Stock Ratings / Health Care / OM / options

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Outset Medical Inc. (OM) Options Positioning, Max Pain & Unusual Sweeps

$4.19 -3.46% NASDAQ • Live Quote vs Prior Daily Close (Synced Snapshot) EXT / AFTER-HRS: $4.16

Outset Medical Inc. (OM) carries a Roarable Rating of D- (Sell) with 41/100 RQD Confidence due to weak cash-flow efficiency and sensitivity to current interest rates. Wait for business cash flow and institutional buying to improve before committing fresh capital.

📊 Historical Track Record Warning: Scores below 50 (41/100 · D-) historically underperformed SPY in 71% of rolling 90-day windows →

ROARABLE D- • RED ALERT Cap $78.8M

📤 Share Live RQD Speedometer Card: 𝕏 Post Reddit StockTwits ⬇ Live SVG Card

⚡ INSTANT AI QUANT PREVIEW • $0 FREE TIER Click Any Pre-Computed AI Quant Specialist Briefing on OM Below — or Connect Your Own ChatGPT / Claude

🤖 Mara Quenwick • AI Quant Lead (Click for Instant Brief) Is OM stock a Buy, Hold, or Sell right now according to Roarable's RQD model?

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As of 2026-11-02, Outset Medical Inc. (NASDAQ: OM) is rated D- (Sell / SELL) by Roarable's 5-pillar RQD engine with a composite confidence score of 41/100 at a spot price of $4.19 (-3.46% 1D, market cap $78.8M). Pillar breakdown: Fundamental Cash Engine 8/20, Institutional 13F & Options Flow 10/20, Executive Insider Alignment 8/20, FRED Macro Regime Fit 10/20, and SEC Balance-Sheet Forensics 5/20. Across 1016 tracked Health Care issuers, OM ranks #507 in composite RQD confidence.

✓ Pre-computed one-to-many AI Quant brief

🤖 Ellis Vennor • AI Peer & Flow Quant (Click for Instant Brief) How does OM compare to HYPR and ECOR in the Health Care sector?

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Within the Health Care sector (Biotechnology: Electromedical & Electrotherapeutic Apparatus), OM carries a Roarable D- (41/100 RQD), trailing P/E of N/A, gross margin of 39.1%, and ROIC of -28.0%. By comparison, HYPR (Hyperfine Inc. (Class A)) holds a D- grade (38/100 RQD, P/E N/A, ROIC -35.0%, cap $78.9M) and ECOR (electroCore Inc.) posts a D- grade (36/100 RQD, P/E N/A, ROIC -35.0%, cap $73.1M). Among the 5-stock peer group, OM leads on earnings multiple (N/A) while OM leads on capital efficiency (-28.0% ROIC).

✓ Pre-computed one-to-many AI Quant brief

🤖 Gideon Ashmere • AI SEC 10-K Forensics (Click for Instant Brief) What are the biggest fundamental strengths and SEC risk factors for OM?

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Per OM's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001484612), Outset Medical Inc. generated $119.5M in revenue (+5.1% YoY), -$81.7M in net income, and -$47.1M in free cash flow against $264.5M in total assets and $96.2M in total debt. Key quantitative strengths: Established market leader in Health Care with deep daily trading liquidity.. Primary risk factors monitored: Company executives have done more routine share selling than personal cash buying lately.. Institutional options positioning shows a 50% call / 50% put premium split.

✓ Pre-computed one-to-many AI Quant brief

🤖 AI Quant Disclosure: Roarable Analysts are proprietary AI Quant Specialists — not human financial advisors. Pre-computed one-to-many briefings above are free; interactive 1-on-1 Q&A, custom AI sifting/indicator alerts, and personal ChatGPT/Claude MCP connections require a $9.95/mo Pro account (currently waitlist-only).

INTERACTIVE SCENARIO DECK:

🛡️ Portfolio Crash X-Ray

EXT / AFTER-HRS: $4.16 (-0.81%)🧬 Disciplined Float (+0.72% YoY Shares)⚙️ Cash Engine: 8/20 (D-) • 0% FCF Margin

Verify 90D Bucket Audit →

📊 Historical Track Record Warning: Scores below 50 (41/100 · D-) historically underperformed SPY in 71% of rolling 90-day windows (-7.2% avg 90D alpha vs SPY • 29.0% hit rate).

Audit Bucket Track Record →

RQD QUANT TACHOMETERRED ALERT • D-

3-of-3 JEV AI Jury Bearish Warning

Cash

SEC

Whale

Impersonal quantitative research (0–100 RQD rubric) — not individualized investment advice. Past performance does not guarantee future results. Full Disclaimer

5-PILLAR SNOWFLAKE RADARRw D- · Rk D

Each axis scored 0–20

12M PRICE TARGET CONE-7.6% Base Target

WHALE OPTIONS SNAPSHOT: — (No Active Options Snapshot on file for OM)Realized 20D OHLCV Swing Band: ±12.5%

Deterministic 5-Pillar Attribution (41/100 Composite)

🔍 WHY OM SCORES 41/100 (D-) — TOP 3 DRIVERS2 Bullish Pillars + #1 Risk Drag

▲ #1 Bullish Driver: Whale & Options Positioning+10/20 pts (24% of score)

20D Institutional Volume Accumulation (±12.5% realized swing band)

▲ #2 Bullish Driver: Macro Regime Fit+10/20 pts (24% of score)

FRED Regime × Technicals: 13% of 52W Range • RSI-14 at 55.8 (BULLISH MOMENTUM)

▼ #1 Drag / Risk Factor: Insider Conviction & Share Dilution5/20 pts (-15 pt drag)

Disciplined Float (+0.72% YoY Shares) & executive Form 4 sales trim 15 pts from alignment

📈 PAST 4 QUARTERS RQD vs SUBSEQUENT RETURNQ1 → Q2 → Q3 → Current

Q1 (-3Q)

Grade E$4.01-5.2% Next Q

Q2 (-2Q)

Grade E$3.80+7.4% Next Q

Q3 (-1Q)

Grade E$4.08+2.7% Next Q

Current

Grade D-$4.19-7.2% Hist 90D α

Trajectory: E (33) → D- (41)Full Audit →

⚔️ ADVERSARIAL OPPOSING CASE & FORENSIC KILL-SWITCH (WHY THE BULL/BEAR THESIS COULD FAIL)CONTRARIAN TURNAROUND & SHORT-SQUEEZE DOSSIER

⚔️ Adversarial Opposing Case: What Could Spark a OM Turnaround Squeeze

Gideon Ashmere Forensic Desk →

While OM currently carries a cautious 41/100 (D-) rating due to Insider Conviction & Share Dilution (5/20), shorts face asymmetric squeeze risk if free cash flow inflects or management executes accretive buybacks.

🚀 Contrarian Squeeze Trigger #1

Established market leader in Health Care with deep daily trading liquidity.

🚀 Contrarian Squeeze Trigger #2

Options & Short-Covering Gamma: Reclaiming the 50-day SMA ($3.73) and Max Pain ($4.40) forces dealer call-delta covering toward $13.94.

🚀 Contrarian Squeeze Trigger #3

Forensic Repair Trigger: Halting share dilution (Disciplined Float (+0.72% YoY Shares)) or retiring high-cost debt immediately upgrades the SEC 10-K Forensic pillar.

🎲 LIVE PREDICTION MARKET ODDS TIED TO $OM• $2.4M Crowd Pool • Kalshi / Polymarket Composite

Contract: “OM Beats Next Quarter EPS Consensus (Dec 30, 2026) & Holds Above 200D SMA”

YES 41%NO 59%Trade / Inspect Odds →

CALL VS. PUT WHALE SHARE

— (No Active Options Snapshot)

Put/Call Ratio: — (No Active Options Snapshot)

MAX-PAIN EXPIRATION MAGNET

— (No Active Options Snapshot)

No active options chain max-pain snapshot on file

HISTORICAL 20D VOLATILITY SWING

±12.5%

Derived from 20D OHLCV bars (No Active Options Snapshot)

Active Strike Call vs. Put Concentration Ladder (OM)

— (No Active Options Snapshot) — No unusual CBOE strike concentration anomalies recorded in the current database snapshot for OM.

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ON-DEMAND RQD QUANT WORKSHOP • SPONSORED / PARTNER SPOTLIGHTHosted by Perry Belcher & Roarable Forensic Quant Desk

Red-Light Warning Desk: Spotting SEC Cash-Flow & Dilution Risks Before Downgrades (Featuring OM)

✓Walkthrough of OM's RQD Radar, SEC cash-conversion gap & downside invalidation levels
✓3 asymmetric Bear/Hedge frameworks when 10-year Treasury yields stay elevated
✓Includes nightly RQD rating-change & forensic signal email alerts on your tracked stocks

RQD INSIDER CLUB WAITLIST$49/YR PLANNED

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OM // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: -3.23%▼ DESCENDING CHANNEL

2026-11-02O $4.34H $4.34L $4.19C $4.19VOL 77.8K

RES: $4.42SUP: $2.26SMA50: $3.73SMA200: $4.15

PRIMARY-SOURCE FORENSICS, SECOND-ORDER LINKS & AI ANALYST DESK

OM Dilution Monitor, Expectations Hurdle, Butterfly Connections & Policy Exposure

🦋 OM Butterfly Map → + Track OM →

Share Count & Dilution Monitor (#25)

Multi-year comparable XBRL diluted share count not disclosed (ETF or recent listing).

Reverse-DCF Expectations Hurdle (#30)

8.0%/yr Implied 5Y Growth

vs. +5.1% actual YoY revenue growth (assuming 9.25% cost of equity & 16.5x terminal multiple).

Ellis Vennor Setup Ledger (#33)

No active Ellis Vennor swing setup published on OM today. View full Setup Ledger →

🦋 Documented & Second-Order Butterfly Connections Open Graph →

No direct multi-tier Butterfly edges indexed yet for OM. Explore sector supply chains on /butterfly.

AI Analyst Theses, Washington Policy & Company Video

🎬 No recent verified company-specific video clip queued for OM today (we never pad ticker pages with unrelated generic clips). Browse Macro Video Desk →

DETERMINISTIC MULTI-FACTOR EQUITY AUDIT • SEC EDGAR XBRL × RQD PEER BENCHMARK

📊 Quantitative Sector Peer Comparison, SEC Filing Delta & Investment FAQ (OM)

Health Care Rank #507 of 1016 ⚔️ HYPR vs OM Full Matrix →

1. Head-to-Head Health Care Peer Comparison (OM vs. HYPR, ECOR, STXS, NRXS)

Industry: Biotechnology: Electromedical & Electrotherapeutic Apparatus (26 Tracked Issuers)

Across 1016 tracked Health Care securities in the Roarable RQD universe, Outset Medical Inc. (OM) ranks #507 by composite RQD confidence (41/100, grade D-) and #692 by equity capitalization ($78.8M). Within this direct 5-issuer industry benchmark cohort, OM leads on earnings valuation at N/A trailing P/E, while OM leads on capital efficiency and profitability with -28.0% ROIC and 39.1% gross margin. OM currently leads its immediate peer cohort in composite quantitative strength at 41/100 (D-).

Ticker / Company	Roarable Grade	RQD Score	Trailing P/E	Gross Margin	ROIC	1D Change	Market Cap	Head-to-Head
OM ACTIVE Outset Medical Inc.	D-	41/100	—	39.1%	-28.0%	-3.46%	$78.8M	Benchmark Subject
HYPR Hyperfine Inc. (Class A)	D-	38/100	—	49.8%	-35.0%	-5.23%	$78.9M	/hypr-vs-om →
ECOR electroCore Inc.	D-	36/100	—	86.8%	-35.0%	-3.68%	$73.1M	/ecor-vs-om →
STXS Stereotaxis Inc.	E	22/100	—	52.7%	-35.0%	-6.21%	$91.2M	/stxs-vs-om →
NRXS Neuraxis Inc.	D-	39/100	—	84.2%	-35.0%	-0.26%	$94.8M	/nrxs-vs-om →

2. Multi-Year SEC XBRL Revenue, Cash Flow & Balance-Sheet Trajectory (FY2023–FY2025)

SEC EDGAR 10-K • FILED 2025-12-31 • CIK 0001484612

In its most recent audited fiscal period (FY2025, filed 2025-12-31), Outset Medical Inc. (OM) reported GAAP revenue of $119.5M (+5.1% vs. FY2024 revenue of $113.7M , and -8.4% cumulative change since FY2023) , GAAP net income of -$81.7M, operating cash flow of -$46.3M, and free cash flow of -$47.1M (+59.8% YoY). On the balance sheet, OM closed FY2025 with $264.5M in total assets against $96.2M in total debt (Altman Z-Score: N/A, Piotroski F-Score: 6/9).

Fiscal Period	Filing Date	Revenue	Net Income	Operating Cash Flow	Free Cash Flow	Total Assets	Total Debt
FY2025 (FY)	2025-12-31	$119.5M	-$81.7M	-$46.3M	-$47.1M	$264.5M	$96.2M
FY2024 (FY)	2024-12-31	$113.7M	-$128.0M	-$116.3M	-$117.2M	$275.8M	$197.4M
FY2023 (FY)	2023-12-31	$130.4M	-$172.8M	-$131.4M	-$131.4M	—	—

3. OM Data-Verified Investor FAQ (RQD Rating, Sector Peers, SEC Forensics & Technicals)

✓ SCHEMA.ORG FAQPAGE JSON-LD ENABLED

Is OM stock a Buy, Hold, or Sell right now according to Roarable's RQD model?

How does OM compare to HYPR and ECOR in the Health Care sector?

What are the biggest fundamental strengths and SEC risk factors for OM?

Where is OM trading relative to its 50-day, 200-day, and 52-week technical levels?

OM last traded at $4.19 (-3.46% on volume of 77,803 shares), positioning the stock +12.33% above its 50-day simple moving average ($3.73) and +0.96% above its 200-day simple moving average ($4.15). Across its 52-week range of $2.84 to $13.28, OM sits at the 12.9% percentile with a 14-day RSI of 55.8 (BULLISH MOMENTUM) and an implied next-earnings move of ±12.5% ($3.67 to $4.71).