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Side-by-side financial comparison of CASELLA WASTE SYSTEMS INC (CWST) 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 $469.1M, roughly 1.1× CASELLA WASTE SYSTEMS INC). Pediatrix Medical Group, Inc. runs the higher net margin — 6.8% vs -0.5%, a 7.4% gap on every dollar of revenue. On growth, CASELLA WASTE SYSTEMS INC posted the faster year-over-year revenue change (9.7% vs -1.7%). Over the past eight quarters, CASELLA WASTE SYSTEMS INC's revenue compounded faster (17.3% CAGR vs -0.1%).

Casella Waste Systems, Inc. is a waste management company based in Rutland, Vermont, United States. Founded in 1975 with a single truck, Casella is a regional, vertically integrated solid waste services company. Casella provides resource management expertise and services to residential, commercial, municipal and industrial customers, primarily in the areas of solid waste collection and disposal, transfer, recycling and organics services. The company provides integrated solid waste services in...

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.

CWST vs MD — Head-to-Head

Bigger by revenue
MD
MD
1.1× larger
MD
$493.8M
$469.1M
CWST
Growing faster (revenue YoY)
CWST
CWST
+11.4% gap
CWST
9.7%
-1.7%
MD
Higher net margin
MD
MD
7.4% more per $
MD
6.8%
-0.5%
CWST
Faster 2-yr revenue CAGR
CWST
CWST
Annualised
CWST
17.3%
-0.1%
MD

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
CWST
CWST
MD
MD
Revenue
$469.1M
$493.8M
Net Profit
$-2.5M
$33.7M
Gross Margin
33.3%
Operating Margin
2.5%
9.9%
Net Margin
-0.5%
6.8%
Revenue YoY
9.7%
-1.7%
Net Profit YoY
-151.5%
10.5%
EPS (diluted)
$-0.04
$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
CWST
CWST
MD
MD
Q4 25
$469.1M
$493.8M
Q3 25
$485.4M
$492.9M
Q2 25
$465.3M
$468.8M
Q1 25
$417.1M
$458.4M
Q4 24
$427.5M
$502.4M
Q3 24
$411.6M
$511.2M
Q2 24
$377.2M
$504.3M
Q1 24
$341.0M
$495.1M
Net Profit
CWST
CWST
MD
MD
Q4 25
$-2.5M
$33.7M
Q3 25
$10.0M
$71.7M
Q2 25
$5.2M
$39.3M
Q1 25
$-4.8M
$20.7M
Q4 24
$4.9M
$30.5M
Q3 24
$5.8M
$19.4M
Q2 24
$7.0M
$-153.0M
Q1 24
$-4.1M
$4.0M
Gross Margin
CWST
CWST
MD
MD
Q4 25
33.3%
Q3 25
35.0%
Q2 25
33.8%
Q1 25
32.8%
Q4 24
33.2%
Q3 24
35.1%
Q2 24
35.4%
Q1 24
32.3%
Operating Margin
CWST
CWST
MD
MD
Q4 25
2.5%
9.9%
Q3 25
6.1%
13.8%
Q2 25
4.1%
12.8%
Q1 25
0.8%
7.0%
Q4 24
4.3%
7.8%
Q3 24
5.9%
6.6%
Q2 24
6.1%
-31.3%
Q1 24
2.0%
3.2%
Net Margin
CWST
CWST
MD
MD
Q4 25
-0.5%
6.8%
Q3 25
2.1%
14.5%
Q2 25
1.1%
8.4%
Q1 25
-1.2%
4.5%
Q4 24
1.1%
6.1%
Q3 24
1.4%
3.8%
Q2 24
1.9%
-30.3%
Q1 24
-1.2%
0.8%
EPS (diluted)
CWST
CWST
MD
MD
Q4 25
$-0.04
$0.40
Q3 25
$0.16
$0.84
Q2 25
$0.08
$0.46
Q1 25
$-0.08
$0.24
Q4 24
$0.08
$0.37
Q3 24
$0.10
$0.23
Q2 24
$0.12
$-1.84
Q1 24
$-0.07
$0.05

Balance Sheet & Financial Strength

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

Metric
CWST
CWST
MD
MD
Cash + ST InvestmentsLiquidity on hand
$123.8M
$375.2M
Total DebtLower is stronger
$1.1B
$570.5M
Stockholders' EquityBook value
$1.6B
$865.9M
Total Assets
$3.3B
$2.2B
Debt / EquityLower = less leverage
0.72×
0.66×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
CWST
CWST
MD
MD
Q4 25
$123.8M
$375.2M
Q3 25
$192.7M
$340.1M
Q2 25
$217.8M
$224.7M
Q1 25
$267.7M
$99.0M
Q4 24
$358.3M
$229.9M
Q3 24
$519.0M
$103.8M
Q2 24
$208.5M
$19.4M
Q1 24
$189.5M
$8.0M
Total Debt
CWST
CWST
MD
MD
Q4 25
$1.1B
$570.5M
Q3 25
$1.1B
$577.2M
Q2 25
$1.1B
$583.9M
Q1 25
$1.1B
$590.5M
Q4 24
$1.1B
$597.1M
Q3 24
$1.0B
Q2 24
$976.6M
Q1 24
$980.9M
Stockholders' Equity
CWST
CWST
MD
MD
Q4 25
$1.6B
$865.9M
Q3 25
$1.6B
$890.7M
Q2 25
$1.6B
$833.8M
Q1 25
$1.5B
$789.2M
Q4 24
$1.6B
$764.9M
Q3 24
$1.5B
$732.5M
Q2 24
$1.0B
$706.5M
Q1 24
$1.0B
$856.2M
Total Assets
CWST
CWST
MD
MD
Q4 25
$3.3B
$2.2B
Q3 25
$3.3B
$2.2B
Q2 25
$3.3B
$2.1B
Q1 25
$3.2B
$2.0B
Q4 24
$3.2B
$2.2B
Q3 24
$3.1B
$2.1B
Q2 24
$2.5B
$2.0B
Q1 24
$2.5B
$2.2B
Debt / Equity
CWST
CWST
MD
MD
Q4 25
0.72×
0.66×
Q3 25
0.72×
0.65×
Q2 25
0.72×
0.70×
Q1 25
0.72×
0.75×
Q4 24
0.70×
0.78×
Q3 24
0.68×
Q2 24
0.94×
Q1 24
0.96×

Cash Flow & Capital Efficiency

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

Metric
CWST
CWST
MD
MD
Operating Cash FlowLast quarter
$96.6M
$114.1M
Free Cash FlowOCF − Capex
$39.3M
FCF MarginFCF / Revenue
8.4%
Capex IntensityCapex / Revenue
12.2%
Cash ConversionOCF / Net Profit
3.39×
TTM Free Cash FlowTrailing 4 quarters
$84.7M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
CWST
CWST
MD
MD
Q4 25
$96.6M
$114.1M
Q3 25
$93.6M
$137.3M
Q2 25
$89.5M
$137.2M
Q1 25
$50.1M
$-117.5M
Q4 24
$109.8M
$133.0M
Q3 24
$91.8M
$91.8M
Q2 24
$72.1M
$107.0M
Q1 24
$7.7M
$-125.2M
Free Cash Flow
CWST
CWST
MD
MD
Q4 25
$39.3M
Q3 25
$27.6M
Q2 25
$23.1M
Q1 25
$-5.4M
Q4 24
$32.9M
Q3 24
$40.4M
Q2 24
$27.5M
Q1 24
$-22.6M
FCF Margin
CWST
CWST
MD
MD
Q4 25
8.4%
Q3 25
5.7%
Q2 25
5.0%
Q1 25
-1.3%
Q4 24
7.7%
Q3 24
9.8%
Q2 24
7.3%
Q1 24
-6.6%
Capex Intensity
CWST
CWST
MD
MD
Q4 25
12.2%
Q3 25
13.6%
Q2 25
14.3%
Q1 25
13.3%
Q4 24
18.0%
Q3 24
12.5%
Q2 24
11.8%
Q1 24
8.9%
Cash Conversion
CWST
CWST
MD
MD
Q4 25
3.39×
Q3 25
9.37×
1.91×
Q2 25
17.19×
3.49×
Q1 25
-5.66×
Q4 24
22.51×
4.36×
Q3 24
15.91×
4.72×
Q2 24
10.29×
Q1 24
-31.03×

Financial Flow Comparison

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

Revenue Breakdown by Segment

CWST
CWST

Transferred Over Time$120.9M26%
Resource Solutions Region$92.9M20%
Collection$90.9M19%
Mid Atlantic Region$89.6M19%
National Accounts$60.9M13%
Landfill Revenue$8.3M2%
Processing Services$2.1M0%
Transportation$1.4M0%

MD
MD

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

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