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Pulmonx (LUNG) Q2 FY26 earnings call: guidance and Q&A

Earnings call· Jun 2026 (Q2 FY26)· Health Care· Jul 29, 2026

Source: earnings call transcript

Executive summary

Pulmonx Q2 FY26 — Re-accelerating Sales Growth and Operating Leverage

Pulmonx is executing on its strategy to re-accelerate sales growth and drive operating leverage, with Q2 FY26 results showing significant progress in reducing losses and strengthening the balance sheet. The company is rebuilding its U.S. sales force and has secured China registration renewal, positioning for global sales growth later in the year and into next year. Clinical initiatives like the Convert-2 trial continue to advance, aiming for market expansion.

Highlights

5
  • Adjusted EBITDA loss reduced by nearly 40% to $5.1 million in Q2 FY26.

  • Net loss reduced by 34% to $10.1 million in Q2 FY26.

  • International markets (excluding China) grew 9% year-over-year on a constant currency basis.

  • U.S. revenue increased 7% sequentially from Q1 FY26.

  • China registration certificate renewed, enabling resumption of shipments by early next year.

Concerns

4
  • Total worldwide revenue decreased 5% year-over-year to $22.8 million.

  • U.S. revenue decreased 4% year-over-year to $14.2 million.

  • International revenue decreased 6% year-over-year to $8.6 million, primarily due to lack of sales to China.

  • Cash and cash equivalents decreased by $5.8 million from March 31, 2026.

Guidance & targets

CategoryTargetConfidence
Full-year 2026 revenue
$90 million to $92 million
high materiality
High
Full-year 2026 gross margin
approximately 76%
medium materiality
Medium
Full-year 2026 operating expenses
$109 million to $111 million
medium materiality
Medium
Full-year 2026 cash burn
roughly $23 million
medium materiality
High
Global sales growth
at or close to double digits
high materiality
High
Convert-2 pivotal trial enrollment completion
2027
medium materiality
High
China distributor shipments resumption
early next year
medium materiality
High

Segment performance

SegmentRevenueYoYQoQMargin
Worldwide
Total worldwide revenue in Q2 FY26, compared to $23.9 million in Q2 FY25.
Constant currency growth: -6%
$22.8 million-5%——
U.S.
U.S. revenue in Q2 FY26, compared to $14.7 million in Q2 FY25. Sequential increase from Q1 FY26.
New treating centers added: 12
$14.2 million-4%+7%—
International
International revenue in Q2 FY26, compared to $9.1 million in Q2 FY25. The decline was fully attributable to the lack of sales to the China distributor.
Constant currency growth: -9%Excluding China growth: +12% YoYExcluding China constant currency growth: +9% YoY
$8.6 million-6%——

Deals & partnerships

Credit facility provider Restructuring of credit facility extended to 2031

The restructuring extends the maturity of the company's debt to 2031 and provides additional capital access, strengthening the balance sheet.

Risks & headwinds

Sales force ramp-up time ongoing

6 to 9 months for new reps to become productive

Mitigation:Constructive changes to sales training process, leveraging field sales trainers, and utilizing a 'bench' of junior reps.

Seasonality impact on Q3 sales Q3 FY26

Typical sequential decrease in sales from Q2 to Q3 (flat to down a few percent in US)

Mitigation:Acknowledged and factored into guidance; expectation to return to year-over-year growth later in the year.

China revenue delay H2 FY26

No material revenues expected until early next year (CY27)

Mitigation:Focus on restarting commercial activity and reigniting accounts in H2 FY26 after registration renewal.

What to watch in Q3 FY26

Global sales growth trajectory

H2 FY26
Current 5% decrease YoY in Q2 FY26
Target Return to year-over-year growth, exit FY26 at or close to double digits

Why it matters

Verifying the re-acceleration of sales growth is central to the investment thesis and management's key priority.

We remain confident in our ability to achieve our previously communicated revenue guidance of $90 to $92 million for the full year 2026 and remain on track to return to global sales growth later in the year.

Find out whether LUNG delivers this. Inve re-checks your case every morning.

Q&A highlights

Clarification on sales force hiring completion and the expected timeline for new reps to become productive and visibly impact sales.

Management stated that all sales leadership positions are filled, and sales turnover has normalized. While the average tenure is currently lower, they expect increased productivity from new reps and anticipate visible impact, noting improvements in sales training and the presence of a 'bench' of junior reps to accelerate ramp-up.

“The six to nine months is what is correct in terms of what we've seen historically. We've made some very, I think, constructive changes to our sales training process, which I think will, that may modify that six to nine months.”

asked by Frederick Wise · answered by Glendon French

2 min read 5 chapters

Detailed narrative

Operating Leverage and Financial Strength

Pulmonx demonstrated significant progress in driving operating leverage, reducing net loss by 34% to $10.1 million and adjusted EBITDA loss by nearly 40% to $5.1 million in Q2 FY26. These improvements stem from cost alignment initiatives implemented at the start of the year, which reduced recurring operating expenses by over 10%.

The company also strengthened its balance sheet by restructuring its credit facility, extending debt maturity to 2031 and securing access to an additional $20 million in undrawn capital, subject to certain revenue milestones. Cash burn is expected to decrease by nearly 30% in FY26 compared to FY25, to roughly $23 million.

U.S. Commercial Strategy and Sales Force Rebuilding

The company is making strides in re-accelerating U.S. sales growth by focusing on its commercial team. All sales leadership positions have been filled, and sales turnover has normalized to industry standards. The emphasis is on disciplined execution of high-impact selling activities, including setting up efficient valve programs, engaging COPD physicians aligned with Zephyr valve hospitals, concentrating direct-to-patient efforts in geographies with established treating centers, and educating service line administrators for appropriate program resourcing.

This focused approach is expected to build U.S. sales growth through the back half of the year.

International Market Performance and China Re-entry

International markets showed strength and stability, with 9% year-over-year constant currency revenue growth excluding China. The overall international revenue decline of 6% (9% constant currency) was fully attributed to the lack of sales to the China distributor. Pulmonx successfully renewed its Chinese registration certificate in mid-June, a critical step towards resuming commercial activity and distributor shipments by early next year.

The company anticipates reigniting accounts and seeing material revenues from China in early 2027.

Market Expansion through AeroSeal

Expanding the addressable market through AeroSeal remains a central focus. Enrollment in the Convert-2 pivotal trial is progressing, with completion expected in 2027. AeroSeal is believed to represent a significant TAM expansion tool for Zephyr valves, with the potential to increase the global addressable market by approximately 20%.

The company has CE Mark approval for AeroSeal and plans to launch it in European markets sooner than in the U.S., following the publication of ConvertOne data and completion of Convert-2 enrollment in those specific markets.

Seasonality and Outlook for Growth

Pulmonx reiterated its full-year 2026 revenue guidance of $90 million to $92 million. The company acknowledges typical Q3 seasonality, which usually results in a sequential decrease in sales. Despite this, management expects to return to year-over-year global sales growth later in the year, driven by the anniversarying of China shipment suspension impacts and improvements in the U.S. business from the refocused commercial strategy and ramping sales force.

The company aims to exit FY26 growing at or close to double digits, building strong momentum for FY27.

Summary of the company's earnings call; see how call summaries are prepared. Not investment advice.