InspireMD, Inc. (NASDAQ: NSPR)

Sector: Healthcare Industry: Medical Devices CIK: 0001433607
Market Cap 97.41 Mn
P/B 1.52
P/E -2.11
P/S 12.52
ROIC (Qtr) -105.11
Div Yield % 0.00
Rev 1y % (Qtr) 39.39
Total Debt (Qtr) 2.37 Mn
Debt/Equity (Qtr) 0.04
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About

InspireMD, Inc. (NSPR) is a company that operates in the medical device industry, with a focus on the development and commercialization of its proprietary MicroNet mesh platform technology for the treatment of carotid artery disease and other vascular diseases. The company's main business activities include the design, manufacture, and sale of its MicroNet-covered stents. These stents are used during carotid artery stenting procedures to prevent embolic protection, which is a crucial aspect of the procedure. Embolic protection refers to the prevention...

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Investment thesis

Bull case

  • Strong tangible asset base of 78.47M provides 33.15x coverage of total debt 2.37M, indicating robust asset backing and low credit risk.
  • Cash reserves of 63.40M provide robust 5.86x coverage of current liabilities 10.82M, indicating strong short-term solvency.
  • Cash reserves of 63.40M provide solid 53.96x coverage of other non-current liabilities 1.18M, indicating strong liquidity.
  • Cash reserves of 63.40M exceed inventory value of 3.61M by 17.58x, indicating strong liquidity and inventory management.
  • Cash position of 63.40M represents healthy 1.06x of working capital 59.58M, demonstrating strong operational liquidity.

Bear case

  • Operating cash flow of (32.51M) barely covers its investment activities of 22.82M, with a coverage ratio of -1.42, indicating heavy reliance on external financing for growth which may not be sustainable in a tighter credit environment.
  • Investment activities of 22.82M provide weak support for R&D spending of 15.22M, which is 1.50x, suggesting potentially insufficient investment in innovation relative to other capital deployment.
  • The company's operating cash flow of (32.51M) shows concerning coverage of stock compensation expenses of 11.83M, with a -2.75 ratio indicating potential earnings quality issues.
  • Free cash flow of (34.07M) provides weak coverage of capital expenditures of 1.56M, with a -21.84 ratio suggesting additional external financing needs for growth initiatives.
  • Operating earnings of (46.14M) show weak coverage of depreciation charges of 408000, with a -113.09 ratio indicating high capital intensity and potential reinvestment needs.

Geographical Breakdown of Revenue (2024)

Peer comparison

Companies in the Medical Devices
S.No. Ticker Company Market Cap P/E P/S Total Debt (Qtr)
1 ABT Abbott Laboratories 173.80 Bn 32.73 5.47 12.94 Bn
2 SYK Stryker Corp 141.15 Bn 43.48 5.62 15.86 Bn
3 MDT Medtronic plc 123.47 Bn 25.92 3.55 29.10 Bn
4 BSX Boston Scientific Corp 112.80 Bn 38.92 5.62 11.44 Bn
5 EW Edwards Lifesciences Corp 45.66 Bn 33.38 7.76 0.70 Bn
6 DXCM Dexcom Inc 27.52 Bn 32.91 5.90 1.34 Bn
7 STE STERIS plc 24.13 Bn 34.08 4.14 2.05 Bn
8 PODD Insulet Corp 17.33 Bn 70.38 6.87 1.01 Bn

Industry comparisons

Current Valuation Value Ind Avg Percentile
EV to Assets EV to Assets 1.13 2.13
EV to Cash from Ops. EV/CFO -2.72 2.75
EV to Debt EV to Debt 37.35 17.25
EV to EBIT EV/EBIT -1.92 2.89
EV to EBITDA EV/EBITDA -1.90 4.53
EV to Free Cash Flow [EV/FCF] EV/FCF -2.59 29.36
EV to Market Cap EV to Market Cap 0.91 25.09
EV to Revenue EV/Rev 11.36 32.80
Price to Book Value [P/B] P/B 1.52 4.73
Price to Earnings [P/E] P/E -2.11 -2.04
Dividend Metrics Value Ind Avg Percentile
Dividend Coverage Ratio Div Coverage (Qtr) 0.00 40.22
Dividend Payout Ratio % Div Payout % (Qtr) 0.00 1.59
Dividend per Basic Share Div per Share (Qtr) 0.00 0.10
FCF Dividend Payout Ratio % FCF Div Payout % (Qtr) 0.00 -0.37
Interest Coverage Int. cover (Qtr) 0.00 196.93
Growth Metrics Value Ind Avg Percentile
Capex Growth (1y) % Capex 1y % (Qtr) -19.72 -152.08
Cash and Equivalents Growth (1y) % Cash & Equiv 1y % (Qtr) 300.83 8,476.58
Dividend Growth (1y) % Dividend Growth (1y) % 0.00 -0.44
EBIAT Growth (1y) % EBIAT 1y % (Qtr) -63.62 -792.16
EBITDA Growth (1y) % EBITDA 1y % (Qtr) -56.64 3.79
EBIT Growth (1y) % EBIT 1y % (Qtr) -63.79 -301.80
EBT Growth (1y) % EBT 1y % (Qtr) -63.79 -121.44
EPS Growth (1y) % EPS 1y % (Qtr) -15.28 -87.51
FCF Growth (1y) % FCF 1y % (Qtr) -65.39 10.43
Gross Profit Growth (1y) % Gross Profit 1y % (Qtr) 25.68 38.21
Liquidity Ratios Value Ind Avg Percentile
Asset Utilization Ratio Asset Util Ratio (Qtr) 0.10 0.55
Cash Payout Ratio Cash Payout (Qtr) 0.00 0.02
Cash Ratio Cash Ratio (Qtr) 5.86 1.80
Current Ratio Curr Ratio (Qtr) 6.51 4.18
Debt to Equity Ratio Debt/Equity (Qtr) 0.04 1.20
Interest Cover Ratio Int Coverage (Qtr) 0.00 196.93
Times Interest Earned Times Interest Earned (Qtr) 0.00 196.93
Profitability Value Ind Avg Percentile
EBITDA Margin % EBITDA Margin % (Qtr) -587.90 -2,396.63
EBIT Margin % EBIT Margin % (Qtr) -593.14 -2,478.60
EBT Margin % EBT Margin % (Qtr) -593.14 -2,690.42
Gross Margin % Gross Margin % (Qtr) 24.90 30.80
Net Profit Margin % Net Margin % (Qtr) -593.90 -2,821.53