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1 Financial Supplement Second Quarter 2026 August 3, 2026 NASDAQ : VMD Viemed Healthcare, Inc.
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Disclaimers Forward Looking Statements Certain statements contained in this Financial Supplement may constitute “forward-looking statements” within the meaning of the U.S. Private Securities Litigation Reform Act of 1995 or “forward-looking information” as such term is defined in applicable Canadian securities legislation (collectively, “forward-looking statements”). Often, but not always, forward-looking statements can be identified by the use of words such as “plans”, “expects”, “is expected”, “budget”, “potential”, “scheduled”, “estimates”, “forecasts”, “intends”, “anticipates”, “believes”, “projects”, or the negatives thereof or variations of such words and phrases or statements that certain actions, events or results “will”, “should”, “may”, “could”, “would”, “might” or “will be taken”, “occur” or “be achieved” or the negative of these terms or comparable terminology. All statements other than statements of historical fact, including those that express, or involve discussions as to, expectations, beliefs, plans, objectives, assumptions or future events or performance, including the Company's 2026 net revenue, Adjusted EBITDA and net capital expenditure guidance, anticipated patient and revenue growth, expected operating leverage, technology and personnel investments, capital allocation priorities, share repurchases and future cash generation, are not historical facts and may be forward-looking statements and may involve estimates, assumptions and uncertainties that could cause actual results or outcomes to differ materially from those expressed in the forward-looking statements. Such statements reflect the Company's current views and intentions with respect to future events, and current information available to the Company, and are subject to certain risks, uncertainties and assumptions. Many factors could cause the actual results, performance or achievements that may be expressed or implied by such forward-looking statements to vary from those described herein should one or more of these risks or uncertainties materialize. These factors include, without limitation: the general business, market and economic conditions in the regions in which we operate; significant capital requirements and operating risks that we may be subject to; our ability to implement business strategies and pursue business opportunities; volatility in the market price of our common shares; the state of the capital markets; the availability of funds and resources to pursue operations; inflation; reductions in reimbursement rates and audits of reimbursement claims by various governmental and private payor entities; dependence on few payors; possible new drug discoveries; dependence on key suppliers; changes in U.S. trade policies and retaliatory responses from other countries, including tariffs; granting of permits and licenses in a highly regulated business; competition; disruptions in or attacks (including cyber-attacks) on our information technology, internet, network access or other voice or data communications systems or services; the evolution of various types of fraud or other criminal behavior to which we are exposed; difficulty integrating newly acquired businesses; the impact of new and changes to, or application of, current laws and regulations; the overall difficult litigation and regulatory environment; increased competition; increased funding costs and market volatility due to market illiquidity and competition for funding; critical accounting estimates and changes to accounting standards, policies, and methods used by us; the occurrence of natural and unnatural catastrophic events or health epidemics or concerns, claims resulting from such events or concerns; the use of artificial intelligence technologies; as well as other general economic, market and business conditions; and other factors beyond our control; as well as those risk factors discussed or referred to in the Company’s disclosure documents filed with the U.S. Securities and Exchange Commission (the “SEC”) available on the SEC’s website at www.sec.gov, including the Company’s most recent Annual Report on Form 10-K and Quarterly Report on Form 10-Q, and with the securities regulatory authorities in certain provinces of Canada available at www.sedarplus.ca. Should any factor affect the Company in an unexpected manner, or should assumptions underlying the forward-looking statements prove incorrect, the actual results or events may differ materially from the results or events predicted. Any such forward-looking statements are expressly qualified in their entirety by this cautionary statement. Moreover, the Company does not assume responsibility for the accuracy or completeness of such forward-looking statements. The forward-looking statements included in this Financial Supplement are made as of the date of this Financial Supplement and the Company undertakes no obligation to publicly update or revise any forward-looking statements, other than as required by applicable law. This Financial Supplement contains non-GAAP financial guidance. There is no reliable or reasonably estimable comparable GAAP measure for the Company’s non-GAAP financial guidance because the Company is not able to reliably predict the impact of certain items that typically have one or more of the following characteristics: highly variable, difficult to project, unusual in nature, significant to the results of a particular period or not indicative of future operating results. Similar charges or gains were recognized in prior periods and will likely reoccur in future periods. As a result, reconciliation of the non-GAAP financial guidance to the most directly comparable GAAP measure is not available without unreasonable effort. In addition, the Company believes such a reconciliation would imply a degree of precision and certainty that could be confusing to investors. The variability of the specified items may have a significant and unpredictable impact on the Company’s future GAAP results. The Company’s financial guidance in this press release excludes the impact of potential future strategic acquisitions and any items that have not yet been identified or quantified. This guidance is subject to risks and uncertainties inherent in all forward-looking statements, as outlined above. Non-GAAP and Other Financial Information This presentation includes references to financial measures that are calculated and presented using methodologies other than those in accordance with generally accepted accounting principles in the United States (“GAAP”), including Adjusted EBITDA and free cash flow. Any non-GAAP financial measures presented herein are intended to supplement, and not to be considered superior to or as a substitute for, the Company’s consolidated financial statements prepared in accordance with GAAP. These non-GAAP financial measures exclude significant expense and income items required by GAAP, and are subject to inherent limitations, including the exercise of judgment by management regarding which items to exclude or include. Non-GAAP measures presented herein may not be comparable to similarly titled measures presented by other companies. Reconciliations between GAAP and non-GAAP financial information are provided within this financial supplement. 2 VieMed Healthcare Inc. I Supplemental Presentation
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Key Themes for Q2 2026 3 Delivered record quarterly revenue of $78.1 million and the largest ventilator census in Company history, as accelerating ventilator growth, record PAP and sleep resupply patient volumes, and continued expansion of our women's health offerings drove first-half momentum that supports an increase to our full-year 2026 revenue guidance. • Revenue increased 24% year-over-year and 4% sequentially • Ventilator patients grew to 12,635, up 4% year-over-year and 5% sequentially, reaching the highest census in company history • PAP therapy patients increased 44% year-over-year and 5% sequentially, along with record PAP setups, and sleep resupply patients increased 47% year-over-year and 10% sequentially • Adjusted EBITDA totaled $13.7M, a 4% decrease year-over-year, with the prior year period including a $1.0M non-recurring gain related to the ventilator return program that benefited net income • Net capital expenditures totaled $7.3 million, or 9.3% of revenue, bringing first-half net capital expenditures to $12.8 million, or 8.3% of revenue • Generated $15.9 million of operating cash flow and $8.6 million of free cash flow • Repurchased 530,802 shares for $5.1 million and reduced debt through $2.2 million of term loan repayments, continuing disciplined capital allocation VieMed Healthcare Inc. I Supplemental Presentation
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Financial and Operational Highlights 4 (expressed in thousands of U.S. Dollars, except operational information). (1) Refer to “Adjusted EBITDA" in this presentation for the definition of Adjusted EBITDA and a reconciliation to its most comparable GAAP measure. (2) Vent Patients represents the number of active ventilator patients on recurring billing service at the end of each calendar quarter. (3) PAP Therapy Patients represents the number of distinct patients billed for PAP therapy services during each calendar quarter. (4) Sleep Resupply Patients represents the number of distinct patients who received supplies through our sleep resupply program during each calendar quarter. For the quarter ended: 6/30/26 3/31/26 12/31/25 9/30/25 6/30/25 3/31/25 12/31/24 9/30/24 Financial Information: Revenue $78,097 $75,414 $76,181 $71,914 $63,056 $59,129 $60,695 $58,004 Gross Profit $45,048 $42,827 $44,103 $41,345 $36,731 $33,279 $36,138 $34,371 Gross Profit % 58% 57% 58% 57% 58% 56% 60% 59% Net Income attributable to Viemed Healthcare, Inc. $2,764 $2,582 $5,639 $3,513 $3,157 $2,625 $4,316 $3,878 Cash and Cash Equivalents (As of) $10,680 $9,762 $13,501 $11,123 $20,016 $10,160 $17,540 $11,347 Total Assets (As of) $204,224 $197,361 $199,154 $202,360 $184,603 $178,079 $177,069 $169,526 Adjusted EBITDA(1) $13,715 $14,311 $18,203 $16,121 $14,287 $12,765 $14,242 $13,954 Operational Information: Vent Patients(2) 12,635 12,089 12,259 12,372 12,152 11,809 11,795 11,374 PAP Therapy Patients(3) 37,825 35,938 34,528 31,891 26,260 22,899 21,338 19,478 Sleep Resupply Patients(4) 37,035 33,661 36,561 33,518 25,246 22,941 24,478 22,143 VieMed Healthcare Inc. I Supplemental Presentation
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Medicare 40% Medicaid/ MCO 8% Medicare Advantage 22% Commercial 18% Other 12% Medicare 35% Medicaid/ MCO 10% Medicare Advantage 20% Commercial 24% Other 11% Ventilation 47% Oxygen 8% Sleep 22% Airway Clearance 7% Women’s Health 8% Staffing 7% Other 1% Q2 2026 Rental 68% Sales 32% Ventilation 54% Oxygen 10% Sleep 19% Airway Clearance 7% Staffing 8% Other 2% Q2 2025 Service, Payor and Revenue Mix 5 SERVICE MIX PAYOR MIX REVENUE MIX VieMed Healthcare Inc. I Supplemental Presentation SERVICE MIX PAYOR MIX Rental 76% Sales 24% REVENUE MIX
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Revenue Highlights 6 For the quarter ended 6/30/26 3/31/26 12/31/25 9/30/25 6/30/25 3/31/25 12/31/24 9/30/24 Rental Revenue (expressed in thousands of USD): Ventilators, non-invasive & invasive $36,411 $35,360 $35,888 $34,883 $33,819 $32,159 $33,173 $31,772 Other home medical equipment rentals $16,408 $16,198 $16,200 $15,401 $13,823 $12,962 $13,047 $12,459 Sales & Service Revenue (expressed in thousands of USD): Equipment and supply sales $18,971 $17,488 $17,521 $15,700 $9,514 $7,519 $8,940 $8,440 Service revenues $6,307 $6,368 $6,572 $5,930 $5,900 $6,489 $5,535 $5,333 Total revenues $78,097 $75,414 $76,181 $71,914 $63,056 $59,129 $60,695 $58,004 Rental Revenue (% of Total revenue): Ventilators, non-invasive & invasive 46.6% 46.9% 47.1% 48.5% 53.6% 54.4% 54.7% 54.8% Other home medical equipment rentals 21.0% 21.5% 21.3% 21.4% 21.9% 21.9% 21.5% 21.5% Sales & Service Revenue (% of Total revenue): Equipment and supply sales 24.3% 23.2% 23.0% 21.8% 15.1% 12.7% 14.7% 14.6% Service revenues 8.1% 8.4% 8.6% 8.3% 9.4% 11.0% 9.1% 9.2% Total revenues 100% 100% 100% 100% 100% 100% 100% 100% VieMed Healthcare Inc. I Supplemental Presentation
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Liquidity Metrics 7 Positioned for growth • The Company maintains a healthy balance sheet with effectively no net debt as of June 30, 2026, providing significant financial flexibility. • As of June 30, 2026, the Company had $46 million in unfunded commitments available under its existing credit facilities, supporting our capital allocation strategy. For the period ended 6/30/26 12/31/25 12/31/24 Cash on hand $ 10,680 $ 13,501 $ 17,540 Working Capital $ 6,072 $ 7,437 $ 15,554 Long Term Debt $ 6,374 $ 11,291 $ 3,589 VieMed Healthcare Inc. I Supplemental Presentation (expressed in thousands of U.S. Dollars)
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Free Cash Flow 8 TTM For the quarter ended 6/30/26 6/30/26 3/31/26 12/31/25 9/30/25 Net cash provided by operating activities $ 60,781 $ 15,902 $ 8,071 $ 18,441 $ 18,367 Less: Purchase of property and equipment (31,545) (8,460) (6,712) (8,737) (7,636) Proceeds from sale of property and equipment 5,197 1,174 1,227 1,125 1,671 Net CAPEX (26,348) (7,286) (5,485) (7,612) (5,965) Free cash flow $ 34,433 $ 8,616 $ 2,586 $ 10,829 $ 12,402 VieMed Healthcare Inc. I Supplemental Presentation (expressed in thousands of U.S. Dollars) Reconciliation from GAAP Net Cash Provided by Operating Activities to Non-GAAP Free Cash Flow We present non-GAAP free cash flow for the current quarter and trailing twelve months (TTM) as a supplemental liquidity measure. Management believes free cash flow provides investors with useful insight into the company’s ability to generate cash, fund growth initiatives, and return capital to shareholders. Free cash flow is defined as net cash provided by operating activities, as reported under U.S. GAAP ,less net capital expenditures (Net CAPEX). Net CAPEX is calculated as purchases of property and equipment minus proceeds from the sale of property and equipment in order to reflect both outflows and inflows associated with routine equipment turnover. Trailing twelve months (TTM) free cash flow is calculated by aggregating the last four quarters, each calculated using the methodology described above.
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2026 Annual Guidance – Commentary 9 Core Metrics • Net revenue of $314 million to $320 million, raised from $312 million to $320 million • Adjusted EBITDA of $64 million to $68 million, revised from $65 million to $69 million • Net capital expenditures of 8.5% to 10.0% of net revenue, lowered from 9.0% to 10.5% Q2 2026 Performance vs. Second-Half Outlook • Q2 revenue of $78.1 million was up 3.6% sequentially compared to Q1 2026, consistent with the seasonal pattern described at the time of initial guidance • Continued sequential revenue growth expected in both Q3 and Q4 • Full-year Adjusted EBITDA margin expected to remain above 20% across the current guidance ranges Key Assumptions • Excludes the impact of potential acquisitions • Higher revenue outlook reflects first-half performance and favorable operating trends across ventilation and the broader platform • Revised Adjusted EBITDA and net capital expenditure guidance reflects the growing contribution from less capital- intensive product and service revenue VieMed Healthcare Inc. I Supplemental Presentation
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Adjusted EBITDA 10 (a) Represents non-cash, equity-based compensation expense associated with option and RSU awards. (b) Represents transaction costs and expenses related to acquisition and integration efforts associated with recently announced or completed acquisitions. (c) Represents impairments of the fair value of investment and litigation-related assets. Reconciliation of Net Income to Non-GAAP Adjusted EBITDA For the quarter ended: 6/30/26 3/31/26 12/31/25 9/30/25 6/30/25 3/31/25 12/31/24 9/30/24 Net Income attributable to Viemed Healthcare, Inc. $ 2,764 $ 2,582 $ 5,639 $ 3,513 $ 3,157 $ 2,625 $ 4,316 $ 3,878 Add back: Depreciation & amortization 7,520 7,621 7,570 7,539 6,891 6,613 6,366 6,408 Interest expense, net 248 305 364 507 132 179 147 225 Stock-based compensation(a) 2,032 2,451 2,300 2,180 2,341 2,311 1,521 1,712 Transaction costs(b) - 74 139 847 53 85 11 12 Impairment of assets(c) - - - - - - - 125 Income tax expense 1,151 1,278 2,191 1,535 1,713 952 1,881 1,594 Adjusted EBITDA $ 13,715 $ 14,311 $ 18,203 $ 16,121 $ 14,287 $ 12,765 $ 14,242 $ 13,954 VieMed Healthcare Inc. I Supplemental Presentation (expressed in thousands of U.S. Dollars) Management believes Adjusted EBITDA provides helpful information with respect to the Company’s operating performance as viewed by management, including a view of the Company’s business that is not dependent on the impact of the Company’s capitalization structure and items that are not part of the Company’s day-to-day operations. Management uses Adjusted EBITDA (i) to compare the Company’s operating performance on a consistent basis, (ii) to calculate incentive compensation for the Company’s employees, (iii) for planning purposes, including the preparation of the Company’s internal annual operating budget, and (iv) to evaluate the performance and effectiveness of the Company’s operational strategies. Accordingly, management believes that Adjusted EBITDA provides useful information in understanding and evaluating the Company’s operating performance in the same manner as management.