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Picard Medical (NYSE: PMI) maps growth, NYSE compliance plan and voting proposals

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

Rhea-AI Filing Summary

Picard Medical, Inc. used a pre-recorded presentation for its 2026 Annual Meeting to update stockholders on business performance, product development, and voting proposals. Management reported first-quarter revenue growth of 85% year over year and a 28% improvement in gross margin, with U.S. revenue up 116% and representing most product revenue. The company is advancing its next-generation Emperor Total Artificial Heart platform, aiming to eliminate external pneumatic drivers and support internal power, wireless control, and transcutaneous energy transfer, supported by several issued patents. The development roadmap targets an FDA Breakthrough Device submission in 2026, GLP animal studies in 2027, IDE submission in 2028, and an early feasibility U.S. clinical study in 2029. Picard detailed a capital structure with slightly more than 92 million shares outstanding and a fully diluted share count of slightly more than 118 million. Stockholders are asked to vote on six proposals, including director elections, a reverse stock split in a range of 1-for-15 to 1-for-50 to help address New York Stock Exchange listing requirements, creation of a high-vote Class B common stock with 20 votes per share, auditor ratification, and advisory votes on executive compensation and its frequency.

Positive

  • Rapid revenue and margin growth: First-quarter revenue grew 85% year over year, U.S. revenue rose 116%, and gross margin improved 28%, indicating strong near-term commercial momentum.
  • Clear multi-year development roadmap: The Emperor Total Artificial Heart platform has defined milestones through 2029, including Breakthrough Device designation, GLP animal studies, IDE submission, and an early feasibility clinical study.

Negative

  • NYSE listing compliance concerns: The company received two written notices from the New York Stock Exchange for not meeting the Section 1003(a)(i) stockholders’ equity requirement of $4 million, with a compliance plan extending to November 8, 2027.
  • Potential reverse stock split: The board seeks authority for a 1-for-15 to 1-for-50 reverse stock split to help satisfy continued listing requirements, which may affect share count and trading dynamics.
  • Introduction of high-vote Class B shares: Proposal Three would authorize 15 million Class B common shares with 20 votes per share, which could increase the relative voting power of future Class B holders versus existing common stockholders.

Insights

Strong growth and R&D progress, but NYSE compliance issues and governance shifts add risk.

Picard Medical reported 85% year-over-year revenue growth in the first quarter and a 28% gross margin improvement, with U.S. revenue up 116%. This suggests growing commercial traction for its artificial heart platform while it advances a next-generation fully implantable system with multiple issued patents and a clear multi-year FDA roadmap.

At the same time, the company disclosed written notices from the New York Stock Exchange for not meeting the $4 million stockholders’ equity requirement under Section 1003(a)(i) and described a compliance plan running through November 8, 2027. To support continued listing, the board is seeking authority for a reverse stock split between 1-for-15 and 1-for-50.

Governance and capital structure could change meaningfully if stockholders approve creating Class B common stock with 20 votes per share and authorizing 15 million such shares. That structure would allow future issuances that concentrate voting power relative to existing common stock. Overall, the combination of NYSE compliance pressure, potential reverse split, and dual-class voting authority makes this filing materially important for investors.

Item 8.01 Other Events Other
Voluntary disclosure of events the company deems important to shareholders but not covered by other items.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
Revenue growth 85% year-over-year First quarter revenue growth highlighted in presentation
Gross margin improvement 28% First quarter gross margin improvement
U.S. revenue growth 116% First quarter U.S. revenue year-over-year increase
Shares outstanding Slightly more than 92 million shares Current common shares outstanding in capitalization table
Fully diluted share count Slightly more than 118 million shares Includes warrants and equity incentive plan shares
NYSE equity requirement $4 million stockholders’ equity Section 1003(a)(i) threshold cited in NYSE notice
Reverse split range 1-for-15 to 1-for-50 Board’s requested authority for common stock reverse split
Proposed Class B authorization 15 million shares, 20 votes each New Class B common stock with enhanced voting rights
reverse stock split financial
"effect a reverse stock split of our outstanding common stock at a ratio ranging from 1-for-15 to 1-for-50"
A reverse stock split reduces a company's number of outstanding shares while raising the price per share proportionally, so the total value of each investor's holding is unchanged; a 1-for-10 split turns 100 shares worth $1 each into 10 shares worth $10 each. Companies often do this to regain compliance with an exchange's minimum price rule or to attract investors who avoid very low-priced stocks.
Class B common stock financial
"creating a new class of Class B common stock consisting of 15 million authorized shares"
A class B common stock is one of multiple types of a company’s ordinary shares that carries specific rights—often different voting power or dividend priority—compared with other classes. For investors it matters because those differences affect how much influence you have over company decisions, the income you might receive, and how freely the shares trade; think of it like owning a car with different keys: some keys let you start the engine and open the trunk, others only unlock the door.
FDA Breakthrough Device designation regulatory
"we expect to submit an application for FDA Breakthrough Device designation"
A FDA Breakthrough Device Designation is a U.S. regulatory status that gives certain medical devices faster and more flexible review because they may offer more effective treatment or diagnosis for unmet medical needs. Think of it as a “fast lane” through the regulatory process that can shorten development time and reduce regulatory uncertainty, which matters to investors because it can accelerate potential revenue, lower time-to-market risk, and make a product more attractive—while not guaranteeing final approval or commercial success.
Good Laboratory Practice (GLP) animal studies technical
"In 2027, we expect to reach design freeze and initiate Good Laboratory Practice (GLP) animal studies"
Investigational Device Exemption (IDE) regulatory
"In 2028, we expect to complete verification and validation testing and submit an application for an FDA Investigational Device Exemption (IDE)"
An investigational device exemption (IDE) is a regulatory permission that allows a medical device to be used in clinical studies so companies can gather safety and effectiveness data before full market approval. For investors, an IDE is a key milestone because it lets a company test real-world performance and move toward commercial clearance or approval—much like a trial run that, if successful, can unlock larger revenue opportunities and reduce regulatory risk.
Total Artificial Heart medical
"development of our next-generation Total Artificial Heart platform, Emperor"
A total artificial heart is a surgically implanted mechanical device that replaces the heart’s two main pumping chambers and takes over circulation, acting like a continuous pump that keeps blood moving through the body. Investors care because it is a high-cost, high-stakes medical product whose commercial success depends on clinical trial results, regulatory approvals, hospital adoption, reimbursement rules and long-term patient outcomes — factors that drive revenue potential and risk.
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Learn about SEC filing dates
false 0002030617 0002030617 2026-07-02 2026-07-02
 


 
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): July 2, 2026
 
Picard Medical, Inc.
(Exact name of registrant as specified in its charter)
 
Delaware
 
001-42801
 
86-3212894
(State or other jurisdiction
of incorporation)
 
(Commission
File Number)
 
(IRS Employer
Identification No.)
 
1992 E Silverlake
TucsonAZ 85713
(Address of principal executive offices, including zip code)
 
Registrant’s telephone number, including area code: (520) 545-1234
 
Not Applicable
(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, par value $0.0001 per share
 
PMI
 
The NYSE American, LLC
 
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 
 
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 8.01 Other Events. 
 
As previously disclosed in Picard Medical, Inc.'s (the "Company") Current Report on Form 8-K filed on July 2, 2026, the Company published a pre-recorded presentation (the “Presentation”) providing stockholders with an overview of the Company's recent business performance, product development progress, manufacturing initiatives, and the proposals to be considered at the Company's 2026 Annual Meeting of Stockholders, scheduled for July 17, 2026. The Presentation is incorporated herein by reference. A copy of the transcript for the Presentation is attached hereto as Exhibit 99.1 and is incorporated herein by reference.
 
Item 9.01. Financial Statements and Exhibits.
 
(d) Exhibits
 
The following exhibits are being filed herewith:
 
Exhibit No.
 
Description
99.1
 
Presentation transcript (July 2, 2026)
104
 
Cover Page Interactive Data File (embedded within the Inline XBRL document)
 
1

 
SIGNATURE
 
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.
 
 
Picard Medical, Inc.
   
 
By:
/s/ Georgina Smith
  Name: Georgina Smith
 
  Title:
Chief Accounting Officer
 
 
 
Dated: July 2, 2026
 
2

Exhibit 99.1

 

Transcript of Pre-Recorded Presentation Regarding the 2026 Annual Meeting of Stockholders

 

PMI 2026 Annual Stockholder Meeting Business Update Transcript

 

Richard Fang, Interim Chief Executive Officer:

 

Hello, everybody.

 

Welcome to the 2026 Annual Meeting.

 

[Slide]

 

Please take your time to read the Forward-Looking Statements and our disclaimer. They are all part of the proxy filing.

 

[Slide]

 

Today, Matt and Georgina will provide business updates and share information regarding product development and the business.

 

There have been quite a few changes to our management over the past couple of months, particularly a couple of weeks ago when I assumed the role of Interim Chief Executive Officer after Patrick left the position.

 

However, we continue to have a strong team. We remain committed to our mission, as you will see later in today's presentation regarding business operations and other company matters.

 

[Slide]

 

Today, we will cover updates on the business, product development, and the proposals that stockholders will be voting on.

 

As I mentioned, we remain committed to our mission and vision. Our mission has always been to develop a fully implantable artificial heart that can serve as an alternative to heart transplantation. That has been our mission since we began this journey in 2021, and it remains our mission today.

 

We have a strong team, and we have achieved encouraging results regarding our next-generation driver technology, which you will hear more about later in the presentation.

 

[Slide]

 

During the first quarter, we achieved 85% year-over-year revenue growth.

 

We also improved our gross margin by 28%.

 

U.S. revenue increased by 116%, representing the majority of the Company's product revenue.

 

We made significant progress in our driver technologies, including both our pneumatic platform and our fully implantable drive technology, which Matt will discuss in greater detail.

 

At the same time, we continue working with our partners to bring key manufacturing processes in-house to improve quality control and manufacturing capacity.

 

We also continue collaborating with our partners to improve gross margins and maintain a resilient supply chain.

 

[Slide]

 

Our current capitalization table is as follows:

 

We have total shares outstanding of slightly more than 92 million shares.

 

Outstanding warrants represent approximately 7.7 million shares.

 

Our equity incentive plan includes 18 million shares.

 

Accordingly, our fully diluted share count is slightly more than 118 million shares.

 

We have authorized 300 million shares of common stock and 30 million shares of preferred stock.

 

Additional information is available in the proxy filing.

 

[Slide]

 

I will now turn the presentation over to Matt to discuss manufacturing and product development.

 

Matt?


 

 

 

Matt, Product Development:

 

Thanks, Richard.

 

As we continue optimizing manufacturing, we remain focused on lowering manufacturing costs, reducing component obsolescence risk, and maintaining tighter control over key components.

 

[Slide]

 

With respect to development of our next-generation Total Artificial Heart platform, Emperor, we are developing a system designed to eliminate external pneumatic drivers altogether.

 

This represents a significant advancement in patient quality of life.

 

The system consists of the Emperor drive system and the SynCardia Total Artificial Heart ventricle.

 

We are not changing the blood-contacting surfaces of the pump. Rather, we are updating the drive system to eliminate the external drivers.

 

This approach preserves the surgical placement and physiologic performance of the current system while supporting internal power systems, wireless control, and transcutaneous energy transfer.

 

This is particularly exciting because we are already operating within the power consumption range necessary to enable energy transfer through the skin.

 

The system is intended to improve long-term patient mobility and overall quality of life.

 

Currently, we have three issued U.S. patents and one issued Chinese patent covering this technology, with multiple additional patent applications in progress.

 

[Slide]

 

Regarding our development roadmap:

 

During the remainder of 2026, we expect to submit an application for FDA Breakthrough Device designation.

 

We will continue our acute animal studies, which have demonstrated continued positive results.

 

We will also continue design iterations and reliability testing.

 

In 2027, we expect to reach design freeze and initiate Good Laboratory Practice (GLP) animal studies.

 

In 2028, we expect to complete verification and validation testing and submit an application for an FDA Investigational Device Exemption (IDE).

 

Finally, in 2029, we expect to initiate an early feasibility clinical study in the United States.

 

[Slide]

 

Georgina?


 

 

 

Georgina, Legal/Corporate:

 

Items for Stockholder Approval

 

Proposal One

 

Proposal One is the election of directors.

 

All four directors are nominated to serve one-year terms expiring at the 2027 Annual Meeting of Stockholders and until their respective successors are duly elected and qualified.

 

The four director nominees are Dr. Joe Sha, Dr. Richard Fang, Van Van, and George Yay.

 

The composition of our Board reflects the Company's belief that multiple and varied points of view facilitate balanced and wide-ranging discussion in the boardroom and contribute to effective decision-making.

 

The Board unanimously recommends a vote FOR the election of each of these nominees.

 

Proposal Two

 

Proposal Two requests stockholder approval of an amendment to our Certificate of Incorporation that would authorize our Board of Directors, in its discretion, to effect a reverse stock split of our outstanding common stock at a ratio ranging from 1-for-15 to 1-for-50, with the exact ratio and timing to be determined by the Board.

 

The reverse stock split would reduce the number of outstanding shares of common stock while proportionately increasing the per-share trading price.

 

This proposal is intended to provide the Company with flexibility to assist in satisfying the continued listing requirements of the New York Stock Exchange.

 

Earlier this year, we received written notice from the New York Stock Exchange that the Company was not in compliance with Section 1003(a)(i), which requires listed companies to maintain stockholders' equity of at least $4 million if losses from continuing operations and/or net losses have been reported in three of the four most recent fiscal years.

 

On May 15, 2026, we received a second written notice from the New York Stock Exchange.

 

As required, we timely submitted a compliance plan outlining the steps we intend to take to regain compliance by November 8, 2027.

 

Proposal Three

 

Proposal Three requests approval of an amendment to the Company's Certificate of Incorporation creating a new class of Class B common stock consisting of 15 million authorized shares.

 

Each share of Class B common stock would be entitled to 20 votes per share on matters submitted to stockholders for approval.

 

The Board believes this amendment would provide additional flexibility in structuring future equity issuances, strategic transactions, and financing arrangements that may support the Company's long-term strategic objectives.

 

Please note that because Class B common stock would carry enhanced voting rights, any future issuance of Class B common stock could increase the relative voting power of holders of Class B common stock compared to holders of the Company's existing common stock.

 

[Slide]

 

Proposal Four

 

Proposal Four requests ratification of the appointment of MaloneBailey, LLP as the Company's independent registered public accounting firm for fiscal year 2026.

 

The Audit Committee has appointed MaloneBailey, LLP as the Company's independent registered public accounting firm for 2026, and the Board recommends that stockholders ratify that appointment.

 

Representatives of MaloneBailey are expected to attend the Annual Meeting virtually, will have an opportunity to make a statement, and will be available to respond to appropriate questions.

 

Audit fees for the fiscal years ended 2025 and 2024 were approximately $621,000 and $511,000, respectively.

 

Proposal Five

 

Proposal Five is an advisory vote to approve the compensation of our named executive officers.

 

Although this advisory vote is non-binding on the Company and the Board of Directors, we value the opinions of our stockholders and will consider the outcome of the vote when making future executive compensation decisions.

 

Proposal Six

 

Proposal Six is an advisory vote regarding the frequency of future advisory votes on executive compensation.

 

Our Board has determined that holding an advisory vote each year is the most appropriate approach for the Company and its stockholders.

 

In reaching this recommendation, the Board considered that annual advisory votes provide stockholders with timely and direct input regarding our executive compensation policies, programs, and practices.

 

[Slide]

 

As a reminder, our 2026 Annual Meeting of Stockholders will be held on July 17, 2026, at 6:00 p.m. Eastern Time.

 

A hyperlink to access the meeting will be included in the SEC filing and is also provided here.

 

There are three methods to vote.

 

You may vote via the Internet, by telephone, or during the Annual Meeting.

 

Mobile voting is also available for stockholders using a smartphone or tablet.

 

Thank you very much.

 

 

FAQ

What key business results did Picard Medical (PMI) highlight in this presentation?

Picard Medical reported strong momentum, with first-quarter revenue up 85% year over year and gross margin improving 28%. U.S. revenue grew 116% and represented most product revenue, underscoring growing domestic adoption of its artificial heart technologies and related systems.

What is Picard Medical’s Emperor Total Artificial Heart platform?

The Emperor platform is a next-generation Total Artificial Heart system designed to eliminate external pneumatic drivers. It combines the Emperor drive system with the SynCardia ventricle, supports internal power and wireless control, and targets improved mobility using transcutaneous energy transfer and existing blood-contacting surfaces.

How is Picard Medical (PMI) planning its FDA regulatory pathway?

Picard expects to seek FDA Breakthrough Device designation in 2026, continue positive acute animal studies, and refine design and reliability. In 2027 it targets GLP animal studies, in 2028 verification, validation, and IDE submission, and in 2029 an early feasibility clinical study in the United States.

What does the reverse stock split proposal mean for Picard Medical shareholders?

Proposal Two would authorize the board to implement a reverse split between 1-for-15 and 1-for-50 of outstanding common stock. This would reduce share count and raise the per-share price, helping the company address New York Stock Exchange continued listing requirements it has struggled to meet.

Why did Picard Medical (PMI) receive notices from the New York Stock Exchange?

The New York Stock Exchange notified Picard that it was not in compliance with Section 1003(a)(i), which requires stockholders’ equity of at least $4 million after multiple years of losses. A second notice followed, and Picard submitted a compliance plan running through November 8, 2027.

What is Picard Medical’s proposed Class B common stock and why is it important?

Proposal Three would create 15 million authorized Class B common shares, each with 20 votes. This class is intended to provide flexibility for future equity issuances and strategic transactions, but any Class B issuance could increase the voting power of Class B holders relative to existing common stockholders.

What governance and audit matters will Picard Medical (PMI) stockholders vote on?

Stockholders will vote on electing four directors to one-year terms, ratifying MaloneBailey, LLP as auditor for 2026, approving executive compensation on an advisory basis, and choosing the frequency of future advisory votes, with the board recommending annual say-on-pay votes for ongoing feedback.

Filing Exhibits & Attachments

5 documents