Kestra Medical Technologies Reports Second Quarter Fiscal 2026 Financial Results
1. KMTS reported Q2 FY26 revenue of $22.6 million, up 53% year-over-year.
2. Gross margin expanded to 50.6%, a key milestone for profitability.
3. FY26 revenue guidance increased to $91 million, signaling strong growth prospects.
4. Prescription volumes for the ASSURE system increased by 54% compared to last year.
5. Net loss increased to $32.8 million, highlighting ongoing financial challenges.
Considering KMTS's significant revenue growth and margin expansion, historical trends in similar companies suggest positive market reactions. Companies demonstrating such robust growth often see share prices appreciate despite losses.
How important is it?
The performance metrics are crucial for investors, indicating growth potential against operational losses, aligning with market expectations.
Why Short Term?
The immediate market reaction is likely to reflect the strong quarterly performance, as seen in similar companies post-earnings announcements that beat expectations.
Related Companies
KIRKLAND, Wash., Dec. 11, 2025 (GLOBE NEWSWIRE) -- Kestra Medical Technologies, Ltd. (NASDAQ:KMTS), a wearable medical device and digital healthcare company, today reported financial results for the second quarter fiscal 2026, which ended October 31, 2025.
Financial Highlights
Generated revenue of $22.6 million in Q2 FY26, an increase of 53% compared to the prior year period.
Expanded gross margin to 50.6% in Q2 FY26 compared to 39.6% in the prior year period.
Increased FY26 revenue guidance to $91 million, which would represent growth of 52% compared to FY25.
"Kestra delivered another strong quarter of financial performance, generating revenue growth of 53% while expanding gross margin to over 50%, an important milestone for the company," said Brian Webster, President and CEO. "We also continued to make progress on several key operational objectives, including growing the commercial organization, announcing compelling primary results from our post-approval study at the American Heart Association annual meeting, and fortifying our balance sheet with an equity offering earlier this month. As we progress on our journey to category leadership, our team remains focused on growing the wearable defibrillator market and executing on our commitments to patients and their prescribers."
Second Quarter Fiscal 2026 Financial Results
Total revenue was $22.6 million, an increase of 53% compared to the prior year period.
4,696 prescriptions were written for the ASSURE® system, an increase of 54% compared to the prior year period.
Revenue growth was driven by higher market share and continuing WCD market expansion. Revenue also benefited from a higher mix of in-network patients and continued improvements in revenue cycle management capabilities.
Gross profit was $11.4 million compared to $5.8 million in the prior year period.
Gross margin expanded to 50.6% compared to 39.6% in the prior year period, driven by volume leverage and a higher mix of in-network patients.
GAAP operating expenses were $43.2 million and included $1.0 million of non-recurring costs. GAAP operating expenses were $25.0 million in the prior year period.
Excluding non-recurring costs and share-based compensation expense, operating expenses were $33.5 million in Q2 FY26 compared to $23.8 million in Q2 FY25. The increase was attributable to growth in expenses related to commercial expansion and public company costs.
GAAP net loss and comprehensive loss was $32.8 million compared to GAAP net loss and comprehensive loss of $20.6 million in the prior year period.
Adjusted EBITDA* loss was $19.7 million compared to an adjusted EBITDA loss of $16.1 million in the prior year period.
Cash and cash equivalents totaled $175 million as of October 31, 2025.
The above cash and cash equivalents balance does not include the $148 million of net proceeds Kestra received from an underwritten public offering of 6.9 million common shares, which closed on December 4, 2025.
*Adjusted EBITDA is a non-GAAP financial measure. See "Use of Non-GAAP Financial Measures" below for additional information. A reconciliation of Adjusted EBITDA to the most directly comparable GAAP measure is included in this press release.
Fiscal Year 2026 Revenue Guidance Kestra is increasing its FY26 revenue guidance to $91 million, which would represent growth of 52% compared to FY25. This compares to prior FY26 revenue guidance of $88 million and initial FY26 guidance of $85 million.
Webcast and Conference Call Kestra will host a conference call today at 4:30 p.m. ET to discuss financial results. A live and archived webcast of the event will be available in the "Events" section of the investor relations website.
Use of Non-GAAP Financial Measures This press release contains certain financial information that is not presented in conformity with U.S. generally accepted accounting principles ("GAAP"), including Adjusted EBITDA. The non-GAAP financial measures are provided as supplemental information to Kestra's financial measures presented in this press release that are calculated and presented in accordance with GAAP.
Adjusted EBITDA, which is calculated as net income (loss), as adjusted to exclude other income/expense (including interest), income tax expense (benefit), depreciation and amortization expense, share-based compensation expense, and non-recurring new public company costs, is presented because management believes it allows investors to view the Company's performance in a manner similar to the method used by management to evaluate the Company's performance for both strategic and annual operating planning. Management believes that in order to properly understand short-term and long-term financial trends, it is helpful for investors to understand the impact of the items excluded from the calculation of Adjusted EBITDA, in addition to considering the Company's GAAP financial measures. The excluded items vary in frequency and/or impact on our results of operations and management believes that the excluded items are not reflective of our ongoing core business operations and financial condition. Excluding such items allows investors and analysts to compare our operating performance to other companies in our industry and to compare our period-over-period results.
The non-GAAP financial measures used by Kestra may not be the same or calculated in the same manner as those used and calculated by other companies. Non-GAAP financial measures have limitations as analytical tools and should not be considered in isolation or as a substitute for Kestra's financial results prepared and reported in accordance with GAAP. We urge investors to review the reconciliation of these non-GAAP financial measures to the comparable GAAP financial measures included in this press release, and not to rely on any single financial measure to evaluate our business. A reconciliation of Adjusted EBITDA reported in this press release to the most comparable GAAP measure for the respective periods appears in the table captioned "Reconciliation of GAAP Net Income (Loss) to Adjusted EBITDA" later in this release. Within the accompanying financial tables presented, certain columns and rows may not add due to the use of rounded numbers.
Forward-Looking Statements Except where otherwise noted, the information contained in this press release is as of December 11, 2025. Statements in this press release and on the related teleconference that express a belief, expectation or intention, as well as those that are not historical fact, are forward-looking statements. Except as required by law, the Company undertakes no obligation to publicly update any forward-looking statements, whether as a result of new information, future events or otherwise. This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, including statements about, among other topics, our anticipated operating and financial performance, including financial guidance and projections; business plans, strategy, goals and prospects; and expectations for our products. Given their forward-looking nature, these statements involve substantial risks, uncertainties and potentially inaccurate assumptions, and we cannot ensure that any outcome expressed in these forward-looking statements will be realized in whole or in part. You can identify these statements by the fact that they use future dates or use words such as "will," "may," "could," "likely," "ongoing," "anticipate," "estimate," "expect," "project," "intend," "plan," "believe," "assume," "target," "forecast," "guidance," "goal," "objective," "aim," "seek," "potential," "hope" and other words and terms of similar meaning. Kestra's financial guidance is based on estimates and assumptions that are subject to significant uncertainties. Among the factors that could cause actual results to differ materially from past results and future plans and projected future results are the following: risks related to our limited operating history and history of net losses; our ability to successfully achieve substantial market adoption of our products; competitive pressures; our ability to adapt our manufacturing and production capacities to evolving patterns of demand, governmental actions and customer trends; product defects or complaints and related liability; our ability to obtain and maintain adequate coverage and reimbursement levels for our products; our ability to comply with changing laws and regulatory requirements and resulting costs; our dependence on a limited number of suppliers; risks and uncertainties related to market conditions; and other risks and uncertainties, including those described under the heading "Risk Factors" in our Annual Report on Form 10-K for the fiscal year ended April 30, 2025 and other filings filed or to be filed with the U.S. Securities and Exchange Commission ("SEC"). These filings, when made, are available on the Investor Relations section of our website at https://investors.kestramedical.com/ and on the SEC's website at https://sec.gov/.
About Kestra Kestra Medical Technologies, Ltd. is a commercial-stage wearable medical device and digital healthcare company focused on transforming patient outcomes in cardiovascular disease using monitoring and therapeutic intervention technologies that are intuitive, intelligent, and connected. For more information, visit www.kestramedical.com.
KESTRA MEDICAL TECHNOLOGIES, LTD. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS
(in thousands, except share and per share amounts)
(unaudited)
Three Months Ended October 31,
Six Months Ended October 31,
2025
2024
2025
2024
Revenue
$
22,565
$
14,710
$
41,937
$
27,492
Cost of revenue
11,141
8,880
21,661
17,462
Gross profit
11,424
5,830
20,276
10,030
Operating expenses:
Research and development
4,878
3,509
8,878
6,913
Selling, general and administrative
38,301
21,455
72,029
40,682
Total operating expenses
43,179
24,964
80,907
47,595
Loss from operations
(31,755
)
(19,134
)
(60,631
)
(37,565
)
Other expense (income):
Interest expense
1,901
2,317
3,814
4,191
Interest income
(1,796
)
(878
)
(3,962
)
(915
)
Other expense (income)
891
40
(1,939
)
88
Net loss before provision for income taxes
(32,751
)
(20,613
)
(58,544
)
(40,929
)
Provision for income taxes
34
8
67
15
Net loss and comprehensive loss
(32,785
)
(20,621
)
(58,611
)
(40,944
)
Net loss attributable to non-controlling interest
—
(253
)
—
(692
)
Net loss and comprehensive loss attributable to Kestra Medical Technologies, Ltd.
(32,785
)
(20,368
)
(58,611
)
(40,252
)
Less: Undeclared preferred stock dividends
—
3,323
—
5,706
Net loss attributable to common shareholders, basic and diluted
$
(32,785
)
$
(23,691
)
$
(58,611
)
$
(45,958
)
Net loss per share attributable to common shareholders, basic and diluted
$
(0.64
)
$
(1.19
)
$
(1.14
)
$
(2.31
)
Weighted-average shares of common shares outstanding, basic and diluted
51,376,278
19,885,382
51,340,438
19,885,382
RECONCILIATION OF GAAP NET LOSS AND COMPREHENSIVE LOSS TO ADJUSTED EBITDA
(in thousands)
(unaudited)
Three Months Ended October 31,
Six Months Ended October 31,
2025
2024
2025
2024
GAAP Net loss and comprehensive loss
$
(32,785
)
$
(20,621
)
$
(58,611
)
$
(40,944
)
Non-GAAP Adjustments:
Interest expense
1,901
2,317
3,814
4,191
Interest income
(1,796
)
(878
)
(3,962
)
(915
)
Other expense (income)
891
40
(1,939
)
88
Provision for income taxes
34
8
67
15
Depreciation expense
2,372
1,869
4,401
4,244
Share-based compensation expense
8,653
1,122
13,232
1,499
Non-recurring expenses
1,048
—
3,914
—
Adjusted EBITDA
$
(19,682
)
$
(16,143
)
$
(39,084
)
$
(31,822
)
KESTRA MEDICAL TECHNOLOGIES, LTD. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands, except share and per share amounts)
(unaudited)
October 31,
April 30,
2025
2025
Assets
Current assets
Cash and cash equivalents
$
175,424
$
237,595
Accounts receivable, net
10,413
8,081
Disposable medical equipment supplies
6,918
6,572
Prepaid expenses and other current assets
2,659
3,080
Total current assets
195,414
255,328
Right-of-use assets
1,960
2,078
Deposits
1,858
2,021
Restricted cash
334
334
Property and equipment, net
45,932
34,830
Other long-term assets
1,203
1,153
Total assets
$
246,701
$
295,744
Liabilities and Shareholders' Equity
Current liabilities
Accounts payable
$
20,209
$
23,961
Accrued liabilities
15,494
13,829
Operating lease liabilities, current portion
53
187
Total current liabilities
35,756
37,977
Operating lease liabilities, net of current portion
2,874
3,026
Warrant liabilities
1,977
8,097
Other long-term liabilities
140
140
Long-term debt, net
41,873
41,098
Total liabilities
82,620
90,338
Commitments and contingencies
Shareholders' equity
Common shares, $1.00 par value; 100,000,000 shares authorized as of October 31, 2025 and April 30, 2025; 51,449,053 issued and outstanding as of October 31, 2025 and 51,348,656 shares issued and outstanding as of April 30, 2025
51,449
51,349
Additional paid-in capital
691,492
674,306
Accumulated deficit
(578,860
)
(520,249
)
Total shareholders' equity
164,081
205,406
Total liabilities and shareholders' equity
$
246,701
$
295,744
KESTRA MEDICAL TECHNOLOGIES, LTD. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)
(unaudited)
Six Months Ended October 31,
2025
2024
Cash flows from operating activities
Net loss
$
(58,611
)
$
(40,944
)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization
4,401
4,244
Loss on disposal of property and equipment
560
580
Reserve for lost equipment and supplies
901
477
Provision for uncollectible accounts receivable
1,150
1,074
Interest paid-in-kind
—
467
Amortization of debt discounts and issuance costs
937
861
Share-based compensation expense
13,232
1,499
Non-cash lease expense
148
242
Change in fair value of warrant liabilities
(2,065
)
—
Changes in operating assets and liabilities:
Disposable medical equipment supplies
(596
)
(1,117
)
Prepaid expenses and other current assets
953
(53
)
Accounts receivable
(3,482
)
(4,470
)
Accounts payable
(2,372
)
(345
)
Accrued liabilities
520
1,786
Operating lease liabilities
(313
)
124
Other long-term assets
20
20
Net cash used in operating activities
(44,617
)
(35,555
)
Cash flows from investing activities
Purchases of property and equipment
(15,431
)
(11,484
)
Deposits for medical rental equipment
(338
)
(197
)
Refund of deposits for medical rental equipment:
117
227
Net cash used in investing activities
(15,652
)
(11,454
)
Cash flows from financing activities
Proceeds from issuance of redeemable preferred stock
—
103,400
Proceeds from issuance of stock to non-controlling interest
—
17,100
Deemed dividend for payments to third party on behalf of shareholder
—
(1,598
)
Payment of equity issuance costs:
(1,902
)
(3,224
)
Net cash provided by (used in) financing activities
(1,902
)
115,678
Net increase (decrease) in cash, cash equivalents and restricted cash
(62,171
)
68,669
Cash, cash equivalents and restricted cash
Beginning of period
237,929
8,583
End of period
$
175,758
$
77,252
Reconciliation of cash, cash equivalents and restricted cash reported in the condensed consolidated balance sheets
Cash and cash equivalents
$
175,424
$
76,918
Restricted cash:
334
334
Cash, cash equivalents and restricted cash
$
175,758
$
77,252
Non-cash investing and financing activities:
Purchases of property and equipment in accrued liabilities and accounts payable
$
8,313
7,914
Exercise of liability classified warrant
4,055
—
Supplemental disclosure of cash flow information
Income taxes paid (refunds received)
$
(18
)
$
43
Interest paid
2,846
2,451
Investor contact
Neil Bhalodkar
neil.bhalodkar@kestramedical.com