NASDAQ$HTFL

Heartflow Inc · Q1 2026 earnings

Q1 2026 earnings ·

Briefing

Heartflow Inc reported Q1 2026 results with 41% revenue growth and continued operating losses.

Heartflow Inc achieved revenue of $52.6 million in Q1 2026, up 41% year-over-year, driven by a 67% increase in revenue cases from expanded adoption of the Heartflow Platform. The company reported a net loss of $27.4 million and an operating loss of $29.5 million, reflecting ongoing investments in R&D, sales, and production capacity. Cash and investments totaled $254.9 million, supporting continued commercialization and product development efforts.

  • Revenue grew 41% to $52.6 million with 67% higher revenue case volume.
  • Gross margin improved to 80% from 75% due to production efficiencies and scale.
  • Net loss narrowed to $27.4 million from $32.3 million in the prior year.
  • Company maintains strong liquidity with $254.9 million in cash and investments.

Headline financials

Total Revenue

$52.6M

No prior period
EPS (adj)

-$0.32

No prior period
Revenue Cases

67.4K

No prior period
Capital Expenditures

-$1.89M

No prior period
Free Cash Flow

-$32M

No prior period
Net Income

-$27.4M

No prior period
Operating Income

-$29.5M

No prior period
Gross Profit

$42.2M

No prior period
Cash & Equivalents

$19.7M

No prior period
Total Assets

$344M

No prior period

Revenue & EPS history

Heartflow Inc · Revenue · Quarterly

$52.6M

Q1 2026
Beat estimate in 1 of 1 quarters(100%)
ActualEstimate

Forward guidance

The company continues to invest in AI automation, clinical trials, and commercial expansion while expecting ongoing losses in the near term.

Tailwinds

  • Strong revenue case growth and improving gross margins
  • Robust cash position to fund operations and growth initiatives

Headwinds

  • Continued net losses and negative cash flow from operations
  • Increased operating expenses from headcount and R&D investments

Historical earnings impact

How earnings announcements have historically affected this stock's price.

Avg. return before/after earnings

Based on 1 quarterly earnings reports · overlaid with Q1 2026

Historical avgQ1 2026

+2.9%

Avg return

Earnings day

-10.4%

Avg return

5 days after

-9.3%

Avg return

30 days after

100%

3 / 3 earnings

Positive

+4.6%

Q3 2025

Best reaction

+1.2%

Q2 2025

Worst reaction

Earnings price reactions
QuarterReport dateReaction (Day 0)+5 days+30 days
Q1 2026+2.9%-14.8%
Q3 2025+4.6%-22.7%-22.5%
Q2 2025+1.2%+6.2%+4.0%

Discussion

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