Beyond Air Q3 2025 Earnings Report

Beyond Air EPS Results

• Actual EPS: -$60.00
• Consensus EPS: -$96.00
• Beat/Miss: Beat by +$36.00
• One Year Ago EPS: -$200.00

Beyond Air Revenue Results

• Actual Revenue: N/A
• Expected Revenue: $0.93 million
• Beat/Miss: N/A
• YoY Revenue Growth: N/A

Beyond Air Announcement Details

• Quarter: Q3 2025
• Date: 2/10/2025
• Time: After Market Closes
• Conference Call Date: Monday, February 10, 2025
• Conference Call Time: 4:30PM ET

Beyond Air (NASDAQ:XAIR) is a medical device and biopharmaceutical company focused on developing nitric oxide (NO) therapies for respiratory conditions. The company’s technology is designed to generate nitric oxide from ambient air and deliver it directly to patients, potentially reducing the need for traditional high-pressure nitric oxide cylinders.

Its primary platform, LungFit, includes systems intended to produce and administer nitric oxide at the point of care. LungFit PH is designed for use in hospitals to deliver nitric oxide to term and near-term newborns with hypoxic respiratory failure associated with pulmonary hypertension. Beyond Air has also been developing additional LungFit applications for other pulmonary conditions, including respiratory infections and pulmonary hypertension.

Beyond Air serves the hospital and acute-care markets, primarily in the United States, while pursuing broader commercial and regulatory opportunities. The company is headquartered in Garden City, New York. Steven Lisi has served as Beyond Air’s chairman and chief executive officer.

Beyond Air Q3 2025 Earnings Call Transcript

Key Takeaways

• Sequential revenue growth: Q3 fiscal ’25 revenue rose to $1.1M from $0.4M a year ago, driven by six new hospital starts and two contract renewals, with management expecting continued quarterly growth.
• CE Mark milestone: LungFit PH received CE Mark in December, triggering a $1M payment from Getz Healthcare and enabling upcoming shipments in Europe, Asia Pacific and other markets via new distribution partnerships.
• Label expansion and next-gen system: Beyond Air is in ongoing FDA discussions for a cardiac surgery PMA supplement and plans to soon submit a PMA supplement for its transport-capable next-generation LungFit PH, with timing still uncertain.
• Cancer pipeline progress: Beyond Cancer received approval to start a Phase 1b trial of low-volume ultra-high concentration nitric oxide with anti–PD-1 therapy in late-stage cancer, with top-line data anticipated by year-end 2025.
• Improved cash profile: Net loss narrowed to $13M from $16.2M year-over-year, cash burn fell by over 30%, and the company holds $10.9M in cash and equivalents, supporting operations through spring 2026.

Presentation

[Operator]

Good afternoon and welcome, everyone, to the Beyond Air Financial Results Call for the fiscal quarter ended December 31, 2024. At this time, all participants are in a listen-only mode. A question-and-answer session will follow the formal presentation. I would like to turn the call over to Corey Davis, LifeSci Advisors. Thank you. You may begin.

[Corey Davis, Head of Investor Relations at LifeSci Advisors]

Thank you, Operator. Good afternoon, everyone, and thank you for joining us. Today, after the market closed, we issued a press release announcing the operational highlights and financial results for Beyond Air's third quarter of fiscal 2025, ended December 31, 2024. A copy of this press release can be found on our website, beyondair.net, under the News and Events section. Before we begin, I would like to remind everyone that we will be making comments and various remarks about future expectations, plans, and prospects, which constitute forward-looking statements for purposes of the Safe Harbor Provisions under the Private Securities Litigation Reform Act of 1995. Beyond Air cautions that these forward-looking statements are subject to risks and uncertainties that could cause actual results to differ materially from those indicated.

[Corey Davis, Head of Investor Relations at LifeSci Advisors]

We encourage everyone to review the company's filings with the Securities and Exchange Commission, including, without limitation, the company's most recent Form 10-K and Form 10-Q, which identify specific factors that may cause actual results or events to differ materially from those described in the forward-looking statements. Additionally, this conference call is being recorded and will be available for audio rebroadcast on our website, www.beyondair.net. Furthermore, the content of this conference call contains time-sensitive information and is accurate only as of the date of this live broadcast, February 10th, 2025. Beyond Air undertakes no obligation to revise or update any statements to reflect events or circumstances after the date of this call. With that, let me turn the call over to Steve Lisi, Chairman and Chief Executive Officer of Beyond Air. Go ahead, Steve.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Thanks, Corey. Good afternoon to everyone joining us. With me here today is Doug Larson, our Chief Financial Officer. Let's start today's call by stating how pleased we are with the sequential quarterly revenue growth we are seeing as our commercial team continues to make significant progress. This has been driven by a steady stream of new hospital signings and going through the onboarding process to begin using our LungFit PH system in their institutions. During the quarter, we saw six new hospital starts and two hospitals renew their contracts, one of them for three years. There's only been about nine months since our upgraded LungFit PH began shipping and seven months since our new Chief Commercial Officer joined us, which has brought new energy to the entire Beyond Air team. We expect this momentum will continue and drive sequential quarterly revenue growth throughout this year.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

A key factor of our ongoing success is that the Beyond Air team has done a tremendous job of strengthening each stage of the customer engagement process to ensure we are offering the best possible experience for hospital administrators, nurses, physicians, staff, and, of course, respiratory therapists. Most importantly, our existing customers are providing overwhelmingly positive feedback on the LungFit PH device, which translates to great references for potential new engagements.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Building on our robust customer engagement pipeline, we now have several partnerships in place supplementing our direct sales team, including Healthcare Links, a renowned healthcare advisory and contracting firm that works with GPOs and IDNs, and TrillaMed to help us engage with and distribute to the Military and Veterans Administration hospitals. Additionally, our marketing efforts have been upgraded significantly, which has provided a meaningful boost to our sales efforts.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

In addition, our presence and activities at all respiratory conferences are much improved, which you can see if you take a look at all of our social media postings.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Turning to the PMA supplement for the LungFit PH label expansion to include cardiac surgery, the interactive discussion with FDA continues. We will continue to provide FDA with the information that they request and provide updates to investors each quarter. As a reminder, no nitric oxide products are currently approved for cardiac surgery in the United States.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

One last point about the U.S. market. We expect our PMA supplement for our next-generation LungFit PH transport-capable system to be ready shortly for submission to FDA. Recall that in November, we demonstrated this next-generation system at the AARC annual meeting, and the feedback was quite strong, with the most common question being, "When can I get this version of LungFit PH in my hospital?" We will provide further details on this system on next quarter's earnings call. Outside the U.S., we announced in December that LungFit PH received the long-awaited CE Mark approval. This approval allows us to market LungFit PH in the European Union, as well as other countries that recognize this certification.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

The indications covered under CE Mark certification are the treatment of infants with greater than 34 weeks gestation with hypoxic respiratory failure and the treatment of peri- and post-operative pulmonary hypertension in adults and children in conjunction with heart surgery. Receiving CE Mark triggered a $1 million milestone payment from Getz Healthcare, our Asia-Pacific distribution partner, which we will receive in the March quarter.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Along with royalty payments, we will receive based on LungFit PH sales. Getz is already ahead of schedule, securing market authorization in Australia less than two months after receiving CE Mark. To accelerate ex-US sales, we have teamed up with Business Asia Consultants to provide LungFit PH to hospitals throughout Europe, South America, the Asia-Pacific region, and the Middle East. We have already seen progress with extremely high distributor interest, and in fact, we already have two new contracts signed in the Middle East.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

As a reminder, the fact that LungFit PH generates nitric oxide from room air opens up enormous opportunity in areas around the world where hospitals are unable to obtain nitric oxide supply or do not use nitric oxide due to the logistical difficulties associated with cumbersome cylinder-based systems. Overall, we believe that the updated LungFit PH on the U.S. market since the spring of 2024 is poised to start taking significant market share in the U.S. and globally.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

The inflection point is happening now in the U.S. thanks to the system performance and our new and improved commercial infrastructure. Globally, we expect to see shipments starting in the next few months, which will make an impact on our revenues in the back half of fiscal 2026 and beyond. We will be providing revenue guidance for fiscal 2026 on our fiscal 2025 year-end conference call, which will be held in June.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Turning to Beyond Cancer, as previously reported, they received regulatory approval to begin a phase IB trial for low-volume ultra-high concentration nitric oxide, or UNO, in combination with anti-PD-1 therapy in late-stage cancer patients who have failed anti-PD-1 therapy, which remains an area of high unmet patient need. Top-line data from this phase IB study are anticipated around the end of calendar 2025. The UNO dose will be 25,000 parts per million. We call it low volume now because our original human study utilized one liter of gas, while this phase IB study will utilize less than 100 milliliters of gas, a reduction of over 90%. As everyone knows, the global anti-PD-1 therapy market is in the tens of billions of dollars.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

I encourage all of you to visit the Beyond Cancer website for more information, as we believe this year should be transformational for this potentially groundbreaking therapy for those suffering from solid tumors. I am also pleased with the advances that Neuronas, our subsidiary focused on therapies for autism spectrum disorders, is making. During the December quarter, Neuronas announced the appointment of Professor Roger Kornberg to its scientific advisory board.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Dr. Kornberg is a renowned leader in the field of eukaryotic gene transcription and was awarded the Nobel Prize in Chemistry in 2006 for his groundbreaking work in molecular biology. Neuronas will meet with FDA later this year to get an idea of the path to human studies, which we expect to begin in calendar 2026.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

The Neuronas website offers a more complete understanding of what is to come over the next few years, including first-in-human data anticipated later in 2026. I hope you all see the great progress made recently and how these leading indicators paint a bright future for LungFit PH and for nitric oxide as a revolutionary therapy across multiple indications. Beyond Air team will continue to be diligent on this path to profitability and improve the lives of patients in the need of the benefits of nitric oxide. Now, I will turn it over to our CFO, Doug Larson.

[Doug Larson, CFO at Beyond Air]

Thanks, Steve, and good afternoon, everyone. Our financial results for the third quarter of fiscal 2025, which ended December 31, 2024, are as follows. Revenue for the fiscal third quarter of 2025 were $1.1 million as compared with $0.4 million a year ago. We're showing a $0.2 million loss in gross profit for the fiscal third quarter of 2025 compared to a $0.4 million loss for the same period last year.

[Doug Larson, CFO at Beyond Air]

Cost of revenue in the current fiscal year exceeded revenue primarily due to $0.3 million of one-time costs required to upgrade our existing fleet of devices, plus $0.5 million of non-cash headwinds, mainly the depreciation of devices purchased but not yet deployed. Research and development expenses were $3 million as compared to $6.8 million for the three months ended December 31, 2023. The decrease of $3.8 million was primarily attributed to a decrease in salaries and stock-based compensation.

[Doug Larson, CFO at Beyond Air]

SG&A expenses for the three months ended December 31, 2024, and December 31, 2023, were $7.7 million and $9.8 million, respectively. The decrease of $2.1 million was attributed primarily to a decrease in salaries and stock-based compensation cost.

[Doug Larson, CFO at Beyond Air]

Other expense was $2.4 million compared to $0.3 million in the previous year. The increase of $2.1 million was mostly non-cash and attributed primarily to the extinguishment of the Avenue Loan. Net loss attributed to common stockholders of Beyond Air was $13 million, or a loss of $0.15 per share, basic and diluted. Our net loss for the three months ended December 31, 2023, was $16.2 million, or a loss of $0.50 per share, basic and diluted. Net cash burn in the quarter was $7.6 million, which was more than 30% lower than the prior quarter ended September 30, 2024.

[Doug Larson, CFO at Beyond Air]

This decrease is mostly attributable to cost reductions implemented during the first half of fiscal year 2025, which included us closing two offices, a 30% reduction in staff, putting our VCAP study on hold, and adjusting our production forecasts. We anticipate cash burn to continue the trend lower in the March quarter, but not to the same magnitude as we saw in this quarter due to the one-time costs required to complete the submission of our next-generation LungFit PH to FDA. As of December 31, 2024, the company had cash, cash equivalents, and marketable securities of $10.9 million. We believe that our cash, cash equivalents, and marketable securities will be sufficient to allow us to support our current operating plans through the spring of 2026, provided we continue to hit our internal revenue estimates and control costs at Beyond Air. With that, I'll hand the call back to Steve.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Thanks, Doug. We will now take questions.

[Operator]

Great, thank you. At this time, we will be conducting a question-and-answer session. If you'd like to ask a question, please press Star 1 on your telephone keypad. A confirmation tone will indicate your line is in the question queue. You may press Star 2 to remove yourself from the queue. For participants using speaker equipment, it may be necessary to pick up your handset before pressing the Star keys. One moment, please, we'll pull for questions. First question is from Jason Wittes from Roth Partners. Please go ahead.

[Operator]

Hi, thanks for taking the questions. Looks like nice progression this quarter. In terms of the CE Mark, what should we think about in terms of timing, in terms of how that might start impacting revenues going forward? Is that an initial, an immediate hit, or is that a delay to get installations in? How do we think about that?

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Yeah, thanks, Jason. Yeah, it takes a little bit. I wouldn't think we'd see much in this March quarter that we're in. I would look more towards a small impact in the June quarter and then picking up significantly in September and December and much more after that. It will take a little bit to get going, but we're going to be shipping in the first half of this calendar year for sure.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Okay, that's good to know. In terms of expenses, from what you said, it sounds like for OpEx, specifically, I guess everything except R&D, that should be coming down additionally this next quarter, right? I think you said incrementally it'll come down incrementally the next quarter, although it sounds like R&D is going up specifically because of the PMA. Did I understand that correctly in terms of how the fourth quarter looks and kind of what the trend might be in all these expenses?

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Yeah, exactly. I mean, the June quarter will be a much steeper drop than the March quarter will be because we're getting this second-generation LungFit PH submitted.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

The other expenses sound like there's still some additional incremental down on those expenses. I guess that's what I was asking as well.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Yes, correct.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Okay. Maybe one last question. I'll jump back in queue. In terms of the PMA submission, and this may be not that easy to answer, but a sense of how long you expect that may take to run through the process, is that a—I understand that it's always hard to get visibility on the FDA.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Especially now. I do not know how many people are going to be quitting the FDA or taking retirement or what. We really just do not know. I guess we will have a better idea once we submit. As you know, usually the FDA acknowledges that receipt and sends you out some questions and some thoughts and comments on your submission. I think we kind of need to wait for that to get an idea of where the FDA stands and what kind of resources they have to devote to this application. I do not even know if they know what their staff will look like in the next 60 days. I really do not have an answer for you, Jason. I wish I did, but I just do not know how to handicap it at this moment. I think things are still in flux over there.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Got it. That's very fair. I will jump back in queue. Thank you very much.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Thanks, Jason.

[Operator]

The question is from Maurice Abbott from BTIG. Please go ahead.

[Operator]

Hey, good afternoon. This is Sam Wong for Marie. Appreciate everyone taking the questions today. Maybe I could start here on the changes to the commercial organization. It's been about seven months since David joined. You have the new LungFit system, and clearly things are progressing in the right direction. I guess I'm wondering what's working well, what are some of the changes that you've made internally that's driving some of this sequential strength here?

[Steven A. Lisi, Chairman and CEO at Beyond Air]

You know, I think it's more of a cultural shift. I think David, who's our new Chief Commercial Officer, I don't want to call him new anymore. He's no longer new. I think David's driven a new culture here. I think the culture was not good when we launched the product. I think it was for various reasons, and that culture needed to be changed. I think David came in and created a new culture here, and it's just a more positive attitude. I think our customer service was always strong. I think it's gotten better. We have even new leadership on our customer service side. Very excited about the gentleman who's running that now. That makes a lot of difference when you're taking care of your customers, making sure that everything's running smoothly for them. Right now, the machine's performing beautifully.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Our customer service team actually has a lot more time on their hands to work with our customers and potential new customers because they're not trying to keep up with the questions and issues that we had with the original version of the system, which was expected when the original version hit. It was absolutely expected. Again, what was not expected is how long it would take us to get all those upgrades through FDA. Now that they're through, it's running as we expected. I think the most important thing is the culture shift and our ability to have superior customer service than to what one might expect.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Yeah, yeah, makes a lot of sense. Maybe just following up on the transport PMA submission, maybe I guess I'm wondering how material could that be once you do get approval? How often is that coming up in your conversations with hospitals? Is that something where maybe the pipeline is already being built now so that once you do get the approval, you have customers basically waiting, ready to sign up?

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Yeah, I got to be careful how I answer this question for you. Yes, I think it comes up quite a bit about our next-generation product. We showed it back in November. People have seen it. People are excited about it. They want it. I do think it's going to make all the difference. It's not just transport-capable, but there are other upgrades that have been made, and it's a lot smaller and lighter. That will help a lot as well. People definitely want it, and they're waiting for it. I am not going to go so far as to say we have a waiting list. I will not say that.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Okay, okay, very good. Maybe I can just squeeze in one final one in terms of annualized contract revenue. I think it was about $3.5 million as of October. Any update on that metric, or is that something you're still providing?

[Steven A. Lisi, Chairman and CEO at Beyond Air]

I'm looking at Doug right now. Was it that high? We probably aren't going to comment on that. I guess the comment will be that I guess the street's around $4 million for our fiscal year of 2025. I think that's certainly a good place to be. As for what the run rate will be, I'll leave that to you. You saw what we put up this quarter. It's going to grow next quarter, or in the March quarter, it'll be higher than the December quarter for sure. You can kind of guess what that run rate will be.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Yeah, makes sense. Thanks for taking the questions.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Yep, thanks.

[Operator]

Next question is from Jason Bednar from Piper Sandler. Please go ahead.

[Operator]

Hey, guys. Congrats on the quarter here and the progress. Steve, I'll start with one. I'm not sure you're going to—you'll be able to answer it or not, but I'll try. You say you're going to be reintroducing guidance, which is great to hear. You got the visibility to do that when we get to that next quarter.

[Operator]

You also sprinkled in, like, "Hey, double-digit sequential growth quarter on quarter going forward for the foreseeable future." We can all see where the street's at. I guess just as you try to maybe prep the street investors, do you like where the street is currently sitting for fiscal 2026? We're all kind of already modeling pretty strong double-digit sequential growth quarter on quarter throughout the year. Would you say it's too strong? Would you like things to be more conservatively set?

[Operator]

Any kind of thoughts or early thoughts there on the setup for the year?

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Thanks for bringing a smile to my face, Jason. We're definitely not going to comment. We'll give guidance in June for the fiscal year. I am not going to give you any hints on what you should do with your numbers. You'll see what we report in June, and I'll give you that guidance. In general, we as a company internally, we feel really good about what we're doing right now. We feel really good about the progress we've made and the momentum we have. I'll leave it at that.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Okay. As we kind of get closer and approach that point, do you think you'll be in a position to talk about the contribution you expect from U.S. versus international partnerships, or are you just thinking about, "Hey, here's our total worldwide revenue guidance, and we'll leave it at that?

[Steven A. Lisi, Chairman and CEO at Beyond Air]

I think it's going to be total because I think it's too early for us to gauge that ratio. International, it could move faster than we think. It could take a little longer than we think. We have lots of countries to go through the regulatory process outside of the European Union.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

As you know, inside the European Union, even though we have CE Mark, some countries are quicker than others in terms of getting your product to the market. Those are some of the things that are out of our control. We just don't know how quickly it will happen. Again, even in the U.S., things can be a little chunky in terms of timing of when contracts start. To really nail down that ratio between the two, I think that's going to be tough when we give guidance.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Maybe after a year of experience under our belt, we might be able to do a little bit better, but I think that's going to be tough. The total number, we'll be able to give ourselves some room on our total number with guidance so that if there's movement between those two up or down in terms of expectations, we'll be perfectly fine to hit our guidance that we're going to give.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Okay. As you get maybe a bit more rhythm in the business too, and a bit more experience now that you've been at the hospital contracting for a while, any seasonality that you're noticing on the contracting piece, on when some of these contracts are coming up for bid, when hospitals are moving forward with decision-making, or are you not seeing any kind of notable seasonality to the business and the process?

[Steven A. Lisi, Chairman and CEO at Beyond Air]

I do not really think there is much seasonality to it. I do not really think there is. It depends on some hospitals are larger than others. You could get two or three hospitals in one quarter and have one big one and get seven the next quarter, and those seven might not equal the big one. It is pretty chunky at this point. I think what we have seen is hospitals are starting every month of the year. We have not really seen a major time point. A lot of them, I do not want to give too much, but they do not have—some of the contracts, they could start when they want, right? They do not have to wait till the end of the contract, right? There are ways to move out of certain contracts.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

If they want to move, they just say, "Hey, we want to move," and they just go. It just depends on the type of contract that they have. I think it's very variable. I think it's when they make up their mind they want to move, they'll move.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Okay. All right. That's all helpful. One last one to squeeze in, and sorry if I missed it. I know there was a prior question around the PMA submission for the next-gen device. I don't think you commented on the status of the cardiac label expansion or indication in response to that question. Is there anything you can update on the status with the FDA questions you're receiving, just how that's looking as you move forward in trying to secure that label?

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Yeah, it's kind of the same thing I said about the PMA for the next-gen system. I mean, we're certainly in contact with them about this, but it's a little bit in flux at the moment. We're just kind of waiting for things to settle down a little bit with FDA, and we'll keep working with them. That's all I can say right now. I don't really have much detail to give on this other than we're working with them, and we'll continue to do so and push forward with this. I mean, this is an indication that obviously is approved everywhere in the world, but the United States. I think for patient safety, this is something that should be labeled. Absolutely. We'll keep working with the FDA and get them what they need.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

All right. Excellent. Thanks very much, guys.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Yep.

[Operator]

Next question is from Justin Walsh from Jones Trading. Please go ahead.

[Operator]

Hi. Thanks for taking the question. I'm wondering if you can remind us how you view the longer-term relative importance of U.S. versus ex-U.S. geographies for LungFit PH and maybe the expected impact in different geographies of the next-generation product as that gets out there.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Yeah. I mean, you look out five years, I think ex-U.S. would be much bigger than the U.S. Right now, it's not. With our product, the fact that we're making it from ambient air, it changes the game. It's not easy for a lot of these countries to deal with cylinders, or they may just be cost-prohibitive, or it's geographically prohibitive. We solve that problem. I think that one example of that is the naval base in Guam.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

I think we're the only ones that could support them. It's that simple. That will occur, in our opinion, all over the world where it's difficult to get nitric oxide. That is going to take time. It's not going to happen overnight. It's not going to happen next year. If you're looking out five years, I think ex-U.S.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

is going to be a lot bigger than the U.S. market in terms of money and total volume, for sure. We're very excited about the ex-U.S. opportunity. Again, that will take some time to roll out. I don't see it impacting massively fiscal 2026 or 2027 in a meaningful way where it's larger than the U.S. market. It'll impact us in a meaningful way as a company, but it won't look bigger than the U.S. market. I think that beyond that, starting in what's our fiscal 2028, which would be mostly calendar 2027, you'll start to see that trend moving. I think you'll start to realize, "Wow, the volume's picking up." Globally, this is going to be a much bigger product than anyone believes.

[Operator]

Got it. Thanks for taking the question. Next question comes from Yale Jen from Laidlaw & Company. Please go ahead.

[Operator]

Good afternoon, and thanks for taking the question. Steve, you mentioned you got six new hospitals and two renews in the U.S. for this quarter. Is that right?

[Steven A. Lisi, Chairman and CEO at Beyond Air]

That's correct.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Last time you mentioned sort of that you got a previous quarter, you got a 60% increase in terms of the hospital contract. Would you be able to give any colors of that front? Maybe one more question here is that for the last quarter's contract, any actually becoming paying customer of this quarter?

[Steven A. Lisi, Chairman and CEO at Beyond Air]

I do not have the numbers in front of me about the percentage increase like I did last quarter. My apologies. I can get that for you and get it to you offline. I did not catch the last part of your question about paying customers. I am sorry. What was that?

[Steven A. Lisi, Chairman and CEO at Beyond Air]

I mean, last quarter, you have a certain number of contracts that are signed. Some of those contracts may not be paid immediately, in other words, not purchased immediately. I'm just curious whether any of those contracts of this quarter already become purchased customers or paid.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Yeah. You're right, Yale. Yeah, we can sign a contract. The majority of contracts, when you sign them, the customer's starting within 30-45 days with you. Some of them within 15 days sometimes. Usually when they sign a contract, it's a start, I would say, within 60 days or less, usually. Every once in a while, you'll have a hospital that assigns something three or six months in advance and says, "Hey, we're signing with you. Start us in five months." That does happen. We did have a hospital—one or two, Doug—two hospitals in the March quarter. No, in the—no, no, no. They didn't start in December.

[Doug Larson, CFO at Beyond Air]

Bringing this quarter.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Right. We actually had two hospitals that were signed in the summer that are starting in the March quarter. December was all signed and started right in the December quarter. There were no longer-term—there was nobody signed in the December quarter and didn't start in the December quarter. We had people over the summer who started in the September quarter, and they're starting in the March quarter. That is true.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

In other words, the turnaround time becomes shortened. Do you anticipate this sort of trend continues, or this could be lumpy, varying, depends on the contract?

[Steven A. Lisi, Chairman and CEO at Beyond Air]

No. Look, the two hospitals that signed six months in advance, that's rare. I mean, that's not normal, at least from what we've seen. Most of the hospitals are signing and starting up within 30-45 days, mostly. I think that was just a little out of the ordinary. I'm not saying it's never going to happen, but it's rare, at least from what we've seen so far. Perhaps other companies in the space see it differently. Like I said, when a hospital wants to switch, they want to move, they move, and they're done.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

I think, honestly, sometimes a hospital wants to go with us, and they don't realize they can't get out of their contracts, so they just sign with us and wait. I think that's what happened with these two hospitals. Sometimes that happens.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

I think it's more of a—

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Okay. Great. I appreciate the colors on that. Maybe two quick questions. First one, in terms of balance sheet, as you look at it, you are totally out of the long-term debt. Is that correct?

[Steven A. Lisi, Chairman and CEO at Beyond Air]

No. No. Remember, last quarter, we swapped out the debt. We have $11.5 million, but the payments on that do not begin until October of 2026. It gives us time before we make any payments on that. The interest is accruing and going on top of the principal until we start making payments, and that is an 8% royalty on net sales that pays that. We do not have any scheduled payments.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

It is just at the end of the September quarter of 2026, of calendar 2026, that is, we will make a payment. Is it 30 days later, Doug, or 45 days later? Yeah, 30 days later, we make a payment. We start making those payments based on our ability to pay, based on net sales. That is the structure. That structure is very company-friendly, obviously.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Absolutely. Maybe the last question here is that you have this trend for a new next-gen device. Let's just assume if, for any reason, that you may have both NICU and the cardiac PMA or supplement PMA approved, would you file for the next-gen for both indications, or you still start with the NICU, I mean, and maybe later for the cardiac surgery once you have the supplement NDA for the regular system approved?

[Steven A. Lisi, Chairman and CEO at Beyond Air]

That's a pretty good question, Yale. I haven't really thought about that one. I think this is a PMA supplement, right? Our next-generation is a PMA supplement for our currently approved LungFit PH. I think it would kind of just be automatic. I don't really know. My regulatory people will probably be mouth-shut. I think since it's a PMA supplement, our second generation for our first generation, we're just going to assume whatever the label is for the first generation.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

I got you.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

There's not a new product. Right. Right. Right.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

It's an improved version of it. I understand. Great. Thanks a lot. Appreciate the colors and congrats on the good quarter.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Great. Thanks, Yale.

[Operator]

This concludes the question-and-answer session. I'd like to turn the floor back to management for any questions.

[Steven A. Lisi, Chairman and CEO at Beyond Air]

Thanks, everybody, for joining us. We are definitely looking forward to speaking with you in June and providing guidance for you. Thank you.

[Operator]

This concludes today's teleconference. You may disconnect your lines at this time. Thank you again for your participation.

Participants

Executives

• Steven A. Lisi, Chairman and CEO
• Doug Larson, CFO

Analysts

• Analyst 5
• Analyst 4
• Corey Davis, Head of Investor Relations at LifeSci Advisors
• Analyst 3
• Analyst 2