New York Stock Exchange (NYSE) · Healthcare
Electromed, Inc. ELMD
MonitorScore band: 60–70
The thesis, in one sentence
A genuinely good business — an airway-clearance device sold direct to patients at a very high gross margin, no debt and many consecutive quarters of growth — where a sharp fall corrected an overvaluation without creating an opportunity.
Written for this site in plain English, without figures. The arithmetic is in the full report.
The thesis is from the deep report of 2026-09-04; the verdict badge reflects the latest scoring of 2026-09-06.
Key risks
- Cash conversion halved in a year as growth locks up working capital
- The chief executive behind the operating leverage leaves with no named successor
- The price only works if the recent operating leverage continues for years
What would change the verdict
- Gross margin falls for two consecutive quarters
- Operating margin keeps expanding for two consecutive quarters as the model assumes
- Days sales outstanding rise for two consecutive quarters
- Free cash flow yield rises to the level a value buyer would require
Read it yourself
Step five of the method is the reader's: open the latest annual or quarterly report and read it before acting on anything here. A score is a summary, and a summary is not understanding.
Next report expected 2026-11-11. The deep report was written against the filings available on 2026-09-04; anything published since is not in it.
Price, one year
DCF valuation range
range of the DCF modelsbase casetoday's price
Valuation range, shape only. Figures in the full version.
Monte Carlo outcome shape
scenarios below today's pricescenarios above today's pricetoday's price
Distribution of simulated outcomes around today's price. Bar heights only; the scale and the percentiles are in the full version.
Where the money goes
Last four reported quarters, 2025-06 → 2026-03, in USD. Filings data as gathered on 2026-09-04. Figures rounded to three significant digits.
Chapter one: Executive summary (1 page: thesis, estimated value, verdict)
Electromed, Inc. (ELMD) — deep-value analysis
Analysis date: 2026-09-04 · Reference price: … (close 2026-09-03) · Exchange: NYSE American Market cap: … mn (8,366,163 shares) · Net cash: … mn · Enterprise value: … mn Fiscal year: July 1 – June 30. FY2026 = year ended 06/30/2026, reported in the 10-K filed 08/25/2026.
Primary sources: 10-K FY2022–FY2026 and 10-Q FY2026 from SEC-Filings\ELMD\; data pack data-pack-ELMD-20260904.md
(XBRL companyfacts + yfinance); DEF 14A filed 09/30/2025; Form 4 from 09/03/2026; the Q4 FY2026 earnings call
transcript (08/25/2026, 5:00 PM ET); Monte Carlo simulation mc-ELMD-20260904.json.
Executive summary (1 page: thesis, estimated value, verdict)
Electromed sells a single product — SmartVest, a high-frequency chest wall oscillation (HFCWO) vest for patients with bronchiectasis, cystic fibrosis and neuromuscular disease — directly to the patient, bypassing home medical equipment distributors, and collects from insurers. The model is unusually profitable: gross margin 78.5%, operating margin …%, ROE 23.3%, zero debt, … mn cash. In FY2026 revenue grew 15.3% to … mn, operating profit 43.7% to … mn, and net income …% to … mn (…/diluted share). The 15th consecutive quarter of revenue and profit growth. It is, without question, a good business.
The market decided otherwise. On August 25 the stock closed at …; on August 26, after the results and the CEO's announced retirement, it fell 19.2% to … and over the following five sessions lost another 13%, to … Over seven sessions, …. RSI14 = 16.9 — extreme oversold. A P/E of … is the five-year low on the monthly series (median 35.3; P25 = 29.2; P10 = 25.8). On the surface, exactly the deep-value pattern: unchanged business, collapsed price.
My thesis is that the collapse corrected an overvaluation, not created an opportunity. Three observations support it.
First: profit isn't converting to cash in the proportion the income statement suggests. In FY2026 net income was … mn, and free cash flow … mn — a 74% conversion, down from 147% in FY2025 and 169% in FY2024. The cause isn't accounting, it's structural: 95% of homecare revenue comes from capped installment contracts, collected from insurers over roughly 13 months. Receivables grew 20.9% (to … mn) against revenue …, and net working capital absorbed … mn in a single year. With 40.4% of annual revenue permanently locked in receivables, every additional dollar of revenue costs roughly 33 cents of tied-up cash. At … the FCF yield on enterprise value is 4.0%, not the 4.7% EPS would suggest.
Second: the …% net income growth is, normalized, roughly 26%. FY2025 contained … thousand of patent impairment and … thousand of CEO PSU expense (both non-recurring in FY2026), and the effective tax rate fell from 26.7% to 21.3% thanks to R&D credits. Adjusted for the … thousand of non-recurring items in the FY2025 base and normalized to a 24% rate, profit grows …%, not …%. Excellent — but not miraculous, and not enough for the pre-collapse multiples.
Third: management's own arithmetic caps FY2027 growth at roughly 10%. Operational guidance is explicit: 67 territories filled (versus an average of 58 reps in FY2026) and homecare revenue per rep of …–1.15 mn, versus … mn realized. At the midpoint of the range and roughly 65 reps on average, homecare reaches ~… mn (…); at the top of the range, ~… mn (…). With the rest of the business (… mn, growing ~7%), total FY2027 revenue comes out between … and … mn, i.e. … to …. "Double-digit growth" is the optimistic end of the company's own guidance, not its center.
Estimated value. Five triangulated models give a range of …–…/share, with the median at … Monte Carlo over 20,000 scenarios (OE … mn, g1 12%, r …%, gt 2.5%) gives a median intrinsic value of … with a …% probability the stock is undervalued and a …% probability of a margin of safety above 30%. The no-growth earning power value (EPV Greenwald) is … — in other words, at … you're paying … nearly half the price, for growth that hasn't happened yet.
Verdict: DO NOT BUY at … Watch list with a trigger at … Below … the base model offers ~11% margin of safety, the sustained-operating-leverage model ~37%, and EPV becomes a reasonable defensive floor. The company deserves serious watching: no fraud found, no debt found, no net dilution found, and the business is real. The price simply still assumes ten more years of flawless execution from a team whose leader is leaving in April 2027, with no successor named.
Figures were removed from this excerpt. The full report opens free for five tickers a week — see what's open now.
Full report contents
- Executive summary (1 page: thesis, estimated value, verdict)
- 🔒 The business and the moat (how it makes money, competitive advantage, durability) (Available in the full report)
- 🔒 Management and capital allocation (track record, buybacks/dividends/acquisitions, skin in the game) (Available in the full report)
- 🔒 What changed over the last 4 quarters (balance sheet item by item from the data pack, margins, cash conversion — explains EVERY large variance) (Available in the full report)
- 🔒 Balance sheet analysis — Quality of Earnings (Thornton O'Glove method) (Available in the full report)
- 🔒 CEO profile — Outsider traits (William Thorndike method) (Available in the full report)
- 🔒 Accounting red flags (accruals, dilution, one-offs, accounting policy changes) (Available in the full report)
- 🔒 Triangulated valuation (conservative DCF with explicit assumptions + earnings power value + 5-year historical multiples + Monte Carlo from step 5; range, not point) (Available in the full report)
- 🔒 Pre-mortem (why the thesis could be wrong — 3 concrete scenarios) (Available in the full report)
- 🔒 Verdict compared with the tracker's GBL score (convergence/divergence and why) (Available in the full report)
Evaluation history
| Date | Verdict |
|---|---|
| 2026-09-01 | Interesting |
| 2026-09-04 | Monitor |
| 2026-09-06 | Monitor |
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