Masimo’s 19% return over the past six months has outpaced the S&P 500 by 12.2%, and its stock price has climbed to $174.61 per share. This was partly due to its solid quarterly results, and the run-up might have investors contemplating their next move.

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We’re happy investors have made money, but we don't have much confidence in Masimo. Here are three reasons there are better opportunities than MASI and a stock we'd rather own.

Examining a company’s long-term performance can provide clues about its quality. Any business can have short-term success, but a top-tier one grows for years. Unfortunately, Masimo’s 6.2% annualized revenue growth over the last five years was mediocre. This was below our standard for the healthcare sector.

Larger companies benefit from economies of scale, where fixed costs like infrastructure, technology, and administration are spread over a higher volume of goods or services, reducing the cost per unit. Scale can also lead to bargaining power with suppliers, greater brand recognition, and more investment firepower. A virtuous cycle can ensue if a scaled company plays its cards right.

With just $1.48 billion in revenue over the past 12 months, Masimo is a small company in an industry where scale matters. This makes it difficult to build trust with customers because healthcare is heavily regulated, complex, and resource-intensive.

We like to invest in businesses with high returns, but the trend in a company’s ROIC can also be an early indicator of future business quality.

We like to invest in businesses with high returns, but the trend in a company’s ROIC is what often surprises the market and moves the stock price. Over the last few years, Masimo’s ROIC has unfortunately decreased significantly. Paired with its already low returns, these declines suggest its profitable growth opportunities are few and far between.

Masimo’s business quality ultimately falls short of our standards. With its shares outperforming the market lately, the stock trades at 30.4× forward P/E (or $174.61 per share). At this valuation, there’s a lot of good news priced in - you can find more timely opportunities elsewhere. Let us point you toward the Amazon and PayPal of Latin America.

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