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

SPIRE INC is the larger business by last-quarter revenue ($762.2M vs $540.7M, roughly 1.4× ICU MEDICAL INC). SPIRE INC runs the higher net margin — 12.5% vs -2.9%, a 15.4% gap on every dollar of revenue. On growth, SPIRE INC posted the faster year-over-year revenue change (13.9% vs -14.1%). ICU MEDICAL INC produced more free cash flow last quarter ($36.0M vs $-121.8M). Over the past eight quarters, ICU MEDICAL INC's revenue compounded faster (-2.3% CAGR vs -17.8%).

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...

Spire Inc. is a regional public utility holding company based in St. Louis, Missouri, providing natural gas service through its regulated core utility operations while engaging in non-regulated activities that provide business opportunities. Its primary subsidiary Laclede Gas Company is the largest natural gas distribution utility in Missouri, serving approximately 631,000 residential, commercial and industrial customers in the City of St. Louis and ten counties in eastern Missouri. Its corpo...

ICUI vs SR — Head-to-Head

Bigger by revenue
SR
SR
1.4× larger
SR
$762.2M
$540.7M
ICUI
Growing faster (revenue YoY)
SR
SR
+28.1% gap
SR
13.9%
-14.1%
ICUI
Higher net margin
SR
SR
15.4% more per $
SR
12.5%
-2.9%
ICUI
More free cash flow
ICUI
ICUI
$157.8M more FCF
ICUI
$36.0M
$-121.8M
SR
Faster 2-yr revenue CAGR
ICUI
ICUI
Annualised
ICUI
-2.3%
-17.8%
SR

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
ICUI
ICUI
SR
SR
Revenue
$540.7M
$762.2M
Net Profit
$-15.7M
$95.0M
Gross Margin
37.5%
55.1%
Operating Margin
1.0%
22.8%
Net Margin
-2.9%
12.5%
Revenue YoY
-14.1%
13.9%
Net Profit YoY
34.0%
16.9%
EPS (diluted)
$-0.63
$1.54

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
SR
SR
Q4 25
$540.7M
$762.2M
Q3 25
$537.0M
$334.1M
Q2 25
$548.9M
$421.9M
Q1 25
$604.7M
$1.1B
Q4 24
$629.8M
$669.1M
Q3 24
$589.1M
$293.8M
Q2 24
$596.5M
$414.1M
Q1 24
$566.7M
$1.1B
Net Profit
ICUI
ICUI
SR
SR
Q4 25
$-15.7M
$95.0M
Q3 25
$-3.4M
$-39.8M
Q2 25
$35.3M
$20.9M
Q1 25
$-15.5M
$209.3M
Q4 24
$-23.8M
$81.3M
Q3 24
$-33.0M
$-25.9M
Q2 24
$-21.4M
$-12.6M
Q1 24
$-39.5M
$204.3M
Gross Margin
ICUI
ICUI
SR
SR
Q4 25
37.5%
55.1%
Q3 25
37.4%
Q2 25
37.9%
Q1 25
34.7%
Q4 24
36.1%
55.6%
Q3 24
34.8%
Q2 24
34.8%
Q1 24
32.7%
Operating Margin
ICUI
ICUI
SR
SR
Q4 25
1.0%
22.8%
Q3 25
2.6%
-0.1%
Q2 25
1.9%
16.4%
Q1 25
2.1%
29.1%
Q4 24
6.0%
22.2%
Q3 24
1.4%
6.7%
Q2 24
1.3%
7.4%
Q1 24
-1.9%
26.5%
Net Margin
ICUI
ICUI
SR
SR
Q4 25
-2.9%
12.5%
Q3 25
-0.6%
-11.9%
Q2 25
6.4%
5.0%
Q1 25
-2.6%
19.9%
Q4 24
-3.8%
12.2%
Q3 24
-5.6%
-8.8%
Q2 24
-3.6%
-3.0%
Q1 24
-7.0%
18.1%
EPS (diluted)
ICUI
ICUI
SR
SR
Q4 25
$-0.63
$1.54
Q3 25
$-0.14
$-0.77
Q2 25
$1.43
$0.29
Q1 25
$-0.63
$3.51
Q4 24
$-0.97
$1.34
Q3 24
$-1.35
$-0.63
Q2 24
$-0.88
$-0.28
Q1 24
$-1.63
$3.58

Balance Sheet & Financial Strength

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

Metric
ICUI
ICUI
SR
SR
Cash + ST InvestmentsLiquidity on hand
$4.1M
Total DebtLower is stronger
Stockholders' EquityBook value
$2.1B
$3.4B
Total Assets
$4.1B
$11.9B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ICUI
ICUI
SR
SR
Q4 25
$4.1M
Q3 25
$5.7M
Q2 25
$13.1M
Q1 25
$15.2M
Q4 24
$308.6M
$11.5M
Q3 24
$312.5M
$4.5M
Q2 24
$302.6M
$7.4M
Q1 24
$251.4M
$25.6M
Stockholders' Equity
ICUI
ICUI
SR
SR
Q4 25
$2.1B
$3.4B
Q3 25
$2.1B
$3.4B
Q2 25
$2.1B
$3.5B
Q1 25
$2.0B
$3.5B
Q4 24
$2.0B
$3.3B
Q3 24
$2.0B
$3.2B
Q2 24
$2.0B
$3.3B
Q1 24
$2.1B
$3.4B
Total Assets
ICUI
ICUI
SR
SR
Q4 25
$4.1B
$11.9B
Q3 25
$4.1B
$11.6B
Q2 25
$4.1B
$11.4B
Q1 25
$4.2B
$11.3B
Q4 24
$4.2B
$11.3B
Q3 24
$4.3B
$10.9B
Q2 24
$4.3B
$10.7B
Q1 24
$4.3B
$10.7B

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
SR
SR
Operating Cash FlowLast quarter
$60.6M
$81.0M
Free Cash FlowOCF − Capex
$36.0M
$-121.8M
FCF MarginFCF / Revenue
6.6%
-16.0%
Capex IntensityCapex / Revenue
4.6%
26.6%
Cash ConversionOCF / Net Profit
0.85×
TTM Free Cash FlowTrailing 4 quarters
$91.8M
$-286.7M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ICUI
ICUI
SR
SR
Q4 25
$60.6M
$81.0M
Q3 25
$56.7M
$-4.9M
Q2 25
$11.2M
$129.1M
Q1 25
$51.3M
$372.7M
Q4 24
$40.2M
$81.1M
Q3 24
$36.1M
$82.9M
Q2 24
$82.0M
$270.1M
Q1 24
$45.8M
$489.4M
Free Cash Flow
ICUI
ICUI
SR
SR
Q4 25
$36.0M
$-121.8M
Q3 25
$27.6M
$-227.6M
Q2 25
$-8.5M
$-91.4M
Q1 25
$36.7M
$154.1M
Q4 24
$16.1M
$-179.5M
Q3 24
$16.2M
$-146.9M
Q2 24
$62.5M
$47.9M
Q1 24
$29.9M
$306.6M
FCF Margin
ICUI
ICUI
SR
SR
Q4 25
6.6%
-16.0%
Q3 25
5.1%
-68.1%
Q2 25
-1.5%
-21.7%
Q1 25
6.1%
14.7%
Q4 24
2.6%
-26.8%
Q3 24
2.7%
-50.0%
Q2 24
10.5%
11.6%
Q1 24
5.3%
27.2%
Capex Intensity
ICUI
ICUI
SR
SR
Q4 25
4.6%
26.6%
Q3 25
5.4%
66.7%
Q2 25
3.6%
52.3%
Q1 25
2.4%
20.8%
Q4 24
3.8%
38.9%
Q3 24
3.4%
78.2%
Q2 24
3.3%
53.7%
Q1 24
2.8%
16.2%
Cash Conversion
ICUI
ICUI
SR
SR
Q4 25
0.85×
Q3 25
Q2 25
0.32×
6.18×
Q1 25
1.78×
Q4 24
1.00×
Q3 24
Q2 24
Q1 24
2.40×

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%

SR
SR

Residential$474.9M62%
Commercial And Industrial$148.4M19%
Gas Marketing$41.1M5%
Midstream$39.0M5%
Transportation$37.1M5%
Offsystem And Other Inventive$19.7M3%
Other Customer Revenue$4.6M1%

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