PEN
Signal
Bearish Setup1
Price
2
Move-0.36%Quiet session
Day RangeMid-Range$323.71 — $326.45
Volume
1
Volume0.9× avgNormal activity
Technical
1
RSIRSI 39Momentum negative
Position
1
52W Range73% of range$221.26 — $362.41
PRICE
Prev Close
325.99
Open
326.45
Day Range323.71 – 326.45
323.71
326.45
52W Range221.26 – 362.41
221.26
362.41
73% of range
VOLUME & SIZE
Avg Volume
673.3K
FUNDAMENTALS
P/E Ratio
71.7x
Premium valuation
EPS (TTM)
Div Yield
No dividend
Beta
1.47
Market-like
Performance
1D
-0.61%
5D
-2.75%
1M
-2.72%
3M
-9.20%
6M
+38.42%
YTD
+4.85%
1Y
+9.64%
Best: 6M (+38.42%)Worst: 3M (-9.20%)
Quick Read
TrendInsufficient MA data
Momentum
BULLISH
revenue +17% YoY · 67% gross margin
Valuation
EXPENSIVE
P/E 72x vs ~20x sector
Health
STRONG
CR 6.6 · FCF $4.46/sh
Bullish
Key MetricsTTM
Market Cap$12.77B
Revenue TTM$1.40B
Net Income TTM$177.69M
Free Cash Flow$174.93M
Gross Margin67.1%
Net Margin12.7%
Operating Margin13.5%
Return on Equity13.4%
Return on Assets9.7%
Debt / Equity0.15
Current Ratio6.64
EPS TTM$4.53
Alpha SignalsFull Analysis →
What Moves This Stock

U.S. neurovascular procedure volume growth rates, particularly mechanical thrombectomy adoption in primary stroke centers beyond comprehensive centers

International revenue acceleration, especially China market penetration and European hospital capital equipment cycles

Peripheral vascular segment growth trajectory, specifically Indigo System adoption for pulmonary embolism and deep vein thrombosis indications

Clinical trial readouts and FDA label expansions that broaden addressable patient populations

Macro Sensitivity
Economic Cycle

low - Stroke and pulmonary embolism procedures are medically urgent and non-discretionary. Hospital capital equipment purchases show modest cyclicality during severe recessions when hospital systems defer investments, but disposable device volumes remain stable. Medicare and commercial insurance reimbursement provides revenue stability independent of GDP fluctuations. International growth may show sensitivity to healthcare spending cycles in emerging markets.

Interest Rates

Rising rates create modest headwind through higher hospital cost of capital for equipment purchases and potential pressure on valuation multiples for high-growth medtech stocks trading at 10x sales. Company maintains minimal debt (0.16 D/E) so direct financing cost impact is negligible. Rate environment affects M&A capacity and competitive dynamics if larger medtech acquirers face higher financing costs.

Key Risks

Reimbursement pressure from CMS and commercial payers as thrombectomy procedures become standard of care, potentially compressing hospital budgets for devices

Regulatory pathway complexity for new device iterations requiring 510(k) clearances or PMA approvals, with FDA scrutiny on neurovascular safety increasing post-market surveillance requirements

Shift toward value-based care models where hospitals negotiate bundled payments, creating incentive to use lower-cost competitive devices

Investor Profile

growth - Investors focus on 12.9% revenue growth, large addressable market expansion in stroke and peripheral vascular intervention, and potential for margin expansion as company scales. Stock trades at 10x sales reflecting expectations for sustained double-digit growth and eventual operating margin expansion toward 20%+ medtech peer levels. Recent 25.7% one-year return and 34.7% six-month return indicate momentum investor participation. Negative EPS growth of -84.6% reflects investment phase prioritizing market share over profitability.

Watch on Earnings
U.S. comprehensive stroke center certification trends and primary stroke center thrombectomy adoption ratesMedicare reimbursement rates for CPT codes 37184 (thrombectomy) and 61645 (intracranial thrombectomy)International revenue growth rates by geography, particularly China regulatory approvals and market accessGross margin percentage as indicator of manufacturing scale and pricing dynamics
Health Radar
3 strong3 watch
68/100
Liquidity
6.64Strong
Leverage
0.15Strong
Coverage
193.3xStrong
ROE
13.4%Watch
ROIC
9.9%Watch
Cash
$187MWatch
ANALYST COVERAGE21 analysts
HOLD
+15.1%upside to target
61/100 conviction
L $349.00
Med $374.00consensus
H $388.00
Buy
943%
Hold
1257%
9 Buy (43%)12 Hold (57%)0 Sell (0%)
Full report →
Stock Health
Composite Score
2 of 5 signals bullish
4/10
Technicals
RSI RangeRSI 39 — Bearish momentum
Volume
Volume FlowDistribution — institutional selling
Fundamentals
Last EarningsBeat estimates
Analyst ConsensusHold
~
LiquidityCurrent Ratio 6.64 — healthy liquidity
Upcoming Events
EEarnings Report · Before OpenApr 30, 2026
Tomorrow
DEx-Dividend DateJul 28, 2026
In 90 days
PDividend PaymentAug 11, 2026
In 104 days
Technicals
Technical SignalsMIXED
Technicals →
3 Buy3 Sell1 Neutral7 signals
SellNeutralBuy
IndicatorValueSignalStrength
RSI (14)38.7NEUTRAL
23%
SMA 50↓ RES$332.1BEARISH
45%
SMA 200↑ SUPP$278.6BULLISH
91%
EMA 50$327.0BEARISH
48%
EMA 200$281.7BULLISH
88%
MA Trend50D > 200DGOLDEN X
100%
MACD-2.36BEARISH
38%
Key Levels
Resistance
SMA 50$332.12.2%
Support
SMA 200$278.616.6%
Market Position
Price Levels
52W High
$362.4+11.6%
EMA 50
$327.0+0.7%
Current
$324.8
EMA 200
$281.7-13.3%
52W Low
$221.3-31.9%
52-Week RangeMid-range
$221.373th %ile$362.4
RSI (14)38.7

Momentum neutral-to-bearish

Squeeze SetupVolume-based
Distribution Pressure

Distribution pattern detected. More selling days than accumulation over the past 20 sessions. Not a conducive environment for a squeeze.

20-Day Money Flow
Acc days:1
Dist days:5
Edge:+4 dist
Volume Context
Avg Vol (50D)486K
Recent Vol (5D)
453K-7%

Based on volume distribution analysis. Direct short interest data (short float %, days to cover) is not available in current data sources.

Earnings & Analysts

ANALYST ESTIMATES

Consensus of 16 analysts
Analyst revisions:EPS↓ Revised DownRevenue↓ Revised Down

Analyst consensus estimates · Actuals replace estimates as reported

YearRevenue Est.Rev GthEPS Est.EPS GthRangeAnalysts
FY2024
$1.2B
$1.2B$1.2B
$2.79
±5%
High14
FY2025
$1.4B
$1.3B$1.4B
+15.9%$3.79+35.5%
±3%
High16
FY2026(current)
$1.6B
$1.6B$1.6B
+15.5%$5.01+32.3%
±2%
High10
Range confidence:Tight (high)ModerateWide (low)
🔥Beat 7 consecutive quarters
Earnings HistoryPEN
Last 8Q
+11.0%avg beat
Beat 7 of 8 quartersMissed 1 Estimates rising
-2%
Q2'24
+14%
Q3'24
+23%
Q4'24
+10%
Q1'25
+26%
Q2'25
+6%
Q3'25
+4%
Q4'25
+6%
Q1'26
Beat
Miss
Estimate
Deeper color = bigger beat/miss
Analyst Activity
All ratings →
No recent activity
RBC CapitalOutperform → Sector Perform
Jan 20
DOWNGRADE
NeedhamBuy → Hold
Jan 16
DOWNGRADE
JefferiesHold
Jan 16
DOWNGRADE
Leerink PartnersMarket Perform
Jan 16
DOWNGRADE
BTIGBuy → Neutral
Jan 15
DOWNGRADE
CitigroupBuy → Neutral
Jan 15
DOWNGRADE
William BlairMarket Perform
Jan 15
DOWNGRADE
Piper SandlerOverweight → Neutral
Jan 15
DOWNGRADE
CitigroupNeutral → Buy
Dec 11
UPGRADE
NeedhamHold → Buy
Oct 8
UPGRADE
Wells FargoEqual-Weight → Overweight
Dec 11
UPGRADE
Wells FargoEqual-Weight
Jul 31
DOWNGRADE
Insider Activity
SEC Filings →
0 Buys/6 SellsNet Selling
NET SELLERS$0 bought · $33K sold · 30d window
Grewal HarpreetDir
$33K
Apr 2
SELL
Yuen MaggieCFO
$832K
Mar 2
SELL
Grewal HarpreetDir
$58K
Jan 6
SELL
Wilder ThomasDir
$58K
Jan 2
SELL
Bose AraniDir
$620K
Dec 11
SELL
Bose AraniDir
$1.5M
Dec 11
SELL
Financials

INSTITUTIONAL OWNERSHIP

1
CONGRESS ASSET MANAGEMENT CO /MA
317K
2
ALPINE ASSOCIATES MANAGEMENT INC.
132K
3
SG Americas Securities, LLC
102K
4
Retirement Systems of Alabama
48K
5
NEW YORK STATE TEACHERS RETIREMENT SYSTEM
37K
6
CIBRA Capital Ltd
32K
7
Onyx Bridge Wealth Group LLC
27K
8
Washington Trust Advisors, Inc.
19K
News & Activity

PEN News

20 articles · 4h ago

About

penumbra is a specialty interventional therapies company that develops and markets innovative medical devices to treat challenging medical conditions with significant unmet clinical needs. we design our therapies to provide our specialist physician customers with improved clinical outcomes through faster and safer procedures at significant overall cost savings to the healthcare system. today we have over 1,000 employees with sales operations in north america, europe, australia and asia.

Industry
Surgical and Medical Instrument Manufacturing
CEO
Adam Elsesser
Ben SorciExecutive Vice President of Operations
Jason Richard MillsExecutive Vice President of Strategy
Pankaj TiwariExecutive Vice President & Chief Information Officer
Peers(7 companies)
Screen sector →
SymbolPriceDay %Mkt CapP/ERev GrwMarginELO
PEN
$324.82-0.61%$12.8B71.9+1749.9%1265.9%1500
$393.83-3.12%$2.0T29.8+3296.8%4510.0%1500
$89.28+0.00%$311.7B1500
$130.45-1.28%$303.7B+586.3%1500
$185.20-0.96%$289.4B1500
$142.94+0.00%$280.9B+597.3%1500
$191.26+0.42%$251.5B11.0+652.3%992.0%1500
Sector avg-0.79%37.6+1376.5%2255.9%1500