Strong Revenue Growth
Revenue of $15.5M in Q1 2026, up 35% year-over-year from $11.5M, driven by core business execution and expanded market penetration.
Robust Profitability and Margin Expansion
Reported 11th consecutive quarter of profitability: net income of $2.3M (over 100% increase vs. $1.1M prior year) and adjusted EBITDA of $2.8M, up 119% year-over-year.
Unit Shipments and Installed Base Expansion
Shipped 117 Deep TMS systems in the quarter (a 44% increase vs. prior year), bringing the installed base to approximately 1,820 systems.
Growing Remaining Performance Obligations (RPO)
Remaining performance obligations increased to $75M as of March 31, 2026, a 25% year-over-year rise (from roughly $60M), indicating stronger multi-year contract visibility.
Healthy Gross Profit and Operating Income Improvement
Gross profit rose to $11.6M (up 35% YoY from $8.6M) with healthy margins; operating income increased to approximately $2.0M from $0.6M in Q1 2025.
Strong Balance Sheet and Cash Position
Cash and cash equivalents of $58.9M as of March 31, 2026; company remains debt-free, enabling strategic investments and flexibility.
Breakthrough SWIFT Protocol Results and Adoption Momentum
SWIFT 6‑day acute protocol published data showing ~70% reduction in acute phase clinic visits; reported clinical outcomes of 88% response and 78% remission in 6 days; early payer adoption with expectations of coverage expansion to an estimated 40–50 million covered lives by year-end and initial large-payer draft/final policies.
Payer and Provider Reimbursement Wins
Evernorth eliminated prior authorization for TMS across Evernorth/Cigna; Optum updated policy allowing nurse practitioners to order/supervise/administer TMS across plans covering ~35M lives; other payers, VA and TRICARE moving similarly—reducing access constraints.
Clinical and Pipeline Progress
Multicenter patient recruitment underway for Deep TMS in alcohol use disorder; preparing FDA submission for PTSD symptoms in MDD (targeting clearance by year-end, ~90-day initial review expectation).
Strategic Investments to Expand Market Reach
Completed minority investments in 5 mental health networks and signed new deal with Hopemark ($1.5M initial, up to $1.5M additional); identified 200+ potential clinics for program expansion to drive commercial/clinical channels.
Complementary Technology Partnership with Neurolief (ProlivRx)
Increased convertible loan investment in Neurolief to $11M (additional $6M completed in late March) with potential $5M tranche; ProlivRx secured VA federal supply schedule and pricing of $11,800 per unit, enabling VA commercialization and home-use neuromodulation complementing Deep TMS.
Company Guidance for 2026
Full-year revenue guidance of $66M–$68M (27%–30% YoY growth expected); operating income guidance of 13%–14% of revenue; adjusted EBITDA guidance of $12M–$14M (projected 86%–100% increase vs. 2025).