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Side-by-side financial comparison of ICU MEDICAL INC (ICUI) and iRhythm Holdings, Inc. (IRTC). Click either name above to swap in a different company.
ICU MEDICAL INC is the larger business by last-quarter revenue ($540.7M vs $208.9M, roughly 2.6× iRhythm Holdings, Inc.). iRhythm Holdings, Inc. runs the higher net margin — 2.7% vs -2.9%, a 5.6% gap on every dollar of revenue. On growth, iRhythm Holdings, Inc. posted the faster year-over-year revenue change (27.1% vs -14.1%). ICU MEDICAL INC produced more free cash flow last quarter ($36.0M vs $14.5M). Over the past eight quarters, iRhythm Holdings, Inc.'s revenue compounded faster (25.8% 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...
iRhythm Holdings is a digital healthcare company focused on cardiac care, developing and commercializing wearable ambulatory heart monitoring devices paired with AI-powered analytical tools. It primarily serves healthcare providers and patients across the United States, helping to detect undiagnosed arrhythmias such as atrial fibrillation through convenient long-term heart rhythm tracking that delivers actionable clinical insights.
ICUI vs IRTC — Head-to-Head
Income Statement — Q4 2025 vs Q4 2025
| Metric | | |
|---|---|---|
| Revenue | $540.7M | $208.9M |
| Net Profit | $-15.7M | $5.6M |
| Gross Margin | 37.5% | 70.9% |
| Operating Margin | 1.0% | 1.1% |
| Net Margin | -2.9% | 2.7% |
| Revenue YoY | -14.1% | 27.1% |
| Net Profit YoY | 34.0% | 518.5% |
| EPS (diluted) | $-0.63 | $0.18 |
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 | $540.7M | $208.9M | ||
| Q3 25 | $537.0M | $192.9M | ||
| Q2 25 | $548.9M | $186.7M | ||
| Q1 25 | $604.7M | $158.7M | ||
| Q4 24 | $629.8M | $164.3M | ||
| Q3 24 | $589.1M | $147.5M | ||
| Q2 24 | $596.5M | $148.0M | ||
| Q1 24 | $566.7M | $131.9M |
| Q4 25 | $-15.7M | $5.6M | ||
| Q3 25 | $-3.4M | $-5.2M | ||
| Q2 25 | $35.3M | $-14.2M | ||
| Q1 25 | $-15.5M | $-30.7M | ||
| Q4 24 | $-23.8M | $-1.3M | ||
| Q3 24 | $-33.0M | $-46.2M | ||
| Q2 24 | $-21.4M | $-20.1M | ||
| Q1 24 | $-39.5M | $-45.7M |
| Q4 25 | 37.5% | 70.9% | ||
| Q3 25 | 37.4% | 71.1% | ||
| Q2 25 | 37.9% | 71.2% | ||
| Q1 25 | 34.7% | 68.8% | ||
| Q4 24 | 36.1% | 70.0% | ||
| Q3 24 | 34.8% | 68.8% | ||
| Q2 24 | 34.8% | 69.9% | ||
| Q1 24 | 32.7% | 66.3% |
| Q4 25 | 1.0% | 1.1% | ||
| Q3 25 | 2.6% | -4.4% | ||
| Q2 25 | 1.9% | -10.0% | ||
| Q1 25 | 2.1% | -20.5% | ||
| Q4 24 | 6.0% | -2.5% | ||
| Q3 24 | 1.4% | -34.1% | ||
| Q2 24 | 1.3% | -15.5% | ||
| Q1 24 | -1.9% | -28.9% |
| Q4 25 | -2.9% | 2.7% | ||
| Q3 25 | -0.6% | -2.7% | ||
| Q2 25 | 6.4% | -7.6% | ||
| Q1 25 | -2.6% | -19.3% | ||
| Q4 24 | -3.8% | -0.8% | ||
| Q3 24 | -5.6% | -31.3% | ||
| Q2 24 | -3.6% | -13.6% | ||
| Q1 24 | -7.0% | -34.6% |
| Q4 25 | $-0.63 | $0.18 | ||
| Q3 25 | $-0.14 | $-0.16 | ||
| Q2 25 | $1.43 | $-0.44 | ||
| Q1 25 | $-0.63 | $-0.97 | ||
| Q4 24 | $-0.97 | $-0.03 | ||
| Q3 24 | $-1.35 | $-1.48 | ||
| Q2 24 | $-0.88 | $-0.65 | ||
| Q1 24 | $-1.63 | $-1.47 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | — | $583.8M |
| Total DebtLower is stronger | — | — |
| Stockholders' EquityBook value | $2.1B | $152.7M |
| Total Assets | $4.1B | $1.0B |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | — | $583.8M | ||
| Q3 25 | — | $565.2M | ||
| Q2 25 | — | $545.5M | ||
| Q1 25 | — | $520.6M | ||
| Q4 24 | $308.6M | $535.6M | ||
| Q3 24 | $312.5M | $522.0M | ||
| Q2 24 | $302.6M | $561.5M | ||
| Q1 24 | $251.4M | $569.1M |
| Q4 25 | $2.1B | $152.7M | ||
| Q3 25 | $2.1B | $121.9M | ||
| Q2 25 | $2.1B | $103.7M | ||
| Q1 25 | $2.0B | $86.7M | ||
| Q4 24 | $2.0B | $90.9M | ||
| Q3 24 | $2.0B | $71.8M | ||
| Q2 24 | $2.0B | $99.2M | ||
| Q1 24 | $2.1B | $90.3M |
| Q4 25 | $4.1B | $1.0B | ||
| Q3 25 | $4.1B | $995.2M | ||
| Q2 25 | $4.1B | $964.0M | ||
| Q1 25 | $4.2B | $926.1M | ||
| Q4 24 | $4.2B | $931.4M | ||
| Q3 24 | $4.3B | $909.7M | ||
| Q2 24 | $4.3B | $919.2M | ||
| Q1 24 | $4.3B | $909.8M |
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 | $60.6M | $26.2M |
| Free Cash FlowOCF − Capex | $36.0M | $14.5M |
| FCF MarginFCF / Revenue | 6.6% | 6.9% |
| Capex IntensityCapex / Revenue | 4.6% | 5.6% |
| Cash ConversionOCF / Net Profit | — | 4.70× |
| TTM Free Cash FlowTrailing 4 quarters | $91.8M | $34.5M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $60.6M | $26.2M | ||
| Q3 25 | $56.7M | $34.9M | ||
| Q2 25 | $11.2M | $27.7M | ||
| Q1 25 | $51.3M | $-7.9M | ||
| Q4 24 | $40.2M | $19.2M | ||
| Q3 24 | $36.1M | $24.3M | ||
| Q2 24 | $82.0M | $11.8M | ||
| Q1 24 | $45.8M | $-52.0M |
| Q4 25 | $36.0M | $14.5M | ||
| Q3 25 | $27.6M | $20.1M | ||
| Q2 25 | $-8.5M | $17.3M | ||
| Q1 25 | $36.7M | $-17.3M | ||
| Q4 24 | $16.1M | $12.4M | ||
| Q3 24 | $16.2M | $15.5M | ||
| Q2 24 | $62.5M | $3.4M | ||
| Q1 24 | $29.9M | $-61.8M |
| Q4 25 | 6.6% | 6.9% | ||
| Q3 25 | 5.1% | 10.4% | ||
| Q2 25 | -1.5% | 9.3% | ||
| Q1 25 | 6.1% | -10.9% | ||
| Q4 24 | 2.6% | 7.5% | ||
| Q3 24 | 2.7% | 10.5% | ||
| Q2 24 | 10.5% | 2.3% | ||
| Q1 24 | 5.3% | -46.8% |
| Q4 25 | 4.6% | 5.6% | ||
| Q3 25 | 5.4% | 7.7% | ||
| Q2 25 | 3.6% | 5.6% | ||
| Q1 25 | 2.4% | 5.9% | ||
| Q4 24 | 3.8% | 4.2% | ||
| Q3 24 | 3.4% | 6.0% | ||
| Q2 24 | 3.3% | 5.7% | ||
| Q1 24 | 2.8% | 7.4% |
| Q4 25 | — | 4.70× | ||
| Q3 25 | — | — | ||
| Q2 25 | 0.32× | — | ||
| Q1 25 | — | — | ||
| Q4 24 | — | — | ||
| Q3 24 | — | — | ||
| Q2 24 | — | — | ||
| Q1 24 | — | — |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
ICUI
| Infusion Consumables | $284.7M | 53% |
| Infusion Systems | $176.3M | 33% |
| Vital Care | $79.7M | 15% |
IRTC
| Commercial Payors | $111.7M | 53% |
| Centers For Medicare And Medicaid | $49.2M | 24% |
| Healthcare Institutions | $34.3M | 16% |
| Non Contracted Third Party Payors | $13.7M | 7% |
