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Side-by-side financial comparison of CITIZENS FINANCIAL SERVICES INC (CZFS) and MDxHealth SA (MDXH). Click either name above to swap in a different company.

CITIZENS FINANCIAL SERVICES INC is the larger business by last-quarter revenue ($29.6M vs $19.8M, roughly 1.5× MDxHealth SA).

Citizens Financial Group, Inc. is an American bank holding company, headquartered in Providence, Rhode Island. The company owns the bank Citizens Bank, N.A., which operates in the U.S. states of Connecticut, Delaware, Florida, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Vermont, and Virginia, as well as Washington, DC.

MDxHealth SA is a global molecular diagnostics company specializing in non-invasive precision oncology tests focused primarily on urological cancers including prostate and bladder cancer. It operates across key markets in North America and Europe, providing clinicians with actionable diagnostic insights to guide personalized treatment decisions, reduce unnecessary invasive procedures, and improve patient care outcomes.

CZFS vs MDXH — Head-to-Head

Bigger by revenue
CZFS
CZFS
1.5× larger
CZFS
$29.6M
$19.8M
MDXH

Income Statement — Q4 FY2025 vs Q1 FY2025

Metric
CZFS
CZFS
MDXH
MDXH
Revenue
$29.6M
$19.8M
Net Profit
$10.5M
Gross Margin
60.8%
Operating Margin
44.2%
-33.3%
Net Margin
35.4%
Revenue YoY
13.0%
Net Profit YoY
31.3%
EPS (diluted)
$2.17

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
CZFS
CZFS
MDXH
MDXH
Q4 25
$29.6M
Q3 25
$29.0M
Q2 25
$27.3M
Q1 25
$26.4M
$19.8M
Q4 24
$26.2M
Q3 24
$25.1M
Q2 24
$24.6M
Q1 24
$25.9M
$14.7M
Net Profit
CZFS
CZFS
MDXH
MDXH
Q4 25
$10.5M
Q3 25
$10.0M
Q2 25
$8.5M
Q1 25
$7.6M
Q4 24
$8.0M
Q3 24
$7.5M
Q2 24
$5.3M
Q1 24
$7.0M
Gross Margin
CZFS
CZFS
MDXH
MDXH
Q4 25
Q3 25
Q2 25
Q1 25
60.8%
Q4 24
Q3 24
Q2 24
Q1 24
59.3%
Operating Margin
CZFS
CZFS
MDXH
MDXH
Q4 25
44.2%
Q3 25
42.6%
Q2 25
38.1%
Q1 25
35.5%
-33.3%
Q4 24
37.2%
Q3 24
36.9%
Q2 24
25.9%
Q1 24
32.8%
-59.3%
Net Margin
CZFS
CZFS
MDXH
MDXH
Q4 25
35.4%
Q3 25
34.5%
Q2 25
31.0%
Q1 25
28.8%
Q4 24
30.5%
Q3 24
30.0%
Q2 24
21.4%
Q1 24
27.1%
EPS (diluted)
CZFS
CZFS
MDXH
MDXH
Q4 25
$2.17
Q3 25
$2.09
Q2 25
$1.76
Q1 25
$1.60
Q4 24
$1.64
Q3 24
$1.57
Q2 24
$1.10
Q1 24
$1.48

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
CZFS
CZFS
MDXH
MDXH
Cash + ST InvestmentsLiquidity on hand
$34.3M
Total DebtLower is stronger
Stockholders' EquityBook value
$338.1M
Total Assets
$3.1B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
CZFS
CZFS
MDXH
MDXH
Q4 25
$34.3M
Q3 25
$31.1M
Q2 25
$49.5M
Q1 25
$36.8M
Q4 24
$42.2M
Q3 24
$36.8M
Q2 24
$38.4M
Q1 24
$29.6M
Stockholders' Equity
CZFS
CZFS
MDXH
MDXH
Q4 25
$338.1M
Q3 25
$327.7M
Q2 25
$313.7M
Q1 25
$308.3M
Q4 24
$299.7M
Q3 24
$298.7M
Q2 24
$286.5M
Q1 24
$282.7M
Total Assets
CZFS
CZFS
MDXH
MDXH
Q4 25
$3.1B
Q3 25
$3.1B
Q2 25
$3.0B
Q1 25
$3.0B
Q4 24
$3.0B
Q3 24
$3.0B
Q2 24
$2.9B
Q1 24
$2.9B

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
CZFS
CZFS
MDXH
MDXH
Operating Cash FlowLast quarter
$36.5M
Free Cash FlowOCF − Capex
$35.2M
FCF MarginFCF / Revenue
119.0%
Capex IntensityCapex / Revenue
4.4%
Cash ConversionOCF / Net Profit
3.49×
TTM Free Cash FlowTrailing 4 quarters
$53.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
CZFS
CZFS
MDXH
MDXH
Q4 25
$36.5M
Q3 25
$2.9M
Q2 25
$6.0M
Q1 25
$10.9M
Q4 24
$33.2M
Q3 24
$6.2M
Q2 24
$3.0M
Q1 24
$13.5M
Free Cash Flow
CZFS
CZFS
MDXH
MDXH
Q4 25
$35.2M
Q3 25
$2.7M
Q2 25
$5.5M
Q1 25
$10.4M
Q4 24
$31.9M
Q3 24
$5.6M
Q2 24
$2.9M
Q1 24
$13.4M
FCF Margin
CZFS
CZFS
MDXH
MDXH
Q4 25
119.0%
Q3 25
9.4%
Q2 25
20.1%
Q1 25
39.2%
Q4 24
121.6%
Q3 24
22.3%
Q2 24
11.8%
Q1 24
51.5%
Capex Intensity
CZFS
CZFS
MDXH
MDXH
Q4 25
4.4%
Q3 25
0.5%
Q2 25
1.8%
Q1 25
2.2%
Q4 24
5.0%
Q3 24
2.5%
Q2 24
0.5%
Q1 24
0.4%
Cash Conversion
CZFS
CZFS
MDXH
MDXH
Q4 25
3.49×
Q3 25
0.29×
Q2 25
0.71×
Q1 25
1.44×
Q4 24
4.16×
Q3 24
0.83×
Q2 24
0.57×
Q1 24
1.92×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

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