NGM·Healthcare·$249M·#141 / 520 in Healthcare

TLSI TriSalus Life Sciences, Inc.

59SPECULATIVE

CATEGORY BREAKDOWN

GROWTH84
QUALITY60
STABILITY36
VALUATION67
GOVERNANCE67

METRIC BREAKDOWN

Revenue Growth (YoY)

Year-over-year revenue growth rate

+59.0%
84

> 50% strong

Gross Margin

Revenue retained after direct costs

86.1%
100

> 50% strong

Cash Runway

Months of cash at current burn rate

3 months
4

> 24 months ideal

Debt / Equity

Total debt relative to shareholder equity

-91.3%
100

< 25% strong

Price / Sales

Market cap relative to trailing revenue

5.5x
67

< 3x strong

Rule of 40

Growth rate plus operating margin

-64
0

> 40 excellent

Insider Ownership

Percentage of shares held by insiders

34.6%
100

> 20% strong

Share Dilution (12M)

Share count increase over last 12 months

+91.2%
0

< 5% ideal

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AI ANALYSIS REPORT

AI-GENERATED

BUSINESS SUMMARY

TriSalus Life Sciences, Inc. (TLSI) is a healthcare company trading on NGM with a market capitalization of $249M. The company currently carries a SPECULATIVE rating of 59/100, suggesting a mixed fundamental profile with both strengths and weaknesses. The fundamental profile shows strong revenue growth above 50% at 59.0% year-over-year, paired with exceptionally high, software-like gross margins at 86.1%. The balance sheet shows a net cash position (negative debt-to-equity), meaning more cash than debt, and the company has critically low cash runway, raising near-term dilution or solvency concerns.

VERDICT

TLSI scores 59/100 — a mixed profile with some promising metrics alongside notable weaknesses. This is a higher-risk, higher-reward proposition that depends heavily on execution. This report is based on the latest available financial data and is intended as a starting point for research, not a buy or sell recommendation.

MARKET OPPORTUNITY

In the healthcare sector, cash runway and pipeline progress are critical metrics. Revenue quality depends on whether income comes from product sales, partnerships, or milestones. TriSalus Life Sciences, Inc. operates with strong insider ownership of 34.6%, indicating significant skin in the game, which provides a signal about management's confidence in the company's direction. At a market cap of $249M, the company is moderately valued on a price-to-sales basis at 5.5x P/S, which appears modest relative to the 59.0% revenue growth rate. The combination of these factors positions TLSI as a higher-risk position that requires careful due diligence before considering an investment.

REVENUE QUALITY

Revenue growth stands at 59.0% year-over-year, which is well above the typical small-cap growth rate. Gross margins of 86.1% are strong and suggest pricing power or an asset-light business model. The Rule of 40 score of -64 is well below the benchmark, indicating challenges in both growth and profitability. Cash runway of 3 months is a concern and may require the company to raise capital in the near term.

COMPETITIVE ADVANTAGE

Evaluating TriSalus Life Sciences, Inc.'s competitive position requires looking beyond the numbers. The 34.6% insider ownership is a strong positive signal — when management has significant personal wealth tied to the company, decisions tend to favor long-term value creation over short-term metrics. The high gross margins suggest some form of competitive moat — whether through proprietary technology, brand value, regulatory barriers, or network effects. The ongoing share dilution is a concern, as it reduces existing shareholders' ownership stake over time. Investors should research the specific sources of competitive advantage — patents, customer switching costs, scale economies, or brand — that could protect margins over time.

GROWTH THESIS

TLSI presents a speculative fundamental profile that requires a specific thesis to justify investment. At 5.5x P/S with 59.0% revenue growth, the valuation appears reasonable relative to the growth profile. The 34.6% insider ownership creates strong alignment between management and shareholders. Key catalysts to watch include: revenue growth trajectory over the next 2-3 quarters, margin expansion or contraction, and any changes in insider buying or selling activity.

KEY RISKS

Execution risk is significant — many small-cap companies in this sector fail to transition from growth to profitability. Limited cash runway of 3 months means the company may need to raise capital, potentially diluting existing shareholders. Ongoing share dilution of 91.2% erodes per-share value and suggests the company relies on equity issuance for operations or compensation. Small-cap stocks carry inherently higher risk than large-caps, including limited analyst coverage, lower institutional ownership, and higher sensitivity to market downturns. Always conduct thorough due diligence beyond quantitative metrics.

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Report generated: Mar 26, 2026

SCORE HISTORY

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DATA INFO

Last updated: Mar 11, 2026

Sources: SEC EDGAR, Financial Modeling Prep, Yahoo Finance. Not financial advice.