12 billion highlight ongoing dependence on future revenue growth and cost discipline to reach profitability.

Insights

Heartflow delivers 41% Q1 revenue growth, higher margins, and lifts 2026 outlook but remains loss-making.

Heartflow generated Q1 2026 revenue of $52.6 million, up 41% year-over-year, driven mainly by U.S. FFRCT volume. GAAP gross margin expanded to 80.2% from 75.1%, reflecting scale benefits and AI-enabled productivity, while maintaining strong positioning in coronary artery disease imaging.

Operating expenses rose to $71.7 million, including a $7.5 million non-cash impairment on a Mountain View facility as the company relocated its headquarters to San Francisco. Excluding stock-based compensation and the impairment, non-GAAP operating expenses were $57.8 million, or 110% of revenue, showing some efficiency versus the prior year’s 116%.

Net loss improved to $27.4 million (non-GAAP net loss $13.3 million), and Adjusted EBITDA was a loss of $14.0 million. With $254.9 million in cash, cash equivalents and investments as of March 31, 2026, the company has substantial liquidity to fund growth as it pursues its raised full year 2026 guidance.

Item 2.02 Results of Operations and Financial Condition Financial
Disclosure of earnings results, typically an earnings press release or preliminary financials.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
Q1 2026 Revenue $52.6 million Total revenue, 41% year-over-year increase
Q1 2025 Revenue $37.2 million Prior-year quarter revenue baseline
GAAP Gross Margin 80.2% Q1 2026 gross margin vs 75.1% prior year
GAAP Net Loss $27.4 million Q1 2026 net loss vs $32.3 million prior year
Non-GAAP Net Loss $13.3 million Q1 2026 non-GAAP net loss vs $19.2 million prior year
Adjusted EBITDA -$14.0 million Q1 2026 Adjusted EBITDA vs -$13.6 million prior year
Operating Expenses $71.7 million Q1 2026 total operating expenses including $7.5M impairment
Cash and Investments $254.9 million Cash, cash equivalents and investments as of March 31, 2026
Adjusted EBITDA financial
"Reconciliation of GAAP Net Loss to Adjusted EBITDA (unaudited, in thousands)"
Adjusted EBITDA is a way companies measure how much money they make from their core operations, like running a business, by removing certain costs or income that aren’t part of regular business activities. It helps investors see how well a company is doing without distractions from unusual expenses or gains, making it easier to compare companies or track performance over time.
non-GAAP gross margin financial
"Non-GAAP gross margin was 80.5%, compared to 75.3% in the prior year period."
Non-GAAP gross margin is a measure of a company's profitability that shows how much money it makes from sales after subtracting the direct costs of producing its products or services, but without applying certain accounting adjustments required by standard rules. It helps investors understand the company's core earning ability by excluding items like one-time expenses or accounting changes. This metric provides a clearer picture of ongoing business performance beyond official financial reports.
FFRCT technical
"The year-over-year increase in total global revenue was primarily attributable to an increase in total U.S. FFRCT volume."
ffrct is a noninvasive medical test that uses standard CT heart scans plus computer models to estimate how much a coronary artery blockage reduces blood flow, similar to using a traffic simulation to see if a lane closure will cause a real slowdown. Investors care because it can change how often patients need invasive procedures, affect demand for imaging software and services, and influence regulatory approvals, reimbursement and market growth for diagnostics.
asset impairment charge financial
"GAAP operating expenses also included a $7.5 million non-cash impairment charge related to the right-of-use asset for our Mountain View, California facility."
An asset impairment charge is an accounting entry that reduces the reported value of a company’s asset when its expected future benefits have fallen significantly — like marking down spoiled inventory or a damaged piece of equipment. For investors, it matters because the charge cuts reported profits and lowers the company’s net asset value, signaling that some expected cash flows or benefits from that asset are no longer likely to materialize.
derivative liability financial
"change in fair value of derivative liability of $9.0 million"
A derivative liability is an obligation a company owes because of a derivatives contract—such as an option, future, swap, or forward—that has moved against it and now has negative value. Think of it like a settled bet that turned into a bill: if market moves go the other way, the company may have to pay cash or deliver assets. Investors care because these liabilities can create sudden losses, add leverage or counterparty risk, and change a company’s true financial exposure beyond its everyday operations.
stock-based compensation expense financial
"these measures are adjusted to exclude stock-based compensation expense from the comparable GAAP financial measure"
Stock-based compensation expense is the value that a company records when it gives employees or executives shares or options to buy shares as part of their pay. It matters because it shows the true cost of paying employees this way, which can affect the company's profits and how investors see its financial health.
Revenue $52.6 million +41% year-over-year
GAAP Net Loss $27.4 million $32.3 million prior-year loss
Non-GAAP Net Loss $13.3 million $19.2 million prior-year non-GAAP loss
GAAP Gross Margin 80.2% 75.1% prior-year gross margin
Adjusted EBITDA -$14.0 million -$13.6 million prior-year Adjusted EBITDA
Guidance

Company reported raising full year 2026 guidance, specific figures not included in this excerpt.

false000146452100014645212026-05-142026-05-14

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

______________________

FORM 8-K

______________________

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): May 14, 2026

______________________

Heartflow, Inc.

(Exact name of Registrant as Specified in Its Charter)

______________________

Delaware

001-42790

26-0506743

(State or Other Jurisdiction

of Incorporation)

(Commission File Number)

(IRS Employer

Identification No.)

135 Main Street, Suite 1000

San Francisco, California 94105

(Address of Principal Executive Offices) (Zip Code)

(650) 241-1221

(Registrant’s Telephone Number, Including Area Code)

331 E. Evelyn Avenue, Mountain View, CA 94041

(Former Name or Former Address, if Changed Since Last Report)

______________________

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

¨

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

¨

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

¨

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

¨

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

Title of each class

Trading Symbol(s)

Name of each exchange on which registered

Common Stock, $0.001 par value per share

HTFL

The Nasdaq Stock Market LLC

(Nasdaq Global Select Market)

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).

Emerging growth company  x

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.  ¨


Item 2.02 Results of Operations and Financial Condition.

On May 14, 2026, Heartflow, Inc. issued a press release regarding its financial results for the quarter ended March 31, 2026. A copy of the press release is furnished as Exhibit 99.1 to this Form 8-K and is incorporated herein by reference.

Item 9.01 Financial Statements and Exhibits.

(d)Exhibits.

Exhibit No.

Description

99.1

Press Release of Heartflow, Inc. issued on May 14, 2026

104

Cover Page Interactive Data File (embedded within the Inline XBRL document)

The information contained in Items 2.02 and 9.01 to this Current Report on Form 8-K shall not be deemed to be “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall such information be deemed to be incorporated by reference into any filing of the Company under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such a filing.



SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

HEARTFLOW, INC.

Date: May 14, 2026

By:

/s/ Vikram Verghese

Vikram Verghese

Chief Financial Officer

Exhibit 99.1

 

Picture 1

Heartflow Reports First Quarter 2026 Financial Results and Raises Full Year 2026 Guidance

SAN FRANCISCO  May 14, 2026  Heartflow, Inc. (Heartflow) (Nasdaq: HTFL), the leader in AI technology for coronary artery disease (CAD), today reported financial results for the first quarter ended March 31, 2026.



First Quarter 2026 Highlights

·

Total revenue of $52.6 million, a 41% increase year-over-year

·

Gross margin of 80.2%, non-GAAP gross margin of 80.5%

·

Net operating loss of $29.5 million, including a $7.5 million non-cash impairment charge associated with facilities optimization and headquarters relocation to San Francisco. Non-GAAP net operating loss was $15.5 million



2026 Annual Guidance

·

Total revenue of $228 million to $232 million (approximately 29% to 32% growth year-over-year), compared to previous guidance of $218 million to $222 million (approximately 24% to 26% growth year-over-year)

·

Non-GAAP gross margin of approximately 81%, compared to previous guidance of 80% to 81%



“Heartflow entered 2026 with unprecedented momentum, expanding the category leadership we established over the last several years,” said John Farquhar, President and CEO of Heartflow. “Our AI-driven platform, deeply embedded commercial footprint, and the world’s largest database that recently expanded to over 200 million annotated CCTA images combine to create a foundational advantage that grows stronger with every quarter. The growth of our core FFRCT business remains durable, and adoption of Heartflow Plaque Analysis is ramping ahead of schedule. Most importantly, by helping physicians guide the care of over 650,000 patients worldwide, Heartflow has achieved an unrivaled scale of real-world experience. As the architects of this category, we continue to extend our leadership position, becoming the AI operating system of record for the detection, diagnosis, management, and treatment planning of coronary artery disease.”



First Quarter 2026 Financial Results

Total revenue was $52.6 million, a 41% increase year-over-year. U.S. revenue was $48.3 million, a 42% increase year-over-year. International and other revenue was $4.3 million, a 34% increase year-over-year. The year-over-year increase in total global revenue was primarily attributable to an increase in total U.S. FFRCT volume.

Gross profit was $42.2 million, compared to $27.9 million in the prior year period. Non-GAAP gross profit was $42.3 million, compared to $28.0 million in the prior year period.

Gross margin was 80.2%, compared to 75.1% in the prior year period. Non-GAAP gross margin was 80.5%, compared to 75.3% in the prior year period. The year-over-year gross margin expansion was primarily attributable to an increase in revenue case volume and improved production team productivity driven by AI efficiency initiatives, partially offset by the hiring and training of production team personnel.


 

Picture 1

 

Total operating expenses were $71.7 million, or 136% of total revenue, compared to $45.4 million, or 122% of total revenue, in the prior year period. GAAP operating expenses also included a $7.5 million non-cash impairment charge related to the right-of-use asset for our Mountain View, California facility. The Company optimized its facilities footprint and relocated its headquarters to San Francisco. Non-GAAP total operating expenses were $57.8 million, or 110% of total revenue, compared to $43.0 million, or 116% of total revenue, in the prior year period. The year-over-year operating expense increase was primarily attributable to increased investment in sales personnel and related expenses, as well as increased investments in technology and clinical research.

Net operating loss was $29.5 million, compared to $17.5 million in the prior year period. Non-GAAP net operating loss was $15.5 million, compared to $15.0 million in the prior year period.

Net loss was $27.4 million, or ($0.32) net loss per share, compared to $32.3 million, or ($5.25) net loss per share, in the prior year period. Non-GAAP net loss was $13.3 million, or ($0.16) non-GAAP net loss per share, compared to $19.2 million, or ($3.11) non-GAAP net loss per share, in the prior year period.

Adjusted EBITDA was ($14.0) million, compared to ($13.6) million in the prior year period.

Cash, cash equivalents and investments totaled $254.9 million as of March 31, 2026.

For additional information regarding non-GAAP financial measures, see “Use of Non-GAAP Measures,” “Heartflow GAAP to Non-GAAP Reconciliations” and “Reconciliation of GAAP Net Loss to Adjusted EBITDA” below.

Webcast and Conference Call Details

Heartflow will host a conference call today, May  14, 2026, at 1:30 p.m. PT / 4:30 p.m. ET to discuss its first quarter 2026 financial results. Those interested in listening to the conference call should register online using this link. Once registered, participants will receive dial-in numbers and a unique PIN to join the call. Participants are encouraged to register more than 15 minutes prior to the start of the call. A live and archived webcast of the event will also be available on the “Investor Relations” section of the Heartflow website at https://ir.heartflow.com/. The archived version will be available for 12 months following completion of the live call.

About Heartflow’s Technology and Research

Heartflow’s technology is redefining precision cardiovascular care through clinically-proven AI and the world’s largest coronary imaging dataset. Heartflow has been adopted by more than 1,800 institutions globally and continues to strengthen its commercial presence to make this cutting-edge solution more widely available to an increasingly diverse patient population. Backed by American College of Cardiology and American Heart Association (ACC/AHA) guidelines and supported by more than 625 peer-reviewed publications, Heartflow has redefined how clinicians manage care for nearly 650,000 patients worldwide.1 Key benefits include:

·

Unmatched Proprietary data pipeline: Built from the world’s largest database of more than 200 million annotated CTA images, Heartflow’s data foundation powers advanced AI models that deliver highly accurate, reproducible insights across diverse patient populations.

·

Extensive clinical and real-world validation: Heartflow’s AI-driven solutions have been validated through clinical evidence in over 200 studies assessing over 365,000 patients. Heartflow is the only AI platform prospectively validated against invasive gold standards and demonstrated through real-world

_________________________

1 Gulati, et al. 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation & Diagnosis of Chest Pain. J Am Coll Cardiol


 

Picture 1

 

evidence to improve patient outcomes.2,3,4,5 Proven in real-world practice with reproducibility and accuracy, Heartflow’s coronary CTA image acceptance rates exceed 97%.

·

Seamless clinical integration via upgraded workflow: Heartflow delivers final quality-reviewed analyses instantly upon order, enabling clinicians to move from diagnosis to decision without delay.

·

Quality system, global security and patient-data integrity compliance: Heartflow meets or exceeds leading international standards, including HITRUST, SOC 2 Type 2, ISO 13485, and ISO 27001.



About Heartflow, Inc.

Heartflow is transforming coronary artery disease from the world’s leading cause of death into a condition that can be detected early, diagnosed accurately, and managed for life. The Heartflow One platform uses AI to turn coronary CTA images into personalized 3D models of the heart, providing clinically meaningful, actionable insights into plaque location, volume, and composition and its effect on blood flow — all without invasive procedures. Discover how we’re shaping the future of cardiovascular care at heartflow.com



Use of Non-GAAP Measures

To supplement its consolidated financial statements prepared in accordance with U.S. generally accepted accounting principles (GAAP), the Company discloses non-GAAP gross profit and non-GAAP gross margin, non-GAAP total operating expenses, non-GAAP research and development expense, non-GAAP selling, general and administrative expense, non-GAAP net operating loss, non-GAAP net loss, non-GAAP net loss per share, basic and diluted, and Adjusted EBITDA (collectively, the “Non-GAAP Measures”) in this press release. As used by the Company, these measures are adjusted to exclude stock-based compensation expense from the comparable GAAP financial measure and, in the case of non-GAAP total operating expenses, non-GAAP loss from operations, non-GAAP net loss and non-GAAP net loss per share, basic and diluted, and an asset impairment charge. Non-GAAP net loss and non-GAAP net loss per share, basic and diluted, are also adjusted for change in fair value of common stock warrant liability, change in fair value of derivative liability, and asset impairment charge. In addition, Adjusted EBITDA is calculated by adding back to net loss or excluding, as appropriate, interest income and expense, provision for income taxes, and charges for depreciation and amortization and is further adjusted by adding back in or excluding, stock-based compensation and, as appropriate, other income and expense items that are not reflective of the Company’s underlying continuing operating performance. Reconciliations of the Non-GAAP Measures to their most directly comparable GAAP financial measures are provided in the financial statement tables included at the end of this press release, and investors are encouraged to review the reconciliations. The Company believes the presentation of the Non-GAAP Measures, when shown in conjunction with the corresponding GAAP measures, provides useful information to investors as it provides visibility to the Company’s underlying continuing operating performance from period to period by excluding the impact of stock-based compensation and certain other items that are not reflective of the Company’s ongoing operations. Because of the variety of equity awards used by companies, the varying methodologies for determining stock-based compensation expense, the subjective assumptions used in those determinations, and the volatility in valuations that can be driven by market conditions outside the Company’s control, we believe excluding stock-based compensation expense enhances the ability of management and investors to understand and assess the underlying performance of our business over time and compare it against our peers, a majority of whom also exclude stock-based compensation expense from their non-GAAP results. With respect to the presentation of Adjusted EBITDA, the Company believes it is a useful measure to evaluate the Company’s operating performance and it is used by the Company to evaluate ongoing operations and for planning and forecasting purposes. Adjusted EBITDA is also

_________________________

2  Narula, et al. E HJ CVI 2024

3  Danad, et al. JAMA Cardiol 2017

4  Fairbairn et al. Coronary CT Angiography Plaque as a Predictor of Death, Cardiovascular Death and Myocardial Infarction. Presented at AHA 2025. (Real-world study with n=7,899 patients, higher TPV results in increased cardiovascular death and MI)

5  Madsen KT, et al. ADVANCE-DK 7-year. Presented at TCT Scientific Sessions 2024 (n=900 patients determined a 2.5x increase in cardiovascular events or deaths at 7 years)


 

Picture 1

 

a measure frequently used by analysts, investors and other interested parties to evaluate companies in our same industry.



The Company’s definition of the Non-GAAP Measures may differ from similarly titled measures used by others. The Non-GAAP Measures should be considered only as a supplement to, and not as a substitute for, or superior to, their most directly comparable GAAP financial measures. Because the Non-GAAP Measures exclude the effect of items that increase or decrease the Company’s reported results of operations, management strongly encourages investors to review the reconciliations to the most comparable GAAP financial measures at the end of this press release and, when they become available, the Company’s consolidated financial statements and publicly filed Securities and Exchange Commission (“SEC”) reports in their entirety.



The Company is not able to provide a reconciliation without unreasonable efforts of its forward-looking guidance related to non-GAAP gross margin to the most directly comparable GAAP financial measure due to the unknown effect of stock-based compensation that is material to the comparable GAAP financial measure.



Forward-Looking Statements

This press release contains express or implied forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements other than statements of historical facts contained in this press release, including statements regarding our strategy, expected market growth and financial guidance, are forward-looking statements. These forward-looking statements are based on management’s current expectations and are subject to risks and uncertainties that may cause actual results to differ materially from those expressed or implied in the forward-looking statements, including, but not limited to: we may not be able to achieve or sustain profitability; our dependence on the success of our one product, Heartflow FFRCT Analysis; healthcare providers may be unwilling to change their standard practice regarding the evaluation of coronary artery disease; adoption of the Heartflow Platform by healthcare providers may be negatively impacted if third-party payors, including government payors, do not cover or provide adequate reimbursement; the concentration of our customer base; the significant competition we face in an environment of rapid technological change; the commercialization of Heartflow Plaque Analysis is nascent; risks associated with our use and development of AI models; risks related to failing to properly manage our future growth; disruption by catastrophic events; risks associated with our dependence on our information technology systems; security breaches that we cannot anticipate or successfully defend; extensive regulatory requirements we face to bring our products to market; and third parties could develop and commercialize technology and products similar or identical to ours. For a more extensive description of these and other risks and uncertainties that could materially affect our results, you should read our filings with the SEC, including our Annual Report on Form 10-K and Quarterly Reports on Form 10-Q, as such filings may be amended, supplemented or superseded from time to time by other reports Heartflow files with the SEC. You should not place undue reliance on the forward-looking statements in this press release, which speak only as of the date hereof, and we undertake no obligation to update the forward-looking statements to reflect events or circumstances after the date of this press release or to reflect new information or the occurrence of unanticipated events, except as required by law.





Investor Contact

Nick Laudico

nlaudico@heartflow.com



Media Contact

Elliot Levy

elevy@heartflow.com



 


 

Picture 1

 

Heartflow, Inc.

Consolidated Statements of Operations

(unaudited, in thousands, except share and per share data)







 

 

 

 

 

 

 



 

Three Months Ended



 

March 31,



 

 

2026

 

 

2025



 

 

 

 

 

 

Revenue

 

$

52,587 

 

$

37,205 

Cost of revenue

 

 

10,423 

 

 

9,264 

Gross profit

 

 

42,164 

 

 

27,941 

Operating Expenses:

 

 

 

 

 

 

Research and development

 

 

21,620 

 

 

13,924 

Selling, general and administrative

 

 

42,566 

 

 

31,519 

Asset impairment charge

 

 

7,482 

 

 

-

Total operating expenses

 

 

71,668 

 

 

45,443 

Loss from operations

 

 

(29,504)

 

 

(17,502)

Interest income

 

 

2,464 

 

 

543 

Interest expense

 

 

(3)

 

 

(5,093)

Change in fair value of common stock warrant liability

 

 

-

 

 

(1,606)

Change in fair value of derivative liability

 

 

-

 

 

(9,045)

Other income (expense), net

 

 

(314)

 

 

358 

Loss before provision for income taxes

 

 

(27,357)

 

 

(32,345)

Provision for income taxes

 

 

(23)

 

 

-

Net loss

 

$

(27,380)

 

$

(32,345)

Comprehensive loss:

 

 

 

 

 

 

Net loss

 

$

(27,380)

 

$

(32,345)

Other comprehensive loss:

 

 

 

 

 

 

Foreign currency translation gain (loss)

 

 

262 

 

 

(236)

Unrealized loss on investments, net

 

 

(522)

 

 

-

Total other comprehensive loss

 

 

(260)

 

 

(236)

Total comprehensive loss

 

$

(27,640)

 

$

(32,581)



 

 

 

 

 

 

Net loss per share, basic and diluted

 

$

(0.32)

 

$

(5.25)

Weighted-average shares used to compute net loss per share, basic and diluted

 

 

85,639,675 

 

 

6,164,617 





 


 

Picture 1

 

Heartflow, Inc.

Consolidated Balance Sheets

(unaudited, in thousands)











 

 

 

 

 

 



 

March 31,

 

December 31,



 

2026

 

2025

Assets

 

 

 

 

 

 

Current assets

 

 

 

 

 

 

Cash and cash equivalents

 

$

19,671 

 

$

44,776 

Short-term investments

 

 

138,645 

 

 

132,010 

Accounts receivable, net

 

 

35,527 

 

 

29,343 

Prepaid expenses and other current assets

 

 

17,987 

 

 

14,075 

Total current assets

 

 

211,830 

 

 

220,204 

Long-term investments

 

 

96,582 

 

 

103,365 

Property and equipment, net

 

 

9,829 

 

 

8,587 

Operating lease right-of-use assets

 

 

14,407 

 

 

17,488 

Restricted cash, non-current

 

 

4,702 

 

 

4,709 

Other non-current assets

 

 

6,675 

 

 

5,099 

Total assets

 

$

344,025 

 

$

359,452 



 

 

 

 

 

 

Liabilities and stockholders' equity

 

 

 

 

 

 

Current liabilities

 

 

 

 

 

 

Accounts payable

 

$

5,750 

 

$

3,169 

Accrued expenses and other current liabilities

 

 

25,886 

 

 

33,279 

Operating lease liabilities, current portion

 

 

6,382 

 

 

5,922 

Total current liabilities

 

 

38,018 

 

 

42,370 

Operating lease liabilities, non-current portion

 

 

19,967 

 

 

16,132 

Other non-current liabilities

 

 

322 

 

 

303 

Total liabilities

 

 

58,307 

 

 

58,805 

Stockholders’ equity

 

 

 

 

 

 

Preferred stock, $0.001 par value

 

 

-

 

 

-

Common stock, $0.001 par value

 

 

86 

 

 

85 

Additional paid-in capital

 

 

1,401,447 

 

 

1,388,737 

Accumulated other comprehensive loss

 

 

(685)

 

 

(425)

Accumulated deficit

 

 

(1,115,130)

 

 

(1,087,750)

Total stockholders’ equity

 

 

285,718 

 

 

300,647 

Total liabilities and stockholders’ equity

 

$

344,025 

 

$

359,452 


 

Picture 1

 

Heartflow, Inc.

GAAP to Non-GAAP Reconciliations

(unaudited, in thousands except per share amounts and percentage data)







 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



 

 

Three Months Ended March 31, 2026

 

 

Three Months Ended March 31, 2025



 

 

GAAP

 

 

Adjustments

 

 

Non-GAAP

 

 

GAAP

 

 

Adjustments

 

 

Non-GAAP



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gross profit

 

$

42,164 

 

$

166 

(a)

$

42,330 

 

$

27,941 

 

$

57 

(a)

$

27,998 

Gross margin

 

 

80.2% 

 

 

0.3% 

 

 

80.5% 

 

 

75.1% 

 

 

0.2% 

 

 

75.3% 



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating Expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Research and development

 

$

21,620 

 

$

(2,137)

(a)

$

19,483 

 

$

13,924 

 

$

(547)

(a)

$

13,377 

Selling, general and administrative

 

$

42,566 

 

$

(4,251)

(a)

$

38,315 

 

$

31,519 

 

$

(1,888)

(a)

$

29,631 

Asset impairment charge

 

$

7,482 

 

$

(7,482)

 

$

-

 

$

-

 

$

-

 

$

-

Total operating expenses

 

$

71,668 

 

$

(13,870)

 

$

57,798 

 

$

45,443 

 

$

(2,435)

 

$

43,008 



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Loss from operations

 

$

(29,504)

 

$

14,036 

 

$

(15,468)

 

$

(17,502)

 

$

2,492 

 

$

(15,010)



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net loss

 

$

(27,380)

 

$

14,036 

(b)

$

(13,344)

 

$

(32,345)

 

$

13,143 

(c)

$

(19,202)

Net loss per share, basic and diluted

 

$

(0.32)

 

$

0.16 

 

$

(0.16)

 

$

(5.25)

 

$

2.14 

 

$

(3.11)



(a)Represents adjustments related to stock-based compensation expense

(b)Represents adjustments for: (i) stock-based compensation expense of $6.5 million;  and (ii) asset impairment charge of $7.5 million

(c)Represents adjustments for: (i) stock-based compensation expense of $2.5 million; (ii) change in fair value of common stock warrant liability of $1.6 million; and (iii) change in fair value of derivative liability of $9.0 million











Heartflow, Inc.

Reconciliation of GAAP Net Loss to Adjusted EBITDA

(unaudited, in thousands)



 

 

 

 

 

 



 

Three Months Ended



 

March 31,



 

2026

 

2025



 

 

 

 

 

 

GAAP net loss

 

$

(27,380)

 

$

(32,345)

Non-GAAP adjustments:

 

 

 

 

 

 

Interest (income) expense, net

 

 

(2,461)

 

 

4,550 

Asset impairment charge

 

 

7,482 

 

 

-

Change in fair value of common stock warrant liability

 

 

-

 

 

1,606 

Change in fair value of derivative liability

 

 

-

 

 

9,045 

Other (income) expense, net

 

 

314 

 

 

(358)

Provision for income taxes

 

 

23 

 

 

-

Depreciation and amortization

 

 

1,423 

 

 

1,372 

Stock-based compensation expense

 

 

6,554 

 

 

2,492 

Adjusted EBITDA

 

$

(14,045)

 

$

(13,638)




FAQ

How did Heartflow (HTFL) perform financially in Q1 2026?

Heartflow reported Q1 2026 revenue of $52.6 million, a 41% increase year-over-year. GAAP gross profit was $42.2 million with an 80.2% gross margin, while GAAP net loss narrowed to $27.4 million, or $0.32 per share.

What were Heartflow (HTFL)’s profitability metrics and losses in Q1 2026?

Heartflow recorded a Q1 2026 GAAP loss from operations of $29.5 million and a net loss of $27.4 million. On a non-GAAP basis, net loss was $13.3 million, and Adjusted EBITDA was a loss of $14.0 million, reflecting ongoing investment.

Did Heartflow (HTFL) raise its full year 2026 guidance?

Yes. Heartflow reported first quarter 2026 results and raised its full year 2026 guidance. The company cited strong revenue growth, expanding gross margins, and durable demand for its FFRCT and Plaque Analysis offerings as drivers of its improved outlook.

How strong is Heartflow (HTFL)’s balance sheet after Q1 2026?

As of March 31, 2026, Heartflow held $254.9 million in cash, cash equivalents and investments. Total assets were $344.0 million, with total liabilities of $58.3 million, supporting continued investment despite ongoing operating and net losses.

What drove Heartflow (HTFL)’s revenue growth and margin expansion in Q1 2026?

Revenue grew to $52.6 million, up 41% year-over-year, primarily from increased U.S. FFRCT case volume. GAAP gross margin improved to 80.2%, aided by higher revenue volume and AI-driven production team productivity, partially offset by hiring and training costs.

How are Heartflow (HTFL)’s operating expenses evolving?

Total Q1 2026 operating expenses were $71.7 million, up from $45.4 million a year earlier. This includes a $7.5 million non-cash asset impairment and higher spending on sales personnel, technology, and clinical research to support growth.

What non-GAAP measures does Heartflow (HTFL) emphasize in Q1 2026?

Heartflow highlights non-GAAP gross profit and margin, non-GAAP operating expenses, non-GAAP net loss and EPS, and Adjusted EBITDA. These exclude stock-based compensation, certain fair value changes, and an asset impairment to show underlying operating performance.

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