Company Description
MDxHealth SA (NASDAQ: MDXH), often referred to as mdxhealth, is a precision diagnostics company in the field of molecular oncology. According to the company’s disclosures, mdxhealth provides actionable molecular information that helps personalize patient diagnosis and treatment, with a primary focus on prostate cancer and other urologic diseases. The company’s tests are based on proprietary genomic, epigenomic (DNA methylation), exosomal and other molecular technologies, and are used by physicians to assist with both diagnosis and prognosis in urologic cancers.
MDxHealth states that it operates clinical laboratory service testing and also derives revenue from out-licensing its patented DNA methylation platform and biomarkers. Its molecular diagnostic tests are positioned to assist physicians in assessing the diagnosis of urologic cancers, the prognosis of recurrence risk, and the prediction of response to specific therapies. The company describes itself as a precision diagnostics business serving the urology market, with an expanded test menu that includes tissue-based and liquid-based assays.
Geographically, MDxHealth reports that it generates revenue from the United States and Europe. The company’s U.S. headquarters and laboratory operations are in Irvine, California, with additional laboratory operations in Waltham, Massachusetts and Plano, Texas, and its European headquarters are in Herstal, Belgium. MDxHealth is organized as a foreign private issuer and files reports with the U.S. Securities and Exchange Commission, including annual reports on Form 20-F and current reports on Form 6-K.
Business focus and test portfolio
In its public communications, mdxhealth emphasizes that its tests are designed to provide molecular insights that support clinical decision-making in prostate cancer and other urologic conditions. The company highlights a menu that includes tissue-based tests and liquid-based tests. Tissue-based tests include Confirm mdx and the Genomic Prostate Score (GPS) test, which the company associates with prostate cancer diagnosis and prognosis. Liquid-based tests referenced by mdxhealth include Select mdx, Resolve mdx, and Germline tests, as well as the ExoDx Prostate (EPI) test following the acquisition of the Exosome Diagnostics business from Bio‑Techne Corporation.
MDxHealth reports that the ExoDx Prostate test is a non-invasive, urine-based diagnostic that assesses the risk of having clinically significant or high‑grade prostate cancer. The company has stated that the addition of ExoDx Prostate to its portfolio expands its liquid-based diagnostic capabilities in prostate cancer. Across its portfolio, mdxhealth positions its tests as tools that can help physicians evaluate cancer risk, guide biopsy decisions, and inform treatment strategies in urologic oncology.
Research, clinical validation, and collaborations
The company’s news releases describe ongoing research and development and clinical validation efforts. MDxHealth has highlighted clinical studies and trials that evaluate the performance and clinical utility of its tests. For example, mdxhealth announced a collaboration with the University of Oxford involving the initiation of Genomic Prostate Score (GPS) testing in the UK ProtecT (Prostate Testing for Cancer and Treatment) trial, which it describes as a landmark randomized clinical trial of treatment effectiveness in localized prostate cancer. The company indicates that this study is intended to further validate GPS in predicting prostate cancer progression and long‑term treatment outcomes in an active surveillance cohort.
MDxHealth has also referred to earlier work with the ProMPT cohort, using samples to evaluate correlations between GPS and prostate cancer progression. According to the company, these efforts are aimed at building evidence that genomic classifiers such as GPS can add prognostic information to long‑term clinical outcome data. More broadly, mdxhealth notes that it incurs research and development expenses related to clinical trials and studies that support its precision diagnostics offering.
Corporate development and acquisitions
MDxHealth’s growth strategy, as described in its press releases, includes targeted acquisitions in prostate cancer diagnostics. The company completed the acquisition of the Oncotype DX GPS prostate cancer business (referred to as the GPS acquisition) from Exact Sciences and later amended the related earnout terms. In a subsequent update, mdxhealth reported that it and Exact Sciences agreed to defer and extend remaining earnout payments associated with that transaction, and that mdxhealth would issue warrants exercisable into shares of its common stock as part of the amended arrangement.
In addition, mdxhealth announced a definitive agreement, and later the closing, of the acquisition of the Exosome Diagnostics business from Bio‑Techne Corporation, including the ExoDx Prostate (EPI) test, a CLIA‑certified clinical laboratory, and related assets. The company has described this acquisition as expanding its liquid‑based diagnostic capabilities in prostate cancer and contributing to its revenue and adjusted EBITDA profile. MDxHealth has also disclosed that it uses the measurement period allowed under IFRS 3 to finalize acquisition accounting for this transaction.
Operations, markets, and financial reporting
MDxHealth reports its financial results under International Financial Reporting Standards (IFRS) and regularly communicates metrics such as revenue, gross profit, operating loss, net loss, and adjusted EBITDA. The company provides reconciliations between IFRS and non‑IFRS measures, explaining that adjusted EBITDA excludes items such as interest expense, depreciation and amortization of intangible assets, share‑based compensation, fair‑value adjustments, debt extinguishment costs, provisions for inventory obsolescence, certain acquisition‑related expenses, amendments related to earnout obligations, income tax effects, and other financial and non‑cash items.
In its quarterly and annual updates, mdxhealth has highlighted revenue growth and test volumes across tissue‑based and liquid‑based categories. The company has reported multiple consecutive quarters of year‑over‑year revenue growth of 20% or more, and has discussed its progress toward adjusted EBITDA profitability. It also discloses cash and cash equivalents balances and notes the use of debt facilities, such as an OrbiMed debt facility, to support obligations including earnout payments.
As a foreign private issuer, MDxHealth files Form 20‑F annual reports and Form 6‑K current reports with the SEC. Its Form 6‑K filings often incorporate press releases or interim reports, including financial results, acquisitions, management changes, and other corporate developments. The company notes that certain information furnished on Form 6‑K is not deemed filed for purposes of Section 18 of the Securities Exchange Act of 1934, unless specifically stated otherwise or incorporated by reference into a registration statement.
Leadership, governance, and listing
MDxHealth SA is listed on the NASDAQ under the ticker symbol MDXH. The company has reported changes in its board and management, such as the appointment of Michael Holder to its Board of Directors as Chair of the Audit Committee and the planned transition of its Chief Financial Officer role. These changes are described in press releases furnished on Form 6‑K and are presented as part of the company’s corporate governance and leadership structure.
MDxHealth’s board and management oversee its strategy in precision diagnostics, including its focus on urology markets, clinical evidence generation, and integration of acquired businesses. The company also references interactions with creditors and financial covenants, as well as its efforts to manage operating expenses while pursuing growth in test volumes and revenue.
Risk factors and regulatory environment
In its forward‑looking statements and risk factor summaries, MDxHealth identifies a range of considerations relevant to investors and stakeholders. These include the company’s ability to successfully and profitably market its products; acceptance of its tests by healthcare providers; the achievement and maintenance of adequate coverage and reimbursement levels from health insurance companies and other payers; and willingness of payers to reimburse for its products and services. The company also notes risks related to obtaining and maintaining regulatory approvals, complying with applicable regulations, and the timing, progress, and results of research and development programs.
Additional risks cited by mdxhealth include the sufficiency of its existing cash to fund future operating expenses and capital expenditure requirements, compliance with financial covenants and scheduled payments to creditors, and the possibility that anticipated benefits from acquisitions may not be realized in full or may take longer than expected. The company refers readers to the Risk Factors sections of its most recent Form 20‑F and other SEC reports for a more detailed discussion of these topics.
How MDxHealth generates value
Based on the company’s own descriptions, MDxHealth generates value by offering molecular diagnostic tests that provide additional information beyond traditional clinical and pathological assessments in urologic oncology. Its revenue is derived from clinical laboratory service testing and from out‑licensing its DNA methylation platform and biomarkers. The company’s focus on prostate cancer and other urologic diseases, along with its portfolio of tissue‑based and liquid‑based tests, positions it within the broader biotechnology and precision medicine landscape.
For investors and analysts researching MDXH stock, the company’s public materials emphasize sustained revenue growth, ongoing clinical validation efforts, and strategic acquisitions in prostate cancer diagnostics, while also outlining the operational, regulatory, and reimbursement risks inherent in its business model.