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QT IMAGING HOLDINGS, INC. (QTIH)·Q1 2025 Earnings Summary

Executive Summary

  • Q1 2025 commercial revenue was $2.80M, up sharply year over year and sequentially, with gross margin expanding to 65%; EPS was $(0.40) driven by debt extinguishment and issuance costs related to the Lynrock Lake term loan .
  • Guidance was maintained: management reiterated 2025 revenue of $18M (40 scanners) and 2026 revenue of $27M (60 scanners), aligned with MOQs in the NXC Imaging distribution agreement .
  • Balance sheet actions: closed $10.1M Lynrock Lake term loan (10% interest, maturing 3/31/2027), repaid Yorkville and Cable Car convertible notes; company also announced PIPE investments totaling ~$0.7M in Q2 timing for working capital .
  • Near-term stock reaction catalysts: execution against MOQs (six scanners shipped in Q1), margin expansion, manufacturing agreement with Canon Medical (scaling production), and OTCQB uplift following Nasdaq delisting proceedings .

What Went Well and What Went Wrong

What Went Well

  • Revenue inflection and margin expansion: shipped six scanners, delivering $2.80M revenue (scanner sales $2.70M) and 65% gross margin; year-over-year margin +900 bps, sequential +1,800 bps; “We’re well-positioned to build on this momentum throughout the year” — CEO Dr. Raluca Dinu .
  • Strategic scaling: entered a contract manufacturing agreement with Canon Medical Systems Corporation, retaining Novato manufacturing capability .
  • Balance sheet strengthening: closed $10.1M Lynrock Lake term loan; extinguished Yorkville and Cable Car notes; had $5.4M net for working capital post repayments .

What Went Wrong

  • Heavy non-GAAP and financing-driven charges: net loss widened to $(11.14)M, including $6.64M debt issuance expense, $2.03M debt extinguishment, and $0.69M interest expense .
  • Cash burn and working capital build: net cash used in operating activities was $(3.54)M; accounts receivable rose to $2.78M vs $0.07M at Dec 31—reflecting shipments and collections timing .
  • Listing headwinds: Nasdaq delisting proceedings led to OTCQB trading (QTIH); while uplift achieved in March, relisting depends on meeting initial listing standards .

Financial Results

MetricQ1 2024Q4 2024Q1 2025
Revenue ($USD Millions)$1.362 $0.847 $2.798
Gross Margin (%)56% 47% 65%
Loss from Operations ($USD Millions)$(5.579) $(2.051) $(1.042)
Net Loss ($USD Millions)$(0.629) $(3.489) $(11.136)
EPS (Basic & Diluted, $USD)$(0.05) $(0.15) $(0.40)
Cash Used in Operating Activities ($USD Millions)$(5.976) $(1.200) $(3.537)

Segment/revenue breakdown (Q1 2025):

Revenue ComponentQ1 2025
Total Revenue ($USD Millions)$2.798
Scanner Sales ($USD Millions)$2.700
Other Revenue (Computed) ($USD Millions)$0.098

KPIs and operating metrics:

KPIQ1 2024Q4 2024Q1 2025
Scanner Shipments (Units)3 2 6
Gross Profit ($USD Millions)$0.760 $0.400 $1.812
Avg Revenue per Scanner (Computed, $USD Millions)$0.454 $0.424 $0.450
Accounts Receivable ($USD Millions)$0.067 (Dec 31, 2024) $2.782 (Mar 31, 2025)
Inventory ($USD Millions)$3.141 (Dec 31, 2024) $2.872 (Mar 31, 2025)
Cash and Restricted Cash ($USD Millions)$1.192 (Dec 31, 2024) $3.008 (Mar 31, 2025)
Weighted Avg Shares Outstanding (Millions)13.226 23.744 27.516

Notes:

  • Avg revenue per scanner computed using total revenue/shipments; Q1 2025 scanner revenue and shipments specifically disclosed, while other periods use total revenue and disclosed shipment counts .
  • Year-over-year and sequential margin increases were primarily due to variability in weighted average cost of existing inventory .

Guidance Changes

MetricPeriodPrevious GuidanceCurrent GuidanceChange
RevenueFY 2025$18M (40 scanners per MOQs) $18M (40 scanners per MOQs) Maintained
RevenueFY 2026$27M (60 scanners per MOQs) $27M (60 scanners per MOQs) Maintained
ShipmentsFY 202540 scanners 40 scanners Maintained
ShipmentsFY 202660 scanners 60 scanners Maintained

No explicit guidance provided for margins, OpEx, OI&E, tax rate, or dividends in Q1 materials .

Earnings Call Themes & Trends

No Q1 2025 earnings call transcript was found; themes are drawn from press releases and 8-Ks [SearchDocuments: no results].

TopicPrevious Mentions (Q-2 and Q-1)Current Period (Q1 2025)Trend
Distribution & MOQsNXC Imaging agreement amended; MOQs set for 2025/2026 Six scanners shipped to NXC Imaging on Mar 31; execution against MOQs Improving execution
Manufacturing ScaleCanon Manufacturing Agreement signed Mar 28 Entered contract manufacturing with Canon; retained Novato manufacturing Scaling capacity
Financing & Balance SheetLynrock Lake term loan announced; plan to extinguish notes $10.1M term loan closed; Yorkville/Cable Car repaid; $5.4M net for working capital Strengthened liquidity
Margin DriversQ3 2024 margin 63% vs Q4 47%, driven by inventory cost variability Q1 2025 margin 65%, attributed to weighted average cost variability Margins stabilizing higher
Listing/Trading StatusNasdaq delisting proceedings; moved to OTCQB OTCQB uplift confirmed; future Nasdaq relisting contingent on meeting standards Neutral to improving
R&D/GrantsNIH/NCI grant renewal (Oct 29, 2024) No new Q1 disclosures beyond operational execution Stable
Controls & Risk LanguageMaterial weakness identified in forward-looking statements Continued risk language including material weakness reference Ongoing remediation

Management Commentary

  • “We had a strong start to 2025, shipping six Breast Acoustic CT scanners and generating $2.8 million in revenue with a 65% gross margin... entered into a contract manufacturing agreement with Canon Medical Systems Corporation—a key milestone in scaling our production capabilities. We’re well-positioned to build on this momentum throughout the year.” — Dr. Raluca Dinu, CEO .
  • “Within just one year... strong, reliable distribution and manufacturing partners... confident in our ability to deliver on our financial targets for 2025 and 2026.” — Q4/FY 2024 press release (context for Q1 trajectory) .

Q&A Highlights

No Q1 2025 earnings call transcript available; no Q&A disclosures to report [SearchDocuments: no results].

Estimates Context

  • S&P Global Wall Street consensus for Q1 2025 EPS and revenue was unavailable for QTIH at this time; therefore, estimate comparisons are not presented [GetEstimates: empty for Q1 2025].

Key Takeaways for Investors

  • Execution improved: six scanners shipped and revenue inflected to $2.80M; sustained margin expansion to 65% underscores pricing and cost discipline amid inventory cost variability .
  • Non-operating charges dominated P&L: $(11.14)M net loss driven by $6.64M debt issuance and $2.03M extinguishment costs; monitor normalization in subsequent quarters as these items fade .
  • Liquidity actions reduce near-term refinancing risk: $10.1M term loan closed, convertible notes repaid, and PIPEs support working capital; watch interest burden (10% compounded quarterly) and cash burn trajectory .
  • Capacity and distribution aligned for guidance: Canon manufacturing and NXC MOQs support 2025/2026 shipment targets; execution against quarterly MOQs will be a key stock narrative driver .
  • Working capital dynamics: AR scaled with shipments ($2.78M), inventory declined sequentially; focus on receivables collection and channel sell-through to sustain cash flow .
  • Listing status: OTCQB uplift achieved; potential future Nasdaq relisting could be a credibility catalyst if initial listing standards are met .
  • With S&P Global consensus unavailable, the next print’s narrative will be driven by operational milestones (shipments, margins, cash burn), rather than beat/miss optics; traders should watch for intra-quarter shipment disclosures and margin mix updates [GetEstimates: empty].