Inogen Inc
For the period ended Mar 31, 2026. Filed May 8, 2026.
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Mar 31, 2026 · Filed May 8, 2026
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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 company focused on the development, manufacture, and commercialization of respiratory products, including portable and stationary oxygen concentrators, airway clearance devices, and continuous positive airway pressure, or CPAP, masks for the treatment of chronic respiratory conditions. The Company's portfolio includes portable oxygen concentrator systems designed to optimize output, weight, sound levels, and battery life, as well as stationary oxygen concentrators, the Simeox airway clearance system and Aurora CPAP masks. The Company operates both as a medical technology company and as a home medical equipment provider, with accreditation across all 50 U.S. states and a broad network of patients, prescribers, providers, and distribution partners.
The Company generates the majority of its revenue from the sale and rental of portable oxygen concentrator systems and related accessories to patients, third-party payors, home healthcare providers, resellers, and distributors. The Company's products are marketed in the United States through direct-to-consumer and prescriber, as well as through business-to-business partnerships, and internationally through distributors and medical equipment providers. The Company's product offerings include multiple configurations of its Inogen One®, Rove, At Home, and Voxi® systems, in addition to Simeox and Aurora products and related accessories.
- 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 months ended March 31, 2026 shown in this report are not necessarily indicative of results to be expected for the full year ending December 31, 2026. 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 27, 2026. 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 27, 2026.
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 Standalone Selling Price (SSP), and service period of performance obligations, rental asset valuations and write-downs, accounts receivable allowances for credit losses, returns and adjustments, impairment of goodwill, impairment of long-lived assets, stock-based compensation expense, income taxes, fair value of acquired intangible assets, goodwill, and financing receivable. Actual results could differ from these estimates.
Reclassifications
Certain reclassifications have been made to prior years’ financial statements to conform to current period financial statements’ presentation with no effect on previously reported results of operations, financial position, cash flows, or stockholders’ equity. These changes consisted of reclassifications to certain line items in the accompanying consolidated balance sheets and did not change total assets, liabilities or stockholders' equity as previously reported.
Recently issued accounting pronouncements not yet adopted
There have been no changes to recently issued accounting standards, including the expected dates of adoption and estimated effects on the Company’s consolidated financial statements and footnote disclosures, from those disclosed in the 2025 Annual Report on Form 10-K.
- 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 · Cash | ||||||
|---|---|---|---|---|---|---|
| Adjusted · unrealized · and cash · Marketable · Restricted | ||||||
| cost | gains (losses) | Fair value | equivalents | securities | cash | |
| Cash | $27,656 | $— | $27,656 | $27,656 | $— | $— |
| Level 1: | ||||||
| Money market accounts | 40,313 | — | 40,313 | 39,017 | — | 1,296 |
| Level 2: | ||||||
| Corporate bonds | 7,049 | (3) | 7,046 | — | 7,046 | — |
| U.S. Treasury securities | 9,971 | 42 | 10,013 | — | 10,013 | — |
| Institutional Insured Liquidity Deposit Savings | 26,439 | — | 26,439 | 26,439 | — | — |
| Total | $111,428 | $39 | $111,467 | $93,112 | $17,059 | $1,296 |
| Gross · Cash | ||||||
| Adjusted · unrealized · and cash · Marketable · Restricted | ||||||
| cost | gains | Fair value | equivalents | securities | cash | |
| Cash | $27,858 | $— | $27,858 | $27,858 | $— | $— |
| Level 1: | ||||||
| Money market accounts | 49,453 | — | 49,453 | 48,164 | — | 1,289 |
| Level 2: | ||||||
| Corporate bonds | 7,221 | 6 | 7,227 | — | 7,227 | — |
| U.S. Treasury securities | 10,098 | 17 | 10,115 | 1,494 | 8,621 | — |
| Institutional Insured Liquidity Deposit Savings | 26,213 | — | 26,213 | 26,213 | — | — |
| Total | $120,843 | $23 | $120,866 | $103,729 | $15,848 | $1,289 |
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 receivable of $162 and a payable of $373 as of March 31, 2026 and December 31, 2025, respectively.
Accumulated other comprehensive income (loss)
The components of accumulated other comprehensive income (loss) were as follows:
| Foreign | Unrealized | Accumulated | |
|---|---|---|---|
| currency | gains | other | |
| translation | on marketable | comprehensive | |
| adjustments | securities | income (loss) | |
| Balance as of December 31, 2025 | $4,221 | $22 | $4,243 |
| Other comprehensive income (loss) | (845) | 17 | (828) |
| Balance as of March 31, 2026 | $3,376 | $39 | $3,415 |
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).
- 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:
| March 31, | March 31, | |
|---|---|---|
| 2026 | 2025 | |
| Cash and cash equivalents | $93,112 | $118,893 |
| Restricted cash | 1,296 | 3,646 |
| Total cash, cash equivalents and restricted cash | $94,408 | $122,539 |
Accounts receivable and allowance for credit losses, returns, and adjustments
Net accounts receivable (gross accounts receivable, net of allowances) balance concentrations by major category as of March 31, 2026 and December 31, 2025 were as follows:
| March 31, | December 31, | |
|---|---|---|
| Net accounts receivable | 2026 | 2025 |
| Rental (1) | $5,476 | $4,725 |
| Business-to-business and other receivables | 36,398 | 34,138 |
| Total net accounts receivable | $41,874 | $38,863 |
(1)Rental includes Medicare, Medicaid/other government, private insurance, and patient pay.
The following table sets forth the accounts receivable allowances as of March 31, 2026 and December 31, 2025:
| March 31, | December 31, | |
|---|---|---|
| Allowances - accounts receivable | 2026 | 2025 |
| Credit losses | $212 | $60 |
| Sales returns | 455 | 418 |
| Total allowances - accounts receivable | $667 | $478 |
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 customer represented more than 10% of the Company’s net accounts receivable balance as of March 31, 2026 and December 31, 2025.
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 62.6% and 55.0% of rental revenue in thethree months ended March 31, 2026 and 2025, respectively.
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 three months ended March 31, 2026, the Company’s three major vendors accounted for 14.4%,12.0%, and 9.6%, respectively, of total raw material purchases. For thethree months ended March 31, 2025, the Company’s three major vendors accounted for 17.9%,10.8%, and 10.6%, respectively, of total raw material purchases.
A portion of revenue is earned from sales outside the United States. Approximately 81.7% and 78.9% of the international revenue for thethree months ended March 31, 2026 and 2025, respectively, were invoiced in Euros. A breakdown of the Company’s revenue from U.S. and international sources for the three months ended March 31, 2026 and 2025, respectively, is as follows:
| Three months endedMarch 31, | ||
|---|---|---|
| 2026 | 2025 | |
| U.S. revenue | $47,441 | $50,295 |
| International revenue | 37,668 | 31,985 |
| Total revenue | $85,109 | $82,280 |
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 $1,918 and $966 as of March 31, 2026 and December 31, 2025, 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. Inventories that are considered current consist of the following:
| March 31, | December 31, | |
|---|---|---|
| 2026 | 2025 | |
| Raw materials and work-in-progress | $13,872 | $14,945 |
| Finished goods | 11,120 | 11,024 |
| Inventories | $24,992 | $25,969 |
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 $1,809 and $1,838 for thethree months ended March 31, 2026 and 2025, respectively.
Depreciation and amortization expense related to rental equipment and other property and equipment are summarized below for thethree months ended March 31, 2026 and 2025, respectively.
| Three months endedMarch 31, | ||
|---|---|---|
| 2026 | 2025 | |
| Rental equipment | $2,628 | $3,034 |
| Other property and equipment | 980 | 1,016 |
| Total depreciation and amortization | $3,608 | $4,050 |
Property and equipment and rental equipment with associated accumulated depreciation is summarized below as of March 31, 2026 and December 31, 2025, respectively.
| March 31, | December 31, | |
|---|---|---|
| Property and equipment | 2026 | 2025 |
| Rental equipment | $57,009 | $59,400 |
| Other property and equipment | 26,189 | 25,926 |
| Property and equipment | 83,198 | 85,326 |
| Accumulated depreciation | ||
| Rental equipment | 32,757 | 33,101 |
| Other property and equipment | 16,755 | 15,863 |
| Accumulated depreciation | 49,512 | 48,964 |
| Property and equipment, net | ||
| Rental equipment | 24,252 | 26,299 |
| Other property and equipment | 9,434 | 10,063 |
| Property and equipment, net | $33,686 | $36,362 |
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 thethree months ended March 31, 2026 and 2025.
Goodwill and other identifiable intangible assets
Goodwill
The changes in the carrying amount of goodwill for thethree months ended March 31, 2026 were as follows:
| Balance as of December 31, 2025 (1) | $10,698 |
|---|---|
| Translation adjustment | (215) |
| Balance as of March 31, 2026 (1) | $10,483 |
(1) Includes $32,894 of accumulated impairment losses as of March 31, 2026 and December 31, 2025.
Intangible assets
Intangible assets as of March 31, 2026 and December 31, 2025 consisted of the following:
| Average | |||||||
|---|---|---|---|---|---|---|---|
| estimated · Gross | |||||||
| useful lives · carrying · Accumulated | |||||||
| March 31, 2026 · (in years) · amount · amortization · Net amount | |||||||
| Developed technology | 10 | $34,713 | $8,823 | $25,890 | |||
| Licenses | 10 | 159 | 159 | — | |||
| Patents and websites | 5 | 3,776 | 3,773 | 3 | |||
| Customer relationships | 4-10 | 3,100 | 1,817 | 1,283 | |||
| Trade name | 4 | 215 | 137 | 78 | |||
| Commercials | 3 | 494 | 487 | 7 | |||
| Internally developed software | 3 | 3,707 | 2,058 | 1,649 | |||
| Total | $46,164 | $17,254 | $28,910 | ||||
| Average | |||||||
| estimated · Gross | |||||||
| useful lives · carrying · Accumulated | |||||||
| December 31, 2025 | (in years) | amount | amortization | Net amount | |||
| Developed technology | 10 | $35,424 | $8,118 | $27,306 | |||
| Licenses | 10 | 159 | 159 | — | |||
| Patents and websites | 5 | 3,775 | 3,771 | 4 | |||
| Customer relationships | 4-10 | 3,165 | 1,811 | 1,354 | |||
| Trade name | 4 | 219 | 126 | 93 | |||
| Commercials | 3 | 494 | 446 | 48 | |||
| Internally developed software | 3 | 3,707 | 1,749 | 1,958 | |||
| Total | $46,943 | $16,180 | $30,763 | ||||
Annual estimated amortization expense for each of the succeeding fiscal years is as follows:
| March 31, | |
|---|---|
| Remaining 9 months of 2026 | $3,709 |
| 2027 | 4,307 |
| 2028 | 3,740 |
| 2029 | 3,643 |
| 2030 | 3,489 |
| Thereafter | 10,022 |
| Total | $28,910 |
Current liabilities
Accounts payable and accrued expenses as of March 31, 2026 and December 31, 2025 consisted of the following:
| March 31, | December 31, | |
|---|---|---|
| 2026 | 2025 | |
| Accounts payable | $24,088 | $20,264 |
| Accrued inventory (in-transit and unvouchered receipts) and trade payables | 7,208 | 9,177 |
| Accrued loss on purchase commitments | 108 | 427 |
| Forward contract payable | — | 373 |
| Other accrued expenses | 1,291 | 3,700 |
| Total accounts payable and accrued expenses | $32,695 | $33,941 |
Accrued payroll as of March 31, 2026 and December 31, 2025 consisted of the following:
| March 31, | December 31, | |
|---|---|---|
| 2026 | 2025 | |
| Accrued bonuses | $2,109 | $3,899 |
| Accrued wages and payroll taxes | 3,981 | 2,783 |
| Accrued vacation | 3,995 | 3,480 |
| Other accrued payroll expenses | 107 | 467 |
| Total accrued payroll | $10,192 | $10,629 |
- Leases
The Company has entered into operating leases primarily for commercial buildings. These leases have terms that range fromtwo years to 11 years, some of which include options toextend the leases for up tofive years. Rent expense, including short-term lease cost, was $980 and $962 for thethree months ended March 31, 2026 and 2025, 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 March 31, | |
|---|---|
| 2027 | $1,136 |
| 2028 | 1,136 |
| 2029 | 1,136 |
| 2030 | 1,136 |
| 2031 | 1,136 |
| Thereafter | 189 |
| Total | $5,869 |
Information related to the Company's right-of-use assets and related operating lease liabilities were as follows:
| Three months ended | ||
|---|---|---|
| March 31, | ||
| 2026 | 2025 | |
| Cash paid for operating lease liabilities | $987 | $946 |
| Operating lease cost | 945 | 935 |
| Non-cash right-of-use assets obtained in exchange for new operating lease obligations | 41 | 551 |
| Weighted-average remaining lease term | 3.0 years | 3.1 years |
| Weighted-average discount rate | 6.7% | 5.8% |
| Maturities of lease liabilities due in the 12-month period ending March 31, | |
|---|---|
| 2027 | $3,952 |
| 2028 | 3,811 |
| 2029 | 3,354 |
| 2030 | 3,325 |
| 2031 | 3,348 |
| Thereafter | 440 |
| Less imputed interest | (1,295) |
| Total lease liabilities | $16,935 |
| Operating lease liability - current | $3,492 |
| Operating lease liability - noncurrent | 13,443 |
| Total lease liabilities | $16,935 |
- 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 endedMarch 31, | ||
|---|---|---|
| 2026 | 2025 | |
| Numerator—basic and diluted: | ||
| Net loss | $(8,324) | $(6,174) |
| Denominator: | ||
| Weighted average shares of common stock - basic common stock (1) | 27,322,438 | 25,164,444 |
| Weighted average shares of common stock - diluted common stock | 27,322,438 | 25,164,444 |
| Net loss per share - basic common stock | $(0.30) | $(0.25) |
| Net loss per share - diluted common stock (2) | $(0.30) | $(0.25) |
| Denominator calculation from basic to diluted: | ||
| Weighted average shares of common stock - basic common stock (1) | 27,322,438 | 25,164,444 |
| Other dilutive awards | 445,213 | 684,657 |
| Weighted average shares of common stock - diluted common stock | 27,767,651 | 25,849,101 |
| Shares excluded from diluted weighted average shares: | ||
| Restricted stock units | 1,222,296 | 495,777 |
(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 months ended March 31, 2026 and March 31, 2025, 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, 2025, the Company recorded a full valuation allowance of $70,474. As of March 31, 2026, 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 March 31, 2026, awards with respect to 6,695 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 March 31, 2026, awards with respect to 2,944,497 shares of the Company's common stock were outstanding, and 770,455 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 March 31, 2026, awards with respect to 25,000 shares of the Company's common stock were outstanding pursuant to such inducement grant.
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 and four-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 thethree months ended March 31, 2026 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, 2025 | 1,494,415 | 1,177,278 | 2,671,693 | $8.58 | ||
| Granted | 446,835 | 548,250 | 995,085 | 6.60 | ||
| Vested | (390,151) | (70,607) | (460,758) | 8.74 | ||
| Forfeited/canceled | (81,023) | (148,805) | (229,828) | 9.01 | ||
| Unvested restricted stock units as of March 31, 2026 (1) | 1,470,076 | 1,506,116 | 2,976,192 | $7.86 | ||
| Unvested and expected to vest restricted stock units outstanding as of March 31, 2026 | 1,982,227 | $7.80 | ||||
(1) Outstanding RSUs are based on the maximum payout of the targeted number of shares.
As of March 31, 2026, the unrecognized compensation cost related to unvested employee restricted stock units was $11,622, excluding estimated forfeitures. This amount is expected to be recognized over a weighted average period of 2.2 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. The expense recognized for shares purchased under the ESPP is equal to the 15% discount the employee receives. As of March 31, 2026, a total of 731,397 shares of common stock were available for future purchase under the ESPP. In the first quarter of 2026, 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 months ended March 31, 2026 and 2025, was as follows:
| Three months ended | ||
|---|---|---|
| March 31, | ||
| 2026 | 2025 | |
| Stock-based compensation expense by type of award: | ||
| Restricted stock units | $1,864 | $2,008 |
| Employee stock purchase plan | 86 | 139 |
| Total stock-based compensation expense | $1,950 | $2,147 |
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 months ended March 31, 2026 and 2025, 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 | ||
|---|---|---|
| March 31, | ||
| 2026 | 2025 | |
| Cost of revenue | $182 | $167 |
| Research and development | 151 | 95 |
| Sales and marketing | 39 | 214 |
| General and administrative | 1,578 | 1,671 |
| Total stock-based compensation expense | $1,950 | $2,147 |
Share repurchase program
In February 2026, the Company's Board of Directors authorized a share repurchase program under which the Company may repurchase up to $30,000 of its outstanding common stock. The program expires on December 31, 2027, or when the maximum authorized dollar amount has been utilized, whichever occurs first. Repurchases under the program may be made from time to time through open market purchases at prevailing market prices, in compliance with Rule 10b-18 under the Exchange Act, including through Rule 10b5-1 trading plans. The share repurchase program does not obligate the Company to make any repurchases and may be modified, suspended, or terminated by the Company at any time without prior notice. The amount and timing of repurchases are subject to a variety of factors including liquidity, share price, market conditions, and legal requirements. During thethree months ended March 31, 2026, the Company repurchased and subsequently retired 298,100 shares of common stock at an average price per share of $6.29, inclusive of broker commissions, for an aggregate purchase price of $1,900. As of March 31, 2026, the Company had $28,100 remaining under its share repurchase program.
- Commitments and contingencies
Purchase obligations
The Company had approximately $65,881 of outstanding purchase orders due within one year with its outside vendors and suppliers as of March 31, 2026. The Company has $108 and $427 accrued within accounts payable and other accrued expenses in the consolidated balance sheet as of March 31, 2026 and December 31, 2025, 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 three-month and 12-month periods ended March 31, 2026 and December 31, 2025, respectively:
| March 31, | December 31, | |
|---|---|---|
| 2026 | 2025 | |
| Product warranty liability at beginning of period | $28,310 | $26,086 |
| Accruals for warranties issued | 3,907 | 15,227 |
| Adjustments related to preexisting warranties (including changes in estimates) | (1,510) | (3,949) |
| Settlements made (in cash or in kind) | (2,341) | (9,054) |
| Product warranty liability at end of period | $28,366 | $28,310 |
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 three months ended March 31, 2026 was primarily driven by $949 of revenue recognized that were included in the deferred revenue balances as of December 31, 2025, partially offset by $203 of payments received in advance of satisfying performance obligations. Deferred revenue related to lifetime warranties was $6,074 and $6,820 as of March 31, 2026 and December 31, 2025, respectively, and is classified within deferred revenue - current and noncurrent deferred revenue 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 March 31, 2026, the Company’s total non-designated and designated derivative contracts had notional amounts totaling approximately $39,074 and $0, respectively. As of March 31, 2025, the Company's total non-designated and designated derivative contracts had notional amounts totaling approximately $46,178 and $20,014, respectively. These contracts were comprised of offsetting contracts with the same counterparty, and each expires withinone month. During the three months ended March 31, 2026, these contracts had, net of tax, no unrealized gain or loss impact. During the three months ended March 31, 2025, these contracts had, net of tax, an unrealized loss of $865.
The nonperformance risk of the Company and the counterparty did not have a material impact on the fair value of the derivatives. During the three months ended March 31, 2026, there wereno ineffective portions relating to these hedges and the hedges remained effective through their respective settlement dates. During thethree months ended March 31, 2025, there wereno ineffective portions related to these hedges. As of March 31, 2026, the Company hadno designated hedges andfour non-designated hedges. As of March 31, 2025, the Company hadnine designated hedges andfour 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.
The text of this filing, as the company filed it with the SEC, without its images or exhibits. This is not investment advice.