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( Mark One ) X ANNUAL REPORT PURSUANT TO SECTION 13 OR 15 ( d ) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended December 31 , 2020 OR UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington , D.C. 20549 FORM 10 - K TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 ( d ) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM ΤΟ Delaware ( State or other jurisdiction of incorporation or organization ) 100 Domain Drive Vapotherm , Inc. ( Exact name of registrant as specified in its charter ) Non - accelerated filer Exeter , NH ( Address of principal executive offices ) Commission File Number : 001-38740 Title of each class Common Stock , $ 0.001 per value per share 03833 ( Zip Code ) Registrant's telephone number , including area code : ( 603 ) 658-0011 0 Securities registered pursuant to Section 12 ( b ) of the Act : Trading Symbol ( s ) VAPO Indicate by check mark if the registrant is a well - known seasoned issuer , as defined in Rule 405 of the Securities Act . YES > NO Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15 ( d ) of the Act . YES NO 46-2259298 ( I.R.S. Employer Identification No. ) Securities registered pursuant to Section 12 ( g ) of the Act : None Indicate by check mark whether the registrant : ( 1 ) has filed all reports required to be filed by Section 13 or 15 ( d ) of the Securities Exchange Act of 1934 during the preceding 12 months ( or for such shorter period that the registrant was required to file such reports ) , and ( 2 ) has been subject to such filing requirements for the past 90 days . YES > NO Name of each exchange on which registered New York Stock Exchange Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S - T ( §232.405 of this chapter ) during the preceding 12 months ( or for such shorter period that the registrant was required to submit such files ) . YES NO Indicate by check mark whether the registrant is a large accelerated filer , an accelerated filer , a non - accelerated filer , a smaller reporting company , or an emerging growth company . See the definitions of " large accelerated filer , " " accelerated filer , " " smaller reporting company , " and " emerging growth company " in Rule 12b - 2 of the Exchange Act . Large accelerated filer DOCUMENTS INCORPORATED BY REFERENCE Accelerated filer Smaller reporting company Emerging growth company If an emerging growth company , indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13 ( a ) of the Exchange Act . Indicate by check mark whether the registrant has filed a report on and attestation to its management's assessment of the effectiveness of its internal control over financial reporting under Section 404 ( b ) of the Sarbanes - Oxley Act ( 15 U.S.C. 7262 ( b ) ) by the registered public accounting firm that prepared or issued its audit report . Indicate by check mark whether the registrant is a shell company ( as defined in Rule 12b - 2 of the Act ) . YES NO The aggregate market value of the voting and non - voting common equity held by non - affiliates of the registrant , based on the closing price of the shares of common stock on The New York Stock Exchange on June 30 , 2020 , was $ 821,449,356 . The number of shares of registrant's Common Stock outstanding as of February 18 , 2021 , was 25,806,506 . ☐ Portions of the registrant's Definitive Proxy Statement relating to the Annual Meeting of Stockholders , scheduled to occur on June 22 , 2021 , are incorporated by reference into Part III of this report .