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Side-by-side financial comparison of Evolent Health, Inc. (EVH) 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 $468.7M, roughly 1.2× Evolent Health, Inc.). ICU MEDICAL INC runs the higher net margin — -2.9% vs -91.6%, a 88.6% gap on every dollar of revenue. On growth, ICU MEDICAL INC posted the faster year-over-year revenue change (-14.1% vs -27.5%). Over the past eight quarters, ICU MEDICAL INC's revenue compounded faster (-2.3% CAGR vs -14.4%).
Magellan Health Inc., is an American for-profit managed health care company and subsidiary of Centene that focuses on special populations and other specialty areas of healthcare. Magellan's customers include health plans and other managed care organizations, employers, labor unions, various military and governmental agencies and third-party administrators. It ranked 390 on the Fortune 500 in 2021.
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...
EVH vs ICUI — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $468.7M | $540.7M |
| Net Profit | $-429.1M | $-15.7M |
| Gross Margin | 20.7% | 37.5% |
| Operating Margin | -87.1% | 1.0% |
| Net Margin | -91.6% | -2.9% |
| Revenue YoY | -27.5% | -14.1% |
| Net Profit YoY | -1782.0% | 34.0% |
| EPS (diluted) | $-3.76 | $-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.
| Q4 25 | $468.7M | $540.7M | ||
| Q3 25 | $479.5M | $537.0M | ||
| Q2 25 | $444.3M | $548.9M | ||
| Q1 25 | $483.6M | $604.7M | ||
| Q4 24 | $646.5M | $629.8M | ||
| Q3 24 | $621.4M | $589.1M | ||
| Q2 24 | $647.1M | $596.5M | ||
| Q1 24 | $639.7M | $566.7M |
| Q4 25 | $-429.1M | $-15.7M | ||
| Q3 25 | $-20.9M | $-3.4M | ||
| Q2 25 | $-19.9M | $35.3M | ||
| Q1 25 | $-64.6M | $-15.5M | ||
| Q4 24 | $-22.8M | $-23.8M | ||
| Q3 24 | $-23.1M | $-33.0M | ||
| Q2 24 | $1.6M | $-21.4M | ||
| Q1 24 | $-17.3M | $-39.5M |
| Q4 25 | 20.7% | 37.5% | ||
| Q3 25 | 20.8% | 37.4% | ||
| Q2 25 | 22.6% | 37.9% | ||
| Q1 25 | 21.2% | 34.7% | ||
| Q4 24 | 11.7% | 36.1% | ||
| Q3 24 | 13.0% | 34.8% | ||
| Q2 24 | 16.5% | 34.8% | ||
| Q1 24 | 16.3% | 32.7% |
| Q4 25 | -87.1% | 1.0% | ||
| Q3 25 | 0.2% | 2.6% | ||
| Q2 25 | -0.3% | 1.9% | ||
| Q1 25 | -0.3% | 2.1% | ||
| Q4 24 | -2.9% | 6.0% | ||
| Q3 24 | -2.6% | 1.4% | ||
| Q2 24 | 1.2% | 1.3% | ||
| Q1 24 | -2.1% | -1.9% |
| Q4 25 | -91.6% | -2.9% | ||
| Q3 25 | -4.4% | -0.6% | ||
| Q2 25 | -4.5% | 6.4% | ||
| Q1 25 | -13.4% | -2.6% | ||
| Q4 24 | -3.5% | -3.8% | ||
| Q3 24 | -3.7% | -5.6% | ||
| Q2 24 | 0.2% | -3.6% | ||
| Q1 24 | -2.7% | -7.0% |
| Q4 25 | $-3.76 | $-0.63 | ||
| Q3 25 | $-0.24 | $-0.14 | ||
| Q2 25 | $-0.44 | $1.43 | ||
| Q1 25 | $-0.63 | $-0.63 | ||
| Q4 24 | $-0.26 | $-0.97 | ||
| Q3 24 | $-0.27 | $-1.35 | ||
| Q2 24 | $-0.06 | $-0.88 | ||
| Q1 24 | $-0.22 | $-1.63 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $151.9M | — |
| Total DebtLower is stronger | — | — |
| Stockholders' EquityBook value | $415.2M | $2.1B |
| Total Assets | $1.9B | $4.1B |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $151.9M | — | ||
| Q3 25 | $116.7M | — | ||
| Q2 25 | $151.0M | — | ||
| Q1 25 | $246.5M | — | ||
| Q4 24 | $104.2M | $308.6M | ||
| Q3 24 | $96.6M | $312.5M | ||
| Q2 24 | $101.3M | $302.6M | ||
| Q1 24 | $165.1M | $251.4M |
| Q4 25 | $415.2M | $2.1B | ||
| Q3 25 | $842.2M | $2.1B | ||
| Q2 25 | $896.0M | $2.1B | ||
| Q1 25 | $935.5M | $2.0B | ||
| Q4 24 | $1.0B | $2.0B | ||
| Q3 24 | $1.0B | $2.0B | ||
| Q2 24 | $1.1B | $2.0B | ||
| Q1 24 | $1.0B | $2.1B |
| Q4 25 | $1.9B | $4.1B | ||
| Q3 25 | $2.5B | $4.1B | ||
| Q2 25 | $2.5B | $4.1B | ||
| Q1 25 | $2.7B | $4.2B | ||
| Q4 24 | $2.5B | $4.2B | ||
| Q3 24 | $2.5B | $4.3B | ||
| Q2 24 | $2.5B | $4.3B | ||
| Q1 24 | $2.6B | $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 | | |
|---|---|---|
| Operating Cash FlowLast quarter | $48.8M | $60.6M |
| Free Cash FlowOCF − Capex | — | $36.0M |
| FCF MarginFCF / Revenue | — | 6.6% |
| Capex IntensityCapex / Revenue | — | 4.6% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | — | $91.8M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $48.8M | $60.6M | ||
| Q3 25 | $15.8M | $56.7M | ||
| Q2 25 | $-30.3M | $11.2M | ||
| Q1 25 | $4.6M | $51.3M | ||
| Q4 24 | $-26.2M | $40.2M | ||
| Q3 24 | $18.7M | $36.1M | ||
| Q2 24 | $21.4M | $82.0M | ||
| Q1 24 | $4.9M | $45.8M |
| Q4 25 | — | $36.0M | ||
| Q3 25 | — | $27.6M | ||
| Q2 25 | — | $-8.5M | ||
| Q1 25 | — | $36.7M | ||
| Q4 24 | — | $16.1M | ||
| Q3 24 | — | $16.2M | ||
| Q2 24 | — | $62.5M | ||
| Q1 24 | — | $29.9M |
| Q4 25 | — | 6.6% | ||
| Q3 25 | — | 5.1% | ||
| Q2 25 | — | -1.5% | ||
| Q1 25 | — | 6.1% | ||
| Q4 24 | — | 2.6% | ||
| Q3 24 | — | 2.7% | ||
| Q2 24 | — | 10.5% | ||
| Q1 24 | — | 5.3% |
| Q4 25 | — | 4.6% | ||
| Q3 25 | — | 5.4% | ||
| Q2 25 | — | 3.6% | ||
| Q1 25 | — | 2.4% | ||
| Q4 24 | — | 3.8% | ||
| Q3 24 | — | 3.4% | ||
| Q2 24 | — | 3.3% | ||
| Q1 24 | — | 2.8% |
| Q4 25 | — | — | ||
| Q3 25 | — | — | ||
| Q2 25 | — | 0.32× | ||
| Q1 25 | — | — | ||
| Q4 24 | — | — | ||
| Q3 24 | — | — | ||
| Q2 24 | 13.42× | — | ||
| Q1 24 | — | — |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
EVH
| Commercial And Other Customers | $147.9M | 32% |
| Medicare Customers | $111.2M | 24% |
| Specialty Technology And Services Suite | $95.7M | 20% |
| Administrative Service | $55.8M | 12% |
| Cases | $47.7M | 10% |
| Related Party | $4.5M | 1% |
ICUI
| Infusion Consumables | $284.7M | 53% |
| Infusion Systems | $176.3M | 33% |
| Vital Care | $79.7M | 15% |
