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Institutional distribution: ownership decreased -0.60% quarter-over-quarter.
Data as of Q1 2026
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Total shares institutions bought (green) vs sold (red) each quarter across all holders.
Inferred from quarter-over-quarter change in each fund's 13F position (new stakes count as buys, exits as sells). Not tick-level trades.
Top 40 institutional holders — bubble size is position value, color is the move since last quarter. Hover any holder for detail.
Drag any bubble to rearrange · size = dollar value of the position
How management deployed cash over 10 years — and what it earned on reinvestment.
A reinvestment story — most cash went back into growth rather than to shareholders.
Operating income fell despite reinvestment — a warning on capital productivity. Current ROIC on all capital: -36%. Rough measure (includes maintenance capex).
Cash uses aggregated from the SEC cash-flow statement over 10 fiscal years. "Return on reinvestment" is a rough proxy — operating-income change ÷ cumulative CapEx + M&A — and includes maintenance capex. Educational — not a recommendation.
How much the company owes, how it's trended, and how comfortably it's serviced.
Cash of $6M covers the $0 due within a year 6249000.0× over. Scheduled principal only (excludes interest & revolver draws). As of 2018-03-31 (10-Q).
Insufficient EBITDA/debt history.
Green ≤ 1.5× · amber ≤ 3× · red > 3× (leverage relative to cash earnings).
Interest expense isn't separately reported — often netted into “other income (expense), net.”
Cash vs short-term debt unavailable.
Mostly long-term debt (balance-sheet current vs non-current split). See the maturity ladder above for the year-by-year repayment schedule.
Debt, cash, interest and equity from the SEC balance sheet & income statement. Effective rate = interest ÷ average debt. Maturity ladder from the SEC long-term-debt repayment schedule. Educational — not a recommendation.
EOD close · as of 2026-09-17
How a revenue dollar becomes profit — FY2025
Each value shows its share of revenue below it (common-size).
| Line Item | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | FY2020 | FY2019 | FY2018 | FY2017 | FY2016 |
|---|---|---|---|---|---|---|---|---|---|---|
| Revenue | $37.1M 100.0% | $35.6M 100.0% | $31.1M 100.0% | $34.7M 100.0% | $43.2M 100.0% | $41.0M 100.0% | $24.9M 100.0% | $22.5M 100.0% | $15.2M 100.0% | $9.5M 100.0% |
| Cost of Revenue | $10.6M 28.5% | $10.7M 30.1% | $9.1M 29.4% | $14.0M 40.2% | $11.0M 25.6% | $11.1M 27.0% | $7.4M 29.5% | $7.5M 33.3% | $5.5M 36.4% | $4.0M 41.5% |
| Cost of Products | — | — | — | — | — | — | — | — | $5.5M 36.4% | $4.0M 41.5% |
| Gross Profit | $26.5M 71.5% | $24.9M 69.9% | $22.0M 70.6% | $20.7M 59.8% | $32.1M 74.4% | $30.0M 73.0% | $17.6M 70.5% | $15.0M 66.7% | $9.6M 63.6% | $5.6M 58.5% |
| Research & Development | — | — | $15.7M 50.6% | $15.1M 43.6% | $16.4M 37.9% | $8.8M 21.5% | $12.1M 48.5% | $7.7M 34.3% | $3.2M 21.3% | $4.1M 42.7% |
| Selling, General & Admin | $35.6M 96.2% | $33.7M 94.8% | $38.3M 123.2% | $34.3M 98.8% | $35.8M 82.8% | $28.5M 69.4% | $22.0M 88.2% | $20.9M 92.8% | $14.9M 98.4% | $11.8M 123.9% |
| Total Operating Expenses | $41.2M 111.3% | $41.3M 116.1% | $53.9M 173.4% | $52.3M 150.6% | $54.9M 127.1% | $40.3M 98.3% | $36.6M 146.5% | $30.6M 136.0% | $19.5M 128.5% | $17.1M 179.1% |
| Operating Income | -$14.7M -39.8% | -$16.5M -46.2% | -$31.9M -102.8% | -$31.5M -90.9% | -$22.7M -52.7% | -$10.4M -25.3% | -$19.0M -76.0% | -$15.6M -69.3% | -$9.8M -65.0% | -$11.5M -120.6% |
| Other Income (Expense), net | $6.2M 16.6% | -$6.0M -16.7% | $1.9M 6.1% | -$2.4M -6.9% | -$2.5M -5.9% | $1.4M 3.4% | -$1.4M -5.5% | -$2.2M -10.0% | $705K 4.7% | -$590K -6.2% |
| Pretax Income | -$8.6M -23.2% | -$22.4M -63.0% | -$30.1M -96.7% | -$33.9M -97.7% | -$25.3M -58.6% | -$9.0M -21.9% | -$20.4M -81.6% | -$17.8M -79.2% | -$9.1M -60.3% | -$12.1M -126.8% |
| Income Tax Expense | -$401K -1.1% | -$1.7M -4.8% | -$814K -2.6% | -$1.1M -3.1% | -$736K -1.7% | -$1.1M -2.7% | -$1.1M -4.4% | -$620K -2.8% | -$677K -4.5% | -$319K -3.3% |
| Net Income | -$8.2M -22.1% | -$20.7M -58.2% | -$29.2M -94.1% | -$32.8M -94.6% | -$24.6M -56.9% | -$7.8M -19.1% | -$19.3M -77.2% | -$17.2M -76.5% | -$8.5M -55.8% | -$11.8M -123.5% |
| Per Share | ||||||||||
| EPS (Basic) | $-0.13 | $-0.38 | $-0.65 | $-0.75 | $-0.57 | $-0.20 | $-0.60 | — | — | — |
| EPS (Diluted) | $-0.13 | $-0.38 | $-0.65 | $-0.75 | $-0.57 | $-0.20 | $-0.60 | — | — | — |
| Weighted Avg Shares (Basic) | 62.2M | 54.4M | 44.7M | 43.6M | 43.4M | 38.8M | 32.3M | — | — | — |
| Weighted Avg Shares (Diluted) | 62.2M | 54.4M | 44.7M | 43.6M | 43.4M | 38.8M | 32.3M | — | — | — |
Source: SEC EDGAR XBRL filings (annual, fiscal year). Quarterly flow items are derived from cumulative filings; balance-sheet figures are as-of each period end. Ratios and margins are computed, not reported.
Solve the discounted cash flow backwards, then stress-test the assumptions.
This company doesn't have positive free cash flow, so a reverse DCF can't be run.
Is the value real, and is the business safe? Academic scores + earnings quality + solvency, from SEC filings.
Safe > 2.99 · grey 1.81–2.99 · distress < 1.81
Eight indices comparing this year to last (receivables, margins, asset quality, growth, accruals, leverage). Above −1.78 suggests possible manipulation; below −2.22 is clean.
A screen, not proof — high growth alone can raise it.
Cash-conversion data unavailable. Lower/negative accruals = higher quality (Sloan).
Coverage data unavailable; leverage falling year-over-year.
F-Score (0–9 fundamental momentum), Altman Z (distress risk), and Beneish M (earnings-manipulation screen) are academic models computed from the SEC filings. Screens and context — educational, not recommendations.
What the company returns to shareholders — and whether it's covered by cash.
No dividend to cover. Last year: $0 dividends + $0 buybacks = $0 returned on -$13M FCF.
Yields use the latest fiscal-year dividends/buybacks over current market cap. Dividends and buybacks from the SEC cash-flow statement; payout coverage vs net income and free cash flow. Educational — not a recommendation.
EOD close · as of 2026-09-17
Where each multiple sits in its own 14-yr range · 71th pct blended
Dot = today · shaded = middle 50% · line = median. Lower percentile = cheaper vs its own 14-yr history.
Is the profit real, and how strong is the balance sheet?
FY2025 · every deduction from revenue to net income
DuPont — the three levers
Watch the leverage lever — a chunk of ROE comes from the balance sheet.
What the company owes vs. what it holds
Year-by-year maturities aren't in SEC companyfacts (footnote-only), so this shows the debt/cash structure and net leverage instead.
Latest year: profit growth vs revenue growth
Profit and sales moved in opposite directions this year.
Each line as % of revenue — the trend in color
| % of revenue | FY2018 | FY2019 | FY2020 | FY2021 | FY2022 | FY2023 | FY2024 | FY2025 |
|---|---|---|---|---|---|---|---|---|
| Cost of Revenue | 33.3 | 29.5 | 27.0 | 25.6 | 40.2 | 29.4 | 30.1 | 28.5 |
| Gross Profit | 66.7 | 70.5 | 73.0 | 74.4 | 59.8 | 70.6 | 69.9 | 71.5 |
| R&D | 34.3 | 48.5 | 21.5 | 37.9 | 43.6 | 50.6 | — | — |
| SG&A | 92.8 | 88.2 | 69.4 | 82.8 | 98.8 | 123.2 | 94.8 | 96.2 |
| Operating Income | -69.3 | -76.0 | -25.3 | -52.7 | -90.9 | -102.8 | -46.2 | -39.8 |
| Income Tax | -2.8 | -4.4 | -2.7 | -1.7 | -3.1 | -2.6 | -4.8 | -1.1 |
| Net Income | -76.5 | -77.2 | -19.1 | -56.9 | -94.6 | -94.1 | -58.2 | -22.1 |
Green = margin-favorable vs the row's own range · red = unfavorable.
The metrics that matter, over time
A 30-second read on CTSO: price, valuation, headline fundamentals, and an auto-generated scorecard from SEC filings. Flags are rule-based signals, not recommendations.
Total return (dividends reinvested) vs the market, from quarter-end prices.
Above 0 = ahead of the S&P 500 since the window start; below 0 = behind. Rising means it's pulling ahead.
How far the stock fell below its prior peak. Deeper, longer drawdowns = a rougher ride to the same return.
Quarter-end, dividend-adjusted (total return). Beta & volatility from quarterly returns (annualized). Benchmark is the S&P 500 (SPY total return). Annual returns compound the quarters ending in each calendar year; the first and last years in a window may be partial. Past performance doesn't predict future results.
Ranked against 1085 sector peers with collected financials. Valuation from latest close × latest fiscal-year fundamentals; 13F conviction as of 2026-03-31.
Percentile is “goodness” within the peer set (100 = best). For valuation and leverage that means cheaper / less-levered ranks higher.
| Company | Mkt cap ▼ | P/E | EV/EBITDA | P/S | Rev gr | Gross | Net | ROE | ROIC | Net D/EBITDA | 13F |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BCAX | $1.24T | — | — | — | — | — | — | -34.4% | -34.4% | — | 143 |
| LLY | $1.03T | 50.2× | — | 15.9× | 44.7% | 83.0% | 31.7% | 77.8% | 29.9% | — | 4,193 |
| AKTX | $894.1B | — | — | — | — | — | — | -61.1% | -61.1% | — | 1 |
| JNJ | $650.5B | 24.5× | — | 6.9× | 6.0% | 67.9% | 28.5% | 32.9% | 20.7% | — | 4,451 |
| ABBV | $467.1B | 111.9× | 33.4× | 7.6× | 8.6% | 70.2% | 6.9% | -129% | 6.6% | 4.2× | 3,895 |
| MRK | $368.2B | 20.2× | — | 5.7× | 1.3% | 74.8% | 28.1% | 34.7% | 17.9% | — | 3,594 |
| UNH | $339.9B | 28.4× | 19.7× | 0.8× | 11.8% | 88.7% | 2.7% | 12.0% | 6.8% | 3.9× | 2,891 |
| AZN | $257.7B | — | — | — | — | — | — | — | — | — | 1,248 |
| TMO | $248.2B | 37.1× | 31.9× | 5.6× | 3.9% | — | 15.0% | 12.6% | 7.0% | 4.9× | 2,481 |
| AMGN | $204.6B | 26.7× | 17.6× | 5.6× | 10.0% | 67.2% | 21.0% | 89.1% | 12.2% | 3.8× | 3,014 |
| GILD | $187.3B | 22.3× | 20.4× | 6.4× | 2.4% | 78.8% | 28.9% | 37.5% | 17.9% | 2.4× | 2,218 |
| ABT | $178.0B | 27.5× | 19.2× | 4.0× | 5.7% | 56.4% | 14.7% | 12.5% | 10.0% | 1.4× | 2,964 |
| PFE | $157.1B | 20.3× | — | 2.5× | -1.6% | 74.3% | 12.4% | 9.0% | 5.1% | — | 2,838 |
| DHR | $150.2B | 42.1× | 31.0× | 6.1× | 2.9% | 59.1% | 14.7% | 6.9% | 5.1% | 3.4× | 2,083 |
| ISRG | $136.2B | 48.7× | 37.5× | 13.5× | 20.5% | 66.0% | 28.4% | 16.0% | 16.0% | — | 2,190 |
| VRTX | $131.1B | 33.7× | 28.8× | 10.9× | 8.9% | 86.2% | 32.9% | 21.2% | 21.2% | — | 1,609 |
| BMY | $127.8B | 18.2× | — | 2.6× | -0.2% | 71.1% | 14.6% | 38.2% | 11.1% | — | 2,431 |
| MDT | $118.8B | 24.9× | 12.6× | 3.3× | 8.4% | 65.0% | 13.2% | 9.7% | 9.4% | 0.2× | 2,114 |
| CVS | $114.7B | 64.9× | 11.5× | 0.3× | 7.8% | 45.0% | 0.4% | 2.4% | 2.4% | 0.0× | 1,795 |
| SYK | $107.1B | 33.4× | 18.4× | 4.3× | 11.2% | 64.0% | 12.9% | 14.5% | 8.5% | 2.5× | 2,196 |
| MCK | $102.5B | 22.9× | 16.2× | 0.3× | 12.4% | 3.6% | 1.2% | -219% | 109% | 1.0× | 1,946 |
| HCA | $96.4B | 15.1× | — | 1.3× | 7.1% | — | 9.0% | -113% | 16.8% | — | 1,346 |
| ELV | $91.4B | 16.4× | 15.5× | 0.5× | 12.5% | 89.4% | 2.8% | 12.9% | 7.6% | 4.2× | 1,397 |
| REGN | $82.6B | 19.0× | 19.8× | 5.8× | 1.0% | — | 31.4% | 14.4% | 13.6% | 0.5× | 1,336 |
| CI | $72.7B | 12.4× | 5.5× | 0.3× | 11.2% | 21.8% | 2.2% | 14.3% | 14.1% | 0.0× | 1,583 |
| CTSO | $362M | — | — | 9.8× | 4.1% | 71.5% | -22.1% | -139% | -36.3% | -1.2× | 49 |
Peers = companies sharing CTSO's sector (Healthcare) with collected SEC financials. Multiples use the most recent end-of-day close and latest fiscal-year fundamentals (trailing, not forward). Missing cells mean the peer never reported that line item, has no collected price, or has a non-positive denominator. Not investment advice.