Fuse Medical, Inc.
FZMDAbout 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.
Investment snapshot
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
| Verdict | Meaning |
|---|---|
| BUY | Positive purchase signal: the framework's buy requirements are met. |
| PASS | The 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. |
| NEUTRAL | Neither a positive nor negative conclusion. It does not mean to hold an existing position. |
| FAIL | The company does not clear the framework's requirements. |
| Ranked | Ranked 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.
| Metric | Graham 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Verdict | FAIL | FAIL | FAIL | FAIL · Rank #2522 (Top 81.4%) | PASS | FAIL | FAIL | NEUTRAL | FAIL | FAIL | FAIL | FAIL | FAIL | NEUTRAL | FAIL | FAIL | NEUTRAL |
| Score | |||||||||||||||||
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| Intrinsic Value (annual) | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | |||
| Margin of Safety | N/A | N/A | N/A | N/A | N/A | N/A | N/A | +88.0% | N/A | +0.0% | N/A | N/A | N/A | N/A | N/A | N/A | N/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% growthBasic 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 passInventory Growth vs Revenue GrowthInv: 8.7% vs Rev: -8.7%✗LynchInventory growth < Revenue growthEPS Growth Direction$-0.03 (2011) -> $0.04 (2022)✓DremanPositive over recent yearsEPS CAGR-29.7% CAGR over 6 years✗Dreman> 5% annualizedPositive Net Income Frequency5/12 years positive✗MarksPositive net income in >= 7 of last 10 years3yr 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 years5-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 holding5-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>= 2.0ROIC (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 YoYRevenue / Total Assets Change YoY1.12x -> 0.94x✗PiotroskiImproved YoYCurrent Assets / Current Liabilities1.11✗Dreman> 1.5Return 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 eachReinvestment 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 AssetsDebt/Equity & Interest CoverageD/E: N/A (negative equity), IC: -4.8x✗BuffettD/E < 0.5 AND Interest Coverage > 5xTotal Debt / EquityN/A (negative equity)✗Lynch< 0.33Cash - Long-term Debt✗LynchPositive preferredLT Debt / Total Assets Change0.00% -> 0.00%✓PiotroskiDecreased YoYCurrent 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 < 1.00xDebt LevelsN/A (non-positive equity)✗MungerDebt/Equity < 0.5✗AkreDebt/Equity < 0.3Interest Coverage & Debt/EBITDAIC=-4.8x, D/EBITDA=N/A✗MarksInterest Coverage > 3x; Debt/EBITDA < 4xTotal Debt / Shareholders Equity✗Ackman<= 1.0Negative 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<= 15xPrice-to-Book Ratio✗Graham<= 1.5xP/E x P/B✗Graham<= 22.5Basic 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< 8xPrice / 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 < 2.0Discount to Intrinsic ValueN/A (negative normalized EPS)✗Marks>= 20% below intrinsic valuePrice / FCF per Share✗Ackman<= 25Price vs. Trailing Low150% of trailing low ($0.02)✗Templeton<= 120% of trailing low (certified split-adjusted live window)Net income / market capitalization+139.75%; #82/6340 (top 1.3%)✓AsnessTop 30% of eligible cross-section✓OshaughnessyTop 10% of eligible cross-sectionPositive book equity / market capitalization-0.1402; #5762/6449 (top 89.3%)✗AsnessTop 30% of eligible cross-sectionPrice / Diluted EPS0.7x✓NeffP/E <= 15x (app proxy for a P/E 40%-60% below the market)(EPS CAGR % + Dividend Yield %) / P/E✗Neff> 0.7 (Neff's published traditional edge)Price / Tangible Book Value per ShareN/A (non-positive TBVPS)✗SchlossP/TBV <= 1.00x (app cutoff)Book Value per Share Change✗SchlossLatest BVPS >= earliest BVPS over >= 3 years (app rule)Revenue / market capitalization+8.4104; #357/5247 (top 6.8%)✓OshaughnessyTop 10% of eligible cross-section(Operating cash flow - capex) / market capitalization✗OshaughnessyTop 10% of eligible cross-sectionTrailing six-month price return through the evaluation date+0.00%; #2690/6202 (top 43.4%)✗OshaughnessyTop 10% of eligible cross-section - Profitability19% pass✓ 11✗ 24▾
13 of 16 flag FZMD's profitability — Graham, Buffett, Lynch +10 more
Positive EPS (10 years)4/14 years positive✗GrahamPositive EPS every year for 10 yearsEPS Growth (3-yr avg, 10-yr window)N/A (negative base EPS)✗Graham>= 33% growthNet Income Positive (10+ years)5/14 years positive✗BuffettPositive every year for 10+ yearsROE (up to 5-year arithmetic mean)1.3%✗Buffett> 15% arithmetic mean (app rule)Operating Margin (10-yr trend)-4.4% (latest)✓BuffettStable or rising over 10 yearsFree Cash Flow Proxy$-1.3M✗BuffettPositive and growingEarnings Variance (10-yr CoV)N/A (negative mean EPS)✗BuffettCoV < 0.3Retained Earnings Effectiveness✗Buffett$1 retained -> > $1 market value createdBasic 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 passROEN/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 > 0ROA 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 > ROAGross Margin Change YoY58.5% -> 61.9%✓PiotroskiImproved YoYPre-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 < 15Return on Equity96.1% (3-yr avg)✓AkreROE > 20% (3-year avg)Discount to Intrinsic ValueN/A (negative normalized EPS)✗Marks>= 20% below intrinsic valuePositive Net Income Frequency5/12 years positive✗MarksPositive net income in >= 7 of last 10 yearsOperating 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 yearsRevenue 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 holdingNet income / market capitalization+139.75%; #82/6340 (top 1.3%)✓AsnessTop 30% of eligible cross-section✓OshaughnessyTop 10% of eligible cross-sectionGross profit / total assets+58.40%; #494/3702 (top 13.3%)✓AsnessTop 30% of eligible cross-sectionNet income / positive book equity✗AsnessTop 30% of eligible cross-sectionNegative 5-year standard deviation of ROA-0.1437; #3901/5884 (top 66.3%)✗AsnessTop 30% of eligible cross-section3-5 Year Diluted EPS CAGR0.0% over 5 years✗Neff7%-20% annualizedPositive 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 growingFCF Positive and Growing$0.2M✓LynchPositive and growingOperating Cash Flow$0.0M✓PiotroskiCFO > 0(CFO / Total Assets) vs ROACFO/Assets=0.18%, ROA=15.68%✗PiotroskiCFO/Assets > ROAPrice / (CFO / Shares)63.7x✗Dreman< 8xP/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<= 25Positive Operating Cash Flow frequency6/12 years positive✗SleepPositive OCF in >= 70% of available yearsOperating 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 $0.03Marks 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
Financial Snapshot
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.
| Metric | FY 2022Sources
| FY 2021Sources
| FY 2020Sources
| FY 2019Sources
| FY 2018Sources
|
|---|---|---|---|---|---|
| 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 Margin | 61.9%↑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 Ratio | 1.11↓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
| Company | Market Cap | Price | Revenue | Net Income | ROE | D/E | Op. Margin | Curr. Ratio | Graham | Buffett | Lynch | Greenblatt | Piotroski | Dreman |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MCKESSON CORPMCK | $127.3B | $1102.81 | $403.4B | $4.8B | -219.2% | -3.00 | 1.5% | 0.85 | 2/9 | 5/9 | 4/7 | 0/3 | F-Score 6 | 1/11 |
| W.W. GRAINGER, INC.GWW | $69.7B | $1489.30 | $17.9B | $1.7B | 45.7% | 0.67 | 13.9% | 2.83 | 4/9 | 6/9 | 4/7 | 1/3 | F-Score 6 | 5/11 |
| CARDINAL HEALTH INCCAH | $65.0B | $281.10 | $254.2B | $1.7B | -59.5% | -3.08 | 1.0% | 0.88 | 2/9 | 3/9 | 3/7 | 0/3 | F-Score 8 | 1/11 |
| SYSCO CORPSYY | $38.0B | $77.10 | $81.4B | $1.8B | 99.9% | — | 3.8% | 1.21 | 3/9 | 5/9 | 5/7 | 1/3 | F-Score 4 | 2/11 |
| RELIANCE, INC.RS | $21.8B | $427.33 | $14.3B | $739.4M | 10.3% | 0.20 | 7.1% | 4.88 | 4/9 | 7/9 | 3/7 | 0/3 | F-Score 5 | 5/11 |
| WATSCO INCWSO | $12.8B | $308.46 | $7.2B | $497.0M | 17.9% | 0.17 | 10.0% | 4.12 | 5/9 | 7/9 | 4/7 | 1/3 | F-Score 6 | 8/11 |
| APPLIED INDUSTRIAL TECHNOLOGIES INCAIT | $10.9B | $297.60 | $4.6B | $393.0M | 21.3% | 0.31 | 10.9% | 3.32 | 6/9 | 5/9 | 4/7 | 1/3 | F-Score 5 | 7/11 |
| HENRY SCHEIN INCHSIC | $9.5B | $86.22 | $13.2B | $398.0M | 12.3% | 0.72 | 5.0% | 1.38 | 2/9 | 4/9 | 2/7 | 1/3 | F-Score 5 | 3/11 |