MDxHealth SA (NASDAQ: MDXH)

Sector: Healthcare Industry: Diagnostics & Research CIK: 0001872529
Market Cap 20.09 Mn
P/B -2.43
P/E -0.64
P/S 0.19
ROIC (Qtr) -10.32
Div Yield % 0.00
Rev 1y % (Qtr) 17.65
Total Debt (Qtr) 145.92 Mn
Debt/Equity (Qtr) -17.66

About

MDxHealth SA, a commercial-stage precision diagnostics company (MDXH), operates in the healthcare industry, specifically focusing on providing non-invasive, clinically actionable, and cost-effective urologic solutions to improve patient care. The company's primary business activities involve developing and commercializing proprietary tests that enhance prostate cancer diagnosis and treatment. MDxHealth generates revenue primarily through its Prostate Cancer segment, which caters to the prostate cancer diagnostic market. This market is substantial,...

Read more

Price action

Investment thesis

Bull case

  • Strong free cash flow of (6.98M) provides 12.58x coverage of acquisition spending (555000), indicating disciplined M&A strategy.
  • Robust tangible asset base of 75.92M provides 10.75x coverage of working capital 7.06M, indicating strong operational backing.
  • Tangible assets of 75.92M provide robust 10.49x coverage of other current liabilities 7.24M, indicating strong asset backing.
  • Retained earnings of (394.11M) represent substantial 47.70x of equity (8.26M), indicating strong internal capital generation.
  • Strong cash position of 32.01M provides 4.42x coverage of other current liabilities 7.24M, indicating excellent liquidity.

Bear case

  • Operating cash flow of (5.68M) barely covers its investment activities of (20.58M), with a coverage ratio of 0.28, indicating heavy reliance on external financing for growth which may not be sustainable in a tighter credit environment.
  • Investment activities of (20.58M) provide weak support for R&D spending of 9.86M, which is -2.09x, suggesting potentially insufficient investment in innovation relative to other capital deployment.
  • Cash reserves of 32.01M provide limited coverage of acquisition spending of (555000), which is -57.68x, suggesting aggressive expansion might strain liquidity if market conditions deteriorate.
  • The company's operating cash flow of (5.68M) shows concerning coverage of stock compensation expenses of 2.18M, with a -2.60 ratio indicating potential earnings quality issues.
  • High receivables of 18.24M relative to inventory of 6.08M (3 ratio) suggests aggressive credit terms or collection difficulties, potentially masking revenue quality issues.

Peer comparison

Companies in the Diagnostics & Research
S.No. Ticker Company Market Cap P/E P/S Total Debt (Qtr)
1 TMO Thermo Fisher Scientific Inc. 234.48 Bn 35.69 5.36 35.68 Bn
2 DHR Danaher Corp /De/ 171.11 Bn 48.85 7.05 16.86 Bn
3 IDXX Idexx Laboratories Inc /De 57.62 Bn 56.08 13.83 1.09 Bn
4 IQV Iqvia Holdings Inc. 42.37 Bn 33.03 2.66 15.19 Bn
5 A Agilent Technologies, Inc. 42.16 Bn 32.36 6.07 3.35 Bn
6 NTRA Natera, Inc. 31.64 Bn -102.32 14.95 0.18 Bn
7 MTD Mettler Toledo International Inc/ 30.89 Bn 36.96 7.84 2.21 Bn
8 WAT Waters Corp /De/ 23.59 Bn 36.37 7.60 1.49 Bn

Industry comparisons

Current Valuation Value Ind Avg Percentile
EV to Assets EV to Assets 0.76 2.82
EV to Cash from Ops. EV/CFO -20.54 19.55
EV to Debt EV to Debt 0.80 54.87
EV to EBIT EV/EBIT -10.11 18.82
EV to EBITDA EV/EBITDA -24.36 4.36
EV to Free Cash Flow [EV/FCF] EV/FCF -16.73 17.63
EV to Market Cap EV to Market Cap 5.81 1.58
EV to Revenue EV/Rev 1.13 5.06
Price to Book Value [P/B] P/B -2.43 1.35
Price to Earnings [P/E] P/E -0.64 18.88
Dividend Metrics Value Ind Avg Percentile
Dividend Coverage Ratio Dividend Coverage Ratio 0.00 -2.00
Dividend Payout Ratio % Div Payout % (Qtr) 0.00 2.86
Dividend per Basic Share Div per Share (Qtr) 0.00 0.19
FCF Dividend Payout Ratio % FCF Div Payout % (Qtr) 0.00 1.94
Interest Coverage Int. cover (Qtr) -0.57 -128.90
Growth Metrics Value Ind Avg Percentile
Capex Growth (1y) % Capex 1y % (Qtr) 3.65 -35.01
Cash and Equivalents Growth (1y) % Cash & Equiv 1y % (Qtr) -35.03 23.84
Dividend Growth (1y) % Dividend Growth (1y) % 0.00 0.25
EBIAT Growth (1y) % EBIAT 1y % (Qtr) 51.74 9.72
EBITDA Growth (1y) % EBITDA 1y % (Qtr) 74.76 -444.66
EBIT Growth (1y) % EBIT 1y % (Qtr) 50.98 8.29
EBT Growth (1y) % EBT 1y % (Qtr) 23.88 -6.03
EPS Growth (1y) % EPS 1y % (Qtr) 66.45 15.59
FCF Growth (1y) % FCF 1y % (Qtr) 71.07 56.57
Gross Profit Growth (1y) % Gross Profit 1y % (Qtr) 27.09 185.75
Liquidity Ratios Value Ind Avg Percentile
Asset Utilization Ratio Asset Util Ratio (Qtr) 0.67 0.57
Cash Payout Ratio Cash Payout Ratio 0.00 0.01
Cash Ratio Cash Ratio (Qtr) 0.63 1.23
Current Ratio Curr Ratio (Qtr) 1.14 2.70
Debt to Equity Ratio Debt/Equity (Qtr) -17.66 -0.84
Interest Cover Ratio Int Coverage (Qtr) -0.57 -128.90
Times Interest Earned Times Interest Earned (Qtr) -0.57 -128.90
Profitability Value Ind Avg Percentile
EBITDA Margin % EBITDA Margin % (Qtr) -2.50 -97.22
EBIT Margin % EBIT Margin % (Qtr) -11.21 -115.64
EBT Margin % EBT Margin % (Qtr) -30.73 -114.24
Gross Margin % Gross Margin % (Qtr) 64.50 44.76
Net Profit Margin % Net Margin % (Qtr) -30.50 -113.12