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RxSight (RXST)
NASDAQ:RXST
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RxSight (RXST) AI Stock Analysis

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RXST

RxSight

(NASDAQ:RXST)

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Neutral 52 (OpenAI - 4o)
Rating:52Neutral
Price Target:
$9.50
▲(3.49% Upside)
RxSight's overall stock score reflects significant financial challenges, with negative profitability and cash flow metrics being the most impactful factors. Technical analysis provides a mixed outlook with short-term bullish momentum but longer-term bearish trends. Valuation remains a concern due to the negative P/E ratio and lack of dividend yield. The earnings call, while not weighted, underscores the cautious outlook with guidance for revenue decline.
Positive Factors
Innovative Product Offering
RxSight's Light Adjustable Lens technology offers a unique value proposition in vision correction, allowing personalized adjustments post-surgery. This innovation provides a competitive edge in the ophthalmology sector, potentially driving long-term adoption and revenue growth.
International Market Expansion
Regulatory approval and market entry into South Korea, along with European expansion, enhance RxSight's global footprint. This strategic move can diversify revenue streams and mitigate domestic market pressures, supporting long-term growth.
Improved Gross Margin
The increase in gross margin reflects a favorable shift towards higher-margin products, indicating improved operational efficiency. Sustaining higher margins can enhance profitability and provide financial stability over the long term.
Negative Factors
Overall Revenue Decline
A decline in overall revenue suggests challenges in market demand or competitive pressures. Persistent revenue contraction could impact cash flow and hinder the company's ability to invest in growth initiatives.
Increased Net Loss
The rising net loss indicates ongoing profitability issues, which may strain financial resources. Continued losses could limit strategic investments and necessitate cost-cutting measures, affecting long-term growth prospects.
Higher Operating Expenses
Rising operating expenses, particularly in SG&A and R&D, may pressure margins and profitability. If not managed effectively, these costs could outweigh revenue gains, impacting financial health and strategic flexibility.

RxSight (RXST) vs. SPDR S&P 500 ETF (SPY)

RxSight Business Overview & Revenue Model

Company DescriptionRxSight, Inc., a medical technology company, engages in the research and development, manufacture, and sale of light adjustable intraocular lenses (LAL) used in cataract surgery in the United States and internationally. It offers RxSight system that enables doctors to customize and enhance the visual acuity for patients after cataract surgery. The company's RxSight system includes RxSight light delivery device, an office-based light treatment device that delivers UV light in a programmed pattern to modify the LAL based on the visual correction needed to achieve desired vision after cataract surgery. It primarily serves cataract doctors. The company was formerly known as Calhoun Vision, Inc. and changed its name to RxSight, Inc. in February 2017. RxSight, Inc. was incorporated in 1997 and is headquartered in Aliso Viejo, California.
How the Company Makes MoneyRxSight generates revenue primarily through the sale of its proprietary light-adjustable lenses and the associated delivery system used by ophthalmic surgeons. The company earns income from both direct sales of lenses and from the leasing or selling of the equipment used to adjust the lenses after implantation. Additionally, RxSight may receive revenue from service agreements related to the maintenance of its technology and training programs for healthcare professionals. Strategic partnerships with hospitals and surgical centers also bolster its market reach and revenue potential, as they facilitate wider adoption of its innovative products in the ophthalmology market.

RxSight Earnings Call Summary

Earnings Call Date:Aug 07, 2025
(Q2-2025)
|
% Change Since: |
Next Earnings Date:Nov 06, 2025
Earnings Call Sentiment Neutral
The earnings call highlighted positive aspects such as increased LAL revenue, improved gross margin, and international market expansion. However, significant challenges were noted including overall revenue decline, decreased LDD sales, increased net loss, and higher operating expenses. The guidance for a revenue decline further contributed to the cautious outlook.
Q2-2025 Updates
Positive Updates
Increase in LAL Revenue
LAL revenue for the second quarter of 2025 was $27 million, up 13% compared to the second quarter of 2024 and representing 80% of total revenue, an increase from 68% in the second quarter of 2024.
Improvement in Gross Margin
Gross margin in the second quarter of 2025 was 74.9%, up from 69.5% in the year ago period, reflecting a favorable shift in product mix towards higher-margin LAL revenue.
LDD Installed Base Growth
The LDD installed base totaled 1,084 units as of June 30, 2025, representing a 34% increase year-over-year.
Expansion in International Markets
RxSight has received regulatory approval in South Korea and launched operations in Q2 2025, with a focus on building out the European team following MDR certification.
Negative Updates
Overall Revenue Decline
Second quarter 2025 revenue was $33.6 million, down 4% compared to the year-ago quarter and down 11% from the first quarter of 2025.
Significant Decrease in LDD Sales
During the second quarter of 2025, 40 LDDs were sold, down 49% from 78 units in the prior period, with LDD sales revenue down 50% compared to the second quarter of 2024.
Increased Net Loss
Reported a GAAP net loss in the second quarter of 2025 of $11.8 million, or a loss of $0.29 per share, compared to a GAAP net loss of $6.1 million in the second quarter of 2024.
Higher Operating Expenses
SG&A expenses increased by 19% compared to the year-ago quarter, and R&D expenses rose 23% year-over-year.
Guidance for Revenue Decline
Full-year 2025 revenue guidance of $120 million to $130 million, representing an implied decrease of 14% to 7% from 2024, with expected lower gross margin in the second half due to higher costs and lower production volume.
Company Guidance
In the recent call, RxSight reiterated its full-year 2025 guidance with expectations of total revenue between $120 million to $130 million, indicating a decrease of 7% to 14% from 2024. The company projects gross margins of 72% to 74%, an increase of 130 to 330 basis points compared to last year, despite a first-half gross margin nearing 75%. Operating expenses are anticipated to rise by 7% to 14%, ranging from $145 million to $155 million, which includes noncash stock-based compensation costs of $27 million to $30 million. The guidance reflects a cautious outlook, taking into account ongoing challenges in LAL adoption and a reduction in new LDD sales. Additionally, RxSight is focusing on improving customer engagement and clinical support to drive long-term growth, while strategically expanding into international markets to enhance revenue potential beyond 2025.

RxSight Financial Statement Overview

Summary
RxSight faces significant financial challenges, with negative profitability and cash flow metrics. The company shows some strengths in its balance sheet with low leverage and a strong equity position. However, the negative revenue growth and profitability margins indicate operational difficulties that need addressing. The cash flow situation, while showing some improvement, still reflects the need for better cash management and operational efficiency to achieve sustainable growth.
Income Statement
45
Neutral
RxSight's income statement reveals a challenging financial position with negative net profit margins and declining revenue growth. The TTM data shows a gross profit margin of 68.42%, indicating some efficiency in managing production costs. However, the net profit margin is negative at -20.52%, highlighting ongoing profitability issues. Revenue growth has turned negative, with a significant decline of 78.9% in the TTM period, suggesting potential market challenges or operational inefficiencies. The EBIT and EBITDA margins are also negative, indicating struggles in covering operating expenses and depreciation.
Balance Sheet
55
Neutral
The balance sheet of RxSight shows a relatively low debt-to-equity ratio of 0.042, suggesting conservative leverage and a strong equity base. However, the return on equity is negative at -11.56%, indicating that the company is not generating sufficient returns on shareholders' investments. The equity ratio is healthy, with stockholders' equity making up a significant portion of total assets, reflecting financial stability despite ongoing losses.
Cash Flow
50
Neutral
RxSight's cash flow statement indicates challenges in generating positive cash flows. The operating cash flow is negative, and the free cash flow growth rate is positive at 137.4%, suggesting some improvement in cash flow management. However, the operating cash flow to net income ratio is negative, indicating that the company is not converting its net income into cash effectively. The free cash flow to net income ratio is above 1, showing that free cash flow exceeds net income, which is a positive sign of cash flow efficiency despite overall negative cash flows.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue157.15M139.93M89.08M49.01M22.59M14.68M
Gross Profit107.53M98.94M53.77M21.33M4.52M1.71M
EBITDA-35.25M-23.76M-41.04M-57.78M-41.01M32.15M
Net Income-32.25M-27.45M-48.61M-66.76M-48.69M27.57M
Balance Sheet
Total Assets309.01M318.56M182.55M150.16M192.72M100.68M
Cash, Cash Equivalents and Short-Term Investments227.49M237.22M127.18M105.80M159.33M68.97M
Total Debt11.71M12.30M3.01M44.99M44.93M30.75M
Total Liabilities31.00M37.33M22.19M60.26M54.48M398.21M
Stockholders Equity278.01M281.24M160.36M89.90M138.24M55.77M
Cash Flow
Free Cash Flow-20.88M-22.39M-46.41M-61.24M-46.65M-37.74M
Operating Cash Flow-16.82M-16.95M-41.59M-58.85M-44.71M-35.20M
Investing Cash Flow27.57M-99.31M-22.13M39.95M-81.91M15.59M
Financing Cash Flow5.18M123.32M61.52M6.33M137.34M25.24M

RxSight Technical Analysis

Technical Analysis Sentiment
Positive
Last Price9.18
Price Trends
50DMA
8.39
Positive
100DMA
11.14
Negative
200DMA
19.71
Negative
Market Momentum
MACD
0.19
Negative
RSI
55.25
Neutral
STOCH
45.77
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For RXST, the sentiment is Positive. The current price of 9.18 is above the 20-day moving average (MA) of 9.14, above the 50-day MA of 8.39, and below the 200-day MA of 19.71, indicating a neutral trend. The MACD of 0.19 indicates Negative momentum. The RSI at 55.25 is Neutral, neither overbought nor oversold. The STOCH value of 45.77 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for RXST.

RxSight Risk Analysis

RxSight disclosed 86 risk factors in its most recent earnings report. RxSight reported the most risks in the "Tech & Innovation" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

RxSight Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
64
Neutral
385.84M242.422.13%491.35%
55
Neutral
521.10M-7.41-42.94%23.13%46.62%
52
Neutral
$389.52M-11.66%27.68%20.87%
52
Neutral
338.09M-12.27-338.71%23.32%23.29%
52
Neutral
447.67M-8.89-21.16%
46
Neutral
382.90M-4.59-327.88%5.94%25.16%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
RXST
RxSight
9.18
-39.74
-81.23%
DCTH
Delcath Systems
11.03
2.04
22.69%
SENS
Senseonics Holdings
0.47
0.11
30.56%
BFLY
Butterfly Network
2.07
0.53
34.42%
NPCE
NeuroPace
10.22
3.51
52.31%
CBLL
Ceribell, Inc.
12.21
-13.29
-52.12%
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Sep 25, 2025