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Side-by-side financial comparison of ICU MEDICAL INC (ICUI) and IES Holdings, Inc. (IESC). Click either name above to swap in a different company.

IES Holdings, Inc. is the larger business by last-quarter revenue ($871.0M vs $540.7M, roughly 1.6× ICU MEDICAL INC). IES Holdings, Inc. runs the higher net margin — 10.5% vs -2.9%, a 13.4% gap on every dollar of revenue. On growth, IES Holdings, Inc. posted the faster year-over-year revenue change (16.2% vs -14.1%). ICU MEDICAL INC produced more free cash flow last quarter ($36.0M vs $-18.9M). Over the past eight quarters, IES Holdings, Inc.'s revenue compounded faster (11.1% CAGR vs -2.3%).

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...

IES Holdings, Inc., formerly known as Integrated Electrical Services, Inc., designs and installs integrated electrical and technology systems and provides infrastructure products and services to a variety of end markets, including data centers, residential housing, and commercial and industrial facilities.

ICUI vs IESC — Head-to-Head

Bigger by revenue
IESC
IESC
1.6× larger
IESC
$871.0M
$540.7M
ICUI
Growing faster (revenue YoY)
IESC
IESC
+30.3% gap
IESC
16.2%
-14.1%
ICUI
Higher net margin
IESC
IESC
13.4% more per $
IESC
10.5%
-2.9%
ICUI
More free cash flow
ICUI
ICUI
$54.8M more FCF
ICUI
$36.0M
$-18.9M
IESC
Faster 2-yr revenue CAGR
IESC
IESC
Annualised
IESC
11.1%
-2.3%
ICUI

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
ICUI
ICUI
IESC
IESC
Revenue
$540.7M
$871.0M
Net Profit
$-15.7M
$91.8M
Gross Margin
37.5%
25.3%
Operating Margin
1.0%
11.2%
Net Margin
-2.9%
10.5%
Revenue YoY
-14.1%
16.2%
Net Profit YoY
34.0%
59.1%
EPS (diluted)
$-0.63
$4.51

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
ICUI
ICUI
IESC
IESC
Q4 25
$540.7M
$871.0M
Q3 25
$537.0M
$897.8M
Q2 25
$548.9M
$890.2M
Q1 25
$604.7M
$834.0M
Q4 24
$629.8M
$749.5M
Q3 24
$589.1M
$775.8M
Q2 24
$596.5M
$768.4M
Q1 24
$566.7M
$705.7M
Net Profit
ICUI
ICUI
IESC
IESC
Q4 25
$-15.7M
$91.8M
Q3 25
$-3.4M
$102.3M
Q2 25
$35.3M
$79.3M
Q1 25
$-15.5M
$72.6M
Q4 24
$-23.8M
$57.7M
Q3 24
$-33.0M
$65.5M
Q2 24
$-21.4M
$66.6M
Q1 24
$-39.5M
$56.8M
Gross Margin
ICUI
ICUI
IESC
IESC
Q4 25
37.5%
25.3%
Q3 25
37.4%
26.0%
Q2 25
37.9%
26.9%
Q1 25
34.7%
25.0%
Q4 24
36.1%
23.8%
Q3 24
34.8%
24.0%
Q2 24
34.8%
25.3%
Q1 24
32.7%
24.3%
Operating Margin
ICUI
ICUI
IESC
IESC
Q4 25
1.0%
11.2%
Q3 25
2.6%
11.6%
Q2 25
1.9%
12.6%
Q1 25
2.1%
11.1%
Q4 24
6.0%
10.0%
Q3 24
1.4%
9.7%
Q2 24
1.3%
11.7%
Q1 24
-1.9%
11.0%
Net Margin
ICUI
ICUI
IESC
IESC
Q4 25
-2.9%
10.5%
Q3 25
-0.6%
11.4%
Q2 25
6.4%
8.9%
Q1 25
-2.6%
8.7%
Q4 24
-3.8%
7.7%
Q3 24
-5.6%
8.4%
Q2 24
-3.6%
8.7%
Q1 24
-7.0%
8.0%
EPS (diluted)
ICUI
ICUI
IESC
IESC
Q4 25
$-0.63
$4.51
Q3 25
$-0.14
$4.99
Q2 25
$1.43
$3.81
Q1 25
$-0.63
$3.50
Q4 24
$-0.97
$2.72
Q3 24
$-1.35
$3.06
Q2 24
$-0.88
$2.67
Q1 24
$-1.63
$2.29

Balance Sheet & Financial Strength

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

Metric
ICUI
ICUI
IESC
IESC
Cash + ST InvestmentsLiquidity on hand
$258.7M
Total DebtLower is stronger
Stockholders' EquityBook value
$2.1B
$961.1M
Total Assets
$4.1B
$1.7B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ICUI
ICUI
IESC
IESC
Q4 25
$258.7M
Q3 25
$231.8M
Q2 25
$168.3M
Q1 25
$88.3M
Q4 24
$308.6M
$112.0M
Q3 24
$312.5M
$135.8M
Q2 24
$302.6M
$44.9M
Q1 24
$251.4M
$106.0M
Stockholders' Equity
ICUI
ICUI
IESC
IESC
Q4 25
$2.1B
$961.1M
Q3 25
$2.1B
$884.0M
Q2 25
$2.1B
$781.4M
Q1 25
$2.0B
$705.8M
Q4 24
$2.0B
$652.4M
Q3 24
$2.0B
$611.1M
Q2 24
$2.0B
$567.5M
Q1 24
$2.1B
$534.8M
Total Assets
ICUI
ICUI
IESC
IESC
Q4 25
$4.1B
$1.7B
Q3 25
$4.1B
$1.6B
Q2 25
$4.1B
$1.5B
Q1 25
$4.2B
$1.4B
Q4 24
$4.2B
$1.3B
Q3 24
$4.3B
$1.2B
Q2 24
$4.3B
$1.2B
Q1 24
$4.3B
$1.1B

Cash Flow & Capital Efficiency

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

Metric
ICUI
ICUI
IESC
IESC
Operating Cash FlowLast quarter
$60.6M
$27.7M
Free Cash FlowOCF − Capex
$36.0M
$-18.9M
FCF MarginFCF / Revenue
6.6%
-2.2%
Capex IntensityCapex / Revenue
4.6%
5.3%
Cash ConversionOCF / Net Profit
0.30×
TTM Free Cash FlowTrailing 4 quarters
$91.8M
$175.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ICUI
ICUI
IESC
IESC
Q4 25
$60.6M
$27.7M
Q3 25
$56.7M
$132.0M
Q2 25
$11.2M
$92.0M
Q1 25
$51.3M
$24.8M
Q4 24
$40.2M
$37.3M
Q3 24
$36.1M
$92.8M
Q2 24
$82.0M
$82.9M
Q1 24
$45.8M
$33.7M
Free Cash Flow
ICUI
ICUI
IESC
IESC
Q4 25
$36.0M
$-18.9M
Q3 25
$27.6M
$112.0M
Q2 25
$-8.5M
$74.8M
Q1 25
$36.7M
$7.9M
Q4 24
$16.1M
$24.1M
Q3 24
$16.2M
$78.5M
Q2 24
$62.5M
$65.4M
Q1 24
$29.9M
$26.9M
FCF Margin
ICUI
ICUI
IESC
IESC
Q4 25
6.6%
-2.2%
Q3 25
5.1%
12.5%
Q2 25
-1.5%
8.4%
Q1 25
6.1%
0.9%
Q4 24
2.6%
3.2%
Q3 24
2.7%
10.1%
Q2 24
10.5%
8.5%
Q1 24
5.3%
3.8%
Capex Intensity
ICUI
ICUI
IESC
IESC
Q4 25
4.6%
5.3%
Q3 25
5.4%
2.2%
Q2 25
3.6%
1.9%
Q1 25
2.4%
2.0%
Q4 24
3.8%
1.8%
Q3 24
3.4%
1.8%
Q2 24
3.3%
2.3%
Q1 24
2.8%
1.0%
Cash Conversion
ICUI
ICUI
IESC
IESC
Q4 25
0.30×
Q3 25
1.29×
Q2 25
0.32×
1.16×
Q1 25
0.34×
Q4 24
0.65×
Q3 24
1.42×
Q2 24
1.24×
Q1 24
0.59×

Financial Flow Comparison

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

Revenue Breakdown by Segment

ICUI
ICUI

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

IESC
IESC

Communications$351.9M40%
Single Family Electrical Contracts$137.0M16%
Custom Engineered Solutions$116.0M13%
Commercialand Industrial$94.8M11%
Single Family Contracts Plumbing HVAC$82.9M10%
Multi Familyand Other$64.2M7%
Industrial Services$24.2M3%

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