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Side-by-side financial comparison of Adagio Medical Holdings, Inc. (ADGM) and Penumbra Inc (PEN). Click either name above to swap in a different company.
Penumbra Inc produced more free cash flow last quarter ($68.0M vs $-3.5M).
Adagio Medical Holdings, Inc. is a medical technology company focused on developing and commercializing innovative cryoablation platforms for treating cardiac arrhythmias, most notably atrial fibrillation. Its solutions are designed for electrophysiology clinicians, with primary commercial operations across North America and Europe, focused on improving safety and outcomes for patients living with heart rhythm disorders.
Penumbra, Inc. is an American medical device company headquartered in Alameda, California. The company was founded by Arani Bose and Adam Elsesser in 2004. It manufactures devices for interventional therapies to treat vascular conditions such as stroke and aneurysm.
ADGM vs PEN — Head-to-Head
Income Statement — Q3 2025 vs Q4 2025
| Metric | | |
|---|---|---|
| Revenue | $0 | $385.4M |
| Net Profit | $-10.1M | $47.3M |
| Gross Margin | — | 68.0% |
| Operating Margin | — | 15.4% |
| Net Margin | — | 12.3% |
| Revenue YoY | — | 22.1% |
| Net Profit YoY | -380.6% | 40.6% |
| EPS (diluted) | $-0.66 | $1.20 |
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.
| Q4 25 | — | $385.4M | ||
| Q3 25 | $0 | $354.7M | ||
| Q2 25 | — | $339.5M | ||
| Q1 25 | — | $324.1M | ||
| Q4 24 | — | $315.5M | ||
| Q3 24 | $132.0K | $301.0M | ||
| Q2 24 | $254.0K | $299.4M | ||
| Q1 24 | — | $278.7M |
| Q4 25 | — | $47.3M | ||
| Q3 25 | $-10.1M | $45.9M | ||
| Q2 25 | — | $45.3M | ||
| Q1 25 | — | $39.2M | ||
| Q4 24 | — | $33.7M | ||
| Q3 24 | $3.6M | $29.5M | ||
| Q2 24 | $-5.7M | $-60.2M | ||
| Q1 24 | — | $11.0M |
| Q4 25 | — | 68.0% | ||
| Q3 25 | — | 67.8% | ||
| Q2 25 | — | 66.0% | ||
| Q1 25 | — | 66.6% | ||
| Q4 24 | — | 66.8% | ||
| Q3 24 | -213.6% | 66.5% | ||
| Q2 24 | -168.5% | 54.4% | ||
| Q1 24 | — | 65.0% |
| Q4 25 | — | 15.4% | ||
| Q3 25 | — | 13.8% | ||
| Q2 25 | — | 12.0% | ||
| Q1 25 | — | 12.4% | ||
| Q4 24 | — | 13.6% | ||
| Q3 24 | -3352.3% | 11.7% | ||
| Q2 24 | -2621.7% | -27.0% | ||
| Q1 24 | — | 4.3% |
| Q4 25 | — | 12.3% | ||
| Q3 25 | — | 12.9% | ||
| Q2 25 | — | 13.3% | ||
| Q1 25 | — | 12.1% | ||
| Q4 24 | — | 10.7% | ||
| Q3 24 | 2731.8% | 9.8% | ||
| Q2 24 | -2257.5% | -20.1% | ||
| Q1 24 | — | 3.9% |
| Q4 25 | — | $1.20 | ||
| Q3 25 | $-0.66 | $1.17 | ||
| Q2 25 | — | $1.15 | ||
| Q1 25 | — | $1.00 | ||
| Q4 24 | — | $0.88 | ||
| Q3 24 | $0.02 | $0.75 | ||
| Q2 24 | $-7.35 | $-1.55 | ||
| Q1 24 | — | $0.28 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $4.7M | $186.9M |
| Total DebtLower is stronger | $21.2M | — |
| Stockholders' EquityBook value | $-1.3M | $1.4B |
| Total Assets | $31.5M | $1.8B |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | — | $186.9M | ||
| Q3 25 | $4.7M | $321.0M | ||
| Q2 25 | — | $421.8M | ||
| Q1 25 | — | $376.1M | ||
| Q4 24 | — | $324.4M | ||
| Q3 24 | $28.3M | $280.5M | ||
| Q2 24 | — | $288.3M | ||
| Q1 24 | — | $223.1M |
| Q4 25 | — | — | ||
| Q3 25 | $21.2M | — | ||
| Q2 25 | — | — | ||
| Q1 25 | — | — | ||
| Q4 24 | — | — | ||
| Q3 24 | $13.8M | — | ||
| Q2 24 | — | — | ||
| Q1 24 | — | — |
| Q4 25 | — | $1.4B | ||
| Q3 25 | $-1.3M | $1.4B | ||
| Q2 25 | — | $1.3B | ||
| Q1 25 | — | $1.2B | ||
| Q4 24 | — | $1.2B | ||
| Q3 24 | $76.6M | $1.1B | ||
| Q2 24 | $-140.5M | $1.2B | ||
| Q1 24 | — | $1.2B |
| Q4 25 | — | $1.8B | ||
| Q3 25 | $31.5M | $1.7B | ||
| Q2 25 | — | $1.7B | ||
| Q1 25 | — | $1.6B | ||
| Q4 24 | — | $1.5B | ||
| Q3 24 | $107.2M | $1.5B | ||
| Q2 24 | $-140.5M | $1.5B | ||
| Q1 24 | — | $1.6B |
| Q4 25 | — | — | ||
| Q3 25 | — | — | ||
| Q2 25 | — | — | ||
| Q1 25 | — | — | ||
| Q4 24 | — | — | ||
| Q3 24 | 0.18× | — | ||
| Q2 24 | — | — | ||
| Q1 24 | — | — |
Cash Flow & Capital Efficiency
How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.
| Metric | | |
|---|---|---|
| Operating Cash FlowLast quarter | $-3.0M | $86.5M |
| Free Cash FlowOCF − Capex | $-3.5M | $68.0M |
| FCF MarginFCF / Revenue | — | 17.7% |
| Capex IntensityCapex / Revenue | — | 4.8% |
| Cash ConversionOCF / Net Profit | — | 1.83× |
| TTM Free Cash FlowTrailing 4 quarters | — | $174.9M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | — | $86.5M | ||
| Q3 25 | $-3.0M | $58.3M | ||
| Q2 25 | — | $44.9M | ||
| Q1 25 | — | $49.0M | ||
| Q4 24 | — | $51.1M | ||
| Q3 24 | $-6.4M | $56.5M | ||
| Q2 24 | — | $22.6M | ||
| Q1 24 | — | $38.3M |
| Q4 25 | — | $68.0M | ||
| Q3 25 | $-3.5M | $42.0M | ||
| Q2 25 | — | $29.4M | ||
| Q1 25 | — | $35.5M | ||
| Q4 24 | — | $45.7M | ||
| Q3 24 | $-6.9M | $51.0M | ||
| Q2 24 | — | $18.1M | ||
| Q1 24 | — | $32.5M |
| Q4 25 | — | 17.7% | ||
| Q3 25 | — | 11.8% | ||
| Q2 25 | — | 8.7% | ||
| Q1 25 | — | 11.0% | ||
| Q4 24 | — | 14.5% | ||
| Q3 24 | -5254.5% | 16.9% | ||
| Q2 24 | — | 6.0% | ||
| Q1 24 | — | 11.7% |
| Q4 25 | — | 4.8% | ||
| Q3 25 | — | 4.6% | ||
| Q2 25 | — | 4.6% | ||
| Q1 25 | — | 4.2% | ||
| Q4 24 | — | 1.7% | ||
| Q3 24 | 437.9% | 1.8% | ||
| Q2 24 | — | 1.5% | ||
| Q1 24 | — | 2.1% |
| Q4 25 | — | 1.83× | ||
| Q3 25 | — | 1.27× | ||
| Q2 25 | — | 0.99× | ||
| Q1 25 | — | 1.25× | ||
| Q4 24 | — | 1.52× | ||
| Q3 24 | -1.76× | 1.91× | ||
| Q2 24 | — | — | ||
| Q1 24 | — | 3.48× |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
