Top-Line Growth
Worldwide revenue of $141.2M in Q1 2026, up 14.3% reported and 12.8% constant currency vs Q1 2025; sequential increase ~1% vs Q4 2025.
U.S. Performance Driving Momentum
U.S. revenue $116.2M, up 14.9% YoY; strength led by new-product adoption across pain management, open ablation and appendage management.
Improved Profitability and EBITDA Expansion
Adjusted EBITDA of $17.1M vs $8.8M in Q1 2025, a 95% increase; net income ~ $0.1M vs net loss $6.7M prior year; EPS breakeven at $0.00 vs loss per share $0.14 in Q1 2025.
Strong Gross Margin Expansion
Gross margin of 77.4%, up 246 basis points year-over-year driven by favorable product and geographic mix and strong U.S. performance.
Pain Management Franchise Acceleration
Pain management grew 28% YoY; cryoSPHERE MAX drove growth, contributing ~70% of pain management sales in the quarter and ~70% adoption within pain accounts.
Appendage Management Growth and Product Adoption
Appendage management grew 16% worldwide; U.S. open appendage revenue $48.4M (+14.9% YoY) with AtriClip FLEX-Mini contributing ~40% of open appendage revenue and continued share gains.
Open Ablation Strength (EnCompass)
Worldwide open ablation revenue grew 15% YoY; U.S. open ablation sales up 17.3% to $39.1M driven by EnCompass clamp adoption in U.S. and Europe.
BoxX-NoAF Trial Enrollment Progress
Enrolled ~300 of planned 960 patients since Q4 2025; tracking well ahead of schedule and expecting enrollment completion around year-end (nearly a year ahead of original plan), supporting potential landmark clinical evidence.
Balance Sheet and Cash Outlook
Ended Q1 with ~$146M in cash and investments; cash burn improved vs prior year and company expects positive cash flow for remainder of 2026 with full-year cash generation moderately higher than 2025.
Reiterated 2026 Guidance
Maintained full-year revenue outlook of $600M–$610M (≈12%–14% growth), adjusted EBITDA guidance of $80M–$82M, and full-year adjusted EPS guidance of $0.09–$0.15.