Earnings call transcript: Lifeward Q3 2025 reveals modest revenue growth

Lifeward Ltd (NASDAQ:LIFE) reported its Q3 2025 earnings on November 14, revealing a slight revenue increase but continued struggles with profitability. The company posted a revenue of $6.2 million, marking a 1.1% year-over-year growth, but faced an operating loss of $3 million. The stock saw a modest premarket movement, with a slight increase of 0.17% following the earnings release.

Key Takeaways

• Lifeward’s revenue grew by 1.1% year-over-year, driven by a 24% increase in traditional product sales.
• The company reported an operating loss of $3 million, reflecting ongoing financial challenges.
• Lifeward’s stock showed a minor premarket increase of 0.17% after the earnings call.
• Strategic restructuring and operational efficiencies have reduced cash burn by 16%.
• Lifeward secured a $3 million loan to support operations into Q4 2026.

Company Performance

Lifeward’s Q3 2025 performance highlighted a modest revenue increase, primarily driven by strong sales in its traditional product line, which grew by 24% year-over-year. However, the company’s AlterG products saw a decline of 13.9%, contributing to an overall operating loss of $3 million. Despite these challenges, Lifeward has made significant strides in reducing its cash burn and restructuring its operations for greater efficiency.

Financial Highlights

• Revenue: $6.2 million (↑1.1% YoY)
• Gross Profit: $2.7 million (43.7% of revenue)
• Operating Loss: $3 million (non-GAAP)
• Cash Position: $2 million at quarter-end
• Operating Cash Usage: $3.8 million (↓15.6% YoY)

Earnings vs. Forecast

Lifeward’s earnings fell short of analyst expectations, with an EPS forecast of -0.205. The actual EPS was not specified in the call, but the revenue of $6.2 million missed the forecast of $7.35 million. This shortfall was primarily due to weaker-than-expected sales in the AlterG product line.

Market Reaction

Following the earnings announcement, Lifeward’s stock experienced a slight premarket increase of 0.17%, trading at $0.5215. Despite the revenue miss, the market’s reaction was relatively muted, possibly reflecting investor confidence in Lifeward’s strategic restructuring and future growth potential. The stock remains near its 52-week low of $0.501, indicating ongoing market skepticism.

Outlook & Guidance

Lifeward provided a full-year 2025 revenue guidance of $24-$26 million and projected a non-GAAP net loss of $12-$14 million. The company emphasized its focus on operational efficiency and strategic partnerships to drive future growth. With a $3 million loan secured from AuraMed, Lifeward is positioned to fund operations into Q4 2026.

Executive Commentary

CEO Mark Grant stated, "We are rebuilding the fundamentals and positioning Lifeward to serve more people, scale more efficiently, and create durable long-term value." CFO Almog Adar expressed confidence in the company’s Q4 performance, citing a strong backlog and pipeline.

Risks and Challenges

• Declining sales in the AlterG product line could impact future revenue.
• Continued operating losses may strain financial resources.
• Market saturation and competitive pressures in the exoskeleton industry.
• Potential supply chain disruptions impacting product availability.
• Macroeconomic factors influencing healthcare spending and reimbursement rates.

Q&A

During the Q&A session, analysts inquired about the impact of Medicare revenue, which constitutes approximately 50% of ReWalk product revenue. Lifeward’s management also discussed potential expansion into sports and rehabilitation markets, highlighting opportunities for growth and diversification.

Full transcript - Lifeward Ltd (LFWD) Q3 2025:

Conference Operator: Good morning and welcome to the third quarter 2025 Lifeward Earnings conference call. All participants will be in listen-only mode. Should you need assistance, please signal a conference specialist by pressing star, then 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 Almog Adar, CFO of Lifeward. Please go ahead.

Almog Adar, Chief Financial Officer, Lifeward: Thank you, Operator, and thanks to everyone who has joined us on the call today. My name is Almog Adar. 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 filings with the SEC. With that, I will turn the call over to Mark.

Mark Grant, President and Chief Executive Officer, Lifeward: Thank you, Almog. 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’ve 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 a 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 signs 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 Lifeward 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 AuraMed. 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 and the dedication of our teams across our company to complete this transformation. We are highly encouraged that soon after implementing these measures, we are already seeing real momentum and a clear direction. We are rebuilding the fundamentals and positioning Lifeward to serve more people, scale more efficiently, and create durable long-term value. With that, I’ll turn the call over to our CFO, Almog, to review the financial results from this quarter.

Almog Adar, Chief Financial Officer, Lifeward: Thank you, Mark. As we review our results, I will discuss both GAAP and non-GAAP figures. The non-GAAP results excluded the items detailed in the reconciliation tables in today’s earnings 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 and the reconciliation tables as we go through the third quarter 2025 financials. 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 from our traditional products and services, which include the ReWalk personal exoskeleton, the MyoCycle FES bike, and the ReStore exo suit, 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 AlterG 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 ReWalk 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. For AlterG, we closed the quarter with 23 systems 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% 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 reflects greater efficiency in reimbursement activities, improved efficiencies in marketing and sales operations, and lower R&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 continues 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 includes 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 AuraMed, 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 fourth quarter of 2026, and we continue to evaluate all opportunities to support our operations and growth plan while continuing to implement cost management initiatives to preserve resources and maintain focus on our core businesses. Lastly, financial guidance. Lifeward is reaffirming its full year 2025 guidance, including expected revenue in the range of $24-$26 million and the projected non-GAAP net loss in the range of $12-$14 million. With that, I will turn the call back to Mark.

Mark Grant, President and Chief Executive Officer, Lifeward: Thank you, Almog. 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 Almog, 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 will 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 Lifeward for the future. Thank you for joining us for the call today and your continued support. Operator, let’s open it up for questions.

Conference Operator: 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 & Company. Please go ahead.

Yale Jen, Analyst, Laidlaw & Company: Good morning and thanks for taking the questions. I just a little bit sort of detail things here. First of all, I just want to confirm that you mentioned that there’s 23 systems in rental. Is that correct? If so, what’s the breakdown between the United States and Germany?

Almog Adar, Chief Financial Officer, Lifeward: Can you repeat the question, please, Yale? The breakdown for.

Yale Jen, Analyst, Laidlaw & Company: The rental, how many rental systems for the, I’m sorry, for the ReWalk of the quarter? And what’s the breakdown between the United States and Germany?

Almog Adar, Chief Financial Officer, Lifeward: As I mentioned in the call, we have 33 active rentals, all of them in Germany.

Yale Jen, Analyst, Laidlaw & Company: All in Germany. Okay, great. That would be great. Okay. My second question is that in the previous quarter, you have a collaboration with CoreLife. Just curious what kind of impact that you may felt in the third quarter or even going forward.

Mark Grant, President and Chief Executive Officer, Lifeward: Yeah, Yale, thank you for the question and good to hear your voice today. The partnership with CoreLife has been going well. We have both been diligently and meticulously working into this partnership and building the pipeline over time. It has grown each quarter, and we are learning the training processes and what it takes to reach those patients for marketing efforts. We are excited about that partnership and looking for it to expand in the future.

Yale Jen, Analyst, Laidlaw & Company: 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 sense that’s from the Medicare versus others? And thank you.

Almog Adar, Chief Financial Officer, Lifeward: It’s reflecting that this pays approximately 50% of our total revenue.

Mark Grant, President and Chief Executive Officer, Lifeward: Okay.

Almog Adar, Chief Financial Officer, Lifeward: For ReWalk products only, not taking into account the AlterG products.

Yale Jen, Analyst, Laidlaw & Company: Understood. Understood. Maybe just to attack one more. What’s the actual sort of rough revenue of ReWalk within the $3.1 million of the traditional product sales?

Almog Adar, Chief Financial Officer, Lifeward: $2.9 million is related to the ReWalk products, and the other is mainly related to MyoCycle.

Yale Jen, Analyst, Laidlaw & Company: Okay, great. Thanks, and I really appreciate it and the best luck for you guys.

Mark Grant, President and Chief Executive Officer, Lifeward: Yale, thank you for the questions.

Conference Operator: Again, if you have a question, please press star then one. The next question comes from Swayampakula Ramakanth with HC Wainwright. Please go ahead.

Swayampakula Ramakanth, Analyst, HC Wainwright: Thank you. This is RK from HC Wainwright. Good morning, Mark and Almog.

Mark Grant, President and Chief Executive Officer, Lifeward: Good morning, RK.

Swayampakula Ramakanth, Analyst, HC Wainwright: A few questions from me. 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 your due diligence coming into the company? What sort of aspects of the operations do you think require changes so that we get to not only the inflection point, but also the growth stage of the company?

Mark Grant, President and Chief Executive Officer, Lifeward: RK, thank you for the question. Quickly, I think first and foremost the fundamentals of the business really have to be established from the ground up. Good visibility into KPIs, understanding data, and deploying the resources where data supports it. That’s number one, kind of the first thing. I saw a little bit of that coming into the role, but not as much as I got in here a little deeper. Secondarily, we have the opportunity for some great strategic partnership and channel management. That comes in two flavors. One is it allows us to gain broader access to patients through all the payers across the U.S. Secondarily, it’s a population of patients that are really targeted in our environment.

I’m excited because I’ve got roughly 20 years or 25 years of experience in that channel management and also across payer access. The channel partnerships coupled with payer access and payer policy development are key for our success going forward. The last piece around operations is frankly just scale. 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 with high quality. I think if I boiled it down to four different pieces, 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.

The fourth is ensuring we scale for the future with good COGS.

Yale Jen, Analyst, Laidlaw & Company: Thank you for that, Mark. 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 future quarters?

Mark Grant, President and Chief Executive Officer, Lifeward: The good news is the channel management is just starting. As we go into Q1 of next year is when you’ll see the reflection of that. Right now, we’re just cleaning up the fundamentals. The channel partnerships take a bit to develop. 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.

Yale Jen, Analyst, Laidlaw & Company: Okay.

Mark Grant, President and Chief Executive Officer, Lifeward: More to come on that one. That’s the good news, right?

Yale Jen, Analyst, Laidlaw & Company: That is true. Almog, you reaffirmed the guidance to $24-$26 million for 2025, which means you’re asking for a 21% growth from Q3 number, I think, if my calculations are correct. You grew, based on your own press release, you grew 8% between Q2 and Q3. What gives you the confidence that you can get that 21% growth?

Almog Adar, Chief Financial Officer, Lifeward: First, I ask you, and thanks for the question. As you know, Q4 is usually the strongest quarter for us. It’s ReWalk for both products, AlterG and ReWalk. What gives me the confidence that we will achieve our guidance is the existing backlog for both products and the stock pipeline that we are managing.

Yale Jen, Analyst, Laidlaw & Company: Okay. Thank you for that. On the AlterG, what happened there? Because it looks like there was a 15% decline. What needs to be done so that we can kind of just stabilize the ship and let it sail again?

Mark Grant, President and Chief Executive Officer, Lifeward: 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. We have 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 AlterG, and we will have a highly focused neuro rehab team that will be selling ReWalk. This is in particular to the U.S. Just as a comment, Germany continues to be very successful in both efforts. We are really refocusing the strategy here in the U.S.

Yale Jen, Analyst, Laidlaw & Company: Okay. Talking about Germany, you were commenting a little bit on ReWalk 7, and Europe could be opportunity, could be as much as 40% of your total sales. To that end, how is ReWalk 7 being introduced? Is it still the workers’ comp insurance that you’re looking into, or is it outside of that insurance segment? Do you have any visibility or actually could actually gain some adoption in other segments of the market?

Mark Grant, President and Chief Executive Officer, Lifeward: Yeah. When you look at Germany, I think the one thing, the key indicator, and I’m going to reforce 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. For me, that’s really the health of their pipeline and looking how that business is growing. It’s a solid pipeline. Secondarily, we do have good coverage. About 40% of them we have coverage directly, but we have 100% access to all patients. The good news is when you look at Germany in particular, not the total European nation, but 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.

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. More work to do on access, but struggling, we’re doing really well.

Yale Jen, Analyst, Laidlaw & Company: 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 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, Lifeward: Yeah. RK, look, I’m not naive, right? This is a tough place for any company to be. 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. 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 in short order. There wasn’t really anything broken. I’m excited about that. Secondarily, the innovation is exceptional.

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 AlterG, first-in-class name, first-in-class brand, something you can also get after on innovation. There are other products in the space that are available for aggregation at good value discounts. I’m excited about where we are. 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. I’m optimistic that we’re going to find the right one.

Yale Jen, Analyst, Laidlaw & Company: 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 situation that they were at. Good luck, and thank you for taking all my questions.

Mark Grant, President and Chief Executive Officer, Lifeward: Yeah, thank you. We’ll talk to you soon.

Conference Operator: Once again, if you have a question, press star, then one. We have a follow-up from Yale Jen with Laidlaw & Company. Please go ahead.

Yale Jen, Analyst, Laidlaw & Company: Thanks for taking my follow-up questions. In terms of AlterG, I remember last quarter you guys talking about expanding to the sports arena versus just in the medical space. Just like to get some updates on that effort. Thanks.

Mark Grant, President and Chief Executive Officer, Lifeward: Yale, you got a great memory, and I’m glad you brought that up. That is part of the broader transformation. We have two beta regions right now within the U.S. where we’ve actually switched to having a capital sales team and to having a neuro rehab specialist. The capital sales team focused on AlterG. The rehab specialists in the other focused on ReWalk 7. Those efforts have just started. I would expect that you’re going to see some stronger results as we turn into the new year. 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 U.S. More to come on that as we actually execute against the transformation. We were opportunistic.

As we had changes in the space, we went ahead and put it into play. We are going to have a team that’s focused on high school sports elites and up. 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. You kind of get to double dip. 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 also someone who can work with patients, payer, and providers in the neuro rehab space. 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.

Bifurcating the sales force will give us the focus needed to deliver against better fundamentals and also the growth you expect.

Yale Jen, Analyst, Laidlaw & Company: Maybe just add that on here, which is in terms for the sports arena, would that be practically also pay instead of any other venue of reimbursement?

Mark Grant, President and Chief Executive Officer, Lifeward: For sports, yes, but we do get a tremendous amount of the business from government and grants outside the U.S. There is a good blend, right? It is all not just self-pay. The DOD and others support us very well with all of our products. It is likewise outside the U.S. We get tenders for these products on a daily basis.

Yale Jen, Analyst, Laidlaw & Company: Okay, great. That’s very, very helpful. Thanks a lot, and best luck going forward.

Mark Grant, President and Chief Executive Officer, Lifeward: Yeah, thank you. Appreciate it, y’all.

Yale Jen, Analyst, Laidlaw & Company: Okay.

Conference Operator: 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, Lifeward: 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. We’re 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.

Conference Operator: The conference has now concluded. Thank you for attending today’s presentation. You may now disconnect.

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