HNGE vs HTFL: How Hinge Health and Heartflow Compare (2026)

Same yardstick, side by side (as of August 2026). Valuation lined up like this is most meaningful for two names in the same corner of the market, which these are. Figures are approximate; verify before investing.

The metrics above tell you which is the marginally better business. The bigger risk for most people is not picking the slightly worse stock, it is over-concentrating. HNGE and HTFL share themes, so owning both, or adding either to what you already hold, can quietly push a large share of your portfolio into one bet.

This is the part a generic comparison page cannot answer, because it depends on what you own. Connect your brokerage and Walnut shows your real, combined HNGE and HTFL exposure, flags overlap with your existing positions, and tells you if adding one would tip you past a concentration you are comfortable with, read-only by default, with your login staying at your broker. Walnut is not an investment adviser.

Hinge Health is a digital musculoskeletal (MSK) care platform that provides physical therapy, pain management, and surgery prevention services through a combination of software, connected sensor hardware, and human care teams. The company's core offering combines a mobile and connected-sensor app with personalized exercise therapy programs, behavioral health support, and access to physical therapists, plus care navigation for surgery decisions. Customers are primarily large employers and health plans that purchase Hinge Health benefits for their members.

Full HNGE guide

Heartflow, founded in 2007 and based in Mountain View, California, sells analysis rather than hardware. A hospital or imaging center uploads a single coronary computed tomography angiography (CCTA) study, and the Heartflow One platform returns three products built off that one scan: FFRCT Analysis, which computes fractional flow reserve non-invasively to say whether a narrowing is actually restricting blood flow; RoadMap Analysis, which measures stenosis severity vessel by vessel; and Plaque Analysis, which quantifies plaque volume and composition. Each analysis is billed as a case, so revenue scales with scan volume rather than with device placements. Roughly ~93% of revenue comes from the United States, where hospitals bill FFRCT under its own CPT code (75580) and the 2021 ACC/AHA chest pain guideline made CCTA a first-line test for intermediate-risk stable chest pain.

Full HTFL guide

Both fit overlapping themes, but they are not interchangeable. The useful comparison is which set of drivers and risks you want exposure to.

• HNGE drivers: Employer benefit penetration; Surgery prevention as ROI driver.
• HTFL drivers: Case volume compounding faster than revenue; Plaque Analysis as the second product on the same scan.

A faster-growing, richer-valued name usually swings harder, so it suits a longer horizon and a higher tolerance for volatility; a steadier, more cash-generative business suits a more conservative or income-minded investor. The honest test is which set of risks you could hold through a drawdown: Digital health categories are competitive with various platforms targeting MSK and other condition areas. For HTFL, competition in coronary CT AI is crowded and well funded: Cleerly, Elucid, Artrya, Circle Cardiovascular Imaging, Caristo Diagnostics and Keya Medical all have FDA-cleared CCTA analysis tools, and Heartflow's April 2026 patent suit against Cleerly in the Eastern District of Texas is an admission that the moat is being tested, with an outcome nobody can predict.

Growth-minded investors who believe the theme has years to run tend to accept the richer multiple for more upside; value-minded investors lean toward the cheaper forward earnings and steadier profile. Pick HNGE if you believe its drivers more; HTFL if you believe its. Many investors hold both, but since they share themes, that is a concentrated bet, not diversification. Decide deliberately and check overlap. For the full detail, see the HNGE and HTFL guides.

HNGE. Hinge Health's valuation reflects the digital health growth premium, the demonstrated category leadership in MSK, and the path-to-profitability story. As a recent IPO, valuation is sensitive to broader digital health sector sentiment and to quarterly progression toward profitability.

HTFL. There is no price-to-earnings figure because there are no earnings, so the market is valuing Heartflow on revenue: a market capitalization near ~$2.3B against ~$191M of trailing revenue works out to roughly ~12x sales. That multiple is defensible only if growth stays close to the guided ~30% and gross margin holds near ~80%, since both are already in the price. The next data point is the Q2 2026 report scheduled for August 13, 2026, which will show whether the ~67% case growth from Q1 held through the spring.

Headline figures (approximate, early 2026): HNGE shows revenue (ttm) ~$400 million (estimated, post-IPO disclosure), operating margin Approaching breakeven; varies by quarter, net income (ttm) Modest GAAP loss; non-GAAP near breakeven, eps (ttm) Near zero; HTFL shows revenue (ttm) ~$191M, q1 2026 revenue ~$52.6M, up ~41% year over year, gaap gross margin (q1 2026) ~80%, up from ~75%, adjusted ebitda (q1 2026) loss of ~$14M.

HNGE and HTFL are related but distinct: same themes, different businesses and risks. Neither wins in the abstract; the right pick is whichever thesis you actually believe, sized so you are not over-concentrated in one theme. Walnut can show your combined HNGE and HTFL exposure against your real portfolio. It is not an investment adviser.