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Side-by-side financial comparison of DELCATH SYSTEMS, INC. (DCTH) and Usio, Inc. (USIO). Click either name above to swap in a different company.

Usio, Inc. is the larger business by last-quarter revenue ($22.2M vs $20.7M, roughly 1.1× DELCATH SYSTEMS, INC.). Usio, Inc. runs the higher net margin — -6.7% vs -9.1%, a 2.4% gap on every dollar of revenue. On growth, DELCATH SYSTEMS, INC. posted the faster year-over-year revenue change (37.3% vs 8.2%). DELCATH SYSTEMS, INC. produced more free cash flow last quarter ($7.7M vs $1.1M). Over the past eight quarters, DELCATH SYSTEMS, INC.'s revenue compounded faster (157.0% CAGR vs 3.0%).

Delcath Systems, Inc. is a publicly traded specialty pharmaceutical and medical device company, that develops percutaneous perfusion technologies for the targeted administration of high-dose chemotherapeutic agents to specific organs or regions of the body. Based in Queensbury, New York, the company has an intellectual property portfolio consisting of 28 patents worldwide. Delcath's Percutaneous Hepatic Perfusion (PHP) is currently undergoing Phase II and Phase III trials against tumors in th...

Usio, Inc. is an American financial technology company headquartered in San Antonio, Texas. It provides integrated electronic payment services, including ACH processing, credit card and debit card acceptance, payment facilitation for software platforms, prepaid card issuing and a document print and mail operation.

DCTH vs USIO — Head-to-Head

Bigger by revenue
USIO
USIO
1.1× larger
USIO
$22.2M
$20.7M
DCTH
Growing faster (revenue YoY)
DCTH
DCTH
+29.1% gap
DCTH
37.3%
8.2%
USIO
Higher net margin
USIO
USIO
2.4% more per $
USIO
-6.7%
-9.1%
DCTH
More free cash flow
DCTH
DCTH
$6.6M more FCF
DCTH
$7.7M
$1.1M
USIO
Faster 2-yr revenue CAGR
DCTH
DCTH
Annualised
DCTH
157.0%
3.0%
USIO

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
DCTH
DCTH
USIO
USIO
Revenue
$20.7M
$22.2M
Net Profit
$-1.9M
$-1.5M
Gross Margin
85.5%
21.9%
Operating Margin
-10.5%
-5.7%
Net Margin
-9.1%
-6.7%
Revenue YoY
37.3%
8.2%
Net Profit YoY
44.2%
-337.8%
EPS (diluted)
$-0.05
$-0.05

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
DCTH
DCTH
USIO
USIO
Q4 25
$20.7M
$22.2M
Q3 25
$20.6M
$21.2M
Q2 25
$24.2M
$20.0M
Q1 25
$19.8M
$22.0M
Q4 24
$15.1M
$20.6M
Q3 24
$11.2M
$21.3M
Q2 24
$7.8M
$20.1M
Q1 24
$3.1M
$21.0M
Net Profit
DCTH
DCTH
USIO
USIO
Q4 25
$-1.9M
$-1.5M
Q3 25
$830.0K
$-415.1K
Q2 25
$2.7M
$-366.7K
Q1 25
$1.1M
$-235.0K
Q4 24
$-3.4M
$628.9K
Q3 24
$1.9M
$2.9M
Q2 24
$-13.7M
$75.5K
Q1 24
$-11.1M
$-250.2K
Gross Margin
DCTH
DCTH
USIO
USIO
Q4 25
85.5%
21.9%
Q3 25
87.2%
23.0%
Q2 25
86.3%
25.8%
Q1 25
85.6%
21.9%
Q4 24
85.9%
24.6%
Q3 24
85.4%
23.0%
Q2 24
80.4%
23.9%
Q1 24
71.2%
23.1%
Operating Margin
DCTH
DCTH
USIO
USIO
Q4 25
-10.5%
-5.7%
Q3 25
-1.9%
-2.2%
Q2 25
10.7%
-2.0%
Q1 25
3.2%
-1.1%
Q4 24
20.1%
-2.9%
Q3 24
-11.2%
-1.8%
Q2 24
-50.4%
-1.0%
Q1 24
-327.4%
-1.3%
Net Margin
DCTH
DCTH
USIO
USIO
Q4 25
-9.1%
-6.7%
Q3 25
4.0%
-2.0%
Q2 25
11.2%
-1.8%
Q1 25
5.4%
-1.1%
Q4 24
-22.5%
3.1%
Q3 24
16.6%
13.4%
Q2 24
-176.9%
0.4%
Q1 24
-354.0%
-1.2%
EPS (diluted)
DCTH
DCTH
USIO
USIO
Q4 25
$-0.05
$-0.05
Q3 25
$0.02
$-0.02
Q2 25
$0.07
$-0.01
Q1 25
$0.03
$-0.01
Q4 24
$-0.06
$0.03
Q3 24
$0.06
$0.10
Q2 24
$-0.48
$0.00
Q1 24
$-0.45
$-0.01

Balance Sheet & Financial Strength

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

Metric
DCTH
DCTH
USIO
USIO
Cash + ST InvestmentsLiquidity on hand
$43.5M
$7.4M
Total DebtLower is stronger
$1.4M
Stockholders' EquityBook value
$111.2M
$17.9M
Total Assets
$123.6M
$134.9M
Debt / EquityLower = less leverage
0.08×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
DCTH
DCTH
USIO
USIO
Q4 25
$43.5M
$7.4M
Q3 25
$41.8M
$7.7M
Q2 25
$34.4M
$8.1M
Q1 25
$12.8M
$8.7M
Q4 24
$32.4M
$8.1M
Q3 24
$8.3M
$8.4M
Q2 24
$14.8M
$7.2M
Q1 24
$11.8M
$7.1M
Total Debt
DCTH
DCTH
USIO
USIO
Q4 25
$1.4M
Q3 25
$836.7K
Q2 25
$647.1K
Q1 25
$683.3K
Q4 24
$0
$719.4K
Q3 24
$2.0M
$562.9K
Q2 24
$4.5M
$597.2K
Q1 24
$7.4M
$630.9K
Stockholders' Equity
DCTH
DCTH
USIO
USIO
Q4 25
$111.2M
$17.9M
Q3 25
$114.8M
$18.7M
Q2 25
$105.0M
$18.7M
Q1 25
$80.2M
$19.0M
Q4 24
$68.7M
$19.2M
Q3 24
$8.6M
$18.9M
Q2 24
$4.2M
$15.7M
Q1 24
$14.6M
$15.3M
Total Assets
DCTH
DCTH
USIO
USIO
Q4 25
$123.6M
$134.9M
Q3 25
$124.3M
$99.4M
Q2 25
$116.9M
$108.4M
Q1 25
$87.3M
$109.6M
Q4 24
$76.6M
$107.2M
Q3 24
$31.7M
$114.6M
Q2 24
$33.9M
$108.8M
Q1 24
$36.1M
$99.1M
Debt / Equity
DCTH
DCTH
USIO
USIO
Q4 25
0.08×
Q3 25
0.04×
Q2 25
0.03×
Q1 25
0.04×
Q4 24
0.00×
0.04×
Q3 24
0.23×
0.03×
Q2 24
1.07×
0.04×
Q1 24
0.50×
0.04×

Cash Flow & Capital Efficiency

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

Metric
DCTH
DCTH
USIO
USIO
Operating Cash FlowLast quarter
$8.2M
$1.5M
Free Cash FlowOCF − Capex
$7.7M
$1.1M
FCF MarginFCF / Revenue
37.1%
4.8%
Capex IntensityCapex / Revenue
2.7%
2.0%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$21.0M
$1.7M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
DCTH
DCTH
USIO
USIO
Q4 25
$8.2M
$1.5M
Q3 25
$4.8M
$303.8K
Q2 25
$7.3M
$-263.9K
Q1 25
$2.2M
$1.4M
Q4 24
$-1.0M
$2.9M
Q3 24
$-3.6M
$1.4M
Q2 24
$-4.5M
$369.1K
Q1 24
$-9.6M
$88.7K
Free Cash Flow
DCTH
DCTH
USIO
USIO
Q4 25
$7.7M
$1.1M
Q3 25
$4.3M
$85.2K
Q2 25
$6.9M
$-503.2K
Q1 25
$2.1M
$1.1M
Q4 24
$-1.2M
$2.7M
Q3 24
$-3.9M
$1.4M
Q2 24
$-4.6M
$246.3K
Q1 24
$-9.6M
$-88.1K
FCF Margin
DCTH
DCTH
USIO
USIO
Q4 25
37.1%
4.8%
Q3 25
21.0%
0.4%
Q2 25
28.5%
-2.5%
Q1 25
10.4%
4.8%
Q4 24
-8.2%
13.1%
Q3 24
-34.4%
6.4%
Q2 24
-58.6%
1.2%
Q1 24
-305.7%
-0.4%
Capex Intensity
DCTH
DCTH
USIO
USIO
Q4 25
2.7%
2.0%
Q3 25
2.2%
1.0%
Q2 25
1.6%
1.2%
Q1 25
0.7%
1.4%
Q4 24
1.5%
1.0%
Q3 24
1.9%
0.3%
Q2 24
1.3%
0.6%
Q1 24
0.4%
0.8%
Cash Conversion
DCTH
DCTH
USIO
USIO
Q4 25
Q3 25
5.75×
Q2 25
2.70×
Q1 25
2.06×
Q4 24
4.61×
Q3 24
-1.95×
0.50×
Q2 24
4.89×
Q1 24

Financial Flow Comparison

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

Revenue Breakdown by Segment

DCTH
DCTH

HEPZATOKIT$19.1M92%
CHEMOSAT$1.7M8%

USIO
USIO

Credit Card Revenue$7.7M35%
ACH And Complementary Service Revenue$6.1M28%
Output Solutions$5.4M24%
Prepaid Card Services Revenue$2.6M12%

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