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Merit Medical Systems (MMSI) Stock Fundamentals, Analysis & Risk Signals

Health score, competitive moat, risk signals, and key metrics at a glance.

NasdaqGS•Healthcare•Medical Instruments & Supplies
A
ExcellentMetricSide Score: 88/100
ProfitabilityProfit20/30
GrowthGrowth25/25
Balance SheetBalance23/25
Cash QualityCash20/20
Price & Volume
Market Cap $4.25B

Merit Medical Systems, Inc. designs, develops, manufactures, and markets single-use medical products for interventional, diagnostic, and therapeutic procedures in the United States, China, Japan, Germany, France, the United Kingdom, and internationally. It operates through two segments, Cardiovascular and Endoscopy. The company offers micropuncture kits, angiographic needles, sheaths, guide wires, and safety products; peripheral intervention products comprising angiography, drainage, delivery systems, and embolotherapy products; oncology products, such as soft tissue biopsy products and accessories; cardiac intervention products consisting of cardiac access, angiography, electrophysiology and cardiac rhythm management, fluid management, hemodynamic monitoring, hemostasis, and intervention products; and spine products, including vertebral augmentation, radiofrequency ablation, and bone biopsy systems. It also provides custom procedural solutions, including critical care products, syringes, manifold kits, and trays and packs; coating services for medical tubes and wires; and sensor components for microelectromechanical systems. In addition, the company offers gastroenterology products, such as esophageal stents, cryoballoon and inflation devices, gauges, and balloon dilators; pulmonary products consisting of laser-cut tracheobronchial stents, and over-the-wire and direct visualization delivery systems; and kits and accessories for endoscopy and bronchoscopy procedures. It sells its products to hospitals, alternate site-based physicians, technicians, and nurses through direct sales force, independent distributors, original equipment manufacturer partners, and custom procedure tray manufacturers. The company exports its products to Canada, Western Europe, Australia, Brazil, Malaysia, South Korea, the United Arab Emirates, India, New Zealand, and South Africa. Merit Medical Systems, Inc. was incorporated in 1987 and is headquartered in South Jordan, Utah.

Moat Signals

Competitive analysis based on 60 quarters of fundamental data

Pricing Power

Strong Moat

Operating margins are expanding at ~11.9%, suggesting durable pricing power and cost discipline.

Competitive Advantage

Moderate Moat

ROE is positive at ~8.5% on average, adequate but below the threshold typically associated with wide moats.

Risk Signals

Data-driven red flags and warnings across 60 quarters

Low Risk

Margin Pressure

Healthy

Margins are stable or improving at ~12.2% — no sign of cost or pricing stress.

Earnings Quality

Healthy

FCF covers net income by 1.6x on average — earnings are well-supported by cash generation.

Leverage Risk

Healthy

D/E ratio is 0.5 — conservative capital structure with low financial risk.

Revenue Decline

Healthy

Revenue is stable or growing over recent quarters — demand appears durable.

Cash Burn

Healthy

Free cash flow is consistently positive — the business self-funds without external capital reliance.

Share Dilution

Watch

Shares outstanding rose 2.4% — mild dilution. Compare to earnings growth to assess net per-share impact.

Metrics at a Glance

as of March 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue
$1.54B
11.1%
Q. Revenue
$381.88M
TTM EBITDA
$312.22M
16.0%
TTM Op. Income
$187.84M
16.8%
Q. Op. Income
$44.16M
TTM Net Income
$139.34M
14.0%
Q. Net Income
$40.99M
EPS
$0.69
Shares Out.
$59.51M
1.0%
$1.54B in TTM revenue grew 11.1% YoY, reaching $381.88M last quarter. TTM EBITDA of $312.22M and TTM operating income of $187.84M shows growth is flowing through. Net income of $139.34M TTM confirms the company is converting revenue into profit. Revenue is growing at a healthy pace — a signal to hold.

Margins

Gross, EBITDA, operating, and net margin trends

Gross Margin
48.4%
EBITDA Margin
19.5%
Op. Margin
11.6%
0.1%
Net Margin
10.7%
26.5%
Op. margin of 11.6% is up 0.0% YoY — cost efficiency is improving. Net margin at 10.7% and gross margin of 48.4% — earnings take a bigger bite when COGS stays lean..

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio
30.5x
P/S Ratio
2.8x
P/B Ratio
2.6x
At 30.5x P/E, the stock trades at a premium — the market expects above-average growth. P/S of 2.8x and P/B of 2.6x provide additional context. Assess whether the current multiple is justified by the company's growth and profitability trajectory.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets
$2.72B
Cash
$488.08M
Long-Term Debt
$735.16M
Book Value
$1.63B
D/E Ratio
0.5
Debt/EBITDA
9.8
With $2.72B in assets and $735.16M in long-term debt, the D/E of 0.5and book value of $1.63B — shows a conservative capital structure — the company has a strong financial cushion to weather downturns.

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow
$40.68M
TTM Free Cash Flow
$220.82M
22.2%
FCF Margin
14.3%
FCF / Net Income
1.6
TTM FCF of $220.82M on $40.68M in operating cash flow. The FCF / Net Income ratio of 1.6x means earnings are well backed by actual cash — high-quality earnings.

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Cash Generation

Strong Moat

Free cash flow is consistently positive and growing — a hallmark of a capital-light business that can self-fund growth.

Demand Durability

Strong Moat

TTM revenue has grown consistently (7 of 7 quarters up), with ~18.5% growth over the period. Strong demand durability.