Inogen Announces Second 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 June 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 June 30, 2023.

Second Quarter 2023 and Recent Business Highlights

All comparisons are to the prior year period unless otherwise noted.

  • Reported total revenue of $83.6 million, reflecting a decrease of 19.1%; currency fluctuations accounted for 0.6% of the decrease.
  • GAAP net loss of $9.8 million, Adjusted net loss of $5.8 million and Adjusted EBITDA loss of $3.2 million.
  • Entered into a share purchase agreement to acquire Physio-Assist to add a sizable, growing, and underserved airway clearance market opportunity in support of the strategy to become a multi-portfolio global respiratory care company.
  • Introduced Inogen® Rove 6™ in the United States, a portable oxygen concentrator now with an 8-year expected service life, further strengthening Inogen’s business-to-business and HME value proposition including a very competitive total cost of ownership.

“While disappointed in our second quarter performance, we remain focused on driving execution behind our commercial strategy to continue improving productivity in the direct-to-consumer channel, expanding our presence in the prescriber channel and managing volatility in the lower-margin business-to-business channels,” said Nabil Shabshab, President and Chief Executive Officer. “Importantly, we are making progress on improving Adjusted EBITDA, while making select investments including innovation to organically expand our portfolio in service of new patients and indications beyond COPD. Additionally, the recent agreement to acquire Physio-Assist will allow Inogen to serve patients in need of airway clearance with a clinically differentiated product internationally and eventually in the US. We believe that continued execution behind our commercial and innovation strategies will provide a path to revenue growth in 2024 with a continued focus on a return to profitability.”

Second Quarter 2023 Financial Results

Second quarter total revenue decreased 19.1% to $83.6 million from $103.4 million in the second quarter of 2022, as higher rental revenue and domestic business-to business sales were more than offset by declines in direct-to-consumer sales and international B2B sales.

Total gross margin was 40.7% in the second quarter of 2023 versus 44.7% in the comparative period in 2022. Gross margin declined by 400 basis points as the benefit from lower component costs was more than offset by channel mix and lower average selling prices in the business-to-business segments, namely in the US.

Total operating expense, which includes acquisition and restructuring-related costs, was $45.8 million compared to $49.1 million in the second quarter of 2022, representing a decrease of 6.8%. Total operating expense, excluding one-time costs, declined 11.8% due to disciplined focus on aligning the company infrastructure with its strategy and careful cost management.

GAAP net loss for the second quarter of 2023 was $9.8 million compared to GAAP net loss of $3.4 million in the second quarter of 2022. Adjusted net loss was $5.8 million compared to Adjusted net loss of $0.4 million in the second quarter of 2022. Adjusted EBITDA was a negative $3.2 million in the second quarter of 2023 compared to a positive $3.2 million in the second quarter of 2022.

Cash, cash equivalents and marketable securities were $170.1 million as of June 30, 2023, and no debt outstanding.

A reconciliation of Adjusted EBITDA and Adjusted net loss for the three and six months ended June 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

As a result of year-to-date performance and continued pressure in the business-to-business channels, Inogen now expects 2023 annual revenue of $315 million to $320 million and Adjusted EBITDA loss of $20 million to $25 million for the full year.

Quarterly Conference Call Information

Inogen will issue second quarter 2023 financial results after the market closes on Monday, August 7, 2023. On the same day, the Company will host a conference call at 1:30 p.m. Pacific Time / 4:30 p.m. Eastern Time. 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 August 14, 2023. To access the replay, dial (877) 660-6853 or (201) 612-7415 and reference Conference ID: 13739327.

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 for improving productivity in the direct-to-consumer channel, expanding our presence in the prescriber channel and managing volatility in the lower-margin business-to-business channels; broadening and diversifying our portfolio through innovation; our 2023 revenue and Adjusted EBITDA 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 pending 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 June 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 six months ended June 30, 2023, and June 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 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

Six months ended

June 30,

June 30,

2023

2022

2023

2022

Revenue

Sales revenue

$

68,343

$

89,291

$

124,230

$

156,693

Rental revenue

15,292

14,085

31,567

27,068

Total revenue

83,635

103,376

155,797

183,761

Cost of revenue

Cost of sales revenue

42,028

50,661

75,992

90,161

Cost of rental revenue, including depreciation of $3,238 and $2,720 for the three months ended and $6,316 and $5,358 for the six months ended, respectively

7,563

6,457

15,028

12,336

Total cost of revenue

49,591

57,118

91,020

102,497

Gross profit

34,044

46,258

64,777

81,264

Operating expense

Research and development

4,293

6,064

9,637

11,428

Sales and marketing

26,906

30,388

55,347

58,427

General and administrative

14,613

12,682

33,476

27,871

Total operating expense

45,812

49,134

98,460

97,726

Loss from operations

(11,768

)

(2,876

)

(33,683

)

(16,462

)

Other income (expense)

Interest income

1,646

225

3,171

254

Other income (expense)

337

(722

)

574

(1,155

)

Total other income (expense), net

1,983

(497

)

3,745

(901

)

Loss before provision for income taxes

(9,785

)

(3,373

)

(29,938

)

(17,363

)

Provision for income taxes

41

69

237

293

Net loss

$

(9,826

)

$

(3,442

)

$

(30,175

)

$

(17,656

)

Other comprehensive income (loss), net of tax

Change in foreign currency translation adjustment

7

(634

)

177

(837

)

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

7

(1,204

)

7

(1,878

)

Less: reclassification adjustment for net (gains) losses included in net income

606

1,206

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

7

(598

)

7

(672

)

Change in net unrealized gains (losses) on marketable securities

64

7

133

(1

)

Total other comprehensive income (loss), net of tax

78

(1,225

)

317

(1,510

)

Comprehensive loss

$

(9,748

)

$

(4,667

)

$

(29,858

)

$

(19,166

)

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

$

(0.42

)

$

(0.15

)

$

(1.31

)

$

(0.77

)

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

$

(0.42

)

$

(0.15

)

$

(1.31

)

$

(0.77

)

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

Basic common shares

23,146,117

22,845,040

23,078,244

22,799,981

Diluted common shares

23,146,117

22,845,040

23,078,244

22,799,981

(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 six months ended June 30, 2023 and June 30, 2022, diluted loss per share is the same as basic.

Consolidated Balance Sheets

(unaudited)

(amounts in thousands)

June 30,

December 31,

2023

2022

Assets

Current assets

Cash and cash equivalents

$

167,687

$

187,014

Marketable securities

2,459

Accounts receivable, net

51,135

62,725

Inventories, net

30,744

34,093

Income tax receivable

1,821

1,626

Prepaid expenses and other current assets

15,377

19,187

Total current assets

269,223

304,645

Property and equipment, net

49,195

43,269

Goodwill

32,889

32,852

Operating lease right-of-use asset

20,267

21,653

Other assets

2,777

2,622

Total assets

$

374,351

$

405,041

Liabilities and stockholders’ equity

Current liabilities

Accounts payable and accrued expenses

$

27,612

$

33,974

Accrued payroll

10,835

11,190

Warranty reserve - current

8,602

7,790

Operating lease liability - current

3,622

3,515

Deferred revenue - current

8,696

8,880

Total current liabilities

59,367

65,349

Warranty reserve - noncurrent

12,596

12,123

Operating lease liability - noncurrent

18,257

19,764

Deferred revenue - noncurrent

9,352

10,399

Total liabilities

99,572

107,635

Stockholders’ equity

Common stock

23

23

Additional paid-in capital

319,357

312,126

Accumulated deficit

(44,675

)

(14,500

)

Accumulated other comprehensive income (loss)

74

(243

)

Total stockholders’ equity

274,779

297,406

Total liabilities and stockholders’ equity

$

374,351

$

405,041

Condensed Consolidated Cash Flow

(unaudited)

(amounts in thousands)

Six months ended June 30,

2023

2022

Cash flows from operating activities

Net loss

$

(30,175

)

$

(17,656

)

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

Depreciation and amortization

8,394

11,608

Loss on rental units and other assets

2,138

1,466

Gain on sale of former rental assets

(40

)

(93

)

Provision for sales revenue returns and doubtful accounts

4,488

6,200

Provision for inventory losses

989

1,552

Stock-based compensation expense

6,705

5,685

Change in fair value of earnout liability

(1,411

)

Changes in operating assets and liabilities

5,230

(19,918

)

Net cash used in operating activities

(2,271

)

(12,567

)

Cash flows from investing activities

Purchases of available-for-sale securities

(12,826

)

Maturities of available-for-sale securities

10,500

9,988

Investment in intangible assets

(494

)

Investment in property and equipment

(3,116

)

(2,236

)

Production and purchase of rental equipment

(11,810

)

(7,083

)

Proceeds from sale of former assets

96

153

Net cash provided by (used in) investing activities

(17,650

)

822

Cash flows from financing activities

Proceeds from stock options exercised

384

35

Proceeds from employee stock purchases

630

915

Payment of employment taxes related to release of restricted stock

(488

)

(1,159

)

Net cash provided by (used in) financing activities

526

(209

)

Effect of exchange rates on cash

68

51

Net decrease in cash and cash equivalents

$

(19,327

)

$

(11,903

)

Supplemental Financial Information

(unaudited)

(in thousands, except units and patients)

Three months ended

Six months ended

June 30,

June 30,

2023

2022

2023

2022

Revenue by region and category

Business-to-business domestic sales

$

18,272

$

11,212

$

30,857

$

16,313

Business-to-business international sales

23,292

37,441

42,264

65,382

Direct-to-consumer domestic sales

26,779

40,638

51,109

74,998

Direct-to-consumer domestic rentals

15,292

14,085

31,567

27,068

Total revenue

$

83,635

$

103,376

$

155,797

$

183,761

Additional financial measures

Units sold

34,100

42,400

61,000

72,800

Net rental patients as of period-end

48,900

43,800

48,900

43,800

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

(unaudited)

(in thousands)

Three months ended

Six months ended

June 30,

June 30,

Non-GAAP EBITDA and Adjusted EBITDA

2023

2022

2023

2022

Net loss (GAAP)

$

(9,826

)

$

(3,442

)

$

(30,175

)

$

(17,656

)

Non-GAAP adjustments:

Interest income

(1,646

)

(225

)

(3,171

)

(254

)

Provision for income taxes

41

69

237

293

Depreciation and amortization

4,308

5,848

8,394

11,608

EBITDA (non-GAAP)

(7,123

)

2,250

(24,715

)

(6,009

)

Stock-based compensation

3,263

3,020

6,705

5,685

Acquisition-related expenses

467

1,021

Restructuring-related and other charges (1)

201

2,010

Change in fair value of earnout liability

(2,041

)

(1,411

)

Adjusted EBITDA (non-GAAP)

$

(3,192

)

$

3,229

$

(14,979

)

$

(1,735

)

Three months ended June 30,

Net Loss

Diluted EPS

Non-GAAP Adjusted Net Loss and Diluted EPS

2023

2022

2023

2022

Financial Results (GAAP)

$

(9,826

)

$

(3,442

)

$

(0.42

)

$

(0.15

)

Non-GAAP adjustments:

Amortization of intangibles

53

2,150

Stock-based compensation

3,263

3,020

Acquisition-related expenses

467

Restructuring-related and other charges (1)

201

Change in fair value of earnout liability

(2,041

)

Income tax impact of adjustments (2)

(53

)

Adjusted

$

(5,842

)

$

(366

)

$

(0.25

)

$

(0.02

)

Six months ended June 30,

Net Loss

Diluted EPS

Non-GAAP Adjusted Net Loss and Diluted EPS

2023

2022

2023

2022

Financial Results (GAAP)

$

(30,175

)

$

(17,656

)

$

(1.31

)

$

(0.77

)

Non-GAAP adjustments:

Amortization of intangibles

79

4,297

Stock-based compensation

6,705

5,685

Acquisition-related expenses

1,021

Restructuring-related and other charges (1)

2,010

Change in fair value of earnout liability

(1,411

)

Income tax impact of adjustments (2)

(146

)

Adjusted

$

(20,360

)

$

(9,231

)

$

(0.88

)

$

(0.40

)

(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 -1.7% for 2022, which is due to the recording of a valuation allowance.

Three months ended June 30, 2023

% Change from Prior Period

Three months ended
June 30,

2022

2023

FX
Effect

Constant Currency Revenues

As Reported

Less FX
Effect

Constant Currency Revenues

Business-to-business domestic sales

$

11,212

$

18,272

$

$

18,272

63.0

%

0.0

%

63.0

%

Business-to-business international sales

36,835

23,292

106

23,398

-36.8

%

0.3

%

-36.5

%

Direct-to-consumer domestic sales

40,638

26,779

26,779

-34.1

%

0.0

%

-34.1

%

Direct-to-consumer domestic rentals

14,085

15,292

15,292

8.6

%

0.0

%

8.6

%

Revenues, excluding hedging effect

$

102,770

$

83,635

$

106

$

83,741

-18.6

%

0.1

%

-18.5

%

Hedging gains

606

-

-

Total Revenues (3)

$

103,376

$

83,635

$

83,741

-19.1

%

Six months ended June 30, 2023

% Change from Prior Period

Six months ended
June 30,

2022

2023

FX
Effect

Constant Currency Revenues

As Reported

Less FX
Effect

Constant Currency Revenues

Business-to-business domestic sales

$

16,313

$

30,857

$

$

30,857

89.2

%

0.0

%

89.2

%

Business-to-business international sales

64,176

42,264

966

43,230

-34.1

%

1.5

%

-32.6

%

Direct-to-consumer domestic sales

74,998

51,109

51,109

-31.9

%

0.0

%

-31.9

%

Direct-to-consumer domestic rentals

27,068

31,567

31,567

16.6

%

0.0

%

16.6

%

Revenues, excluding hedging effect

$

182,555

$

155,797

$

966

$

156,763

-14.7

%

0.5

%

-14.1

%

Hedging gains

1,206

-

-

Total Revenues (3)

$

183,761

$

155,797

$

156,763

-15.2

%

(3)

Total constant currency revenues of $83,741 for the three months ended June 30, 2023 decreased $19,029 compared to $102,770 in revenues, excluding hedging effect for the three months ended June 30, 2022. Total constant currency revenues of $156,763 for the six months ended June 30, 2023 decreased $25,792 compared to $182,555 in revenues, excluding hedging effect for the six months ended June 30, 2022.

Contacts

Agnes Lee
ir@inogen.net

Source: Inogen, Inc.

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