Orthofix Medical Inc. (OFIX) Key Metrics

NASDAQ: OFIXValuation, returns, debt and efficiency ratios over 10 years.

OFIX valuation today

Trailing 12 months · as of October 18, 2026
Market cap
$379.2M
Enterprise value
$504.7M
P/E (TTM)
—
10-yr median 190.6
Forward P/E
500.0
PEG ratio
48.83
Price / sales
0.5
10-yr median 1.5
Price / book
0.9
10-yr median 2.1
EV / EBITDA
26.6
10-yr median 23.4
Dividend yield
—
Beta
0.62

OFIX key metrics, 2016–2025

Fiscal year ended December 31, 2025 · U.S. dollars

OFIX valuation Price multiples at each fiscal year-end price.

Price / sales−11.7%
0.7
2025 · hover or tap a bar for each year
2016: 1.6 (−12.3%)2017: 2.3 (+43.1%)2018: 2.2 (−6.1%)2019: 1.9 (−13.4%)2020: 2.1 (+8.0%)2021: 1.3 (−35.7%)2022: 0.9 (−32.0%)2023: 0.7 (−26.0%)2024: 0.8 (+25.6%)2025: 0.7 (−11.7%)
20162025
Price / book+1.5%
1.3
2025 · hover or tap a bar for each year
2016: 2.5 (−0.1%)2017: 3.4 (+34.6%)2018: 3.0 (−13.2%)2019: 2.7 (−10.0%)2020: 2.3 (−12.3%)2021: 1.8 (−22.2%)2022: 1.2 (−32.6%)2023: 0.8 (−32.5%)2024: 1.3 (+60.0%)2025: 1.3 (+1.5%)
20162025
EV / EBITDA
75.7
2025 · hover or tap a bar for each year
2016: 15.8 (−30.0%)2017: 15.3 (−3.1%)2018: 22.2 (+45.5%)2019: 533.0 (+2,298.7%)2020: 20.9 (−96.1%)2021: 25.6 (+22.2%)2022: 24.5 (−4.3%)2025: 75.7
20162025
Free cash flow yield+1.2 pts
−0.2%
2025 · hover or tap a bar for each year
2016: 3.9% (+1.9 pts)2017: 3.6% (−0.4 pts)2018: 3.5% (−0.1 pts)2019: 1.3% (−2.2 pts)2020: 6.9% (+5.5 pts)2021: −0.2% (−7.0 pts)2022: −8.4% (−8.2 pts)2023: −21.8% (−13.4 pts)2024: −1.4% (+20.4 pts)2025: −0.2% (+1.2 pts)
20162025

OFIX valuation history

Fiscal year-endToday10-year median

OFIX returns on capital

ROEROICROA

Net income (ROE, ROA) or after-tax operating income (ROIC) divided by the average of the opening and closing balance.

OFIX debt vs cash

Total debtCash & short-term investments

Debt includes short- and long-term borrowings and, where reported, lease liabilities.

OFIX cash returned to shareholders

DividendsBuybacksFree cash flow

OFIX price vs earnings per share

Share price at year-endEPS (right axis)

OFIX key metrics

2016–2025
Orthofix Medical Inc. key metrics by fiscal year
2025202420232022202120202019201820172016
Valuation
Market capitalization$604.6M$665.8M$495.1M$412.7M$612.2M$833.5M$873.0M$992.7M$1.01B$668.0M
Enterprise value$751.9M$762.2M$579.1M$383.5M$548.6M$762.1M$826.1M$923.0M$930.7M$628.4M
P/E ratio—————331.1—71.9162.6218.6
Price / sales0.70.80.70.91.32.11.92.22.31.6
Price / book1.31.30.81.21.82.32.73.03.42.5
Price / free cash flow—————14.675.828.627.825.3
Price / operating cash flow18.125.8——33.111.227.319.919.014.9
EV / sales0.91.00.80.81.21.91.82.02.11.5
EV / EBITDA75.7——24.525.620.9533.022.215.315.8
EV / free cash flow—————13.371.826.625.623.8
Earnings yield−15.2%−18.9%−30.6%−4.8%−6.3%0.3%−3.3%1.4%0.6%0.5%
Free cash flow yield−0.2%−1.4%−21.8%−8.4%−0.2%6.9%1.3%3.5%3.6%3.9%
Dividend yield———0.4%0.4%0.3%0.6%0.0%0.0%0.0%
Shareholder yield (dividends + buybacks)——0.9%0.8%0.8%0.6%1.2%0.3%0.4%9.5%
Share price at fiscal year-end$15.16$17.46$13.48$20.53$31.09$42.98$46.18$52.49$54.70$36.18
Per share
Revenue per share$20.62$20.97$20.33$22.92$23.59$20.97$24.33$23.96$23.45$22.19
Earnings per share−$2.31−$3.30−$4.12−$0.98−$1.95$0.13−$1.51$0.73$0.34$0.17
Operating cash flow per share$0.84$0.68−$1.25−$0.57$0.94$3.83$1.69$2.64$2.88$2.42
Free cash flow per share−$0.03−$0.24−$2.94−$1.73−$0.06$2.95$0.61$1.83$1.97$1.43
Cash per share$2.06$2.18$0.90$2.52$4.46$4.97$3.69$3.68$4.39$2.14
Book value per share$11.28$13.19$16.30$16.76$17.11$18.40$17.33$17.73$16.03$14.27
Tangible book value per share$4.57$5.49$7.80$10.85$10.81$10.95$10.70$11.16$12.57$10.97
Dividends per share———$0.09$0.13$0.13$0.27$0.00$0.00$0.00
Capex per share$0.87$0.91$1.69$1.15$0.99$0.88$1.09$0.81$0.92$0.99
Debt per share$5.75$4.71$3.19$1.07$1.23$1.29$1.21$0.00$0.00$0.00
Shares outstanding39.9M38.1M36.7M20.1M19.7M19.4M18.9M18.9M18.5M18.5M
Change in shares outstanding+4.6%+3.8%+82.7%+2.1%+1.5%+2.6%−0.0%+2.2%+0.2%−1.8%
Returns & profitability
Return on equity (ROE)−19.3%−22.9%−32.4%−5.9%−11.1%0.7%−8.6%4.4%2.2%1.1%
Return on invested capital (ROIC)−9.0%−10.4%−22.2%−3.6%−2.4%−1.7%−5.4%7.5%9.3%4.7%
Return on assets (ROA)−10.6%−13.9%−21.9%−4.2%−7.7%0.5%−5.9%3.2%1.6%0.8%
Return on tangible assets−15.8%−21.0%−24.7%−5.8%−10.9%0.7%−7.7%4.0%1.8%1.0%
Free cash flow margin−0.2%−1.1%−14.4%−7.5%−0.2%14.1%2.5%7.7%8.4%6.4%
Income quality (OCF / net income)—————29.51—3.618.5714.63
Financial health
Total debt$229.3M$179.6M$117.1M$21.5M$24.3M$24.9M$22.8M$0$0$0
Cash & short-term investments$82.0M$83.2M$33.1M$50.7M$87.8M$96.3M$69.7M$69.6M$81.2M$39.6M
Net debt$147.2M$96.4M$84.0M−$29.2M−$63.5M−$71.4M−$46.9M−$69.6M−$81.2M−$39.6M
Debt / equity0.510.360.200.060.070.070.070.000.000.00
Debt / assets0.270.200.130.050.050.050.050.000.000.00
Net debt / EBITDA14.82——−1.86−2.96−1.96−30.24−1.68−1.33−0.99
Current ratio2.452.572.543.062.552.603.072.853.172.33
Quick ratio2.241.451.201.861.761.792.101.952.151.57
Interest coverage-3.9-2.9-16.1-10.3-4.5-2.5-154.036.398.1—
Working capital$246.4M$264.7M$255.2M$172.4M$163.7M$166.5M$175.7M$158.7M$172.4M$110.9M
Invested capital$597.3M$599.5M$682.7M$307.7M$273.4M$285.5M$280.8M$265.8M$215.5M$223.9M
Tangible asset value$182.3M$209.4M$286.3M$218.2M$213.0M$212.3M$202.3M$211.1M$232.6M$202.5M
Net current asset value$16.2M$43.1M$93.9M$134.2M$129.8M$101.4M$92.6M$113.4M$143.1M$85.7M
Graham number—————$7.33—$17.07$11.02$7.29
Graham net-net per share−$5.01−$2.92−$2.35$2.05$2.47$1.23$0.42$1.86$3.28$0.33
Capital allocation
Dividends paid———$1.7M$2.6M$2.5M$5.2M$0$0$0
Share buybacks (net)——$4.4M$1.7M$2.6M$2.5M$5.2M$3.4M$3.8M$63.4M
Dividend payout ratio—————99.0%—0.0%0.0%0.0%
Dividends + buybacks / free cash flow—————8.7%90.2%9.9%10.4%240.5%
Capex / revenue4.2%4.4%8.3%5.0%4.2%4.2%4.5%3.4%3.9%4.5%
Capex / operating cash flow103.8%135.2%——106.0%23.0%64.1%30.6%31.8%41.0%
Capex / depreciation0.420.461.020.720.590.500.720.820.840.88
Stock-based compensation / revenue3.5%4.1%4.8%4.0%3.3%4.0%4.7%4.2%2.9%3.9%
R&D / revenue6.9%9.2%10.7%10.6%10.7%9.6%7.5%7.3%6.8%7.0%
SG&A / revenue67.4%66.6%71.0%17.4%62.6%67.0%67.2%64.0%62.9%62.4%
Efficiency
Days sales outstanding60.060.051.663.959.371.565.356.951.052.4
Days of inventory on hand150.8296.2225.9270.5266.2299.2288.9298.7283.8251.2
Days payables outstanding72.377.160.279.978.777.068.768.263.753.1
Cash conversion cycle (days)138.5279.1217.2254.6246.8293.6285.5287.4271.1250.5
Receivables turnover6.086.087.085.716.155.115.596.427.156.96
Payables turnover5.054.736.064.574.644.745.315.355.736.87
Inventory turnover2.421.231.621.351.371.221.261.221.291.45
Asset turnover0.940.881.080.990.930.800.961.041.121.06
Average receivables$135.2M$131.4M$105.5M$80.7M$75.5M$79.6M$82.3M$70.6M$60.6M$58.8M
Average payables$53.6M$53.6M$43.0M$27.0M$24.8M$21.5M$18.9M$18.1M$16.2M$12.8M
Average inventory$111.8M$205.8M$161.2M$91.6M$83.8M$83.5M$79.6M$79.1M$72.3M$60.5M
Intangibles / total assets31.5%32.9%33.8%25.9%26.0%27.5%25.3%26.6%15.8%16.4%

Computed from OFIX's annual financial statements (latest annual report filed February 24, 2026) and the closing share price on each fiscal year-end, adjusted for stock splits. Figures in U.S. dollars; data from EODHD. Averages use the opening and closing balance of each year.

OFIX valuation and financial ratios

Orthofix Medical earned a return on equity of −19.3% and a return on invested capital of −9.0% in fiscal 2025. It ended the year with $229.3 million of debt and $82.0 million in cash and short-term investments, net debt of $147.2 million. The share count rose 116.0% from 18.5M to 39.9M over 9 years.

See the OFIX income statement, the OFIX chart for price history, or the OFIX stock overview for the latest quote and news.

OFIX key metrics FAQ

What is Orthofix Medical's EV/EBITDA?

Orthofix Medical's enterprise value was 75.7 times EBITDA at the end of fiscal 2025 (enterprise value $751.9 million, EBITDA $9.9 million); the current EV/EBITDA is 26.6.

What is Orthofix Medical's return on equity?

Orthofix Medical's return on equity (ROE) was −19.3% in fiscal 2025: net income of -$92.2 million on average shareholders' equity of $476.6 million.

What is Orthofix Medical's ROIC?

Orthofix Medical's return on invested capital was −9.0% in fiscal 2025, using after-tax operating income divided by average debt plus equity minus cash.

How much debt does Orthofix Medical have?

Orthofix Medical had total debt of $229.3 million at the end of fiscal 2025, a debt-to-equity ratio of 0.51 and $147.2 million of net debt (14.82 times EBITDA).

What is Orthofix Medical's free cash flow yield?

Orthofix Medical generated -$1.3 million of free cash flow in fiscal 2025, a free cash flow yield of −0.2% on its market value at year-end ($604.6 million).

What is Orthofix Medical's current ratio?

Orthofix Medical's current ratio was 2.45 at the end of fiscal 2025: current assets were 2.45 times current liabilities.

Medical Devices key metrics