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TriSalus Life Sciences

TLSI
32
Medical - Devices · Healthcare
Price
$5.27
+0.04 (+0.76%)
Market Cap
$324.5M
Exchange
NASDAQ
Winston Score
32
Winston is serious
Below-average fundamentals — multiple weak pillars.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Mixed
Growth
Good
Cash Flow
Weak
Stability
Weak
Valuation
Data not available

Share count rising — dilution

+21.3% over 4y

The company has issued more shares over this period, which dilutes each existing shareholder’s stake.

Diluted shares outstanding: 31.3M (2021) → 37.9M (2025)

Winston Score History

The full picture

TriSalus Life Sciences is a small medical device company focused on improving how cancer-fighting drugs are delivered directly into tumors in the liver and pancreas. Its main product is the TriNav Infusion System, a specialized catheter device used by interventional radiologists and oncologists in hospitals. The company targets patients with hard-to-treat liver and pancreatic cancers, where standard drug delivery methods often fall short.

TriSalus makes money by selling its single-use TriNav devices to hospitals and cancer treatment centers, which is a consumable revenue model that generates repeat purchases. It operates primarily in the United States and is a very small company with a market cap around $200 million. The high gross margin reflects the premium pricing typical of specialized medical devices, but the deeply negative operating margin shows the company is still spending heavily to grow. The key risk is whether TriSalus can expand physician adoption fast enough to reach profitability before it needs to raise additional capital.

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+1.7% YoY

YoY Growth Rate

Slow revenue growth

EPS Growth

+40.7% YoY

YoY Growth Rate

EPS growth accelerating

R&D Spend

$15M/ year

Declining (-15% vs prior year)

33.1% of revenue

1.8x the sector average (18%)

R&D spend declining — could signal cost-cutting or efficiency

Insider Activity

60.4%ownership

Flat

Insider ownership roughly steady over the past year

Cash Runway

~8 months

$46M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

Short runway — potential dilution ahead through share issuance

Cash watch

TriSalus Life Sciences has less than a year of cash at its current burn rate. Growth investors should watch for potential share dilution from future fundraising — that directly reduces your ownership.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

Every number that matters to educated investors.

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Quality

Profit per sale
Gross Margin
86.8%
Premium pricing power — 86.8% gross margin
Profit after running costs
Operating Margin
-86.0%
Losing money on operations — -86.0%
Return on the money invested
ROCE
-74.9%
Weak — -74.9% return on capital

Negative ROIC means the business is losing money on every dollar invested in it.

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Growth

Sales growth
Sales YoY
+25.2%
Fast-growing sales (+25.2% YoY)
Profit growth
EPS YoY
N/A
Data not available
How steady the profit is
EPS Consistency
5/8 quarters
Mixed — about half the quarters showed growth

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Cash Flow

Profit that turns into cash
Cash Conversion
N/A
Data not available
Spare cash per sale
FCF Margin
-66.3%
Burning cash (-66.3%)

Free cash flow is negative. They are burning cash, not generating it.

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Stability

What it owes vs what it owns
Debt / Equity
5.22
Heavy debt load (5.22)
Covers its interest
Interest Cover
N/A
Data not available

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Valuation

Price vs profit
P/E Ratio (TTM)
N/M
Negative earnings — P/E not meaningful
Cheaper or dearer next year
P/E vs Forward
N/A
not available
Data not available

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Dividends

Not applicable for this business.
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