On Wednesday, Nano X Imaging (NASDAQ:NNOX) discussed second-quarter financial results during its earnings call. The full transcript is provided below.
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Summary
Nano X Imaging Limited reported Q2 2026 revenue of $4.2 million, a 37% increase year-over-year, driven by consolidation of Nano X Health IT and growth in teleradiology services.
The company is leveraging partnerships to enhance its U.S. presence, including a collaboration with RadNet and distribution agreements with several partners to support the deployment of the Nanox Arc system.
Operational restructuring in South Korea, including a 67% workforce reduction, aims to streamline operations and focus resources on core technologies.
Nanox AI made progress with a new sales agreement in the UK and launched AI installation pilots in the U.S. and India, supported by a new reimbursement pathway for its cardiac solution.
Management highlighted a focus on commercialization efforts and cost-cutting measures, including a 15% reduction in Israeli employees and raising $8.5 million in capital to extend the cash runway.
Full Transcript
OPERATOR
Good day and thank you for standing by. Welcome to the Nano X Imaging Q2 2026 earnings call. At this time, all participants are in a listen-only mode. After the speaker's presentation, there will be a question-and-answer session. To ask a question during the session, you will need to press star 11 on your telephone. You will then hear an automated message advising that your hand is raised. To withdraw your question, please press star 11 again. Please be advised that this conference is being recorded.
I would now like to hand the conference over to your speaker today, Mike Cavanaugh, Investor Relations. Please go ahead.
Mike Cavanaugh, Investor Relations
Good morning and welcome to Nano X Imaging's second quarter 2026 investor call. Earlier today, Nano X Imaging Limited released financial results for the quarter ending June 30, 2026. The release is currently available on the Investor section of the company's website. With me today are Erez Meltzer, Chief Executive Officer and Acting Chairman, and Guy Nathanson, Chief Financial Officer. Before we get started, I would like to remind everyone that management will be making statements during this call that include forward-looking statements regarding the company's financial results, research and development, manufacturing, commercialization activities, regulatory process and clinical activities, and other matters. These statements are subject to risks, uncertainties, and assumptions that are based on management's current expectations as of today and may not be updated in the future. Therefore, these statements should not be relied upon as representing the company's views as of any subsequent date. Factors that may cause such a difference include, but are not limited to, those described in the company's filings with the Securities and Exchange Commission.
We'll also refer to certain non-GAAP financial measures to provide additional information to investors. A reconciliation of the non-GAAP to GAAP measures is provided with our press release, which reconciles the following non-GAAP measures to the closest equivalent figures under GAAP: non-GAAP gross margin, non-GAAP research and development expenses, non-GAAP sales and marketing expenses, non-GAAP general and administrative expenses, non-GAAP net loss, and adjusted EBITDA loss.
With that, I'd now like to turn the call over to Erez Meltzer.
Erez Meltzer, Chief Executive Officer
Thank you all for joining us today. In the two months since our last call, we have advanced commercialization across several areas of the business. Our management team has completed a thorough review of the business and started implementing lessons learned with progress reflected across our commercial, operational, and strategic priorities. Today I will focus on the steps we are taking to improve execution, extend commercialization, and support the long-term value of the Nano X Imaging platform.
While our business is trending in the right direction, as we discussed last quarter, our commercialization has taken longer than we expected when we initiated the commercial phase. We have already provided preliminary financial results last month and our results are substantially consistent with those previously disclosed figures. The main friction points have been, as mentioned, operational commercialization requiring close side-by-side coordination with small and medium-sized imaging centers, particularly around permitting, shielding, construction timelines, and integration into clinical workflows.
These are practical deployment requirements, but they have been important lessons as we refine how we move systems from commercial agreement to active utilization. By identifying where the friction has occurred, we have been able to shape the changes we are now implementing. Most importantly, we are increasingly leveraging commercial partners with established relationships and workflow in the imaging space to meaningfully enhance our presence in the U.S. At the same time, our direct sales efforts continue to support additional Nanox Arc CapEx agreements and deployment activity, including the first Nanox Imaging Network installation in Philadelphia, which has already scanned its first patients. Beyond the U.S., we continue Nanox Arc deployment activity across Europe and Latin America, advanced new Nanox AI commercial and pilot programs in India and the U.S., and moved forward with the restructuring of our South Korea operations to better align resources with our core technologies and commercialization priorities.
We continue to broaden our U.S. footprint through strategic collaborations, customer evaluations, and deployment activities, including our recently announced collaboration with RadNet and ongoing work with leading clinical institutions, with the goal of expanding our engagement with healthcare chains and increasing activity within those chains. As we disclosed in our last call, the Nanox Arc system has been operational for several months at RadNet sites.
RadNet is the largest outpatient imaging center operator in the United States and has deployed the Nanox Arc system at one of its facilities where it is now in commercial use and integrated into routine clinical workflow. We continue to explore opportunities for clinical research, including early lung nodule detection. We believe this represents an important step in demonstrating Nanox Arc's clinical value in a major outpatient imaging setting, and we are excited to continue this collaboration.
We recently deployed a Nanox Arc system through a capital equipment sale to an internationally recognized orthopedic center in Florida, which is part of an IDN, Integrated Delivery Network. As this organization integrates the system into its orthopedic imaging workflow, we are launching a strategic collaboration aimed at broadening the clinical use of Nanox Arc in orthopedics and generating clinical experience in a high-volume specialty care environment.
We believe the true measure of innovation in medical imaging lies in clinical relevance and potential to improve patient care. Our continual engagement with leading healthcare organizations reflects our commitment to generating more real-world evidence and evaluating a growing number of clinical applications for our technology. For example, we recently installed an Arc system in an urgent care unit located in New Jersey. Turning to our commercial distribution partnerships, we are seeing channel partners build pipeline activity that supports future CapEx sales.
In addition, our U.S.-based subsidiary Nanox Impact Inc. has entered into a distribution agreement with Associated X-Ray Imaging Corp., a New England-based provider of medical imaging equipment and services specializing in X-ray, MRI, and CT systems, to support deployment of the Nanox Arc across the region. We now have 10 signed commercial distribution partnerships in the United States. Associated has already supported the customer installation of the Nanox Arc that is installed and operational, further demonstrating its ability to support deployment and service in the region.
The agreement follows other recent engagements including Digital X-Ray Imaging, Integrity Medical Services, and Elite Surgical Technologies. The goal is to supplement our direct sales force and increase our presence economically as we pursue broader coverage of major U.S. markets. We're also expanding joint commercialization activity with our partners, including participation in Howard's Annual Sales Summit, our webinar partnership with ROS, and ongoing sales and marketing initiatives.
As more customers, channel partners, and physicians gain firsthand experience with Nanox Arc, we are seeing encouraging utilization, including sites performing hundreds of scans per month and one customer transitioning from MSAs to a CapEx purchase. The Nanox Imaging Network proof of concept is beginning to contribute to our commercialization strategy by targeting segments that may offer potentially higher reimbursement rates, such as worker compensation groups and concierge medical providers.
Through this initiative, Nano X Imaging completed the first Nanox Imaging Network installation in Philadelphia and the site has begun scanning its first patients. It is encouraging that we are already seeing reimbursement from insurers and payers, with paid claims in the range of $200 to $700 per claim. This provides early validation of the commercial opportunity for the Nanox Imaging Network and supports our focus on targeted care segments where reimbursement dynamics can be favorable.
Based on the preliminary business model, we believe each site may have the potential to generate annual revenue in the range of half a million dollars to a million dollars depending on utilization, reimbursement, payer mix, and site-level execution. In our rest-of-the-world markets, we advanced commercialization activities across Europe and Latin America. During the quarter, we completed an end-user deployment in the Czech Republic and advanced system deliveries in Romania and Greece through local distribution partners, which we have discussed on previous calls.
We also appointed Solme RCSA as our new distribution partner in Costa Rica, further expanding our presence in Latin America. We also continue to develop commercial opportunities with distributors in Slovenia and Ecuador and are preparing to ship systems to Argentina. Since the acquisition, our teleradiology services division, USARAD, continued to deliver strong and consistent revenues during the first half of 2026, which grew on a year-over-year basis averaging 14% growth.
Driven by continued expansion of our teleradiology client base, USARAD Holdings Inc. has once again earned The Joint Commission's Gold Seal of Approval for ambulatory health care accreditation by demonstrating continuous compliance with its performance standards. The Gold Seal is a symbol of quality that reflects a healthcare organization's commitment to providing safe and quality patient care. We also extended USARAD's engagement with a leading multinational aerospace organization.
This renewal reflects the value of USARAD's services offering and our ability to support large organizations with reliable, high-quality teleradiology services. We continue to view the teleradiology business as both a source of recurring revenues and an important channel for advancing the commercialization of our broader imaging and AI solutions. Nanox AI advanced on both the commercial and the clinical fronts during the quarter. We recently announced that Nano X Imaging entered into an exclusive sales reseller agreement with Vertex Scientific Ltd. for the Nanox AI bone solution in the United Kingdom. Vertec is also the exclusive supplier of Hologic DXA scanners in the UK, with an extensive network of champion leaders, clinics, and hospitals. Moreover, we launched five new AI installation pilots across the United States and India. These engagements expand our clinical and commercial footprint and provide opportunities to demonstrate the value of our AI solutions in real-world healthcare settings.
We're actively supporting these organizations through the evaluation process and look forward to advancing discussions around broader deployment. We also completed a pilot study with Cedars-Sinai comparing Nanox AI Health AVC with standard-of-care tools for assessing aortic valve calcification. The study demonstrated greater than 92% agreement between the two approaches, reinforcing the accuracy of our technology and supporting its potential integration into existing imaging workflows.
In addition, IRB approval has been received from a leading university-affiliated medical center for an upcoming clinical study, and we are now moving forward with data collection. To end my update on the AI business, I'd like to share some reimbursement news. In the U.S., the Centers for Medicare & Medicaid Services established a new Healthcare Common Procedure Coding System code G0680, effective April 1, 2026, for algorithmic analysis of coronary artery calcium and/or aortic valve calcification from chest CT scans.
This creates a potential reimbursement pathway for the Nanox AI cardiac solution when used with eligible chest CT exams and when applicable payer documentation and medical necessity requirements are met. We view this as a positive development that may help support commercial adoption of Nanox AI by enabling providers to incorporate AI-driven analysis into existing imaging workflows. The new reimbursement code may expand the addressable market for the Nanox AI cardiac solution by creating a direct reimbursement pathway for outpatient imaging centers and clinics performing eligible chest CT examinations.
This pathway may enable qualifying providers to incorporate our cardiac solution into existing CT workflows and receive reimbursement without requiring an additional imaging procedure. We are exploring further our engagement with two of our leading research sites, Mayer Medical Centers and Rabin Medical Center, by expanding our ongoing clinical work into rheumatology, an area we believe may represent a meaningful extension of the Nanox Arc value proposition.
Together with these centers we are evaluating the potential role of the Arc in the assessment and long-term management of chronic rheumatology conditions. While still in the research stage, we believe this work may help broaden our understanding of additional clinical applications for the Arc and inform future opportunities in rheumatology. I'd like to share a few additional updates on our OEM relationships and pursuits. Varex tubes are undergoing the final integration process to become our main X-ray tube source for the Nanox ARC X system.
We have additionally taken receipt of a multi-beam X-ray vessel utilizing multiple Nanox emitters and have begun our initial testing. We are excited to measure our emitters' capabilities in this configuration and have potential partner interest in the areas of security, food inspection, and of course medical. Regarding Oak Ridge National Laboratory prototypes, we have completed and delivered prototypes of the latest design iteration to Oak Ridge for their assessment and integration with their intended application in security use cases.
We're also pursuing discussions with other entities for this purpose. Overall interest in the Nanox breakthrough source technology remains very strong. The Nanox Health IT that we acquired at the end of 2025 has proven to be a valuable addition to Nano X Imaging and continues to contribute meaningful revenue in the first half of the year, supported by an expanding customer base and more than 20 new projects going live. As we complete our integration to make the business more scalable and begin to more fully leverage its synergies with Nanox AI, Nanox Arc, and USARAD business segments, we are very excited about the growth potential of this business.
Turning to our South Korea operations. As we previously disclosed, we have been evaluating a range of strategic alternatives aimed at optimizing our cost structure and maximizing the value of our assets in Korea. Following this review, we have decided to move forward with a broader structural transformation of our South Korea operations. As part of this process, we've idled our chip production line and reduced our workforce in Korea by two-thirds.
We are transitioning volume production activities to qualified third-party manufacturing partners. In parallel, we have initiated the necessary processes with the relevant authorities and other stakeholders in preparation for the sale of the manufacturing facility. We believe these actions will further streamline our operating model, reduce our fixed cost base and burn rate, and allow us to focus our resources on our core technologies and commercialization priorities.
Guy will walk through the specifics of the restructuring in his financial overview. We are also preparing for RSNA 2026, where we plan to engage with customers, partners, and key opinion leaders across the radiology community. RSNA provides an important platform to present our end-to-end imaging solutions across Nanox Arc, Nanox AI, and our broader imaging ecosystem, while supporting business development, customer engagement, and awareness of our recent commercial and clinical activity.
We are preparing for RSNA 2026 with the goal of building on last year's success in using the event as a strong commercial kickoff for 2027. I will now turn the call over to Guy, whom we are very pleased to officially welcome to the team.
Guy Nathanzon, Chief Financial Officer
Thank you, Erez. Before I begin, I would like to say that I'm very excited to be at Nano X Imaging and I look forward to helping drive our future success as we seek to change medical imaging as we implement the lessons we have learned and drive commercial growth. We've also sought various ways to extend our cash runway to the point where we are at a sustainable run rate. During the quarter and subsequently, we have taken deliberate steps to implement effective measures including reductions to our cash expenditures and cash burn.
Among those steps have been a 15% headcount reduction of our Israeli-based employees and, as previously noted, a reduction in our activities at our Korean location, mainly in the chip fabrication facility, as well as an approximately 67% reduction in our headcount in Korea. We will instead rely on our OEM partners to supply the chips we need for future demand. The estimated annualized cost savings from these steps are expected to be approximately $2 million beginning in 2027.
Along with cost reductions, we also recognize the need for additional capital and have recently raised fresh capital via an existing ATM program and a registered direct offering in August that raised together a total of $8.5 million of gross proceeds. All figures that I'm reviewing now relate to the second quarter ending June 30, 2026 and all comparable figures relate to the comparable quarter of 2025 unless otherwise noted. Q2 2026 revenue were $4.2 million compared to $3 million in Q2 2025, representing a year-over-year increase of 37%.
The increase was driven mainly by the consolidation of the Nano X Health IT, formerly known as VASO Healthcare IT, business which was consolidated as of November 19, 2025 and accounted for $0.9 million of revenue in Q2 2026. The company generated revenue of $3 million from our teleradiology services, $1 million from our AI and software solutions, and $0.2 million from the sale of imaging systems and OEM services. Q2 2026 adjusted EBITDA loss, a financial measure that is derived as described below under non-GAAP financial measures, was $11.3 million compared with adjusted EBITDA loss of $10.4 million in Q2 2025.
Q2 2026 GAAP gross loss margin was minus 1,051% compared to a GAAP gross loss margin of minus 107% for Q2 2025. Non-GAAP gross loss margin was minus 13% compared to a non-GAAP gross loss margin of minus 21% in Q2 2025. In accordance with applicable accounting standards, as of June 30, 2026, the company performed an impairment assessment of its asset groups. The impairment assessment was triggered by a significant decline in the company's share price and reduced forecasted revenue and operating results.
The company recorded an impairment charge of $40.7 million which was accorded to cost of revenue. Impairment of intangible assets reduced the fair value of the intangible assets related to its AI Solutions business unit, excluding Nano X Imaging, to $1.9 million. The company also re-evaluated the remaining useful life of the intangible assets and concluded that no changes were necessary. The impairment charge did not result in any cash outflow or impact to the company's liquidity and was excluded from the calculation of the adjusted EBITDA for the period.
Q2 2026 GAAP operating expenses were $11.8 million compared to GAAP operating expenses of $11.3 million in Q2 2025. Q2 2026 non-GAAP operating expenses were $11.1 million compared to non-GAAP operating expenses of $10.0 million in Q2 2025. The increase was mainly driven by the consolidation of Nano X Health IT business and an increase in legal expenses. Q2 2026 GAAP net loss was $55.5 million compared to a GAAP net loss of $14.7 million in Q2 2025.
Q2 2026 non-GAAP net loss was $11.6 million compared to a non-GAAP net loss of $10.9 million in Q2 2025. The increase in net loss was mainly related to the impairment of certain intangible assets as described above. Cash and cash equivalents and restricted deposits as of June 30, 2026 were $31.4 million. This compares to a cash and cash equivalents, short-term deposits and restricted deposit balance of $60 million as of December 31, 2025. Post quarter end, the company raised aggregate gross proceeds of $8.5 million from its ATM program and a registered direct offering.
The company intends to continue raising funds from various sources to improve its cash balance and support its activities. I'll now turn the call over to Erez for final comments and the question and answer session.
Erez Meltzer, Chief Executive Officer
Before we open the call for questions, I want to close by reflecting on the priorities I outlined today and the progress they have produced so far. We are focused on moving Nano X Imaging RX systems into active use, expanding our commercial footprint through new partnerships, advancing the Nano X Imaging network and adding new Nanox AI customers, while managing our resources decisively and responsibly. We made real progress across these areas while also taking the necessary steps to improve our operating structure and extend our runway.
There is still plenty of work ahead, but we believe we are taking the right actions to support Nano X Imaging's long-term opportunity in medical imaging. I want to thank our employees, partners, customers and shareholders for your continued support. Operator, you may now open the call for Q&A.
OPERATOR
Certainly. As a reminder, to ask a question, please press star 11 on your telephone and wait for your name to be announced. To withdraw your question, please press star 11 again. Please stand by while we compile our Q&A roster. And our first question will be coming from the line of Jeffrey Cohen of Ladenburg Thalmann & Co. Inc. Your line is open.
Jeffrey Cohen, Analyst at Ladenburg Thalmann & Co. Inc.
Hey, good morning. Just a few questions from Aaron, I guess. Firstly for Guy, what's expected on the impairment for the balance of 2026? I know you're at $40.69 currently.
Guy Nathanzon, Chief Financial Officer
So, hi. Currently we already completed the process as of today, and if required according to the accounting rules we will continue in the future. Currently we have no visibility for any other elements around the impairment, but we do the assessment according to the accounting rules every period and we'll do what we need to do.
Jeffrey Cohen, Analyst at Ladenburg Thalmann & Co. Inc.
Okay, got it. What's the latest pro forma share count? The latest pro forma outstanding share count.
Guy Nathanzon, Chief Financial Officer
Sorry, could you repeat the question? I believe it is 70.6, if I remember correctly, million.
Jeffrey Cohen, Analyst at Ladenburg Thalmann & Co. Inc.
Got it. And then could you talk about the placements out there? I'm curious about the evaluations and the ARC placements. Could you give us a sense of how many were placed during the last quarter and maybe give us a sense of the pipeline that you expect throughout the balance of the year as far as placements, analysis and evaluations?
Guy Nathanzon, Chief Financial Officer
I believe. Erez, would you like to take this answer? Yep. Yes. Would you like to answer this question?
Erez Meltzer, Chief Executive Officer
No, I was just wondering about placements. Can you hear me? Okay, now I can. For placements for the balance of the year—Jeff, can you hear me?
Jeffrey Cohen, Analyst at Ladenburg Thalmann & Co. Inc.
Yes, I can.
Erez Meltzer, Chief Executive Officer
Okay. So since the latest update, we have placed systems in Greece, in Romania, in Czech Republic. The systems for Peru are waiting for import license; same goes with Argentina. In the U.S. we have one system which is converted from MSAS to CapEx. We've installed another one in an IDN, another system for the first system in urgent care units. In the U.S. we have three systems that are currently in the Nano X Imaging network that we were talking about.
One of them is already started. So, yeah, another one in the orthopedic clinic. So, in a nutshell, that's where we are. So, quite nice progress in the last quarter.
Jeffrey Cohen, Analyst at Ladenburg Thalmann & Co. Inc.
Perfect. Thank you for taking questions.
OPERATOR
And our next question will be coming from the line of Scott Henry of AGP. Scott, your line is open.
Scott Henry, Analyst at AGP
Thank you and good morning. Sounds like there's a lot of progress going on behind the scenes as far as building momentum for future sales. Could you give us a sense of how we should think about the timing of when that traction should start? How should we think about Q3 relative to Q2 in terms of revenues? And if we're not going to see much there, when should we start to see that traction result in revenues? Thank you.
Erez Meltzer, Chief Executive Officer
I think that we have addressed this question during the last call, that we saw the middle of the year as a sort of reflection point. First of all, what you can see is the progress that you actually were talking about. And second, we will start to see the impact of this progress in the next few months. As previously indicated, already we view the Nano X Imaging network as part of the scale which is moving forward. The business partners are, in terms of the pipeline, being converted right now to installations or to sales.
And from our point of view, the direct sales is also showing the progress. So I think that the reflection of these efforts and this momentum we will see, as we said, in the next few months.
Scott Henry, Analyst at AGP
Okay, great. So it is on track with prior expectations. Thank you. And then the $2 million in cost savings for 2027, should we expect that to show up in kind of the gross margin line or more in the G&A line?
Guy Nathanzon, Chief Financial Officer
Which one were you referring to?
Scott Henry, Analyst at AGP
The $2 million in cost savings on target for 2027. I just wanted to get a sense where in the model most of those cost savings should be located, because it is a manufacturing plant.
Guy Nathanzon, Chief Financial Officer
Yeah. So the simple answer is that probably most of the expenses would be reflected in the operating expenses; some of them the COGS, but most of them in the opex.
Scott Henry, Analyst at AGP
Okay, great. And when we think about, I mean it sounds like there are a lot of kind of cost rationalizations, getting costs out of the system, whether through contracting or what other reasons necessary. Where do you think you could get that operating expense—and that's on a GAAP basis—if it's been around $11 million, maybe $11 to $12 million per quarter on a GAAP basis, how much could you pull out of that as costs are shifted outside the system?
Erez Meltzer, Chief Executive Officer
Jay, I'll try to be very cautious at this point, and if it's okay for you, I prefer not to answer this question directly. Once we have something to announce, we'll probably announce. At this point, in high level, I would say we are always doing ongoing examination and evaluation for our expenses. There is no number that I can specifically announce right now. And once there would be a number we'll definitely announce, like we just did on the Korean side.
Scott Henry, Analyst at AGP
Okay then I look forward to that. Also in the press release there was mention of a CMS reimbursement pathway. What would be the timing of developments on that front? Thank you.
Erez Meltzer, Chief Executive Officer
The reimbursement of the Nano X Imaging network—
Scott Henry, Analyst at AGP
As far as through CMS, the AI.
Erez Meltzer, Chief Executive Officer
The AI or the Nano X Imaging network?
Scott Henry, Analyst at AGP
Both. Just the timing on either. How would we think about that?
Erez Meltzer, Chief Executive Officer
So the Nanox AI, the Geo 680, is already right now, and we will probably see the impact of it right now. We expect that it will be affected in the very near future, and we are going to address this segment of the market in order to benefit from this effort. In terms of the reimbursement, first of all, it's already done. So we have already revenues which are generated from this reimbursement, and the more systems and sites we add to the Nano X Imaging network—which actually we've already previously indicated what's the pipeline on this—the more we'll see the revenues growing up.
I think that based on the model that we currently have, and right now we are in the first proof of concept for this, but based on the model right now and the indications that we have from current scans that are being done on this segment of the market, we expect these numbers to be the hundreds of thousands of dollars, or can go up to even more than that, close to a million, if the system is operating on a very wide scale. And this will generate for each one of the systems as was recorded in the press release.
Scott Henry, Analyst at AGP
Okay, great. Thank you for taking the questions.
Erez Meltzer, Chief Executive Officer
Thank you so much.
OPERATOR
And I'm showing no further questions. This concludes today's conference call. Thank you for participating. You may now disconnect. Thank you.
Disclaimer: This transcript is provided for informational purposes only. While we strive for accuracy, there may be errors or omissions in this automated transcription. For official company statements and financial information, please refer to the company's SEC filings and official press releases. Corporate participants' and analysts' statements reflect their views as of the date of this call and are subject to change without notice.
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