Heartflow, Inc. (HTFL) Earnings History

Heartflow, Inc. - Q3 2025 Earnings

Filed at: Nov 12, 2025, 4:03 PM EST|Read from source

EXECUTIVE SUMMARY

Heartflow reported strong Q3 2025 results with significant revenue growth driven by its FFRCT business and expanding installed base. The company also saw positive developments with new payor coverage and the launch of an updated product, positioning it for future growth following a successful IPO.

POSITIVE HIGHLIGHTS

  • •

    Total revenue increased 41% year-over-year to $46.3 million.

    positive
  • •

    Gross margin expanded to 76.5% from 75.7% in the prior year period, driven by increased revenue case volume and production team efficiency.

    positive
  • •

    Launched next-generation Heartflow Plaque Analysis with updated algorithm, expanded nomogram and advanced visualization.

    positive
  • •

    UnitedHealthcare and Cigna began coverage of Heartflow Plaque Analysis on October 1, 2025.

    positive
  • •

    Completed initial public offering, raising approximately $364.2 million in gross proceeds.

    positive

CONCERNS & RISKS

  • •

    Net loss was $50.9 million, or ($1.04) per share, significantly impacted by non-cash charges related to warrant and derivative liability remeasurement and loss on extinguishment of debt.

    attention
  • •

    Non-GAAP net loss was $13.2 million, indicating ongoing operational losses despite revenue growth.

    negative
  • •

    Total operating expenses were $50.5 million, representing 109% of total revenue.

    attention

FINANCIAL METRICS

Revenue
Quarterly
$46.28M
+40.5%
Prior year: $32.93M
Annual (YTD)
$126.90M
N/A
Prior year: $90.83M
Net Income
Quarterly
$-50.85M
-165.7%
Prior year: $-19.14M
Annual (YTD)
$-92.40M
N/A
Prior year: $-63.45M
EPS (Diluted)
Quarterly
$-1.04
+69.7%
Prior year: $-3.43
Annual (YTD)
$-4.47
N/A
Prior year: $-12.24
Operating Income
Quarterly
$-15.10M
+1.1%
Prior year: $-14.93M
Annual (YTD)
$-46.32M
N/A
Prior year: $-45.16M
EPS (Basic)
Quarterly
$-1.04
+69.7%
Prior year: $-3.43

MARGIN ANALYSIS

Gross Margin
Current Quarter
76.5%
Prior Year
75.7%
YoY Change
+80 bps
Operating Margin
Current Quarter
-32.6%
Prior Year
-45.3%
YoY Change
+1270 bps
Net Margin
Current Quarter
-109.9%
Prior Year
-58.1%
YoY Change
-5180 bps

Margin expansion indicates improving profitability and operational efficiency. Measured in basis points (bps): 100 bps = 1.0%.

REVENUE BY SEGMENT — Q3 2025 2025

VISUAL OVERVIEW

|
International
100.0%
$3800.0B
(+24.0% YoY)

DETAILED BREAKDOWN

|
SegmentCurrentPrior YrYoY% Total
International
$3800.0B—+24.0%100.0%
Total Revenue$3800.0B——100.0%

Segment performance shows business unit health and growth drivers.

MANAGEMENT GUIDANCE

FY 2025

revenue
$173000.0B—$173500.0B
Mid-point: $173250.0B

Forward-looking guidance is subject to change and does not constitute a guarantee. Actual results may differ materially from these estimates.

SPECIAL ITEMS & ADJUSTMENTS

Q3 2025
Change in fair value of common stock warrant liability
Non-cash charge, higher due to increased stock price post-IPO.
+$32.1M
$0.77 per share
Q3 2025
Change in fair value of derivative liability
Non-cash benefit.
$4.8M
Q3 2025
Loss on extinguishment of debt
Related to full prepayment of term loan.
+$6.4M
Q3 2024
Change in fair value of common stock warrant liability
Non-cash charge.
+$0.6M
$0.53 per share
Total Impact
+$34.3M$1.30 per share

Special items are non-recurring events that may distort period-over-period comparisons. Analysts typically adjust for these when calculating normalized earnings.

MANAGEMENT COMMENTARY

Heartflow delivered an outstanding third quarter of 2025 with durable growth in its FFRCT business and rapid expansion of its installed base.

— Heartflow, Inc., Q3 2025 2025 Earnings Call

Physician interest continues to build in Heartflow Plaque Analysis, which increases our confidence in this second wave of growth following broad commercial payor coverage.

— Heartflow, Inc., Q3 2025 2025 Earnings Call

With continued business momentum and a strengthened balance sheet following our IPO, we believe we are well-positioned to expand our market leadership.

— Heartflow, Inc., Q3 2025 2025 Earnings Call

Commentary excerpts from earnings call transcripts provide management's perspective on performance, strategy, and outlook. Always review full transcripts for complete context.

OPERATIONAL METRICS

Adjusted Ebitda
-9.8M
+12.2% YoY
Prior year: -11.2M
USD
Ffrct Revenue
42.5M
+42.0% YoY
USD
Non Gaap Gross Margin Pct
76.8
Prior year: 75.9
%
Non Gaap Net Loss
-13.2M
+18.4% YoY
Prior year: -16.2M
USD
Non Gaap Net Loss Per Share
-0.3
+90.7% YoY
Prior year: -2.9
USD

Operational metrics provide insight into business drivers and customer engagement beyond traditional financial measures.