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Envoy Medical (NASDAQ: COCH) boosts cash to $25M as pivotal trial fully enrolls

Filing Impact
(High)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Envoy Medical reported first quarter 2026 results and key milestones as it advances its fully implanted Acclaim cochlear implant toward FDA approval. Net revenue was $39,000, with an operating loss of $6.0 million and net loss of $4.4 million, or $0.08 per share attributable to common stockholders.

Cash rose to $25.3 million as of March 31, 2026, supported by an upsized public offering for up to $78.0 million, including $30.0 million in gross proceeds at closing and additional potential proceeds from milestone-linked warrants. The company completed enrollment of its U.S. pivotal trial, implanting the 56th and final patient, and early six‑month data from the first 10 patients showed no study-defined serious adverse events and improved CNC word recognition from 15.2% to 39.2%, supporting its path toward a planned PMA submission.

Positive

  • Balance sheet strengthened: Cash increased to $25.3 million as of March 31, 2026, supported by a public offering delivering $30.0 million in gross proceeds and up to $78.0 million in total potential financing.
  • Clinical and regulatory progress: Full enrollment of the 56‑patient pivotal trial and early six‑month data showing CNC word recognition improvement from 15.2% to 39.2% support the path toward a planned PMA submission for the Acclaim cochlear implant.

Negative

  • None.

Insights

Envoy pairs pivotal-trial progress with a major cash infusion.

Envoy Medical advanced its fully implanted Acclaim cochlear implant by fully enrolling the 56‑patient U.S. pivotal trial and reporting encouraging six‑month data in the first 10 patients, including no study-defined serious adverse events and a jump in CNC word scores from 15.2% to 39.2%.

Financially, the company remains pre-revenue with net revenue of only $39,000 and an operating loss of $5.96M for the quarter, but it significantly strengthened liquidity. Cash increased to $25.25M after closing $30.0M in gross proceeds as part of an upsized public offering for up to $78.0M, reducing near-term funding pressure as clinical work continues.

Future filings around the Acclaim PMA submission and subsequent FDA review will clarify regulatory risk and commercialization timing. For now, the combination of fresh capital, full pivotal enrollment, and early performance data marks tangible progress, while sustained operating losses underline ongoing dependence on external financing.

Item 2.02 Results of Operations and Financial Condition Financial
Disclosure of earnings results, typically an earnings press release or preliminary financials.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
Net revenue $39,000 Three months ended March 31, 2026
Operating loss $5,959,000 Three months ended March 31, 2026
Net loss $4,351,000 Three months ended March 31, 2026
Net loss per share $0.08 Q1 2026, basic and diluted, attributable to common stockholders
Cash balance $25,251,000 As of March 31, 2026
Upsized public offering size $78,000,000 Total potential gross proceeds including milestone-linked warrants
Gross proceeds at closing $30,000,000 From public offering completed before Q1 2026 results
Pivotal trial enrollment 56 patients Fully implanted in U.S. pivotal study for Acclaim
CNC word score improvement 15.2% to 39.2% Six-month interim data in first 10 pivotal trial patients
pivotal clinical trial medical
"became the first cochlear implant company to achieve full enrollment of a U.S. pivotal clinical trial evaluating a fully implanted cochlear implant"
A pivotal clinical trial is a late-stage medical study designed to provide the main evidence regulators use to decide whether a drug or medical device can be approved and sold; think of it as the product’s final exam. For investors, the trial’s outcome is critical because a clear pass can unlock regulatory approval, market access and future revenue, while failure can halt commercialization and materially affect a company’s valuation.
Premarket Approval (PMA) regulatory
"with a Premarket Approval (PMA) submission to the FDA to follow"
Premarket Approval (PMA) is the strict regulatory review process used by the U.S. authority for high-risk medical devices to prove they are safe and effective before they can be sold. For investors, a granted PMA is like receiving a key to a locked market: it can open exclusive sales opportunities, reduce near-term competition, and justify higher valuations, while also signaling that the company has cleared a costly, time-consuming hurdle.
Breakthrough Device Designation regulatory
"The Acclaim cochlear implant received Breakthrough Device Designation from the FDA in 2019"
A breakthrough device designation is a regulatory program that gives promising medical devices for serious or life‑threatening conditions priority support and faster review from a health authority (e.g., the U.S. FDA). Think of it as a “fast lane” or VIP pass through development and review: it can shorten time to market, lower regulatory uncertainty, and boost a company’s commercial prospects — but it is not an approval by itself.
fully implanted cochlear implant medical
"advancing Toward FDA Approval of First-Of-Its-Kind Fully Implanted Cochlear Implant"
A fully implanted cochlear implant is a hearing device whose entire system — microphone, processor, battery and electrodes — sits under the skin so nothing is worn externally. For investors, it matters because this design can boost patient convenience, adoption and long‑term service or replacement revenue, while also raising development, regulatory and reimbursement considerations that affect manufacturing costs and market potential.
warrant liability financial
"Change in fair value of forward purchase agreement warrant liability"
Warrant liability is the financial obligation a company records when it grants warrants—special options giving the holder the right to buy company shares at a set price in the future. It matters to investors because changes in this liability can affect a company's reported earnings and overall financial health, similar to how a pending contract can influence a company's future value.
mezzanine equity financial
"Liabilities, mezzanine equity, and stockholders’ equity (deficit)"
Mezzanine equity is a layer of financing that sits between bank loans and full ownership, combining elements of borrowed money and equity. It often gives lenders higher potential returns in exchange for taking more risk, sometimes with the option to convert into ownership or receive extra payments; think of it as a middle seat that pays more because it’s less secure than front-row debt. Investors watch it because it affects a company’s debt risk, potential dilution of ownership, and expected returns.
Net revenue $39,000
Net loss $4,351,000
Net loss per share $0.08
Cash $25,251,000
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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 8-K

 

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

 

Date of Report (Date of earliest event reported): May 11, 2026

 

ENVOY MEDICAL, INC.

(Exact name of registrant as specified in its charter)

 

Delaware   001-40133   86-1369123
(State or other jurisdiction
of incorporation)
  (Commission File Number)   (IRS Employer
Identification No.)

 

4875 White Bear Parkway
White Bear Lake, MN
  55110
(Address of principal executive offices)   (Zip Code)

 

Registrant’s telephone number, including area code: (877) 900-3277

 

Not Applicable

(Former name or former address, if changed since last report)

  

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class   Trading Symbol(s)   Name of each exchange on which
registered
Class A Common Stock, par value $0.0001 per share   COCH   The Nasdaq Stock Market LLC
Redeemable Warrants, each whole Warrant exercisable for one share of Class A Common Stock at an exercise price of $11.50 per share   COCHW   The Nasdaq Stock Market LLC

 

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

 

Emerging growth company

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

 

 

 

 

 

Item 2.02. Results of Operations and Financial Condition.

 

On May 11, 2026, Envoy Medical, Inc. (the “Company”), issued a press release regarding the Company’s financial results for its fiscal quarter ended March 31, 2026. A copy of the Company’s press release is attached hereto as Exhibit 99.1.

 

The information in this Item 2.02, including the accompanying exhibit, is being furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that Section. The information in this Item 2.02 shall not be incorporated into any filing pursuant to the Securities Act of 1933, as amended, or the Exchange Act, regardless of any general incorporation language in such filing.

 

Item 9.01 Financial Statements and Exhibits.

 

(d) Exhibits

 

Exhibit
Number

  Description
99.1   Press Release dated March 11, 2026
104   Cover Page Interactive Data File (embedded within the Inline XBRL document).

 

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SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

  ENVOY MEDICAL, INC.
     
May 11, 2026 By: /s/ Brent Lucas
    Brent Lucas
    Chief Executive Officer

 

 

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Exhibit 99.1

 

Envoy Medical Reports Landmark Accomplishments, Advancing Toward

FDA Approval of First-Of-Its-Kind Fully Implanted Cochlear Implant

 

Company Completes Historic Trial Enrollment, Secures Transformational Financing, and

Sees Promising Early Clinical Data Presented at Industry Conferences

 

White Bear Lake, Minnesota – May 11, 2026 – Envoy Medical® Inc. (NASDAQ: COCH) (“Envoy Medical” or the “Company”), a hearing health company pioneering fully implanted hearing solutions, today reported first quarter 2026 results and landmark achievements that advance the Company another step closer toward commercialization of its investigational Acclaim® cochlear implant.

 

“The first quarter of 2026 marked a transformative period for Envoy Medical, highlighted by the completion of enrollment in our pivotal clinical trial and the successful execution of a significant financing,” said Brent Lucas, Chief Executive Officer of Envoy Medical. “Achieving full enrollment in our pivotal clinical study represents a critical step. We continue to be encouraged by the trial’s progress and remain focused on advancing toward PMA submission and, ultimately, commercialization. With a substantially strengthened balance sheet and the support of leading healthcare investors, we believe we are well positioned to execute on our strategic objectives and deliver on the roadmap ahead.”

 

Corporate and Financial Highlights for Q1 2026:

 

Pivotal Trial Enrollment Complete — A First for the Industry

 

In a defining milestone for the hearing health sector, Envoy Medical became the first cochlear implant company to achieve full enrollment of a U.S. pivotal clinical trial evaluating a fully implanted cochlear implant seeking FDA approval. The 56th and final patient was successfully implanted on March 11, 2026, completing enrollment across U.S. sites. The Company is now collecting 12-month follow-up data from all participants, with a Premarket Approval (PMA) submission to the FDA to follow.

 

Transformational Capital Raise

 

Envoy Medical closed an upsized public offering for up to $78.0 million, including $30.0 million in gross proceeds at closing with up to an additional $48.0 million of potential aggregate gross proceeds upon the exercise in full of milestone-linked warrants. The financing was led by Nantahala Capital and included healthcare-dedicated funds such as Broadfin Holdings, as well as existing shareholders including members of the Board and management team.

 

Expanded Intellectual Property Portfolio

 

As of February 20, 2026, Envoy Medical has expanded its global IP portfolio to 47 patents across North America, Europe, Asia, and Australia. In February alone, the Company secured three new patents strengthening its competitive position in the fully implanted hearing space.

 

 

 

Highlights Subsequent to Q1 2026:

 

Promising Early Clinical Data Presented

 

Interim six-month clinical data from the first 10 patients in the pivotal study showed no study-defined serious adverse events, mean CNC word recognition improved from 15.2% to 39.2%, median daily device wear time of 24 hours, and improvements in quality-of-life and tinnitus scores. Initial safety and performance data for these 10 patients were presented at the American Academy of Audiology Annual Conference and the Combined Otolaryngology Spring Meetings.

 

All 56 Pivotal Trial Patients Activated

 

Following the completion of enrollment, Envoy Medical confirmed that all 56 patients implanted in the pivotal clinical trial have been activated. This milestone validates that the full patient cohort is progressing through the study protocol on schedule, keeping the Company on track to collect the 12-month endpoint data required for its planned PMA submission to the FDA.

 

Board Strengthened

 

Envoy Medical appointed medical device veteran Chas McKhann to its Board of Directors in April 2026, further enhancing the Company’s expertise as it prepares to conclude its pivotal clinical study and prepare for commercial launch.

 

First Patients Reach 12-Month Endpoint

 

The first three patients implanted in the pivotal trial successfully completed their 12-month endpoint visit, marking a key milestone in the study’s progress. The primary endpoints for the trial are tied to 12-month data, and achieving this critical milestone on schedule underscores the Company’s continued execution as it steadily marches toward PMA submission and commercialization.

 

Financial Results for the Quarter Ended March 31, 2026 (dollars in thousands):

 

Net Revenue was $39 for the three months ended March 31, 2026.

 

Cost of goods sold for the three months ended March 31, 2026, were $313, compared to $226. The $87 increase is primarily due to higher scrap and materials usage as well as increased fees for third-parties performing work related to our products.

 

R&D expenses for the three months ended March 31, 2026, were $3,642 compared to $2,748 for the three months ended March 31, 2025. This increase of $894 mainly reflects additional clinical trial activity and related personnel costs during enrollment.

 

Sales and marketing expenses for the three months ended March 31, 2026, were $164 compared to $358 for the three months ended March 31, 2025. The decrease of $194 is primarily due to the reallocation of resources to research and development activities in support of the clinical trial.

 

General and administrative expenses are $1,879 for the three months ended March 31, 2026, compared to $1,821 for the three months ended March 31, 2025. The increase of $58 was primarily due to higher investor relations and legal expenses.

 

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As of March 31, 2026, cash was approximately $25,251.

 

The Acclaim® cochlear implant received Breakthrough Device Designation from the FDA in 2019 and is currently under investigation as part of a U.S. based pivotal clinical trial. For more information on the trial, visit www.envoymedical.com/acclaim-pivotal.

 

To be added to the Envoy Medical email distribution list, please email Envoy@kcsa.com with COCH in the subject line.

 

About Envoy Medical, Inc.

 

Envoy Medical (NASDAQ: COCH) is a hearing health company focused on providing innovative technologies across the hearing loss spectrum. Envoy Medical has pioneered one-of-a-kind, fully implanted devices for hearing loss, including its fully implanted Esteem® active middle ear implant, commercially available in the U.S. since 2010, and the fully implanted Acclaim® cochlear implant, an investigational device. Envoy Medical is dedicated to pushing hearing technology beyond the status quo to improve access, usability, compliance, and ultimately quality of life.

 

About the Fully Implanted Acclaim® Cochlear Implant

 

We believe the fully implanted Acclaim Cochlear Implant (“Acclaim CI”) is a first-of-its-kind hearing device. Envoy Medical’s fully implanted technology includes a sensor designed to leverage the natural anatomy of the ear instead of a microphone to capture sound.

 

The Acclaim CI is designed to address severe to profound sensorineural hearing loss that is not adequately addressed by hearing aids. The Acclaim CI is expected to be indicated for adults who have been deemed adequate candidates by a qualified physician.

 

The Acclaim Cochlear Implant received the Breakthrough Device Designation from the U.S. Food and Drug Administration (FDA) in 2019.

 

CAUTION The fully implanted Acclaim Cochlear Implant is an investigational device. Limited by Federal (or United States) law to investigational use.

 

About the Esteem® Fully Implanted Active Middle Ear Implant (FI-AMEI)

 

The Esteem fully implanted active middle ear implant (FI-AMEI) is the only FDA-approved, fully implanted* hearing device for adults diagnosed with moderate to severe sensorineural hearing loss allowing for 24/7 hearing capability using the ear’s natural anatomy. The Esteem FI-AMEI hearing implant is invisible and requires no externally worn components and nothing is placed in the ear canal for it to function. Unlike hearing aids, you never put it on or take it off. You can’t lose it. You don’t clean it. The Esteem FI-AMEI hearing implant offers true 24/7 hearing.

 

*Once activated, the external Esteem FI-AMEI Personal Programmer is not required for daily use.

 

Important safety information for the Esteem FI-AMEI can be found at: https://www.envoymedical.com/safety-information.

 

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Additional Information and Where to Find It

 

Copies of the documents filed by Envoy Medical with the SEC may be obtained free of charge at the SEC’s website at www.sec.gov.

 

Forward-Looking Statements

 

This press release includes “forward-looking statements” within the meaning of the “safe harbor” provisions of the United States Private Securities Litigation Reform Act of 1995. Forward-Looking statements may be identified by the use of words such as “estimate,” “plan,” “project,” “forecast,” “intend,” “will,” “expect,” “anticipate,” “believe,” “seek,” “target” or other similar expressions that predict or indicate future events or trends or that are not statements of historical matters, but the absence of these words does not mean that a statement is not forward-looking. Such statements may include, but are not limited to, statements regarding the expectations of Envoy Medical concerning the outlook for its business, productivity, plans and goals for future operations; the ability to obtain additional patents and develop future products or product improvements; the ability to maintain compliance with Nasdaq rules and requirements; the timing and future outcome of its FDA pivotal trial; the ability to raise capital and the amount of capital required to complete the FDA pivotal trial and early commercialization; the Acclaim CI being the first to market fully implanted cochlear implant; the timing and results of activations, enrollments, follow-up visits, data, and clinical trials of the Acclaim CI; and the participation or any changes or delays in participation of any subjects, institutions, or healthcare professionals in such trials; the safety, performance, and market acceptance of the Acclaim CI; the timing and results of the Acclaim CI’s PMA submission to the FDA; the size of Envoy Medical’s addressable market, operational performance, future market conditions or economic performance and developments in the capital and credit markets; and any information concerning possible or assumed future operations of Envoy Medical. The forward-looking statements contained in this press release reflect Envoy Medical’s current views about future events and are subject to numerous known and unknown risks, uncertainties, assumptions and changes in circumstances that may cause its actual results to differ significantly from those expressed in any forward-looking statement. Envoy Medical does not guarantee that the events described will happen as described (or that they will happen at all). These forward-looking statements are subject to a number of risks and uncertainties, including, but not limited to changes in the market price of shares of Envoy Medical’s Class A Common Stock; changes in or removal of Envoy Medical’s shares inclusion in any index; Envoy Medical’s success in retaining or recruiting, or changes required in, its officers, key employees or directors; unpredictability in the medical device industry, the regulatory process to approve medical devices, and the clinical development process of Envoy Medical products; the ability to engage competition in the medical device industry, and the failure to introduce new products and services in a timely manner or at competitive prices to compete successfully against competitors; disruptions in relationships with Envoy Medical’s suppliers, or disruptions in Envoy Medical’s own production capabilities for some of the key components and materials of its products; changes in the need for capital and the availability of financing and capital to fund these needs; changes in interest rates or rates of inflation; legal, regulatory and other proceedings could be costly and time-consuming to defend; changes in applicable laws or regulations, or the application thereof on Envoy Medical; a loss of any of Envoy Medical’s key intellectual property rights or failure to adequately protect intellectual property rights; the effects of catastrophic events, including war, terrorism and other international conflicts; and other risks and uncertainties set forth in the section entitled “Risk Factors” and “Cautionary Note Regarding Forward-Looking Statements” in the Annual Report on Form 10-K filed by Envoy Medical on March 23, 2026, and in other reports Envoy Medical files, with the SEC. If any of these risks materialize or Envoy Medical’s assumptions prove incorrect, actual results could differ materially from the results implied by these forward-looking statements. While forward-looking statements reflect Envoy Medical’s good faith beliefs, they are not guarantees of future performance. Envoy Medical disclaims any obligation to publicly update or revise any forward-looking statement to reflect changes in underlying assumptions or factors, new information, data or methods, future events or other changes after the date of this press release, except as required by applicable law. You should not place undue reliance on any forward-looking statements, which are based only on information currently available to Envoy Medical.

 

Investor Contact:

 

Phil Carlson
KCSA Strategic Communications
O: 212.896.1233
E: Envoy@kcsa.com

 

Media Contact:

 

Anne Donohoe
KCSA Strategic Communications
O: 732-620-0033
E: Envoy@kcsa.com

 

4

 

 

ENVOY MEDICAL, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(UNAUDITED)

(In thousands, except share and per share amounts)

 

   March 31,   December 31, 
   2026   2025 
         
Current assets:        
Cash  $25,251   $3,739 
Accounts receivable, net   31    34 
Other receivable   17    19 
Inventories   1,490    1,546 
Prepaid expenses and other current assets   893    941 
Total current assets   27,682    6,279 
Property and equipment, net   962    1,035 
Operating lease right-of-use asset (related party)   853    886 
Prepaid expenses and other assets   325    358 
Total assets  $29,822   $8,558 
           
Liabilities, mezzanine equity, and stockholders’ equity (deficit)          
Current liabilities:          
Accounts payable  $1,700   $2,920 
Accrued expenses   9,653    7,639 
Forward purchase agreement warrant liability   37    24 
Product warranty liability, current portion   264    287 
Operating lease liability, current portion (related party)   178    174 
Other current liabilities   379    518 
Total current liabilities   12,211    11,562 
Product warranty liability, net of current portion   1,550    1,605 
Operating lease liability, net of current portion (related party)   711    745 
Private warrant liability   3,830    5,835 
Publicly traded warrant liability   941    551 
Other liability   27    27 
Total liabilities   19,270    20,325 
           
Commitments and contingencies (see Note 13)          
           
Mezzanine equity          
Warrants issued to placement agent as part of the 2025 Offerings (see Note 9)   391    391 
           
Stockholders’ equity (deficit)          
Series A Preferred Stock, $0.0001 par value; 100,000,000 shares authorized and 10,000,000 shares designated as of March 31, 2026 and December 31, 2025; 4,126,667 shares issued and outstanding as of March 31, 2026 and December 31, 2025   -    - 
Class A Common Stock, $0.0001 par value; 400,000,000 shares authorized as of March 31, 2026 and December 31, 2025; 76,881,110 shares issued and outstanding as of March 31, 2026 and 28,934,960 shares issued and outstanding as of December 31, 2025   8    3 
Additional paid-in capital   329,371    301,355 
Accumulated deficit   (319,097)   (313,396)
Accumulated other comprehensive loss   (121)   (120)
Total stockholders’ equity (deficit)   10,161    (12,158)
Total liabilities, mezzanine equity, and stockholders’ equity (deficit)  $29,822   $8,558 

 

5

 

 

ENVOY MEDICAL, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS

(UNAUDITED)

(In thousands, except share and per share amounts)

 

   Three Months Ended 
   March 31, 
   2026   2025 
Net revenues  $39   $46 
Costs and operating expenses:          
Cost of goods sold   313    226 
Research and development   3,642    2,748 
Sales and marketing   164    358 
General and administrative   1,879    1,821 
Total costs and operating expenses   5,998    5,153 
Operating loss   (5,959)   (5,107)
Other income (expense):          
Change in fair value of forward purchase agreement warrant liability   (13)   421 
Loss on offering and change in fair value of private warrant liability   2,005    - 
Change in fair value of publicly traded warrant liability   (390)   194 
Interest expense (related party)   -    (495)
Other income (expense), net   6    (11)
Total other income (expense), net   1,608    109 
Net loss   (4,351)   (4,998)
           
Cumulative preferred dividends   (1,350)   (1,238)
           
Net loss attributable to common stockholders, basic and diluted  $(5,701)  $(6,236)
Net loss per share attributable to common stockholders, basic and diluted  $(0.08)  $(0.29)
Weighted-average Class A Common Stock and pre-funded warrants outstanding, basic and diluted   68,934,960    21,326,609 
Other comprehensive (loss) income:          
Foreign currency translation adjustment   (1)   6 
Other comprehensive (loss) income   (1)   6 
Comprehensive loss  $(4,352)  $(4,992)

 

6

 

 

ENVOY MEDICAL, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(UNAUDITED)

(Dollars in thousands)

 

   Three Months Ended 
   March 31, 
   2026   2025 
Cash flows from operating activities        
Net loss  $(4,351)  $(4,998)
Adjustments to reconcile net loss to net cash used in operating activities:          
Depreciation   73    61 
Interest expense and amortization of debt discount on Term Loans (related party)   -    495 
Stock-based compensation for services   44    - 
Amortization of prepaid insurance   227    247 
Stock-based compensation   239    160 
Loss on offering and change in fair value of private warrant liability   (2,005)   - 
Change in fair value of publicly traded warrant liability   390    (194)
Change in fair value of forward purchase agreement warrant liability   13    (421)
Net change in operating lease (related party)   55    26 
Change in inventory reserve   12    (23)
Changes in operating assets and liabilities:          
Accounts receivable, net   3    (4)
Other receivable   2    757 
Inventories   44    74 
Prepaid expenses and other current assets   (121)   (75)
Accounts payable   (1,220)   10 
Operating lease liability (related party)   (52)   (22)
Accrued expenses   664    199 
Product warranty liability   (78)   (17)
Net cash used in operating activities   (6,061)   (3,725)
           
Cash flows from investing activities          
Purchases of property and equipment   -    (6)
Net cash used in investing activities   -    (6)
           
Cash flows from financing activities          
Payments on insurance financing loans   (208)   (233)
Proceeds from the issuance of Term Loans (related party)   -    5,000 
Dividends paid to stockholders of Series A Preferred Stock   -    (1,213)
Proceeds from the issuance of Class A Common Stock, Issued Pre-Funded Warrants, and Series A Warrants   29,997    - 
Offering costs from the issuance of Class A Common Stock, Issued Pre-Funded Warrants, and Series A Warrants   (2,215)   - 
Net cash provided by financing activities   27,574    3,554 
           
Effect of exchange rate changes on cash   (1)   6 
Net (decrease) increase in cash   21,512    (171)
Cash, beginning of period   3,739    5,483 
Cash, end of period  $25,251   $5,312 
           
Supplemental disclosures of cash flow information:          
Cash paid for interest  $11   $13 
Non-cash investing and financing activities:          
Accrued and unpaid dividends on Series A Preferred Stock  $1,350   $25 
Financing of prepaid insurance  $69   $75 
Issuance of Term Loan Warrants (related party)  $-   $688 
Issuance of Placement Agent Warrants  $678   $- 

 

 

7

 

FAQ

What were Envoy Medical (COCH) revenues and losses in Q1 2026?

Envoy Medical reported net revenue of about $39,000 for Q1 2026 and a net loss of approximately $4.4 million. Operating loss was about $6.0 million, reflecting ongoing R&D, clinical, and administrative spending as the company develops its Acclaim cochlear implant.

How much cash did Envoy Medical (COCH) have at March 31, 2026?

Envoy Medical ended March 31, 2026 with approximately $25.3 million in cash. This represents a significant increase from $3.7 million at year-end 2025, primarily driven by equity financing completed during the quarter to support clinical and commercialization plans.

What financing did Envoy Medical (COCH) complete in early 2026?

Envoy Medical closed an upsized public offering for up to $78.0 million, including $30.0 million in gross proceeds at closing. The structure also includes milestone-linked warrants that could provide up to an additional $48.0 million in potential aggregate gross proceeds if fully exercised.

What is the status of Envoy Medical’s pivotal trial for the Acclaim cochlear implant?

Envoy Medical has fully enrolled its U.S. pivotal trial, successfully implanting the 56th and final patient on March 11, 2026. All implanted patients have now been activated, and the company is collecting 12‑month follow‑up data ahead of a planned PMA submission to the FDA.

What early clinical results has Envoy Medical (COCH) reported for the Acclaim device?

Interim six‑month data from the first 10 patients in the pivotal study showed no study-defined serious adverse events. Mean CNC word recognition improved from 15.2% to 39.2%, with median daily device wear time of 24 hours and reported quality-of-life and tinnitus improvements.

How dilutive was Envoy Medical’s Q1 2026 loss per share to common shareholders?

Envoy Medical reported a Q1 2026 net loss attributable to common stockholders of about $5.7 million, or $0.08 per share. This compares to a net loss of $6.2 million and $0.29 per share in the prior-year quarter, reflecting a larger share count after financings.

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