STOCK TITAN

Heartflow (HTFL) posts 48% Q2 2026 revenue surge and lifts full-year outlook

(Moderate)
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Heartflow, Inc. reported strong growth for the quarter ended June 30, 2026. Total revenue was $64.1 million, a 48% increase year-over-year, driven mainly by higher U.S. case volumes in both FFRCT and Plaque. U.S. revenue reached $59.6 million, up 51%, while international and other revenue was $4.5 million, up 12%.

GAAP gross profit rose to $53.2 million with gross margin expanding to 83.0% from 75.5%, helped by AI-driven productivity and growing Plaque volumes. Operating expenses increased to $71.1 million as the company invested in sales, technology and clinical research, resulting in a GAAP net loss of $15.7 million and Adjusted EBITDA of ($6.7) million, both better than the prior-year quarter on a non-GAAP/EBITDA basis. Non-GAAP net loss improved to $5.8 million. Cash, cash equivalents and investments totaled $246.8 million as of June 30, 2026. Management stated that it raised full-year 2026 guidance and highlighted record gross margin and improving operating leverage.

Positive

  • Revenue grew 48% year-over-year to $64.1 million, with U.S. revenue up 51% to $59.6 million, reflecting strong adoption of FFRCT and emerging Plaque volumes.
  • Gross margin expanded to 83.0% from 75.5%, supported by higher case volumes and AI-driven efficiency, indicating improving scalability of the business model.
  • Non-GAAP profitability metrics improved meaningfully: non-GAAP net loss narrowed to $5.8 million and Adjusted EBITDA to ($6.7) million from ($10.1) million.
  • Robust liquidity of $246.8 million in cash, cash equivalents and investments as of June 30, 2026 provides financial flexibility for continued investment and growth.

Negative

  • GAAP net loss increased to $15.7 million from $9.2 million year-over-year, as operating expenses rose with heavier spending on sales, technology and clinical research.
  • Total operating expenses rose to $71.1 million from $46.5 million, reaching 111% of revenue on a GAAP basis, underscoring that the company remains in an investment and loss-making phase.

Filing Explained

This filing reports Heartflow’s second-quarter results and says improving operating leverage increased confidence in long-term profitable growth. But GAAP operating expenses rose to 111% of revenue from 107% a year earlier and GAAP net loss widened to $15.7 million; the improvement was reported on non-GAAP measures that exclude stock-based compensation and certain costs.

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.
Q2 2026 Revenue $64.1 million Total revenue for the quarter ended June 30, 2026, up 48% year-over-year
U.S. Revenue Q2 2026 $59.6 million U.S. revenue for the quarter, a 51% increase year-over-year
GAAP Gross Margin Q2 2026 83.0% Quarterly gross margin, compared to 75.5% in the prior-year period
GAAP Net Loss Q2 2026 $15.7 million Net loss for the quarter, or ($0.18) per share
Non-GAAP Net Loss Q2 2026 $5.8 million Non-GAAP net loss for the quarter, or ($0.07) per share
Adjusted EBITDA Q2 2026 ($6.7) million Adjusted EBITDA for the quarter, improved from ($10.1) million a year earlier
Cash, Equivalents & Investments $246.8 million Cash, cash equivalents and investments as of June 30, 2026
Total Operating Expenses Q2 2026 $71.1 million GAAP operating expenses, 111% of total revenue for the quarter
Adjusted EBITDA financial
"Adjusted EBITDA was ($6.7) million, compared to ($10.1) million in the prior year period."
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 83.3%, compared to 75.6% 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
"Our FFRCT business remains strong and durable, while Plaque is rapidly emerging as a meaningful second growth engine"
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.
Plaque Analysis medical
"the commercialization of Heartflow Plaque Analysis is nascent; risks associated with our use and development of AI models"
Plaque analysis is the medical assessment of fatty or calcified deposits that build up inside blood vessels, usually done with imaging and software to measure size, composition and how likely a blockage or rupture is. Investors care because those results drive demand and regulatory approval for drugs, devices and diagnostic tools, affect clinical trial success rates, and act like an inspection report on a company’s market potential in cardiovascular care.
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.
coronary artery disease medical
"the leader in AI technology for diagnosing coronary artery disease (CAD), today reported financial results"
Coronary artery disease is a condition in which the blood vessels that supply the heart become narrowed or blocked by fatty buildup, reducing oxygen-rich blood flow and making the heart work harder. For investors, it matters because the condition drives demand for medications, medical devices, diagnostics and procedures, can affect healthcare spending and payer policies, and influences the financial prospects of companies involved in cardiovascular care—similar to how a clogged pipe changes maintenance and replacement needs.
Revenue $64.1 million Increased 48% year-over-year from $43.4 million
GAAP Net Loss $15.7 million Compared to $9.2 million in the prior-year quarter
Non-GAAP Net Loss $5.8 million Compared to $17.6 million in the prior-year quarter
Adjusted EBITDA ($6.7) million Improved from ($10.1) million in the prior-year quarter
GAAP Gross Margin 83.0% Up from 75.5% in the prior-year quarter
Guidance

Company stated it raised full-year 2026 guidance, citing record gross margin and improving operating leverage.

FAQ

How did Heartflow (HTFL) perform financially in Q2 2026?

Heartflow reported Q2 2026 revenue of $64.1 million, a 48% year-over-year increase. GAAP net loss was $15.7 million, while non-GAAP net loss improved to $5.8 million and Adjusted EBITDA to ($6.7) million, reflecting better underlying operating performance.

What drove Heartflow (HTFL) revenue growth in the quarter ended June 30, 2026?

Revenue growth was driven primarily by higher U.S. FFRCT and Plaque case volumes. Total revenue grew 48% year-over-year to $64.1 million, with U.S. revenue up 51% to $59.6 million and international and other revenue up 12% to $4.5 million.

How did Heartflow’s (HTFL) margins and expenses change in Q2 2026?

GAAP gross margin improved to 83.0% from 75.5%, aided by scale and AI-driven efficiency. However, total operating expenses increased to $71.1 million from $46.5 million, reflecting higher investment in sales, technology and clinical research activities.

What were Heartflow’s (HTFL) earnings and loss per share in Q2 2026?

Heartflow reported a GAAP net loss of $15.7 million, or ($0.18) per share. On a non-GAAP basis, net loss was $5.8 million, or ($0.07) per share, after adjustments for stock-based compensation and certain other items.

How strong is Heartflow’s (HTFL) balance sheet as of June 30, 2026?

As of June 30, 2026, Heartflow held $246.8 million in cash, cash equivalents and investments. Total assets were $344.5 million, with stockholders’ equity of $279.7 million, providing a substantial capital base to support ongoing operations and growth initiatives.

Did Heartflow (HTFL) change its 2026 outlook based on Q2 results?

Yes. Heartflow stated that it raised its full-year 2026 guidance in conjunction with the Q2 results. Management cited record gross margin, improving operating leverage, and strong growth in FFRCT and Plaque as reasons for increased confidence in long-term profitable growth.

What non-GAAP metrics does Heartflow (HTFL) emphasize and why?

Heartflow highlights non-GAAP gross margin, non-GAAP operating expenses, non-GAAP net loss and Adjusted EBITDA, which exclude stock-based compensation and certain other items. Management believes these measures provide better visibility into underlying operating performance and comparability with peers using similar non-GAAP metrics.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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false000146452100014645212026-08-132026-08-13

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): August 13, 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)

______________________

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 August 13, 2026, Heartflow, Inc. issued a press release regarding its financial results for the quarter ended June 30, 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 August 13, 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: August 13, 2026

By:

/s/ Vikram Verghese

Vikram Verghese

Chief Financial Officer

Exhibit 99.1

 

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

SAN FRANCISCO  August 13, 2026  Heartflow, Inc. (Heartflow) (Nasdaq: HTFL), the leader in AI technology for diagnosing coronary artery disease (CAD), today reported financial results for the second quarter ended June 30, 2026.



Second Quarter 2026 Highlights

·

Total revenue of $64.1 million, a 48% increase year-over-year

·

Gross margin of 83.0%, non-GAAP gross margin of 83.3%

·

Net operating loss of $17.9 million; non-GAAP net operating loss of $7.9 million



2026 Annual Guidance

·

Total revenue of $246 million to $250 million (approximately 40% to 42% growth year-over-year), compared to previous guidance of $228 million to $232 million (approximately 29% to 32% growth year-over-year)

·

Non-GAAP gross margin of approximately 82%, compared to previous guidance of approximately 81%



"The second quarter reflects the growing strength of Heartflow's category leadership and unique AI technology platform for identifying, diagnosing, managing and treating coronary artery disease," said John Farquhar, President and CEO of Heartflow. "The CCTA market for detecting CAD continues to grow rapidly and remains significantly under-penetrated, providing a strong backdrop for continued growth. Our FFRCT business remains strong and durable, while Plaque is rapidly emerging as a meaningful second growth engine — helping us win new accounts, deepen physician utilization and expand the value of the Heartflow platform for our customers. At the same time, record gross margin and improving operating leverage demonstrate the increasing scalability of our model, giving us greater confidence in long-term, profitable growth."



Second Quarter 2026 Financial Results

Total revenue was $64.1 million, a 48% increase year-over-year. U.S. revenue was $59.6 million, a 51% increase year-over-year. International and other revenue was $4.5 million, a 12% increase year-over-year. The year-over-year increase in total global revenue was primarily attributable to an increase in total U.S. FFRCT revenue case volume and an increase in total U.S. Plaque revenue case volume.

Gross profit was $53.2 million, compared to $32.8 million in the prior year period. Non-GAAP gross profit was $53.4 million, compared to $32.8 million in the prior year period.

Gross margin was 83.0%, compared to 75.5% in the prior year period. Non-GAAP gross margin was 83.3%, compared to 75.6% in the prior year period. The year-over-year gross margin expansion was primarily attributable to an increase in total revenue case volume, an


 

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increase in total U.S. Plaque revenue case volume, and improved production team productivity driven by AI efficiency initiatives, partially offset by the hiring and training of production team personnel.

Total operating expenses were $71.1 million, or 111% of total revenue, compared to $46.5 million, or 107% of total revenue, in the prior year period. Non-GAAP total operating expenses were $61.3 million, or 96% of total revenue, compared to $44.3 million, or 102% 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 $17.9 million, compared to $13.7 million in the prior year period. Non-GAAP net operating loss was $7.9 million, compared to $11.5 million in the prior year period.

Net loss was $15.7 million, or ($0.18) net loss per share, compared to $9.2 million, or ($1.46) net loss per share, in the prior year period. Non-GAAP net loss was $5.8 million, or ($0.07) non-GAAP net loss per share, compared to $17.6 million, or ($2.79) non-GAAP net loss per share, in the prior year period.

Adjusted EBITDA was ($6.7) million, compared to ($10.1) million in the prior year period.

Cash, cash equivalents and investments totaled $246.8 million as of June 30, 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, August  13, 2026, at 1:30 p.m. PT / 4:30 p.m. ET to discuss its second 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 more than 750,000 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


 

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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

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. 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, certain litigation expenses 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,

certain litigation expenses, 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


 

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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 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, market conditions, 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 two products, Heartflow FFRCT Analysis and Heartflow Plaque 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


 

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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



_________________________

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

2    Narula, et al. EHJ 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)

 


 

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Heartflow, Inc.

Consolidated Statements of Operations Data

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









 

 

 

 

 

 

 

 

 

 

 

 



 

Three Months Ended

 

Six Months Ended



 

June 30,

 

June 30,



 

 

2026

 

 

2025

 

 

2026

 

 

2025



 

 

 

 

 

 

 

 

 

 

 

 

Revenue

 

$

64,082 

 

$

43,424 

 

$

116,669 

 

$

80,629 

Cost of revenue

 

 

10,892 

 

 

10,646 

 

 

21,315 

 

 

19,910 

Gross profit

 

 

53,190 

 

 

32,778 

 

 

95,354 

 

 

60,719 

Operating Expenses:

 

 

 

 

 

 

 

 

 

 

 

 

Research and development

 

 

26,261 

 

 

15,032 

 

 

47,881 

 

 

28,956 

Selling, general and administrative

 

 

44,829 

 

 

31,461 

 

 

87,395 

 

 

62,980 

Asset impairment charge

 

 

-

 

 

-

 

 

7,482 

 

 

-

Total operating expenses

 

 

71,090 

 

 

46,493 

 

 

142,758 

 

 

91,936 

Loss from operations

 

 

(17,900)

 

 

(13,715)

 

 

(47,404)

 

 

(31,217)

Interest income

 

 

2,305 

 

 

635 

 

 

4,769 

 

 

1,178 

Interest expense

 

 

-

 

 

(6,621)

 

 

(3)

 

 

(11,714)

Change in fair value of common stock warrant liability

 

 

-

 

 

(863)

 

 

-

 

 

(2,469)

Change in fair value of derivative liability

 

 

-

 

 

11,538 

 

 

-

 

 

2,493 

Other income (expense), net

 

 

(126)

 

 

(111)

 

 

(440)

 

 

247 

Loss before provision for income taxes

 

 

(15,721)

 

 

(9,137)

 

 

(43,078)

 

 

(41,482)

Provision for income taxes

 

 

(22)

 

 

(59)

 

 

(45)

 

 

(59)

Net loss

 

$

(15,743)

 

$

(9,196)

 

$

(43,123)

 

$

(41,541)

Comprehensive loss:

 

 

 

 

 

 

 

 

 

 

 

 

Net loss

 

$

(15,743)

 

$

(9,196)

 

$

(43,123)

 

$

(41,541)

Other comprehensive loss:

 

 

 

 

 

 

 

 

 

 

 

 

Foreign currency translation gain (loss)

 

 

(9)

 

 

291 

 

 

253 

 

 

55 

Unrealized loss on investments, net

 

 

(204)

 

 

-

 

 

(726)

 

 

-

Total other comprehensive loss

 

 

(213)

 

 

291 

 

 

(473)

 

 

55 

Total comprehensive loss

 

$

(15,956)

 

$

(8,905)

 

$

(43,596)

 

$

(41,486)



 

 

 

 

 

 

 

 

 

 

 

 

Net loss per share, basic and diluted

 

$

(0.18)

 

$

(1.46)

 

$

(0.50)

 

$

(6.66)

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

 

 

86,398,778 

 

 

6,316,315 

 

 

86,021,323 

 

 

6,240,885 

 


 

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Heartflow, Inc.

Consolidated Balance Sheets Data

(unaudited, in thousands)













 

 

 

 

 

 



 

June 30,

 

December 31,



 

2026

 

2025

Assets

 

 

 

 

 

 

Current assets

 

 

 

 

 

 

Cash and cash equivalents

 

$

34,362 

 

$

44,776 

Short-term investments

 

 

128,189 

 

 

132,010 

Accounts receivable, net

 

 

42,761 

 

 

29,343 

Prepaid expenses and other current assets

 

 

18,657 

 

 

14,075 

Total current assets

 

 

223,969 

 

 

220,204 

Long-term investments

 

 

84,289 

 

 

103,365 

Property and equipment, net

 

 

9,646 

 

 

8,587 

Operating lease right-of-use assets

 

 

15,236 

 

 

17,488 

Restricted cash, non-current

 

 

4,702 

 

 

4,709 

Other non-current assets

 

 

6,621 

 

 

5,099 

Total assets

 

$

344,463 

 

$

359,452 



 

 

 

 

 

 

Liabilities and stockholders' equity

 

 

 

 

 

 

Current liabilities

 

 

 

 

 

 

Accounts payable

 

$

4,937 

 

$

3,169 

Accrued expenses and other current liabilities

 

 

32,367 

 

 

33,279 

Operating lease liabilities, current portion

 

 

6,784 

 

 

5,922 

Total current liabilities

 

 

44,088 

 

 

42,370 

Operating lease liabilities, non-current portion

 

 

20,343 

 

 

16,132 

Other non-current liabilities

 

 

305 

 

 

303 

Total liabilities

 

 

64,736 

 

 

58,805 

Stockholders’ equity

 

 

 

 

 

 

Preferred stock, $0.001 par value

 

 

-

 

 

-

Common stock, $0.001 par value

 

 

87 

 

 

85 

Additional paid-in capital

 

 

1,411,411 

 

 

1,388,737 

Accumulated other comprehensive loss

 

 

(898)

 

 

(425)

Accumulated deficit

 

 

(1,130,873)

 

 

(1,087,750)

Total stockholders’ equity

 

 

279,727 

 

 

300,647 

Total liabilities and stockholders’ equity

 

$

344,463 

 

$

359,452 


 

Picture 1

 

Heartflow, Inc.

GAAP to Non-GAAP Reconciliations

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









 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



 

 

Three Months Ended June 30, 2026

 

 

Three Months Ended June 30, 2025



 

 

GAAP

 

 

Adjustments

 

 

Non-GAAP

 

 

GAAP

 

 

Adjustments

 

 

Non-GAAP



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gross profit

 

$

53,190 

 

$

173 

(a)

$

53,363 

 

$

32,778 

 

$

45 

(a)

$

32,823 

Gross margin

 

 

83.0% 

 

 

0.3% 

 

 

83.3% 

 

 

75.5% 

 

 

0.1% 

 

 

75.6% 



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating Expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Research and development

 

$

26,261 

 

$

(2,732)

(a)

$

23,529 

 

$

15,032 

 

$

(381)

(a)

$

14,651 

Selling, general and administrative

 

$

44,829 

 

$

(7,071)

(b)

$

37,758 

 

$

31,461 

 

$

(1,827)

(a)

$

29,634 

Total operating expenses

 

$

71,090 

 

$

(9,803)

 

$

61,287 

 

$

46,493 

 

$

(2,208)

 

$

44,285 



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Loss from operations

 

$

(17,900)

 

$

9,976 

 

$

(7,924)

 

$

(13,715)

 

$

2,253 

 

$

(11,462)



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net loss

 

$

(15,743)

 

$

9,976 

(c)

$

(5,767)

 

$

(9,196)

 

$

(8,422)

(d)

$

(17,618)

Net loss per share, basic and diluted

 

$

(0.18)

 

$

0.11 

 

$

(0.07)

 

$

(1.46)

 

$

(1.33)

 

$

(2.79)



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

(b)Represents adjustments for: (i) stock-based compensation expense of $5.0 million; and (ii) certain litigation expenses of $2.1 million

(c)Represents adjustments for: (i) stock-based compensation expense of $7.9 million; and (ii) certain litigation expenses of $2.1 million

(d)    Represents adjustments for: (i) stock-based compensation expense of $2.3 million; (ii) change in fair value of common stock warrant liability of $0.9 million; and (iii) change in fair value of derivative liability of $11.5 million









 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



 

 

Six Months Ended June 30, 2026

 

 

Six Months Ended June 30, 2025



 

 

GAAP

 

 

Adjustments

 

 

Non-GAAP

 

 

GAAP

 

 

Adjustments

 

 

Non-GAAP



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gross profit

 

$

95,354 

 

$

340 

(a)

$

95,694 

 

$

60,719 

 

$

102 

(a)

$

60,821 

Gross margin

 

 

81.7% 

 

 

0.3% 

 

 

82.0% 

 

 

75.3% 

 

 

0.1% 

 

 

75.4% 



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating Expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Research and development

 

$

47,881 

 

$

(4,871)

(a)

$

43,010 

 

$

28,956 

 

$

(928)

(a)

$

28,028 

Selling, general and administrative

 

$

87,395 

 

$

(11,736)

(b)

$

75,659 

 

$

62,980 

 

$

(3,715)

(a)

$

59,265 

Asset impairment charge

 

$

7,482 

 

$

(7,482)

 

$

-

 

$

-

 

$

-

 

$

-

Total operating expenses

 

$

142,758 

 

$

(24,089)

 

$

118,669 

 

$

91,936 

 

$

(4,643)

 

$

87,293 



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Loss from operations

 

$

(47,404)

 

$

24,429 

 

$

(22,975)

 

$

(31,217)

 

$

4,745 

 

$

(26,472)



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net loss

 

$

(43,123)

 

$

24,429 

(c)

$

(18,694)

 

$

(41,541)

 

$

4,721 

(d)

$

(36,820)

Net loss per share, basic and diluted

 

$

(0.50)

 

$

0.28 

 

$

(0.22)

 

$

(6.66)

 

$

0.76 

 

$

(5.90)



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

(b)Represents adjustments for: (i) stock-based compensation expense of $9.3 million; (ii) certain litigation expenses of $2.5 million; and (iii) asset impairment charge of $7.5 million

(c)Represents adjustments for: (i) stock-based compensation expense of $14.5 million; (ii) certain litigation expenses of $2.5 million; and (iii) asset impairment charge of $7.5 million

(d)    Represents adjustments for: (i) stock-based compensation expense of $4.7 million; (ii) change in fair value of common stock warrant liability of $2.5 million; and (iii) change in fair value of derivative liability of $2.5 million



 


 

Picture 1

 



Heartflow, Inc.

Reconciliation of GAAP Net Loss to Adjusted EBITDA

(unaudited, in thousands)







 

 

 

 

 

 

 

 

 

 

 

 



 

Three Months Ended

 

Six Months Ended



 

June 30,

 

June 30,



 

2026

 

2025

 

2026

 

2025



 

 

 

 

 

 

 

 

 

 

 

 

GAAP net loss

 

$

(15,743)

 

$

(9,196)

 

$

(43,123)

 

$

(41,541)

Non-GAAP adjustments:

 

 

 

 

 

 

 

 

 

 

 

 

Interest (income) expense, net

 

 

(2,305)

 

 

5,986 

 

 

(4,766)

 

 

10,536 

Asset impairment charge

 

 

-

 

 

-

 

 

7,482 

 

 

-

Change in fair value of common stock warrant liability

 

 

-

 

 

863 

 

 

-

 

 

2,469 

Change in fair value of derivative liability

 

 

-

 

 

(11,538)

 

 

-

 

 

(2,493)

Other (income) expense, net

 

 

126 

 

 

111 

 

 

440 

 

 

(247)

Provision for income taxes

 

 

22 

 

 

59 

 

 

45 

 

 

59 

Certain litigation expenses

 

 

2,064 

 

 

-

 

 

2,481 

 

 

-

Depreciation and amortization

 

 

1,220 

 

 

1,395 

 

 

2,643 

 

 

2,767 

Stock-based compensation expense

 

 

7,912 

 

 

2,253 

 

 

14,466 

 

 

4,745 

Adjusted EBITDA

 

$

(6,704)

 

$

(10,067)

 

$

(20,332)

 

$

(23,705)




Filing Exhibits & Attachments

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