Inogen Inc
For the period ended Jun 30, 2025. Filed Aug 8, 2025.
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Jun 30, 2025 · Filed Aug 8, 2025
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Condensed Notes to the Consolidated Financial Statements (unaudited)
Condensed Notes to the Consolidated Financial Statements
- Business overview
Inogen, Inc., or the Company, is a medical technology business that primarily focuses on respiratory health. The Company develops, manufactures, and markets innovative respiratory health products, including portable oxygen concentrators, or POCs, used to deliver supplemental long-term oxygen therapy to patients suffering from chronic respiratory conditions and the Simeox® product for airway clearance treatment. The Company's proprietary Inogen One® and Inogen Rove® systems concentrate the air around the patient to offer a source of supplemental oxygen 24 hours a day, seven days a week with a battery and can be plugged into an outlet when at home, in a car, or in a public place with outlets available. While often used concomitantly with stationary oxygen concentrators and oxygen compressed gas tanks, the Company's POCs are designed to 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's Simeox product is a technology-enabled airway clearance and mucus management device predominantly aimed at serving patients with bronchiectasis, which is a condition that presents as the lung's bronchi are damaged and widened in patients with cystic fibrosis, chronic obstructive pulmonary disease, or other chronic respiratory diseases.
The Company was incorporated in Delaware on November 27, 2001. On February 14, 2014, the Company completed an initial public offering of common stock and began trading on the Nasdaq Global Select Market, trading under the ticker symbol “INGN”.
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., or 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. The Company completed the acquisition of New Aera, Inc., or 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, or Physio-Assist, and its wholly-owned subsidiary PhysioAssist GmbH.
On January 25, 2025, the Company entered into a Strategic Collaboration Agreement, or the Collaboration Agreement, with Jiangsu Yuyue Medical Equipment & Supply Co., Ltd., or Yuwell. The collaboration with Yuwell is expected to broaden the Company's product portfolio through distribution of certain respiratory products in the United States and select other territories, expand and enhance the Company's innovation pipeline through research and development collaboration, and accelerate the entry of the Company's brand into the Chinese market. Pursuant to the Collaboration Agreement, the Company has agreed to distribute certain products supplied by Yuwell in the United States and specified countries and Yuwell has agreed to distribute certain products supplied by the Company in specified Asia Pacific countries.
- 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, or U.S. GAAP.
The results of operations for the three and six months ended June 30, 2025 shown in this report are not necessarily indicative of results to be expected for the full year ending December 31, 2025. 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, or 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 February 28, 2025. 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 February 28, 2025.
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, or 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 financing receivable. Actual results could differ from these estimates.
- 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:
| Gross | ||||||
|---|---|---|---|---|---|---|
| unrealized · Cash | ||||||
| Adjusted · gains · and cash · Marketable · Restricted | ||||||
| cost | (losses) | Fair value | equivalents | securities | cash | |
| Cash | $23,699 | $— | $23,699 | $23,699 | $— | $— |
| Level 1: | ||||||
| Money market accounts | 55,564 | — | 55,564 | 54,292 | — | 1,272 |
| Level 2: | ||||||
| Corporate bonds | 8,747 | (6) | 8,741 | — | 8,741 | — |
| U.S. Treasury securities | 9,956 | 48 | 10,004 | — | 10,004 | — |
| Institutional Insured Liquidity Deposit Savings | 25,694 | — | 25,694 | 25,694 | — | — |
| Total | $123,660 | $42 | $123,702 | $103,685 | $18,745 | $1,272 |
| Gross · Cash | ||||||
| Adjusted · unrealized · and cash · Restricted | ||||||
| cost · gains · Fair value · equivalents · cash | ||||||
| Cash | $23,053 | $— | $23,053 | $23,053 | $— | |
| Level 1: | ||||||
| Money market accounts | 72,129 | — | 72,129 | 68,509 | 3,620 | |
| Level 2: | ||||||
| Institutional Insured Liquidity Deposit Savings | 22,233 | — | 22,233 | 22,233 | — | |
| Total | $117,415 | $— | $117,415 | $113,795 | $3,620 | |
The following table summarizes the estimated fair value of the Company's investments in marketable securities, classified by the contractual maturity date of the securities:
| June 30, | |
|---|---|
| Due within one year | $17,207 |
| Due in one year through five years | 1,538 |
| Total | $18,745 |
Derivative instruments and hedging activities
The Company records the assets or liabilities associated with derivative instruments and hedging activities at fair value based on Level 2 inputs in other current assets or other current liabilities, respectively, in the consolidated balance sheets. The Company had a related payable of $2,820 and a receivable of $351 as of June 30, 2025 and December 31, 2024, respectively.
Accumulated other comprehensive income (loss)
The components of accumulated other comprehensive income (loss) were as follows:
| Foreign | Unrealized | Unrealized | Accumulated | |
|---|---|---|---|---|
| currency | gains | losses | other | |
| translation | on marketable | on cash | comprehensive | |
| adjustments | securities | flow hedges | income (loss) | |
| Balance as of December 31, 2024 | $(1,501) | $— | $— | $(1,501) |
| Other comprehensive income (loss) | 5,781 | 42 | (1,435) | 4,388 |
| Balance as of June 30, 2025 | $4,280 | $42 | $(1,435) | $2,887 |
Comprehensive income (loss) is the total net earnings and all other non-owner changes in equity. Except for net loss and unrealized gains and losses on cash flow hedges, the Company does not have any transactions or other economic events that qualify as comprehensive income (loss).
Earnout liability
The Company had obligations to pay up to $13,000 in an earnout payment related to the Physio-Assist acquisition in cash if certain future regulatory results were met. Such regulatory results were met with the clearance of the Simeox product on December 23, 2024, and the payment of accrued earnouts was made during the first quarter of 2025.
The reconciliation of the earnout liability measured and carried at fair value on a recurring basis is as follows:
| Balance as of December 31, 2024 | $13,000 |
|---|---|
| Payments of accrued earnouts | (13,000) |
| Balance as of June 30, 2025 | $— |
- Balance sheet components
Restricted Cash
The Company's restricted cash is a legally restricted deposit held as a compensating balance against its corporate credit card balances.
The following table provides a reconciliation of cash, cash equivalents, and restricted cash reported within the Company's consolidated balance sheet that are shown in aggregate in the accompanying consolidated statement of cash flows:
| June 30, | June 30, | December 31, | December 31, | |
|---|---|---|---|---|
| 2025 | 2024 | 2024 | 2023 | |
| Cash and cash equivalents | $103,685 | $97,920 | $113,795 | $125,492 |
| Restricted cash | 1,272 | 3,559 | 3,620 | — |
| Total cash, cash equivalents and restricted cash | $104,957 | $101,479 | $117,415 | $125,492 |
Accounts receivable and allowance for bad debts, returns, and adjustments
Net accounts receivable (gross accounts receivable, net of allowances) balance concentrations by major category as of June 30, 2025 and December 31, 2024 were as follows:
| June 30, | December 31, | |
|---|---|---|
| Net accounts receivable | 2025 | 2024 |
| Rental (1) | $5,462 | $4,863 |
| Business-to-business and other receivables | 33,130 | 24,700 |
| Total net accounts receivable | $38,592 | $29,563 |
(1) Rental includes Medicare, Medicaid/other government, private insurance, and patient pay.
The following table sets forth the accounts receivable allowances as of June 30, 2025 and December 31, 2024:
| June 30, | December 31, | |
|---|---|---|
| Allowances - accounts receivable | 2025 | 2024 |
| Doubtful accounts | $86 | $458 |
| Sales returns | 555 | 413 |
| Total allowances - accounts receivable | $641 | $871 |
Concentration of customers and vendors
The Company primarily sells its products to traditional home medical equipment providers, distributors, and resellers in the United States and in foreign countries on a credit basis. The Company also sells its products direct-to-consumers primarily on a prepayment basis. One single customer represented more than 10% of the Company's total revenue for the three and six months ended June 30, 2025. Two single customers represented more than 10% of the Company’s net accounts receivable balance with net accounts receivable balances of $4,470 and $4,362 as of June 30, 2025, respectively. One single customer represented more than 10% of the Company's net accounts receivable balance with a net accounts receivable balance of $3,288 as of December 31, 2024.
The Company also rents products directly to consumers for insurance reimbursement, which resulted in a customer concentration relating to Medicare’s service reimbursement programs. Medicare’s service reimbursement programs accounted for 59.0% and 57.7% of rental revenue in thesix months ended June 30, 2025 and 2024, respectively, and accounted for 9.1% and 10.1% of total revenue for thesix months ended June 30, 2025 and 2024, respectively. Accounts receivable balances relating to Medicare’s service reimbursement programs (including held and unbilled, net of allowances) amounted to $1,409, or 3.7%, of total net accounts receivable as of June 30, 2025 compared to $1,107, or 4.8%, of total net accounts receivable as of December 31, 2024.
The Company currently purchases raw materials from a limited number of vendors, which resulted in a concentration of three major vendors. The three major vendors supply the Company with raw materials used to manufacture the Company’s products. For the six months ended June 30, 2025, the Company’s three major vendors accounted for 17.4%,11.0%, and 9.8%, respectively, of total raw material purchases. For thesix months ended June 30, 2024, the Company’s three major vendors accounted for 20.8%,19.1%, and 10.7%, respectively, of total raw material purchases.
A portion of revenue is earned from sales outside the United States. Approximately 76.0% and 79.4% of the non-U.S. revenue for thethree months ended June 30, 2025 and 2024, respectively, were invoiced in Euros. Approximately 77.4% and 79.6% of the non-U.S. revenue for thesix months ended June 30, 2025 and 2024, respectively, were invoiced in Euros. A breakdown of the Company’s revenue from U.S. and non-U.S. sources for the three and six months ended June 30, 2025 and 2024, respectively, is as follows:
| Three months endedJune 30, | Six months endedJune 30, | |||
|---|---|---|---|---|
| 2025 | 2024 | 2025 | 2024 | |
| U.S. revenue | $56,354 | $58,234 | $106,649 | $110,224 |
| Non-U.S. revenue | 35,923 | 30,531 | 67,908 | 56,566 |
| Total revenue | $92,277 | $88,765 | $174,557 | $166,790 |
Inventories
Inventories are stated at the lower of cost and net realizable value, using the first-in, first-out, or FIFO, method. The Company records adjustments to inventory for potentially excess, obsolete, slow-moving or impaired items, and losses on firm purchase commitments as a component of cost of sales in the consolidated statements of comprehensive loss. The Company recorded noncurrent inventory related to inventories that are expected to be realized or consumed after one year of $770 and $1,291 as of June 30, 2025 and December 31, 2024, respectively. Noncurrent inventories are primarily related to raw materials purchased in bulk to support long-term expected repairs to reduce costs and are classified in other assets. During the six months ended June 30, 2025 and 2024, $847 and $416, respectively, of inventory was transferred to rental equipment and was considered a noncash transaction in the production and purchase of rental equipment on the consolidated statements of cash flows. Inventories that are considered current consist of the following:
| June 30, | December 31, | |
|---|---|---|
| 2025 | 2024 | |
| Raw materials and work-in-progress | $14,962 | $19,224 |
| Finished goods | 11,599 | 7,633 |
| Less: reserves | (2,248) | (2,045) |
| Inventories, net | $24,313 | $24,812 |
Property and equipment
Expenditures for additions, improvements and replacements are capitalized and depreciated to a salvage value of $0. Repair and maintenance costs on rental equipment are included in cost of rental revenue on the consolidated statements of comprehensive loss. Repair and maintenance expense, which includes labor, parts, and freight, for rental equipment was $1,660 and $1,441 for thethree months ended June 30, 2025 and 2024, respectively, and $3,498 and $3,201 for thesix months ended June 30, 2025 and 2024, respectively.
Depreciation and amortization expense related to rental equipment and other property and equipment are summarized below for thethree and six months ended June 30, 2025 and 2024, respectively.
| Three months endedJune 30, | Six months endedJune 30, | |||
|---|---|---|---|---|
| 2025 | 2024 | 2025 | 2024 | |
| Rental equipment | $3,017 | $3,128 | $6,051 | $6,307 |
| Other property and equipment | 990 | 1,029 | 2,006 | 2,183 |
| Total depreciation and amortization | $4,007 | $4,157 | $8,057 | $8,490 |
Property and equipment and rental equipment with associated accumulated depreciation is summarized below as of June 30, 2025 and December 31, 2024, respectively.
| June 30, | December 31, | |
|---|---|---|
| Property and equipment | 2025 | 2024 |
| Rental equipment, net of allowances of $3,614 and $3,744, respectively | $62,559 | $64,012 |
| Other property and equipment | 24,741 | 25,123 |
| Property and equipment | 87,300 | 89,135 |
| Accumulated depreciation | ||
| Rental equipment | 32,823 | 32,294 |
| Other property and equipment | 14,306 | 12,441 |
| Accumulated depreciation | 47,129 | 44,735 |
| Property and equipment, net | ||
| Rental equipment, net of allowances of $3,614 and $3,744, respectively | 29,736 | 31,718 |
| Other property and equipment | 10,435 | 12,682 |
| Property and equipment, net | $40,171 | $44,400 |
Long-lived assets
The Company accounts for the impairment and disposition of long-lived assets in accordance with Accounting Standards Codification, or ASC, 360— Property, Plant, and Equipment. Long-lived assets are reviewed for indicators of impairment whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. No impairments were recorded for thesix months ended June 30, 2025 and 2024.
Goodwill and other identifiable intangible assets
Goodwill
The changes in the carrying amount of goodwill for thesix months ended June 30, 2025 were as follows:
| Balance as of December 31, 2024 (1) | $9,465 |
|---|---|
| Translation adjustment | 1,235 |
| Balance as of June 30, 2025 (1) | $10,700 |
(1) Includes $32,894 of accumulated impairment losses as of June 30, 2025 and December 31, 2024.
Intangible assets
Intangible assets as of June 30, 2025 and December 31, 2024 consisted of the following:
| Average | |||||||
|---|---|---|---|---|---|---|---|
| estimated · Gross | |||||||
| useful lives · carrying · Accumulated | |||||||
| June 30, 2025 · (in years) · amount · amortization · Net amount | |||||||
| Developed technology | 10 | $35,432 | $6,348 | $29,084 | |||
| Licenses | 10 | 159 | 159 | — | |||
| Patents and websites | 5 | 3,775 | 3,768 | 7 | |||
| Customer relationships | 4-10 | 3,164 | 1,723 | 1,441 | |||
| Trade name | 4 | 219 | 98 | 121 | |||
| Commercials | 3 | 494 | 364 | 130 | |||
| Internally developed software | 3 | 3,707 | 1,131 | 2,576 | |||
| Total | $46,950 | $13,591 | $33,359 | ||||
| Average | |||||||
| estimated · Gross | |||||||
| useful lives · carrying · Accumulated | |||||||
| December 31, 2024 | (in years) | amount | amortization | Net amount | |||
| Developed technology | 10 | $31,342 | $4,048 | $27,294 | |||
| Licenses | 10 | 159 | 159 | — | |||
| Patents and websites | 5 | 3,776 | 3,752 | 24 | |||
| Customer relationships | 4-10 | 2,799 | 1,447 | 1,352 | |||
| Trade name | 4 | 194 | 63 | 131 | |||
| Commercials | 3 | 494 | 282 | 212 | |||
| Internally developed software | 3 | 2,090 | 610 | 1,480 | |||
| Total | $40,854 | $10,361 | $30,493 | ||||
Annual estimated amortization expense for each of the succeeding fiscal years is as follows:
| June 30, | |
|---|---|
| Remaining 6 months of 2025 | $3,885 |
| 2026 | 4,932 |
| 2027 | 4,207 |
| 2028 | 3,756 |
| 2029 | 3,719 |
| 2030 | 3,440 |
| Thereafter | 9,420 |
| Total | $33,359 |
Current liabilities
Accounts payable and accrued expenses as of June 30, 2025 and December 31, 2024 consisted of the following:
| June 30, | December 31, | |
|---|---|---|
| 2025 | 2024 | |
| Accounts payable | $21,900 | $16,616 |
| Accrued inventory (in-transit and unvouchered receipts) and trade payables | 7,044 | 6,917 |
| Accrued loss on purchase commitments | 904 | 672 |
| Forward contract payable | 2,820 | — |
| Other accrued expenses | 2,476 | 2,948 |
| Total accounts payable and accrued expenses | $35,144 | $27,153 |
Accrued payroll as of June 30, 2025 and December 31, 2024 consisted of the following:
| June 30, | December 31, | |
|---|---|---|
| 2025 | 2024 | |
| Accrued bonuses | $3,075 | $6,370 |
| Accrued wages and other payroll related items | 4,748 | 5,570 |
| Accrued vacation | 4,113 | 3,456 |
| Accrued severance | 512 | 1,429 |
| Accrued employee stock purchase plan deductions | 399 | 364 |
| Total accrued payroll | $12,847 | $17,189 |
- Leases
The Company has entered into operating leases primarily for commercial buildings. These leases have terms that range from three years to 11 years, some of which include options toextend the leases for up tofive years. Rent expense, including short-term lease cost, was $954 and $1,136 for thethree months ended June 30, 2025 and 2024, respectively, and $1,916 and $2,210 for thesix months ended June 30, 2025 and 2024, respectively.
In July 2023, the Company entered into an Assignment and Assumption of Lease Agreement in which a third party, referred to as the Assignee, assumed the rights, title, and interest in the lease, including assumption of lease payments. Commencing February 1, 2024 and ending May 31, 2031, the Assignee assumed responsibility for the monthly lease payments. Notwithstanding the Assignee's assumption of lease payments, the Company remains the primary obligor under the lease to the landlord.
Lease payments assumed by the Assignee are:
| Payments due in the 12-month period ending June 30, | |
|---|---|
| 2026 | $1,136 |
| 2027 | 1,136 |
| 2028 | 1,136 |
| 2029 | 1,136 |
| 2030 | 1,136 |
| Thereafter | 1,041 |
| Total | $6,721 |
Information related to the Company's right-of-use assets and related operating lease liabilities were as follows:
| Six months ended | ||
|---|---|---|
| June 30, | ||
| 2025 | 2024 | |
| Cash paid for operating lease liabilities | $1,902 | $2,290 |
| Operating lease cost | 1,859 | 2,163 |
| Non-cash right-of-use assets obtained in exchange for new operating lease obligations | 1,327 | 1,566 |
| Weighted-average remaining lease term | 3.6 years | 2.7 years |
| Weighted-average discount rate | 6.6% | 4.9% |
| Maturities of lease liabilities due in the 12-month period ending June 30, | |
|---|---|
| 2026 | $3,629 |
| 2027 | 3,924 |
| 2028 | 3,650 |
| 2029 | 3,322 |
| 2030 | 3,306 |
| Thereafter | 2,904 |
| Less imputed interest | (1,698) |
| Total lease liabilities | $19,037 |
| Operating lease liability - current | $3,082 |
| Operating lease liability - noncurrent | 15,955 |
| Total lease liabilities | $19,037 |
- Loss per share
Loss per share, or EPS, is computed in accordance with ASC 260—Earnings per Share and is calculated using the weighted-average number of shares of common stock outstanding during each period. Diluted EPS assumes the conversion, exercise or issuance of all potential common stock equivalents (which can include dilution of outstanding stock options and restricted stock units) unless the effect is to reduce a loss or increase the income per share. For purposes of this calculation, common stock subject to repurchase by the Company, options, and other dilutive awards are considered to be common stock equivalents and are only included in the calculation of diluted loss per share when their effect is dilutive.
Basic loss per share is calculated using the Company's weighted-average outstanding shares of common stock. Diluted loss per share is calculated using the Company's weighted-average outstanding shares of common stock including the dilutive effect of stock awards as determined under the treasury stock method.
The computation of EPS is as follows:
| Three months endedJune 30, | Six months endedJune 30, | |||
|---|---|---|---|---|
| 2025 | 2024 | 2025 | 2024 | |
| Numerator—basic and diluted: | ||||
| Net loss | $(4,152) | $(5,590) | $(10,326) | $(20,168) |
| Denominator: | ||||
| Weighted average shares of common stock - basic common stock (1) | 26,962,465 | 23,614,970 | 26,068,421 | 23,508,284 |
| Weighted average shares of common stock - diluted common stock | 26,962,465 | 23,614,970 | 26,068,421 | 23,508,284 |
| Net loss per share - basic common stock | $(0.15) | $(0.24) | $(0.40) | $(0.86) |
| Net loss per share - diluted common stock (2) | $(0.15) | $(0.24) | $(0.40) | $(0.86) |
| Denominator calculation from basic to diluted: | ||||
| Weighted average shares of common stock - basic common stock (1) | 26,962,465 | 23,614,970 | 26,068,421 | 23,508,284 |
| Stock options and other dilutive awards | 335,216 | 499,441 | 541,262 | 412,687 |
| Weighted average shares of common stock - diluted common stock | 27,297,681 | 24,114,411 | 26,609,683 | 23,920,971 |
| Shares excluded from diluted weighted average shares: | ||||
| Restricted stock units | 1,257,265 | 522,167 | 500,695 | 539,894 |
(1) Unvested restricted stock units are not included as shares outstanding in the calculation of basic earnings per share. Vested restricted stock units are included in basic earnings per share if all vesting and performance criteria have been met. Performance-based restricted stock units are included in the number of shares used to calculate diluted earnings per share as long as all applicable performance criteria are met, and their effect is dilutive.
(2) Due to net losses for the three and six months ended June 30, 2025 and June 30, 2024, diluted loss per share is the same as basic loss per share.
- Income taxes
The Company accounts for income taxes in accordance with ASC 740— Income Taxes. Under ASC 740, income taxes are recognized for the amount of taxes payable or refundable for the current period and deferred tax liabilities and assets are recognized for the future tax consequences of transactions that have been recognized in the Company’s consolidated financial statements or tax returns. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. A valuation allowance is provided when it is more likely than not that some portion, or all, of the deferred tax asset will not be realized. As of December 31, 2024, the Company recorded a full valuation allowance of $66,533. As of June 30, 2025, the Company continued to record a valuation allowance against its domestic and certain foreign deferred tax assets.
The Company accounts for uncertainties in income tax in accordance with ASC 740-10— Accounting for Uncertainty in Income Taxes. ASC 740-10 prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. This accounting standard also provides guidance on derecognition, classification, interest and penalties, accounting in interim periods, disclosure, and transition.
The Company recognizes interest and penalties on taxes, within its income tax provision on its consolidated statements of comprehensive loss.
- Stockholders’ equity
The Company has a 2014 Equity Incentive Plan, or the 2014 Plan, under which the Company granted restricted stock units, restricted stock awards, performance units, performance shares, and options to purchase shares of its common stock. As of June 30, 2025, awards with respect to 116,596 shares of the Company’s common stock were outstanding under the 2014 Plan.
The Company has an Amended and Restated 2023 Equity Incentive Plan, or the 2023 Plan, that provides for the grant of incentive stock options, within the meaning of Section 422 of the Internal Revenue Code, to the Company’s employees and any parent and subsidiary corporation’s employees, and for the grant of nonstatutory stock options, restricted stock, restricted stock units, restricted stock awards, stock appreciation rights, performance units and performance shares to its employees, directors and consultants and its parent and subsidiary corporations’ employees and consultants.
As of June 30, 2025, awards with respect to 3,007,333 shares of the Company's common stock were outstanding, and 1,160,824 shares of common stock remained available for issuance under the 2023 Plan. The shares available for issuance under the 2023 Plan will be increased by any shares returned to the 2014 Plan as a result of expiration or termination of awards.
The Company previously granted restricted stock units to induce an employee to accept employment with the Company in accordance with Nasdaq Listing Rule 5635(c)(4). As of June 30, 2025, awards with respect to 125,000 shares of the Company's common stock were outstanding pursuant to such inducement grant.
Securities purchase agreement
On January 25, 2025, the Company entered into a Securities Purchase Agreement, or the Purchase Agreement, with Yuwell (Hong Kong) Holdings Limited, or the Investor, a wholly-owned subsidiary of Yuwell, pursuant to which the Investor purchased 2,626,425 shares of the Company’s common stock at a price per share of $10.36, for an aggregate purchase price of approximately $27,210, or the Private Placement. The closing of the Private Placement took place on February 21, 2025.
Stock incentive awards
The Company grants restricted stock units, or RSUs, under the 2014 and 2023 Plans and made one inducement grant of RSUs in 2024. RSUs vest either based solely on the satisfaction of time-based service conditions or on the satisfaction of time-based service conditions combined with performance criteria. RSUs are subject to forfeiture if the holder’s services to the Company terminate before vesting.
RSUs granted with only time-based service vesting conditions generally vest over three-year service periods, as defined in the terms of each award. RSUs that vest based on the satisfaction of time-based service conditions combined with performance criteria generally vest over athree-year service and performance period, based on performance and/or market conditions established at the time of the award. The portion of the RSU award that is earned may equal or be more or less than the targeted number of shares subject to the RSU award depending on whether the performance criteria are met.
RSU activity for thesix months ended June 30, 2025 is summarized below:
| Weighted- | ||||||
|---|---|---|---|---|---|---|
| average | ||||||
| grant | ||||||
| Performance · date fair | ||||||
| and · value | ||||||
| Restricted stock units · Time-based · time-based · Total · per share | ||||||
| Unvested restricted stock units as of December 31, 2024 | 1,203,383 | 601,194 | 1,804,577 | $8.61 | ||
| Granted | 926,671 | 822,308 | 1,748,979 | 9.19 | ||
| Vested | (394,503) | (118,100) | (512,603) | 10.12 | ||
| Forfeited/canceled | (93,060) | (110,118) | (203,178) | 9.99 | ||
| Unvested restricted stock units as of June 30, 2025 (1) | 1,642,491 | 1,195,284 | 2,837,775 | $8.52 | ||
| Unvested and expected to vest restricted stock units outstanding as of June 30, 2025 | 1,999,895 | $8.41 | ||||
(1) Outstanding RSUs are based on the maximum payout of the targeted number of shares.
As of June 30, 2025, the unrecognized compensation cost related to unvested employee restricted stock units was $13,299, excluding estimated forfeitures. This amount is expected to be recognized over a weighted average period of 2.1 years.
Employee stock purchase plan
The Company’s 2014 Employee Stock Purchase Plan, or ESPP, provides all eligible employees the option to purchase shares of the Company’s common stock at a discount through payroll deductions. As of June 30, 2025, a total of 695,428 shares of common stock were available for future purchase under the ESPP. In the first quarter of 2025, an additional 179,069 shares of common stock were reserved for issuance pursuant to future ESPP purchasesas a result of the annual evergreen increase under the ESPP.
Stock-based compensation
Stock-based compensation expense recognized for thethree and six months ended June 30, 2025 and 2024, was as follows:
| Three months ended · Six months ended | ||||
|---|---|---|---|---|
| June 30, | June 30, | |||
| 2025 | 2024 | 2025 | 2024 | |
| Stock-based compensation expense by type of award: | ||||
| Restricted stock units | $2,205 | $1,696 | $4,213 | $4,005 |
| Employee stock purchase plan | 88 | 118 | 227 | 225 |
| Total stock-based compensation expense | $2,293 | $1,814 | $4,440 | $4,230 |
Stock-based compensation expense was calculated based on awards of restricted stock units expected to vest based on the Company’s historical award cancellations. ASC 718 –Compensation-Stock Compensation requires forfeitures to be estimated at the time of grant and revised, if necessary, in subsequent periods if actual forfeitures differ from those estimates.
For thethree and six months ended June 30, 2025 and 2024, respectively, stock-based compensation expense recognized under ASC 718, included in cost of revenue, research and development expense, sales and marketing expense, and general and administrative expense was as follows:
| Three months ended · Six months ended | ||||
|---|---|---|---|---|
| June 30, | June 30, | |||
| 2025 | 2024 | 2025 | 2024 | |
| Cost of revenue | $129 | $145 | $296 | $325 |
| Research and development | 69 | (75) | 164 | 385 |
| Sales and marketing | 186 | 428 | 400 | 858 |
| General and administrative | 1,909 | 1,316 | 3,580 | 2,662 |
| Total stock-based compensation expense | $2,293 | $1,814 | $4,440 | $4,230 |
- Commitments and contingencies
Purchase obligations
The Company had approximately $60,900 of outstanding purchase orders due within one year with its outside vendors and suppliers as of June 30, 2025. The Company has $904 and $672 accrued within accounts payable and other accrued expenses in the consolidated balance sheet as of June 30, 2025 and December 31, 2024, respectively, related to estimated losses for firm commitment contractual obligations under these agreements. Losses on these firm commitment contractual obligations are recognized based upon the terms of the respective agreement and similar factors considered for the write-down of inventory, including expected sales requirements as determined by internal sales forecasts.
Warranty obligation
The following table identifies the changes in the Company’s aggregate product warranty liabilities for the six-month and 12-month periods ended June 30, 2025 and December 31, 2024, respectively:
| June 30, | December 31, | |
|---|---|---|
| 2025 | 2024 | |
| Product warranty liability at beginning of period | $26,086 | $23,478 |
| Accruals for warranties issued | 6,610 | 12,076 |
| Adjustments related to preexisting warranties (including changes in estimates) | (1,477) | 280 |
| Settlements made (in cash or in kind) | (4,495) | (9,748) |
| Product warranty liability at end of period | $26,724 | $26,086 |
Contract liabilities
Contract liabilities primarily consist of deferred revenue related to lifetime warranties on direct-to-consumer sales revenue when cash payments are received in advance of services performed under the contract. The contract with the customer states the final terms of the sale, including the description, quantity, and price of each product or service purchase. The decrease in deferred revenue related to lifetime warranties for the six months ended June 30, 2025 was primarily driven by $2,214 of revenue recognized that were included in the deferred revenue balances as of December 31, 2024, partially offset by $679 of payments received in advance of satisfying performance obligations. Deferred revenue related to lifetime warranties was $8,388 and $9,922 as of June 30, 2025 and December 31, 2024, respectively, and is classified within deferred revenue - current and noncurrent deferred revenue - noncurrent in the consolidated balance sheets.
Legislation and HIPAA
The healthcare industry is subject to numerous laws and regulations of federal, state, and local governments. These laws and regulations include, but are not necessarily limited to, matters such as licensure, accreditation, government healthcare program participation requirements, reimbursement for patient services, and Medicare and Medicaid fraud and abuse. Compliance with government laws and regulations can be subject to future government review and interpretation as well as regulatory actions unknown or unasserted at this time. The Health Insurance Portability and Accountability Act of 1996, or HIPAA, was enacted to ensure health insurance portability, reduce healthcare fraud and abuse, guarantee security and privacy of health information, and enforce standards for health information. The Health Information Technology for Economic and Clinical Health Act, or the HITECH Act, in part, imposes notification requirements of certain security breaches relating to protected health information. The Company is not aware of any pending claims against it under the HIPAA and HITECH regulations that are applicable to the Company’s business.
Legal proceedings
The Company is party to various legal proceedings and investigations arising in the normal course of business. The Company carries insurance, subject to specified deductibles under the policies, to protect against losses from certain types of legal claims. At this time, the Company does not anticipate that any of these other proceedings arising in the normal course of business will have a material adverse effect on the Company’s business. Regardless of the outcome, litigation can have an adverse impact on the Company because of defense and settlement costs, diversion of management resources, and other factors.
- Foreign currency exchange contracts and hedging
As of June 30, 2025 and June 30, 2024, the Company’s total non-designated and designated derivative contracts had notional amounts totaling approximately $18,266 and $12,923, respectively, and $38,804 and $0, respectively. These contracts were comprised of offsetting contracts with the same counterparty, each expires withinone toseven months. During thesix months ended June 30, 2025 and 2024, these contracts had, net of tax, an unrealized loss of $1,435 and an unrealized gain or (loss) of $0, respectively.
The nonperformance risk of the Company and the counterparty did not have a material impact on the fair value of the derivatives. During the six months ended June 30, 2025, there wereno ineffective portions relating to these hedges and the hedges remained effective through their respective settlement dates. During thesix months ended June 30, 2024, there wereno ineffective portions related to these hedges. As of June 30, 2025, the Company hadsix designated hedges andtwo non-designated hedges. As of June 30, 2024, the Company hadno designated hedges andthree non-designated hedges.
- Segments
Operating segments are defined as components of an enterprise engaging in business activities for which separate financial information is available that is regularly evaluated by the Group’s chief operating decision makers, or CODM. Based on the criteria established by ASC 280 Segment Reporting, the Company’s CODM has been identified as the executive leadership team, or ELT, which includes the Chief Executive Officer and the Chief Financial Officer. The ELT reviews a monthly executive reporting package based on consolidated results of the Company when making decisions about allocating resources and assessing performance. The Company derives revenues from customers through the development, manufacturing, marketing, sales, and rental of respiratory products. The Company considered the following when assessing its segment determination: the similar nature of the Company’s products and services that are included together in the oxygen therapy and respiratory care markets; the consistent production processes used to manufacture the Company’s products; the same channels used to distribute and sell the Company’s products; and the products align and qualify as respiratory durable medical equipment per the regulatory definition. Therefore, the Company determined that it operates and reports in only one operating and reportable segment. The CODM assesses performance for the one operating and reportable segment and decides how to allocate resources based on the segment profit or loss measure and adjusted EBITDA. The measure of segment assets is reported on the balance sheet as “total assets.”The CODM determined that the Company’s segment profit or loss measure that is most consistent with GAAP measurement principles is net loss to evaluate income and loss generated from segment assets (return on assets). Net Loss for the Company’sone operating and reportable segment is reported on the consolidated statements of comprehensive loss. The Company evaluated the monthly executive reporting package and did not identify any significant or other expenses for disclosure that are not already presented on the consolidated statements of comprehensive loss.
- Subsequent events
On July 4, 2025, the One Big Beautiful Bill Act(“OBBBA”) was enacted into law. OBBBA provides for significant U.S. tax law changes and modifications. The Company is currently evaluating the potential effects of the new legislation. No adjustments have been made to the consolidated financial statements as of and for the period ended June 30, 2025, in relation to this legislation.
The text of this filing, as the company filed it with the SEC, without its images or exhibits. This is not investment advice.