Medical - Instruments & Supplies
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Side-by-side financial analysisStock Comparison
NYXH vs INSP
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Devices
NYXH vs INSP — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||
|---|---|---|
| Industry | Medical - Instruments & Supplies | Medical - Devices |
| Market Cap | $52M | $1.23B |
| Revenue (TTM) | $16M | $915M |
| Net Income (TTM) | $-86M | $131M |
| Gross Margin | 48.3% | 85.8% |
| Operating Margin | -5.3% | 5.6% |
| Forward P/E | — | 47.6x |
| Total Debt | $42M | $32M |
| Cash & Equiv. | $30M | $105M |
NYXH vs INSP — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | Apr 21 | Jun 26 | Return |
|---|---|---|---|
| Nyxoah S.A. (NYXH) | 100 | 5.8 | -94.2% |
| Inspire Medical Sys… (INSP) | 100 | 18.0 | -82.0% |
Price return only. Dividends and distributions are not included.
Quick Verdict: NYXH vs INSP
Each card shows where this stock fits in a portfolio — not just who wins on paper.
NYXH is the clearest fit if your priority is growth exposure.
- Rev growth 121.6%, EPS growth -30.9%, 3Y rev CAGR 48.1%
- 121.6% revenue growth vs INSP's 13.6%
INSP carries the broadest edge in this set and is the clearest fit for income & stability and long-term compounding.
- Dividend streak 0 yrs, beta 1.16
- 70.9% 10Y total return vs NYXH's -94.2%
- Lower volatility, beta 1.16, Low D/E 4.1%, current ratio 6.08x
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 121.6% revenue growth vs INSP's 13.6% | |
| Quality / Margins | 14.3% margin vs NYXH's -5.3% | |
| Stability / Safety | Beta 1.16 vs NYXH's 2.10, lower leverage | |
| Dividends | Tie | Neither stock pays a meaningful dividend |
| Momentum (1Y) | -66.8% vs NYXH's -81.6% | |
| Efficiency (ROA) | 15.2% ROA vs NYXH's -80.8%, ROIC 6.0% vs -76.4% |
NYXH vs INSP — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
Segment breakdown not available.
NYXH vs INSP — Financial Metrics
Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.
Income & Cash Flow (Last 12 Months)
INSP leads this category, winning 4 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
INSP is the larger business by revenue, generating $915M annually — 56.1x NYXH's $16M. INSP is the more profitable business, keeping 14.3% of every revenue dollar as net income compared to NYXH's -5.3%. On growth, NYXH holds the edge at +5.9% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||
|---|---|---|
| RevenueTrailing 12 months | $16M | $915M |
| EBITDAEarnings before interest/tax | -$81M | $62M |
| Net IncomeAfter-tax profit | -$86M | $131M |
| Free Cash FlowCash after capex | -$73M | $97M |
| Gross MarginGross profit ÷ Revenue | +48.3% | +85.8% |
| Operating MarginEBIT ÷ Revenue | -5.3% | +5.6% |
| Net MarginNet income ÷ Revenue | -5.3% | +14.3% |
| FCF MarginFCF ÷ Revenue | -4.5% | +10.6% |
| Rev. Growth (YoY)Latest quarter vs prior year | +5.9% | +1.6% |
| EPS Growth (YoY)Latest quarter vs prior year | +38.3% | -5.0% |
Valuation Metrics
NYXH leads this category, winning 2 of 3 comparable metrics.
Valuation Metrics
| Metric | ||
|---|---|---|
| Market CapShares × price | $52M | $1.2B |
| Enterprise ValueMkt cap + debt − cash | $66M | $1.2B |
| Trailing P/EPrice ÷ TTM EPS | -0.51x | 8.73x |
| Forward P/EPrice ÷ next-FY EPS est. | — | 47.59x |
| PEG RatioP/E ÷ EPS growth rate | — | — |
| EV / EBITDAEnterprise value multiple | — | 17.83x |
| Price / SalesMarket cap ÷ Revenue | 4.48x | 1.35x |
| Price / BookPrice ÷ Book value/share | 0.93x | 1.63x |
| Price / FCFMarket cap ÷ FCF | — | 15.68x |
Profitability & Efficiency
INSP leads this category, winning 9 of 9 comparable metrics.
Profitability & Efficiency
INSP delivers a 18.0% return on equity — every $100 of shareholder capital generates $18 in annual profit, vs $-164 for NYXH. INSP carries lower financial leverage with a 0.04x debt-to-equity ratio, signaling a more conservative balance sheet compared to NYXH's 0.86x. On the Piotroski fundamental quality scale (0–9), INSP scores 7/9 vs NYXH's 2/9, reflecting strong financial health.
| Metric | ||
|---|---|---|
| ROE (TTM)Return on equity | -164.4% | +18.0% |
| ROA (TTM)Return on assets | -80.8% | +15.2% |
| ROICReturn on invested capital | -76.4% | +6.0% |
| ROCEReturn on capital employed | -80.4% | +6.7% |
| Piotroski ScoreFundamental quality 0–9 | 2 | 7 |
| Debt / EquityFinancial leverage | 0.86x | 0.04x |
| Net DebtTotal debt minus cash | $12M | -$73M |
| Cash & Equiv.Liquid assets | $30M | $105M |
| Total DebtShort + long-term debt | $42M | $32M |
| Interest CoverageEBIT ÷ Interest expense | -32.73x | 418.58x |
Total Returns (Dividends Reinvested)
INSP leads this category, winning 4 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in INSP five years ago would be worth $2,268 today (with dividends reinvested), compared to $515 for NYXH. Over the past 12 months, INSP leads with a -66.8% total return vs NYXH's -81.6%. The 3-year compound annual growth rate (CAGR) favors NYXH at -44.0% vs INSP's -48.0% — a key indicator of consistent wealth creation.
| Metric | ||
|---|---|---|
| YTD ReturnYear-to-date | -69.1% | -53.7% |
| 1-Year ReturnPast 12 months | -81.6% | -66.8% |
| 3-Year ReturnCumulative with dividends | -82.4% | -85.9% |
| 5-Year ReturnCumulative with dividends | -94.9% | -77.3% |
| 10-Year ReturnCumulative with dividends | -94.2% | +70.9% |
| CAGR (3Y)Annualised 3-year return | -44.0% | -48.0% |
Risk & Volatility
INSP leads this category, winning 2 of 2 comparable metrics.
Risk & Volatility
INSP is the less volatile stock with a 1.16 beta — it tends to amplify market swings less than NYXH's 2.10 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. INSP currently trades 29.0% from its 52-week high vs NYXH's 16.2% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||
|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 2.10x | 1.16x |
| 52-Week HighHighest price in past year | $8.59 | $147.03 |
| 52-Week LowLowest price in past year | $1.26 | $38.91 |
| % of 52W HighCurrent price vs 52-week peak | +16.2% | +29.0% |
| RSI (14)Momentum oscillator 0–100 | 25.8 | 43.3 |
| Avg Volume (50D)Average daily shares traded | 189K | 950K |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
Wall Street rates NYXH as "Buy" and INSP as "Hold". Consensus price targets imply 331.7% upside for NYXH (target: $6) vs 34.3% for INSP (target: $57).
| Metric | ||
|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Hold |
| Price TargetConsensus 12-month target | $6.00 | $57.36 |
| # AnalystsCovering analysts | 5 | 27 |
| Dividend YieldAnnual dividend ÷ price | — | — |
| Dividend StreakConsecutive years of raises | — | 0 |
| Dividend / ShareAnnual DPS | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | +14.2% |
INSP leads in 4 of 6 categories (Income & Cash Flow, Profitability & Efficiency). NYXH leads in 1 (Valuation Metrics).
NYXH vs INSP: Frequently Asked Questions
9 questions · data-driven answers · updated daily
01Is NYXH or INSP a better buy right now?
For growth investors, Nyxoah S.
A. (NYXH) is the stronger pick with 121. 6% revenue growth year-over-year, versus 13. 6% for Inspire Medical Systems, Inc. (INSP). Inspire Medical Systems, Inc. (INSP) offers the better valuation at 8. 7x trailing P/E (47. 6x forward), making it the more compelling value choice. Analysts rate Nyxoah S. A. (NYXH) a "Buy" — based on 5 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.
02Which is the better long-term investment — NYXH or INSP?
Over the past 5 years, Inspire Medical Systems, Inc.
(INSP) delivered a total return of -77. 3%, compared to -94. 9% for Nyxoah S. A. (NYXH). Over 10 years, the gap is even starker: INSP returned +70. 9% versus NYXH's -94. 2%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.
03Which is safer — NYXH or INSP?
By beta (market sensitivity over 5 years), Inspire Medical Systems, Inc.
(INSP) is the lower-risk stock at 1. 16β versus Nyxoah S. A. 's 2. 10β — meaning NYXH is approximately 81% more volatile than INSP relative to the S&P 500. On balance sheet safety, Inspire Medical Systems, Inc. (INSP) carries a lower debt/equity ratio of 4% versus 86% for Nyxoah S. A. — giving it more financial flexibility in a downturn.
04Which is growing faster — NYXH or INSP?
By revenue growth (latest reported year), Nyxoah S.
A. (NYXH) is pulling ahead at 121. 6% versus 13. 6% for Inspire Medical Systems, Inc. (INSP). On earnings-per-share growth, the picture is similar: Inspire Medical Systems, Inc. grew EPS 179. 4% year-over-year, compared to -30. 9% for Nyxoah S. A.. Over a 3-year CAGR, NYXH leads at 48. 1% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.
05Which has better profit margins — NYXH or INSP?
Inspire Medical Systems, Inc.
(INSP) is the more profitable company, earning 15. 9% net margin versus -899. 1% for Nyxoah S. A. — meaning it keeps 15. 9% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: INSP leads at 5. 6% versus -827. 8% for NYXH. At the gross margin level — before operating expenses — INSP leads at 85. 4%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.
06Is NYXH or INSP more undervalued right now?
Analyst consensus price targets imply the most upside for NYXH: 331.
7% to $6. 00.
07Which pays a better dividend — NYXH or INSP?
None of the stocks in this comparison currently pay a material dividend.
All are effectively zero-yield and should be held for capital appreciation rather than income.
08Is NYXH or INSP better for a retirement portfolio?
For long-horizon retirement investors, Inspire Medical Systems, Inc.
(INSP) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 1. 16)). Nyxoah S. A. (NYXH) carries a higher beta of 2. 10 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (INSP: +70. 9%, NYXH: -94. 2%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.
09What are the main differences between NYXH and INSP?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.
In terms of investment character: NYXH is a small-cap high-growth stock; INSP is a small-cap deep-value stock. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.
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