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OFIX, Orthofix Medical Inc. Common Stock (DE)
Orthofix is a global medical technology company headquartered in Lewisville, Texas.
By providing medical technologies that heal musculoskeletal pathologies, we deliver exceptional experiences and life-changing solutions to patients around the world.
Orthofix offers a comprehensive portfolio of spinal hardware, bone growth therapies, specialized orthopedic solutions, biologics, and enabling technologies, including the 7D FLASH navigation system.
The business
What it sells, where the money comes from, the kind of company it is.
The business in brief
read the 10-K →What this business is and what moves its needle, from its own SEC filings.
- What it is
- Revenue is Global Spine (83%) and Global Limb Reconstruction (16%).
- Situation
- Unprofitable. No sustained operating profit across the record; an earnings multiple has nothing to rest on. What the record does show is revenue, the gross-margin trajectory, and the burn against the cash on hand.
- What moves the needle
- Operating margin has run around −2.9% through the cycle on a 75% gross margin, the operating line in the red even at its best — so the lever is whether the spending below the gross line can come down enough to clear a profit: revenue growth against the cost curve, and the cash runway until it does. Inventory runs near 19% of sales, so how fast it turns back into cash — and the risk of writing it down when demand softens — sits alongside the margin. Read this kind of business on the installed base and what follows it. On its own account, the filing leans hardest on supplier & input dependence, set against the numbers in what the filing emphasizes, below.
- Is it a good business?
- Return on capital has rarely cleared the cost of capital (median −3%, above 15% in 0 of 10 years). Owner earnings, the cash-based check, have been thin too. This is price-taker territory, where the balance sheet and the cycle matter more than any multiple; the rest is in the 10-K.
Every line is arithmetic on the company's filings, shown in full in the sections below.
Where the money comes from
read the 10-K →Global Spine is 83% of revenue, with Global Limb Reconstruction the other meaningful segment at 16%.
- Global Spine83%$688M
- Global Limb Reconstruction16%$135M
From the segment footnote of the company's own 10-K. Shares are of total revenue; the profit bar shows each segment's share of segment operating profit, before unallocated corporate costs.
The record
Ten years of arithmetic, read across the cycle.
The record, 2016–2025
realized figures from each filing · older years to the left| 2016’16 | 2017’17 | 2018’18 | 2019’19 | 2020’20 | 2021’21 | 2022’22 | 2023’23 | 2024’24 | 2025’25 | TTMTTMMar 2026 | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Income statement | |||||||||||
| $410M | $434M | $453M | $460M | $407M | $464M | $461M | $747M | $799M | $822M | $825M | RevenueRevenue |
| 79% | 79% | 79% | 78% | 75% | 75% | 73% | 65% | 68% | 69% | 71% | Gross marginGross mgn |
| 19% | 17% | 18% | 19% | 17% | 15% | 67% | 71% | 67% | 67% | 67% | SG&A / revenueSG&A/rev |
| 7% | 7% | 7% | 8% | 10% | 11% | 11% | 11% | 9% | 8% | 7% | R&D / revenueR&D/rev |
| $21M | $41M | $30M | ($19M) | ($6M) | ($8M) | ($13M) | ($139M) | ($85M) | ($81M) | ($47M) | Operating incomeOp. inc. |
| 5.1% | 9.4% | 6.6% | −4.1% | −1.5% | −1.8% | −2.9% | −18.6% | −10.6% | −9.9% | −5.7% | Operating marginOp. mgn |
| $3M | $6M | $14M | ($28M) | $3M | ($38M) | ($20M) | ($151M) | ($126M) | ($92M) | ($60M) | Net incomeNet inc. |
| Cash flow & returns | |||||||||||
| $59M | $39M | $50M | $32M | $74M | $18M | ($12M) | ($46M) | $26M | $33M | $34M | Operating cash flowOp. cash |
| $21M | $20M | $19M | $25M | $31M | $30M | $29M | $53M | $60M | $77M | $56M | DepreciationDeprec. |
| $19M | $68K | ($1M) | $14M | $25M | $12M | ($39M) | $17M | $59M | $20M | $9M | Working capital & otherWC & other |
| $16M | $15M | $14M | $19M | $15M | $18M | $21M | $60M | $35M | $35M | $39M | CapexCapex |
| 4.0% | 3.4% | 3.0% | 4.1% | 3.8% | 3.8% | 4.6% | 8.1% | 4.4% | 4.2% | 4.7% | Capex / revenueCapex/rev |
| $43M | $24M | $36M | $13M | $59M | $690K | ($33M) | ($106M) | ($9M) | ($1M) | ($4M) | Owner earningsOwner earn. |
| 10.4% | 5.6% | 8.0% | 2.8% | 14.5% | 0.1% | −7.1% | −14.2% | −1.1% | −0.2% | −0.5% | Owner earnings marginOE mgn |
| $43M | $24M | $36M | $13M | $59M | $690K | ($33M) | ($106M) | ($9M) | ($1M) | ($4M) | Free cash flowFCF |
| 10.4% | 5.6% | 8.0% | 2.8% | 14.5% | 0.1% | −7.1% | −14.2% | −1.1% | −0.2% | −0.5% | Free cash flow marginFCF mgn |
| — | — | $44M | — | $18M | — | — | — | — | — | $18M | AcquisitionsAcquis. |
| 5% | 9% | 7% | -6% | -2% | -3% | -4% | -17% | -12% | -12% | -7% | ROICROIC |
| 1% | 2% | 4% | -9% | 1% | -11% | -6% | -25% | -25% | -20% | -14% | Return on equityROE |
| 1% | 2% | 4% | −9% | 1% | −11% | −6% | −25% | −25% | −20% | −14% | Retained to equityRetained/eq |
| Balance sheet | |||||||||||
| $40M | $81M | $70M | $70M | $96M | $88M | $51M | $33M | $83M | $82M | $120M | Cash & investmentsCash+inv |
| $58M | $63M | $78M | $87M | $72M | $79M | $83M | $128M | $135M | $136M | $138M | ReceivablesReceiv. |
| $63M | $81M | $77M | $82M | $85M | $83M | $100M | $222M | $189M | $172M | $178M | InventoryInvent. |
| $14M | $18M | $18M | $20M | $23M | $26M | $28M | $58M | $49M | $58M | $55M | Accounts payablePayables |
| $107M | $127M | $137M | $149M | $134M | $135M | $155M | $292M | $275M | $250M | $261M | Operating working capitalOper. WC |
| $194M | $252M | $245M | $261M | $270M | $270M | $256M | $420M | $433M | $417M | $462M | Current assetsCur. assets |
| $83M | $79M | $86M | $85M | $104M | $106M | $84M | $165M | $169M | $170M | $161M | Current liabilitiesCur. liab. |
| 2.3× | 3.2× | 2.8× | 3.1× | 2.6× | 2.5× | 3.1× | 2.5× | 2.6× | 2.4× | 2.9× | Current ratioCurr. ratio |
| $54M | $54M | $72M | $71M | $84M | $71M | $71M | $195M | $195M | $195M | $195M | GoodwillGoodwill |
| $372M | $405M | $467M | $496M | $526M | $477M | $459M | $925M | $893M | $851M | $887M | Total assetsAssets |
| — | — | — | — | — | — | — | $94M | $157M | $157M | $221M | Total debtDebt |
| — | — | — | — | — | — | — | $61M | $74M | $75M | $101M | Net debt / (cash)Net debt |
| $263M | $297M | $335M | $328M | $357M | $337M | $337M | $599M | $503M | $450M | $435M | Shareholders’ equityEquity |
| 3.9% | 2.9% | 4.2% | 4.7% | 4.0% | 3.3% | 4.0% | 4.8% | 4.1% | 3.5% | 3.5% | Stock comp / revenueSBC/rev |
| Per share | |||||||||||
| 18.5M | 18.5M | 18.9M | 18.9M | 19.4M | 19.7M | 20.1M | 36.7M | 38.1M | 39.6M | 40.5M | Shares out (diluted)Shares |
| $22.19 | $23.45 | $23.96 | $24.33 | $20.97 | $23.59 | $22.97 | $20.33 | $20.97 | $20.76 | $20.40 | Revenue / shareRev/sh |
| $0.17 | $0.34 | $0.73 | $-1.51 | $0.13 | $-1.95 | $-0.98 | $-4.12 | $-3.30 | $-2.33 | $-1.48 | EPS (diluted)EPS |
| $2.31 | $1.31 | $1.92 | $0.69 | $3.03 | $0.04 | $-1.64 | $-2.89 | $-0.24 | $-0.03 | $-0.11 | Owner earnings / shareOE/sh |
| $2.31 | $1.31 | $1.92 | $0.69 | $3.03 | $0.04 | $-1.64 | $-2.89 | $-0.24 | $-0.03 | $-0.11 | Free cash flow / shareFCF/sh |
| $0.89 | $0.79 | $0.72 | $1.00 | $0.80 | $0.90 | $1.07 | $1.64 | $0.91 | $0.87 | $0.95 | Cap. spending / shareCapex/sh |
| $14.27 | $16.03 | $17.73 | $17.33 | $18.40 | $17.11 | $16.80 | $16.30 | $13.19 | $11.36 | $10.76 | Book value / shareBVPS |
The diluted share count moved ×1.83 into 2023 — shares issued, not a split the totals corroborate — and the per-share figures carry the counts as filed.
| 9-yr | 5-yr | |
|---|---|---|
| Revenue / share | −0.7%/yr | −0.2%/yr |
| Capital spending / share | −0.2%/yr | +1.8%/yr |
| Book value / share | −2.5%/yr | −9.2%/yr |
The record, charted
FY2016–2025Each measure over its full record; the current point and the worst year marked.
Owner earnings vs. net income
Owner earningsNet incomeThe accountant's number, and the cash an owner can take; the gap is the tell.
Where the cash went
ReinvestBuybacksDividendsAcquisitionsRetainedBeyond op. cashEach year's outlays against its operating cash: the mix, and how it drifts. The hatched cap is spending beyond that year's operating cash — financed from the balance sheet or borrowing, not operations.
Net income is the accountant's number; owner earnings is the cash an owner could take out. The walk between them, off the cash-flow statement, and whether the gap is widening or holding.
In fiscal 2025 the business turned a $92M loss into ($1M) of owner earnings: more cash than the profit line showed, after the non-cash charges and the capital it put back in.
| FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | |
|---|---|---|---|---|---|
| Reported net income | ($92M) | ($126M) | ($151M) | ($20M) | ($38M) |
| Depreciation & amortizationnon-cash charge added back | +$77M | +$60M | +$53M | +$29M | +$30M |
| Stock-based compensationreal costnon-cash, but a real cost | +$29M | +$32M | +$36M | +$18M | +$15M |
| Working capital & othertiming of cash in and out, other non-cash items | +$20M | +$59M | +$17M | −$39M | +$12M |
| Cash from operations | $33M | $26M | ($46M) | ($12M) | $18M |
| Capital expenditurecash put back in to keep running and to grow | −$35M | −$35M | −$60M | −$21M | −$18M |
| Owner earnings | ($1M) | ($9M) | ($106M) | ($33M) | $690K |
| Owner-earnings marginowner earnings ÷ revenue | 0% | -1% | -14% | -7% | 0% |
Owner earnings is the cash an owner could pull out without starving the business: operating cash less the capital it must spend to hold its position . The cash-flow statement also adds stock comp back as non-cash, but it is a real cost paid in shares; counted as the expense it is (less $29M), owner earnings is nearer ($30M).
Maintenance capex is estimated as depreciation where a growing business invests above it; free cash flow is the figure the scorecard's free-cash margin reads.
Quality & stewardship
Returns, the balance sheet, capital allocation, and pay.
Owner’s Scorecard
Will it survive?
- Can it pay its interest? -45.6×Does not cover its interestOperating income ($81M) ÷ interest expense $2M
What this means
A full year of operating profit didn't cover the interest bill. This is the zombie zone: the business depends on refinancing, asset sales, or forbearance to service its debt.
- Net debt against an operating lossCash $82M − debt $157M
What this means
Netting $82M of cash and short-term investments against $157M of debt leaves $75M owed, with no operating profit this year to measure it against — understand that combination before anything else about the company. Net debt is the leverage figure that matters: the cash is already set against the debt. Strategic or illiquid investments aren't counted here.
- Long (60+ days)DSO 60 + DIO 245 − DPO 83 days
What this means
Days cash is tied up between paying suppliers and collecting from customers. Lower is better; a long cycle means growth itself eats cash.
Is it a good business?
- Below average through the cycle10-yr median, range -17%–9%; -12% latest = NOPAT ($64M) ÷ invested capital $525MIndustry peers: median -19%
What this means
The rate the business earns on the money tied up in it, Buffett's north star, because over time a stock tracks the ROIC beneath it. Above ~15% sustained hints at a moat; a return below the cost of capital (~8%) erodes value as a business grows rather than building it — the test Buffett weighs most. The headline is the median of the last 10 years (it ran -12% most recently), so one peak or trough year doesn't set the verdict. Asset-light businesses (R&D expensed, little capital) read artificially high, pair this with Owner Earnings.
- Thin through the cycle10-yr median margin, range -14%–14%; latest ($1M) = operating cash $33M − maintenance capex $35MIndustry peers: median -5%
What this means
What an owner could take out without starving the business: operating cash less the maintenance capital it must spend to hold its position — Buffett's owner earnings. That's -0% of revenue this year, a 0% median across 10 years. Treating stock comp as the real expense it is (less $29M of SBC) leaves ($30M).
- Loss, but cash-generativeNet income ($92M) · cash from operations $33M
What this means
The company reported a net loss, so a conversion ratio isn't meaningful. What matters then is whether operations still threw off cash, here, they did.
How is the cash used?
- No surplus to allocate
What this means
The business didn't generate positive Owner Earnings this year, so any distributions came from the balance sheet or borrowing, not from operations.
- Investing or harvesting? 0.45×HarvestingCapex $35M ÷ depreciation $77M
What this means
Descriptive, not a grade. Above ~1× means investing faster than assets wear out (growth, or, sustained for years, today's earnings carrying less depreciation than tomorrow's will). Below means spending less than it's wearing out (efficiency, or a melting asset base). The ratio won't tell you which; the filings will.
Graham’s defensive tests · 2 of 6 met
Graham’s numerical criteria for the defensive investor (The Intelligent Investor, ch. 14), run on the filings. A floor of safety, not a buy signal; many fine modern businesses fail his strictest liquidity rules by design.
- Adequate size MissRevenue ≥ $2B · $822M
What this means
Big enough to weather a storm. Graham's 1972 floor was ~$100M of sales (≈ $700M today); we use a $2B revenue line as a conservative modern stand-in.
- Strong liquidity PassCurrent ratio ≥ 2× · 2.45×
What this means
Current assets at least twice current liabilities, near-term bills covered without touching the business. Strict by design: many cash-rich modern firms run leaner and miss it, holding their cushion in longer-dated securities.
- Conservative debt PassDebt ≤ working capital · $157M vs $246M WC
What this means
Graham's rule that borrowings not exceed net current assets. Capital-heavy and buyback-heavy firms routinely fail it, read it next to interest coverage, not alone.
- Earnings stability MissA profit every year (10-yr record) · 6 loss years
What this means
Graham wanted earnings in each of the past ten years, the stability a defensive owner leans on.
- Dividend record MissUninterrupted dividends · none paid
What this means
An unbroken dividend was Graham's mark of durability. He wanted twenty years; the filings show about ten, and a single suspension breaks the streak. Non-payers, many fine modern compounders, fall outside his defensive net by design.
- Earnings growth MissEarnings +33% over the record · −1701%
What this means
At least a third more earnings than a decade ago, averaging three years at each end. Net income (not per-share), so stock splits don't distort it, buybacks and dilution show up in the share-count line instead.
- Moderate price —P/E ≤ 15 and P/E × P/B ≤ 22.5 · decided by the price
What this means
Graham's valuation gate, the wall he kept between a sound business and a sound investment. Three-year average earnings are $-3.05/share (latest year $-2.28), the averaged base the calculator's gate runs on, and book value is $11.13/share. Enter a price in “What the price implies” just below for the P/E, P/B, and whether it clears. But this is the rule Buffett outgrew: there's no hard P/E law, and a wonderful business can deserve a far richer multiple if the thesis holds, treat it as the bargain-hunter's floor, not a verdict on the price.
Durability & moat, 2016–2025
Whether the record’s returns held, and what the capital reinvested earned.
- Profitable years 4 of 10
What this means
Lost money in 6 year(s), look at what happened there before trusting the average.
- Return on capital ≥ 15% 0 of 3 yrs
What this means
A moat shows up as a high return on invested capital that holds year after year, not one good vintage.
- Operating margin 7% → −13% (3-yr avg ends)
What this means
Through the cycle the operating margin slipped — about 7% early to −13% lately, median −3% — competition or costs are biting in.
- Reinvestment, incremental ROIC returns capital
What this means
The capital base barely grew: this business returns cash through dividends and buybacks rather than reinvesting. Judge it on the cash returned, not on compounding.
- Worst year 2023 · −18.6% op. margin
What this means
Operations went underwater in 2023, understand why before trusting the good years.
Does AI threaten the moat?
Low contestabilityThe moat is physical, regulated or balance-sheet-funded, the kind AI cuts costs within but does not contest.
AI is unlikely to contest a moat that is physical, regulated or balance-sheet-funded; here it reads more as a cost tool than a threat.
Read from the filing's own risk factors, paired with the industry's structure under its SIC code; the durability is read above, the price below.
All figures as filed; the source filing is linked above.
Current Position
as of the latest quarter, Mar 31, 2026Can the business pay what it owes this year, off the freshest balance sheet: the quality of the assets, the debt actually coming due, and what a low ratio means here.
- Cash & short-term investments$120M
- Receivables$138M
- Inventory$178M
- Other current assets$26M
- Accounts payable$55M
- Other current liabilities$106M
From the company's latest filing.
How the cash was used, 2016–2025
Over the record, the business generated $275M of operating cash; how management split it reads as a reinvestor, most operating cash is plowed back into the business.
- Reinvested$248M · 90%
- Buybacks$63M · 23%
- Returned to owners$63M
239% of the owner earnings the business produced over the span, $0 as dividends and $63M as buybacks.
- Source of funding−$37M
Reinvestment and shareholder returns ran $37M beyond the operating cash the business generated, so the gap was financed off the balance sheet.
- Average price paid for buybacks$41.06
Across the years where the filing reports a share count, 2M shares were bought for $63M, about $41.06 each.
- Net change in share count119.1%
The diluted count rose from 18M to 40M: issuance (stock pay, deals) outran any buybacks, so owners were diluted on net.
- Dividend record—
No dividend line was reported in the filing data over the span; the record here neither confirms nor rules out a payout.
Buybacks are gross of stock issued to staff; the share-count line above is the net of that, the figure that decides whether owners gained. The average price paid blends a year of purchases (and any accelerated repurchase), so it is close, not exact. The record of where the cash went and on what terms.
Acquisitions & goodwill
from the balance sheet & the 10-year cash-flow recordGoodwill grows only when a company acquires and falls only when it concedes it overpaid. The size of that bet, the cash put into buying rather than building, and how much has already been written off.
$12M written down across 1 year (2021): goodwill the company has already conceded it overpaid for, charged against earnings. That is roughly 19% of the cash it put into acquisitions over the span. A write-down costs no cash (the cash went out when the deal was signed), but it is management marking its own past judgment to market.
Goodwill, acquired intangibles and equity from the latest balance sheet; acquisition spend and write-downs summed across the 10-year record, from the company's own filings.
Management, ownership & pay
From the proxy: how much of the business the people running it own, and how they are paid.
- Stock-based compensation$29M
The slice of the business handed to employees in shares this year, 3% of revenue. Buffett's oldest accounting fight: this is compensation, compensation is an expense, real whether or not the headline earnings admit it. One trap: the cash-flow statement adds SBC back, so the operating cash, and the owner earnings drawn from it, are flattered by exactly this amount; counted as the cost it is, what an owner keeps is lower.
Inverting the record
Invert: instead of why Orthofix Medical Inc. Common Stock (DE) is a good business, the question is what would make owning it a mistake, and whether those marks are in the record. Disconfirming tests across 2016–2025.
3 of the 4 tests turned up something to look into; the other 1 came back clean.
- Look hereIs it less profitable than it was?−5.2% vs 8.0%
The owner-earnings margin averaged 8.0% early in the record and −5.2% across the last three years, and the latest year has not recovered. Ask the filing whether that is a structural drift or a cyclical trough — price, mix, cost, or a competitor — and whether it is permanent.
- Look hereDid the share count rise anyway?119.1%
Diluted shares grew 119.1% over 2016–2025, even as the company spent $63M on buybacks. The repurchases were outrun by issuance — to staff, in a raise, or in a deal — and the filing says which; owners' slice still shrank. Read the buyback line beside this one, not on its own.
- Look hereDid receivables and inventory outpace sales?30% → 38% of sales
Receivables and inventory grew from $121M to $316M while revenue grew 101%: working capital is climbing faster than sales (30% of revenue then, 38% now). That can mean customers paying slower, stock building up, or revenue pulled forward. The filing's cash-flow and receivables notes say which.
- Are "one-time" charges a yearly habit?
Each test is read from the filings and is noisy alone; a flag can mark a cyclical trough or a year of heavy investment as easily as a problem. The filing says which.
Peers, Medical Devices & Equipment
The same industry, side by side on owner economics. Each figure is a through-cycle median, so a peak or trough year can’t distort it; the group median at the foot is the line to read each against.
| Company | Revenue | Gross margin | Op. margin | ROIC | Owner earn. margin |
|---|---|---|---|---|---|
| HAEHaemonetics | $1.3B | 50% | 10.4% | 7% | 11% |
| TNDMTandem Diabetes Care | $1.0B | 52% | -15.0% | -24% | -1% |
| INSPInspire Medical Systems | $912M | 84% | -28.7% | -19% | -23% |
| OFIXOrthofix Medical Inc. Common Stock (DE) | $822M | 75% | -2.3% | -3% | 1% |
| ATECAlphatec Holdings | $764M | 68% | -30.2% | -47% | -31% |
| NVCRNovoCure | $655M | 75% | -19.4% | -23% | -5% |
| BVSBioventus Inc. | $568M | 68% | 2.8% | -3% | 7% |
| ATRCAtriCure | $535M | 75% | -10.8% | -8% | -8% |
| Group median | — | 72% | -12.9% | -14% | -3% |
The price
What a price has to assume.
What the price implies
reverse-DCFType today's close and see the owner-earnings growth you'd have to believe to justify it, beside what Orthofix Medical Inc. Common Stock (DE) has delivered.
Orthofix Medical Inc. Common Stock (DE)’s latest year shows negative owner earnings, below the record’s own through-cycle owner earnings. So the tool opens on the through-cycle base, the cash it would earn at rest; clear the toggle below to read the latest year exactly as reported.
Through the cycle, Orthofix Medical Inc. Common Stock (DE) earns about $12M on its 1.5% median owner-earnings margin. This year’s −0.2% margin runs below that; the reported figure may understate a lean year. Normalize, below, values the price on that through-cycle figure rather than the latest year.
—
9.0% = the 4.55% 10-year Treasury (Jul 15, 2026) + 4.45 points of equity premium. The rate you require is yours to set.
Enter a price above to run it.
A dated snapshot of the price you typed, the assumptions you set, and what the page showed for them. A snapshot is never edited after it is saved. Your notebook is yours alone — the commitment states what is stored and what we will never do.
Graham capped the multiple at 15×; Buffett and Munger let that rule go: a wonderful business can deserve 50× if the thesis holds. The gate marks the bargain-hunter's floor.
Prefilled with the 10-year Treasury (4.55%, as of Jul 15, 2026). Edit it for today’s exact figure, or a AAA corporate yield.
Graham measured a stock against the bond you could own instead, the heart of his margin of safety. Enter a price above to weigh the owner-earnings yield against this bond.
Free cash flow ($4M) on 40M shares outstanding, per the 10-Q cover, as of 2026-05-01; net debt $101M. The base opens on the through-cycle figure (the latest year sits off the record’s own median, and Graham’s averaging cuts both ways); clear Normalize to use the year as filed. Net of stock comp treats option pay as the expense it is. Capex ($39M) runs well above depreciation ($56M), so this is a build-out; Steady-state swaps total capex for maintenance (≈ depreciation), lifting the base to about ($498K), the cash it would throw off if it stopped expanding. The dials set the multiple a growth belief justifies; the price, and every dollar on this page, is yours.
Manual order: ← OFG its page in the Manual OGE →
Industry order: ← NVST the Medical Devices & Equipment chapter OMCL →