Stock Analysis

Is Medical Facilities (TSE:DR) A Risky Investment?

Legendary fund manager Li Lu (who Charlie Munger backed) once said, 'The biggest investment risk is not the volatility of prices, but whether you will suffer a permanent loss of capital.' So it seems the smart money knows that debt - which is usually involved in bankruptcies - is a very important factor, when you assess how risky a company is. Importantly, Medical Facilities Corporation (TSE:DR) does carry debt. But the real question is whether this debt is making the company risky.

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Why Does Debt Bring Risk?

Debt assists a business until the business has trouble paying it off, either with new capital or with free cash flow. If things get really bad, the lenders can take control of the business. However, a more common (but still painful) scenario is that it has to raise new equity capital at a low price, thus permanently diluting shareholders. Having said that, the most common situation is where a company manages its debt reasonably well - and to its own advantage. The first thing to do when considering how much debt a business uses is to look at its cash and debt together.

How Much Debt Does Medical Facilities Carry?

The image below, which you can click on for greater detail, shows that Medical Facilities had debt of US$32.6m at the end of September 2025, a reduction from US$54.7m over a year. But it also has US$46.8m in cash to offset that, meaning it has US$14.3m net cash.

debt-equity-history-analysis
TSX:DR Debt to Equity History November 28th 2025

How Healthy Is Medical Facilities' Balance Sheet?

Zooming in on the latest balance sheet data, we can see that Medical Facilities had liabilities of US$54.4m due within 12 months and liabilities of US$105.0m due beyond that. Offsetting this, it had US$46.8m in cash and US$41.2m in receivables that were due within 12 months. So its liabilities outweigh the sum of its cash and (near-term) receivables by US$71.4m.

This deficit isn't so bad because Medical Facilities is worth US$202.5m, and thus could probably raise enough capital to shore up its balance sheet, if the need arose. However, it is still worthwhile taking a close look at its ability to pay off debt. While it does have liabilities worth noting, Medical Facilities also has more cash than debt, so we're pretty confident it can manage its debt safely.

Check out our latest analysis for Medical Facilities

Another good sign is that Medical Facilities has been able to increase its EBIT by 26% in twelve months, making it easier to pay down debt. When analysing debt levels, the balance sheet is the obvious place to start. But ultimately the future profitability of the business will decide if Medical Facilities can strengthen its balance sheet over time. So if you want to see what the professionals think, you might find this free report on analyst profit forecasts to be interesting.

Finally, a business needs free cash flow to pay off debt; accounting profits just don't cut it. Medical Facilities may have net cash on the balance sheet, but it is still interesting to look at how well the business converts its earnings before interest and tax (EBIT) to free cash flow, because that will influence both its need for, and its capacity to manage debt. Over the last three years, Medical Facilities actually produced more free cash flow than EBIT. There's nothing better than incoming cash when it comes to staying in your lenders' good graces.

Summing Up

Although Medical Facilities's balance sheet isn't particularly strong, due to the total liabilities, it is clearly positive to see that it has net cash of US$14.3m. And it impressed us with free cash flow of US$49m, being 109% of its EBIT. So is Medical Facilities's debt a risk? It doesn't seem so to us. The balance sheet is clearly the area to focus on when you are analysing debt. However, not all investment risk resides within the balance sheet - far from it. To that end, you should learn about the 2 warning signs we've spotted with Medical Facilities (including 1 which shouldn't be ignored) .

At the end of the day, it's often better to focus on companies that are free from net debt. You can access our special list of such companies (all with a track record of profit growth). It's free.

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Have feedback on this article? Concerned about the content? Get in touch with us directly. Alternatively, email editorial-team (at) simplywallst.com.

This article by Simply Wall St is general in nature. We provide commentary based on historical data and analyst forecasts only using an unbiased methodology and our articles are not intended to be financial advice. It does not constitute a recommendation to buy or sell any stock, and does not take account of your objectives, or your financial situation. We aim to bring you long-term focused analysis driven by fundamental data. Note that our analysis may not factor in the latest price-sensitive company announcements or qualitative material. Simply Wall St has no position in any stocks mentioned.

About TSX:DR

Medical Facilities

Through its subsidiaries, owns and operates specialty surgical hospitals and ambulatory surgery center in the United States.

Excellent balance sheet and good value.

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