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Electromed

ELMD
73
Medical - Devices · Healthcare
Price
$42.10
-0.70 (-1.64%)
Market Cap
$348.6M
Exchange
New York Stock Exchange Arca
Winston Score
73
Winston is happy
A high-quality business with solid fundamentals.

Share count falling — buybacks

2.2% over 4y

The company has reduced its share count over this period, returning value to shareholders through buybacks.

Diluted shares outstanding: 8.9M (2021) → 8.7M (2025)

Electromed makes medical devices that help people clear mucus from their lungs. Its main product is the SmartVest, a wearable vest that vibrates to loosen and move mucus for patients with conditions like cystic fibrosis, bronchiectasis, and other chronic lung diseases. The company sells primarily to patients in the United States, working through physicians and home healthcare channels.

Electromed earns revenue by selling its vests directly to patients, with most costs covered by insurance or Medicare. The company operates almost entirely in the U.S. and is a small-cap player in the high-frequency chest wall oscillation (HCWO) device market, competing against larger rivals like Hill-Rom. Its high gross margin reflects the premium pricing that comes with a specialized, insurance-reimbursed medical device. The key growth driver is expanding its diagnosed patient base, particularly among the underdiagnosed bronchiectasis population, while the main risk is reimbursement policy changes that could limit insurance coverage for its devices.

Winston Score History

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+18.4% YoY

YoY Growth Rate

Steady revenue growth

EPS Growth

+68.2% YoY

YoY Growth Rate

Strong earnings growth

R&D Spend

$996,000/ year

Rising (+52% vs prior year)

1.6% of revenue

Below sector average (18%)

R&D investment increasing — building for the future

Insider Activity

21.8%ownership

Insiders own a meaningful stake in the company

Cash Position

Cash flow positive

$17M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

Company generates more cash than it spends — no dilution risk from fundraising

Growth + cash flow

Electromed is a rare growth stock that's already generating positive cash flow while growing at 18%. The Winston Score doesn't fully credit this transition from "burner" to "earner."

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

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Quality

Gross Margin
78.8%
Premium pricing power — 78.8% gross margin
Operating Margin
20.3%
Excellent — 20.3% operating margin
ROCE
7.7%
Weak — 7.7% return on capital

ROIC between 5% and 15%. They earn 5 to 15 cents back per year on every dollar invested.

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Growth

Sales YoY
+14.1%
Fast-growing sales (14.1% YoY)
EPS YoY
+37.2%
Earnings growing fast (37.2% YoY)

Earnings growing 25%+ a year. The compounder zone.

EPS Consistency
8/8 quarters
Every recent quarter grew earnings vs last year

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Cash Flow

Cash Conversion
126%
Turns 126% of profit into real cash
FCF Margin
16.5%
Converts sales into free cash efficiently (16.5%)

FCF margin between 10% and 20%. Every $100 in sales becomes $10 to $20 in real cash.

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Stability

Debt / Equity
N/A
Data not available
Interest Cover
100.00x
Comfortably covers interest (100.0x)

Interest coverage above 8. Profits cover interest many times over.

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Valuation

P/E Ratio (TTM)
35.7x
Pricey — P/E 35.7

P/E over 35. The market is pricing in heavy, sustained growth.

P/E vs Forward
+10.9
GROWING
Earnings expected to grow meaningfully — cheaper on forward P/E (35.7 → 24.8)

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Dividends

Not applicable for this business.
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