TXMD

We rate TherapeuticsMD, Inc. (TXMD) as a Hold with a composite score of 55.9/100 at a current price of $2.19. The stock presents a mixed quantitative picture — neither compelling enough to warrant new accumulation nor weak enough to justify selling for existing holders. Our factors are split, and the overall profile suggests patience is warranted.

The rating is primarily driven by strength in momentum (82th percentile) and stability (48th percentile), which together account for the majority of the composite score. Offsetting weakness in investment (24th percentile) and quality (45th percentile) tempers our overall conviction. We assign a No Moat rating (38/100), Medium uncertainty, and Poor capital allocation.

Key items to watch: sustainability of the current growth rate; the path to profitability. Any material change in these dynamics could warrant a reassessment of our rating. The moat trend is stable, which suggests the competitive landscape is stable for now.

TherapeuticsMD, Inc. holds a top-quartile position (#0 of 50) within the Manufacturing sector, based on our composite quantitative scoring across quality, value, momentum, and stability factors. The composite score of 55.9/100 places it at rank #1161 in our full 7,333-stock universe. At $12M in market capitalization, TherapeuticsMD, Inc. is a small-cap player in the Manufacturing space, which limits certain scale advantages but may allow for more agile strategic execution.

The near-term outlook is constructive, with revenue growing at 235% and momentum in the 82th percentile confirming positive market sentiment and institutional accumulation. The combination of strong top-line growth and favorable price dynamics suggests the company is executing well on its growth strategy. Investment factor at the 24th percentile indicates reinvestment patterns that investors should monitor for sustainability.

The margin cascade tells an important story: gross margins of 100% (+57.5pp vs sector) narrow to operating margins of -153% (-154.3pp vs sector) and net margins of -50.1%, yielding a gross-to-net conversion rate of -50%. The significant margin erosion from gross to net suggests elevated operating expenses, high interest costs, or other structural drags that warrant monitoring.

At a current price of $2.19, TherapeuticsMD, Inc. is trading near fair value based on current fundamentals. Our value factor score of 48/100 reflects a composite assessment across multiple valuation metrics including price-to-earnings, price-to-book, EV/EBITDA, and price-to-sales ratios relative to both sector peers and the broader market. Valuation metrics are mixed, with no strong signal of mispricing in either direction.

The stock currently trades at a P/E of 228.0x (a 925% premium to the sector median of 22.3x), P/B of 1.0x, P/S of 9.9x. The above-sector P/E multiple suggests the market is pricing in superior growth or quality, which our analysis finds only partially justified by current fundamentals.

We assign a Medium uncertainty rating to TherapeuticsMD, Inc.. The stock presents a balanced risk profile: current negative profitability (net margin -50.1%) and elevated valuation multiple (P/E 228.0x) that leaves limited margin for error. While not risk-free, the core business fundamentals are adequate to withstand moderate economic stress, and the range of potential outcomes around our fair value estimate is manageable.

Specific risk factors that inform our assessment include: current negative profitability (net margin -50.1%); elevated valuation multiple (P/E 228.0x) that leaves limited margin for error. Each of these factors independently widens the distribution of potential outcomes, and in combination they create a risk profile that demands careful position sizing. The stability factor at the 48th percentile and quality factor at the 45th percentile provide a quantitative summary of the overall risk landscape.

Key risk mitigants include: healthy gross margins of 100% provide a buffer against cost pressures. These factors partially offset the identified risks and provide downside protection in adverse scenarios. On balance, the risk-reward profile is favorable for long-term investors.

We rate TherapeuticsMD, Inc.'s capital allocation as Poor. Key concerns include low returns on equity (-2.0%), negative profitability, weak asset returns (ROA -1.5%). Exemplary capital allocators generate ROE above 20% and maintain conservative leverage — TherapeuticsMD, Inc. significantly underperforms these benchmarks, raising questions about management's ability to create shareholder value.

Investors should scrutinize management's reinvestment decisions and balance sheet trajectory before committing capital. Poor capital allocation often compounds over time: overlevered balance sheets limit strategic flexibility, while low returns on capital destroy shareholder value. We would need to see sustained improvement in profitability metrics and balance sheet discipline before considering an upgrade.

In summary, TherapeuticsMD, Inc. receives a Hold rating with a composite score of 55.9/100 (rank #1161 of 7,333). Our quantitative framework assigns a No Moat (38/100, trend: stable), Medium uncertainty, and Poor capital allocation. The average factor score across quality, value, momentum, stability, and investment is 49/100.

Our analysis supports a neutral stance on TherapeuticsMD, Inc.. While the quantitative profile is not weak enough to warrant selling, it lacks the multi-factor strength required for a buy recommendation. Existing holders should maintain positions and monitor for catalysts — either fundamental improvement or valuation compression — that would shift the risk-reward balance.