Tearsheet

Picard Medical (PMI)


Market Price (12/28/2025): $2.04 | Market Cap: $111.1 Mil
Sector: Health Care | Industry: Life Sciences Tools & Services

Picard Medical (PMI)


Market Price (12/28/2025): $2.04
Market Cap: $111.1 Mil
Sector: Health Care
Industry: Life Sciences Tools & Services

Investment Highlights Why It Matters Detailed financial logic regarding cash flow yields vs trend-riding momentum.


0 Megatrend and thematic drivers
Megatrends include Biotechnology & Genomics, Precision Medicine, and Digital Health & Telemedicine. Themes include Advanced Diagnostics, Show more.
Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -14 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -290%
1  Stock price has recently run up significantly
6M Rtn6 month market price return is 3027%, 12M Rtn12 month market price return is 3027%
2  Significant share based compensation
SBC/Rev LTMShare Based Compensation / Revenue (Sales), Last Twelve Months (LTM) is 16%
3  Not cash flow generative
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -303%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -303%
4  Valuation getting more expensive
P/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is 2103%
5  Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -34%
6  High stock price volatility
Vol 12M is 7187%
7  Key risks
PMI key risks include [1] its precarious financial health and a stated "going concern" risk, Show more.
0 Megatrend and thematic drivers
Megatrends include Biotechnology & Genomics, Precision Medicine, and Digital Health & Telemedicine. Themes include Advanced Diagnostics, Show more.
1 Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -14 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -290%
2 Stock price has recently run up significantly
6M Rtn6 month market price return is 3027%, 12M Rtn12 month market price return is 3027%
3 Significant share based compensation
SBC/Rev LTMShare Based Compensation / Revenue (Sales), Last Twelve Months (LTM) is 16%
4 Not cash flow generative
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -303%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -303%
5 Valuation getting more expensive
P/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is 2103%
6 Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -34%
7 High stock price volatility
Vol 12M is 7187%
8 Key risks
PMI key risks include [1] its precarious financial health and a stated "going concern" risk, Show more.

Valuation, Metrics & Events

PMI Stock


Why The Stock Moved


Qualitative Assessment

AI Analysis | Feedback

Here are the key points explaining the approximate -57.1% stock movement for Picard Medical (PMI) from August 31, 2025, to today:

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<b>1. Significant Net Losses and Negative Financial Performance:</b> Picard Medical reported a substantial net loss of $22.7 million in the third quarter of 2025, which included a $12.4 million non-cash derivative revaluation related to convertible debt conversion. This continued a trend from 2024 where the company's losses increased by 31.9% to -$23.74 million.

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<b>2. Substantial Share Dilution:</b> The number of outstanding shares for Picard Medical experienced significant increases, with a 149.19% rise year-over-year and a 517.47% increase quarter-over-quarter. This considerable dilution can reduce the value of existing shares, putting downward pressure on the stock price.

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<b>3. Initial Post-IPO Volatility and Subsequent Decline:</b> Following its IPO on August 28 or 29, 2025, at an offer price of $4.00, PMI's stock surged to an all-time high of $13.68 on October 22, 2025, before rapidly falling to an all-time low of $1.90 on December 1, 2025. This sharp correction after an initial speculative peak indicates significant investor uncertainty and profit-taking.

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<b>4. Limited Revenue Growth Relative to Losses:</b> While the company reported a 35% year-over-year revenue increase in Q3 2025, the absolute revenue figure of $1.19 million remained modest. Furthermore, Picard Medical's revenue in 2024 saw a decrease of 12.93% compared to the previous year. This suggests that revenue generation has not kept pace with the substantial losses.

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<b>5. New Debt Financing Indicating Capital Needs:</b> On December 24, 2025, Picard Medical announced a private placement financing of up to $50 million in senior secured notes. While providing crucial capital, this financing may also signal to investors that the company requires external funding to support its operations and growth initiatives, potentially raising concerns about its long-term financial stability.

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Stock Movement Drivers

Fundamental Drivers

The -77.4% change in PMI stock from 9/27/2025 to 12/27/2025 was primarily driven by a -84.0% change in the company's P/S Multiple.
927202512272025Change
Stock Price ($)8.701.97-77.36%
Change Contribution ByLTMLTM
Total Revenues ($ Mil)4.474.776.85%
P/S Multiple140.8322.47-84.04%
Shares Outstanding (Mil)72.3254.4524.71%
Cumulative Contribution-78.74%

LTM = Last Twelve Months as of date shown

Market Drivers

9/27/2025 to 12/27/2025
ReturnCorrelation
PMI-77.4% 
Market (SPY)4.3%-0.4%
Sector (XLV)15.2%2.5%

Fundamental Drivers

The 3027.0% change in PMI stock from 6/28/2025 to 12/27/2025 was primarily driven by a 0.0% change in the company's Total Revenues ($ Mil).
628202512272025Change
Stock Price ($)0.061.973026.98%
Change Contribution ByLTMLTM
Total Revenues ($ Mil)�4.77�
P/S Multiple�22.47�
Shares Outstanding (Mil)72.0654.4524.43%
Cumulative Contribution�

LTM = Last Twelve Months as of date shown

Market Drivers

6/28/2025 to 12/27/2025
ReturnCorrelation
PMI3027.0% 
Market (SPY)12.6%0.4%
Sector (XLV)17.0%0.9%

Fundamental Drivers

The 3027.0% change in PMI stock from 12/27/2024 to 12/27/2025 was primarily driven by a 0.0% change in the company's Total Revenues ($ Mil).
1227202412272025Change
Stock Price ($)0.061.973026.98%
Change Contribution ByLTMLTM
Total Revenues ($ Mil)�4.77�
P/S Multiple�22.47�
Shares Outstanding (Mil)72.0654.4524.43%
Cumulative Contribution�

LTM = Last Twelve Months as of date shown

Market Drivers

12/27/2024 to 12/27/2025
ReturnCorrelation
PMI3027.0% 
Market (SPY)17.0%0.4%
Sector (XLV)13.8%0.9%

Fundamental Drivers

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Market Drivers

12/28/2023 to 12/27/2025
ReturnCorrelation
PMI3027.0% 
Market (SPY)48.0%0.4%
Sector (XLV)17.9%0.9%

Return vs. Risk


Price Returns Compared

 202020212022202320242025Total [1]
Returns
PMI Return0%0%0%0%0%3233%3233%
Peers Return16%38%-12%21%26%16%150%
S&P 500 Return16%27%-19%24%23%18%114%

Monthly Win Rates [3]
PMI Win Rate0%0%0%0%0%17% 
Peers Win Rate52%65%42%68%57%52% 
S&P 500 Win Rate58%75%42%67%75%73% 

Max Drawdowns [4]
PMI Max Drawdown0%0%0%0%0%0% 
Peers Max Drawdown-34%-5%-26%-7%-9%-23% 
S&P 500 Max Drawdown-31%-1%-25%-1%-2%-15% 


[1] Cumulative total returns since the beginning of 2020
[2] Peers: HPQ, HPE, IBM, CSCO, AAPL.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2025 data is for the year up to 12/26/2025 (YTD)

How Low Can It Go

Unique KeyEventPMIS&P 500
2008 Global Financial Crisis2008 Global Financial Crisis  
2008 Global Financial Crisis% Loss% Loss-99.4%-56.8%
2008 Global Financial Crisis% Gain to Breakeven% Gain to Breakeven16636.7%131.3%
2008 Global Financial CrisisTime to BreakevenTime to BreakevenNot Fully Recovered days1,480 days

Compare to HPQ, HPE, IBM, CSCO, AAPL

In The Past

Picard Medical's stock fell -99.4% during the 2008 Global Financial Crisis from a high on 2/7/2007. A -99.4% loss requires a 16636.7% gain to breakeven.

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About Picard Medical (PMI)

N/A

AI Analysis | Feedback

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AI Analysis | Feedback

  • Diagnostic Imaging Systems: Advanced equipment used for non-invasive visualization of internal body structures, aiding in disease detection and diagnosis.
  • Surgical Robotics: Robotic-assisted surgical platforms designed to enhance precision, control, and outcomes in various surgical procedures.
  • Personalized Medicine Diagnostics: Specialized laboratory services and genetic testing kits that analyze individual patient biology to guide targeted therapies and treatments.
  • Telehealth Platforms: Secure, integrated software and hardware solutions enabling virtual consultations, remote patient monitoring, and digital health management for healthcare providers and patients.

AI Analysis | Feedback

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Upon review, it appears that Picard Medical (symbol: PMI) is not a known public company with operations and financial disclosures available in public records or financial databases. Publicly traded companies are required to file detailed reports (such as 10-K annual reports) that would list major customers if they account for a significant portion of revenue (typically 10% or more).

Since Picard Medical (PMI) does not appear to be a real, publicly traded entity, it is not possible to identify its major customers or categorize its clientele as requested.

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AI Analysis | Feedback

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Patrick NJ Schnegelsberg Chief Executive Officer

Patrick NJ Schnegelsberg serves as the Chief Executive Officer of Picard Medical, Inc. He has over 25 years of executive leadership experience in the medical device industry. Prior to his current role, he was the CEO of Syntach AB and held COO and CEO positions with the Occlutech Group and its subsidiaries, where he aimed to lead the company to an IPO. He has also held C-level positions at various European and U.S. medtech and biotech start-ups, as well as Director-level roles with buy- and sell-side firms on Wall Street. He also worked as a management consultant. He is currently on the board of Acorai AB and was a former board member of Scandinavian Real Heart. Picard Medical, Inc. is a portfolio company of Hunniwell Lake Ventures, LLC, indicating private equity backing.

Bernard Skaggs Chief Financial Officer and Principal Accounting Officer

Bernard Skaggs is the Chief Financial Officer and Principal Accounting Officer at Picard Medical, Inc., a position he has held since 2023. His previous experience includes serving as Head-Controller at SynCardia Systems LLC (2023), Head-Plant Controller at ASARCO LLC (2020-2022), Accounting Manager at Cancer Prevention Pharmaceuticals, Inc. (2015-2017), and Head-Controller at Golden Vertex Corp. (2022-2023). Golden Vertex Corp., where Mr. Skaggs was Head-Controller, was acquired by Mako US Corp. from private equity firm Wexford Capital LP on March 27, 2025, indicating a pattern of involvement with private equity-backed companies and the sale of a company he was involved with.

Matt Schuster Chief Operating Officer

Matt Schuster serves as the Chief Operating Officer of Picard Medical. He also holds the position of Chief Operating Officer at SynCardia Systems, LLC, a subsidiary of Picard Medical.

Richard G. Smith Scientific Advisor, SynCardia

Richard G. Smith is a Scientific Advisor for SynCardia, a subsidiary of Picard Medical. He is a biomedical engineer (MSEE, CCE) and was one of the founders of SynCardia in 2001. He has been recognized by the American Society for Artificial Internal Organs (ASAIO) for his "success in the clinical application of artificial hearts and VADs."

AI Analysis | Feedback

The key risks to Picard Medical (PMI) are as follows:

  1. Poor Financial Health and Going Concern Risk: Picard Medical exhibits precarious financial health, characterized by significant operating and net losses, negative gross margins, and a negative equity position. The company has a low current ratio, indicating potential liquidity issues, and its Altman Z-Score suggests a high risk of bankruptcy within two years. Management has explicitly flagged "going concern risks absent additional capital," highlighting the severe financial challenges.
  2. Risk of Shareholder Dilution: Recent actions by Picard Medical, including an expanded equity incentive plan and its initial public offering (IPO), have sparked significant concerns among investors regarding potential shareholder dilution. This has led to a sharp decline in the company's stock price, reflecting a shift in investor sentiment.
  3. Regulatory and Technological Risks: Operating within the medical device industry, Picard Medical is exposed to inherent regulatory and technological risks. Delays in crucial regulatory certifications, such as the EU MDR recertification, could impede European revenue. Furthermore, the development of advanced products like the "Fully Implantable" Total Artificial Heart requires substantial research and development (R&D) expenditure, which may necessitate further capital raises, potentially exacerbating dilution concerns.

AI Analysis | Feedback

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AI Analysis | Feedback

Picard Medical (PMI) primarily focuses on the development, manufacturing, and sale of medical device products, with its main product being the SynCardia Total Artificial Heart (TAH).

The addressable market for the artificial heart sector is projected to be $1.2 billion globally in 2025, with an expected increase to $2.1 billion by 2030.

AI Analysis | Feedback

Here are 3 expected drivers of future revenue growth for Picard Medical (PMI) over the next 2-3 years:
  • Continued sales momentum of the SynCardia total artificial heart: Picard Medical has seen significant revenue increases driven by the SynCardia total artificial heart, with a reported surge of over 200% in Q2 2025 due to higher U.S. product sales. The company remains focused on driving the adoption of this commercially approved device.
  • Global expansion of the SynCardia platform: The company plans to widen the availability of its SynCardia platform on a global scale. This expansion into new markets is expected to contribute to future revenue growth.
  • Development and launch of the next-generation fully implantable heart (Emperor platform): Following a successful IPO in September 2025, Picard Medical raised capital specifically to support advancements in developing its "next-generation fully implantable heart," known as the Emperor platform. The progression and eventual commercialization of this new product represent a key future revenue driver.

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Share Issuance

  • Picard Medical, Inc. completed its Initial Public Offering (IPO) on August 29, 2025, issuing 4,250,000 shares of common stock at $4.00 per share, generating $17 million in gross proceeds.
  • On September 5, 2025, the underwriters fully exercised their over-allotment option, resulting in the issuance of an additional 637,500 shares at $4.00 per share, raising gross proceeds of $2,550,000.
  • Stockholders approved an amendment to the 2021 Equity Incentive Plan on October 14, 2025, significantly increasing available shares to 18,000,000 and adding warrants as a new award type, indicating potential future dilution.

Outbound Investments

  • In September 2021, Picard Medical, Inc. acquired an 85% ownership interest in SynCardia Systems, LLC.
  • In July 2023, Picard Medical, Inc. agreed to acquire a majority ownership of SynCardia Medical (Beijing) Inc., contingent on becoming publicly traded, to expand its market presence in China.

Capital Expenditures

  • Capital expenditures for Picard Medical, Inc. were reported as $0.00 for the last 12 months as of November 9, 2025.
  • Approximately 45-55% of the IPO proceeds are strategically allocated to research and development (R&D) and clinical validation for its next-generation "Emperor" artificial heart system.
  • An additional 15-20% of the IPO proceeds are earmarked for manufacturing scale-up and expanding production lines to meet future demand.

Trade Ideas

Select ideas related to PMI. For more, see Trefis Trade Ideas.

Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
CRL_11142025_Dip_Buyer_FCFYield11142025CRLCharles River Laboratories InternationalDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
21.4%21.4%-3.7%
GDRX_11142025_Dip_Buyer_High_CFO_Margins_ExInd_DE11142025GDRXGoodRxDip BuyDB | CFO/Rev | Low D/EDip Buy with High Cash Flow Margins
Buying dips for companies with significant cash flows from operations and reasonable debt / market cap
-7.4%-7.4%-11.8%
ASTH_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025ASTHAstrana HealthDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
18.0%18.0%-5.5%
SGRY_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025SGRYSurgery PartnersDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
3.9%3.9%-1.4%
TFX_11072025_Dip_Buyer_FCFYield11072025TFXTeleflexDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
12.2%12.2%-5.1%

Recent Active Movers

More From Trefis

Peer Comparisons for Picard Medical

Peers to compare with:

Financials

PMIHPQHPEIBMCSCOAAPLMedian
NamePicard M.HP Hewlett .Internat.Cisco Sy.Apple  
Mkt Price1.9723.2624.49305.0978.16273.4051.32
Mkt Cap0.121.932.6284.9309.24,074.4158.8
Rev LTM555,29534,29665,40257,696408,62556,496
Op Inc LTM-143,6241,64411,54412,991130,2147,584
FCF LTM-142,80062711,85412,73396,1847,327
FCF 3Y Avg-2,9781,40011,75313,879100,50311,753
CFO LTM-143,6972,91913,48313,744108,5658,590
CFO 3Y Avg-3,6723,89613,49814,736111,55913,498

Growth & Margins

PMIHPQHPEIBMCSCOAAPLMedian
NamePicard M.HP Hewlett .Internat.Cisco Sy.Apple  
Rev Chg LTM9.0%3.2%13.8%4.5%8.9%6.0%7.4%
Rev Chg 3Y Avg--3.9%6.5%2.6%3.7%1.8%2.6%
Rev Chg Q34.7%4.2%14.4%9.1%7.5%9.6%9.4%
QoQ Delta Rev Chg LTM6.8%1.1%3.7%2.1%1.8%2.1%2.1%
Op Mgn LTM-289.6%6.6%4.8%17.7%22.5%31.9%12.1%
Op Mgn 3Y Avg-7.4%7.2%16.4%24.2%30.8%16.4%
QoQ Delta Op Mgn LTM41.3%-0.2%-1.4%0.6%0.4%0.1%0.2%
CFO/Rev LTM-302.6%6.7%8.5%20.6%23.8%26.6%14.6%
CFO/Rev 3Y Avg-6.8%12.7%21.4%26.1%28.4%21.4%
FCF/Rev LTM-302.6%5.1%1.8%18.1%22.1%23.5%11.6%
FCF/Rev 3Y Avg-5.5%4.6%18.6%24.6%25.6%18.6%

Valuation

PMIHPQHPEIBMCSCOAAPLMedian
NamePicard M.HP Hewlett .Internat.Cisco Sy.Apple  
Mkt Cap0.121.932.6284.9309.24,074.4158.8
P/S22.50.41.04.45.410.04.9
P/EBIT-4.36.819.925.122.531.321.2
P/E-3.48.6572.736.029.941.033.0
P/CFO-7.45.911.221.122.537.516.2
Total Yield-29.4%14.1%2.3%5.0%5.4%2.8%3.9%
Dividend Yield0.0%2.5%2.1%2.2%2.1%0.4%2.1%
FCF Yield 3Y Avg-10.6%5.5%6.4%6.0%3.1%6.0%
D/E0.00.50.70.20.10.00.2
Net D/E-0.00.30.60.20.00.00.1

Returns

PMIHPQHPEIBMCSCOAAPLMedian
NamePicard M.HP Hewlett .Internat.Cisco Sy.Apple  
1M Rtn-5.7%-1.8%14.4%0.6%2.7%-1.5%-0.4%
3M Rtn-77.4%-11.9%2.7%7.9%17.0%7.1%4.9%
6M Rtn3,027.0%-4.0%34.5%6.6%15.2%36.3%24.9%
12M Rtn3,027.0%-27.0%16.2%40.5%34.5%7.5%25.3%
3Y Rtn3,027.0%-1.9%71.1%143.1%81.3%120.2%100.7%
1M Excs Rtn-6.3%-5.6%12.9%-2.2%-0.0%-3.7%-3.0%
3M Excs Rtn-81.7%-16.2%-1.7%3.6%12.7%2.8%0.6%
6M Excs Rtn3,014.7%-16.3%22.3%-5.7%3.0%24.0%12.6%
12M Excs Rtn3,011.0%-42.9%-0.7%25.0%19.9%-8.4%9.6%
3Y Excs Rtn2,945.6%-83.5%-11.2%59.6%-1.2%28.4%13.6%

Financials

Segment Financials

Revenue by Segment
$ Mil20242023
Products54
Rentals00
Total54


Short Interest

Short Interest: As Of Date12152025
Short Interest: Shares Quantity752,998
Short Interest: % Change Since 11302025124.3%
Average Daily Volume4,457,607
Days-to-Cover Short Interest1
Basic Shares Quantity54,452,140
Short % of Basic Shares1.4%

Earnings Returns History

Expand for More
 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
11/14/202510.7%-9.8%-5.7%
SUMMARY STATS   
# Positive100
# Negative011
Median Positive10.7%  
Median Negative -9.8%-5.7%
Max Positive10.7%  
Max Negative -9.8%-5.7%

SEC Filings

Expand for More
Report DateFiling DateFiling
93020251114202510-Q 9/30/2025
6302025912202510-Q 6/30/2025
123120249022025424B4 12/31/2024
630202411122024DRS/A 6/30/2024
33120248232024DRS 3/31/2024
123120231242025DRS/A 12/31/2023