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TMCITreace Medical Concepts, Inc.
$4.56$296M
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Treace Medical Concepts, Inc. (TMCI) Financial Ratios

Latest Ratios: P/E Ratio -4.9x · EV/EBITDA N/A · ROE -58.9%. (2019–2025 historical series)

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly

TMCI Valuation Multiples

Price-based multiples — how expensive the stock is relative to earnings, sales, book value, and cash flow

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019
Market Cap$296M$155M$462M$776M$1.3B$1.0B——
Enterprise Value$299M$158M$520M$833M$1.3B$933M——
P/E Ratio →-4.90———————
P/S Ratio1.390.732.214.158.9610.70——
P/B Ratio3.301.774.095.6221.0010.85——
P/FCF————————
P/OCF————————

P/E links to full P/E history page with 30-year chart

TMCI EV Ratios

Enterprise-value multiples — capital-structure-neutral measures of total business value

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019
EV / Revenue—0.742.494.459.319.89——
EV / EBITDA————————
EV / EBIT————————
EV / FCF————————

TMCI Profitability

Margins and return-on-capital ratios measuring operating efficiency

Margins

Full margin charts and quarterly trend are on the Earnings History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019
Gross Margin79.8%79.8%80.4%81.2%80.6%82.1%78.3%80.6%
Operating Margin-25.5%-25.5%-26.6%-27.5%-24.6%-17.5%1.5%-9.0%
Net Profit Margin-27.7%-27.7%-26.6%-26.5%-30.2%-21.8%-6.4%-10.8%

Return on Capital

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019
ROE-58.9%-58.9%-44.4%-49.9%-55.7%-43.8%-186.3%-134.9%
ROA-28.9%-28.9%-23.8%-24.1%-28.6%-22.5%-10.3%-14.4%
ROIC-31.0%-31.0%-22.8%-25.3%-41.4%-81.8%5.4%—
ROCE-31.7%-31.7%-28.6%-30.6%-27.7%-21.6%3.3%-15.8%

TMCI Leverage & Debt

Solvency and debt-coverage ratios — lower is generally safer

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019
Debt / Equity0.160.160.620.511.130.3239.926.08
Debt / EBITDA——————15.00—
Net Debt / Equity—0.040.520.420.81-0.8216.622.24
Net Debt / EBITDA——————6.25—
Debt / FCF————————
Interest Coverage-10.09-10.09-9.61-8.59-8.74-4.060.19-4.07

TMCI Liquidity & Efficiency

Short-term solvency ratios and asset-utilisation metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019
Current Ratio4.314.314.624.404.417.583.533.90
Quick Ratio3.133.133.503.763.777.002.863.14
Cash Ratio1.581.582.172.742.695.811.561.66
Asset Turnover—1.120.960.740.890.671.371.33
Inventory Turnover1.191.191.051.201.421.601.591.37
Days Sales Outstanding—72.3471.1474.2575.1371.7892.1796.41

TMCI Shareholder Yields

Earnings, FCF, buyback, and dividend yields — total returns to shareholders

Dividends

Full dividend history and growth charts are on the Dividend History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019
Dividend Yield————————
Payout Ratio————————

Total Shareholder Return Metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019
Earnings Yield————————
FCF Yield————————
Buyback Yield0.0%0.0%0.0%0.0%0.0%0.0%——
Total Shareholder Yield0.0%0.0%0.0%0.0%0.0%0.0%——
Shares Outstanding—$63M$62M$61M$55M$54M$51M$51M

Key Metrics

Growth RegimeDecelerating
ProfitabilityNegative
Balance SheetVulnerable
Cash FlowBurning
Top Statement Risk

Liquidity and capital exhaustion

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2026Q1)

Market Pricing Reflects Growth Uncertainty

According to current market data, TMCI trades at a price-to-sales multiple of 1.36, a valuation that appears to reflect significant investor skepticism regarding the company's ability to reignite growth and achieve profitability in the face of persistent negative earnings and a shrinking asset base.

The absence of meaningful P/E or EV/EBITDA multiples underscores the market's difficulty in valuing a business that has yet to demonstrate a clear path to positive net income. Investors should monitor whether this discount to broader medical device peers is a temporary reaction to recent growth deceleration or a structural reassessment of the company's long-term earnings potential.

Capital Efficiency Remains Deeply Negative

Based on reported financial figures, TMCI's return on invested capital has consistently languished in negative territory, reaching -15.0% in 2026Q1, which suggests that the company's aggressive investment in sales infrastructure has failed to generate the returns necessary to create shareholder value.

The persistent decay in ROIC indicates that the capital deployed into the business is currently destroying value rather than compounding it. This trend warrants further investigation into whether the company's core Lapiplasty procedure can ever achieve the scale required to overcome the high fixed costs inherent in its specialized direct sales model.

Working Capital Cycles Signal Inefficiency

As reported in recent quarterly filings, TMCI's cash conversion cycle remains elevated at 309 days in 2026Q1, driven largely by an exceptionally high days inventory outstanding metric that suggests significant challenges in managing supply chain efficiency and product turnover.

The inability to optimize the cash conversion cycle appears to be a primary driver of the company's liquidity strain, as capital remains tied up in inventory for extended periods. Investors should monitor whether management can improve these metrics, as any further deterioration could exacerbate the company's reliance on external financing.

Liquidity Position Nears Critical Threshold

According to the most recent balance sheet data, TMCI's cash and equivalents have dwindled to approximately $10.7 million, a level that appears increasingly precarious given the company's ongoing net losses and the high burn rate associated with its current operational structure.

While the current ratio of 3.58 may appear healthy on the surface, it is heavily influenced by inventory levels that may not be easily liquidated in a stress scenario. The company's liquidity position warrants close monitoring, as the current cash runway may be insufficient to support operations without a significant capital infusion.

Misapplication of Revenue Growth Metrics

Market participants often over-rely on top-line revenue growth as a proxy for success, yet this metric obscures the underlying cash burn and the high customer acquisition costs required to sustain the company's specialized surgical procedure model in a competitive US market.

Analysts should instead focus on surgeon utilization rates and the contribution margin per kit, as these metrics provide a more accurate picture of the business's true earning power. Relying solely on revenue growth in this context may lead to an overly optimistic assessment of the company's long-term viability.

Download Financial Ratios Data

Includes 30+ ratios · 7 years · Updated daily

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TMCI — Frequently Asked Questions

Quick answers to the most common questions about buying TMCI stock.

What is Treace Medical Concepts, Inc.'s P/E ratio?

Treace Medical Concepts, Inc.'s current P/E ratio is -4.9x. This places it at the 50th percentile of its historical range.

What is Treace Medical Concepts, Inc.'s ROE?

Treace Medical Concepts, Inc.'s return on equity (ROE) is -58.9%. The historical average is -82.0%.

Is TMCI stock overvalued?

Based on historical data, Treace Medical Concepts, Inc. is trading at a P/E of -4.9x. This is at the 50th percentile of its historical P/E range. Compare with industry peers and growth rates for a complete picture.

What are Treace Medical Concepts, Inc.'s profit margins?

Treace Medical Concepts, Inc. has 79.8% gross margin and -25.5% operating margin.