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HeartFlow, Inc. (HTFL)
NASDAQ:HTFL
US Market
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HeartFlow, Inc. (HTFL) AI Stock Analysis

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HTFL

HeartFlow, Inc.

(NASDAQ:HTFL)

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Neutral 45 (OpenAI - 5.2)
Rating:45Neutral
Price Target:
$30.00
▼(-4.28% Downside)
Action:ReiteratedDate:03/19/26
The score is primarily held back by continued unprofitability and ongoing cash burn despite strong revenue growth and improving gross margins. Technical signals remain mixed-to-weak (negative MACD and below key moving averages), and valuation metrics are constrained by losses and no dividend support.
Positive Factors
Revenue Growth
Sustained high revenue growth across 2023–2025 demonstrates durable market adoption of HeartFlow's FFRCT service and expanding clinical utilization. Strong topline momentum supports scale benefits, revenue visibility, and provides the base for future margin expansion and operating leverage if cost growth is contained.
Negative Factors
Persistent Cash Burn
Continued negative operating and free cash flows mean the business is not self-funding growth; the company remains reliant on external financing until cash flow turns positive. Persistent burn constrains long-term optionality and raises execution risk if capital markets tighten.
Read all positive and negative factors
Positive Factors
Negative Factors
Revenue Growth
Sustained high revenue growth across 2023–2025 demonstrates durable market adoption of HeartFlow's FFRCT service and expanding clinical utilization. Strong topline momentum supports scale benefits, revenue visibility, and provides the base for future margin expansion and operating leverage if cost growth is contained.
Read all positive factors

HeartFlow, Inc. (HTFL) vs. SPDR S&P 500 ETF (SPY)

HeartFlow, Inc. Business Overview & Revenue Model

Company Description
HeartFlow, Inc., a medical technology company, provides non-invasive solutions for diagnosing and managing coronary artery diseases worldwide. Its HeartFlow Platform uses AI and computational fluid dynamics to creates a personalized 3D model of a ...
How the Company Makes Money
HeartFlow primarily makes money by providing its software-based coronary analysis services/products to healthcare providers, which are typically reimbursed on a per-patient/per-study basis when used clinically. The core revenue stream is tied to t...

HeartFlow, Inc. Financial Statement Overview

Summary
Strong, accelerating revenue growth and improving gross margins are meaningful positives, but they are outweighed by continued large net losses and persistent negative operating/free cash flow, keeping financial risk elevated despite an improved 2025 balance sheet snapshot.
Income Statement
44
Neutral
Balance Sheet
55
Neutral
Cash Flow
42
Neutral
BreakdownDec 2025Dec 2024Dec 2023
Income Statement
Total Revenue176.03M125.81M87.17M
Gross Profit135.20M94.45M58.05M
EBITDA-55.49M-65.47M-62.83M
Net Income-116.79M-96.43M-95.66M
Balance Sheet
Total Assets359.45M118.70M185.05M
Cash, Cash Equivalents and Short-Term Investments176.79M51.37M122.77M
Total Debt22.05M160.38M160.60M
Total Liabilities58.80M978.19M962.62M
Stockholders Equity300.65M-859.48M-777.56M
Cash Flow
Free Cash Flow-59.05M-73.36M-82.54M
Operating Cash Flow-54.02M-69.00M-76.43M
Investing Cash Flow-238.57M-4.36M-6.11M
Financing Cash Flow286.04M2.24M169.32M

HeartFlow, Inc. Risk Analysis

HeartFlow, Inc. disclosed 70 risk factors in its most recent earnings report. HeartFlow, Inc. reported the most risks in the "Tech & Innovation" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

HeartFlow, Inc. Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
75
Outperform
$678.42M25.745.67%0.52%6.64%6.54%
59
Neutral
$118.35M-2.00-35.14%-9.29%46.89%
56
Neutral
$1.23B-3.82-12.37%-1.50%83.75%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
46
Neutral
$134.96M-7.96-46.61%-4.24%64.50%
45
Neutral
$2.60B-110.0938.02%
44
Neutral
$45.91M-3.81-571.06%14.15%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
HTFL
HeartFlow, Inc.
30.29
0.30
1.00%
HSTM
HealthStream
23.15
-3.59
-13.44%
TDOC
Teladoc
6.80
-0.06
-0.87%
AMWL
American Well
7.15
0.37
5.46%
DH
Definitive Healthcare Corp
0.95
-1.78
-65.26%
BEAT
HeartBeam
0.86
-1.02
-54.47%
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Mar 19, 2026