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ACHAccendra Health, Inc.
$0.20$16M
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  3. ACH
  4. Financial Ratios

Accendra Health, Inc. (ACH) Financial Ratios

Latest Ratios: P/E Ratio -0.0x · EV/EBITDA 9.9x · ROE -2111.6%. (1996–2025 historical series)

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly

ACH 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 2019FY 2018FY 2017FY 2016
Market Cap$16M$215M$1.0B$1.5B$1.5B$3.3B$1.7B$313M$380M$1.1B$2.2B
Enterprise Value$2.0B$2.2B$3.1B$3.6B$4.2B$4.4B$2.7B$2.0B$2.0B$1.9B$2.5B
P/E Ratio →-0.01———67.3414.8057.55——15.7320.05
P/S Ratio0.010.080.090.140.150.340.200.030.040.120.22
P/B Ratio——1.771.581.573.502.410.680.731.122.25
P/FCF0.13——2.749.4044.086.142.757.61187.6513.75
P/OCF——6.211.974.5826.445.061.893.2919.9511.53

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

ACH EV Ratios

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

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
EV / Revenue—0.780.290.350.420.450.320.210.210.210.26
EV / EBITDA9.934.9754.279.2411.349.549.2110.30—12.979.94
EV / EBIT8.87414.36—35.1130.1313.4911.4019.69—12.8611.30
EV / FCF———6.8026.5958.829.7917.1739.36319.5416.17

ACH 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 2019FY 2018FY 2017FY 2016
Gross Margin46.7%46.7%20.7%20.6%18.3%15.5%15.1%12.3%11.4%12.6%12.2%
Operating Margin8.0%8.0%-1.9%1.0%1.4%3.8%2.4%0.8%-3.7%1.0%2.1%
Net Profit Margin-39.8%-39.8%-3.4%-0.4%0.2%2.3%0.4%-0.7%-4.6%0.8%1.1%

Return on Capital

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
ROE-2111.6%-2111.6%-48.7%-4.4%2.4%26.9%5.1%-12.7%-57.0%7.4%11.3%
ROA-31.0%-31.0%-7.4%-0.8%0.5%6.4%0.9%-1.7%-12.2%2.4%4.0%
ROIC8.0%8.0%-5.4%2.3%3.8%14.7%8.0%2.6%-13.5%4.2%11.2%
ROCE10.3%10.3%-6.9%3.0%4.8%17.6%9.7%3.2%-16.1%4.8%11.9%

ACH Leverage & Debt

Solvency and debt-coverage ratios — lower is generally safer

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Debt / Equity——3.792.602.951.231.603.703.180.890.59
Debt / EBITDA5.125.1237.546.147.522.513.839.00—6.062.21
Net Debt / Equity——3.702.342.881.171.443.553.060.780.39
Net Debt / EBITDA4.474.4736.675.527.332.393.448.65—5.351.49
Debt / FCF———4.0617.1914.743.6514.4231.75131.892.42
Interest Coverage0.050.05-1.490.651.086.752.881.01-5.024.728.29

ACH Liquidity & Efficiency

Short-term solvency ratios and asset-utilisation metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Current Ratio0.580.581.081.111.471.731.591.701.721.671.90
Quick Ratio0.500.500.470.520.610.610.670.890.850.911.01
Cash Ratio0.300.300.030.130.040.040.090.050.050.080.18
Asset Turnover—1.132.302.031.852.772.542.532.502.763.58
Inventory Turnover19.7919.797.497.396.105.535.847.056.478.239.32
Days Sales Outstanding—12.6723.5421.1327.9925.4230.1626.7429.3329.7322.75

ACH 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 2019FY 2018FY 2017FY 2016
Dividend Yield—————0.0%0.0%1.7%12.7%5.6%2.9%
Payout Ratio—————0.3%2.2%——86.8%58.3%

Total Shareholder Return Metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Earnings Yield————1.5%6.8%1.7%——6.4%5.0%
FCF Yield100.0%——36.5%10.6%2.3%16.3%36.4%13.1%0.5%7.3%
Buyback Yield65.2%4.7%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.4%3.3%
Total Shareholder Yield65.2%4.7%0.0%0.0%0.0%0.0%0.0%1.7%12.7%6.0%6.2%
Shares Outstanding—$77M$77M$76M$76M$75M$64M$61M$60M$60M$61M

Key Metrics

Growth RegimeContracting
ProfitabilityNegative
Balance SheetVulnerable
Cash FlowBurning
Top Statement Risk

Insolvency and liquidity distress

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2025Q4)

Distressed Multiples Reflect Structural Uncertainty

According to recent market data, OMI trades at a P/S ratio of 0.06 and an EV/EBITDA of 1.70, which, based on reported figures, suggests the market is pricing the company as a distressed turnaround play rather than a stable, utility-like medical distributor.

The extremely low valuation multiples appear to reflect deep skepticism regarding the company's ability to return to consistent profitability following recent net losses. Investors should monitor whether these depressed levels represent a value opportunity or a rational adjustment to the company's deteriorating equity base and ongoing operational restructuring.

Operating Margins Mask Net Losses

As reported in financial statements, OMI's operating margin of 0.99% highlights the razor-thin nature of its distribution business, while the negative net margin of -39.85% indicates that non-operating costs and impairments are currently overwhelming the company's core earning power.

The divergence between thin operating margins and deep net losses suggests that the company's capital structure and historical acquisition-related costs are creating a significant drag on bottom-line performance. This pattern warrants further investigation into whether the current cost base is sustainable without further divestitures or significant operational efficiency gains.

Working Capital Volatility Impairs Liquidity

Based on the provided quarterly data, OMI's CCC has fluctuated wildly, reaching -162 days in 2025Q3, which, according to recent filings, suggests that the company's cash conversion cycle is highly sensitive to the timing of hospital payments and inventory management in a low-margin environment.

The extreme swings in DSO and DPO indicate that the company may be utilizing aggressive working capital management to bridge liquidity gaps. Such volatility suggests that OMI's operational efficiency is currently secondary to the urgent need to manage cash flow amidst persistent net losses.

Debt Service Capacity Remains Strained

As indicated by the reported figures, OMI's interest coverage ratio has frequently dipped below 1.0x, such as the 0.91x observed in 2025Q3, which suggests that the company's ability to service its debt obligations is increasingly precarious given the current level of operational distress.

The high debt-to-EBITDA levels, which reached 24.25x in 2025Q3, imply that the company's leverage is significantly elevated compared to historical norms and industry peers. This situation warrants close monitoring, as any further decline in operating performance could trigger covenant violations or necessitate dilutive capital raises.

Misapplication of P/E Multiples

The P/E ratio is frequently misapplied to OMI, as the company's recent history of net losses and significant non-cash impairments renders earnings-based valuation metrics largely meaningless for assessing the underlying health of the business model.

Investors should instead focus on EV/EBITDA or cash-flow-based metrics to better understand the company's operational viability, as the P/E ratio obscures the impact of one-time charges and interest burdens. Relying on P/E in this context may lead to a fundamental misunderstanding of the company's true cash-generating potential.

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Includes 30+ ratios · 30 years · Updated daily

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ACH — Frequently Asked Questions

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

What is Accendra Health, Inc.'s P/E ratio?

Accendra Health, Inc.'s current P/E ratio is -0.0x. The historical average is 23.9x.

What is Accendra Health, Inc.'s EV/EBITDA?

Accendra Health, Inc.'s current EV/EBITDA is 9.9x. This enterprise value multiple compares the company's total value (equity + debt - cash) to its EBITDA. The historical average is 10.7x.

What is Accendra Health, Inc.'s ROE?

Accendra Health, Inc.'s return on equity (ROE) is -2111.6%. The historical average is 5.3%.

Is ACH stock overvalued?

Based on historical data, Accendra Health, Inc. is trading at a P/E of -0.0x. Compare with industry peers and growth rates for a complete picture.

What are Accendra Health, Inc.'s profit margins?

Accendra Health, Inc. has 46.7% gross margin and 8.0% operating margin.

How much debt does Accendra Health, Inc. have?

Accendra Health, Inc.'s Debt/EBITDA ratio is 5.1x, indicating high leverage. A ratio above 4x may signal elevated financial risk.