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AOTI H1 2025 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.H1 2025 earnings summary22 Sep, 2025
Executive summary
Achieved 21% year-on-year revenue growth in H1 2025 to $31.8m, led by Medicaid and VA segments, despite significant U.S. market headwinds and regulatory disruptions.
Maintained market leadership in topical oxygen therapy for chronic wounds, with strong clinical validation and international endorsements.
Operational adjustments and cost containment measures implemented to address U.S. efficiency initiatives and the "Big Beautiful Bill" Act, particularly affecting Q2.
Secured key validation milestones: California Medicaid Provider ID, Germany G-BA recommendation, and UK NICE guideline inclusion for TWO2Ⓡ therapy.
Strategic focus on value-based care and durable wound healing, targeting high-cost areas like diabetic foot ulcers.
Financial highlights
Revenues increased by 20.9% to $31.8m in H1 2025, with Q1 growth at 26% and Q2 slowing to 16% due to U.S. efficiency measures.
Adjusted EBITDA declined 9.5% to $3.1m (margin 9.6%), reflecting higher operating expenses and investments for growth.
Net profit of $0.2m in H1 2025, a turnaround from a $3.9m loss in H1 2024.
Gross margin improved to 87.7% (up from 87.3%).
Operating cash outflow was negative $4.7m, mainly due to delayed payments from Arizona Medicaid.
Outlook and guidance
On track to deliver revised FY 2025 guidance: revenue growth in the mid-teens and low double-digit adjusted EBITDA margin.
Trading in July and August consistent with guidance; growth trajectory expected to improve as headwinds subside.
Expecting gradual revenue contributions from California, Germany, and the U.K. as new approvals and frameworks take effect.
Arizona debt resolution timeline and impact?
CMS approval: What's the expected market ramp-up?
Strategy to achieve 20-30% long-term EBITDA margin?
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Next AOTI earnings date
H2 202527 Apr, 2026
AOTI
Next AOTI earnings date
H2 202527 Apr, 2026
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