Stock Ratings / Health Care / TLSI / options

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TriSalus Life Sciences Inc. (TLSI) Options Positioning, Max Pain & Unusual Sweeps

$3.86 -1.78% NASDAQ • Live Quote vs Prior Daily Close (Synced Snapshot) EXT / AFTER-HRS: $3.84

TriSalus Life Sciences Inc. (TLSI) carries a Roarable Rating of E (Strong Sell) with 34/100 RQD Confidence due to weak cash-flow efficiency and sensitivity to current interest rates. Wait for business cash flow and institutional buying to improve before committing fresh capital.

📊 Historical Track Record Warning: Scores below 50 (34/100 · E) historically underperformed SPY in 71% of rolling 90-day windows →

ROARABLE E • RED ALERT Cap $237.7M

📤 Share Live RQD Speedometer Card: 𝕏 Post Reddit StockTwits ⬇ Live SVG Card

⚡ INSTANT AI QUANT PREVIEW • $0 FREE TIER Click Any Pre-Computed AI Quant Specialist Briefing on TLSI Below — or Connect Your Own ChatGPT / Claude

🤖 Mara Quenwick • AI Quant Lead (Click for Instant Brief) Is TLSI stock a Buy, Hold, or Sell right now according to Roarable's RQD model?

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As of 2026-11-01, TriSalus Life Sciences Inc. (NASDAQ: TLSI) is rated E (Strong Sell / SELL) by Roarable's 5-pillar RQD engine with a composite confidence score of 34/100 at a spot price of $3.86 (-1.78% 1D, market cap $237.7M). Pillar breakdown: Fundamental Cash Engine 9/20, Institutional 13F & Options Flow 5/20, Executive Insider Alignment 11/20, FRED Macro Regime Fit 6/20, and SEC Balance-Sheet Forensics 3/20. Across 1016 tracked Health Care issuers, TLSI ranks #843 in composite RQD confidence.

✓ Pre-computed one-to-many AI Quant brief

🤖 Ellis Vennor • AI Peer & Flow Quant (Click for Instant Brief) How does TLSI compare to BDSX and XGN in the Health Care sector?

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Within the Health Care sector (Medical Specialities), TLSI carries a Roarable E (34/100 RQD), trailing P/E of N/A, gross margin of 84.6%, and ROIC of -35.0%. By comparison, BDSX (Biodesix Inc.) holds a D grade (44/100 RQD, P/E N/A, ROIC -35.0%, cap $260.8M) and XGN (Exagen Inc.) posts a E grade (31/100 RQD, P/E N/A, ROIC -35.0%, cap $210.8M). Among the 5-stock peer group, TLSI leads on earnings multiple (N/A) while YDES leads on capital efficiency (-20.0% ROIC).

✓ Pre-computed one-to-many AI Quant brief

🤖 Gideon Ashmere • AI SEC 10-K Forensics (Click for Instant Brief) What are the biggest fundamental strengths and SEC risk factors for TLSI?

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Per TLSI's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001826667), TriSalus Life Sciences Inc. generated $45.2M in revenue (+53.4% YoY), -$39.2M in net income, and -$18.9M in free cash flow against $35.3M in total assets and $33.0M in total debt. Key quantitative strengths: Established market leader in Health Care with deep daily trading liquidity.. Primary risk factors monitored: Company executives have done more routine share selling than personal cash buying lately.. Institutional options positioning shows a 50% call / 50% put premium split.

✓ Pre-computed one-to-many AI Quant brief

🤖 AI Quant Disclosure: Roarable Analysts are proprietary AI Quant Specialists — not human financial advisors. Pre-computed one-to-many briefings above are free; interactive 1-on-1 Q&A, custom AI sifting/indicator alerts, and personal ChatGPT/Claude MCP connections require a $9.95/mo Pro account (currently waitlist-only).

INTERACTIVE SCENARIO DECK:

🛡️ Portfolio Crash X-Ray

EXT / AFTER-HRS: $3.84 (-0.51%)🧬 Dilution Drag (+2.48% YoY Shares)⚙️ Cash Engine: 9/20 (D) • 0% FCF Margin

Verify 90D Bucket Audit →

📊 Historical Track Record Warning: Scores below 50 (34/100 · E) historically underperformed SPY in 71% of rolling 90-day windows (-8.7% avg 90D alpha vs SPY • 29.0% hit rate).

Audit Bucket Track Record →

RQD QUANT TACHOMETERRED ALERT • E

2-of-3 JEV AI Jury Bearish Warning

Cash

SEC

Whale

Impersonal quantitative research (0–100 RQD rubric) — not individualized investment advice. Past performance does not guarantee future results. Full Disclaimer

5-PILLAR SNOWFLAKE RADARRw E · Rk D-

Each axis scored 0–20

12M PRICE TARGET CONE-10.9% Base Target

WHALE OPTIONS SNAPSHOT: — (No Active Options Snapshot on file for TLSI)Realized 20D OHLCV Swing Band: ±12.1%

Deterministic 5-Pillar Attribution (34/100 Composite)

🔍 WHY TLSI SCORES 34/100 (E) — TOP 3 DRIVERS2 Bullish Pillars + #1 Risk Drag

▲ #1 Bullish Driver: SEC 10-K Forensic Risk+11/20 pts (32% of score)

Altman Z-Score 3.80 (FORTRESS SAFE (>3.0)) • Piotroski F-Score 4/9

▲ #2 Bullish Driver: Cash Engine Quality+9/20 pts (26% of score)

SEC XBRL FY 2025 (10-K): 0% FCF Margin ($0 FCF) & 84.6% Gross Margin

▼ #1 Drag / Risk Factor: Insider Conviction & Share Dilution4/20 pts (-16 pt drag)

Dilution Drag (+2.48% YoY Shares) & executive Form 4 sales trim 16 pts from alignment

📈 PAST 4 QUARTERS RQD vs SUBSEQUENT RETURNQ1 → Q2 → Q3 → Current

Q1 (-3Q)

Grade D$4.06-10.6% Next Q

Q2 (-2Q)

Grade E$3.63-1.1% Next Q

Q3 (-1Q)

Grade E$3.59+7.5% Next Q

Current

Grade E$3.86-8.7% Hist 90D α

Trajectory: D (42) → E (34)Full Audit →

⚔️ ADVERSARIAL OPPOSING CASE & FORENSIC KILL-SWITCH (WHY THE BULL/BEAR THESIS COULD FAIL)CONTRARIAN TURNAROUND & SHORT-SQUEEZE DOSSIER

⚔️ Adversarial Opposing Case: What Could Spark a TLSI Turnaround Squeeze

Gideon Ashmere Forensic Desk →

While TLSI currently carries a cautious 34/100 (E) rating due to Insider Conviction & Share Dilution (4/20), shorts face asymmetric squeeze risk if free cash flow inflects or management executes accretive buybacks.

🚀 Contrarian Squeeze Trigger #1

Established market leader in Health Care with deep daily trading liquidity.

🚀 Contrarian Squeeze Trigger #2

Options & Short-Covering Gamma: Reclaiming the 50-day SMA ($4.43) and Max Pain ($4.05) forces dealer call-delta covering toward $8.35.

🚀 Contrarian Squeeze Trigger #3

Forensic Repair Trigger: Halting share dilution (Dilution Drag (+2.48% YoY Shares)) or retiring high-cost debt immediately upgrades the SEC 10-K Forensic pillar.

🎲 LIVE PREDICTION MARKET ODDS TIED TO $TLSI• $2.4M Crowd Pool • Kalshi / Polymarket Composite

Contract: “TLSI Beats Next Quarter EPS Consensus (Dec 30, 2026) & Holds Above 200D SMA”

YES 34%NO 66%Trade / Inspect Odds →

CALL VS. PUT WHALE SHARE

— (No Active Options Snapshot)

Put/Call Ratio: — (No Active Options Snapshot)

MAX-PAIN EXPIRATION MAGNET

— (No Active Options Snapshot)

No active options chain max-pain snapshot on file

HISTORICAL 20D VOLATILITY SWING

±12.1%

Derived from 20D OHLCV bars (No Active Options Snapshot)

Active Strike Call vs. Put Concentration Ladder (TLSI)

— (No Active Options Snapshot) — No unusual CBOE strike concentration anomalies recorded in the current database snapshot for TLSI.

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ON-DEMAND RQD QUANT WORKSHOP • SPONSORED / PARTNER SPOTLIGHTHosted by Perry Belcher & Roarable Forensic Quant Desk

Red-Light Warning Desk: Spotting SEC Cash-Flow & Dilution Risks Before Downgrades (Featuring TLSI)

✓Walkthrough of TLSI's RQD Radar, SEC cash-conversion gap & downside invalidation levels
✓3 asymmetric Bear/Hedge frameworks when 10-year Treasury yields stay elevated
✓Includes nightly RQD rating-change & forensic signal email alerts on your tracked stocks

RQD INSIDER CLUB WAITLIST$49/YR PLANNED

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TLSI // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: -10.65%▼ DESCENDING CHANNEL

2026-10-30O $3.77H $3.88L $3.66C $3.86VOL 108.6K

RES: $5.75SUP: $3.50SMA50: $4.43SMA200: $4.40

PRIMARY-SOURCE FORENSICS, SECOND-ORDER LINKS & AI ANALYST DESK

TLSI Dilution Monitor, Expectations Hurdle, Butterfly Connections & Policy Exposure

🦋 TLSI Butterfly Map → + Track TLSI →

Share Count & Dilution Monitor (#25)

Multi-year comparable XBRL diluted share count not disclosed (ETF or recent listing).

Reverse-DCF Expectations Hurdle (#30)

8.0%/yr Implied 5Y Growth

vs. +53.4% actual YoY revenue growth (assuming 9.25% cost of equity & 16.5x terminal multiple).

Ellis Vennor Setup Ledger (#33)

No active Ellis Vennor swing setup published on TLSI today. View full Setup Ledger →

🦋 Documented & Second-Order Butterfly Connections Open Graph →

No direct multi-tier Butterfly edges indexed yet for TLSI. Explore sector supply chains on /butterfly.

AI Analyst Theses, Washington Policy & Company Video

🎬 No recent verified company-specific video clip queued for TLSI today (we never pad ticker pages with unrelated generic clips). Browse Macro Video Desk →

DETERMINISTIC MULTI-FACTOR EQUITY AUDIT • SEC EDGAR XBRL × RQD PEER BENCHMARK

📊 Quantitative Sector Peer Comparison, SEC Filing Delta & Investment FAQ (TLSI)

Health Care Rank #843 of 1016 ⚔️ BDSX vs TLSI Full Matrix →

1. Head-to-Head Health Care Peer Comparison (TLSI vs. BDSX, XGN, YDES, BNR)

Industry: Medical Specialities (41 Tracked Issuers)

Across 1016 tracked Health Care securities in the Roarable RQD universe, TriSalus Life Sciences Inc. (TLSI) ranks #843 by composite RQD confidence (34/100, grade E) and #555 by equity capitalization ($237.7M). Within this direct 5-issuer industry benchmark cohort, TLSI leads on earnings valuation at N/A trailing P/E, while YDES leads on capital efficiency and profitability with -20.0% ROIC and 28.1% gross margin. BDSX currently holds the highest overall quantitative score in the immediate peer group at 44/100 (D) compared with TLSI at 34/100 (E).

Ticker / Company	Roarable Grade	RQD Score	Trailing P/E	Gross Margin	ROIC	1D Change	Market Cap	Head-to-Head
TLSI ACTIVE TriSalus Life Sciences Inc.	E	34/100	—	84.6%	-35.0%	-1.78%	$237.7M	Benchmark Subject
BDSX Biodesix Inc.	D	44/100	—	—	-35.0%	+8.14%	$260.8M	/bdsx-vs-tlsi →
XGN Exagen Inc.	E	31/100	—	58.3%	-35.0%	+3.57%	$210.8M	/xgn-vs-tlsi →
YDES YD Bio Limited	D-	37/100	—	28.1%	-20.0%	-6.53%	$415.8M	/ydes-vs-tlsi →
BNR Burning Rock Biotech Limited	E	23/100	—	74.7%	-35.0%	-9.87%	$116.5M	/bnr-vs-tlsi →

2. Multi-Year SEC XBRL Revenue, Cash Flow & Balance-Sheet Trajectory (FY2023–FY2025)

SEC EDGAR 10-K • FILED 2025-12-31 • CIK 0001826667

In its most recent audited fiscal period (FY2025, filed 2025-12-31), TriSalus Life Sciences Inc. (TLSI) reported GAAP revenue of $45.2M (+53.4% vs. FY2024 revenue of $29.4M , and +143.9% cumulative change since FY2023) , GAAP net income of -$39.2M, operating cash flow of -$18.0M, and free cash flow of -$18.9M (+54.0% YoY). On the balance sheet, TLSI closed FY2025 with $35.3M in total assets against $33.0M in total debt (Altman Z-Score: N/A, Piotroski F-Score: 4/9).

Fiscal Period	Filing Date	Revenue	Net Income	Operating Cash Flow	Free Cash Flow	Total Assets	Total Debt
FY2025 (FY)	2025-12-31	$45.2M	-$39.2M	-$18.0M	-$18.9M	$35.3M	$33.0M
FY2024 (FY)	2024-12-31	$29.4M	-$30.0M	-$40.8M	-$41.2M	$24.0M	$22.1M
FY2023 (FY)	2023-12-31	$18.5M	-$59.4M	-$50.6M	-$50.6M	—	—

3. TLSI Data-Verified Investor FAQ (RQD Rating, Sector Peers, SEC Forensics & Technicals)

✓ SCHEMA.ORG FAQPAGE JSON-LD ENABLED

Is TLSI stock a Buy, Hold, or Sell right now according to Roarable's RQD model?

How does TLSI compare to BDSX and XGN in the Health Care sector?

What are the biggest fundamental strengths and SEC risk factors for TLSI?

Where is TLSI trading relative to its 50-day, 200-day, and 52-week technical levels?

TLSI last traded at $3.86 (-1.78% on volume of 113,864 shares), positioning the stock -12.87% below its 50-day simple moving average ($4.43) and -12.27% below its 200-day simple moving average ($4.40). Across its 52-week range of $2.20 to $7.95, TLSI sits at the 28.9% percentile with a 14-day RSI of 38.4 (NEUTRAL RANGE) and an implied next-earnings move of ±12.1% ($3.39 to $4.33).

TLSI Investor FAQ & Complete 8-Part Research Index

100% OPEN ACCESS • SEC EDGAR × CBOE × FRED

What is TLSI's options positioning and volatility profile?

Roarable tracks verified CBOE unusual options sweeps, put/call ratios, and OHLCV realized volatility bands for TLSI.

Direct Sub-Reports: TLSI RQD Cockpit TLSI 12M Forecast TLSI Earnings & Move TLSI Dividends & DRIP TLSI Insiders & 13F TLSI Whale Options TLSI Profit Sankey TLSI News & Why