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Outset Medical, Inc. (OM) 10-Year Financial Performance & Capital Metrics

OM • • Industrial / General
HealthcareMedical DevicesCardiovascular DevicesVascular & Aortic Devices
AboutOutset Medical, Inc., a medical technology company, develops a hemodialysis system for dialysis. It provides the Tablo Hemodialysis System, which comprises a compact console with integrated water purification, on-demand dialysate production, and software and connectivity capabilities for dialysis care in acute and home settings. The company was formerly known as Home Dialysis Plus, Ltd. and changed its name to Outset Medical, Inc. in January 2015. Outset Medical, Inc. was incorporated in 2003 and is headquartered in San Jose, California.Show more
  • Revenue $114M -12.8%
  • EBITDA -$108M +34.3%
  • Net Income -$128M +25.9%
  • EPS (Diluted) -2.46 +29.3%
  • Gross Margin 33.92% +52.5%
  • EBITDA Margin -94.69% +24.7%
  • Operating Margin -99.72% +23.4%
  • Net Margin -112.57% +15.1%
  • ROE -170.97% -82.5%
  • ROIC -57.6% -5.5%
  • Debt/Equity 7.53 +579.2%
  • Interest Coverage -4.75 +64.5%
Technical Analysis

Key Insights

Based on financial data analysis

✓Strengths

  • ✓Strong 5Y sales CAGR of 49.8%
  • ✓Trading at only 0.7x book value

✗Weaknesses

  • ✗High debt to equity ratio of 7.5x
  • ✗Negative free cash flow
  • ✗Weak momentum: RS Rating 6 (bottom 6%)
  • ✗Trading more than 30% below 52-week high

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

Price & Volume

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Growth Metrics

Revenue CAGR

10Y-
5Y49.79%
3Y3.48%
TTM4.65%

Profit (Net Income) CAGR

10Y-
5Y-
3Y-
TTM37.7%

EPS CAGR

10Y-
5Y-
3Y-
TTM-261.59%

ROCE

10Y Avg-47.81%
5Y Avg-46.56%
3Y Avg-48.24%
Latest-46.38%

Peer Comparison

Vascular & Aortic Devices
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Sector-Specific
NameMarket CapCurrent PriceP/E RatioRevenue Growth 1YNet MarginROEFCF YieldDebt/Equity
PENPenumbra, Inc.12.27B313.43870.6412.86%12.3%12.07%1.2%0.19
NUWENuwellis, Inc.1.72M1.90-0.24-1.4%-202.83%-423.93%0.08
NVNOenVVeno Medical Corporation7.3M0.36-0.28-74.59%0.03
NSPRInspireMD, Inc.67.37M1.59-2.0912.96%-5.94%-72.06%0.06
OMOutset Medical, Inc.99.48M5.48-2.23-12.8%-73.12%-61.67%7.53
SRDXSurmodics, Inc.614.51M42.98-52.41-4.91%-14.59%-15.84%0.28
AORTArtivion, Inc.2.01B42.50-132.819.75%-2.16%-2.08%0.55%1.31

Profit & Loss

Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Sales/Revenue+2.01M15.08M49.94M102.6M115.38M130.38M113.69M
Revenue Growth %-6.51%2.31%1.05%0.12%0.13%-0.13%
Cost of Goods Sold+8.12M32.88M62.97M94.99M97.54M101.38M75.13M
COGS % of Revenue4.05%2.18%1.26%0.93%0.85%0.78%0.66%
Gross Profit+-6.12M-17.8M-13.04M7.61M17.83M29M38.56M
Gross Margin %-3.05%-1.18%-0.26%0.07%0.15%0.22%0.34%
Gross Profit Growth %--1.91%0.27%1.58%1.34%0.63%0.33%
Operating Expenses+40.45M52.51M104.43M138.13M178.85M198.77M151.94M
OpEx % of Revenue20.15%3.48%2.09%1.35%1.55%1.52%1.34%
Selling, General & Admin17.53M29.18M75.58M101.39M130M141.46M113.54M
SG&A % of Revenue8.74%1.94%1.51%0.99%1.13%1.09%1%
Research & Development22.92M23.33M28.85M36.74M48.85M57.31M38.4M
R&D % of Revenue11.42%1.55%0.58%0.36%0.42%0.44%0.34%
Other Operating Expenses0000000
Operating Income+-46.56M-70.31M-117.47M-130.52M-161.02M-169.77M-113.38M
Operating Margin %-23.2%-4.66%-2.35%-1.27%-1.4%-1.3%-1%
Operating Income Growth %--0.51%-0.67%-0.11%-0.23%-0.05%0.33%
EBITDA+-45.07M-68.37M-113.71M-124.33M-154.74M-163.96M-107.65M
EBITDA Margin %-22.46%-4.53%-2.28%-1.21%-1.34%-1.26%-0.95%
EBITDA Growth %--0.52%-0.66%-0.09%-0.24%-0.06%0.34%
D&A (Non-Cash Add-back)1.49M1.94M3.75M6.18M6.28M5.81M5.73M
EBIT-45.12M-64.02M-118.6M-130.02M-159.09M-159.6M-103.61M
Net Interest Income+-2.93M-1.77M-2.37M-1.22M-275K-2.5M-14.11M
Interest Income1.71M2.48M526K498K3.29M10.17M9.76M
Interest Expense4.64M4.26M2.89M1.72M3.57M12.68M23.87M
Other Income/Expense-3.19M2.03M-4.03M-1.22M-1.64M-2.5M-14.11M
Pretax Income+-49.76M-68.28M-121.49M-131.74M-162.66M-172.27M-127.48M
Pretax Margin %-24.79%-4.53%-2.43%-1.28%-1.41%-1.32%-1.12%
Income Tax+25K20K0199K295K523K491K
Effective Tax Rate %1%1%0.99%1%1%1%1%
Net Income+-49.78M-68.3M-120.7M-131.94M-162.96M-172.8M-127.98M
Net Margin %-24.8%-4.53%-2.42%-1.29%-1.41%-1.33%-1.13%
Net Income Growth %--0.37%-0.77%-0.09%-0.24%-0.06%0.26%
Net Income (Continuing)-49.78M-68.3M-121.49M-131.94M-162.96M-172.8M-127.98M
Discontinued Operations0000000
Minority Interest0000000
EPS (Diluted)+-1.65-34.06-2.83-2.89-3.38-3.48-2.46
EPS Growth %--19.64%0.92%-0.02%-0.17%-0.03%0.29%
EPS (Basic)-1.65-1.61-2.83-2.89-3.38-3.48-2.46
Diluted Shares Outstanding2.01M2.01M2.85M3.04M3.21M3.31M3.46M
Basic Shares Outstanding2.01M2.01M2.85M3.04M3.21M3.31M3.46M
Dividend Payout Ratio-------

Balance Sheet

Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Total Current Assets+147.65M79.65M345.91M409.8M373.64M291.22M258.22M
Cash & Short-Term Investments142.78M70.08M314.87M339.49M287.5M203.32M158.69M
Cash Only33.26M36.93M294.97M182.35M73.22M68.51M124.01M
Short-Term Investments109.52M33.15M19.9M157.14M214.28M134.81M34.67M
Accounts Receivable1.09M3.91M6.47M25.6M28.07M32.98M35.62M
Days Sales Outstanding197.8794.7547.2891.0788.892.33114.36
Inventory3.02M4.6M18.38M39.19M51.48M49.22M59.39M
Days Inventory Outstanding135.8151.02106.56150.56192.62177.2288.54
Other Current Assets006.19M5.53M6.6M5.7M4.53M
Total Non-Current Assets+3.48M8.72M57.92M53.66M26.47M22.58M17.57M
Property, Plant & Equipment2.93M7.89M23.25M20.2M21.99M18.65M12.07M
Fixed Asset Turnover0.69x1.91x2.15x5.08x5.25x6.99x9.42x
Goodwill0000000
Intangible Assets0000000
Long-Term Investments151K743K033.31M3.31M00
Other Non-Current Assets407K82K34.67M156K1.17M3.93M5.5M
Total Assets+151.13M88.37M403.83M463.46M400.12M313.8M275.8M
Asset Turnover0.01x0.17x0.12x0.22x0.29x0.42x0.41x
Asset Growth %--0.42%3.57%0.15%-0.14%-0.22%-0.12%
Total Current Liabilities+10.21M24.91M36.69M51.7M51.95M55.32M45.38M
Accounts Payable3.37M4.96M4.95M1.76M603K5.83M3.86M
Days Payables Outstanding151.5855.0628.686.772.2620.9818.76
Short-Term Debt10K7.5M00001.8M
Deferred Revenue (Current)269K883K1000K1000K1000K1000K1000K
Other Current Liabilities2.23M4.61M10.82M17.49M19.85M24.77M26.96M
Current Ratio14.46x3.20x9.43x7.93x7.19x5.26x5.69x
Quick Ratio14.16x3.01x8.93x7.17x6.20x4.37x4.38x
Cash Conversion Cycle182.0990.71125.16234.86279.17248.55384.13
Total Non-Current Liabilities+428.87M435.64M38.53M37.69M102.18M135.59M203.6M
Long-Term Debt28.35M21.56M29.67M29.76M96.34M130.11M197.38M
Capital Lease Obligations9K08.04M6.89M5.58M4.48M2.68M
Deferred Tax Liabilities-9K000000
Other Non-Current Liabilities400.5M413.95M240K721K113K896K2.69M
Total Liabilities439.08M460.55M75.22M89.38M154.13M190.91M248.98M
Total Debt+28.86M29.06M38.6M37.81M103.23M136.19M201.86M
Net Debt-4.4M-7.87M-256.37M-144.54M30.01M67.68M77.84M
Debt / Equity--0.12x0.10x0.42x1.11x7.53x
Debt / EBITDA-------
Net Debt / EBITDA-------
Interest Coverage-10.04x-16.52x-40.63x-76.10x-45.15x-13.39x-4.75x
Total Equity+-287.95M-372.19M328.61M374.08M245.99M122.89M26.82M
Equity Growth %--0.29%1.88%0.14%-0.34%-0.5%-0.78%
Book Value per Share-143.58-185.58115.38123.0876.6137.177.74
Total Shareholders' Equity-287.95M-372.19M328.61M374.08M245.99M122.89M26.82M
Common Stock1K1K43K47K48K50K53K
Retained Earnings-287.89M-372.57M-494.06M-625.99M-788.95M-961.75M-1.09B
Treasury Stock0-356K00000
Accumulated OCI-60K22K1K-184K-564K68K42K
Minority Interest0000000

Cash Flow

Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Cash from Operations+-46.44M-70.29M-99.02M-130.26M-145.73M-131.37M-116.3M
Operating CF Margin %-23.14%-4.66%-1.98%-1.27%-1.26%-1.01%-1.02%
Operating CF Growth %--0.51%-0.41%-0.32%-0.12%0.1%0.11%
Net Income-49.78M-68.3M-121.49M-131.94M-162.96M-172.8M-127.98M
Depreciation & Amortization1.07M1.94M3.16M5.16M5.17M5.81M5.73M
Stock-Based Compensation788K883K21.44M17.45M27.2M38.63M29.36M
Deferred Taxes-75K-4.11M2.49M3.08M000
Other Non-Cash Items1.77M893K1.24M1.59M6M-2.25M2.28M
Working Capital Changes-217K-1.6M-5.85M-25.6M-21.14M-773K-25.69M
Change in Receivables-552K-2.89M-2.57M-19.14M-2.51M-5.09M0
Change in Inventory-2.21M-5.02M-16.29M-22.04M-14.73M1.65M0
Change in Payables2.67M802K737K-3.07M-1.28M5.31M-1.95M
Cash from Investing+-68.78M74.3M3.95M-142.51M-66.3M83.03M103.94M
Capital Expenditures-1.77M-3.29M-9.11M-3.11M-8.32M-3.44M-912K
CapEx % of Revenue0.88%0.22%0.18%0.03%0.07%0.03%0.01%
Acquisitions-------
Investments-------
Other Investing-67.01M77.59M13.02M-139.4M-57.97M00
Cash from Financing+134.87M249K385.68M160.15M72.9M43.65M67.87M
Debt Issued (Net)-------
Equity Issued (Net)-------
Dividends Paid0000000
Share Repurchases-------
Other Financing314K258K387.05M11.06M8.04M10.43M1.35M
Net Change in Cash-------
Free Cash Flow+-48.21M-73.58M-108.12M-133.37M-154.05M-134.81M-117.22M
FCF Margin %-24.02%-4.88%-2.17%-1.3%-1.34%-1.03%-1.03%
FCF Growth %--0.53%-0.47%-0.23%-0.16%0.12%0.13%
FCF per Share-24.04-36.69-37.96-43.88-47.98-40.78-33.84
FCF Conversion (FCF/Net Income)0.93x1.03x0.82x0.99x0.89x0.76x0.91x
Interest Paid3.29M3.35M3.27M1.15M3.19M10.85M0
Taxes Paid9K35K19K83K385K491K593K

Key Ratios

Metric2018201920202021202220232024
Return on Equity (ROE)---36.73%-37.55%-52.56%-93.69%-170.97%
Return on Invested Capital (ROIC)----64.88%-47.78%-54.58%-57.6%
Gross Margin-304.68%-118.07%-26.11%7.42%15.46%22.24%33.92%
Net Margin-2480.32%-452.97%-241.71%-128.59%-141.24%-132.54%-112.57%
Debt / Equity--0.12x0.10x0.42x1.11x7.53x
Interest Coverage-10.04x-16.52x-40.63x-76.10x-45.15x-13.39x-4.75x
FCF Conversion0.93x1.03x0.82x0.99x0.89x0.76x0.91x
Revenue Growth-651.27%231.18%105.47%12.45%13%-12.8%

Revenue by Segment

20202021202220232024
Product39.61M84.31M93.39M103.54M80.98M
Product Growth-112.84%10.76%10.87%-21.79%
Consumables Product6.74M19.18M28.8M42.21M51.15M
Consumables Product Growth-184.47%50.15%46.56%21.18%
Service And Other Revenue10.32M18.29M21.99M26.84M32.71M
Service And Other Revenue Growth-77.18%20.21%22.07%21.88%
Consoles Product-65.13M64.59M61.33M29.83M
Consoles Product Growth---0.83%-5.05%-51.36%

Frequently Asked Questions

Growth & Financials

Outset Medical, Inc. (OM) reported $120.1M in revenue for fiscal year 2024. This represents a 5883% increase from $2.0M in 2018.

Outset Medical, Inc. (OM) saw revenue decline by 12.8% over the past year.

Outset Medical, Inc. (OM) reported a net loss of $87.8M for fiscal year 2024.

Dividend & Returns

Outset Medical, Inc. (OM) has a return on equity (ROE) of -171.0%. Negative ROE indicates the company is unprofitable.

Outset Medical, Inc. (OM) had negative free cash flow of $53.9M in fiscal year 2024, likely due to heavy capital investments.

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