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NSPRInspireMD, Inc.
$0.71$33M
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  4. Financial Ratios

InspireMD, Inc. (NSPR) Financial Ratios

Latest Ratios: P/E Ratio -0.9x · EV/EBITDA N/A · ROE -106.9%. (2009–2025 historical series)

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly

NSPR Valuation Multiples

Price-based multiples — how expensive the stock is relative to earnings, sales, book value, and cash flow

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Market Cap$33M$131M$110M$68M$7M$22M$8M$2M$4M$5M$3M
Enterprise Value$27M$125M$94M$60M$4M$11M$-3532525$-2241838$-5691720$1M$-2211000
P/E Ratio →-0.93——————————
P/S Ratio3.6914.5615.7310.991.314.943.100.611.031.751.39
P/B Ratio0.942.373.061.730.390.660.630.420.421.770.65
P/FCF———————————
P/OCF———————————

P/E links to full P/E history page with 30-year chart

NSPR EV Ratios

Enterprise-value multiples — capital-structure-neutral measures of total business value

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
EV / Revenue—13.9313.379.690.732.53-1.42-0.60-1.580.40-1.17
EV / EBITDA———————————
EV / EBIT———————————
EV / FCF———————————

NSPR Profitability

Margins and return-on-capital ratios measuring operating efficiency

Margins

Full margin charts and quarterly trend are on the Earnings History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Gross Margin29.5%29.5%21.5%29.1%21.6%16.8%3.3%20.3%27.6%21.2%5.4%
Operating Margin-547.0%-547.0%-478.0%-340.7%-361.9%-327.4%-417.7%-263.8%-211.4%-298.2%-403.8%
Net Profit Margin-543.3%-543.3%-456.6%-321.0%-357.6%-331.9%-424.3%-269.8%-201.1%-305.6%-446.7%

Return on Capital

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
ROE-106.9%-106.9%-84.7%-70.0%-72.6%-65.3%-120.2%-141.9%-126.0%-249.2%-1539.8%
ROA-84.0%-84.0%-67.8%-55.1%-57.5%-51.9%-76.2%-90.6%-78.7%-108.8%-111.4%
ROIC-106.7%-106.7%-98.6%-69.2%-75.7%-93.4%-864.5%-5598.5%———
ROCE-100.4%-100.4%-83.0%-69.1%-68.1%-59.5%-99.6%-121.7%-117.2%-199.4%-438.2%

NSPR Leverage & Debt

Solvency and debt-coverage ratios — lower is generally safer

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Debt / Equity0.060.060.060.040.090.040.120.19——0.66
Debt / EBITDA———————————
Net Debt / Equity—-0.10-0.46-0.20-0.17-0.32-0.92-0.84-1.07-1.36-1.20
Net Debt / EBITDA———————————
Debt / FCF———————————
Interest Coverage—————-93.73-64.88-49.08—-46.32-9.53

Net cash position: cash ($9M) exceeds total debt ($3M)

NSPR Liquidity & Efficiency

Short-term solvency ratios and asset-utilisation metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Current Ratio5.745.745.287.344.218.534.142.513.912.081.80
Quick Ratio5.425.424.946.993.898.273.762.113.521.861.69
Cash Ratio5.065.064.516.483.517.833.411.773.211.491.57
Asset Turnover—0.130.150.130.210.110.140.380.290.450.20
Inventory Turnover1.861.862.142.092.503.271.702.402.304.083.58
Days Sales Outstanding—104.39117.38144.2488.02112.79138.8095.4483.12112.3798.86

NSPR Shareholder Yields

Earnings, FCF, buyback, and dividend yields — total returns to shareholders

Dividends

Full dividend history and growth charts are on the Dividend History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Dividend Yield———————————
Payout Ratio———————————

Total Shareholder Return Metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Earnings Yield———————————
FCF Yield———————————
Buyback Yield0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%81.6%0.0%0.0%
Total Shareholder Yield0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%81.6%0.0%0.0%
Shares Outstanding—$73M$42M$24M$8M$7M$2M$139331$30769$1978$56

Key Metrics

Growth RegimeAccelerating
ProfitabilityNegative
Balance SheetVulnerable
Cash FlowBurning
Top Statement Risk

Binary U.S. Regulatory Approval

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2026Q1)

Market Pricing Reflects Regulatory Binary

According to current market data, NSPR trades at a price-to-sales multiple of 3.76, which appears to discount the company as a pre-commercial U.S. entity rather than a mature medical device firm, reflecting significant skepticism regarding the timeline for FDA approval and subsequent market penetration.

The current valuation multiple suggests that investors are pricing the stock as a speculative call option on the C-GUARDIANS trial outcome rather than on existing international revenue streams. This valuation gap relative to established peers indicates that the market is heavily discounting the company's terminal value due to the binary risk of U.S. regulatory rejection.

Capital Efficiency Remains Deeply Negative

Based on reported financial figures, NSPR's ROIC has remained consistently negative, reaching -24.7% in 2026Q1, which highlights the company's inability to generate positive returns on invested capital while it continues to prioritize clinical development and international market expansion over immediate profitability.

The persistent negative ROIC trend suggests that the capital deployed into R&D and clinical trials has yet to reach an inflection point where it contributes to shareholder value. Investors should monitor whether the eventual U.S. launch can drive sufficient scale to reverse this trend, as current returns are heavily diluted by high operating costs.

Working Capital Cycles Indicate Inefficiency

As reported in recent quarterly filings, the company's cash conversion cycle remains elevated at 124 days in 2026Q1, a figure that reflects significant friction in inventory management and distributor-led collections compared to more streamlined medical device peers in the sector.

The extended CCC appears to be driven by high days inventory outstanding, which may suggest challenges in aligning supply chain output with distributor demand. This inefficiency ties up critical liquidity that the company cannot afford to lose given its current burn rate and reliance on external capital.

Liquidity Buffer Facing Severe Pressure

Based on the company's reported figures, the current ratio has compressed to 5.15 in 2026Q1 from higher historical levels, indicating that while the firm maintains a nominal liquidity cushion, the rapid depletion of cash reserves warrants close monitoring for potential near-term financing needs.

The decline in the quick ratio suggests that the company's ability to meet short-term obligations without relying on inventory liquidation is weakening. This liquidity profile appears increasingly vulnerable, and any delay in the U.S. regulatory timeline could force management to seek dilutive capital under unfavorable market conditions.

Misapplication of Revenue Growth Metrics

Investors frequently misapply headline revenue growth as a proxy for operational health, yet as noted in financial statements, this metric obscures the underlying cash burn and the heavy reliance on distributor stocking orders that may not reflect true end-user clinical adoption.

Focusing solely on top-line growth ignores the reality that NSPR's business model is currently subsidized by equity dilution rather than operational cash flow. A more appropriate metric for this stage of the company's lifecycle would be the ratio of clinical trial progress to cash burn, which better captures the true cost of achieving the company's long-term strategic milestones.

Download Financial Ratios Data

Includes 30+ ratios · 17 years · Updated daily

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NSPR — Frequently Asked Questions

Quick answers to the most common questions about buying NSPR stock.

What is InspireMD, Inc.'s P/E ratio?

InspireMD, Inc.'s current P/E ratio is -0.9x. This places it at the 50th percentile of its historical range.

What is InspireMD, Inc.'s ROE?

InspireMD, Inc.'s return on equity (ROE) is -106.9%. The historical average is -185.1%.

Is NSPR stock overvalued?

Based on historical data, InspireMD, Inc. is trading at a P/E of -0.9x. This is at the 50th percentile of its historical P/E range. Compare with industry peers and growth rates for a complete picture.

What are InspireMD, Inc.'s profit margins?

InspireMD, Inc. has 29.5% gross margin and -547.0% operating margin.