Reiterated Full-Year Revenue Guidance and Return-to-Growth Plan
Reiterated 2026 revenue guidance of $90M–$92M and expects sequential quarter-on-quarter improvement with return to year-over-year growth in both U.S. and international businesses in the back half of 2026 and exit the year with double-digit growth.
First Quarter Revenue and Commercial Progress
Total worldwide revenue of $20.6M in Q1 2026; U.S. revenue $13.3M. Added 15 new U.S. treating centers in Q1 and substantially filled U.S. sales leadership and field roles, with sales turnover stabilized over the last 6 months.
Gross Margin Expansion
Gross margin improved to 78% in Q1 2026 from 73% a year ago, driven primarily by a lower mix of distributor sales; company expects full-year gross margin of approximately 75% (higher in H1, lower in H2 based on mix).
Cost Reduction and Improved Operating Expense Trajectory
Executed a broad cost reduction initiative reducing ongoing operating expenses by over 10%; total operating expenses were $29M (down 6% YoY) and, excluding stock-based compensation and one-time restructuring, operating expenses decreased 8% YoY. Full-year operating expense guidance $113M–$115M (includes ~$19M stock-based comp).
Adjusted EBITDA and Loss Improvement
Reported adjusted EBITDA loss of $8.5M in Q1 (consistent with prior year); excluding one-time restructuring charges, adjusted EBITDA loss was $7.0M, an 18% improvement versus prior year. Net loss narrowed to $13.7M (−$0.33 per share) from $14.4M (−$0.36).
Strengthened Liquidity and Extended Runway
Ended Q1 with $61.6M in cash, cash equivalents and marketable securities. Closed a $60M credit facility (5-year interest-only) extending debt maturity to 2031 and access to an additional $20M subject to revenue milestones. Expect full-year 2026 cash burn of ~ $23M vs $32M in 2025.
Clinical Progress and TAM Expansion Opportunity
CONVERT II pivotal trial for AeriSeal is progressing well with improved enrollment pace after clinical leadership changes; company is highly confident of completing enrollment in 2027. AeriSeal could expand total addressable market by ~20% globally and serve as a medium- to long-term revenue driver.