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Side-by-side financial comparison of ALTA EQUIPMENT GROUP INC. (ALTG) 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 $509.1M, roughly 1.1× ALTA EQUIPMENT GROUP INC.). ALTA EQUIPMENT GROUP INC. runs the higher net margin — -2.3% vs -2.9%, a 0.6% gap on every dollar of revenue. On growth, ALTA EQUIPMENT GROUP INC. posted the faster year-over-year revenue change (2.2% vs -14.1%). ICU MEDICAL INC produced more free cash flow last quarter ($36.0M vs $32.8M). Over the past eight quarters, ALTA EQUIPMENT GROUP INC.'s revenue compounded faster (7.4% CAGR vs -2.3%).

The Alta Car and Engineering Company was a British sports and racing car manufacturer, commonly known simply as Alta. Their cars contested five FIA World Championship races between 1950 and 1952, as well as Grand Prix events prior to this. They also supplied engines to a small number of other constructors, most notably the Connaught and HWM teams.

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...

ALTG vs ICUI — Head-to-Head

Bigger by revenue
ICUI
ICUI
1.1× larger
ICUI
$540.7M
$509.1M
ALTG
Growing faster (revenue YoY)
ALTG
ALTG
+16.4% gap
ALTG
2.2%
-14.1%
ICUI
Higher net margin
ALTG
ALTG
0.6% more per $
ALTG
-2.3%
-2.9%
ICUI
More free cash flow
ICUI
ICUI
$3.2M more FCF
ICUI
$36.0M
$32.8M
ALTG
Faster 2-yr revenue CAGR
ALTG
ALTG
Annualised
ALTG
7.4%
-2.3%
ICUI

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ALTG
ALTG
ICUI
ICUI
Revenue
$509.1M
$540.7M
Net Profit
$-11.7M
$-15.7M
Gross Margin
23.5%
37.5%
Operating Margin
1.0%
1.0%
Net Margin
-2.3%
-2.9%
Revenue YoY
2.2%
-14.1%
Net Profit YoY
-10.4%
34.0%
EPS (diluted)
$-0.38
$-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
ALTG
ALTG
ICUI
ICUI
Q4 25
$509.1M
$540.7M
Q3 25
$422.6M
$537.0M
Q2 25
$481.2M
$548.9M
Q1 25
$423.0M
$604.7M
Q4 24
$498.1M
$629.8M
Q3 24
$448.8M
$589.1M
Q2 24
$488.1M
$596.5M
Q1 24
$441.6M
$566.7M
Net Profit
ALTG
ALTG
ICUI
ICUI
Q4 25
$-11.7M
$-15.7M
Q3 25
$-41.6M
$-3.4M
Q2 25
$-6.1M
$35.3M
Q1 25
$-20.9M
$-15.5M
Q4 24
$-10.6M
$-23.8M
Q3 24
$-27.7M
$-33.0M
Q2 24
$-11.9M
$-21.4M
Q1 24
$-11.9M
$-39.5M
Gross Margin
ALTG
ALTG
ICUI
ICUI
Q4 25
23.5%
37.5%
Q3 25
27.9%
37.4%
Q2 25
25.4%
37.9%
Q1 25
27.2%
34.7%
Q4 24
23.4%
36.1%
Q3 24
27.8%
34.8%
Q2 24
27.0%
34.8%
Q1 24
27.3%
32.7%
Operating Margin
ALTG
ALTG
ICUI
ICUI
Q4 25
1.0%
1.0%
Q3 25
1.1%
2.6%
Q2 25
2.6%
1.9%
Q1 25
0.2%
2.1%
Q4 24
0.5%
6.0%
Q3 24
1.5%
1.4%
Q2 24
2.1%
1.3%
Q1 24
-0.2%
-1.9%
Net Margin
ALTG
ALTG
ICUI
ICUI
Q4 25
-2.3%
-2.9%
Q3 25
-9.8%
-0.6%
Q2 25
-1.3%
6.4%
Q1 25
-4.9%
-2.6%
Q4 24
-2.1%
-3.8%
Q3 24
-6.2%
-5.6%
Q2 24
-2.4%
-3.6%
Q1 24
-2.7%
-7.0%
EPS (diluted)
ALTG
ALTG
ICUI
ICUI
Q4 25
$-0.38
$-0.63
Q3 25
$-1.31
$-0.14
Q2 25
$-0.21
$1.43
Q1 25
$-0.65
$-0.63
Q4 24
$-0.34
$-0.97
Q3 24
$-0.86
$-1.35
Q2 24
$-0.38
$-0.88
Q1 24
$-0.38
$-1.63

Balance Sheet & Financial Strength

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

Metric
ALTG
ALTG
ICUI
ICUI
Cash + ST InvestmentsLiquidity on hand
$18.6M
Total DebtLower is stronger
$724.0M
Stockholders' EquityBook value
$-8.8M
$2.1B
Total Assets
$1.3B
$4.1B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ALTG
ALTG
ICUI
ICUI
Q4 25
$18.6M
Q3 25
$14.1M
Q2 25
$13.2M
Q1 25
$11.1M
Q4 24
$13.4M
$308.6M
Q3 24
$14.6M
$312.5M
Q2 24
$4.5M
$302.6M
Q1 24
$5.6M
$251.4M
Total Debt
ALTG
ALTG
ICUI
ICUI
Q4 25
$724.0M
Q3 25
$745.6M
Q2 25
$732.6M
Q1 25
$735.0M
Q4 24
$695.3M
Q3 24
$712.6M
Q2 24
$727.3M
Q1 24
$674.4M
Stockholders' Equity
ALTG
ALTG
ICUI
ICUI
Q4 25
$-8.8M
$2.1B
Q3 25
$2.9M
$2.1B
Q2 25
$43.9M
$2.1B
Q1 25
$56.0M
$2.0B
Q4 24
$77.6M
$2.0B
Q3 24
$95.7M
$2.0B
Q2 24
$125.2M
$2.0B
Q1 24
$136.9M
$2.1B
Total Assets
ALTG
ALTG
ICUI
ICUI
Q4 25
$1.3B
$4.1B
Q3 25
$1.4B
$4.1B
Q2 25
$1.4B
$4.1B
Q1 25
$1.5B
$4.2B
Q4 24
$1.5B
$4.2B
Q3 24
$1.5B
$4.3B
Q2 24
$1.6B
$4.3B
Q1 24
$1.6B
$4.3B
Debt / Equity
ALTG
ALTG
ICUI
ICUI
Q4 25
Q3 25
257.10×
Q2 25
16.69×
Q1 25
13.13×
Q4 24
8.96×
Q3 24
7.45×
Q2 24
5.81×
Q1 24
4.93×

Cash Flow & Capital Efficiency

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

Metric
ALTG
ALTG
ICUI
ICUI
Operating Cash FlowLast quarter
$33.9M
$60.6M
Free Cash FlowOCF − Capex
$32.8M
$36.0M
FCF MarginFCF / Revenue
6.4%
6.6%
Capex IntensityCapex / Revenue
0.2%
4.6%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$23.8M
$91.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ALTG
ALTG
ICUI
ICUI
Q4 25
$33.9M
$60.6M
Q3 25
$2.5M
$56.7M
Q2 25
$14.1M
$11.2M
Q1 25
$-17.5M
$51.3M
Q4 24
$34.9M
$40.2M
Q3 24
$46.3M
$36.1M
Q2 24
$-10.7M
$82.0M
Q1 24
$-13.5M
$45.8M
Free Cash Flow
ALTG
ALTG
ICUI
ICUI
Q4 25
$32.8M
$36.0M
Q3 25
$-1.7M
$27.6M
Q2 25
$11.9M
$-8.5M
Q1 25
$-19.2M
$36.7M
Q4 24
$30.9M
$16.1M
Q3 24
$42.1M
$16.2M
Q2 24
$-13.5M
$62.5M
Q1 24
$-17.9M
$29.9M
FCF Margin
ALTG
ALTG
ICUI
ICUI
Q4 25
6.4%
6.6%
Q3 25
-0.4%
5.1%
Q2 25
2.5%
-1.5%
Q1 25
-4.5%
6.1%
Q4 24
6.2%
2.6%
Q3 24
9.4%
2.7%
Q2 24
-2.8%
10.5%
Q1 24
-4.1%
5.3%
Capex Intensity
ALTG
ALTG
ICUI
ICUI
Q4 25
0.2%
4.6%
Q3 25
1.0%
5.4%
Q2 25
0.5%
3.6%
Q1 25
0.4%
2.4%
Q4 24
0.8%
3.8%
Q3 24
0.9%
3.4%
Q2 24
0.6%
3.3%
Q1 24
1.0%
2.8%
Cash Conversion
ALTG
ALTG
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

ALTG
ALTG

New And Used Equipment Sales$300.9M59%
Parts Sales$68.1M13%
Services$59.3M12%
Rental Equipment Sales$38.0M7%
Design And Build Projects Automated Equipment Installation And System Integration Services$18.5M4%
Design And Build Solutions Automated Equipment Installation And System Integration And Software Services$14.6M3%
Master Distribution Segment$14.0M3%

ICUI
ICUI

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

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