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    MYO
    Earnings call· Jun 2026(Q2 FY26)

    MYOMO Q2 FY26 earnings call MYO

    Aug 5, 2026 Source

    Executive summary

    Myomo Q2 FY26 — Strong Revenue Growth Driven by Recurring Patient Sources, Raised FY Guidance

    Myomo delivered a strong second quarter, marked by significant revenue growth and improved profitability, primarily driven by the successful shift to recurring patient referral sources. The company raised its full-year revenue guidance and demonstrated operating leverage, while continuing to invest in product innovation and clinical research. Management expressed confidence in its strategic pillars to drive future growth and achieve sustainable positive cash flows.

    Highlights

    5
    • Overall revenue increased 21% year-over-year to $11.7 million.

    • Recurring patient sources represented 53% of total revenue, doubling from 26% a year ago and achieving the 50% objective 6 months early.

    • Adjusted EBITDA improved by over $3 million year-over-year, reducing loss to $800,000.

    • Gross margin expanded to 72.1%, up from 62.7% in the prior year quarter.

    • Cash used in operating activities significantly improved to $1.9 million, compared to $8.9 million in Q2 FY25.

    Concerns

    3
    • Pipeline adds were temporarily impacted by website maintenance activities, though patient quality is improving.

    • Operating loss was $2.3 million, despite significant improvement from $4.6 million in the prior year.

    • Net loss for the quarter was $4 million or $0.09 per share.

    Guidance & targets

    6
    CategoryTargetConfidence
    Q3 Revenue
    $11.5 million to $12 million
    high materiality
    High
    Full Year Revenue
    $45 million to $47 million
    high materiality
    High
    Operating Expense Growth Rate
    limit to half the rate of revenue growth
    medium materiality
    High
    Total Cash Burn
    less than $2 million
    high materiality
    High
    Recurring Patient Sources Revenue Mix
    55%
    medium materiality
    Medium
    Recurring Patient Sources Revenue Mix (Longer Term)
    60-40 split
    medium materiality
    Medium

    Segment performance

    2
    SegmentRevenueYoYQoQMargin
    International
    International revenue grew 32% year-over-year and represented 17% of total revenue.
    Revenue mix: 17%
    32%
    U.S. O&P Channel
    U.S. O&P channel revenue grew 130% year-over-year and represented 10% of total revenue.
    Revenue mix: 10%
    130%

    Operational metrics

    28
    Total Revenue
    $11.7 millionup 21% YoY
    Q2 FY26

    Overall revenue for the second quarter.

    Average Selling Price (ASP)
    $55,500up 2% YoY
    Q2 FY26

    Average selling price for MyoPro units.

    MyoPro Revenue Units
    211up 19% YoY
    Q2 FY26

    Number of MyoPro units for which revenue was recognized.

    Medicare Part D Revenue Mix
    50%vs 56% prior year
    Q2 FY26

    Percentage of second quarter revenue from Medicare Part D patients.

    Medicare Advantage Revenue Mix
    16%vs 20% prior year
    Q2 FY26

    Percentage of second quarter revenue from Medicare Advantage plans.

    Recurring Patient Sources Revenue Mix
    53%vs 26% prior year
    Q2 FY26

    Percentage of second quarter revenue from recurring patient sources, achieving 50% objective 6 months early.

    MyoConnect Direct Billing Referrals Revenue Mix
    23%up from 20% in Q1
    Q2 FY26

    Percentage of total revenue generated by direct billing referrals through MyoConnect program.

    VA Patients Revenue Mix
    3%
    Q2 FY26

    Percentage of second quarter revenue from VA patients.

    MyoPro Orders Received
    255up 23% YoY
    Q2 FY26

    Record number of MyoPro orders received during the quarter, equivalent to authorizations.

    Orders to Revenue Conversion Rate
    57%
    Q2 FY26

    Percentage of second quarter revenue units that came from orders received during the same quarter.

    Pipeline Adds
    739up 2% sequentially
    Q2 FY26

    Number of patients added to the pipeline during the quarter.

    Advertising Spending
    up 11%sequentially
    Q2 FY26

    Increase in advertising spending compared to the previous quarter.

    MyoConnect Pipeline Adds Mix
    17%up from 11% in Q1
    Q2 FY26

    Percentage of pipeline adds generated by direct billing referrals through MyoConnect.

    Medicare Patients in MyoConnect Pipeline Adds
    ~50%vs 25% for overall program
    YTD FY26

    Approximate percentage of Medicare patients entering the pipeline via MyoConnect referrals year-to-date.

    Patient Backlog
    218down modestly from Q1
    Q2 FY26 end

    Number of patients in backlog at the end of the quarter.

    Gross Margin
    72.1%up from 62.7% prior year
    Q2 FY26

    Gross margin for the second quarter.

    Operating Expenses
    $10.7 millionup less than 1% YoY
    Q2 FY26

    Operating expenses for the second quarter.

    Operating Loss
    $2.3 millionvs $4.6 million prior year
    Q2 FY26

    Operating loss for the second quarter, significantly improved.

    Adjusted EBITDA Loss
    $800,000vs $4 million prior year
    Q2 FY26

    Adjusted EBITDA loss for the second quarter.

    Noncash Charge (Derivative Liabilities)
    $1.2 million
    Q2 FY26

    Noncash charge related to a mark-to-market adjustment on the valuation of derivative liabilities.

    Net Loss
    $4 millionvs $4.6 million prior year
    Q2 FY26

    Net loss for the second quarter, including noncash charges.

    Net Loss Per Share
    $0.09vs $0.11 prior year
    Q2 FY26

    Net loss per share for the second quarter.

    Cash, Cash Equivalents and Short-Term Investments
    $13.5 million
    as of June 30, 2026

    Balance sheet item at quarter end.

    Cash Used in Operating Activities
    $1.9 millionvs $8.9 million prior year
    Q2 FY26

    Cash used in operating activities during the second quarter, a substantial improvement.

    Total Devices Delivered
    over 3,000
    cumulative

    Cumulative number of MyoPro devices delivered to patients.

    Cumulative Pipeline
    1,491
    Q2 FY26 end

    Total number of patients in the cumulative pipeline at the end of the quarter.

    Medicare Part D Reimbursement Rate
    100%
    ongoing

    Reimbursement rate for Medicare Part D patients with complete medical documentation.

    Active Referral Sites
    over 300added more than 150
    Q2 FY26

    Total number of active referral locations, with over 150 added during the quarter.

    Industry KPIs

    9
    MetricValueDetails
    Pricing realized price$55,500USD
    New product launch rampHand-only prototype
    Procedure volume growth211units
    FCF conversion leverage guidanceCash used in operating activities: $1.9 million; H2 cash burn: less than $2 million; FY revenue guidance: $45 million to $47 millionUSD
    Installed base system placementsover 3,000devices
    Segment franchise organic growthInternational: 32%; U.S. O&P Channel: 130%%
    Sales force commercial capacity buildgrowingpeople
    Indicated addressable patient populationhundreds of thousandsindividuals
    Pivotal trial clinical evidence milestonesUniversity of Utah Randomized Controlled Trial

    Product announcements

    2
    ProductTypeDetails
    Hand-only prototype (MyoPro platform)launch
    4-finger saddleupdate

    Deals & partnerships

    3
    ElevanceExpansion of in-network footprint

    Signed additional state contracts under the national agreement with Elevance, further expanding the in-network footprint.

    Optum (UnitedHealthcare)In-network status for workers' compensation product

    Established in-network status with Optum's workers' compensation product, which is part of UnitedHealthcare.

    Ottobock CareNational rollout of MyoPro

    The national rollout with Ottobock Care is progressing well, alongside discussions with other national O&P organizations.

    Risks & headwinds

    2
    Temporary impact on pipeline adds due to website maintenanceQ2 FY26

    Pipeline adds up 2% sequentially, impacted by maintenance activities on website.

    Mitigation: Activities have been completed, and the website is functioning normally; patient quality in the pipeline is improving.

    Increased competition for advertising due to midterm elections and holiday seasonH2 FY26

    Advertising spending was up 11% sequentially in Q2.

    Mitigation: Company plans to scale back direct-to-consumer advertising in Q4 and emphasize the MyoConnect program and referral sites, which are less impacted by advertising competition.

    What to watch in Q3 FY26

    5

    Recurring Patient Sources Revenue Mix

    end of FY26
    Current53%
    Target55%

    Why it matters

    This metric indicates the success of the strategic shift towards a more durable and scalable business model, reducing reliance on direct-to-consumer marketing.

    I think as we look towards the end of the year, I mean, we had a goal of 50%. I think 55% probably might be a reasonable number to exit the end of the year.

    Q&A highlights

    7

    Is MyoConnect the primary driver of growth, and what are the conversion rates and pipeline contribution from MyoConnect referrals?

    MyoConnect is gaining momentum, driving growth with better medically qualified patients and higher Medicare Part B insurance coverage. MyoConnect referrals represented 17% of pipeline adds in Q2, up from 11% in Q1, with roughly 50% of these being Medicare patients compared to 25% for advertising-driven adds.

    You're right. It's -- we see the MyoConnect program really gaining momentum here. We are adding more sites. We're up to 300 referral sites. Now, what we're seeing is, as Dave mentioned, not only better medically qualified patients because the therapists have been informed by us who makes a good MyoPro candidates, they tend to have better insurance. So a larger percentage of them have Medicare Part B, which is easier to get reimbursed for that patient.

    asked by Unknown Analyst · answered by Paul Gudonis

    2 min read5 chapters

    Detailed Narrative

    01

    Go-to-Market Strategy Evolution

    Myomo is successfully transitioning its go-to-market strategy from direct-to-consumer marketing to a more durable model emphasizing recurrent patient referrals. This shift has led to recurring patient sources accounting for 53% of total revenue, a significant increase from 26% a year ago, and achieving the 50% objective six months ahead of schedule. The MyoConnect program, which facilitates direct billing referrals, is a key driver, contributing 23% of total revenue and showing higher conversion rates for medically qualified patients with better insurance coverage.

    02

    Operational Efficiency and Cost Reduction

    The company demonstrated strong operating leverage, with revenue growing 21% while operating expenses increased by less than 1%. This led to a substantial improvement in adjusted EBITDA, reducing the loss to $800,000 from $4 million in the prior year. Initiatives include a Six Sigma team executing cost reduction, a mobile app rollout to replace laptops, expanding in-house assembly, and investing in 3D printing capabilities, all aimed at expanding margins and lowering cash burn.

    03

    Product Development and Market Expansion

    Myomo continues to innovate on its wearable robotics platform, with the next-generation MyoPro 3 development on schedule. A hand-only prototype was introduced at the OTWorld Conference in Germany, targeting the German market first due to existing reimbursement for such devices. This expansion into hand-only functionality broadens the addressable market and leverages the existing technology platform, with plans to explore U.S. rollout after securing appropriate reimbursement codes.

    04

    Payer Access and Clinical Evidence

    Market access is expanding through new agreements, including additional Elevance state contracts and in-network status with Optum's workers' compensation product (UnitedHealthcare). These agreements are leading to higher authorization rates. The University of Utah randomized controlled trial (RCT) is progressing, with 25 of 50 patients enrolled, and a 6-month outcomes publication expected in the second half of the year, which is anticipated to further support reimbursement and demand generation.

    05

    Board Enhancement and Investor Engagement

    Myomo enhanced its Board of Directors with the appointment of Joe Manko and Will Febbo, adding significant industry experience, financial expertise, and leadership in building shareholder value. The company also plans to participate in the H.C. Wainwright 28th Annual Global Investment Conference in September to engage with investors.

    AI-generated summary of the company’s earnings call. Not investment advice.