Xingjuan Chao
Analyst · Robbie Marcus from JPMorgan
Good afternoon, and thank you for joining us for our third quarter 2026 earnings call. Q3 marked another strong quarter for CeriBell as we delivered revenue of $29.3 million, growing approximately 30% year-over-year. Underlying growth was driven by success across both core revenue drivers, adoption by more accounts and deeper penetration within our installed base. In Q3, we increased our account base by a record 35 hospitals to a total of 747 active accounts. This is a reflection of the continued maturation and strong performance of our account acquisition team. We maintain a robust pipeline of unlaunched accounts that we expect to drive sustained growth in the coming quarters. Headband utilization also reached a new record in Q3. Year-over-year usage per account grew at a double-digit rate, the highest we have seen since our IPO. This builds on our Q2 momentum and reflects the execution of our playbook, provider engagement, department expansion and patient population protocolization. Department expansion is particularly accelerating. We have expanded into more departments year-to-date in 2026 than we did during the entirety of 2025, and we expect to continue the pace. These results collectively serve to further validate our core seizure business as a durable growth engine. Overlaying our core strategy, we are also making progress against several key initiatives we have launched this year to supplement our organic growth. First, we are seeing positive signs out of our newly established strategic account management team. Through top-down engagement with regional health systems, we believe this team will drive new avenues for account growth. While these opportunities unlock at inherently longer sales cycles, we continue to see larger deals advancing through our sales funnel. Second, our VA and DoD strategy remains a growth driver with strong engagement with both government health systems. In Q3, we secured a commitment to further expand within VA, which should have a positive impact on active accounts and revenue growth in the coming quarters. Finally, interest in our neonate product remains strong, with ongoing pipeline development and activation of NICUs within new and existing accounts. With strong signal across each of these key 2026 initiatives, we are well positioned to drive continued revenue growth as we move into 2027. Now, I'd like to turn our attention to delirium, our next major growth opportunity. Earlier this week, we announced the launch of our delirium monitoring solution. We recently concluded a commercial pilot, evaluating clinical utility and adoption among customers already using our seizure platform. Six months later, I'm excited to report that the pilot has shown meaningful impact, both in optimizing patient care and in validating our delirium monitoring solution as a new revenue stream. The encouraging results we shared last quarter have continued now across a larger number of accounts. Customers reported improvements in clinical decision-making and positive user experiences. In many cases, our solution is enabling long-term monitoring for the first time, which is especially notable in difficult to assess patients. To illuminate this clinical value, I'd like to share a patient story that highlights the unique benefits offered by our delirium monitoring solution. In this case, a woman in her early 30s with sepsis was admitted to the ICU at a 150-bed community hospital and primary stroke center. The patient was not at neurological baseline. So the care team placed a CeriBell headband to evaluate potential causes. The system returned a seizure negative result and the delirium positive result, giving the team immediate objective direction to focus on delirium management. Before adopting CeriBell's delirium monitoring solution, this site's delirium assessments were inconsistent and rarely part of routine discussion. Here, the result prompted nurses, physicians and pharmacists to review potential contributors together. In a septic patients, antibiotics was not always questioned. This time, the team identified cefepime, a commonly used antibiotic with neurotoxicity as a potential contributor to patients' delirium and elected to transition the patient to a different antibiotic drug. Besides the initial delirium detection, CeriBell also enabled continuous monitoring after the antibiotic adjustment. The delirium trend began to decrease. By day 3, the patient was no longer delirium positive. The team believes the objective diagnosis and trend monitoring gave the team a clear reason to revisit the infection treatment decision and the information necessary to determine that their strategy was effective in resolving delirium. Clinicians at other sites have reported similar experiences, validating our value proposition and driving repeat usage. CeriBell helps care team to recognize delirium rapidly while opening management pathways from medication reviews to nondrug interventions. As these experiences accumulate, we expect adoption to broaden and usage to become entrenched. Within the pilot, the clinical utility of our system has directly translated into commercial impact. We are seeing a material increase in headband utilization by established customers who subsequently launched our delirium monitoring solution. Future growth is likely to result from patient population expansion, significant clinical utility from simultaneous monitoring for delirium and seizure and engagement with customers. This impact has proven durable with our earliest customers having had at least 120 days of usage following launch. Importantly, the usage impact was seen before our NTAP went into effect on October 1, suggesting that clinical utility is a primary driver. As we continued refining our launch practices, we have also seen even larger usage impact in more recently launched accounts. Based on these results, we believe that reducing barriers to adoption will enable us to drive meaningful commercial impact. As we move into commercial launch, we are offering our delirium monitoring solution as a software upgrade to CeriBell customers at no incremental increase to the subscription fee. Instead, we're requiring interested customers to partner with us through program commitments that we believe are critical to maximize clinical utility and sustained usage. For example, we ask our customers to ensure we can train more than 80% of their nurses and physicians during launch processes and align on KPIs for delirium monitoring and management. We are also working with customers to ensure that they have sufficient recorder capacity to handle the increased patient volume and potentially longer monitoring durations for delirium. This approach ensures that our customers are set up for success with high-quality launches. Providing the product without incremental subscription cost largely avoids lengthy sales and contracting processes that could slow adoption. That said, the launch process that we have seen drive impact requires thoughtful execution over time. Implementing such a disruptive technology involves customers evolving their practice and working closely with our team. We expect that many accounts will adopt our delirium monitoring solution quickly, but broad-scale conversion will occur over time. We believe this approach will ultimately maximize sustained revenue impact from increased clinical usage, the key metric for revenue contribution from our delirium monitoring solution. We will continue to track the utilization impact as we move from pilot into full launch. As part of our 2027 financial guidance, we plan to provide a more granular perspective on anticipated revenue impact associated with this greenfield market opportunity. Importantly, our strategy will be executed by our existing sales organization, provide greater leverage of our commercial infrastructure. We look forward to providing updates on these elements of our delirium monitoring solutions impact on our financial performance as well. Our product development strategy rests on 2 core pillars: enhancing our algorithms to deliver better clinical insights and innovating our hardware platforms to support the algorithms. Our delirium monitoring solution is an excellent example of the first pillar as it expands our reach into new patient populations. We also continue to develop other algorithms that increase the clinical utility of our product for our physician customers. Two such examples are recently FDA 510(k) cleared algorithms for quantitative EEG trending and Amplitude-Integrated EEG Analysis. Quantitative EEG or qEEG extends 3 functionalities: alpha-delta ratio, relative alpha trending, and burst suppression monitoring. Clinicians commonly use these trends by managing complex neurological conditions to help assess brain distress, reduced blood flow or excessive sedation. However, these outputs remain largely inaccessible for the bedside clinicians despite their clinical relevance. Our algorithm will change that. We offer our customers greater insights into patients' brain activity. This materially strengthens our value proposition for both bedside users and neurologists. These features will be released via a cloud-based software update next year. Meanwhile, our LVO stroke clinical program continues to move forward. We are also actively exploring additional algorithm development opportunities to add to our platform. Collectively, these stand to drive more clinical impact and market expansion longer term. We look forward to sharing updates on these potential opportunities in the future. Very excited about our progress in algorithm development, but we're not stopping there. The second prong of our strategy is focused on enhancing our hardware platform. As we have discussed, we intentionally designed our new hardware platform to expand functionality and integrate additional modalities in support of our vision for EEG as a vital sign. We are now thrilled to unveil the product name for this platform, Omni. The name Omni, which is Latin for everything, precisely represents our vision for the future. For the first time ever, hospitals can access the speed of point-of-care EEG while maintaining the comprehensiveness of conventional EEG, enhanced by our 8 FDA-cleared algorithms that monitor the brain for seizure, status epilepticus, delirium and other brain stress indicators, all in one platform, Omni. With Omni, we are introducing video, multiple-day continuous monitoring capability, EKG compatibility and a parasagittal add-on to provide full montage coverage when needed. This delivers the core features of conventional EEG without sacrificing the ease of use, speed and accessibility of point-of-care EEG. Even more critical to our vision, the system was designed to run all our algorithms, enabling brain monitoring across multiple disease states. It is one elegant solution that meets the needs of both bedside clinicians and urologists. The tool we believe, is truly unique. We will initiate a limited market release on Omni this quarter and expect to launch the product in 2027. We will share more details as we get closer to launch. As I step back, it is clear that our vision of EEG as a new vital sign is no longer theoretical. After scaling our commercial presence and receiving 9 FDA clearances in the last 18 months, we are now closer than ever to bring our vision to market. We see 2027 as a pivotal year. Seizure detection will act as a durable base business. Both account acquisition and utilization are growing independently, compounding each other. Our hardware and software enhancements will extend our category leadership. Our delivery and monitoring solution will be fully launched. And now we have greater conviction in our ability to bring the totality of our innovation into a single product platform, Omni. CeriBell is at an inflection point. After years of investment and growth, we're excited to begin our new chapter while continuing to deliver singular value to our customers and the patients they care for. With that, I will now turn the call over to Scott Blumberg, our CFO, to provide a review of the third quarter results and 2026 guidance.