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RxSight (RXST)
NASDAQ:RXST
US Market

RxSight (RXST) AI Stock Analysis

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RXST

RxSight

(NASDAQ:RXST)

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Neutral 50 (OpenAI - 5.2)
Rating:50Neutral
Price Target:
$8.50
▼(-1.51% Downside)
Action:ReiteratedDate:01/13/26
RXST scores low-to-mid primarily due to weak financial performance (declining revenue, ongoing losses, negative operating cash flow) and bearish technicals (below major moving averages with negative MACD). Offsetting factors include improving gross margin and relatively supportive updates from management and recent events (raised margin outlook and guidance beat in preliminary results), but these do not fully counter the current profitability and trend risks.
Positive Factors
Proprietary Light Adjustable Lens (LAL) platform
The LAL’s noninvasive post-op adjustability is a durable product-level competitive advantage. It creates differentiated clinical outcomes, higher surgeon preference, and recurring per-procedure consumable demand tied to an installed LDD base, supporting sustainable adoption and sticky revenue over the medium term.
High and improving gross margins
Material margin expansion driven by higher LAL mix and lower unit costs enhances operating leverage capacity. Sustained high gross margins provide room to invest in commercialization and global rollout while insulating core profitability from some revenue volatility as procedural adoption grows.
Strong liquidity and low leverage
A sizeable cash balance and minimal debt give the company several quarters of runway to fund commercialization, regulatory efforts, and R&D without immediate financing pressure. Low leverage reduces refinancing risk and supports execution of multi-year international expansion plans.
Negative Factors
Overall revenue decline
A persistent downtrend in top-line receipts signals adoption or demand pacing issues that weaken operating leverage. Continued revenue contraction can erode the ability to absorb fixed commercial costs, slow margin recovery, and extend the timeline to sustainable profitability absent accelerating procedure volumes.
Sharp decline in LDD sales
LDD placements seed the installed base that drives recurring lens and consumable sales. A steep drop in LDD unit sales undermines future per-procedure revenue visibility, impairs the company’s capital-equipment-led go-to-market model, and slows the scalable recurring revenue engine central to long-term margins.
Persistent losses and negative operating cash flow
Ongoing GAAP losses and negative operating cash flow indicate the business has not yet achieved operating profitability despite margin gains. Continued losses risk depleting cash over time or forcing dilutive financing or austerity measures, which could slow commercialization and R&D investment necessary for long-term growth.

RxSight (RXST) vs. SPDR S&P 500 ETF (SPY)

RxSight Business Overview & Revenue Model

Company DescriptionRxSight, Inc., a medical technology company, engages in the research and development, manufacture, and sale of light adjustable intraocular lenses (LAL) used in cataract surgery in the United States and internationally. It offers RxSight system that enables doctors to customize and enhance the visual acuity for patients after cataract surgery. The company's RxSight system includes RxSight light delivery device, an office-based light treatment device that delivers UV light in a programmed pattern to modify the LAL based on the visual correction needed to achieve desired vision after cataract surgery. It primarily serves cataract doctors. The company was formerly known as Calhoun Vision, Inc. and changed its name to RxSight, Inc. in February 2017. RxSight, Inc. was incorporated in 1997 and is headquartered in Aliso Viejo, California.
How the Company Makes MoneyRxSight generates revenue primarily through the sale of its proprietary light-adjustable lenses and the associated delivery system used by ophthalmic surgeons. The company earns income from both direct sales of lenses and from the leasing or selling of the equipment used to adjust the lenses after implantation. Additionally, RxSight may receive revenue from service agreements related to the maintenance of its technology and training programs for healthcare professionals. Strategic partnerships with hospitals and surgical centers also bolster its market reach and revenue potential, as they facilitate wider adoption of its innovative products in the ophthalmology market.

RxSight Earnings Call Summary

Earnings Call Date:Nov 05, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 25, 2026
Earnings Call Sentiment Neutral
While RxSight has made strides in improving its gross margin and increasing LAL revenue, the company faced significant challenges with overall revenue decline and a substantial decrease in LDD sales. The global expansion efforts and positive market reception of the Light Adjustable Lens are promising, but the increased net loss and revenue challenges present concerns.
Q3-2025 Updates
Positive Updates
Gross Margin Improvement
Gross margin in Q3 2025 was 79.9%, an 844 basis point increase compared to Q3 2024 and a 496 basis point increase compared to Q2 2025. This improvement was driven by a higher LAL mix and lower unit costs.
LAL Revenue Growth
Revenue from Light Adjustable Lenses (LAL) increased by 6% compared to Q3 2024, representing 85% of total revenue, up from 69% in Q3 2024 and 80% in Q2 2025.
Strategic Global Expansion
Successful progress in rolling out in Asia and Europe, with regulatory infrastructure and commercial initiatives supporting multiyear expansion across priority global markets.
Positive Market Reception
Strong global clinical and market enthusiasm for the Light Adjustable Lens, with increasing interest at international meetings such as the ESCRS and AAO.
Negative Updates
Overall Revenue Decline
Q3 2025 revenue was $30.3 million, down 14% compared to Q3 2024 and down 10% from Q2 2025.
Significant Decrease in LDD Sales
Sales of Light Delivery Devices (LDDs) were down 68% year-over-year and 38% sequentially, generating $3.2 million in revenue, a 69% decrease compared to Q3 2024.
Increased Net Loss
GAAP net loss in Q3 2025 was $9.8 million, compared to a net loss of $6.3 million in Q3 2024. Non-GAAP net loss was $1.7 million, compared to a net gain of $200,000 in Q3 2024.
Company Guidance
During the call, RxSight provided updated guidance for the fiscal year 2025, narrowing its revenue expectations to a range of $125 million to $130 million, up from the previous range of $120 million to $130 million. The company anticipates a gross margin between 76% to 77%, an increase from the prior guidance of 72% to 74%. For the fourth quarter, RxSight expects revenues between $23 million and $28 million, with an implied year-over-year decline of 11% to 7%. Operating expenses are projected to be between $145 million and $155 million, including non-cash stock-based compensation expenses of $30 million to $32 million. The company continues to focus on expanding the Light Adjustable Lens (LAL) adoption, with LAL procedures seen as a leading metric for growth.

RxSight Financial Statement Overview

Summary
Mixed fundamentals: low leverage (debt-to-equity 0.042) and strong gross margin (68.42% TTM), but revenue is declining (TTM -9.59%) with persistent losses and negative operating cash flow, signaling ongoing profitability and execution challenges.
Income Statement
45
Neutral
RxSight's income statement reveals a challenging financial position with declining revenue growth and negative profit margins. The TTM data shows a revenue decline of 9.59%, and the company has consistently reported negative net profit margins, indicating ongoing profitability challenges. Despite a relatively strong gross profit margin of 68.42% in the TTM, the negative EBIT and EBITDA margins highlight operational inefficiencies.
Balance Sheet
60
Neutral
The balance sheet reflects a stable financial structure with a low debt-to-equity ratio of 0.042 in the TTM, suggesting limited leverage risk. However, the return on equity remains negative, indicating that the company is not generating positive returns for shareholders. The equity ratio is reasonable, suggesting a solid capital base, but the negative ROE points to profitability issues.
Cash Flow
50
Neutral
Cash flow analysis shows some improvement in free cash flow growth, with a 6.30% increase in the TTM. However, the operating cash flow remains negative, and the operating cash flow to net income ratio is below 1, indicating cash flow challenges. The free cash flow to net income ratio is above 1, suggesting that the company is managing to convert net income into free cash flow effectively.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue142.09M139.93M89.08M49.01M22.59M14.68M
Gross Profit106.53M98.94M53.77M21.33M4.52M1.71M
EBITDA-32.69M-23.76M-41.04M-57.78M-41.01M32.15M
Net Income-35.73M-27.45M-48.61M-66.76M-48.69M27.57M
Balance Sheet
Total Assets308.53M318.56M182.55M150.16M192.72M100.68M
Cash, Cash Equivalents and Short-Term Investments227.52M237.22M127.18M105.80M159.33M68.97M
Total Debt11.56M12.30M3.01M44.99M44.93M30.75M
Total Liabilities32.56M37.33M22.19M60.26M54.48M398.21M
Stockholders Equity275.97M281.24M160.36M89.90M138.24M-297.53M
Cash Flow
Free Cash Flow-22.20M-22.39M-46.41M-61.24M-46.65M-37.74M
Operating Cash Flow-18.66M-16.95M-41.59M-58.85M-44.71M-35.20M
Investing Cash Flow27.82M-99.31M-22.13M39.95M-81.91M15.59M
Financing Cash Flow3.78M123.32M61.52M6.33M137.34M25.24M

RxSight Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price8.63
Price Trends
50DMA
9.98
Negative
100DMA
9.69
Negative
200DMA
10.32
Negative
Market Momentum
MACD
-0.40
Negative
RSI
46.35
Neutral
STOCH
68.50
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For RXST, the sentiment is Neutral. The current price of 8.63 is above the 20-day moving average (MA) of 8.54, below the 50-day MA of 9.98, and below the 200-day MA of 10.32, indicating a neutral trend. The MACD of -0.40 indicates Negative momentum. The RSI at 46.35 is Neutral, neither overbought nor oversold. The STOCH value of 68.50 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for RXST.

RxSight Risk Analysis

RxSight disclosed 86 risk factors in its most recent earnings report. RxSight reported the most risks in the "Tech & Innovation" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

RxSight Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
61
Neutral
$334.77M1,108.141.94%251.54%
61
Neutral
$481.30M-19.23-169.27%24.08%24.08%
59
Neutral
$739.69M-14.01-59.78%
54
Neutral
$772.96M-9.14-41.42%16.04%28.91%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
50
Neutral
$350.72M-9.57-12.92%10.75%-7.15%
50
Neutral
$323.60M-4.81-129.29%31.94%36.59%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
RXST
RxSight
8.63
-20.66
-70.54%
DCTH
Delcath Systems
9.78
-4.27
-30.39%
SENS
Senseonics Holdings
8.16
-10.24
-55.65%
BFLY
Butterfly Network
2.98
-1.05
-26.05%
NPCE
NeuroPace
14.34
0.82
6.07%
CBLL
Ceribell, Inc.
20.22
-5.21
-20.49%

RxSight Corporate Events

Business Operations and StrategyExecutive/Board ChangesFinancial Disclosures
RxSight Announces New CFO and Strong Preliminary Results
Positive
Jan 12, 2026

On January 11, 2026, RxSight reported preliminary unaudited results indicating fourth-quarter 2025 revenue of about $32.6 million and full-year 2025 revenue of roughly $134.5 million, exceeding its prior guidance. Growth was driven by the sale of 28,611 Light Adjustable Lenses in the fourth quarter and 109,615 lenses for the year, alongside 25 Light Delivery Devices in the quarter and 163 for the year, bringing the installed base to 1,134 devices and supporting an estimated 10% share of the premium intraocular lens market and adoption by more than a quarter of U.S. cataract surgeons. The company ended 2025 with an expected $228.1 million in cash, cash equivalents and short-term investments, positioning it with significant financial flexibility as it prepares to release audited full-year 2025 results and 2026 guidance in February. In tandem with these results, RxSight completed its planned finance leadership transition: on December 13, 2025, it appointed former Edwards Lifesciences executive Mark Wilterding as Chief Financial Officer, effective January 11, 2026, replacing Shelley Thunen, and granted him a compensation package including salary, bonus eligibility, equity awards, and change-in-control severance terms aligned with other senior executives, reinforcing the company’s leadership bench as it pursues long-term growth in the premium cataract surgery market.

The most recent analyst rating on (RXST) stock is a Buy with a $14.00 price target. To see the full list of analyst forecasts on RxSight stock, see the RXST Stock Forecast page.

Business Operations and StrategyExecutive/Board Changes
RxSight Announces CFO Transition and Leadership Continuity Plan
Neutral
Dec 23, 2025

On December 23, 2025, RxSight, Inc. entered into a transition agreement and release of claims with outgoing Chief Financial Officer Shelley Thunen, along with a consulting agreement that will take effect upon her separation from employment, under which she will provide transition services to the company. The leadership change, previously announced, is not expected to alter RxSight’s outlook or expectations for full-year 2025, with the company emphasizing that it remains focused on executing its strategic and operational priorities despite the CFO transition.

The most recent analyst rating on (RXST) stock is a Hold with a $12.50 price target. To see the full list of analyst forecasts on RxSight stock, see the RXST Stock Forecast page.

Business Operations and StrategyExecutive/Board Changes
RxSight announces planned transition of longtime CFO Thunen
Neutral
Dec 22, 2025

On December 16, 2025, RxSight Chief Financial Officer Shelley Thunen notified the company she would transition out of her role as CFO and principal financial and accounting officer, effective upon the appointment of her successor or by January 31, 2026. Under a planned transition and consulting arrangement, Thunen will receive her base salary through the transition date, remain eligible for an annual cash bonus based on 2025 corporate performance, and continue to vest in her stock options while she provides transition services as a consultant through a term scheduled to run until December 31, 2026, compensated via monthly retainers for early 2026 and an hourly fee. In a December 22, 2025 press release, RxSight’s leadership credited Thunen, who has served the company for nearly a decade, with shaping its financial strategy, guiding it through its 2021 IPO, and helping drive its evolution from a pre-commercial business to one with more than 1,100 Light Delivery Devices in the field and over 250,000 procedures performed, underscoring the significance of the CFO transition for investors and other stakeholders while signaling continuity through her ongoing advisory role.

The most recent analyst rating on (RXST) stock is a Hold with a $12.50 price target. To see the full list of analyst forecasts on RxSight stock, see the RXST Stock Forecast page.

Business Operations and StrategyExecutive/Board Changes
RxSight Announces Executive Leadership Reorganization and New Appointments
Positive
Dec 19, 2025

On December 18, 2025, RxSight, Inc. announced executive leadership changes, naming Eric Weinberg as Chief Business Development Officer as he transitioned from his prior role as Chief Commercial Officer. On the same date, the company’s board appointed Scott Gaines as Chief Customer Officer, giving him responsibility for RxSight’s U.S. commercial organization and signaling a reorganization of its commercial leadership structure to support business development and customer-focused growth in its domestic market.

The most recent analyst rating on (RXST) stock is a Hold with a $13.00 price target. To see the full list of analyst forecasts on RxSight stock, see the RXST 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: Jan 13, 2026