Record Quarterly Revenue and Strong Top-Line Growth
Q1 2026 revenue of $9.6M, the highest quarter on record, up 43% year-over-year. Company reaffirmed full-year 2026 revenue guidance of ~30% growth (roughly $9M–$10M incremental vs. $32M in 2025).
Improving Profitability Metrics and Operating Leverage
Gross profit of $8.4M with gross margin expanding to 87% (a 200 basis point improvement YoY). Adjusted EBITDA loss narrowed 24% to a $2.3M loss from $3.1M in the prior year, demonstrating operating leverage.
Strong VA Prescription Performance
VA prescription device revenue grew 48% YoY to $7.9M. Prescription gammaCore sales grew 26% within that mix. Approximately 15,000 VA patients have received gammaCore, representing an early penetration (~2.5%) of the addressable VA headache market.
Consumer Wellness Momentum (TruVega)
Consumer wellness channel revenue reached $1.6M, up 44% YoY, with TruVega contributing $1.5M (up 38% YoY). Return on advertising spend (ROAS) improved to ~2.37, a 14% improvement quarter-over-quarter, with return rates steady at 12%–15%.
Quell Acquisition Progress and Product Rollouts
Quell sales surpassed their first $1M quarter; cumulative Quell revenue since acquisition is ~$2.5M–$2.7M (including ~$2.5M of Quell fibromyalgia sales in the VA). Company plans a deliberate relaunch of Quell Relief (OTC) later in the year.
Leadership, Commercial Channel Expansion and R&D Catalysts
New COO Mike Fox added deep federal/commercial experience and is focused on increasing VA depth and expanding DoD/federal channels. TACSTIM engaged in multiple DoD research programs. R&D progress includes Acacia PTSD study enrollment and recent publications supporting nVNS; PTSD has Breakthrough Device designation. TruVega launched in the U.K. (Jan 2026).