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MMSIMerit Medical Systems, Inc.Hold5.8·$71.09+2.36%
MMSI · Why this verdict

Why Merit Medical Systems (MMSI) is rated HOLD

Updated

Model-generated analysis — not investment advice. Not a registered investment advisor. Past performance does not guarantee future results.

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Methodology · Editorial policy & full disclaimer

VerdictHOLD
Overall score5.8/10
ConfidenceMEDIUM
MacroNEUTRAL

Thesis pillars

The company has beaten consensus earnings estimates in all four most recent quarters by an average of nearly 13%, while free cash flow converts at 128% of net income — a combination of delivery reliability and cash quality that is rare and supports confidence in the reported earnings.

Stable
Earnings
Expectation
The beat streak should continue, with EPS beating consensus in at least 3 of the next 4 quarters and average surprise remaining above 8%.

CounterA four-quarter beat streak with strong averages can set a high market expectation baseline, making any single miss disproportionately punitive; cash conversion above 100% may also reflect favorable working-capital timing rather than a structural outperformance that will persist.

A confirmed death cross is in place, the 200-day moving average is declining at roughly 4% per month, and a hard technical block has been triggered — conditions that typically require resolution before new buyers can achieve reliable entry timing.

Stable
Engine gate (failed)
Expectation
The 200-day moving average should stop declining and price should reclaim that level within 12 months for the technical obstruction to resolve.

CounterRSI stands at 58 and MACD is improving — early recovery signals consistent with the setup; the longer-term moving average may be lagging a genuine momentum inflection that is already underway in shorter-term data.

A Piotroski financial strength score of 9 out of 9 — the highest possible reading — signals that the business clears every standard financial health criterion simultaneously, reducing the risk of distress or forced dilution at inopportune times.

Stable
Quality breakdown
Expectation
The Piotroski score should sustain above 7 for at least the next 4 quarters, confirming that financial health is structural rather than a point-in-time reading.

CounterPiotroski scores reflect past financial statements and may not anticipate forward balance-sheet pressures from growth investment, potential acquisitions, or rising debt service if the company increases leverage.

A strong growth profile across both revenue and earnings, at a forward P/E of 15.2 times and a PEG of 1.42, suggests the current multiple is reasonable relative to the growth trajectory — and analyst consensus implies approximately 34% upside to the target price.

Stable
Bull case
Expectation
Revenue growth should sustain above 5% year-over-year for the next 4 quarters, and forward earnings estimates should hold or rise, preserving the multiple-support argument.

CounterVolume distribution (falling OBV) indicates institutional selling into the current price level, which can suppress the multiple even when underlying fundamentals are sound — suggesting the market may not yet accept the growth premium embedded in analyst targets.

TrendMatrix Research · core thesis

Engine thesis — one sentence

Merit Medical Systems combines a perfect four-quarter earnings beat streak averaging nearly 13% upside, a maximum Piotroski financial health score of 9 out of 9, and free-cash-flow conversion at 128% of net income — but a confirmed death cross with the 200-day moving average declining at roughly 4% per month represents a hard technical block that makes the setup best suited to patient holders rather than new buyers.

Falsifiable statement — pillar-level invalidators below. Engine-derived; not personalized advice.

Per-dimension breakdown

Value

5.9/10data confidence 100%
ComponentSub-score
P/E4.2
P/S8.4
EV/EBITDA3.4
Fwd P/E7.6
PEG5.1
Analyst target6.0
  • Forward P/E: 16.2x
  • PEG: 1.47

Quality

6.0/10data confidence 100%
ComponentSub-score
ROE3.0
ROA3.1
Gross margin5.7
Op margin4.6
Net margin4.5
Current ratio7.9
FCF quality9.3
Moat5.8
Piotroski F10.0
  • Excellent cash conversion: 128% FCF/NI
  • Strong Piotroski F-Score: 9/9

Growth

7.1/10data confidence 67%
ComponentSub-score
Rev growth4.4
EPS growth9.8

Momentum

6.1/10data confidence 100%
ComponentSub-score
RSI3.7
MACD10.0
OBV9.5
MA position6.0
Volume1.5
  • Volume accumulation (rising OBV)
  • Below 200-MA, MA slope -4.1%/30d — confirmed downtrend

Sentiment

6.0/10data confidence 100%
ComponentSub-score
Analyst rating5.0
Price target8.3
erm sentiment4.6
  • Analyst upside: 26%

Insider

5.3/10data confidence 50%
ComponentSub-score
materiality5.5
holder change5.1
  • Insider buying (low materiality) — $260,258 (0.006% of mkt cap)

Peer rank

4.0/10data confidence 80%
ComponentSub-score
value rank6.2
quality rank6.7
growth rank3.0

Technical

2.5/10data confidence 100%
ComponentSub-score
bollinger1.3
support resistance1.6
52w position4.7

Risk (lower is worse)

6.0/10data confidence 100%
ComponentSub-score
short interest6.6
days to cover6.5
volatility4.9
put call3.1
implied vol3.2
beta9.9
debt equity8.0
  • Elevated put/call: 1.54
  • High IV: 61%

Catalyst

7.2/10data confidence 100%
ComponentSub-score
erm5.0
earnings history10.0
earnings timing5.0
surprise avg8.9
  • Perfect beat streak: 4Q

How the verdict was assembled

Engine trigger

Maintain position. Not compelling to add more.

Engine technical detail
verdict_path: L4:PATH_F_HOLD
Passed (7)
  • MOMENTUM:6.1>=5.5
  • INSIDER:OK
  • 8K:CLEAN
  • NEWS_EVENTS:NONE_RECENT
  • EARNINGS_PROXIMITY:27d clear
  • SEMI_CYCLE_PEAK:CLEAR
  • MATERIALS_CYCLE_PEAK:CLEAR
Failed (1)
  • ASYMMETRY:0.7<1.5@spot
Warning (1)
  • DEATH_CROSS:momentum=6.1>=5.0 recovering
Reward-to-Risk
0.74
Upside
+9.6%
Downside
13.0%
Sizing output
AVOID

SetupRecovery Death cross but MACD improving, RSI 63

EdgeCatalyst-Driven Earnings in 27d with 4/4 beat streak

SuitabilityAggressive MCap $4.2B<$5B

Investment implication

None of the engine's positive-conviction paths (C-quality, D-momentum) triggered — the F-path HOLD reflects balanced signals. Strongest-cleared gate: MOMENTUM:6.1>=5.5. Top dim: Catalyst at 7.2; weakest: Technical at 2.5. No conviction either direction.

The strongest dimensions are Catalyst at 7.2, Growth at 7.1, and Momentum at 6.1; the weakest are Technical at 2.5, Peer rank at 4.0, and Insider at 5.3. The V9 engine flagged 1 failed gate with 1 warning, producing an asymmetric reward-to-risk of 0.74 and an engine sizing output of AVOID.

What would invalidate the thesis

Falsifying conditions — when triggered, the corresponding pillar's thesis is invalidated.

  • P1Perfect Earnings Execution Strong Cash Conversion

    Trip ifEPS surprise falls below 0% in 2 consecutive quarters, ending the perfect beat streak.

  • P2Confirmed Downtrend Blocks Near Term Entry

    Trip ifThe 200-day moving-average slope rises above 0% and price holds above the 200-day moving average for 4 consecutive weeks, confirming the downtrend has reversed.

  • P3Maximum Financial Health Score

    Trip ifPiotroski financial strength score falls below 7 for 2 consecutive reporting periods, indicating meaningful deterioration in balance-sheet health.

  • P4Growth Profile Supports Current Multiple

    Trip ifRevenue growth falls below 5% year-over-year for 2 consecutive quarters, compressing the growth-to-multiple justification.

Engine reasoning is mechanically derived from pipeline gate outputs. See decision view.

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