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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q

(Mark One)

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended June 30, 2024

OR

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the Transition Period From to

Commission file number: 001-36309

INOGEN, INC.

(Exact name of registrant as specified in its charter)

Delaware

33-0989359

(State or other jurisdiction of

incorporation or organization)

(I.R.S. Employer
Identification No.)

859 Ward Drive

Goleta, CA

93111

(Address of principal executive offices)

(Zip Code)

Registrant’s telephone number, including area code: (805) 562-0500

 

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

(NASDAQ Global Select Market)

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer

Accelerated filer

 

 

 

 

Non-accelerated filer

Smaller reporting company

 

 

 

 

 

 

 

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. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No

 

As of August 2, 2024, the registrant had 23,719,012 shares of common stock, par value $0.001, outstanding.

 

 


 

TABLE OF CONTENTS

 

 

 

Part I – Financial Information

 

Page

Item 1.

 

Financial Statements

3

 

 

Consolidated Balance Sheets (unaudited) as of June 30, 2024 and December 31, 2023

3

 

 

Consolidated Statements of Comprehensive Loss (unaudited) for the Three and Six Months Ended June 30, 2024 and June 30, 2023

 

4

 

 

Consolidated Statements of Stockholders’ Equity (unaudited) for the Three and Six Months Ended June 30, 2024 and June 30, 2023

 

5

 

 

Consolidated Statements of Cash Flows (unaudited) for the Six Months Ended June 30, 2024 and June 30, 2023

 

6

 

 

Condensed Notes to the Consolidated Financial Statements (unaudited)

 

8

Item 2.

 

Management’s Discussion and Analysis of Financial Condition and Results of Operations

 

22

Item 3.

 

Quantitative and Qualitative Disclosures about Market Risk

 

38

Item 4.

 

Controls and Procedures

 

39

 

 

Part II – Other Information

 

 

Item 1.

 

Legal Proceedings

 

40

Item 1A.

 

Risk Factors

 

40

Item 2.

 

Unregistered Sales of Equity Securities and Use of Proceeds

 

40

Item 3.

 

Defaults Upon Senior Securities

 

40

Item 4.

 

Mine Safety Disclosures

 

40

Item 5.

 

Other Information

 

40

Item 6.

 

Exhibits

 

41

SIGNATURES

 

42

 

 

 

 

2


 

 

INOGEN, INC.

PART I – FINANCIAL INFORMATION

 

Item 1. Financial Statements

 

Inogen, Inc.

Consolidated Balance Sheets

(unaudited)

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

 

June 30,
2024

 

 

December 31,
2023

 

Assets

 

 

 

 

 

Current assets

 

 

 

 

 

Cash and cash equivalents

$

97,920

 

 

$

125,492

 

Marketable securities

 

19,767

 

 

 

2,979

 

Restricted cash

 

3,559

 

 

 

 

Accounts receivable, net

 

36,037

 

 

 

42,241

 

Inventories, net

 

24,048

 

 

 

21,840

 

Income tax receivable

 

1,050

 

 

 

669

 

Prepaid expenses and other current assets

 

12,410

 

 

 

13,846

 

Total current assets

 

194,791

 

 

 

207,067

 

Property and equipment, net

 

47,022

 

 

 

50,316

 

Goodwill

 

9,764

 

 

 

10,057

 

Intangible assets, net

 

33,585

 

 

 

34,591

 

Operating lease right-of-use asset

 

19,951

 

 

 

20,338

 

Other assets

 

3,806

 

 

 

3,825

 

Total assets

$

308,919

 

 

$

326,194

 

Liabilities and stockholders' equity

 

 

 

 

 

Current liabilities

 

 

 

 

 

Accounts payable and accrued expenses

$

26,783

 

 

$

30,142

 

Accrued payroll

 

13,746

 

 

 

11,066

 

Warranty reserve - current

 

9,759

 

 

 

9,628

 

Operating lease liability - current

 

3,332

 

 

 

3,653

 

Earnout liability

 

11,180

 

 

 

10,000

 

Deferred revenue - current

 

7,385

 

 

 

7,980

 

Income tax payable

 

 

 

 

27

 

Total current liabilities

 

72,185

 

 

 

72,496

 

Long-term liabilities

 

 

 

 

 

Warranty reserve - noncurrent

 

15,897

 

 

 

13,850

 

Operating lease liability - noncurrent

 

18,106

 

 

 

18,270

 

Deferred revenue - noncurrent

 

7,066

 

 

 

8,227

 

Deferred tax liability

 

8,070

 

 

 

8,539

 

Total liabilities

 

121,324

 

 

 

121,382

 

Commitments and contingencies (Note 10)

 

 

 

 

 

Stockholders' equity

 

 

 

 

 

Common stock, $0.001 par value per share; 200,000,000 authorized; 23,718,774 and 23,324,750
   shares issued and outstanding as of June 30, 2024 and December 31, 2023, respectively

 

24

 

 

 

23

 

Additional paid-in capital

 

324,826

 

 

 

320,513

 

Accumulated deficit

 

(137,117

)

 

 

(116,949

)

Accumulated other comprehensive income (loss)

 

(138

)

 

 

1,225

 

Total stockholders' equity

 

187,595

 

 

 

204,812

 

Total liabilities and stockholders' equity

$

308,919

 

 

$

326,194

 

 

 

See accompanying condensed notes to the consolidated financial statements.

 

 

 

 

 

3


 

Inogen, Inc.

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,

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Revenue

 

 

 

 

 

 

 

 

 

 

 

Sales revenue

$

74,425

 

 

$

68,343

 

 

$

137,520

 

 

$

124,230

 

Rental revenue

 

14,340

 

 

 

15,292

 

 

 

29,270

 

 

 

31,567

 

Total revenue

 

88,765

 

 

 

83,635

 

 

 

166,790

 

 

 

155,797

 

Cost of revenue

 

 

 

 

 

 

 

 

 

 

 

Cost of sales revenue

 

38,320

 

 

 

42,028

 

 

 

73,564

 

 

 

75,992

 

Cost of rental revenue, including depreciation of $3,128 and $3,238, for the three months ended and $6,307 and $6,316 for the six months ended, respectively

 

7,708

 

 

 

7,563

 

 

 

16,118

 

 

 

15,028

 

Total cost of revenue

 

46,028

 

 

 

49,591

 

 

 

89,682

 

 

 

91,020

 

Gross profit

 

 

 

 

 

 

 

 

 

 

 

Gross profit-sales revenue

 

36,105

 

 

 

26,315

 

 

 

63,956

 

 

 

48,238

 

Gross profit-rental revenue

 

6,632

 

 

 

7,729

 

 

 

13,152

 

 

 

16,539

 

Total gross profit

 

42,737

 

 

 

34,044

 

 

 

77,108

 

 

 

64,777

 

Operating expense

 

 

 

 

 

 

 

 

 

 

 

Research and development

 

5,616

 

 

 

4,293

 

 

 

12,194

 

 

 

9,637

 

Sales and marketing

 

25,617

 

 

 

26,906

 

 

 

52,553

 

 

 

55,347

 

General and administrative

 

18,568

 

 

 

14,613

 

 

 

35,699

 

 

 

33,476

 

Total operating expense

 

49,801

 

 

 

45,812

 

 

 

100,446

 

 

 

98,460

 

Loss from operations

 

(7,064

)

 

 

(11,768

)

 

 

(23,338

)

 

 

(33,683

)

Other income (expense)

 

 

 

 

 

 

 

 

 

 

 

Interest income, net

 

1,333

 

 

 

1,646

 

 

 

2,736

 

 

 

3,171

 

Other income, net

 

134

 

 

 

337

 

 

 

277

 

 

 

574

 

Total other income, net

 

1,467

 

 

 

1,983

 

 

 

3,013

 

 

 

3,745

 

Loss before provision (benefit) for income taxes

 

(5,597

)

 

 

(9,785

)

 

 

(20,325

)

 

 

(29,938

)

Provision (benefit) for income taxes

 

(7

)

 

 

41

 

 

 

(157

)

 

 

237

 

Net loss

 

(5,590

)

 

 

(9,826

)

 

 

(20,168

)

 

 

(30,175

)

Other comprehensive income (loss), net of tax

 

 

 

 

 

 

 

 

 

 

 

Change in foreign currency translation adjustment

 

(286

)

 

 

7

 

 

 

(1,321

)

 

 

177

 

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

 

 

 

 

7

 

 

 

 

 

 

7

 

Change in net unrealized gains (losses) on marketable securities

 

(40

)

 

 

64

 

 

 

(42

)

 

 

133

 

Total other comprehensive income (loss), net of tax

 

(326

)

 

 

78

 

 

 

(1,363

)

 

 

317

 

Comprehensive loss

$

(5,916

)

 

$

(9,748

)

 

$

(21,531

)

 

$

(29,858

)

 

 

 

 

 

 

 

 

 

 

 

 

Basic net loss per share attributable to common stockholders (Note 7)

$

(0.24

)

 

$

(0.42

)

 

$

(0.86

)

 

$

(1.31

)

Diluted net loss per share attributable to common stockholders (Note 7)

$

(0.24

)

 

$

(0.42

)

 

$

(0.86

)

 

$

(1.31

)

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

 

 

 

 

 

 

 

 

 

 

 

Basic common shares

 

23,614,970

 

 

 

23,146,117

 

 

 

23,508,284

 

 

 

23,078,244

 

Diluted common shares

 

23,614,970

 

 

 

23,146,117

 

 

 

23,508,284

 

 

 

23,078,244

 

 

 

See accompanying condensed notes to the consolidated financial statements.

4


 

Inogen, Inc.

Consolidated Statements of Stockholders’ Equity

(unaudited)

(amounts in thousands, except share amounts)

 

Three months ended June 30, 2024 and June 30, 2023

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accumulated

 

 

 

 

 

 

 

 

Additional

 

 

 

 

 

other

 

 

Total

 

 

Common stock

 

 

paid-in

 

 

Accumulated

 

 

comprehensive

 

 

stockholders'

 

 

Shares

 

 

Amount

 

 

capital

 

 

deficit

 

 

income (loss)

 

 

equity

 

Balance, March 31, 2023

 

23,120,786

 

 

$

23

 

 

$

316,127

 

 

$

(34,849

)

 

$

(4

)

 

$

281,297

 

Stock-based compensation

 

 

 

 

 

 

 

3,263

 

 

 

 

 

 

 

 

 

3,263

 

Vesting of restricted stock units

 

73,248

 

 

 

 

 

 

(33

)

 

 

 

 

 

 

 

 

(33

)

Net loss

 

 

 

 

 

 

 

 

 

 

(9,826

)

 

 

 

 

 

(9,826

)

Other comprehensive income

 

 

 

 

 

 

 

 

 

 

 

 

 

78

 

 

 

78

 

Balance, June 30, 2023

 

23,194,034

 

 

$

23

 

 

$

319,357

 

 

$

(44,675

)

 

$

74

 

 

$

274,779

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Balance, March 31, 2024

 

23,546,478

 

 

$

24

 

 

$

323,213

 

 

$

(131,527

)

 

$

188

 

 

$

191,898

 

Stock-based compensation

 

 

 

 

 

 

 

1,814

 

 

 

 

 

 

 

 

 

1,814

 

Stock issued

 

200,642

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tax withholding related to vesting of restricted stock units

 

(28,346

)

 

 

 

 

 

(201

)

 

 

 

 

 

 

 

 

(201

)

Net loss

 

 

 

 

 

 

 

 

 

 

(5,590

)

 

 

 

 

 

(5,590

)

Other comprehensive loss

 

 

 

 

 

 

 

 

 

 

 

 

 

(326

)

 

 

(326

)

Balance, June 30, 2024

 

23,718,774

 

 

$

24

 

 

$

324,826

 

 

$

(137,117

)

 

$

(138

)

 

$

187,595

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Six months ended June 30, 2024 and June 30, 2023

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accumulated

 

 

 

 

 

 

 

 

Additional

 

 

 

 

 

other

 

 

Total

 

 

Common stock

 

 

paid-in

 

 

Accumulated

 

 

comprehensive

 

 

stockholders'

 

 

Shares

 

 

Amount

 

 

capital

 

 

deficit

 

 

income (loss)

 

 

equity

 

Balance, December 31, 2022

 

22,941,643

 

 

$

23

 

 

$

312,126

 

 

$

(14,500

)

 

$

(243

)

 

$

297,406

 

Stock-based compensation

 

 

 

 

 

 

 

6,705

 

 

 

 

 

 

 

 

 

6,705

 

Employee stock purchases

 

47,676

 

 

 

 

 

 

630

 

 

 

 

 

 

 

 

 

630

 

Vesting of restricted stock units

 

150,778

 

 

 

 

 

 

(487

)

 

 

 

 

 

 

 

 

(487

)

Shares withheld related to net restricted stock settlement

 

(495

)

 

 

 

 

 

(1

)

 

 

 

 

 

 

 

 

(1

)

Stock options exercised

 

54,432

 

 

 

 

 

 

384

 

 

 

 

 

 

 

 

 

384

 

Net loss

 

 

 

 

 

 

 

 

 

 

(30,175

)

 

 

 

 

 

(30,175

)

Other comprehensive income

 

 

 

 

 

 

 

 

 

 

 

 

 

317

 

 

 

317

 

Balance, June 30, 2023

 

23,194,034

 

 

$

23

 

 

$

319,357

 

 

$

(44,675

)

 

$

74

 

 

$

274,779

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Balance, December 31, 2023

 

23,324,750

 

 

$

23

 

 

$

320,513

 

 

$

(116,949

)

 

$

1,225

 

 

$

204,812

 

Stock-based compensation

 

 

 

 

 

 

 

4,230

 

 

 

 

 

 

 

 

 

4,230

 

Stock issued

 

434,569

 

 

 

1

 

 

 

369

 

 

 

 

 

 

 

 

 

370

 

Tax withholding related to vesting of restricted stock units

 

(40,545

)

 

 

 

 

 

(286

)

 

 

 

 

 

 

 

 

(286

)

Net loss

 

 

 

 

 

 

 

 

 

 

(20,168

)

 

 

 

 

 

(20,168

)

Other comprehensive loss

 

 

 

 

 

 

 

 

 

 

 

 

 

(1,363

)

 

 

(1,363

)

Balance, June 30, 2024

 

23,718,774

 

 

$

24

 

 

$

324,826

 

 

$

(137,117

)

 

$

(138

)

 

$

187,595

 

 

 

See accompanying condensed notes to the consolidated financial statements.

5


 

Inogen, Inc.

Consolidated Statements of Cash Flows

(unaudited)

(amounts in thousands)

 

Six months ended June 30,

 

 

2024

 

 

2023

 

Cash flows from operating activities

 

 

 

 

 

Net loss

$

(20,168

)

 

$

(30,175

)

Adjustments to reconcile net loss to net cash provided by (used in) operating activities:

 

 

 

 

 

Depreciation and amortization

 

10,610

 

 

 

8,394

 

Loss on rental units and other assets

 

2,158

 

 

 

2,138

 

Gain on sale of former rental assets

 

(63

)

 

 

(40

)

Provision for sales revenue returns and doubtful accounts

 

4,615

 

 

 

4,488

 

Provision for inventory losses

 

74

 

 

 

989

 

Loss on purchase commitments

 

(68

)

 

 

 

Stock-based compensation expense

 

4,230

 

 

 

6,705

 

Deferred income taxes

 

(223

)

 

 

 

Change in fair value of earnout liability

 

1,180

 

 

 

 

Changes in operating assets and liabilities:

 

 

 

 

 

Accounts receivable

 

1,405

 

 

 

7,145

 

Inventories

 

(2,731

)

 

 

1,143

 

Income tax receivable

 

(389

)

 

 

(187

)

Prepaid expenses and other current assets

 

1,423

 

 

 

3,813

 

Operating lease right-of-use asset

 

372

 

 

 

1,391

 

Other noncurrent assets

 

236

 

 

 

91

 

Accounts payable and accrued expenses

 

(3,350

)

 

 

(6,456

)

Accrued payroll

 

2,703

 

 

 

(358

)

Warranty reserve

 

2,178

 

 

 

1,285

 

Deferred revenue

 

(1,756

)

 

 

(1,231

)

Income tax payable

 

(27

)

 

 

 

Operating lease liability

 

(469

)

 

 

(1,406

)

Net cash provided by (used in) operating activities

 

1,940

 

 

 

(2,271

)

Cash flows from investing activities

 

 

 

 

 

Purchases of available-for-sale securities

 

(32,330

)

 

 

(12,826

)

Maturities of available-for-sale securities

 

15,500

 

 

 

10,500

 

Investment in intangible assets

 

(2,090

)

 

 

(494

)

Investment in property and equipment

 

(1,360

)

 

 

(3,116

)

Production and purchase of rental equipment

 

(5,651

)

 

 

(11,810

)

Proceeds from sale of former assets

 

111

 

 

 

96

 

Net cash used in investing activities

 

(25,820

)

 

 

(17,650

)

 

 

 

 

 

 

(continued on next page)

 

 

 

See accompanying condensed notes to the consolidated financial statements.

 

6


 

Inogen, Inc.

Consolidated Statements of Cash Flows (continued)

(unaudited)

(amounts in thousands)

 

Six months ended June 30,

 

 

2024

 

 

2023

 

Cash flows from financing activities

 

 

 

 

 

Proceeds from stock options exercised

 

 

 

 

384

 

Proceeds from employee stock purchases

 

370

 

 

 

630

 

Payment of employment taxes related to release of restricted stock

 

(286

)

 

 

(488

)

Net cash provided by financing activities

 

84

 

 

 

526

 

Effect of exchange rates on cash

 

(217

)

 

 

68

 

Net decrease in cash, cash equivalents and restricted cash

 

(24,013

)

 

 

(19,327

)

Cash, cash equivalents and restricted cash, beginning of period

 

125,492

 

 

 

187,014

 

Cash, cash equivalents and restricted cash, end of period

$

101,479

 

 

$

167,687

 

 

 

 

 

 

Supplemental disclosures of cash flow information

 

 

 

 

 

Cash paid during the period for income taxes, net of refunds received

$

484

 

 

$

420

 

Supplemental disclosure of non-cash transactions

 

 

 

 

 

Property and equipment in accounts payable and accrued expenses

 

181

 

 

 

115

 

 

 

See accompanying condensed notes to the consolidated financial statements.

 

7


 

Inogen, Inc.

Condensed Notes to the Consolidated Financial Statements

(unaudited)

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

1. Business overview

Inogen, Inc. (Company or Inogen) was incorporated in Delaware on November 27, 2001. The Company is a medical technology business that primarily develops, manufactures, and markets innovative portable oxygen concentrators (POCs) used to deliver supplemental long-term oxygen therapy to patients suffering from chronic respiratory conditions. Traditionally, these patients have relied on stationary oxygen concentrator systems for use in the home and oxygen tanks or cylinders for mobile use, which the Company refers to as the delivery model. The tanks and cylinders must be delivered regularly and have a finite amount of oxygen, which requires patients to plan activities outside of their homes around delivery schedules and a finite oxygen supply. Additionally, patients must attach long cumbersome tubing to their stationary concentrators simply to enable mobility within their homes. The Company's proprietary Inogen One® and Inogen Rove systems concentrate the air around the patient to offer a source of supplemental oxygen anytime, anywhere with a battery and can be plugged into an outlet when at home, in a car, or in a public place with outlets available. The Company's Inogen One systems reduce the patient's reliance on stationary concentrators and scheduled deliveries of tanks with a finite supply of oxygen, thereby improving patient quality of life and fostering mobility.

The Company incorporated Inogen Europe Holding B.V., a Dutch limited liability company, on April 13, 2017. On May 4, 2017, Inogen Europe Holding B.V. acquired all issued and outstanding capital stock of MedSupport Systems B.V. (MedSupport) and began operating under the name Inogen Europe B.V. The Company merged Inogen Europe Holding B.V. and Inogen Europe B.V. on December 28, 2018. Inogen Europe B.V. is the remaining legal entity. Inogen completed the acquisition of New Aera, Inc. (New Aera) on August 9, 2019. On September 14, 2023, the Company completed the acquisition of all of the issued and outstanding capital stock of Physio-Assist SAS (Physio-Assist) and its wholly-owned subsidiary PhysioAssist GmbH.

2. Basis of presentation and summary of significant accounting policies

Basis of presentation

The consolidated financial statements of the Company have been prepared in accordance with accounting principles generally accepted in the United States of America (U.S. GAAP).

The results of operations for the three and six months ended June 30, 2024 shown in this report are not necessarily indicative of results to be expected for the full year ending December 31, 2024. In the opinion of the Company’s management, the information contained herein reflects all adjustments, consisting of only normal recurring adjustments, necessary for a fair presentation of the Company’s results of operations, financial position, cash flows, and stockholders’ equity. Certain footnote disclosures normally included in annual consolidated financial statements prepared in accordance with U.S. GAAP have been condensed or omitted pursuant to Securities and Exchange Commission (SEC) rules and regulations relating to interim financial statements. The accompanying consolidated financial statements should be read in conjunction with the consolidated financial statements and notes thereto contained in the Company’s Annual Report on Form 10-K filed with the SEC on March 1, 2024. Except as further described below, there have been no significant changes in the Company’s accounting policies from those disclosed in its Annual Report on Form 10-K filed with the SEC on March 1, 2024.

Basis of consolidation

The consolidated financial statements include the accounts of Inogen, Inc. and its wholly owned subsidiaries. All intercompany balances and transactions have been eliminated.

Accounting estimates

The preparation of consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Management bases these estimates and assumptions upon historical experience, existing and known circumstances, authoritative accounting pronouncements and other factors that management believes to be reasonable. Significant areas requiring the use of management estimates relate to revenue recognition, warranty reserves and expense, determining the stand-alone selling price (SSP) and service period of performance obligations, rental asset valuations and write-downs, accounts receivable allowances for bad debts, returns and adjustments, impairment of goodwill, impairment of long-lived assets, stock-based compensation expense, income taxes, fair value of acquired intangible assets and goodwill, and fair value of earnout liabilities. Actual results could differ from these estimates.

8


 

Cash, cash equivalents, marketable securities and restricted cash

The Company considers all short-term highly liquid investments with a maturity of three months or less to be cash equivalents. Restricted cash and cash equivalents are considered to be legally restricted as to withdrawal or usage. The Company's restricted cash is a legally restricted deposit held as a compensating balance against its corporate credit card balances.

The Company’s marketable debt securities are classified and accounted for as available-for-sale. Cash equivalents are recorded at cost plus accrued interest, which is considered adjusted cost, and approximates fair value. Marketable debt securities are included in cash equivalents and marketable securities based on the maturity date of the security.

The Company considers investments with maturities greater than three months, but less than one year, to be marketable securities. Investments are reported at fair value with realized and unrealized gains or losses reported in other income (expense), net.

The Company reviews its investments to identify and evaluate investments that have an indication of possible impairment. Factors considered in determining whether a loss is temporary include the length of time and extent to which fair value has been less than the cost basis, the financial condition and near-term prospects of the investee, and the Company's intent and ability to hold the investment for a period of time sufficient to allow for any anticipated recovery in market value. Expected credit losses are declines in fair value that are not expected to recover and are charged to other income (expense), net.

3. Acquisitions

On July 10, 2023, the Company entered into a share purchase agreement to acquire Physio-Assist, which is in the business of the design, production, and marketing of medical devices for bronchial decongestion (airway clearance technique) for patients suffering from obstructive respiratory diseases. On September 14, 2023, the Company completed the acquisition of all of the issued and outstanding capital stock of Physio-Assist and its wholly-owned subsidiary PhysioAssist GmbH for a purchase price consisting of $32,250 in cash consideration and the fair value of a potential earnout of $3,178 based on future regulatory clearances.

A potential earnout payment of either $13,000 (without a clinical trial requirement) or $11,000 (with a required clinical trial less related development costs) is dependent upon the achievement of one of two milestones related to U.S. Food and Drug Administration (FDA) de novo authorization or 510(k) clearance for the Simeox Airway Clearance System within four years of the date of the closing of the transaction. The fair value of the earnout liability was measured using the probability weighted expected return methodology and was discounted using a rate and probability that appropriately captures the risk associated with the obligation.

Assets and liabilities of the acquired company were recorded at their estimated fair values at the date of acquisition. The excess purchase price over the fair value of net tangible assets and identifiable intangible assets acquired has been allocated to goodwill. Goodwill represents the expected synergies with the existing business, the acquired assembled workforce, and future cash flows after the acquisition. The fair value assigned to the identifiable intangible assets was determined primarily by using the excess earnings method. The key assumptions included in the excess earnings method included revenue recognized, cost of revenue, and the discount rate.

The Company's allocation of the purchase price of Physio-Assist is preliminary and any measurement period adjustments that result from the finalization of the purchase price allocation will be recorded retrospectively to the acquisition date. Changes are possible and could change the allocation of the purchase price.

9


 

The following table summarizes the preliminary allocation of the purchase price over the estimated fair value of the assets acquired and liabilities assumed in the acquisition of Physio-Assist:

Cash

 

$

2,617

 

Accounts receivable

 

 

184

 

Inventories

 

 

296

 

Other assets

 

 

325

 

Property and equipment

 

 

82

 

Operating lease right-of-use asset

 

 

306

 

Intangible assets

 

 

34,100

 

Goodwill

 

 

9,755

 

Total assets acquired

 

$

47,665

 

 

 

 

 

Accounts payable and accrued expenses

 

$

1,108

 

Bank loans

 

 

1,922

 

Other current liabilities

 

 

376

 

Operating lease liability

 

 

306

 

Deferred tax liability - noncurrent

 

 

8,525

 

Total liabilities assumed

 

 

12,237

 

Total identifiable net assets

 

$

35,428

 

 

 

 

 

Cash consideration

 

$

32,250

 

Fair value of contingent earnout consideration

 

 

3,178

 

Total purchase price

 

$

35,428

 

The consolidated financial and operating results reflect the Physio-Assist operations beginning September 14, 2023. The following unaudited pro forma information for the three and six months ended June 30, 2023 presents total revenue and net loss assuming the acquisition of Physio-Assist had occurred as of January 1, 2023.

 

 

Three months ended

 

 

Six months ended

 

 

 

June 30, 2023

 

 

June 30, 2023

 

Total revenue

 

$

84,366

 

 

$

157,374

 

Net loss

 

$

(10,081

)

 

$

(30,770

)

 

10


 

4. Fair value measurements

Cash, cash equivalents, marketable securities and restricted cash

The following table summarizes fair value measurements by level for the assets measured at fair value on a recurring basis for cash, cash equivalents, marketable securities and restricted cash:

 

 

As of June 30, 2024

 

 

 

 

 

 

Gross

 

 

 

 

 

Cash

 

 

 

 

 

 

 

 

 

Adjusted

 

 

unrealized

 

 

 

 

 

and cash

 

 

Marketable

 

 

Restricted

 

 

 

cost

 

 

gains

 

 

Fair value

 

 

equivalents

 

 

securities

 

 

cash

 

Cash

 

$

29,103

 

 

$

 

 

$

29,103

 

 

$

29,103

 

 

$

 

 

$

 

Level 1:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Money market accounts

 

 

48,213

 

 

 

 

 

 

48,213

 

 

 

44,654

 

 

 

 

 

 

3,559

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Level 2:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S. Treasury securities

 

 

22,146

 

 

 

94

 

 

 

22,240

 

 

 

2,473

 

 

 

19,767

 

 

 

 

Institutional Insured Liquidity Deposit Savings

 

 

21,690

 

 

 

 

 

 

21,690

 

 

 

21,690

 

 

 

 

 

 

 

Total

 

$

121,152

 

 

$

94

 

 

$

121,246

 

 

$

97,920

 

 

$

19,767

 

 

$

3,559

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

As of December 31, 2023

 

 

 

 

 

 

 

 

 

Gross

 

 

 

 

 

Cash

 

 

 

 

 

 

 

 

 

Adjusted

 

 

unrealized

 

 

 

 

 

and cash

 

 

Marketable

 

 

 

 

 

 

cost

 

 

gains

 

 

Fair value

 

 

equivalents

 

 

securities

 

 

 

 

Cash

 

$

12,611

 

 

$

 

 

$

12,611

 

 

$

12,611

 

 

$

 

 

 

 

Level 1:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Money market accounts

 

 

72,368

 

 

 

 

 

 

72,368

 

 

 

72,368

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Level 2:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate bonds