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SMLR vs MDXG
Revenue, margins, valuation, and 5-year total return — side by side.
Biotechnology
SMLR vs MDXG — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||
|---|---|---|
| Industry | Medical - Devices | Biotechnology |
| Market Cap | $311M | $544M |
| Revenue (TTM) | $37M | $389M |
| Net Income (TTM) | $48M | $31M |
| Gross Margin | 90.8% | 81.0% |
| Operating Margin | -94.7% | 10.2% |
| Forward P/E | 4.0x | 292.8x |
| Total Debt | $70K | $23M |
| Cash & Equiv. | $9M | $166M |
SMLR vs MDXG — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | Jan 26 | Return |
|---|---|---|---|
| Semler Scientific, … (SMLR) | 100 | 48.1 | -51.9% |
| MiMedx Group, Inc. (MDXG) | 100 | 188.6 | +88.6% |
Price return only. Dividends and distributions are not included.
Quick Verdict: SMLR vs MDXG
Each card shows where this stock fits in a portfolio — not just who wins on paper.
SMLR has the current edge in this matchup, primarily because of its strength in long-term compounding.
- 11.2% 10Y total return vs MDXG's -48.4%
- Lower P/E (4.0x vs 292.8x)
- 130.8% margin vs MDXG's 7.9%
MDXG is the clearest fit if your priority is income & stability and growth exposure.
- beta 1.22
- Rev growth 20.0%, EPS growth 14.3%, 3Y rev CAGR 16.1%
- Lower volatility, beta 1.22, Low D/E 8.8%, current ratio 4.32x
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 20.0% revenue growth vs SMLR's -17.4% | |
| Value | Lower P/E (4.0x vs 292.8x) | |
| Quality / Margins | 130.8% margin vs MDXG's 7.9% | |
| Stability / Safety | Beta 1.22 vs SMLR's 2.48 | |
| Dividends | Tie | Neither stock pays a meaningful dividend |
| Momentum (1Y) | -38.6% vs MDXG's -44.6% | |
| Efficiency (ROA) | 9.7% ROA vs SMLR's 8.1%, ROIC 42.3% vs 13.3% |
SMLR vs MDXG — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
Segment breakdown not available.
SMLR vs MDXG — Financial Metrics
Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.
Income & Cash Flow (Last 12 Months)
Evenly matched — SMLR and MDXG each lead in 3 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
MDXG is the larger business by revenue, generating $389M annually — 10.5x SMLR's $37M. SMLR is the more profitable business, keeping 130.8% of every revenue dollar as net income compared to MDXG's 7.9%. On growth, MDXG holds the edge at -33.1% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||
|---|---|---|
| RevenueTrailing 12 months | $37M | $389M |
| EBITDAEarnings before interest/tax | -$35M | $53M |
| Net IncomeAfter-tax profit | $48M | $31M |
| Free Cash FlowCash after capex | -$389M | $66M |
| Gross MarginGross profit ÷ Revenue | +90.8% | +81.0% |
| Operating MarginEBIT ÷ Revenue | -94.7% | +10.2% |
| Net MarginNet income ÷ Revenue | +130.8% | +7.9% |
| FCF MarginFCF ÷ Revenue | -10.5% | +17.0% |
| Rev. Growth (YoY)Latest quarter vs prior year | -44.6% | -33.1% |
| EPS Growth (YoY)Latest quarter vs prior year | +48.6% | -2.4% |
Valuation Metrics
Evenly matched — SMLR and MDXG each lead in 2 of 4 comparable metrics.
Valuation Metrics
At 4.0x trailing earnings, SMLR trades at a 65% valuation discount to MDXG's 11.4x P/E. On an enterprise value basis, MDXG's 5.1x EV/EBITDA is more attractive than SMLR's 14.0x.
| Metric | ||
|---|---|---|
| Market CapShares × price | $311M | $544M |
| Enterprise ValueMkt cap + debt − cash | $302M | $400M |
| Trailing P/EPrice ÷ TTM EPS | 3.96x | 11.44x |
| Forward P/EPrice ÷ next-FY EPS est. | — | 292.80x |
| PEG RatioP/E ÷ EPS growth rate | 0.18x | — |
| EV / EBITDAEnterprise value multiple | 14.04x | 5.08x |
| Price / SalesMarket cap ÷ Revenue | 5.52x | 1.30x |
| Price / BookPrice ÷ Book value/share | 0.70x | 2.14x |
| Price / FCFMarket cap ÷ FCF | — | 7.45x |
Profitability & Efficiency
MDXG leads this category, winning 7 of 9 comparable metrics.
Profitability & Efficiency
MDXG delivers a 12.9% return on equity — every $100 of shareholder capital generates $13 in annual profit, vs $11 for SMLR. SMLR carries lower financial leverage with a 0.00x debt-to-equity ratio, signaling a more conservative balance sheet compared to MDXG's 0.09x. On the Piotroski fundamental quality scale (0–9), MDXG scores 5/9 vs SMLR's 4/9, reflecting solid financial health.
| Metric | ||
|---|---|---|
| ROE (TTM)Return on equity | +10.5% | +12.9% |
| ROA (TTM)Return on assets | +8.1% | +9.7% |
| ROICReturn on invested capital | +13.3% | +42.3% |
| ROCEReturn on capital employed | +13.7% | +25.7% |
| Piotroski ScoreFundamental quality 0–9 | 4 | 5 |
| Debt / EquityFinancial leverage | 0.00x | 0.09x |
| Net DebtTotal debt minus cash | -$9M | -$144M |
| Cash & Equiv.Liquid assets | $9M | $166M |
| Total DebtShort + long-term debt | $70,000 | $23M |
| Interest CoverageEBIT ÷ Interest expense | -12.85x | 25.32x |
Total Returns (Dividends Reinvested)
SMLR leads this category, winning 5 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in MDXG five years ago would be worth $3,765 today (with dividends reinvested), compared to $1,791 for SMLR. Over the past 12 months, SMLR leads with a -38.6% total return vs MDXG's -44.6%. The 3-year compound annual growth rate (CAGR) favors SMLR at -6.8% vs MDXG's -14.3% — a key indicator of consistent wealth creation.
| Metric | ||
|---|---|---|
| YTD ReturnYear-to-date | +14.3% | -43.5% |
| 1-Year ReturnPast 12 months | -38.6% | -44.6% |
| 3-Year ReturnCumulative with dividends | -18.9% | -37.1% |
| 5-Year ReturnCumulative with dividends | -82.1% | -62.3% |
| 10-Year ReturnCumulative with dividends | +1124.7% | -48.4% |
| CAGR (3Y)Annualised 3-year return | -6.8% | -14.3% |
Risk & Volatility
MDXG leads this category, winning 2 of 2 comparable metrics.
Risk & Volatility
MDXG is the less volatile stock with a 1.22 beta — it tends to amplify market swings less than SMLR's 2.48 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. MDXG currently trades 45.8% from its 52-week high vs SMLR's 40.3% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||
|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 2.48x | 1.22x |
| 52-Week HighHighest price in past year | $50.44 | $7.99 |
| 52-Week LowLowest price in past year | $14.88 | $3.02 |
| % of 52W HighCurrent price vs 52-week peak | +40.3% | +45.8% |
| RSI (14)Momentum oscillator 0–100 | 52.4 | 48.7 |
| Avg Volume (50D)Average daily shares traded | 0 | 1.4M |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
Wall Street rates SMLR as "Buy" and MDXG as "Buy". Consensus price targets imply 173.2% upside for MDXG (target: $10) vs 148.4% for SMLR (target: $51).
| Metric | ||
|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy |
| Price TargetConsensus 12-month target | $50.50 | $10.00 |
| # AnalystsCovering analysts | 7 | 15 |
| Dividend YieldAnnual dividend ÷ price | — | — |
| Dividend StreakConsecutive years of raises | — | — |
| Dividend / ShareAnnual DPS | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | +0.6% |
MDXG leads in 2 of 6 categories (Profitability & Efficiency, Risk & Volatility). SMLR leads in 1 (Total Returns). 2 tied.
SMLR vs MDXG: Frequently Asked Questions
10 questions · data-driven answers · updated daily
01Is SMLR or MDXG a better buy right now?
For growth investors, MiMedx Group, Inc.
(MDXG) is the stronger pick with 20. 0% revenue growth year-over-year, versus -17. 4% for Semler Scientific, Inc. (SMLR). Semler Scientific, Inc. (SMLR) offers the better valuation at 4. 0x trailing P/E, making it the more compelling value choice. Analysts rate Semler Scientific, Inc. (SMLR) a "Buy" — based on 7 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.
02Which has the better valuation — SMLR or MDXG?
On trailing P/E, Semler Scientific, Inc.
(SMLR) is the cheapest at 4. 0x versus MiMedx Group, Inc. at 11. 4x.
03Which is the better long-term investment — SMLR or MDXG?
Over the past 5 years, MiMedx Group, Inc.
(MDXG) delivered a total return of -62. 3%, compared to -82. 1% for Semler Scientific, Inc. (SMLR). Over 10 years, the gap is even starker: SMLR returned +1125% versus MDXG's -48. 4%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.
04Which is safer — SMLR or MDXG?
By beta (market sensitivity over 5 years), MiMedx Group, Inc.
(MDXG) is the lower-risk stock at 1. 22β versus Semler Scientific, Inc. 's 2. 48β — meaning SMLR is approximately 104% more volatile than MDXG relative to the S&P 500. On balance sheet safety, Semler Scientific, Inc. (SMLR) carries a lower debt/equity ratio of 0% versus 9% for MiMedx Group, Inc. — giving it more financial flexibility in a downturn.
05Which is growing faster — SMLR or MDXG?
By revenue growth (latest reported year), MiMedx Group, Inc.
(MDXG) is pulling ahead at 20. 0% versus -17. 4% for Semler Scientific, Inc. (SMLR). On earnings-per-share growth, the picture is similar: Semler Scientific, Inc. grew EPS 95. 1% year-over-year, compared to 14. 3% for MiMedx Group, Inc.. Over a 3-year CAGR, MDXG leads at 16. 1% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.
06Which has better profit margins — SMLR or MDXG?
Semler Scientific, Inc.
(SMLR) is the more profitable company, earning 72. 7% net margin versus 11. 6% for MiMedx Group, Inc. — meaning it keeps 72. 7% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: SMLR leads at 37. 2% versus 15. 3% for MDXG. At the gross margin level — before operating expenses — SMLR leads at 91. 5%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.
07Is SMLR or MDXG more undervalued right now?
Analyst consensus price targets imply the most upside for MDXG: 173.
2% to $10. 00.
08Which pays a better dividend — SMLR or MDXG?
None of the stocks in this comparison currently pay a material dividend.
All are effectively zero-yield and should be held for capital appreciation rather than income.
09Is SMLR or MDXG better for a retirement portfolio?
For long-horizon retirement investors, Semler Scientific, Inc.
(SMLR) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (+1125% 10Y return). Both have compounded well over 10 years (SMLR: +1125%, MDXG: -48. 4%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.
10What are the main differences between SMLR and MDXG?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.
In terms of investment character: SMLR is a small-cap deep-value stock; MDXG is a small-cap high-growth stock. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.
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