Viemed Healthcare, Inc. (NASDAQ: VMD)

Sector: Healthcare Industry: Medical Devices CIK: 0001729149
Market Cap 325.11 Mn
P/B 2.43
P/E 23.89
P/S 1.28
ROIC (Qtr) 9.31
Div Yield % 0.00
Rev 1y % (Qtr) 23.98
Total Debt (Qtr) 24.70 Mn
Debt/Equity (Qtr) 0.18
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About

VIEMED Healthcare, Inc., a company that trades under the stock symbol VMD on the NASDAQ, operates in the home medical equipment (HME) and post-acute respiratory healthcare services industry in the United States. The company is dedicated to the growth of its business and establishing itself as one of the leading providers of home therapy for patients with severe respiratory diseases. VIEMED's primary services include respiratory disease management, neuromuscular care, in-home sleep testing and sleep apnea treatment, oxygen therapy, respiratory equipment...

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Investment thesis

Bull case

  • Strong operating cash flow of 48.46M provides robust 1.96x coverage of total debt 24.70M, indicating excellent debt servicing capability and financial flexibility.
  • Healthy cash reserves of 11.12M provide 4.12x coverage of short-term debt 2.70M, demonstrating strong liquidity position and minimal refinancing risk.
  • Operating cash flow of 48.46M provides exceptional 129.92x coverage of minority interest expenses 373000, showing strong core operations.
  • Strong tangible asset base of 142.55M provides 5.77x coverage of total debt 24.70M, indicating robust asset backing and low credit risk.
  • Operating cash flow of 48.46M provides exceptional 50.22x coverage of interest expenses 965000, showing strong debt service capability.

Bear case

  • Operating cash flow of 48.46M barely covers its investment activities of (51.75M), with a coverage ratio of -0.94, indicating heavy reliance on external financing for growth which may not be sustainable in a tighter credit environment.
  • Investment activities of (51.75M) provide weak support for R&D spending of 3.22M, which is -16.06x, suggesting potentially insufficient investment in innovation relative to other capital deployment.
  • Cash reserves of 11.12M provide limited coverage of acquisition spending of (26.33M), which is -0.42x, suggesting aggressive expansion might strain liquidity if market conditions deteriorate.
  • High receivables of 27.41M relative to inventory of 5.27M (5.20 ratio) suggests aggressive credit terms or collection difficulties, potentially masking revenue quality issues.
  • Operating earnings of 20.66M show weak coverage of depreciation charges of 27.41M, with a 0.75 ratio indicating high capital intensity and potential reinvestment needs.

Peer comparison

Companies in the Medical Devices
S.No. Ticker Company Market Cap P/E P/S Total Debt (Qtr)
1 ABT Abbott Laboratories 173.80 Bn 32.73 5.47 12.94 Bn
2 SYK Stryker Corp 141.15 Bn 43.48 5.62 15.86 Bn
3 MDT Medtronic plc 123.47 Bn 25.92 3.55 29.10 Bn
4 BSX Boston Scientific Corp 112.80 Bn 38.92 5.62 11.44 Bn
5 EW Edwards Lifesciences Corp 45.66 Bn 33.38 7.76 0.70 Bn
6 DXCM Dexcom Inc 27.52 Bn 32.91 5.90 1.34 Bn
7 STE STERIS plc 24.13 Bn 34.08 4.14 2.05 Bn
8 PODD Insulet Corp 17.33 Bn 70.38 6.87 1.01 Bn

Industry comparisons

Current Valuation Value Ind Avg Percentile
EV to Assets EV to Assets 1.54 2.13
EV to Cash from Ops. EV/CFO 6.44 2.75
EV to Debt EV to Debt 12.63 17.25
EV to EBIT EV/EBIT 15.10 2.89
EV to EBITDA EV/EBITDA 6.53 4.53
EV to Free Cash Flow [EV/FCF] EV/FCF 13.39 29.36
EV to Market Cap EV to Market Cap 0.96 25.09
EV to Revenue EV/Rev 1.22 32.80
Price to Book Value [P/B] P/B 2.43 4.73
Price to Earnings [P/E] P/E 23.89 -2.04
Dividend Metrics Value Ind Avg Percentile
Dividend Coverage Ratio Dividend Coverage Ratio 0.00 40.22
Dividend Payout Ratio % Div Payout % (Qtr) 0.00 1.59
Dividend per Basic Share Div per Share (Qtr) 0.00 0.10
FCF Dividend Payout Ratio % FCF Div Payout % (Qtr) 0.00 -0.37
Interest Coverage Int. cover (Qtr) 21.41 196.93
Growth Metrics Value Ind Avg Percentile
Capex Growth (1y) % Capex 1y % (Qtr) 3.10 -152.08
Cash and Equivalents Growth (1y) % Cash & Equiv 1y % (Qtr) -36.58 8,476.58
Dividend Growth (1y) % Dividend Growth (1y) % 0.00 -0.44
EBIAT Growth (1y) % EBIAT 1y % (Qtr) 29.27 -792.16
EBITDA Growth (1y) % EBITDA 1y % (Qtr) 16.27 3.79
EBIT Growth (1y) % EBIT 1y % (Qtr) 30.82 -301.80
EBT Growth (1y) % EBT 1y % (Qtr) 32.12 -121.44
EPS Growth (1y) % EPS 1y % (Qtr) 29.63 -87.51
FCF Growth (1y) % FCF 1y % (Qtr) 104.10 10.43
Gross Profit Growth (1y) % Gross Profit 1y % (Qtr) 14.18 38.21
Liquidity Ratios Value Ind Avg Percentile
Asset Utilization Ratio Asset Util Ratio (Qtr) 1.26 0.55
Cash Payout Ratio Cash Payout (Qtr) 0.00 0.02
Cash Ratio Cash Ratio (Qtr) 0.25 1.80
Current Ratio Curr Ratio (Qtr) 1.13 4.18
Debt to Equity Ratio Debt/Equity (Qtr) 0.18 1.20
Interest Cover Ratio Int Coverage (Qtr) 21.41 196.93
Times Interest Earned Times Interest Earned (Qtr) 21.41 196.93
Profitability Value Ind Avg Percentile
EBITDA Margin % EBITDA Margin % (Qtr) 18.90 -2,396.63
EBIT Margin % EBIT Margin % (Qtr) 8.11 -2,478.60
EBT Margin % EBT Margin % (Qtr) 7.73 -2,690.42
Gross Margin % Gross Margin % (Qtr) 57.90 30.80
Net Profit Margin % Net Margin % (Qtr) 5.30 -2,821.53