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MDxHealth S.A.

MDXH
24
Medical - Diagnostics & Research · Healthcare
Price
$0.74
+0.02 (+3.21%)
Market Cap
$38.2M
Exchange
NASDAQ
Winston Score
24
Winston is worried
Weak fundamentals across most pillars.
Data as of Aug 23, 2026 · filings through Dec 31, 2025
How the score breaks down
Quality
Weak
Growth
Mixed
Cash Flow
Weak
Stability
Data not available
Valuation
Data not available

Share count rising — dilution

+310.3% over 4y

The company has issued more shares over this period, which dilutes each existing shareholder’s stake.

Diluted shares outstanding: 12.2M (2021) → 50.0M (2025)

Winston Score History

The full picture

MDxHealth is a Belgian molecular diagnostics company that makes urine-based tests for prostate cancer. Its main products — including the Select MDx and Confirm mdx tests — help doctors decide whether a patient needs a prostate biopsy or additional treatment, reducing unnecessary invasive procedures. The company sells primarily to urologists and healthcare providers in the United States and Europe.

MDxHealth earns revenue by charging per test, either billed directly to insurance companies or through laboratory service agreements. Most of its business is in the U.S., where reimbursement coverage from Medicare and private insurers is critical to growth. The company is not yet profitable, as shown by its negative operating margin, and it faces competition from other liquid biopsy and genomic testing firms. The key growth driver is expanding insurance coverage and physician adoption of its tests, while the main risk is reimbursement policy changes that could sharply reduce what it gets paid per test.

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+13.8% YoY

YoY Growth Rate

Steady revenue growth

EPS Growth

+31.5% YoY

YoY Growth Rate

EPS growth accelerating

R&D Spend

$10M/ year

Flat (-2% vs prior year)

9.6% of revenue

Below sector average (18%)

Steady R&D investment year-over-year

Insider Activity

19.1%ownership

Declining

Insider ownership declining — could be dilution or selling

Cash Position

Cash flow positive

$31M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

Company generates more cash than it spends — no dilution risk from fundraising

Growth + cash flow

MDxHealth S.A. is a rare growth stock that's already generating positive cash flow while growing at 14%. The Winston Score doesn't fully credit this transition from "burner" to "earner."

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

Every number that matters to educated investors.

Each metric is explained in plain language so you know exactly what you're looking at. Start your free trial now.

Quality

Profit per sale
Gross Margin
53.6%
Healthy — 53.6% gross margin
Profit after running costs
Operating Margin
-21.2%
Losing money on operations — -21.2%
Return on the money invested
ROCE
-15.5%
Weak — -15.5% return on capital

Negative ROIC means the business is losing money on every dollar invested in it.

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Growth

Sales growth
Sales YoY
-9.7%
Shrinking sales (-9.7% YoY)
Profit growth
EPS YoY
N/A
Data not available
How steady the profit is
EPS Consistency
6/8 quarters
Earnings grew in most of the last 8 quarters

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Cash Flow

Profit that turns into cash
Cash Conversion
N/A
Data not available
Spare cash per sale
FCF Margin
-2.0%
Burning cash (-2.0%)

Free cash flow is negative. They are burning cash, not generating it.

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Stability

What it owes vs what it owns
Debt / Equity
N/A
Data not available
Covers its interest
Interest Cover
N/A
Data not available

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Valuation

Price vs profit
P/E Ratio (TTM)
N/M
Negative earnings — P/E not meaningful
Cheaper or dearer next year
P/E vs Forward
N/A
not available
Data not available

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Dividends

Not applicable for this business.
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