vs

Side-by-side financial comparison of FINANCIAL INSTITUTIONS INC (FISI) and MIMEDX GROUP, INC. (MDXG). Click either name above to swap in a different company.

MIMEDX GROUP, INC. is the larger business by last-quarter revenue ($118.1M vs $62.7M, roughly 1.9× FINANCIAL INSTITUTIONS INC). FINANCIAL INSTITUTIONS INC runs the higher net margin — 33.5% vs 12.9%, a 20.6% gap on every dollar of revenue. Over the past eight quarters, MIMEDX GROUP, INC.'s revenue compounded faster (18.1% CAGR vs -2.0%).

The Mizuho Financial Group, Inc. , known from 2000 to 2003 as Mizuho Holdings and abbreviated as MHFG or simply Mizuho, is a Japanese banking holding company headquartered in the Ōtemachi district of Chiyoda, Tokyo, Japan. The group was formed in 2000–2002 by merger of Dai-Ichi Kangyo Bank, Fuji Bank, and Industrial Bank of Japan. The name mizuho (瑞穂) literally means "abundant rice" in Japanese and "harvest" in the figurative sense.

MiMedx is an American biomedical company based in Marietta, Georgia, founded in 2008. Using tissues from birth such as the placenta, amniotic sac, and umbilical cord, MiMedx creates skin for skin grafts for medical use.

FISI vs MDXG — Head-to-Head

Bigger by revenue
MDXG
MDXG
1.9× larger
MDXG
$118.1M
$62.7M
FISI
Higher net margin
FISI
FISI
20.6% more per $
FISI
33.5%
12.9%
MDXG
Faster 2-yr revenue CAGR
MDXG
MDXG
Annualised
MDXG
18.1%
-2.0%
FISI

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
FISI
FISI
MDXG
MDXG
Revenue
$62.7M
$118.1M
Net Profit
$21.0M
$15.2M
Gross Margin
83.9%
Operating Margin
17.8%
Net Margin
33.5%
12.9%
Revenue YoY
27.1%
Net Profit YoY
24.3%
104.2%
EPS (diluted)
$1.04
$0.10

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
FISI
FISI
MDXG
MDXG
Q1 26
$62.7M
Q4 25
$64.1M
$118.1M
Q3 25
$63.8M
$113.7M
Q2 25
$59.7M
$98.6M
Q1 25
$57.2M
$88.2M
Q4 24
$41.6M
$92.9M
Q3 24
$50.1M
$84.1M
Q2 24
$65.2M
$87.2M
Net Profit
FISI
FISI
MDXG
MDXG
Q1 26
$21.0M
Q4 25
$20.0M
$15.2M
Q3 25
$20.5M
$16.7M
Q2 25
$17.5M
$9.6M
Q1 25
$16.9M
$7.0M
Q4 24
$-82.8M
$7.4M
Q3 24
$13.5M
$8.1M
Q2 24
$25.6M
$17.6M
Gross Margin
FISI
FISI
MDXG
MDXG
Q1 26
Q4 25
83.9%
Q3 25
83.5%
Q2 25
81.1%
Q1 25
81.2%
Q4 24
81.8%
Q3 24
81.8%
Q2 24
83.0%
Operating Margin
FISI
FISI
MDXG
MDXG
Q1 26
Q4 25
37.4%
17.8%
Q3 25
39.5%
19.5%
Q2 25
36.0%
12.5%
Q1 25
36.0%
9.4%
Q4 24
-276.9%
11.9%
Q3 24
29.0%
13.3%
Q2 24
46.2%
26.9%
Net Margin
FISI
FISI
MDXG
MDXG
Q1 26
33.5%
Q4 25
38.3%
12.9%
Q3 25
32.1%
14.7%
Q2 25
29.3%
9.8%
Q1 25
29.5%
8.0%
Q4 24
-198.9%
8.0%
Q3 24
26.9%
9.6%
Q2 24
39.3%
20.2%
EPS (diluted)
FISI
FISI
MDXG
MDXG
Q1 26
$1.04
Q4 25
$0.96
$0.10
Q3 25
$0.99
$0.11
Q2 25
$0.85
$0.06
Q1 25
$0.81
$0.05
Q4 24
$-5.32
$0.05
Q3 24
$0.84
$0.05
Q2 24
$1.62
$0.12

Balance Sheet & Financial Strength

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

Metric
FISI
FISI
MDXG
MDXG
Cash + ST InvestmentsLiquidity on hand
$85.5M
$166.1M
Total DebtLower is stronger
$114.0M
$18.0M
Stockholders' EquityBook value
$256.5M
Total Assets
$6.3B
$342.7M
Debt / EquityLower = less leverage
0.07×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
FISI
FISI
MDXG
MDXG
Q1 26
$85.5M
Q4 25
$108.8M
$166.1M
Q3 25
$185.9M
$142.1M
Q2 25
$93.0M
$118.9M
Q1 25
$167.4M
$106.4M
Q4 24
$87.3M
$104.4M
Q3 24
$88.8M
Q2 24
$69.0M
Total Debt
FISI
FISI
MDXG
MDXG
Q1 26
$114.0M
Q4 25
$193.7M
$18.0M
Q3 25
$115.0M
Q2 25
$115.0M
Q1 25
$124.9M
Q4 24
$124.8M
$19.0M
Q3 24
$124.8M
Q2 24
$124.7M
Stockholders' Equity
FISI
FISI
MDXG
MDXG
Q1 26
Q4 25
$628.9M
$256.5M
Q3 25
$621.7M
$238.9M
Q2 25
$601.7M
$216.6M
Q1 25
$589.9M
$202.8M
Q4 24
$569.0M
$193.1M
Q3 24
$500.3M
$181.0M
Q2 24
$467.7M
$168.0M
Total Assets
FISI
FISI
MDXG
MDXG
Q1 26
$6.3B
Q4 25
$6.3B
$342.7M
Q3 25
$6.3B
$319.0M
Q2 25
$6.1B
$291.1M
Q1 25
$6.3B
$270.4M
Q4 24
$6.1B
$263.9M
Q3 24
$6.2B
$243.9M
Q2 24
$6.1B
$230.2M
Debt / Equity
FISI
FISI
MDXG
MDXG
Q1 26
Q4 25
0.31×
0.07×
Q3 25
0.18×
Q2 25
0.19×
Q1 25
0.21×
Q4 24
0.22×
0.10×
Q3 24
0.25×
Q2 24
0.27×

Cash Flow & Capital Efficiency

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

Metric
FISI
FISI
MDXG
MDXG
Operating Cash FlowLast quarter
$25.0M
Free Cash FlowOCF − Capex
FCF MarginFCF / Revenue
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
1.64×
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
FISI
FISI
MDXG
MDXG
Q1 26
Q4 25
$18.8M
$25.0M
Q3 25
$-6.9M
$29.3M
Q2 25
$-5.7M
$14.4M
Q1 25
$10.0M
$5.3M
Q4 24
$77.1M
$18.8M
Q3 24
$2.1M
$19.6M
Q2 24
$35.7M
$21.8M
Free Cash Flow
FISI
FISI
MDXG
MDXG
Q1 26
Q4 25
$13.3M
Q3 25
$-7.9M
Q2 25
$-7.3M
Q1 25
$9.2M
Q4 24
$72.2M
Q3 24
$-299.0K
Q2 24
$34.7M
FCF Margin
FISI
FISI
MDXG
MDXG
Q1 26
Q4 25
20.7%
Q3 25
-12.4%
Q2 25
-12.3%
Q1 25
16.1%
Q4 24
173.3%
Q3 24
-0.6%
Q2 24
53.3%
Capex Intensity
FISI
FISI
MDXG
MDXG
Q1 26
Q4 25
8.7%
Q3 25
1.6%
Q2 25
2.7%
Q1 25
1.4%
Q4 24
11.9%
Q3 24
4.9%
Q2 24
1.5%
Cash Conversion
FISI
FISI
MDXG
MDXG
Q1 26
Q4 25
0.94×
1.64×
Q3 25
-0.34×
1.75×
Q2 25
-0.33×
1.50×
Q1 25
0.59×
0.75×
Q4 24
2.53×
Q3 24
0.16×
2.42×
Q2 24
1.39×
1.24×

Financial Flow Comparison

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

Revenue Breakdown by Segment

FISI
FISI

Net Interest Income$52.0M83%
Noninterest Income$10.7M17%

MDXG
MDXG

Wound$78.7M67%
Surgical$39.4M33%

Related Comparisons