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NRXS · Neuraxis, INC

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$6.25 -0.05 (-0.79%)
Market Cap
$79.11M
Shares
12.56M
All earnings calls

Earnings call · FY2026 Q1

Neuraxis, INC Q1 FY2026 Earnings Call

Neuraxis, INC Q1 FY2026 Earnings Call

Concluded May 12, 2026
May 12, 2026 23 turns
Period
FY2026 Q1
Runtime
Sources
3 artifacts

Executive readout · one minute

What matters this quarter

NeurAxis reported Q1 2026 revenue of $1.6 million, up 80% year-over-year from $896 thousand, in its first full quarter with the Category 1 CPT code for PENFS in effect, alongside an operating loss of approximately $1.7 million and roughly $7.1 million in cash. Management cited strong proof of concept where payer coverage exists and outlined the gaps needed to scale.

Revenue growth and proof of concept 46 Payer coverage and insurance access 37 Category 1 CPT code and reimbursement 23 Cash burn and path to profitability 17 Key Performance Indicators (KPIs) 13 Clinical evidence and guidelines 7

Management tone

Positive

Net tone +35 · moderate hedging

Grounding quotes
  • “Quarter 1 confirmed proof of concept and the demand is strong where access barriers are reduced and healthcare providers with the right combination of payer coverage, physician engagement, and operational capacity perform extremely well.”
  • “the quarter moved us from theory to evidence where proof of concept continued to succeed. The barriers that historically limited IB-Stim adoption are now much better defined, and that gives us a far more actionable roadmap.”
  • “That said, as we clearly know at this point, payer coverage adoption does not happen overnight. We expect policy updates and prior authorization improvements to unfold gradually.”
  • “We are making significant progress and are extremely confident in where we are, but I cannot give you an exact timeline.”

Research coverage

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Revenue $1.61M +79.5% YoY
Diluted EPS -$0.18
Gross margin 86.4% +2.0 pp YoY
Net income -$1.76M

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Key takeaways

What improved, and what deserves a closer read.

Constructive signals

  • Q1 2026 revenue of $1.6 million, up 80% year-over-year from $896 thousand, modestly exceeding expectations
  • IB-Stim average selling price rose to $1,020 from $766 in 2025, a 33% increase, driven by a shift toward covered/reimbursed procedures
  • More than 100 million covered lives, including a major national health insurer policy announced in December representing ~45 million members
  • Q1 marked the first full quarter of operating with the Category 1 CPT code for PENFS, creating a standard billing/reimbursement framework
  • Quarterly burn rate declined to $1.2 million, with management guiding to ~$1 million or less per quarter for the rest of the year
  • Operating loss held at approximately $1.7 million, with management identifying a path to cash-flow breakeven at roughly $15 million in annualized revenue based on a ~75% variable margin

Risks & pressure points

  • Operating loss of approximately $1.7 million in Q1 2026, with a projected one-time stock compensation charge in excess of $4 million expected in Q2 from cancellation of stock options and exchange/reissuance of RSUs
  • Written medical policy coverage remains essential and a single national policy is not sufficient; some state Medicaid programs have not yet loaded CPT code 64530 on fee schedules, delaying hospital activation
  • Roughly $9 million of incremental annualized revenue above the current ~$6.4 million run-rate is needed to reach cash-flow breakeven, and management stated payer policy updates and prior authorization improvements are expected to unfold gradually
  • Commercialization requires hospitals to have 50–70% payer coverage before broadly offering IB-Stim, limiting near-term activation in many accounts
  • Prior authorization approval rate remains a key constraint, with management targeting the 80% range rather than 100%
  • Q1 2026 results are preliminary and unaudited, with the company noting final reported amounts could differ materially
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