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Heartflow (HTFL) Q4 2025 earnings results (fourth quarter 2025)

10-K filed Mar 18, 2026

Heartflow (HTFL) reported revenue of $49.1M for the fourth quarter 2025 (Q4 2025), +40% from a year earlier and +6% from the quarter before. Operating margin was -36.1%, net loss $24.4M (49.7% of revenue).

Revenue$49.1M
Year over year+40%
Quarter over quarter+6%
Operating margin-36.1%
Net earnings−$24.4M

Heartflow, Q4 2025: revenue $49.1M (+40% year over year), operating margin -36.1%, net loss $24.4M, operating cash flow −$10.6M. The chart follows the revenue to costs, profit and cash.

Q4 2025AmountQ/QY/Y
Revenue$49.1M+6%+40%
Operating profit−$17.8M——
Net earnings−$24.4M——
Operating cash flow−$10.6M——

What changed

Revenue was $49.1M in Q4 2025, up 40% year over year and up 6% from the previous quarter.

Gross margin was 79.5%, up 4.5 points from a year earlier. Operating costs exceeded revenue by $17.8M, an operating margin of -36.1%. Operating expenses grew 34% against revenue growth of 40%. The fastest-growing cost line was Research & development (+52%). The quarter ended with a net loss of $24.4M, narrower than the previous quarter's $50.9M loss.

Operating cash flow was −$10.6M. Non-cash charges added back $1.4M of depreciation and amortization and $5.3M of share-based compensation. Working capital and other items added $7.2M. Capital expenditures of $1.9M exceeded it, leaving free cash flow of −$12.5M.

Questions

What was Heartflow's revenue in the fourth quarter 2025?

Heartflow (HTFL) reported revenue of $49.1M for the fourth quarter 2025 (Q4 2025), +40% from a year earlier and +6% from the quarter before.

Was Heartflow profitable in the fourth quarter 2025?

Operating loss was $17.8M (-36.1% of revenue) and net loss $24.4M.

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Source: Heartflow 10-K on SEC EDGAR.