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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 September 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 November 1, 2024, the registrant had 23,818,413 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 September 30, 2024 and December 31, 2023

3

 

 

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

 

4

 

 

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

 

5

 

 

Consolidated Statements of Cash Flows (unaudited) for the Nine Months Ended September 30, 2024 and September 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

 

39

Item 4.

 

Controls and Procedures

 

40

 

 

Part II – Other Information

 

 

Item 1.

 

Legal Proceedings

 

41

Item 1A.

 

Risk Factors

 

41

Item 2.

 

Unregistered Sales of Equity Securities and Use of Proceeds

 

41

Item 3.

 

Defaults Upon Senior Securities

 

41

Item 4.

 

Mine Safety Disclosures

 

41

Item 5.

 

Other Information

 

41

Item 6.

 

Exhibits

 

42

SIGNATURES

 

43

 

 

 

 

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)

 

September 30,
2024

 

 

December 31,
2023

 

Assets

 

 

 

 

 

Current assets

 

 

 

 

 

Cash and cash equivalents

$

105,690

 

 

$

125,492

 

Marketable securities

 

14,973

 

 

 

2,979

 

Restricted cash

 

3,591

 

 

 

 

Accounts receivable, net

 

34,233

 

 

 

42,241

 

Inventories, net

 

23,320

 

 

 

21,840

 

Income tax receivable

 

964

 

 

 

669

 

Prepaid expenses and other current assets

 

9,783

 

 

 

13,846

 

Total current assets

 

192,554

 

 

 

207,067

 

Property and equipment, net

 

46,598

 

 

 

50,316

 

Goodwill

 

10,170

 

 

 

10,057

 

Intangible assets, net

 

33,762

 

 

 

34,591

 

Operating lease right-of-use asset

 

19,017

 

 

 

20,338

 

Other assets

 

4,071

 

 

 

3,825

 

Total assets

$

306,172

 

 

$

326,194

 

Liabilities and stockholders' equity

 

 

 

 

 

Current liabilities

 

 

 

 

 

Accounts payable and accrued expenses

$

27,028

 

 

$

30,142

 

Accrued payroll

 

14,285

 

 

 

11,066

 

Warranty reserve - current

 

9,492

 

 

 

9,628

 

Operating lease liability - current

 

2,777

 

 

 

3,653

 

Earnout liability

 

11,830

 

 

 

10,000

 

Deferred revenue - current

 

6,984

 

 

 

7,980

 

Income tax payable

 

 

 

 

27

 

Total current liabilities

 

72,396

 

 

 

72,496

 

Long-term liabilities

 

 

 

 

 

Warranty reserve - noncurrent

 

16,183

 

 

 

13,850

 

Operating lease liability - noncurrent

 

17,370

 

 

 

18,270

 

Deferred revenue - noncurrent

 

6,435

 

 

 

8,227

 

Deferred tax liability

 

8,384

 

 

 

8,539

 

Total liabilities

 

120,768

 

 

 

121,382

 

Commitments and contingencies (Note 10)

 

 

 

 

 

Stockholders' equity

 

 

 

 

 

Common stock, $0.001 par value per share; 200,000,000 authorized; 23,817,704 and 23,324,750
   shares issued and outstanding as of September 30, 2024 and December 31, 2023, respectively

 

24

 

 

 

23

 

Additional paid-in capital

 

326,741

 

 

 

320,513

 

Accumulated deficit

 

(143,080

)

 

 

(116,949

)

Accumulated other comprehensive income

 

1,719

 

 

 

1,225

 

Total stockholders' equity

 

185,404

 

 

 

204,812

 

Total liabilities and stockholders' equity

$

306,172

 

 

$

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
September 30,

 

 

Nine months ended
September 30,

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Revenue

 

 

 

 

 

 

 

 

 

 

 

Sales revenue

$

74,929

 

 

$

67,973

 

 

$

212,449

 

 

$

192,203

 

Rental revenue

 

13,905

 

 

 

15,994

 

 

 

43,175

 

 

 

47,561

 

Total revenue

 

88,834

 

 

 

83,967

 

 

 

255,624

 

 

 

239,764

 

Cost of revenue

 

 

 

 

 

 

 

 

 

 

 

Cost of sales revenue

 

39,592

 

 

 

42,708

 

 

 

113,156

 

 

 

118,700

 

Cost of rental revenue, including depreciation of $3,247 and $3,364, for the three months ended and $9,554 and $9,680 for the nine months ended, respectively

 

7,898

 

 

 

7,495

 

 

 

24,016

 

 

 

22,523

 

Total cost of revenue

 

47,490

 

 

 

50,203

 

 

 

137,172

 

 

 

141,223

 

Gross profit

 

 

 

 

 

 

 

 

 

 

 

Gross profit-sales revenue

 

35,337

 

 

 

25,265

 

 

 

99,293

 

 

 

73,503

 

Gross profit-rental revenue

 

6,007

 

 

 

8,499

 

 

 

19,159

 

 

 

25,038

 

Total gross profit

 

41,344

 

 

 

33,764

 

 

 

118,452

 

 

 

98,541

 

Operating expense

 

 

 

 

 

 

 

 

 

 

 

Research and development

 

3,518

 

 

 

4,489

 

 

 

15,712

 

 

 

14,126

 

Sales and marketing

 

26,361

 

 

 

26,091

 

 

 

78,914

 

 

 

81,438

 

General and administrative

 

19,257

 

 

 

17,011

 

 

 

54,956

 

 

 

50,487

 

Impairment charges

 

 

 

 

32,894

 

 

 

 

 

 

32,894

 

Total operating expense

 

49,136

 

 

 

80,485

 

 

 

149,582

 

 

 

178,945

 

Loss from operations

 

(7,792

)

 

 

(46,721

)

 

 

(31,130

)

 

 

(80,404

)

Other income (expense)

 

 

 

 

 

 

 

 

 

 

 

Interest income, net

 

1,041

 

 

 

1,801

 

 

 

3,777

 

 

 

4,972

 

Other income (expense)

 

687

 

 

 

(398

)

 

 

964

 

 

 

176

 

Total other income, net

 

1,728

 

 

 

1,403

 

 

 

4,741

 

 

 

5,148

 

Loss before provision (benefit) for income taxes

 

(6,064

)

 

 

(45,318

)

 

 

(26,389

)

 

 

(75,256

)

Provision (benefit) for income taxes

 

(101

)

 

 

401

 

 

 

(258

)

 

 

638

 

Net loss

 

(5,963

)

 

 

(45,719

)

 

 

(26,131

)

 

 

(75,894

)

Other comprehensive income (loss), net of tax

 

 

 

 

 

 

 

 

 

 

 

Change in foreign currency translation adjustment

 

1,654

 

 

 

(752

)

 

 

333

 

 

 

(575

)

Change in net unrealized gains on foreign currency hedging

 

 

 

 

33

 

 

 

 

 

 

40

 

Less: reclassification adjustment for net losses included in net loss

 

 

 

 

13

 

 

 

 

 

 

13

 

Total net change in unrealized gains on foreign currency hedging

 

 

 

 

46

 

 

 

 

 

 

53

 

Change in net unrealized gains on marketable securities

 

203

 

 

 

49

 

 

 

161

 

 

 

182

 

Total other comprehensive income (loss), net of tax

 

1,857

 

 

 

(657

)

 

 

494

 

 

 

(340

)

Comprehensive loss

$

(4,106

)

 

$

(46,376

)

 

$

(25,637

)

 

$

(76,234

)

 

 

 

 

 

 

 

 

 

 

 

 

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

$

(0.25

)

 

$

(1.97

)

 

$

(1.11

)

 

$

(3.28

)

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

$

(0.25

)

 

$

(1.97

)

 

$

(1.11

)

 

$

(3.28

)

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

 

 

 

 

 

 

 

 

 

 

 

Basic common shares

 

23,751,168

 

 

 

23,231,217

 

 

 

23,589,836

 

 

 

23,129,795

 

Diluted common shares

 

23,751,168

 

 

 

23,231,217

 

 

 

23,589,836

 

 

 

23,129,795

 

 

 

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 September 30, 2024 and September 30, 2023

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accumulated

 

 

 

 

 

 

 

 

Additional

 

 

 

 

 

other

 

 

Total

 

 

Common stock

 

 

paid-in

 

 

Accumulated

 

 

comprehensive

 

 

stockholders'

 

 

Shares

 

 

Amount

 

 

capital

 

 

deficit

 

 

income (loss)

 

 

equity

 

Balance, June 30, 2023

 

23,194,034

 

 

$

23

 

 

$

319,357

 

 

$

(44,675

)

 

$

74

 

 

$

274,779

 

Stock-based compensation

 

 

 

 

 

 

 

1,779

 

 

 

 

 

 

 

 

 

1,779

 

Employee stock purchases

 

88,356

 

 

 

 

 

 

464

 

 

 

 

 

 

 

 

 

464

 

Vesting of restricted stock units

 

24,435

 

 

 

 

 

 

(16

)

 

 

 

 

 

 

 

 

(16

)

Net loss

 

 

 

 

 

 

 

 

 

 

(45,719

)

 

 

 

 

 

(45,719

)

Other comprehensive loss

 

 

 

 

 

 

 

 

 

 

 

 

 

(657

)

 

 

(657

)

Balance, September 30, 2023

 

23,306,825

 

 

$

23

 

 

$

321,584

 

 

$

(90,394

)

 

$

(583

)

 

$

230,630

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Balance, June 30, 2024

 

23,718,774

 

 

$

24

 

 

$

324,826

 

 

$

(137,117

)

 

$

(138

)

 

$

187,595

 

Stock-based compensation

 

 

 

 

 

 

 

1,474

 

 

 

 

 

 

 

 

 

1,474

 

Stock issued

 

98,930

 

 

 

 

 

 

441

 

 

 

 

 

 

 

 

 

441

 

Net loss

 

 

 

 

 

 

 

 

 

 

(5,963

)

 

 

 

 

 

(5,963

)

Other comprehensive income

 

 

 

 

 

 

 

 

 

 

 

 

 

1,857

 

 

 

1,857

 

Balance, September 30, 2024

 

23,817,704

 

 

$

24

 

 

$

326,741

 

 

$

(143,080

)

 

$

1,719

 

 

$

185,404

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nine months ended September 30, 2024 and September 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

 

 

 

 

 

 

 

8,484

 

 

 

 

 

 

 

 

 

8,484

 

Employee stock purchases

 

136,032

 

 

 

 

 

 

1,094

 

 

 

 

 

 

 

 

 

1,094

 

Vesting of restricted stock units

 

175,213

 

 

 

 

 

 

(503

)

 

 

 

 

 

 

 

 

(503

)

Shares withheld related to net restricted stock settlement

 

(495

)

 

 

 

 

 

(1

)

 

 

 

 

 

 

 

 

(1

)

Stock options exercised

 

54,432

 

 

 

 

 

 

384

 

 

 

 

 

 

 

 

 

384

 

Net loss

 

 

 

 

 

 

 

 

 

 

(75,894

)

 

 

 

 

 

(75,894

)

Other comprehensive loss

 

 

 

 

 

 

 

 

 

 

 

 

 

(340

)

 

 

(340

)

Balance, September 30, 2023

 

23,306,825

 

 

$

23

 

 

$

321,584

 

 

$

(90,394

)

 

$

(583

)

 

$

230,630

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Balance, December 31, 2023

 

23,324,750

 

 

$

23

 

 

$

320,513

 

 

$

(116,949

)

 

$

1,225

 

 

$

204,812

 

Stock-based compensation

 

 

 

 

 

 

 

5,704

 

 

 

 

 

 

 

 

 

5,704

 

Stock issued

 

533,499

 

 

 

1

 

 

 

810

 

 

 

 

 

 

 

 

 

811

 

Tax withholding related to vesting of restricted stock units

 

(40,545

)

 

 

 

 

 

(286

)

 

 

 

 

 

 

 

 

(286

)

Net loss

 

 

 

 

 

 

 

 

 

 

(26,131

)

 

 

 

 

 

(26,131

)

Other comprehensive income

 

 

 

 

 

 

 

 

 

 

 

 

 

494

 

 

 

494

 

Balance, September 30, 2024

 

23,817,704

 

 

$

24

 

 

$

326,741

 

 

$

(143,080

)

 

$

1,719

 

 

$

185,404

 

 

 

See accompanying condensed notes to the consolidated financial statements.

5


 

Inogen, Inc.

Consolidated Statements of Cash Flows

(unaudited)

(amounts in thousands)

 

Nine months ended September 30,

 

 

2024

 

 

2023

 

Cash flows from operating activities

 

 

 

 

 

Net loss

$

(26,131

)

 

$

(75,894

)

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

 

 

 

 

 

Depreciation and amortization

 

15,924

 

 

 

13,008

 

Loss on rental units and other assets

 

3,075

 

 

 

3,377

 

Gain on sale of former rental assets

 

(164

)

 

 

(58

)

Provision for sales revenue returns and doubtful accounts

 

9,397

 

 

 

7,075

 

Provision for inventory losses

 

(243

)

 

 

2,343

 

Loss on purchase commitments

 

(334

)

 

 

 

Stock-based compensation expense

 

5,704

 

 

 

8,484

 

Deferred income taxes

 

(244

)

 

 

 

Change in fair value of earnout liability

 

1,830

 

 

 

 

Impairment charges

 

 

 

 

32,894

 

Changes in operating assets and liabilities:

 

 

 

 

 

Accounts receivable

 

(1,154

)

 

 

7,140

 

Inventories

 

(2,048

)

 

 

6,452

 

Income tax receivable

 

(288

)

 

 

1,165

 

Prepaid expenses and other current assets

 

4,083

 

 

 

5,054

 

Operating lease right-of-use asset

 

1,323

 

 

 

2,453

 

Other noncurrent assets

 

351

 

 

 

(1,406

)

Accounts payable and accrued expenses

 

(2,947

)

 

 

(7,224

)

Accrued payroll

 

3,195

 

 

 

(3,179

)

Warranty reserve

 

2,197

 

 

 

2,443

 

Deferred revenue

 

(2,788

)

 

 

(1,920

)

Income tax payable

 

(27

)

 

 

200

 

Operating lease liability

 

(1,779

)

 

 

(2,493

)

Net cash provided by (used in) operating activities

 

8,932

 

 

 

(86

)

Cash flows from investing activities

 

 

 

 

 

Purchases of available-for-sale securities

 

(32,333

)

 

 

(23,750

)

Maturities of available-for-sale securities

 

20,500

 

 

 

10,500

 

Investment in intangible assets

 

(2,090

)

 

 

(494

)

Investment in property and equipment

 

(3,031

)

 

 

(3,824

)

Production and purchase of rental equipment

 

(8,833

)

 

 

(16,391

)

Proceeds from sale of former assets

 

272

 

 

 

149

 

Acquisition of business, net of cash acquired

 

 

 

 

(29,633

)

Net cash used in investing activities

 

(25,515

)

 

 

(63,443

)

 

 

 

 

 

 

(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)

 

Nine months ended September 30,

 

 

2024

 

 

2023

 

Cash flows from financing activities

 

 

 

 

 

Proceeds from stock options exercised

 

 

 

 

384

 

Proceeds from employee stock purchases

 

811

 

 

 

1,094

 

Payment of employment taxes related to release of restricted stock

 

(286

)

 

 

(504

)

Net cash provided by financing activities

 

525

 

 

 

974

 

Effect of exchange rates on cash

 

(153

)

 

 

149

 

Net decrease in cash, cash equivalents and restricted cash

 

(16,211

)

 

 

(62,406

)

Cash, cash equivalents and restricted cash, beginning of period

 

125,492

 

 

 

187,014

 

Cash, cash equivalents and restricted cash, end of period

$

109,281

 

 

$

124,608

 

 

 

 

 

 

Supplemental disclosures of cash flow information

 

 

 

 

 

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

$

348

 

 

$

(738

)

Supplemental disclosure of non-cash transactions

 

 

 

 

 

Accrued value of earnout related to acquisition

 

 

 

 

3,178

 

Property and equipment in accounts payable and accrued expenses

 

62

 

 

 

430

 

 

 

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 and Inogen Rove 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 nine months ended September 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).

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).

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 purchase accounting for this acquisition has been finalized.

9


 

The following table summarizes the 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 nine months ended September 30, 2023 presents total revenue and net loss assuming the acquisition of Physio-Assist had occurred as of January 1, 2023.

 

 

Three months ended

 

 

Nine months ended

 

 

 

September 30, 2023

 

 

September 30, 2023

 

Total revenue

 

$

84,680

 

 

$

242,060

 

Net loss

 

$

(45,321

)

 

$

(77,266

)

 

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 September 30, 2024

 

 

 

 

 

 

Gross

 

 

 

 

 

Cash

 

 

 

 

 

 

 

 

 

Adjusted

 

 

unrealized

 

 

 

 

 

and cash

 

 

Marketable

 

 

Restricted

 

 

 

cost

 

 

gains

 

 

Fair value

 

 

equivalents

 

 

securities

 

 

cash

 

Cash

 

$

30,902

 

 

$

 

 

$

30,902

 

 

$

30,902

 

 

$

 

 

$

 

Level 1:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Money market accounts

 

 

48,926

 

 

 

 

 

 

48,926

 

 

 

45,335

 

 

 

 

 

 

3,591

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Level 2:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S. Treasury securities

 

 

22,151

 

 

 

298

 

 

 

22,449

 

 

 

7,476

 

 

 

14,973

 

 

 

 

Institutional Insured Liquidity Deposit Savings

 

 

21,977

 

 

 

 

 

 

21,977

 

 

 

21,977

 

 

 

 

 

 

 

Total

 

$

123,956

 

 

$

298

 

 

$

124,254

 

 

$

105,690

 

 

$

14,973

 

 

$

3,591

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

As of December 31, 2023

 

 

 

 

 

 

 

 

 

Gross

 

 

 

 

 

Cash

 

 

 

 

 

 

 

 

 

Adjusted

 

 

unrealized

 

 

 

 

 

and cash

 

 

Marketable

 

 

 

 

 

 

cost

 

 

gains

 

 

Fair value

 

 

equivalents

 

 

securities

 

 

 

 

Cash

 

$

12,611

 

 

$