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Outset Medical (OM)
NASDAQ:OM
US Market

Outset Medical (OM) AI Stock Analysis

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Outset Medical

(NASDAQ:OM)

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Neutral 51 (OpenAI - 5.2)
Rating:51Neutral
Price Target:
$4.00
▲(13.31% Upside)
Action:ReiteratedDate:02/14/26
The score is held back primarily by still-weak financials (ongoing losses and negative free cash flow despite balance-sheet improvement) and bearish technical momentum. Offsetting these is a constructive earnings outlook with improving margins, disciplined spending, and expectations for lower cash use supported by a strong cash position.
Positive Factors
FDA-cleared next-gen Tablo (cyber-hardened)
FDA clearance for a cyber‑hardened next‑generation Tablo is a structural competitive advantage: it strengthens product differentiation, eases procurement for large health systems with strict security requirements, and enables upgrades to the installed base, supporting durable adoption across acute and home settings.
Sustained gross-margin expansion
Material gross‑margin improvement reflects higher product economics and better manufacturing absorption. Sustained mid‑40s target margins improve unit economics for recurring consumables and services, increasing profitability leverage as revenue scales and supporting long‑term cash generation potential.
Improved cash position and lower cash burn
A materially stronger cash balance and sharply reduced operating cash use extend runway and reduce near‑term financing risk. With management guiding to lower 2026 cash use, the company has time to execute commercialization, launch next‑gen Tablo, and pursue consumable attach rates before needing new capital.
Negative Factors
Persistent operating losses and negative FCF
Ongoing net losses and negative free cash flow mean the business is not yet self‑funding. Continued reliance on cash reserves or external capital elevates dilution and execution risk if revenue or margin trajectories stall before achieving sustainable positive cash generation.
Revenue volatility and recent contractions
Sharp revenue swings reduce predictability of consumable revenue and margin leverage. Volatility strains scaling economics, complicates manufacturing planning and working capital, and increases the risk that fixed cost absorption and margin improvements fail to materialize consistently over the medium term.
Long, variable enterprise sales cycles
Extended and unpredictable enterprise procurement timelines create timing risk for console placements and consumable revenue. This structural sales-cycle length weakens revenue visibility, magnifies quarter‑to‑quarter volatility, and delays realization of installed‑base economics critical for steady recurring cash flows.

Outset Medical (OM) vs. SPDR S&P 500 ETF (SPY)

Outset Medical Business Overview & Revenue Model

Company DescriptionOutset Medical, Inc., a medical technology company, develops a hemodialysis system for dialysis. It provides the Tablo Hemodialysis System, which comprises a compact console with integrated water purification, on-demand dialysate production, and software and connectivity capabilities for dialysis care in acute and home settings. The company was formerly known as Home Dialysis Plus, Ltd. and changed its name to Outset Medical, Inc. in January 2015. Outset Medical, Inc. was incorporated in 2003 and is headquartered in San Jose, California.
How the Company Makes MoneyOutset Medical generates revenue primarily through the sale of its Tablo Hemodialysis Systems, which are sold to hospitals, clinics, and other healthcare facilities. In addition to system sales, the company earns revenue from the consumables required for the Tablo system, such as dialysate and other necessary supplies. This creates a recurring revenue stream as facilities need to continuously purchase these consumables for ongoing patient treatments. The company may also engage in partnerships with healthcare providers and payers, enhancing its market reach and potentially securing additional funding or reimbursement arrangements that further support its revenue generation. Overall, Outset Medical's business model hinges on both the initial sale of its dialysis systems and the ongoing sale of related consumables, supplemented by strategic partnerships that bolster its market position.

Outset Medical Earnings Call Summary

Earnings Call Date:Feb 11, 2026
(Q4-2025)
|
% Change Since: |
Next Earnings Date:May 06, 2026
Earnings Call Sentiment Positive
The call highlighted clear operational and financial progress: revenue growth, material gross margin expansion, reduced operating expenses and cash burn, a strengthened balance sheet, strong customer satisfaction, and strategic momentum from FDA clearance of a cyber-hardened next-generation Tablo. Lowlights include lingering net losses, continued cash use (though improved), manufacturing under-absorption headwinds, product revenue timing variability, and long enterprise sales cycles. On balance, the positives around margin expansion, cost discipline, product leadership (cyber clearance), and improved cash runway outweigh the remaining challenges.
Q4-2025 Updates
Positive Updates
Full-Year Revenue Growth
Fiscal 2025 revenue of $119.5M, up 5% versus 2024, with management expecting 2026 revenue of $125M–$130M (a 5%–9% increase).
Quarterly and Product Details
Q4 revenue of $28.9M included $19.9M product revenue (console sales +11% to $6.4M) and $13.5M consumables; consumables rebounded sequentially, growing ~11% over Q3.
Significant Gross Margin Expansion
Non-GAAP gross margin expanded ~500 basis points YoY to 42.9% in Q4 and full-year non-GAAP gross margin rose 400 bps to 39.6% (41.1% excluding manufacturing under-absorption). Product gross margin reached 50.7% (+640 bps YoY) — the first time product margin exceeded 50%.
Improved Profitability Trajectory and Expense Discipline
Non-GAAP operating expenses declined ~4% in Q4 to $25.7M and full-year non-GAAP operating expenses fell 19% to $97.8M. Non-GAAP net loss narrowed to $65.4M for the year (31% improvement YoY) and Q4 non-GAAP net loss fell 22% YoY to $15M.
Stronger Cash Position and Reduced Cash Burn
Ended Q4 with $173M in cash, cash equivalents and investments, used ~$9M in the quarter and reduced full-year cash use to $46M in 2025 (down from $116M in 2024). Management expects 2026 cash use to be lower than $46M and believes cash on hand is sufficient to reach profitability.
FDA Clearance and Product Leadership
Received FDA clearance for next-generation Tablo (first dialysis system cleared under FDA's 2025 cybersecurity requirements). Launch planned late Q2; upgrade available to installed base. Tablo now used at ~1,000 acute care sites and consoles have delivered over 3M cumulative treatments.
Clinical & Customer Momentum
Expanded published evidence of improved clinical outcomes (lower infection rates, reduced length of stay), maintained CSAT >95%, and continued to expand master sales and service agreements including a deal covering 100+ facilities.
Negative Updates
Q4 Product Revenue Below Prior-Year Quarter
Q4 product revenue was $19.9M versus $21M in the prior-year quarter (down YoY), driven partly by consumable order timing.
Manufacturing Under-Absorption Headwind
Manufacturing under-absorption reduced non-GAAP gross margin by ~130 basis points in Q4 and ~150 basis points for the full year; management expects the headwind to attenuate in 2026.
Sustained Net Loss and Cash Use
Despite improvements, full-year non-GAAP net loss remained $65.4M and the company used $46M of cash in 2025; Q1 is expected to be the highest cash-use quarter in 2026 (inventory and manufacturing investments).
Moderate Near-Term Growth Outlook
2026 guidance is modest: revenue growth of 5%–9% and non-GAAP gross margin targeted in the low-to-mid 40% range; Q1 revenue expected roughly flat to Q4 2025 before stepping up later in the year.
Sales Cycle Length and Timing Uncertainty
Large enterprise deals can have long sales cycles (often 9–12+ months, up to ~18 months). Order timing variability contributed to consumable revenue YoY fluctuations and visibility challenges despite improved forecasting.
Unspecified ASP and Potential Near-Term Margin Impact from Next-Gen
Management did not disclose ASPs for the next-generation Tablo; while they expect only a mild near-term gross-margin impact from the product transition, launch/manufacturing dynamics and a higher console mix could pressure margins temporarily.
Company Guidance
Outset guided 2026 revenue of $125–130 million (a 5–9% increase versus 2025's $119.5M), with Q1 expected roughly flat to Q4 2025 and sales stepping up through the rest of the year; non‑GAAP gross margin is expected in the low‑to‑mid‑40% range (Q4 was 42.9%, FY 2025 was 39.6%), noting the 2025 manufacturing under‑absorption headwind (~150 bps for the year, ~130 bps in Q4) should attenuate in 2026 and that a higher console mix would push margin lower while a higher consumable mix would push it higher; operating expense growth is expected to be roughly half the rate of sales growth (i.e., ~2.5–4.5% if revenue rises 5–9%); Q1 will be the highest cash‑use quarter due to planned inventory and manufacturing investments, but full‑year cash use should be below the $46M consumed in 2025, supported by $173M of cash, equivalents and investments on hand, and the company plans a late‑Q2 commercial launch of the next‑gen Tablo (ASP and detailed margin impact to be disclosed nearer launch).

Outset Medical Financial Statement Overview

Summary
Balance sheet health improved materially (lower leverage and stronger equity), and margins/losses trended better year over year. However, the company remains deeply unprofitable with negative free cash flow and elevated execution risk tied to sharp revenue volatility.
Income Statement
22
Negative
Revenue has been volatile and recently contracted sharply (down ~49% in 2025 after a decline in 2024), which pressures scale. Profitability remains weak, but there is clear improvement versus prior years: gross margin improved to ~39% in 2025 from ~34% in 2024 (and far better than earlier years), and operating and net losses narrowed meaningfully (net margin improved to about -68% from roughly -113% in 2024). Overall, the trajectory is improving on margins and losses, but the business is still materially unprofitable and the 2025 revenue drop is a key concern.
Balance Sheet
55
Neutral
Leverage improved substantially year-over-year, with debt-to-equity dropping to ~0.82 in 2025 from ~7.53 in 2024, alongside a large rebound in equity. Total debt also fell meaningfully in 2025 versus 2024, supporting a healthier capital structure. The main weakness is ongoing heavy losses, reflected in negative returns on equity, which can erode balance-sheet strength over time if not stabilized.
Cash Flow
28
Negative
Cash burn remains significant, with operating cash flow and free cash flow still negative in 2025 (about -$46M), though materially better than 2024 (about -$116M operating cash flow). Free cash flow deteriorated versus 2024, and cash generation is not yet self-funding given persistent losses. The positive is the improved year-over-year operating cash burn profile, but the company still relies on external funding or existing liquidity to sustain operations.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue119.48M113.69M130.38M115.38M102.60M
Gross Profit46.75M38.56M29.00M17.83M7.61M
EBITDA-62.37M-97.89M-153.79M-152.81M-124.86M
Net Income-81.65M-127.98M-172.80M-162.96M-131.94M
Balance Sheet
Total Assets264.50M275.80M313.80M400.12M463.46M
Cash, Cash Equivalents and Short-Term Investments168.95M158.69M203.32M287.50M339.49M
Total Debt104.52M201.86M136.19M103.23M37.81M
Total Liabilities137.54M248.98M190.91M154.13M89.38M
Stockholders Equity126.95M26.82M122.89M245.99M374.08M
Cash Flow
Free Cash Flow-47.13M-117.22M-134.81M-154.05M-133.37M
Operating Cash Flow-46.33M-116.30M-131.37M-145.73M-130.26M
Investing Cash Flow-97.68M103.94M83.03M-66.30M-142.51M
Financing Cash Flow55.50M67.87M43.65M72.90M160.15M

Outset Medical Technical Analysis

Technical Analysis Sentiment
Negative
Last Price3.53
Price Trends
50DMA
4.36
Negative
100DMA
7.35
Negative
200DMA
12.05
Negative
Market Momentum
MACD
-0.37
Positive
RSI
35.75
Neutral
STOCH
20.77
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For OM, the sentiment is Negative. The current price of 3.53 is below the 20-day moving average (MA) of 4.48, below the 50-day MA of 4.36, and below the 200-day MA of 12.05, indicating a bearish trend. The MACD of -0.37 indicates Positive momentum. The RSI at 35.75 is Neutral, neither overbought nor oversold. The STOCH value of 20.77 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for OM.

Outset Medical Risk Analysis

Outset Medical disclosed 79 risk factors in its most recent earnings report. Outset Medical reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Outset Medical Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
76
Outperform
$205.31M23.4820.20%16.05%29.48%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
51
Neutral
$63.47M-0.52-106.20%4.65%68.71%
50
Neutral
$158.28M-5.81-13.27%4.68%55.37%
47
Neutral
$149.20M-2.70-34.75%15.19%-3.32%
42
Neutral
$127.61M-2.58-91.88%18.44%25.42%
40
Underperform
$63.49M-1.85-70.32%1.51%5.07%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
OM
Outset Medical
3.53
-8.71
-71.16%
ARAY
Accuray
0.54
-1.53
-74.03%
ELMD
Electromed
24.26
-2.71
-10.05%
INGN
Inogen
5.79
-4.05
-41.16%
NNOX
Nano-X Imaging
2.43
-3.59
-59.63%
CVRX
CVRx
6.11
-7.05
-53.57%

Outset Medical Corporate Events

Business Operations and StrategyProduct-Related AnnouncementsRegulatory Filings and Compliance
Outset Medical Wins FDA Clearance for Next-Gen Tablo System
Positive
Jan 27, 2026

On January 27, 2026, Outset Medical announced that the U.S. Food and Drug Administration granted 510(k) clearance for its next-generation Tablo hemodialysis platform, which becomes the first dialysis system to meet the FDA’s most rigorous, recently updated medical device cybersecurity standards. The upgraded Tablo system features enterprise-grade cybersecurity across hardware, software and cloud, modernized operating system and hardware to boost performance and extend maintenance intervals, and a more durable exterior suited to acute hospital environments, with shipments planned to begin in the second quarter of 2026 and existing Tablo customers eligible to upgrade, strengthening the company’s technology lead and value proposition for hospitals, health systems and home dialysis providers.

The most recent analyst rating on (OM) stock is a Hold with a $7.00 price target. To see the full list of analyst forecasts on Outset Medical stock, see the OM Stock Forecast page.

Business Operations and StrategyExecutive/Board ChangesFinancial Disclosures
Outset Medical Previews 2025 Results and Adds Director
Positive
Jan 12, 2026

On January 12, 2026, Outset Medical reported preliminary, unaudited results for the fourth quarter and full year 2025, with revenue of approximately $28.9 million in the quarter and about $119.5 million for the year, representing 5% growth over 2024. The company highlighted operational traction, noting more than 1,000 sites of care had insourced dialysis with Outset by the end of 2025, delivering around 1 million treatments annually on its Tablo system, and reported a year-end cash balance of $173 million with net cash used in operations reduced to under $50 million from $116 million in 2024, signaling improved cash efficiency. Outset also announced that experienced medtech executive Karen N. Prange joined its board of directors and Compensation Committee, effective January 9, 2026, replacing outgoing director Andrea Saia, whose departure was not due to any disagreement, a move that bolsters the board’s commercial and acute-care expertise as the company pursues further growth in 2026.

The most recent analyst rating on (OM) stock is a Buy with a $8.00 price target. To see the full list of analyst forecasts on Outset Medical stock, see the OM Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Feb 14, 2026