Lifeward sees strong growth momentum with record Medicare placements in Q3
COMPLETED

Lifeward reports 8% sequential revenue growth and reduced cash burn, positioning for long-term value creation amid strategic transformation efforts.


In this transcript

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Summary

  • Lifeward reported a revenue increase to $6.2 million for Q3 2025, up 1.1% year-over-year, driven by higher Medicare unit sales in the U.S.
  • The company achieved a 16% reduction in quarterly cash burn and a 27% reduction in non-GAAP operating loss compared to the previous year.
  • Lifeward expanded patient access with its first Medicare Advantage commercial revenue for the ReWalk 7 personal exoskeleton and received CE Mark approval, enhancing European market opportunities.
  • The company completed a $3 million loan with Oramed to enhance liquidity and support its transformation plan.
  • Lifeward reaffirmed its full-year 2025 guidance, expecting revenue between $24 to $26 million and a projected non-GAAP net loss of $12 to $14 million.

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OPERATOR - (00:01:05)

Good morning and welcome to the third quarter 2025 LifeWord Earnings conference call. All participants will be in listen only mode. Should you need assistance, please signal a conference specialist by pressing Star than zero on your telephone keypad. After today's presentation, there will be an opportunity to ask questions. To ask a question, you may press Star then one on your telephone keypad. To withdraw your question, please press Star then two. Please note this event is being recorded. I would now like to turn the conference over to Almag Adar, CFO of LifeWord. Please go ahead.

Almo Gadal - Chief Financial Officer - (00:01:45)

Thank you operator and thanks to everyone who has joined us on the call today. My name is Almo Gadal. I'm Lifeward's Chief Financial Officer and with me on today's call is our President and Chief Executive Officer Mark Grant. Earlier this morning, Lifeward issued a press release detailing the financial results for the third quarter which ended September 30, 2025. I would like to ask you to review the full text of our forward looking statement from the press release. We anticipate making projections during this call and actual results could differ materially due to several factors including those outlined in our latest filing with the SEC. And with that I will turn the call over to Mark.

Mark Grant - President and Chief Executive Officer - (00:02:34)

Thank you. Almag. Good morning everyone and thank you for your time today. Since joining Lifeward in June, I've completed a sober and comprehensive assessment of the business, starting with our strategic direction down to our commercial model and operations. What I found is a company with innovative, powerful technology, deep clinical knowledge and a mission that matters. Also a company that needs sharper focus, stronger discipline and rebuilt foundation to unlock its potential. Over the past few months, we've taken meaningful steps to rebuild those fundamentals. We have simplified how we operate, strengthened the processes that matter most to patients, payers and providers, and begun reshaping our go to market approach around the global access, distribution, scalability and data driven commercial model. The progress we've demonstrated this quarter is encouraging. Early sign that this work is taking hold, we delivered another record quarter for ReWalk placements for Medicare beneficiaries. This is our second consecutive record since CMS established their fee schedule in April 2024. We implemented meaningful operational efficiencies manifesting in a 16% reduction in quarterly cash burn and a 27% reduction in non GAAP operating loss compared with last year. We also expanded patient access, including receiving our first Medicare Advantage commercial revenue for our ReWalk 7 personal exoskeleton. Now, with our CE Mark approval, we have expanded our access to the European market which represents roughly about 40% of our global addressable exoskeleton opportunity. These results are demonstrating that LifeWord is becoming a more focused, more efficient and more patient centered company. Earlier today, alongside our earnings release, we also announced the completion of a $3 million loan with Oramed. This capital enhances our near term liquidity and supports ongoing execution of our transformation plan. We are still early in a multi quarter rebuild, understand there is more work ahead and I have confidence in the commitment in the dedication of our teams across our company to complete this transformation. We are highly encouraged this soon after implementing these measures we are already seeing real momentum and a clear direction. We are rebuilding the fundamentals and positioning LifeWord to serve more people, scale more efficiently and create durable long term value. With that, I'll turn the call over to our CFO AMAG to review the financial results from this quarter. Thank you Mark.

Almag Adar - Chief Financial Officer - (00:05:09)

As we review our results I will discuss both GAAP and non GAAP figures. The non GAAP results excluded the item detail in the Reconciliation table in today's earning release and in our view provide a clear picture of the company's underlying operating performance. I encourage you to refer to the GAAP results in the Reconciliation table as we go through the third quarter 2025 financials. And now let's discuss revenue. Lifeward reported revenue of $6.2 million in the third quarter of 2025 compared to 6.1 million in the third quarter of 2024, an increase of 0.1 million or approximately 1.1%. On a quarter over quarter basis. Q3 revenue increased approximately 8% from 5.7 million in Q2 2025, driven primarily by higher Medicare unit sales in the U.S. now let's break it down by product line on a year over year basis. Revenue for our revenue from our traditional products and services, which include the ReWalk personal exoskeleton, the Myocycle FES bike and the restore exosuit, totaled 3.1 million in Q3 2025 compared to 2.5 million in Q3 2024, an increase of about $600,000 or 24%. This increase is driven by year over year increase in Medicare related sales. During the third quarter of 2025 we delivered 15 ReWalk units compared to 4 ReWalk units delivered in Q3 2024. Revenue from the Ultra G products and services was 3.1 million in Q3 2025, down from 3.6 million in Q3 2024, primarily driven by timing factors and quarterly revenue mix across both product lines. Our commercial pipeline remains healthy for the rework product line. We closed the quarter with a pipeline of more than 117 qualified leads in process in the United States. In Germany we had 49 leads in process at the quarter end including 33 active rentals which historically convert to sales within three to six months to altogether we closed the quarter with 2023 system in backlog moving to gross profit in the third quarter of 2025. Our GAAP gross profit was $2.7 million or 43.7% of revenue compared to 2.2 million or 36.2% of revenue in the third quarter of 2024. On a non GAAP basis, the third quarter of 2025 gross profit was 2.7 million or 43.7 percent of revenue compared to 2.6 million or 42.5% of revenue in the third quarter Of 2024. The year over year increase was primarily driven by lower production costs following the December 2024 closure of our Fremont, California manufacturing facility. Now pivoting to operating expenses, GAAP operating expenses were 5.9 million in the third quarter of 2025 compared to 5.4 million in the third quarter of 2024. The increase was largely driven by 2 million earn out write down that we recognized in the prior year quarter. On a non GAAP basis, Adjusted operating expenses were 5.7 million in the third quarter of 2025 compared to 6.7 million in the third Quarter of 2024. The decrease primarily reflect greater efficiency in reimbursement activities, improved efficiencies in marketing and sales operations, and lower R and D spending after the completion of major development programs. We expect this positive trend to continue into the fourth quarter of 2025, supported by the ongoing impact of our efficiency measures. Our GAAP operating loss for the third quarter of 2025 was 3.1 million compared to 3.2 million in the third quarter of 2024. On a non GAAP basis, operating loss was 3 million compared to 4.1 million in the same period last year. We expect our quarterly operating loss to further reduce in the fourth quarter of 2025 as sales volume continued to grow and efficiency measures continue to take hold. Let's talk balance sheet and cash flow. We ended the third quarter of 2025 with $2 million in cash and cash equivalent and no debt. This amount include the full gross proceeds raised through our ATM facility, which totaled approximately 1.2 million. Our operating cash usage in the third quarter of 2025 was 3.8 million compared to 4.5 million in the third quarter of 2024. The improvement reflects the benefits of operational efficiencies and the consolidation of our manufacturing facilities. Following the end of the quarter, we entered into a $3 million loan agreement with Oramed providing additional capital support to further strengthen our liquidity position. Based on our current plan, we remain a going concern with sufficient cash to fund operations into the first quarter of 2026 and we continue to evaluate all opportunities to support our operations and grow growth plan while continuing to implement cost management initiatives to preserve resource and maintain focus on our core businesses. Lastly, financial guidance LifeWorld is reaffirming its full year 2025 guidance including expected revenue in the range of 24 to 26 million and the projected non GAAP net loss in the range of 12 to 14 million. With that, I will turn the call back to Mark.

Mark Grant - President and Chief Executive Officer - (00:11:51)

Thank you Almag Since June we've been focused on rebuilding the fundamentals of Lifeward, defining our strategic direction, sharpening our commercial model, improving operational discipline, and aligning the organization around a more scalable and data driven approach. The progress we delivered this quarter shows that the foundation we are putting in place is working. We are executing with more consistency, more focus and greater alignment across the company. As you heard from Al Mog, part of this transformation is that we're consistently assessing opportunities to enhance our financial position. We've had a number of productive conversations across the landscape and we'll continue evaluating all options that could support long term strategy. We're also not dependent on any single path. Our focus remains on making decisions that position lifeward for durable value creation. We have meaningful opportunities in front of us across our existing markets, in global expansion and through the strategic avenues we're exploring. We are committed to building a stronger, more efficient and more impactful life for the future. Thank you for joining us for the call today and your continued support. Operator let's open up for questions.

OPERATOR - (00:13:00)

We will now begin the question and answer session. To ask a question, you may press Star then one on your telephone keypad. If you're using a speakerphone, please pick up your handset before pressing the keys. If at any time your question has been addressed and you would like to withdraw your question, please press Star then two. Again it is Star then one to ask a question at this time. We will pause momentarily to assemble our roster. The first question comes from Yale Jen with Laidlaw and company. Please go ahead.

Yale Jen - (00:13:41)

Good morning and thanks for taking the questions and I just a little bit sort of a detail things here. First of all, I just want to confirm that you mentioned that the District 23 system in rental, is that correct? If so, what's the breakdown between the United States and Germany?

UNKNOWN - (00:14:01)

Can you repeat the question, please? Yen? The breakdown.

Yale Jen - (00:14:06)

The rental. How many rental system for the. For the ReWalk of the quarter and what's the breakdown between the United States and Germany?

Almag Adar - Chief Financial Officer - (00:14:21)

So as I mentioned in the call, we have 33 active rentals in all in Germany.

Yale Jen - (00:14:28)

All in Germany. Okay, great. That would be great. Okay, and my second question is that in the previous quarter you have a collaboration with Core Life. Just curious what kind of impact you may felt in the third quarter or even going forward.

Mark Grant - President and Chief Executive Officer - (00:14:50)

Yeah, Yale, thank you for the question and good to hear your voice today. So the partnership with CoreLife has been going well. And so we've both been diligently and meticulously working into this partnership and building the pipeline. Over time it's grown each quarter and we're learning the training processes and what it takes to reach those patients for marketing efforts. So we're excited about that partnership and looking for it to expand in the future.

Yale Jen - (00:15:15)

Okay, maybe the last question here is that you mentioned that you have the highest percentage of ReWalk from the Medicare, which is a great development. Just curious, do you guys have any colors in terms of what percentage? I guess from the dollar cents that's from the Medicare versus others. And thank you.

Almag Adar - Chief Financial Officer - (00:15:43)

Approximately 50% of our total revenue for ReWalk products only. Nothing take into account the Alter G product.

Yale Jen - (00:15:55)

Understood, Understood. And maybe just attack one more. What's the actual sort of rough revenue of ReWalk within the 3.1 million of the traditional product sales.

Almag Adar - Chief Financial Officer - (00:16:16)

2.9 is related to the rework product and the other is mainly.

Yale Jen - (00:16:25)

Okay, great. Thanks, Dar and I really appreciate. And the best luck for you guys.

Almag Adar - Chief Financial Officer - (00:16:30)

Yale, thank you for the questions.

OPERATOR - (00:16:34)

Again. If you have a question, please press Star then one. The next question comes from Swayam Pakula Ramakanth with HC Wainwright. Please go ahead.

RK - (00:16:46)

Thank you. This is RK from HC Wainwright. Good morning, Mark and Almag. Morning, RK. Few questions from me. So starting off from the top, Mark, as you said, you looked down through the different aspects of the company and did a review. What have you learned in that compared to when you did the due diligence coming into the company? And what aspects of the operations do you think requires changes so that we get to the not only to the inflection point, but also the growth stage of the company?

Mark Grant - President and Chief Executive Officer - (00:17:42)

Okay, thank you for the question so quickly. I think first and foremost are the fundamentals of the Business really have to be established from ground up. You know, good visibility into KPIs, understanding data and deploying place, deploying the resources where data supports it. And that's number one, is kind of the first thing. I saw a little bit of that coming into the role, but not as much as I got into, as I got in here, a little deeper. Secondarily is we have the opportunity for some great strategic partnership and channel management. And that comes in two flavors. One is it allows us to gain broader access to patients through all the payers across the U.S. and secondarily, it's a population of patients that are really targeted in our environment. So I'm excited because I've got roughly 20 years or 25 years of experience in that channel management and also across payer access. And so the channel partnerships coupled with payer access and payer policy development are key for our success going forward. And then the last piece around operations is frankly just scale. You know, we've got a good growth plan in front of us, but we've got to make sure we can keep up with it and be reproducible of high quality. So I think if I boiled it down to four different pieces, you know, one of which is establishing true and solid fundamentals. The second is making sure we're leveraging channel partners as strongly as we can and ensuring access for everybody. The third is access across all payers across the globe so no patient is left behind. And the fourth is ensuring we scale for the future with good cogs.

RK - (00:19:09)

Thank you for that, Mark. Then when you talk about channel management, what triggered the increased sales into the Medicare this quarter, the third quarter, and how much of that could be sustained into the into the future quarters?

Mark Grant - President and Chief Executive Officer - (00:19:36)

The good news is the channel management is just starting. So as we go into Q1 of next year is when you'll see the reflection of that. So right now we're just cleaning up the fundamentals. The channel partnerships take a bit to develop and so you're not seeing a reflection of it at all. What you're seeing right now is a focused sales force where we've divided the sales force into two pieces. We have one that's focused on capital sales and one that's focused on the patient payer and access. Okay, so more to come on that one. That's the good news, right?

RK - (00:20:06)

That is true. So Almag, you know you reaffirmed the guidance to $24 to $26 million for 2025, which means you're asking for a 21% growth from Q3 number I think if my calculations are correct and you grew, based on your own press release, you grew 8% between Q2 and Q3. So what gives you the confidence that you can get that 21% growth.

Almag Adar - Chief Financial Officer - (00:20:44)

First? I. RK and thanks for the question. As you know, Q4 is usually the strongest quarter for us at ReWalk for both products. ReWalk and what gives me the confidence that we will achieve our guidance is the existing backlog for both products and the stroke pipeline that we are managing.

RK - (00:21:11)

Okay, thank you for that. And then on the Altar G, what happened there? Because it looks like there was a 15% decline. You know, what needs to be done so that we can kind of stabilize the ship and let it sail again.

Mark Grant - President and Chief Executive Officer - (00:21:30)

Yeah, rk, this is really about the core focus of the sales teams. We have a neuro-rehab team that has been selling capital and also selling into neuro-rehab space. And frankly, what that does is that loses some of the focus that you really need. So we've started a couple of beta programs which will expand out to the broader community as we go into the next year, but where we have a dedicated capital team that will be selling Alter G and we'll have a highly focused neuro-rehab team that will be selling ReWalk. This is in particular to the US just as a comment, Germany continues to be very successful in both efforts. We're really refocusing the strategy here in the U.S.

RK - (00:22:09)

Okay. And talking about Germany, you were commenting a little bit on ReWalk 7 and Europe could be, you know, opportunity could be as much as a 40% of your total sales. So to that end, how is ReWalk 7 being introduced? And you know, is it still the workers comp insurance that, you know, you're looking into or is it outside of that insurance segment you have any visibility or actually, you know, could actually gain some adoption in other segments of the market?

Mark Grant - President and Chief Executive Officer - (00:22:52)

Yeah, when you look at Germany, I think the one thing the key indicator, and I'm going to reinforce actually where we started, is those 33 active patients that are in their rental period now. There's a high percentage of those that actually convert and a high percentage of those that convert in three to six months. And so for me, that's really the health of their pipeline and looking how that business is growing. So it's a solid pipeline. Secondarily, we do have good coverage, about 40%. We have coverage directly, but we have 100% access to all patients. So the good news is when you look at Germany in particular, not the total European nation, but if you look At Germany we've got exceptional access. We have opportunities to expand outside of Germany as the MDD listings and other things come together. So we still have to actually get ReWalk 7 across all the payer entities and countries but it gives us great access because of the CE mark. So more work to do on access but trust me, we're doing really well.

RK - (00:23:44)

Okay, the last question from me, I've been watching Lifeward for a long time and the company did have a few situations where it became. The financial overhang became quite a bit to bear. But again we are in that position now and from, from your experience and from how you see it, how comfortable are you to get over this hump and hopefully this is the last time we do that.

Mark Grant - President and Chief Executive Officer - (00:24:21)

Yeah, rk, look, I'm not naive, right? So this is a tough place for any company to be. But as you can tell from my voice and the plan that we put together and also my experience, I'm actually excited to be standing where I'm standing. And so it may feel and look like the bottom, but the reality of it is those in business actually feel like this is a great place. What I'm excited about is we have a good turnaround story. The fundamentals of the business are repairable and short order there wasn't really anything broken and so I'm excited about that. Secondarily the innovation is exceptional and so if you look at the products in the portfolio with the ReWalk 7, how strong the hardware is, how easy it is to iterate against for the software. Same thing with Alter G. First in class name, first in class brand, something you can also get after on innovation. And there are other products in the space that are available for aggregation at good value discounts. I'm excited about where we are but again I want to start off I'm not naive. This is not going to be an easy path. Hence why we've been having so many conversations across the landscape to make sure we can find the best partner to suit with, you know, and I'm optimistic that we're going to find the right one.

RK - (00:25:32)

I am very optimistic too because I've seen this company go through a lot of things and they've always come out better than the previous situation that they were at. So good luck and thank you for taking all my questions.

Mark Grant - President and Chief Executive Officer - (00:25:46)

Yeah, thank you.

OPERATOR - (00:25:50)

Once again. If you have a question, press Star then one. And we have a follow up from Yale Jen with Laidlaw and company. Please go ahead.

Yale Jen - (00:26:01)

Thanks for taking my follow up questions. And in terms of Lifeward, I remember last Quarter. You guys talking about expanding to the sport arena versus just in the medical space. Just like to get some updates on that effort and thanks, Yale.

Mark Grant - President and Chief Executive Officer - (00:26:23)

You got a great memory and I'm glad you brought that up. That is part of the broader transformation. So we have two beta regions right now within the US where we've actually switched to having a capital sales team and to having a neuro rehab specialist. So the capital sales team focused on alter G, the rehab specialist and the other focused on ReWalk 7. And so those efforts have just started. So I would expect that you're going to see some stronger results as we turn into the new year. But we've already made those fundamental changes. We do know from our customers and from our pipeline that we're seeing good growth, but we also haven't rolled it out across the entire US So more to come on that as we actually execute against the transformation. But we were opportunistic as we had changes in the space. We went ahead and put it into play. So we are going to have a team that's focused on high school sports elites and up and they're also going to be focused on rehab facilities, but they're going to get the support of the neuro rehab specialists that call on ReWalk. So you kind of get to double dip. So we're going to cover the rehab centers explicitly with two different people and then you're going to have a dedication of a capital goods sale and then also someone who can work with patients, payer and providers in the neurorehab space. So bifurcating the space we know from outside the U.S. also I know from my history is really important for the end user and for the customer and the buyer. And so bifurcating the sales force will give us the focus needed to deliver against better fundamentals and also the growth you expect.

Yale Jen - (00:27:48)

Maybe just add on here, which is in terms for the sports arena, would that be practically all self pay instead of any other venue of retail reimbursement.

Mark Grant - President and Chief Executive Officer - (00:28:02)

You know, for sports? Yes. But we do get a tremendous amount of the business from government and grants outside the US So there is a good blend. Right. So it's all not just self pay. So, you know, the DOD and others support us very well with all of our products. And then it's likewise outside the U.S. you know, we get tenders for these products on a daily basis.

Yale Jen - (00:28:26)

Okay, great. That's very, very helpful and thanks a lot and best luck going forward.

Mark Grant - President and Chief Executive Officer - (00:28:33)

Yeah, thank you. Appreciate it, y'.

UNKNOWN - (00:28:34)

All. Okay.

OPERATOR - (00:28:38)

This concludes our question and answer session. I would like to turn the conference back over to Mark Grant for any closing remarks.

Mark Grant - President and Chief Executive Officer - (00:28:46)

Hey, again, I want to thank everybody for joining the call today and just let everybody know that we're at a unique inflection point here at Lifeward, and we're excited to be here. We appreciate the support that we get from you and looking forward to meeting the expectations that you guys set in the market. With that, I'll close the call and appreciate everybody's time. Talk to you soon.

OPERATOR - (00:29:04)

The conference has now concluded. Thank you for attending today's presentation. You may now disconnect.

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