NVRO

Nevro Corp. (NVRO) Risks & Opportunities Analysis (2026)

Invetso Score: 5/10 — Balanced · Last Updated: 2026-08-01

Overall Score

Financial Distress Risk

Liquidity remains strong with a current ratio of 4.62 and quick ratio of 3.62, reducing near-term refinancing pressure.

However, leverage and coverage remain weak, with debt-to-equity at 1.09 and interest coverage at -4.69, reflecting ongoing earnings pressure.

Net debt is still manageable relative to EBITDA at -1.25x, but EBITDA is negative, limiting the usefulness of leverage metrics.

Profitability Risk

Gross margin is healthy at 65.0%, showing the core product still carries strong unit economics.

That said, operating margin remains deeply negative at -30.9% and ROE is -43.3%, indicating the business is still far from durable profitability.

Negative EBIT and EBITDA margins continue to signal that cost structure and operating losses are the main risk.

Cash Flow Risk

Cash generation remains weak, with operating cash flow margin at -4.8% and free cash flow yield at -13.0%.

Free cash flow is still negative, and the cash conversion cycle is long at 271 days, which ties up working capital.

The company does have a sizable cash balance per share of 7.89, which helps cushion near-term cash burn.

Valuation Risk

Valuation looks inexpensive on sales, with EV/sales at 0.93 and price/sales at 0.55.

But the low multiples are offset by negative earnings and cash flow, so the discount is driven by weak fundamentals rather than clear undervaluation.

Price/book at 0.94 suggests the market is pricing in limited near-term improvement.

Operational Risk

Inventory remains elevated, with days inventory outstanding at 271 days and an operating cycle of 335 days, pointing to working-capital inefficiency.

Receivables and payables are roughly balanced at about 64 days each, so the main drag is inventory rather than collections or supplier terms.

Asset turnover of 0.74 is acceptable, but not strong enough to offset the weak margin profile.

Sources

  • Company filings (10-K, 10-Q, investor presentations)
  • Financial and market data providers
  • Public news and industry information

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