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Side-by-side financial comparison of ADTRAN Holdings, Inc. (ADTN) and ICU MEDICAL INC (ICUI). Click either name above to swap in a different company.

ICU MEDICAL INC is the larger business by last-quarter revenue ($540.7M vs $291.6M, roughly 1.9× ADTRAN Holdings, Inc.). ADTRAN Holdings, Inc. runs the higher net margin — -1.2% vs -2.9%, a 1.7% gap on every dollar of revenue. On growth, ADTRAN Holdings, Inc. posted the faster year-over-year revenue change (20.1% vs -14.1%). ICU MEDICAL INC produced more free cash flow last quarter ($36.0M vs $30.6M). Over the past eight quarters, ADTRAN Holdings, Inc.'s revenue compounded faster (13.5% CAGR vs -2.3%).

Adtran, Inc. is an American fiber networking and telecommunications company headquartered in Huntsville, Alabama. It is a vendor of both residential and enterprise networking equipment, along with administrative software for network management and deployment. Its customers include communications service providers, governments, enterprises and utilities.

ICU Medical, Inc. is a medical technology company based in San Clemente, California. ICU Medical products are designed to prevent bloodstream infections and protect healthcare workers from exposure to infectious diseases or hazardous drugs. ICU Medical product line includes intravenous therapy (IV) products, pumps, needle-free vascular access devices, custom infusion sets, closed system hazardous drug handling devices and systems, sensor catheters, needle-free closed blood sampling systems, a...

ADTN vs ICUI — Head-to-Head

Bigger by revenue
ICUI
ICUI
1.9× larger
ICUI
$540.7M
$291.6M
ADTN
Growing faster (revenue YoY)
ADTN
ADTN
+34.2% gap
ADTN
20.1%
-14.1%
ICUI
Higher net margin
ADTN
ADTN
1.7% more per $
ADTN
-1.2%
-2.9%
ICUI
More free cash flow
ICUI
ICUI
$5.4M more FCF
ICUI
$36.0M
$30.6M
ADTN
Faster 2-yr revenue CAGR
ADTN
ADTN
Annualised
ADTN
13.5%
-2.3%
ICUI

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ADTN
ADTN
ICUI
ICUI
Revenue
$291.6M
$540.7M
Net Profit
$-3.6M
$-15.7M
Gross Margin
39.0%
37.5%
Operating Margin
1.5%
1.0%
Net Margin
-1.2%
-2.9%
Revenue YoY
20.1%
-14.1%
Net Profit YoY
92.2%
34.0%
EPS (diluted)
$-0.02
$-0.63

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
ADTN
ADTN
ICUI
ICUI
Q4 25
$291.6M
$540.7M
Q3 25
$279.4M
$537.0M
Q2 25
$265.1M
$548.9M
Q1 25
$247.7M
$604.7M
Q4 24
$242.9M
$629.8M
Q3 24
$227.7M
$589.1M
Q2 24
$226.0M
$596.5M
Q1 24
$226.2M
$566.7M
Net Profit
ADTN
ADTN
ICUI
ICUI
Q4 25
$-3.6M
$-15.7M
Q3 25
$-10.3M
$-3.4M
Q2 25
$-20.5M
$35.3M
Q1 25
$-11.3M
$-15.5M
Q4 24
$-46.1M
$-23.8M
Q3 24
$-33.3M
$-33.0M
Q2 24
$-49.7M
$-21.4M
Q1 24
$-330.8M
$-39.5M
Gross Margin
ADTN
ADTN
ICUI
ICUI
Q4 25
39.0%
37.5%
Q3 25
38.3%
37.4%
Q2 25
37.3%
37.9%
Q1 25
38.4%
34.7%
Q4 24
36.9%
36.1%
Q3 24
36.5%
34.8%
Q2 24
36.0%
34.8%
Q1 24
31.1%
32.7%
Operating Margin
ADTN
ADTN
ICUI
ICUI
Q4 25
1.5%
1.0%
Q3 25
-1.0%
2.6%
Q2 25
-5.0%
1.9%
Q1 25
-1.6%
2.1%
Q4 24
-6.9%
6.0%
Q3 24
-11.5%
1.4%
Q2 24
-17.0%
1.3%
Q1 24
-153.1%
-1.9%
Net Margin
ADTN
ADTN
ICUI
ICUI
Q4 25
-1.2%
-2.9%
Q3 25
-3.7%
-0.6%
Q2 25
-7.7%
6.4%
Q1 25
-4.5%
-2.6%
Q4 24
-19.0%
-3.8%
Q3 24
-14.6%
-5.6%
Q2 24
-22.0%
-3.6%
Q1 24
-146.2%
-7.0%
EPS (diluted)
ADTN
ADTN
ICUI
ICUI
Q4 25
$-0.02
$-0.63
Q3 25
$-0.12
$-0.14
Q2 25
$-0.24
$1.43
Q1 25
$-0.14
$-0.63
Q4 24
$-0.58
$-0.97
Q3 24
$-0.38
$-1.35
Q2 24
$-0.63
$-0.88
Q1 24
$-4.20
$-1.63

Balance Sheet & Financial Strength

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

Metric
ADTN
ADTN
ICUI
ICUI
Cash + ST InvestmentsLiquidity on hand
$95.7M
Total DebtLower is stronger
Stockholders' EquityBook value
$145.8M
$2.1B
Total Assets
$1.2B
$4.1B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ADTN
ADTN
ICUI
ICUI
Q4 25
$95.7M
Q3 25
$93.7M
Q2 25
$106.3M
Q1 25
$101.3M
Q4 24
$76.0M
$308.6M
Q3 24
$88.5M
$312.5M
Q2 24
$111.2M
$302.6M
Q1 24
$106.8M
$251.4M
Stockholders' Equity
ADTN
ADTN
ICUI
ICUI
Q4 25
$145.8M
$2.1B
Q3 25
$141.6M
$2.1B
Q2 25
$169.6M
$2.1B
Q1 25
$138.9M
$2.0B
Q4 24
$127.0M
$2.0B
Q3 24
$205.6M
$2.0B
Q2 24
$213.6M
$2.0B
Q1 24
$260.8M
$2.1B
Total Assets
ADTN
ADTN
ICUI
ICUI
Q4 25
$1.2B
$4.1B
Q3 25
$1.2B
$4.1B
Q2 25
$1.2B
$4.1B
Q1 25
$1.2B
$4.2B
Q4 24
$1.2B
$4.2B
Q3 24
$1.3B
$4.3B
Q2 24
$1.3B
$4.3B
Q1 24
$1.3B
$4.3B

Cash Flow & Capital Efficiency

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

Metric
ADTN
ADTN
ICUI
ICUI
Operating Cash FlowLast quarter
$42.2M
$60.6M
Free Cash FlowOCF − Capex
$30.6M
$36.0M
FCF MarginFCF / Revenue
10.5%
6.6%
Capex IntensityCapex / Revenue
4.0%
4.6%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$98.0M
$91.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ADTN
ADTN
ICUI
ICUI
Q4 25
$42.2M
$60.6M
Q3 25
$12.2M
$56.7M
Q2 25
$32.2M
$11.2M
Q1 25
$43.2M
$51.3M
Q4 24
$2.4M
$40.2M
Q3 24
$43.3M
$36.1M
Q2 24
$19.9M
$82.0M
Q1 24
$37.9M
$45.8M
Free Cash Flow
ADTN
ADTN
ICUI
ICUI
Q4 25
$30.6M
$36.0M
Q3 25
$4.2M
$27.6M
Q2 25
$27.5M
$-8.5M
Q1 25
$35.8M
$36.7M
Q4 24
$-895.0K
$16.1M
Q3 24
$37.1M
$16.2M
Q2 24
$8.4M
$62.5M
Q1 24
$24.4M
$29.9M
FCF Margin
ADTN
ADTN
ICUI
ICUI
Q4 25
10.5%
6.6%
Q3 25
1.5%
5.1%
Q2 25
10.4%
-1.5%
Q1 25
14.4%
6.1%
Q4 24
-0.4%
2.6%
Q3 24
16.3%
2.7%
Q2 24
3.7%
10.5%
Q1 24
10.8%
5.3%
Capex Intensity
ADTN
ADTN
ICUI
ICUI
Q4 25
4.0%
4.6%
Q3 25
2.9%
5.4%
Q2 25
1.8%
3.6%
Q1 25
3.0%
2.4%
Q4 24
1.4%
3.8%
Q3 24
2.7%
3.4%
Q2 24
5.1%
3.3%
Q1 24
6.0%
2.8%
Cash Conversion
ADTN
ADTN
ICUI
ICUI
Q4 25
Q3 25
Q2 25
0.32×
Q1 25
Q4 24
Q3 24
Q2 24
Q1 24

Financial Flow Comparison

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

Revenue Breakdown by Segment

ADTN
ADTN

Subscriber Solutions$96.2M33%
Optical Networking Solutions$81.8M28%
Access Aggregation Solutions$64.6M22%
Services And Support$48.9M17%

ICUI
ICUI

Infusion Consumables$284.7M53%
Infusion Systems$176.3M33%
Vital Care$79.7M15%

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