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Ceribell, Inc.: Q1 FY2026 earnings call

What management said about Q1 FY2026, from the documents filed with the SEC on 11 May 2026: press release. Guidance figures: 2 raised. The quarter’s numbers.

Key takeaways

  • Revenue rose 29% year over year: Total revenue was $26.5 million, up from $20.5 million a year earlier, according to the company's first-quarter results. Source
  • Net loss widened to $19.7 million: Net loss was $19.7 million, or $0.52 per share, compared with a net loss of $12.8 million, or $0.36 per share, a year earlier. Source
  • Active accounts reached 680: The company ended the quarter with 680 total active accounts, compared with 647 at the end of 2025 in the prior release. Source
  • Operating expenses rose 36%: Operating expenses were $43.9 million, up 36% from $32.2 million, attributed to commercial organization investment, headcount growth and intellectual property enforcement legal costs. Source
  • Neonate and pediatric launch began: The company started commercial sales of neonate and pediatric products after a pilot, extending the seizure platform to younger patients. Source
  • Supportive CMS proposed rule received: A CMS proposed rule supportive of NTAP reimbursement for the company's delirium monitoring solution was received. Source
  • Cash and securities totaled $141.2 million: Cash, cash equivalents and marketable securities were $141.2 million at March 31, 2026, down from $159.3 million at December 31, 2025. Source

“Our strong first quarter performance reflects solid execution against our commercial plan and the clear and growing demand for our seizure monitoring platform”

co-founder and CEO Jane Chao, Ph.D.

Guidance

AreaPeriodFigureAgainst last quarter
Revenue Sourcefull year 2026$112 million to $116 millionRaised from $111 million to $115 million
Revenue growth over prior year Sourcefull year 2026approximately 26% to 30%Raised from approximately 25% to 29%

What changed from last quarter

  • Guidance raised: Full-year 2026 revenue guidance raised to $112 million to $116 million from $111 million to $115 million. Source
  • New: Commercial launch of neonate and pediatric products began after a successful pilot. Source
  • New: A CMS proposed rule supportive of NTAP reimbursement for the delirium monitoring solution was received. Source

Results and growth drivers

  • Revenue rose 29% year over year: Total revenue was $26.5 million, up from $20.5 million a year earlier, according to the company's first-quarter results. Source
  • Net loss widened to $19.7 million: Net loss was $19.7 million, or $0.52 per share, compared with a net loss of $12.8 million, or $0.36 per share, a year earlier. Source
  • Adjusted EBITDA loss was $11.2 million: Adjusted EBITDA loss, a non-GAAP measure, was $11.2 million, compared with $10.9 million in the first quarter of 2025. Source

Demand and customer accounts

  • Active accounts reached 680: The company ended the quarter with 680 total active accounts, compared with 647 at the end of 2025 in the prior release. Source
  • Growth from new accounts and adoption: The company attributed revenue growth primarily to expansion into new accounts and continued adoption within its active account base. Source
  • Management cites execution and demand: Management attributed the quarter to solid execution against the commercial plan and to demand for the seizure monitoring platform. Source

“The launch of our neonate and pediatric offerings represents a major milestone in our commitment to provide critical brain monitoring for patients of all ages.”

co-founder and CEO Jane Chao, Ph.D.

Product and subscription revenue

  • Product revenue grew 29%: Product revenue was $20.2 million, up 29% from $15.6 million in the first quarter of 2025. Source
  • Subscription revenue grew 29%: Subscription revenue was $6.3 million, up 29% from $4.9 million in the first quarter of 2025. Source
  • Cost of revenue rose on both lines: Product cost of goods sold was $3.1 million and subscription cost of revenue was $0.3 million, compared with $2.4 million and $0.1 million a year earlier. Source

Margins and operating costs

  • Gross margin 87% versus 88%: Gross margin was 87% in the first quarter of 2026, compared with 88% in the same period of 2025. Source
  • Gross profit rose to $23.1 million: Gross profit was $23.1 million, compared with $18.0 million for the first quarter of 2025. Source
  • Operating expenses rose 36%: Operating expenses were $43.9 million, up 36% from $32.2 million, attributed to commercial organization investment, headcount growth and intellectual property enforcement legal costs. Source
  • Sales, marketing and G&A grew: Sales and marketing expense rose to $22.4 million and general and administrative expense to $15.3 million, from $18.0 million and $9.9 million. Source
  • Patent suit fees excluded from Adjusted EBITDA: Legal fees for the patent action against Natus Medical were $5.6 million in the quarter, excluded from Adjusted EBITDA, against $0.6 million a year earlier. Source

“As we work to redefine the standard of care in seizure management, we will continue to invest in innovation and expansion of our clinical indications to advance our mission to make EEG a new vital sign.”

co-founder and CEO Jane Chao, Ph.D.

Products and regulatory position

  • Neonate and pediatric launch began: The company started commercial sales of neonate and pediatric products after a pilot, extending the seizure platform to younger patients. Source
  • Supportive CMS proposed rule received: A CMS proposed rule supportive of NTAP reimbursement for the company's delirium monitoring solution was received. Source
  • FDA-cleared for ICU and ER use: The company describes the Ceribell System as FDA-cleared for seizure and delirium detection in intensive care units and emergency rooms. Source

Cash, balance sheet and share count

  • Cash and securities totaled $141.2 million: Cash, cash equivalents and marketable securities were $141.2 million at March 31, 2026, down from $159.3 million at December 31, 2025. Source
  • Cash held in equivalents and securities: Cash and cash equivalents were $45.3 million and marketable securities were $95.9 million at March 31, 2026. Source
  • Receivables rose, inventory fell: Accounts receivable, net were $15.7 million, up from $15.1 million at year-end, while inventory was $6.9 million, down from $7.3 million. Source
  • Weighted shares rose to 37.7 million: Weighted-average shares used for net loss per share were 37.7 million, compared with 35.9 million in the first quarter of 2025. Source

Coming up, as management said on 11 May 2026

  • Final CMS NTAP rule due August: The final CMS rule on NTAP reimbursement for the delirium monitoring solution is expected in August 2026. Source
  • Continued investment in clinical indications: Management said it will continue to invest in innovation and expansion of clinical indications. Source

Risks management discussed

  • Financial: Legal costs for intellectual property enforcement are cited as a driver of higher operating expenses. Source
  • Regulatory: Reimbursement for the delirium monitoring solution depends on a final CMS rule, which is expected in August 2026 after a proposed rule. Source

Earlier plans management reported on

  • Not stated: The company launched neonate and pediatric products commercially following a pilot, a step from earlier planning; management did not state a status. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.