KESTRA MEDICAL TECHNOLOGIES, LTD.
For the period ended Apr 30, 2026. Filed Jul 14, 2026.
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FY2026 · Filed Jul 14, 2026
KMTS$29.55-1.9%Stored close · as of Nov 10, 2026
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Item 8. Consolidated Statements of Cash Flows
CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)
| Year Ended April 30, | ||
|---|---|---|
| 2026 | 2025 | |
| Cash flows from operating activities | ||
| Net loss | $(131,612) | $(113,814) |
| Adjustments to reconcile net loss to net cash used in operating activities: | ||
| Depreciation and amortization | 8,709 | 7,968 |
| Loss on disposal of property and equipment | 1,161 | 1,340 |
| Reserve for equipment and supplies | 2,435 | 754 |
| Provision for uncollectible accounts receivable | 2,596 | 2,694 |
| Amortization (accretion) of premiums (discounts) on securities, net | (106) | — |
| Interest paid-in-kind | — | 855 |
| Amortization of debt discounts and issuance costs | 1,874 | 1,400 |
| Share-based compensation expense | 33,644 | 24,270 |
| Non-cash lease expense | 326 | 416 |
| Deferred income tax expense | 166 | 64 |
| Change in fair value of warrant liabilities | (2,673) | 2,648 |
| Changes in operating assets and liabilities: | ||
| Disposable medical equipment supplies | (458) | (3,443) |
| Prepaid expenses and other current assets | (563) | (1,852) |
| Accounts receivable | (9,056) | (8,777) |
| Accounts payable | 4,302 | 2,842 |
| Accrued liabilities | 8,197 | 4,617 |
| Operating lease liabilities | (685) | 370 |
| Other long-term assets | 40 | 40 |
| Net cash used in operating activities | (81,703) | (77,608) |
| Cash flows from investing activities | ||
| Purchases of property and equipment | (34,892) | (22,936) |
| Deposits for medical rental equipment | (528) | (655) |
| Refund of deposits for medical rental equipment | 184 | 283 |
| Investment in equity security | (5,000) | — |
| Purchase of marketable securities | (163,041) | — |
| Net cash used in investing activities | (203,277) | (23,308) |
| Cash flows from financing activities | ||
| Proceeds from issuance of redeemable preferred stock | — | 103,400 |
| Proceeds from issuance of common stock | 149,291 | 215,789 |
| Proceeds from issuance of stock to non-controlling interest | — | 17,100 |
| Proceeds from capital contributions | — | 2,374 |
| Payment of IPO offering costs | — | (3,523) |
| Payment of equity issuance costs | (2,466) | (3,224) |
| Deemed dividend for payments to third party on behalf of shareholder | (323) | (1,654) |
| Proceeds from stock option exercises | 593 | - |
| Net cash provided by financing activities | 147,095 | 330,262 |
| Net increase (decrease) in cash, cash equivalents and restricted cash | (137,885) | 229,346 |
| Cash, cash equivalents and restricted cash | ||
| Beginning of period | 237,929 | 8,583 |
| End of period | $100,044 | $237,929 |
| Reconciliation of cash, cash equivalents and restricted cash reported in the consolidated balance sheets | ||
| Cash and cash equivalents | $99,710 | $237,595 |
| Restricted cash | 334 | 334 |
| Cash, cash equivalents and restricted cash | $100,044 | $237,929 |
| Non-cash investing and financing activities: | ||
| Purchases of property and equipment in accrued liabilities and accounts payable | $8,314 | $7,029 |
| Exercise of liability classified warrant | 4,055 | — |
| Remeasurement of lease liability | 1,614 | — |
| Equity offering costs incurred but not yet paid | 415 | 1,875 |
| Deemed dividend for payments to third party on behalf of shareholder included in accrued liabilities and accounts payable | 172 | — |
| Issuance of warrants related to long-term debt | — | 5,449 |
| Conversion of redeemable preferred stock into Common Shares on completion of IPO | — | 280,510 |
| Supplemental disclosure of cash flow information | ||
| Income taxes paid | $13 | $83 |
| Interest paid | 5,645 | 4,851 |
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