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Side-by-side financial comparison of ICF International, Inc. (ICFI) 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 $443.7M, roughly 1.2× ICF International, Inc.). ICF International, Inc. runs the higher net margin — 3.9% vs -2.9%, a 6.8% gap on every dollar of revenue. On growth, ICF International, Inc. posted the faster year-over-year revenue change (-10.6% vs -14.1%). ICF International, Inc. produced more free cash flow last quarter ($68.7M vs $36.0M). Over the past eight quarters, ICU MEDICAL INC's revenue compounded faster (-2.3% CAGR vs -5.3%).

ICF International, Inc. is an American publicly traded consulting and technology services company based in Reston, Virginia.

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...

ICFI vs ICUI — Head-to-Head

Bigger by revenue
ICUI
ICUI
1.2× larger
ICUI
$540.7M
$443.7M
ICFI
Growing faster (revenue YoY)
ICFI
ICFI
+3.5% gap
ICFI
-10.6%
-14.1%
ICUI
Higher net margin
ICFI
ICFI
6.8% more per $
ICFI
3.9%
-2.9%
ICUI
More free cash flow
ICFI
ICFI
$32.8M more FCF
ICFI
$68.7M
$36.0M
ICUI
Faster 2-yr revenue CAGR
ICUI
ICUI
Annualised
ICUI
-2.3%
-5.3%
ICFI

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ICFI
ICFI
ICUI
ICUI
Revenue
$443.7M
$540.7M
Net Profit
$17.3M
$-15.7M
Gross Margin
35.7%
37.5%
Operating Margin
6.5%
1.0%
Net Margin
3.9%
-2.9%
Revenue YoY
-10.6%
-14.1%
Net Profit YoY
-29.5%
34.0%
EPS (diluted)
$0.95
$-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
ICFI
ICFI
ICUI
ICUI
Q4 25
$443.7M
$540.7M
Q3 25
$465.4M
$537.0M
Q2 25
$476.2M
$548.9M
Q1 25
$487.6M
$604.7M
Q4 24
$496.3M
$629.8M
Q3 24
$517.0M
$589.1M
Q2 24
$512.0M
$596.5M
Q1 24
$494.4M
$566.7M
Net Profit
ICFI
ICFI
ICUI
ICUI
Q4 25
$17.3M
$-15.7M
Q3 25
$23.8M
$-3.4M
Q2 25
$23.7M
$35.3M
Q1 25
$26.9M
$-15.5M
Q4 24
$24.6M
$-23.8M
Q3 24
$32.7M
$-33.0M
Q2 24
$25.6M
$-21.4M
Q1 24
$27.3M
$-39.5M
Gross Margin
ICFI
ICFI
ICUI
ICUI
Q4 25
35.7%
37.5%
Q3 25
37.6%
37.4%
Q2 25
37.3%
37.9%
Q1 25
38.0%
34.7%
Q4 24
36.1%
36.1%
Q3 24
37.1%
34.8%
Q2 24
35.7%
34.8%
Q1 24
37.2%
32.7%
Operating Margin
ICFI
ICFI
ICUI
ICUI
Q4 25
6.5%
1.0%
Q3 25
8.3%
2.6%
Q2 25
8.4%
1.9%
Q1 25
7.9%
2.1%
Q4 24
7.3%
6.0%
Q3 24
8.9%
1.4%
Q2 24
8.3%
1.3%
Q1 24
8.3%
-1.9%
Net Margin
ICFI
ICFI
ICUI
ICUI
Q4 25
3.9%
-2.9%
Q3 25
5.1%
-0.6%
Q2 25
5.0%
6.4%
Q1 25
5.5%
-2.6%
Q4 24
4.9%
-3.8%
Q3 24
6.3%
-5.6%
Q2 24
5.0%
-3.6%
Q1 24
5.5%
-7.0%
EPS (diluted)
ICFI
ICFI
ICUI
ICUI
Q4 25
$0.95
$-0.63
Q3 25
$1.28
$-0.14
Q2 25
$1.28
$1.43
Q1 25
$1.44
$-0.63
Q4 24
$1.29
$-0.97
Q3 24
$1.73
$-1.35
Q2 24
$1.36
$-0.88
Q1 24
$1.44
$-1.63

Balance Sheet & Financial Strength

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

Metric
ICFI
ICFI
ICUI
ICUI
Cash + ST InvestmentsLiquidity on hand
$5.3M
Total DebtLower is stronger
$401.4M
Stockholders' EquityBook value
$1.0B
$2.1B
Total Assets
$2.1B
$4.1B
Debt / EquityLower = less leverage
0.39×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ICFI
ICFI
ICUI
ICUI
Q4 25
$5.3M
Q3 25
$4.0M
Q2 25
$7.0M
Q1 25
$5.7M
Q4 24
$5.0M
$308.6M
Q3 24
$6.9M
$312.5M
Q2 24
$4.1M
$302.6M
Q1 24
$3.7M
$251.4M
Total Debt
ICFI
ICFI
ICUI
ICUI
Q4 25
$401.4M
Q3 25
$449.4M
Q2 25
$462.3M
Q1 25
$502.0M
Q4 24
$411.7M
Q3 24
$419.1M
Q2 24
$433.9M
Q1 24
$474.7M
Stockholders' Equity
ICFI
ICFI
ICUI
ICUI
Q4 25
$1.0B
$2.1B
Q3 25
$1.0B
$2.1B
Q2 25
$1.0B
$2.1B
Q1 25
$968.9M
$2.0B
Q4 24
$982.5M
$2.0B
Q3 24
$976.3M
$2.0B
Q2 24
$943.3M
$2.0B
Q1 24
$916.1M
$2.1B
Total Assets
ICFI
ICFI
ICUI
ICUI
Q4 25
$2.1B
$4.1B
Q3 25
$2.1B
$4.1B
Q2 25
$2.1B
$4.1B
Q1 25
$2.1B
$4.2B
Q4 24
$2.1B
$4.2B
Q3 24
$2.0B
$4.3B
Q2 24
$2.0B
$4.3B
Q1 24
$2.0B
$4.3B
Debt / Equity
ICFI
ICFI
ICUI
ICUI
Q4 25
0.39×
Q3 25
0.44×
Q2 25
0.46×
Q1 25
0.52×
Q4 24
0.42×
Q3 24
0.43×
Q2 24
0.46×
Q1 24
0.52×

Cash Flow & Capital Efficiency

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

Metric
ICFI
ICFI
ICUI
ICUI
Operating Cash FlowLast quarter
$75.6M
$60.6M
Free Cash FlowOCF − Capex
$68.7M
$36.0M
FCF MarginFCF / Revenue
15.5%
6.6%
Capex IntensityCapex / Revenue
1.6%
4.6%
Cash ConversionOCF / Net Profit
4.37×
TTM Free Cash FlowTrailing 4 quarters
$120.2M
$91.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ICFI
ICFI
ICUI
ICUI
Q4 25
$75.6M
$60.6M
Q3 25
$47.3M
$56.7M
Q2 25
$52.0M
$11.2M
Q1 25
$-33.0M
$51.3M
Q4 24
$95.4M
$40.2M
Q3 24
$25.5M
$36.1M
Q2 24
$60.6M
$82.0M
Q1 24
$-10.0M
$45.8M
Free Cash Flow
ICFI
ICFI
ICUI
ICUI
Q4 25
$68.7M
$36.0M
Q3 25
$41.8M
$27.6M
Q2 25
$46.2M
$-8.5M
Q1 25
$-36.5M
$36.7M
Q4 24
$89.5M
$16.1M
Q3 24
$20.4M
$16.2M
Q2 24
$55.5M
$62.5M
Q1 24
$-15.2M
$29.9M
FCF Margin
ICFI
ICFI
ICUI
ICUI
Q4 25
15.5%
6.6%
Q3 25
9.0%
5.1%
Q2 25
9.7%
-1.5%
Q1 25
-7.5%
6.1%
Q4 24
18.0%
2.6%
Q3 24
3.9%
2.7%
Q2 24
10.8%
10.5%
Q1 24
-3.1%
5.3%
Capex Intensity
ICFI
ICFI
ICUI
ICUI
Q4 25
1.6%
4.6%
Q3 25
1.2%
5.4%
Q2 25
1.2%
3.6%
Q1 25
0.7%
2.4%
Q4 24
1.2%
3.8%
Q3 24
1.0%
3.4%
Q2 24
1.0%
3.3%
Q1 24
1.1%
2.8%
Cash Conversion
ICFI
ICFI
ICUI
ICUI
Q4 25
4.37×
Q3 25
1.99×
Q2 25
2.20×
0.32×
Q1 25
-1.23×
Q4 24
3.88×
Q3 24
0.78×
Q2 24
2.37×
Q1 24
-0.37×

Financial Flow Comparison

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

Revenue Breakdown by Segment

ICFI
ICFI

US Federal Government$166.7M38%
Commercial$164.4M37%
US State And Local Government$78.7M18%
International Government$33.8M8%

ICUI
ICUI

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

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