Pulmonx Corp
For the period ended Sep 30, 2026. Filed Nov 3, 2026.
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A company's report for each of its first three quarters. The financial statements are not audited. It shows how the business has moved since the last annual report, and what management says changed.
Sep 30, 2026 · Filed Nov 3, 2026
What changed in Management’s Discussion and Analysis?
Read the current filingPrevious report: 10-Q
Period ended 2026-06-30; filed 2026-08-04.
0001127537-26-000039
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of OperationsCurrent report: 10-Q
Period ended 2026-09-30; filed 2026-11-03.
0001127537-26-000048
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of OperationsThe baseline is this issuer’s latest earlier reporting period of the same form that was filed before the current report. A previous 10-Q is a different quarter, not a year-over-year comparison. Amendments are excluded.
Compared 109 previous paragraphs and 109 current paragraphs.
78 unchanged; 29 reworded; 2 added; 1 removed; 1 previous and 0 current paragraphs rearranged.
Tables are not compared: 3 previous and 3 current tables excluded. Dates, whitespace, punctuation and numbering changes are ignored; changes to financial figures remain significant.
A changed paragraph is not evidence that risk increased or decreased. An unchanged paragraph does not establish that risk stayed the same.
Added paragraphs (2)
Current report
Revenue increased by $1.3 million, or 6.2%, to $22.8 million for the three months ended September 30, 2026, compared to $21.5 million for the three months ended September 30, 2025. The sale of products in the United States increased by $0.9 million to $14.9 million for the three months ended September 30, 2026, compared to $14.0 million for the three months ended September 30, 2025. The sale of products in international markets increased by $0.4 million to $7.9 million for the three months ended September 30, 2026, compared to $7.5 million for the three months ended September 30, 2025. The increase in revenue was attributable to the growth of Zephyr Valve procedure volumes.
Current report
Comparison of the Nine Months Ended September 30, 2026 and September 30, 2025
Removed paragraphs (1)
Previous report
Comparison of the Six Months Ended June 30, 2026 and June 30, 2025
Reworded paragraphs (29)
Previous wording
We market and sell our products in the United States through a direct sales organization. Our sales territory managers are focused on promoting awareness and increasing adoption of our solution primarily among the pulmonologists performing interventional pulmonary procedures across approximately 500 high-volume hospitals in the United States. We are expanding our commercial operations in the United States while continuing to foster our international growth. We employ both direct and distributor-based sales models, with 99% of our revenue generated in markets where we sell directly for the six months ended June 30, 2026.
Current wording
We market and sell our products in the United States through a direct sales organization. Our sales territory managers are focused on promoting awareness and increasing adoption of our solution primarily among the pulmonologists performing interventional pulmonary procedures across approximately 500 high-volume hospitals in the United States. We are expanding our commercial operations in the United States while continuing to foster our international growth. We employ both direct and distributor-based sales models, with 99% of our revenue generated in markets where we sell directly for the nine months ended September 30, 2026.
Previous wording
To date, we have financed our operations primarily through the sale of our products, the sale of equity securities, and debt financing arrangements. We have devoted substantially all of our resources to research and development activities related to our solution, including clinical and regulatory initiatives to obtain marketing approval, sales and marketing activities, and investing in general and administrative infrastructure. We generated revenue of $22.8 million, with a gross margin of 78.0% and a net loss of $10.1 million, for the three months ended June 30, 2026 compared to revenue of $23.9 million, with a gross margin of 72.1% and a net loss of $15.2 million, for the three months ended June 30, 2025. For the six months ended June 30, 2026, we generated revenue of $43.3 million, with a gross margin of 78.0% and a net loss of $23.7 million, compared to revenue of $46.4 million, with a gross margin of 72.3% and a net loss of $29.6 million, for the six months ended June 30, 2025. As of June 30, 2026, we had an accumulated deficit of $545.3 million, cash and cash equivalents of $55.8 million, and $37.5 million of outstanding term loans and credit agreements, net of debt discount and debt issuance costs.
Current wording
To date, we have financed our operations primarily through the sale of our products, the sale of equity securities, and debt financing arrangements. We have devoted substantially all of our resources to research and development activities related to our solution, including clinical and regulatory initiatives to obtain marketing approval, sales and marketing activities, and investing in general and administrative infrastructure. We generated revenue of $22.8 million, with a gross margin of 76.2% and a net loss of $8.4 million, for the three months ended September 30, 2026 compared to revenue of $21.5 million, with a gross margin of 74.7% and a net loss of $14.0 million, for the three months ended September 30, 2025. For the nine months ended September 30, 2026, we generated revenue of $66.2 million, with a gross margin of 77.3% and a net loss of $32.1 million, compared to revenue of $67.9 million, with a gross margin of 73.0% and a net loss of $43.6 million, for the nine months ended September 30, 2025. As of September 30, 2026, we had an accumulated deficit of $553.7 million, cash and cash equivalents of $52.7 million, and $37.8 million of outstanding term loans and credit agreements, net of debt discount and debt issuance costs.
Previous wording
We currently derive substantially all of our revenue from the sale of our products to hospitals and distributors. We market and sell our products through a direct sales organization in the United States and through direct sales and several third-party distributors in select markets outside the United States. We currently generate most of our revenue from the sales of Zephyr Valves and delivery catheters. We also generate a smaller amount of our revenue from our Chartis System, which is comprised of sales of the balloon catheters, usage fees and sales of the Chartis console, and from our LungTraX Platform, which is used to help identify patients potentially eligible for treatment with Zephyr Valves. No customer accounted for more than 10% of our revenue for the three months ended June 30, 2026 and June 30, 2025.
Current wording
We currently derive substantially all of our revenue from the sale of our products to hospitals and distributors. We market and sell our products through a direct sales organization in the United States and through direct sales and several third-party distributors in select markets outside the United States. We currently generate most of our revenue from the sales of Zephyr Valves and delivery catheters. We also generate a smaller amount of our revenue from our Chartis System, which is comprised of sales of the balloon catheters, usage fees and sales of the Chartis console, and from our LungTraX Platform, which is used to help identify patients potentially eligible for treatment with Zephyr Valves. No customer accounted for more than 10% of our revenue for the nine months ended September 30, 2026 and September 30, 2025.
Previous wording
Other (expense) income, net primarily consists of foreign currency exchange gains and losses and change in fair value of the Additional Warrants.
Current wording
Other income, net primarily consists of foreign currency exchange gains and losses and change in fair value of the Additional Warrants.
Previous wording
Cost of goods sold decreased by $1.6 million, or 24.7%, to $5.0 million for the three months ended June 30, 2026, compared to $6.7 million for the three months ended June 30, 2025. The decrease was mainly due to a decrease in the number of products sold and as a result decreased manufacturing costs. Gross margin increased by 5.9% to 78.0% for the three months ended June 30, 2026, compared to 72.1% for the three months ended June 30, 2025. The increase in gross margin was primarily due to changes in geographic mix during the three months ended June 30, 2026.
Current wording
Cost of goods sold decreased by less than $0.1 million, or 0.3%, to $5.4 million for the three months ended September 30, 2026, compared to $5.5 million for the three months ended September 30, 2025. Gross margin increased by 1.5% to 76.2% for the three months ended September 30, 2026, compared to 74.7% for the three months ended September 30, 2025. The increase in gross margin was primarily due to changes in geographic mix during the three months ended September 30, 2026.
Previous wording
Research and development expenses decreased by $0.3 million, or 5.1%, to $5.0 million for the three months ended June 30, 2026, compared to $5.3 million for the three months ended June 30, 2025. The decrease in research and development expense was primarily due to a decrease of $0.2 million in payroll and personnel-related expenses, and a decrease of $0.3 million in testing and other expenses in support of product development, offset by an increase of $0.2 million in costs associated with our clinical trials, including fees paid to clinical research organizations.
Current wording
Research and development expenses increased by less than $0.1 million, or 0.4%, to $4.9 million for the three months ended September 30, 2026, compared to $4.8 million for the three months ended September 30, 2025. The increase in research and development expense was primarily due to an increase of $0.1 million in costs associated with our clinical trials, including fees paid to clinical research organizations, offset by a decrease of $0.1 million in consulting services in support of product development.
Previous wording
Selling, general and administrative expenses decreased by $4.9 million, or 18.5%, to $21.8 million for the three months ended June 30, 2026, compared to $26.7 million for the three months ended June 30, 2025. The decrease in selling, general and administrative expenses was primarily due to a decrease of $2.5 million in payroll and personnel-related expenses for our sales, marketing and administrative personnel, a decrease of $1.4 million in advertising and marketing related expenses, a decrease of $0.8 million in consulting and other professional expenses, and a decrease of $0.2 million in travel and conference related expenses.
Current wording
Selling, general and administrative expenses decreased by $5.6 million, or 21.8%, to $20.0 million for the three months ended September 30, 2026, compared to $25.6 million for the three months ended September 30, 2025. The decrease in selling, general and administrative expenses was primarily due to a decrease of $2.3 million in payroll and personnel-related expenses for our sales, marketing and administrative personnel, a decrease of $2.3 million in advertising and marketing related expenses, a decrease of $0.6 million in consulting and other professional expenses, and a decrease of $0.4 million in travel and conference related expenses.
Previous wording
Interest expense increased by $0.4 million to $1.2 million for the three months ended June 30, 2026 compared to $0.8 million for the three months ended June 30, 2025, primarily due to higher interest rates under our Perceptive Loan compared to our CIBC Loan which was fully repaid in March 2026. Interest income decreased by $0.4 million to $0.3 million for the three months ended June 30, 2026 compared to $0.7 million for the three months ended June 30, 2025. The decrease was primarily due to a lower balance of cash, cash equivalents and marketable securities, which resulted in reduced returns on these assets.
Current wording
Interest expense increased by $0.4 million to $1.2 million for the three months ended September 30, 2026 compared to $0.8 million for the three months ended September 30, 2025, primarily due to higher interest rates under our Perceptive Loan compared to our CIBC Loan which was fully repaid in March 2026. Interest income decreased by $0.3 million to $0.3 million for the three months ended September 30, 2026 compared to $0.6 million for the three months ended September 30, 2025. The decrease was primarily due to a lower balance of cash, cash equivalents and marketable securities, which resulted in reduced returns on these assets.
Previous wording
Other (expense) income, net was less than $(0.1) million for the three months ended June 30, 2026 and $(0.1) million for the three months ended June 30, 2025, primarily due to foreign currency exchange gains.
Current wording
Other income, net was $0.1 million for the three months ended September 30, 2026 and $0.8 million for the three months ended September 30, 2025, primarily due to foreign currency exchange gains, partially offset by a change in fair value of common stock warrant liability for the three months ended September 30, 2026.
Previous wording
Revenue decreased by $1.1 million, or 4.6%, to $22.8 million for the three months ended June 30, 2026, compared to $23.9 million for the three months ended June 30, 2025. The sale of products in the United States decreased by $0.5 million to $14.2 million for the three months ended June 30, 2026, compared to $14.7 million for the three months ended June 30, 2025. The sale of products in international markets decreased by $0.5 million to $8.6 million for the three months ended June 30, 2026, compared to $9.1 million for the three months ended June 30, 2025. The decrease in revenue in the United States was primarily attributable to a decrease in Zephyr Valve procedure volumes. The decrease in international revenue was primarily attributable to a lack of sales into China as we awaited the renewal of our registration certificate. In June 2026, we secured the renewal of our Chinese registration certificate. We are focused on restarting commercial activity in the region for the remainder of this year and anticipate resuming shipments to our Chinese distributor by early next year.
Current wording
Revenue decreased by $1.7 million, or 2.5%, to $66.2 million for the nine months ended September 30, 2026, compared to $67.9 million for the nine months ended September 30, 2025. The sale of products in the United States decreased by $0.6 million to $42.3 million for the nine months ended September 30, 2026, compared to $42.9 million for the nine months ended September 30, 2025. The sale of products in international markets decreased by $1.2 million to $23.8 million for the nine months ended September 30, 2026, compared to $25.0 million for the nine months ended September 30, 2025. The decrease in revenue in the United States was attributable to a decrease in Zephyr Valve procedure volumes. The decrease in international revenue was primarily attributable to a lack of sales into China as we awaited the renewal of our registration certificate. In June 2026, we secured the renewal of our Chinese registration certificate. We are focused on restarting commercial activity in the region for the remainder of this year and anticipate resuming shipments to our Chinese distributor by early next year.
Previous wording
Cost of goods sold decreased by $3.3 million, or 25.6%, to $9.6 million for the six months ended June 30, 2026, compared to $12.9 million for the six months ended June 30, 2025. The decrease was mainly due to a decrease in the number of products sold and as a result decreased manufacturing costs. Gross margin increased by 5.7% to 78.0% for the six months ended June 30, 2026, compared to 72.3% for the six months ended June 30, 2025. The increase in gross margin was primarily due to a change in geographic mix during the six months ended June 30, 2026.
Current wording
Cost of goods sold decreased by $3.3 million, or 18.1%, to $15.0 million for the nine months ended September 30, 2026, compared to $18.3 million for the nine months ended September 30, 2025. The decrease was mainly due to a decrease in the number of products sold and as a result decreased manufacturing costs. Gross margin increased by 4.3% to 77.3% for the nine months ended September 30, 2026, compared to 73.0% for the nine months ended September 30, 2025. The increase in gross margin was primarily due to a change in geographic mix during the nine months ended September 30, 2026.
Previous wording
Research and development expenses decreased by $0.1 million, or 1.3%, to $9.9 million for the six months ended June 30, 2026, compared to $10.1 million for the six months ended June 30, 2025. The decrease in research and development expense was primarily due to a decrease of $0.4 million in testing and other expenses in support of product development, offset by an increase of $0.3 million in costs associated with our clinical trials, including fees paid to clinical research organizations.
Current wording
Research and development expenses decreased by $0.1 million, or 0.7%, to $14.8 million for the nine months ended September 30, 2026, compared to $14.9 million for the nine months ended September 30, 2025. The decrease in research and development expense was primarily due to a decrease of $0.5 million in testing and other expenses in support of product development, offset by an increase of $0.4 million in costs associated with our clinical trials, including fees paid to clinical research organizations.
Previous wording
Selling, general and administrative expenses decreased by $7.0 million, or 13.2%, to $45.9 million for the six months ended June 30, 2026, compared to $52.9 million for the six months ended June 30, 2025. The decrease in selling, general and administrative expenses was primarily due to a decrease of $2.8 million in advertising and marketing related expenses, a decrease of $2.7 million in payroll and personnel-related expenses for our sales, marketing and administrative personnel, a decrease of $0.8 million in travel and conference related expenses, and a decrease of $0.7 million in consulting and other professional expenses.
Current wording
Selling, general and administrative expenses decreased by $12.6 million, or 16.0%, to $65.9 million for the nine months ended September 30, 2026, compared to $78.5 million for the nine months ended September 30, 2025. The decrease in selling, general and administrative expenses was primarily due to a decrease of $5.1 million in advertising and marketing related expenses, a decrease of $5.0 million in payroll and personnel-related expenses for our sales, marketing and administrative personnel, a decrease of $1.6 million in consulting and other professional expenses, and a decrease of $0.9 million in travel and conference related expenses.
Previous wording
Interest expense increased by $0.6 million to $2.2 million for the six months ended June 30, 2026 compared to $1.6 million for the six months ended June 30, 2025, primarily due to higher interest rates under our Perceptive Loan compared to our CIBC Loan which was fully repaid in March 2026. Interest income decreased by $0.9 million to $0.7 million for the six months ended June 30, 2026 compared to $1.6 million for the six months ended June 30, 2025. The decrease was primarily due to a lower balance of cash, cash equivalents and marketable securities, which resulted in reduced returns on these assets.
Current wording
Interest expense increased by $1.0 million to $3.4 million for the nine months ended September 30, 2026 compared to $2.4 million for the nine months ended September 30, 2025, primarily due to higher interest rates under our Perceptive Loan compared to our CIBC Loan which was fully repaid in March 2026. Interest income decreased by $1.2 million to $1.0 million for the nine months ended September 30, 2026 compared to $2.2 million for the nine months ended September 30, 2025. The decrease was primarily due to a lower balance of cash, cash equivalents and marketable securities, which resulted in reduced returns on these assets.
Previous wording
Other (expense) income, net was $0.1 million for the six months ended June 30, 2026 and $0.1 million for the six months ended June 30, 2025, primarily due to foreign currency exchange gains.
Current wording
Other income, net was $0.2 million for the nine months ended September 30, 2026 and $0.8 million for the nine months ended September 30, 2025, primarily due to foreign currency exchange gains, partially offset by a change in fair value of common stock warrant liability for the nine months ended September 30, 2026.
Previous wording
To date, we have financed our operations primarily through our initial public offering, private placements of equity securities, debt financing arrangements and sales of our products. As of June 30, 2026, we had cash and cash equivalents of $55.8 million, an accumulated deficit of $545.3 million, and $37.5 million outstanding under the Perceptive Agreement and Swiss COVID-19 Credit Agreement, net of debt discount and debt issuance costs.
Current wording
To date, we have financed our operations primarily through sales of our products, our initial public offering, private placements of equity securities, and debt financing arrangements. As of September 30, 2026, we had cash and cash equivalents of $52.7 million, an accumulated deficit of $553.7 million, and $37.8 million outstanding under the Perceptive Agreement and Swiss COVID-19 Credit Agreement, net of debt discount and debt issuance costs.
Previous wording
On each interest payment date occurring on or prior to March 2, 2029, we have the option to pay interest as follows: 2.0% per annum paid-in-kind (“PIK”) by increasing the principal of the Perceptive Loan and the remaining interest payable paid in cash. For each payment date through June 30, 2026, we elected the PIK option, increasing the principal of the Perceptive Loan by $0.3 million.
Current wording
On each interest payment date occurring on or prior to March 2, 2029, we have the option to pay interest as follows: 2.0% per annum paid-in-kind (“PIK”) by increasing the principal of the Perceptive Loan and the remaining interest payable paid in cash. For each payment date through September 30, 2026, we elected the PIK option, increasing the principal of the Perceptive Loan by $0.5 million.
Previous wording
As of June 30, 2026, the Perceptive Loan had an annual effective interest rate of 13.9% per year.
Current wording
As of September 30, 2026, the Perceptive Loan had an annual effective interest rate of 14.0% per year.
Previous wording
Interest expense on the Perceptive Loan was $1.2 million and $1.6 million during the three and six months ended June 30, 2026, respectively, including interest expense related to debt discount and debt issuance costs of the Perceptive Loan of $0.1 million and $0.1 million, respectively.
Current wording
Interest expense on the Perceptive Loan was $1.2 million and $2.8 million during the three and nine months ended September 30, 2026, respectively, including interest expense related to debt discount and debt issuance costs of the Perceptive Loan of $0.1 million and $0.2 million, respectively.
Previous wording
Net cash used in operating activities was $15.3 million for the six months ended June 30, 2026. Cash used in operating activities was primarily a result of the net loss of $23.7 million, an increase in inventory of $1.2 million mainly due to an increase in finished goods, a decrease in accrued liabilities of $0.4 million primarily due to payment of incentive compensation expense associated with the achievement of performance objectives, a decrease in lease liabilities of $0.6 million due to lease payments, and an increase in accounts receivable of $0.3 million due to the timing of payments from our customers. This is partially offset by stock-based compensation expense of $7.8 million, non-cash lease expense of $0.8 million, an increase in accounts payable of $0.8 million due to timing of payments to our vendors, depreciation and amortization expense of $0.4 million, a decrease in prepaid expenses and other current assets of $0.5 million primarily due to the timing of payments to our vendors, and $0.3 million of interest incurred but paid-in-kind.
Current wording
Net cash used in operating activities was $18.5 million for the nine months ended September 30, 2026. Cash used in operating activities was primarily a result of the net loss of $32.1 million, an increase in inventory of $0.6 million, a decrease in lease liabilities of $1.0 million due to lease payments, and an increase in accounts receivable of $0.2 million due to the timing of payments from our customers. This is partially offset by stock-based compensation expense of $11.4 million, non-cash lease expense of $1.2 million, an increase in accounts payable of $0.6 million due to timing of payments to our vendors, depreciation and amortization expense of $0.7 million, a decrease in prepaid expenses and other current assets of $0.3 million primarily due to the timing of payments to our vendors, amortization of debt discount and debt issuance costs of $0.3 million, and $0.5 million of interest incurred but paid-in-kind.
Previous wording
Net cash used in operating activities was $17.1 million for the six months ended June 30, 2025. Cash used in operating activities was primarily a result of the net loss of $29.6 million, a decrease in accrued liabilities of $2.4 million primarily due to payment of incentive compensation expense associated with the achievement of performance objectives, an increase in accounts receivable of $1.9 million primarily due to the timing of payments from our customers, an increase in other assets of $0.4 million primarily due to capitalized implementation costs of a hosting arrangement, amortization of premiums and discounts on marketable securities of $0.3 million, and a decrease in lease liabilities of $0.3 million due to lease payments. This is partially offset by stock-based compensation expense of $11.8 million, an increase in accounts payable of $2.6 million due to timing of payments to our vendors, a decrease in inventory of $1.1 million due to shipment of products, a decrease in prepaid expenses and other current assets of $1.1 million primarily due to the timing of payments to our vendors, non-cash lease expense of $0.6 million, and depreciation and amortization expense of $0.6 million.
Current wording
Net cash used in operating activities was $25.3 million for the nine months ended September 30, 2025. Cash used in operating activities was primarily a result of the net loss of $43.6 million, a decrease in accrued liabilities of $1.8 million primarily due to payment of incentive compensation in the first quarter of fiscal year 2025, associated with the achievement of performance objectives under the fiscal year 2024 incentive plan, a decrease in lease liabilities of $0.7 million due to lease payments, an increase in accounts receivable of $0.5 million primarily due to the timing of payments from our customers, amortization of premiums and discounts on marketable securities of $0.4 million, and an increase in other assets of $0.2 million primarily due to capitalized implementation costs of a hosting arrangement. This is partially offset by stock-based compensation expense of $17.0 million, an increase in accounts payable of $2.8 million due to timing of payments to our vendors, non-cash lease expense of $1.1 million, depreciation and amortization expense of $0.8 million, and a decrease in prepaid expenses and other current assets of $0.2 million primarily due to the timing of payments to our vendors.
Previous wording
Net cash used in investing activities in the six months ended June 30, 2026 was less than $0.1 million, consisting of purchases of property and equipment.
Current wording
Net cash used in investing activities in the nine months ended September 30, 2026 was less than $0.1 million, consisting of purchases of property and equipment.
Previous wording
Net cash provided by investing activities in the six months ended June 30, 2025 was $21.8 million, consisting of proceeds from maturities of marketable securities of $27.8 million, offset by purchases of marketable securities of $5.7 million and purchases of property and equipment of $0.4 million.
Current wording
Net cash provided by investing activities in the nine months ended September 30, 2025 was $30.5 million, consisting of proceeds from maturities of marketable securities of $36.6 million, offset by purchases of marketable securities of $5.7 million and purchases of property and equipment of $0.4 million.
Previous wording
Net cash provided by financing activities in the six months ended June 30, 2026 was $1.5 million, consisting of proceeds from our Perceptive Loan of $38.8 million, and proceeds from the issuance of common stock under the employee stock purchase plan of $0.2 million, partially offset by repayment of our CIBC Loan of $37.0 million.
Current wording
Net cash provided by financing activities in the nine months ended September 30, 2026 was $1.7 million, consisting of proceeds from our Perceptive Loan of $38.8 million, and proceeds from the issuance of common stock under the employee stock purchase plan of $0.4 million, partially offset by repayment of our CIBC Loan of $37.0 million and payment of debt discounts and issuance costs of $0.5 million.
Previous wording
Net cash provided by financing activities in the six months ended June 30, 2025 was $0.6 million, consisting of proceeds from the issuance of common stock under the employee stock purchase plan of $0.6 million and proceeds from the exercise of common stock options of $0.1 million, offset by repayment of debt under the Credit Agreement of less than $0.1 million and payment of debt issuance cost of less than $0.1 million.
Current wording
Net cash provided by financing activities in the nine months ended September 30, 2025 was $0.8 million, consisting of proceeds from the issuance of common stock under the employee stock purchase plan of $0.8 million and proceeds from the exercise of common stock options of $0.1 million, offset by repayment of debt under the Credit Agreement of less than $0.1 million and payment of debt issuance cost of $0.1 million.
Previous wording
Our net cash operating expenditures were $15.3 million in the six months ended June 30, 2026 and $17.1 million in the six months ended June 30, 2025. We intend to continue to make investments in the development of our products, including ongoing research and development programs. Our cash outflows for capital expenditures were less than $0.1 million and $0.4 million in the six months ended June 30, 2026 and June 30, 2025, respectively, and we expect to maintain the level of expenditures in the future to support our commercial infrastructure, sales force and other commercialization efforts. Recent and expected working and other capital requirements include amounts related to future lease payments for operating lease obligations, which totaled $28.2 million as of June 30, 2026, with $3.0 million expected to be paid within the next 12 months, and amounts related to future short-term and long-term debt which totaled $62.3 million, with $3.7 million expected to be paid within the next 12 months. Lastly, we may undertake additional expenses to further expand our commercial organization and efforts, enhance our research and development efforts and pursue product expansion opportunities.
Current wording
Our net cash operating expenditures were $18.5 million in the nine months ended September 30, 2026 and $25.3 million in the nine months ended September 30, 2025. We intend to continue to make investments in the development of our products, including ongoing research and development programs. Our cash outflows for capital expenditures were less than $0.1 million and $0.4 million in the nine months ended September 30, 2026 and September 30, 2025, respectively, and we expect to maintain the level of expenditures in the future to support our commercial infrastructure, sales force and other commercialization efforts. Recent and expected working and other capital requirements include amounts related to future lease payments for operating lease obligations, which totaled $27.6 million as of September 30, 2026, with $3.1 million expected to be paid within the next 12 months, and amounts related to future short-term and long-term debt which totaled $61.4 million, with $3.7 million expected to be paid within the next 12 months. Lastly, we may undertake additional expenses to further expand our commercial organization and efforts, enhance our research and development efforts and pursue product expansion opportunities.
Previous wording
As of June 30, 2026, we had cash and cash equivalents of $55.8 million. Based on our current planned operations, we expect that our cash and cash equivalents will enable us to fund our operating expenses for at least 12 months from the issuance of our condensed consolidated financial statements as of and for the six months ended June 30, 2026. We believe we will meet longer-term expected future cash requirements and obligations through a combination of available cash and cash equivalents, sales of our products, debt financings, and access to other public or private equity offerings. We have based these estimates on assumptions that may prove to be wrong, and we could utilize our available capital resources sooner than we expect.
Current wording
As of September 30, 2026, we had cash and cash equivalents of $52.7 million. Based on our current planned operations, we expect that our cash and cash equivalents will enable us to fund our operating expenses for at least 12 months from the issuance of our condensed consolidated financial statements as of and for the nine months ended September 30, 2026. We believe we will meet longer-term expected future cash requirements and obligations through a combination of available cash and cash equivalents, sales of our products, debt financings, and access to other public or private equity offerings. We have based these estimates on assumptions that may prove to be wrong, and we could utilize our available capital resources sooner than we expect.
Previous wording
Our critical accounting policies are described under the heading “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Critical Accounting Estimates” in our Annual Report on Form 10-K for the fiscal year ended December 31, 2025, filed with the SEC on March 10, 2026, and the notes to the unaudited condensed consolidated financial statements included in “Part I, Item 1 — Financial Statements” of this Quarterly Report on Form 10-Q. During the six months ended June 30, 2026, except as described in Note 2 to the unaudited interim condensed financial statements appearing elsewhere in this Quarterly Report on Form 10-Q, there were no material changes to our critical accounting estimates from those discussed in our Annual Report on Form 10-K for the fiscal year ended December 31, 2025, filed with the SEC on March 10, 2026.
Current wording
Our critical accounting policies are described under the heading “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Critical Accounting Estimates” in our Annual Report on Form 10-K for the fiscal year ended December 31, 2025, filed with the SEC on March 10, 2026, and the notes to the unaudited condensed consolidated financial statements included in “Part I, Item 1 — Financial Statements” of this Quarterly Report on Form 10-Q. During the nine months ended September 30, 2026, except as described in Note 2 to the unaudited interim condensed financial statements appearing elsewhere in this Quarterly Report on Form 10-Q, there were no material changes to our critical accounting estimates from those discussed in our Annual Report on Form 10-K for the fiscal year ended December 31, 2025, filed with the SEC on March 10, 2026.
Previous wording
See “Recent Accounting Pronouncements” in Note 3 to our consolidated financial statements included elsewhere in this Quarterly Report on Form 10-Q for additional information.
Current wording
See “Recent Accounting Pronouncements” in Note 3 to our condensed consolidated financial statements included elsewhere in this Quarterly Report on Form 10-Q for additional information.
Rearranged previous paragraphs (1)
Previous report — wording carried elsewhere
Revenue decreased by $3.1 million, or 6.6%, to $43.3 million for the six months ended June 30, 2026, compared to $46.4 million for the six months ended June 30, 2025. The sale of products in the United States decreased by $1.6 million to $27.4 million for the six months ended June 30, 2026, compared to $29.0 million for the six months ended June 30, 2025. The sale of products in international markets decreased by $1.5 million to $15.9 million for the six months ended June 30, 2026, compared to $17.4 million for the six months ended June 30, 2025. The decrease in revenue in the United States was primarily attributable to a decrease in Zephyr Valve procedure volumes. The decrease in international revenue was primarily attributable to a lack of sales into China as we awaited the renewal of our registration certificate.