Strong Revenue Growth
Revenue increased 35% year-over-year to $15.5 million in Q1 2026 from $11.5 million in Q1 2025, driven by core business execution and expanded market penetration.
Repeat Profitability and Margin Expansion
Company reported its 11th consecutive quarter of profitability: net income rose to $2.3 million (more than 100% increase from $1.1 million prior year) and adjusted EBITDA increased 119% to $2.8 million (from $1.3 million). Gross profit was $11.6 million, up 35% year-over-year.
Unit Shipment and Installed Base Expansion
Shipped 117 Deep TMS systems in the quarter (up 44% year-over-year), bringing the total installed base to approximately 1,820 systems.
Growing Visibility into Future Revenue (RPO)
Remaining performance obligations (RPO) increased to $75 million as of March 31, 2026, a 25% year-over-year increase (from approximately $60 million), reflecting multiyear long-term contracts and recurring revenue traction.
SWIFT Protocol—Clinical and Payer Momentum
SWIFT 6-day acute-phase protocol validated in a peer-reviewed journal as reducing acute-phase clinic visits by ~70% while maintaining efficacy; reported clinical results of 88% response and 78% remission with the 6-day protocol. Early payer traction noted, with management expecting SWIFT coverage to reach ~40–50 million covered lives by year-end and early coverage policies issued by two large payers.
Regulatory and Clinical Pipeline Progress
Preparing FDA submission for PTSD symptoms in MDD patients with expectation of a response within the typical 90-day review window and potential clearance before year-end; multicenter patient recruitment underway for Deep TMS in alcohol use disorder.
Strategic Investments and Commercial Partnerships
Progress on minority equity investments in five mental health networks plus a new initial $1.5M (up to $3M total) strategic equity agreement with Hopemark; these MSO investments serve as commercial channels and growth catalysts.
Investment in Neurolief (ProlivRx) to Expand TAM
Convertible loan investment in Neurolief totaled $11 million (additional $6 million milestone loan completed in March bringing total to $11M) with a potential third tranche up to $5M. ProlivRx secured VA federal supply schedule and approved pricing at $11,800 per unit, supporting commercial roll-out for a complementary at-home neuromodulation offering.
Healthy Balance Sheet and Cash Generation
Reported cash and cash equivalents of $58.9 million, debt-free capital structure, positive operating cash flow in Q1, and approx. $9 million of strategic investments deployed in Q1 while preserving financial flexibility.
Full-Year Guidance with Strong Growth Expected
Management reiterated full-year 2026 revenue guidance of $66M–$68M (implying 27%–30% growth year-over-year), operating income target of 13%–14% of revenue, and adjusted EBITDA guidance of $12M–$14M (projected growth of ~86%–100% vs. 2025).