Nyxoah SA (NASDAQ: NYXH)

Sector: Healthcare Industry: Medical Instruments & Supplies CIK: 0001857190
Market Cap 190.44 Mn
P/B 3.18
P/E -1.93
P/S 28.71
ROIC (Qtr) -83.92
Div Yield % 0.00
Rev 1y % (Qtr) 64.93
Total Debt (Qtr) 24.89 Mn
Debt/Equity (Qtr) 0.42

About

Nyxoah SA, a medical technology company (NYXH:Brussels), operates in the industry of developing and commercializing innovative solutions for Obstructive Sleep Apnea (OSA). With a rich history dating back to 2009, Nyxoah SA is headquartered in Mont-Saint-Guibert, Belgium, and has subsidiaries in Israel, Australia, the United States, and Germany. The company's main business activities include the development and commercialization of innovative solutions for OSA. Nyxoah SA's primary product is the Genio system, a CE-Marked, patient-centric, minimally...

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Price action

Investment thesis

Bull case

  • Healthy cash reserves of 12.79M provide 10.98x coverage of short-term debt 1.16M, demonstrating strong liquidity position and minimal refinancing risk.
  • Tangible assets of 51.17M provide robust 4.26x coverage of other current liabilities 12.01M, indicating strong asset backing.
  • Cash reserves of 12.79M provide solid 6.33x coverage of other non-current liabilities 2.02M, indicating strong liquidity.
  • Cash reserves of 12.79M exceed inventory value of 7.15M by 1.79x, indicating strong liquidity and inventory management.
  • Cash position of 12.79M represents healthy 0.75x of working capital 17.16M, demonstrating strong operational liquidity.

Bear case

  • Operating cash flow of (79.92M) barely covers its investment activities of 34.15M, with a coverage ratio of -2.34, indicating heavy reliance on external financing for growth which may not be sustainable in a tighter credit environment.
  • Investment activities of 34.15M provide weak support for R&D spending of 51.42M, which is 0.66x, suggesting potentially insufficient investment in innovation relative to other capital deployment.
  • The company's operating cash flow of (79.92M) shows concerning coverage of stock compensation expenses of 5.55M, with a -14.40 ratio indicating potential earnings quality issues.
  • Free cash flow of (84.73M) provides weak coverage of capital expenditures of 4.81M, with a -17.63 ratio suggesting additional external financing needs for growth initiatives.
  • Operating cash flow of (79.92M) provides minimal -30.98x coverage of tax expenses of 2.58M, suggesting potential tax planning inefficiencies or unsustainable tax positions.

Peer comparison

Companies in the Medical Instruments & Supplies
S.No. Ticker Company Market Cap P/E P/S Total Debt (Qtr)
1 ISRG Intuitive Surgical Inc 209.14 Bn 76.14 21.76 0.00 Bn
2 BDX Becton Dickinson & Co 58.36 Bn 34.78 2.67 19.18 Bn
3 ALC Alcon Inc 39.57 Bn 37.80 3.89 5.24 Bn
4 RMD Resmed Inc 37.01 Bn 25.74 7.04 0.85 Bn
5 WST West Pharmaceutical Services Inc 19.95 Bn 40.58 6.61 0.30 Bn
6 HOLX Hologic Inc 16.94 Bn 29.95 4.13 2.52 Bn
7 COO Cooper Companies, Inc. 16.64 Bn 44.39 4.07 2.51 Bn
8 SOLV Solventum Corp 15.00 Bn 9.84 1.79 5.14 Bn

Industry comparisons

Current Valuation Value Ind Avg Percentile
EV to Assets EV to Assets 2.00 3.14
EV to Cash from Ops. EV/CFO -2.76 37.60
EV to Debt EV to Debt 8.85 23.10
EV to EBIT EV/EBIT -2.54 50.25
EV to EBITDA EV/EBITDA -2.34 19.58
EV to Free Cash Flow [EV/FCF] EV/FCF -2.60 -19.40
EV to Market Cap EV to Market Cap 1.16 -1.68
EV to Revenue EV/Rev 33.22 171.31
Price to Book Value [P/B] P/B 3.18 6.03
Price to Earnings [P/E] P/E -1.93 204.20
Dividend Metrics Value Ind Avg Percentile
Dividend Coverage Ratio Dividend Coverage Ratio 0.00 -1.11
Dividend Payout Ratio % Div Payout % (Qtr) 0.00 1.52
Dividend per Basic Share Div per Share (Qtr) 0.00 0.25
FCF Dividend Payout Ratio % FCF Div Payout % (Qtr) 0.00 8.75
Interest Coverage Int. cover (Qtr) -9.52 -119.10
Growth Metrics Value Ind Avg Percentile
Capex Growth (1y) % Capex 1y % (Qtr) 30.86 -55.01
Cash and Equivalents Growth (1y) % Cash & Equiv 1y % (Qtr) -59.87 200.65
Dividend Growth (1y) % Dividend Growth (1y) % 0.00 -1.49
EBIAT Growth (1y) % EBIAT 1y % (Qtr) -72.55 -56.39
EBITDA Growth (1y) % EBITDA 1y % (Qtr) -71.98 -106.80
EBIT Growth (1y) % EBIT 1y % (Qtr) -69.30 -36.51
EBT Growth (1y) % EBT 1y % (Qtr) -64.16 -47.44
EPS Growth (1y) % EPS 1y % (Qtr) -38.18 -15.70
FCF Growth (1y) % FCF 1y % (Qtr) -38.73 59.41
Gross Profit Growth (1y) % Gross Profit 1y % (Qtr) 22.45 68.22
Liquidity Ratios Value Ind Avg Percentile
Asset Utilization Ratio Asset Util Ratio (Qtr) 0.07 0.54
Cash Payout Ratio Cash Payout (Qtr) 0.00 0.03
Cash Ratio Cash Ratio (Qtr) 0.52 2.49
Current Ratio Curr Ratio (Qtr) 1.70 7.77
Debt to Equity Ratio Debt/Equity (Qtr) 0.42 0.55
Interest Cover Ratio Int Coverage (Qtr) -9.52 -119.10
Times Interest Earned Times Interest Earned (Qtr) -9.52 -119.10
Profitability Value Ind Avg Percentile
EBITDA Margin % EBITDA Margin % (Qtr) -1,241.90 -2,368.64
EBIT Margin % EBIT Margin % (Qtr) -1,112.05 -2,472.65
EBT Margin % EBT Margin % (Qtr) -1,445.77 -2,442.59
Gross Margin % Gross Margin % (Qtr) 64.40 30.07
Net Profit Margin % Net Margin % (Qtr) -1,484.70 -2,438.52