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Penumbra Inc. (PEN)
NYSE:PEN

Penumbra (PEN) AI Stock Analysis

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PEN

Penumbra

(NYSE:PEN)

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Neutral 68 (OpenAI - 5.2)
Rating:68Neutral
Price Target:
$367.00
▲(11.29% Upside)
Action:DowngradedDate:03/27/26
The score is driven primarily by strong financial performance (growth, margin expansion, improving cash flow, and low leverage). Offsetting factors are a soft technical setup and an expensive valuation (high P/E with no dividend support), while the announced acquisition and strong preliminary results provide a constructive near-term catalyst subject to approval/closing risk.
Positive Factors
Revenue Growth
Penumbra has delivered sustained top-line expansion to roughly $1.40B in 2025, reflecting durable adoption of its neurovascular and peripheral devices. That multi-year growth supports ongoing scale benefits, deeper hospital relationships, and recurring consumable demand tied to procedure volumes.
Negative Factors
Profitability Volatility
Earnings and margin swings (negative in 2022, near breakeven in 2024, sharp inflection in 2025) highlight execution and cost-sensitivity risks. This volatility implies future profits could reverse with mix shifts, pricing pressure, or cost shocks, raising predictability concerns.
Read all positive and negative factors
Positive Factors
Negative Factors
Revenue Growth
Penumbra has delivered sustained top-line expansion to roughly $1.40B in 2025, reflecting durable adoption of its neurovascular and peripheral devices. That multi-year growth supports ongoing scale benefits, deeper hospital relationships, and recurring consumable demand tied to procedure volumes.
Read all positive factors

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

Penumbra Business Overview & Revenue Model

Company Description
Penumbra, 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...
How the Company Makes Money
Penumbra primarily makes money by selling medical devices and associated disposables used in interventional procedures, with revenue recognized from product sales to hospitals and other healthcare providers through direct sales and distribution ch...

Penumbra Earnings Call Summary

Earnings Call Date:Nov 05, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:May 05, 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.
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.
Negative Updates
China Growth Headwinds
Continued growth headwinds in China, though international revenue still increased by 6.6% year-over-year.
Read all updates
Q3-2025 Updates
Negative
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.
Read all positive updates
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
Strong multi-year revenue growth (to ~$1.40B in 2025) with a meaningful profitability inflection (net margin ~12.7% in 2025) and improved cash generation (FCF ~$175M). Balance sheet leverage is low (debt-to-equity ~0.15). Main constraint is historical volatility in margins and cash flows, indicating execution/cost sensitivity.
Income Statement
82
Very Positive
Balance Sheet
78
Positive
Cash Flow
74
Positive
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue1.40B1.19B1.06B847.13M747.59M
Gross Profit942.44M755.00M682.64M535.21M475.38M
EBITDA222.60M45.99M108.65M29.96M7.84M
Net Income177.69M14.01M90.95M-2.00M5.28M
Balance Sheet
Total Assets1.83B1.53B1.56B1.37B1.24B
Cash, Cash Equivalents and Short-Term Investments186.90M340.13M289.19M188.03M254.88M
Total Debt219.70M223.39M234.34M235.77M173.55M
Total Liabilities398.92M382.25M377.36M372.03M290.32M
Stockholders Equity1.43B1.15B1.18B998.86M953.93M
Cash Flow
Free Cash Flow174.93M147.30M82.12M-74.96M-11.68M
Operating Cash Flow238.66M168.48M97.33M-55.66M9.50M
Investing Cash Flow-404.59M77.62M-16.08M54.79M-21.73M
Financing Cash Flow26.53M-87.01M16.20M11.62M836.00K

Penumbra Technical Analysis

Technical Analysis Sentiment
Negative
Last Price329.77
Price Trends
50DMA
338.52
Negative
100DMA
325.75
Positive
200DMA
289.02
Positive
Market Momentum
MACD
-2.33
Positive
RSI
38.53
Neutral
STOCH
41.94
Neutral
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 329.77 is below the 20-day moving average (MA) of 333.27, below the 50-day MA of 338.52, and above the 200-day MA of 289.02, indicating a neutral trend. The MACD of -2.33 indicates Positive momentum. The RSI at 38.53 is Neutral, neither overbought nor oversold. The STOCH value of 41.94 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for PEN.

Penumbra Risk Analysis

Penumbra disclosed 64 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
80
Outperform
$12.21B21.9412.40%11.75%364.73%
68
Neutral
$12.96B68.1013.43%14.61%369.96%
68
Neutral
$3.47B27.15-21.49%8.97%-1024.86%
59
Neutral
$6.76B-34.40-25.41%30.38%47.64%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
51
Neutral
$3.72B-127.47-38.33%25.45%66.62%
47
Neutral
$1.31B-25.13%50.07%21.22%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
PEN
Penumbra
329.77
57.45
21.10%
GMED
Globus Medical
90.42
17.83
24.56%
GKOS
Glaukos
116.40
26.33
29.23%
LIVN
LivaNova
62.78
28.82
84.86%
IRTC
Irhythm Technologies
115.24
13.15
12.88%
PRCT
PROCEPT BioRobotics
23.20
-28.87
-55.44%

Penumbra Corporate Events

Delistings and Listing ChangesFinancial DisclosuresM&A Transactions
Penumbra Announces Strong Preliminary Revenue Growth for 2025
Positive
Jan 15, 2026
On January 14, 2026, Penumbra, Inc. entered into a definitive merger agreement under which Boston Scientific will acquire Penumbra through a merger of a Boston Scientific subsidiary into Penumbra, leaving Penumbra as a wholly owned subsidiary of B...
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: Mar 27, 2026