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RxSight (RXST)
NASDAQ:RXST
US Market
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RxSight (RXST) AI Stock Analysis

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RXST

RxSight

(NASDAQ:RXST)

Rating:47Neutral
Price Target:
$8.00
▼(-8.36% Downside)
RxSight's overall stock score is primarily impacted by its weak financial performance and concerning valuation. The technical analysis further indicates bearish trends, while the earnings call provides a mixed outlook with some positive developments. The company's strategic initiatives and board expansion are positive but not enough to offset the significant challenges.
Positive Factors
Competitive Advantage
RXST has a strong first-mover advantage in the light adjustable lenses market, having captured about 10% of the advanced technology intraocular lens market since its launch.
International Expansion
International markets represent a significant opportunity for RXST, with plans to enter European and Asian markets where the advanced technology IOL market is twice the size of the US market.
Market Potential
Post-LASIK patients represent a significant opportunity for RXST's LALs, with an estimated annual potential US sales from this group being $40-65M.
Negative Factors
Market Competition
Competition and consumer confidence are risks as other companies are launching competing AT-IOLs in the US, potentially impacting RXST’s growth.
Revenue Guidance
RXST cut 2025 revenue guidance by 25% after cutting it 12% in Q1.
Sales Performance
RXST sold 40 Light Delivery Devices, which missed consensus of 78.

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 Light Adjustable Lens (LAL) and associated Light Delivery Device (LDD) systems. These products are sold to ophthalmologists and eye surgery centers, providing a unique value proposition by enabling customized vision correction after cataract surgery. The company also earns revenue from service agreements and follow-up care related to its product offerings. Strategic partnerships with eye care professionals and healthcare facilities further enhance RxSight's market reach and revenue potential.

RxSight Earnings Call Summary

Earnings Call Date:Aug 07, 2025
(Q2-2025)
|
% Change Since: 12.07%|
Next Earnings Date:Nov 06, 2025
Earnings Call Sentiment Neutral
The earnings call highlighted positive aspects such as increased LAL revenue, improved gross margin, and international market expansion. However, significant challenges were noted including overall revenue decline, decreased LDD sales, increased net loss, and higher operating expenses. The guidance for a revenue decline further contributed to the cautious outlook.
Q2-2025 Updates
Positive Updates
Increase in LAL Revenue
LAL revenue for the second quarter of 2025 was $27 million, up 13% compared to the second quarter of 2024 and representing 80% of total revenue, an increase from 68% in the second quarter of 2024.
Improvement in Gross Margin
Gross margin in the second quarter of 2025 was 74.9%, up from 69.5% in the year ago period, reflecting a favorable shift in product mix towards higher-margin LAL revenue.
LDD Installed Base Growth
The LDD installed base totaled 1,084 units as of June 30, 2025, representing a 34% increase year-over-year.
Expansion in International Markets
RxSight has received regulatory approval in South Korea and launched operations in Q2 2025, with a focus on building out the European team following MDR certification.
Negative Updates
Overall Revenue Decline
Second quarter 2025 revenue was $33.6 million, down 4% compared to the year-ago quarter and down 11% from the first quarter of 2025.
Significant Decrease in LDD Sales
During the second quarter of 2025, 40 LDDs were sold, down 49% from 78 units in the prior period, with LDD sales revenue down 50% compared to the second quarter of 2024.
Increased Net Loss
Reported a GAAP net loss in the second quarter of 2025 of $11.8 million, or a loss of $0.29 per share, compared to a GAAP net loss of $6.1 million in the second quarter of 2024.
Higher Operating Expenses
SG&A expenses increased by 19% compared to the year-ago quarter, and R&D expenses rose 23% year-over-year.
Guidance for Revenue Decline
Full-year 2025 revenue guidance of $120 million to $130 million, representing an implied decrease of 14% to 7% from 2024, with expected lower gross margin in the second half due to higher costs and lower production volume.
Company Guidance
In the recent call, RxSight reiterated its full-year 2025 guidance with expectations of total revenue between $120 million to $130 million, indicating a decrease of 7% to 14% from 2024. The company projects gross margins of 72% to 74%, an increase of 130 to 330 basis points compared to last year, despite a first-half gross margin nearing 75%. Operating expenses are anticipated to rise by 7% to 14%, ranging from $145 million to $155 million, which includes noncash stock-based compensation costs of $27 million to $30 million. The guidance reflects a cautious outlook, taking into account ongoing challenges in LAL adoption and a reduction in new LDD sales. Additionally, RxSight is focusing on improving customer engagement and clinical support to drive long-term growth, while strategically expanding into international markets to enhance revenue potential beyond 2025.

RxSight Financial Statement Overview

Summary
RxSight shows strong revenue growth and a solid balance sheet with low leverage. However, persistent profitability challenges and negative cash flows highlight the need for strategic improvements in operations and cost management to achieve sustainable financial health.
Income Statement
45
Neutral
RxSight has shown impressive revenue growth, with TTM revenue up by 13.2%. However, the company is struggling with profitability, as evidenced by negative EBIT and net income margins. The gross profit margin is healthy at 67.3% TTM, indicating good control over cost of goods sold, but the negative EBIT and net income margins highlight ongoing operational challenges.
Balance Sheet
55
Neutral
The company maintains a strong equity position, with a debt-to-equity ratio of 0.04 TTM, indicating low financial leverage. The equity ratio of 89.2% TTM suggests a stable balance sheet with a solid asset base funded primarily by equity. Despite these strengths, the company is not yet profitable, which could pose future risks.
Cash Flow
40
Negative
Free cash flow remains negative, although there is an improvement in operating cash flow compared to the previous year, indicating better cash management. The operating cash flow to net income ratio is negative, reflecting ongoing cash flow challenges. The free cash flow to net income ratio is also negative, underlining the need for improved cash generation.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue157.15M139.93M89.08M49.01M22.59M14.68M
Gross Profit107.53M98.94M53.77M21.33M4.52M1.71M
EBITDA-35.25M-23.76M-41.04M-57.78M-41.01M32.15M
Net Income-32.25M-27.45M-48.61M-66.76M-48.69M27.57M
Balance Sheet
Total Assets309.01M318.56M182.55M150.16M192.72M100.68M
Cash, Cash Equivalents and Short-Term Investments227.49M237.22M127.18M105.80M159.33M68.97M
Total Debt11.71M12.30M3.01M44.99M44.93M30.75M
Total Liabilities31.00M37.33M22.19M60.26M54.48M398.21M
Stockholders Equity278.01M281.24M160.36M89.90M138.24M55.77M
Cash Flow
Free Cash Flow-20.88M-22.39M-46.41M-61.24M-46.65M-37.74M
Operating Cash Flow-16.82M-16.95M-41.59M-58.85M-44.71M-35.20M
Investing Cash Flow27.57M-99.31M-22.13M39.95M-81.91M15.59M
Financing Cash Flow5.18M123.32M61.52M6.33M137.34M25.24M

RxSight Technical Analysis

Technical Analysis Sentiment
Negative
Last Price8.73
Price Trends
50DMA
9.86
Negative
100DMA
12.73
Negative
200DMA
23.87
Negative
Market Momentum
MACD
-0.26
Negative
RSI
52.16
Neutral
STOCH
91.28
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For RXST, the sentiment is Negative. The current price of 8.73 is above the 20-day moving average (MA) of 7.94, below the 50-day MA of 9.86, and below the 200-day MA of 23.87, indicating a neutral trend. The MACD of -0.26 indicates Negative momentum. The RSI at 52.16 is Neutral, neither overbought nor oversold. The STOCH value of 91.28 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative 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 (46)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
70
Outperform
$706.75M-4.48%17.17%72.68%
61
Neutral
$668.25M-14.18%22.93%43.83%
57
Neutral
$605.21M-0.10%5.08%99.38%
54
Neutral
$572.67M-24.63%4.84%0.85%
52
Neutral
$432.27M26.25%
47
Neutral
$360.47M-11.66%27.68%20.87%
46
Neutral
C$209.14M-0.30-24.12%3.18%19.38%-2.35%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
RXST
RxSight
8.73
-47.72
-84.53%
OFIX
Orthofix
14.55
-2.74
-15.85%
AXGN
AxoGen
15.84
3.32
26.52%
SIBN
SI-Bone
15.64
-0.91
-5.50%
BVS
Bioventus
7.08
-2.84
-28.63%
CBLL
Ceribell, Inc.
11.68
-13.82
-54.20%

RxSight Corporate Events

Executive/Board Changes
RxSight Expands Board with New Director Appointment
Positive
Aug 4, 2025

On July 31, 2025, RxSight, Inc. expanded its board of directors by appointing Raymond W. Cohen, an experienced medical technology executive, as a Class I director. Cohen’s extensive industry expertise is expected to help RxSight strengthen its position in the premium intraocular lens market and accelerate growth in revenue and profits. His previous leadership roles, including the successful sale of Axonics, Inc. and SoniVie Ltd. to Boston Scientific, highlight his capability to drive company growth and expansion.

Executive/Board ChangesShareholder Meetings
RxSight Re-elects Directors at Annual Meeting
Neutral
Jun 4, 2025

RxSight held its 2025 Annual Meeting of Stockholders on June 3, 2025, where approximately 79.2% of the outstanding shares were represented. During the meeting, three Class I directors, Ron Kurtz, M.D., J. Andy Corley, and Juliet Tammenoms Bakker, were re-elected to serve until the 2028 annual meeting. Additionally, the stockholders approved the executive compensation and ratified the appointment of Ernst & Young LLP as the independent registered public accounting firm for the fiscal year ending December 31, 2025.

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: Aug 19, 2025