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Investor releaseQuarter not tagged2026-08-14HeartBeam, Inc. Q2 2026 Earnings Call Summary
Moby
HeartBeam, Inc. Q2 2026 Earnings Call Summary
Our analysts just identified a stock with the potential to be the next Nvidia. Tell us how you invest and we'll show you why it's our #1 pick. Tap here. Management attributes the company's competitive advantage to its proprietary TriCor 3D signal reconstruction technology, which enables medical-grade 12-lead ECG capture across three distinct form factors: a card, a patch, and a remote unit. The strategic pivot toward heart attack detection is driven by the technology's ability to provide actionable, near real-time data that can differentiate between cardiac events and non-critical symptoms. Operational focus has shifted toward integrating the HeartBeam system into the 'intake workflow' of concierge practices, ensuring every new patient receives a baseline reading to facilitate faster clinical adoption. The company is leveraging its ALIGN-ACS and HEADSTART-ACS clinical data to build a regulatory moat, emphasizing that their signal quality is 'truly amazing' to physicians accustomed to traditional, cumbersome 12-lead setups. Management highlighted a significant organizational shift toward capital efficiency, reducing operating cash outflows by curtailing non-essential projects and utilizing AI tools to maintain R&D momentum with fewer resources. Strategic positioning now includes targeting large integrated health networks to disrupt emergency room and post-procedure workflows, aiming to replace traditional ECG technicians with on-demand patient-activated monitoring. The company submitted a 510(k) pre-submission to the FDA for heart attack detection on the day of the call, initiating a 75-day review window that will define the parameters of a pivotal trial. Management anticipates commencing a pivotal study for myocardial infarction (MI) detection by year-end 2026, assuming favorable feedback from the FDA regarding identified predicates. Financial guidance assumes a step-down in baseline operating cash flow to below $2.5 million per quarter by Q4 2026, though this may increase depending on the speed of pivotal trial enrollment. Commercial momentum is expected to accelerate in the second half of 2026, with management projecting 'increasing magnitude' in order flow by the end of Q3 as initial concierge pilots transition to full patient-pool deployment. The cash runway has been extended into 2027, supported by a $11.5 million financing in April and a projected full…Read full documentShow less
Our analysts just identified a stock with the potential to be the next Nvidia. Tell us how you invest and we'll show you why it's our #1 pick. Tap here. Management attributes the company's competitive advantage to its proprietary TriCor 3D signal reconstruction technology, which enables medical-grade 12-lead ECG capture across three distinct form factors: a card, a patch, and a remote unit. The strategic pivot toward heart attack detection is driven by the technology's ability to provide actionable, near real-time data that can differentiate between cardiac events and non-critical symptoms. Operational focus has shifted toward integrating the HeartBeam system into the 'intake workflow' of concierge practices, ensuring every new patient receives a baseline reading to facilitate faster clinical adoption. The company is leveraging its ALIGN-ACS and HEADSTART-ACS clinical data to build a regulatory moat, emphasizing that their signal quality is 'truly amazing' to physicians accustomed to traditional, cumbersome 12-lead setups. Management highlighted a significant organizational shift toward capital efficiency, reducing operating cash outflows by curtailing non-essential projects and utilizing AI tools to maintain R&D momentum with fewer resources. Strategic positioning now includes targeting large integrated health networks to disrupt emergency room and post-procedure workflows, aiming to replace traditional ECG technicians with on-demand patient-activated monitoring. The company submitted a 510(k) pre-submission to the FDA for heart attack detection on the day of the call, initiating a 75-day review window that will define the parameters of a pivotal trial. Management anticipates commencing a pivotal study for myocardial infarction (MI) detection by year-end 2026, assuming favorable feedback from the FDA regarding identified predicates. Financial guidance assumes a step-down in baseline operating cash flow to below $2.5 million per quarter by Q4 2026, though this may increase depending on the speed of pivotal trial enrollment. Commercial momentum is expected to accelerate in the second half of 2026, with management projecting 'increasing magnitude' in order flow by the end of Q3 as initial concierge pilots transition to full patient-pool deployment. The cash runway has been extended into 2027, supported by a $11.5 million financing in April and a projected full-year 2026 operating cash outflow of less than $14 million. Q2 net loss included $0.9 million in one-time items related to a leadership transition, specifically $0.6 million in non-cash stock-based compensation and $0.3 million in severance for the former CEO. The company successfully completed the working prototype for the 12-lead ambulatory patch, targeting a $2 billion market for ischemia and complex arrhythmia detection. HeartBeam expanded its IP portfolio with two new patents for acoustic sensing (valve performance) and fluid monitoring (congestive heart failure), signaling future expansion beyond ECG signals. Management noted that while they are pursuing a global strategy, current international efforts are strictly prioritized on the Indonesian Ministry of Health partnership to establish a blueprint for remote-market adoption. One stock. Nvidia-level potential. 30M+ investors trust Moby to find it first. Get the pick. Tap here. Management clarified that 'licensing' currently refers to partnerships with integrated networks to embed technology into workflows rather than pure IP licensing. International focus is exclusively on Indonesia for now, using it as a test case for how the technology fits into large-scale, remote healthcare settings before expanding elsewhere. The concierge vertical represents approximately 1.9 million patients, with management estimating that 20% or more are at-risk cardiac patients. Management reiterated that approximately 30,000 patients are needed to reach cash flow positivity, a target that may be lower now due to recent cost-reduction efforts. The company is pursuing the 510(k) pathway for heart attack assessment and has already identified predicates to justify this strategy to the FDA. While trial size is not yet determined, management is 'cautiously optimistic' about starting the pivotal study before year-end based on rapid enrollment in previous pilot studies. The primary learning has been the necessity of 'streamlining the workflow' by making HeartBeam part of the standard new patient intake process to reduce physician hesitancy. Early feedback confirms that both physicians and patients are 'amazed' by the 12-lead signal quality from a pocket-sized device, which has validated the 24/7 reader service model.
Investor releaseQuarter not tagged2026-08-14HeartBeam Inc (BEAT) (Q2 2026) Earnings Call Highlights: FDA Submission Advances and Commercial ...
GuruFocus.com
HeartBeam Inc (BEAT) (Q2 2026) Earnings Call Highlights: FDA Submission Advances and Commercial ...
This article first appeared on GuruFocus. Release Date: August 13, 2026 For the complete transcript of the earnings call, please refer to the full earnings call transcript. HeartBeam Inc (NASDAQ:BEAT) submitted its pre-submission to the FDA for heart attack detection, advancing its regulatory pathway. The ALIGN ACS pilot study completed enrollment in under four months, with results accepted for presentation at TCT. The Head Start ACS pilot study in Indonesia has surpassed 50% enrollment in less than three months, supported by the Indonesian government. Initial commercial launch is underway with agreements in four key U.S. markets, and first orders have shipped with positive physician and patient feedback. The company reduced operating cash outflow by 7% quarter-over-quarter and expects Q4 2026 baseline to drop below $2.5 million per quarter. Cash runway extended into 2027 due to a reduced cost profile and an $11.5 million capital raise in April 2026. The company completed a working prototype for its 12-lead ECG patch, targeting a $2 billion market. Two new patents were issued for acoustic sensing and fluid monitoring, expanding future capabilities. Physician and patient testimonials highlight high satisfaction with the device's ease of use and ECG quality. The company is exploring integrated network partnerships, with one potential partner having 50 million visits annually. HeartBeam Inc (NASDAQ:BEAT) reported a net loss of $5 million for Q2 2026, including $0.9 million in one-time items related to leadership transition. The company's cash position is $8.8 million as of June 30, 2026, which may be insufficient for long-term operations without additional funding. The pivotal study for heart attack detection has not yet begun, and the timeline for FDA approval remains uncertain. Commercial revenue generation is still in early stages, with only 'green shoots' and no significant revenue reported yet. The company faces competition from established players in the ECG monitoring market, and its technology is unproven at scale. The leadership transition resulted in additional costs and potential disruption to operations. The company's focus on concierge practices limits its initial market reach, and the number of covered lives is still in the thousands. The company's cash runway extension is partly due to employees taking shares instead of cash bonuses, which may no…Read full documentShow less
This article first appeared on GuruFocus. Release Date: August 13, 2026 For the complete transcript of the earnings call, please refer to the full earnings call transcript. HeartBeam Inc (NASDAQ:BEAT) submitted its pre-submission to the FDA for heart attack detection, advancing its regulatory pathway. The ALIGN ACS pilot study completed enrollment in under four months, with results accepted for presentation at TCT. The Head Start ACS pilot study in Indonesia has surpassed 50% enrollment in less than three months, supported by the Indonesian government. Initial commercial launch is underway with agreements in four key U.S. markets, and first orders have shipped with positive physician and patient feedback. The company reduced operating cash outflow by 7% quarter-over-quarter and expects Q4 2026 baseline to drop below $2.5 million per quarter. Cash runway extended into 2027 due to a reduced cost profile and an $11.5 million capital raise in April 2026. The company completed a working prototype for its 12-lead ECG patch, targeting a $2 billion market. Two new patents were issued for acoustic sensing and fluid monitoring, expanding future capabilities. Physician and patient testimonials highlight high satisfaction with the device's ease of use and ECG quality. The company is exploring integrated network partnerships, with one potential partner having 50 million visits annually. HeartBeam Inc (NASDAQ:BEAT) reported a net loss of $5 million for Q2 2026, including $0.9 million in one-time items related to leadership transition. The company's cash position is $8.8 million as of June 30, 2026, which may be insufficient for long-term operations without additional funding. The pivotal study for heart attack detection has not yet begun, and the timeline for FDA approval remains uncertain. Commercial revenue generation is still in early stages, with only 'green shoots' and no significant revenue reported yet. The company faces competition from established players in the ECG monitoring market, and its technology is unproven at scale. The leadership transition resulted in additional costs and potential disruption to operations. The company's focus on concierge practices limits its initial market reach, and the number of covered lives is still in the thousands. The company's cash runway extension is partly due to employees taking shares instead of cash bonuses, which may not be sustainable. The company's international expansion is limited to Indonesia, with no clear plans for other markets. The company's reliance on a single technology platform for multiple form factors may pose risks if the technology fails to gain regulatory approval. Warning! GuruFocus has detected 2 Warning Signs with BEAT. Is BEAT fairly valued? Test your thesis with our free DCF calculator. Q: What regulatory pathway did HeartBeam propose in its FDA pre-submission for heart attack detection, and when could the pivotal trial begin?A: Executive Chairman Richard Ferrari confirmed the company submitted its pre-sub to the FDA on the day of the call, proposing a 510(k) pathway. The FDA has 75 days to respond. While the exact size of the required pivotal trial is not yet determined, Ferrari noted that given the identified predicates and the rapid enrollment seen in prior studies, the company is cautiously optimistic it could commence the pivotal trial before the end of 2026. Q: Can you provide more specifics on the strategic shift toward licensing data from the synthesized 12-lead ECG, including target partners and commercial applications?A: Ferrari clarified that "licensing" was an overstatement. The initiative refers to partnering with large integrated networks to incorporate HeartBeam's technology into their workflows, particularly in emergency rooms and post-procedure in-hospital monitoring. He highlighted one network under discussion with 50 million visits annually and over 100,000 interventional procedures, illustrating the potential scale. A pure licensing strategy remains undetermined, though the Indonesian Ministry of Health partnership could evolve into one. Q: What is the size of the initial commercial opportunity in concierge practices, and what is the runway for patient onboarding over the next 12 months?A: Ferrari stated that the concierge market encompasses approximately 1.9 million patients, with an estimated 20% or more being cardiac-oriented. CFO Tim Cruikshank added that the company's goal is to reach roughly 30,000 patients to achieve cash flow positivity, a number that may now be lower given the reduced cost profile. He emphasized that the current focus is on perfecting workflows, with thousands of patients already covered under signed agreements across the four target geographies. Q: What were the key learnings from the pilot studies, and how have they influenced the FDA submission and commercial onboarding strategy?A: Founder and President Breneslaw Vadish highlighted that the ALIGN ACS pilot study, completed in under four months with 134 patients, validated both the technology's performanceaccepted for a full presentation at TCTand the execution process. These learnings will inform the pivotal trial. Ferrari added that the biggest commercial learning is streamlining workflow by integrating HeartBeam into new patient intake processes at concierge practices, establishing a baseline 12-lead EKG for all incoming patients to accelerate adoption. Q: How is the company managing its cash burn, and what is the updated financial outlook?A: CFO Tim Cruikshank reported net cash used in operating activities of $3.3 million in Q2 2026, a 7% decrease from Q1. The company achieved efficiencies by pausing tangential projects, leveraging AI tools, and having executives take shares in lieu of cash bonuses, reducing outflow by over $1 million. The company expects baseline Q4 2026 operating cash flow to step down to below $2.5 million per quarter, with full-year 2026 operating cash outflows trending below $14 million. Cash and restricted cash stood at $8.8 million as of June 30, extending the runway into 2027. Q: What is the status of the international expansion, and which markets are being prioritized?A: Ferrari stated that the company is solely prioritizing the Indonesian Ministry of Health partnership, where the HEAD START ACS pilot study has surpassed 50% enrollment in under three months. This 500-patient study will evaluate the technology's accuracy in a real-world setting and could lead to integration into large hospitals and remote settings, addressing a market of 280 million people. All other international efforts are paused, with the remaining focus directed at the U.S. market. Q: Can you elaborate on the new patents for acoustic sensing and fluid monitoring, and their potential applications?A: Ferrari explained that two new patents were issued for future technology extensions. Acoustic sensing will interrogate information about heart valve performance, while fluid monitoring uses impedance to detect fluid increases in patients, particularly those with congestive heart failure. This could enable at-home monitoring and drug titration, potentially preventing emergency room visits. Q: What is the manufacturing capability to support a potential ramp-up in 2027?A: When asked if the company could easily handle a manufacturing ramp in 2027, Ferrari responded affirmatively with a simple "Yes," indicating that the company has the necessary capabilities in place to scale production as commercial adoption accelerates. Q: What were the one-time items impacting the Q2 2026 net loss, and what is the underlying performance?A: CFO Tim Cruikshank noted that the reported net loss of $5.0 million included approximately $0.9 million in one-time items related to the leadership transition: $600,000 in non-cash stock-based compensation and $300,000 in severance accrual for the former CEO. Excluding these items, the underlying net loss was approximately $4.1 million, representing a 12% decrease quarter-over-quarter and a 17% decrease year-over-year. Q: How many covered lives do the current commercial agreements capture, and what is the strategy for growth?A: Tim Cruikshank explained that the four primary geographies (New York, Dallas, South Florida, Southern California) cover the majority of the target patient pool. While the company is not yet providing detailed metrics, agreements currently cover thousands of patients. The strategy is to perfect workflows first, with the goal of reaching 30,000 patients to achieve break-even, a target that may be lower given the current cost structure. For the complete transcript of the earnings call, please refer to the full earnings call transcript.
Investor releaseQuarter not tagged2026-08-13HeartBeam Reports Second Quarter 2026 Results
Business Wire
HeartBeam Reports Second Quarter 2026 Results
Completed Enrollment in ALIGN-ACS Heart Attack Detection Pilot Study Ahead of Schedule; Full Results to be Presented at TCT 2026 Surpassed 50% Enrollment Ahead of Schedule in Indonesian Government-Supported HEADSTART-ACS Pilot Study for Heart Attack Detection Initial Commercial Launch of the HeartBeam System Underway with Multiple Signed Agreements Across Four Targeted U.S. Geographies Completed Working Prototype of 12-Lead ECG Extended Wear Patch Targeting the $2 Billion Ambulatory Cardiac Monitoring Market Lowered Expected Full Year 2026 Net Operating Cash Outflow to Below $14.0 Million Management to Host Webcast and Conference Call Today at 4:30 p.m. ET SANTA CLARA, Calif., August 13, 2026--(BUSINESS WIRE)--HeartBeam, Inc. (NASDAQ: BEAT), a medical technology company focused on transforming cardiac care by providing powerful personalized insights, has reported its financial and operational results for the second quarter ended June 30, 2026. Second Quarter & Subsequent 2026 Operational Highlights In June 2026, the Company announced a strategic shift to accelerate the global adoption of its ambulatory ECG signal platform. During the quarter, HeartBeam delivered ahead of schedule on its heart attack detection clinical program, completed the working prototype of its 12-lead ECG patch, advanced its initial commercial launch in the arrhythmia market, expanded its robust patent portfolio, and further reduced its cost profile. Heart Attack Detection: Completed enrollment in the ALIGN-ACS pilot study in less than four months, ahead of the previously communicated third quarter 2026 timeline. Surpassed 50% enrollment in less than three months, well ahead of schedule, in the HEADSTART-ACS pilot study, a 500-patient study supported by the Indonesian government evaluating the accuracy of HeartBeam’s ECG technology in detecting heart attacks in a real-world setting. Indonesia represents a strategically significant international market of 280 million people. Publication in JACC: Advances demonstrated that an algorithm combining the HeartBeam ECG device with patient risk factors and symptoms can accurately identify heart attack risk in patients presenting with chest pain. Results from these studies will inform the design of a pivotal study in the U.S. and support a future FDA submission to expand the HeartBeam System’s indication beyond arrhythmia assessment to include he…Read full documentShow less
Completed Enrollment in ALIGN-ACS Heart Attack Detection Pilot Study Ahead of Schedule; Full Results to be Presented at TCT 2026 Surpassed 50% Enrollment Ahead of Schedule in Indonesian Government-Supported HEADSTART-ACS Pilot Study for Heart Attack Detection Initial Commercial Launch of the HeartBeam System Underway with Multiple Signed Agreements Across Four Targeted U.S. Geographies Completed Working Prototype of 12-Lead ECG Extended Wear Patch Targeting the $2 Billion Ambulatory Cardiac Monitoring Market Lowered Expected Full Year 2026 Net Operating Cash Outflow to Below $14.0 Million Management to Host Webcast and Conference Call Today at 4:30 p.m. ET SANTA CLARA, Calif., August 13, 2026--(BUSINESS WIRE)--HeartBeam, Inc. (NASDAQ: BEAT), a medical technology company focused on transforming cardiac care by providing powerful personalized insights, has reported its financial and operational results for the second quarter ended June 30, 2026. Second Quarter & Subsequent 2026 Operational Highlights In June 2026, the Company announced a strategic shift to accelerate the global adoption of its ambulatory ECG signal platform. During the quarter, HeartBeam delivered ahead of schedule on its heart attack detection clinical program, completed the working prototype of its 12-lead ECG patch, advanced its initial commercial launch in the arrhythmia market, expanded its robust patent portfolio, and further reduced its cost profile. Heart Attack Detection: Completed enrollment in the ALIGN-ACS pilot study in less than four months, ahead of the previously communicated third quarter 2026 timeline. Surpassed 50% enrollment in less than three months, well ahead of schedule, in the HEADSTART-ACS pilot study, a 500-patient study supported by the Indonesian government evaluating the accuracy of HeartBeam’s ECG technology in detecting heart attacks in a real-world setting. Indonesia represents a strategically significant international market of 280 million people. Publication in JACC: Advances demonstrated that an algorithm combining the HeartBeam ECG device with patient risk factors and symptoms can accurately identify heart attack risk in patients presenting with chest pain. Results from these studies will inform the design of a pivotal study in the U.S. and support a future FDA submission to expand the HeartBeam System’s indication beyond arrhythmia assessment to include heart attack assessment. The Company is actively engaged with FDA on study design and indication expansion pathways and expects to provide additional detail on timelines by year-end. 12-lead ECG Extended Wear Patch: Completed the working prototype of the Company’s novel 12-lead ECG extended wear patch, the first ambulatory patch device designed to aid in detecting ischemia and complex arrhythmias. The patch provides continuous single-lead monitoring that matches the performance of existing systems, together with an on-demand 12-lead ECG mode that expands the segment into ischemia detection. In May 2026, initiated a pilot study evaluating the patch in approximately 50 patients with a high risk of coronary artery disease at two leading hospitals in Belgrade, Serbia. The Company believes the patch can disrupt the ambulatory cardiac monitoring market, a $2 billion revenue market with established reimbursement that consists of the long-term continuous monitor and mobile cardiac telemetry segments. The Company is in discussions with potential strategic partners and continues to explore opportunities for partnerships. Initial Commercial Launch: Advanced the initial commercial launch of the HeartBeam System for arrhythmia assessment, with an end-to-end reader service, onboarding workflow, and customer-success function all live. The Company’s 24/7 reader service remains a key differentiator of its product offering. Signed multiple commercial agreements across the Company’s four targeted U.S. geographies: New York metro, Dallas, South Florida, and Southern California. Shipped first orders and onboarded initial patients during the second quarter of 2026, and is seeing orders of increasing magnitude in the third quarter of 2026. Contracting with practices that see the clinical value of a personal 12-lead ECG – proven early adopters with a high willingness to pay – and working directly with those practices on rollout planning, workflow integration, and implementation. Created a program incorporating HeartBeam directly into new patient intake at concierge practices, embedding HeartBeam into practice workflows, and expected to lead to faster adoption. Exhibited at ACC, HRS, and ASPC, driving opportunity and partnership qualification. Other Commercialization and Operational Highlights: In June 2026, the Company strategically aligned its operations around focused implementation teams led by Branislav Vajdic, Ph.D., Founder and President, who also serves as the Company’s principal executive officer effective July 1, 2026, and Rich Ferrari, Executive Chairman of the Board. In July 2026, HeartBeam was awarded a new U.S. patent expanding the acoustic sensing and fluid monitoring capabilities of its cable-free ECG device. The patent covers the integration of acoustic sensing and thoracic impedance measurement into the existing ECG hardware platform, supporting future applications in structural heart disease and heart failure monitoring. The Company’s patent portfolio now includes 26 issued patents worldwide, strengthening the moat around its core technology. Cash and cash equivalents totaled $8.7 million as of June 30, 2026, compared to $4.4 million as of December 31, 2025. Net cash used in operating activities was $3.3 million for the second quarter of 2026, a 7% decrease compared to the first quarter of 2026 and a 3% decrease compared to the second quarter of 2025. In April 2026, the Company closed an underwritten public offering of common stock for total gross proceeds of $11.5 million including full exercise of the over-allotment option, before deducting underwriting discounts, commissions, and offering expenses. Management Commentary "Every 40 seconds, someone suffers from a heart attack, and we believe HeartBeam’s technology, incorporating our signal capture technology TriCor, is the best way to evaluate the real extent of that trauma in a wireless format," said Rich Ferrari, Executive Chairman of HeartBeam. "Our heart attack detection program is where we are accelerating the fastest. We completed ALIGN-ACS enrollment ahead of schedule, with data analysis underway, and will be presenting full results of the pilot study at TCT 2026 this fall. These results are intended to inform the design of our U.S. pivotal study as we continue to work collaboratively with the FDA on a submission to expand our indication for heart attack assessment. "We continue to sharpen our focus as we execute on our key priorities. In addition to our advancements with heart attack detection, in the second quarter we continued to advance our initial commercial launch, completed development of our 12-lead ECG patch prototype, and drove a lower cost profile that extends our cash runway further into 2027. The real-world validation is showing up: our 24/7 reader service is live, we have signed agreements across our four targeted geographies, first orders have shipped with initial patients onboarded, and we are seeing orders of increasing magnitude in the third quarter. Clinical, commercial, and financial proof points are exactly what a potential partner needs to see before committing to a platform, and together they define the opportunity in front of us – one platform, adaptable to every market," Ferrari concluded. Second Quarter 2026 Financial Results Selling, general and administrative expenses for the second quarter of 2026 were $2.8 million, compared to $1.7 million for the second quarter of 2025. The increase in SG&A primarily related to non-cash stock-based compensation expense of $0.6 million driven by equity award acceleration for the former CEO and the severance accrual payable to the former CEO of $0.3 million during the three and six months ended June 30, 2026. These costs are one-time in nature and therefore not expected to continue beyond June 30, 2026. Research and development expenses for the second quarter of 2026 were $2.3 million, compared to $3.3 million for the second quarter of 2025. The decrease was primarily related to a $0.7 million decrease in product development and consulting expenses related to the development of the HeartBeam System, a $0.1 million decrease in headcount-related costs, and a $0.1 million decrease in non-cash stock-based compensation expense. Total operating expenses for the second quarter of 2026 were $5.1 million, compared to $5.0 million for the second quarter of 2025. Net loss for the second quarter of 2026 was $5.0 million, or $(0.10) per basic and diluted share, compared to a net loss of $5.0 million, or $(0.15) per basic and diluted share, for the second quarter of 2025. Net cash used in operating activities was $3.3 million for the second quarter of 2026, a 7% decrease compared to the first quarter of 2026 and a 3% decrease compared to the second quarter of 2025. Net cash used in operating activities was $7.0 million for the six months ended June 30, 2026, compared to $7.9 million for the six months ended June 30, 2025. Cash, cash equivalents and restricted cash totaled $8.8 million as of June 30, 2026, compared to $4.4 million as of December 31, 2025. In April 2026, the Company closed an underwritten public offering of common stock for total gross proceeds of $11.5 million including full exercise of the over-allotment option, before deducting underwriting discounts, commissions, and offering expenses. Financial Outlook Third quarter 2026 cash outflow is expected to be in line with the second quarter of 2026, due to the short-term impact of updating the Company’s cost structure. Baseline fourth quarter 2026 operating cash outflow is expected to step down to below $2.5 million, with cash receipts from customer contracts expected to reduce this further. Full year 2026 net operating cash outflow is now expected to be below $14.0 million, a further reduction from the Company’s previous guidance. Cash runway is extended further into 2027 and aligned with the achievement of key milestones. Second Quarter 2026 Results Conference Call HeartBeam Executive Chairman Rich Ferrari, Founder and President Branislav Vajdic, Ph.D., and Chief Financial Officer Tim Cruickshank will host the conference call, followed by a question-and-answer period. The conference call will be accompanied by a presentation, which can be viewed during the webcast or accessed via the investor relations section of the Company’s website here. To access the call, please use the following information: A telephone replay will be available approximately three hours after the call and will run through November 13, 2026, by dialing 1-844-512-2921 from the U.S., or 1-412-317-6671 from international locations, and entering replay pin number: 13761826. The replay can also be viewed through the webcast link above and the presentation utilized during the call will be available in the Company’s investor relations section here. About HeartBeam, Inc. HeartBeam, Inc. (NASDAQ: BEAT) is a medical technology company dedicated to transforming the detection and monitoring of critical cardiac conditions. The Company has developed the first-ever cable-free device capable of collecting ECG signals in 3D, from three non-coplanar directions, and synthesizing the signals into a 12-lead ECG. This platform technology is designed for portable devices that can be used wherever the patient is to deliver actionable heart intelligence. Physicians will be able to identify cardiac health trends and acute conditions and direct patients to the appropriate care – all outside of a medical facility, thus redefining the future of cardiac health management. HeartBeam’s 3D ECG technology received FDA clearance for arrhythmia assessment in December 2024, and its 12-lead ECG synthesis software received FDA clearance for arrhythmia assessment in December 2025. The Company holds 26 issued patents worldwide related to technology enablement. For additional information, visit HeartBeam.com. Forward-Looking Statements All statements in this release that are not based on historical fact are "forward-looking statements." While management has based any forward-looking statements included in this release on its current expectations, the information on which such expectations were based may change. Forward-looking statements involve inherent risks and uncertainties which could cause actual results to differ materially from those in the forward-looking statements, as a result of various factors including those risks and uncertainties described in the Risk Factors and in Management’s Discussion and Analysis of Financial Condition and Results of Operations sections of our Forms 10-K, 10-Q and other reports filed with the SEC and available at www.sec.gov. We urge you to consider those risks and uncertainties in evaluating our forward-looking statements. We caution readers not to place undue reliance upon any such forward-looking statements, which speak only as of the date made. Except as otherwise required by the federal securities laws, we disclaim any obligation or undertaking to publicly release any updates or revisions to any forward-looking statement contained herein (or elsewhere) to reflect any change in our expectations with regard thereto or any change in events, conditions or circumstances on which any such statement is based. Cleared Indications for Use The HeartBeam System with 12-Lead ECG synthesis software is FDA cleared for arrhythmia assessment. Refer to the Company’s Cleared Indications for Use at https://www.heartbeam.com/indications for details on the intended use of its technology. MKT-158 v0 View source version on businesswire.com: https://www.businesswire.com/news/home/20260813456155/en/ Contacts Investor Relations Contact:Chris TysonExecutive Vice PresidentMZ North AmericaDirect: [email protected] www.mzgroup.us Media Contact: [email protected]
TranscriptFY2026 Q22026-08-13FY2026 Q2 earnings call transcript
Earnings source - 89 paragraphs
FY2026 Q2 earnings call transcript
Greetings, and welcome to the HeartBeam second quarter 2026 financial results conference call. At this time, all participants are in a listen-only mode. A question and answer session will follow the formal presentation. As a reminder, this conference call is being recorded. Before we begin the formal presentation, I would like to remind everyone that statements made on the call and webcast may include predictions, estimates, or other information that might be considered forward-looking. While these forward-looking statements represent our current judgment on what the future holds, they are subject to risks and uncertainties that could cause actual results to differ materially. You are cautioned not to place undue reliance on these forward-looking statements, which reflect our opinions only as of the date of this presentation.
Please keep in mind that we are not obligating ourselves to revise or publicly release the results of any revision to these forward-looking statements in light of new information or future events. Throughout today's discussion, we will attempt to present some important factors relating to our business that may affect our predictions. You should also review our most recent Form 10-K and Form 10-Q for a more complete discussion of these factors and other risks, particularly under the heading Risk Factors. A press release detailing these results crossed the wire this afternoon and is available in the investor relations section of our company's website, heartbeam.com. Your hosts today, Richard Ferrari, Executive Chairman, Branislav Vajdic, Founder and President, and Tim Cruickshank, Chief Financial Officer, will present results of operations for the second quarter ended June 30, 2026.
At this time, I'll turn the call over to HeartBeam Executive Chairman, Mr. Richard Ferrari.
Good afternoon, everyone, and thank you for taking the time. I know your schedules are very busy. We have a nice tight presentation to provide for you and the agenda, as you can see. I will walk through those elements, the core technology, our highlights, heart attack detection, our initial commercial launch, and the financials. If we go to the next slide. Are we on the next, we're on the next slide?
Yeah, we are.
Yeah, just if you could, because I can't see whether or not we've moved to the next slide. Just let me know that, okay, that slide is up. As you can see from this slide, this to me really frames what really gets all of us at HeartBeam incredibly excited is the fact that every 40 seconds someone suffers from a heart attack. Our technology, which is utilizing TriCor signal capturing technology, is the only true way to evaluate the real extent of that trauma. To reach as many of these patients as possible, we've developed and tested three different form factors, each with a unique approach. As you already know, the card fits into the post-discharge space where many patients, we feel, will find comfort knowing they have a way to monitor their heart health.
The patch fits into the emergency room workflow and in-hospital monitoring of at-risk cardiac patients, greatly reducing the time required to obtain a medical-grade 12-lead EKG and have that information ready to read in near real-time. The HeartBeam remote unit which fits the needs of a device that patients can have access to in remote locations. I will touch base a little bit more as we go through the presentation on this. As you can see, the card is on the far left, and this particular form factor is just simply ideal for the post-discharge monitoring. That is, patients that leave the hospital and need some way to feel some peace of mind at home, in which they feel something, they can take a reading, they have near-time response to that via the 24-hour reading service, and they can have something that's actionable.
They can determine what they need to do via that reading from the physician. The on-demand patch is probably the most exciting form factor from my perspective. This is a device that has extended monitoring with an on-demand 12-lead capability. So it covers two things, 24-hour monitoring, as well as, once again, two fingers on those two electrodes, north and south, that you see in that picture, and you get a medical-grade 12-lead EKG. We will be positioning this device for emergency room departments and post-procedure in-hospital monitoring. For example, patients that go into the hospital that have an ablation procedure, that came into the emergency room having a myocardial infarction, someone that's had cardiac surgery, someone that's had received stents. Many of these patients are held in the hospital for a day or two and then moved to a step-down unit.
Just imagine the fact that all they would need to do is have a patch, and literally the nurse or the physician can just ask the patient to put two fingers onto those electrodes, and they would get in near real-time a true 12-lead EKG reading. This fits into the workflow and eliminates a lot of time that finding an EKG tech to come up from a floor, put on the sticky devices and so forth. We see this as just completely disrupting really the entire space. You have heard us talk about the HeartBeam remote unit. This is a form factor, again, using all the same technology. This is the form factor that we are currently using over in Indonesia, and we will touch base on that, so that we can get patients almost anywhere where they are access and an understanding of what is going on with their heart health.
Next slide, please. Okay. Yep, I have it. If we look at the HeartBeam core technology and platform, every medical device company spends a great deal of time building a moat around their intellectual property. Well, that is exactly what HeartBeam has been doing. We now have 25 issued patents worldwide that are incorporating our proprietary technology, the TriCor 3D signal reconstruction. Essentially, we have the single best signal-capturing device for the interrogation of an EKG signal. That provides us with enormous opportunities to change the way patients will be interfacing with their physicians and their own personal cardiac health. As I think most of you know, this has been clinically validated. We have run numerous studies, which I will touch on before. The FDA has cleared us for arrhythmic assessment, and the body of evidence supporting expansion into heart attack detection and future indications is currently going on.
I will also touch base in a minute on where we are with that initiative. We have now done hundreds and hundreds and hundreds of patients using our current technology. We do not see it as a product. Of course, we see what we are doing as a platform because you can see that the technology is embedded into three different form factors. This opportunity addresses a fundamental gap in the care by providing clinical-grade 12-lead EKGs through multiple form factors. There is just no other technology that we are aware of that does exactly what we are doing. We have designed it, again, this architecture that we are using to enable our card to be used in the patch. Excuse me, not the card, but to have our technology used in the card, the patch, and then in the HeartBeam remote. Next slide.
If you look at those key strategic priorities, top of the heap for us is heart attack detection. We are rapidly advancing the initiatives around the indication for heart attack detection. We have clinical validation efforts are ahead of schedule in terms of this particular initiative. You notice on this slide, we have the pre-sub submitted to the FDA imminently. Well, I am happy to tell you that we actually did submit the pre-sub today, and we are developing additional go-to-market and reimbursement approaches as we are working through the FDA to get approval for the heart attack detection. This will, again, revolutionize how patients, physicians, and hospitals are looking at cardiac health. You also know that we began initial commercial launch.
That is underway, and I think you might recall that the first half of the year, we've referenced the fact that this was our learning stage and that the second half of the year, we would be beginning to gain momentum in generating revenue. Well, that's exactly what we are doing. We are generating real-world deployment evidence with positive feedback from physicians and patients, and I'll touch base on that in just a minute. That is creating a strong foundation for accelerated growth. The concierge vertical for us is a very nice vertical. There is a real need there. There are many patients, almost 2 million patients embedded into concierge services, in which many of them are at-risk cardiac patients, and the physicians and the patients are looking for something that provides them with peace of mind and real-time interpretation of the cardiac health.
The integrated network partnerships. This is something that I mentioned some weeks ago, that this is where we are reaching out to large integrated networks to work with them and run pilots to see how our technology would be incorporated into their workflow. The two workflows that are of particular interest, obviously, is the emergency room department when patients come in feeling chest pain. How can we implement our technology in that setting? Then the setting where patients have had a post-procedure and they remain in the hospital under observation. How best can we utilize our technology in those settings? These integrated networks, as you're well known, have an enormous number of patients. One of the ones that we're talking to has 50 million visits a year, and that's not to the emergency room.
To the emergency room, it's in the many millions, and the number of interventional procedures is north of 100,000. Just in that one particular instant, you could see the power of integrating HeartBeam into that workflow to eliminate and streamline how they're interacting with the patient and getting real-time information. Next slide. I'll touch base now on some more of the recent operational highlights. Next slide. Again, as I mentioned to you, at the pinnacle of what we're really driving forward on is heart attack detection. Again, to us at HeartBeam, and I think to the physicians that we speak to and to the practitioners, this is the most exciting areas you could really imagine.
To have a device that you can either wear or carry with you that would have an actionable response when a patient is having chest pain and can determine whether or not that's a heart attack, and in near real-time have a reading of that to get that patient to the hospital, changes the equation dramatically. We know we can do that because we have run several clinical studies that are shown here on this particular slide. So we completed enrollment of the ALIGN-ACS pilot study in less than four months. Again, when I tell you that the technology is very exciting, and the interest level and the utilization of this technology is very exciting, that's the proof segment. Every medical device company that ever runs a clinical trial is constantly trying to accelerate the finish of that clinical trial.
It's probably the area in which most attention is placed when that clinical trial is run. We finished in less than four months. That tells you there's real enthusiasm. That's 134 patients that have walked into emergency rooms with chest pain, where they had a 12-lead EKG, and that reading was compared to the Heartbeam card. Those results were quite superb. In fact, they passed the criteria to be accepted at the TCT, which will be held later on this year in October and November, as a full presentation. Very exciting body of data. The HEADSTART-ACS pilot study, we've already surpassed 50% enrollment in less than three months. Again, another testimony to the excitement of the physicians and the nurses that are involved in this particular study. It is a 500-patient study.
This is the one that is being supported by the Indonesian government, evaluating the accuracy, again, of the Heartbeam ECG technology in detecting heart attacks in a real-world setting. Of course, that study, our hope is will move forward to incorporation into their workflow in their large hospitals and some of their remote settings. That's just a gigantic market, 280 million people in that market alone. Additionally, we have an article coming out in JACC that advances the demonstration that an algorithm combining the Heartbeam ECG device with patient risk factors and symptoms can accurately identify heart attack in patients. Again, incredibly exciting study. The patch study, we initiated a pilot study evaluating the patch in approximately 50 patients. That is also enrolling ahead of speed in the same two hospitals that we ran the ALIGN-ACS study.
With respect to the regulatory, the results from all of these clinical studies is what we have been using in our discussions with the FDA when we're discussing approval for heart attack assessment indication. As I mentioned to you, the pre-sub has been, in fact, submitted as of today, and we're very excited about that. In this particular case, the FDA has 75 days when you submit a pre-sub to get back to the company with additional information or not, and that begins the process for enabling the company to move forward with a "pivotal trial." So we're very cautiously optimistic with what we've been able to achieve there. Next slide, please. In carrying on with the Q2 2026 and some of the other highlights, we've obviously completed the working prototype for the 12-leading EKG patch.
This is the first ambulatory patch device designed to aid in detecting ischemia and complex arrhythmias. The patch market alone is $2 billion in revenue. There is a video that is embedded into this particular slide, which unfortunately we can't take a look at now, but I would encourage anyone that is later when you have time to click on that video if you haven't seen it and just watch it. It's only 50 seconds long. Just imagine how this patch will fit in to the in-hospital workflow and also post-discharge workflow.
But the in-hospital workflow, where a nurse or a physician needs to have a reading on a patient that is held in that hospital, and all they have to do is put two fingers on those two electrodes versus having to run down an EKG tech, come up to the floor, get a reading of the 12-lead EKG, and not actually see those results for hours and hours and hours later, versus seeing that information in real-time. Additionally, I think you may have noticed we've had press releases regarding the expansion of two new patents. These are again two patents for the future of where we see our technology going. One is for acoustic sensing, and one is for fluid monitoring. Now, acoustic sensing is a way to interrogate information that would give us insights into how the valves of the heart are performing.
And the fluid monitoring capabilities is using impedance to determine whether or not a patient's fluid is increasing. And as many of you may know, with congestive heart failure patients, this is the big gotcha. Patients eat a bag of potato chips, they become overloaded with fluid. They call 911. They're rushed to the emergency room. But if they could determine at home what the situation is, because of our reading service and their physician, they could most likely titrate their drugs right then and there. So two future aspects that are very exciting for our technology. Next slide. On the commercial traction, and I'm going to move on this slide from the left to the right. As you well know, we commercially released this product.
Now, commercial release of a product like this sounds like a very simple thing, but to incorporate the end-to-end 24-hour reader service, the onboarding workflow, and have customer success at that level is a tremendous undertaking, which we've been able to do. And that 24 by 7 reader service is a key differentiator for our offering, something the physicians and the patients truly value. So we are working now directly with practices on this rollout and planning workflow integration and implementation processes with those concierge practices that we have already signed up. Moving to the right, as you well know from Brian, and by the way, I would say Brian would be on this call today addressing this particular slide, but he's on a road trip with his daughter for looking at colleges.
But we already have several agreements now in place covering all four of the target markets that we're most interested in initially. They're noted there, New York, Dallas, South Florida, Southern California. The first orders have shipped, and initial patients are being onboarded as we speak. And I can tell you that we are seeing real lead shoots in this particular area. The way this process works, as you might imagine, in the concierge practices, it's the doctors and the nurses and couple of the select patients that get the device first. They see how the device works. Are the readings accurate? Are they sharp? Are there any interruptions in any of the workflow?
Once they get past that, which is generally quite short, two weeks or so, the next stage is then to look at their patient pool and identify those patients that would be best served by having the HeartBeam technology. That is where we are now. You will see at the end of Q3 an increasing magnitude, I would call it, in terms of the order flow. Getting the HeartBeam embedded into those workflows is critically important, and we have created a program that incorporates HeartBeam into the new patient intake at the concierge practices. This is one of the areas that the concierge physicians are very interested in, is the patient comes in, right up front, being able to integrate that patient immediately with HeartBeam, and that we believe will in fact accelerate adoption.
Over on the far right-hand corner, we have strategically selected these practices, and we will continue to contract with them. Brian has a very nice and robust list, and in a minute, you will see a little testimony to one of these practices and how they think about our technology. Next slide, please. What have we learned from the first six months in the process that we are in now? The EKG quality. There has not been a single physician that has seen or used the HeartBeam technology that is not absolutely impressed with the quality of the 12-lead EKG from a pocket-sized device. In fact, I would tell you they are just truly amazed because they have never seen anything like it. They all know that 12-lead is the standard, and to have such quality is something that is truly impressive. Consequently, the patient has the same sense, right?
Patients have indicated their comfort in having the same quality ECG that they would receive in an office or a hospital. The patient engagement, the onboarding of patients as we have gone through this, and they are comparing to themselves when an EKG tech puts all of the leads on them versus all they need to do is take the card, put it up to their chest, and put 2 fingers on the electrodes, and they get real-time 12-lead readout that they can see, our 24-hour service sees, and the physician sees, has really just opened up the opportunity in just an enormous way. Next slide, please. This is a physician perspective. Dr. Ram has a practice at particularly large Generational Health in Beverly Hills. He was the former chief of cardiology at Cedars-Sinai. This is a top-notch physician.
I am not going to read every point on the right-hand side. Again, I will point you to his statements. "It is amazing to have a 12-lead device in your pocket. This is what we have been waiting for." What he really enjoys about the technology is that he has a baseline with the HeartBeam, so that any time any of his patients have an event or a symptom, and he gets a new reading, it is compared against the baseline, which enables him to really understand what is going on with his patients and respond appropriately with some kind of actionable event. This is just critical for this kind of service. Next slide, please. This is Jerry. Jerry, you might say Gene hand-selected this individual. 85-year-old patient, Air Force veteran.
He represents the at-risk cardiac patients, eight or so million of them running around the U.S., a good 2 million of them inside concierge practices. This is an individual who sees the HeartBeam device as incorporated into his quality of life. You can see his statements. "When I take a HeartBeam recording because something feels off, there's an instantaneous readout to my doctor. I don't need to wait hours or days." How important is that to this kind of a patient? Then he goes on in his frame of reference. It's a piece of cake to use, even for himself, who is not, let's call it, technology astute. But he goes on to say, every morning he checks his blood pressure, and every morning he gets an EKG reading, and that gives him comfort.
And he represents just one of millions of patients in which our technology is going to impact. I'm going to stop there. I'm going to turn this over to Tim on the financials.
Great. Thanks, Rich. Great updates. Let's take a look at the Q2 2026 financials here. We'll focus on cash flow first. Net cash used in operating activity is $3.3 million for the quarter. It's a 7% decrease in operating cash outflow compared to the first quarter of 2026. Also, a 3% decrease compared to the same quarter in the prior year. Over the course of the year, particularly in this past quarter, Q2 2026, we were hyper-focused on ensuring a tightly managed cost profile. We continue to do that as we gather these learnings that you saw from a commercial launch standpoint and as we advance the key initiatives like heart attack detection and other strategic initiatives. We found ways to heighten our efficiency and do more with even less resources over the past quarter.
A few examples of that, we focused on curtailing and pausing projects with contractors that weren't directly associated with our key initiatives. Anywhere it was tangential, not directly related, we were able to turn some projects off. Continue to gain efficiencies across the organization through AI tools. It's amazing to see what the team can do, from R&D to coding to lots of different opportunities. Executives and employees of the company elected to receive shares in lieu of cash in the settlement of the 2025 bonus program. This reduced our operating cash outflow by a little over $1 million and also is a testament to the commitment of our team and the tremendous upside we all see in this opportunity, so wanting to align ourselves with shareholders every way possible. We concluded the product development of our credit card-sized device, the HeartBeam System.
We also completed the development of the prototype 12-lead patch. Those were significant expenditures throughout the last few quarters that now are effectively complete and will help continue to reduce our cost profile. All this leads to our baseline Q4 2026 operating cash flow stepping down to around below $2.5 million per quarter. Q3, we will see some additional noise related to the leadership transition as well as some final cash-related payments from some of these contract changes we made. By the time we get into Q4, you will see this step down to that sub-$2.5 million. It is just amazing the effort the team has been able to do to do as much as possible with the fewest resources.
Two factors to bear in mind in the sub-$2.5 million number for Q4, the timing of both commencing the pivotal study for MI and the speed at which we enroll patients may increase us beyond that baseline spend, but that will be a great problem to have. Given what we are seeing with enrollment times in our two current MI studies and the collaborative work with the FDA, things are trending really positively there that we will be spending into that trial before the end of the year. Partially offsetting that spend will be cash receipts from customers in the second half of the year from the beginnings of our commercial launch from a revenue and cash perspective as we see over the next six months.
Quite a few puts and takes on the baseline spend, but those are kind of the two big factors. All in all, we are trending to come in below $14 million for operating cash outflows for the full year for 2026. On our last call, we noted the capital raise we completed in April of 2026 that strengthened our financial position, $11.5 million common stock-only financing. At June 30th, net of the spend from the quarter, cash equivalents, and restricted cash totaled $8.8 million. Now, with our reduced cost profile, we have extended our cash runway a bit further into 2027 than we previously indicated, and we will continue to find ways to extend it further. Let us just quickly go on the next slide. We have got net loss for the quarter, $5 million. Q2 2026 and net loss EPS and net loss were directly in line with our expectations.
One item of note on net loss and the purpose of this slide here, the box in the bottom right, there is about $0.9 million of one-time items in that $5 million net loss number, both related to the previously announced leadership transition. You have got $600,000 of non-cash stock-based compensation driven by vesting of awards and equity related to the former CEO, as well as $0.3 million related to severance accrual payable to the former CEO. Those two things being one time in nature implies the underlying net loss in the quarter, more like $4.1 million. That would have been a 12% decrease compared to the prior quarter and a 17% decrease compared to the same quarter in the prior year, if not for the one-off items.
Just to show the first statements of how the net loss is coming down over the balance of this half year work already being done in this prior quarter, but there will be a lot of evidence of that by the time we roll into Q4. In summary, we continue to gain organizational efficiencies, do more with less. We were focused in Q2 on gathering learnings from the commercial launch, finding ways to accelerate key R&D and strategic initiatives, namely what Rich walked you through with the heart attack detection program. These efforts had the coupling effect of extending our cash runway and very likely significantly reducing expected timelines related to that heart attack detection program and indication expansion. We will continue over the balance of this year to make steady progress on these fronts, as well as with our initial commercial rollout.
With that, Rich, I will hand it back over to you.
Okay. Thanks, Tim. On the summary slide here, just to sort of recap what I walked through. This is really a gigantic opportunity that is in front of us. HeartBeam is at the tip of the spear with the kind of technology that is really going to fit for what both physicians, networks, and patients are looking for. This is a proven technology with an incredibly strong IP and a growing body of clinical evidence, which I have touched on between the trials and in the papers. The proprietary TriCor technology is something that I cannot overstate. I mean, it enables us to do things and capture the signal from a patient that others just simply cannot do. The richness of the signal is what makes all the difference in the quality of the interpretation.
It also will come in for future advances in how that signal-capturing technology is utilized through AI and other mechanisms. When you look again at the card and the patch there to the right, just think about how impactful that is going to be for a large number of at-risk cardiac patients. This technology is doing what other technologies currently are not capable of doing in a wireless format. Tim has already walked through the capital-efficient strategy based around our core priorities. We will stick to those core priorities. That is our focus. Heart attack detection is immensely disruptive. We feel very confident in how our technology works against a standard 12-lead EKG. Obviously, the clinical studies have proved that out, and the papers that have been accepted have been of extremely high quality.
And now we have the submission to the FDA, the pre-sub, and obviously we'll have some ongoing dialogue with them, but in the end, we'll be moving towards approval via clinical trial, hopefully by year-end. The initial commercial launch, I think I've touched base on that. Brian has expressed how we're rolling that out. Green shoots are shown there, and we fully expect this will accelerate now that we have a very good process and an intake strategy with these concierge services. I'm personally very excited about working in the integrated network partnership arena. I believe that there are so many hospitals and rural hospitals, but large networks where the patch and the card coupled together via the emergency room and post-procedures will really change the workflow within a hospital.
It'll benefit the hospital in many, many ways in terms of its own cost structure, but it'll also immensely benefit the patients because the fact that you can get this information in near real-time is so critically important to making decisions around a patient's health or whether or not they need to intervene further. So I will stop there, and I believe we're going to open it up to some Q&A, and I'm glad to expand on any questions that someone may have.
Thank you. We will now be conducting a question and answer session. If you would like to ask a question, please press star one on your telephone keypad. A confirmation tone will indicate your line is in the question queue. You may press star two if you'd like to remove your question from the queue. For participants using speaker equipment, it may be necessary to pick up your handset before pressing the star keys. One moment while we poll for questions. Your first question comes from the line of Jeremy Pearlman with Maxim Group. Please go ahead.
Good afternoon. Thank you for taking my question. First, a really thorough overview of the company and where it stands commercially. Recently, you mentioned in a press release a strategic shift to also, in addition to your direct medical device sales, also focusing on licensing out the data that you generate through your synthesized 12-lead ECG. So maybe you can provide some more specificity around the types of partners you're targeting, what applications you think will be the most commercially attractive, and then what would a successful licensing relationship look like? Thanks.
Yeah. Thanks for that question. I think licensing may have been a bit of an overstatement because it's embedded into basically the concept and the initiative of working with the integrated systems to incorporate our technology into their workflow. That's what I was referring to with respect to licensing. That is more of a partnership than it is a direct licensing of the technology. We have not been doing much work in the sense of a license in the purest sense. We're doing the work around partnering with those networks in which the technology could be incorporated into their workflow. Now, having said that, and yet to be determined, what we're doing with the Ministry of Health in Indonesia may, in fact, represent a licensing strategy, but that's yet to be determined until we finish the trial and we get into further discussions with them.
Okay, understood. Great. And then maybe also, I know a part of that you mentioned that you wanted to accelerate global adoption. Aside from the trial going on in Indonesia, what other international markets are you prioritizing?
Well, to be straightforward, right now we're only prioritizing the work with the Ministry of Health in Indonesia because that, I believe, holds for us the key in how that one form factor could fit into other settings outside of the U.S. We're going to use that as getting to first base, understanding how that technology has been implemented in that particular, very, very large population of people, and then we'll move on from there. So we'll keep that one-
Got it. Understood.
Where it is. Yep. We'll continue to work on that one. All of our focus besides that is in the U.S.
Right. Understood. Then maybe just last question, shifting back to the U.S., your just initial commercial rollout to the concierge practices. Maybe if you could discuss how big is that opportunity, maybe how many patients have you calculated are fall under that umbrella of this concierge or preventative cardiac care?
What does that runway look? Where's the break even, maybe?
Yeah.
How many patients do you think you could onboard in the next, let's say, 12 months? Thanks.
Well, I can tell you, and Tim, you can correct me if I am off base here because I do not have this number directly in front of me, but I believe within the concierge practices that we are talking, there are 1.9 million patients that are embedded into these concierge practices. So that is a large volume of patients. Of course, not all of them are, quote, "cardiac patients." But you can imagine that in and around 20% or so of those or more are likely cardiac-oriented patients, kind of like the Generational Health and that patient, Jerry. He is seeing more and more of those kinds of patients. So that in and of itself is a very, very nice market in and of itself, right? That is hundreds of thousands of patients that could, in fact, gain value from the HeartBeam technology.
Now, the question I think you are really referring to is how fast can we roll it out? Well, we are determining that now. We are seeing the ones that we are working with represent relatively large concierge practices, and we are now collecting the metrics around how many patients within each of those practices would be applicable for what we are doing. But generally speaking, I think at the end of this year, we will have a very good visibility into how rapidly 2027 can basically grow. But I can tell you that the green shoots that we are seeing and the enthusiasm and the excitement from the ones that we are dealing with, I think looks quite reasonable.
Okay, great. And then just from a manufacturing perspective, you could easily have the capabilities for the ramp through 2027?
Yes. The answer is yes. Okay, great. All right. Thank you so much for taking all my questions. I will hop back in the queue.
Your next question comes from the line of Josh Jennings with TD Cowen. Please go ahead.
With the first endometriosis program coming online in Europe, how material do you expect this business to be toward the revenue model?
Hey, Josh.
In the next few quarters? Will this be something where we see a few more systems get placed directly?
Excuse me, Josh Jennings, are you there?
And then-
He may have had to switch over to another call. We can come back to him.
Okay.
Yeah, I can't hear him.
Your next question comes from the line of Yi Chen with H.C. Wainwright. Please go ahead.
Hey, this is Katie on for Yi. I guess thinking about the FDA filing from today, what indication and regulatory pathway did you propose? I am kind of assuming that 75-day window. When do you think that pivotal could begin and number of patients, et cetera, for that?
Yeah. We went down the 510(k) path. The team did an incredible amount of work in providing the FDA with the kind of information and backup information that would be required for that. That is the pathway we went down. That is, as you might know, very exciting to us to go about that. Now, the FDA, with this particular filing, will review that information that we presented and our justification around that particular strategy. So I cannot tell you yet what size of a clinical trial that might be required. It would be sort of premature for me to say what that would be. But quite frankly, based on the fact that there were predicates that we identified, and it is a 510(k), I would not expect the trial to be of an exorbitant number.
And based on the fact, and the proof statements of the trials that we have previously run that have all been completed ahead of their schedules, I think we feel cautiously optimistic we could start the trial before year-end.
Great. Thank you.
Your next question comes from the line of Kyle Bowser with Titan Partners. Please go ahead.
Great. Thank you, and appreciate all the updates here. So maybe just on the commercial efforts, having signed multiple agreements across your four targeted U.S. geographies. Any sense as to the number of covered lives that group of agreements captures? I understand the $1.5 million concierge market as being the initial opportunity, but just trying to get a sense of the number of covered lives, and certainly those four geographies probably capture a significant opportunity within that initial target.
Tim, if you wouldn't mind, could you answer that particular question? Because I don't have that number.
Sure. Yeah, no problem, Kyle. Good to hear from you and connect. The four primary geographies cover the majority of the population or in terms of the pool that we're going after. That's why we selected those four geographies. In terms of the contracts signed to date, we're still talking in the thousands. The reason we haven't provided more detailed metrics on this is it's still just early days. We want to get through Q3 and really start to see the orders come in and roll this out to start to provide those metrics. But we're talking thousands of patients. We just don't want to get ahead of our skis too fast early days because it's really about the workflows.
As soon as we have those workflows figured out, like what Rich talked about with all new patients coming in now, getting a baseline 12-lead EKG and getting fitted for our technology and the option to sign up through the concierge practice. That's been the number one priority over kind of the number of covered lives in the short term. But our goal is still to get. If we kind of work backwards on what we're trying to accomplish, we've told the market historically it's about 30,000 patients to get to break even or it's cash flow positive. That's still a true statement, and it's probably even less now based on our current cost profile that we have. Sub 30,000 patients to get there. We believe in these four geographies, there's enough patients in the pool, as we continue to sign agreements and make traction, to cover that.
It all comes down to when in 2027 do we feel the momentum picking up? What we've seen with MI detection and how fast that's moving forward, ideally, the goal will be to make really strong headways into this market. But the intersection of when MI comes on, if that continues to speed up, hopefully, we get to the point where we're talking about that market and what penetration and commercialization looks like into that before we even need to talk about 30,000 patients in the concierge space.
Right. No, makes sense. Appreciate that, Tim. Maybe for my follow-up, just a two-part question on learnings so far and how you think they'll kind of influence how you move forward. First on the heart attack pivotal study. You talked a little bit about this, you've been able to enroll very quickly, which has been impressive and maybe not terribly surprising, just given the favorable way you're able to enroll through ERs. But can you talk about any learnings you've had from these pilot studies and how they've kind of influenced your submission and interaction with the FDA for the pivotal? Then on commercial efforts, any sort of learnings for onboarding? Do you feel like you've been able to do that nicely for the first order shipped and patients onboarded there? Anything that you've learned that's helping you to kind of move forward?
Branislav, why don't you answer the first part of that question? Because I know that you've been very intimately involved in those initiatives.
Yes, absolutely. The benefit of the pilot study we just finished is twofold. One and foremost are the results, right? The performance of our technology against the 12-lead ECG. A good indication of how well we have done is an accepted presentation at the prestigious TCT International Cardiologist Conference, right? We are very pleased with what we have seen in terms of results on this pilot study. The second, perhaps a bit less, but it's very important aspect is the execution, right? Many of these studies run into problems in the execution. We have debugged. We've seen some of the issues that needed to be addressed, and we now, with full confidence, will go into the pivotal study that, if everything goes well, could start by the end of the year.
We're going to go into that trial armed with this experience in terms of execution and with confidence that our performance, based on what we've seen in the pilot study will be such that it will meet our goals for the pivotal study. All in all, super important that we have executed this pilot study and will be supplemented by the HEADSTART-ACS study in Jakarta, in Indonesia, that will have a similar number of patients with our pivotal study. All in all, pilot in Belgrade, plus the current study in Jakarta that is being executed will mean that we will go into the pivotal study feeling very good about the outcome.
Yeah, on the other part of your question, I would say that probably the biggest learning from the initial work with the concierge practice is streamlining the workflow. When we first were speaking to the concierge practices, there's some hesitancy because they're trying to figure out how would this get implemented into their patient population, what would be the best technique to do that? Also from our point of view, we wanted to make sure that we had a truly robust end-to-end system in terms of the collection of the information, the reading service, and the feedback. What we've learned from that experience is that the best way to go about it is to do what Tim had just referenced, which is the intake criteria.
We get alignment with the concierge practice that all patients that are coming in for intake will get a 12-lead EKG, and that becomes a baseline for the HeartBeam. Then if that particular patient is a patient that has concerns about their cardiac health or the physician thinks that they should in fact have the HeartBeam AIMIGo, the card then gets deployed to them. So that's really the biggest learning, is to get more embedded into the workflow. It's easier, more streamlined, and faster adoption overall, as you might imagine.
Sure. No. Okay, excellent. Well, thanks for all the updates and for taking my questions.
You bet.
Once again, if you would like to ask a question, please press star one on your telephone keypad. A confirmation tone will indicate your line is in the question queue. You may press star two if you'd like to remove your question from the queue. This now concludes our question and answer session. I would like to turn the floor back over to Richard Ferrari for closing comments.
Again, thank you everybody for joining the call, really monitoring and watching what we're doing with Heartbeam. I cannot say it enough, the opportunity that we have in front of us is truly enormous. The technology that we have developed is proven, it is accurate, and it is making a difference in patient lives. It is going to make an even bigger difference in patient lives once we get through the FDA on the heart attack detection, because we will be the first to have sort of pioneered that approach with a handheld device or a wearable, i.e., patch device that can in fact detect a heart attack. We are really very, very excited about what we are doing. I know that many of you want to see revenue increase faster. So do we.
But there is a process that all companies go through as they are pioneering completely new technology in a completely new area. But we are very confident in what we are doing. The results speak for themselves in terms of the clinical data, our IP protection, the feedback that we are getting from physicians, the excitement that patients that get our technology have. So we thank you for your continued interest, and we look forward to updating you in the future.
Ladies and gentlemen, thank you for your participation. This does conclude today's teleconference. You may disconnect your lines and have a wonderful day.
Investor releaseQuarter not tagged2026-08-12HeartBeam Inc (BEAT) Q2 2026 Earnings Report Preview: What To Look For
GuruFocus.com
HeartBeam Inc (BEAT) Q2 2026 Earnings Report Preview: What To Look For
This article first appeared on GuruFocus. HeartBeam Inc (NASDAQ:BEAT) is set to release its Q2 2026 earnings on Aug 13, 2026. The consensus estimate for Q2 2026 revenue is 0.08 million, and the earnings are expected to come in at -0.09 per share. The full year 2026's revenue is expected to be $0.61 million and the earnings are expected to be $-0.37 per share. More detailed estimate data can be found on the Forecast page Warning! GuruFocus has detected 2 Warning Signs with BEAT. Is BEAT fairly valued? Test your thesis with our free DCF calculator. Revenue estimates for HeartBeam Inc (NASDAQ:BEAT) have declined from $2.06 million to $0.61 million for the full year 2026 and declined from $8.58 million to $4.84 million for 2027 over the past 90 days. Earnings estimates for HeartBeam Inc (NASDAQ:BEAT) have increased from $-0.44 per share to $-0.37 per share for the full year 2026 and increased from $-0.37 per share to $-0.30 per share for 2027 over the past 90 days. In the previous quarter of 2026-03-31, HeartBeam Inc's (NASDAQ:BEAT) actual revenue was $0 million, which missed analysts' revenue expectations of $0.12 million by -100%. HeartBeam Inc's (NASDAQ:BEAT) actual earnings were $-0.12 per share, which beat analysts' earnings expectations of $-0.14 per share by 13.04%. After releasing the results, HeartBeam Inc (NASDAQ:BEAT) was up by 10.79% in one day. Based on the one-year price targets offered by 4 analysts, the average target price for HeartBeam Inc (NASDAQ:BEAT) is $3.38 with a high estimate of $5 and a low estimate of $2. The average target implies an upside of 481.80% from the current price of $0.58. Based on the consensus recommendation from 4 brokerage firms, HeartBeam Inc's (NASDAQ:BEAT) average brokerage recommendation is currently 2.00, indicating an "Outperform" status. The rating scale ranges from 1 to 5, where 1 signifies Strong Buy, and 5 denotes Sell.
Investor releaseQuarter not tagged2026-07-30HeartBeam to Host Second Quarter 2026 Results Conference Call on Thursday, August 13, 2026 at 4:30 p.m. Eastern Time
Business Wire
HeartBeam to Host Second Quarter 2026 Results Conference Call on Thursday, August 13, 2026 at 4:30 p.m. Eastern Time
SANTA CLARA, Calif., July 30, 2026--(BUSINESS WIRE)--HeartBeam, Inc. (NASDAQ: BEAT), a medical technology company focused on transforming cardiac care by providing powerful cardiac insights, will hold a conference call on Thursday, August 13, 2026 at 4:30 p.m. Eastern time to discuss its results for the second quarter ended June 30, 2026, and will be providing updates on its strategy to accelerate global adoption of its ambulatory ECG signal platform. A press release detailing these results will be issued prior to the call. HeartBeam Executive Chairman Richard Ferrari, President and Founder Branislav Vajdic, Ph.D., and Chief Financial Officer Timothy Cruickshank will host the conference call, followed by a question-and-answer period. The conference call will be accompanied by a presentation, which can be viewed during the webcast or accessed following the call via the investor relations section of the Company’s website here. To access the call, please use the following information: A telephone replay will be available approximately three hours after the call and will run through August 27, 2026, by dialing 1-844-512-2921 from the U.S., or 1-412-317-6671 from international locations, and entering replay pin number: 13761826. The replay can also be viewed through the webcast link above and the presentation utilized during the call will be available in the Company’s investor relations section here. About HeartBeam, Inc. HeartBeam, Inc. (NASDAQ: BEAT) is a medical technology company dedicated to transforming the detection and monitoring of critical cardiac conditions. The Company has developed the first-ever cable-free device capable of collecting ECG signals in 3D, from three non-coplanar directions, and synthesizing the signals into a 12-lead ECG. This platform technology is designed for portable devices that can be used wherever the patient is to deliver actionable heart intelligence. Physicians will be able to identify cardiac health trends and acute conditions and direct patients to the appropriate care – all outside of a medical facility, thus redefining the future of cardiac health management. HeartBeam’s 3D ECG technology received FDA clearance for arrhythmia assessment in December 2024, and the 12-Lead ECG synthesis software received FDA clearance for arrhythmia assessment in December 20251. The Company holds over 25 issued patents related to technology…Read full documentShow less
SANTA CLARA, Calif., July 30, 2026--(BUSINESS WIRE)--HeartBeam, Inc. (NASDAQ: BEAT), a medical technology company focused on transforming cardiac care by providing powerful cardiac insights, will hold a conference call on Thursday, August 13, 2026 at 4:30 p.m. Eastern time to discuss its results for the second quarter ended June 30, 2026, and will be providing updates on its strategy to accelerate global adoption of its ambulatory ECG signal platform. A press release detailing these results will be issued prior to the call. HeartBeam Executive Chairman Richard Ferrari, President and Founder Branislav Vajdic, Ph.D., and Chief Financial Officer Timothy Cruickshank will host the conference call, followed by a question-and-answer period. The conference call will be accompanied by a presentation, which can be viewed during the webcast or accessed following the call via the investor relations section of the Company’s website here. To access the call, please use the following information: A telephone replay will be available approximately three hours after the call and will run through August 27, 2026, by dialing 1-844-512-2921 from the U.S., or 1-412-317-6671 from international locations, and entering replay pin number: 13761826. The replay can also be viewed through the webcast link above and the presentation utilized during the call will be available in the Company’s investor relations section here. About HeartBeam, Inc. HeartBeam, Inc. (NASDAQ: BEAT) is a medical technology company dedicated to transforming the detection and monitoring of critical cardiac conditions. The Company has developed the first-ever cable-free device capable of collecting ECG signals in 3D, from three non-coplanar directions, and synthesizing the signals into a 12-lead ECG. This platform technology is designed for portable devices that can be used wherever the patient is to deliver actionable heart intelligence. Physicians will be able to identify cardiac health trends and acute conditions and direct patients to the appropriate care – all outside of a medical facility, thus redefining the future of cardiac health management. HeartBeam’s 3D ECG technology received FDA clearance for arrhythmia assessment in December 2024, and the 12-Lead ECG synthesis software received FDA clearance for arrhythmia assessment in December 20251. The Company holds over 25 issued patents related to technology enablement. For additional information, visit HeartBeam.com. 1Cleared Indications for Use The HeartBeam System with 12-Lead ECG synthesis software is FDA cleared for arrhythmia assessment. Refer to the Company’s Cleared Indications for Use and full instructions at https://www.heartbeam.com/indications for details on the intended use of its technology. MKT-155 v0 View source version on businesswire.com: https://www.businesswire.com/news/home/20260730456806/en/ Contacts Investor Relations Contact: Chris TysonExecutive Vice PresidentMZ North AmericaDirect: [email protected] www.mzgroup.us Media Contact: [email protected]
Investor releaseQuarter not tagged2026-05-15HeartBeam (BEAT) Advances Commercial Launch, Reports First-Quarter 2026 Results
NewMediaWire
HeartBeam (BEAT) Advances Commercial Launch, Reports First-Quarter 2026 Results
LOS ANGELES, CA - May 14, 2026 (NEWMEDIAWIRE) - HeartBeam (NASDAQ: BEAT) reported first-quarter 2026 operational and financial results highlighted by the launch of its initial commercial partnerships in key U.S. markets, progress in its heart attack detection and ambulatory ECG patch initiatives, and an April public offering that raised $11.5 million in gross proceeds. The company reported a first-quarter net loss of $4.7 million, improved from $5.5 million in the prior-year period, with research and development expenses declining year over year as HeartBeam continued advancing commercialization of its FDA-cleared cardiac monitoring platform and related growth initiatives. To view the full press release, visit https://ibn.fm/guMCF About HeartBeam, Inc. HeartBeam, Inc. is a medical technology company dedicated to transforming the detection and monitoring of critical cardiac conditions. The Company is creating the first-ever cable-free device capable of collecting ECG signals in 3D, from three non-coplanar directions, and synthesizing the signals into a 12-lead ECG. This platform technology is designed for portable devices that can be used wherever the patient is to deliver actionable heart intelligence. Physicians will be able to identify cardiac health trends and acute conditions and direct patients to the appropriate care – all outside of a medical facility, thus redefining the future of cardiac health management. HeartBeam's 3D ECG technology received FDA clearance for arrhythmia assessment in December 2024 and the 12-lead ECG synthesis software in December 2025(1). The Company holds over 20 issued patents related to technology enablement. (1)Cleared Indications for Use The HeartBeam System with 12-Lead ECG synthesis software for arrhythmia assessment received FDA clearance in December 2025. Refer to the Company's Cleared Indications for Use at https://www.heartbeam.com/indications for details on the intended use of its technology. Please see full terms of use and disclaimers on the InvestorBrandNetwork website applicable to all content provided by IBN, wherever published or re-published: http://IBN.fm/Disclaimer The latest news and updates relating to BEAT are available in the company's newsroom at https://ibn.fm/BEAT Forward Looking Statements Certain statements in this article are forward-looking, as defined in the Private Securities Litigation Reform A…Read full documentShow less
LOS ANGELES, CA - May 14, 2026 (NEWMEDIAWIRE) - HeartBeam (NASDAQ: BEAT) reported first-quarter 2026 operational and financial results highlighted by the launch of its initial commercial partnerships in key U.S. markets, progress in its heart attack detection and ambulatory ECG patch initiatives, and an April public offering that raised $11.5 million in gross proceeds. The company reported a first-quarter net loss of $4.7 million, improved from $5.5 million in the prior-year period, with research and development expenses declining year over year as HeartBeam continued advancing commercialization of its FDA-cleared cardiac monitoring platform and related growth initiatives. To view the full press release, visit https://ibn.fm/guMCF About HeartBeam, Inc. HeartBeam, Inc. is a medical technology company dedicated to transforming the detection and monitoring of critical cardiac conditions. The Company is creating the first-ever cable-free device capable of collecting ECG signals in 3D, from three non-coplanar directions, and synthesizing the signals into a 12-lead ECG. This platform technology is designed for portable devices that can be used wherever the patient is to deliver actionable heart intelligence. Physicians will be able to identify cardiac health trends and acute conditions and direct patients to the appropriate care – all outside of a medical facility, thus redefining the future of cardiac health management. HeartBeam's 3D ECG technology received FDA clearance for arrhythmia assessment in December 2024 and the 12-lead ECG synthesis software in December 2025(1). The Company holds over 20 issued patents related to technology enablement. (1)Cleared Indications for Use The HeartBeam System with 12-Lead ECG synthesis software for arrhythmia assessment received FDA clearance in December 2025. Refer to the Company's Cleared Indications for Use at https://www.heartbeam.com/indications for details on the intended use of its technology. Please see full terms of use and disclaimers on the InvestorBrandNetwork website applicable to all content provided by IBN, wherever published or re-published: http://IBN.fm/Disclaimer The latest news and updates relating to BEAT are available in the company's newsroom at https://ibn.fm/BEAT Forward Looking Statements Certain statements in this article are forward-looking, as defined in the Private Securities Litigation Reform Act of 1995. These statements involve risks, uncertainties, and other factors that may cause actual results to differ materially from the information expressed or implied by these forward-looking statements and may not be indicative of future results. These forward-looking statements are subject to a number of risks and uncertainties, including, among others, various factors beyond management's control, including the risks set forth under the heading "Risk Factors" discussed under the caption "Item 1A. Risk Factors" in Part I of the Company's most recent Annual Report on Form 10-K or any updates discussed under the caption "Item 1A. Risk Factors" in Part II of the Company's Quarterly Reports on Form 10-Q and in the Company's other filings with the SEC. Undue reliance should not be placed on the forward-looking statements in this article in making an investment decision, which are based on information available to us on the date hereof. All parties undertake no duty to update this information unless required by law
Investor releaseQuarter not tagged2026-05-14HeartBeam Inc (BEAT) Q1 2026 Earnings Call Highlights: Strategic Partnerships and Financial ...
GuruFocus.com
HeartBeam Inc (BEAT) Q1 2026 Earnings Call Highlights: Strategic Partnerships and Financial ...
This article first appeared on GuruFocus. Cash Balance: Ended March 31, 2026, with a cash balance of just over $2 million. Pro Forma Cash Balance: Approximately $12.4 million after recent financing and over-allotment. Net Loss: $4.7 million for Q1 2026. Net Cash Used in Operating Activities: $3.6 million, a 19% decrease compared to the same quarter in the prior year. Financing: $11.5 million raised through an underwritten public offering of common stock. Cash Outflow Expectation for 2026: Estimated to be below $16 million. Cash Runway: Funding into 2027, with a focus on commercialization and development initiatives. Warning! GuruFocus has detected 2 Warning Signs with BEAT. Is BEAT fairly valued? Test your thesis with our free DCF calculator. Release Date: May 13, 2026 For the complete transcript of the earnings call, please refer to the full earnings call transcript. HeartBeam Inc (NASDAQ:BEAT) signed its first commercial partnership in Q1 with ClearCardio, establishing a presence in key markets like New York City, Dallas, and South Florida. The company has developed a portable, cable-free ECG system that synthesizes a 12-lead ECG, receiving two FDA clearances for arrhythmia assessment. HeartBeam Inc (NASDAQ:BEAT) initiated a strategic collaboration with Mount Sinai to develop next-generation AI algorithms for heart attack detection and personalized cardiac assessment. The company completed a working prototype of its 12-lead patch and initiated a pilot study focused on ischemia detection, targeting a $2 billion market. HeartBeam Inc (NASDAQ:BEAT) strengthened its financial position with an $11.5 million financing, providing a cash runway to advance into the next phase of growth. HeartBeam Inc (NASDAQ:BEAT) reported a net loss of $4.7 million for Q1 2026, with net cash used in operating activities amounting to $3.6 million. The company is still in the early stages of commercialization, with revenue generation not being the primary focus for the first half of 2026. HeartBeam Inc (NASDAQ:BEAT) faces challenges in scaling its operations, requiring careful management of cash and dilution to maintain a low-cost profile. The company is dependent on successful partnerships and adoption within anchor accounts to achieve its revenue and growth targets. HeartBeam Inc (NASDAQ:BEAT) is still in the process of validating its premium value proposition and refining its sys…Read full documentShow less
This article first appeared on GuruFocus. Cash Balance: Ended March 31, 2026, with a cash balance of just over $2 million. Pro Forma Cash Balance: Approximately $12.4 million after recent financing and over-allotment. Net Loss: $4.7 million for Q1 2026. Net Cash Used in Operating Activities: $3.6 million, a 19% decrease compared to the same quarter in the prior year. Financing: $11.5 million raised through an underwritten public offering of common stock. Cash Outflow Expectation for 2026: Estimated to be below $16 million. Cash Runway: Funding into 2027, with a focus on commercialization and development initiatives. Warning! GuruFocus has detected 2 Warning Signs with BEAT. Is BEAT fairly valued? Test your thesis with our free DCF calculator. Release Date: May 13, 2026 For the complete transcript of the earnings call, please refer to the full earnings call transcript. HeartBeam Inc (NASDAQ:BEAT) signed its first commercial partnership in Q1 with ClearCardio, establishing a presence in key markets like New York City, Dallas, and South Florida. The company has developed a portable, cable-free ECG system that synthesizes a 12-lead ECG, receiving two FDA clearances for arrhythmia assessment. HeartBeam Inc (NASDAQ:BEAT) initiated a strategic collaboration with Mount Sinai to develop next-generation AI algorithms for heart attack detection and personalized cardiac assessment. The company completed a working prototype of its 12-lead patch and initiated a pilot study focused on ischemia detection, targeting a $2 billion market. HeartBeam Inc (NASDAQ:BEAT) strengthened its financial position with an $11.5 million financing, providing a cash runway to advance into the next phase of growth. HeartBeam Inc (NASDAQ:BEAT) reported a net loss of $4.7 million for Q1 2026, with net cash used in operating activities amounting to $3.6 million. The company is still in the early stages of commercialization, with revenue generation not being the primary focus for the first half of 2026. HeartBeam Inc (NASDAQ:BEAT) faces challenges in scaling its operations, requiring careful management of cash and dilution to maintain a low-cost profile. The company is dependent on successful partnerships and adoption within anchor accounts to achieve its revenue and growth targets. HeartBeam Inc (NASDAQ:BEAT) is still in the process of validating its premium value proposition and refining its systems and processes for broader adoption. Q: Can you talk about how many patients are collectively managed by your anchor partners and any updates on pricing? A: Bryan Humbarger, Chief Commercial Officer, explained that while specific patient numbers aren't publicly shared, the focus is on targeting 150,000 patients in the preventative concierge market, aiming for 30,000 patients to reach breakeven. The pricing remains in the $750 to $1,000 range annually, with no pushback received on this pricing. Q: Regarding the ALIGN-ACS pilot study, can you provide details on the study size and timeline for the pivotal study? A: Robert Eno, CEO, stated that the ALIGN-ACS study involves 100 to 120 patients and is ahead of schedule, expected to complete by the end of Q3. The study design will inform discussions with the FDA for the pivotal study, with ongoing communication about regulatory pathways and clinical study design. Q: How should revenue from subscription billing be modeled, and what is the revenue expectation for 2026? A: Timothy Cruickshank, CFO, explained that revenue will be largely straight-lined over the year, with some revenue recognized earlier due to onboarding costs. Most customers are expected to pay upfront, aiding cash flow. The focus is on proving deep adoption rather than immediate revenue generation. Q: Can you elaborate on the feedback from medical professionals regarding the HeartBeam product? A: Bryan Humbarger noted that feedback has exceeded expectations, with clinicians appreciating the ability to arm patients with medical-grade technology for use outside of clinical settings. There is interest in using the device for regular monitoring to gain longitudinal data insights. Q: Why did the company wait to raise funds until the stock price was lower? A: Timothy Cruickshank explained that financing decisions consider shareholder input, existing covenants, and bringing on supportive long-term investors. The recent financing was a clean deal with common stock only, aiming to support the company's growth and valuation goals. For the complete transcript of the earnings call, please refer to the full earnings call transcript.
Investor releaseQuarter not tagged2026-05-14HeartBeam Reports First Quarter 2026 Results
Business Wire
HeartBeam Reports First Quarter 2026 Results
Signed First Commercial Partners in Leading Concierge Practices ClearCardio™ and Atelier Health Established Flagship Commercial Sites Across New York, Dallas, South Florida and Southern California Strategic Collaboration with Mount Sinai to Accelerate Next-Generation AI-ECG Algorithms, Starting with Heart Attack Detection Strengthened Balance Sheet with $11.5 Million Public Offering Including Full Exercise of Over-Allotment Option Initiated Heart Attack Detection Pilot Study, A Key Step Toward Future FDA Indication Expansion Initiated Pilot Study of First On-Demand 12-Lead ECG Patch to Detect Ischemia Outside the Clinic Management to Host Webcast and Conference Call Today at 4:30 p.m. ET SANTA CLARA, Calif., May 13, 2026--(BUSINESS WIRE)--HeartBeam, Inc. (NASDAQ: BEAT), a medical technology company focused on transforming cardiac care by providing powerful cardiac insights, has reported its financial and operational results for the first quarter ended March 31, 2026. First Quarter & Subsequent 2026 Operational Highlights The Company continues to make significant progress entering commercialization while advancing several key initiatives as part of its growth strategy: Initial Commercial Launch: Signed first commercial partnership with ClearCardio™, a rapidly growing preventive cardiology practice with thousands of highly engaged members. The partnership includes an initial staged rollout in New York metro, Dallas and South Florida to ensure a seamless patient and physician experience. Signed commercial partnership with Atelier Health, a Beverly Hills-based premier concierge medical practice led by physicians affiliated with Cedars-Sinai, in the Company’s expansion to the West Coast. These commercial partnerships establish flagship sites across the Company’s targeted geographies of New York, Dallas, South Florida and Southern California, supporting scalable expansion of HeartBeam’s technology in preventive cardiology. The partnerships support HeartBeam's commercialization strategy within preventive cardiology and concierge medicine while helping refine onboarding and physician workflow integration. Establishes an initial foothold in structured direct pay healthcare segment, representing approximately 5 million patients in the U.S. Heart Attack Detection: Enrolled first patients in the ALIGN-ACS pilot study evaluating the HeartBeam System for heart attack dete…Read full documentShow less
Signed First Commercial Partners in Leading Concierge Practices ClearCardio™ and Atelier Health Established Flagship Commercial Sites Across New York, Dallas, South Florida and Southern California Strategic Collaboration with Mount Sinai to Accelerate Next-Generation AI-ECG Algorithms, Starting with Heart Attack Detection Strengthened Balance Sheet with $11.5 Million Public Offering Including Full Exercise of Over-Allotment Option Initiated Heart Attack Detection Pilot Study, A Key Step Toward Future FDA Indication Expansion Initiated Pilot Study of First On-Demand 12-Lead ECG Patch to Detect Ischemia Outside the Clinic Management to Host Webcast and Conference Call Today at 4:30 p.m. ET SANTA CLARA, Calif., May 13, 2026--(BUSINESS WIRE)--HeartBeam, Inc. (NASDAQ: BEAT), a medical technology company focused on transforming cardiac care by providing powerful cardiac insights, has reported its financial and operational results for the first quarter ended March 31, 2026. First Quarter & Subsequent 2026 Operational Highlights The Company continues to make significant progress entering commercialization while advancing several key initiatives as part of its growth strategy: Initial Commercial Launch: Signed first commercial partnership with ClearCardio™, a rapidly growing preventive cardiology practice with thousands of highly engaged members. The partnership includes an initial staged rollout in New York metro, Dallas and South Florida to ensure a seamless patient and physician experience. Signed commercial partnership with Atelier Health, a Beverly Hills-based premier concierge medical practice led by physicians affiliated with Cedars-Sinai, in the Company’s expansion to the West Coast. These commercial partnerships establish flagship sites across the Company’s targeted geographies of New York, Dallas, South Florida and Southern California, supporting scalable expansion of HeartBeam’s technology in preventive cardiology. The partnerships support HeartBeam's commercialization strategy within preventive cardiology and concierge medicine while helping refine onboarding and physician workflow integration. Establishes an initial foothold in structured direct pay healthcare segment, representing approximately 5 million patients in the U.S. Heart Attack Detection: Enrolled first patients in the ALIGN-ACS pilot study evaluating the HeartBeam System for heart attack detection. ALIGN-ACS pilot study expected to complete patient enrollment quickly as study is designed to enroll chest pain patients in the emergency department. Milestone signifies key step toward future FDA indication expansion for heart attack assessment. Future indication expansion would address a large market with over 20 million patients at risk of a heart attack. 12-lead ECG Extended Wear Patch: Completed the first working prototype of an extended-wear 12-lead ECG ambulatory patch, designed to aid in detecting ischemia and complex arrythmias. Initiated pilot study of first on-demand 12-Lead ECG Patch to detect ischemia outside the clinic and traditional medical facilities. Targets a $2 billion market with established reimbursement; ischemia detection has potential to disrupt the patch market which is currently limited to atrial fibrillation detection. AI Program: Announced strategic collaboration with the Icahn School of Medicine at Mount Sinai to support development and validation of next-generation AI-ECG algorithms. Collaboration combines Mount Sinai’s AI and clinical expertise with HeartBeam’s 3D ECG signal collection technology. AI efforts are focused on future applications including heart attack detection and personalized cardiac assessment. Other Commercialization and Operational Highlights: Appointed Bryan Humbarger as Chief Commercial Officer to lead commercial strategy and execution across the Company’s key growth initiatives. Cash and cash equivalents totaled $2.0 million as of March 31, 2026, with net cash used in operating activities of $3.6 million for the three-month period ended March 31, 2026, resulting in a 19% decrease compared to same quarter in the prior year. In April 2026, the Company closed an underwritten public offering of common stock for total gross proceeds of $11.5 million including full exercise of the over-allotment option, before deducting underwriting discounts, commissions, and offering expenses. Management Commentary "In just two months since our last earnings call, we made significant progress executing against the commercialization and growth strategy we’ve consistently discussed over the last several quarters. We established flagship commercial accounts across New York, Dallas, South Florida and Southern California, advanced our heart attack detection and on-demand 12-lead patch initiatives, and strengthened our balance sheet. HeartBeam’s differentiated FDA-cleared synthesized 12-lead ECG platform remains the foundation of our growth, backed by strong IP and clinical evidence," said Robert Eno, Chief Executive Officer, HeartBeam. "Looking ahead, we remain focused on expanding our commercial footprint by driving deep adoption within our flagship accounts and continuing to build out workflow integration and patient onboarding within those practices while continuing to make significant advancements with our patch, heart attack detection and AI initiatives throughout 2026," concluded Eno. First Quarter 2026 Financial Results Research & development expenses for the first quarter of 2026 were $2.4 million, compared to $3.5 million for the first quarter of 2025. Selling, general & administrative expenses for the first quarter of 2026 were $2.3 million compared to $2.0 million for the first quarter of 2025. Net loss for the first quarter of 2026 was $4.7 million, compared to a net loss of $5.5 million for the first quarter of 2025. Net cash used in operating activities was $3.6 million for the three-month period ended March 31, 2026, a 19% decrease compared to the same quarter in the prior year. Cash and cash equivalents totaled $2.0 million as of March 31, 2026, as compared to $4.4 million at December 31, 2025. On April 16, 2026, the Company closed an underwritten public offering of common stock for total gross proceeds of $11.5 million including full exercise of the over-allotment option, before deducting underwriting discounts, commissions, and offering expenses. First Quarter 2026 Results Conference Call HeartBeam CEO Robert Eno, CFO Timothy Cruickshank, and CCO Bryan Humbarger will host the conference call, followed by a question-and-answer period. The conference call will be accompanied by a presentation, which can be viewed during the webcast or accessed following the call via the investor relations section of the Company’s website here. To access the call, please use the following information: A telephone replay will be available approximately three hours after the call and will run through May 27, 2026, by dialing 1-844-512-2921 from the U.S., or 1-412-317-6671 from international locations, and entering replay pin number: 13760379. The replay can also be viewed through the webcast link above and the presentation utilized during the call will be available in the Company’s investor relations section here. About HeartBeam, Inc. HeartBeam, Inc. (NASDAQ: BEAT) is a medical technology company dedicated to transforming the detection and monitoring of critical cardiac conditions. The Company has developed the first-ever cable-free device capable of collecting ECG signals in 3D, from three non-coplanar directions, and synthesizing the signals into a 12-lead ECG. This platform technology is designed for portable devices that can be used wherever the patient is to deliver actionable heart intelligence. Physicians will be able to identify cardiac health trends and acute conditions and direct patients to the appropriate care – all outside of a medical facility, thus redefining the future of cardiac health management. HeartBeam’s 3D ECG technology received FDA clearance for arrhythmia assessment in December 2024, and the 12-Lead ECG synthesis software received FDA clearance for arrhythmia assessment in December 20251. The Company holds over 20 issued patents related to technology enablement. For additional information, visit HeartBeam.com. Forward-Looking Statements All statements in this release that are not based on historical fact are "forward-looking statements." While management has based any forward-looking statements included in this release on its current expectations, the information on which such expectations were based may change. Forward-looking statements involve inherent risks and uncertainties which could cause actual results to differ materially from those in the forward-looking statements, as a result of various factors including those risks and uncertainties described in the Risk Factors and in Management’s Discussion and Analysis of Financial Condition and Results of Operations sections of our Forms 10-K, 10-Q and other reports filed with the SEC and available at www.sec.gov. We urge you to consider those risks and uncertainties in evaluating our forward-looking statements. We caution readers not to place undue reliance upon any such forward-looking statements, which speak only as of the date made. Except as otherwise required by the federal securities laws, we disclaim any obligation or undertaking to publicly release any updates or revisions to any forward-looking statement contained herein (or elsewhere) to reflect any change in our expectations with regard thereto or any change in events, conditions or circumstances on which any such statement is based. 1Cleared Indications for Use The HeartBeam System with 12-Lead ECG synthesis software is FDA cleared for arrhythmia assessment. Refer to the Company’s Cleared Indications for Use at https://www.heartbeam.com/indications for details on the intended use of its technology. MKT-148 v1 View source version on businesswire.com: https://www.businesswire.com/news/home/20260513180482/en/ Contacts Media Contact: [email protected] Investor Relations Contact: Chris Tyson Executive Vice President MZ North America Direct: 949-491-8235 [email protected] www.mzgroup.us
Investor releaseQuarter not tagged2026-05-14HeartBeam, Inc. Q1 2026 Earnings Call Summary
Moby
HeartBeam, Inc. Q1 2026 Earnings Call Summary
Our analysts just identified a stock with the potential to be the next Nvidia. Tell us how you invest and we'll show you why it's our #1 pick. Tap here. Secured flagship accounts in all four target geographies (NYC, Dallas, South Florida, Southern California) to validate the premium value proposition for the HeartBeam system. Transitioned to a limited commercial launch focused on the Direct Pay segment, targeting approximately 5 million U.S. patients through technology-forward concierge and preventive cardiology practices. Leveraged the core 3D signal collection technology to develop a second form factor, an on-demand 12-lead extended wear patch, aimed at the $2 billion ambulatory cardiac monitoring market. Initiated the ALIGN-ACS pilot study in Europe to compare HeartBeam to standard 12-lead ECGs in emergency departments, a critical step toward expanding indications for heart attack detection. Finalized a strategic collaboration with Mount Sinai to pair clinical expertise with 3D ECG data for the development of next-generation AI algorithms for MI detection and wellness. Adopted a capital-efficient commercial model using a lean sales team to prove scale and efficiency before broader expansion in 2027. Management lowered the 2026 cash outflow estimate to below $16 million, down from the previous $17 million to $19 million range, by utilizing a leaner initial sales structure. The second half of 2026 will focus on proving deep adoption within anchor accounts and establishing a sales funnel to support 2027 revenue goals. Expect to complete enrollment for the ALIGN-ACS pilot study by the end of Q3 2026, which will inform the design of a subsequent FDA pivotal study. Strategic partnership discussions for the 12-lead patch are ongoing, with the goal of leveraging industry players to accelerate market entry and adoption. Revenue recognition for the subscription model is expected to be largely straight-lined over contract terms, though cash flow will benefit from upfront annual payments. Strengthened the balance sheet with an $11.5 million financing in April 2026, providing a pro forma cash balance of approximately $12.4 million and runway into 2027. Achieved a 19% year-over-year reduction in operating cash burn in Q1 2026 despite making timely investments in commercial launch and patch development. The financing was led by HeartBeam's first commercial customer, Cle…Read full documentShow less
Our analysts just identified a stock with the potential to be the next Nvidia. Tell us how you invest and we'll show you why it's our #1 pick. Tap here. Secured flagship accounts in all four target geographies (NYC, Dallas, South Florida, Southern California) to validate the premium value proposition for the HeartBeam system. Transitioned to a limited commercial launch focused on the Direct Pay segment, targeting approximately 5 million U.S. patients through technology-forward concierge and preventive cardiology practices. Leveraged the core 3D signal collection technology to develop a second form factor, an on-demand 12-lead extended wear patch, aimed at the $2 billion ambulatory cardiac monitoring market. Initiated the ALIGN-ACS pilot study in Europe to compare HeartBeam to standard 12-lead ECGs in emergency departments, a critical step toward expanding indications for heart attack detection. Finalized a strategic collaboration with Mount Sinai to pair clinical expertise with 3D ECG data for the development of next-generation AI algorithms for MI detection and wellness. Adopted a capital-efficient commercial model using a lean sales team to prove scale and efficiency before broader expansion in 2027. Management lowered the 2026 cash outflow estimate to below $16 million, down from the previous $17 million to $19 million range, by utilizing a leaner initial sales structure. The second half of 2026 will focus on proving deep adoption within anchor accounts and establishing a sales funnel to support 2027 revenue goals. Expect to complete enrollment for the ALIGN-ACS pilot study by the end of Q3 2026, which will inform the design of a subsequent FDA pivotal study. Strategic partnership discussions for the 12-lead patch are ongoing, with the goal of leveraging industry players to accelerate market entry and adoption. Revenue recognition for the subscription model is expected to be largely straight-lined over contract terms, though cash flow will benefit from upfront annual payments. Strengthened the balance sheet with an $11.5 million financing in April 2026, providing a pro forma cash balance of approximately $12.4 million and runway into 2027. Achieved a 19% year-over-year reduction in operating cash burn in Q1 2026 despite making timely investments in commercial launch and patch development. The financing was led by HeartBeam's first commercial customer, ClearCardio, signaling strong partner conviction in the business model. Management emphasized a 'clean cap table' strategy by utilizing common stock only for the recent offering to maintain future optionality. One stock. Nvidia-level potential. 30M+ investors trust Moby to find it first. Get the pick. Tap here. Management confirmed subscription pricing remains in the $750 to $1,000 annual range with no initial pushback from physicians. While specific patient counts for private accounts were not disclosed, the target geographies represent tens of thousands of potential patients in the concierge segment. The company views 30,000 patients as the breakeven point, with a strategy to reach the first 10,000 through small accounts before scaling via larger medical chains. Revenue will show a slight front-loading due to onboarding obligations but will primarily be recognized straight-line over the subscription period. Existing 1-to-3 lead patches are limited to arrhythmia; HeartBeam's patch adds 12-lead on-demand capability for ischemia detection. Physicians expressed interest in longitudinal data from frequent 12-lead measurements, which was previously impossible outside of a clinical setting. Management defended the timing by emphasizing the importance of bringing in long-term institutional partners and maintaining a clean common-stock-only structure. The raise was intended to provide the necessary runway to reach upcoming clinical and commercial milestones regardless of short-term stock price fluctuations.
Investor releaseQuarter not tagged2026-05-14HeartBeam Q1 2026 Earnings Call: Complete Transcript
Benzinga
HeartBeam Q1 2026 Earnings Call: Complete Transcript
HeartBeam (NASDAQ:BEAT) released first-quarter financial results and hosted an earnings call on Wednesday. Read the complete transcript below. Benzinga APIs provide real-time access to earnings call transcripts and financial data. Visit https://www.benzinga.com/apis/ to learn more. The full earnings call is available at https://viavid.webcasts.com/starthere.jsp?ei=1761581&tp_key=a64f57a332 Heartbeam Inc reported a successful first quarter, with a focus on commercialization and growth initiatives. The company signed its first commercial partnership with ClearCardio and expanded its presence with Atelier Health, establishing flagship sites in key U.S. markets. Heartbeam Inc is advancing its 12-lead patch development and AI collaborations, with ongoing clinical studies for heart attack detection ahead of schedule. The company recently strengthened its financial position with an $11.5 million financing, providing a cash runway into 2027. Management emphasized a strategic, lean approach to commercialization, aiming for a break-even point with 30,000 patients and exploring potential partnerships for further expansion. OPERATOR Greetings and welcome to the Heartbeam First Quarter 2026 Financial Results Conference Call. At this time all participants are in listen only mode. A question and answer session will follow the formal presentation. As a reminder, this conference call is being recorded. Before we begin the formal presentation, I would like to remind everyone that the statements made on the call and webcast may include predictions, estimates or other information that might be considered forward looking. While these forward looking statements represent our current judgment on what the future holds, they are subject to risk and uncertainties that could cause actual results to differ materially. You are cautioned not to place undue reliance on these forward looking statements which reflects our opinions or only as of date of this presentation. Please keep in mind that we are not obligating ourselves to revise or publicly release the results of any revision to these forward looking statements in the light of new information or future events. Throughout today's discussion, we will attempt to present some important factors relating to our business that may affect our prediction. You should also review our Most recent Form 10K and Form 10Q for a more complete discuss…Read full documentShow less
HeartBeam (NASDAQ:BEAT) released first-quarter financial results and hosted an earnings call on Wednesday. Read the complete transcript below. Benzinga APIs provide real-time access to earnings call transcripts and financial data. Visit https://www.benzinga.com/apis/ to learn more. The full earnings call is available at https://viavid.webcasts.com/starthere.jsp?ei=1761581&tp_key=a64f57a332 Heartbeam Inc reported a successful first quarter, with a focus on commercialization and growth initiatives. The company signed its first commercial partnership with ClearCardio and expanded its presence with Atelier Health, establishing flagship sites in key U.S. markets. Heartbeam Inc is advancing its 12-lead patch development and AI collaborations, with ongoing clinical studies for heart attack detection ahead of schedule. The company recently strengthened its financial position with an $11.5 million financing, providing a cash runway into 2027. Management emphasized a strategic, lean approach to commercialization, aiming for a break-even point with 30,000 patients and exploring potential partnerships for further expansion. OPERATOR Greetings and welcome to the Heartbeam First Quarter 2026 Financial Results Conference Call. At this time all participants are in listen only mode. A question and answer session will follow the formal presentation. As a reminder, this conference call is being recorded. Before we begin the formal presentation, I would like to remind everyone that the statements made on the call and webcast may include predictions, estimates or other information that might be considered forward looking. While these forward looking statements represent our current judgment on what the future holds, they are subject to risk and uncertainties that could cause actual results to differ materially. You are cautioned not to place undue reliance on these forward looking statements which reflects our opinions or only as of date of this presentation. Please keep in mind that we are not obligating ourselves to revise or publicly release the results of any revision to these forward looking statements in the light of new information or future events. Throughout today's discussion, we will attempt to present some important factors relating to our business that may affect our prediction. You should also review our Most recent Form 10K and Form 10Q for a more complete discussion of these factors and other risks, particularly under the heading Risk Factors. A press release detailing these results crossed the wire this afternoon and is available in the Invest Relations section of our company's website, heartbeam.com your hosts today, Rob Eno, Chief Executive Officer Tim Cruikshank, Chief Financial Officer, and Brian Humbagger, Chief Commercial Officer, will present results of operation for the first quarter ended March 31, 2026. At this time, I will turn the call over to Heartbeam Chief Executive Officer Mr. Rob Eno. Please go ahead. Rob Eno (Chief Executive Officer) Thank you, operator. The topics we'll cover on today's call are listed on the slide. We'll start with a brief summary of our recent progress, followed by a reminder of the Heartbeam system and our unique technology platform. Brian Humbarger, our Chief Commercial Officer, will provide an overview of our limited commercial launch. We'll then provide updates on our major growth initiatives, the On Demand 12 lead patch, and our heart attack detection and AI efforts, followed by the financial results. We'll end with Q and A. I'll briefly summarize our recent progress. We'll cover each of these in more detail throughout the presentation. We continue to execute well across both commercialization and our growth initiatives. On commercialization, we signed our first commercial partnership in Q1 with ClearCardio, anchoring us in New York City, Dallas and South Florida. We've since added Atelier Health, a Beverly Hills concierge practice led by physicians affiliated with Cedars Sinai, extending us to Southern California and giving us flagship sites in all four of our target geographies. Together, these partnerships establish our initial foothold in the direct pay segment, which represents roughly 5 million US patients on heart attack detection. We enrolled the first patient in our Align ACS pilot study, which compares Heartbeam to a standard 12 lead ECG and in chest pain patients in the emergency department, enrollment's ahead of schedule. The study is a key step toward FDA indication expansion into a market of 20 million at risk patients on the 12 lead patch. We completed our first working prototype in Q1 and we've now initiated a pilot study focused on ischemia detection. We believe this will be the best in class patch in a $2 billion market with established reimbursement partnership discussions continue to progress on AI we announced a strategic collaboration with Mount Sinai, pairing their AI and clinical expertise with our 3D ECG signal collection technology to develop next generation algorithms for heart attack detection, wellness and personalized cardiac assessment. Before we dive into detail updates, I want to remind everyone about our initial product, the Heartbeam system and our platform technology. Heartbeam is dedicated to developing groundbreaking ECG technology for patients to use at home. To empower them to feel confident about their heart health, Heartbeam has developed the first ever portable cable free ECG that can synthesize a 12 lead ECG. Our unique IP protected approach captures the heart's electrical signals in three dimensions or non coplanar directions and synthesizes the signals into a 12 lead ECG. The system is designed to be easy to carry and easy for patients to use at the time of symptom onset, anywhere, anytime. The technology is supported by a team of US based board certified cardiologists who are available 247 to interpret the clinical grade ECG and triage patients appropriately to ensure timely care. The system has received two FDA clearances for arrhythmia assessment. With these two clearances in place, we're embarking on our limited commercial launch. As you'll hear, we're extremely pleased with the reception of the system among leading concierge physicians and preventive cardiologists. Heartbeam is more than just the first cable free synthesized 12 lead ECG. It is true platform technology. The major advance that we pioneered and what our key IP is based around is our novel signal collection technology which captures the heart's electrical signals in three axes, left and right, up and down and into the body. These 3D signals can be converted into a familiar 12 lead waveform. This core technology can be applied to multiple form factors. We're embarking on the launch of the Heartbeam system, the credit card size form factor recently we announced the second form factor, an on demand 12 lead extended wear patch. We believe that this patch can disrupt the ambulatory cardiac monitoring market, a $2 billion revenue market. The technology in these two form factors has the potential to enable a full range of 12 lead ECG capabilities, including currently cleared arrhythmia assessment and future indications of heart attack detection and personalized AI algorithms. We'll discuss our progress toward heart attack detection and AI algorithms shortly, but now I want to turn it over to Brian Humbarger, Heartbeam's Chief Commercial Officer, to provide an update on our commercial efforts. Brian Humbarger (Chief Commercial Officer) Brian thank you Rob. Our commercial goals remain consistent and execution of the plan is well underway. As a review, we stated that in the first half of 2026, where we are today, that we are focused on validating our premium value proposition, refining the heartbeam systems and processes, signing and onboarding our anchor accounts, and proving the scaling efficiency of the model. In the second half of 2026, we will shift to proving deep adoption inside those anchor accounts and establishing the funnel that will support our 2027 revenue and adoption goals, developing white papers and clinical proof points to drive further adoption, and beginning to expand the sales team around our anchor geographies. And then in 2027 and beyond, we will scale revenue move to train the trainer model for implementation, expand our clinical research opportunities, and expand the sales, clinical and account management teams. These are the specific goals we set for in the first half of 2026 alongside our status against each one. Our first two goals are focused on signing and onboarding anchor accounts in key targeted markets and executing a concentrated rollout strategy in four key New York City, Dallas, South Florida and Southern California. We've now built flagship accounts in all four markets since our last call. We've added Atelier Health, located in Beverly Hills and led by physicians affiliated with Cedars Sinai. This establishes access of the heartbeam technology in Southern California. Additionally, our first customer, Clear Cardio, has recently expanded its footprint from Dallas to New York and South Florida, bringing along our technology as part of their offering in these markets. And these are technology forward customers that are rapidly growing in the preventative cardiology space. We also set out to validate our premium value proposition. Early Physician Engagement and flagship Account Traction have clearly reinforced demand for our personalized 12 lead ECG capability. Physicians who have spent time with the technology are confirming what we believe that this is a meaningfully differentiated tool. And finally, we prioritize the need to refine physician workflows. We've been working directly with clearcardio and Atelier on rollout planning, workflow integration, and the implementation processes and what we are learning is informing a cleaner, faster onboarding playbook. We will continue to prove our ability to scale efficiently. We are demonstrating this by accessing large patient populations through a focused set of strategically selected practices with a lean commercial team. Our focus will be on growth, which is the expansion of Heartbeam access in the target geography and adoption the penetration of patients in our contracted accounts for the limited commercial launch. We plan to execute this strategy with a sales director and one implementation specialist. After this phase, we plan to have a sales director and one to two implementation specialists per geography to support our growth and adoption efforts. Finally, we will begin measuring growth and adoption in addition to other key metrics as we move into this next phase of commercialization. Now I'll turn it back to Rob. Rob Eno (Chief Executive Officer) Thanks so much Brian. Next, I want to discuss our key growth initiatives, the 12 lead on demand Patch and our efforts on heart attack detection and AI. I'll start with the 12 lead patch. As I mentioned when we unveiled it last quarter, we believe that the Heartbeam 12 lead patch can disrupt the ambulatory cardiac monitoring market. This market consists of patches that are worn for up to 30 days and continually record the patient's heart rhythms. It's a rapidly growing $2 billion revenue market with existing reimbursement consisting of two segments, long term continuous monitors and mobile cardiac telemetry or mct. These existing devices are one to three leads and are limited to arrhythmia detection and monitoring. Heartbeam has developed an on Demand 12 lead patch and has produced a working prototype of the device. It functions just like existing patches, continually recording the patient's heart rhythms with a single lead. But using Heartbeam's patented technology, a patient simply places two fingers on the front of the device to record a clinical grade 12 lead ECG. This has the potential to bring better diagnostic capabilities, including ischemia detection, to the patch segment. The device integrates into existing workflows and leverages the existing reimbursement. We believe this will be the best in class patch. During the last call, we presented the results of market research surveys of cardiologists, electrophysiologists and emergency medicine physicians. The research indicated that a 12 lead patch could cause fully half of the market to shift and could grow the market as a whole by a third. We announced on Monday that we've initiated a pilot clinical study in Europe aimed at demonstrating the ability of the heart beam patch to detect ischemia. The pilot study will enroll approximately 50 patients with a high risk of coronary artery disease. Each patient undergoes exercise stress testing, a standard diagnostic procedure used to identify ischemic changes while wearing the Heartbeam patch. Immediately following exercise, patients will obtain a synthesized 12 lead ECG by placing two fingers on the front of the patch. This ECG will be compared directly with a standard 12 lead ECG recorded at the same time. The study will help inform the company's regulatory strategy for the heart beam patch. Also, as previously noted, we're in discussions with a number of industry players on a potential partnership to bring the patch to market. We've had several productive meetings since our last call, including at the American College of Cardiology and the Heart Rhythm Society meetings, and we'll keep you informed of the progress. At Heartbeam, we think about the card and the patch system not just as two products but as entry points into the patient's cardiac monitoring journey. First, as you see on the left, patients use the Heartbeam system, the card, as an episodic monitor for peace of mind and to get physician feedback as symptoms occur. They're able to use the device throughout their lives to provide the physician with information to identify and monitor heart abnormalities. Often a cardiologist will want more information, such as the arrhythmia burden, that will necessitate use of the patch so the card can directly lead to the patch. On the right hand side is the 12 lead patch, a continuous monitor that's worn for a period of weeks. It can create a 12 lead ECG on demand, and this could be prescribed when physicians want discontinuous information to assist in a new diagnosis or after an emergency department visit or a procedure such as revascularization or a cardiac ablation. A patient who finishes with the heartbeat patch could transition to the card for a number of reasons, for example to monitor intermittent episodes over their lifetime or if the patch is prescribed after a procedure. Once this acute phase is over, the the patient who's still high risk could transition to the card so the patch can directly lead to the card. This is a flywheel that can drive further usage and deeper engagement with the technology. As we've discussed previously, one of the major problems in cardiology is that there's no good way for patients who experience chest pain to know if they're having a heart attack. Patients wait an average of three to four hours before seeking care, and every 30 minutes of delay increases the risk of death by seven and a half percent. The 12 lead ECG is the standard for heart attack detection. But traditional 12 lead ECGs have 10 wired electrodes that need to be placed by a technician and they're not applicable for home use. This is a major problem with 20 million people in the US at risk of a heart attack, including 8 million who have had a previous heart attack. HeartBeam's technology has the potential to address this major need. We have multiple proof of concept studies showing that the heartbeam ECG is similar to a standard 12 lead ECG and in detecting heart attacks. One important point about this effort is it's the same Heartbeam system that we're launching with an expanded indication. The Align ACS pilot study is underway in Europe comparing the Heartbeam ECG to a standard 12 lead ECG and detecting heart attacks. The study is conducted in the emergency room, enrolling patients who arrive with chest pain. This will allow the study to enroll much more rapidly than a study that prescribed devices to pay patients and waited for them to have events. We expect the study to complete enrollment by the end of the third quarter of 2026 and the study will inform the design of our FDA pivotal study. The study is enrolling well and is currently ahead of schedule. Next I'd like to describe the vision of how our system will work with heart attack detection, but first here's the workflow. Today a patient with symptoms uses the Heartbeam system and the data is sent to a cardiologist who's available 24 7. The cardiologist reviews the ECG and the symptoms and responds to the patient in just a few minutes with an ECG interpretation of the patient's arrhythmic state. In our vision of heart attack detection, the workflow is very similar from a patient perspective but with the expanded indication. The on call cardiologist will review for the presence of heart attacks, reviewing the ECG in comparison with the baseline ECG symptoms and history. But the physician will also benefit from an AI algorithm specifically for MI detection. We plan to develop a deep learning model trained on ECGs taken when patients present with chest pain. The algorithm is trained on all of the data including which patients go on to be revascularized. In General, there are two types of heart attacks. ST elevation, myocardial infarctions or STEMI's are the classic heart attack which can be readily identified on an ECG, but non ST elevation myocardial infarctions or NSTEMI's are more subtle and sometimes are not picked up by a physician reviewing the ECG by training the algorithm on which patients actually need a revascularization we believe we'll be able to catch NSTEMIs as well as STEMI's back to the workflow. Our vision is that the patient's data will be sent to the physician, but in parallel we run through the AI algorithm which will provide insights on on the potential of both STEMI and NSTEMI heart attacks. So the physician's interpretation and recommendation will be informed by the AI algorithm. We'll have further updates on these efforts, including the clinical and regulatory timelines. Our robust clinical trial pipeline, which includes the Align ACS pilot study, the Indonesia Head Start ACS study and a US pivotal study, should provide on the order of 1,000 patients to further validate the AI algorithm we're developing. We showed this slide in the last call two months ago, laying out the key milestones for the year. We're making excellent progress achieving what we said we would. All of the milestones for Q1 are complete and we're well on the way to achieving the Q2 milestones on commercialization. As Brian walked through, we have signed and are onboarding our first two accounts, giving us flagship sites in all four of the key geographies that we laid out last quarter. The early traction of these accounts is validating our premium positioning. Physicians who have spent meaningful time with the system are confirming that this is a highly differentiated product on heart attack detection. Enrollment for the Align ACS pilot study is underway and we expect to have updates in the coming months on Head Start ACS and the Align ACS enrollment completion on AI with the Mount Sinai collaboration finalized, we're focusing on developing algorithms, including MI Focused and Wellness algorithms, with which will enhance the value of the heartbeam system for our initial patient population. And finally on the 12 lead patch, we're in the midst of partnership discussions and we added to this chart the pilot ischemia study on the patch, which is underway next. Tim will run us through the financials. Tim Cruikshank (Chief Financial Officer) Tim, great. Thanks Rob. This past month we strengthened our financial position through an $11.5 million financing. We closed the underwritten public offering of common stock on April 16th. Total gross proceeds of 10 million before cost and the underwriter as well exercised the overallotment option of 1.5 million in common stock for further gross proceeds. The offering was led by our first commercial customer, ClearCardio, alongside our executive leadership board members, a number of existing investors, as well as several fundamental institutional investors. This level of participation in the financing, including the fundamental institutional participation, is a strong signal of conviction in the business model and our trajectory. We ended March 31, 2026 with a cash balance of just over 2 million. So when you include the net proceeds from the recent offering and over allotment, we'd have a pro forma cash balance of approximately 12.4 million. This provides the cash Runway to advance Heartbeam into our next phase of growth and the common stock only financing continues to provide the company with a clean cap table and lots of optionality. Moving forward, our focus remains on execution towards our operational milestones while managing cash and dilution responsibly. We believe the progress we're making commercially combined with continued advanced development of our strategic initiatives that Rob walked us through, they position us well to execute in a meaningful way throughout 2026 and into 2027. Taking a look at the Q1 2026 financials, we had a net loss of 4.7 million with net cash used in operating activities of 3.6 million. This is a 19% decrease in operating cash outflow compared to the same quarter in the prior year. The Q1 spend and EPS came in ahead of expectations in Q1 of every year. There are several one time annual payments within it and we also made a few timely investments into our commercial Launch and the 12 lead patch development. Even with these investments, we continue to show our ability to execute on our aggressive milestones while still delivering the 19% year over year expenditure reduction we saw in the quarter. We've got a really lean but dedicated team and we continue to judiciously time our investments providing us with the ability to maintain a low cost profile. To that end, we previously stated our cash outflow expectations for 2026 would be in the 17 to 19 million dollars range. That was based on a more aggressive hiring of the sales team than we believe is necessary in the early days. As Brian described earlier, we have the ability to continue to prove out our initial commercial launch with the focused lean team. So based on that we estimate our cash outflow will be below 16 million for all of 2026. So if you take the cash outflows of 3.6 million in Q1 of this year, that equates to approximately 12 million in cash outflows for the remaining 3/4 for 2026 and that is prior to factoring in cash receipts from customers from our commercialization efforts. So this provides US funding into 2027 and the Runway necessary to accomplish several critical milestones we have ahead. In summary, the financing we closed this past month extends our Runway as we continue to advance our commercial launch and our exciting development initiatives in the 12 lead patch as well as our MI detection and AI initiatives combined with our balanced financial discipline including the 19% year over year reduction in operating cash burn delivered in Q1, we believe we have the cash Runway to advance Heartbeam well into our next phase of growth. With that, Rob, I'll turn it back over to you. Rob Eno (Chief Executive Officer) Thanks so much Tim. We're pursuing a massive $40 billion opportunity and we're executing on our plan to address major markets. The technology is significantly de risked with the achievement of the first ever FDA cleared cable free synthesized 12 lead ECG for arrhythmia assessment. The platform technology is backed by strong IP and clinical evidence. We strengthened our balance sheet with the April 2026 offering and we're following a capital efficient strategy with thoughtful and judicious timing of investments as as Tim laid out. And crucially, we're executing on multiple value creation opportunities in 2026 on the limited commercial launch. We have built flagship account presence in New York, Dallas, South Florida and Southern California. And our cost effective expansion strategy does not require a huge sales force on heart attack detection. We're rapidly advancing clinical validation to support indication expansion with the same Heartbeam system. The Align ACS pilot study is enrolling rapidly and is ahead of schedule. We believe that Heartbeam's on demand. 12 lead patch will be the best in class product in a $2 billion revenue market. With existing reimbursement. It will be the only 12 lead extended wear patch and its ability to detect ischemia as well as arrhythmia will be game changing. We've initiated the pilot study that's aimed at demonstrating the ischemia detection capabilities. We're advancing our efforts on a strategic partnership to speak adoption as well. And finally, the Mount Sinai agreement is key to our AI strategy and the development of next generation algorithms including MI detection and wellness algorithms. Longer term, we'll be partnering with Mount Sinai to create a new class of 12 lead screening and predictive algorithms that are with the patient at home. We thank you all for attending and now would like to open it up to Q and A operator. OPERATOR Thank you. We will now be conducting a question and answer session. If you would like to ask a question, please press Star one on your telephone keypad. A confirmation tone will indicate your line is in the question queue. You may press Star two if you would like to remove your questions from the queue. For participants using speaker equipment, it may be necessary to pick up your handset before pressing the star keys. One moment please. We poll for questions. The first question comes from the line of Kyle Bowser with Titan Partners Please go ahead. Kyle Bowser Hi, Rob, Tim and Brian. Thanks for taking my questions and congrats on all the recent progress here. It's impressive. Maybe I'll start with the commercial rollout. Following your two anchor partners. Can you talk about how many patients are collectively managed by these partners and also any updates on pricing? Are we still thinking the 500 to $1,000 range? Brian Humbarger (Chief Commercial Officer) Yeah. Hey, Kyle, this is Brian. Thanks for the question. So, yeah, as we've discussed, really this first half of the year is signing and getting these anchor accounts on board. So we're really focused on that. And as we move through the second half of, of Q2 and into the second half of the year, we will be, you know, focused much more on the adoption in those specific practices. There are number of patients in those specific practices aren't really shared publicly. But as we go back and look at why we focused on these specific geographies, looking at our premium value proposition and where the patients are, our focus is really on going after those 150,000 patients that are in this preventative concierge market and getting to 30,000 of those patients to our break even, our break even point. And when we look at these four markets, they represent, between the anchor accounts and other similar customers in the area, tens of thousands of patients in these specific geographies. So we feel very confident about that. Regarding the pricing, spot on, I think we talked about on the last call, 750 to 1,000 is what we look at from a pricing perspective on the, on the annual basis for the subscription fee and early indications that we haven't, we haven't received any pushback on that. So we're confident that we're coming in and being able to establish that value Rob Eno (Chief Executive Officer) right out of the gates and hey, Kyle, this is Rob. Great, great to hear from you. Just to add one quick thing, what Brian said, great answer, Brian. On the number of patients, as Brian said, because they're private accounts, they don't like us saying that. But I think you can expect in the near future, as we have more and more accounts, we'll be able to give a number that says collectively under these accounts, this number of patients, number of patients is being managed just like you're getting to. It's a little early because it exposes too much about the customers, but you can expect us to report that as part of what Brian said, some of the metrics that we're looking at. Kyle Bowser Okay, excellent. Makes sense. Appreciate that. And then maybe moving on to heart attack detection in the line ACS pilot study. Rob, I believe you mentioned previously it will be about 100 patients. Correct me if I'm wrong. And given the nice design of just enrolling ER chest pain patients, it sounds like it's ahead of schedule. Once you finalize the design for the pivotal study, can you talk a little bit about the timing and what that will look like for the enrollment of that pivotal. Rob Eno (Chief Executive Officer) Sure. So, yeah, the align ACS is on the order of 100 to 120 patients. It's enrolling well ahead of schedule. You know, we still believe we're comfortable in that enrollment by the end of. End of Q3. You know, what we're doing is, as I mentioned, is that study design we're learning a lot from. And that will inform the discussions with FDA for the pivotal study design. So we're in communication with FDA on everything from the regulatory pathway to the clinical study design. We're also talking with potential investigators in the US So nothing more to update in terms of further timing beyond align acs, but as soon as we know more, we'll make sure that we lay it out for you. Okay, appreciate that. Kyle Bowser And maybe I can just slip one more in regarding the Head Start ACS study. How will that differ from align ACS and number of patients, et cetera? Rob Eno (Chief Executive Officer) Yeah, we'll talk more about that in a little bit. But it's broadly the same design, meaning that it's looking at patients in emergency rooms with chest pain and comparing it to a 12 lead ECG. It's been sponsored by the government of Indonesia that's very interested in potential usage of our system. So it's going to be a bigger study on the order of 500 patients. And because of the design and the interest from Indonesia, it's largely paid for by the government. So it's a good opportunity for us to get more patients, both for our overall learning of the manual interpretation, but also, as I suggested, to be able to have a pool of patients to validate our upcoming AI algorithm. Well, so more details on that, you know, in the coming weeks, I believe. Okay, got it. Kyle Bowser Appreciate that. Thanks for taking my questions. OPERATOR Thank you. Next question comes from the line of Yi Chen with Etsy Rainwright. Please go ahead. Katie Hi, this is Katie on for Yi. I was hoping we could get a little bit more clarification on how we should model revenue from this subscription billing. Do you expect it to build consistently quarter over quarter, or is it going to be ebb and flow throughout the year? And then what is a realistic revenue expectation for full year 2026 with the current number of Deployed accounts. Tim Cruikshank (Chief Financial Officer) Great, thank you, Katie. Happy to take that. Go ahead, Tim. Yeah, thank you. So from a revenue perspective, it will be largely straight lined over the course of the year. It's all about performance obligations and, you know, and the commitment we have to, you know, these annual contracts with customers. So, you know, if you take $750 as an average price, you know, that's largely, you know, straight lined over the course of the year. There will be a portion that would, you may expect to see recognized earlier in the contract in recognition of some of the obligations we have of onboarding a customer, some of the additional costs required, you know, getting the device out the door, onboarding. And so there will be, you know, a slight higher portion of revenue early in the contract and then from there, straight lining of it, what's interesting or what's helpful to the company. The from a cash flow perspective, we expect the majority of customers to pay for the first year up front. So when you look at it from a PNL or from a cash perspective, you take the majority of that right up front. From a P and L perspective, it's straight lined, if that helps. Katie Great, thank you. Can I ask one follow up, looking at your discussion on deep adoption within those flagship accounts, can you give us an idea of what that full adoption looks like in a single practice? Like how many devices per practice and what does a fully penetrated flagship account generate annually? Rob Eno (Chief Executive Officer) Yeah, thanks for that. And again, we can't get really too far into the actual numbers at these accounts at this stage. But what I can tell you from an adoption standpoint is we're really looking at this from an onboarding process of the new patients on board, existing patients that are in the practice, and then another pool of patients that are actually coming to the practice because of the heartbeam technology. So what we will begin to start showing and sharing probably in the August timeframe is a little bit more detail on that question. And we'll have some more data to share. But again, we're tracking how far, how many patients within those given practices, the heartbeam technology benefits at a given time. And then I think as we continue forward, we're going to have additional strategies, but more to come on that I think we'll have much more detail for you in August. Tim Cruikshank (Chief Financial Officer) And then Katie, just to round out your question on revenue projections and then give you some insights for modeling in terms of, you know, what average accounts look like, you know, adding to what Brian said, we've said historically these early accounts have anywhere from 400 to 4,000 patients. If you take the kind of middle number of 2,000, anywhere from, you know, 500 to 1,000 of those patients, we would be expecting to get onto our technology, if not more. That's not going to be the case for massive rollout, you know, when we're scaling. But for these early accounts, you know, we're, we can get to 50% of those accounts from a modeling perspective. So say 1,000 patients at $1,000 or $750,000. That's 750,000 to a million dollars kind of per account. If you think about it that way. Not speaking specifically to these first two accounts, but just in terms of, in general. And the way we look at it is we've talked about 30,000 patients being our break even point. And it's a two year pathway to break even. If you take the very slow kind of methodical rollout of going after all of these smaller accounts individually. So to kind of back into the number of accounts or sites that would be required to get there over that time frame, you can back into those numbers. But what we believe is going to happen is if you break that 30,000 patient number down into about a third of them. Coming from this early segment, we believe we'll have the data points we need with these reference sites with the flagship accounts that are going to lead to channel partners and or distributors that are, sorry, chains, some of these large chains that would make up the next 20,000 wave of patients. So that's the way we plan to accelerate that timeline ahead of the kind of longer ground inbound, you know, two year, two and a half year timeframe. We get the initial adoption from about 10,000 patients in these smaller accounts, get the proof points we need and then we'll be able to quickly go to these larger chains and accelerate from there. Katie Great. Thank you guys, I appreciate it. OPERATOR Thank you. A reminder to all the participants that you may press Star and one to ask a question. We have no questions. Please go ahead. Rob Eno (Chief Executive Officer) We have a couple of webcast questions that we are going to take and the webcast question is, do you contemplate making your product known to investors and patients alike by producing television commercials to air on business channels like Fox Business, CNBC, etc. Yeah, I'll take that one. One of the things I really like about our strategy is that we don't need to do a DTC campaign direct to consumer campaign, which can be very, very expensive. We're targeting specifically accounts that have high net worth individuals. Our market research showed that high net worth individuals have a high Likelihood to pay. And interestingly, those who are in concierge practices willing to pay even more. So this is, we believe, the best way to access this market by, as Brian described, by going after a relatively small amount of practices, these practices work with us to, in a sense, sell it to their patients. So that's part of the reason why this strategy and our target of getting to 30,000 patients for breakeven can be done efficiently, because we sign a concentrated set of practices and then the practices work with us to drive deeper adoption. I will say though, that in early discussions with these practices, some of these practices are ones that have very well known personalities as patients and the physicians have expressed a willingness to work with us. If there's patients that are prominent that get on our technology, they may be interested in speaking on behalf of it. So that could come out organically with what we're doing. But we don't have plans to be spending for advertising, et cetera. We think this, In a sense, B2B model that we have now is the quickest and most efficient way to grow. Our next question asked, can you please walk us through management's thought process to not raise funds on the spike after approval and to wait until the price was under a dollar to raise capital? Tim Cruikshank (Chief Financial Officer) Sure, I can take that. Look, thank you for the question. I know it's on a lot of people's minds and so happy to take it. There's a number of factors that go into financing decisions. I think, you know, they stem from listening to current shareholders working within any commitments or historic covenants that might be present. But importantly as well, bringing the right new shareholders onto the register that are going to properly support the company and support the share price moving forward. I mean, this is especially true in the medical device space where additional funding is often required at the end of the day. The takeaways I have, we closed a clean deal with common stock only. We believe we brought very strong partners on in terms of long term investors onto the register. And now it's our job to continue to execute, bring visibility to the story and get the valuation to a level we all know this technology and the company deserves. And I think we've got a lot of optionality in terms of how clean we've kept the cap table, the types of, you know, institutional investors and retail investors we have on the register and with all the milestones we have ahead, you know, we're extremely confident in where we're headed and believe we can get this valuation to, you know, to the place that we all want it to be. OPERATOR Next question asks, do we expect Q2 revenue? Tim Cruikshank (Chief Financial Officer) Yeah, I'm happy to take that, Rob, if you want me to. Yeah. So we're right on track? Sure, yeah, Q1, we're right on track with all the plans we've laid out. Brian's done a great job providing updates and we're really excited about where we're headed. We will see some revenue in Q2, but as we've said from the beginning or for the last couple of quarters, the first half of the year, not a revenue story. We're not focused on, you know, driving revenue. We're focused on driving the right partners to this technology, proving deep adoption so that we have a repeatable scalable model for, you know, for the long term. And so there will be revenue and as well as cash receipts from customers to a small degree in Q2. And as we head into the second half of this year, that's when things start to get more exciting and we really put the funnel in place, give the visibility to them, to the street in terms of where we're headed for scaling revenue in 2027. So you can expect a little. But consistent with what we've said historically, it's all about getting the right people, the right accounts, you know, into the, into the technology and driving deep into those accounts so that we can show you the trajectory ahead. Rob Eno (Chief Executive Officer) And our last webcast question asks, could you elaborate on the medical professional's feedback on the product, how it's differentiating itself and justifying its use as opposed to traditional 12 lead systems? Specifically, do medical professionals think the more frequent measurements from heart mean are beneficial as opposed to taking measurements twice a month with a 12 lead? Brian Humbarger (Chief Commercial Officer) Great. Brian, do you want to handle that one and I'll follow? Yeah, yeah, I'll start out with that one. So it's a great question. The feedback has been actually exceeded my expectations coming into this. I've had a lot of experience with single and other multi lead technologies in the past. And what's clear from the clinicians is that with other technologies out there, it gives you a little bit of information and maybe opens the door on what's going on with the patient. But typically the next step for those patients where there's any concern whatsoever is bringing the patient into the office to get a 12 lead ECG or sometimes into the emergency department. So I think what's really been interesting to see with our clinicians is the fact that they can finally arm their patients with the same medical grade product that they and the same type of technology that if the patient was in the emergency department, they would be getting the full picture of what's going on with that patient. And now it's something that their patients can have anytime, anywhere. So it's been really encouraging to see that. Some of the feedback that we've heard, and we were just recently at the HRS conference and some of these other national or international conferences is to the second part of that question, I think, because there's never really been an opportunity to take 12 lead ECG outside of a hospital or clinic environment. There is a lot of interest to say, if we were to have our patients do this once a month or once a week and start looking at the data longitudinally, what are some of the things that we can learn? And again, as part of our early adopter experience, these are exactly the types of customers that we're focused on. They're bringing these types of questions. They're very eager to see what the data can provide and eyes wide open from the standpoint that no one's been able to do this before out of hospital setting on a consistent basis. Rob, anything to add? Rob Eno (Chief Executive Officer) Great answer, Brian. The only very little to add. I'll just say that the other thing which is interesting is some of the things we have in the pipeline that we've talked about before, such as wellness algorithms like Cardiac Age, that we can do off of the ECG. A 12 lead ECG is, we think, really differentiated and the physicians are quite excited about. OPERATOR That concludes our question and answer session. Thank you, ladies and gentlemen. We have reached the end of question and answer session. I would now like to turn the floor over to Mr. Eno for closing comments. Rob Eno (Chief Executive Officer) Thank you, operator. I'd like to thank each of you for joining our earnings conference call today. We look forward to continue to update you on our ongoing progress and growth. If we were unable to answer any of your questions today, please reach out to our IR firm, MZ Group, who would be more than happy to assist. Thank you very much. Disclaimer: This transcript is provided for informational purposes only. While we strive for accuracy, there may be errors or omissions in this automated transcription. For official company statements and financial information, please refer to the company's SEC filings and official press releases. Corporate participants' and analysts' statements reflect their views as of the date of this call and are subject to change without notice. UNLOCKED: 5 NEW TRADES EVERY WEEK. Click now to get top trade ideas daily, plus unlimited access to cutting-edge tools and strategies to gain an edge in the markets. This article HeartBeam Q1 2026 Earnings Call: Complete Transcript originally appeared on Benzinga.com ᄅ 2026 Benzinga.com. Benzinga does not provide investment advice. All rights reserved.
TranscriptFY2026 Q12026-05-13FY2026 Q1 earnings call transcript
Earnings source - 91 paragraphs
FY2026 Q1 earnings call transcript
Greetings, and welcome to the HeartBeam first quarter 2026 financial results conference call. At this time, all participants are in listen-only mode. A question and answer session will follow the formal presentation. As a reminder, this conference call is being recorded. Before we begin the formal presentation, I would like to remind everyone that the statements made on the call and webcast may include predictions, estimates, or other information that might be considered forward-looking. While these forward-looking statements represent our current judgment on what the future holds, they are subject to risk and uncertainties that could cause actual results to differ materially. You are cautioned not to place undue reliance on these forward-looking statements, which reflects our opinions only as of date of this presentation.
Please keep in mind that we are not obligating ourselves to revise or publicly release the results of any revision to these forward-looking statements in the light of new information or future events. Throughout today's discussion, we will attempt to present some important factors relating to our business that may affect our prediction. You should also review our most recent Form 10-K and Form 10-Q for a more complete discussion of these factors and other risks, particularly under the heading Risk Factors. A press release detailing these results crossed the wire this afternoon and is available in the investor relations section of our company's website, heartbeam.com. Your host today, Rob Eno, Chief Executive Officer, Tim Cruickshank, Chief Financial Officer, and Bryan Humbarger, Chief Commercial Officer, will present results of operation for the first quarter ending March 31st, 2026.
At this time, I will turn the call over to HeartBeam Chief Executive Officer, Mr. Rob Eno. Please go ahead.
Thank you, operator. The topics we'll cover on today's call are listed on the slide. We'll start with a brief summary of our recent progress, followed by a reminder of the HeartBeam System and our unique technology platform. Bryan Humbarger, our Chief Commercial Officer, will provide an overview of our limited commercial launch. We'll then provide updates on our major growth initiatives, the on-demand 12-lead patch and our heart attack detection and AI efforts, followed by the financial results. We'll end with Q&A. I'll briefly summarize our recent progress. We'll cover each of these in more detail throughout the presentation. We continue to execute well across both commercialization and our growth initiatives. On commercialization, we signed our first commercial partnership in Q1 with ClearCardio, anchoring us in New York City, Dallas, and South Florida.
We've since added Atelier Health, a Beverly Hills concierge practice led by physicians affiliated with Cedars-Sinai, extending us to Southern California and giving us flagship sites in all four of our target geographies. Together, these partnerships establish our initial foothold in the direct pay segment, which represents roughly 5 million U.S. patients. On heart attack detection, we enrolled the first patient in our ALIGN-ACS pilot study, which compares HeartBeam to a standard 12-lead ECG in chest pain patients in the emergency department. Enrollment's ahead of schedule. The study is a key step toward FDA indication expansion into a market of 20 million in high-risk patients. On the 12-lead patch, we completed our first working prototype in Q1. We've now initiated a pilot study focused on ischemia detection. We believe this will be the best-in-class patch in a $2 billion market with established reimbursement. Partnership discussions continue to progress.
On AI, we announced a strategic collaboration with Mount Sinai, pairing their AI and clinical expertise with our 3D ECG signal collection technology to develop next-generation algorithms for heart attack detection, wellness, and personalized cardiac assessment. Before we dive into detail updates, I wanna remind everyone about our initial product, the HeartBeam System, and our platform technology. HeartBeam is dedicated to developing groundbreaking ECG technology for patients to use at home to empower them to feel confident about their heart health. HeartBeam has developed the first-ever portable cable-free ECG that can synthesize a 12-lead ECG. Our unique IP-protected approach captures the heart's electrical signals in three dimensions or non-coplanar directions and synthesizes the signals into a 12-lead ECG. The system is designed to be easy to carry and easy for patients to use at the time of symptom onset anywhere, anytime.
The technology is supported by a team of U.S.-based board-certified cardiologists who are available 24/7 to interpret the clinical grade ECG and triage patients appropriately to ensure timely care. The system has received two FDA clearances for arrhythmia assessment. With these two clearances in place, we're embarking on our limited commercial launch. As you'll hear, we're extremely pleased with the reception of the system among leading concierge physicians and preventive cardiologists. HeartBeam's more than just the first cable-free synthesized 12-lead ECG. It is true platform technology. The major advance that we pioneered and what our key IP is based around is our novel signal collection technology, which captures the heart's electrical signals in three axes, left and right, up and down, and into the body. These 3D signals can be converted into a familiar 12-lead waveform. This core technology can be applied to multiple form factors.
We're embarking on the launch of the HeartBeam System, the credit card-sized form factor. Recently, we announced the second form factor, an on-demand 12-lead extended wear patch. We believe that this patch can disrupt the ambulatory cardiac monitoring market, a $2 billion revenue market. The technology in these two form factors has the potential to enable a full range of 12-lead ECG capabilities, including currently cleared arrhythmia assessment and future indications of heart attack detection and personalized AI algorithms. We'll discuss our progress toward heart attack detection and AI algorithms shortly. Now I want to turn it over to Bryan Humbarger, HeartBeam's Chief Commercial Officer, to provide an update on our commercial efforts. Bryan?
Thank you, Rob. Our commercial goals remain consistent. Execution of the plan is well underway. As a review, we stated that in the first half of 2026, where we are today, that we are focused on validating our premium value proposition, refining the HeartBeam systems and processes, signing and onboarding our anchor accounts, and proving the scaling efficiency of the model. In the second half of 2026, we will shift to proving deep adoption inside those anchor accounts, establishing the funnel that will support our 2027 revenue and adoption goals, developing white papers and clinical proof points to drive further adoption, and beginning to expand the sales team around our anchor geographies. In 2027 and beyond, we will scale revenue, move to a train-the-trainer model for implementation, expand our clinical research opportunities, and expand the sales, clinical, and account management teams.
These are the specific goals we set for in the first half of 2026 alongside our status against each one. Our first two goals are focused on signing and onboarding anchor accounts in key targeted markets and executing a concentrated rollout strategy in four key geographies: New York City, Dallas, South Florida, and Southern California. We've now built flagship accounts in all four markets. Since our last call, we've added Atelier Health, located in Beverly Hills and led by physicians affiliated with Cedars-Sinai. This establishes access of the HeartBeam technology in Southern California. Additionally, our first customer, ClearCardio, has recently expanded its footprint from Dallas to New York and South Florida, bringing along our technology as part of their offering in these markets. These are technology-forward customers that are rapidly growing in the preventative cardiology space. We also set out to validate our premium value proposition.
Early physician engagement and flagship account traction have clearly reinforced demand for our personalized 12-lead ECG capability. Physicians who have spent time with the technology are confirming what we believe, that this is a meaningfully differentiated tool. Finally, we prioritize the need to refine physician workflows. We've been working directly with ClearCardio and Atelier on rollout planning, workflow integration, and the implementation processes. What we are learning is informing a cleaner, faster onboarding playbook. We will continue to prove our ability to scale efficiently. We are demonstrating this by accessing large patient populations through a focused set of strategically selected practices with a lean commercial team. Our focus will be on growth, which is the expansion of HeartBeam access in the target geography and adoption, the penetration of patients in our contracted accounts.
For the limited commercial launch, we plan to execute this strategy with a sales director and one implementation specialist. After this phase, we plan to have a sales director and one to two implementation specialists per geography to support our growth and adoption efforts. Finally, we will begin measuring growth and adoption in addition to other key metrics as we move into this next phase of commercialization. Now I'll turn it back to Rob.
Thanks so much, Bryan. Next, I want to discuss our key growth initiatives, the 12-lead, on-demand patch, and our efforts on heart attack detection and AI. I'll start with the 12-lead patch. As I mentioned when we unveiled it last quarter, we believe that the HeartBeam 12-lead patch can disrupt the ambulatory cardiac monitoring market. This market consists of patches that are worn for up to 30 days and continually record the patient's heart rhythms. It's a rapidly growing $2 billion revenue market with existing reimbursement consisting of two segments: long-term continuous monitors and mobile cardiac telemetry, or MCT. These existing devices are one to three leads and are limited to arrhythmia detection and monitoring. HeartBeam has developed an on-demand 12-lead patch and has produced a working prototype of the device. It functions just like existing patches, continually recording the patient's heart rhythms with a single lead.
By using HeartBeam's patented technology, a patient simply places two fingers on the front of the device to record a clinical-grade 12-lead ECG. This has the potential to bring better diagnostic capabilities, including ischemia detection, to the patch segment. The device integrates into existing workflows and leverages the existing reimbursement. We believe this will be the best-in-class patch. During the last call, we presented the results of market research surveys of cardiologists, electrophysiologists, and emergency medicine physicians. The research indicated that a 12-lead patch could cause fully half of the market to shift and could grow the market as a whole by a third. We announced on Monday that we've initiated a pilot clinical study in Europe aimed at demonstrating the ability of the HeartBeam patch to detect ischemia.
The pilot study will enroll approximately 50 patients with a high risk of coronary artery disease. Each patient undergoes exercise stress testing, a standard diagnostic procedure used to identify ischemic changes while wearing the HeartBeam patch. Immediately following exercise, patients will obtain a synthesized 12-lead ECG by placing two fingers on the front of the patch. The ECG will be compared directly with the standard 12-lead ECG recorded at the same time. The study will help inform the company's regulatory strategy for the HeartBeam patch. Also, as previously noted, we're in discussions with a number of industry players on a potential partnership to bring the patch to market. We've had several productive meetings since our last call, including at the American College of Cardiology and the Heart Rhythm Society meetings, and we'll keep you informed of the progress.
At HeartBeam, we think about the card and the patch not just as two products, but as entry points into the patient's cardiac monitoring journey. First, as you see on the left, patients use the HeartBeam System, the card, as an episodic monitor for peace of mind and to get physician feedback as symptoms occur. They're able to use the device throughout their lives to provide the physician with information to identify and monitor heart abnormalities. Often, a cardiologist will want more information, such as the arrhythmia burden that will necessitate use of the patch, so the card can directly lead to the patch. On the right-hand side is the 12-lead patch, a continuous monitor that's worn for a period of weeks. It can create a 12-lead ECG on demand.
This could be prescribed when physicians want this continuous information to assist in a new diagnosis, or after an emergency department visit or a procedure such as revascularization or a cardiac ablation. A patient who finishes with the HeartBeam patch could transition to the card for a number of reasons. For example, to monitor intermittent episodes over their lifetime, or if the patch is prescribed after a procedure, once this acute phase is over, the patient who's still high risk could transition to the card. The patch can directly lead to the card. This is a flywheel that can drive further usage and deeper engagement with the technology. As we've discussed previously, one of the major problems in cardiology is that there's no good way for patients who experience chest pain to know if they're having a heart attack.
Patients wait an average of 3-4 hours before seeking care. Every 30 minutes of delay increases the risk of death by 7.5%. The 12-lead ECG is the standard for heart attack detection. Traditional 12-lead ECGs have 10 wired electrodes that need to be placed by a technician. They're not applicable for home use. This is a major problem, with 20 million people in the U.S. at risk of a heart attack, including 8 million who have had a previous heart attack. HeartBeam's technology has the potential to address this major need. We have multiple proof-of-concept studies showing that the HeartBeam ECG is similar to a standard 12-lead ECG in detecting heart attacks. One important point about this effort is it's the same HeartBeam System that we're launching with an expanded indication.
The ALIGN-ACS pilot study is underway in Europe, comparing the HeartBeam ECG to a standard 12-lead ECG in detecting heart attacks. The study is conducted in the emergency room, enrolling patients who arrive with chest pain. This will allow the study to enroll much more rapidly than a study that prescribed devices to patients and waited for them to have events. We expect the study to complete enrollment by the end of the third quarter of 2026, and the study will inform the design of our FDA pivotal study. The study is enrolling well and is currently ahead of schedule. Next, I'd like to describe the vision of how our system will work with heart attack detection. First, here's the workflow today. A patient with symptoms uses the HeartBeam System, and the data is sent to a cardiologist who's available 24/7.
The cardiologist reviews the ECG and the symptoms and responds to the patient in just a few minutes with an ECG interpretation of the patient's arrhythmic state. Our vision of heart attack detection workflow is very similar from the patient perspective, but with the expanded indication, the on-call cardiologist will review for the presence of heart attacks, reviewing the ECG in comparison with the baseline ECG symptoms and history. The physician will also benefit from an AI algorithm specifically for MI detection. We plan to develop a deep learning model trained on ECGs taken when patients present with chest pain. The algorithm is trained on all of the data, including which patients go on to be revascularized. In general, there are two types of heart attacks. ST elevation myocardial infarctions, or STEMIs, are the classic heart attack, which can be readily identified on an ECG.
Non-ST elevation myocardial infarctions, or NSTEMIs, are more subtle and sometimes are not picked up by a physician reviewing the ECG. By training the algorithm on which patients actually need revascularization, we believe we'll be able to catch NSTEMIs as well as STEMIs. Back to the workflow. Our vision is that the patient's data will be sent to the physician, but in parallel, we run through the AI algorithm, which will provide insights on the potential of both STEMI and NSTEMI heart attacks, so the physician's interpretation and recommendation will be informed by the AI algorithm. We'll have further updates on these efforts, including the clinical and regulatory timelines. Our robust clinical trial pipeline, which includes the ALIGN-ACS pilot study, the Indonesia HEADSTART-ACS study, and a U.S. pivotal study, should provide on the order of 1,000 patients to further validate the AI algorithm we're developing.
We showed this slide in the last call two months ago, laying out the key milestones for the year. We're making excellent progress achieving what we said we would. All of the milestones for Q1 are complete, and we're well on the way to achieving the Q2 milestones. On commercialization, as Bryan walked through, we have signed and are onboarding our first two accounts, giving us flagship sites in all four of the key geographies that we laid out last quarter. The early traction in these accounts is validating our premium positioning. Physicians who have spent meaningful time with the system are confirming that this is a highly differentiated product. On heart attack detection, enrollment for the ALIGN-ACS pilot study is underway, and we expect to have updates in the coming months on HEADSTART-ACS and the ALIGN-ACS enrollment completion.
On AI with the Mount Sinai collaboration finalized, we're focusing on developing algorithms, including MI-focused and wellness algorithms, which will enhance the value of the HeartBeam System for our initial patient population. Finally, on the 12-lead patch, we're in the midst of partnership discussions, and we added to this chart the pilot ischemia study on the patch, which is underway. Next, Tim will run us through the financials. Tim.
Great. Thanks, Rob. This past month, we strengthened our financial position through an $11.5 million financing. We closed the underwritten public offering of common stock on April 16th. Total gross proceeds of $10 million before costs, and the underwriter as well exercised the over allotment option of $1.5 million in common stock for further gross proceeds. The offering was led by our first commercial customer, ClearCardio, alongside our executive leadership, board members, a number of existing investors, as well as several fundamental institutional investors. This level of participation in the financing, including the fundamental institutional participation, is a strong signal of conviction in the business model and our trajectory. We ended March 31st 2026 with a cash balance of just over $2 million.
When you include the net proceeds from the recent offering and over allotment, we'd have a pro forma cash balance of approximately $12.4 million. This provides the cash runway to advance HeartBeam into our next phase of growth. The common stock-only financing continues to provide the company with a clean cap table and lots of optionality moving forward. Our focus remains on execution towards our operational milestones while managing cash and dilution responsibly. We believe the progress we're making commercially, combined with continued advanced development of our strategic initiatives that Rob walked us through, they position us well to execute in a meaningful way throughout 2026 and into 2027. Taking a look at the Q1 2026 financials, we had a net loss of $4.7 million, with net cash used in operating activities of $3.6 million.
This is a 19% decrease in operating cash outflow compared to the same quarter in the prior year. The Q1 spend and EPS came in ahead of expectations. In Q1 of every year, there are several one-time annual payments within it, and we also made a few timely investments into our commercial launch and the 12-lead patch development. Even with these investments, we continue to show our ability to execute on our aggressive milestones while still delivering the 19% year-over-year expenditure reduction you saw in the quarter. We've got a really lean but dedicated team, and we continue to judiciously time our investments, providing us with the ability to maintain a low cost profile. To that end, we previously stated our cash outflow expectations for 2026 would be in the $17 million-$19 million range.
That was based on a more aggressive hiring of the sales team than we believe is necessary in the early days. As Bryan described earlier, we have the ability to continue to prove out our initial commercial launch with a focused, lean team. Based on that, we estimate our cash outflow will be below $16 million for all of 2026. If you take the cash outflows of $3.6 million in Q1 of this year, that equates to approximately $12 million in cash outflows for the remaining three quarters for 2026, and that is prior to factoring in cash receipts from customers from our commercialization efforts. This provides us funding into 2027 and the runway necessary to accomplish several critical milestones we have ahead.
In summary, the financing we closed this past month extends our runway as we continue to advance our commercial launch, and our exciting development initiatives in the 12-lead patch, as well as our MI detection and AI initiatives. Combined with our balanced financial discipline, including the 19% year-over-year reduction in operating cash burn delivered in Q1, we believe we have the cash runway to advance HeartBeam well into our next phase of growth. With that, Rob, I'll turn it back over to you.
Thanks so much, Tim. We're pursuing a massive $40 billion opportunity. We're executing on our plan to address major markets. The technology is significantly de-risked with the achievement of the first-ever FDA-cleared, cable-free, synthesized 12-lead ECG for arrhythmia assessment. The platform technology is backed by strong IP and clinical evidence. We've strengthened our balance sheet with the April 2026 offering. We're following a capital-efficient strategy with thoughtful and judicious timing of investments, as Tim laid out. Crucially, we're executing on multiple value creation opportunities in 2026. On the limited commercial launch, we have built flagship account presence in New York, Dallas, South Florida, and Southern California. Our cost-effective expansion strategy does not require a huge sales force. On heart attack detection, we're rapidly advancing clinical validation to support indication expansion with the same HeartBeam System.
The ALIGN-ACS pilot study is enrolling rapidly and is ahead of schedule. We believe that HeartBeam's on-demand 12-lead patch will be the best-in-class product in a $2 billion revenue market with existing reimbursement. It will be the only 12-lead extended wear patch, and its ability to detect ischemia as well as the arrhythmia will be game-changing. We have initiated a pilot study that's aimed at demonstrating the ischemia detection capabilities. We're advancing our efforts on a strategic partnership to speed adoption as well. Finally, the Mount Sinai agreement is key to our AI strategy and the development of next-generation algorithms, including MI detection and wellness algorithms. Longer term, we'll be partnering with Mount Sinai to create a new class of 12-lead screening and predictive algorithms that are with the patient at home.
We thank you all for attending, and now I would like to open it up to Q&A. Operator?
Thank you. We will now be conducting a question and answer session. If you would like to ask a question, please press star one on your telephone keypad. A confirmation tone will indicate your line is in the question queue. You may press star two if you would like to remove your questions from the queue. For participants using speaker equipment, it may be necessary to pick up your handset before pressing the star keys. One moment please. I'll report for questions. The first question comes from the line of Kyle Bauser with Titan Partners. Please go ahead.
Hi, Rob, Tim, and Bryan. Thanks for taking my questions. Congrats on all the recent progress here. It's impressive. Maybe I'll start with the commercial rollout following your two anchor partners. Can you talk about how many patients are collectively managed by these partners? Also, any updates on pricing? Are we still thinking the $500-$1,000 range?
Hey, Kyle, this is Bryan. Thanks for the question. As we've discussed, really this first half of the year is signing and getting these anchor accounts on board. We're really focused on that. As we move through the second half of Q2 and into the second half of the year, we will be, you know, focused much more on the adoption in those specific practices. Their number of patients in those specific practices are really shared publicly.
As we go back and look at why we focused on these specific geographies, looking at our premium value proposition and where the patients are, our focus has really been on going after those 150,000 patients that are in this preventative concierge market and getting to 30,000 of those patients to our break-even point. When we look at these four markets, they represent, you know, between the anchor accounts and other similar customers in the area, tens of thousands of patients in these specific geographies. We feel very confident about that.
Regarding the pricing, spot on. I think we talked about on the last call, $750-$1,000 is what we look at from a pricing perspective on the annual basis for the subscription fee. Early indications that we haven't received any pushback on that. We're confident that we're coming in and being able to establish that value right out of the gates.
Hey, Kyle.
Got it.
This is Rob. Great, great to hear from you. Just to add one quick thing.
Yeah.
To what Bryan said. Great answer, Bryan. On the number of patients, as Bryan said, because they're private accounts, they don't like us saying that. I think you can expect in the near future, as we have more and more accounts, we'll be able to give a number that says collectively under these accounts, this number of patients is being managed, just like you're getting to. It's a little early because it exposes too much about the customers, you can expect us to report that as part of what Bryan said, the, some of the metrics that we're looking at.
Okay. Excellent. Makes sense. Appreciate that. Then maybe moving on to heart attack detection in the ALIGN-ACS pilot study. Rob, I believe you mentioned previously it will be about 100 patients, correct me if I'm wrong. Given the nice design of just enrolling ER chest pain patients, it sounds like it's ahead of schedule. Once you finalize the design for the pivotal study, can you talk a little bit about the timing and what that will look like for the enrollment of that pivotal?
Sure. The ALIGN-ACS is on the order of 100-120 patients. It's enrolling well ahead of schedule. You know, we still believe, we're comfortable in that enrollment by the end of Q3. You know, what we're doing is, as I mentioned, is that study design we're learning a lot from, and that will inform the discussions with FDA for the pivotal study design. We're in communication with FDA on everything from the regulatory pathway to the clinical study design. We're also talking with potential investigators in the U.S. Nothing more to update in terms of further timing beyond ALIGN-ACS, but as soon as we know more, we'll make sure that we lay it out for you.
Okay. Appreciate that. Maybe I can just slip one more in, regarding the HEADSTART-ACS study. How will that differ from ALIGN-ACS, and yeah, number of patients, et cetera?
Yeah, we'll talk more about that in a little bit. It's broadly the same design, meaning that it's looking at patients in emergency rooms with chest pain and comparing it to a 12-lead ECG. It's been sponsored by the government of Indonesia that's very interested in potential usage of our system. It's gonna be a bigger study on the order of 500 patients. Because of the design and the interest from Indonesia, it's largely paid for by the government. It's a good opportunity for us to get more patients both for our overall learning of the manual interpretation, but also, as I suggested, to be able to have a pool of patients to validate our upcoming AI algorithm as well.
More details on that, you know, in the coming weeks, I believe.
Okay. Got it. Appreciate that. Thanks for taking my question.
Thanks, Kyle.
Thank you. Next question comes from the line of Yi Chen with H.C. Wainwright. Please go ahead.
Hi, this is Katie on for Yi. I was hoping we could get a little bit more clarification on how we should model revenue from this subscription billing. Do you expect it to build consistently quarter-over-quarter, or is it going to be ebb and flow throughout the year? Then what is a realistic revenue expectation for full year 2026 with the current number of deployed accounts?
Great. Thank you, Katie. Happy to take that.
Go ahead, Tim.
Yeah. Thank you. From a revenue perspective, it will be largely straight-lined over the course of the year. It's all about performance obligations and, you know, and the commitment we have to, you know, these annual contracts with customers. You know, if you take $750 as an average price, you know, that's largely, you know, straight-lined over the course of the year. There will be a portion that you may expect to see recognized earlier in the contract in recognition of some of the obligations we have of onboarding a customer, some of the additional costs required, you know, of getting the device out the door, onboarding. There will be, you know, a slight higher portion of revenue early in the contract, and then from there, straight-lining of it.
What's interesting or what's helpful to the company, from a cash flow perspective, we expect the majority of customers to pay for the first year up front. When you look at it from a cash perspective, you take the majority of that right up front. From a P&L perspective, it's straight lined, if that helps.
Great. Thank you.
Yep.
Could I ask one follow-up? Looking at your discussion on deep adoption within those flagship accounts, can you give us an idea of what that full adoption looks like in a single practice? Like, how many devices per practice, and what does a fully penetrated flagship account generate annually?
Yeah. Thanks, thanks for that. Again, we can't get really too far into the actual numbers at these accounts at this stage. What I can tell you from an adoption standpoint is, we're really looking at this from an onboarding process of the new patients onboard, existing patients that are in the practice, and then another pool of patients that are actually coming to the practice because of the HeartBeam technology. What we will begin to start showing and sharing, probably in the August timeframe is a little bit more detail on that question, and we'll have some more data to share. Again, we're tracking how far, how many patients within those given practices, the HeartBeam technology benefits at a given time.
I think as we continue forward, we're going to have additional strategies. More to come on that. I think we'll have much more detail for you in August.
Katie, just to round out your question on revenue projections and then give you some insights for modeling in terms of, you know, what our average accounts look like, I'm, you know, adding to what Bryan said. We've said historically these early accounts have anywhere from 400 to 4,000 patients. If you take the kind of middle number of 2,000, anywhere from, you know, 500 to 1,000 of those patients we would be expecting to get onto our technology, if not more. That's not gonna be the case for massive rollout, you know, when we're scaling.
For these early accounts, you know, if we can get to 50% of those accounts, you know, from a modeling perspective, that's, you know, say 1,000 patients at $1,000 or $750, you know, that's $750,000 to $1 million, you know, kind of per account if you think about it that way. Not speaking specifically to these first two accounts, but just in terms of in general. The way we look at it is we've talked about 30,000 patients being our break-even point, and it's a two-year pathway to break even if you take the very slow, kind of methodical rollout of going after all of these smaller accounts individually.
To kind of back into the number of accounts or sites that would be required to get there, you know, over that timeframe, you can back into those numbers. What we believe is gonna happen is if you break that 30,000 patient number down into about, you know, 1/3 of them coming from this early segment, we believe we'll have the data points we need with these reference sites, with the flagship accounts that are going to lead to channel partners and/or distributors that are chains, some of these large chains that would make up the next 20,000 wave of patients. That's the way we plan to accelerate that timeline ahead of the, you know, kind of longer ground and pound, you know, two year, 2.5-year timeframe.
We get the initial adoption from about 10,000 patients in these smaller accounts, get the proof points we need, and then we'll be able to quickly go to these larger chains and accelerate from there.
Great. Thank you guys. I appreciate it.
Thanks, Katie.
Thank you. A reminder to all the participants that you may press star and one to ask a question.
We have no questions. Please go ahead.
We have a couple of webcast questions that we are going to take and the webcast question is, do you contemplate making your product known to investors and patients alike by producing television commercials to air on business channels like Fox Business, CNBC, et cetera?
Yeah, I'll take that one. One of the things I really like about our strategy is that we don't need to do a DTC campaign, direct-to-consumer campaign, which can be very, very expensive. We're targeting specifically accounts that have high net worth individuals. Our market research showed that high net worth individuals have a high likelihood to pay. Interestingly, those who are in concierge practices were willing to pay even more. This is, we believe, the best way to access this market by, as Bryan described, by going after a relatively small amount of practices. These practices work with us to, in a sense, sell it to their patients.
That's part of the reason why this strategy and our target of getting to 30,000 patients for breakeven can be done efficiently because we sign a concentrated set of practices and then the practices work with us to drive deeper adoption. I will say, though, that in early discussions with these practices, some of these practices are ones that have very well-known personalities as patients, and the physicians have expressed a like a willingness to work with us if there's patients that are prominent that get on our technology. They may be interested in speaking on behalf of it. That could come out organically with what we're doing, but we don't have plans to be spending for advertising, et cetera.
We think this, in a sense, B2B model that we have now is the quickest and most efficient way to grow.
Our next question asks, can you please walk us through management's thought process to not raise funds on the spike after approval and then to wait until the price was [$100] to raise capital?
Sure, I can take that. Thank you for the question. I know it's on a lot of people's minds and so happy to take it. There's a number of factors that go into financing decisions. I think, you know, they stem from listening to current shareholders, working within any commitments or historic covenants that might be present, but importantly as well, bringing the right new shareholders onto the register that are gonna properly support the company and support the share price moving forward. I mean, this is especially true in the medical device space where additional funding is often required. At the end of the day, the takeaways I have, we closed a clean deal with common stock only.
We believe we brought very strong partners on in terms of long-term investors onto the register, and now it's our job to continue to execute, bring visibility to the story, and get the valuation to a level we all know this technology and the company deserves. I think we've got a lot of optionality in terms of how clean we've kept the cap table, the types of, you know, institutional investors and retail investors we have on the register. With all the milestones we have ahead, you know, we're extremely confident in where we're headed and believe we can get this valuation to, you know, to the place that we all want it to be.
Next question asks, do we expect Q2 revenue?
Yeah, I'm happy to take that, Rob, if you want me to. Yeah. We're right on track.
Yeah.
Sure. Yeah. Q1, we're right on track with all the plans we've laid out. Bryan's done a great job providing updates, we're really excited about where we're headed. We will see some revenue in Q2, as we've said from the beginning, or for the last couple of quarters, the first half of the year, not a revenue story. We're not focused on, you know, driving revenue. We're focused on driving the right partners to this technology, proving deep adoption so that we have a repeatable, scalable model for, you know, for the long term. There will be revenue, as well as cash receipts from customers to a small degree in Q2.
As we head into the second half of this year, that's when things start to get more exciting and we really put the funnel in place, give the visibility to the street in terms of where we're headed for scaling revenue in 2027. You can expect a little, but consistent with what we've said historically, it's all about getting the right people, the right accounts, you know, into the technology and driving deep into those accounts so that we can show you the trajectory ahead.
Our last webcast question asks, could you elaborate on the medical professionals' feedback on the product, how it's differentiating itself and justifying its use as opposed to traditional 12-lead systems? Specifically, do medical professionals think the more frequent measurements from HeartBeam are beneficial as opposed to taking measurements twice a month with a 12-lead?
Great. Bryan, do you wanna handle that one? I'll follow up.
Yeah, I'll start out with that one.
Great.
It's a great question. The feedback has been actually exceeded my expectations coming into this. I've had a lot of experience with single and other multi-lead technologies in the past. What's clear from the clinicians is that with other technologies out there, it gives you a little bit of information and maybe opens the door on what's going on with the patient. Typically, the next step for those patients where there's any concern whatsoever is bringing the patient into the office to get a 12-lead ECG or sometimes into the emergency department.
I think what's really been interesting to see with our clinicians is the fact that they can finally arm their patients with the same medical-grade product that they and the same type of technology that if the patient was in the emergency department, they would be getting the full picture of what's going on with that patient. Now it's something that their patients can have anytime, anywhere. It's been really encouraging to see that. Some of the feedback that we've heard, and we were just recently at the HRS conference and some of these other national or international conferences, is to the second part of that question.
I think because there's never really been an opportunity to take 12-lead ECG outside of a hospital or clinic environment, there is a lot of interest to say if we were to have our patients do this once a month or once a week and start looking at the data longitudinally, what are some of the things that we can learn? Again, as part of our early adopter experience, these are exactly the types of customers that we're focused on. They're bringing these types of questions. They're very eager to see what the data can provide and eyes wide open from the standpoint that no one's been able to do this before out of the hospital setting on a consistent basis. Rob, anything to add?
Great answer, Bryan. The only, very little to add. I'll just say that the other thing which is interesting is some of the things we have in the pipeline that we've talked about before, such as wellness algorithms like cardiac age that we can do off of a ECG, a 12-lead ECG, is we think really differentiated and the physicians are quite excited about.
That concludes our question and answer session.
Thank you. Ladies and gentlemen, we have reached the end of question and answer session. I would now like to turn the floor over to Mr. Eno for closing comments.
Thank you, operator. I'd like to thank each of you for joining our earnings conference call today. We look forward to continuing to update you on our ongoing progress and growth. If we were unable to answer any of your questions today, please reach out to our IR firm, MZ Group, who would be more than happy to assist. Thank you very much.
Thank you. This concludes today's teleconference. You may disconnect your lines at this time. Thank you for your participation.

