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Inogen (Nasdaq: INGN) raises 2026 EBITDA outlook as Q2 revenue hits $95.1M

(High)
(Neutral)
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8-K

Rhea-AI Filing Summary

Inogen, Inc. reported second quarter 2026 results with revenue of $95.1 million, up 3.0% year-over-year, and raised full-year adjusted EBITDA guidance to approximately $4.0 million, representing a 48.1% increase from 2025 adjusted EBITDA of $2.7 million.

International sales were $41.3 million, up 14.8%, while U.S. sales and rentals declined, and total gross margin improved to 45.5% from 44.8% a year earlier. GAAP net loss was $3.9 million compared with $4.2 million, and adjusted EBITDA increased to $2.4 million from $2.1 million. The company generated $2.9 million of operating cash flow in the quarter and ended June 30, 2026 with $106.8 million in cash, cash equivalents, marketable securities, and restricted cash and no debt, after repurchasing 1,145,150 shares for $7.5 million in the first half.

Operationally, Inogen reported publication of its QuOTE assessment tool for Long-Term Oxygen Therapy, launch of the Rove 6 portable oxygen concentrator in Canada, completion of Last Patient Last Visit for the Simeox H SCOPE Study in China, and the appointment of a new Chief Operating Officer.

Positive

  • The company raised 2026 adjusted EBITDA guidance to approximately $4.0 million, a 48.1% increase over the $2.7 million reported in 2025.

Negative

  • None.

Filing Explained

The forward baseline now spans $355 million to $361 million of 2026 revenue; third-quarter revenue is expected approximately in line with third-quarter 2025.

The August 6, 2026 Form 8-K records the completed second quarter and updates Inogen’s forward financial baseline: full-year revenue guidance is now $355 million to $361 million, while third-quarter revenue is expected approximately in line with third-quarter 2025.

The third-quarter outlook reflects the continued U.S. sales-channel mix shift and the timing of selected international distributor inventory purchases. Separately, the Simeox H SCOPE Study has reached its last-patient-last-visit milestone, but statistical analysis results are expected in the second half of 2026; the milestone is therefore not yet a results disclosure.

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.
Q2 2026 revenue $95.1 million Second quarter 2026 revenue, representing 3.0% year-over-year growth
Q2 2026 international revenue $41.3 million International revenue in Q2 2026, a 14.8% year-over-year increase
Q2 2026 GAAP net loss $3.9 million GAAP net loss for the second quarter of 2026, versus $4.2 million in Q2 2025
Q2 2026 adjusted EBITDA $2.4 million Positive adjusted EBITDA for Q2 2026, up 15.2% year-over-year from $2.1 million
Cash and investments $106.8 million Cash, cash equivalents, marketable securities, and restricted cash as of June 30, 2026, with no debt outstanding
2026 revenue guidance range $355 million to $361 million Full-year 2026 revenue outlook, about 3% growth at the midpoint versus 2025
2026 adjusted EBITDA guidance Approximately $4.0 million Full-year 2026 adjusted EBITDA guidance, a 48.1% increase over $2.7 million in 2025
Share repurchases H1 2026 1,145,150 shares for $7.5 million Common stock repurchased in the first half of 2026 under the share repurchase program
Adjusted EBITDA financial
"Delivered second quarter 2026 positive adjusted EBITDA of $2.4 million"
Adjusted EBITDA is a way companies measure how much money they make from their core operations, like running a business, by removing certain costs or income that aren’t part of regular business activities. It helps investors see how well a company is doing without distractions from unusual expenses or gains, making it easier to compare companies or track performance over time.
Long-Term Oxygen Therapy (LTOT) medical
"designed to simplify and standardize Long-Term Oxygen Therapy (LTOT) patient monitoring"
Questionnaire for Oxygen Therapy Evaluation (QuOTE) medical
"Published the Questionnaire for Oxygen Therapy Evaluation (QuOTE) assessment tool in ERJ Open Research"
Last Patient Last Visit (LPLV) medical
"Completed enrollment and achieved Last Patient Last Visit (LPLV) for the Simeox H SCOPE Study"
Free Cash Flow financial
"Non-GAAP Free Cash Flow ... Free Cash Flow $ 1,027"
Free cash flow is the amount of money a company has left over after paying all its expenses and investing in its business, like buying equipment or updating facilities. It shows how much cash is available to reward shareholders, pay down debt, or save for future growth. This helps investors understand if a company is financially healthy and able to grow.
stockholder engagement and proxy defense costs regulatory
"Stockholder engagement and proxy defense costs include third-party advisory, legal, and other fees"
Revenue $95.1 million 3.0% year-over-year increase from $92.3 million in Q2 2025
GAAP net loss $3.9 million compared with a net loss of $4.2 million in the prior-year period
Adjusted EBITDA $2.4 million 15.2% year-over-year increase from $2.1 million in Q2 2025
Gross margin 45.5% up from 44.8% in the prior-year quarter; adjusted gross margin was 45.6%
Guidance

For full-year 2026, Inogen expects revenue of $355 million to $361 million, roughly 3% growth at the midpoint versus 2025, and adjusted EBITDA of approximately $4.0 million, a 48.1% increase from $2.7 million reported in 2025.

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FAQ

How did Inogen (INGN) perform financially in the second quarter of 2026?

Inogen reported Q2 2026 revenue of $95.1 million, up 3.0% year-over-year, with a GAAP net loss of $3.9 million. Adjusted EBITDA was $2.4 million, compared with $2.1 million in the prior-year quarter, reflecting improved profitability on a non-GAAP basis.

What revenue guidance did Inogen (INGN) provide for full-year 2026?

Inogen expects 2026 revenue between $355 million and $361 million, implying about 3% growth at the midpoint versus 2025. Management also noted that third quarter 2026 revenue is expected to be approximately in line with third quarter 2025 revenue.

What is Inogen’s (INGN) 2026 adjusted EBITDA outlook?

Inogen now guides full-year 2026 adjusted EBITDA to approximately $4.0 million, a 48.1% increase from the $2.7 million reported in 2025. The company did not provide a GAAP reconciliation for this forward-looking non-GAAP measure due to inherent uncertainties.

How strong is Inogen’s (INGN) balance sheet as of June 30, 2026?

As of June 30, 2026, Inogen held $106.8 million in cash, cash equivalents, marketable securities, and restricted cash, with no debt outstanding. Total assets were $285.6 million and stockholders’ equity was $174.9 million, indicating substantial liquidity.

Did Inogen (INGN) return capital to shareholders in 2026 so far?

Yes. In the first half of 2026, Inogen repurchased 1,145,150 shares of its common stock for total consideration of $7.5 million under a share repurchase program announced in the first quarter of 2026.
false0001294133Inogen Inc00012941332026-08-062026-08-06

 

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): August 06, 2026

 

 

INOGEN, INC.

(Exact name of Registrant as Specified in Its Charter)

 

 

Delaware

001-36309

33-0989359

(State or Other Jurisdiction
of Incorporation)

(Commission File Number)

(IRS Employer
Identification No.)

 

 

 

 

 

500 Cummings Center

Suite 2800

 

Beverly, Massachusetts

 

01915

(Address of Principal Executive Offices)

 

(Zip Code)

 

Registrant’s Telephone Number, Including Area Code: (805) 562-0500

 

 

(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

Common Stock, $0.001 par value

 

INGN

 

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 August 6, 2026, Inogen, Inc. (the “Company”) issued a press release reporting its financial results for the second quarter ended June 30, 2026. A copy of the press release is furnished herewith as Exhibit 99.1 to this Current Report on Form 8-K.

The information set forth under this Item 2.02, including Exhibit 99.1, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or incorporated by reference in any filing under the Securities Act of 1933, as amended (the “Securities Act”), or the Exchange Act, regardless of any general incorporation language in such filing, except as shall be expressly set forth by specific reference in such a filing.

Item 9.01. Financial Statements and Exhibits.

(d) Exhibits

 

Exhibit

 

 Description

99.1

Press Release dated August 6, 2026.

104

The cover page of this Current Report on Form 8-K, formatted in Inline XBRL.

 


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 thereunto duly authorized.

 

 

 

INOGEN, INC.

 

 

 

 

Date:

August 6, 2026

By:

/s/ Jason Richardson

 

 

 

Jason Richardson
Executive Vice President
Chief Financial Officer
Treasurer
(Principal Accounting and Financial Officer)

 


Exhibit 99.1

 

img132417817_0.jpg

 

Inogen Announces Second Quarter 2026 Financial Results

 

Reported second quarter revenue of $95.1 million

Company raises full-year adjusted EBITDA guidance to approximately $4.0 million

 

BEVERLY, Mass., August 6, 2026 -- Inogen, Inc. (Nasdaq: INGN), a medical technology company offering innovative respiratory products for use in the homecare setting, today announced financial results for the quarter ended June 30, 2026.

 

“Our second quarter results demonstrate continued demand for our products and validate the progress of our strategy to expand and diversify Inogen’s respiratory care portfolio,” said Kevin Smith, President and Chief Executive Officer. “We are building momentum through new product launches, gaining traction in key markets, and driving greater operating leverage across the business. As we continue to execute against our strategic priorities, we are diligently prioritizing our investments to balance growth, profitability, and innovation to deliver long-term value for shareholders.”

 

Highlights

Achieved second quarter 2026 revenue of $95.1 million, representing 3.0% year-over-year growth, including international revenue of $41.3 million, an increase of 14.8% year-over-year.
Reported GAAP net loss for the second quarter of 2026 of $3.9 million, compared to a net loss of $4.2 million in the prior-year period.
Delivered second quarter 2026 positive adjusted EBITDA of $2.4 million, an increase of 15.2% year-over-year, and generated $2.9 million of positive operating cash flow in the quarter.
Raised adjusted EBITDA guidance for the full year 2026 to approximately $4.0 million, representing a 48.1% increase from adjusted EBITDA of $2.7 million reported in 2025 and updated full-year revenue guidance to $355 million to $361 million reflecting approximately 3% growth at the midpoint of the range.
Published the Questionnaire for Oxygen Therapy Evaluation (QuOTE) assessment tool in ERJ Open Research, a nine-question questionnaire designed to simplify and standardize Long-Term Oxygen Therapy (LTOT) patient monitoring by assessing symptoms, therapy adherence, side effects, and equipment-related issues during routine clinical visits.
Launched the Rove 6 portable oxygen concentrator in Canada, strengthening Inogen's ongoing international market expansion and bringing its best-in-class oxygen therapy technology to approximately two million Canadians diagnosed with chronic obstructive pulmonary disease.
Completed enrollment and achieved Last Patient Last Visit (LPLV) for the Simeox H SCOPE Study in China, with statistical analysis results expected in the second half of 2026, marking an important milestone in expanding Simeox H into additional large global markets.
Strengthened Inogen’s leadership team with the addition of Andy Reding as Chief Operating Officer, whose extensive respiratory care expertise and deep industry experience will support the Company’s strategic growth initiatives and expansion of its product portfolio.

 

 

Second Quarter 2026 Financial Results

Total revenue in the second quarter of 2026 was $95.1 million, an increase of 3.0% from $92.3 million in the prior-year period, primarily driven by higher demand for portable oxygen concentrators, or POCs, in international markets and the favorable impact of foreign exchange rates. While U.S. sales and rentals remained below the prior-year period, the Company continued to gain traction with U.S. distributors and the expanded product portfolio, reinforcing confidence in its long-term opportunities in the U.S. market.


Total gross margin was 45.5% in the second quarter of 2026 compared to 44.8% in the prior-year period. Adjusted gross margin improved by 65 basis points to 45.6% compared to 44.9% in the prior-year period due to improvements in cost of revenue.

GAAP net loss for the second quarter of 2026 was $3.9 million compared to a net loss of $4.2 million in the prior-year period. Adjusted net loss improved $0.6 million year-over-year to less than $0.1 million in the second quarter of 2026, compared with an adjusted net loss of $0.7 million in the prior-year period.

Adjusted EBITDA was a positive $2.4 million in the second quarter of 2026, compared to a positive $2.1 million in the prior-year period, an improvement of $0.3 million.

Cash, cash equivalents, marketable securities, and restricted cash were $106.8 million as of June 30, 2026, with no debt outstanding. The Company repurchased 1,145,150 shares of its common stock in the first half of 2026 for consideration of $7.5 million under the share repurchase program that was announced in the first quarter of 2026.

Reconciliations of adjusted gross margin, adjusted EBITDA, and adjusted net loss for the three and six months ended June 30, 2026 and 2025 are in the financial schedules that are a part of this press release. An explanation of these non-GAAP financial measures is also included below under the heading “Reconciliation of U.S. GAAP to Non-GAAP Financial Measures.”

Third Quarter and Full Year 2026 Financial Outlook

Inogen expects third quarter 2026 revenue to be approximately in line with third quarter 2025 revenue, reflecting the continued U.S. sales channel mix shift as well as the timing impact of select international distributor inventory purchases.

 

For the full year 2026, Inogen now expects reported revenue in the range of $355 million to $361 million, reflecting approximately 3% growth at the midpoint of the range relative to the Company’s 2025 revenue.

 

The Company now expects full year 2026 adjusted EBITDA of approximately $4.0 million representing a 48.1% increase from $2.7 million reported in 2025.

The Company has not provided a reconciliation of forward-looking Adjusted EBITDA to the most directly comparable GAAP measure because certain items that impact net income are uncertain or outside the Company's control and cannot be reasonably predicted without unreasonable effort.

 

Quarterly Conference Call Information

On August 6, 2026, the Company will host a conference call at 5:00 p.m. Eastern Time / 2:00 p.m. Pacific Time.

Individuals interested in listening to the conference call may do so by dialing:

U.S. domestic callers (877) 841-3961
Non-U.S. callers (201) 689-8589

Please reference Inogen to join the call. A live audio webcast and archived recording of the conference call will be available to all interested parties through the News / Events page on the Inogen Investor Relations website. This webcast will also be archived on the website for six months.

 

A replay of the call will be available approximately three hours after the live webcast ends and will be accessible through August 13, 2026. To access the replay, dial (877) 660-6853 or (201) 612-7415 and reference Conference ID: 13761255.

 

Inogen has used, and intends to continue to use, its Investor Relations website, http://investor.inogen.com/, as a means of disclosing material non-public information and for complying with its disclosure obligations under Regulation FD.

 

 

 


About Inogen

Inogen, Inc. (Nasdaq: INGN) is a leading global medical technology company offering innovative respiratory products for use in the homecare setting. Inogen supports patient respiratory care by developing, manufacturing, and marketing innovative best-in-class respiratory therapy devices used to deliver care to patients suffering from chronic respiratory conditions. Inogen partners with patients, prescribers, home medical equipment providers, and distributors to make its respiratory therapy products widely available, allowing patients the chance to manage the impact of their disease.

For more information, please visit www.inogen.com.

 

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements contained in this communication that are not historical facts, including, but not limited to, statements regarding Inogen’s future business plans, market opportunities, financial outlook, growth strategies, anticipated operational results, and guidance, are forward-looking statements. Words such as “aims,” “believes,” “anticipates,” “plans,” “expects,” “will,” “intends,” “potential,” “possible,” and similar expressions are intended to identify forward-looking statements. Forward-looking statements are subject to numerous risks and uncertainties that could cause actual results to differ materially from currently anticipated results, including but not limited to, risks and uncertainties relating to Inogen’s 2026 third quarter and full year financial guidance; market acceptance of its products; competition; its sales, marketing and distribution capabilities; its planned sales, marketing, and research and development activities; and risks associated with international operations. Information on these and additional risks, uncertainties, and other information affecting Inogen’s business operating results are contained in its Annual Report on Form 10-K for the period ended December 31, 2025, its Quarterly Report on Form 10-Q for the period ended March 31, 2026, and in its other filings with the Securities and Exchange Commission. These forward-looking statements speak only as of the date hereof. Inogen disclaims any obligation to update these forward-looking statements except as may be required by law.

 

Non-GAAP Financial Measures

Inogen has presented certain financial information in accordance with U.S. GAAP and also on a non-GAAP basis for the three and six months ended June 30, 2026, and June 30, 2025. Management believes that these non-GAAP financial measures, taken in conjunction with U.S. GAAP financial measures, provide useful information for both management and investors by excluding certain non-cash and other expenses that are not indicative of Inogen’s core operating results. Management uses these non-GAAP measures to compare Inogen’s performance relative to forecasts and strategic plans, to benchmark Inogen’s performance externally against competitors, and for certain compensation decisions. Non-GAAP information is not prepared under a comprehensive set of accounting rules and should only be used to supplement an understanding of Inogen's operating results as reported under U.S. GAAP. Inogen encourages investors to carefully consider its results under U.S. GAAP, as well as its supplemental non-GAAP information and the reconciliation between these presentations, to more fully understand its business. Reconciliations between U.S. GAAP and non-GAAP results are presented in the accompanying tables of this release.

Contact
ir@inogen.net

 


Consolidated Statements of Comprehensive Loss

(unaudited)

(amounts in thousands, except share and per share amounts)

 

 

Three months ended
June 30,

 

 

Six months ended
June 30,

 

 

2026

 

 

2025

 

 

2026

 

 

2025

 

Revenue

 

 

 

 

 

 

 

 

 

 

 

Sales revenue

$

83,525

 

 

$

79,172

 

 

$

155,929

 

 

$

147,642

 

Rental revenue

 

11,559

 

 

 

13,105

 

 

 

24,264

 

 

 

26,915

 

Total revenue

 

95,084

 

 

 

92,277

 

 

 

180,193

 

 

 

174,557

 

Cost of revenue

 

 

 

 

 

 

 

 

 

 

 

Cost of sales revenue

 

44,949

 

 

 

43,469

 

 

 

85,126

 

 

 

81,552

 

Cost of rental revenue, including depreciation of $2,475 and $3,017 for the three months ended and $5,103 and $6,051 for the six months ended, respectively

 

6,863

 

 

 

7,467

 

 

 

13,932

 

 

 

15,292

 

Total cost of revenue

 

51,812

 

 

 

50,936

 

 

 

99,058

 

 

 

96,844

 

Gross profit

 

43,272

 

 

 

41,341

 

 

 

81,135

 

 

 

77,713

 

Operating expense

 

 

 

 

 

 

 

 

 

 

 

Research and development

 

5,871

 

 

 

5,209

 

 

 

10,968

 

 

 

9,243

 

Sales and marketing

 

24,824

 

 

 

25,390

 

 

 

49,427

 

 

 

49,147

 

General and administrative

 

17,673

 

 

 

16,871

 

 

 

35,172

 

 

 

33,108

 

Total operating expense

 

48,368

 

 

 

47,470

 

 

 

95,567

 

 

 

91,498

 

Loss from operations

 

(5,096

)

 

 

(6,129

)

 

 

(14,432

)

 

 

(13,785

)

Other income

 

 

 

 

 

 

 

 

 

 

 

Interest income, net

 

861

 

 

 

1,123

 

 

 

1,741

 

 

 

2,152

 

Other income, net

 

231

 

 

 

701

 

 

 

189

 

 

 

1,057

 

Total other income, net

 

1,092

 

 

 

1,824

 

 

 

1,930

 

 

 

3,209

 

Loss before benefit for income taxes

 

(4,004

)

 

 

(4,305

)

 

 

(12,502

)

 

 

(10,576

)

Benefit for income taxes

 

(154

)

 

 

(153

)

 

 

(328

)

 

 

(250

)

Net loss

 

(3,850

)

 

 

(4,152

)

 

 

(12,174

)

 

 

(10,326

)

Other comprehensive (loss) income, net of tax

 

 

 

 

 

 

 

 

 

 

 

Change in foreign currency translation adjustment

 

(350

)

 

 

3,926

 

 

 

(1,195

)

 

 

5,781

 

Change in net unrealized (losses) gains on foreign currency hedging

 

(142

)

 

 

36

 

 

 

(179

)

 

 

(696

)

Less: reclassification adjustment for net gains (losses) included in net loss

 

164

 

 

 

(606

)

 

 

201

 

 

 

(739

)

Total net change in unrealized gains (losses) on foreign currency hedging

 

22

 

 

 

(570

)

 

 

22

 

 

 

(1,435

)

Change in net unrealized (losses) gains on marketable securities

 

(11

)

 

 

42

 

 

 

6

 

 

 

42

 

Total other comprehensive (loss) income, net of tax

 

(339

)

 

 

3,398

 

 

 

(1,167

)

 

 

4,388

 

Comprehensive loss

$

(4,189

)

 

$

(754

)

 

$

(13,341

)

 

$

(5,938

)

 

 

 

 

 

 

 

 

 

 

 

 

Basic net loss per share attributable to common stockholders (1)

$

(0.14

)

 

$

(0.15

)

 

$

(0.45

)

 

$

(0.40

)

Diluted net loss per share attributable to common stockholders (1) (2)

$

(0.14

)

 

$

(0.15

)

 

$

(0.45

)

 

$

(0.40

)

Weighted average number of shares used in calculating net loss per share attributable to common stockholders:

 

 

 

 

 

 

 

 

 

 

 

Basic shares of common stock

 

27,045,095

 

 

 

26,962,465

 

 

 

27,183,000

 

 

 

26,068,421

 

Diluted shares of common stock

 

27,045,095

 

 

 

26,962,465

 

 

 

27,183,000

 

 

 

26,068,421

 

 

(1) Reconciliations of net loss attributable to common stockholders basic and diluted can be found in Inogen’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2026 to be filed with the Securities and Exchange Commission.

 

(2) Due to a net loss for the three and six months ended June 30, 2026 and June 30, 2025, diluted loss per share is the same as basic.


Consolidated Balance Sheets

(unaudited)

(amounts in thousands)

 

June 30,
2026

 

 

December 31,
2025

 

Assets

 

 

 

 

 

Current assets

 

 

 

 

 

Cash and cash equivalents

$

87,276

 

 

$

103,729

 

Marketable securities

 

18,263

 

 

 

15,848

 

Restricted cash

 

1,303

 

 

 

1,289

 

Accounts receivable, net

 

46,157

 

 

 

38,863

 

Inventories

 

28,633

 

 

 

25,969

 

Prepaid expenses and other current assets

 

12,504

 

 

 

12,601

 

Total current assets

 

194,136

 

 

 

198,299

 

Property and equipment, net

 

31,781

 

 

 

36,362

 

Goodwill

 

10,395

 

 

 

10,698

 

Intangible assets, net

 

27,447

 

 

 

30,763

 

Operating lease right-of-use asset

 

14,914

 

 

 

16,501

 

Other assets

 

6,899

 

 

 

6,002

 

Total assets

$

285,572

 

 

$

298,625

 

Liabilities and stockholders' equity

 

 

 

 

 

Current liabilities

 

 

 

 

 

Accounts payable and accrued expenses

$

39,678

 

 

$

33,941

 

Accrued payroll

 

12,796

 

 

 

10,629

 

Warranty reserve - current

 

10,414

 

 

 

10,116

 

Operating lease liability - current

 

3,253

 

 

 

3,163

 

Deferred revenue - current

 

4,723

 

 

 

5,503

 

Income tax payable

 

 

 

 

183

 

Total current liabilities

 

70,864

 

 

 

63,535

 

Long-term liabilities

 

 

 

 

 

Warranty reserve - noncurrent

 

17,961

 

 

 

18,194

 

Operating lease liability - noncurrent

 

12,541

 

 

 

14,313

 

Deferred revenue - noncurrent

 

2,857

 

 

 

3,603

 

Deferred tax liability

 

6,485

 

 

 

6,749

 

Total liabilities

 

110,708

 

 

 

106,394

 

Stockholders' equity

 

 

 

 

 

Common stock

 

27

 

 

 

27

 

Additional paid-in capital

 

359,519

 

 

 

363,545

 

Accumulated deficit

 

(187,758

)

 

 

(175,584

)

Accumulated other comprehensive income

 

3,076

 

 

 

4,243

 

Total stockholders' equity

 

174,864

 

 

 

192,231

 

Total liabilities and stockholders' equity

$

285,572

 

 

$

298,625

 

 


 

Condensed Consolidated Cash Flow

(unaudited)

(amounts in thousands)

 

 

Six months ended
June 30,

 

 

2026

 

 

2025

 

Cash flows from operating activities

 

 

 

 

 

Net loss

$

(12,174

)

 

$

(10,326

)

Adjustments to reconcile net loss to net cash used in operating activities:

 

 

 

 

 

Depreciation and amortization

 

9,601

 

 

 

10,405

 

Loss on rental units and other assets

 

1,261

 

 

 

1,655

 

Provision for sales revenue returns and doubtful accounts

 

3,845

 

 

 

3,248

 

Provision for inventory losses

 

681

 

 

 

447

 

Stock-based compensation expense

 

3,721

 

 

 

4,440

 

Deferred income taxes

 

(73

)

 

 

80

 

Other

 

104

 

 

 

267

 

Changes in operating assets and liabilities (1)

 

(10,705

)

 

 

(22,656

)

Net cash used in operating activities

 

(3,739

)

 

 

(12,440

)

Cash flows from investing activities

 

 

 

 

 

Purchases of available-for-sale securities

 

(13,079

)

 

 

(18,703

)

Maturities of available-for-sale securities

 

10,670

 

 

 

 

Investment in property and equipment

 

(921

)

 

 

(976

)

Production and purchase of rental equipment

 

(1,779

)

 

 

(4,932

)

Net cash used in investing activities

 

(5,109

)

 

 

(24,611

)

Cash flows from financing activities

 

 

 

 

 

Proceeds from employee stock purchases

 

373

 

 

 

489

 

Payment of employment taxes related to vesting of restricted stock units

 

(622

)

 

 

(570

)

Repurchases of common stock

 

(7,498

)

 

 

 

Payments of accrued earnout

 

 

 

 

(3,178

)

Proceeds from issuance of common stock from securities purchase agreement

 

 

 

 

27,210

 

Net cash (used in) provided by financing activities

 

(7,747

)

 

 

23,951

 

Effect of exchange rates on cash

 

156

 

 

 

642

 

Net decrease in cash, cash equivalents, and restricted cash

$

(16,439

)

 

$

(12,458

)

 

 

 

 

 

 

(1) Includes $9,822 of the operating activity portion of the earnout liability payment related to the Physio-Assist acquisition for the six months ended June 30, 2025.

 

 

 

 

 

 

 

 


 

Supplemental Financial Information

(unaudited)

(in thousands, except units and patients)

 

 

 

 

 

 

 

 

 

 

Constant

 

 

 

Three months ended

 

 

 

 

 

 

 

 

Currency

 

 

 

June 30,

 

 

Change 2026 vs. 2025

 

 

Change (1)

 

Revenue by geographic region

 

2026

 

 

2025

 

 

$

 

 

%

 

 

%

 

U.S. sales

 

$

42,272

 

 

$

43,249

 

 

$

(977

)

 

 

-2.3

%

 

 

-2.3

%

International sales

 

 

41,253

 

 

 

35,923

 

 

 

5,330

 

 

 

14.8

%

 

 

8.3

%

U.S. rentals

 

 

11,559

 

 

 

13,105

 

 

 

(1,546

)

 

 

-11.8

%

 

 

-11.8

%

Total revenue

 

$

95,084

 

 

$

92,277

 

 

$

2,807

 

 

 

3.0

%

 

 

0.6

%

Additional financial measures

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Portable units sold

 

 

53,300

 

 

 

47,600

 

 

 

 

 

 

 

 

 

 

Net rental patients as of period-end

 

 

45,500

 

 

 

50,400

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Constant

 

 

 

Six months ended

 

 

 

 

 

Currency

 

 

June 30,

 

 

Change 2026 vs. 2025

 

 

Change (1)

 

Revenue by geographic region

 

2026

 

 

2025

 

 

$

 

 

%

 

 

%

 

U.S. sales

 

$

77,008

 

 

$

79,734

 

 

$

(2,726

)

 

 

-3.4

%

 

 

-3.4

%

International sales

 

 

78,921

 

 

 

67,908

 

 

 

11,013

 

 

 

16.2

%

 

 

7.2

%

U.S. rentals

 

 

24,264

 

 

 

26,915

 

 

 

(2,651

)

 

 

-9.8

%

 

 

-9.8

%

Total revenue

 

$

180,193

 

 

$

174,557

 

 

$

5,636

 

 

 

3.2

%

 

 

-0.2

%

Additional financial measures

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Portable units sold

 

 

99,600

 

 

 

89,400

 

 

 

 

 

 

 

 

 

 

Net rental patients as of period-end

 

 

45,500

 

 

 

50,400

 

 

 

 

 

 

 

 

 

 

 

(1) Represents a non-GAAP financial measure.

 

 

Reconciliation of U.S. GAAP to Non-GAAP Financial Measures

(unaudited)

(in thousands, except per share amounts)

 

 

 

Three months ended
June 30,

 

 

Six months ended
June 30,

 

Non-GAAP EBITDA and Adjusted EBITDA

 

2026

 

 

2025

 

 

2026

 

 

2025

 

Net loss (GAAP)

 

$

(3,850

)

 

$

(4,152

)

 

$

(12,174

)

 

$

(10,326

)

Non-GAAP adjustments:

 

 

 

 

 

 

 

 

 

 

 

 

Interest income, net

 

 

(861

)

 

 

(1,123

)

 

 

(1,741

)

 

 

(2,152

)

Benefit for income taxes

 

 

(154

)

 

 

(153

)

 

 

(328

)

 

 

(250

)

Depreciation and amortization

 

 

4,697

 

 

 

5,216

 

 

 

9,601

 

 

 

10,405

 

EBITDA (non-GAAP)

 

 

(168

)

 

 

(212

)

 

 

(4,642

)

 

 

(2,323

)

Stock-based compensation expense

 

 

1,771

 

 

 

2,293

 

 

 

3,721

 

 

 

4,440

 

Restructuring-related charges

 

 

214

 

 

 

 

 

 

1,130

 

 

 

 

Stockholder engagement and proxy defense costs (1)

 

 

580

 

 

 

 

 

 

789

 

 

 

 

Adjusted EBITDA (non-GAAP)

 

$

2,397

 

 

$

2,081

 

 

$

998

 

 

$

2,117

 

 

 

 

 

Three months ended June 30, 2026

 

Non-GAAP Financial Metrics

 

Gross Profit

 

 

Operating Expense

 

 

Loss from Operations

 

 

Net Loss

 

 

Diluted EPS

 

Financial Results (GAAP)

 

$

43,272

 

 

$

48,368

 

 

$

(5,096

)

 

$

(3,850

)

 

$

(0.14

)

Reported percent net sales

 

 

45.5

%

 

 

50.9

%

 

 

(5.4

%)

 

 

(4.0

%)

 

 

 

Non-GAAP adjustments:

 

 

 

 

 

 

 

 

 

 

 

 

 

Amortization of intangibles

 

 

 

 

 

1,252

 

 

 

1,252

 

 

 

1,252

 

 

 

0.05

 

Stock-based compensation

 

 

73

 

 

 

1,698

 

 

 

1,771

 

 

 

1,771

 

 

 

0.07

 

Restructuring-related charges

 

 

 

 

 

214

 

 

 

214

 

 

 

214

 

 

 

0.01

 

Stockholder engagement and proxy defense costs (1)

 

 

 

 

 

580

 

 

 

580

 

 

 

580

 

 

 

0.02

 

Income tax impact of adjustments (2)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adjusted

 

$

43,345

 

 

$

44,624

 

 

$

(1,279

)

 

$

(33

)

 

$

 

Adjusted percent net sales

 

 

45.6

%

 

 

46.9

%

 

 

(1.3

%)

 

 

(0.0

%)

 

 

 

 


 

 

 

Three months ended June 30, 2025

 

Non-GAAP Financial Metrics

 

Gross Profit

 

 

Operating Expense

 

 

Loss from Operations

 

 

Net Loss

 

 

Diluted EPS

 

Financial Results (GAAP)

 

$

41,341

 

 

$

47,470

 

 

$

(6,129

)

 

$

(4,152

)

 

$

(0.15

)

Reported percent net sales

 

 

44.8

%

 

 

51.4

%

 

 

(6.6

%)

 

 

(4.5

%)

 

 

 

Non-GAAP adjustments:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amortization of intangibles

 

 

 

 

 

1,209

 

 

 

1,209

 

 

 

1,209

 

 

 

0.04

 

Stock-based compensation

 

 

129

 

 

 

2,164

 

 

 

2,293

 

 

 

2,293

 

 

 

0.09

 

Income tax impact of adjustments (2)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adjusted

 

$

41,470

 

 

$

44,097

 

 

$

(2,627

)

 

$

(650

)

 

$

(0.02

)

Adjusted percent net sales

 

 

44.9

%

 

 

47.8

%

 

 

(2.8

%)

 

 

(0.7

%)

 

 

 

 

 

 

Six months ended June 30, 2026

 

Non-GAAP Financial Metrics

 

Gross Profit

 

 

Operating Expense

 

 

Loss from Operations

 

 

Net Loss

 

 

Diluted EPS

 

Financial Results (GAAP)

 

$

81,135

 

 

$

95,567

 

 

$

(14,432

)

 

$

(12,174

)

 

$

(0.45

)

Reported percent net sales

 

 

45.0

%

 

 

53.0

%

 

 

(8.0

%)

 

 

(6.8

%)

 

 

 

Non-GAAP adjustments:

 

 

 

 

 

 

 

 

 

 

 

 

 

Amortization of intangibles

 

 

 

 

 

2,548

 

 

 

2,548

 

 

 

2,548

 

 

 

0.09

 

Stock-based compensation

 

 

255

 

 

 

3,466

 

 

 

3,721

 

 

 

3,721

 

 

 

0.14

 

Restructuring-related charges

 

 

 

 

 

1,130

 

 

 

1,130

 

 

 

1,130

 

 

 

0.04

 

Stockholder engagement and proxy defense costs (1)

 

 

 

 

 

789

 

 

 

789

 

 

 

789

 

 

 

0.03

 

Income tax impact of adjustments (2)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adjusted

 

$

81,390

 

 

$

87,634

 

 

$

(6,244

)

 

$

(3,986

)

 

$

(0.15

)

Adjusted percent net sales

 

 

45.2

%

 

 

48.6

%

 

 

(3.5

%)

 

 

(2.2

%)

 

 

 

 

 

 

Six months ended June 30, 2025

 

Non-GAAP Financial Metrics

 

Gross Profit

 

 

Operating Expense

 

 

Loss from Operations

 

 

Net Loss

 

 

Diluted EPS

 

Financial Results (GAAP)

 

$

77,713

 

 

$

91,498

 

 

$

(13,785

)

 

$

(10,326

)

 

$

(0.40

)

Reported percent net sales

 

 

44.5

%

 

 

52.4

%

 

 

(7.9

%)

 

 

(5.9

%)

 

 

 

Non-GAAP adjustments:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amortization of intangibles

 

 

 

 

 

2,348

 

 

 

2,348

 

 

 

2,348

 

 

 

0.09

 

Stock-based compensation

 

 

296

 

 

 

4,144

 

 

 

4,440

 

 

 

4,440

 

 

 

0.17

 

Income tax impact of adjustments (2)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adjusted

 

$

78,009

 

 

$

85,006

 

 

$

(6,997

)

 

$

(3,538

)

 

$

(0.14

)

Adjusted percent net sales

 

 

44.7

%

 

 

48.7

%

 

 

(4.0

%)

 

 

(2.0

%)

 

 

 

 

 

 

Three months ended
June 30,

 

 

Six months ended
June 30,

 

Non-GAAP Free Cash Flow

 

2026

 

 

2025

 

 

2026

 

 

2025

 

Operating Cash Flow

 

$

2,946

 

 

$

4,350

 

 

$

(3,739

)

 

$

(12,440

)

Capital Expenditures

 

 

(1,919

)

 

 

(3,870

)

 

 

(2,700

)

 

 

(5,908

)

Free Cash Flow

 

$

1,027

 

 

$

480

 

 

$

(6,439

)

 

$

(18,348

)

 

 

(1) Stockholder engagement and proxy defense costs include third-party advisory, legal, and other professional fees.

 

(2) Income tax impact of adjustments represents the tax impact related to the non-GAAP adjustments listed above and reflects an effective tax rate of 0% for 2026 and 2025.

 

 


Filing Exhibits & Attachments

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