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Side-by-side financial comparison of Hess Midstream LP (HESM) 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 $404.2M, roughly 1.3× Hess Midstream LP). Hess Midstream LP runs the higher net margin — 23.1% vs -2.9%, a 26.0% gap on every dollar of revenue. On growth, Hess Midstream LP posted the faster year-over-year revenue change (2.1% vs -14.1%). Hess Midstream LP produced more free cash flow last quarter ($178.9M vs $36.0M). Over the past eight quarters, Hess Midstream LP's revenue compounded faster (6.6% CAGR vs -2.3%).

Hess Corporation is an American global independent energy company involved in the exploration and production of crude oil and natural gas. It was formed by the merger of Hess Oil and Chemical and Amerada Petroleum in 1968. Leon Hess was CEO from the early 1960s until 1995, after which his son John B Hess succeeded him as chairman and CEO. The company agreed to be acquired by rival oil company Chevron in October 2023, and the acquisition closed in July 2025.

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...

HESM vs ICUI — Head-to-Head

Bigger by revenue
ICUI
ICUI
1.3× larger
ICUI
$540.7M
$404.2M
HESM
Growing faster (revenue YoY)
HESM
HESM
+16.2% gap
HESM
2.1%
-14.1%
ICUI
Higher net margin
HESM
HESM
26.0% more per $
HESM
23.1%
-2.9%
ICUI
More free cash flow
HESM
HESM
$142.9M more FCF
HESM
$178.9M
$36.0M
ICUI
Faster 2-yr revenue CAGR
HESM
HESM
Annualised
HESM
6.6%
-2.3%
ICUI

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
HESM
HESM
ICUI
ICUI
Revenue
$404.2M
$540.7M
Net Profit
$93.3M
$-15.7M
Gross Margin
37.5%
Operating Margin
62.2%
1.0%
Net Margin
23.1%
-2.9%
Revenue YoY
2.1%
-14.1%
Net Profit YoY
32.5%
34.0%
EPS (diluted)
$-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
HESM
HESM
ICUI
ICUI
Q4 25
$404.2M
$540.7M
Q3 25
$420.9M
$537.0M
Q2 25
$414.2M
$548.9M
Q1 25
$382.0M
$604.7M
Q4 24
$395.9M
$629.8M
Q3 24
$378.5M
$589.1M
Q2 24
$365.5M
$596.5M
Q1 24
$355.6M
$566.7M
Net Profit
HESM
HESM
ICUI
ICUI
Q4 25
$93.3M
$-15.7M
Q3 25
$97.7M
$-3.4M
Q2 25
$90.3M
$35.3M
Q1 25
$71.6M
$-15.5M
Q4 24
$70.4M
$-23.8M
Q3 24
$58.6M
$-33.0M
Q2 24
$49.5M
$-21.4M
Q1 24
$44.6M
$-39.5M
Gross Margin
HESM
HESM
ICUI
ICUI
Q4 25
37.5%
Q3 25
37.4%
Q2 25
37.9%
Q1 25
34.7%
Q4 24
36.1%
Q3 24
34.8%
Q2 24
34.8%
Q1 24
32.7%
Operating Margin
HESM
HESM
ICUI
ICUI
Q4 25
62.2%
1.0%
Q3 25
61.5%
2.6%
Q2 25
62.8%
1.9%
Q1 25
62.1%
2.1%
Q4 24
61.4%
6.0%
Q3 24
61.2%
1.4%
Q2 24
60.8%
1.3%
Q1 24
62.4%
-1.9%
Net Margin
HESM
HESM
ICUI
ICUI
Q4 25
23.1%
-2.9%
Q3 25
23.2%
-0.6%
Q2 25
21.8%
6.4%
Q1 25
18.7%
-2.6%
Q4 24
17.8%
-3.8%
Q3 24
15.5%
-5.6%
Q2 24
13.5%
-3.6%
Q1 24
12.5%
-7.0%
EPS (diluted)
HESM
HESM
ICUI
ICUI
Q4 25
$-0.63
Q3 25
$-0.14
Q2 25
$1.43
Q1 25
$-0.63
Q4 24
$-0.97
Q3 24
$-1.35
Q2 24
$-0.88
Q1 24
$-1.63

Balance Sheet & Financial Strength

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

Metric
HESM
HESM
ICUI
ICUI
Cash + ST InvestmentsLiquidity on hand
$1.9M
Total DebtLower is stronger
$3.8B
Stockholders' EquityBook value
$2.1B
Total Assets
$4.4B
$4.1B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HESM
HESM
ICUI
ICUI
Q4 25
$1.9M
Q3 25
$5.5M
Q2 25
$4.5M
Q1 25
$6.1M
Q4 24
$4.3M
$308.6M
Q3 24
$10.3M
$312.5M
Q2 24
$99.6M
$302.6M
Q1 24
$4.2M
$251.4M
Total Debt
HESM
HESM
ICUI
ICUI
Q4 25
$3.8B
Q3 25
Q2 25
Q1 25
Q4 24
$3.5B
Q3 24
Q2 24
Q1 24
Stockholders' Equity
HESM
HESM
ICUI
ICUI
Q4 25
$2.1B
Q3 25
$2.1B
Q2 25
$2.1B
Q1 25
$2.0B
Q4 24
$2.0B
Q3 24
$2.0B
Q2 24
$2.0B
Q1 24
$2.1B
Total Assets
HESM
HESM
ICUI
ICUI
Q4 25
$4.4B
$4.1B
Q3 25
$4.4B
$4.1B
Q2 25
$4.4B
$4.1B
Q1 25
$4.3B
$4.2B
Q4 24
$4.2B
$4.2B
Q3 24
$4.1B
$4.3B
Q2 24
$4.1B
$4.3B
Q1 24
$3.9B
$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
HESM
HESM
ICUI
ICUI
Operating Cash FlowLast quarter
$245.6M
$60.6M
Free Cash FlowOCF − Capex
$178.9M
$36.0M
FCF MarginFCF / Revenue
44.3%
6.6%
Capex IntensityCapex / Revenue
16.5%
4.6%
Cash ConversionOCF / Net Profit
2.63×
TTM Free Cash FlowTrailing 4 quarters
$728.2M
$91.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
HESM
HESM
ICUI
ICUI
Q4 25
$245.6M
$60.6M
Q3 25
$258.9M
$56.7M
Q2 25
$276.9M
$11.2M
Q1 25
$202.4M
$51.3M
Q4 24
$258.5M
$40.2M
Q3 24
$224.9M
$36.1M
Q2 24
$271.6M
$82.0M
Q1 24
$185.3M
$45.8M
Free Cash Flow
HESM
HESM
ICUI
ICUI
Q4 25
$178.9M
$36.0M
Q3 25
$178.9M
$27.6M
Q2 25
$213.5M
$-8.5M
Q1 25
$156.9M
$36.7M
Q4 24
$163.4M
$16.1M
Q3 24
$132.6M
$16.2M
Q2 24
$207.7M
$62.5M
Q1 24
$130.5M
$29.9M
FCF Margin
HESM
HESM
ICUI
ICUI
Q4 25
44.3%
6.6%
Q3 25
42.5%
5.1%
Q2 25
51.5%
-1.5%
Q1 25
41.1%
6.1%
Q4 24
41.3%
2.6%
Q3 24
35.0%
2.7%
Q2 24
56.8%
10.5%
Q1 24
36.7%
5.3%
Capex Intensity
HESM
HESM
ICUI
ICUI
Q4 25
16.5%
4.6%
Q3 25
19.0%
5.4%
Q2 25
15.3%
3.6%
Q1 25
11.9%
2.4%
Q4 24
24.0%
3.8%
Q3 24
24.4%
3.4%
Q2 24
17.5%
3.3%
Q1 24
15.4%
2.8%
Cash Conversion
HESM
HESM
ICUI
ICUI
Q4 25
2.63×
Q3 25
2.65×
Q2 25
3.07×
0.32×
Q1 25
2.83×
Q4 24
3.67×
Q3 24
3.84×
Q2 24
5.49×
Q1 24
4.15×

Financial Flow Comparison

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

Revenue Breakdown by Segment

HESM
HESM

Gathering$217.3M54%
Processing And Storage$154.7M38%
Terminaling And Export$32.2M8%

ICUI
ICUI

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

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