Full Press Release Details
Inogen Announces Fourth Quarter and Full-Year 2023 Financial Results
Fourth quarter 2023 revenue of $75.9 million; full-year 2023 revenue of $315.7 million
Goleta, CA February 27, 2024 Inogen, Inc. (Nasdaq: INGN), a medical technology company offering innovative respiratory products for use in the homecare setting, today announced financial results for the fourth quarter and the full-year ended December 31, 2023.
I am excited for the future of Inogen. As we progress into 2024, we are focused on positioning the business for revenue growth and long-term profitability while advancing our innovation pipeline and working to bring Physio-Assist to the U.S. market, said Kevin Smith, President and Chief Executive Officer. We have a strong management team with the recent additions of Gr goire Ramade as Chief Commercial Officer and Michael Bourque as Chief Financial Officer, and we are confident in our ability to deliver value for shareholders.
Fourth Quarter 2023 Financial Results
Fourth quarter total revenue was $75.9 million, relative to $88.1 million in the fourth quarter of 2022, primarily due to a decrease in domestic business-to-business sales and direct-to-consumer sales, partially offset by higher rental revenue.
Total gross margin was 37.1% in the fourth quarter of 2023 versus 33.5% in the comparative period in 2022. The increase was driven primarily by lower premiums paid for components and labor and overhead costs.
Total operating expense for the quarter was $57.1 million compared to $88.0 million in the fourth quarter of 2022. The decrease was primarily due to the loss on disposal of an intangible asset of $52.2 million in the prior-year period, partially offset by the change in fair value of the earnout liabilities and certain one-time costs related to the CEO transition and bad debt expense.
GAAP net loss for the fourth quarter of 2023 was $26.6 million compared to GAAP net loss of $56.6 million in the fourth quarter of 2022. Adjusted net loss for the fourth quarter of 2023 was $19.4 million compared to adjusted net loss of $13.0 million in the fourth quarter of 2022.
Adjusted EBITDA was a negative $17.3 million in the fourth quarter of 2023 compared to a negative $10.6 million in the fourth quarter of 2022.
Cash, cash equivalents and marketable securities were $128.5 million as of December 31, 2023, with no debt outstanding.
Full-Year 2023 Financial Results
Total revenue was $315.7 million compared to $377.2 million in 2022, primarily due to declines in direct-to-consumer sales as well as domestic and international business-to-business sales, partially offset by higher rental revenue.
Total gross margin was 40.1% for the full-year 2023 versus 40.7% in 2022. The decline was primarily due to sales channel mix and higher servicing costs, partially offset by lower premiums paid for components and labor and overhead costs as well as higher reimbursement rates. Additional impacts included higher cost of other materials and warranty cost per unit sold.
Total operating expense for the full-year 2023 was $236.1 million compared to $238.8 million for the full-year 2022.
GAAP net loss for full-year 2023 was $102.4 million compared to GAAP net loss of $83.8 million for full-year 2022. Adjusted net loss for full-year 2023 was $48.3 million compared to adjusted net loss of $26.2 million for full-year 2022.
Adjusted EBITDA was a negative $37.8 million for the full-year 2023 compared to a negative $13.5 million for the full-year 2022.
Reconciliations of adjusted EBITDA and adjusted net loss for the three and twelve months ended December 31, 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 Non-GAAP Financial Measures.
First Quarter 2024 Financial Outlook
For the first quarter 2024, Inogen expects revenue of $73 to $74 million, reflecting 1% to 3% reported growth relative to the first quarter 2023.
Quarterly Conference Call Information
Inogen will issue fourth quarter and full-year 2023 financial results after the market closes on Tuesday, February 27, 2024. On the same day, the company will host a conference call beginning at 2:00 pm PT / 5:00 pm ET.
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 March 5, 2024. To access the replay, dial (877) 660-6853 or (201) 612-7415 and reference Conference ID: 13743411.
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/.
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, statements with respect to the business positioned for revenue growth and long-term profitability, advancing the innovation pipeline, working to bring Physio-Assist to the U.S. market, and Inogen's first quarter revenue 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 related to its announced management and organizational changes, and risks arising from the possibility that Inogen will not realize anticipated future financial performance or strategic goals. In addition, Inogen's business is subject to numerous additional risks and uncertainties, including, among others, risks relating to market acceptance of its products; competition; its sales, marketing and distribution capabilities; its planned sales, marketing, and research and development activities; interruptions or delays in the supply of components or materials for, or manufacturing of, its products; seasonal variations; unanticipated increases in costs or expenses; risks associated with international operations; and the possibility that Inogen will not realize anticipated revenue from recent or future technology acquisitions or that expenses and costs related thereto 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 period ended December 31, 2023, its Quarterly Report on Form 10-Q for the calendar quarter ended September 30, 2023 and in its other filings 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 twelve months ended December 31, 2023, and December 31, 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 | Twelve months ended | |||||||||||||||
| December 31, | December 31, | |||||||||||||||
| 2023 | 2022 | 2023 | 2022 | |||||||||||||
| Revenue | ||||||||||||||||
| Sales revenue | $ | 59,404 | $ | 73,184 | $ | 251,607 | $ | 320,549 | ||||||||
| Rental revenue | 16,492 | 14,907 | 64,053 | 56,692 | ||||||||||||
| Total revenue | 75,896 | 88,091 | 315,660 | 377,241 | ||||||||||||
| Cost of revenue | ||||||||||||||||
| Cost of sales revenue | 39,936 | 51,753 | 158,636 | 197,805 | ||||||||||||
| Cost of rental revenue, including depreciation of $3,213 and $2,950 for the three months ended and $12,893 and $11,103 for the twelve months ended, respectively | 7,802 | 6,867 | 30,325 | 25,903 | ||||||||||||
| Total cost of revenue | 47,738 | 58,620 | 188,961 | 223,708 | ||||||||||||
| Gross profit | 28,158 | 29,471 | 126,699 | 153,533 | ||||||||||||
| Operating expense | ||||||||||||||||
| Research and development | 6,714 | 5,934 | 20,840 | 21,943 | ||||||||||||
| Sales and marketing | 25,653 | 28,606 | 107,091 | 120,767 | ||||||||||||
| General and administrative | 24,773 | 1,259 | 75,260 | 43,905 | ||||||||||||
| Loss on disposal of intangible asset | 52,161 | 52,161 | ||||||||||||||
| Impairment charges | 32,894 | |||||||||||||||
| Total operating expense | 57,140 | 87,960 | 236,085 | 238,776 | ||||||||||||
| Loss from operations | (28,982 | ) | (58,489 | ) | (109,386 | ) | (85,243 | ) | ||||||||
| Other income (expense) | ||||||||||||||||
| Interest income | 1,602 | 1,715 | 6,574 | 2,837 | ||||||||||||
| Other income (expense) | 292 | 305 | 468 | (862 | ) | |||||||||||
| Total other income, net | 1,894 | 2,020 | 7,042 | 1,975 | ||||||||||||
| Loss before provision (benefit) for income taxes | (27,088 | ) | (56,469 | ) | (102,344 | ) | (83,268 | ) | ||||||||
| Provision (benefit) for income taxes | (533 | ) | 141 | 105 | 504 | |||||||||||
| Net loss | (26,555 | ) | (56,610 | ) | (102,449 | ) | (83,772 | ) | ||||||||
| Other comprehensive income (loss), net of tax | ||||||||||||||||
| Change in foreign currency translation adjustment | 1,933 | 856 | 1,358 | (597 | ) | |||||||||||
| Change in net unrealized gains (losses) on foreign currency hedging | (78 | ) | (1,461 | ) | (3,130 | ) | ||||||||||
| Less: reclassification adjustment for net (gains) losses included in net income | 25 | 784 | 1,990 | |||||||||||||
| Total net change in unrealized gains (losses) on foreign currency hedging | (53 | ) | (677 | ) | (1,140 | ) | ||||||||||
| Change in net unrealized gains (losses) on marketable securities | (72 | ) | 9 | 110 | 25 | |||||||||||
| Total other comprehensive income (loss), net of tax | 1,808 | 188 | 1,468 | (1,712 | ) | |||||||||||
| Comprehensive loss | $ | (24,747 | ) | $ | (56,422 | ) | $ | (100,981 | ) | $ | (85,484 | ) | ||||
| Basic net loss per share attributable to common stockholders (1) | $ | (1.14 | ) | $ | (2.47 | ) | $ | (4.42 | ) | $ | (3.67 | ) | ||||
| Diluted net loss per share attributable to common stockholders (1) (2) | $ | (1.14 | ) | $ | (2.47 | ) | $ | (4.42 | ) | $ | (3.67 | ) | ||||
| Weighted-average number of shares used in calculating net loss per share attributable to common stockholders: | ||||||||||||||||
| Basic common shares | 23,313,495 | 22,926,276 | 23,176,098 | 22,852,571 | ||||||||||||
| Diluted common shares | 23,313,495 | 22,926,276 | 23,176,098 | 22,852,571 |
(1)Reconciliations of net loss attributable to common stockholders basic and diluted can be found in Inogen's Annual Report on Form 10-K to be filed with the Securities and Exchange Commission.
(2)Due to a net loss for the three and twelve months ended December 31, 2023 and December 31, 2022, diluted loss per share is the same as basic.
| Consolidated Balance Sheets | ||||||||
| (unaudited) | ||||||||
| (amounts in thousands) | ||||||||
| December 31, | December 31, | |||||||
| 2023 | 2022 | |||||||
| Assets | ||||||||
| Current assets | ||||||||
| Cash and cash equivalents | $ | 125,492 | $ | 187,014 | ||||
| Marketable securities | 2,979 | |||||||
| Accounts receivable, net | 42,241 | 62,725 | ||||||
| Inventories, net | 21,840 | 34,093 | ||||||
| Income tax receivable | 669 | 1,626 | ||||||
| Prepaid expenses and other current assets | 13,846 | 19,187 | ||||||
| Total current assets | 207,067 | 304,645 | ||||||
| Property and equipment, net | 50,316 | 43,269 | ||||||
| Goodwill | 10,057 | 32,852 | ||||||
| Intangibles and other non-current assets | 34,591 | 177 | ||||||
| Operating lease right-of-use asset | 20,338 | 21,653 | ||||||
| Other assets | 3,825 | 2,445 | ||||||
| Total assets | $ | 326,194 | $ | 405,041 | ||||
| Liabilities and stockholders' equity | ||||||||
| Current liabilities | ||||||||
| Accounts payable and accrued expenses | $ | 30,142 | $ | 33,974 | ||||
| Accrued payroll | 11,066 | 11,190 | ||||||
| Warranty reserve - current | 9,628 | 7,790 | ||||||
| Operating lease liability - current | 3,653 | 3,515 | ||||||
| Earnout liability | 10,000 | |||||||
| Deferred revenue - current | 7,980 | 8,880 | ||||||
| Income tax payable | 27 | |||||||
| Total current liabilities | 72,496 | 65,349 | ||||||
| Warranty reserve - noncurrent | 13,850 | 12,123 | ||||||
| Operating lease liability - noncurrent | 18,270 | 19,764 | ||||||
| Deferred revenue - noncurrent | 8,227 | 10,399 | ||||||
| Deferred tax liability - noncurrent | 8,539 | |||||||
| Total liabilities | 121,382 | 107,635 | ||||||
| Stockholders' equity | ||||||||
| Common stock | 23 | 23 | ||||||
| Additional paid-in capital | 320,513 | 312,126 | ||||||
| Accumulated deficit | (116,949 | ) | (14,500 | ) | ||||
| Accumulated other comprehensive income (loss) | 1,225 | (243 | ) | |||||
| Total stockholders' equity | 204,812 | 297,406 | ||||||
| Total liabilities and stockholders' equity | $ | 326,194 | $ | 405,041 |
| Condensed Consolidated Cash Flow | ||||||||
| (unaudited) | ||||||||
| (amounts in thousands) | ||||||||
| Years Ended December 31, | ||||||||
| 2023 | 2022 | |||||||
| Cash flows from operating activities | ||||||||
| Net loss | $ | (102,449 | ) | $ | (83,772 | ) | ||
| Adjustments to reconcile net loss to net cash used in operating activities: | ||||||||
| Depreciation and amortization | 18,152 | 23,514 | ||||||
| Loss on rental units and other assets | 4,508 | 3,095 | ||||||
| Gain on sale of former rental assets | (84 | ) | (154 | ) | ||||
| Provision for sales revenue returns and doubtful accounts | 10,730 | 13,024 | ||||||
| Provision for inventory losses | 2,691 | 2,423 | ||||||
| Loss on purchase commitments | 2,057 | |||||||
| Stock-based compensation expense | 7,427 | 12,283 | ||||||
| Deferred income taxes | (251 | ) | ||||||
| Change in fair value of earnout liability | 6,822 | (15,386 | ) | |||||
| Loss on disposal of intangible asset | 52,161 | |||||||
| Impairment charges | 32,894 | |||||||
| Changes in operating assets and liabilities | 14,269 | (44,720 | ) | |||||
| Net cash used in operating activities | (3,234 | ) | (37,532 | ) | ||||
| Cash flows from investing activities | ||||||||
| Purchases of available-for-sale securities | (26,869 | ) | ||||||
| Maturities of available-for-sale securities | 24,000 | 10,014 | ||||||
| Investment in intangible assets | (494 | ) | ||||||
| Investment in property and equipment | (5,218 | ) | (3,337 | ) | ||||
| Production and purchase of rental equipment | (21,299 | ) | (17,885 | ) | ||||
| Proceeds from sale of former assets | 198 | 331 | ||||||
| Acquisition of business, net of cash acquired | (29,633 | ) | ||||||
| Net cash used in investing activities | (59,315 | ) | (10,877 | ) | ||||
| Cash flows from financing activities | ||||||||
| Proceeds from stock options exercised | 384 | 44 | ||||||
| Proceeds from employee stock purchases | 1,094 | 1,691 | ||||||
| Payment of employment taxes related to release of restricted stock | (518 | ) | (1,355 | ) | ||||
| Net cash provided by financing activities | 960 | 380 | ||||||
| Effect of exchange rates on cash | 67 | (481 | ) | |||||
| Net decrease in cash and cash equivalents | $ | (61,522 | ) | $ | (48,510 | ) |
| Supplemental Financial Information | ||||||||||||||||||||
| (unaudited) | ||||||||||||||||||||
| (in thousands, except units and patients) | ||||||||||||||||||||
| Three months ended December 31, | Change as reported | Constant Currency Change | ||||||||||||||||||
| 2023 | 2022 | $ | % | % | ||||||||||||||||
| Revenue by region and category | ||||||||||||||||||||
| Business-to-business domestic sales | $ | 18,051 | $ | 27,190 | $ | (9,139 | ) | -33.6 | % | -33.6 | % | |||||||||
| Business-to-business international sales | 21,524 | 20,703 | 821 | 4.0 | % | 2.6 | % | |||||||||||||
| Direct-to-consumer domestic sales | 19,829 | 25,291 | (5,462 | ) | -21.6 | % | -21.6 | % | ||||||||||||
| Direct-to-consumer domestic rentals | 16,492 | 14,907 | 1,585 | 10.6 | % | 10.6 | % | |||||||||||||
| Total revenue | $ | 75,896 | $ | 88,091 | $ | (12,195 | ) | -13.8 | % | -14.3 | % | |||||||||
| Additional financial measures | ||||||||||||||||||||
| Units sold | 34,100 | 43,500 | ||||||||||||||||||
| Net rental patients as of period-end | 51,900 | 45,600 | ||||||||||||||||||
| Twelve months ended December 31, | Change as reported | Constant Currency Change | ||||||||||||||||||
| 2023 | 2022 | $ | % | % | ||||||||||||||||
| Revenue by region and category | ||||||||||||||||||||
| Business-to-business domestic sales | $ | 66,196 | $ | 86,049 | $ | (19,853 | ) | -23.1 | % | -23.1 | % | |||||||||
| Business-to-business international sales | 89,401 | 101,163 | (11,762 | ) | -11.6 | % | -11.2 | % | ||||||||||||
| Direct-to-consumer domestic sales | 96,010 | 133,337 | (37,327 | ) | -28.0 | % | -28.0 | % | ||||||||||||
| Direct-to-consumer domestic rentals | 64,053 | 56,692 | 7,361 | 13.0 | % | 13.0 | % | |||||||||||||
| Total revenue | $ | 315,660 | $ | 377,241 | $ | (61,581 | ) | -16.3 | % | -16.2 | % | |||||||||
| Additional financial measures | ||||||||||||||||||||
| Units sold | 130,500 | 170,500 | ||||||||||||||||||
| Net rental patients as of period-end | 51,900 | 45,600 |
| Reconciliation of U.S. GAAP to Other Non-GAAP Financial Measures | ||||||||||||||||
| (unaudited) | ||||||||||||||||
| (in thousands) | ||||||||||||||||
| Three months ended | Twelve months ended | |||||||||||||||
| December 31, | December 31, | |||||||||||||||
| Non-GAAP EBITDA and Adjusted EBITDA | 2023 | 2022 | 2023 | 2022 | ||||||||||||
| Net loss (GAAP) | $ | (26,555 | ) | $ | (56,610 | ) | $ | (102,449 | ) | $ | (83,772 | ) | ||||
| Non-GAAP adjustments: | ||||||||||||||||
| Interest income, net | (1,602 | ) | (1,715 | ) | (6,574 | ) | (2,837 | ) | ||||||||
| Provision for income taxes | (533 | ) | 141 | 105 | 504 | |||||||||||
| Depreciation and amortization | 5,144 | 5,978 | 18,152 | 23,514 | ||||||||||||
| EBITDA (non-GAAP) | (23,546 | ) | (52,206 | ) | (90,766 | ) | (62,591 | ) | ||||||||
| Stock-based compensation | (1,057 | ) | 3,098 | 7,427 | 12,283 | |||||||||||
| Acquisition-related expenses | 432 | 2,413 | ||||||||||||||
| Restructuring-related and other charges (1) | 3,426 | |||||||||||||||
| Impairment charges | 32,894 | |||||||||||||||
| Change in fair value of earnout liability | 6,822 | (13,687 | ) | 6,822 | (15,386 | ) | ||||||||||
| Loss on disposal of intangible asset | 52,161 | 52,161 | ||||||||||||||
| Adjusted EBITDA (non-GAAP) | $ | (17,349 | ) | $ | (10,634 | ) | $ | (37,784 | ) | $ | (13,533 | ) |
| Three months ended December 31, | ||||||||||||||||
| Net Loss | Diluted EPS | |||||||||||||||
| Non-GAAP Adjusted Net Loss and Diluted EPS | 2023 | 2022 | 2023 | 2022 | ||||||||||||
| Financial Results (GAAP) | $ | (26,555 | ) | $ | (56,610 | ) | $ | (1.14 | ) | $ | (2.47 | ) | ||||
| Non-GAAP adjustments: | ||||||||||||||||
| Amortization of intangibles | 918 | 2,022 | ||||||||||||||
| Stock-based compensation | (1,057 | ) | 3,098 | |||||||||||||
| Acquisition-related expenses | 432 | |||||||||||||||
| Change in fair value of earnout liability | 6,822 | (13,687 | ) | |||||||||||||
| Loss on disposal of intangible asset | 52,161 | |||||||||||||||
| Income tax impact of adjustments (2) | ||||||||||||||||
| Adjusted | $ | (19,440 | ) | $ | (13,016 | ) | $ | (0.83 | ) | $ | (0.57 | ) | ||||
| Twelve months ended December 31, | ||||||||||||||||
| Net Loss | Diluted EPS | |||||||||||||||
| Non-GAAP Adjusted Net Loss and Diluted EPS | 2023 | 2022 | 2023 | 2022 | ||||||||||||
| Financial Results (GAAP) | $ | (102,449 | ) | $ | (83,772 | ) | $ | (4.42 | ) | $ | (3.67 | ) | ||||
| Non-GAAP adjustments: | ||||||||||||||||
| Amortization of intangibles | 1,202 | 8,469 | ||||||||||||||
| Stock-based compensation | 7,427 | 12,283 | ||||||||||||||
| Acquisition-related expenses | 2,413 | |||||||||||||||
| Restructuring-related and other charges (1) | 3,426 | |||||||||||||||
| Impairment charges | 32,894 | |||||||||||||||
| Change in fair value of earnout liability | 6,822 | (15,386 | ) | |||||||||||||
| Loss on disposal of intangible asset | 52,161 | |||||||||||||||
| Income tax impact of adjustments (2) | ||||||||||||||||
| Adjusted | $ | (48,265 | ) | $ | (26,245 | ) | $ | (2.08 | ) | $ | (1.15 | ) |
(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.