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Deep Value: cash covers more than 100% of the stock price

This company holds roughly $5M in cash and investments — more than its entire stock-market value, based on its latest quarterly filing. You're paying very little for the actual business. Sometimes that's a genuine bargain or a takeover target, sometimes it's cheap for a reason. Not a buy signal on its own — always ask why it's this cheap.

Tenon Medical logo

Tenon Medical

TNON
37
Medical - Devices · Healthcare
Price
$5.64
-0.50 (-8.14%)
pre-market:$5.71+1.22%
Market Cap
$2.8M
Exchange
NASDAQ
Winston Score
37
Winston is serious
Below-average fundamentals — multiple weak pillars.
Data as of Aug 13, 2026 · filings through Mar 31, 2026

Share count rising — dilution

+65314.6% over 4y

The company has issued more shares over this period, which dilutes each existing shareholder’s stake.

Diluted shares outstanding: 322.514 (2021) → 211K (2025)

Tenon Medical is a small medical device company that makes a surgical implant system for treating chronic sacroiliac (SI) joint pain — a common source of lower back pain. Its main product is the Catamaran SI Joint Fusion System, which surgeons use to stabilize and fuse the SI joint through a minimally invasive procedure. The company sells primarily to hospitals and surgical centers in the United States, targeting orthopedic and spine surgeons.

Tenon Medical earns revenue by selling its implant hardware directly to healthcare facilities on a per-procedure basis. The company is very small, with minimal revenue and a deeply negative operating margin, meaning it spends far more than it earns. Its competitive position depends on the Catamaran system's unique lateral surgical approach, which it claims offers advantages over older techniques — but the SI joint fusion market is crowded with larger, better-funded rivals like SI-BONE. The biggest risk is whether the company can grow sales fast enough to reach profitability before exhausting its cash.

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

+89.9% YoY

YoY Growth Rate

Revenue accelerating

EPS Growth

+69.3% YoY

YoY Growth Rate

Strong earnings growth

R&D Spend

$2M/ year

Declining (-17% vs prior year)

54.5% of revenue

3.0x the sector average (18%)

R&D spend declining — could signal cost-cutting or efficiency

Insider Activity

10.3%ownership

Insiders own a meaningful stake in the company

Cash Runway

~5 months

$5M cash & investments

Quarterly Free Cash Flow

→ Burn rate stable

Short runway — potential dilution ahead through share issuance

Revenue accelerating

Tenon Medical grew revenue 90% year-over-year and the growth rate is speeding up. That's the kind of momentum growth investors look for — the question is whether margins can follow.

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

Every number that matters to educated investors.

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Quality

Gross Margin
68.5%
Premium pricing power — 68.5% gross margin
Operating Margin
-237.9%
Losing money on operations — -237.9%
ROCE
-61.0%
Weak — -61.0% return on capital

Negative ROIC means the business is losing money on every dollar invested in it.

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Growth

Sales YoY
+40.6%
Fast-growing sales (+40.6% YoY)
EPS YoY
N/A
Data not available
EPS Consistency
8/8 quarters
Every recent quarter grew earnings vs last year

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Cash Flow

Cash Conversion
N/A
Data not available
FCF Margin
-255.0%
Burning cash (-255.0%)

Free cash flow is negative. They are burning cash, not generating it.

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Stability

Debt / Equity
1.84
Elevated debt (1.84)
Interest Cover
N/A
Data not available

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Valuation

P/E Ratio (TTM)
N/M
Negative earnings — P/E not meaningful
P/E vs Forward
N/A
not available
Data not available

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Dividends

Not applicable for this business.
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