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Tenon Medical

TNON
35
Medical - Devices · Healthcare
Price
$6.83
-0.24 (-3.39%)
Market Cap
$3.4M
Exchange
NASDAQ
Winston Score
35
Winston is serious
Below-average fundamentals — multiple weak pillars.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Mixed
Growth
Strong
Cash Flow
Weak
Stability
Data not available
Valuation
Data not available

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)

Winston Score History

The full picture

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.

Growth Profile

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

Revenue Growth

+126.8% YoY

YoY Growth Rate

Revenue accelerating

EPS Growth

+2.3% YoY

YoY Growth Rate

Slow EPS 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

~2 months

$2M cash & investments

Quarterly Free Cash Flow

→ Burn rate stable

Short runway — potential dilution ahead through share issuance

Revenue accelerating

Tenon Medical grew revenue 127% 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

Profit per sale
Gross Margin
63.6%
Premium pricing power — 63.6% gross margin
Profit after running costs
Operating Margin
-262.2%
Losing money on operations — -262.2%
Return on the money invested
ROCE
-85.2%
Weak — -85.2% return on capital

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

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Growth

Sales growth
Sales YoY
+80.9%
Fast-growing sales (+80.9% YoY)
Profit growth
EPS YoY
N/A
Data not available
How steady the profit is
EPS Consistency
8/8 quarters
Every recent quarter grew earnings vs last year

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Cash Flow

Profit that turns into cash
Cash Conversion
N/A
Data not available
Spare cash per sale
FCF Margin
-230.7%
Burning cash (-230.7%)

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

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Stability

What it owes vs what it owns
Debt / Equity
N/A
Data not available
Covers its interest
Interest Cover
N/A
Data not available

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Valuation

Price vs profit
P/E Ratio (TTM)
N/M
Negative earnings — P/E not meaningful
Cheaper or dearer next year
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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