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

Tyler Technologies is the larger business by last-quarter revenue ($613.5M vs $540.7M, roughly 1.1× ICU MEDICAL INC). Tyler Technologies runs the higher net margin — 13.2% vs -2.9%, a 16.1% gap on every dollar of revenue. On growth, Tyler Technologies posted the faster year-over-year revenue change (8.6% vs -14.1%). ICU MEDICAL INC produced more free cash flow last quarter ($36.0M vs $2.0M). Over the past eight quarters, Tyler Technologies's revenue compounded faster (6.5% 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...

Tyler Technologies, Inc. is an American technology company based in Plano, Texas, that provides proprietary software to the U.S. public sector. Tyler Technologies has offices in 17 states and one in Toronto, Ontario, Canada.

ICUI vs TYL — Head-to-Head

Bigger by revenue
TYL
TYL
1.1× larger
TYL
$613.5M
$540.7M
ICUI
Growing faster (revenue YoY)
TYL
TYL
+22.7% gap
TYL
8.6%
-14.1%
ICUI
Higher net margin
TYL
TYL
16.1% more per $
TYL
13.2%
-2.9%
ICUI
More free cash flow
ICUI
ICUI
$33.9M more FCF
ICUI
$36.0M
$2.0M
TYL
Faster 2-yr revenue CAGR
TYL
TYL
Annualised
TYL
6.5%
-2.3%
ICUI

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
ICUI
ICUI
TYL
TYL
Revenue
$540.7M
$613.5M
Net Profit
$-15.7M
$81.2M
Gross Margin
37.5%
48.3%
Operating Margin
1.0%
16.3%
Net Margin
-2.9%
13.2%
Revenue YoY
-14.1%
8.6%
Net Profit YoY
34.0%
EPS (diluted)
$-0.63
$1.88

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
TYL
TYL
Q1 26
$613.5M
Q4 25
$540.7M
$575.2M
Q3 25
$537.0M
$595.9M
Q2 25
$548.9M
$596.1M
Q1 25
$604.7M
$565.2M
Q4 24
$629.8M
$541.1M
Q3 24
$589.1M
$543.3M
Q2 24
$596.5M
$541.0M
Net Profit
ICUI
ICUI
TYL
TYL
Q1 26
$81.2M
Q4 25
$-15.7M
$65.5M
Q3 25
$-3.4M
$84.4M
Q2 25
$35.3M
$84.6M
Q1 25
$-15.5M
$81.1M
Q4 24
$-23.8M
$65.2M
Q3 24
$-33.0M
$75.9M
Q2 24
$-21.4M
$67.7M
Gross Margin
ICUI
ICUI
TYL
TYL
Q1 26
48.3%
Q4 25
37.5%
45.5%
Q3 25
37.4%
47.2%
Q2 25
37.9%
45.8%
Q1 25
34.7%
47.3%
Q4 24
36.1%
43.8%
Q3 24
34.8%
43.7%
Q2 24
34.8%
44.0%
Operating Margin
ICUI
ICUI
TYL
TYL
Q1 26
16.3%
Q4 25
1.0%
13.0%
Q3 25
2.6%
16.4%
Q2 25
1.9%
16.0%
Q1 25
2.1%
15.8%
Q4 24
6.0%
13.2%
Q3 24
1.4%
15.2%
Q2 24
1.3%
14.4%
Net Margin
ICUI
ICUI
TYL
TYL
Q1 26
13.2%
Q4 25
-2.9%
11.4%
Q3 25
-0.6%
14.2%
Q2 25
6.4%
14.2%
Q1 25
-2.6%
14.3%
Q4 24
-3.8%
12.1%
Q3 24
-5.6%
14.0%
Q2 24
-3.6%
12.5%
EPS (diluted)
ICUI
ICUI
TYL
TYL
Q1 26
$1.88
Q4 25
$-0.63
$1.50
Q3 25
$-0.14
$1.93
Q2 25
$1.43
$1.93
Q1 25
$-0.63
$1.84
Q4 24
$-0.97
$1.48
Q3 24
$-1.35
$1.74
Q2 24
$-0.88
$1.57

Balance Sheet & Financial Strength

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

Metric
ICUI
ICUI
TYL
TYL
Cash + ST InvestmentsLiquidity on hand
$346.4M
Total DebtLower is stronger
Stockholders' EquityBook value
$2.1B
$3.6B
Total Assets
$4.1B
$4.8B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ICUI
ICUI
TYL
TYL
Q1 26
$346.4M
Q4 25
$1.1B
Q3 25
$950.8M
Q2 25
$892.3M
Q1 25
$807.4M
Q4 24
$308.6M
$768.0M
Q3 24
$312.5M
$544.3M
Q2 24
$302.6M
$258.0M
Total Debt
ICUI
ICUI
TYL
TYL
Q1 26
Q4 25
$599.7M
Q3 25
$599.2M
Q2 25
$598.8M
Q1 25
$598.4M
Q4 24
$597.9M
Q3 24
$597.5M
Q2 24
$597.1M
Stockholders' Equity
ICUI
ICUI
TYL
TYL
Q1 26
$3.6B
Q4 25
$2.1B
$3.7B
Q3 25
$2.1B
$3.6B
Q2 25
$2.1B
$3.6B
Q1 25
$2.0B
$3.5B
Q4 24
$2.0B
$3.4B
Q3 24
$2.0B
$3.3B
Q2 24
$2.0B
$3.1B
Total Assets
ICUI
ICUI
TYL
TYL
Q1 26
$4.8B
Q4 25
$4.1B
$5.6B
Q3 25
$4.1B
$5.5B
Q2 25
$4.1B
$5.4B
Q1 25
$4.2B
$5.2B
Q4 24
$4.2B
$5.2B
Q3 24
$4.3B
$5.0B
Q2 24
$4.3B
$4.8B
Debt / Equity
ICUI
ICUI
TYL
TYL
Q1 26
Q4 25
0.16×
Q3 25
0.17×
Q2 25
0.16×
Q1 25
0.17×
Q4 24
0.18×
Q3 24
0.18×
Q2 24
0.19×

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
TYL
TYL
Operating Cash FlowLast quarter
$60.6M
$107.3M
Free Cash FlowOCF − Capex
$36.0M
$2.0M
FCF MarginFCF / Revenue
6.6%
0.3%
Capex IntensityCapex / Revenue
4.6%
Cash ConversionOCF / Net Profit
1.32×
TTM Free Cash FlowTrailing 4 quarters
$91.8M
$585.7M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ICUI
ICUI
TYL
TYL
Q1 26
$107.3M
Q4 25
$60.6M
$243.9M
Q3 25
$56.7M
$255.2M
Q2 25
$11.2M
$98.3M
Q1 25
$51.3M
$56.2M
Q4 24
$40.2M
$224.8M
Q3 24
$36.1M
$263.7M
Q2 24
$82.0M
$64.3M
Free Cash Flow
ICUI
ICUI
TYL
TYL
Q1 26
$2.0M
Q4 25
$36.0M
$239.6M
Q3 25
$27.6M
$251.3M
Q2 25
$-8.5M
$92.8M
Q1 25
$36.7M
$53.8M
Q4 24
$16.1M
$221.0M
Q3 24
$16.2M
$260.8M
Q2 24
$62.5M
$57.7M
FCF Margin
ICUI
ICUI
TYL
TYL
Q1 26
0.3%
Q4 25
6.6%
41.7%
Q3 25
5.1%
42.2%
Q2 25
-1.5%
15.6%
Q1 25
6.1%
9.5%
Q4 24
2.6%
40.8%
Q3 24
2.7%
48.0%
Q2 24
10.5%
10.7%
Capex Intensity
ICUI
ICUI
TYL
TYL
Q1 26
Q4 25
4.6%
0.8%
Q3 25
5.4%
0.7%
Q2 25
3.6%
0.9%
Q1 25
2.4%
0.4%
Q4 24
3.8%
0.7%
Q3 24
3.4%
0.5%
Q2 24
3.3%
1.2%
Cash Conversion
ICUI
ICUI
TYL
TYL
Q1 26
1.32×
Q4 25
3.72×
Q3 25
3.02×
Q2 25
0.32×
1.16×
Q1 25
0.69×
Q4 24
3.45×
Q3 24
3.47×
Q2 24
0.95×

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%

TYL
TYL

Subscriptions$429.7M70%
Maintenance$108.9M18%
Other$74.9M12%

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