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Medical Facilities Corporation (TSE:DR)
TSX:DR

Medical Facilities (DR) AI Stock Analysis

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TSE:DR

Medical Facilities

(TSX:DR)

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Outperform 76 (OpenAI - 5.2)
Rating:76Outperform
Price Target:
C$19.00
▲(11.96% Upside)
Action:ReiteratedDate:02/03/26
The score is driven primarily by strong financial performance (high margins and strong cash conversion) and very attractive valuation (low P/E with a moderate dividend). Technicals are supportive due to price strength above key moving averages, but mixed momentum indicators limit the upside of the technical component.
Positive Factors
High Profitability and Margins
Sustained high gross, EBITDA and net margins indicate durable pricing power and efficient operations in facility-based care. These margins provide structural resilience to margin compression, support reinvestment in centers and services, and underpin long-term cash generation even with modest revenue growth.
Strong Cash Conversion
Nearly one-to-one conversion of earnings into operating and free cash flow signals reliable cash generation from patient services and facility fees. This durability supports funding of maintenance capex, dividends, and debt reduction without relying on equity raises in the medium term.
Improving Leverage Management
A lower debt-to-equity ratio versus prior levels reflects tangible progress on leverage, reducing refinancing and interest-rate risks. Improved leverage increases financial flexibility to invest in additional ASC capacity or partnerships and strengthens the balance sheet over a multi-quarter horizon.
Negative Factors
Modest Revenue Growth
Revenue expansion is limited, constraining scalable earnings growth and making profitability gains more dependent on margin improvements or cost cuts. Without faster top-line traction or acquisitions, long-term EPS growth may be capped absent material expansion of service volume.
Negative Free Cash Flow Growth
Declining free cash flow growth, even from a high conversion base, can limit the company's ability to fund expansion, repay debt, or increase shareholder distributions. If the trend persists it could force trade-offs between capex, M&A and deleveraging over several quarters.
Low Equity Ratio / Balance Sheet Reliance
A relatively low equity ratio implies a thinner equity cushion and greater reliance on debt or external financing. That structural capital mix can amplify returns but increases vulnerability to operational shocks and could constrain strategic investments if access to debt markets tightens.

Medical Facilities (DR) vs. iShares MSCI Canada ETF (EWC)

Medical Facilities Business Overview & Revenue Model

Company DescriptionMedical Facilities Corporation, through its subsidiaries, owns and operates specialty surgical hospitals and an ambulatory surgery center in the United States. The company's specialty surgical hospitals provide surgical, imaging, diagnostic, and other pain management procedures; and other ancillary services, such as urgent care and occupational health. It also offers ambulatory surgery center, which performs scheduled outpatient surgical procedures. The company was incorporated in 2004 and is headquartered in Toronto, Canada.
How the Company Makes MoneyMedical Facilities (DR) generates revenue primarily through patient services, which include fees for surgical procedures, consultations, and outpatient services. The company bills insurance companies, Medicare, and patients directly for these services. Key revenue streams include facility fees, surgeon fees, and anesthesia fees, allowing the company to capitalize on the increasing demand for outpatient surgical procedures. Additionally, Medical Facilities (DR) may engage in partnerships with healthcare providers and insurance companies to offer bundled payment solutions, further enhancing its revenue potential. Cost management and operational efficiencies also play a significant role in maintaining profitability.

Medical Facilities Earnings Call Summary

Earnings Call Date:Aug 07, 2025
(Q2-2025)
|
% Change Since: |
Next Earnings Date:Mar 12, 2026
Earnings Call Sentiment Neutral
The earnings call presented a mixed picture. While there were notable achievements such as awards for Sioux Falls, substantial shareholder returns, and a new credit agreement, significant challenges were highlighted, particularly the revenue impact from Sioux Falls' relocation and decreased surgical volumes. Despite some areas of strong performance when excluding Sioux Falls, the financial metrics overall showed declines.
Q2-2025 Updates
Positive Updates
Sioux Falls Recognized for Excellence
Sioux Falls Specialty Hospital received the 2025 Outstanding Patient Experience and Patient Safety Excellence Awards from Healthgrades for the third consecutive year.
Shareholder Returns
Returned $6.9 million to shareholders through the repurchase of 609,100 common shares in the quarter. A total of $52.2 million returned to shareholders in the first half of the year, reducing outstanding shares by 18%.
New Credit Agreement
Finalized a new 3-year $40 million credit agreement with CIBC, with an option to increase by up to $25 million, providing enhanced financial flexibility.
Excluding Sioux Falls, Strong Performance
Facility service revenue increased by 6.5% when excluding Sioux Falls, driven by higher volumes, favorable case and payer mix, and payer rate increases.
Improved Cost Management
Total operating expenses were reduced by $0.5 million, with drugs and supplies down 2.4% and G&A expenses down 3.4%.
Negative Updates
Impact of Sioux Falls Relocation
Sioux Falls Specialty Hospital was negatively impacted by a $3.9 million revenue decline due to the relocation of a primary physician group's clinic affecting surgical case volume.
Decrease in Surgical Case Volumes
Surgical case volumes were down 0.9%, with inpatient cases down 8.6% and pain management cases down 4.5%.
Decline in Income from Operations
Income from operations decreased by 5% to just shy of $12 million, and EBITDA was down 4.7% from the prior year period.
Decrease in Working Capital
Net working capital declined from $76.4 million to $36.6 million, attributed to a substantial issuer bid and tax payments related to prior asset sales.
Company Guidance
During the 2025 second quarter earnings call for Medical Facilities Corporation, several metrics were discussed, providing insight into the company's financial performance and strategic initiatives. Facility service revenue decreased by 1.3% to $80.6 million, primarily due to challenges at Sioux Falls Specialty Hospital, which saw a revenue drop of $3.9 million. However, excluding Sioux Falls, facility service revenue rose by 6.5%, driven by higher volumes and favorable payer mix. Surgical case volumes overall dipped by 0.9%, with inpatient cases dropping 8.6%, and observation cases decreasing by 1.8%, while outpatient cases rose slightly by 0.7%. Pain management cases were down 4.5%, notably impacted by changes at Arkansas Surgical Hospital. Total operating expenses fell by $0.5 million, with income from operations down 5% to just under $12 million, though excluding Sioux Falls, income from operations surged by 98.9%. EBITDA was reported at $16 million, a 4.7% decline year-over-year. On the capital front, $6.9 million was returned to shareholders through share repurchases, totaling $52.2 million in the first half of the year, reducing outstanding shares by 18%. The company also finalized a new three-year $40 million credit agreement with CIBC, offering an option to increase the facility by up to $25 million under certain conditions.

Medical Facilities Financial Statement Overview

Summary
Strong profitability and efficiency (gross margin 65.05% TTM; net margin 28.90% TTM; EBITDA margin 26.24% TTM) with solid cash conversion (operating cash flow to net income 0.98 TTM; free cash flow to net income 0.94 TTM). Offsetting factors are modest revenue growth (3.64% TTM) and negative free cash flow growth (-6.56% TTM), plus moderate balance sheet reliance on equity (equity ratio 22.97% TTM).
Income Statement
75
Positive
The company shows a solid gross profit margin of 65.05% TTM, indicating strong control over production costs. The net profit margin has improved significantly to 28.90% TTM, reflecting enhanced profitability. Revenue growth is modest at 3.64% TTM, but the trend is positive compared to previous declines. EBIT and EBITDA margins are healthy at 19.81% and 26.24% TTM, respectively, showing efficient operational management.
Balance Sheet
65
Positive
The debt-to-equity ratio has improved to 0.89 TTM, indicating better leverage management. Return on equity is exceptionally high at 90.38% TTM, driven by strong net income, but this could indicate potential volatility. The equity ratio stands at 22.97% TTM, suggesting moderate reliance on equity financing.
Cash Flow
70
Positive
Operating cash flow to net income ratio is robust at 0.98 TTM, indicating strong cash generation relative to earnings. Free cash flow to net income ratio is also high at 0.94 TTM, reflecting efficient cash management. However, free cash flow growth is negative at -6.56% TTM, which could be a concern if it persists.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue257.36M331.53M445.58M424.55M398.63M363.85M
Gross Profit136.27M219.88M296.68M280.63M268.61M242.94M
EBITDA64.62M82.57M72.43M51.15M103.40M96.05M
Net Income81.33M73.49M18.50M-4.41M15.50M8.81M
Balance Sheet
Total Assets269.49M346.29M354.88M377.79M446.97M457.00M
Cash, Cash Equivalents and Short-Term Investments46.81M108.50M24.11M34.93M61.04M66.18M
Total Debt65.09M73.94M116.81M142.95M140.90M161.95M
Total Liabilities159.40M198.84M236.58M263.10M273.82M281.83M
Stockholders Equity86.13M122.02M85.99M79.13M127.55M127.53M
Cash Flow
Free Cash Flow53.81M76.22M56.66M50.30M67.22M79.57M
Operating Cash Flow58.46M83.28M72.71M57.01M75.64M87.09M
Investing Cash Flow87.84M85.42M-13.67M-5.78M-8.69M18.31M
Financing Cash Flow-118.21M-84.26M-69.83M-77.35M-72.06M-71.15M

Medical Facilities Technical Analysis

Technical Analysis Sentiment
Positive
Last Price16.97
Price Trends
50DMA
15.99
Positive
100DMA
15.43
Positive
200DMA
15.21
Positive
Market Momentum
MACD
0.30
Negative
RSI
61.38
Neutral
STOCH
68.05
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For TSE:DR, the sentiment is Positive. The current price of 16.97 is above the 20-day moving average (MA) of 16.44, above the 50-day MA of 15.99, and above the 200-day MA of 15.21, indicating a bullish trend. The MACD of 0.30 indicates Negative momentum. The RSI at 61.38 is Neutral, neither overbought nor oversold. The STOCH value of 68.05 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for TSE:DR.

Medical Facilities Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
76
Outperform
C$301.32M2.3739.85%2.35%-40.05%558.77%
70
Outperform
C$2.50B23.4865.57%2.28%11.59%41.99%
63
Neutral
C$2.33B48.337.07%4.47%11.47%6.45%
59
Neutral
C$242.16M3,810.000.11%1.03%0.19%
58
Neutral
C$1.07B-24.18-5.11%26.20%-156.86%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
TSE:DR
Medical Facilities
16.97
-0.45
-2.58%
TSE:CRRX
CareRx
3.86
1.20
45.06%
TSE:EXE
Extendicare
26.43
14.24
116.73%
TSE:SIA
Sienna Senior Living
23.42
8.39
55.84%
TSE:WELL
WELL Health Technologies Corp
4.20
-1.23
-22.65%

Medical Facilities Corporate Events

Business Operations and StrategyM&A Transactions
Medical Facilities Sells Major U.S. Spine Hospital Stake, Refocuses on Core Surgical Assets
Neutral
Feb 2, 2026

Medical Facilities Corporation has sold its 63.96% interest in Oklahoma Spine Hospital in Oklahoma City to SSM Health Care of Oklahoma and an entity owned by the hospital’s physician partners for a total of US$46 million, and separately divested The Surgery Center of Newport Coast in California for US$1.5 million. The transactions, which remove a business that contributed roughly a quarter of consolidated facility service revenue and more than one-eighth of operating income in 2024, are positioned by management as a strategic refocusing on core assets and key markets, with the company evaluating options for deploying net proceeds that include share repurchases and direct capital returns to shareholders, potentially reshaping its capital structure and narrowing its U.S. operating footprint.

The most recent analyst rating on (TSE:DR) stock is a Hold with a C$16.50 price target. To see the full list of analyst forecasts on Medical Facilities stock, see the TSE:DR Stock Forecast page.

Business Operations and StrategyStock BuybackM&A Transactions
Medical Facilities Sells Major U.S. Assets in Strategic Refocus, Plans Capital Return
Positive
Feb 2, 2026

Medical Facilities Corporation has sold its 63.96% stake in Oklahoma Spine Hospital in Oklahoma City to SSM Health Care of Oklahoma and an entity owned by OSH’s physician partners for a total of US$46 million, and has also divested its ambulatory surgery center in Newport Beach, California, for US$1.5 million. The transactions, which remove a business that accounted for nearly a quarter of the company’s 2024 facility service revenue, are positioned as part of a strategic shift to focus on core assets while returning capital to shareholders, with the company evaluating options such as share repurchases and direct distributions for the majority of the anticipated net proceeds.

The most recent analyst rating on (TSE:DR) stock is a Hold with a C$16.50 price target. To see the full list of analyst forecasts on Medical Facilities stock, see the TSE:DR Stock Forecast page.

Dividends
Medical Facilities Corporation Declares Fourth Quarter Dividend
Positive
Nov 6, 2025

Medical Facilities Corporation has announced a cash dividend of Cdn $0.09 per common share, payable on January 15, 2026, to shareholders of record as of December 31, 2025. This dividend is designated as an ‘eligible dividend’ under Canadian tax law. The announcement reflects the company’s ongoing commitment to providing value to its shareholders and highlights its stable financial position, which is supported by its portfolio of surgical facilities in the U.S.

The most recent analyst rating on (TSE:DR) stock is a Hold with a C$15.50 price target. To see the full list of analyst forecasts on Medical Facilities stock, see the TSE:DR Stock Forecast page.

Business Operations and StrategyStock BuybackFinancial Disclosures
Medical Facilities Corporation Reports Strong Q3 2025 Financial Results
Positive
Nov 6, 2025

Medical Facilities Corporation reported a 7.5% increase in facility service revenue for Q3 2025, driven by higher surgical case volumes and favorable payor mix. The company’s income from operations rose by 17.1%, and EBITDA increased by 10.2%, reflecting operational strength. Additionally, MFC returned $5.6 million to shareholders through share buybacks, highlighting its commitment to shareholder value. Despite fluctuations in net income due to non-cash finance costs and income taxes, the company maintains a strong balance sheet with significant cash reserves, indicating a positive outlook for stakeholders.

The most recent analyst rating on (TSE:DR) stock is a Hold with a C$15.50 price target. To see the full list of analyst forecasts on Medical Facilities stock, see the TSE:DR Stock Forecast page.

Stock BuybackFinancial Disclosures
Medical Facilities Corporation Reports Strong Q3 2025 Results
Positive
Nov 6, 2025

Medical Facilities Corporation reported a 7.5% increase in facility service revenue for the third quarter of 2025, driven by higher surgical case volumes and favorable payor rate changes. The company’s income from operations rose by 17.1%, and EBITDA increased by 10.2%, reflecting the strength of its surgical facilities. Additionally, the company returned $5.6 million to shareholders through share repurchases, indicating a strong financial position and commitment to shareholder value.

The most recent analyst rating on (TSE:DR) stock is a Hold with a C$15.50 price target. To see the full list of analyst forecasts on Medical Facilities stock, see the TSE:DR Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Feb 03, 2026