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Medical Facilities (TSE:DR) Strong Profits May Be Masking Some Underlying Issues

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The stock price didn't jump after Medical Facilities Corporation (TSE:DR) posted decent earnings last week. We did some digging and believe investors may be worried about some underlying factors in the report.

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TSX:DR Earnings and Revenue History March 21st 2025

A Closer Look At Medical Facilities' Earnings

One key financial ratio used to measure how well a company converts its profit to free cash flow (FCF) is the accrual ratio. In plain english, this ratio subtracts FCF from net profit, and divides that number by the company's average operating assets over that period. The ratio shows us how much a company's profit exceeds its FCF.

As a result, a negative accrual ratio is a positive for the company, and a positive accrual ratio is a negative. That is not intended to imply we should worry about a positive accrual ratio, but it's worth noting where the accrual ratio is rather high. To quote a 2014 paper by Lewellen and Resutek, "firms with higher accruals tend to be less profitable in the future".

Over the twelve months to December 2024, Medical Facilities recorded an accrual ratio of -0.44. Therefore, its statutory earnings were very significantly less than its free cashflow. Indeed, in the last twelve months it reported free cash flow of US$76m, well over the US$24.7m it reported in profit. Medical Facilities shareholders are no doubt pleased that free cash flow improved over the last twelve months. However, we can see that a recent tax benefit, along with unusual items, have impacted its statutory profit, and therefore its accrual ratio.

Check out our latest analysis for Medical Facilities

That might leave you wondering what analysts are forecasting in terms of future profitability. Luckily, you can click here to see an interactive graph depicting future profitability, based on their estimates.

The Impact Of Unusual Items On Profit

While the accrual ratio might bode well, we also note that Medical Facilities' profit was boosted by unusual items worth US$9.7m in the last twelve months. While it's always nice to have higher profit, a large contribution from unusual items sometimes dampens our enthusiasm. When we crunched the numbers on thousands of publicly listed companies, we found that a boost from unusual items in a given year is often not repeated the next year. Which is hardly surprising, given the name. If Medical Facilities doesn't see that contribution repeat, then all else being equal we'd expect its profit to drop over the current year.