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Nuwellis

NUWE
20
Medical - Devices · Healthcare
Price
$1.49
-0.14 (-8.59%)
Market Cap
$137,379
Exchange
NASDAQ
Winston Score
20
Winston is worried
Weak fundamentals across most pillars.
Data as of Aug 9, 2026 · filings through Mar 31, 2026

Share count rising — dilution

+352554.1% over 4y

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

Diluted shares outstanding: 55.914 (2021) → 197K (2025)

Nuwellis, Inc. is a small medical device company focused on a treatment called aquapheresis, which removes excess fluid from patients with conditions like heart failure and kidney disease. Its main product is the Aquadex FlexFlow system — a machine used in hospitals and clinics to filter fluid directly from a patient's blood. The company sells primarily to hospitals in the United States.

Nuwellis makes money by selling the Aquadex machines to hospitals and then generating recurring revenue from the single-use disposable sets required for each treatment. It operates almost entirely in the U.S. and is a very small company, with a market cap near zero and deeply negative operating margins, meaning it spends far more than it earns. The key challenge is convincing more hospitals to adopt aquapheresis over standard drug-based fluid removal, and the company faces serious financial pressure to grow revenue fast enough to survive as a going concern.

Winston Score History

Growth Profile

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

Revenue Growth

+26.2% YoY

YoY Growth Rate

Revenue accelerating

EPS Growth

-202.9% YoY

YoY Growth Rate

Earnings declining

R&D Spend

$3M/ year

Declining (-15% vs prior year)

32.8% of revenue

1.8x the sector average (18%)

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

Insider Activity

0.3%ownership

Relatively low insider ownership

Cash Runway

~2 months

$2M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

Short runway — potential dilution ahead through share issuance

Revenue accelerating

Nuwellis grew revenue 26% year-over-year and the growth rate is speeding up. That's the kind of momentum growth investors look for — the question is whether margins can follow.

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

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Quality

Gross Margin
70.1%
Premium pricing power — 70.1% gross margin
Operating Margin
-181.6%
Losing money on operations — -181.6%
ROCE
-139.4%
Weak — -139.4% return on capital

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

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Growth

Sales YoY
-0.2%
Shrinking sales (-0.2% YoY)
EPS YoY
-220.6%
Earnings shrinking (-220.6% YoY)

Earnings per share down more than 10%. Either a bad year, or a real decline.

EPS Consistency
4/8 quarters
Earnings inconsistent quarter-to-quarter

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Cash Flow

Cash Conversion
N/A
Data not available
FCF Margin
-131.5%
Burning cash (-131.5%)

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

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Stability

Debt / Equity
0.09
Conservative — low debt load (0.09)
Interest Cover
N/A
Data not available

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Valuation

P/E Ratio (TTM)
N/M
Negative earnings — P/E not meaningful
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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