(BWAY) BrainsWay Ltd. Company Overview

IL | Healthcare | Medical - Devices | NASDAQ

What does BrainsWay do?

BrainsWay Ltd. is an Israel-headquartered medical-device company focused on noninvasive neurostimulation for mental-health disorders. Its American depositary shares trade on Nasdaq and its ordinary shares trade on the Tel Aviv Stock Exchange under BWAY. The company’s core asset is Deep Transcranial Magnetic Stimulation, or Deep TMS, a platform that uses proprietary H-Coils to stimulate neural networks deeper and across a broader brain volume than conventional figure-eight-coil TMS. The treatment is delivered in a clinic without anesthesia or hospitalization. BrainsWay’s official company overview frames the mission as expanding access to advanced neuroscience-based care.

1,820
approximate installed systems, March 31, 2026
>7.5M
individual treatments reported in May 2026
4
FDA-cleared indication or label categories highlighted in May 2026
129
employees at December 31, 2025

Which treatments and customers define the company?

The commercial platform addresses major depressive disorder, including anxious depression and expanded age groups; obsessive-compulsive disorder; and smoking addiction. Different H-Coil helmets let a clinic use one base system across multiple protocols. Customers include psychiatric practices, hospitals, medical centers, outpatient mental-health networks, and distributors outside the United States. It had 49 U.S. employees and 80 Israel-based employees at year-end 2025.

Major depressive disorderAnxious depressionOCDSmoking addictionDeep TMS 360 pipeline
Research lens BrainsWay-specific answer Why it matters
Business type Regulated medical-device platform with equipment, leasing, usage, warranty, and service revenue Combines product economics with an expanding recurring-revenue layer
Primary geography United States generated 85% of FY2025 revenue U.S. reimbursement and provider adoption dominate the financial story
Clinical differentiation Proprietary H-Coil platform, multiple cleared indications, pivotal-study evidence Supports provider confidence, payer discussions, and cross-selling of helmets
Reporting framework IFRS; foreign private issuer filing Form 20-F and Form 6-K Comparisons with U.S. GAAP peers require careful metric normalization

How does BrainsWay make money?

BrainsWay monetizes one clinical platform through several commercial structures rather than through a single equipment-sale model. It sells systems outright, leases them under fixed-fee arrangements, charges for sale-related services and extended warranties, and can use variable or pay-per-use structures. A lease reduces the clinic’s upfront barrier and gives BrainsWay contracted revenue. The 2025 Form 20-F reports that 39% of the global MDD installed base used the fixed-fee lease model at December 31, 2025, while 61% used the sales model.

Which revenue stream is largest?

FY2025 revenue mix — $52.2 million total
System sales — $35.0M — 67.1%
System leases — $12.2M — 23.3%
Sale-related service — $3.9M — 7.4%
Other service — $1.2M — 2.2%
System sales remained the largest reported revenue category in FY2025, while leases and services created recurring or repeatable economics around the installed base.

Why is the leasing shift strategically important?

Management increasingly describes BrainsWay as an annual-recurring-revenue business. About 70% of customer engagements signed in recent quarters were structured as multi-year leases as of the fourth quarter of 2025. Remaining performance obligations, which represent contracted revenue not yet recognized, rose to about $75 million by March 31, 2026. That amount exceeded FY2025 revenue and gives visibility beyond shipments. BrainsWay retains leased systems, recognizes revenue over time, and supports customers throughout the contract.

Install system
Sale or multi-year lease places Deep TMS in a clinic.
Add indications
Additional helmets and protocols broaden clinic utility.
Support utilization
Training, service, reimbursement support, and awareness help drive treatments.
Renew and expand
Recurring contracts, warranties, and network orders deepen revenue visibility.
Revenue stream FY2025 revenue Recognition and economic logic
System sales $35.0M Recognized when control transfers, generally on shipment; strongest immediate revenue contribution
System leases $12.2M Recognized over the lease term; supports recurring revenue and lower upfront clinic commitment
Sale-related service $3.9M Includes extended warranty and support recognized across the service period
Other service $1.2M Smaller service activities, including certain usage-oriented arrangements

What did BrainsWay’s latest quarter show?

The quarter ended March 31, 2026 showed faster growth and stronger operating leverage than the 2025 annual baseline. Revenue increased 35% year over year to $15.5 million, while operating income rose to $2.0 million from $0.6 million. Net income more than doubled to $2.3 million, and diluted earnings per share increased to $0.06 from $0.02. BrainsWay’s first-quarter 2026 results also reported record net shipments of 117 systems, up 44%, and an installed base of about 1,820 systems.

$15.5M
Q1 2026 revenue, up 35% year over year
75.2%
Q1 2026 gross margin, calculated from reported figures
$2.0M
Q1 2026 operating income
$2.3M
Q1 2026 net income
$1.2M
Q1 2026 operating cash flow
$58.9M
cash and restricted cash, March 31, 2026

Is growth translating into operating leverage?

Q1 2025
5.0% operating margin
$0.6M operating income on $11.5M revenue.
Q1 2026
12.9% operating margin
$2.0M operating income on $15.5M revenue.

Q1 2026 operating expenses grew about 20%, slower than revenue growth of 35%. Selling and marketing was $4.9 million, R&D was $2.9 million, and G&A was $1.9 million. The resulting 12.9% operating margin approached 2026 guidance of 13% to 14%.

Quarterly revenue trend — Q1 2025 through Q1 2026
$11.5MQ1 2025
$12.6MQ2 2025
$13.5MQ3 2025
$14.5MQ4 2025
$15.5MQ1 2026
Reported revenue increased in each displayed quarter; the May 2026 investor deck presented the same progression and reiterated $66M-$68M FY2026 guidance.
Metric Q1 2026 Q1 2025 Interpretation
Revenue $15.531M $11.536M Demand and enterprise engagement supported 35% growth
Gross profit $11.675M $8.610M Gross margin stayed near 75%, preserving attractive unit economics
Operating income $2.005M $0.576M Revenue grew faster than operating expenses
Net income $2.290M $1.107M Net margin rose to about 14.7%
Operating cash flow $1.171M $5.010M Lower because Q1 2025 included a large deferred-revenue inflow
Equipment and system-component purchases $0.769M $1.043M Simple operating-cash-flow-minus-capex proxy was about $0.402M

Which turning points still shape BrainsWay today?

BrainsWay’s history is a sequence of regulatory and commercial de-risking steps. FDA clearances created markets; reimbursement expanded access; leasing lowered adoption friction; and recent investments extend the company toward a broader mental-health ecosystem.

How did the platform move from invention to recurring revenue?

  1. 2003
    BrainsWay was founded around Deep TMS and H-Coil intellectual property, establishing the platform that still anchors every commercial product.
  2. 2013
    FDA clearance for major depressive disorder opened the core U.S. market and created the reimbursement base for clinical adoption.
  3. 2018
    De novo clearance for OCD demonstrated that one platform could support a second psychiatric indication.
  4. 2020-2021
    Smoking-addiction clearance and the anxious-depression label expansion broadened differentiation beyond standard depression TMS.
  5. 2023
    Hadar Levy became chief executive after prior service as CFO and North America general manager, aligning leadership with both financial discipline and U.S. commercialization.
  6. 2024-2025
    Late-life and adolescent depression expansions plus FDA clearance of the accelerated SWIFT protocol enlarged eligible populations and improved clinic-throughput potential.
  7. 2025
    The Neurolief investment added exposure to at-home neuromodulation, complementing BrainsWay’s in-clinic platform.
  8. 2026
    Record shipments, rising RPO, provider-network investments, and continued clinical work shifted the strategic narrative from proof of technology toward scaled execution.

What gives BrainsWay a competitive advantage?

BrainsWay’s moat is a portfolio rather than one isolated patent. It combines differentiated coil geometry, regulatory clearances based on clinical evidence, an installed base that can accept additional helmets, reimbursement progress, provider training, and enterprise-account relationships. Its technology description explains how the H-Coil is designed for deeper and broader stimulation than traditional TMS.

Why does the H-Coil platform matter?

BrainsWay’s advantage is strongest when clinical differentiation, reimbursement, and installed-base economics reinforce one another; technology alone would be easier for the market to commoditize.

The 2025 annual report lists multiple patent families covering H-Coils, multichannel stimulation, rotational-field TMS, closed-loop stimulation, and future designs. Some early licensed patents expire in 2026, but other owned or licensed families extend into 2030-2039. This layered portfolio matters because any single expiring patent does not define the entire competitive position. Still, rivals may design around claims or use BrainsWay’s FDA classifications as predicates for their own clearances.

How do reimbursement and installed base reinforce the moat?

FY2025 geographic revenue concentration
United States84.7%
Other markets15.3%
FY2025 customer-location revenue: $44.2M in the U.S. and $8.0M elsewhere. The concentration raises exposure to U.S. payer policy but also reflects a mature reimbursement opportunity.

The May 2026 investor deck reported customer retention above 93%, more than 1,800 treatment centers, and a 1.3 times book-to-bill ratio. A growing installed base increases the value of service, renewals, and add-on indications. Reimbursement reduces patient and clinic friction: the annual report estimated that more than 90% of privately insured U.S. adult lives had MDD coverage, while OCD had over 86 million covered lives as of March 2026.

Clinical differentiationStrong
Recurring-revenue visibilityStrong
Scale versus large healthcare rivalsDeveloping
Balance-sheet flexibilityVery strong

Who competes with BrainsWay, and where is its market position strongest?

BrainsWay competes with direct TMS rivals such as Neuronetics, MagVenture, Magstim, Neurocare, Nexstim, Magnus Medical, and Ampa. Substitutes include drugs, psychotherapy, invasive procedures, and at-home neurostimulation. Buyer criteria include efficacy, safety, convenience, reimbursement, price, and provider economics.

Where does BrainsWay differentiate from traditional TMS?

Competitive arena Named alternatives BrainsWay position Main pressure point
Clinic-based TMS Neuronetics, MagVenture, Magstim, Neurocare, Nexstim Broader/deeper H-Coil architecture and multi-indication evidence Rivals can compete on installed relationships, price, and ease of use
Accelerated TMS Magnus Medical, Ampa, other protocol developers FDA-cleared SWIFT protocol designed to reduce treatment days Competing protocols may use imaging guidance or different schedules
Drug and infusion therapies Antidepressants, esketamine, ketamine, AUVELITY Non-systemic, noninvasive treatment without anesthesia Drugs often have broader familiarity and established reimbursement
At-home neuromodulation Flow Neuroscience and Neurolief ProlivRx Neurolief investment creates complementary exposure Home use can be more convenient than repeated clinic visits
Invasive procedures ECT, VNS, DBS; suppliers include LivaNova, Medtronic, Abbott Lower procedural burden and outpatient delivery Severe cases may require alternative clinical pathways
Higher differentiation / Growing adoption
BrainsWay fits here: differentiated evidence and indications, with rising shipments and contracted backlog.
Higher differentiation / Limited adoption
Early neurostimulation approaches with distinctive science but weak reimbursement or infrastructure.
Lower differentiation / Broad adoption
Established medications and traditional treatment pathways with strong familiarity.
Lower differentiation / Limited adoption
Undifferentiated devices or protocols without strong evidence or payer support.
Qualitative positioning based on official disclosures about clinical evidence, FDA clearances, reimbursement, installed base, and competitive alternatives; not a market-share estimate.

How financially strong is BrainsWay?

BrainsWay entered 2026 with a much stronger financial profile than its historical loss record suggests. FY2025 revenue grew 27.3% to $52.2 million, gross profit reached $39.4 million, and operating profit increased to $4.3 million from $1.4 million in FY2024. Net income was $7.6 million, although $3.4 million of net finance income contributed materially. Operating cash flow reached $17.5 million, helped by a $9.3 million increase in deferred revenue, which is economically consistent with the growth of multi-year contracts.

What do margins and cash conversion reveal?

75.2%
FY2025 gross margin, calculated as $39.386M gross profit divided by $52.225M revenue. The high gross margin supports operating leverage, but R&D and commercial spending remain substantial.
$15.1MFY2025 simplified free-cash-flow proxy: $17.5M operating cash flow minus $2.3M equipment and system-component purchases.

The cash-flow figure should not be treated as a normalized run rate because deferred revenue can move sharply between periods. Q1 2026 illustrates that volatility: operating cash flow was $1.2 million versus $5.0 million a year earlier because the prior-year quarter included a $6.3 million deferred-revenue increase. The company nevertheless reported an eleventh consecutive quarter of positive free cash flow in its May 2026 deck.

How is capital being allocated?

At March 31, 2026, BrainsWay held $58.6 million of cash plus $0.3 million of restricted cash and reported no conventional debt, although it had $6.7 million of lease liabilities and $6.0 million of liabilities related to development grants. The decline from $68.0 million at year-end 2025 primarily reflected investments rather than operating losses. The company completed a $6 million milestone-based convertible loan to Neurolief, bringing that exposure to $11 million, and deployed $8.5 million into financial assets in Q1 2026.

The strategy accelerated after quarter-end. BrainsWay announced a $500,000 preferred investment in Sound Minds Behavioral and, on July 20, 2026, a $3 million minority investment in Radial Health. These provider-network positions aim to expand awareness, clinic infrastructure, and access without BrainsWay acquiring or consolidating the operators.

Core reinvestment
$9.6M R&D
FY2025, up 33%, including headcount, clinical trials, and post-marketing studies.
Commercial capacity
$18.9M S&M
FY2025, up 16.7%, supporting enterprise accounts and market expansion.
Strategic investments
$14.5M
FY2025 purchases of financial assets measured at fair value.

Who owns BrainsWay, and how does governance matter?

BrainsWay has one class of ordinary shares, with one vote per share, and no disclosed unequal-voting founder structure. Economic ownership and voting influence are therefore aligned. As of March 23, 2026, the company had 40,033,026 ordinary shares outstanding. Nasdaq-traded ADSs represented about 46.6% of those shares, while the remainder was principally represented through the Israeli market and nominee system.

Which holders have the greatest disclosed influence?

Holder or group Shares beneficially owned Economic and voting stake Governance implication
Valor BrainsWay Holdings 5,314,950 13.28% Largest disclosed 5% holder; strategic capital relationship and board influence matter
Meitav Investment House 2,099,637 5.24% Institutional Israeli ownership across funds and pension-related vehicles
Jonathan Shulkin, director 5,851,444 14.62% Beneficial ownership includes related Valor interests; creates concentrated board-linked influence
Dr. David Zacut, vice chairman 1,797,718 4.49% Meaningful long-term insider alignment without separate voting rights
All named directors and officers, 13 people 9,806,111 24.5% Collective ownership is material, although some holdings overlap with reported beneficial interests

Hadar Levy has served as chief executive since February 2023 after leading North America and previously serving as CFO. His disclosed beneficial ownership was below 1% at March 23, 2026, but his compensation includes multi-year options and restricted share units. The board’s ownership is more significant than the CEO’s, so researchers should examine related-party approvals, strategic-investment discipline, and board independence rather than assuming founder-led control.

What opportunities and risks could change BrainsWay’s outlook?

The upside case rests on converting clinical and reimbursement milestones into higher system placements, greater utilization, and recurring revenue. The risk case is that demand, payer coverage, evidence, execution, or customer concentration fails to support the planned operating leverage. BrainsWay’s FY2025 results set 2026 guidance of $66 million to $68 million of revenue, 13% to 14% operating margin, and $12 million to $14 million of adjusted EBITDA.

Which growth drivers are most credible?

Lease bookings and RPO
$75M RPO at March 31, 2026 supports visibility; monitor conversion into recognized revenue and cash.
Installed-base expansion
117 systems shipped in Q1 2026; monitor whether quarterly placements remain near the recent record.
SWIFT adoption
Accelerated treatment may improve clinic throughput; insurer coverage and actual utilization are the evidence points.
New indications
AUD study recruitment, PTSD-related filing work, and Deep TMS 360 development could expand the addressable market.
Provider-network investments
Minority stakes may create aligned distribution, but returns and conflicts require disciplined monitoring.
International penetration
Only 15% of FY2025 revenue came from outside the U.S.; reimbursement and distributor quality are the bottlenecks.

Which risks are most material?

Risk Current evidence Financial line affected What to monitor
Customer concentration One customer generated 34% of FY2025 revenue Revenue, receivables, RPO, bad-debt expense Diversification of enterprise bookings and collection quality
Reimbursement dependence MDD coverage is broad; OCD is emerging; smoking has no reimbursement System demand, utilization, pricing Policy changes, failed-medication criteria, prior authorization
Clinical and regulatory execution New indications require trials and FDA review R&D expense, timing of growth, asset value Enrollment, data quality, submissions, clearances
Patent and technology pressure Early patent families expire while competitors can seek predicate clearances Pricing, market share, legal cost Later patent enforcement and differentiated outcomes
Supplier and Israel exposure H-Coils are made internally; other major components are outsourced; 80 employees were Israel-based at FY2025 Inventory, production, operating continuity Alternative suppliers, reserve-duty disruption, lead times
Investment execution Cash is increasingly deployed into minority stakes and convertible loans Cash, fair-value gains or losses, strategic focus Commercial synergies, governance rights, follow-on capital

Which KPIs matter most for valuation?

A BrainsWay valuation should separate one-time system sales from leases, contracted performance obligations, services, and strategic investments. Revenue growth, recurring-revenue quality, operating leverage, and reinvestment therefore need separate treatment. The most useful DCF approach builds revenue from system placements and contract conversion, then tests whether gross margin can remain around 75% as operating expenses grow more slowly than revenue.

How should researchers connect operating data to a DCF?

KPI Latest reference point DCF relevance
Revenue growth 35% in Q1 2026; 27.3% in FY2025 Sets near-term scale, but should normalize as the base grows
RPO $75M at March 31, 2026, up 25% Supports forecast visibility; conversion timing influences working capital
Gross margin 75% in Q1 2026 and FY2025 High gross profit funds R&D and commercial expansion
Operating margin 12.9% in Q1 2026; 13%-14% FY2026 guidance Primary evidence that recurring scale is creating operating leverage
Operating cash flow $1.2M in Q1 2026; $17.5M in FY2025 Must be normalized for deferred-revenue swings
Installed systems and retention About 1,820 systems; retention above 93% in May 2026 deck Installed-base durability supports renewals, service, and add-on protocols
Customer concentration Largest customer was 34% of FY2025 revenue Raises forecast and discount-rate sensitivity
Strategic investment deployment At least $11M in Neurolief plus newer provider stakes Cash should be valued net of probability-weighted investment outcomes, not automatically at par
1.3xbook-to-bill ratio reported in May 2026; a level above 1.0 indicates bookings exceeded recognized revenue for the referenced period.

Terminal assumptions deserve caution. BrainsWay has a large addressable market, but long-run growth depends on payer support, clinical evidence, competition, and the durability of its intellectual property. A reasonable model should therefore test slower RPO growth, lower system shipments, gross-margin pressure, higher ongoing R&D, and working-capital reversals rather than extrapolating the strongest recent quarter indefinitely.

What is the key takeaway from BrainsWay analysis?

BrainsWay matters because it has crossed an important threshold for a specialized medical-device company: its core platform is clinically differentiated, commercially scaling, profitable, cash-generative, and increasingly supported by multi-year contracts. FY2025 revenue reached $52.2 million, Q1 2026 revenue grew 35%, gross margin held near 75%, and RPO rose to $75 million. Those facts suggest that adoption is moving beyond isolated device placements.

The business is not de-risked. One customer generated 34% of FY2025 revenue; U.S. reimbursement drives demand; alternatives include other coils, protocols, drugs, and home devices; and minority-investment returns remain unproven. BrainsWay must preserve differentiation while proving that leases, enterprise accounts, and provider partnerships create durable cash flow.

Research conclusion
The most informative next signals are RPO conversion, system shipments, gross margin, operating-expense growth, customer concentration, operating cash flow excluding unusual deferred-revenue movements, payer expansion for SWIFT and OCD, progress in AUD and PTSD-related programs, and the commercial results of the Neurolief and provider-network investments. Together, those measures will show whether BrainsWay is becoming a durable neurostimulation platform or remains a smaller device company exposed to concentrated demand and reimbursement cycles.

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