InfuSystem Holdings
INFU on NYSEAmerican. InfuSystem provides medical equipment and services to hospitals, clinics, and surgery centers. Market value $269m.
Price checks use the past 12 months to June 2026. Some use the latest annual report instead, as marked. Quality checks use five annual reports, the latest for the year to December 2025.
Capital spending looks too small to be complete, so we leave free cash flow out.
Should I look at this?
Not a fit for our list right now
Why it could be worth it
See Health care stocks that passed both tests
This is not advice. Check the numbers below.
We could not compute this from the filings.
You pay 21.4 years of operating profit for the business. The average large US company costs around 18.
The filings do not give us enough to work this out.
Quality score: 64 of 100. Price score: 50 of 100. Our list needs 70 on quality and 60 on price.
$13.27 a share, 82% above its 1-year low
Over the past year the price has ranged from $7.29 to $13.85.
Pays no dividend
Prices from Tuesday’s close (6 October).
Five years of cash, in billions
| Revenue | |||||
| Revenue | $102m | $110m | $126m | $135m | $143m |
| Operating margin | |||||
| Operating margin | 2.8% | 1.5% | 3.2% | 5.1% | 8.3% |
| Debt to equity | |||||
| Debt to equity | 0.69 | 0.69 | 0.56 | 0.41 | 0.34 |
| Shares outstanding | |||||
| Shares outstanding | 0.02bn | 0.02bn | 0.02bn | 0.02bn | 0.02bn |
Health checks
- Free cash flow positiveNot enough data
- Accounting looks honest (Beneish)Nothing unusual
- Financial strength (Piotroski)8 of 9
- Profit backed by cash (accruals)No
- Debt0.34× equity
- Revenue growth, five yearsSlow, 8.1% a year
- Buying back its own sharesYes, 4% fewer since 2021
The quarter to June 2026
How the business did, compared with the same quarter a year earlier.
- Sales: $37 million last quarter, up 3% on a year ago.
- Profit: $3 million, about the same as a year ago.
- It keeps 9 cents of each $1 of sales as operating profit, up from 7 cents a year earlier.
- 1% fewer shares than a year ago. Each share owns a bit more of the company.
- Debt is $19 million more than cash, down from $26 million a year ago.
- Sales grew on a year ago in 3 of the last 4 quarters.
| Quarter to | Amount |
|---|---|
| September 2024 | $35m |
| December 2024 | $34m |
| March 2025 | $35m |
| June 2025 | $36m |
| September 2025 | $36m |
| December 2025 | $36m |
| March 2026 | $34m |
| June 2026 | $37m |
| Quarter to | Amount |
|---|---|
| September 2024 | $2m |
| December 2024 | $933,000 |
| March 2025 | -$267,000 |
| June 2025 | $3m |
| September 2025 | $2m |
| December 2025 | $2m |
| March 2026 | $1m |
| June 2026 | $3m |
From the company's quarterly reports to the SEC.
Dates
- Next results (estimated)
- n/a
- Last annual report (10-K)
- 27 February 2026
- Next quarterly (estimated, 10-Q)
- 3 November 2026
Who owns it
3 long-term investors we follow own it, up from 2 last quarter. 100 funds in all.
| Fund | Value | Share of that fund | Change |
|---|---|---|---|
| First Eagle Investment ManagementMatthew McLennan | $12m | <0.1% | Added |
| Heartland AdvisorsBill Nasgovitz | $7m | 0.3% | Added |
| Diamond Hill Capital ManagementRic Dillon (founder) | $5m | <0.1% | New |
Largest holders overall
- BlackRock$15mAdded
- Minerva Advisors$13mAdded
- First Eagle Investment Management$12mAdded
- Punch & Associates Investment Management$8m
- Vanguard Capital Management$8mCut
- Acadian Asset Management$7mAdded
- Heartland Advisors$7mAdded
- American Century Companies$7mAdded
- Dimensional Fund Advisors LP$6m
- Renaissance Technologies$5mCut
From 13F filings for the quarter ended 30 June 2026.
Big holders and activists
3 investors own more than 5%.
- BlackRock, Inc.Passive investor6.4%+4.5 ptsSince 30 June 2026
- Minerva Advisors LLCPassive investorat least 5.3%+0.3 pts(filed with 3 related holders)Since 31 December 2025
- Christopher SansonePassive investorat least 4.7%(filed with 2 related holders)Since 21 January 2025
What they said
The Shares beneficially owned by the Reporting Persons were acquired for investment in the ordinary course of the Reporting Persons' investment activities. This Schedule 13D/A is being filed to report a change in the Reporting Persons' respective beneficial ownership…
Read the filing - The Vanguard GroupPassive investorSold down below 5%Since 30 June 2025
- AWM Investment Company, Inc.Passive investorSold down below 5%Since 30 September 2025
| Holder | Stake | Since | |
|---|---|---|---|
BlackRock, Inc. Passive investor | 6.4%+4.5 pts | 30 June 2026 | |
Minerva Advisors LLC Passive investor | at least 5.3%+0.3 pts (filed with 3 related holders) | 31 December 2025 | |
Christopher Sansone Passive investor | at least 4.7% (filed with 2 related holders) | 21 January 2025 | What they saidThe Shares beneficially owned by the Reporting Persons were acquired for investment in the ordinary course of the Reporting Persons' investment activities. This Schedule 13D/A is being filed to report a change in the Reporting Persons' respective beneficial ownership… Read the filing |
The Vanguard Group Passive investor | Sold down below 5% | 30 June 2025 | |
AWM Investment Company, Inc. Passive investor | Sold down below 5% | 30 September 2025 |
From Schedule 13D and 13G filings: anyone owning more than 5% must file one.
What insiders did
In the last 12 months, 3 insiders bought $150,396 of shares on the open market.
- Lachance CarriePresident and CEO, DirectorBought
- Date
- 11 May 2026
- Shares
- 1,000
- Price
- $8.46
- Value
- $8,460
- GENDRON PAUL ANDREWDirectorBought
- Date
- 8 May 2026
- Shares
- 5,000
- Price
- $8.88
- Value
- $44,400
- Lachance CarriePresident and CEO, DirectorBought
- Date
- 8 May 2026
- Shares
- 2,000
- Price
- $8.83
- Value
- $17,660
- Steele Barry GExecutive VP and CFOBought
- Date
- 8 May 2026
- Shares
- 7,000
- Price
- $8.71
- Value
- $60,970
- Steele Barry GExecutive VP and CFOBought
- Date
- 2 March 2026
- Shares
- 2,064
- Price
- $9.16
- Value
- $18,906
| Date | Who | Did | Shares | Price | Value |
|---|---|---|---|---|---|
| 11 May 2026 | Lachance Carrie President and CEO, Director | Bought | 1,000 | $8.46 | $8,460 |
| 8 May 2026 | GENDRON PAUL ANDREW Director | Bought | 5,000 | $8.88 | $44,400 |
| 8 May 2026 | Lachance Carrie President and CEO, Director | Bought | 2,000 | $8.83 | $17,660 |
| 8 May 2026 | Steele Barry G Executive VP and CFO | Bought | 7,000 | $8.71 | $60,970 |
| 2 March 2026 | Steele Barry G Executive VP and CFO | Bought | 2,064 | $9.16 | $18,906 |
From Form 4 filings: insiders must report trades in their own company's shares within two days.
Warning signs in its filings
Problems the company itself reported to the SEC, in its own words.
None of the serious warning signs we check for were found. 1 thing worth knowing.
We look for five warning signs: doubt it can keep going, weak checks on its own accounts, a notice that its past accounts can't be relied on, a change of auditor, and one customer bringing in a big share of sales. We don't check lawsuits, investigations or debt yet.
We checked the auditor's report, internal controls, restatement notices, auditor changes and big customers in the 10-K filed 27 Feb 2026, plus the 10-Q filed 4 Aug 2026 and 11 later 8-Ks.
Changed auditor
Worth knowingThe company changed its auditor (the firm that checks its books) in the last two years.
“As a result of this process, following the review and evaluation of proposals from participating firms, on March 13, 2026 , the Committee approved the dismissal of Deloitte as the Company's independent registered public accounting firm and the appointment of Grant Thornton LLP ("Grant Thornton") as the Company's independent registered public accounting firm to audit the Company's consolidated financial statements as of and for the fiscal year ending December 31, 2026”
From an 8-K filed 19 March 2026: Change of auditor. Read it in the filing
A 10-K is the yearly report every US company files with the SEC. An 8-K is a short notice of a big event.
What could go wrong
Cheap for a reason is the question the numbers cannot answer.
Whether the price already reflects the risks is what the deep dive is for.
The deep dive
Everything above is arithmetic on public filings. The deep dive reads the last ten years of annual reports, the proxy statements, and the earnings calls, then argues the case the way Buffett, Klarman, and Hohn would, and checks every claim against the source.
- What the business is worth, as a range, and the margin of safety at today’s price
- Prices to start buying, buy, and buy hard
- The three things that would make this a mistake
- Every number footnoted to the filing it came from
Your first deep dive is free.
Not advice. Numbers on this page come from SEC filings and are updated each night; prices are updated again after the US market closes. The five-year figures are rounded.