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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 49 (OpenAI - 5.2)
Rating:49Neutral
Price Target:
$9.00
▲(2.16% Upside)
Action:ReiteratedDate:02/26/26
The score is held back primarily by weak cash flow and ongoing net losses alongside conservative 2026 guidance and margin headwinds. Offsetting factors include a strong, low-leverage balance sheet with substantial cash and some signs of operational progress (mix and utilization), but technicals and valuation remain unfavorable.
Positive Factors
High LAL Gross Margins
RxSight’s Light Adjustable Lens (LAL) business generates very high gross margins (≈76% in 2025). A durable high-margin product mix improves unit economics, funds investment in commercialization and R&D, and provides a structural cushion versus lower‑margin competition as adoption scales.
Growing Installed Base & Adoption
An expanding installed base of Light Delivery Devices (1,134 units) creates durable recurring revenue from lenses, consumables and services. Each new LDD increases addressable consumable volume and supports same‑store utilization gains, producing long‑term revenue scalability independent of single quarter swings.
Strong Liquidity & Low Leverage
With roughly $228M in cash and no debt, RxSight has financial flexibility to fund international rollouts, marketing and R&D without urgent refinancing. This balance‑sheet strength lowers solvency risk and gives management optionality to support durable commercial execution over multiple quarters.
Negative Factors
Persistent Losses & Weak Cash Generation
The company remains meaningfully loss‑making and historically produced negative operating/free cash flow. Continued GAAP losses and weak cash conversion limit internal funding for growth, making long‑term commercialization dependent on margin improvement or external capital despite current cash reserves.
Material Decline in LDD (Capital) Sales
A steep drop in LDD placements reduces the cadence of new installed devices that drive recurring lens and consumable sales. Because capital equipment adoption is lumpy, slower LDD growth weakens the long‑term revenue runway and delays the levered economics of an installed‑base business model.
Manufacturing & Inventory Absorption Headwinds
Management cited higher‑cost inventory and manufacturing absorption pressures that compress margins into 2026. Operational execution and production planning issues can erode the durable margin advantage, prolong losses and require sustained operating discipline to restore prior profitability levels.

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:Feb 25, 2026
(Q4-2025)
|
Next Earnings Date:May 12, 2026
Earnings Call Sentiment Neutral
The call presented a balanced picture: notable operational and clinical strengths (strong LAL margins, improving sequential LAL volumes, compelling clinical evidence, a growing installed base and a robust cash position) but also material near-term headwinds (large LDD revenue decline, a wider GAAP loss, manufacturing-driven margin pressure and conservative 2026 guidance). Management emphasized early signs of commercial improvement and a measured plan to drive utilization and international expansion, while remaining prudent in 2026 assumptions.
Q4-2025 Updates
Positive Updates
Strong LAL Revenue Mix and Gross Margin
LAL revenue was $28.2M in Q4 (in line with Q4 2024) and accounted for an all-time high 86% of total company sales in Q4 (up from 71% year-ago); Q4 gross margin improved to 77.5% vs 71.6% year-ago; full-year 2025 gross profit margin was 76.6% vs 70.7% in 2024.
Solid Full-Year Sales Growth
Full-year 2025 sales were $134.5M, an increase of 4% year-over-year, driven by a 12% increase in LAL sales despite a material LDD decline.
Expanding Installed Base
LDD installed base grew to 1,134 units at year-end 2025, up 17% from 971 at the end of 2024, providing a larger foundation to drive same-store utilization and LAL sales.
Clinical Validation and Large-Scale Data
Post-approval study accepted for publication showing 93% of LALs achieved both spherical equivalent and residual cylinder within 0.5D of target; a >20,000-eye registry presented supporting superior refractive accuracy and real-world outcomes.
Strong Liquidity and No Debt
Ended 2025 with approximately $228M in cash, cash equivalents and short-term investments and no debt, supporting continued investment and international expansion efforts.
Sequential Operational Improvement in Q4
Procedural volumes translated into Q4 LAL units of 28,611 (down 2% YoY but up 10% sequentially), and management reported improving utilization trends and early positive results from targeted commercial initiatives.
Ongoing Innovation and International Approvals
Company highlighted ~20 FDA approvals over the past 5 years, planned submissions over the next 18 months, and regulatory approvals in the EU, U.K., South Korea, Singapore, select ASEAN countries and Australia to support longer-term international growth.
Negative Updates
Significant LDD Revenue Decline
LDD revenue materially declined: Q4 LDD units were 25 vs 83 in the year-ago quarter (Q4 LDD revenue $3M vs ~$11M prior-year contribution), and full-year LDD revenue decreased 48% year-over-year, weighing on total sales.
Q4 Sales Decline and Weak Near-Term Guide
Q4 2025 sales were $32.6M, down 19% year-over-year; full-year 2026 revenue guidance of $120M–$135M implies approximately a 5% decline at the midpoint versus 2025, and management expects Q1 2026 to be the weakest quarter.
Worsening GAAP Net Loss
GAAP net loss for full-year 2025 was $38.9M ($0.95/share) versus a $27.5M loss ($0.71/share) in 2024; Q4 GAAP net loss was $9.2M ($0.22/share).
Elevated Operating Expenses and Stock-Based Compensation
Total operating expenses for 2025 were $151.2M, up 11% year-over-year driven by personnel and R&D/commercial investments; stock-based compensation was sizable—$7.8M in Q4 and $31.6M for the year (guidance assumes $30M–$32M in 2026).
Manufacturing/Inventory Headwinds Pressuring Margins
Management flagged higher-cost inventory from lower-than-anticipated 2025 production and manufacturing absorption headwinds that will reduce 2026 gross margin guidance to 70%–72% (down from 76.6% in 2025); they expect the impact to be transient but to persist through parts of 2026.
Limited Near-Term International Contribution
While approvals exist in several markets, management expects only a relatively small contribution from outside the U.S. in 2026 (primarily early capital placements) as they take a methodical approach to international expansion.
Conservative Volume Assumptions and Utilization Pressure
2026 planning assumes modest LAL unit growth (low single-digit) and only a slight acceleration in LDD placements (exit-rate ~25 units/quarter with gradual improvement), implying stabilized utilization around ~8 lenses per LDD per month and limited near-term upside.
Company Guidance
RxSight guided 2026 revenue of $120 million to $135 million (≈5% year‑over‑year decline at the midpoint), with Q1 expected to be the weakest quarter and a rebound in the back half as comparisons ease; full‑year gross margin is forecast at 70%–72% (down from 76.6% in 2025, consistent with 2024), reflecting sell‑through of higher‑cost inventory from lower 2025 production and transient manufacturing absorption headwinds; operating expenses are expected to be $150M–$160M (about a 1% decrease to a 6% increase versus 2025’s $151.2M) with R&D roughly flat to 2025 levels and non‑cash stock‑based compensation of $30M–$32M included, while management assumes modest OUS revenue (primarily early capital placements), a slight acceleration in LDD placements above the ~25 units/quarter exit rate, low‑single‑digit LAL unit growth implying utilization near ~8 lenses/LDD/month, and a strong balance sheet with ~ $228M cash and no debt supporting execution.

RxSight Financial Statement Overview

Summary
Balance sheet strength (low leverage and solid liquidity) supports flexibility, but operating performance is mixed: 2025 revenue declined and the company remains meaningfully loss-making. Cash generation is a key weakness with negative operating/free cash flow through 2024 and no clear improvement signal in 2025.
Income Statement
44
Neutral
Revenue scaled materially from 2021–2024, but 2025 revenue declined (~-5%), signaling a near-term slowdown. Profitability is improving structurally (gross margin expanded to ~77% in 2025 from ~20% in 2021), yet the company remains meaningfully loss-making (2025 net margin ~-29% vs. ~-20% in 2024), indicating operating costs are still outpacing the higher-margin revenue base.
Balance Sheet
78
Positive
Leverage is low and improving, with total debt modest and debt-to-equity around ~0.04 in 2024–2025, giving the company balance-sheet flexibility. Equity and assets are solidly positive in recent years, but returns remain negative (ROE still below zero), reflecting that the capital base is not yet generating accounting profits.
Cash Flow
30
Negative
Cash generation remains a key weakness: operating and free cash flow were negative from 2020–2024, and 2025 shows operating cash flow and free cash flow reported at 0 (with free cash flow growth at -100%), which points to either a sharp deterioration and/or data limitations that do not support a clear improvement trend. Overall, the business has not consistently converted its income statement trajectory into sustainable cash flow.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue134.48M139.93M89.08M49.01M22.59M
Gross Profit103.01M98.94M53.77M21.33M4.52M
EBITDA-39.70M-23.76M-41.04M-57.78M-41.01M
Net Income-38.94M-27.45M-48.61M-66.76M-48.69M
Balance Sheet
Total Assets311.81M318.56M182.55M150.16M192.72M
Cash, Cash Equivalents and Short-Term Investments228.13M237.22M127.18M105.80M159.33M
Total Debt11.04M12.30M3.01M44.99M44.93M
Total Liabilities36.13M37.33M22.19M60.26M54.48M
Stockholders Equity275.68M281.24M160.36M89.90M138.24M
Cash Flow
Free Cash Flow0.00-22.39M-46.41M-61.24M-46.65M
Operating Cash Flow0.00-16.95M-41.59M-58.85M-44.71M
Investing Cash Flow16.89M-99.31M-22.13M39.95M-81.91M
Financing Cash Flow1.86M123.32M61.52M6.33M137.34M

RxSight Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price8.81
Price Trends
50DMA
9.75
Negative
100DMA
9.68
Negative
200DMA
10.25
Negative
Market Momentum
MACD
-0.24
Negative
RSI
49.03
Neutral
STOCH
89.01
Negative
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 8.81 is above the 20-day moving average (MA) of 8.46, below the 50-day MA of 9.75, and below the 200-day MA of 10.25, indicating a neutral trend. The MACD of -0.24 indicates Negative momentum. The RSI at 49.03 is Neutral, neither overbought nor oversold. The STOCH value of 89.01 is Negative, 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
$351.37M1,187.211.94%251.54%
61
Neutral
$484.96M-19.54-169.27%24.08%24.08%
54
Neutral
$745.18M-9.26-41.42%16.04%28.91%
52
Neutral
$738.20M-30.83%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
50
Neutral
$336.27M-4.87-129.29%31.94%36.59%
49
Neutral
$367.58M-10.03-12.92%10.75%-7.15%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
RXST
RxSight
8.81
-19.40
-68.77%
DCTH
Delcath Systems
10.21
-3.74
-26.81%
SENS
Senseonics Holdings
8.31
-8.22
-49.72%
BFLY
Butterfly Network
3.10
-0.63
-16.89%
NPCE
NeuroPace
14.72
2.16
17.20%
CBLL
Ceribell, Inc.
18.95
-4.81
-20.24%

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: Feb 26, 2026