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Reported July 14, 2026 · After market close

Revenue$28.6MBeat by $2.2M
EPS-$0.67Miss by $0.08
Revenue estimate$26.5M
EPS estimate-$0.59
Kestra concluded fiscal year 2026 with another strong quarter of financial performance, generating revenue growth of 66% while expanding gross margin to 55%
Brian Webster

Next report

Sep 10, 2026 (in a month)
Revenue estimate$29.0M
EPS estimate-$0.61

Financials

Q4 2026

Income statement

See full
Revenue$28.6M+66.2%
Gross profit$15.7M+105%
Operating income-$39.3M+18.4%
Net income-$38.8M+25.4%
EPS (diluted)-$0.67+57.3%

Balance sheet

See full
Cash & equivalents$99.7M-58.0%
Total debt$46.8M+5.6%
Total assets$358.5M+21.2%

Cash flow

See full
Operating cash flow-$18.7M+22.2%
CapEx$9.7M+30.8%
Free cash flow-$28.4M+9.7%

Valuation & ratios

Valuation

as of 07/29/26
See full
Market cap$1.34B+65.0%
Enterprise value$1.28B
P/S14.1×

Profitability

See full
Gross margin51.4%+10.9pp
Operating margin-141.6%-24.0pp
Net margin-138.4%-29.7pp
FCF margin-122.6%-26.1pp

Returns & leverage

See full
Current ratio4.4×-2.3×

Versus estimates

Full release

8-K filed July 14, 2026

View on SEC.gov

Kestra Medical Technologies Reports Fourth Quarter and Fiscal Year 2026 Financial Results

KIRKLAND, Wash., July 14, 2026 (GLOBE NEWSWIRE) -- Kestra Medical Technologies, Ltd. (Nasdaq: KMTS), a leading wearable medical device and digital healthcare company, today reported financial results for the fourth quarter and fiscal year ended April 30, 2026.

Financial Highlights

  • Fiscal 4Q26 revenue of $28.6 million, an increase of 66% compared to the prior year period.
  • FY26 revenue of $95.1 million, an increase of 59% compared to FY25.
  • Fiscal 4Q26 gross margin of 54.8% compared to 44.3% in the prior year period.
  • FY26 gross margin of 51.4% compared to 40.5% in FY25.
  • FY27 revenue guidance of $137 million, an increase of 44% compared to fiscal year 2026.

“Kestra concluded fiscal year 2026 with another strong quarter of financial performance, generating revenue growth of 66% while expanding gross margin to 55%,” said Brian Webster, President and CEO. “In fiscal year 2026, the ASSURE® system protected 18,000 patients from sudden cardiac arrest, a testament to the dedication of our mission-driven team. We also made significant progress on key operational objectives, including rapid growth of our commercial organization, release of compelling primary results from our FDA post-approval study, launch of our latest algorithm update, fortification of our balance sheet, and entrance into a strategic collaboration with Biobeat Technologies. We remain confident that our focus on innovation and executing on our commitments to prescribers and their patients will continue to drive market expansion and advance Kestra on its path to market leadership.”

Fourth Quarter Fiscal 2026 Financial Results

  • Total revenue was $28.6 million, an increase of 66% compared to the prior year period. o 6,357 prescriptions were written for the ASSURE® system, an increase of 63% compared to the prior year period.
  • Revenue growth was driven primarily by higher market share and wearable cardioverter defibrillator (WCD) market expansion. Revenue also benefited from a higher mix of in-network patients and improvements in revenue cycle management capabilities.
  • Gross profit was $15.7 million compared to $7.6 million in the prior year period.
  • Gross margin expanded to 54.8% compared to 44.3% in the prior year period, driven by volume leverage, a higher mix of in-network patients and execution of planned cost improvement programs.
  • GAAP operating expenses were $55.0 million compared to $55.8 million in the prior year period.
  • Excluding non-recurring costs and share-based compensation expense, adjusted operating expenses* were $44.7 million compared to $29.7 million in the prior year period. The increase was primarily attributable to growth in expenses related to the company’s accelerated commercial expansion.
  • GAAP net loss was $38.8 million compared to GAAP net loss of $51.1 million in the prior year period.
  • Adjusted EBITDA* loss was $26.7 million compared to an adjusted EBITDA loss of $20.3 million in the prior year period.
  • Cash and cash equivalents, and investments totaled $262.2 million as of April 30, 2026.
  • Net cash used in operating activities was $18.7 million, a reduction from $24.1 million in the prior year period.

Fiscal Year 2026 Financial Results

  • Total revenue was $95.1 million, an increase of 59% compared to FY25. o 20,720 prescriptions were written for the ASSURE® system, an increase of 57% compared to FY25.
  • Gross profit was $48.9 million compared to $24.2 million in FY25.
  • Gross margin expanded to 51.4% compared to 40.5% in FY25.
  • GAAP operating expenses were $183.6 million compared to $130.6 million in FY25.
  • Excluding non-recurring costs and share-based compensation expense, adjusted operating expenses* were $144.6 million compared to $100.6 million in FY25.
  • GAAP net loss was $131.6 million compared to GAAP net loss of $113.8 million in FY25.
  • Adjusted EBITDA* loss was $87.0 million compared to an adjusted EBITDA loss of $68.4 million in FY25.

*Adjusted operating expenses and adjusted EBITDA are non-GAAP financial measures. See “Use of Non-GAAP Financial Measures” below for additional information. Reconciliations of adjusted operating expenses and adjusted EBITDA to the most directly comparable GAAP measure are included in this press release.

Fiscal Year 2027 Revenue Guidance

Kestra expects revenue of $137 million in FY27, which would represent growth of 44% compared to FY26.

Webcast and Conference Call

Kestra will host a conference call today at 4:30 p.m. Eastern Time to discuss financial results. A live and archived webcast of the event will be available in the “Events” section of the investor relations website.

About Kestra

Kestra Medical Technologies, Ltd. is a leading 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.

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 operating expense and 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 operating expense is calculated as operating expenses, as adjusted to exclude share-based compensation expense and non-recurring expenses. Adjusted EBITDA 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 expenses. Both metrics are presented because management believes they will allow investors to view Kestra’s performance in a manner similar to the method used by management to evaluate Kestra’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 operating expenses and adjusted EBITDA, in addition to considering Kestra’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 operating expenses and adjusted EBITDA reported in this press release to the most comparable respective GAAP measure for the respective periods appears in the tables captioned “Reconciliation of GAAP Operating Expenses to Adjusted Operating Expenses” and “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 July 14, 2026. 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, Kestra 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,” “continue,” “anticipate,” “estimate,” “expect,” “project,” “intend,” “plan,” “advance,” “remain,” “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, 2026 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/.

Investor Relations Neil Bhalodkar neil.bhalodkar@kestramedical.com

CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS

(in thousands, except share and per share amounts)

(unaudited)

MetricQ1 '25Q2 '25Q3 '25Q4 '25Q1 '26Q2 '26Q3 '26Q4 '26
Interest Expense$1.87M$2.32M$1.78M$1.76M$1.91M$1.9M$1.89M$1.84M
Weighted Shares Basic19.9M19.9M19.9M24.6M51.3M51.4M55.8M54.2M
Eps Diluted-$1.12-$1.19-$1.25-$1.57-$0.50-$0.64-$0.61-$0.67
Eps Basic-$1.12-$1.19-$1.25-$1.57-$0.50-$0.64-$0.61-$0.67
Net Income-$19.88M-$20.37M-$21.51M-$52.05M-$25.83M-$32.79M-$34.17M-$38.84M
Income Tax Expense$7K$8K$18K$102K$33K$34K$35K$192K
Income Before Tax-$20.32M-$20.61M-$21.74M-$51.01M-$25.79M-$32.75M-$34.13M-$38.64M
Other Income Expense Net-$48K-$40K$15K-$2.69M$2.83M-$891K$359K$319K
Interest Income$37K$878K$628K$1.66M$2.17M$1.8M$2.16M$2.23M
Weighted Shares Diluted19.9M19.9M19.9M24.6M51.3M51.4M55.8M54.2M
Operating Income-$18.43M-$19.13M-$20.6M-$48.21M-$28.88M-$31.76M-$34.77M-$39.34M
Total Operating Expenses$22.63M$24.96M$27.15M$55.85M$37.73M$43.18M$47.67M$55.03M
Total Cost of Revenue$8.58M$8.88M$8.54M$9.6M$10.52M$11.14M$11.65M$12.96M
Gross Profit$4.2M$5.83M$6.55M$7.63M$8.85M$11.42M$12.91M$15.68M
Research and Development$3.4M$3.51M$3.35M$5.39M$4M$4.88M$4.97M$5.63M
Selling General and Administrative$19.23M$21.46M$23.8M$50.46M$33.73M$38.3M$42.7M$49.39M
Other Income Loss From Continuing Operations Before Inco E20b31-$20.32M-$20.61M-$21.74M-$51.01M-$25.79M-$32.75M-$34.13M-$38.64M
Other Earnings Per Share Diluted-$1.12-$1.19-$1.25-$1.57-$0.5-$0.64-$0.61-$0.67
Other Earnings Per Share Basic-$1.12-$1.19-$1.25-$1.57-$0.5-$0.64-$0.61-$0.67
Other Other Nonoperating Income Expense-$48K-$40K$15K-$2.69M$2.83M-$891K$359K$319K
Other Operating Expenses$22.63M$24.96M$27.15M$55.85M$37.73M$43.18M$47.67M$55.03M
Other Revenue From Contract With Customer Excluding Asse 0d5b70$12.78M$14.71M$15.09M$17.23M$19.37M$22.57M$24.55M$28.64M
Other Weighted Average Number of Shares Outstanding Basic$19.89M$19.89M$19.89M$4.7M$51.3M$51.38M$55.85M$1.34M
Other Weighted Average Number of Diluted Shares Outstanding$19.89M$19.89M$19.89M$4.7M$51.3M$51.38M$55.85M$1.34M
Other Selling General and Administrative Expense$19.23M$21.46M$23.8M$50.46M$33.73M$38.3M$42.7M$49.39M
Other Operating Income Loss-$18.43M-$19.13M-$20.6M-$48.21M-$28.88M-$31.76M-$34.77M-$39.34M
Operating Net Income Loss Available to Common Stockholde 551d72-$22.27M-$23.69M-$24.83M-$55.34M-$25.83M-$32.79M-$34.17M-$38.84M

CONSOLIDATED BALANCE SHEETS

(in thousands, except share and per share amounts)

(unaudited)

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26Q2 '26Q3 '26Q4 '26
Cash and Equivalents$99.97M$76.92M$54.35M$237.6M$201.21M$175.42M$291.32M$99.71M
Total Debt$45.17M$44.31M$44.59M$44.8M$43.85M$46.79M
Prepaid and Other Current Assets$1.37M$389K$378K$3.08M$3.43M$2.66M$3.2M$4.68M
Operating Lease Liabilities Current$187K$36K$53K$10K$31K
Accrued Expenses$9.08M$13.83M$13.65M$15.49M$18.9M$23.05M
Accounts Payable$2.27M-$2.61M$4.01M$23.96M$18.57M$20.21M$24.02M$27.3M
Other Non Current Assets$607K$1.15M$1.06M$1.2M$5.88M$5.79M
Property Plant Equipment Net$26.11M$34.83M$40.38M$45.93M$53.8M$59.09M
Restricted Cash$334K$334K$334K$334K$334K$334K
Operating Lease Rou Assets$2.29M$2.08M$2.05M$1.96M$1.59M$3.36M
Total Current Assets$14.91M$255.33M$220.69M$195.41M$314.06M$222.36M
Total Current Liabilities$32.97M$37.98M$32.26M$35.76M$42.93M$50.37M
Current Assets Disposable Medical Equipment Supplies Current$3.29M$6.57M$6.8M$6.92M$6.83M$6.71M
Accounts Receivable Net$2.89M$1.58M$3.34M$8.08M$9.25M$10.41M$12.71M$14.54M
Common Stock$19.91M$100$51.35M$51.35M$51.45M$58.35M$58.38M
Total Assets$45.95M$295.74M$266.3M$246.7M$379.34M$358.47M
Total Liabilities and Equity$45.95M$295.74M$266.3M$246.7M$379.34M$358.47M
Deferred Tax Assets Other Noncurrent$607K$1.15M$1.06M$1.2M$5.88M$5.79M
Equity Common Stock Value$19.91M$100$51.35M$51.35M$51.45M$58.35M$58.38M
Equity Additional Paid In Capital Common Stock$177.15M$674.31M$678.89M$691.49M$842.67M$853.35M
Current Liabilities Accrued Liabilities Current$9.08M$13.83M$13.65M$15.49M$18.9M$23.05M
Commercial Liabilities Other$9.08M$13.83M$13.65M$15.49M$18.9M$23.05M
Software Technology Licenses Net$607K$1.15M$1.06M$1.2M$5.88M$5.79M
Operating Lease Liabilities Total$3.21M$1.59M$4.14M
Retained Earnings-$406.44M-$520.25M-$546.08M-$578.86M-$613.03M-$651.86M
Additional Paid In Capital$177.15M$674.31M$678.89M$691.49M$842.67M$853.35M
Total Liabilities$78.22M$90.34M$82.14M$82.62M$91.35M$98.81M
Long Term Debt$42.54M$41.1M$41.49M$41.87M$42.26M$42.65M
Other Non Current Liabilities$76K$140K$140K$140K$140K$306K
Other Warrants and Rights Outstanding$8.1M$5.19M$1.98M$1.75M$1.37M
Operating Lease Liabilities Non Current$2.63M$3.03M$3.07M$2.87M$4.28M$4.11M
Deposits On Licenses$1.71M$2.02M$1.79M$1.86M$1.85M$1.76M
Non Current Assets Operating Lease Right of Use Asset$2.29M$2.08M$2.05M$1.96M$1.59M$3.36M
Non Current Assets Other Assets Noncurrent$607K$1.15M$1.06M$1.2M$5.88M$5.79M

CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

(unaudited)

MetricQ3 '24Q4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26Q2 '26Q3 '26Q4 '26
Net Income Cf-$20.32M-$20.62M-$21.76M-$51.11M-$25.83M-$32.79M-$34.17M-$38.84M
Other Increase Decrease In Other Noncurrent Assets-$10K-$10K-$10K-$10K-$10K-$10K-$10K-$10K
Other Net Cash Provided By Used In Financing Activities$19.43M$19.43M$116.25M$214.7M-$1.88M-$27K$149.18M$0
Other Net Cash Provided By Used In Investing Activities-$7.03M-$4.42M-$4.45M-$7.4M-$8.23M-$7.42M-$14.92M-$172.71M
Other Net Cash Provided By Used In Operating Activities-$17.5M-$18.06M-$18M-$24.06M-$26.27M-$18.34M-$18.37M-$18.72M
Other Payments to Acquire Property Plant and Equipment$7.04M$4.45M$4.06M$7.39M$8.17M$7.27M$9.8M$9.66M
Other Increase Decrease In Accounts Receivable$2.89M$1.58M$3.34M$963K$1.78M$1.71M$2.66M$2.91M
Operating Amortization of Financing Costs and Discounts$200K$661K$170K$369K$469K$468K$469K$468K
Operating Increase Decrease In Accrued Liabilities and O C85a76$140K$1.65M$944K$1.89M-$860K$1.38M$3.67M$4.01M
Operating Increase Decrease In Operating Lease Liability$22K$102K$104K$142K-$138K-$175K-$228K-$144K
Net Cash From Operating-$17.5M-$18.06M-$18M-$24.06M-$26.27M-$18.34M-$18.37M-$18.72M
Capital Expenditures$7.04M$4.45M$4.06M$7.39M$8.17M$7.27M$9.8M$9.66M
Investing Deposits for Medical Rental Equipment$20K$177K$430K$28K$103K$235K$189K$1K
Investing Refund of Deposits for Medical Rental Equipment$23K$204K$43K$13K$37K$80K$67K$0
Net Cash From Investing-$7.03M-$4.42M-$4.45M-$7.4M-$8.23M-$7.42M-$14.92M-$172.71M
Financing Payments of Stock Issuance Costs$3.22M$69K$84K$480K
Net Cash From Financing$19.43M$19.43M$116.25M$214.7M-$1.88M-$27K$149.18M$0
Net Change In Cash-$1.68M-$1.68M$91.72M$183.24M-$36.38M-$25.79M$115.9M-$191.61M
Operating Reserve for Lost Equipment and Supplies$170K$107K$699K$835K
Other Amortization of Financing Costs and Discounts$200K$661K$170K$369K$469K$468K$469K$468K
Depreciation and Amortization$2.38M$1.87M$1.89M$1.84M$2.03M$2.37M$1.98M$2.33M
Other Gain Loss On Sale of Property Plant Equipment-$255K-$325K-$302K-$458K-$280K-$280K-$167K-$434K
Operating Provision for Uncollectible Accounts Receivable$706K$368K$809K$811K$613K$537K$365K$1.08M
Depreciation and Amortization Cf$2.38M$1.87M$1.89M$1.84M$2.03M$2.37M$1.98M$2.33M
Gain Loss On Sale of Assets Cf-$255K-$325K-$302K-$458K-$280K-$280K-$167K-$434K
Amortization of Debt Issuance Costs$200K$661K$170K$369K$469K$468K$469K$468K
Stock Based Compensation$377K$1.12M$459K$22.31M$4.58M$8.65M$10.11M$10.3M
Operating Non Cash Lease Expense Ba9f44$152K$90K$88K$86K$61K$87K$125K$53K
Change In Accounts Receivable$2.89M$1.58M$3.34M$963K$1.78M$1.71M$2.66M$2.91M
Change In Accrued Liabilities$140K$1.65M$944K$1.89M-$860K$1.38M$3.67M$4.01M
Change In Operating Lease Liabilities$22K$102K$104K$142K-$138K-$175K-$228K-$144K

RECONCILIATION OF CASH, CASH EQUIVALENTS AND RESTRICTED CASH TO CASH, CASH EQUIVALENTS AND INVESTMENTS

(in thousands)

(unaudited)

RECONCILIATION OF GAAP NET LOSS TO ADJUSTED EBITDA
Year Ended April 30,
20262025
Cash, cash equivalents and restricted cash$100,044$237,929
Add: Short-term investments96,724
Add: Long-term investments65,767
Less: Restricted cash(334)(334)
Cash, cash equivalents, and investments$262,201$237,595

(in thousands)

(unaudited)

RECONCILIATION OF GAAP OPERATING EXPENSES TO ADJUSTED OPERATING EXPENSES
Three Months Ended April 30,Year Ended April 30,
2026202520262025
GAAP Net loss$(38,835)$(51,111)$(131,612)$(113,814)
Non-GAAP Adjustments:
Interest expense1,8441,7607,5467,734
Interest income(2,226)(1,656)(8,351)(3,199)
Other expense (income)(319)2,693(2,618)2,766
Provision for income taxes192102294135
Depreciation expense2,3251,8368,7097,968
Share-based compensation expense10,30422,31333,64424,271
Non-recurring expenses3,8095,3965,736
Adjusted EBITDA$(26,715)$(20,254)$(86,992)$(68,403)

(in thousands)

(unaudited)

Three Months Ended April 30,Year Ended April 30,
2026202520262025
GAAP Operating Expenses$55,026$55,845$183,604$130,588
Non-GAAP Adjustments:
Share-based compensation expense10,30422,31333,64424,271
Non-recurring expenses3,8095,3965,736
Adjusted Operating Expenses$44,722$29,723$144,564$100,581

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Questions, answered.

When did Kestra Medical Technologies, Ltd. report Q4 2026 earnings?
Kestra Medical Technologies, Ltd. (KMTS) reported Q4 2026 earnings on July 14, 2026 after market close.
What were Kestra Medical Technologies, Ltd.'s Q4 2026 revenue and EPS?
Kestra Medical Technologies, Ltd. reported revenue of $28.6M and eps of $-0.67 for Q4 2026.
Did Kestra Medical Technologies, Ltd. beat estimates in Q4 2026?
Revenue beat the consensus estimate of $26.5M by $2.2M. EPS missed the consensus estimate of $-0.59 by $0.08.
How did Kestra Medical Technologies, Ltd.'s Q4 2026 results compare year-over-year?
Compared to the same quarter a year prior, revenue grew 66.2% from $17.2M a year earlier and eps grew 36.2% from $-1.05.
Where can I find Kestra Medical Technologies, Ltd.'s Q4 2026 SEC filings?
You can read the 8-K earnings release (0001193125-26-303169) and the 10-K periodic report (0001193125-26-303397) directly on SEC EDGAR. The filing index links above go to sec.gov.