Medical - Instruments & Supplies
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SMTI vs MDXG
Revenue, margins, valuation, and 5-year total return — side by side.
Biotechnology
SMTI vs MDXG — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||
|---|---|---|
| Industry | Medical - Instruments & Supplies | Biotechnology |
| Market Cap | $170M | $548M |
| Revenue (TTM) | $103M | $389M |
| Net Income (TTM) | $-38M | $31M |
| Gross Margin | 92.7% | 81.0% |
| Operating Margin | 4.9% | 10.2% |
| Forward P/E | 165.9x | 295.2x |
| Total Debt | $48M | $23M |
| Cash & Equiv. | $17M | $166M |
SMTI vs MDXG — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| Sanara MedTech Inc. (SMTI) | 100 | 161.0 | +61.0% |
| MiMedx Group, Inc. (MDXG) | 100 | 102.8 | +2.8% |
Price return only. Dividends and distributions are not included.
Quick Verdict: SMTI vs MDXG
Each card shows where this stock fits in a portfolio — not just who wins on paper.
SMTI is the clearest fit if your priority is long-term compounding.
- 218.0% 10Y total return vs MDXG's -48.5%
- Lower P/E (165.9x vs 295.2x)
- -40.1% vs MDXG's -47.1%
MDXG carries the broadest edge in this set and is the clearest fit for 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 SMTI's 19.0% | |
| Value | Lower P/E (165.9x vs 295.2x) | |
| Quality / Margins | 7.9% margin vs SMTI's -36.4% | |
| Stability / Safety | Beta 1.22 vs SMTI's 1.42, lower leverage | |
| Dividends | Tie | Neither stock pays a meaningful dividend |
| Momentum (1Y) | -40.1% vs MDXG's -47.1% | |
| Efficiency (ROA) | 9.7% ROA vs SMTI's -49.2%, ROIC 42.3% vs 11.8% |
SMTI vs MDXG — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
SMTI 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 — SMTI 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 — 3.8x SMTI's $103M. MDXG is the more profitable business, keeping 7.9% of every revenue dollar as net income compared to SMTI's -36.4%. On growth, SMTI holds the edge at +4.6% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||
|---|---|---|
| RevenueTrailing 12 months | $103M | $389M |
| EBITDAEarnings before interest/tax | $8M | $53M |
| Net IncomeAfter-tax profit | -$38M | $31M |
| Free Cash FlowCash after capex | $2M | $66M |
| Gross MarginGross profit ÷ Revenue | +92.7% | +81.0% |
| Operating MarginEBIT ÷ Revenue | +4.9% | +10.2% |
| Net MarginNet income ÷ Revenue | -36.4% | +7.9% |
| FCF MarginFCF ÷ Revenue | +2.1% | +17.0% |
| Rev. Growth (YoY)Latest quarter vs prior year | +4.6% | -33.1% |
| EPS Growth (YoY)Latest quarter vs prior year | +3.8% | -2.4% |
Valuation Metrics
MDXG leads this category, winning 4 of 6 comparable metrics.
Valuation Metrics
On an enterprise value basis, MDXG's 5.1x EV/EBITDA is more attractive than SMTI's 20.3x.
| Metric | ||
|---|---|---|
| Market CapShares × price | $170M | $548M |
| Enterprise ValueMkt cap + debt − cash | $202M | $405M |
| Trailing P/EPrice ÷ TTM EPS | -4.38x | 11.53x |
| Forward P/EPrice ÷ next-FY EPS est. | 165.91x | 295.20x |
| PEG RatioP/E ÷ EPS growth rate | — | — |
| EV / EBITDAEnterprise value multiple | 20.27x | 5.14x |
| Price / SalesMarket cap ÷ Revenue | 1.65x | 1.31x |
| Price / BookPrice ÷ Book value/share | 27.75x | 2.15x |
| Price / FCFMarket cap ÷ FCF | 78.85x | 7.51x |
Profitability & Efficiency
MDXG leads this category, winning 9 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 $-179 for SMTI. MDXG carries lower financial leverage with a 0.09x debt-to-equity ratio, signaling a more conservative balance sheet compared to SMTI's 8.13x. On the Piotroski fundamental quality scale (0–9), MDXG scores 5/9 vs SMTI's 4/9, reflecting solid financial health.
| Metric | ||
|---|---|---|
| ROE (TTM)Return on equity | -178.6% | +12.9% |
| ROA (TTM)Return on assets | -49.2% | +9.7% |
| ROICReturn on invested capital | +11.8% | +42.3% |
| ROCEReturn on capital employed | +15.6% | +25.7% |
| Piotroski ScoreFundamental quality 0–9 | 4 | 5 |
| Debt / EquityFinancial leverage | 8.13x | 0.09x |
| Net DebtTotal debt minus cash | $32M | -$144M |
| Cash & Equiv.Liquid assets | $17M | $166M |
| Total DebtShort + long-term debt | $48M | $23M |
| Interest CoverageEBIT ÷ Interest expense | -9.97x | 25.32x |
Total Returns (Dividends Reinvested)
SMTI leads this category, winning 4 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in SMTI five years ago would be worth $7,170 today (with dividends reinvested), compared to $3,712 for MDXG. Over the past 12 months, SMTI leads with a -40.1% total return vs MDXG's -47.1%. The 3-year compound annual growth rate (CAGR) favors MDXG at -14.1% vs SMTI's -20.7% — a key indicator of consistent wealth creation.
| Metric | ||
|---|---|---|
| YTD ReturnYear-to-date | -17.4% | -43.1% |
| 1-Year ReturnPast 12 months | -40.1% | -47.1% |
| 3-Year ReturnCumulative with dividends | -50.1% | -36.6% |
| 5-Year ReturnCumulative with dividends | -28.3% | -62.9% |
| 10-Year ReturnCumulative with dividends | +218.0% | -48.5% |
| CAGR (3Y)Annualised 3-year return | -20.7% | -14.1% |
Risk & Volatility
Evenly matched — SMTI and MDXG each lead in 1 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 SMTI's 1.42 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. SMTI currently trades 53.1% from its 52-week high vs MDXG's 46.2% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||
|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 1.42x | 1.22x |
| 52-Week HighHighest price in past year | $35.95 | $7.99 |
| 52-Week LowLowest price in past year | $16.04 | $3.02 |
| % of 52W HighCurrent price vs 52-week peak | +53.1% | +46.2% |
| RSI (14)Momentum oscillator 0–100 | 51.3 | 49.3 |
| Avg Volume (50D)Average daily shares traded | 57K | 1.4M |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
Wall Street rates SMTI as "Buy" and MDXG as "Buy". Consensus price targets imply 171.0% upside for MDXG (target: $10) vs 67.7% for SMTI (target: $32).
| Metric | ||
|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy |
| Price TargetConsensus 12-month target | $32.00 | $10.00 |
| # AnalystsCovering analysts | 3 | 15 |
| Dividend YieldAnnual dividend ÷ price | — | — |
| Dividend StreakConsecutive years of raises | 1 | — |
| Dividend / ShareAnnual DPS | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | +0.6% |
MDXG leads in 2 of 6 categories (Valuation Metrics, Profitability & Efficiency). SMTI leads in 1 (Total Returns). 2 tied.
SMTI vs MDXG: Frequently Asked Questions
10 questions · data-driven answers · updated daily
01Is SMTI 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 19. 0% for Sanara MedTech Inc. (SMTI). MiMedx Group, Inc. (MDXG) offers the better valuation at 11. 5x trailing P/E (295. 2x forward), making it the more compelling value choice. Analysts rate Sanara MedTech Inc. (SMTI) a "Buy" — based on 3 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 — SMTI or MDXG?
On forward P/E, Sanara MedTech Inc.
is actually cheaper at 165. 9x — notably different from the trailing picture, reflecting expected earnings growth.
03Which is the better long-term investment — SMTI or MDXG?
Over the past 5 years, Sanara MedTech Inc.
(SMTI) delivered a total return of -28. 3%, compared to -62. 9% for MiMedx Group, Inc. (MDXG). Over 10 years, the gap is even starker: SMTI returned +218. 0% versus MDXG's -48. 5%. 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 — SMTI or MDXG?
By beta (market sensitivity over 5 years), MiMedx Group, Inc.
(MDXG) is the lower-risk stock at 1. 22β versus Sanara MedTech Inc. 's 1. 42β — meaning SMTI is approximately 16% more volatile than MDXG relative to the S&P 500. On balance sheet safety, MiMedx Group, Inc. (MDXG) carries a lower debt/equity ratio of 9% versus 8% for Sanara MedTech Inc. — giving it more financial flexibility in a downturn.
05Which is growing faster — SMTI or MDXG?
By revenue growth (latest reported year), MiMedx Group, Inc.
(MDXG) is pulling ahead at 20. 0% versus 19. 0% for Sanara MedTech Inc. (SMTI). On earnings-per-share growth, the picture is similar: MiMedx Group, Inc. grew EPS 14. 3% year-over-year, compared to -282. 5% for Sanara MedTech Inc.. Over a 3-year CAGR, SMTI leads at 31. 0% 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 — SMTI or MDXG?
MiMedx Group, Inc.
(MDXG) is the more profitable company, earning 11. 6% net margin versus -36. 4% for Sanara MedTech Inc. — meaning it keeps 11. 6% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: MDXG leads at 15. 3% versus 7. 1% for SMTI. At the gross margin level — before operating expenses — SMTI leads at 92. 7%, 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 SMTI or MDXG more undervalued right now?
On forward earnings alone, Sanara MedTech Inc.
(SMTI) trades at 165. 9x forward P/E versus 295. 2x for MiMedx Group, Inc. — 129. 3x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for MDXG: 171. 0% to $10. 00.
08Which pays a better dividend — SMTI 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 SMTI or MDXG better for a retirement portfolio?
For long-horizon retirement investors, Sanara MedTech Inc.
(SMTI) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (+218. 0% 10Y return). Both have compounded well over 10 years (SMTI: +218. 0%, MDXG: -48. 5%), 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 SMTI 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.
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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