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Side-by-side financial comparison of ICON PLC (ICLR) and OneMedNet Corp (ONMD). Click either name above to swap in a different company.

ICON PLC is the larger business by last-quarter revenue ($2.0B vs $890.0K, roughly 2295.3× OneMedNet Corp). ICON PLC runs the higher net margin — 0.1% vs -352.8%, a 352.9% gap on every dollar of revenue. On growth, OneMedNet Corp posted the faster year-over-year revenue change (3323.1% vs 0.6%). ICON PLC produced more free cash flow last quarter ($333.9M vs $-1.7M). Over the past eight quarters, OneMedNet Corp's revenue compounded faster (89.4% CAGR vs 0.6%).

ICON plc is an Irish headquartered multinational healthcare intelligence and clinical research organisation. As of February 2025 had approximately 41,900 employees in 55 countries.

OneMedNet Corp is a U.S.-headquartered healthcare tech firm offering secure cloud-based data sharing and workflow solutions for medical imaging and patient health information. It serves healthcare providers, insurance payers, and life sciences groups, with its core operating market centered in North America.

ICLR vs ONMD — Head-to-Head

Bigger by revenue
ICLR
ICLR
2295.3× larger
ICLR
$2.0B
$890.0K
ONMD
Growing faster (revenue YoY)
ONMD
ONMD
+3322.4% gap
ONMD
3323.1%
0.6%
ICLR
Higher net margin
ICLR
ICLR
352.9% more per $
ICLR
0.1%
-352.8%
ONMD
More free cash flow
ICLR
ICLR
$335.6M more FCF
ICLR
$333.9M
$-1.7M
ONMD
Faster 2-yr revenue CAGR
ONMD
ONMD
Annualised
ONMD
89.4%
0.6%
ICLR

Income Statement — Q3 2025 vs Q4 2025

Metric
ICLR
ICLR
ONMD
ONMD
Revenue
$2.0B
$890.0K
Net Profit
$2.4M
$-3.1M
Gross Margin
20.7%
Operating Margin
4.2%
-353.4%
Net Margin
0.1%
-352.8%
Revenue YoY
0.6%
3323.1%
Net Profit YoY
-98.8%
-32.3%
EPS (diluted)
$0.03
$-0.06

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
ICLR
ICLR
ONMD
ONMD
Q4 25
$890.0K
Q3 25
$2.0B
$177.0K
Q2 25
$2.0B
$155.0K
Q1 25
$2.0B
$137.0K
Q4 24
$26.0K
Q3 24
$2.0B
$142.0K
Q2 24
$2.1B
$227.0K
Q1 24
$2.1B
$248.0K
Net Profit
ICLR
ICLR
ONMD
ONMD
Q4 25
$-3.1M
Q3 25
$2.4M
$-741.0K
Q2 25
$183.0M
$3.0M
Q1 25
$154.2M
$-1.9M
Q4 24
$-2.4M
Q3 24
$197.1M
$-2.1M
Q2 24
$146.9M
$-3.6M
Q1 24
$187.4M
$-2.1M
Gross Margin
ICLR
ICLR
ONMD
ONMD
Q4 25
20.7%
Q3 25
-125.4%
Q2 25
-155.5%
Q1 25
-163.5%
Q4 24
-100.0%
Q3 24
-59.2%
Q2 24
-44.9%
Q1 24
-27.8%
Operating Margin
ICLR
ICLR
ONMD
ONMD
Q4 25
-353.4%
Q3 25
4.2%
-1262.7%
Q2 25
10.4%
-1331.0%
Q1 25
11.0%
-1623.4%
Q4 24
-10438.5%
Q3 24
14.1%
-1645.1%
Q2 24
10.8%
-1081.1%
Q1 24
13.7%
-847.2%
Net Margin
ICLR
ICLR
ONMD
ONMD
Q4 25
-352.8%
Q3 25
0.1%
-418.6%
Q2 25
9.1%
1923.9%
Q1 25
7.7%
-1388.3%
Q4 24
-9126.9%
Q3 24
9.7%
-1449.3%
Q2 24
6.9%
-1581.1%
Q1 24
9.0%
-850.4%
EPS (diluted)
ICLR
ICLR
ONMD
ONMD
Q4 25
$-0.06
Q3 25
$0.03
$-0.01
Q2 25
$2.30
$0.07
Q1 25
$1.90
$-0.06
Q4 24
$-0.07
Q3 24
$2.36
$-0.07
Q2 24
$1.76
$-0.14
Q1 24
$2.25
$-0.08

Balance Sheet & Financial Strength

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

Metric
ICLR
ICLR
ONMD
ONMD
Cash + ST InvestmentsLiquidity on hand
$468.9M
$585.0K
Total DebtLower is stronger
$220.0K
Stockholders' EquityBook value
$9.3B
$-3.0M
Total Assets
$16.5B
$2.2M
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ICLR
ICLR
ONMD
ONMD
Q4 25
$585.0K
Q3 25
$468.9M
$149.0K
Q2 25
$390.4M
$122.0K
Q1 25
$526.7M
$144.0K
Q4 24
$172.0K
Q3 24
$695.5M
$1.9M
Q2 24
$506.6M
$407.0K
Q1 24
$396.1M
$174.0K
Total Debt
ICLR
ICLR
ONMD
ONMD
Q4 25
$220.0K
Q3 25
Q2 25
Q1 25
$2.3M
Q4 24
$2.3M
Q3 24
$2.3M
Q2 24
$2.4M
Q1 24
Stockholders' Equity
ICLR
ICLR
ONMD
ONMD
Q4 25
$-3.0M
Q3 25
$9.3B
$-3.9M
Q2 25
$9.6B
$-3.8M
Q1 25
$9.5B
$-16.6M
Q4 24
$-15.9M
Q3 24
$9.8B
$-14.3M
Q2 24
$9.6B
$-19.2M
Q1 24
$9.4B
$-15.7M
Total Assets
ICLR
ICLR
ONMD
ONMD
Q4 25
$2.2M
Q3 25
$16.5B
$1.5M
Q2 25
$16.6B
$2.3M
Q1 25
$16.7B
$1.7M
Q4 24
$3.7M
Q3 24
$17.2B
$4.4M
Q2 24
$17.0B
$1.0M
Q1 24
$17.0B
$750.0K

Cash Flow & Capital Efficiency

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

Metric
ICLR
ICLR
ONMD
ONMD
Operating Cash FlowLast quarter
$387.6M
$-1.7M
Free Cash FlowOCF − Capex
$333.9M
$-1.7M
FCF MarginFCF / Revenue
16.3%
-193.0%
Capex IntensityCapex / Revenue
2.6%
0.6%
Cash ConversionOCF / Net Profit
164.59×
TTM Free Cash FlowTrailing 4 quarters
$1.0B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ICLR
ICLR
ONMD
ONMD
Q4 25
$-1.7M
Q3 25
$387.6M
$-1.6M
Q2 25
$146.2M
$-2.3M
Q1 25
$268.2M
$-1.9M
Q4 24
$-2.0M
Q3 24
$402.7M
$-1.9M
Q2 24
$218.6M
$-1.5M
Q1 24
$327.1M
$-1.5M
Free Cash Flow
ICLR
ICLR
ONMD
ONMD
Q4 25
$-1.7M
Q3 25
$333.9M
Q2 25
$113.9M
$-2.3M
Q1 25
$239.3M
$-2.0M
Q4 24
$-2.0M
Q3 24
$359.3M
$-1.9M
Q2 24
$182.3M
$-1.5M
Q1 24
$299.9M
$-1.6M
FCF Margin
ICLR
ICLR
ONMD
ONMD
Q4 25
-193.0%
Q3 25
16.3%
Q2 25
5.6%
-1475.5%
Q1 25
12.0%
-1425.5%
Q4 24
-7811.5%
Q3 24
17.7%
-1346.5%
Q2 24
8.6%
-663.9%
Q1 24
14.3%
-626.2%
Capex Intensity
ICLR
ICLR
ONMD
ONMD
Q4 25
0.6%
Q3 25
2.6%
0.0%
Q2 25
1.6%
1.9%
Q1 25
1.4%
3.6%
Q4 24
134.6%
Q3 24
2.1%
6.3%
Q2 24
1.7%
0.4%
Q1 24
1.3%
2.4%
Cash Conversion
ICLR
ICLR
ONMD
ONMD
Q4 25
Q3 25
164.59×
Q2 25
0.80×
-0.77×
Q1 25
1.74×
Q4 24
Q3 24
2.04×
Q2 24
1.49×
Q1 24
1.74×

Financial Flow Comparison

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

Revenue Breakdown by Segment

ICLR
ICLR

Other Customers$681.3M33%
Clients1125$549.4M27%
Clients15$503.3M25%
Clients610$308.8M15%

ONMD
ONMD

Segment breakdown not available.

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