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Side-by-side financial comparison of Enact Holdings, Inc. (ACT) and Pediatrix Medical Group, Inc. (MD). Click either name above to swap in a different company.

Pediatrix Medical Group, Inc. is the larger business by last-quarter revenue ($493.8M vs $312.7M, roughly 1.6× Enact Holdings, Inc.). On growth, Enact Holdings, Inc. posted the faster year-over-year revenue change (3.6% vs -1.7%). Over the past eight quarters, Enact Holdings, Inc.'s revenue compounded faster (3.6% CAGR vs -0.1%).

Enact Holdings, Inc. is a leading U.S.-based private mortgage insurance provider. It delivers risk mitigation solutions to residential mortgage lenders, banks, and credit unions, enabling borrowers with smaller down payments to access affordable home financing, and supports sustainable homeownership for diverse consumer groups across the United States.

Pediatrix Medical Group, Inc. is a leading U.S. specialized medical service provider focusing on maternal-fetal care, neonatology, pediatric cardiology and other pediatric subspecialties. It partners with U.S. healthcare facilities to deliver evidence-based care to women, newborns and children.

ACT vs MD — Head-to-Head

Bigger by revenue
MD
MD
1.6× larger
MD
$493.8M
$312.7M
ACT
Growing faster (revenue YoY)
ACT
ACT
+5.3% gap
ACT
3.6%
-1.7%
MD
Faster 2-yr revenue CAGR
ACT
ACT
Annualised
ACT
3.6%
-0.1%
MD

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ACT
ACT
MD
MD
Revenue
$312.7M
$493.8M
Net Profit
$33.7M
Gross Margin
Operating Margin
71.3%
9.9%
Net Margin
6.8%
Revenue YoY
3.6%
-1.7%
Net Profit YoY
10.5%
EPS (diluted)
$1.23
$0.40

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
ACT
ACT
MD
MD
Q4 25
$312.7M
$493.8M
Q3 25
$311.5M
$492.9M
Q2 25
$304.9M
$468.8M
Q1 25
$306.8M
$458.4M
Q4 24
$301.8M
$502.4M
Q3 24
$309.6M
$511.2M
Q2 24
$298.8M
$504.3M
Q1 24
$291.6M
$495.1M
Net Profit
ACT
ACT
MD
MD
Q4 25
$33.7M
Q3 25
$71.7M
Q2 25
$39.3M
Q1 25
$20.7M
Q4 24
$30.5M
Q3 24
$19.4M
Q2 24
$-153.0M
Q1 24
$4.0M
Operating Margin
ACT
ACT
MD
MD
Q4 25
71.3%
9.9%
Q3 25
67.4%
13.8%
Q2 25
70.4%
12.8%
Q1 25
68.9%
7.0%
Q4 24
68.9%
7.8%
Q3 24
74.1%
6.6%
Q2 24
78.6%
-31.3%
Q1 24
70.6%
3.2%
Net Margin
ACT
ACT
MD
MD
Q4 25
6.8%
Q3 25
14.5%
Q2 25
8.4%
Q1 25
4.5%
Q4 24
6.1%
Q3 24
3.8%
Q2 24
-30.3%
Q1 24
0.8%
EPS (diluted)
ACT
ACT
MD
MD
Q4 25
$1.23
$0.40
Q3 25
$1.10
$0.84
Q2 25
$1.11
$0.46
Q1 25
$1.08
$0.24
Q4 24
$1.05
$0.37
Q3 24
$1.15
$0.23
Q2 24
$1.16
$-1.84
Q1 24
$1.01
$0.05

Balance Sheet & Financial Strength

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

Metric
ACT
ACT
MD
MD
Cash + ST InvestmentsLiquidity on hand
$582.5M
$375.2M
Total DebtLower is stronger
$744.5M
$570.5M
Stockholders' EquityBook value
$5.4B
$865.9M
Total Assets
$6.9B
$2.2B
Debt / EquityLower = less leverage
0.14×
0.66×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ACT
ACT
MD
MD
Q4 25
$582.5M
$375.2M
Q3 25
$545.6M
$340.1M
Q2 25
$616.0M
$224.7M
Q1 25
$639.0M
$99.0M
Q4 24
$602.8M
$229.9M
Q3 24
$674.9M
$103.8M
Q2 24
$711.3M
$19.4M
Q1 24
$624.3M
$8.0M
Total Debt
ACT
ACT
MD
MD
Q4 25
$744.5M
$570.5M
Q3 25
$744.1M
$577.2M
Q2 25
$743.8M
$583.9M
Q1 25
$743.4M
$590.5M
Q4 24
$743.0M
$597.1M
Q3 24
$742.7M
Q2 24
$742.4M
Q1 24
$746.1M
Stockholders' Equity
ACT
ACT
MD
MD
Q4 25
$5.4B
$865.9M
Q3 25
$5.3B
$890.7M
Q2 25
$5.2B
$833.8M
Q1 25
$5.1B
$789.2M
Q4 24
$5.0B
$764.9M
Q3 24
$5.0B
$732.5M
Q2 24
$4.8B
$706.5M
Q1 24
$4.7B
$856.2M
Total Assets
ACT
ACT
MD
MD
Q4 25
$6.9B
$2.2B
Q3 25
$6.9B
$2.2B
Q2 25
$6.8B
$2.1B
Q1 25
$6.7B
$2.0B
Q4 24
$6.5B
$2.2B
Q3 24
$6.6B
$2.1B
Q2 24
$6.3B
$2.0B
Q1 24
$6.3B
$2.2B
Debt / Equity
ACT
ACT
MD
MD
Q4 25
0.14×
0.66×
Q3 25
0.14×
0.65×
Q2 25
0.14×
0.70×
Q1 25
0.15×
0.75×
Q4 24
0.15×
0.78×
Q3 24
0.15×
Q2 24
0.15×
Q1 24
0.16×

Cash Flow & Capital Efficiency

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

Metric
ACT
ACT
MD
MD
Operating Cash FlowLast quarter
$724.5M
$114.1M
Free Cash FlowOCF − Capex
FCF MarginFCF / Revenue
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
3.39×
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ACT
ACT
MD
MD
Q4 25
$724.5M
$114.1M
Q3 25
$192.0M
$137.3M
Q2 25
$119.5M
$137.2M
Q1 25
$226.7M
$-117.5M
Q4 24
$686.3M
$133.0M
Q3 24
$188.1M
$91.8M
Q2 24
$144.7M
$107.0M
Q1 24
$187.3M
$-125.2M
Cash Conversion
ACT
ACT
MD
MD
Q4 25
3.39×
Q3 25
1.91×
Q2 25
3.49×
Q1 25
-5.66×
Q4 24
4.36×
Q3 24
4.72×
Q2 24
Q1 24
-31.03×

Financial Flow Comparison

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

Revenue Breakdown by Segment

ACT
ACT

Segment breakdown not available.

MD
MD

Health Care Patient Service$421.6M85%
Hospitals Contracts$70.0M14%
Other$2.2M0%

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