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MiMedx Group

MDXG
51
Biotechnology · Healthcare
Price
$4.30
-0.13 (-2.93%)
Market Cap
$640.5M
Exchange
NASDAQ
Winston Score
51
Winston is curious
Mixed quality — meaningful strengths and weaknesses.

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)

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.

Winston Score History

Growth Profile

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

Revenue Growth

-33.1% YoY

YoY Growth Rate

Revenue declining

EPS Growth

-240.0% YoY

YoY Growth Rate

Earnings declining

R&D Spend

$15M/ year

Rising (+22% vs prior year)

3.6% of revenue

Below sector average (18%)

R&D investment increasing — building for the future

Insider Activity

20.8%ownership

Flat

Insiders holding steady — not selling despite ability to

Cash Position

Cash flow positive

$160M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

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

Revenue declining

MiMedx Group's revenue is actually shrinking. In a growth stock, that removes the core investment thesis. The low Winston Score here may be warranted — unless there's a turnaround story.

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

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Quality

Gross Margin
70.6%
Premium pricing power — 70.6% gross margin
Operating Margin
-27.2%
Losing money on operations — -27.2%
ROCE
-6.6%
Weak — -6.6% return on capital

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

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Growth

Sales YoY
+10.5%
Steady sales growth (10.5% YoY)
EPS YoY
-25.6%
Earnings shrinking (-25.6% YoY)

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

EPS Consistency
4/8 quarters
Earnings inconsistent quarter-to-quarter

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Cash Flow

Cash Conversion
230%
Turns 230% of profit into real cash
FCF Margin
16.8%
Converts sales into free cash efficiently (16.8%)

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

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Stability

Debt / Equity
0.01
Conservative — low debt load (0.01)
Interest Cover
23.78x
Comfortably covers interest (23.8x)

Interest coverage above 8. Profits cover interest many times over.

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Valuation

P/E Ratio (TTM)
21.0x
Growth-priced — P/E 21.0

P/E above the market average. People are paying up for expected growth.

P/E vs Forward
-3.9
SLOWING
Earnings expected to fall — forward P/E higher than today

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Dividends

Not applicable for this business.
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