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Sight Sciences Reports Fourth Quarter and Full Year 2024 Financial Results and Initiates Full Year 2025 Financial Guidance

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Sight Sciences (SGHT) reported Q4 2024 revenue of $19.1M, up 2% YoY, while full-year 2024 revenue decreased 1% to $79.9M. The company's Surgical Glaucoma segment revenue grew 9% to $18.8M in Q4, while Dry Eye revenue declined to $0.3M from $1.6M YoY.

Q4 gross margin improved to 87% from 85% YoY. Full-year operating expenses decreased 6% to $118.8M, with net loss improving to $51.5M ($1.03 per share) from $55.5M ($1.14 per share) in 2023. Cash position stood at $120.4M as of December 31, 2024.

For 2025, SGHT projects revenue between $70-75M, representing a 6-12% decline, primarily due to Medicare LCD restrictions on multiple MIGS procedures during cataract surgery. The company expects adjusted operating expenses of $105-107M for 2025, a 4-6% increase from 2024.

Sight Sciences (SGHT) ha riportato un fatturato nel Q4 2024 di 19,1 milioni di dollari, in aumento del 2% rispetto all'anno precedente, mentre il fatturato totale per l'anno 2024 è diminuito dell'1% a 79,9 milioni di dollari. Il fatturato del segmento Chirurgia del Glaucoma è cresciuto del 9% a 18,8 milioni di dollari nel Q4, mentre il fatturato per Occhio Secco è sceso a 0,3 milioni di dollari rispetto a 1,6 milioni di dollari dell'anno precedente.

Il margine lordo del Q4 è migliorato all'87% rispetto all'85% dell'anno precedente. Le spese operative per l'intero anno sono diminuite del 6% a 118,8 milioni di dollari, con una perdita netta che è migliorata a 51,5 milioni di dollari (1,03 dollari per azione) rispetto ai 55,5 milioni di dollari (1,14 dollari per azione) del 2023. La posizione di cassa si attestava a 120,4 milioni di dollari al 31 dicembre 2024.

Per il 2025, SGHT prevede un fatturato compreso tra 70 e 75 milioni di dollari, rappresentando un calo del 6-12%, principalmente a causa delle restrizioni LCD di Medicare su più procedure MIGS durante l'intervento di cataratta. L'azienda prevede spese operative rettificate di 105-107 milioni di dollari per il 2025, con un aumento del 4-6% rispetto al 2024.

Sight Sciences (SGHT) reportó ingresos de 19,1 millones de dólares en el cuarto trimestre de 2024, un aumento del 2% interanual, mientras que los ingresos totales del año 2024 disminuyeron un 1% a 79,9 millones de dólares. Los ingresos del segmento de Glaucoma Quirúrgico crecieron un 9% a 18,8 millones de dólares en el Q4, mientras que los ingresos por Ojo Seco cayeron a 0,3 millones de dólares desde 1,6 millones de dólares interanuales.

El margen bruto del Q4 mejoró al 87% desde el 85% interanual. Los gastos operativos anuales disminuyeron un 6% a 118,8 millones de dólares, con una pérdida neta que mejoró a 51,5 millones de dólares (1,03 dólares por acción) desde 55,5 millones de dólares (1,14 dólares por acción) en 2023. La posición de efectivo se situó en 120,4 millones de dólares al 31 de diciembre de 2024.

Para 2025, SGHT proyecta ingresos entre 70 y 75 millones de dólares, lo que representa una disminución del 6-12%, principalmente debido a las restricciones LCD de Medicare sobre múltiples procedimientos MIGS durante la cirugía de cataratas. La empresa espera gastos operativos ajustados de 105-107 millones de dólares para 2025, un aumento del 4-6% respecto a 2024.

Sight Sciences (SGHT)는 2024년 4분기 매출이 1,910만 달러로 전년 대비 2% 증가했다고 보고했습니다. 2024년 전체 연간 매출은 1% 감소하여 7,990만 달러에 이르렀습니다. 외과적 녹내장 부문의 매출은 4분기에 1,880만 달러로 9% 증가했으며, 건조한 눈 부문의 매출은 전년 대비 1,600만 달러에서 30만 달러로 감소했습니다.

4분기 총 매출 총이익률은 전년 대비 85%에서 87%로 개선되었습니다. 연간 운영 비용은 6% 감소하여 1억 1,880만 달러에 이르렀으며, 순손실은 5,150만 달러(주당 1.03달러)로 2023년의 5,550만 달러(주당 1.14달러)에서 개선되었습니다. 2024년 12월 31일 기준 현금 보유액은 1억 2,040만 달러였습니다.

2025년을 위해 SGHT는 7천만 달러에서 7,500만 달러 사이의 매출을 예상하며, 이는 6-12% 감소를 나타냅니다. 이는 주로 백내장 수술 중 여러 MIGS 절차에 대한 Medicare LCD 제한 때문입니다. 회사는 2025년의 조정된 운영 비용을 1억 5백만 달러에서 1억 7백만 달러로 예상하며, 이는 2024년 대비 4-6% 증가하는 것입니다.

Sight Sciences (SGHT) a annoncé un chiffre d'affaires de 19,1 millions de dollars au quatrième trimestre 2024, en hausse de 2% par rapport à l'année précédente, tandis que le chiffre d'affaires total pour l'année 2024 a diminué de 1% pour atteindre 79,9 millions de dollars. Le chiffre d'affaires du segment Glaucome Chirurgical a augmenté de 9% pour atteindre 18,8 millions de dollars au Q4, tandis que le chiffre d'affaires pour Yeux Secs a chuté à 0,3 million de dollars contre 1,6 million de dollars l'année précédente.

La marge brute du Q4 s'est améliorée à 87% contre 85% l'année précédente. Les dépenses d'exploitation annuelles ont diminué de 6% pour atteindre 118,8 millions de dollars, avec une perte nette améliorée à 51,5 millions de dollars (1,03 dollar par action) contre 55,5 millions de dollars (1,14 dollar par action) en 2023. La position de liquidité s'élevait à 120,4 millions de dollars au 31 décembre 2024.

Pour 2025, SGHT prévoit un chiffre d'affaires compris entre 70 et 75 millions de dollars, représentant une baisse de 6 à 12%, principalement en raison des restrictions LCD de Medicare sur plusieurs procédures MIGS lors de la chirurgie de la cataracte. L'entreprise s'attend à des dépenses d'exploitation ajustées de 105 à 107 millions de dollars pour 2025, soit une augmentation de 4 à 6% par rapport à 2024.

Sight Sciences (SGHT) berichtete für das 4. Quartal 2024 einen Umsatz von 19,1 Millionen Dollar, was einem Anstieg von 2% im Vergleich zum Vorjahr entspricht, während der Gesamtumsatz für das Jahr 2024 um 1% auf 79,9 Millionen Dollar zurückging. Der Umsatz im Segment Chirurgischer Glaukom wuchs im 4. Quartal um 9% auf 18,8 Millionen Dollar, während der Umsatz mit Trockenen Augen auf 0,3 Millionen Dollar von 1,6 Millionen Dollar im Vorjahr zurückging.

Die Bruttomarge im 4. Quartal verbesserte sich auf 87% von 85% im Vorjahr. Die Betriebskosten für das gesamte Jahr sanken um 6% auf 118,8 Millionen Dollar, wobei der Nettoverlust auf 51,5 Millionen Dollar (1,03 Dollar pro Aktie) von 55,5 Millionen Dollar (1,14 Dollar pro Aktie) im Jahr 2023 verbessert wurde. Die Liquiditätsposition betrug zum 31. Dezember 2024 120,4 Millionen Dollar.

Für 2025 prognostiziert SGHT einen Umsatz zwischen 70 und 75 Millionen Dollar, was einem Rückgang von 6-12% entspricht, hauptsächlich aufgrund von Medicare-LCD-Beschränkungen für mehrere MIGS-Verfahren während der Kataraktoperation. Das Unternehmen erwartet für 2025 angepasste Betriebskosten von 105-107 Millionen Dollar, was einem Anstieg von 4-6% im Vergleich zu 2024 entspricht.

Positive
  • Surgical Glaucoma revenue grew 9% in Q4 2024
  • Gross margin improved to 87% in Q4 2024
  • Operating expenses reduced by 6% to $118.8M in 2024
  • Cash burn reduced 62% to $17.8M in 2024
  • Net loss per share improved to $1.03 from $1.14 YoY
Negative
  • Full-year 2024 revenue declined 1% to $79.9M
  • Dry Eye revenue dropped to $0.3M from $1.6M in Q4
  • Projected 6-12% revenue decline for 2025
  • Operating expenses expected to increase 4-6% in 2025
  • Medicare restrictions impacting MIGS procedures

Insights

Sight Sciences delivered mixed Q4 2024 results with $19.1 million in revenue (up 2% YoY), but the forward guidance signals significant challenges ahead. The company's $79.9 million full-year revenue marked a 1% YoY decline, while they forecast a substantial 6-12% revenue contraction for 2025 ($70-75 million).

Despite revenue concerns, financial discipline has improved substantially. The company reduced cash burn by 62% to $17.8 million in 2024, cut operating expenses by 6% to $118.8 million, and maintained a strong $120.4 million cash position. These efficiency improvements have extended their financial runway considerably.

Looking beneath the surface, a concerning divergence in segment performance exists. Surgical Glaucoma shows resilience with 9% Q4 growth and 2% full-year growth, versus the collapsing Dry Eye segment ($0.3 million in Q4, down from $1.6 million). Management attributes the projected 2025 decline primarily to Medicare LCD changes restricting coverage for multiple MIGS procedures during cataract surgery, directly impacting their OMNI system's market opportunity.

The 87% Q4 gross margin (up from 85%) reflects a favorable product mix shift, but planned 4-6% higher operating expenses in 2025 will pressure profitability as revenue declines. Management is prioritizing standalone pseudophakic market development, TearCare market access, and R&D investment including a next-generation OMNI release in H1 2025.

MENLO PARK, Calif., March 05, 2025 (GLOBE NEWSWIRE) -- Sight Sciences, Inc. (Nasdaq: SGHT) ("Sight Sciences" or the "Company"), an eyecare technology company focused on developing and commercializing innovative, interventional technologies that elevate the standard of care, today reported financial results for the fourth quarter and full year ended December 31, 2024 and initiated financial guidance for full year 2025.

Recent Financial Highlights

  • Generated fourth quarter 2024 total revenue of $19.1 million, an increase of 2% compared to the same period in the prior year, and full year 2024 total revenue of $79.9 million, a decrease of 1% compared to full year 2023.
  • Achieved total gross margin of 87% of revenue in the fourth quarter of 2024 compared to 85% of revenue in the same period in the prior year, and full year 2024 total gross margin of 85% of revenue compared to 85% of revenue in full year 2023.
  • Reduced full year 2024 operating expenses to $118.8 million, a $7.6 million, or a 6% decrease compared to full year 2023, and reduced non-GAAP adjusted operating expenses1,2 to $101.3 million for full year 2024, a $9.0 million, or an 8% decrease compared to full year 2023.
  • Reduced cash used in the year ended December 31, 2024 to $17.8 million compared to $46.9 million in the year ended December 31, 2023, or a 62% decrease compared to full year 2023.

Recent Business and Clinical Highlights

  • Announced the publication of a landmark 36-month analysis evaluating the long-term effectiveness of the OMNI® Surgical System in managing primary open-angle glaucoma. This study presented evidence supporting the sustained benefits of standalone OMNI procedures, independent of cataract surgery, including clinically and statistically significant reductions in intraocular pressure through up to 36 months postoperatively, with mean reductions ranging from 5.6 to 7.1 mmHg. The study also reported a statistically significant decrease in eye medication use through 18 months.
  • Announced the publication of a Budget Impact Analysis (“BIA”) of the TearCare® System for the treatment of meibomian gland disease (“MGD”) associated dry eye disease in the United States. Key findings indicated that a 20% increase in market share of TearCare compared to prescription dry eye medications would yield an estimated annual savings of $36.87 per member per year across all plan members in a hypothetical health plan with one million covered lives. The study showed a direct relationship between increased utilization of TearCare in place of prescription medications and total costs savings from a U.S. payer perspective.

Management Commentary
“As we turn to 2025, we are focused on advancing our strategic initiatives, which include building commercial momentum in MIGS through a continued commitment to education and engagement with our customers, establishing equitable reimbursement for TearCare, and publishing new clinical and cost data to support the adoption and use of our portfolio of interventional technologies,” said Paul Badawi, Co-Founder and Chief Executive Officer of Sight Sciences. “While the MIGS market has been in flux for the last eighteen months, we believe the comprehensive procedure performed with OMNI, which is supported by our strong commercial presence, will continue to be a market-leading choice for surgeons treating their glaucoma patients. We are also excited about the TearCare market access opportunity for the millions of patients suffering from dry eye disease and our robust pipeline of interventional glaucoma and dry eye technologies, including an upcoming next generation OMNI release expected in the first half of 2025.”

Fourth Quarter 2024 Financial Results
Revenue for the fourth quarter of 2024 was $19.1 million, an increase of 2% compared to the same period in the prior year. Surgical Glaucoma revenue was $18.8 million, an increase of 9% compared to the same period in the prior year. This improvement was primarily driven by ordering accounts, which increased by 7%, and account utilization, which increased by 6%, compared to the same period in the prior year. Dry Eye revenue was $0.3 million, a decrease from $1.6 million in the same period in the prior year, primarily due to fewer SmartLids® sales, which was a result of the Company’s focus on achieving reimbursed market access for TearCare procedures instead of cash pay procedures.

Gross profit for the fourth quarter of 2024 was $16.6 million compared to $16.0 million in the same period in the prior year. Gross margin for the fourth quarter of 2024 was 87%, compared to 85% in the same period in the prior year, primarily due to a shift in product revenue mix towards higher margin Surgical Glaucoma revenue. Surgical Glaucoma gross margin in the fourth quarter of 2024 declined to 87%, compared to 88% in the same period in the prior year, primarily due to product mix shift. Dry Eye gross margin in the fourth quarter of 2024 declined to 51%, from 53% in the same period in the prior year, primarily due to higher overhead costs per unit as a result of lower production volumes, partially offset by higher average selling prices.

Total operating expenses were $28.5 million in the fourth quarter of 2024, representing a 5% increase compared to $27.1 million in the same period in the prior year, primarily due to higher personnel-related expenses, partially offset by lower legal expenses. Research and development expenses were $4.3 million in the fourth quarter of 2024 compared to $3.4 million in the same period in the prior year, representing a 25% increase. Selling, general, and administrative expenses were $24.2 million in the fourth quarter of 2024, compared to $23.7 million in the same period in the prior year, representing a 2% increase. Adjusted operating expenses1,2 were $24.4 million in the fourth quarter of 2024, up from $22.3 million in the same period in the prior year, representing a 9% increase.

Net loss was $11.8 million, or a loss of $0.23 per share, in the fourth quarter of 2024, compared to a net loss of $10.7 million, or a loss of $0.22 per share, in the same period in the prior year.

Full Year 2024 Financial Results
Revenue for full year 2024 was $79.9 million, a decrease of 1% compared to full year 2023. Surgical Glaucoma revenue was $75.9 million for full year 2024, an increase of 2% compared to full year 2023. Dry Eye revenue was $4.0 million for full year 2024, a decrease compared to $6.7 million in full year 2023.

Gross profit for full year 2024 was $68.3 million compared to $69.2 million in full year 2023 primarily due to higher overhead costs per unit on lower production volumes, offset by product revenue mix towards higher margin Surgical Glaucoma revenue. Gross margin for full year 2024 and full year 2023 was 85%. Surgical Glaucoma gross margin in full year 2024 of 88% was flat compared to full year 2023. Dry Eye gross margin in full year 2024 declined to 46%, from 55% in full year 2023, primarily due to higher overhead costs per unit as a result of lower production volumes.

Total operating expenses were $118.8 million in full year 2024, representing a 6% decrease compared to $126.4 million in full year 2023. The decrease was primarily due to lower personnel-related and legal expenses in the current period. Research and development expenses were $18.0 million in full year 2024 compared to $17.6 million in full year 2023, representing a 2% increase. Selling, general, and administrative expenses were $100.8 million in full year 2024, compared to $108.9 million in full year 2023, representing a 7% decrease. Adjusted operating expenses1,2 were $101.3 million in full year 2024, down from $110.3 million in full year 2023, representing an 8% decrease.

Net loss was $51.5 million, or a loss of $1.03 per share, for full year 2024, compared to a loss of $55.5 million, or a loss of $1.14 per share, for full year 2023.

Cash and cash equivalents totaled $120.4 million and total long-term debt was $40.0 million (before debt discount and amortized debt issuance costs) as of December 31, 2024, compared to $118.6 million and $35.0 million, respectively, as of September 30, 2024. Cash used in full year 2024 totaled $17.8 million, compared to $46.9 million of cash used in full year 2023, reflecting continued operational discipline and a substantial improvement in working capital. Cash used in full year 2024 included the closing of a new senior secured credit facility with Hercules Capital, Inc. and certain affiliates of Hercules with an initial $35.0 million drawn from the facility to refinance its prior senior credit facility, and an additional $5.0 million drawn in December 2024 for general corporate purposes.

2025 Financial Guidance
Sight Sciences expects its revenue for full year 2025 to range from $70.0 million to $75.0 million, representing a 6% to 12% decline compared to full year 2024 revenue. This guidance range reflects the expected impacts to the MIGS market associated with the new Medicare LCDs that became effective in most states in mid-November 2024, which restrict Medicare coverage for multiple MIGS procedures when performed at the same time as a cataract procedure. This guidance range also assumes revenue of approximately $1.0 million for the full year 2025 for the Dry Eye segment and does not contemplate achievement of positive reimbursement coverage or payment decisions for Dry Eye in full year 2025.

The Company expects adjusted operating expenses1,3 for full year 2025 to range from $105.0 million to $107.0 million, representing an increase of 4% to 6% compared to adjusted operating expenses for full year 2024. The estimated 2025 adjusted operating expenses reflect plans to invest in standalone pseudophakic Surgical Glaucoma market development, expand TearCare market access, and increase research and development, and do not assume expansion of the commercial Dry Eye team with achievement of positive reimbursement coverage or payment decisions.

The Company's full year 2025 financial guidance is forward-looking in nature, reflecting management’s expectations as of March 5, 2025, and is subject to significant risks and uncertainties that limit its ability to accurately forecast results. This outlook assumes no meaningful changes to the Company's business prospects or risks and uncertainties identified by management that could impact future results, which include, but are not limited to: changes to reimbursement coverage or payment decisions or reimbursement rates for our products, pricing pressure or changes in market share resulting from the evolving competitive landscape; the impact of tariffs on our products and the medical device industry generally; and disruptions to or increased costs associated with our supply chain, including as a result of having a limited number of suppliers. 

1 “Adjusted operating expenses” is a financial measure not prepared in accordance with generally accepted accounting principles in the United States (“GAAP”, and therefore such a measure, is a “non-GAAP financial measure”), and is calculated as operating expenses less stock-based compensation expense, depreciation and amortization, restructuring costs, and other one-time costs. Please see the “Non-GAAP Financial Measures” section below for additional information.
2 A reconciliation of the non-GAAP financial measures to the most directly comparable GAAP financial measures has been provided in the table titled "Non-GAAP to GAAP Reconciliation" attached to this press release.
3 Consistent with Securities and Exchange Commission (“SEC”) regulations, the Company has not provided a reconciliation of forward-looking non-GAAP financial measures to the most directly comparable GAAP financial measures in reliance on the “unreasonable efforts” exception set forth in the applicable regulations, because there is substantial uncertainty associated with predicting any future adjustments that may be made to the Company’s GAAP financial measures in calculating the non-GAAP financial measures.

Non-GAAP Financial Measures
Certain non-GAAP financial measures, including adjusted operating expenses, are presented in this press release to provide information that may assist investors in understanding the Company's financial and operating results. The Company believes these non-GAAP financial measures are important performance indicators because they exclude items that are unrelated to, and may not be indicative of, the Company's core financial and operating results. These non-GAAP financial measures, as calculated, may not necessarily be comparable to similarly titled measures of other companies and may not be appropriate measures for comparing the performance of other companies relative to the Company. These non-GAAP financial measures are not intended to represent, and should not be considered to be more meaningful measures than, or alternatives to, measures of operating performance as determined in accordance with GAAP. To the extent the Company utilizes such non-GAAP financial measures in the future, it expects to calculate them using a consistent method from period to period.

Conference Call
Sight Sciences' management team will host a conference call today, March 5, 2025, beginning at 1:30 p.m. Pacific Time / 4:30 p.m. Eastern Time. Investors interested in listening to the conference call may do so by accessing a live and archived webcast of the event at www.sightsciences.com, on the Investors page in the News & Events section.

About Sight Sciences
Sight Sciences is an eyecare technology company focused on developing and commercializing innovative and interventional solutions intended to transform care and improve patients’ lives. Using minimally invasive or non-invasive approaches to target the underlying causes of the world’s most prevalent eye diseases, Sight Sciences seeks to create more effective treatment paradigms that enhance patient care and supplant conventional outdated approaches. The Company’s OMNI® Surgical System is an implant-free glaucoma surgery technology (i) indicated in the United States to reduce intraocular pressure in adult patients with primary open-angle glaucoma; and (ii) CE Marked for the catheterization and transluminal viscodilation of Schlemm’s canal and cutting of the trabecular meshwork to reduce intraocular pressure in adult patients with open-angle glaucoma. Glaucoma is the world’s leading cause of irreversible blindness. The SION® Surgical Instrument is a bladeless, manually operated device used in ophthalmic surgical procedures to excise trabecular meshwork. The Company’s TearCare® System is 510(k) cleared in the United States for the application of localized heat therapy in adult patients with evaporative dry eye disease due to meibomian gland disease (“MGD”), enabling clearance of gland obstructions by physicians to address the leading cause of dry eye disease. Visit www.sightsciences.com for more information.

Sight Sciences, the Sight Sciences logo, TearCare, SmartHub and SmartLids are trademarks of Sight Sciences registered in the United States. OMNI and SION are trademarks of Sight Sciences registered in the United States, European Union and other territories.

© 2025 Sight Sciences. All rights reserved.

Forward-Looking Statements
This press release, together with other statements and information publicly disseminated by the Company, contains certain forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. The Company intends such forward-looking statements to be covered by the safe harbor provisions for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995 and includes this statement for purposes of complying with these safe harbor provisions. Any statements made in this press release or during the earnings call that are not statements of historical fact, including statements about our beliefs and expectations, are forward-looking statements and should be evaluated as such. Forward-looking statements include, but are not limited to, statements concerning our focus on advancing our strategic initiatives, including building commercial momentum in MIGS through a continued commitment to education and engagement with our customers, establishing equitable reimbursement for TearCare, and publishing new clinical and cost data supporting the adoption and use of our portfolio of interventional technologies; our belief that OMNI will continue to be a market-leading choice for surgeons treating their glaucoma patients; expected release of our next generation OMNI release in the first half of 2025; and our 2025 revenue and adjusted operating expenses guidance, and the primary factors impacting our ability to achieve our guidance.

These statements often include words such as "anticipate," "expect," “suggests,” “plan,” “believe,” “intend,” “estimates,” “targets,” “projects,” “should,” “could,” “would,” “may,” “will,” “forecast” and other similar expressions. We base these forward-looking statements on our current expectations, plans and assumptions we have made in light of our experience in the industry, as well as our perceptions of historical trends, current conditions, expected future developments and other factors we believe are appropriate under the circumstances at such time. Although we believe these forward-looking statements are based on reasonable assumptions at the time they are made, you should be aware that many factors could affect our business, results of operations and financial condition and could cause actual results to differ materially from those expressed in the forward-looking statements. These statements are not guarantees of future performance or results. These forward-looking statements are subject to and involve numerous risks, uncertainties and assumptions, including those discussed under the caption “Risk Factors” in our filings with the SEC, as may be updated from time to time in subsequent filings, and you should not place undue reliance on these statements. These cautionary statements are made only as of the date of this press release. We undertake no obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise, except as required by applicable law.

Investor contact:
Philip Taylor
Gilmartin Group
415.937.5406
Investor.Relations@Sightsciences.com

Media contact:
pr@SightSciences.com

SIGHT SCIENCES, INC.
Consolidated Balance Sheets (Unaudited)
(in thousands, except share and per share data)
 
 December 31,  December 31, 
 2024  2023 
Assets     
Current assets:     
Cash and cash equivalents$120,357  $138,129 
Accounts receivable, net of allowance for credit losses of $689 and $1,186 at December 31, 2024 and 2023, respectively 10,786   14,289 
Inventory, net 6,325   7,849 
Prepaid expenses and other current assets 2,306   2,604 
Total current assets 139,774   162,871 
Property and equipment, net 1,580   1,640 
Operating lease right-of-use assets 935   1,458 
Other noncurrent assets 550   682 
Total assets$142,839  $166,651 
Liabilities and stockholders’ equity     
Current liabilities:     
Accounts payable$1,691  $1,731 
Accrued compensation 9,680   4,528 
Accrued and other current liabilities 4,097   3,774 
Current portion - long-term debt, net    2,219 
Total current liabilities 15,468   12,252 
Long-term debt, net of current portion 39,356   31,708 
Other noncurrent liabilities 492   2,476 
Total liabilities 55,316   46,436 
Commitments and contingencies     
Stockholders’ equity:     
Preferred stock, par value $0.001 per share; 10,000,000 shares authorized; no shares issued and outstanding as of December 31, 2024 and 2023, respectively     
Common stock, par value $0.001 per share; 200,000,000 shares authorized; 50,937,999 and 49,131,363 shares issued and outstanding as of December 31, 2024 and 2023, respectively 51   49 
Additional paid-in-capital 433,769   414,956 
Accumulated deficit (346,297)  (294,790)
Total stockholders’ equity 87,523   120,215 
Total liabilities and stockholders’ equity$142,839  $166,651 
        


SIGHT SCIENCES, INC.
Consolidated Statements of Operations and Comprehensive Loss (Unaudited)
(in thousands, except share and per share data)
 
 Three Months Ended
December 31,
  Years Ended
December 31,
 
 2024  2023  2024  2023 
Revenue$19,074  $18,751  $79,866  $81,056 
Cost of goods sold 2,513   2,776   11,581   11,881 
Gross profit 16,561   15,975   68,285   69,175 
Operating expenses:           
Research and development 4,293   3,427   17,991   17,556 
Selling, general and administrative 24,197   23,658   100,826   108,893 
Total operating expenses 28,490   27,085   118,817   126,449 
Loss from operations (11,929)  (11,110)  (50,532)  (57,274)
Investment income 1,289   1,790   5,917   7,289 
Interest expense (1,161)  (1,351)  (4,662)  (5,408)
Loss on debt extinguishment       (1,962)   
Other income (expense), net (7)  (10)  (32)  (44)
Loss before income taxes (11,808)  (10,681)  (51,271)  (55,437)
Provision for income taxes 38   10   236   110 
Net loss and comprehensive loss$(11,846) $(10,691) $(51,507) $(55,547)
Net loss per share attributable to common stockholders, basic and diluted$(0.23) $(0.22) $(1.03) $(1.14)
Weighted-average shares used in computing net loss per share attributable to common stockholders, basic and diluted 50,797,080   48,897,261   50,134,104   48,628,940 
                


SIGHT SCIENCES, INC.
Gross Margin Disaggregation (Unaudited)
(in thousands)
 
 Three Months Ended December 31,
  Years Ended December 31,
 
 2024  2023
  2024
  2023
 
Revenue              
Surgical Glaucoma$18,770  $17,152  $75,902  $74,310 
Dry Eye 304   1,599   3,964   6,746 
Total 19,074   18,751   79,866   81,056 
Cost of goods sold              
Surgical Glaucoma 2,364   2,022   9,448   8,830 
Dry Eye 149   754   2,133   3,051 
Total 2,513   2,776   11,581   11,881 
Gross profit              
Surgical Glaucoma 16,406   15,130   66,454   65,480 
Dry Eye 155   845   1,831   3,695 
Total 16,561   15,975   68,285   69,175 
Gross margin              
Surgical Glaucoma 87.4%  88.2%  87.6%  88.1%
Dry Eye 51.0%  52.8%  46.2%  54.8%
Total 86.8%  85.2%  85.5%  85.3%
                


SIGHT SCIENCES, INC.
GAAP to Non-GAAP Reconciliation (Unaudited)
(in thousands)
 
 Three Months Ended December 31,
  Years Ended December 31, 
 2024
  2023
  2024
  2023
 
Operating expenses:               
Total Operating expenses$28,490  $27,085  $118,817  $126,449 
Less: Stock-based compensation (3,915)  (3,378)  (16,763)  (14,293)
Less: Depreciation & amortization (176)  (190)  (712)  (645)
Less: Restructuring costs    (1,187)     (1,187)
Adjusted Operating Expenses (4) 24,399   22,330   101,342   110,324 
                

4 Please see section titled "Non-GAAP Financial Measures" for additional information.

SIGHT SCIENCES, INC.
Supplemental Financial Measures (Unaudited)
   
 Three Months Ended
December 31,
 
 2024  2023 
Surgical Glaucoma active customers (5)1,138  1,064 
Dry Eye lid treatment units sold (6)1,125  5,207 
Dry Eye active customers (7)83  327 
      

5 “Surgical Glaucoma active customers” means the number of customers who ordered the OMNI Surgical System or the SION Surgical Instrument during the three months ended December 31, 2024 and 2023.
6 “Dry Eye lid treatment units sold” means the quantity of TearCare SmartLids® sold during the three months ended December 31, 2024 and 2023.
7 Dry Eye active customers” means the number of customers who ordered lid treatment units during the three months ended December 31, 2024 and 2023.


FAQ

What are Sight Sciences' (SGHT) revenue projections for 2025?

SGHT projects 2025 revenue between $70-75M, representing a 6-12% decline from 2024 due to Medicare LCD restrictions.

How did SGHT's Surgical Glaucoma segment perform in Q4 2024?

Surgical Glaucoma revenue grew 9% to $18.8M, driven by 7% increase in ordering accounts and 6% increase in utilization.

What was SGHT's cash position at the end of 2024?

Cash and cash equivalents totaled $120.4M with long-term debt of $40.0M as of December 31, 2024.

How much did SGHT reduce its operating expenses in 2024?

Full-year operating expenses decreased by $7.6M (6%) to $118.8M compared to 2023.

What was SGHT's gross margin in Q4 2024?

Q4 2024 gross margin improved to 87%, up from 85% in the same period last year.
Sight Sciences, Inc.

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