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Side-by-side financial comparison of MDxHealth SA (MDXH) and NexPoint Real Estate Finance, Inc. (NREF). Click either name above to swap in a different company.

MDxHealth SA is the larger business by last-quarter revenue ($19.8M vs $11.1M, roughly 1.8× NexPoint Real Estate Finance, Inc.).

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.

NexPoint Real Estate Finance, Inc. is a US-based commercial real estate finance firm that offers structured financing solutions for multifamily, office, industrial, and hospitality properties. It focuses on originating, managing and servicing a diversified portfolio of mortgage loans and real estate-related investments to deliver stable risk-adjusted returns to stakeholders.

MDXH vs NREF — Head-to-Head

Bigger by revenue
MDXH
MDXH
1.8× larger
MDXH
$19.8M
$11.1M
NREF

Income Statement — Q1 FY2025 vs Q4 FY2025

Metric
MDXH
MDXH
NREF
NREF
Revenue
$19.8M
$11.1M
Net Profit
$24.0M
Gross Margin
60.8%
Operating Margin
-33.3%
Net Margin
216.6%
Revenue YoY
-48.8%
Net Profit YoY
58.7%
EPS (diluted)
$0.47

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
MDXH
MDXH
NREF
NREF
Q4 25
$11.1M
Q3 25
$12.5M
Q2 25
$12.1M
Q1 25
$19.8M
$11.5M
Q4 24
$21.7M
Q3 24
$12.5M
Q2 24
$6.7M
Q1 24
$14.7M
$-12.8M
Net Profit
MDXH
MDXH
NREF
NREF
Q4 25
$24.0M
Q3 25
$50.9M
Q2 25
$22.3M
Q1 25
$26.0M
Q4 24
$15.2M
Q3 24
$23.3M
Q2 24
$12.1M
Q1 24
$-14.6M
Gross Margin
MDXH
MDXH
NREF
NREF
Q4 25
Q3 25
Q2 25
Q1 25
60.8%
Q4 24
Q3 24
Q2 24
Q1 24
59.3%
Operating Margin
MDXH
MDXH
NREF
NREF
Q4 25
Q3 25
Q2 25
Q1 25
-33.3%
Q4 24
Q3 24
Q2 24
Q1 24
-59.3%
Net Margin
MDXH
MDXH
NREF
NREF
Q4 25
216.6%
Q3 25
407.0%
Q2 25
184.5%
Q1 25
225.6%
Q4 24
69.9%
Q3 24
186.4%
Q2 24
179.7%
Q1 24
114.3%
EPS (diluted)
MDXH
MDXH
NREF
NREF
Q4 25
$0.47
Q3 25
$1.14
Q2 25
$0.54
Q1 25
$0.70
Q4 24
$0.71
Q3 24
$0.74
Q2 24
$0.40
Q1 24
$-0.83

Balance Sheet & Financial Strength

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

Metric
MDXH
MDXH
NREF
NREF
Cash + ST InvestmentsLiquidity on hand
$31.1M
Total DebtLower is stronger
$771.2M
Stockholders' EquityBook value
$388.0M
Total Assets
$5.3B
Debt / EquityLower = less leverage
1.99×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MDXH
MDXH
NREF
NREF
Q4 25
$31.1M
Q3 25
$17.9M
Q2 25
$9.1M
Q1 25
$19.2M
Q4 24
$3.9M
Q3 24
$34.7M
Q2 24
$4.3M
Q1 24
$13.5M
Total Debt
MDXH
MDXH
NREF
NREF
Q4 25
$771.2M
Q3 25
$720.9M
Q2 25
$815.6M
Q1 25
$831.5M
Q4 24
$799.3M
Q3 24
$815.5M
Q2 24
$861.0M
Q1 24
$843.3M
Stockholders' Equity
MDXH
MDXH
NREF
NREF
Q4 25
$388.0M
Q3 25
$375.4M
Q2 25
$348.2M
Q1 25
$343.7M
Q4 24
$336.5M
Q3 24
$335.8M
Q2 24
$327.5M
Q1 24
$327.1M
Total Assets
MDXH
MDXH
NREF
NREF
Q4 25
$5.3B
Q3 25
$5.3B
Q2 25
$5.4B
Q1 25
$5.4B
Q4 24
$5.4B
Q3 24
$5.7B
Q2 24
$6.6B
Q1 24
$7.1B
Debt / Equity
MDXH
MDXH
NREF
NREF
Q4 25
1.99×
Q3 25
1.92×
Q2 25
2.34×
Q1 25
2.42×
Q4 24
2.38×
Q3 24
2.43×
Q2 24
2.63×
Q1 24
2.58×

Cash Flow & Capital Efficiency

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

Metric
MDXH
MDXH
NREF
NREF
Operating Cash FlowLast quarter
$-4.5M
Free Cash FlowOCF − Capex
FCF MarginFCF / Revenue
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
-0.19×
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
MDXH
MDXH
NREF
NREF
Q4 25
$-4.5M
Q3 25
$8.1M
Q2 25
$3.3M
Q1 25
$16.0M
Q4 24
$4.4M
Q3 24
$14.7M
Q2 24
$-7.5M
Q1 24
$17.7M
Cash Conversion
MDXH
MDXH
NREF
NREF
Q4 25
-0.19×
Q3 25
0.16×
Q2 25
0.15×
Q1 25
0.62×
Q4 24
0.29×
Q3 24
0.63×
Q2 24
-0.62×
Q1 24

Financial Flow Comparison

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

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