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Side-by-side financial comparison of ICU MEDICAL INC (ICUI) and RAYONIER ADVANCED MATERIALS INC. (RYAM). Click either name above to swap in a different company.

ICU MEDICAL INC is the larger business by last-quarter revenue ($540.7M vs $417.5M, roughly 1.3× RAYONIER ADVANCED MATERIALS INC.). ICU MEDICAL INC runs the higher net margin — -2.9% vs -5.0%, a 2.1% gap on every dollar of revenue. On growth, RAYONIER ADVANCED MATERIALS INC. posted the faster year-over-year revenue change (-1.2% vs -14.1%). Over the past eight quarters, RAYONIER ADVANCED MATERIALS INC.'s revenue compounded faster (3.8% 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...

Rayonier Advanced Materials recently rebranded as RYAM. RYAM is an American company recognized globally for its cellulose-based technologies. Specializing in high-purity cellulose specialties, RYAM produces natural polymers extensively used in manufacturing filters, food, pharmaceuticals, and various industrial applications. Additionally, the company produces products for the paper and packaging industries. The company is publicly traded on the New York Stock Exchange under the ticker symbol ...

ICUI vs RYAM — Head-to-Head

Bigger by revenue
ICUI
ICUI
1.3× larger
ICUI
$540.7M
$417.5M
RYAM
Growing faster (revenue YoY)
RYAM
RYAM
+13.0% gap
RYAM
-1.2%
-14.1%
ICUI
Higher net margin
ICUI
ICUI
2.1% more per $
ICUI
-2.9%
-5.0%
RYAM
Faster 2-yr revenue CAGR
RYAM
RYAM
Annualised
RYAM
3.8%
-2.3%
ICUI

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ICUI
ICUI
RYAM
RYAM
Revenue
$540.7M
$417.5M
Net Profit
$-15.7M
$-21.1M
Gross Margin
37.5%
8.9%
Operating Margin
1.0%
2.6%
Net Margin
-2.9%
-5.0%
Revenue YoY
-14.1%
-1.2%
Net Profit YoY
34.0%
-31.9%
EPS (diluted)
$-0.63
$-0.33

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
RYAM
RYAM
Q4 25
$540.7M
$417.5M
Q3 25
$537.0M
$352.8M
Q2 25
$548.9M
$340.0M
Q1 25
$604.7M
$356.0M
Q4 24
$629.8M
$422.5M
Q3 24
$589.1M
$401.1M
Q2 24
$596.5M
$419.0M
Q1 24
$566.7M
$387.7M
Net Profit
ICUI
ICUI
RYAM
RYAM
Q4 25
$-15.7M
$-21.1M
Q3 25
$-3.4M
$-4.5M
Q2 25
$35.3M
$-363.2M
Q1 25
$-15.5M
$-32.0M
Q4 24
$-23.8M
$-16.0M
Q3 24
$-33.0M
$-32.6M
Q2 24
$-21.4M
$11.4M
Q1 24
$-39.5M
$-1.6M
Gross Margin
ICUI
ICUI
RYAM
RYAM
Q4 25
37.5%
8.9%
Q3 25
37.4%
9.7%
Q2 25
37.9%
7.0%
Q1 25
34.7%
6.8%
Q4 24
36.1%
8.7%
Q3 24
34.8%
10.9%
Q2 24
34.8%
11.5%
Q1 24
32.7%
9.5%
Operating Margin
ICUI
ICUI
RYAM
RYAM
Q4 25
1.0%
2.6%
Q3 25
2.6%
2.8%
Q2 25
1.9%
-0.4%
Q1 25
2.1%
-4.2%
Q4 24
6.0%
2.6%
Q3 24
1.4%
-4.2%
Q2 24
1.3%
6.7%
Q1 24
-1.9%
4.4%
Net Margin
ICUI
ICUI
RYAM
RYAM
Q4 25
-2.9%
-5.0%
Q3 25
-0.6%
-1.3%
Q2 25
6.4%
-106.8%
Q1 25
-2.6%
-9.0%
Q4 24
-3.8%
-3.8%
Q3 24
-5.6%
-8.1%
Q2 24
-3.6%
2.7%
Q1 24
-7.0%
-0.4%
EPS (diluted)
ICUI
ICUI
RYAM
RYAM
Q4 25
$-0.63
$-0.33
Q3 25
$-0.14
$-0.07
Q2 25
$1.43
$-5.44
Q1 25
$-0.63
$-0.49
Q4 24
$-0.97
$-0.25
Q3 24
$-1.35
$-0.49
Q2 24
$-0.88
$0.17
Q1 24
$-1.63
$-0.02

Balance Sheet & Financial Strength

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

Metric
ICUI
ICUI
RYAM
RYAM
Cash + ST InvestmentsLiquidity on hand
$75.4M
Total DebtLower is stronger
$758.1M
Stockholders' EquityBook value
$2.1B
$316.6M
Total Assets
$4.1B
$1.8B
Debt / EquityLower = less leverage
2.39×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ICUI
ICUI
RYAM
RYAM
Q4 25
$75.4M
Q3 25
$77.0M
Q2 25
$70.7M
Q1 25
$129.9M
Q4 24
$308.6M
$125.2M
Q3 24
$312.5M
$136.1M
Q2 24
$302.6M
$114.1M
Q1 24
$251.4M
$54.6M
Total Debt
ICUI
ICUI
RYAM
RYAM
Q4 25
$758.1M
Q3 25
$763.5M
Q2 25
$720.4M
Q1 25
$707.0M
Q4 24
$706.4M
Q3 24
$747.7M
Q2 24
$752.8M
Q1 24
$755.6M
Stockholders' Equity
ICUI
ICUI
RYAM
RYAM
Q4 25
$2.1B
$316.6M
Q3 25
$2.1B
$338.2M
Q2 25
$2.1B
$342.3M
Q1 25
$2.0B
$688.1M
Q4 24
$2.0B
$713.9M
Q3 24
$2.0B
$732.7M
Q2 24
$2.0B
$755.1M
Q1 24
$2.1B
$741.8M
Total Assets
ICUI
ICUI
RYAM
RYAM
Q4 25
$4.1B
$1.8B
Q3 25
$4.1B
$1.8B
Q2 25
$4.1B
$1.8B
Q1 25
$4.2B
$2.1B
Q4 24
$4.2B
$2.1B
Q3 24
$4.3B
$2.2B
Q2 24
$4.3B
$2.2B
Q1 24
$4.3B
$2.1B
Debt / Equity
ICUI
ICUI
RYAM
RYAM
Q4 25
2.39×
Q3 25
2.26×
Q2 25
2.10×
Q1 25
1.03×
Q4 24
0.99×
Q3 24
1.02×
Q2 24
1.00×
Q1 24
1.02×

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
RYAM
RYAM
Operating Cash FlowLast quarter
$60.6M
$32.3M
Free Cash FlowOCF − Capex
$36.0M
FCF MarginFCF / Revenue
6.6%
Capex IntensityCapex / Revenue
4.6%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$91.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ICUI
ICUI
RYAM
RYAM
Q4 25
$60.6M
$32.3M
Q3 25
$56.7M
$-17.8M
Q2 25
$11.2M
$-30.2M
Q1 25
$51.3M
$39.6M
Q4 24
$40.2M
$54.9M
Q3 24
$36.1M
$49.8M
Q2 24
$82.0M
$87.6M
Q1 24
$45.8M
$11.3M
Free Cash Flow
ICUI
ICUI
RYAM
RYAM
Q4 25
$36.0M
Q3 25
$27.6M
Q2 25
$-8.5M
Q1 25
$36.7M
Q4 24
$16.1M
Q3 24
$16.2M
Q2 24
$62.5M
Q1 24
$29.9M
FCF Margin
ICUI
ICUI
RYAM
RYAM
Q4 25
6.6%
Q3 25
5.1%
Q2 25
-1.5%
Q1 25
6.1%
Q4 24
2.6%
Q3 24
2.7%
Q2 24
10.5%
Q1 24
5.3%
Capex Intensity
ICUI
ICUI
RYAM
RYAM
Q4 25
4.6%
Q3 25
5.4%
Q2 25
3.6%
Q1 25
2.4%
Q4 24
3.8%
Q3 24
3.4%
Q2 24
3.3%
Q1 24
2.8%
Cash Conversion
ICUI
ICUI
RYAM
RYAM
Q4 25
Q3 25
Q2 25
0.32×
Q1 25
Q4 24
Q3 24
Q2 24
7.69×
Q1 24

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%

RYAM
RYAM

Cellulose Specialties$249.6M60%
Other$86.2M21%
Paperboard$44.2M11%
High Yield Pulp$28.3M7%
Biomaterials$9.2M2%

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