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Nyxoah S.A. (NYXH) 10-Year Financial Performance & Capital Metrics

NYXH • • Industrial / General
HealthcareMedical InstrumentsWound Care & Therapeutic DevicesSpecialized Therapeutic Devices
AboutNyxoah S.A., a medical technology company, focuses on the development and commercialization of solutions to treat sleep disordered breathing conditions. It offers Genio system, a CE-Marked, patient-centric, and hypoglossal neurostimulation therapy to treat moderate to severe obstructive sleep apnea. The company was incorporated in 2009 and is headquartered in Mont-Saint-Guibert, Belgium.Show more
  • Revenue $5M +4.0%
  • EBITDA -$58M -35.8%
  • Net Income -$59M -37.1%
  • EPS (Diluted) -1.81 -16.8%
  • Gross Margin 65.67% +6.1%
  • EBITDA Margin -1283.9% -30.6%
  • Operating Margin -1300.8% -25.4%
  • Net Margin -1310.24% -31.8%
  • ROE -56.07% -41.7%
  • ROIC -46.22% -39.0%
  • Debt/Equity 0.20 +54.3%
  • Interest Coverage -30.90 +17.3%
Technical Analysis

Key Insights

Based on financial data analysis

✓Strengths

  • ✓Trading at only 1.5x book value

✗Weaknesses

  • ✗Weak Piotroski F-Score: 2/9
  • ✗Negative free cash flow
  • ✗Weak momentum: RS Rating 17 (bottom 17%)
  • ✗Shares diluted 17.1% in last year
  • ✗Trading more than 30% below 52-week high
  • ✗Low asset turnover indicates capital-intensive operations

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

Price & Volume

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Growth Metrics

Revenue CAGR

10Y-
5Y-
3Y74.42%
TTM10.96%

Profit (Net Income) CAGR

10Y-
5Y-
3Y-
TTM-58.02%

EPS CAGR

10Y-
5Y-
3Y-
TTM-29.48%

ROCE

10Y Avg-47.04%
5Y Avg-28.23%
3Y Avg-35.84%
Latest-47.7%

Peer Comparison

Specialized Therapeutic Devices
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Sector-Specific
NameMarket CapCurrent PriceP/E RatioRevenue Growth 1YNet MarginROEFCF YieldDebt/Equity
RMDResMed Inc.38.05B260.7027.419.84%27.35%23.49%4.37%0.14
ZJYLJin Medical International Ltd.22.54M0.146.1318.57%10.94%16.93%0.41
FEMYFemasys Inc.38.2M0.64-0.7651.97%-9.61%-434.6%3.23
NYXHNyxoah S.A.221.59M5.15-2.853.98%-14.85%-164.31%0.20
MLSSMilestone Scientific Inc.22.8M0.29-4.91-12.19%-76.78%-208.8%0.06
NVCRNovoCure Limited1.55B13.80-8.8518.82%-27.66%-52.05%1.90
EKSOEkso Bionics Holdings, Inc.22.43M8.55-15.27-1.94%-70.74%-107.8%0.47
PLSEPulse Biosciences, Inc.955.52M14.10-15.33-868.99%-80.62%0.08

Profit & Loss

Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Sales/Revenue+00069K852K3.08M4.35M4.52M
Revenue Growth %----11.35%2.62%0.41%0.04%
Cost of Goods Sold+2.11M2.52M486.04K30K303K1.15M1.66M1.55M
COGS % of Revenue---0.43%0.36%0.37%0.38%0.34%
Gross Profit+-2.11M-2.52M-486.04K39K549K1.93M2.69M2.97M
Gross Margin %---0.57%0.64%0.63%0.62%0.66%
Gross Profit Growth %--0.2%0.81%1.08%13.08%2.52%0.39%0.1%
Operating Expenses+10.14M8.45M8.03M11.26M26.79M34.43M47.79M61.78M
OpEx % of Revenue---163.23%31.44%11.17%10.99%13.66%
Selling, General & Admin4.12M4.35M6.39M11.35M11.11M18.86M20.64M28.46M
SG&A % of Revenue---164.42%13.04%6.11%4.75%6.3%
Research & Development2M1.72M1.64M2.91M5.95M15.86M27.66M34.33M
R&D % of Revenue---42.17%6.99%5.14%6.36%7.59%
Other Operating Expenses4.58M2.81M0-2.99M9.73M-283K-507K-1.01M
Operating Income+-10.14M-8.45M-8.52M-11.22M-26.24M-32.5M-45.1M-58.81M
Operating Margin %----162.67%-30.8%-10.54%-10.37%-13.01%
Operating Income Growth %-0.17%-0.01%-0.32%-1.34%-0.24%-0.39%-0.3%
EBITDA+-10.06M-8.36M-8.03M-10.6M-24.58M-30.57M-42.74M-58.05M
EBITDA Margin %----153.68%-28.85%-9.91%-9.83%-12.84%
EBITDA Growth %-0.17%0.04%-0.32%-1.32%-0.24%-0.4%-0.36%
D&A (Non-Cash Add-back)87K95K486.04K620K1.66M1.93M2.36M764K
EBIT-10.3M-9.01M-8.71M-11.22M-24.25M-29.82M-44.44M-58.81M
Net Interest Income+-35K-28K-692.58K-195K-385K135K1.37M599K
Interest Income2K1K8K3K1K372K2.57M2.5M
Interest Expense37K29K50K198K386K237K1.21M1.9M
Other Income/Expense-191K-588K-892.39K-928K1.6M2.44M445K2.38M
Pretax Income+-10.33M-9.04M-9.41M-12.15M-24.64M-30.06M-44.66M-56.43M
Pretax Margin %----176.12%-28.92%-9.75%-10.27%-12.48%
Income Tax+37K41K78.57K93K2.98M1.17M-1.45M2.8M
Effective Tax Rate %1%1%1.01%1.01%1.12%1.04%0.97%1.05%
Net Income+-10.37M-9.08M-9.49M-12.24M-27.62M-31.23M-43.21M-59.24M
Net Margin %----177.46%-32.42%-10.12%-9.94%-13.1%
Net Income Growth %-0.12%-0.05%-0.29%-1.26%-0.13%-0.38%-0.37%
Net Income (Continuing)-10.37M-9.08M-9.49M-12.24M-27.62M-31.23M-43.21M-59.24M
Discontinued Operations00000000
Minority Interest00000000
EPS (Diluted)+-0.50-0.43-0.34-0.68-1.16-1.21-1.55-1.81
EPS Growth %-0.14%0.21%-1%-0.71%-0.04%-0.28%-0.17%
EPS (Basic)-0.50-0.43-0.34-0.68-1.16-1.21-1.55-1.81
Diluted Shares Outstanding20.89M20.89M21.42M18.1M23.79M25.82M27.97M32.74M
Basic Shares Outstanding20.89M20.89M21.42M18.1M23.79M25.82M27.97M32.74M
Dividend Payout Ratio--------

Balance Sheet

Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Total Current Assets+10.68M17.54M8.95M115.15M140.06M100.26M68.35M98.08M
Cash & Short-Term Investments10.11M16.8M6.57M112.93M135.51M94.86M57.75M85.56M
Cash Only10.11M16.8M6.57M112.93M135.51M17.89M21.61M34.19M
Short-Term Investments0000076.97M36.14M51.37M
Accounts Receivable575K732K2.37M2.01M2.51M2.23M5.63M3.38M
Days Sales Outstanding---10.64K1.08K264.05472.37273.04
Inventory-575K-732K067.3K346K882K3.31M4.72M
Days Inventory Outstanding---818.76416.8279.94730.661.11K
Other Current Assets00003.98M828K1.66M4.43M
Total Non-Current Assets+461K440K8.11M24.44M30.77M45.81M55.81M60.32M
Property, Plant & Equipment369K343K1.56M4.89M5.24M5.62M7.98M8.25M
Fixed Asset Turnover---0.01x0.16x0.55x0.55x0.55x
Goodwill00000000
Intangible Assets006.44M19.4M25.32M39.97M46.61M50.38M
Long-Term Investments70K68K87.55K111.34K164K173K00
Other Non-Current Assets70K68K00001.17M1.69M
Total Assets+11.14M17.98M17.06M139.58M170.83M146.07M124.16M158.41M
Asset Turnover---0.00x0.00x0.02x0.04x0.03x
Asset Growth %-0.61%-0.05%7.18%0.22%-0.14%-0.15%0.28%
Total Current Liabilities+1.75M2M4.91M7.83M11.57M14.91M14.44M21.53M
Accounts Payable389K606K1.55M1.46M2.39M1.87M4.1M3.75M
Days Payables Outstanding67.2987.671.17K17.71K2.88K594.47904.12881.69
Short-Term Debt395K289K805.95K1.33M554K389K364K248K
Deferred Revenue (Current)0000000117K
Other Current Liabilities257K316K1.85M4.12M1.15M621K1.08M2.36M
Current Ratio6.11x8.77x1.82x14.70x12.10x6.72x4.73x4.56x
Quick Ratio6.44x9.14x1.82x14.69x12.07x6.66x4.50x4.34x
Cash Conversion Cycle----6.26K-1.39K-50.49298.9500.46
Total Non-Current Liabilities+4.87M5.53M9.49M12.83M10.64M10.83M11.69M23.62M
Long-Term Debt4.87M5.53M8.02M9.31M7.8M8.19M8.37M18.73M
Capital Lease Obligations00825.04K3.48M2.74M2.59M3.12M2.56M
Deferred Tax Liabilities00005K09K0
Other Non-Current Liabilities00647.68K45.27K92K59K194K2.34M
Total Liabilities6.62M7.53M14.41M20.67M22.21M25.75M26.14M45.15M
Total Debt+5.26M5.82M9.65M14.12M11.68M11.88M12.7M22.65M
Net Debt-4.84M-10.99M3.08M-98.81M-123.83M-6.01M-8.91M-11.53M
Debt / Equity1.16x0.56x3.64x0.12x0.08x0.10x0.13x0.20x
Debt / EBITDA--------
Net Debt / EBITDA--------
Interest Coverage-274.14x-291.38x-170.37x-56.69x-67.98x-137.13x-37.37x-30.90x
Total Equity+4.53M10.45M2.65M118.92M148.62M120.32M98.02M113.25M
Equity Growth %-1.31%-0.75%43.87%0.25%-0.19%-0.19%0.16%
Book Value per Share0.220.500.126.576.254.663.503.46
Total Shareholders' Equity4.53M10.45M2.65M118.92M148.62M120.32M98.02M113.25M
Common Stock2M2.48M2.78M4.64M4.43M4.44M4.93M6.43M
Retained Earnings-30.73M-39.81M-54.35M-73.83M-87.17M-118.21M-160.83M-217.74M
Treasury Stock00000000
Accumulated OCI63K39K703.81K3.42M202K176K137K10.21M
Minority Interest00000000

Cash Flow

Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Cash from Operations+-8.29M-8.14M-5.93M-6.86M-25.34M-28.76M-44.78M-49.23M
Operating CF Margin %----99.48%-29.74%-9.32%-10.3%-10.89%
Operating CF Growth %-0.02%0.27%-0.16%-2.69%-0.13%-0.56%-0.1%
Net Income-10.33M-9.04M-8.38M-12.15M-24.64M-30.06M-44.66M-56.43M
Depreciation & Amortization87K95K433K620K1.66M1.93M2.36M2.72M
Stock-Based Compensation24K28K346K2.55M1.27M2.7M2.61M3.97M
Deferred Taxes00000000
Other Non-Cash Items2.39M575K716K700K-2.48M-3.42M-1.6M-2.44M
Working Capital Changes-454K201K957K1.42M-1.14M86K-3.49M2.96M
Change in Receivables-161K-155K-1.39M365K-2.52M7K-1.54M-751K
Change in Inventory000-55K-291K-536K-2.43M-1.4M
Change in Payables00000000
Cash from Investing+-91K-75K-5.79M-10.69M-11.82M-89.95M32.01M-16.32M
Capital Expenditures-91K-77K-51K-562K-1.47M-886K-2.5M-1.17M
CapEx % of Revenue---8.14%1.72%0.29%0.57%0.26%
Acquisitions--------
Investments--------
Other Investing02K-5.73M-10.12M-10.35M-15.35M-6.15M-2.64M
Cash from Financing+1.11M15M700K104.03M76.47M-983K16.86M77.44M
Debt Issued (Net)--------
Equity Issued (Net)--------
Dividends Paid00000000
Share Repurchases--------
Other Financing00-33K-151K-393K-167K-243K-758K
Net Change in Cash--------
Free Cash Flow+-8.38M-8.22M-11.72M-17.54M-37.15M-45.1M-55.74M-55.3M
FCF Margin %----254.26%-43.61%-14.63%-12.82%-12.23%
FCF Growth %-0.02%-0.43%-0.5%-1.12%-0.21%-0.24%0.01%
FCF per Share-0.40-0.39-0.55-0.97-1.56-1.75-1.99-1.69
FCF Conversion (FCF/Net Income)0.80x0.90x0.63x0.56x0.92x0.92x1.04x0.83x
Interest Paid00000000
Taxes Paid00000000

Key Ratios

Metric20172018201920202021202220232024
Return on Equity (ROE)-229.09%-121.21%-144.83%-20.15%-20.65%-23.22%-39.58%-56.07%
Return on Invested Capital (ROIC)---246%-65.17%-87.69%-35.04%-33.26%-46.22%
Gross Margin---56.52%64.44%62.71%61.91%65.67%
Net Margin----17746.38%-3241.67%-1012.48%-993.84%-1310.24%
Debt / Equity1.16x0.56x3.64x0.12x0.08x0.10x0.13x0.20x
Interest Coverage-274.14x-291.38x-170.37x-56.69x-67.98x-137.13x-37.37x-30.90x
FCF Conversion0.80x0.90x0.63x0.56x0.92x0.92x1.04x0.83x
Revenue Growth----1134.78%261.97%40.99%3.98%

Revenue by Geography

2021202220232024
Germany-2.8M3.82M4.06M
Germany Growth--36.29%6.42%
Switzerland-214K373K763K
Switzerland Growth--74.30%104.56%
Spain-24K37K72K
Spain Growth--54.17%94.59%
AUSTRIA--122K60K
AUSTRIA Growth----50.82%
ITALY---46K
ITALY Growth----
GERMANY800K---
GERMANY Growth----
SPAIN24K---
SPAIN Growth----
BELGIUM20K---
BELGIUM Growth----

Frequently Asked Questions

Growth & Financials

Nyxoah S.A. (NYXH) reported $5.6M in revenue for fiscal year 2024.

Nyxoah S.A. (NYXH) grew revenue by 4.0% over the past year. Growth has been modest.

Nyxoah S.A. (NYXH) reported a net loss of $83.7M for fiscal year 2024.

Dividend & Returns

Nyxoah S.A. (NYXH) has a return on equity (ROE) of -56.1%. Negative ROE indicates the company is unprofitable.

Nyxoah S.A. (NYXH) had negative free cash flow of $70.3M in fiscal year 2024, likely due to heavy capital investments.

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