Summary of Pulmonx (LUNG) FY Conference Call - June 11, 2025 Company Overview - **Company**: Pulmonx (LUNG) - **Industry**: Medical Device, specifically focused on treatments for severe emphysema - **Market Size**: Total Addressable Market (TAM) is estimated at $12 billion, with 500,000 patients in the U.S. and 700,000 patients outside the U.S. suffering from severe emphysema [3][31] Core Points and Arguments - **Product Acceptance**: The Zephyr valves are broadly reimbursed globally, with established ICD-10 and CPT codes in the U.S. and similar coverage in Europe and Australia [3][28] - **Clinical Evidence**: Pulmonx has conducted over 40,000 treatments with strong clinical results supported by four randomized controlled trials and over 100 publications demonstrating the effectiveness of Zephyr valves [4][6][24] - **Patient Quality of Life**: Patients with severe emphysema experience a significantly worse quality of life than those with stage four lung cancer, highlighting the need for effective treatments [7][25] - **Minimally Invasive Procedure**: The Zephyr valve procedure is minimally invasive, performed via bronchoscopy without incisions, allowing for quicker recovery compared to surgical options [13][20] - **Pipeline Development**: The company is developing next-generation products, including AERISEAL, aimed at patients with collateral ventilation, which currently affects 20-25% of patients [5][52] Financial Performance - **Revenue Growth**: Last year, Pulmonx grew by 22%, with Q1 revenue at $22.5 million. U.S. revenue was $14.2 million, and OUS revenue was $8.3 million [66] - **Profit Margins**: The company reported a gross margin of 73%, with guidance for 74% margins this year [67] - **Cash Position**: Pulmonx has $88.7 million in cash and cash equivalents, with an approximate spend of $30 million [67] Market Opportunity and Strategy - **Patient Identification**: The company has identified a significant gap in treatment, with only 10,000 procedures performed last year compared to the estimated 500,000 eligible patients [35][36] - **Education Initiatives**: Pulmonx is focusing on educating community pulmonologists about the Zephyr valve procedure to increase referrals and treatment rates [38][39] - **Lung Health Screening**: The company is promoting lung health screenings to identify patients with emphysema, leveraging existing lung cancer screening programs [62][63] Reimbursement and Coverage - **Strong Reimbursement**: The procedure is covered under major chest procedures with a high percentage of patient volume coming from Medicare (73%) [29][30] - **Coding and Payment**: The company has established CPT and ICD-10 codes for the procedure, ensuring broad coverage and reimbursement [28][29] Global Expansion - **International Markets**: Pulmonx is expanding into China and Japan, with a distribution agreement in China and a post-approval study in Japan expected to roll out in 2026 [48][50] Additional Insights - **Patient Success Stories**: Many patients report significant improvements in their ability to perform daily activities post-treatment, with some able to walk two miles after previously being unable to walk to the bathroom [22][23] - **Technology Integration**: The company is utilizing AI and cloud-based solutions to streamline patient identification and treatment workflows [58][59] This summary encapsulates the key points from the Pulmonx FY Conference Call, highlighting the company's market position, clinical evidence, financial performance, and strategic initiatives.