STOCK TITAN

Picard Medical (NYSE: PMI) posts Q1 2026 loss amid NYSE equity deficiency

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

Rhea-AI Filing Summary

Picard Medical, Inc. reported first quarter 2026 results showing rapid top-line growth but continued losses and listing pressure. Revenue grew 85% to $1.2 million, driven by increased use of the SynCardia Total Artificial Heart and Freedom Driver rentals. Gross profit turned positive at $0.3 million with a 24% margin, versus a gross loss in Q1 2025, while net loss was $7.6 million including significant non-cash debt-related charges.

The company materially reduced leverage by repaying about $7.4 million of a senior secured note in cash, settling $2.1 million of principal with 1.4 million common shares, and repaying roughly $0.9 million of related-party debt. A subsequent May 2026 public offering raised $5.0 million and a warrant exchange cut the warrant liability and simplified the capital structure.

Separately, NYSE American notified Picard that it is below two stockholders’ equity listing standards, citing a $3.8 million equity balance as of December 31, 2025 and an approximately $(1.4) million stockholders’ deficit as of March 31, 2026. The company must submit a compliance plan by June 7, 2026 to regain compliance by November 8, 2027. The stock continues trading as PMI with a “.BC” below-compliance flag while operations and SEC reporting continue.

Positive

  • Revenue acceleration and margin improvement: Q1 2026 revenue grew 85% to $1.2 million and gross profit turned positive at $0.3 million with a 24% margin, versus a gross loss and negative margin a year earlier.
  • Meaningful debt reduction and capital raise: The company repaid roughly $7.4 million of senior secured debt in cash, settled $2.1 million into 1.4 million shares, repaid $0.9 million of related-party debt, and raised $5.0 million in a public offering, significantly lowering leverage.

Negative

  • Stockholders’ deficit and NYSE listing deficiency: The company reported a stockholders’ deficit of about $(1.4) million as of March 31, 2026 and received NYSE American notices for failing equity-based continued listing standards, introducing potential delisting risk if compliance is not restored by November 8, 2027.
  • Continued net losses: Despite stronger revenue and positive gross profit, the company recorded a Q1 2026 net loss of $7.6 million, reflecting that it remains unprofitable even after non-cash debt-related adjustments.

Insights

Strong growth and deleveraging are offset by equity deficits and listing risk.

Picard Medical delivered an 85% revenue increase to $1.2 million and swung gross profit to $0.3 million at a 24% margin. These results suggest improving unit economics as utilization of the SynCardia Total Artificial Heart and Freedom Driver rentals scales.

At the same time, the company undertook sizable balance sheet actions, repaying about $7.4 million of senior secured debt in cash, converting $2.1 million to 1.4 million shares, and raising $5.0 million in a public offering. A warrant exchange reduced ratchet complexity and lowered the warrant liability to roughly $4.7 million, which simplifies capital structure but also reflects stock price and volatility changes.

The key risk is compliance with NYSE American equity standards. A stockholders’ deficit of approximately $(1.4) million as of March 31, 2026 and prior $3.8 million equity as of December 31, 2025 triggered two deficiency notices. The company must file a viable plan by June 7, 2026 and achieve compliance by November 8, 2027 to avoid delisting procedures, so future filings around this plan will be important for understanding longer-term listing status.

Item 2.02 Results of Operations and Financial Condition Financial
Disclosure of earnings results, typically an earnings press release or preliminary financials.
Item 3.01 Notice of Delisting or Failure to Satisfy a Continued Listing Rule or Standard; Transfer of Listing Securities
The company received a delisting notice or transferred its listing to a different exchange.
Item 7.01 Regulation FD Disclosure Disclosure
Material non-public information disclosed under Regulation Fair Disclosure, often investor presentations or guidance.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
Q1 2026 revenue $1.2 million 85% growth vs Q1 2025
Q1 2026 gross profit $0.3 million 24% gross margin; prior-year gross loss
Q1 2026 net loss $7.6 million Includes non-cash debt settlement and fair value adjustments
Senior secured note cash repayment $7.4 million Principal repaid during Q1 2026
Senior note equity settlement $2.1 million / 1.4 million shares Principal converted to common stock
May 2026 public offering $5.0 million Gross proceeds raised after quarter-end
Stockholders’ deficit $(1.4) million As of March 31, 2026; below NYSE equity standards
Warrant liability $4.7 million Down from $7.8 million during the quarter
stockholders’ equity financial
"requires a listed company to have stockholders’ equity of at least of $2.0 million"
Stockholders’ equity is the portion of a company’s value that belongs to its owners after subtracting what the company owes from what it owns — like the equity in a house after paying the mortgage. For investors it shows the company’s net worth and can indicate financial strength, a cushion against losses, and the amount potentially available to support dividends or reinvestment; tracking changes helps assess whether the business is building or eroding owner value.
NYSE American Company Guide regulatory
"not in compliance with the NYSE American continued listing standards set forth in Section 1003(a)(i) of the NYSE American Company Guide"
A handbook of rules and requirements that govern companies listed on the NYSE American market, covering eligibility to list, ongoing disclosure duties, corporate governance expectations, and trading practices. It matters to investors because it sets the minimum standards companies must meet to join and remain on that exchange — like a routine safety inspection that signals basic reliability and transparency — helping investors judge regulatory compliance, quality of public information, and potential risks to a stock’s value.
Senior Secured Note financial
"repayed approximately $7.4 million of a senior secured note due 2028 (the “Senior Secured Note”)"
A senior secured note is a debt instrument that ranks high in repayment priority and is backed by specific company assets as collateral, giving holders a legal claim on those assets if the issuer defaults. For investors, that makes these notes generally safer than unsecured or junior debt — like having a lien on a car when you borrow — so they usually pay lower interest but offer better chances of recovering capital in a bankruptcy.
warrant liability financial
"The warrant liability decreased from approximately $7.8 million to approximately $4.7 million"
Warrant liability is the financial obligation a company records when it grants warrants—special options giving the holder the right to buy company shares at a set price in the future. It matters to investors because changes in this liability can affect a company's reported earnings and overall financial health, similar to how a pending contract can influence a company's future value.
warrant exchange agreement financial
"entered into a warrant exchange agreement replacing 7.0 million existing warrants"
A warrant exchange agreement is a deal where holders of warrants agree to trade those warrants for different securities or new terms — for example new warrants, shares, cash, or a change to the price or expiration date at which the warrant can be used to buy stock. Investors care because the swap changes how many shares may exist and the potential value of their holdings; like trading one coupon for another, it can dilute ownership, alter upside potential, and affect liquidity and share price.
Medical Device Single Audit Program technical
"strengthening quality systems and operational infrastructure to support scalability, regulatory compliance, and Medical Device Single Audit Program readiness"
A medical device single audit program is an international system where one comprehensive inspection of a device maker’s quality and safety processes is accepted by multiple national regulators instead of separate audits for each country. Think of it like one thorough health inspection for a restaurant chain that satisfies several city inspectors at once; for investors, it can cut compliance costs, speed access to markets and reduce the risk of regulatory holds that could delay sales or add unexpected expenses.
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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 15, 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
Tucson AZ, 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 2.02.Results of Operations and Financial Condition.

 

The following information is intended to be furnished under Item 2.02 of Form 8-K, “Results of Operations and Financial Condition.” This information shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, (the “Exchange Act”), or incorporated by reference in any filing under the Securities Act of 1933 or the Exchange Act, whether made before or after the date of this report, regardless of any general incorporation language in the filing. In a press release dated May 21, 2026, Picard Medical, Inc. (the “Company”) announced financial results for the Company’s first quarter ended March 31, 2026. The full text of the press release is furnished herewith as Exhibit 99.1 to this report.

 

Item 3.01. Notice of Delisting or Failure to Satisfy a Continued Listing Rule or Standard; Transfer of Listing.

 

On May 15, 2026, the Company received a written notice (the “May 15 Notice”) from the NYSE American LLC (the “NYSE American”) indicating that the Company is not in compliance with the NYSE American continued listing standards set forth in Section 1003(a)(i) of the NYSE American Company Guide (the “Company Guide”), which requires a listed company to have stockholders’ equity of at least of $2.0 million if it has reported losses from continuing operations and/or net losses in two of its three most recent fiscal years. The May 15 Notice states that the Company reported a stockholders’ deficit of approximately $1.4 million as of March 31, 2026 and has incurred losses from continuing operations and/or net losses in its three most recent fiscal years ended December 31, 2025.

 

Additionally, as previously disclosed, on May 8, 2026, the Company received a notice that it was not in compliance with Section 1003(a)(ii) (the “May 8 Notice,” and together with the May 15 Notice, the “Notices”). In connection with the Notices, the Company must submit a plan (the “Plan”) to the NYSE American by June 7, 2026, advising of actions it has taken or will take to regain compliance with the continued listing standards by November 8, 2027.

 

The Company is preparing its Plan in accordance with the June 7, 2026 deadline. If NYSE American accepts the Company’s Plan, the Company will be able to continue its listing during the Plan period and will be subject to continued periodic review by the NYSE American staff. If the Plan is not submitted, not accepted, or is accepted but the Company is not in compliance with the continued listing standards by November 8, 2027, or if the Company does not make progress consistent with the Plan during the Plan period, the Company will be subject to delisting procedures as set forth in the Company Guide.

 

The Notice has no immediate effect on the listing or trading of the Company’s common stock, which will continue to trade on the NYSE American under the symbol “PMI” with the added designation of “.BC” (which was applied following the May 8 Notice). The Notice does not affect the Company’s ongoing business operations or its reporting requirements with the SEC.

 

Item 7.01. Regulation FD Disclosure.

 

On May 21, 2026, the Company issued a press release disclosing receipt of the Notices and the specific continued listing standards that the Company has fallen below. A copy of the press release is furnished as Exhibit 99.1 and incorporated herein by reference.

 

The information included in Item 7.01, including the exhibit hereto, is being furnished and shall not be deemed to be “filed” for purposes of Section 18 of the Exchange Act or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference into any filing of the Company under the Securities Act of 1933, as amended, or the Exchange Act, whether made before or after the date hereof, regardless of any general incorporation language in such filing, except as shall be expressly set forth by specific reference in such filing

 

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Item 9.01. Financial Statements and Exhibits.

 

(d) Exhibits

 

The following exhibits are being filed herewith:

 

Exhibit No.   Description
99.1   Press Release, dated May 21, 2026.
104   Cover Page Interactive Data File (embedded within the Inline XBRL document)

 

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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/ Patrick NJ Schnegelsberg  
  Name: Patrick NJ Schnegelsberg  
  Title: Chief Executive Officer  

 

Dated: May 21, 2026

 

3

 

Exhibit 99.1

 

Picard Medical / SynCardia Reports First Quarter 2026 Financial Results

 

– Gross profit turns positive; Company executes significant debt reduction –

 

– Responds to NYSE American continued listing notice –

 

TUCSON, Ariz., May 21, 2026 — Picard Medical, Inc. (NYSE American: PMI) (“Picard Medical” or the “Company”), parent company of SynCardia Systems, LLC, (“SynCardia”) maker of the world’s first total artificial heart approved by both the U.S. FDA and Health Canada, reported financial results for the first quarter ended March 31, 2026.

 

“We continue to make progress across both our commercial and strategic priorities,” said Patrick NJ Schnegelsberg, Chief Executive Officer of Picard Medical Inc. “During and the quarter, we improved gross margin performance, reduced outstanding debt obligations, strengthened our capital structure, and continued advancing development of the Emperor Total Artificial Heart alongside expansion of our SynCardia commercial activities.”

 

Mr. Schnegelsberg added, “The quarter was highlighted by year-over-year revenue growth, a return to positive gross profit, and strengthening the Company’s balance sheet through significant debt reduction, while the Company continued to invest in research and development, manufacturing, and clinical support initiatives across its Total Artificial Heart platform.”

 

First Quarter 2026 Financial Highlights

 

Revenue grew 85% to $1.2 million for the first quarter of 2026 compared to $0.6 million in the first quarter of 2025, reflecting increased utilization of the SynCardia Total Artificial Heart and continued growth in U.S. commercial activity. Product revenue increased 54% to $0.9 million, while Freedom Driver rental revenue grew to $0.2 million from $7,000 in the prior year period. Gross profit improved to $0.3 million, reflecting a gross margin of 24%, compared to a gross loss of $0.4 million and a negative 58% margin in Q1 2025. Net loss was $7.6 million, including significant non-cash charges related to debt settlement and fair value adjustments.

 

Balance Sheet and Capital Structure

 

During the quarter, the Company took several actions to reduce leverage and strengthen its capital structure. The Company repaid approximately $7.4 million of a senior secured note due 2028 (the “Senior Secured Note”) principal in cash, settled an additional $2.1 million of principal of the Senior Secured Note through the issuance of 1.4 million shares of the Company’s common stock (the “Common Stock”), and repaid approximately $0.9 million of related-party debt. The warrant liability decreased from approximately $7.8 million to approximately $4.7 million, reflecting a reduction in the fair value of outstanding warrants driven by fluctuating changes in the Company's stock price and volatility during the quarter.

 

Subsequent to quarter end, the Company completed a public offering in May 2026, raising gross proceeds of $5.0 million. The Company also entered into a warrant exchange agreement replacing 7.0 million existing warrants at a $2.675 exercise price with 10.0 million new warrants at a $0.35 exercise price, eliminating the prior ratchet provisions and simplifying the capital structure. The remaining Senior Secured Note balance was substantially reduced through a combination of cash payments, equity settlements, and a cashless transaction to approximately $1.3 million.

 

 

 

 

NYSE American Listing Standards Notices

 

As previously disclosed on a Current Report on Form 8-K, filed with the Securities and Exchange Commission on May 11, 2026, on May 8, 2026 the Company received a written notice from the NYSE American LLC (the “NYSE American”) notifying it of non-compliance with Section 1003(a)(ii) of the NYSE American Company Guide (the “Company Guide”), which requires listed companies to maintain stockholders' equity of at least $4.0 million if losses from continuing operations and/or net losses have been reported in three of the four most recent fiscal years. The determination was based on reported stockholders' equity of approximately $3.8 million as of December 31, 2025, and losses from continuing operations and/or net losses in three of its four most recent fiscal years.

 

On May 15, 2026, the Company received a second written notice from NYSE American, notifying it of non-compliance with Section 1003(a)(i) of the Company Guide, which requires stockholders' equity of at least $2.0 million if such losses have been reported in two of the three most recent fiscal years. The determination was based on a reported stockholders' deficit of approximately $(1.4) million as of March 31, 2026, and losses in two of the three most recent fiscal years.

 

Pursuant to Section 1009 of the Company Guide, the Company has until June 7, 2026 to submit a compliance plan outlining steps to regain compliance by November 8, 2027 (the “Plan”). The Company is actively preparing the Plan with its financial and legal advisors and intends to submit the Plan by the deadline.

 

The notices do not have an immediate effect on the listing or trading of the Common Stock on NYSE American. In accordance with NYSE American procedures, a “.BC” indicator has been appended to the Company’s trading symbol to indicate the status of the Common Stock as “below compliance.”

 

Operational and Strategic Update

 

During the first quarter of 2026, the Company advanced execution across its core operational priorities.

 

Commercial activity remained focused on expanding patient access to the SynCardia Total Artificial Heart at transplant centers across the United States. Utilization of the Freedom Driver rental program increased meaningfully during the quarter, contributing to rental revenue growth and expanding the Company's recurring revenue base. Clinical support and training initiatives continued across certified U.S. transplant centers, with targeted engagement at high-volume accounts to support procedural readiness and patient outcomes.

 

On the product development front, the Company continued investment in next-generation driver technologies and the Emperor Total Artificial Heart, its fully implantable, driverless artificial heart currently in development and targeting a 2028 clinical study launch.

 

The Company also continued strengthening quality systems and operational infrastructure to support scalability, regulatory compliance, and Medical Device Single Audit Program readiness.

 

Outlook

 

The Company remains focused on expanding utilization of the SynCardia Total Artificial Heart, advancing development of the Emperor Total Artificial Heart, its next generation fully implantable artificial heart, targeting a 2028 clinical study launch, improving manufacturing efficiency, and strengthening its commercial and financial position.

 

2

 

 

About Picard Medical and SynCardia

 

Picard Medical, Inc. is the parent company of SynCardia Systems, LLC (“SynCardia”), the Tucson, Arizona–based leader with the only commercially available total artificial heart technology for patients with end-stage heart failure. SynCardia develops, manufactures, and commercializes the SynCardia Total Artificial Heart (“STAH”), an implantable system that assumes the full functions of a failing or failed human heart. It is the first artificial heart approved by both the FDA and Health Canada, and it remains the only commercially available artificial heart in the United States and Canada. With more than 2,100 implants performed at hospitals across 27 countries, the STAH is the most widely used and extensively studied artificial heart in the world. For additional information about Picard Medical, please visit www.picardmedical.com or review the Company’s filings with the U.S. Securities and Exchange Commission (the “SEC”) at www.sec.gov.

 

Forward-Looking Statements

 

This press release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 that are based on management’s current expectations, assumptions and beliefs that involve risks and uncertainties. Forward-looking statements are statements that are not historical facts. Forward-looking statements can often be identified by words such as “continue,” “remain,” “expand,” “advance,” “target,” “intend” and similar expressions, and variations or negatives of these words. These statements include, but are not limited to, statements regarding the Company’s financial condition, future operating results, expectations for expanding utilization of the SynCardia Total Artificial Heart and expanding patient access at transplant centers across the United States; advancing development of the Emperor Total Artificial Heart and targeting a 2028 clinical study launch; improving manufacturing efficiency; strengthening the Company’s commercial and financial position and capital structure; continued investment in next-generation driver technologies; the Company’s intent to submit a compliance plan to NYSE American by the applicable deadline; and the Company’s ability to regain compliance with NYSE American listing standards. Such forward-looking statements are subject to risks and uncertainties, which could cause actual results to differ from the forward-looking statements. The Company expressly disclaims any obligations or undertaking to release publicly any updates or revisions to any forward-looking statements contained herein to reflect any change in the Company’s expectations with respect thereto or any change in events, conditions or circumstances on which any statement is based. Additional information about the Company, including risk factors that may affect the Company’s business, financial condition, and results of operations, is contained in the Company’s filings with the SEC, including the Company’s Annual Report on Form 10-K and Quarterly Reports on Form 10-Q, which are available free of charge on the SEC’s website at http://www.sec.gov and on the Company’s investor relations website at https://picardmedical.com/.

 

Contact:

 

Investors

Eric Ribner

Managing Director

LifeSci Advisors LLC eric@lifesciadvisors.com

Picard Medical, Inc./SynCardia Systems, LLC IR@picardmedical.com

 

General/Media

Brittany Lanza blanza@syncardia.com

 

3

FAQ

How did Picard Medical (PMI) perform financially in Q1 2026?

Picard Medical reported Q1 2026 revenue of $1.2 million, up 85% year over year, with gross profit of $0.3 million and a 24% gross margin. The company still posted a $7.6 million net loss, including significant non-cash debt-related charges.

What NYSE American listing issues does Picard Medical (PMI) face?

Picard Medical received two NYSE American notices for failing stockholders’ equity standards based on $3.8 million equity at December 31, 2025 and an approximate $(1.4) million deficit at March 31, 2026. It must submit a compliance plan by June 7, 2026 and regain compliance by November 8, 2027.

Is Picard Medical’s PMI stock still trading on NYSE American?

Yes. Picard Medical’s common stock continues trading on NYSE American under the symbol PMI with a ".BC" indicator. The “.BC” tag signals the stock is currently below compliance with listing standards, but there is no immediate trading suspension described.

How much debt did Picard Medical reduce in early 2026?

During Q1 2026, Picard Medical repaid about $7.4 million of senior secured note principal in cash, converted $2.1 million of principal into 1.4 million shares, and repaid roughly $0.9 million of related-party debt. The remaining note balance fell to approximately $1.3 million after subsequent actions.

What capital did Picard Medical (PMI) raise in its May 2026 offering?

Subsequent to Q1 2026, Picard Medical completed a public offering in May 2026 raising $5.0 million in gross proceeds. The company also executed a warrant exchange, replacing 7.0 million old warrants at $2.675 with 10.0 million new warrants at $0.35.

How is Picard Medical advancing its artificial heart programs?

Picard Medical continues expanding use of the SynCardia Total Artificial Heart and Freedom Driver rentals and is investing in the Emperor Total Artificial Heart, a fully implantable system. The company is targeting a 2028 clinical study launch for the Emperor system, subject to development progress.

Filing Exhibits & Attachments

4 documents