Inogen Announces Third Quarter 2023 Financial Results

Inogen, Inc. (Nasdaq: INGN), a medical technology company offering innovative respiratory products for use in the homecare setting, today announced financial results for the quarter ended September 30, 2023.

GOLETA, Calif.--(BUSINESS WIRE)-- Inogen, Inc. (Nasdaq: INGN), a medical technology company offering innovative respiratory products for use in the homecare setting, today announced financial results for the quarter ended September 30, 2023.

Third Quarter 2023 and Recent Business Highlights

  • Reported total revenue of $84.0 million, reflecting a decrease of 20.3% from the third quarter of 2022.
  • Completed acquisition of Physio-Assist SAS, expanding Inogen’s global respiratory care presence by addressing a sizeable, growing, and underserved airway clearance market opportunity.

“We have continued to improve on executing our commercial strategy while addressing headwinds that we have faced this year. We are excited to start integrating Simeox into our product portfolio in international markets, expanding our respiratory portfolio and the patient population we serve,” said Nabil Shabshab, President and Chief Executive Officer. “Moving forward, we remain focused on returning to revenue growth, driving efficiencies in the business, and advancing the development of our innovation pipeline.”

Third Quarter 2023 Financial Results

Third quarter total revenue decreased 20.3% to $84.0 million from $105.4 million in the third quarter of 2022. Strong growth in rental and international business-to-business sales was more than offset by lower domestic business-to-business sales and lower direct to consumer revenue as the Company focuses on optimizing commercial investments and driving sales representative productivity.

Total gross margin was 40.2% in the third quarter of 2023 versus 40.6% in the third quarter of 2022. Gross margin declined by 40 basis points as the benefit from lower premium-priced components was more than offset by an increase in warranty costs.

Total operating expense, including acquisition and restructuring-related costs as well as one-time non-cash impairment charges of $32.9 million, was $80.5 million compared to $53.1 million in the third quarter of 2022, representing an increase of 51.6%. Total operating expense, excluding one-time costs, declined 10.4% due to the disciplined focus on aligning the Company’s infrastructure with its commercial strategy and ongoing cost management.

Due to the one-time non-cash impairment charges of $32.9 million, the GAAP net loss for the third quarter of 2023 was $45.7 million compared to GAAP net loss of $9.5 million in the third quarter of 2022. Adjusted net loss was $8.5 million compared to Adjusted net loss of $4.1 million in the third quarter of 2022.

Adjusted EBITDA was a loss of $5.5 million in the third quarter of 2023 compared to a loss of $1.2 million in the third quarter of 2022.

Cash, cash equivalents and marketable securities as of September 30, 2023, and after the closing of the Physio-Assist acquisition, were $138.0 million, and the Company had no debt outstanding.

A reconciliation of Adjusted EBITDA and Adjusted net loss for the three and nine months ended September 30, 2023, and 2022 are provided in the financial schedules that are a part of this press release. An explanation of these non-GAAP financial measures is also included below under the heading “Reconciliation of U.S. GAAP to Other Non-GAAP Financial Measures.”

Financial Guidance

Inogen continues to expect 2023 revenue of $315 million to $320 million. Inogen now expects an Adjusted EBITDA loss of approximately $27 million for the full year, inclusive of investments in the Company’s Simeox airway clearance portfolio (Physio-Assist).

Quarterly Conference Call Information

Inogen will host a conference call at 2:00 p.m. Pacific Time / 5:00 p.m. Eastern Time on Tuesday, November 7, 2023 to discuss its third quarter 2023 financial results. Individuals interested in listening to the conference call may do so by dialing:

US domestic callers (877) 841-3961
Non-US callers (201) 689-8589

Please reference Inogen to join the call. To listen to a live webcast, please visit the Investor Relations section of Inogen’s website at: http://investor.inogen.com/. This webcast will also be archived on the website for 6 months.

A replay of the call will be available approximately three hours after the live webcast ends and will be accessible through November 14, 2023. To access the replay, dial (877) 660-6853 or (201) 612-7415 and reference Conference ID: 13740970.

Inogen has used, and intends to continue to use, its Investor Relations website, http://investor.inogen.com/, as a means of disclosing material non-public information and for complying with its disclosure obligations under Regulation FD. For more information, visit http://investor.inogen.com/.

About Inogen

Inogen, Inc. (Nasdaq: INGN) is a leading global medical technology company offering innovative respiratory products for use in the homecare setting. Inogen supports patient respiratory care by developing, manufacturing, and marketing innovative best-in-class portable oxygen concentrators used to deliver supplemental long-term oxygen therapy to patients suffering from chronic respiratory conditions. Inogen partners with patients, prescribers, home medical equipment providers, and distributors to make its oxygen therapy products widely available allowing patients the chance to remain ambulatory while managing the impact of their disease.

For more information, please visit www.inogen.com.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, including, among others, Inogen’s expectations of returning to revenue growth, driving efficiencies in the business, and advancing the development of our innovation pipeline; and revenue and Adjusted EBITDA 2023 expectations. Any statements contained in this communication that are not statements of historical fact may be deemed to be forward-looking statements. Words such as “believes,” “anticipates,” “plans,” “expects,” “will,” “intends,” “potential,” “possible,” and similar expressions are intended to identify forward-looking statements. Forward-looking statements are subject to numerous risks and uncertainties that could cause actual results to differ materially from currently anticipated results, including but not limited to, risks arising from the possibility that Inogen will not realize anticipated revenue or expenses will not decrease; risks related to cost inflation; the risks our innovation pipeline will not produce meaningful results; risks related to our acquisition of Physio-Assist including on expenses; the impact of changes in reimbursement rates and reimbursement and regulatory policies; and the possible loss of key employees, customers, or suppliers; the risk that expenses and costs will exceed Inogen’s expectations. Information on these and additional risks, uncertainties, and other information affecting Inogen’s business operating results are contained in its Annual Report on Form 10-K for the year ended December 31, 2022, and in its other filings with the Securities and Exchange Commission. Additional information will also be set forth in Inogen’s Quarterly Report on Form 10-Q for the period ended September 30, 2023, to be filed with the Securities and Exchange Commission. These forward-looking statements speak only as of the date hereof. Inogen disclaims any obligation to update these forward-looking statements except as may be required by law.

Non-GAAP Financial Measures

Inogen has presented certain financial information in accordance with U.S. GAAP and also on a non-GAAP basis for the three and nine months ended September 30, 2023, and September 30, 2022. Management believes that non-GAAP financial measures, taken in conjunction with U.S. GAAP financial measures, provide useful information for both management and investors by excluding certain non-cash and other expenses that are not indicative of Inogen’s core operating results. Management uses non-GAAP measures to compare Inogen’s performance relative to forecasts and strategic plans, to benchmark Inogen’s performance externally against competitors, and for certain compensation decisions. Non-GAAP information is not prepared under a comprehensive set of accounting rules and should only be used to supplement an understanding of Inogen’s operating results as reported under U.S. GAAP. Inogen encourages investors to carefully consider its results under U.S. GAAP, as well as its supplemental non-GAAP information and the reconciliation between these presentations, to more fully understand its business. Reconciliations between U.S. GAAP and non-GAAP results are presented in the accompanying tables of this release. For future periods, Inogen is unable to provide a reconciliation of non-GAAP measures without unreasonable effort as a result of the uncertainty regarding, and the potential variability of, the amounts of interest income, interest expense, depreciation and amortization, stock-based compensation, provision for income taxes, and certain other infrequently occurring items, such as impairment charges and acquisition-related costs, that may be incurred in the future.

Consolidated Statements of Comprehensive Loss

(unaudited)

(amounts in thousands, except share and per share amounts)

Three months ended

Nine months ended

September 30,

September 30,

2023

2022

2023

2022

Revenue

Sales revenue

$

67,973

$

90,672

$

192,203

$

247,365

Rental revenue

15,994

14,717

47,561

41,785

Total revenue

83,967

105,389

239,764

289,150

Cost of revenue

Cost of sales revenue

42,708

55,891

118,700

146,052

Cost of rental revenue, including depreciation of $3,364 and $2,795 for the three months ended and $9,680 and $8,153 for the nine months ended, respectively

7,495

6,700

22,523

19,036

Total cost of revenue

50,203

62,591

141,223

165,088

Gross profit

33,764

42,798

98,541

124,062

Operating expense

Research and development

4,489

4,581

14,126

16,009

Sales and marketing

26,091

33,734

81,438

92,161

General and administrative

17,011

14,775

50,487

42,646

Impairment charges

32,894

32,894

Total operating expense

80,485

53,090

178,945

150,816

Loss from operations

(46,721

)

(10,292

)

(80,404

)

(26,754

)

Other income (expense)

Interest income, net

1,801

868

4,972

1,122

Other income (expense)

(398

)

(12

)

176

(1,167

)

Total other income (expense), net

1,403

856

5,148

(45

)

Loss before provision for income taxes

(45,318

)

(9,436

)

(75,256

)

(26,799

)

Provision for income taxes

401

70

638

363

Net loss

$

(45,719

)

$

(9,506

)

$

(75,894

)

$

(27,162

)

Other comprehensive income (loss), net of tax

Change in foreign currency translation adjustment

(752

)

(616

)

(575

)

(1,453

)

Change in net unrealized gains (losses) on foreign currency hedging

33

209

40

(1,669

)

Less: reclassification adjustment for net losses included in net income

13

13

1,206

Total net change in unrealized gains (losses) on foreign currency hedging

46

209

53

(463

)

Change in net unrealized gains on marketable securities

49

17

182

16

Total other comprehensive loss, net of tax

(657

)

(390

)

(340

)

(1,900

)

Comprehensive loss

$

(46,376

)

$

(9,896

)

$

(76,234

)

$

(29,062

)

Basic net loss per share attributable to common stockholders (1)

$

(1.97

)

$

(0.42

)

$

(3.28

)

$

(1.19

)

Diluted net loss per share attributable to common stockholders (1) (2)

$

(1.97

)

$

(0.42

)

$

(3.28

)

$

(1.19

)

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

Basic common shares

23,231,217

22,882,333

23,129,795

22,827,733

Diluted common shares

23,231,217

22,882,333

23,129,795

22,827,733

(1)

Reconciliations of net loss attributable to common stockholders basic and diluted can be found in Inogen’s Quarterly Report on Form 10-Q to be filed with the Securities and Exchange Commission.

(2)

Due to a net loss for the three and nine months ended September 30, 2023 and September 30, 2022, diluted loss per share is the same as basic.

Consolidated Balance Sheets

(unaudited)

(amounts in thousands)

September 30,

December 31,

2023

2022

Assets

Current assets

Cash and cash equivalents

$

124,608

$

187,014

Marketable securities

13,432

Accounts receivable, net

48,380

62,725

Inventories, net

24,015

34,093

Income tax receivable

470

1,626

Prepaid expenses and other current assets

14,363

19,187

Total current assets

225,268

304,645

Property and equipment, net

49,525

43,269

Goodwill

9,869

32,852

Intangibles and other non-current assets

34,067

177

Operating lease right-of-use asset

21,184

21,653

Other assets

3,783

2,445

Total assets

$

343,696

$

405,041

Liabilities and stockholders’ equity

Current liabilities

Accounts payable and accrued expenses

$

30,413

$

33,974

Accrued payroll

8,369

11,190

Warranty reserve - current

9,027

7,790

Operating lease liability - current

3,894

3,515

Deferred revenue - current

8,479

8,880

Income tax payable

200

Total current liabilities

60,382

65,349

Warranty reserve - noncurrent

13,329

12,123

Operating lease liability - noncurrent

18,873

19,764

Earnout liability - noncurrent

3,178

Deferred revenue - noncurrent

8,883

10,399

Deferred tax liability - noncurrent

8,421

Total liabilities

113,066

107,635

Stockholders’ equity

Common stock

23

23

Additional paid-in capital

321,584

312,126

Accumulated deficit

(90,394

)

(14,500

)

Accumulated other comprehensive loss

(583

)

(243

)

Total stockholders’ equity

230,630

297,406

Total liabilities and stockholders’ equity

$

343,696

$

405,041

Condensed Consolidated Cash Flow

(unaudited)

(amounts in thousands)

Nine months ended September 30,

2023

2022

Cash flows from operating activities

Net loss

$

(75,894

)

$

(27,162

)

Adjustments to reconcile net loss to net cash used in operating activities:

Depreciation and amortization

13,008

17,536

Loss on rental units and other assets

3,377

2,488

Gain on sale of former rental assets

(58

)

(93

)

Provision for sales revenue returns and doubtful accounts

7,075

10,816

Provision for inventory losses

2,343

2,060

Stock-based compensation expense

8,484

9,185

Change in fair value of earnout liability

(1,699

)

Impairment charges

32,894

Changes in operating assets and liabilities

8,685

(35,181

)

Net cash used in operating activities

(86

)

(22,050

)

Cash flows from investing activities

Maturities of available-for-sale securities

10,500

10,005

Purchases of available-for-sale securities

(23,750

)

Investment in intangible assets

(494

)

Investment in property and equipment

(3,824

)

(2,770

)

Production and purchase of rental equipment

(16,391

)

(11,320

)

Proceeds from sale of former assets

149

152

Acquisition of business, net of cash acquired

(29,633

)

Net cash used in investing activities

(63,443

)

(3,933

)

Cash flows from financing activities

Proceeds from stock options exercised

384

35

Proceeds from employee stock purchases

1,094

1,691

Payment of employment taxes related to release of restricted stock

(504

)

(1,234

)

Net cash provided by financing activities

974

492

Effect of exchange rates on cash

149

(400

)

Net decrease in cash and cash equivalents

$

(62,406

)

$

(25,891

)

Supplemental Financial Information

(unaudited)

(in thousands, except units and patients)

Three months ended

Nine months ended

September 30,

September 30,

2023

2022

2023

2022

Revenue by region and category

Business-to-business domestic sales

$

17,288

$

42,546

$

48,145

$

58,859

Business-to-business international sales

25,613

15,078

67,877

80,460

Direct-to-consumer domestic sales

25,072

33,048

76,181

108,046

Direct-to-consumer domestic rentals

15,994

14,717

47,561

41,785

Total revenue

$

83,967

$

105,389

$

239,764

$

289,150

Additional financial measures

Units sold

35,400

54,200

96,400

127,000

Net rental patients as of period-end

51,900

44,600

51,900

44,600

Reconciliation of U.S. GAAP to Other Non-GAAP Financial Measures

(unaudited)

(in thousands)

Three months ended

Nine months ended

September 30,

September 30,

Non-GAAP EBITDA and Adjusted EBITDA

2023

2022

2023

2022

Net loss (GAAP)

$

(45,719

)

$

(9,506

)

$

(75,894

)

$

(27,162

)

Non-GAAP adjustments:

Interest income, net

(1,801

)

(868

)

(4,972

)

(1,122

)

Provision for income taxes

401

70

638

363

Depreciation and amortization

4,614

5,928

13,008

17,536

EBITDA (non-GAAP)

(42,505

)

(4,376

)

(67,220

)

(10,385

)

Stock-based compensation

1,779

3,500

8,484

9,185

Acquisition-related expenses

960

1,981

Restructuring-related and other charges (1)

1,416

3,426

Impairment charges

32,894

32,894

Change in fair value of earnout liability

(288

)

(1,699

)

Adjusted EBITDA (non-GAAP)

$

(5,456

)

$

(1,164

)

$

(20,435

)

$

(2,899

)

Three months ended September 30,

Net Loss

Diluted EPS

Non-GAAP Adjusted Net Loss and Diluted EPS

2023

2022

2023

2022

Financial Results (GAAP)

$

(45,719

)

$

(9,506

)

$

(1.97

)

$

(0.42

)

Non-GAAP adjustments:

Amortization of intangibles

205

2,150

Stock-based compensation

1,779

3,500

Acquisition-related expenses

960

Restructuring-related and other charges (1)

1,416

Impairment charges

32,894

Change in fair value of earnout liability

(288

)

Income tax impact of adjustments (2)

Adjusted

$

(8,465

)

$

(4,144

)

$

(0.36

)

$

(0.18

)

Nine months ended September 30,

Net Loss

Diluted EPS

Non-GAAP Adjusted Net Loss and Diluted EPS

2023

2022

2023

2022

Financial Results (GAAP)

$

(75,894

)

$

(27,162

)

$

(3.28

)

$

(1.19

)

Non-GAAP adjustments:

Amortization of intangibles

284

6,447

Stock-based compensation

8,484

9,185

Acquisition-related expenses

1,981

Restructuring-related and other charges (1)

3,426

Impairment charges

32,894

Change in fair value of earnout liability

(1,699

)

Income tax impact of adjustments (2)

Adjusted

$

(28,825

)

$

(13,229

)

$

(1.25

)

$

(0.58

)

(1)

Charges represent the costs associated with workforce reductions and associated costs and other restructuring-related activities.

(2)

Income tax impact of adjustments represents the tax impact related to the non-GAAP adjustments listed above and reflects an effective tax rate of 0% for 2023 and 2022.

Three months ended September 30, 2023

% Change from Prior Period

Three months ended
September 30,

2022

2023

FX
Effect

Constant
Currency
Revenues

As
Reported

Less FX
Effect

Constant
Currency
Revenues

Business-to-business domestic sales

$

42,546

$

17,288

$

$

17,288

-59.4

%

0.0

%

-59.4

%

Business-to-business international sales

15,078

25,600

(1,181

)

24,419

69.8

%

-7.8

%

62.0

%

Direct-to-consumer domestic sales

33,048

25,072

25,072

-24.1

%

0.0

%

-24.1

%

Direct-to-consumer domestic rentals

14,717

15,994

15,994

8.7

%

0.0

%

8.7

%

Revenues, excluding hedging effect

$

105,389

$

83,954

$

(1,181

)

$

82,773

-20.3

%

-1.2

%

-21.5

%

Hedging gains

13

Total revenues (3)

$

105,389

$

83,967

$

82,773

-20.3

%

Nine months ended September 30, 2023

% Change from Prior Period

Nine months ended
September 30,

2022

2023

FX
Effect

Constant
Currency
Revenues

As
Reported

Less FX
Effect

Constant
Currency
Revenues

Business-to-business domestic sales

$

58,859

$

48,145

$

$

48,145

-18.2

%

0.0

%

-18.2

%

Business-to-business international sales

79,254

67,864

(215

)

67,649

-14.4

%

-0.2

%

-14.6

%

Direct-to-consumer domestic sales

108,046

76,181

76,181

-29.5

%

0.0

%

-29.5

%

Direct-to-consumer domestic rentals

41,785

47,561

47,561

13.8

%

0.0

%

13.8

%

Revenues, excluding hedging effect

$

287,944

$

239,751

$

(215

)

$

239,536

-16.7

%

-0.1

%

-16.8

%

Hedging gains

1,206

13

Total revenues (3)

$

289,150

$

239,764

$

239,536

-17.1

%

(3)

Total constant currency revenues of $82,773 for the three months ended September 30, 2023 decreased $22,616 compared to $105,389 in revenues, excluding hedging effect for the three months ended September 30, 2022. Total constant currency revenues of $239,536 for the nine months ended September 30, 2023 decreased $48,408 compared to $287,944 in revenues, excluding hedging effect for the nine months ended September 30, 2022.

Contacts

Source: Inogen, Inc.

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