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Penumbra Inc. (PEN)
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Penumbra (PEN) AI Stock Analysis

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PEN

Penumbra

(NYSE:PEN)

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Outperform 78 (OpenAI - 4o)
Rating:78Outperform
Price Target:
$340.00
▲(14.88% Upside)
Penumbra's strong financial performance and positive earnings call are the most significant factors driving the score. The company's robust revenue growth and improved profitability are key strengths. However, the high P/E ratio suggests potential overvaluation, and technical indicators show an overbought condition, which could pose risks.
Positive Factors
Revenue Growth
Strong revenue growth indicates increasing demand for Penumbra's products, enhancing market position and supporting long-term financial stability.
Product Innovation
Continuous innovation in product offerings can strengthen competitive advantage and drive future growth by addressing unmet medical needs.
Gross Margin Expansion
Improving gross margins reflect efficient cost management and pricing power, contributing to enhanced profitability and financial health.
Negative Factors
China Growth Headwinds
Challenges in the Chinese market could limit international growth potential, affecting overall revenue diversification and expansion strategies.
Operating Expenses Increase
Rising operating expenses could pressure profit margins and indicate higher costs associated with scaling operations, impacting long-term profitability.
Slight Decline in U.S. Stroke Market
A declining U.S. stroke market may challenge revenue growth in a key segment, necessitating strategic adjustments to maintain market share.

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

Penumbra Business Overview & Revenue Model

Company DescriptionPenumbra, Inc. designs, develops, manufactures, and markets medical devices in the United States and internationally. The company offers aspiration based thrombectomy systems and accessory devices, including revascularization device for mechanical thrombectomy, such as Penumbra System under the Penumbra RED, JET, ACE, 3D Revascularization Device, and Penumbra ENGINE brands, as well as components and accessories; neurovascular embolization coiling systems to treat patients with various sizes of aneurysms and other neurovascular lesions under the Penumbra Coil 400, POD400, PAC400, and Penumbra SMART Coil brand names; and neurovascular access systems designed to provide intracranial access for use in a range of neurovascular therapies under the Neuron, Neuron MAX, Select, BENCHMARK, BMX96, DDC, and PX SLIM brands. It also provides neurosurgical aspiration tools for the removal of tissue and fluids under the Artemis Neuro Evacuation Device brand; aspiration-based thrombectomy systems for vascular applications under the Indigo System brand; and detachable embolic coil systems for peripheral embolization under the Ruby Coil and Ruby LP brand names. In addition, the company offers microcatheter for the delivery of detachable coils and occlusion devices under the LANTERN brand; and detachable, microcatheter-deliverable occlusion devices designed primarily to occlude peripheral vessels under the POD (Penumbra Occlusion Device) brand, as well as immersive computer-based technologies and immersive therapeutics to promote health, motor function, and cognition under the Real Immersive System brand; and a complementary device for use with Ruby Coil and POD for vessel occlusion under the Packing Coil and Packing Coil LP brands. The company sells its products through direct sales organizations and distributors. Penumbra, Inc. was incorporated in 2004 and is headquartered in Alameda, California.
How the Company Makes MoneyPenumbra generates revenue primarily through the sale of its medical devices, which are utilized by healthcare providers for various interventional procedures. The company has established a robust revenue model based on direct sales to hospitals and medical institutions, as well as partnerships with distributors in various regions. Key revenue streams include the sale of thrombectomy devices, embolization products, and other specialty medical devices. Additionally, Penumbra invests in research and development to create new products and enhancements, which helps to drive future sales. Strategic partnerships with healthcare providers and clinical institutions also contribute to its earnings by facilitating broader adoption of its technologies in clinical practice.

Penumbra Earnings Call Summary

Earnings Call Date:Nov 05, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 24, 2026
Earnings Call Sentiment Positive
The earnings call reflected a strong performance with significant revenue growth, particularly in the VTE and embolization segments, and positive developments in clinical trials, offset by some challenges in international markets and increased operational costs.
Q3-2025 Updates
Positive Updates
Strong Revenue Growth
Total revenue reached $354.7 million, showing a year-over-year growth of 17.8% on a reported basis and 16.9% in constant currency. U.S. revenue grew by 21.5% to $275 million.
VTE Franchise Leading Growth
The VTE franchise delivered a 34% year-over-year growth, driving overall corporate growth.
Embolization and Access Revenue Surge
U.S. embolization and access revenue increased by 29.2% year-over-year to $83 million.
Gross Margin Expansion
Gross margin improved to 67.8%, up 130 basis points from the previous year, with expectations to reach over 70% by the end of 2026.
Positive Feedback for STORM-PE Trial
STORM-PE trial results showed CAVT superior in reducing right heart strain in PE patients with a favorable safety profile, receiving positive feedback from the medical community.
Raising Revenue Guidance
The company raised its revenue guidance for the year to $1.375 billion to $1.380 billion.
Negative Updates
China Growth Headwinds
Continued growth headwinds in China, though international revenue still increased by 6.6% year-over-year.
Slight Decline in U.S. Stroke Market
Recent market trends showed a slight decline in the U.S. stroke market, although Penumbra managed to gain market share.
Operating Expenses Increase
Operating expenses rose to $191.6 million, or 54% of revenue, up from $160 million, reflecting investments in sales force expansion.
Company Guidance
During Penumbra's third-quarter 2025 conference call, the company reported total revenue of $354.7 million, marking a 17.8% year-over-year growth on a reported basis and 16.9% in constant currency. U.S. revenue reached $275 million, a 21.5% increase compared to the previous year. Specifically, U.S. thrombectomy sales rose by 18.5% to $192 million, while the VTE franchise led corporate growth with a 34% rise. Meanwhile, U.S. embolization and access revenue soared by 29.2% to $83 million. International revenue was $79.7 million, reflecting a 6.6% year-over-year increase. The company's gross margin expanded by 130 basis points to 67.8%, and operating income stood at $48.8 million, or 13.8% of revenue. Penumbra's guidance for the year was raised to $1.375 billion to $1.380 billion in revenue, with anticipated U.S. thrombectomy growth of 20% to 21% for 2025. The company remains focused on expanding its market presence, particularly through innovative products like the Lightning Bolt 16 and Lightning Flash 3.0, which have received FDA clearance.

Penumbra Financial Statement Overview

Summary
Penumbra demonstrates strong financial health with impressive revenue and profit growth, efficient cost management, and a solid balance sheet. The income statement shows robust revenue growth and improved profit margins, while the balance sheet reflects low debt and strong equity utilization. Cash flow is stable, though the decline in free cash flow growth warrants monitoring.
Income Statement
85
Very Positive
Penumbra has demonstrated strong revenue growth with a TTM revenue increase of 4.19% and a consistent upward trend over the past years. The gross profit margin has improved to 66.47% TTM, indicating efficient cost management. Net profit margin has significantly increased to 11.54% TTM, reflecting enhanced profitability. EBIT and EBITDA margins have also shown improvement, suggesting better operational efficiency.
Balance Sheet
78
Positive
The company maintains a healthy balance sheet with a low debt-to-equity ratio of 0.17 TTM, indicating prudent financial leverage. Return on equity has improved to 12.41% TTM, showcasing effective utilization of equity. The equity ratio remains strong, highlighting a solid capital structure.
Cash Flow
70
Positive
Penumbra's cash flow performance is stable, with an operating cash flow to net income ratio of 1.28 TTM, indicating strong cash generation relative to earnings. However, the free cash flow growth rate has declined by 5.57% TTM, which could be a concern if it persists. The free cash flow to net income ratio remains robust at 0.80 TTM, reflecting good cash conversion.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue1.33B1.19B1.06B847.13M747.59M560.41M
Gross Profit891.03M755.00M682.64M535.21M475.38M338.18M
EBITDA204.55M45.99M108.65M29.96M7.84M-26.05M
Net Income164.03M14.01M90.95M-2.00M5.28M-15.70M
Balance Sheet
Total Assets1.74B1.53B1.56B1.37B1.24B822.98M
Cash, Cash Equivalents and Short-Term Investments470.30M340.13M289.19M188.03M254.88M264.83M
Total Debt217.04M223.39M234.34M235.77M173.55M77.28M
Total Liabilities385.67M382.25M377.36M372.03M290.32M185.19M
Stockholders Equity1.36B1.15B1.18B998.86M953.93M641.50M
Cash Flow
Free Cash Flow152.62M147.30M82.12M-74.96M-11.68M-58.00M
Operating Cash Flow203.29M168.48M97.33M-55.66M9.50M-33.24M
Investing Cash Flow-189.90M77.62M-16.08M54.79M-21.73M-104.15M
Financing Cash Flow27.54M-87.01M16.20M11.62M836.00K134.92M

Penumbra Technical Analysis

Technical Analysis Sentiment
Positive
Last Price295.96
Price Trends
50DMA
258.58
Positive
100DMA
255.42
Positive
200DMA
264.21
Positive
Market Momentum
MACD
11.73
Negative
RSI
69.87
Neutral
STOCH
90.03
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For PEN, the sentiment is Positive. The current price of 295.96 is above the 20-day moving average (MA) of 268.33, above the 50-day MA of 258.58, and above the 200-day MA of 264.21, indicating a bullish trend. The MACD of 11.73 indicates Negative momentum. The RSI at 69.87 is Neutral, neither overbought nor oversold. The STOCH value of 90.03 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive 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
82
Outperform
$12.26B29.4310.01%11.75%364.73%
78
Outperform
$11.59B70.7313.32%14.61%369.96%
63
Neutral
$3.49B-17.63%8.97%-1024.86%
61
Neutral
$6.05B-12.19%30.38%47.64%
58
Neutral
$6.01B-53.15%25.45%66.62%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
41
Neutral
$1.77B-20.60-27.22%50.07%21.22%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
PEN
Penumbra
295.96
51.84
21.24%
GMED
Globus Medical
91.08
5.47
6.39%
GKOS
Glaukos
105.39
-38.26
-26.63%
LIVN
LivaNova
63.84
11.34
21.60%
IRTC
Irhythm Technologies
186.66
99.70
114.65%
PRCT
PROCEPT BioRobotics
31.68
-63.91
-66.86%

Penumbra Corporate Events

Penumbra Inc. Reports Strong Q3 Growth Amid Challenges
Nov 7, 2025

Penumbra Inc.’s recent earnings call painted a picture of robust growth and strategic advancements, marked by significant revenue increases and promising clinical trial results. However, the company also faces challenges in international markets and rising operational costs.

Penumbra, Inc. Reports Strong Q3 2025 Growth
Nov 6, 2025

Penumbra, Inc. is a leading company in the medical device industry, specializing in innovative thrombectomy technologies for treating challenging medical conditions such as ischemic stroke and venous thromboembolism. The company operates globally, supporting healthcare providers in over 100 countries.

Penumbra Inc. Launches i-RISE Study to Enhance Stroke Treatment Insights
Oct 27, 2025

Study Overview: Penumbra Inc. is initiating a clinical study titled ‘i-RISE: International Acute Ischemic Stroke Study With the Penumbra System®.’ The primary goal is to gather real-world data on the performance and safety of the Penumbra System in patients suffering from acute ischemic stroke (AIS). This study is significant as it aims to provide valuable insights into the effectiveness of the Penumbra System in a real-world setting, potentially influencing treatment protocols for AIS.

Penumbra Inc.’s STRIKE-PE Study: A Game Changer for Pulmonary Embolism Treatment?
Oct 27, 2025

Penumbra Inc. is conducting a study titled ‘STRIKE-PE: A Prospective, Multicenter Study of the Indigo™ Aspiration System Seeking to Evaluate the Long-Term Safety and Outcomes of Treating Pulmonary Embolism.’ The study aims to assess the long-term safety and effectiveness of the Indigo Aspiration System in treating pulmonary embolism (PE), a serious condition that can lead to significant health complications. This study is significant as it seeks to provide real-world data on the functional outcomes and safety of this treatment method.

Penumbra Inc.’s STRIDE II Study: A Promising Update for Investors
Oct 27, 2025

Study Overview: Penumbra Inc. is conducting a study titled ‘STRIDE II: A Study of Patients With Lower Extremity Acute Limb Ischemia to Remove Thrombus With the Indigo™ Aspiration System II.’ The primary goal is to gather clinical evidence on the safety and effectiveness of the Indigo™ Aspiration System in treating patients with lower extremity acute limb ischemia (LE ALI), a condition that can lead to severe complications if not treated promptly.

Penumbra Inc.’s BOLT Study: A Game-Changer for Deep Vein Thrombosis Treatment?
Oct 27, 2025

Study Overview: Penumbra Inc. is conducting a study titled ‘BOLT: A Prospective, Multicenter Study of Patients With Deep Vein Thrombosis to Evaluate the Safety and Efficacy of the Indigo® Aspiration System.’ The study aims to assess the safety and efficacy of the Indigo Aspiration System for treating deep vein thrombosis (DVT), a condition characterized by blood clots in deep veins, which can lead to serious health complications.

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.

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: Nov 25, 2025