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1. Company Snapshot

1.a. Company Description

RxSight, 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.

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1.b. Last Insights on RXST

The recent performance of RxSight, Inc. has been negatively impacted by a decline in LAL volume trends, particularly in March, due to intensified competition from new IOL products from Johnson & Johnson and Rayner. The company's unique LAL technology is facing challenges, and revised 2025 guidance has been lowered. Additionally, recessionary concerns are affecting the market, further exacerbating the situation.

1.c. Company Highlights

2. RxSight's Q3 2025 Earnings: A Closer Look at Financial Performance

RxSight generated third quarter revenue of $30.3 million, down 14% compared to $35.3 million in the year-ago quarter. The company's Light Adjustable Lens (LAL) revenue was $25.7 million, representing 85% of total revenue. The actual EPS came out at -$0.04, beating estimates of -$0.19. The company's gross margin guidance has been increased, and operating expense guidance remains unchanged. Revenue for the full year 2025 is now expected to be in the range of $125 million to $130 million, narrowed from the prior range of $120 million to $130 million.

Publication Date: Nov -16

📋 Highlights
  • Revenue Decline in Q3 2025: Total revenue fell to $30.3M, down 14% YoY and 10% QoQ, with LAL revenue at $25.7M (85% of total revenue).
  • 2,000+ Ophthalmologists Implanted LAL: Over 2,000 US cataract surgeons (1/5 of estimated total) implanted the Light Adjustable Lens in Q3.
  • Narrowed Full-Year 2025 Revenue Guidance: Revised to $125M–$130M, reflecting Q3 trends, with Q4 guidance at $23M–$28M.
  • International Market Expansion: Focused rollouts in Asia and Europe, targeting 20 key markets where 2/3 of premium cataract procedures occur.
  • 10% Market Share in PC IOLs: Achieved 10% share of premium cataract IOLs in 2025, up from 0% in 2022, with toric IOLs still at 50% of the market.

Revenue Breakdown and Growth Prospects

The company sold 26,045 LALs during the quarter, with LAL revenue up 6% compared to the third quarter of 2024. RxSight's focus is on strategically expanding its base of LDDs and implanting surgeons. The company's growth model is evolving, with a more diversified approach that includes the strategic addition of new practices and doctors, as well as growing the number of LAL procedures performed by existing accounts. Analysts estimate next year's revenue growth at 4.2%.

Valuation Metrics and Future Outlook

RxSight's current valuation metrics include a P/S Ratio of 2.55 and an EV/EBITDA of -10.54. The company's ROE is -11.56%, and ROIC is -14.71%. With a narrowed full-year guidance range, RxSight is poised for sequential growth in 2026, with a focus on LALs and LDDs. As the company continues to expand its global presence, introducing its product beyond Canada, and targeting 20 individual markets where 2/3 of premium procedures are performed, its growth prospects will be closely watched.

Operational Highlights and Future Plans

The company has made progress in Europe and Asia, with key regulatory infrastructure and commercial initiatives underway. RxSight has launched new practice development and clinical engagement programs, including the MasterClass and Elevate programs, to educate and train doctors. With over 2,000 ophthalmologists having implanted the Light Adjustable Lens, representing roughly 1/5 of the estimated total number of U.S. cataract surgeons, the company is well-positioned for future growth.

3. NewsRoom

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RxSight, Inc. to Present at the Piper Sandler Healthcare Conference

Nov -20

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RxSight, Inc. (RXST) Q3 2025 Earnings Call Transcript

Nov -06

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RxSight, Inc. (RXST) Reports Q3 Loss, Tops Revenue Estimates

Nov -06

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RxSight, Inc. Reports Third Quarter 2025 Financial Results

Nov -05

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Y Intercept Hong Kong Ltd Invests $1.43 Million in RxSight, Inc. $RXST

Nov -03

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RxSight, Inc. to Report Third Quarter 2025 Financial Results on November 5, 2025

Oct -22

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RxSight, Inc. to Feature Live Learning Sessions at American Academy of Ophthalmology 2025 Annual Meeting

Oct -16

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RXSIGHT ALERT: Bragar Eagel & Squire, P.C. is Investigating RxSight, Inc. on Behalf of Long-Term Stockholders and Encourages Investors to Contact the Firm

Oct -08

4. Business Breakdown

4.a. Revenues by Country

4.b. Revenues by Segment

5. Expected revenues mid-term growth (10.45%)

6. Segments

Light Adjustable Lenses and Related Capital Equipment

Expected Growth: 10.45%

RxSight's Light Adjustable Lenses and related capital equipment are driven by increasing demand for cataract surgeries, growing adoption of premium intraocular lenses, and rising awareness of personalized vision correction. Additionally, the company's proprietary technology and expanding sales network contribute to its 10.45% growth.

7. Detailed Products

Light Adjustable Lens (LAL)

A type of intraocular lens that can be adjusted after implantation to achieve optimal vision

RxSight Analytics

A data analytics platform that provides insights and visualization tools for ophthalmologists

RxSight Surgical

A suite of surgical planning and guidance tools for ophthalmic surgeons

8. RxSight, Inc.'s Porter Forces

Forces Ranking

Threat Of Substitutes

RxSight, Inc. faces moderate threat from substitutes, as patients may opt for alternative treatments or delay procedures, but the company's innovative technology and strong brand reputation mitigate this risk.

Bargaining Power Of Customers

RxSight, Inc. has a diverse customer base, and individual customers do not have significant bargaining power, reducing the risk of price negotiations or demands for customized products.

Bargaining Power Of Suppliers

RxSight, Inc. relies on a few key suppliers for critical components, and while there are alternative suppliers available, the company's dependence on these suppliers gives them some bargaining power.

Threat Of New Entrants

RxSight, Inc. operates in a highly competitive industry, and new entrants may be attracted to the market, potentially disrupting the company's market share and pricing power.

Intensity Of Rivalry

RxSight, Inc. operates in a highly competitive industry, and intense rivalry among existing players may lead to aggressive pricing, advertising, and innovation, increasing the risk of market share loss.

9. SWOT Analysis

10. Capital Structure

10.a. Balance Sheet

10.b. Weighted Average Cost of capital

Value
Debt Weight 1.84%
Debt Cost 9.95%
Equity Weight 98.16%
Equity Cost 9.95%
WACC 9.95%
Leverage 1.88%

11. Quality Control: RxSight, Inc. passed 5 out of 9 key points

12.a Historical Valuation

12.b Price/Earnings Ratio

12.c Margin Valuation

12.d Peers Valuation

Peers Group Analysis

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Zimmer Biomet

A-Score: 4.7/10

Value: 4.5

Growth: 3.9

Quality: 6.1

Yield: 1.0

Momentum: 4.0

Volatility: 8.7

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Axonics

A-Score: 4.2/10

Value: 0.2

Growth: 8.0

Quality: 5.9

Yield: 0.0

Momentum: 5.0

Volatility: 6.0

1-Year Total Return ->

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ShockWave Medical

A-Score: 4.0/10

Value: 0.0

Growth: 9.8

Quality: 6.9

Yield: 0.0

Momentum: 5.0

Volatility: 2.3

1-Year Total Return ->

Stock-Card
RxSight

A-Score: 3.6/10

Value: 8.2

Growth: 6.6

Quality: 5.3

Yield: 0.0

Momentum: 0.0

Volatility: 1.3

1-Year Total Return ->

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PROCEPT BioRobotics

A-Score: 3.4/10

Value: 6.4

Growth: 6.2

Quality: 4.2

Yield: 0.0

Momentum: 0.0

Volatility: 3.3

1-Year Total Return ->

Stock-Card
Glaukos

A-Score: 3.0/10

Value: 6.4

Growth: 1.8

Quality: 5.3

Yield: 0.0

Momentum: 0.5

Volatility: 4.0

1-Year Total Return ->

Peers Metrics

12.e Scoring Insights

12.f DCF BETA

Parameters

Short Term Growth

Short term Time

Long-Term Growth

WACC

Target Price

12.63$

Current Price

12.63$

Potential

-0.00%

Expected Cash-Flows