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Pulmonx (LUNG)
NASDAQ:LUNG

Pulmonx (LUNG) AI Stock Analysis

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Pulmonx

(NASDAQ:LUNG)

Rating:46Neutral
Price Target:
$3.50
▲(28.68%Upside)
Pulmonx's overall score reflects a challenging financial and operational environment, despite strong revenue growth. The significant operational losses and cash flow issues weigh heavily on the financial performance score. Technically, the stock exhibits weak momentum, further contributing to a lower score. Valuation metrics are unattractive due to negative earnings. The earnings call provided some positive aspects with international growth and strategic initiatives, but concerns remain regarding operational expenses and profitability.
Positive Factors
Cash Position
Management feels good about cash runway with $102M of cash and equivalents on hand.
Financial Performance
Pulmonx reported a relatively in-line first quarter, with revenue of $22.5M (+20.7% Y/Y CC), slightly ahead of our $22.3M estimate and the consensus of $22.0M.
Platform Launch
LungTrax platform is in full launch, with some hospitals already seeing increased throughput and reduced time-to-procedure.
Negative Factors
Market Penetration
The main bear case includes greater than anticipated tariff impact and lack of growth reacceleration, with the exact formula to penetrate the end market still being explored.
Revenue Estimate
Despite missing the US revenue estimate, the company's management had already signaled the expected slowdown and planned initiatives for future growth.
Tariff Impact
Tariffs could impact the business through component sourcing cost inflation and other countries' reciprocal tariffs, potentially harming gross margins.

Pulmonx (LUNG) vs. SPDR S&P 500 ETF (SPY)

Pulmonx Business Overview & Revenue Model

Company DescriptionPulmonx Corporation, a medical technology company, provides minimally invasive devices for the treatment of chronic obstructive pulmonary diseases. It offers Zephyr Endobronchial Valve, a solution for the treatment of bronchoscopic in adult patients with hyperinflation associated with severe emphysema; and Chartis Pulmonary Assessment System, a balloon catheter and console system with flow and pressure sensors that are used to assess the presence of collateral ventilation. The company also provides StratX Lung Analysis Platform, a cloud-based quantitative computed tomography analysis service that offers information on emphysema destruction, fissure completeness, and lobar volume to help identify target lobes for the treatment with Zephyr Valves. It serves emphysema patients in the United States, Europe, the Middle East, Africa, the Asia-Pacific, and internationally. The company was formerly known as Pulmonx and changed its name to Pulmonx Corporation in December 2013. Pulmonx Corporation was incorporated in 1995 and is headquartered in Redwood City, California.
How the Company Makes MoneyPulmonx generates revenue through the sale of its medical devices, particularly the Zephyr Endobronchial Valve, to hospitals and healthcare providers. The company earns money by marketing and distributing these devices in various geographical markets, including the United States, Europe, and Asia. Revenue is also supported by Pulmonx's efforts in training healthcare professionals to effectively use their products, thus enhancing the adoption rate of their technologies. Furthermore, strategic partnerships with medical institutions and ongoing clinical trials help to validate and promote the efficacy of the company's products, which in turn drives sales and revenue growth.

Pulmonx Earnings Call Summary

Earnings Call Date:Apr 30, 2025
(Q1-2025)
|
% Change Since: -43.69%|
Next Earnings Date:Aug 05, 2025
Earnings Call Sentiment Neutral
The earnings call highlighted strong international growth and successful product initiatives but was balanced by moderated U.S. growth, increased operating expenses, and a slight decline in gross margin. The DOJ investigation closure is a positive note, but the financial challenges, including net loss, present concerns.
Q1-2025 Updates
Positive Updates
Strong Revenue Growth
Pulmonx reported worldwide sales of $22.5 million in Q1 2025, representing 20% growth over the same period last year and 21% on a constant currency basis.
International Revenue Surge
International revenue increased by 39% from $6 million last year to $8.3 million in Q1 2025, with a 43% increase on a constant currency basis, driven by strong demand in China.
Commercial and Product Initiatives
Introduction of LungTraX Detect is seeing positive momentum, with dozens of accounts in various contracting phases. Successful peer-to-peer education and community physician engagement efforts are underway.
DOJ Investigation Closure
The DOJ formally declined to intervene in the case filed under the False Claims Act and the Anti-Kickback Statute, allowing the company to focus on delivering value to stakeholders.
Negative Updates
U.S. Revenue Growth Moderation
U.S. revenue saw an 11% increase from $12.9 million to $14.2 million, which was generally as expected but indicates a moderation compared to international growth.
Gross Margin Decline
Gross margin for Q1 2025 was 73%, a decrease from 75% in the prior year period, attributed to a shift in geographic revenue mix.
Increased Operating Expenses
Total operating expenses rose by 8% to $30.9 million compared to the previous year, with R&D expenses increasing due to higher clinical trial costs.
Net Loss
Net loss for Q1 2025 was $14.4 million, or $0.36 per share, similar to the net loss of $13.7 million in the prior year.
Company Guidance
During the Pulmonx First Quarter 2025 Earnings Conference Call, guidance emphasized maintaining the previously communicated revenue target of $96 million to $98 million for the full year 2025, reflecting anticipated growth of 16% to 18% on a constant currency basis. The company reported $22.5 million in sales for Q1, representing a 20% increase year-over-year. The guidance also highlighted a gross margin expectation of approximately 74% for the year and projected operating expenses in the range of $133 million to $135 million, including $22 million in non-cash stock-based compensation. Pulmonx expects U.S. growth to accelerate in the second half of the year, driven by various initiatives such as the LungTraX Detect system and expanded physician and patient education efforts. Internationally, Pulmonx anticipates continued robust growth, particularly in China, which contributed significantly to the 39% year-over-year increase in international revenue during the first quarter.

Pulmonx Financial Statement Overview

Summary
Pulmonx demonstrates strong revenue growth and solid gross profit margins, with a TTM revenue increase of 4.4% and 73.6% in gross margins. However, significant challenges with profitability and cash flow management persist, including negative EBIT and net income margins, along with negative operating and free cash flows.
Income Statement
45
Neutral
Pulmonx has shown consistent revenue growth with a TTM (Trailing-Twelve-Months) increase of 4.4% compared to the previous year. However, the company continues to operate at a loss, with negative EBIT and net income margins indicating significant operational challenges. Gross profit margins remain strong at 73.6% TTM, but the persistent losses suggest difficulty in managing operating expenses.
Balance Sheet
55
Neutral
The balance sheet shows a moderate debt-to-equity ratio of 0.73, indicating relatively balanced leverage. The equity ratio stands at 51.5%, suggesting a stable capital structure. However, the return on equity is negative due to ongoing net losses. Pulmonx maintains a healthy cash position with cash and equivalents covering total debt.
Cash Flow
40
Negative
Pulmonx's cash flow position is concerning, with negative operating and free cash flows indicating cash burn. The free cash flow to net income ratio is negative, reflecting challenges in generating cash from operations. The operating cash flow to net income ratio also remains negative, consistent with the trend of operating losses.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue87.47M83.79M68.67M53.66M48.42M32.73M
Gross Profit64.36M62.00M50.75M39.87M35.63M21.20M
EBITDA-60.11M-50.79M-55.09M-55.99M-46.62M-28.44M
Net Income-57.09M-56.39M-60.84M-58.92M-48.66M-32.23M
Balance Sheet
Total Assets150.74M162.85M177.78M193.68M235.17M263.71M
Cash, Cash Equivalents and Short-Term Investments88.70M101.48M117.10M141.14M180.04M231.56M
Total Debt56.95M56.47M41.42M24.40M26.46M27.22M
Total Liabilities73.07M77.04M59.47M39.67M41.93M37.57M
Stockholders Equity77.67M85.81M118.31M154.01M193.24M226.13M
Cash Flow
Free Cash Flow-34.26M-32.98M-38.42M-46.40M-45.06M-31.54M
Operating Cash Flow-32.96M-31.54M-37.61M-45.08M-41.39M-30.63M
Investing Cash Flow36.30M17.48M-2.01M-4.22M-46.26M12.69M
Financing Cash Flow1.16M1.36M21.40M2.47M4.46M234.83M

Pulmonx Technical Analysis

Technical Analysis Sentiment
Negative
Last Price2.72
Price Trends
50DMA
3.41
Negative
100DMA
5.24
Negative
200DMA
5.98
Negative
Market Momentum
MACD
-0.25
Negative
RSI
39.18
Neutral
STOCH
46.56
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For LUNG, the sentiment is Negative. The current price of 2.72 is below the 20-day moving average (MA) of 2.88, below the 50-day MA of 3.41, and below the 200-day MA of 5.98, indicating a bearish trend. The MACD of -0.25 indicates Negative momentum. The RSI at 39.18 is Neutral, neither overbought nor oversold. The STOCH value of 46.56 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for LUNG.

Pulmonx Risk Analysis

Pulmonx disclosed 83 risk factors in its most recent earnings report. Pulmonx reported the most risks in the "Legal & Regulatory" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Pulmonx Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
VMVMD
80
Outperform
$279.83M23.739.79%19.97%17.21%
55
Neutral
$190.90M-14.10%5.73%72.50%
OMOM
55
Neutral
$366.95M-86.53%-7.84%42.34%
51
Neutral
$7.50B0.32-61.87%2.27%17.10%1.59%
50
Neutral
$195.58M271.41%85.03%53.73%
BVBVS
50
Neutral
$572.55M-19.79%8.60%-42.76%
46
Neutral
$108.29M-60.68%19.84%5.77%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
LUNG
Pulmonx
2.72
-3.77
-58.09%
INGN
Inogen
7.42
-0.83
-10.06%
VMD
Viemed Healthcare
7.08
0.68
10.62%
OM
Outset Medical
20.58
-36.87
-64.18%
TLSI
TriSalus Life Sciences
4.90
-0.91
-15.66%
BVS
Bioventus
6.85
1.02
17.50%

Pulmonx Corporate Events

Executive/Board ChangesShareholder Meetings
Pulmonx Holds 2025 Annual Stockholders Meeting
Neutral
May 23, 2025

On May 22, 2025, Pulmonx Corporation held its 2025 Annual Meeting of Stockholders, where approximately 82.79% of the company’s shares were represented. During the meeting, stockholders elected three Class II directors, ratified the appointment of BDO USA, P.C. as the independent accounting firm for 2025, and approved executive compensation on a non-binding advisory basis.

The most recent analyst rating on (LUNG) stock is a Hold with a $4.15 price target. To see the full list of analyst forecasts on Pulmonx stock, see the LUNG Stock Forecast page.

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: Jun 18, 2025