Mimedx Group
MDXG on Nasdaq. Mimedx Group sells wound care products to clinicians treating hard-to-heal wounds. Market value $663m.
Price checks use the past 12 months to June 2026. Some use the latest annual report instead, as marked. Quality checks use five annual reports, the latest for the year to December 2025.
Cash flow or capital spending isn't reported, so free cash flow is unknown.
Should I look at this?
Good business, but not cheap right now
Why it could be worth it
See cheaper Health care stocks on the list
This is not advice. Check the numbers below.
We could not compute this from the filings.
You pay 63.4 years of operating profit for the business. The average large US company costs around 18.
Each dollar kept in the business earns 43 cents a year. Above 10 is good.
Quality score: 82 of 100. Price score: 21 of 100. Our list needs 70 on quality and 60 on price.
$4.62 a share, 52% above its 1-year low
Over the past year the price has ranged from $3.03 to $7.97.
Pays no dividend
Prices from Tuesday’s close (6 October).
Five years of cash, in billions
| Revenue | |||||
| Revenue | $242m | $268m | $321m | $349m | $419m |
| Operating margin | |||||
| Operating margin | -2.9% | -5.5% | 11.5% | 16.9% | 15.3% |
| Debt to equity | |||||
| Debt to equity | 611.60 | n/a | 0.35 | 0.10 | 0.07 |
| Shares outstanding | |||||
| Shares outstanding | 0.11bn | 0.12bn | 0.15bn | 0.15bn | 0.15bn |
Health checks
- Free cash flow positive1 of 3 years
- Accounting looks honest (Beneish)Nothing unusual
- Financial strength (Piotroski)6 of 9
- Profit backed by cash (accruals)Yes
- Debt0.07× equity
- Revenue growth, five yearsStrong, 11.0% a year
- Buying back its own sharesNo, 28% more shares since 2021
The quarter to June 2026
How the business did, compared with the same quarter a year earlier.
- Sales: $64 million last quarter, down 35% on a year ago.
- A loss of $15 million, after a profit of $10 million a year ago.
- It keeps 2 cents of each $1 of sales as operating profit, down from 12 cents a year earlier.
- 1% fewer shares than a year ago. Each share owns a bit more of the company.
- It has $119 million more cash than debt, up from $100 million a year ago.
- Sales grew on a year ago in 2 of the last 4 quarters.
| Quarter to | Amount |
|---|---|
| September 2024 | $84m |
| December 2024 | $93m |
| March 2025 | $88m |
| June 2025 | $99m |
| September 2025 | $114m |
| December 2025 | $118m |
| March 2026 | $59m |
| June 2026 | $64m |
| Quarter to | Amount |
|---|---|
| September 2024 | $8m |
| December 2024 | $7m |
| March 2025 | $7m |
| June 2025 | $10m |
| September 2025 | $17m |
| December 2025 | $15m |
| March 2026 | -$11m |
| June 2026 | -$15m |
From the company's quarterly reports to the SEC.
Dates
- Next results (estimated)
- n/a
- Last annual report (10-K)
- 25 February 2026
- Next quarterly (estimated, 10-Q)
- 28 October 2026
Who owns it
2 long-term investors we follow own it, down from 3 last quarter. 226 funds in all.
- Royce & AssociatesChuck Royce
- Value
- $56,672
- Share of fund
- <0.1%
| Fund | Value | Share of that fund | Change |
|---|---|---|---|
| Cannell CapitalJ. Carlo Cannell | $7m | 5.0% | Added |
| Royce & AssociatesChuck Royce | $56,672 | <0.1% |
Sold out this quarter
Largest holders overall
- Essex Woodlands Management$109m
- BlackRock$47mAdded
- Nantahala Capital Management$37mAdded
- Trigran Investments$28m
- State Street$21mAdded
- Vanguard Capital Management$20m
- Paradigm Capital Management$16mAdded
- Geode Capital Management$12mAdded
- Goldman Sachs Group$10mAdded
- AQR Capital Management$9mAdded
From 13F filings for the quarter ended 30 June 2026.
Big holders and activists
1 investor owns more than 5%.
- Trigran Investments, Inc.Passive investorat least 4.2%(filed with 5 related holders)Since 31 December 2025
| Holder | Stake | Since | |
|---|---|---|---|
Trigran Investments, Inc. Passive investor | at least 4.2% (filed with 5 related holders) | 31 December 2025 |
From Schedule 13D and 13G filings: anyone owning more than 5% must file one.
What insiders did
No insider bought shares on the open market in the last 12 months. 1 sold $432,586.
- Maersk-Moller KimberlyChief Commercial OfficerSold
- Date
- 6 November 2025
- Shares
- 58,300
- Price
- $7.42
- Value
- $432,586
| Date | Who | Did | Shares | Price | Value |
|---|---|---|---|---|---|
| 6 November 2025 | Maersk-Moller Kimberly Chief Commercial Officer | Sold | 58,300 | $7.42 | $432,586 |
From Form 4 filings: insiders must report trades in their own company's shares within two days.
Warning signs in its filings
Problems the company itself reported to the SEC, in its own words.
We couldn’t fully check Mimedx Group’s latest annual report.
We look for five warning signs: doubt it can keep going, weak checks on its own accounts, a notice that its past accounts can't be relied on, a change of auditor, and one customer bringing in a big share of sales. We don't check lawsuits, investigations or debt yet.
We couldn't fully read the 10-K filed 25 Feb 2026, so we can't say there are no warning signs.
A 10-K is the yearly report every US company files with the SEC. An 8-K is a short notice of a big event.
What could go wrong
- It isn't cheap on profits: 63.4× operating profit.
Whether the price already reflects the risks is what the deep dive is for.
What changed in the risks this year
Companies must list what could hurt them each year. These are the parts that changed since last year’s report.
Our revenues depend on adequate reimbursement from public and private insurers and health systems and changes to the ways in which our products are reimbursed in various sites of service could adversely impact our financial results.
Could happenAt the end of 2025, CMS announced sweeping changes related to the reimbursement of skin substitutes, beginning January 1, 2026. These changes include: 1) reimbursing skin substitute products uniformly across the HOPD and physician office and associated care settings and 2) changing the reimbursement rate for skin substitutes from the “ASP+6%” methodology to a flat rate at $127.14 per square centimeter in these care settings, subject to geographic adjustments. The specific policies were put into effect in the PFS and OPPS.
Read moreIncreased use of artificial intelligence (“AI”) and related technologies in the medical device industry could subject us to new risks and uncertainties, and our failure to effectively evaluate or adopt such technologies could adversely affect our business.
Could happenThe use of AI also presents operational, legal, and reputational risks. AI systems may produce inaccurate, incomplete, or biased outputs, and reliance on such outputs could negatively affect business decisions, product development, manufacturing processes, or regulatory and quality activities. In addition, the use of AI may increase our exposure to cybersecurity, data privacy, and intellectual property risks, particularly where third-party tools, datasets, or platforms are involved.
Read moreOur capital allocation decisions, including decisions regarding share repurchases, investments in inorganic opportunities, and other capital allocation activities, may not achieve their intended benefits and could adversely affect our financial condition and stock price.
Could happenShare repurchases are one method with which we may return capital to stockholders. However, there can be no assurance that any repurchases will enhance long-term shareholder value. Repurchases, if any, may be executed at prices that are higher than the market price of our common stock at a later date, or at times when other uses of capital would have produced greater returns. In addition, repurchases reduce the amount of cash available for other purposes, including investments in organic growth, acquisitions, debt repayment, or other strategic initiatives, which could limit our ability to respond to changing business conditions. In addition, share repurchases may be subject to excise taxes, which could further restrict our ability to deploy capital toward other purposes.
Read moreOur results of operations may be adversely affected by current and potential future healthcare reforms.
Could happenAt the end of 2025, CMS announced sweeping changes related to the reimbursement of skin substitutes, beginning January 1, 2026. These changes include: 1) reimbursing skin substitute products uniformly across the HOPD and physician office and associated care settings and 2) changing the reimbursement rate for skin substitutes from the “ASP+6%” methodology to a flat rate at $127.14 per square centimeter in these care settings, subject to geographic adjustments. The specific policies were put into effect in the PFS and OPPS.
Read moreIncreased use of artificial intelligence (“AI”) and related technologies in the medical device industry could subject us to new risks and uncertainties, and our failure to effectively evaluate or adopt such technologies could adversely affect our business.
Could happenOur ability to successfully assess whether, when, and how to adopt AI technologies, and to manage the associated risks, will depend on a number of factors that are difficult to predict. Any failure to appropriately respond to the increasing role of AI in our industry could adversely affect our business, results of operations, or competitive position.
Read more
The deep dive
Everything above is arithmetic on public filings. The deep dive reads the last ten years of annual reports, the proxy statements, and the earnings calls, then argues the case the way Buffett, Klarman, and Hohn would, and checks every claim against the source.
- What the business is worth, as a range, and the margin of safety at today’s price
- Prices to start buying, buy, and buy hard
- The three things that would make this a mistake
- Every number footnoted to the filing it came from
Your first deep dive is free.
Not advice. Numbers on this page come from SEC filings and are updated each night; prices are updated again after the US market closes. The five-year figures are rounded.