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Earnings call · Jun 2026 (Q2 FY26)

Nano-X Imaging Q2 FY26 earnings call NNOX

Sep 9, 2026 Source

Executive summary

Nano-X Imaging Q2 FY26 — Strategic Restructuring and Commercial Expansion

Nano-X Imaging reported Q2 FY26 results reflecting strategic adjustments to accelerate commercialization and optimize its cost structure. The company is focusing on leveraging commercial partners and expanding its Nanox Imaging Network, while also advancing its AI solutions with new reimbursement pathways. Significant restructuring of South Korea operations and headcount reductions aim to streamline the operating model and extend cash runway, despite an increased adjusted EBITDA loss and a substantial impairment charge this quarter.

Highlights

5
  • Q2 FY26 revenue increased by 37% year-over-year to $4.2 million, driven by Nanox Health IT consolidation.

  • Teleradiology services delivered strong and consistent revenues, growing 14% year-over-year in H1 2026.

  • Nanox AI cardiac solution received a new CMS reimbursement code (G0680), potentially expanding its addressable market.

  • First Nanox Imaging Network installation in Philadelphia began scanning patients, with paid claims ranging from $200 to $700 per claim.

  • Secured 10 U.S. commercial distribution partnerships, including Associated X-Ray Imaging Corp., to enhance market presence.

Concerns

5
  • Adjusted EBITDA loss increased to $11.3 million in Q2 FY26 from $10.4 million in Q2 FY25.

  • GAAP gross loss margin was -1,051% in Q2 FY26, compared to -107% in Q2 FY25.

  • The company recorded a $40.7 million impairment charge on intangible assets related to its AI solutions business unit.

  • Cash and cash equivalents decreased to $31.4 million as of June 30, 2026, from $60 million as of December 31, 2025.

  • Commercialization has taken longer than expected due to operational friction points, particularly around permitting, shielding, and integration.

Guidance & targets

CategoryTargetConfidence
Annualized cost savings
$2 million
medium materiality
High
Nanox Imaging Network annual revenue potential per site
$0.5 million to $1 million
medium materiality
Medium
Impact of commercialization progress on revenue
will see the impact in the next few months
high materiality
Medium

Segment performance

SegmentRevenueYoYQoQMargin
Teleradiology Services
Contributed $3 million to Q2 FY26 revenue. Grew 14% year-over-year in H1 2026, driven by continued expansion of client base.
$3 million———
AI and Software Solutions
Contributed $1 million to Q2 FY26 revenue.
$1 million———
Imaging Systems and OEM Services
Contributed $0.2 million to Q2 FY26 revenue.
$0.2 million———
Nanox Health IT
Consolidated as of November 19, 2025, and accounted for $0.9 million of revenue in Q2 FY26. Has more than 20 new projects going live.
$0.9 million———

Deals & partnerships

RadNet Collaboration for Nanox-Arc deployment and clinical research

RadNet, the largest outpatient imaging center operator in the U.S., has deployed a Nanox-Arc system at one of its facilities for commercial use and integration into routine clinical workflow. Exploring opportunities for clinical research, including early lung nodule detection.

Internationally recognized orthopedic center CapEx sale and strategic collaboration for Nanox-Arc

Deployed a Nanox-Arc system through a capital equipment sale to an orthopedic center in Florida (part of an IDN). Collaboration aims to broaden clinical use of Nanox-Arc in orthopedics and generate clinical experience in a high-volume specialty care environment.

Associated X-Ray Imaging Corp. Distribution agreement for Nanox-Arc

New England-based provider of medical imaging equipment and services. Agreement to support deployment of Nanox-Arc across the region. Associated has already supported a customer installation.

Digital X-Ray Imaging, Integrity Medical Services, Elite Surgical Technologies Distribution agreements for Nanox-Arc

These agreements, along with Associated X-Ray Imaging Corp., bring the total to 10 signed commercial distribution partnerships in the United States, aiming to supplement direct sales and increase presence.

Vertec Scientific Limited Exclusive sales reseller agreement for Nanox AI bone solution

Exclusive sales reseller agreement for the Nanox AI bone solution in the United Kingdom. Vertec is also the exclusive supplier of Hologic DXA scanners in the U.K. and has an extensive network.

Solme RCSA Distribution partner for Nanox-Arc

Appointed as new distribution partner in Costa Rica, expanding presence in Latin America.

Leading multinational aerospace organization Renewal of USARad engagement

Renewal reflects the value of USARad services and ability to support large organizations with reliable, high-quality teleradiology services.

Risks & headwinds

Commercialization delays and operational friction Past and ongoing

Commercialization has taken longer than expected

Mitigation:Increasingly leveraging commercial partners, refining deployment processes, focusing on permitting, shielding, construction timelines, and integration.

Increased adjusted EBITDA loss Q2 FY26

$11.3 million in Q2 FY26 vs $10.4 million in Q2 FY25

Mitigation:Implementing cost reduction measures, including headcount reductions and South Korea restructuring.

Significant impairment charge Q2 FY26

$40.7 million charge

Mitigation:No direct mitigation stated for the charge itself, but it was triggered by reduced forecasted revenue and operating results, which are being addressed by commercialization efforts and cost reductions.

Decreased cash balance and need for additional capital Q2 FY26 and ongoing

Cash and cash equivalents at $31.4 million as of June 30, 2026, down from $60 million at Dec 31, 2025. Raised $8.5 million post-quarter end.

Mitigation:Implementing effective measures to reduce cash expenditures and cash burn, including headcount reductions and South Korea restructuring. Continuously raising funds from various sources (e.g., ATM program, registered direct offering).

South Korea operations restructuring Q2 FY26 and ongoing

Idled chip production line, 67% workforce reduction, transitioning to third-party manufacturing, preparing for sale of manufacturing facility.

Mitigation:Aimed at optimizing cost structure, streamlining operating model, reducing fixed cost base and burn rate, and focusing resources on core technologies and commercialization.

What to watch in Q3 FY26

Revenue traction from commercial progress

Next few months
Current Commercialization taking longer than expected, but progress made in Q2 FY26
Target Visible impact on revenue

Why it matters

This will indicate whether the refined commercialization strategy and new partnerships are effectively accelerating sales and deployments, crucial for financial stability.

I think that the reflection of these efforts and this momentum, we will see, as we said, in the next few months.

Q&A highlights

What is the expectation for further impairment charges for the balance of 2026, given the $40.7 million charge in Q2?

Management stated that the impairment process for Q2 is complete and they currently have no visibility for any other elements around impairment. They will continue to assess according to accounting rules each period.

“Currently we have no visibility for any other elements around the impairment. But we do the assessment according to the accounting rules every period.”

asked by Jeffrey Cohen · answered by Guy Nathanzon

3 min read 6 chapters

Detailed narrative

Commercialization Strategy and U.S. Expansion

Nanox is refining its commercialization strategy by increasingly leveraging commercial partners with established relationships in the imaging space, particularly in the U.S. The company has secured 10 commercial distribution partnerships, including Associated X-Ray Imaging Corp., to supplement its direct sales force and broaden market coverage. This approach aims to address initial friction points related to permitting, shielding, and integration, which had slowed earlier deployment efforts. The first Nanox Imaging Network installation in Philadelphia has begun scanning patients, demonstrating early validation of the commercial opportunity.

International Deployment and Expansion

Beyond the U.S., Nanox-Arc deployment activities are advancing across Europe and Latin America. The company completed end-user deployments in the Czech Republic and advanced system deliveries in Romania and Greece. New distribution partners were appointed in Costa Rica (Solme RCSA), and opportunities are being developed in Slovenia and Ecuador, with systems prepared for shipment to Argentina. This global expansion is critical for extending the reach of the Nanox-Arc system.

Nanox AI Developments and Reimbursement

Nanox AI is advancing on both commercial and clinical fronts, with 5 new AI installations/pilots launched across the U.S. and India. A significant development is the establishment of a new CMS Healthcare Common Procedure Coding System (HCPCS) code G0680, effective April 1, 2026, for algorithmic analysis of coronary artery calcium and aortic valve calcification from chest CT scans. This creates a potential reimbursement pathway for the Nanox AI cardiac solution, expanding its addressable market and supporting commercial adoption by enabling providers to incorporate AI-driven analysis into existing imaging workflows.

Teleradiology Services and Health IT

The Teleradiology Services Division (USARad) continued to deliver strong and consistent revenues, growing 14% year-over-year in the first half of 2026, driven by an expanding client base. USARad also renewed its engagement with a leading multinational aerospace organization. The Nanox Health IT business, acquired at the end of 2025, contributed $0.9 million in revenue in Q2 FY26 and has more than 20 new projects going live, proving to be a valuable addition with significant growth potential through synergies with Nanox AI, Nanox-Arc, and USARad.

South Korea Operations Restructuring and Cost Optimization

Following a strategic review, Nanox is undergoing a structural transformation of its South Korea operations. This includes idling the chip production line, reducing the workforce by two-thirds (approximately 67%), and transitioning volume production activities to qualified third-party manufacturing partners. The company has initiated processes for the sale of the manufacturing facility. These actions are expected to streamline the operating model, reduce fixed costs and burn rate, and result in estimated annualized cost savings of $2 million beginning in 2027.

Strategic Collaborations and Clinical Evidence

Nanox continues to broaden its U.S. footprint through strategic collaborations, including ongoing work with RadNet, the largest outpatient imaging center operator, where a Nanox-Arc system is in commercial use. A CapEx sale to an internationally recognized orthopedic center in Florida has led to a collaboration aimed at broadening clinical use in orthopedics. The company is committed to generating real-world evidence and evaluating clinical applications, including early lung nodule detection and exploring rheumatology applications with Meir Medical Center and Rabin Medical Center.

AI-generated summary of the company's earnings call. Not investment advice.