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Penumbra (PEN)
NYSE:PEN
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Penumbra (PEN) AI Stock Analysis

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PEN

Penumbra

(NYSE:PEN)

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Outperform 72 (OpenAI - 4o)
Rating:72Outperform
Price Target:
$281.00
▲(20.41% Upside)
Penumbra's overall stock score is driven by its strong financial performance and positive earnings call sentiment, highlighting robust revenue growth and strategic initiatives. However, the high P/E ratio and mixed technical indicators suggest caution. The absence of a dividend yield and challenges in international markets also weigh on the score.
Positive Factors
Revenue Growth
Consistent revenue growth indicates strong market demand for Penumbra's products, highlighting the company's ability to expand its market share and drive sales.
U.S. Thrombectomy Business
The robust growth in the U.S. thrombectomy business underscores Penumbra's competitive advantage and strong positioning in a key market segment.
Cash Flow Management
Efficient cash flow management ensures Penumbra can fund operations, invest in R&D, and pursue strategic initiatives without liquidity concerns.
Negative Factors
International Revenue Decline
Declining international revenue, especially in China, poses a risk to Penumbra's global expansion efforts and may impact overall growth.
Challenges in Neurovascular Business
Slower growth in the neurovascular business could limit Penumbra's ability to capitalize on market opportunities, affecting long-term revenue potential.
Gross Margin Sequential Decrease
A sequential decrease in gross margin may indicate pressure on profitability, potentially affecting Penumbra's ability to maintain cost efficiency.

Penumbra (PEN) vs. SPDR S&P 500 ETF (SPY)

Penumbra Business Overview & Revenue Model

Company DescriptionPenumbra, Inc. is a global healthcare company specializing in innovative medical devices designed for the treatment of various vascular and neurovascular conditions. The company develops a range of products, including catheter-based devices for thrombectomy, embolization, and other minimally invasive procedures. Penumbra operates primarily in the interventional segment of the medical device industry, focusing on creating solutions that enhance patient outcomes and streamline clinical workflows.
How the Company Makes MoneyPenumbra generates revenue through the sale of its medical devices, which are primarily used in hospitals and healthcare facilities for interventional procedures. The company's key revenue streams include the direct sales of its proprietary products, such as thrombectomy devices and other catheter-based interventions. Additionally, Penumbra engages in partnerships with hospitals and healthcare systems to provide comprehensive training and support for its products, further driving sales. The company also benefits from recurring revenue through the sale of disposables and accessories associated with its devices, which are necessary for their operation. Furthermore, ongoing investments in research and development enable Penumbra to expand its product offerings and enter new markets, contributing to its overall earnings.

Penumbra Earnings Call Summary

Earnings Call Date:Jul 29, 2025
(Q2-2025)
|
% Change Since: |
Next Earnings Date:Nov 05, 2025
Earnings Call Sentiment Positive
The earnings call reflected a positive sentiment with strong revenue growth driven by the U.S. thrombectomy business and strategic investments in new products like RUBY XL. However, challenges remain in the international segment due to China and a slower-growing stroke market.
Q2-2025 Updates
Positive Updates
Strong Revenue Growth
Penumbra reported total revenue of $339.5 million for the second quarter of 2025, representing a year-over-year growth of 13.4% on a reported basis and 12.7% on a constant currency basis.
U.S. Thrombectomy Business Performance
Second quarter U.S. thrombectomy revenue increased 22.6% year-over-year to $188.5 million, led by 42% year-over-year growth in the U.S. VTE franchise.
International Thrombectomy Growth
International thrombectomy business increased by 16.2%, excluding the impact of China, the growth was 14.4% year-over-year.
Improved Gross Margin
Gross margin for the second quarter of 2025 was 66%, compared to 54.4% in the second quarter of 2024, which included a one-time $33.4 million Immersive Healthcare inventory write-off.
STORM-PE Study Completion
Completed enrollment in STORM-PE, a prospective multicenter randomized controlled trial, ahead of schedule, with results expected to be presented in the fall.
Negative Updates
International Revenue Decline
International regions decreased 3.2% reported and 5.8% in constant currency, primarily due to a decrease in China revenue.
Gross Margin Sequential Decrease
Gross margin slightly decreased sequentially due to investment in the launch of the XL product and higher international mix.
Challenges in Neurovascular Business
The stroke market experienced slower growth, although Penumbra reported growth ahead of the underlying market.
Company Guidance
During Penumbra's Second Quarter 2025 Conference Call, the company updated its guidance for the year, reflecting strong financial performance and strategic initiatives. Total revenue for Q2 2025 was reported at $339.5 million, marking a 13.4% increase year-over-year on a reported basis and 12.7% on a constant currency basis. The U.S. thrombectomy business was a key driver, with revenue growing by 22.6% year-over-year, largely due to a 42% increase in the U.S. Venous Thromboembolism (VTE) franchise. Despite a 3.2% decline in international sales, excluding China, international thrombectomy revenue grew by 14.4%. Gross margin for the quarter was 66%, with an outlook to exceed 70% by the end of 2026. Operating expenses were at $183.2 million, or 54% of revenue, and adjusted EBITDA reached $61.4 million, representing 18.1% of total revenue. The company raised its full-year 2025 revenue guidance to between $1.355 billion and $1.370 billion, indicating 13% to 15% growth, while maintaining gross and operating margin targets.

Penumbra Financial Statement Overview

Summary
Penumbra's financial performance is impressive, with strong revenue growth, improved profitability, and efficient cash management. The company's balance sheet is solid with low leverage, and its cash flow metrics underline robust operational cash generation. Overall, Penumbra's financial health is strong, with consistent improvements across key financial metrics.
Income Statement
85
Very Positive
Penumbra has shown strong revenue growth, with a TTM revenue increase of 7.2% over the previous year. The gross profit margin is solid at 66.5%, indicating efficient cost management. Net profit margin has improved to 11.5%, reflecting better profitability. EBIT and EBITDA margins also show significant improvement, suggesting enhanced operational efficiency.
Balance Sheet
78
Positive
The company's balance sheet shows a healthy equity ratio of 77.2%, suggesting a strong capital structure with low leverage. The debt-to-equity ratio stands at 0.17, indicating prudent debt management. Return on Equity (ROE) has improved, demonstrating effective use of equity capital to generate profits.
Cash Flow
82
Very Positive
Penumbra has a robust free cash flow growth rate of 9.7% TTM, indicating strong cash generation capabilities. The operating cash flow to net income ratio is 1.36, highlighting efficient cash conversion from earnings. The free cash flow to net income ratio of 1.09 further supports solid cash flow management.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue1.28B1.19B1.06B847.13M747.59M560.41M
Gross Profit850.92M755.00M682.64M535.21M475.38M338.18M
EBITDA193.66M45.99M108.65M29.96M7.84M-26.05M
Net Income147.70M14.01M90.95M-2.00M5.28M-15.70M
Balance Sheet
Total Assets1.67B1.53B1.56B1.37B1.24B822.98M
Cash, Cash Equivalents and Short-Term Investments421.77M340.13M289.19M188.03M254.88M264.83M
Total Debt220.53M223.39M234.34M235.77M173.55M77.28M
Total Liabilities380.86M382.25M377.36M372.03M290.32M185.19M
Stockholders Equity1.29B1.15B1.18B998.86M953.93M641.50M
Cash Flow
Free Cash Flow161.62M147.30M82.12M-74.96M-11.68M-58.00M
Operating Cash Flow201.49M168.48M97.33M-55.66M9.50M-33.24M
Investing Cash Flow8.68M77.62M-16.08M54.79M-21.73M-104.15M
Financing Cash Flow-76.96M-87.01M16.20M11.62M836.00K134.92M

Penumbra Technical Analysis

Technical Analysis Sentiment
Negative
Last Price233.37
Price Trends
50DMA
259.05
Negative
100DMA
252.59
Negative
200DMA
264.01
Negative
Market Momentum
MACD
-4.29
Positive
RSI
30.71
Neutral
STOCH
18.64
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For PEN, the sentiment is Negative. The current price of 233.37 is below the 20-day moving average (MA) of 251.53, below the 50-day MA of 259.05, and below the 200-day MA of 264.01, indicating a bearish trend. The MACD of -4.29 indicates Positive momentum. The RSI at 30.71 is Neutral, neither overbought nor oversold. The STOCH value of 18.64 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for PEN.

Penumbra Risk Analysis

Penumbra disclosed 58 risk factors in its most recent earnings report. Penumbra 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

Penumbra Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
$8.30B23.738.62%17.43%775.48%
$9.10B61.8812.03%12.92%918.46%
$5.87B-91.13%22.37%31.14%
$2.91B-17.87%8.57%-1154.64%
$7.86B-0.30-43.30%2.27%22.53%-2.21%
$2.00B-26.40%55.71%24.37%
$4.46B-12.98%26.70%48.19%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
PEN
Penumbra
233.37
22.08
10.45%
GMED
Globus Medical
61.48
-13.59
-18.10%
GKOS
Glaukos
77.09
-61.59
-44.41%
LIVN
LivaNova
53.34
2.00
3.90%
IRTC
Irhythm Technologies
185.29
109.52
144.54%
PRCT
PROCEPT BioRobotics
35.93
-57.10
-61.38%

Penumbra Corporate Events

Executive/Board Changes
Penumbra Appoints Shruthi Narayan as New President
Positive
Aug 27, 2025

On August 22, 2025, Penumbra, Inc. appointed Shruthi Narayan as President, effective September 1, 2025. Ms. Narayan, who joined Penumbra in 2013, has been instrumental in building the company’s peripheral vascular division and commercializing its vascular portfolio globally. Her appointment is expected to sustain Penumbra’s growth and market leadership in the medical device industry, particularly in thrombectomy technologies. Adam Elsesser will continue as Chairman and CEO, while Ms. Narayan’s leadership is anticipated to expand access to Penumbra’s life-saving technology worldwide.

The most recent analyst rating on (PEN) stock is a Buy with a $295.00 price target. To see the full list of analyst forecasts on Penumbra stock, see the PEN Stock Forecast page.

Penumbra Inc. Reports Strong Q2 Earnings with Growth in U.S. Thrombectomy
Jul 31, 2025

Penumbra Inc.’s recent earnings call painted a picture of robust growth and strategic execution, particularly in the U.S. thrombectomy sector. The company showcased positive momentum with strong revenue growth and promising clinical trial developments. However, challenges in international markets, notably in China, and variability in operating margins due to strategic investments were highlighted as areas of concern.

Penumbra, Inc. Reports Strong Q2 2025 Results
Jul 30, 2025

Penumbra, Inc. is a leading company in the medical device industry, specializing in innovative thrombectomy technologies aimed at treating challenging medical conditions such as ischemic stroke and venous thromboembolism. The company operates globally, providing healthcare solutions to improve patient outcomes.

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: Oct 14, 2025