Heartflow announces Q3 earnings per share of 27 cents, surpassing consensus estimate of 24 cents.
Written by Emily J. Thompson, Senior Investment Analyst
Updated: Nov 12 2025
0mins
Should l Buy HTFL?
Q3 Revenue Performance: Heartflow reported Q3 revenue of $46.28 million, exceeding the consensus estimate of $41.96 million, marking a 41% year-over-year growth.
CEO's Statement: John Farquhar, President and CEO, highlighted the strong performance driven by growth in the FFRCT business and an expanding installed base.
Physician Interest: There is increasing physician interest in Heartflow Plaque Analysis, which is expected to contribute to future growth following the establishment of broad commercial payor coverage.
Market Positioning: With ongoing business momentum and a strengthened balance sheet post-IPO, Heartflow is confident in its ability to expand its market leadership.
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Analyst Views on HTFL
Wall Street analysts forecast HTFL stock price to rise
5 Analyst Rating
4 Buy
1 Hold
0 Sell
Strong Buy
Current: 29.510
Low
35.00
Averages
38.60
High
40.00
Current: 29.510
Low
35.00
Averages
38.60
High
40.00
About HTFL
HeartFlow Inc. is a commercial-stage medical technology company that has pioneered the use of software and artificial intelligence (AI) to deliver a non-invasive solution for diagnosing and managing coronary artery disease (CAD). The Company’s novel HeartFlow Platform uses AI and advanced computational fluid dynamics to create a personalized three-dimensional (3D) model of a patient’s heart based on a single coronary computed tomography angiography (CCTA). Its AI-driven platform includes Roadmap Analysis, FFRCT Analysis and Plaque Analysis. The HeartFlow FFRCT Analysis and Plaque Analysis software assists physicians in diagnosing, managing and delivering precision care to patients with CAD. The RoadMap Analysis offers a highly intuitive anatomic visualization of the coronary arteries, helping physicians quickly identify clinically relevant areas to focus their review.
About the author

Emily J. Thompson
Emily J. Thompson, a Chartered Financial Analyst (CFA) with 12 years in investment research, graduated with honors from the Wharton School. Specializing in industrial and technology stocks, she provides in-depth analysis for Intellectia’s earnings and market brief reports.
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- Market Potential: The company targets a total addressable market of approximately $47 billion in workplace safety and substance testing, reflecting the urgent demand for efficient, scalable, and noninvasive detection solutions across industries such as mining, aviation, and transportation.
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- Complete Exit: The Board of Trustees of Stanford University fully exited its investment in HeartFlow by selling 312,234 shares, valued at $8.48 million, indicating a cautious outlook on the company's future prospects.
- Asset Allocation Shift: HeartFlow now represents 0% of Stanford's 13F reportable assets, with top holdings including EEM ($513.15 million, 60.5%) and GOOGL ($113.40 million, 13.4%), reflecting a strategic shift in investment focus.
- Financial Performance Highlights: HeartFlow reported $176 million in revenue for 2025, a 40% year-over-year increase, although it faced a net loss of $116.8 million, highlighting challenges in balancing revenue growth with profitability.
- Future Growth Expectations: HeartFlow forecasts 2026 sales between $218 million and $222 million, and despite cost control pressures, its 79.5% gross margin indicates strong competitive positioning in the market.
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- Identifying Investment Opportunities: Despite the challenges, the fund's management sees the current SaaS-pocalypse as an opportunity to invest in software companies with strong competitive advantages, indicating confidence in future market potential amidst volatility.
- Heartflow, Inc. Investment Analysis: The fund highlighted Heartflow, Inc. (NASDAQ:HTFL) in its investor letter, focusing on its AI-driven non-invasive solutions for coronary artery disease, with a current market capitalization of $2.59 billion and a one-month stock return of 11.24%, showcasing strong market performance.
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- Executive Sell-off: On April 10, 2026, Hear's CEO John C.M. Farquhar sold 22,562 shares, which may raise concerns about the company's future prospects, as executive sell-offs are often perceived as a lack of confidence in the company.
- Market Reaction: Such executive sell-offs can lead to decreased investor confidence in Hear, potentially impacting its stock performance, especially in the current market environment where investors are highly sensitive to corporate governance and executive actions.
- Impact on Shareholding: This share sale could affect Hear's shareholder structure, particularly if the shares sold represent a significant portion, which may trigger follow-on selling from other investors, further exacerbating stock price volatility.
- Future Outlook: While the sell-off may have a negative short-term impact on stock prices, if Hear can release positive earnings reports or strategic plans in the future, it may still restore market confidence and attract renewed investor interest.
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- Patent Infringement Lawsuit: Heartflow (HTFL) has filed a patent infringement lawsuit against Cleerly in the U.S. District Court for the Eastern District of Texas, seeking permanent injunction and damages, indicating a strong intent to protect its technology.
- Identified Infringing Products: Heartflow claims that Cleerly's Ischemia, Plaque Analysis, and Compare products infringe six of its patents from 2012 to 2018, suggesting that Cleerly's products entered the market after Heartflow's innovations, potentially impacting Cleerly's competitive position.
- Expected Legal Consequences: This lawsuit could result in significant damages and market access restrictions for Cleerly, affecting its future product development and market strategy, thereby increasing uncertainty for investors.
- Industry Impact Analysis: Heartflow's actions not only safeguard its intellectual property but may also trigger a patent battle within the medical technology sector, prompting other companies to enhance their focus on patent compliance and protection.
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