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

KINGSWAY FINANCIAL SERVICES INC is the larger business by last-quarter revenue ($38.6M vs $19.8M, roughly 1.9× MDxHealth SA).

Kingsway Financial Services Inc. is a specialty financial holding firm that primarily offers property and casualty insurance products, including personal auto, commercial liability and property coverage. It operates mainly across North American markets, catering to individual consumers, small business owners and niche commercial client segments.

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.

KFS vs MDXH — Head-to-Head

Bigger by revenue
KFS
KFS
1.9× larger
KFS
$38.6M
$19.8M
MDXH

Income Statement — Q4 FY2025 vs Q1 FY2025

Metric
KFS
KFS
MDXH
MDXH
Revenue
$38.6M
$19.8M
Net Profit
$-1.6M
Gross Margin
60.8%
Operating Margin
0.8%
-33.3%
Net Margin
-4.1%
Revenue YoY
30.1%
Net Profit YoY
-7.8%
EPS (diluted)
$-0.07

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
KFS
KFS
MDXH
MDXH
Q4 25
$38.6M
Q3 25
$37.2M
Q2 25
$30.9M
Q1 25
$28.3M
$19.8M
Q4 24
$29.6M
Q3 24
$27.1M
Q2 24
$26.4M
Q1 24
$26.2M
$14.7M
Net Profit
KFS
KFS
MDXH
MDXH
Q4 25
$-1.6M
Q3 25
$-2.4M
Q2 25
$-3.2M
Q1 25
$-3.1M
Q4 24
$-1.5M
Q3 24
$-2.3M
Q2 24
$-2.2M
Q1 24
$-2.3M
Gross Margin
KFS
KFS
MDXH
MDXH
Q4 25
Q3 25
Q2 25
Q1 25
60.8%
Q4 24
Q3 24
Q2 24
Q1 24
59.3%
Operating Margin
KFS
KFS
MDXH
MDXH
Q4 25
0.8%
Q3 25
-2.3%
Q2 25
-3.6%
Q1 25
-2.5%
-33.3%
Q4 24
6.5%
Q3 24
-2.5%
Q2 24
0.5%
Q1 24
2.9%
-59.3%
Net Margin
KFS
KFS
MDXH
MDXH
Q4 25
-4.1%
Q3 25
-6.5%
Q2 25
-10.2%
Q1 25
-10.9%
Q4 24
-5.0%
Q3 24
-8.5%
Q2 24
-8.3%
Q1 24
-8.9%
EPS (diluted)
KFS
KFS
MDXH
MDXH
Q4 25
$-0.07
Q3 25
$-0.10
Q2 25
$-0.13
Q1 25
$-0.13
Q4 24
$-0.08
Q3 24
$-0.10
Q2 24
$-0.08
Q1 24
$-0.09

Balance Sheet & Financial Strength

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

Metric
KFS
KFS
MDXH
MDXH
Cash + ST InvestmentsLiquidity on hand
$8.5M
Total DebtLower is stronger
$70.7M
Stockholders' EquityBook value
$15.2M
Total Assets
$231.5M
Debt / EquityLower = less leverage
4.66×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
KFS
KFS
MDXH
MDXH
Q4 25
$8.5M
Q3 25
$9.5M
Q2 25
$12.3M
Q1 25
$6.5M
Q4 24
$5.7M
Q3 24
$6.7M
Q2 24
$9.8M
Q1 24
$12.3M
Total Debt
KFS
KFS
MDXH
MDXH
Q4 25
$70.7M
Q3 25
$70.7M
Q2 25
$58.3M
Q1 25
$59.5M
Q4 24
$57.5M
Q3 24
$58.5M
Q2 24
$47.3M
Q1 24
$47.1M
Stockholders' Equity
KFS
KFS
MDXH
MDXH
Q4 25
$15.2M
Q3 25
$16.6M
Q2 25
$17.4M
Q1 25
$5.5M
Q4 24
$8.4M
Q3 24
$9.9M
Q2 24
$20.7M
Q1 24
$23.6M
Total Assets
KFS
KFS
MDXH
MDXH
Q4 25
$231.5M
Q3 25
$235.1M
Q2 25
$207.7M
Q1 25
$192.1M
Q4 24
$186.6M
Q3 24
$191.1M
Q2 24
$192.3M
Q1 24
$198.0M
Debt / Equity
KFS
KFS
MDXH
MDXH
Q4 25
4.66×
Q3 25
4.25×
Q2 25
3.34×
Q1 25
10.91×
Q4 24
6.84×
Q3 24
5.88×
Q2 24
2.29×
Q1 24
2.00×

Cash Flow & Capital Efficiency

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

Metric
KFS
KFS
MDXH
MDXH
Operating Cash FlowLast quarter
$-3.0K
Free Cash FlowOCF − Capex
FCF MarginFCF / Revenue
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
KFS
KFS
MDXH
MDXH
Q4 25
$-3.0K
Q3 25
$1.5M
Q2 25
$337.0K
Q1 25
$-1.8M
Q4 24
$1.1M
Q3 24
$368.0K
Q2 24
$557.0K
Q1 24
$249.0K
Free Cash Flow
KFS
KFS
MDXH
MDXH
Q4 25
Q3 25
$1.3M
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24
Q1 24
FCF Margin
KFS
KFS
MDXH
MDXH
Q4 25
Q3 25
3.4%
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24
Q1 24
Capex Intensity
KFS
KFS
MDXH
MDXH
Q4 25
Q3 25
0.5%
Q2 25
Q1 25
Q4 24
Q3 24
0.0%
Q2 24
Q1 24

Financial Flow Comparison

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

Revenue Breakdown by Segment

KFS
KFS

Other$14.8M38%
Roundhouse Electric Equipment Co Inc$9.7M25%
MLC Plumbing LLC$5.7M15%
Systems Products International Incspi$3.8M10%
Advanced Plumbing And Drain$2.9M8%
Southside Plumbing$1.7M4%

MDXH
MDXH

Segment breakdown not available.

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