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Outset Medical (NASDAQ: OM) grows 2025 revenue, boosts margins and cuts loss

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

Rhea-AI Filing Summary

Outset Medical reported full-year 2025 revenue of $119.5 million, up 5% from 2024, with gross margin improving to 39.1% from 33.9%. Net loss narrowed to $81.7 million versus $128.0 million a year earlier as operating expenses fell significantly.

Recurring revenue from Tablo consumables and services grew 6% to $88.7 million, and total cash, including investments, reached $172.8 million at year-end. The company also received FDA clearance for its next-generation Tablo platform. For 2026, it guides revenue to $125–$130 million and expects non-GAAP gross margin in the low to mid-40% range.

Positive

  • Margin expansion and loss reduction: 2025 gross margin rose to 39.1% from 33.9%, while GAAP net loss shrank to $81.7 million from $128.0 million, showing substantial operating improvement.
  • Strengthened cash position: Total cash, including restricted cash, cash equivalents and investment securities, reached $172.8 million at December 31, 2025, providing a sizable liquidity buffer.
  • Regulatory milestone: FDA clearance for the next-generation Tablo platform adds a new product iteration designed for improved cybersecurity, reliability and connectivity, expected to launch in the second quarter.

Negative

  • Continued significant losses: Despite improvement, Outset still posted a sizeable 2025 GAAP net loss of $81.7 million, indicating the business remains structurally unprofitable.
  • Moderate top-line growth: Total revenue grew only 5% year over year to $119.5 million, and fourth-quarter revenue declined 2%, suggesting near-term growth momentum remains limited.

Insights

Outset is growing modestly but improving margins and cutting losses meaningfully.

Outset Medical delivered 2025 revenue of $119.5 million, up 5% year over year, while recurring Tablo consumables and services reached $88.7 million, also up 6%. Growth is modest, but the mix skews toward recurring revenue, which tends to be more predictable.

Profitability metrics improved sharply. Total gross margin rose from 33.9% to 39.1%, and GAAP net loss shrank from $128.0 million to $81.7 million. Operating expenses dropped from $151.9 million to $113.5 million, reflecting cost reductions aimed at streamlining operations.

Liquidity appears strengthened, with total cash, restricted cash, cash equivalents and investment securities at $172.8 million as of December 31, 2025. Management guides 2026 revenue to $125–$130 million and non-GAAP gross margin in the low to mid-40% range, while highlighting FDA clearance for a next-generation Tablo platform that may support future adoption.

0001484612false00014846122026-02-112026-02-11

 

 

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): February 11, 2026

Outset Medical, Inc.

(Exact name of Registrant as Specified in Its Charter)

Delaware

001-39513

20-0514392

(State or Other Jurisdiction

of Incorporation)

(Commission File Number)

(IRS Employer

Identification No.)

 

 

 

3052 Orchard Dr.,

San Jose, California

95134

(Address of Principal Executive Offices)

(Zip Code)

Registrant’s Telephone Number, Including Area Code: (669) 231-8200

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

Common Stock, $0.001 par value per share

 

OM

 

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 Result of Operations and Financial Condition.

 

On February 11, 2026, Outset Medical, Inc. (the “Company”) issued a press release and will hold its fourth quarter and full year 2025 earnings conference call announcing the Company’s financial results for the quarter ended and year ended December 31, 2025, as well as a guidance for 2026 revenue and non-GAAP gross margin. A copy of the press release is furnished herewith as Exhibit 99.1 and incorporated herein by reference.

 

The information contained in this Item 2.02 and Exhibit 99.1 hereto 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, nor shall it be deemed incorporated by reference into any other filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such a filing.

 

Forward-Looking Statements

 

This report and the exhibit attached hereto contain forward-looking statements within the meaning of Section 27A of the Securities Act and Section 21E of the Exchange Act. All statements other than statements of historical fact are forward-looking statements. Forward-looking statements are based on management’s current assumptions and expectations of future events and trends, which affect or may affect the Company’s business, strategy, operations or financial performance, and actual results and other events may differ materially from those expressed or implied in such statements due to numerous risks and uncertainties. Forward-looking statements include, but are not limited to, statements about possible or assumed future results of operations and financial position, including expectations regarding projected revenues, gross margin, operating expenses, capital expenditures, cash use, cash burn, cash position, profitability and outlook; statements about the sufficiency of the Company’s cash balances through cashflow breakeven; statements regarding the anticipated impacts and benefits of the Company’s cost reduction actions, initiatives to optimize the commercial organization and improve forecasting and order visibility, and restructurings; statements regarding anticipated customer orders or other business opportunities including the expected closing and timing thereof; statements regarding the Company’s overall business strategy, plans and objectives of management; statements regarding the anticipated launch and timing of product enhancements and new features, as well as new or expanded services, and the expected benefits, performance, and impact thereof; the Company’s expectations regarding the market sizes and growth potential for Tablo and the total addressable market opportunities for Tablo; continued execution of the Company's initiatives designed to expand gross margins; the Company’s ability to respond to and resolve any reports, observations or other actions by the Food and Drug Administration or other regulators in a timely and effective manner; as well as the Company’s expectations regarding the impact of macroeconomic factors (including changes in tariff or trade laws and policies) on the Company, its customers and suppliers. Forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified. Factors that could cause actual results or other events to differ materially from those contemplated in this press release can be found in the Risk Factors section of the Company’s public filings with the Securities and Exchange Commission, including its latest annual and quarterly reports. Because forward-looking statements are inherently subject to risks and uncertainties, you should not rely on these forward-looking statements as predictions of future events. These forward-looking statements speak only as of their date and, except to the extent required by law, the Company undertakes no obligation to update these statements, whether as a result of any new information, future developments or otherwise.

Item 9.01 Financial Statements and Exhibits.

(d) Exhibits.

 

Exhibit

Number

Description

99.1

Press Release entitled “Outset Medical Reports Fourth Quarter and Full Year 2025 Financial Results” dated February 11, 2026

104

 

Cover Page Interactive Data File (embedded within the Inline XBRL document)

 

 

 

 

 


 

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.

 

Outset Medical, Inc.

 

Date: February 11, 2026

By:

/s/Renee Gaeta

Renee Gaeta

Chief Financial Officer

 

 


 

Exhibit 99.1

 

Outset Medical Reports Fourth Quarter and Full Year 2025 Financial Results

San Jose, CA – Feb. 11, 2026 – Outset Medical, Inc. (Nasdaq: OM), a medical technology company pioneering a first-of-its-kind technology to improve clinical outcomes in dialysis with less cost and complexity, today reported financial results for the fourth quarter and year ended December 31, 2025.

Fourth Quarter, Year-End and Recent Highlights

Net revenue totaled $28.9 million in the fourth quarter, bringing revenue in 2025 to $119.5 million, a 5% increase over $113.7 million in 2024.
Recurring revenue consisting of Tablo consumables and services was $22.5 million in the fourth quarter and grew 6% in 2025 to $88.7 million compared to $83.9 million in 2024.
Gross margin expanded by nearly 600 basis points in the fourth quarter to 42.4% (42.9% on a non-GAAP basis). Gross margin for the year of 39.1% (39.6% on a non-GAAP basis) expanded more than 500 basis points from 33.9% in 2024.
Year-end cash, including restricted cash, cash equivalents and short-term investments, totaled $173 million. Net cash used in operations in 2025 was $46 million compared to $116 million in 2024.
Received clearance from the U.S. Food and Drug Administration for the next-generation Tablo platform, designed for enterprise-level cybersecurity, reliability and connectivity, which is expected to launch in the second quarter.

“We enter 2026 standing on a strong foundation for growth, well capitalized, and with a highly differentiated platform to help healthcare providers transform their clinical, operational and financial outcomes by insourcing dialysis with Outset,” said Leslie Trigg, Chair and Chief Executive Officer.

Fourth Quarter 2025 Financial Results

Revenue for the fourth quarter was $28.9 million, a decrease of 2% compared to $29.5 million in the fourth quarter of 2024. Product revenue was $19.9 million as compared to $21.0 million in the fourth quarter of 2024. Service and other revenue of $9.0 million increased 6% compared to $8.5 million in the fourth quarter of 2024. Recurring revenue from the sale of Tablo consumables and services was $22.5 million as compared to $23.7 million in the prior year period.

Gross profit of $12.2 million increased 14% from $10.7 million in the fourth quarter of 2024. Gross margin was 42.4%, compared to 36.5% in the fourth quarter of 2024. On a non-GAAP basis, gross margin reached 42.9%, as compared to 38.6% in the fourth quarter of 2024. Product gross profit was $10.1 million, compared to $9.2 million in the fourth quarter of 2024. Product gross margin reached 50.7%, compared to 44.0% in the fourth quarter of 2024. Service and other gross profit was $2.2 million, compared to $1.5 million in the fourth quarter of 2024. Service and other gross margin was 24.0%, compared to 17.8% in the fourth quarter of 2024.

Operating expenses of $29.9 million declined 8% from the prior year period as a result of reductions in spending during the year intended to streamline operations and accelerate the company’s path to profitability. Research and development (R&D) expenses were $5.1 million, sales and marketing (S&M) expenses were $12.9 million, and general and administrative (G&A) expenses were $11.9 million. This compared to operating expenses of $32.6 million in the fourth quarter of 2024, including R&D expenses of $7.9 million, S&M expenses of $15.5 million, and G&A expenses of $9.3 million.

Excluding stock-based compensation expense, severance and related charges, and litigation charges, non-GAAP operating expenses were $25.7 million, including R&D expenses of $4.1 million, S&M expenses of $12.4 million, and G&A expenses of $9.2 million.

Net loss was $19.5 million compared to a net loss of $25.6 million for the same period in 2024. On a non-GAAP basis, net loss was $15.1 million compared to a non-GAAP net loss of $19.3 million for the same period in 2024.

Total cash, including restricted cash, cash equivalents and short-term investments, was $173 million as of December 31, 2025.

Full Year 2025 Financial Results

Revenue for 2025 was $119.5 million, an increase of 5% as compared to $113.7 million in 2024. Product revenue was $84.8 million, representing an increase of 5% compared to $81.0 million in 2024. Service and other revenue was $34.7 million, an increase of 6% compared to $32.7 million in 2024. Recurring revenue grew 6% to $88.7 million compared to

 


 

$83.9 million in 2024.

Total gross profit was $46.8 million, compared to $38.6 million for 2024. Total gross margin was 39.1%, compared to 33.9% in 2024. On a non-GAAP basis, gross margin improved 4 percentage points to 39.6% from 35.6% in 2024. Product gross profit was $41.0 million, compared to $34.5 million in 2024. Product gross margin was 48.4%, compared to 42.6% in 2024. Service and other gross profit was $5.7 million, compared to a gross profit of $4 million in 2024. Service and other gross margin was 16.5%, compared to 12.3% in 2024.

Operating expenses were $113.5 million, including R&D expenses of $21.2 million, S&M expenses of $54.4 million, and G&A expenses of $37.9 million. This compared to operating expenses of $151.9 million, including R&D expenses of $38.4 million, S&M expenses of $70.0 million, and G&A expenses of $43.5 million in 2024.

Excluding stock-based compensation expense, severance and related charges, and litigation charges, non-GAAP operating expenses were $97.8 million, including R&D expenses of $17.8 million, S&M expenses of $51.3 million, and G&A expenses of $28.7 million.

Net loss was $81.7 million compared to a net loss of $128 million in 2024. On a non-GAAP basis, net loss was $65.4 million compared to a non-GAAP net loss of $94.8 million in 2024.

Full Year 2026 Financial Guidance

Outset provided 2026 revenue guidance of $125 million to $130 million, a 5% to 9% increase] over $119.5 million in 2025, and non-GAAP gross margin guidance in the low to mid-40% range for the year.

Webcast and Conference Call Details

Outset will host a conference call today, February 13, 2026, at 1:30 p.m. PT / 4:30 p.m. ET to discuss its fourth quarter and full year 2025 financial results. Those interested in listening to the conference call may do so by registering online. Once registered, participants will receive dial-in numbers and a unique pin to join the call. Participants are encouraged to register more than 15 minutes before the start of the call. A live webcast of the conference call will be available on the Investor Relations section of the Company's website at https://investors.outsetmedical.com. The webcast will be archived on the website following the completion of the call.

Use of Non-GAAP Financial Measures

The Company may report non-GAAP results for gross profit/loss, gross margin, operating expenses, operating margins, net income/loss, basic and diluted net income/loss per share, other income/loss, and cash flows. These non-GAAP financial measures are in addition to, and not a substitute for, or superior to, financial measures calculated in accordance with GAAP. As listed in the itemized reconciliations between GAAP and non-GAAP financial measures included in this press release, the Company’s GAAP financial measures include stock-based compensation expense, severance and related charges net of the reversal of compensation accruals for impacted employees, as well as litigation charges incurred outside of the ordinary course of business in connection with the stockholder class action and relative derivative lawsuits as disclosed in the Company’s latest annual and quarterly reports. Stock-based compensation is a non-cash expense, and severance and related charges arise outside the ordinary course of continuing operations and are not reflective of the Company's current operating performance. In addition, litigation charges related to the above-described matters are excluded because they constitute non-routine litigation costs, arise outside of the ordinary course of the Company’s business, and are not indicative of its recurring operating results or underlying performance trends. As such, management has excluded the effects of these items in non-GAAP measures to assist investors in analyzing and assessing past and future operating performance and period-to-period comparisons. There are limitations related to the use of non-GAAP financial measures because they are not prepared in accordance with GAAP, may exclude significant expenses required by GAAP to be recognized in the Company’s financial statements, and may not be comparable to non-GAAP financial measures used by other companies. The Company encourages investors to carefully consider its results under GAAP, as well as its supplemental non-GAAP information and the reconciliation between these presentations, to more fully understand its business. Reconciliations between GAAP and non-GAAP results are presented in the Appendix A of this press release.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. All statements other than statements of historical fact are forward-looking statements. Forward-looking statements are based on management’s current assumptions and expectations of future events and trends, which affect or may affect the Company’s business, strategy, operations or

 


 

financial performance, and actual results and other events may differ materially from those expressed or implied in such statements due to numerous risks and uncertainties. Forward-looking statements include, but are not limited to, statements about the Company’s possible or assumed future results of operations and financial position, including expectations regarding projected revenues, gross margin, operating expenses, capital expenditures, cash use, cash burn, cash position, profitability and outlook; statements about the sufficiency of the Company’s cash balances through cashflow breakeven; statements regarding the anticipated impacts and benefits of the Company’s cost reduction actions, initiatives to optimize the commercial organization and improve forecasting and order visibility, and restructurings; statements regarding anticipated customer orders or other business opportunities including the expected closing and timing thereof; statements regarding the Company’s overall business strategy, plans and objectives of management; statements regarding the anticipated launch and timing of product enhancements and new features, as well as new or expanded services, and the expected benefits, performance, and impact thereof; the Company’s expectations regarding the market sizes and growth potential for Tablo and the total addressable market opportunities for Tablo; continued execution of the Company’s initiatives designed to expand gross margins; the Company’s ability to respond to and resolve any reports, observations or other actions by the Food and Drug Administration or other regulators in a timely and effective manner; as well as the Company’s expectations regarding the impact of macroeconomic factors (including changes in tariff or trade laws and policies) on the Company, its customers and suppliers. Forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified. Factors that could cause actual results or other events to differ materially from those contemplated in this press release can be found in the Risk Factors section of the Company’s public filings with the Securities and Exchange Commission, including its latest annual and quarterly reports. Because forward-looking statements are inherently subject to risks and uncertainties, you should not rely on these forward-looking statements as predictions of future events. These forward-looking statements speak only as of their date and, except to the extent required by law, the Company undertakes no obligation to update these statements, whether as a result of any new information, future developments or otherwise.

About Outset Medical, Inc.

Outset is a medical technology company transforming the dialysis experience across the continuum of care with a first-of-its-kind technology. The Tablo® Hemodialysis System, FDA-cleared for use from hospital to home, is trusted by more than 1,000 U.S. healthcare facilities and has enabled millions of treatments delivered by thousands of nurses. Designed to reduce the cost and complexity of dialysis, Tablo combines water purification and on-demand dialysate production into a single, integrated system that connects seamlessly with Electronic Medical Record systems and a proprietary data analytics platform. This enterprise solution empowers providers to develop an in-house dialysis program where they are in control – enabling better operational, clinical, and financial outcomes. Outset is redefining what’s possible in kidney care through innovation, scale, and a relentless commitment to improving the lives of patients and the professionals who care for them. For more information, visit www.outsetmedical.com.

Investor Contact

Jim Mazzola

jmazzola@outsetmedical.com

 

 


 

Outset Medical, Inc.

Condensed Statements of Operations

(in thousands, except per share amounts)

(unaudited)

 

 

Three Months Ended

 

 

 

Years Ended

 

 

 

 

December 31,

 

 

 

December 31,

 

 

 

 

2025

 

 

 

2024

 

 

 

2025

 

 

 

2024

 

 

Revenue:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Product revenue

 

$

19,874

 

 

 

$

21,006

 

 

 

$

84,808

 

 

 

$

80,977

 

 

Service and other revenue

 

 

9,000

 

 

 

 

8,461

 

 

 

 

34,668

 

 

 

 

32,712

 

 

Total revenue

 

 

28,874

 

 

 

 

29,467

 

 

 

 

119,476

 

 

 

 

113,689

 

 

Cost of revenue:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cost of product revenue (2)

 

 

9,803

 

 

 

 

11,769

 

 

 

 

43,765

 

 

 

 

46,449

 

 

Cost of service and other revenue

 

 

6,840

 

 

 

 

6,951

 

 

 

 

28,957

 

 

 

 

28,676

 

 

Total cost of revenue

 

 

16,643

 

 

 

 

18,720

 

 

 

 

72,722

 

 

 

 

75,125

 

 

Gross profit (1)

 

 

12,231

 

 

 

 

10,747

 

 

 

 

46,754

 

 

 

 

38,564

 

 

Gross margin (1)

 

 

42.4

 

%

 

 

36.5

 

%

 

 

39.1

 

%

 

 

33.9

 

%

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Research and development (2)

 

 

5,054

 

 

 

 

7,889

 

 

 

 

21,235

 

 

 

 

38,397

 

 

Sales and marketing (2)

 

 

12,879

 

 

 

 

15,451

 

 

 

 

54,361

 

 

 

 

70,044

 

 

General and administrative (2)(3)

 

 

11,926

 

 

 

 

9,267

 

 

 

 

37,864

 

 

 

 

43,498

 

 

Total operating expenses

 

 

29,859

 

 

 

 

32,607

 

 

 

 

113,460

 

 

 

 

151,939

 

 

Loss from operations

 

 

(17,628

)

 

 

 

(21,860

)

 

 

 

(66,706

)

 

 

 

(113,375

)

 

Interest income and other income, net

 

 

1,673

 

 

 

 

2,043

 

 

 

 

7,408

 

 

 

 

9,761

 

 

Interest expense

 

 

(3,441

)

 

 

 

(5,825

)

 

 

 

(13,952

)

 

 

 

(23,871

)

 

Loss on extinguishment of term loan

 

 

 

 

 

 

 

 

 

 

(7,685

)

 

 

 

 

 

Loss before provision for income taxes

 

 

(19,396

)

 

 

 

(25,642

)

 

 

 

(80,935

)

 

 

 

(127,485

)

 

Provision for income taxes

 

 

95

 

 

 

 

(4

)

 

 

 

718

 

 

 

 

491

 

 

Net loss

 

$

(19,491

)

 

 

$

(25,638

)

 

 

$

(81,653

)

 

 

$

(127,976

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net loss per share, basic and diluted

 

$

(1.09

)

 

 

$

(7.29

)

 

 

$

(5.37

)

 

 

$

(36.96

)

 

Shares used in computing net loss per share, basic and diluted

 

 

17,817

 

 

 

 

3,516

 

 

 

 

15,211

 

 

 

 

3,463

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)  Gross profit and gross margin by source consisted of the following:

 

 

 

 

Three Months Ended

 

 

 

Years Ended

 

 

 

 

December 31,

 

 

 

December 31,

 

 

 

 

2025

 

 

 

2024

 

 

 

2025

 

 

 

2024

 

 

Gross profit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Product revenue

 

$

10,071

 

 

 

$

9,237

 

 

 

$

41,043

 

 

 

$

34,528

 

 

Service and other revenue

 

 

2,160

 

 

 

 

1,510

 

 

 

 

5,711

 

 

 

 

4,036

 

 

Total gross profit

 

$

12,231

 

 

 

$

10,747

 

 

 

$

46,754

 

 

 

$

38,564

 

 

Gross margin

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Product revenue

 

 

50.7

 

%

 

 

44.0

 

%

 

 

48.4

 

%

 

 

42.6

 

%

Service and other revenue

 

 

24.0

 

%

 

 

17.8

 

%

 

 

16.5

 

%

 

 

12.3

 

%

Total gross margin

 

 

42.4

 

%

 

 

36.5

 

%

 

 

39.1

 

%

 

 

33.9

 

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2)  Includes stock-based compensation expense and severance and related charges, net as follows:

 

 

 

 

Three Months Ended

 

 

 

Years Ended

 

 

Stock-based compensation expense

 

December 31,

 

 

 

December 31,

 

 

 

 

2025

 

 

 

2024

 

 

 

2025

 

 

 

2024

 

 

Cost of revenue

 

$

145

 

 

 

$

280

 

 

 

$

583

 

 

 

$

1,372

 

 

Research and development

 

 

940

 

 

 

 

1,266

 

 

 

 

3,366

 

 

 

 

7,291

 

 

Sales and marketing

 

 

497

 

 

 

 

1,224

 

 

 

 

3,083

 

 

 

 

6,122

 

 

General and administrative

 

 

2,481

 

 

 

 

2,175

 

 

 

 

8,584

 

 

 

 

14,571

 

 

Total stock-based compensation expense

 

$

4,063

 

 

 

$

4,945

 

 

 

$

15,616

 

 

 

$

29,356

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

 

 

Years Ended

 

 

Severance and related charges, net

 

December 31,

 

 

 

December 31,

 

 

 

 

2025

 

 

 

2024*

 

 

 

2025

 

 

 

2024*

 

 

Cost of revenue

 

$

 

 

 

 

317

 

 

 

$

 

 

 

 

518

 

 

Research and development

 

 

 

 

 

 

161

 

 

 

 

34

 

 

 

 

1,124

 

 

Sales and marketing

 

 

 

 

 

 

873

 

 

 

 

 

 

 

 

1,765

 

 

General and administrative

 

 

 

 

 

 

20

 

 

 

 

(42

)

 

 

 

390

 

 

Total severance and related charges, net

 

$

 

 

 

 

1,371

 

 

 

$

(8

)

 

 

 

3,797

 

 

* Net of adjustments to compensation accrual

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(3)  Includes non-ordinary course litigation charges related to stockholder class action and related derivative lawsuits as follows:

 

 

 

 

Three Months Ended

 

 

 

Years Ended

 

 

Litigation charges

 

December 31,

 

 

 

December 31,

 

 

 

 

2025

 

 

 

2024

 

 

 

2025

 

 

 

2024

 

 

General and administrative

 

$

284

 

 

 

$

 

 

 

$

626

 

 

 

$

 

 

Total litigation charges

 

$

284

 

 

 

$

 

 

 

$

626

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

Outset Medical, Inc.

Condensed Balance Sheets

(in thousands, except per share amounts)

 

 

December 31,

 

 

December 31,

 

 

 

2025

 

 

2024

 

 

 

(unaudited)

 

 

 

 

Assets

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

Cash and cash equivalents

 

$

35,006

 

 

$

124,014

 

Short-term investments

 

 

133,940

 

 

 

34,671

 

Accounts receivable, net

 

 

28,329

 

 

 

35,619

 

Inventories

 

 

47,609

 

 

 

59,387

 

Prepaid expenses and other current assets

 

 

5,999

 

 

 

4,530

 

Total current assets

 

 

250,883

 

 

 

258,221

 

Restricted cash

 

 

3,829

 

 

 

3,329

 

Property and equipment, net

 

 

4,670

 

 

 

8,133

 

Operating lease right-of-use assets

 

 

4,797

 

 

 

3,940

 

Other assets

 

 

317

 

 

 

2,172

 

Total assets

 

$

264,496

 

 

$

275,795

 

Liabilities and stockholders' equity

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

Accounts payable

 

$

554

 

 

$

3,862

 

Accrued compensation and related benefits

 

 

10,735

 

 

 

16,821

 

Accrued expenses and other current liabilities

 

 

9,433

 

 

 

8,205

 

Accrued warranty liability

 

 

1,374

 

 

 

1,938

 

Deferred revenue, current

 

 

13,795

 

 

 

12,753

 

Operating lease liabilities, current

 

 

1,739

 

 

 

1,799

 

Total current liabilities

 

 

37,630

 

 

 

45,378

 

Accrued interest

 

 

 

 

 

2,695

 

Deferred revenue

 

 

406

 

 

 

844

 

Operating lease liabilities

 

 

3,271

 

 

 

2,684

 

Term loans

 

 

96,237

 

 

 

197,375

 

Total liabilities

 

 

137,544

 

 

 

248,976

 

Commitments and contingencies

 

 

 

 

 

 

Stockholders' equity:

 

 

 

 

 

 

Preferred Stock, $0.001 par value; 5,000 shares authorized, and no shares issued and outstanding as of December 31, 2025 and 2024

 

 

 

 

 

 

Common stock, $0.001 par value; 300,000 shares authorized as of December 31, 2025 and 2024; 18,169 and 3,530 shares issued and outstanding as of December 31, 2025 and 2024, respectively

 

 

18

 

 

 

4

 

Additional paid-in capital

 

 

1,298,138

 

 

 

1,116,496

 

Accumulated other comprehensive income

 

 

172

 

 

 

42

 

Accumulated deficit

 

 

(1,171,376

)

 

 

(1,089,723

)

Total stockholders' equity

 

 

126,952

 

 

 

26,819

 

Total liabilities and stockholders' equity

 

$

264,496

 

 

$

275,795

 

 

 


 

Outset Medical, Inc.

Condensed Statements of Cash Flows

(in thousands)

(unaudited)

 

 

Years Ended December 31,

 

 

 

2025

 

 

2024

 

Net cash used in operating activities

 

$

(46,327

)

 

$

(116,303

)

Net cash (used in) provided by investing activities

 

 

(97,684

)

 

 

103,938

 

Net cash provided by financing activities

 

 

55,503

 

 

 

67,870

 

Net (decrease) increase in cash, cash equivalents and restricted cash

 

 

(88,508

)

 

 

55,505

 

Cash, cash equivalents and restricted cash at beginning of the period

 

 

127,343

 

 

 

71,838

 

Cash, cash equivalents and restricted cash at end of the period (1)

 

$

38,835

 

 

$

127,343

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1) The following table provides a reconciliation of cash, cash equivalents and restricted cash reported within the accompanying condensed balance sheets that sum to the total of the amounts shown in the accompanying condensed statements of cash flows (in thousands):

 

 

 

 

 

December 31,

 

 

2025

 

 

2024

 

Cash and cash equivalents

 

$

35,006

 

 

$

124,014

 

Restricted cash

 

 

3,829

 

 

 

3,329

 

Total cash, cash equivalents and restricted cash*

 

$

38,835

 

 

$

127,343

 

 

 

 

 

 

 

 

* The total cash, including restricted cash, cash equivalents and investment securities as of December 31, 2025 was $172.8 million; compared to $162.0 million as of December 31, 2024.

 

 

 

 

 

 

 


 

Appendix A

Outset Medical, Inc.

Results of Operations – Non-GAAP

(in thousands, except per share amounts)

(unaudited)

Reconciliation between GAAP and non-GAAP net loss per share:

 

 

 

 

Three Months Ended

 

 

 

Years Ended

 

 

 

 

December 31,

 

 

 

December 31,

 

 

 

2025

 

 

 

2024

 

 

 

2025

 

 

 

2024

 

 

GAAP net loss per share, diluted

 

$

(1.09

)

 

 

$

(7.29

)

 

 

$

(5.37

)

 

 

$

(36.96

)

 

Stock-based compensation expense

 

 

0.23

 

 

 

 

1.41

 

 

 

 

1.03

 

 

 

 

8.48

 

 

Severance and related charges, net

 

 

 

 

 

 

0.39

 

 

 

 

 

 

 

 

1.10

 

 

Litigation charges

 

 

0.02

 

 

 

 

 

 

 

 

0.04

 

 

 

 

 

 

Non-GAAP net loss per share, diluted

 

$

(0.84

)

 

 

$

(5.49

)

 

 

$

(4.30

)

 

 

$

(27.38

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reconciliation between GAAP and non-GAAP net loss:

 

 

 

 

Three Months Ended

 

 

 

Years Ended

 

 

 

 

December 31,

 

 

 

December 31,

 

 

 

 

2025

 

 

 

2024

 

 

 

2025

 

 

 

2024

 

 

GAAP net loss, diluted

 

$

(19,491

)

 

 

$

(25,638

)

 

 

$

(81,653

)

 

 

$

(127,976

)

 

Stock-based compensation expense

 

 

4,063

 

 

 

 

4,945

 

 

 

 

15,616

 

 

 

 

29,356

 

 

Severance and related charges, net

 

 

 

 

 

 

1,371

 

 

 

 

(8

)

 

 

 

3,797

 

 

Litigation charges

 

 

284

 

 

 

 

 

 

 

 

626

 

 

 

 

 

 

Non-GAAP net loss, diluted

 

$

(15,144

)

 

 

$

(19,322

)

 

 

$

(65,419

)

 

 

$

(94,823

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reconciliation between GAAP and non-GAAP results of operations:

 

 

Three Months Ended

 

 

 

Years Ended

 

 

 

 

December 31,

 

 

 

December 31,

 

 

 

2025

 

 

 

2024

 

 

 

2025

 

 

 

2024

 

 

GAAP gross profit

 

$

12,231

 

 

 

$

10,747

 

 

 

$

46,754

 

 

 

$

38,564

 

 

Stock-based compensation expense

 

 

145

 

 

 

 

280

 

 

 

 

583

 

 

 

 

1,372

 

 

Severance and related charges, net

 

 

 

 

 

 

317

 

 

 

 

 

 

 

 

518

 

 

Non-GAAP gross profit

 

$

12,376

 

 

 

$

11,344

 

 

 

$

47,337

 

 

 

$

40,454

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GAAP gross margin

 

 

42.4

 

%

 

 

36.5

 

%

 

 

39.1

 

%

 

 

33.9

 

%

Stock-based compensation expense

 

 

0.5

 

 

 

 

1.0

 

 

 

 

0.5

 

 

 

 

1.2

 

 

Severance and related charges, net

 

 

 

 

 

 

1.1

 

 

 

 

 

 

 

 

0.5

 

 

Non-GAAP gross margin

 

 

42.9

 

%

 

 

38.6

 

%

 

 

39.6

 

%

 

 

35.6

 

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GAAP research and development expense

 

$

5,054

 

 

 

$

7,889

 

 

 

$

21,235

 

 

 

$

38,397

 

 

Stock-based compensation expense

 

 

(940

)

 

 

 

(1,266

)

 

 

 

(3,366

)

 

 

 

(7,291

)

 

Severance and related charges, net

 

 

 

 

 

 

(161

)

 

 

 

(34

)

 

 

 

(1,124

)

 

Non-GAAP research and development expense

 

$

4,114

 

 

 

$

6,462

 

 

 

$

17,835

 

 

 

$

29,982

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GAAP sales and marketing expense

 

$

12,879

 

 

 

$

15,451

 

 

 

$

54,361

 

 

 

$

70,044

 

 

Stock-based compensation expense

 

 

(497

)

 

 

 

(1,224

)

 

 

 

(3,083

)

 

 

 

(6,122

)

 

Severance and related charges, net

 

 

 

 

 

 

(873

)

 

 

 

 

 

 

 

(1,765

)

 

Non-GAAP sales and marketing expense

 

$

12,382

 

 

 

$

13,354

 

 

 

$

51,278

 

 

 

$

62,157

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GAAP general and administrative expense

 

$

11,926

 

 

 

$

9,267

 

 

 

$

37,864

 

 

 

$

43,498

 

 

Stock-based compensation expense

 

 

(2,481

)

 

 

 

(2,175

)

 

 

 

(8,584

)

 

 

 

(14,571

)

 

Severance and related charges, net

 

 

 

 

 

 

(20

)

 

 

 

42

 

 

 

 

(390

)

 

Litigation charges

 

 

(284

)

 

 

 

 

 

 

 

(626

)

 

 

 

 

 

Non-GAAP general and administrative expense

 

$

9,161

 

 

 

$

7,072

 

 

 

$

28,696

 

 

 

$

28,537

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GAAP total operating expense

 

$

29,859

 

 

 

$

32,607

 

 

 

$

113,460

 

 

 

$

151,939

 

 

Stock-based compensation expense

 

 

(3,918

)

 

 

 

(4,665

)

 

 

 

(15,033

)

 

 

 

(27,984

)

 

Severance and related charges, net

 

 

 

 

 

 

(1,054

)

 

 

 

8

 

 

 

 

(3,279

)

 

Litigation charges

 

 

(284

)

 

 

 

 

 

 

 

(626

)

 

 

 

 

 

Non-GAAP total operating expense

 

$

25,657

 

 

 

$

26,888

 

 

 

$

97,809

 

 

 

$

120,676

 

 

 

 


FAQ

How did Outset Medical (OM) perform financially in 2025?

Outset Medical generated $119.5 million in 2025 revenue, up 5% from 2024. Gross margin improved to 39.1% from 33.9%, while the GAAP net loss narrowed to $81.7 million compared with $128.0 million the prior year.

What were Outset Medical’s fourth quarter 2025 results?

In Q4 2025, Outset Medical reported $28.9 million in revenue, down 2% year over year. Gross margin increased to 42.4% from 36.5%, and GAAP net loss improved to $19.5 million from $25.6 million in the same quarter of 2024.

How much recurring revenue did Outset Medical (OM) report for 2025?

Recurring revenue from Tablo consumables and services reached $88.7 million in 2025, growing 6% from $83.9 million in 2024. This recurring stream formed the majority of total revenue and reflects ongoing utilization of the Tablo hemodialysis system.

What is Outset Medical’s cash and debt position at year-end 2025?

As of December 31, 2025, total cash, restricted cash, cash equivalents and investment securities were $172.8 million. Term loans totaled $96.2 million, and total stockholders’ equity stood at $126.9 million, up from $26.8 million a year earlier.

What guidance did Outset Medical give for 2026 revenue and margins?

For 2026, Outset Medical guided revenue to $125–$130 million, implying 5%–9% growth over 2025’s $119.5 million. The company expects full-year non-GAAP gross margin in the low to mid-40% range, continuing the margin expansion trend seen in 2025.

What regulatory progress did Outset Medical report for the Tablo platform?

Outset Medical received FDA clearance for its next-generation Tablo platform. The new system is designed to enhance enterprise-level cybersecurity, reliability and connectivity, and is expected to launch in the second quarter, supporting broader adoption across healthcare settings.

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