Nyxoah SA NYXH

Competitive advantage analysis · healthcare

Medical Devices & Diagnostics
Overall moat score
45/100
Developing

About Nyxoah SA

Nyxoah SA, a medical technology company, develops and commercializes solutions to treat obstructive sleep apnea (OSA). The company's lead solution comprises Genio system, a CE-Marked, patient-centric, minimally invasive, and hypoglossal neurostimulation therapy to treat moderate to severe obstructive sleep apnea. Nyxoah SA was incorporated in 2009 and is headquartered in Mont-Saint-Guibert, Belgium. Full NYXH analysis →

Competitive advantage assessment

Key strengths

  • Elite Gross Margins Gross margin quality is top-tier vs peers (score 0.79). This signals strong consumable attach-rate economics.
  • Stable Gross Margin Profile Gross margin stability is strong (score 0.83). Low volatility confirms durable consumable pricing.

Key risks

  • Weak Capital Return Profile Capital return quality is below peers (score 0.19). Low ROIC raises questions about M&A discipline and pipeline ROI.
  • Thin Interest Coverage Interest coverage lags peers (score 0.20). Thin coverage limits M&A optionality and raises refinancing risk.

The dashed ring is the peer median. Defense scores are percentile ranks against peers, so 50 is roughly the typical company in this group.

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Pricing Power & Consumable Moat

Strong
81

Where NYXH ranks in Medical Instruments & Supplies

Nyxoah SA ranks #35 of 62 scored companies in Medical Instruments & Supplies by moat score — the top 56%. The widest moat in the group is Intuitive Surgical, Inc. (ISRG) at 86/100.

Moat scores for companies ranked near NYXH in Medical Instruments & Supplies
# Company Moat score Rating
31 Repligen Corporation RGEN 53/100 Moderate
32 STAAR Surgical Company STAA 51/100 Moderate
33 ICU Medical, Inc. ICUI 49/100 Developing
34 Avantor, Inc. AVTR 47/100 Developing
35 Nyxoah SA NYXH 45/100 Developing
36 Femasys Inc. FEMY 43/100 Developing
37 DENTSPLY SIRONA Inc. XRAY 43/100 Developing
38 Baxter International Inc. BAX 40/100 Developing
39 Milestone Scientific, Inc. MLSS 40/100 Developing

See every Medical Devices & Diagnostics company ranked by moat score →

How NYXH scores on the Medical Devices & Diagnostics defenses

Pricing Power & Consumable Moat

Score 81 · 25% of the moat score

In MedTech, pricing power is rarely about the machine — it is about what the machine consumes.

R&D Pipeline & Capital Returns

Score 24 · 20% of the moat score

Research spending is how a device company keeps its installed base current, but spending alone proves nothing.

FCF Quality & Cash Conversion

Score 52 · 20% of the moat score

MedTech companies grow by acquisition, and the resulting intangible amortisation depresses reported earnings without consuming any cash.

Commercial Execution

Score 45 · 15% of the moat score

Devices are sold into hospitals and labs through committees, tenders and long qualification cycles, which makes the sales organisation expensive and hard to replicate.

Capital Structure & Resilience

Score 17 · 12% of the moat score

Serial acquirers carry debt, and the question is whether the cash flows underneath it are dependable enough to service it through a downturn.

Growth Durability

Score 11 · 8% of the moat score

Growth durability separates an expanding installed base from a good product cycle.

How each Medical Devices & Diagnostics defense is measured, in full →

Understanding NYXH's moat

What is Nyxoah SA's moat score?

Nyxoah SA (NYXH) scores 45 out of 100 on the StatsAlpha Moat Map, which rates its competitive advantage as developing. It ranks #35 of 62 scored companies in Medical Instruments & Supplies, the top 56%. The score is a weighted composite of 6 competitive defenses, each measured against industry peers of 61 companies in Medical Instruments & Supplies. Its strongest defense is Pricing Power & Consumable Moat (81/100) and its weakest is Growth Durability (11/100).

How does Nyxoah SA compare with other Medical Instruments & Supplies companies?

Nyxoah SA ranks #35 of 62 scored companies in Medical Instruments & Supplies by moat score. The widest moat in Medical Instruments & Supplies is Intuitive Surgical, Inc. (ISRG) at 86/100. The companies ranked closest are Avantor, Inc. (AVTR) at 47 just above it and Femasys Inc. (FEMY) at 43 just below it.

How is the moat score calculated?

Each company is scored with an industry-specific template — Medical Devices & Diagnostics in this case, chosen because the defenses that matter to a bank are not the ones that matter to a software company. Every defense combines several financial signals, and each signal is measured as a percentile against a peer group of 61 companies in Medical Instruments & Supplies. The defenses are then weighted to produce the overall score out of 100.

Why is Nyxoah SA scored with the Medical Devices & Diagnostics template?

Medical device and diagnostics companies place an instrument once and then sell the consumables, reagents and service that instrument needs for the next decade. The economics are a razor-and-blade model wrapped in regulatory approval and clinician habit, so the MedTech template scores the durability of that installed base rather than the size of any single product launch.

Which competitive defenses are measured for Nyxoah SA?

The Medical Devices & Diagnostics template measures 6 defenses, and NYXH scores: Pricing Power & Consumable Moat (81), R&D Pipeline & Capital Returns (24), FCF Quality & Cash Conversion (52), Commercial Execution (45), Capital Structure & Resilience (17), Growth Durability (11). Each is scored independently as a percentile against peers, so a company can be strong on one and weak on another — the overall score reflects how those defenses are weighted for this industry.

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