Fuse Medical, Inc.

FZMD
About the company

Fuse Medical, Inc. manufactures and distributes medical devices in the United States. The company provides orthopedic implants, including internal and external fixation products; upper and lower extremity plating and total joint reconstruction implants; soft tissue fixation and augmentation for sports medicine procedures; and full spinal implants for trauma, degenerative disc disease, and deformity indications. It also provides osteo-biologics and regenerative products, which include human allografts, tendons, substitute bone materials, and regenerative tissues.

Country: United StatesPrice: $0.03Market Cap: $2.2M

Investment snapshot

6%positive consensus
Scored 1d ago

Positive

1

BUY / PASS

Neutral / negative

3 / 12

NEUTRAL / FAIL

Median fair value

$0.14

+366.7% vs price

Models with upside

1 / 17

Positive margin of safety

Key risk

No clean pass — all 8 investors flag at least one growth criterion

Framework analysis

VerdictMeaning
BUYPositive purchase signal: the framework's buy requirements are met.
PASSThe company clears the framework's checklist or screen, but the framework does not produce a buy signal. For valuation frameworks this often means margin of safety is missing, insufficient, or unavailable; some screen-only frameworks have no intrinsic-value BUY state.
NEUTRALNeither a positive nor negative conclusion. It does not mean to hold an existing position.
FAILThe company does not clear the framework's requirements.
RankedRanked strategies do not use PASS: selected cohort is BUY, outside the cohort is FAIL, and unranked is NEUTRAL.

Current investor scores use trailing 12-month flows and the latest balance sheet where supported. Multi-year and EPS tests retain annual history; each framework shows its financial basis below. Intrinsic values use annual financials.

MetricGraham

Defensive Value

Buffett

Quality Compounder

Lynch

GARP

Greenblatt

Magic Formula

Piotroski

F-Score

Dreman

Contrarian Value

Munger

Quality Focus

Pabrai

Dhandho Framework

Akre

Three-Legged Stool

Marks

Risk-Aware Value

Ackman

Activist Value

Templeton

Global Bargain Hunter

Sleep

Scale Economies Shared

Asness

Systematic Factors

Neff

Low-P/E Total Return

Schloss

Asset-Value Discipline

O'Shaughnessy

Systematic Factor Composite

VerdictFAILFAILFAILFAIL · Rank #2522 (Top 81.4%)PASSFAILFAILNEUTRALFAILFAILFAILFAILFAILNEUTRALFAILFAILNEUTRAL
Score
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Intrinsic Value (annual)N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Margin of SafetyN/AN/AN/AN/AN/AN/AN/A+88.0%N/A+0.0%N/AN/AN/AN/AN/AN/AN/A
Financial Basis

Annual history · FY 2022

Latest source filing: 2023-04-14

Score computed: 2026-11-14

Annual history · FY 2022

Latest source filing: 2023-04-14

Score computed: 2026-11-14

Annual history · FY 2022

Latest source filing: 2023-04-14

Score computed: 2026-11-14

Annual history · FY 2022

Latest source filing: 2023-04-14

Score computed: 2026-11-14

Annual history · FY 2022

Latest source filing: 2023-04-14

Score computed: 2026-11-14

Annual history · FY 2022 · Market data at 2026-11-01

Latest source filing: 2023-04-14

Score computed: 2026-11-14

Qualitative assessment · Annual history · FY 2022

Latest source filing: 2023-04-14

Score computed: 2026-11-14

Qualitative assessment · Annual history · FY 2022

Latest source filing: 2023-04-14

Score computed: 2026-11-14

Annual history · FY 2022 · Qualitative assessment

Latest source filing: 2023-04-14

Score computed: 2026-11-14

Annual history · FY 2022 · Qualitative assessment

Latest source filing: 2023-04-14

Score computed: 2026-11-14

Annual history · FY 2022 · Market data at 2026-11-01

Latest source filing: 2023-04-14

Score computed: 2026-11-14

Annual history · FY 2022 · Price history 2025-01-01–2026-11-01

Latest source filing: 2023-04-14

Score computed: 2026-11-14

Annual history · FY 2022 · Qualitative assessment

Latest source filing: 2023-04-14

Score computed: 2026-11-14

Annual history · FY 2022 · Price history 2025-01-01–2026-11-01

Latest source filing: 2023-04-14

Score computed: 2026-11-14

Annual history · FY 2022

Latest source filing: 2023-04-14

Score computed: 2026-11-14

Annual history · FY 2022

Latest source filing: 2023-04-14

Score computed: 2026-11-14

Annual history · FY 2022 · Price history 2025-01-01–2026-11-01

Latest source filing: 2023-04-14

Score computed: 2026-11-14

Where It Passes

    Where It Falls Short

    • Growth0% pass✓ 2✗ 11▾

      No clean pass — all 8 investors flag at least one growth criterion

      EPS Growth (3-yr avg, 10-yr window)N/A (negative base EPS)
      ✗Graham>= 33% growth
      Basic earnings-growth PEG (dividends excluded)P/E 0.7x (growth N/A)
      ✗Lynch< 1.0 (ideally < 0.5)
      3-5 Year EPS CAGR0.0%
      ✗Lynch15-30% (Fast Grower); > 0% to pass
      Inventory Growth vs Revenue GrowthInv: 8.7% vs Rev: -8.7%
      ✗LynchInventory growth < Revenue growth
      EPS Growth Direction$-0.03 (2011) -> $0.04 (2022)
      ✓DremanPositive over recent years
      EPS CAGR-29.7% CAGR over 6 years
      ✗Dreman> 5% annualized
      Positive Net Income Frequency5/12 years positive
      ✗MarksPositive net income in >= 7 of last 10 years
      3yr Median Revenue Growth-6.6%
      ✗Ackman>= 5%
      Positive EPS Growth Frequency3/5 years with positive EPS growth
      ✓AckmanPositive EPS growth in >= 3 of last 5 years
      5-Year EPS CAGR0.0% CAGR over 5 years
      ✗Templeton> 0% (5-year EPS CAGR)
      Revenue growth vs. gross and operating margin trendgross margin 59.4% -> 61.9%, operating margin -4.8% -> -4.4%
      ✗SleepRevenue rising; gross margin flat or falling; operating margin holding
      5-year Revenue CAGR-6.7%
      ✗SleepCAGR > 7%
      3-5 Year Diluted EPS CAGR0.0% over 5 years
      ✗Neff7%-20% annualized
    • Efficiency0% pass✗ 11▾

      All 8 investors flag FZMD's efficiency

      Current Ratio1.11
      ✗Graham>= 2.0
      ROIC (3-5 yr avg)-162.0%
      ✗Buffett> 10%
      ROIC - WACC-172.0%
      ✗BuffettPositive (WACC = 10%)
      EBIT / (NWC + Net Fixed Assets)-66.2%
      ✗Greenblatt> 25%
      Current Ratio Change YoY1.29 -> 1.11
      ✗PiotroskiIncreased YoY
      Revenue / Total Assets Change YoY1.12x -> 0.94x
      ✗PiotroskiImproved YoY
      Current Assets / Current Liabilities1.11
      ✗Dreman> 1.5
      Return on Invested Capital-38.2%
      ✗Munger> 15%
      ROIC (high and growing)FY2020: ROIC=unavailable; FY2021: ROIC=unavailable; FY2022: ROIC=-38.2%
      ✗AkreLatest 3 consecutive FYs: ROIC > 15% in each
      Reinvestment Rate x ROIC-38.2% (RR=100% x ROIC=-38.2%)
      ✗AkreReinvestment Rate * ROIC > 10%
      ROIC (5-year)0/3 years above 12% (latest -38.2%)
      ✗SleepROIC > 12% in a majority of years
    • Verdicts7% pass✓ 1✗ 13▾

      Split decision: 12 FAIL · 3 NEUTRAL · 1 PASS

      Overall verdict
      ✗GrahamFAIL (0/9)✗BuffettFAIL (1/9)✗LynchFAIL (1/7)✗GreenblattRank #2522✓PiotroskiPASS (F-Score 5)✗DremanFAIL (3/11)✗MungerFAIL (1/4)•PabraiNEUTRAL (2/3)✗AkreFAIL (1/6)✗MarksFAIL (2/5)✗AckmanFAIL (2/9)✗TempletonFAIL (3/8)✗SleepFAIL (1/6)•AsnessNEUTRAL (Not ranked)✗NeffFAIL (1/6)✗SchlossFAIL (0/7)•OshaughnessyNEUTRAL (Not ranked)
    • Debt & Leverage8% pass✓ 1✗ 14▾

      11 of 12 flag FZMD's debt & leverage — Graham, Buffett, Lynch +8 more

      LT Debt vs Net Current Assets
      ✗GrahamLT Debt <= Net Current Assets
      Debt/Equity & Interest CoverageD/E: N/A (negative equity), IC: -4.8x
      ✗BuffettD/E < 0.5 AND Interest Coverage > 5x
      Total Debt / EquityN/A (negative equity)
      ✗Lynch< 0.33
      Cash - Long-term Debt
      ✗LynchPositive preferred
      LT Debt / Total Assets Change0.00% -> 0.00%
      ✓PiotroskiDecreased YoY
      Current Assets / Current Liabilities1.11
      ✗Dreman> 1.5✗SchlossCurrent ratio >= 1.50x (app cutoff)
      Total Debt / Shareholders' Equity
      ✗Dreman< 0.8✗Templeton< 1.0 (fixed cap; proxy for below-sector-median leverage)✗SchlossD/E < 1.00x
      Debt LevelsN/A (non-positive equity)
      ✗MungerDebt/Equity < 0.5✗AkreDebt/Equity < 0.3
      Interest Coverage & Debt/EBITDAIC=-4.8x, D/EBITDA=N/A
      ✗MarksInterest Coverage > 3x; Debt/EBITDA < 4x
      Total Debt / Shareholders Equity
      ✗Ackman<= 1.0
      Negative debt-to-equity (higher means less debt)
      ✗AsnessTop 30% of eligible cross-section
    • Valuation15% pass✓ 9✗ 19▾

      11 of 13 flag FZMD's valuation — Graham, Lynch, Greenblatt +8 more

      Price / 3-yr avg EPS
      ✗Graham<= 15x
      Price-to-Book Ratio
      ✗Graham<= 1.5x
      P/E x P/B
      ✗Graham<= 22.5
      Basic earnings-growth PEG (dividends excluded)P/E 0.7x (growth N/A)
      ✗Lynch< 1.0 (ideally < 0.5)
      EBIT / Enterprise Value-20.0%
      ✗Greenblatt> 10%
      Earnings Yield + ROC AssessmentEY=-20.0%, ROC=-66.2%
      ✗GreenblattBoth EY > 10% and ROC > 25%
      Price / EPS0.7x
      ✓Dreman< 12x✓Templeton< 12x (fixed ceiling; proxy for the market's cheapest 40%)
      Price / (CFO / Shares)63.7x
      ✗Dreman< 8x
      Price / Book Value per ShareN/A (negative BVPS)
      ✗Dreman< 1.2x✗Templeton< 1.5x✗SchlossP/B <= 0.80x (app cutoff)
      Valuation ReasonablenessP/E=0.7x, OE Yield=145.9%
      ✓MungerP/E < 25 or Owner Earnings Yield > 5%
      P/E or FCF YieldP/E=0.7x
      ✓PabraiP/E < 15 or FCF Yield > 10%
      P/B or P/E vs. Historical AverageP/E=0.7x
      ✓MarksP/E < 15 or P/B < 2.0
      Discount to Intrinsic ValueN/A (negative normalized EPS)
      ✗Marks>= 20% below intrinsic value
      Price / FCF per Share
      ✗Ackman<= 25
      Price vs. Trailing Low150% of trailing low ($0.02)
      ✗Templeton<= 120% of trailing low (certified split-adjusted live window)
      Net income / market capitalization+139.75%; #82/6340 (top 1.3%)
      ✓AsnessTop 30% of eligible cross-section✓OshaughnessyTop 10% of eligible cross-section
      Positive book equity / market capitalization-0.1402; #5762/6449 (top 89.3%)
      ✗AsnessTop 30% of eligible cross-section
      Price / Diluted EPS0.7x
      ✓NeffP/E <= 15x (app proxy for a P/E 40%-60% below the market)
      (EPS CAGR % + Dividend Yield %) / P/E
      ✗Neff> 0.7 (Neff's published traditional edge)
      Price / Tangible Book Value per ShareN/A (non-positive TBVPS)
      ✗SchlossP/TBV <= 1.00x (app cutoff)
      Book Value per Share Change
      ✗SchlossLatest BVPS >= earliest BVPS over >= 3 years (app rule)
      Revenue / market capitalization+8.4104; #357/5247 (top 6.8%)
      ✓OshaughnessyTop 10% of eligible cross-section
      (Operating cash flow - capex) / market capitalization
      ✗OshaughnessyTop 10% of eligible cross-section
      Trailing six-month price return through the evaluation date+0.00%; #2690/6202 (top 43.4%)
      ✗OshaughnessyTop 10% of eligible cross-section
    • Profitability19% pass✓ 11✗ 24▾

      13 of 16 flag FZMD's profitability — Graham, Buffett, Lynch +10 more

      Positive EPS (10 years)4/14 years positive
      ✗GrahamPositive EPS every year for 10 years
      EPS Growth (3-yr avg, 10-yr window)N/A (negative base EPS)
      ✗Graham>= 33% growth
      Net Income Positive (10+ years)5/14 years positive
      ✗BuffettPositive every year for 10+ years
      ROE (up to 5-year arithmetic mean)1.3%
      ✗Buffett> 15% arithmetic mean (app rule)
      Operating Margin (10-yr trend)-4.4% (latest)
      ✓BuffettStable or rising over 10 years
      Free Cash Flow Proxy$-1.3M
      ✗BuffettPositive and growing
      Earnings Variance (10-yr CoV)N/A (negative mean EPS)
      ✗BuffettCoV < 0.3
      Retained Earnings Effectiveness
      ✗Buffett$1 retained -> > $1 market value created
      Basic earnings-growth PEG (dividends excluded)P/E 0.7x (growth N/A)
      ✗Lynch< 1.0 (ideally < 0.5)
      3-5 Year EPS CAGR0.0%
      ✗Lynch15-30% (Fast Grower); > 0% to pass
      ROEN/A (negative equity)
      ✗Lynch> 15%
      EBIT / Enterprise Value-20.0%
      ✗Greenblatt> 10%
      Earnings Yield + ROC AssessmentEY=-20.0%, ROC=-66.2%
      ✗GreenblattBoth EY > 10% and ROC > 25%
      Net Income / Total Assets15.68%
      ✓PiotroskiROA > 0
      ROA Change YoY-8.67% -> 15.68% (delta: +24.35%)
      ✓PiotroskiCurrent ROA > Prior ROA
      (CFO / Total Assets) vs ROACFO/Assets=0.18%, ROA=15.68%
      ✗PiotroskiCFO/Assets > ROA
      Gross Margin Change YoY58.5% -> 61.9%
      ✓PiotroskiImproved YoY
      Pre-Tax Income / Revenue16.7%
      ✓Dreman>= 8%
      Net Income / Shareholders' Equity
      ✗Dreman> 12%
      Margin of SafetyP/E=0.7x
      ✓PabraiP/B < 1.5 or P/E < 15
      Return on Equity96.1% (3-yr avg)
      ✓AkreROE > 20% (3-year avg)
      Discount to Intrinsic ValueN/A (negative normalized EPS)
      ✗Marks>= 20% below intrinsic value
      Positive Net Income Frequency5/12 years positive
      ✗MarksPositive net income in >= 7 of last 10 years
      Operating Income / Revenue-4.4%
      ✗Ackman>= 15%
      Net Income / Shareholders Equity
      ✗Ackman>= 15%
      5-Year EPS CAGR0.0% CAGR over 5 years
      ✗Templeton> 0% (5-year EPS CAGR)
      Operating Margin Trend-4.8% (2020) -> -4.4% (2022)
      ✓TempletonNon-negative operating-margin trend over 3 years
      Revenue growth vs. gross and operating margin trendgross margin 59.4% -> 61.9%, operating margin -4.8% -> -4.4%
      ✗SleepRevenue rising; gross margin flat or falling; operating margin holding
      Net income / market capitalization+139.75%; #82/6340 (top 1.3%)
      ✓AsnessTop 30% of eligible cross-section✓OshaughnessyTop 10% of eligible cross-section
      Gross profit / total assets+58.40%; #494/3702 (top 13.3%)
      ✓AsnessTop 30% of eligible cross-section
      Net income / positive book equity
      ✗AsnessTop 30% of eligible cross-section
      Negative 5-year standard deviation of ROA-0.1437; #3901/5884 (top 66.3%)
      ✗AsnessTop 30% of eligible cross-section
      3-5 Year Diluted EPS CAGR0.0% over 5 years
      ✗Neff7%-20% annualized
      Positive Diluted-EPS Years4/10 years positive
      ✗Schloss>= 70% positive over 5-10 observed years (app rule)
    • Cash Flow30% pass✓ 4✗ 8▾

      7 of 10 flag FZMD's cash flow — Buffett, Piotroski, Dreman +4 more

      Free Cash Flow Proxy$-1.3M
      ✗BuffettPositive and growing
      FCF Positive and Growing$0.2M
      ✓LynchPositive and growing
      Operating Cash Flow$0.0M
      ✓PiotroskiCFO > 0
      (CFO / Total Assets) vs ROACFO/Assets=0.18%, ROA=15.68%
      ✗PiotroskiCFO/Assets > ROA
      Price / (CFO / Shares)63.7x
      ✗Dreman< 8x
      P/E or FCF YieldP/E=0.7x
      ✓PabraiP/E < 15 or FCF Yield > 10%
      FCF Positive4/7 years FCF positive
      ✓MarksPositive FCF in majority of recent years
      (OCF - CapEx) / Market Cap
      ✗Ackman>= 4%
      Price / FCF per Share
      ✗Ackman<= 25
      Positive Operating Cash Flow frequency6/12 years positive
      ✗SleepPositive OCF in >= 70% of available years
      Operating Cash Flow - Capital Expenditures
      ✗Neff> $0 (app proxy for a strong fundamental case)
      (Operating cash flow - capex) / market capitalization
      ✗OshaughnessyTop 10% of eligible cross-section
    • Valuation models50% pass✓ 1✗ 1▾

      Models split on FZMD at $0.03 — fair values range $0.03–$0.25

      Pabrai fair value$0.25
      ✓Pabrai+88.0% margin vs $0.03
      Marks fair value$0.03
      ✗Marks0.0% margin vs $0.03

    Business & financials

    Financial snapshot: annual FY 2022. Current investor scores may use newer quarterly data.

    Company Profile

    Industry: Wholesale
    SIC Sector: Durable Goods Wholesale
    Size: Micro Cap($2.2M)
    Revenue: $18.6M-8.7% YoY
    Net Income: $3.1M+295.1% YoY

    Financial Snapshot

    Operating Margin-4.4%
    Return on Equity-996.6%
    Debt / Equity-6.42
    Current Ratio1.11
    EPS (Diluted)$0.04
    Shares Retired−1.4% / −1.1% 2y

    Shareholder Return

    Fiscal 2022

    Issued 1.4% of shares last year, 1.1% issued over two.

    Buybacks
    —
    Dividends
    —

    Company Financials

    Latest TTM and quarters alongside annual years

    TTM sums four consecutive quarters and uses the latest quarter-end balances. Quarter columns show three-month results; annual columns show full-year totals. Growth compares the same period a year earlier. EPS is not added for TTM; full-year ratios are blank for quarters.

    MetricFY 2022
    Sources
    • 10-K · 2023-04-14
    FY 2021
    Sources
    • 10-K · 2022-03-31
    FY 2020
    Sources
    • 10-K · 2021-03-31
    FY 2019
    Sources
    • 10-K · 2020-03-30
    FY 2018
    Sources
    • 10-K · 2019-03-21
    Market Cap$2.2Mcurrent$21.9Mest.$11.7Mest.$36.6Mest.$53.6Mest.
    Revenue$18.6M↓9%$20.4M↓5%$21.4M↓7%$22.9M↓13%$26.3M
    Operating Income-$815.1K↑63%-$2.2M↓114%-$1.0M↑76%-$4.3M↓122%-$2.0M
    Net Income$3.1M↑295%-$1.6M↓11%-$1.4M↑57%-$3.3M↓184%$4.0M
    EPS (Diluted)$0.04↑300%$-0.02$-0.02↑60%$-0.05↓183%$0.06
    Gross Margin61.9%↑6%58.5%↓2%59.4%↑22%48.6%↓1%49.3%
    Operating Margin-4.4%↑59%-10.8%↓124%-4.8%↑75%-19.0%↓156%-7.4%
    ROE-996.6%↓2254%46.3%↓32%67.8%↓75%271.4%↑1%269.8%
    Total Debt$2.0M↓18%$2.4M↑166%$913.4K↓48%$1.8M↑19%$1.5M
    Shareholders' Equity-$310.9K↑91%-$3.4M↓62%-$2.1M↓73%-$1.2M↓183%$1.5M
    Current Ratio1.11↓14%1.29↓26%1.74↓3%1.79↓26%2.41
    Debt / Equity-6.42↓806%-0.71↓64%-0.43↑70%-1.43↓242%1.01
    Operating Cash Flow$34.8K↑102%-$1.8M↓851%$236.7K↑5094%-$4.7K↓100%$2.5M
    Free Cash Flow----$215.9K↑1176%-$20.1K↓101%$2.4M

    Score history

    Historical Score Timeline

    Industry peers

    Industry Peers

    Similar companies in Wholesale

    FZMD vs Peers — Financial Grading

    Revenue$18.6MBottom 25%
    Net Income$3.1MBottom 25%
    ROE-996.6%Bottom 25%
    D/E-6.42Top 25%
    Op. Margin-4.4%Bottom 25%
    Curr. Ratio1.11Bottom 25%
    CompanyMarket CapPriceRevenueNet IncomeROED/EOp. MarginCurr. RatioGrahamBuffettLynchGreenblattPiotroskiDreman
    MCKESSON CORPMCK$127.3B$1102.81$403.4B$4.8B-219.2%-3.001.5%0.852/95/94/70/3F-Score 61/11
    W.W. GRAINGER, INC.GWW$69.7B$1489.30$17.9B$1.7B45.7%0.6713.9%2.834/96/94/71/3F-Score 65/11
    CARDINAL HEALTH INCCAH$65.0B$281.10$254.2B$1.7B-59.5%-3.081.0%0.882/93/93/70/3F-Score 81/11
    SYSCO CORPSYY$38.0B$77.10$81.4B$1.8B99.9%—3.8%1.213/95/95/71/3F-Score 42/11
    RELIANCE, INC.RS$21.8B$427.33$14.3B$739.4M10.3%0.207.1%4.884/97/93/70/3F-Score 55/11
    WATSCO INCWSO$12.8B$308.46$7.2B$497.0M17.9%0.1710.0%4.125/97/94/71/3F-Score 68/11
    APPLIED INDUSTRIAL TECHNOLOGIES INCAIT$10.9B$297.60$4.6B$393.0M21.3%0.3110.9%3.326/95/94/71/3F-Score 57/11
    HENRY SCHEIN INCHSIC$9.5B$86.22$13.2B$398.0M12.3%0.725.0%1.382/94/92/71/3F-Score 53/11