Outset Medical, Inc.
Business
Outset Medical, Inc. is a medical technology company that develops and commercializes an integrated hemodialysis platform to simplify and broaden dialysis delivery across care settings. It offers the Tablo Hemodialysis System — a compact console with integrated water purification, on-demand dialysate production, disposable cartridges, a TabloCart accessory and a cloud-connected data ecosystem (TabloHub, MyTablo, TabloDash). Its commercial focus includes acute, post-acute and home care segments with sales, field service and clinical support teams. The company distributes Tablo to hospitals, dialysis clinics, skilled nursing and home settings and leverages remote monitoring, API integrations and direct logistics.
Summary from filing dated 2025-02-28
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Revenue | 119 | 114 | 130 | 115 | 103 | |
| Cost of revenue | 73 | 75 | 101 | 98 | 95 | |
| Gross profit | 47 | 39 | 29 | 18 | 8 | |
| Research and development | 21 | 38 | 57 | 49 | 37 | |
| Sales and marketing | 54 | 70 | 96 | 89 | 65 | |
| General and administrative | 38 | 43 | 45 | 41 | 36 | |
| Total operating expenses | 113 | 152 | 199 | 179 | 138 | |
| Loss from operations | −67 | −113 | −170 | −161 | −131 | |
| Interest income and other income, net | 7 | 10 | 10 | 3 | 498,000 | |
| Interest expense | −14 | −24 | −13 | −4 | −2 | |
| Loss on extinguishment of term loan | −8 | 0 | 0 | −1 | 0 | |
| Loss before provision for income taxes | −81 | −127 | −172 | −163 | −132 | |
| Provision for income taxes | 718,000 | 491,000 | 523,000 | 295,000 | 199,000 | |
| Net loss | −82 | −128 | −173 | −163 | −132 | |
| Net loss per share, basic | −5.37 | −36.96 | −52.28 | −3.38 | −2.89 | |
| Net loss per share, diluted | −5.37 | −36.96 | −52.28 | −3.38 | −2.89 | |
| Shares used in computing net loss per share, basic | 15,211 | 3,463 | 3,305 | 48,161 | 45,589 | |
| Shares used in computing net loss per share, diluted | 15,211 | 3,463 | 3,305 | 48,161 | 45,589 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 35 | 124 | 69 | 73 | 182 | |
| Short-term investments | 134 | 35 | 135 | 214 | 157 | |
| Accounts receivable, net | 28 | 36 | 33 | 28 | 26 | |
| Inventories | 48 | 59 | 49 | 51 | 39 | |
| Prepaid expenses and other current assets | 6 | 5 | 6 | 7 | 6 | |
| Total current assets | 251 | 258 | 291 | 374 | 410 | |
| Restricted cash | 4 | 3 | 3 | 3 | 33 | |
| Property and equipment, net | 5 | 8 | 13 | 16 | 13 | |
| Operating lease right-of-use assets | 5 | 4 | 5 | 6 | 7 | |
| Other assets | 317,000 | 2 | 605,000 | 1 | 156,000 | |
| Total assets | 264 | 276 | 314 | 400 | 463 | |
| Accounts payable | 554,000 | 4 | 6 | 603,000 | 2 | |
| Accrued compensation and related benefits | 11 | 17 | 19 | 22 | 25 | |
| Accrued expenses and other current liabilities | 9 | 8 | 13 | 16 | 14 | |
| Accrued warranty liability | 1 | 2 | 4 | 4 | 4 | |
| Deferred revenue, current | 14 | 13 | 12 | 9 | 6 | |
| Operating lease liabilities, current | 2 | 2 | 2 | 1 | 1 | |
| Total current liabilities | 38 | 45 | 55 | 52 | 52 | |
| Accrued interest | 0 | 3 | 896,000 | 113,000 | 721,000 | |
| Deferred revenue | 406,000 | 844,000 | 101,000 | 151,000 | 312,000 | |
| Operating lease liabilities | 3 | 3 | 4 | 6 | 7 | |
| Term loans | 96 | 197 | 130 | 96 | 30 | |
| Total liabilities | 138 | 249 | 191 | 154 | 89 | |
| Commitments and contingencies (Note 6) | — | — | — | — | — | |
| Preferred stock, $0.001 par value; 5,000 shares authorized, and no shares issued and outstanding as of December 31, 2025 and 2024 | 0 | 0 | 0 | 0 | 0 | |
| Common stock, $0.001 par value; 300,000 shares authorized as of December 31, 2025 and 2024; 18,169 and 3,530 shares issued and outstanding as of December 31, 2025 and December 31, 2024 respectively | 18,000 | 4,000 | 50,000 | 48,000 | 47,000 | |
| Additional paid-in capital | 1,298 | 1,116 | 1,085 | 1,035 | 1,000 | |
| Accumulated other comprehensive income | 172,000 | 42,000 | 68,000 | −564,000 | −184,000 | |
| Accumulated deficit | −1,200 | −1,090 | −962 | −789 | −626 | |
| Total stockholders' equity | 127 | 27 | 123 | 246 | 374 | |
| Total liabilities and stockholders' equity | 264 | 276 | 314 | 400 | 463 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Stock-based compensation expense | 16 | 29 | 39 | 27 | 17 | |
| Depreciation and amortization | 4 | 6 | 6 | 5 | 5 | |
| Non-cash lease expense | 2 | 1 | 1 | 1 | 1 | |
| Non-cash interest expense | 3 | 3 | 2 | 381,000 | 569,000 | |
| Amortization of premium on investments, net | −2 | −5 | −6 | 449,000 | 2 | |
| Change in provision for inventories | −124,000 | 561,000 | 733,000 | 3 | 1 | |
| Change in provision for credit losses | 4 | 2 | 184,000 | 37,000 | — | |
| Loss on disposal of property and equipment | 5,000 | 53,000 | 106,000 | 39,000 | — | |
| Accounts receivable | 4 | −5 | −5 | −3 | −19 | |
| Inventories | 12 | −11 | 2 | −15 | −22 | |
| Prepaid expenses and other assets | −940,000 | 784,000 | 739,000 | −1 | 2 | |
| Accounts payable | −3 | −2 | 5 | −1 | −3 | |
| Accrued compensation and related benefits | −6 | −2 | −3 | −3 | 8 | |
| Accrued expenses and other current liabilities | 2 | −5 | −3 | 2 | 6 | |
| Accrued warranty liability | −564,000 | −2 | 91,000 | −83,000 | 791,000 | |
| Deferred revenue | 604,000 | 2 | 3 | 2 | 3 | |
| Operating lease liabilities | −2 | −2 | −1 | −1 | −882,000 | |
| Accrued interest | −3 | 0 | 0 | −721,000 | 0 | |
| Net cash used in operating activities | −46 | −116 | −131 | −146 | −130 | |
| Purchases of property and equipment | −798,000 | −912,000 | −3 | −8 | −3 | |
| Purchases of investment securities | −222 | −157 | −172 | −261 | −178 | |
| Sales and maturities of investment securities | 125 | 261 | 259 | 203 | 39 | |
| Net cash (used in) provided by investing activities | −98 | 104 | 83 | −66 | −143 | |
| Proceeds from stock option exercises and ESPP purchases | 639,000 | 2 | 10 | 8 | 11 | |
| Proceeds from issuance of term loans, net of issuance costs | 98 | 67 | 33 | 96 | 0 | |
| Repayment of term loan and extinguishment costs | −205 | 0 | 0 | −31 | 0 | |
| Proceeds from issuance of Series A convertible preferred stock, net of issuance costs | 162 | 0 | 0 | — | — | |
| Payment of deferred financing costs | 0 | −938,000 | 0 | 0 | — | |
| Net cash provided by financing activities | 56 | 68 | 44 | 73 | 160 | |
| Net (decrease) increase in cash, cash equivalents and restricted cash | −89 | 56 | −5 | −139 | −113 | |
| Cash paid for income taxes | 447,000 | 593,000 | 491,000 | 385,000 | 83,000 | |
| Cash paid for interest | 16 | 21 | 11 | 3 | 1 | |
| Cash paid for amounts included in the measurement of operating lease liabilities | 2 | 2 | 1 | 1 | 882,000 | |
| Transfer of inventories to property and equipment | 109,000 | 148,000 | 119,000 | 28,000 | 1 | |
| Right-of-use assets obtained in exchange for operating lease liabilities | 2 | 0 | 528,000 | 0 | 0 | |
| Fair value of common stock warrant | 4 | 0 | 0 | — | — | |
| Issuance costs included in accrued expenses | 0 | 266,000 | 0 | — | — | |
| Capital expenditures included in accounts payable and accrued expenses | 0 | 31,000 | 159,000 | 167,000 | 121,000 |