TREACE MEDICAL CONCEPTS, INC.
TMCIAbout the company
Treace Medical Concepts, Inc., a medical technology company, designs, manufactures, and markets medical devices in the United States.
Investment snapshot
Positive
1
BUY / PASS
Neutral / negative
1 / 14
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 | FAIL | FAIL | FAIL | FAIL · Rank #2383 (Top 76.9%) | FAIL | FAIL | FAIL | FAIL | FAIL | FAIL | FAIL | FAIL | 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: 2026-11-06 Score computed: 2026-11-14 | Annual history · FY 2025 · TTM ended 2026-09-30 Latest source filing: 2026-11-06 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: 2026-11-06 Score computed: 2026-11-14 | TTM ended 2026-09-30 Latest source filing: 2026-11-06 Score computed: 2026-11-14 | Annual history · FY 2025 Latest source filing: 2026-02-27 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: 2026-11-06 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: 2026-11-06 Score computed: 2026-11-14 | Qualitative assessment · Annual history · FY 2025 Latest source filing: 2026-02-27 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: 2026-11-06 Score computed: 2026-11-14 | Annual history · FY 2025 · TTM ended 2026-09-30 · Qualitative assessment Latest source filing: 2026-11-06 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: 2026-11-06 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: 2026-11-06 Score computed: 2026-11-14 | Annual history · FY 2025 · Qualitative assessment Latest source filing: 2026-02-27 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: 2026-11-06 Score computed: 2026-11-14 | Annual history · FY 2025 · TTM ended 2026-09-30 Latest source filing: 2026-11-06 Score computed: 2026-11-14 | Annual history · FY 2025 · Balance sheet at 2026-09-30 Latest source filing: 2026-11-06 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: 2026-11-06 Score computed: 2026-11-14 |
Where It Passes
Where It Falls Short
- Valuation0% pass✓ 1✗ 27▾
No clean pass — all 13 investors flag at least one valuation criterion
Price / 3-yr avg EPS✗Graham<= 15xPrice-to-Book Ratio3.9x✗Graham<= 1.5xP/E x P/B✗Graham<= 22.5Basic earnings-growth PEG (dividends excluded)✗Lynch< 1.0 (ideally < 0.5)EBIT / Enterprise Value-12.5%✗Greenblatt> 10%Earnings Yield + ROC AssessmentEY=-12.5%, ROC=-48.8%✗GreenblattBoth EY > 10% and ROC > 25%Price / EPS✗Dreman< 12x✗Templeton< 12x (fixed ceiling; proxy for the market's cheapest 40%)Price / (CFO / Shares)N/A (negative CFPS)✗Dreman< 8xPrice / Book Value per Share3.9x✗Dreman< 1.2x✗Templeton< 1.5x✗SchlossP/B <= 0.80x (app cutoff)Valuation ReasonablenessOE Yield=-18.3%✗MungerP/E < 25 or Owner Earnings Yield > 5%P/E or FCF YieldFCF Yield=-8.5%✗PabraiP/E < 15 or FCF Yield > 10%P/B or P/E vs. Historical AverageP/B=3.9x✗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 Low393% of trailing low ($1.34)✗Templeton<= 120% of trailing low (certified split-adjusted live window)Net income / market capitalization-16.15%; #4426/6340 (top 69.8%)✗AsnessTop 30% of eligible cross-section✗OshaughnessyTop 10% of eligible cross-sectionPositive book equity / market capitalization+0.1784; #4301/6449 (top 66.7%)✗AsnessTop 30% of eligible cross-sectionPrice / Diluted EPS✗NeffP/E <= 15x (app proxy for a P/E 40%-60% below the market)(EPS CAGR % + Dividend Yield %) / P/E✗Neff> 0.7 (Neff's published traditional edge)Price / Tangible Book Value per Share5.02x✗SchlossP/TBV <= 1.00x (app cutoff)Book Value per Share Change✗SchlossLatest BVPS >= earliest BVPS over >= 3 years (app rule)Revenue / market capitalization+0.5886; #2404/5247 (top 45.8%)✗OshaughnessyTop 10% of eligible cross-section(Operating cash flow - capex) / market capitalization-5.38%; #3005/4519 (top 66.5%)✗OshaughnessyTop 10% of eligible cross-sectionTrailing six-month price return through the evaluation date+191.16%; #155/6202 (top 2.5%)✓OshaughnessyTop 10% of eligible cross-section - Cash Flow0% pass✓ 1✗ 11▾
No clean pass — all 10 investors flag at least one cash flow criterion
Free Cash Flow Proxy$-61.4M✗BuffettPositive and growingFCF Positive and Growing$-18.6M✗LynchPositive and growingOperating Cash Flow$-16.0M✗PiotroskiCFO > 0(CFO / Total Assets) vs ROACFO/Assets=-8.38%, ROA=-30.96%✓PiotroskiCFO/Assets > ROAPrice / (CFO / Shares)N/A (negative CFPS)✗Dreman< 8xP/E or FCF YieldFCF Yield=-8.5%✗PabraiP/E < 15 or FCF Yield > 10%FCF Positive0/7 years FCF positive✗MarksPositive FCF in majority of recent years(OCF - CapEx) / Market Cap-5.5%✗Ackman>= 4%Price / FCF per ShareN/A (negative FCF)✗Ackman<= 25Positive Operating Cash Flow frequency0/7 years positive✗SleepPositive OCF in >= 70% of available yearsOperating Cash Flow - Capital Expenditures$-18.6M✗Neff> $0 (app proxy for a strong fundamental case)(Operating cash flow - capex) / market capitalization-5.38%; #3005/4519 (top 66.5%)✗OshaughnessyTop 10% of eligible cross-section - Profitability6% pass✓ 4✗ 31▾
15 of 16 flag TMCI's profitability — Graham, Buffett, Lynch +12 more
Positive EPS (10 years)0/8 years positive✗GrahamPositive EPS every year for 10 yearsEPS Growth (3-yr avg, 10-yr window)✗Graham>= 33% growthNet Income Positive (10+ years)0/8 years positive✗BuffettPositive every year for 10+ yearsROE (up to 5-year arithmetic mean)-49.1%✗Buffett> 15% arithmetic mean (app rule)Operating Margin (10-yr trend)-25.5% (latest)✗BuffettStable or rising over 10 yearsFree Cash Flow Proxy$-61.4M✗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-90.5%✗Lynch> 15%EBIT / Enterprise Value-12.5%✗Greenblatt> 10%Earnings Yield + ROC AssessmentEY=-12.5%, ROC=-48.8%✗GreenblattBoth EY > 10% and ROC > 25%Net Income / Total Assets-30.96%✗PiotroskiROA > 0ROA Change YoY-25.68% -> -30.96% (delta: -5.28%)✗PiotroskiCurrent ROA > Prior ROA(CFO / Total Assets) vs ROACFO/Assets=-8.38%, ROA=-30.96%✓PiotroskiCFO/Assets > ROAGross Margin Change YoY80.4% -> 79.8%✗PiotroskiImproved YoYPre-Tax Income / Revenue✗Dreman>= 8%Net Income / Shareholders' Equity-90.5%✗Dreman> 12%Margin of SafetyP/B=3.9x✗PabraiP/B < 1.5 or P/E < 15Return on Equity-50.9% (3-yr avg)✗AkreROE > 20% (3-year avg)Discount to Intrinsic ValueN/A (negative normalized EPS)✗Marks>= 20% below intrinsic valuePositive Net Income Frequency0/7 years positive✗MarksPositive net income in >= 7 of last 10 yearsOperating Income / Revenue-24.4%✗Ackman>= 15%Net Income / Shareholders Equity-90.5%✗Ackman>= 15%5-Year EPS CAGR✗Templeton> 0% (5-year EPS CAGR)Operating Margin Trend-27.5% (2023) -> -25.5% (2025)✓TempletonNon-negative operating-margin trend over 3 yearsRevenue growth vs. gross and operating margin trendgross margin 81.2% -> 79.8%, operating margin -27.5% -> -25.5%✓SleepRevenue rising; gross margin flat or falling; operating margin holdingNet income / market capitalization-16.15%; #4426/6340 (top 69.8%)✗AsnessTop 30% of eligible cross-section✗OshaughnessyTop 10% of eligible cross-sectionGross profit / total assets+90.22%; #178/3702 (top 4.8%)✓AsnessTop 30% of eligible cross-sectionNet income / positive book equity-90.51%; #4544/5226 (top 86.9%)✗AsnessTop 30% of eligible cross-sectionNegative 5-year standard deviation of ROA-0.0576; #2755/5884 (top 46.8%)✗AsnessTop 30% of eligible cross-section3-5 Year Diluted EPS CAGR✗Neff7%-20% annualizedPositive Diluted-EPS Years0/7 years positive✗Schloss>= 70% positive over 5-10 observed years (app rule) - Verdicts6% pass✓ 1✗ 15▾
Split decision: 14 FAIL · 1 PASS · 1 NEUTRAL
Overall verdict✗GrahamFAIL (3/9)✗BuffettFAIL (0/9)✗LynchFAIL (0/7)✗GreenblattRank #2383✗PiotroskiFAIL (F-Score 2)✗DremanFAIL (1/11)✗MungerFAIL (0/4)✗PabraiFAIL (0/3)✗AkreFAIL (1/6)✗MarksFAIL (0/5)✗AckmanFAIL (3/9)✗TempletonFAIL (3/8)✓SleepPASS (3/6)✗AsnessFAIL (Rank #1581/2370 (Top 66.7%))✗NeffFAIL (1/6)✗SchlossFAIL (2/7)•OshaughnessyNEUTRAL (Not ranked) - Growth13% pass✓ 3✗ 10▾
7 of 8 flag TMCI'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: 2.1% vs Rev: -7.1%✗LynchInventory growth < Revenue growthEPS Growth Direction✗DremanPositive over recent yearsEPS CAGR✗Dreman> 5% annualizedPositive Net Income Frequency0/7 years positive✗MarksPositive net income in >= 7 of last 10 years3yr Median Revenue Growth11.9%✓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 81.2% -> 79.8%, operating margin -27.5% -> -25.5%✓SleepRevenue rising; gross margin flat or falling; operating margin holding5-year Revenue CAGR30.0%✓SleepCAGR > 7%3-5 Year Diluted EPS CAGR✗Neff7%-20% annualized - Efficiency25% pass✓ 3✗ 8▾
6 of 8 flag TMCI's efficiency — Buffett, Greenblatt, Piotroski +3 more
Current Ratio2.58✓Graham>= 2.0ROIC (3-5 yr avg)-38.2%✗Buffett> 10%ROIC - WACC-48.2%✗BuffettPositive (WACC = 10%)EBIT / (NWC + Net Fixed Assets)-48.8%✗Greenblatt> 25%Current Ratio Change YoY4.62 -> 4.31✗PiotroskiIncreased YoYRevenue / Total Assets Change YoY0.96x -> 1.12x✓PiotroskiImproved YoYCurrent Assets / Current Liabilities2.58✓Dreman> 1.5Return on Invested Capital-32.2%✗Munger> 15%ROIC (high and growing)FY2023: ROIC=-21.3%; FY2024: ROIC=-26.5%; FY2025: ROIC=-29.6%✗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 -29.6%)✗SleepROIC > 12% in a majority of years - Debt & Leverage33% pass✓ 6✗ 9▾
8 of 12 flag TMCI's debt & leverage — Buffett, Lynch, Piotroski +5 more
Total Debt / Shareholders' Equity0.97✗Dreman< 0.8✓Templeton< 1.0 (fixed cap; proxy for below-sector-median leverage)✓SchlossD/E < 1.00xLT Debt vs Net Current AssetsLT Debt $56.3M vs NCA $72.6M✓GrahamLT Debt <= Net Current AssetsDebt/Equity & Interest CoverageD/E: 0.97, IC: -8.2x✗BuffettD/E < 0.5 AND Interest Coverage > 5xTotal Debt / Equity0.97✗Lynch< 0.33Cash - Long-term Debt$-48.5M✗LynchPositive preferredLT Debt / Total Assets Change24.55% -> 29.17%✗PiotroskiDecreased YoYCurrent Assets / Current Liabilities2.58✓Dreman> 1.5✓SchlossCurrent ratio >= 1.50x (app cutoff)Debt Levels0.97✗MungerDebt/Equity < 0.5✗AkreDebt/Equity < 0.3Interest Coverage & Debt/EBITDAIC=-8.2x, D/EBITDA=N/A✗MarksInterest Coverage > 3x; Debt/EBITDA < 4xTotal Debt / Shareholders Equity0.97✓Ackman<= 1.0Negative debt-to-equity (higher means less debt)-0.9740; #3194/4210 (top 75.9%)✗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 2.8% of shares last year, 4.0% 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, interest expense, 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, depreciation amortization, capex. | Q2 FY 2026 2026-04-01 – 2026-06-30 Sources · derived quarter valuesDerived from cumulative filings: operating cash flow, depreciation amortization, capex. | Q1 FY 2026 2026-01-01 – 2026-03-31 Sources | FY 2025Sources
| FY 2024Sources
| FY 2023Sources
| FY 2022Sources
| FY 2021Sources
|
|---|---|---|---|---|---|---|---|---|---|
| Market Cap | $345.5Mcurrent | -- | -- | -- | $149.0Mest. | $628.0Mest. | $832.4Mest. | $1.3Best. | $993.1Mest. |
| Revenue | $203.3M↓7% | $48.3M↓4% | $45.4M↓4% | $47.2M↓10% | $212.7M↑2% | $209.4M↑12% | $187.1M↑32% | $141.8M↑50% | $94.4M |
| Operating Income | -$49.6M↓2% | -$11.5M↑26% | -$15.0M↑12% | -$17.2M↓10% | -$54.2M↑3% | -$55.7M↓8% | -$51.4M↓48% | -$34.8M↓111% | -$16.5M |
| Net Income | -$55.8M↓11% | -$12.6M↑23% | -$15.9M↑9% | -$18.0M↓13% | -$59.0M↓6% | -$55.7M↓13% | -$49.5M↓16% | -$42.8M↓108% | -$20.6M |
| EPS (Diluted) | -- | $-0.19↑27% | $-0.24↑14% | $-0.28↓12% | $-0.93↓3% | $-0.90↓11% | $-0.81↓5% | $-0.77↓79% | $-0.43 |
| Gross Margin | 79.6% | 79.5%↑1% | 78.5%↓2% | 79.3%↓1% | 79.8%↓1% | 80.4%↓1% | 81.2%↓1% | 82.0% | 82.1% |
| Operating Margin | -24.4%↓10% | -23.9%↑23% | -33.0%↑8% | -36.4%↓23% | -25.5%↑4% | -26.6%↑3% | -27.5%↓12% | -24.6%↓40% | -17.5% |
| ROE | -90.5%↓61% | — | — | — | -67.6%↓37% | -49.4%↓38% | -35.9%↑49% | -70.7%↓220% | -22.1% |
| Total Debt | $60.0M↑9% | $60.0M↑9% | $59.2M↑9% | $57.6M↑8% | $57.3M↑8% | $53.3M↑1% | $53.0M↑1% | $52.7M↑80% | $29.4M |
| Shareholders' Equity | $61.6M↓31% | $61.6M↓31% | $67.7M↓31% | $77.2M↓27% | $87.3M↓23% | $112.9M↓18% | $137.9M↑128% | $60.5M↓35% | $93.1M |
| Current Ratio | 2.58↓24% | 2.58↓24% | 2.90↓18% | 3.58↓21% | 4.31↓7% | 4.62↑5% | 4.40 | 4.41↓42% | 7.58 |
| Debt / Equity | 0.97↑57% | 0.97↑57% | 0.87↑56% | 0.75↑47% | 0.66↑39% | 0.47↑23% | 0.38↓56% | 0.87↑176% | 0.32 |
| Operating Cash Flow | -$8.7M↑28% | -$3.3M↑64% | -$4.7M↓54% | $7.2M↑72% | -$16.0M↑57% | -$37.2M↓7% | -$34.6M↓13% | -$30.6M↓78% | -$17.2M |
| Free Cash Flow | -$18.6M↑30% | -$5.4M↑54% | -$6.9M↑12% | $4.2M↑538% | -$29.5M↑40% | -$48.8M↓6% | -$46.0M↓1% | -$45.5M↓129% | -$19.9M |
Score history
Historical Score Timeline
Industry peers
Industry Peers
Similar companies in Medical Equipment
TMCI 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 |