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Glaukos (GKOS)
NYSE:GKOS

Glaukos (GKOS) AI Stock Analysis

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GK

Glaukos

(NYSE:GKOS)

Rating:55Neutral
Price Target:
$97.00
▼(-0.61%Downside)
Glaukos demonstrates strong revenue growth and a robust strategic direction, but faces challenges with profitability and cash flow. Mixed technical signals and negative valuation metrics suggest caution, despite positive guidance and a strong financial position highlighted in the earnings call.
Positive Factors
Financial Performance
The long-term growth trajectory of Glaukos is supported by the compelling iDose story and durable margin profile.
Innovation in Glaucoma Treatment
GKOS highlighted the continued progress of shifting the glaucoma treatment paradigm toward interventional glaucoma, which has been widely accepted from a clinical practice perspective.
Revenue Growth
First-quarter sales were above Street estimates, driven primarily by iDose and international glaucoma.
Negative Factors
Coverage Determination Impact
Management lowered its expectations for a recovery in its core MIGS franchise due to the headwinds associated with the recently implemented local coverage determination.
Market Access Challenges
GKOS has limited access to the other portion of FFS patients as iDose pro fees have not been published yet for the remaining MACs.

Glaukos (GKOS) vs. SPDR S&P 500 ETF (SPY)

Glaukos Business Overview & Revenue Model

Company DescriptionGlaukos Corporation (GKOS) is a medical technology and pharmaceutical company focused on developing and commercializing products to transform the treatment of chronic eye diseases. The company specializes in products and therapies for the treatment of glaucoma, corneal disorders, and retinal diseases. Glaukos is known for pioneering Micro-Invasive Glaucoma Surgery (MIGS) devices, such as the iStent, designed to lower intraocular pressure in glaucoma patients.
How the Company Makes MoneyGlaukos makes money primarily through the sales of its medical devices and pharmaceutical products. Its key revenue stream is the sale of MIGS devices, notably the iStent, which is widely used by ophthalmologists to treat glaucoma. Additionally, the company generates revenue from its corneal health and retinal disease product lines, which include various procedures and treatments. Glaukos also engages in strategic partnerships and collaborations with other companies and research institutions, which can contribute to its revenue through joint development and commercialization efforts. The company invests heavily in research and development to innovate and expand its product offerings, which is crucial for maintaining and growing its market presence.

Glaukos Earnings Call Summary

Earnings Call Date:Apr 30, 2025
(Q1-2025)
|
% Change Since: 3.55%|
Next Earnings Date:Jul 30, 2025
Earnings Call Sentiment Positive
Glaukos demonstrated strong financial performance with record revenues and robust growth in the iDose TR and international glaucoma franchises. However, challenges such as the impact of LCD restrictions on the U.S. stent business and Photrexa revenue impact were noted. Despite these challenges, the company maintains a strong financial position and continues to advance promising pipeline products.
Q1-2025 Updates
Positive Updates
Record-Breaking Revenue and Growth
Glaukos reported record first quarter consolidated net sales of $106.7 million, up 25% on a reported basis, or 26% on a constant currency basis versus the year ago quarter. The company reaffirmed its full-year 2025 net sales guidance range of $475 million to $485 million.
Strong Performance of iDose TR
The U.S. glaucoma franchise delivered record first quarter net sales of $59.1 million, with 41% year-over-year growth driven by the adoption of iDose TR.
International Glaucoma Franchise Growth
International glaucoma franchise delivered record net sales of $29 million with year-over-year growth of 15% on a reported basis and 19% on a constant currency basis.
Strong Financial Position
Glaukos ended the first quarter of 2025 with a strong capital position, holding cash and equivalents of more than $303 million and no debt.
FDA Acceptance of Epioxa NDA
FDA has accepted the NDA for Epioxa, a next-generation corneal cross-linking therapy, for review, with a PDUFA date established for October 20, 2025.
Negative Updates
Impact of LCD Restrictions on U.S. Stent Business
The five MAC LCDs implemented in Q4 2024 caused turbulence, resulting in a mid-single-digit decline year-over-year for the U.S. stent franchise.
Photrexa Revenue Impact
The corneal health franchise is experiencing continued impact on Photrexa revenue due to the company's entry into the Medicaid Drug Rebate Program (MDRP).
Company Guidance
During the Glaukos Corporation's First Quarter 2025 Financial Results Conference Call, the company reported record consolidated net sales of $106.7 million, marking a 25% increase on a reported basis and 26% on a constant currency basis compared to the same quarter a year ago. The company reaffirmed its full-year 2025 net sales guidance range of $475 million to $485 million. The U.S. glaucoma franchise achieved record first-quarter net sales of $59.1 million, reflecting a 41% year-over-year growth, driven by the adoption of iDose TR. International interventional glaucoma sales reached $29 million, showing a 15% increase on a reported basis and 19% on a constant currency basis. The corneal health franchise delivered $18.5 million in net sales, with Photrexa contributing $15.4 million. The company remains optimistic about its pipeline, including the FDA's review of Epioxa and the commencement of a pivotal study for PRESERFLO MicroShunt. Glaukos ended the quarter with over $303 million in cash and equivalents and no debt.

Glaukos Financial Statement Overview

Summary
Glaukos shows strong revenue growth and a solid balance sheet with low leverage, but faces challenges with persistent losses and negative cash flows, impacting profitability.
Income Statement
45
Neutral
Glaukos' income statement shows a consistent increase in revenue over the years, with a TTM revenue growth rate of 5.49%, indicating positive sales momentum. However, the company has struggled with profitability, reflected in negative EBIT and net profit margins. The TTM gross profit margin is healthy at 75.74%, but the persistent negative EBIT margin (-25.07%) and the negative net profit margin (-30.57%) highlight ongoing challenges in managing operational expenses and achieving profitability.
Balance Sheet
55
Neutral
The balance sheet of Glaukos displays a strong equity base with an equity ratio of 79.07%, indicating a solid foundation and low reliance on debt financing. The company maintains a manageable debt-to-equity ratio of 0.14, suggesting low financial risk from leverage. However, the negative return on equity (-16.19%) reflects the company's inability to generate positive returns for shareholders due to ongoing losses.
Cash Flow
40
Negative
Glaukos faces challenges with cash flow generation, as evidenced by negative free cash flow in recent periods. The TTM free cash flow growth rate shows improvement at 21.29%, but both operating cash flow to net income and free cash flow to net income ratios are negative, indicating issues in converting earnings into cash flow. This highlights potential liquidity concerns if the negative trend persists.
Breakdown
TTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income StatementTotal Revenue
404.52M383.48M314.71M282.86M294.01M224.96M
Gross Profit
306.44M289.45M239.14M213.88M227.38M133.24M
EBIT
-101.48M-122.37M-128.70M-102.31M-62.87M-123.55M
EBITDA
-83.53M-77.63M-82.12M-48.76M-1.47M-83.59M
Net Income Common Stockholders
-123.68M-146.37M-134.66M-99.19M-49.59M-120.35M
Balance SheetCash, Cash Equivalents and Short-Term Investments
298.70M318.92M295.43M352.69M414.05M404.37M
Total Assets
966.18M974.76M940.41M1.00B1.05B1.01B
Total Debt
105.48M103.40M383.74M382.48M382.38M270.81M
Net Debt
-8.77M-66.23M290.27M262.95M281.67M174.21M
Total Liabilities
202.22M207.82M478.65M472.38M462.55M338.05M
Stockholders Equity
763.96M766.93M461.77M530.00M587.15M667.45M
Cash FlowFree Cash Flow
-53.24M-67.62M-78.01M-63.35M-23.08M-29.92M
Operating Cash Flow
-45.97M-61.32M-57.76M-33.08M24.71M-22.99M
Investing Cash Flow
40.27M47.83M14.10M44.78M-58.23M-205.06M
Financing Cash Flow
80.32M91.54M15.04M6.25M39.26M262.54M

Glaukos Technical Analysis

Technical Analysis Sentiment
Positive
Last Price97.60
Price Trends
50DMA
92.32
Positive
100DMA
109.67
Negative
200DMA
123.59
Negative
Market Momentum
MACD
0.81
Negative
RSI
56.36
Neutral
STOCH
61.88
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For GKOS, the sentiment is Positive. The current price of 97.6 is above the 20-day moving average (MA) of 95.42, above the 50-day MA of 92.32, and below the 200-day MA of 123.59, indicating a neutral trend. The MACD of 0.81 indicates Negative momentum. The RSI at 56.36 is Neutral, neither overbought nor oversold. The STOCH value of 61.88 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for GKOS.

Glaukos Risk Analysis

Glaukos disclosed 25 risk factors in its most recent earnings report. Glaukos reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Glaukos Peers Comparison

Overall Rating
UnderperformOutperform
Sector (54)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
73
Outperform
$4.13B56.134.98%7.41%-22.10%
67
Neutral
$3.75B58.6110.86%27.11%
66
Neutral
$2.50B30.62-19.69%7.97%-592.40%
64
Neutral
$4.59B-111.13%20.54%25.73%
60
Neutral
$3.35B-27.62%59.36%19.87%
55
Neutral
$5.58B-20.36%23.92%19.82%
54
Neutral
$5.37B3.26-45.10%3.30%16.81%0.02%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
GKOS
Glaukos
97.60
-14.39
-12.85%
ITGR
Integer Holdings
118.30
1.00
0.85%
LIVN
LivaNova
45.76
-7.19
-13.58%
IRTC
Irhythm Technologies
143.85
48.10
50.23%
INSP
Inspire Medical Systems
127.18
-36.49
-22.29%
PRCT
PROCEPT BioRobotics
60.63
-1.41
-2.27%

Glaukos Corporate Events

Executive/Board ChangesShareholder Meetings
Glaukos Stockholders Approve Key Proposals at Annual Meeting
Positive
Jun 3, 2025

On May 29, 2025, Glaukos Corporation held its annual meeting of stockholders, where three key proposals were voted on. The election of three Class I directors, approval of executive compensation, and ratification of Ernst & Young LLP as the independent auditor for 2025 were all passed, reflecting strong shareholder support and setting the stage for continued corporate governance and financial oversight.

The most recent analyst rating on (GKOS) stock is a Buy with a $131.00 price target. To see the full list of analyst forecasts on Glaukos stock, see the GKOS Stock Forecast page.

Product-Related AnnouncementsBusiness Operations and Strategy
Glaukos Highlights Innovation in May 2025 Presentation
Positive
May 14, 2025

Glaukos Corporation announced its May 2025 Investor Presentation, highlighting its commitment to innovation in treating chronic eye diseases. The company has invested over $700 million in R&D since 2018 and expanded its pipeline from 4 to 14 programs by 2025. The presentation emphasized the iDose TR, a groundbreaking sustained-release drug delivery system designed to improve patient compliance in glaucoma treatment. Glaukos aims to disrupt traditional treatment paradigms with its novel therapies, focusing on establishing robust growth engines and expanding market access.

The most recent analyst rating on (GKOS) stock is a Buy with a $131.00 price target. To see the full list of analyst forecasts on Glaukos stock, see the GKOS Stock Forecast page.

Business Operations and StrategyFinancial Disclosures
Glaukos Reports Record Q1 2025 Net Sales Growth
Positive
Apr 30, 2025

Glaukos Corporation announced its financial results for the first quarter of 2025, reporting record net sales of $106.7 million, a 25% increase from the previous year. The company reaffirmed its 2025 net sales guidance and highlighted its strong start to the year, driven by successful execution of strategic plans and advancements in its pipeline of novel technologies.

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.