Orthofix Medical Inc.
OFIXAbout the company
Orthofix Medical Inc., together with its subsidiaries, operates as a medical technology company in the United States, Italy, the United Kingdom, France, Germany, Brazil, and internationally. It operates through two segments, Global Spine and Global Limb Reconstruction.
Investment snapshot
Positive
3
BUY / PASS
Neutral / negative
2 / 11
NEUTRAL / FAIL
Median fair value
—
No comparable estimates
Models with upside
0 / 17
Positive margin of safety
Key risk
No clean pass — all 13 investors flag at least one valuation 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 | PASS | FAIL | FAIL | FAIL · Rank #2019 (Top 65.2%) | PASS | FAIL | FAIL | FAIL | FAIL | FAIL | FAIL | NEUTRAL | PASS | FAIL | 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 | N/A | N/A | N/A |
| Margin of Safety | 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 | N/A | N/A | N/A |
| Financial Basis | TTM ended 2026-09-30 · Balance sheet at 2026-09-30 · Annual history · FY 2025 Latest source filing: 2026-11-09 Score computed: 2026-11-14 | Annual history · FY 2025 Latest source filing: 2026-02-24 Score computed: 2026-11-14 | Annual history · FY 2025 · Balance sheet at 2026-09-30 · TTM ended 2026-09-30 vs 2025-09-30 · TTM ended 2026-09-30 Latest source filing: 2026-11-09 Score computed: 2026-11-14 | TTM ended 2026-09-30 Latest source filing: 2026-11-09 Score computed: 2026-11-14 | Annual history · FY 2025 Latest source filing: 2026-02-24 Score computed: 2026-11-14 | Annual history · FY 2025 · TTM ended 2026-09-30 · Balance sheet at 2026-09-30 · Market data at 2026-11-01 Latest source filing: 2026-11-09 Score computed: 2026-11-14 | Qualitative assessment · Annual history · FY 2025 · TTM ended 2026-09-30 · Balance sheet at 2026-09-30 Latest source filing: 2026-11-09 Score computed: 2026-11-14 | Qualitative assessment · Annual history · FY 2025 Latest source filing: 2026-02-24 Score computed: 2026-11-14 | Annual history · FY 2025 · Qualitative assessment · TTM ended 2026-09-30 · Balance sheet at 2026-09-30 Latest source filing: 2026-11-09 Score computed: 2026-11-14 | Annual history · FY 2025 · Qualitative assessment Latest source filing: 2026-02-24 Score computed: 2026-11-14 | Annual history · FY 2025 · TTM ended 2026-09-30 · Balance sheet at 2026-09-30 · Market data at 2026-11-01 Latest source filing: 2026-11-09 Score computed: 2026-11-14 | Annual history · FY 2025 · Price history 2025-01-01–2026-11-01 · Balance sheet at 2026-09-30 Latest source filing: 2026-11-09 Score computed: 2026-11-14 | Annual history · FY 2025 · Qualitative assessment Latest source filing: 2026-02-24 Score computed: 2026-11-14 | TTM ended 2026-09-30 · Balance sheet at 2026-09-30 · Price history 2025-01-01–2026-11-01 · Annual history · FY 2025 Latest source filing: 2026-11-09 Score computed: 2026-11-14 | Annual history · FY 2025 · TTM ended 2026-09-30 Latest source filing: 2026-11-09 Score computed: 2026-11-14 | Annual history · FY 2025 · Balance sheet at 2026-09-30 Latest source filing: 2026-11-09 Score computed: 2026-11-14 | TTM ended 2026-09-30 · Annual history · FY 2025 · Price history 2025-01-01–2026-11-01 Latest source filing: 2026-11-09 Score computed: 2026-11-14 |
Where It Passes
Where It Falls Short
- Valuation0% pass✓ 7✗ 21▾
No clean pass — all 13 investors flag at least one valuation criterion
Price / 3-yr avg EPS✗Graham<= 15xPrice-to-Book Ratio0.6x✓Graham<= 1.5xP/E x P/B✗Graham<= 22.5Basic earnings-growth PEG (dividends excluded)✗Lynch< 1.0 (ideally < 0.5)EBIT / Enterprise Value-4.8%✗Greenblatt> 10%Earnings Yield + ROC AssessmentEY=-4.8%, ROC=-6.0%✗GreenblattBoth EY > 10% and ROC > 25%Price / EPS✗Dreman< 12x✗Templeton< 12x (fixed ceiling; proxy for the market's cheapest 40%)Price / (CFO / Shares)8.6x✗Dreman< 8xPrice / Book Value per Share0.6x✓Dreman< 1.2x✓Templeton< 1.5x✓SchlossP/B <= 0.80x (app cutoff)Valuation ReasonablenessOE Yield=-17.2%✗MungerP/E < 25 or Owner Earnings Yield > 5%P/E or FCF YieldFCF Yield=-0.4%✗PabraiP/E < 15 or FCF Yield > 10%P/B or P/E vs. Historical AverageP/B=0.6x✓MarksP/E < 15 or P/B < 2.0Discount to Intrinsic ValueN/A (negative normalized EPS)✗Marks>= 20% below intrinsic valuePrice / FCF per ShareN/A (negative FCF)✗Ackman<= 25Price vs. Trailing Low100% of trailing low ($7.17)✓Templeton<= 120% of trailing low (certified split-adjusted live window)Net income / market capitalization-15.40%; #4396/6340 (top 69.3%)✗AsnessTop 30% of eligible cross-section✗OshaughnessyTop 10% of eligible cross-sectionPositive book equity / market capitalization+1.4699; #944/6449 (top 14.6%)✓AsnessTop 30% of eligible cross-sectionPrice / Diluted EPS✗NeffP/E <= 15x (app proxy for a P/E 40%-60% below the market)(EPS CAGR % + Dividend Yield %) / P/E✗Neff> 0.7 (Neff's published traditional edge)Price / Tangible Book Value per Share1.58x✗SchlossP/TBV <= 1.00x (app cutoff)Book Value per Share Change✗SchlossLatest BVPS >= earliest BVPS over >= 3 years (app rule)Revenue / market capitalization+2.8586; #839/5247 (top 16.0%)✗OshaughnessyTop 10% of eligible cross-section(Operating cash flow - capex) / market capitalization-15.21%; #3408/4519 (top 75.4%)✗OshaughnessyTop 10% of eligible cross-sectionTrailing six-month price return through the evaluation date-39.03%; #4770/6202 (top 76.9%)✗OshaughnessyTop 10% of eligible cross-section - Profitability6% pass✓ 7✗ 28▾
15 of 16 flag OFIX's profitability — Graham, Buffett, Lynch +12 more
Positive EPS (10 years)7/24 years positive✗GrahamPositive EPS every year for 10 yearsEPS Growth (3-yr avg, 10-yr window)✗Graham>= 33% growthNet Income Positive (10+ years)12/24 years positive✗BuffettPositive every year for 10+ yearsROE (up to 5-year arithmetic mean)-17.6%✗Buffett> 15% arithmetic mean (app rule)Operating Margin (10-yr trend)-9.9% (latest)✗BuffettStable or rising over 10 yearsFree Cash Flow Proxy$-49.5M✗BuffettPositive and growingEarnings Variance (10-yr CoV)✗BuffettCoV < 0.3Retained Earnings Effectiveness✗Buffett$1 retained -> > $1 market value createdBasic earnings-growth PEG (dividends excluded)✗Lynch< 1.0 (ideally < 0.5)3-5 Year EPS CAGR✗Lynch15-30% (Fast Grower); > 0% to passROE-10.5%✗Lynch> 15%EBIT / Enterprise Value-4.8%✗Greenblatt> 10%Earnings Yield + ROC AssessmentEY=-4.8%, ROC=-6.0%✗GreenblattBoth EY > 10% and ROC > 25%Net Income / Total Assets-10.84%✗PiotroskiROA > 0ROA Change YoY-14.10% -> -10.84% (delta: +3.27%)✓PiotroskiCurrent ROA > Prior ROA(CFO / Total Assets) vs ROACFO/Assets=3.92%, ROA=-10.84%✓PiotroskiCFO/Assets > ROAGross Margin Change YoY68.3% -> 68.8%✓PiotroskiImproved YoYPre-Tax Income / Revenue-5.2%✗Dreman>= 8%Net Income / Shareholders' Equity-10.5%✗Dreman> 12%Margin of SafetyP/B=0.6x✓PabraiP/B < 1.5 or P/E < 15Return on Equity-23.6% (3-yr avg)✗AkreROE > 20% (3-year avg)Discount to Intrinsic ValueN/A (negative normalized EPS)✗Marks>= 20% below intrinsic valuePositive Net Income Frequency12/23 years positive✓MarksPositive net income in >= 7 of last 10 yearsOperating Income / Revenue-2.5%✗Ackman>= 15%Net Income / Shareholders Equity-10.5%✗Ackman>= 15%5-Year EPS CAGR✗Templeton> 0% (5-year EPS CAGR)Operating Margin Trend-18.6% (2023) -> -9.9% (2025)✓TempletonNon-negative operating-margin trend over 3 yearsRevenue growth vs. gross and operating margin trendgross margin 65.1% -> 68.8%, operating margin -18.6% -> -9.9%✗SleepRevenue rising; gross margin flat or falling; operating margin holdingNet income / market capitalization-15.40%; #4396/6340 (top 69.3%)✗AsnessTop 30% of eligible cross-section✗OshaughnessyTop 10% of eligible cross-sectionGross profit / total assets+69.19%; #350/3702 (top 9.5%)✓AsnessTop 30% of eligible cross-sectionNet income / positive book equity-10.48%; #3427/5226 (top 65.6%)✗AsnessTop 30% of eligible cross-sectionNegative 5-year standard deviation of ROA-0.0428; #2371/5884 (top 40.3%)✗AsnessTop 30% of eligible cross-section3-5 Year Diluted EPS CAGR-6.5% over 4 years✗Neff7%-20% annualizedPositive Diluted-EPS Years4/10 years positive✗Schloss>= 70% positive over 5-10 observed years (app rule) - Growth13% pass✓ 3✗ 10▾
7 of 8 flag OFIX's growth — Graham, Lynch, Dreman +4 more
EPS Growth (3-yr avg, 10-yr window)✗Graham>= 33% growthBasic earnings-growth PEG (dividends excluded)✗Lynch< 1.0 (ideally < 0.5)3-5 Year EPS CAGR✗Lynch15-30% (Fast Grower); > 0% to passInventory Growth vs Revenue GrowthInv: 9.4% vs Rev: 2.1%✗LynchInventory growth < Revenue growthEPS Growth Direction✗DremanPositive over recent yearsEPS CAGR-19.5% CAGR over 11 years✗Dreman> 5% annualizedPositive Net Income Frequency12/23 years positive✓MarksPositive net income in >= 7 of last 10 years3yr Median Revenue Growth7.1%✓Ackman>= 5%Positive EPS Growth Frequency✗AckmanPositive EPS growth in >= 3 of last 5 years5-Year EPS CAGR✗Templeton> 0% (5-year EPS CAGR)Revenue growth vs. gross and operating margin trendgross margin 65.1% -> 68.8%, operating margin -18.6% -> -9.9%✗SleepRevenue rising; gross margin flat or falling; operating margin holding5-year Revenue CAGR15.1%✓SleepCAGR > 7%3-5 Year Diluted EPS CAGR-6.5% over 4 years✗Neff7%-20% annualized - Verdicts20% pass✓ 3✗ 12▾
Split decision: 11 FAIL · 3 PASS · 2 NEUTRAL
Overall verdict✓GrahamPASS (4/9)✗BuffettFAIL (0/9)✗LynchFAIL (0/7)✗GreenblattRank #2019✓PiotroskiPASS (F-Score 5)✗DremanFAIL (3/11)✗MungerFAIL (0/4)✗PabraiFAIL (1/3)✗AkreFAIL (1/6)✗MarksFAIL (3/5)✗AckmanFAIL (3/9)•TempletonNEUTRAL (5/8)✓SleepPASS (3/6)✗AsnessFAIL (Rank #1407/2370 (Top 59.4%))✗NeffFAIL (1/6)✗SchlossFAIL (3/7)•OshaughnessyNEUTRAL (Not ranked) - Efficiency25% pass✓ 3✗ 8▾
6 of 8 flag OFIX's efficiency — Buffett, Greenblatt, Piotroski +3 more
Current Ratio3.11✓Graham>= 2.0ROIC (3-5 yr avg)-9.3%✗Buffett> 10%ROIC - WACC-19.3%✗BuffettPositive (WACC = 10%)EBIT / (NWC + Net Fixed Assets)-6.0%✗Greenblatt> 25%Current Ratio Change YoY2.57 -> 2.45✗PiotroskiIncreased YoYRevenue / Total Assets Change YoY0.89x -> 0.97x✓PiotroskiImproved YoYCurrent Assets / Current Liabilities3.11✓Dreman> 1.5Return on Invested Capital-2.5%✗Munger> 15%ROIC (high and growing)FY2023: ROIC=-15.9%; FY2024: ROIC=-10.1%; FY2025: ROIC=-10.6%✗AkreLatest 3 consecutive FYs: ROIC > 15% in eachReinvestment Rate x ROICN/A (non-positive net income)✗AkreReinvestment Rate * ROIC > 10%ROIC (5-year)0/5 years above 12% (latest -10.6%)✗SleepROIC > 12% in a majority of years - Cash Flow30% pass✓ 4✗ 8▾
7 of 10 flag OFIX's cash flow — Buffett, Lynch, Dreman +4 more
Free Cash Flow Proxy$-49.5M✗BuffettPositive and growingFCF Positive and Growing$-1.3M✗LynchPositive and growingOperating Cash Flow$33.3M✓PiotroskiCFO > 0(CFO / Total Assets) vs ROACFO/Assets=3.92%, ROA=-10.84%✓PiotroskiCFO/Assets > ROAPrice / (CFO / Shares)8.6x✗Dreman< 8xP/E or FCF YieldFCF Yield=-0.4%✗PabraiP/E < 15 or FCF Yield > 10%FCF Positive12/17 years FCF positive✓MarksPositive FCF in majority of recent years(OCF - CapEx) / Market Cap-15.4%✗Ackman>= 4%Price / FCF per ShareN/A (negative FCF)✗Ackman<= 25Positive Operating Cash Flow frequency19/21 years positive✓SleepPositive OCF in >= 70% of available yearsOperating Cash Flow - Capital Expenditures$-44.5M✗Neff> $0 (app proxy for a strong fundamental case)(Operating cash flow - capex) / market capitalization-15.21%; #3408/4519 (top 75.4%)✗OshaughnessyTop 10% of eligible cross-section - Debt & Leverage42% pass✓ 7✗ 8▾
7 of 12 flag OFIX's debt & leverage — Buffett, Lynch, Piotroski +4 more
LT Debt vs Net Current AssetsLT Debt $221.8M vs NCA $292.4M✓GrahamLT Debt <= Net Current AssetsDebt/Equity & Interest CoverageD/E: 0.35, IC: -4.7x✗BuffettD/E < 0.5 AND Interest Coverage > 5xTotal Debt / Equity0.52✗Lynch< 0.33Cash - Long-term Debt$-135.5M✗LynchPositive preferredLT Debt / Total Assets Change17.58% -> 18.50%✗PiotroskiDecreased YoYCurrent Assets / Current Liabilities3.11✓Dreman> 1.5✓SchlossCurrent ratio >= 1.50x (app cutoff)Total Debt / Shareholders' Equity0.52✓Dreman< 0.8✓Templeton< 1.0 (fixed cap; proxy for below-sector-median leverage)✓SchlossD/E < 1.00xDebt Levels0.52✗MungerDebt/Equity < 0.5✗AkreDebt/Equity < 0.3Interest Coverage & Debt/EBITDAIC=-4.7x, D/EBITDA=N/A✗MarksInterest Coverage > 3x; Debt/EBITDA < 4xTotal Debt / Shareholders Equity0.52✓Ackman<= 1.0Negative debt-to-equity (higher means less debt)-0.5168; #2497/4210 (top 59.3%)✗AsnessTop 30% of eligible cross-section
Business & financials
Financial snapshot: annual FY 2025. Current investor scores may use newer quarterly data.
Company Profile
Financial Snapshot
Shareholder Return
Fiscal 2025
Issued 2.9% of shares last year, 7.3% 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.
The latest annual period end is unavailable. Showing the latest fiscal cycle’s quarters; quarter and annual columns may overlap. Quarterly shows the full quarter history.
| Metric | TTM · 2026-09-30 2025-10-01 – 2026-09-30 Sources · derived quarter valuesDerived from cumulative filings: revenue, net income, operating income, gross profit, ebit, pre tax income, operating cash flow, depreciation amortization, capex. | Q3 FY 2026 2026-07-01 – 2026-09-30 Sources · derived quarter valuesDerived from cumulative filings: operating cash flow, capex. | Q2 FY 2026 2026-04-01 – 2026-06-30 Sources · derived quarter valuesDerived from cumulative filings: operating cash flow, capex. | Q1 FY 2026 2026-01-01 – 2026-03-31 Sources | FY 2025Sources
| FY 2024Sources
| FY 2023Sources
| FY 2022Sources
| FY 2021Sources
|
|---|---|---|---|---|---|---|---|---|---|
| Market Cap | $292.2Mcurrent | -- | -- | -- | $531.1Mest. | $715.3Mest. | $519.6Mest. | $436.1Mest. | $603.5Mest. |
| Revenue | $835.4M↑2% | $207.9M↑1% | $210.9M↑4% | $196.7M↑2% | $822.3M↑3% | $799.5M↑7% | $746.6M↑62% | $460.7M↓1% | $464.5M |
| Operating Income | -$20.5M↑78% | $1.5M↑109% | -$8.1M↑49% | -$14.4M↑70% | -$81.4M↑4% | -$84.6M↑39% | -$139.1M↓948% | -$13.3M↓60% | -$8.3M |
| Net Income | -$45.0M↑62% | -$6.1M↑73% | -$15.8M↓12% | -$20.9M↑61% | -$92.2M↑27% | -$126.0M↑17% | -$151.4M↓667% | -$19.7M↑49% | -$38.4M |
| EPS (Diluted) | -- | $-0.15↑74% | $-0.39↓8% | $-0.52↑61% | $-2.33↑29% | $-3.30↑20% | $-4.12↓320% | $-0.98↑50% | $-1.95 |
| Gross Margin | 70.9%↑4% | 70.5%↓2% | 71.0%↑3% | 70.9%↑13% | 68.8%↑1% | 68.3%↑5% | 65.1%↓11% | 73.2%↓3% | 75.3% |
| Operating Margin | -2.5%↑78% | 0.7%↑109% | -3.9%↑51% | -7.3%↑71% | -9.9%↑6% | -10.6%↑43% | -18.6%↓547% | -2.9%↓61% | -1.8% |
| ROE | -10.5%↑61% | — | — | — | -20.5%↑18% | -25.0%↑1% | -25.3%↓331% | -5.9%↑49% | -11.4% |
| Total Debt | $222.0M↑40% | $222.0M↑40% | $221.7M↑40% | $221.4M↑40% | $157.4M | $157.0M↑66% | $94.4M↑374% | $19.9M↓12% | $22.5M |
| Shareholders' Equity | $429.6M↓3% | $429.6M↓3% | $429.2M↓6% | $435.2M↓5% | $450.0M↓11% | $503.1M↓16% | $598.7M↑78% | $336.9M | $336.9M |
| Current Ratio | 3.11↑26% | 3.11↑26% | 2.84↑7% | 2.87↑6% | 2.45↓5% | 2.57↑1% | 2.54↓17% | 3.06↑20% | 2.55 |
| Debt / Equity | 0.52↑45% | 0.52↑45% | 0.52↑50% | 0.51↑48% | 0.35↑12% | 0.31↑98% | 0.16↑167% | 0.06↓11% | 0.07 |
| Operating Cash Flow | $4.2M↓86% | $363.0K↓97% | -$6.2M↓153% | -$17.6M↑4% | $33.3M↑29% | $25.8M↑156% | -$45.8M↓297% | -$11.5M↓162% | $18.5M |
| Free Cash Flow | -$44.5M | -$14.1M↓666% | -$18.9M↓517% | -$28.3M↓13% | -$1.3M↑86% | -$9.1M↑91% | -$106.0M↓222% | -$32.9M↓4868% | $690.0K |
Score history
Historical Score Timeline
Industry peers
Industry Peers
Similar companies in Medical Equipment
OFIX vs Peers — Financial Grading
| Company | Market Cap | Price | Revenue | Net Income | ROE | D/E | Op. Margin | Curr. Ratio | Graham | Buffett | Lynch | Greenblatt | Piotroski | Dreman |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALCON INCALC | $35.6B | $74.12 | $10.4B | $980.0M | 4.4% | 0.21 | 13.1% | 2.12 | 2/9 | 1/9 | 3/7 | 0/3 | F-Score 6 | 4/11 |
| KONINKLIJKE PHILIPS NVPHG | $29.7B | $30.34 | $21.0B | $1.1B | 8.2% | 0.64 | 8.0% | 1.32 | 1/9 | 1/9 | 1/7 | 0/3 | F-Score 5 | 3/11 |
| WEST PHARMACEUTICAL SERVICES INCWST | $29.0B | $416.42 | $3.1B | $493.7M | 15.5% | 0.06 | 19.0% | 3.02 | 4/9 | 6/9 | 6/7 | 1/3 | F-Score 7 | 5/11 |
| SMITH & NEPHEW PLCSNN | $13.1B | $31.28 | $6.2B | $625.0M | 11.8% | 0.59 | 12.9% | 2.57 | 2/9 | 0/9 | 1/7 | 0/3 | F-Score 6 | 4/11 |
| MSA Safety IncMSA | $6.7B | $174.17 | $1.9B | $278.9M | 20.4% | 0.42 | 19.8% | 3.01 | 5/9 | 5/9 | 4/7 | 1/3 | F-Score 5 | 7/11 |
| STAAR SURGICAL COSTAA | $1.3B | $26.39 | $239.4M | $80.4M | -23.4% | — | -38.3% | 4.55 | 2/9 | 2/9 | 2/7 | 0/3 | F-Score 3 | 3/11 |
| ARTIVION, INC.AORT | $931.9M | $19.10 | $441.3M | $9.8M | 2.2% | 0.48 | 7.6% | 3.53 | 2/9 | 0/9 | 0/7 | 0/3 | F-Score 7 | 1/11 |
| InMode Ltd.INMD | $763.6M | $13.27 | $370.5M | $93.8M | 13.7% | — | 23.0% | 9.88 | 5/9 | 3/9 | 0/7 | 3/3 | F-Score 4 | 4/11 |