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MiMedx Group

MDXG
44
Biotechnology · Healthcare
Price
$4.33
+0.03 (+0.70%)
Market Cap
$631.1M
Exchange
NASDAQ
Winston Score
44
Winston is serious
Mixed quality — meaningful strengths and weaknesses.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Mixed
Growth
Weak
Cash Flow
Strong
Stability
Strong
Valuation
Good

Share count rising — dilution

+35.7% over 4y

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

Diluted shares outstanding: 110.4M (2021) → 149.7M (2025)

Winston Score History

The full picture

MiMedx is a healthcare company that makes products from donated human tissue, mainly the placenta and other birth tissue. These products are used to help wounds heal — especially hard-to-treat wounds like diabetic foot ulcers and surgical wounds. The company sells primarily to hospitals, wound care clinics, and doctors across the United States.

MiMedx makes money by selling its tissue-based products directly to healthcare providers, with no subscription model involved. It operates almost entirely in the U.S. and generates roughly $300 million in annual revenue. The company's main competitive edge is its proprietary processing technology, which preserves the biological properties of donated tissue — something that takes years and regulatory approvals to replicate. The biggest risk the business faces is reimbursement policy: if Medicare or private insurers reduce what they pay for these products, demand could fall sharply.

Score breakdown

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Quality

Profit per sale
Gross Margin
69.0%
Premium pricing power — 69.0% gross margin
Profit after running costs
Operating Margin
-28.7%
Losing money on operations — -28.7%
Return on the money invested
ROCE
4.0%
Weak — 4.0% return on capital

ROIC between 0% and 5%. They earn a few cents back per dollar invested in the business.

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Growth

Sales growth
Sales YoY
-2.4%
Shrinking sales (-2.4% YoY)
Profit growth
EPS YoY
-81.9%
Earnings shrinking (-81.9% YoY)

Earnings per share down more than 10%. Either a bad year, or a real decline.

How steady the profit is
EPS Consistency
2/8 quarters
Earnings rarely grow — volatile business

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Cash Flow

Profit that turns into cash
Cash Conversion
740%
Turns 740% of profit into real cash
Spare cash per sale
FCF Margin
11.5%
Modest free cash flow (11.5%)

FCF margin between 10% and 20%. Every $100 in sales becomes $10 to $20 in real cash.

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Stability

What it owes vs what it owns
Debt / Equity
0.01
Conservative — low debt load (0.01)
Covers its interest
Interest Cover
5.50x
Adequate interest coverage (5.5x)

Interest coverage between 3 and 8. Profits cover interest several times over.

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Valuation

Price vs profit
P/E Ratio (TTM)
108.2x
Expensive — P/E 108.2

P/E over 35. The market is pricing in heavy, sustained growth.

Cheaper or dearer next year
P/E vs Forward
+80.0
GROWING
Earnings expected to grow meaningfully — cheaper on forward P/E (108.2 → 28.3)

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Dividends

Not applicable for this business.
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