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Side-by-side financial comparison of ICU MEDICAL INC (ICUI) and Select Water Solutions, Inc. (WTTR). Click either name above to swap in a different company.

ICU MEDICAL INC is the larger business by last-quarter revenue ($540.7M vs $346.5M, roughly 1.6× Select Water Solutions, Inc.). Select Water Solutions, Inc. runs the higher net margin — -0.1% vs -2.9%, a 2.8% gap on every dollar of revenue. On growth, Select Water Solutions, Inc. posted the faster year-over-year revenue change (-0.7% vs -14.1%). ICU MEDICAL INC produced more free cash flow last quarter ($36.0M vs $-6.0M). Over the past eight quarters, ICU MEDICAL INC's revenue compounded faster (-2.3% CAGR vs -2.8%).

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...

Select Water Solutions, Inc. is a leading provider of end-to-end water management, fluid handling, and environmental sustainability services primarily catering to the North American onshore oil and gas exploration and production sector. Its core offerings include water sourcing, treatment, recycling, disposal, and chemical solutions to help clients cut operational costs and reduce environmental footprint.

ICUI vs WTTR — Head-to-Head

Bigger by revenue
ICUI
ICUI
1.6× larger
ICUI
$540.7M
$346.5M
WTTR
Growing faster (revenue YoY)
WTTR
WTTR
+13.4% gap
WTTR
-0.7%
-14.1%
ICUI
Higher net margin
WTTR
WTTR
2.8% more per $
WTTR
-0.1%
-2.9%
ICUI
More free cash flow
ICUI
ICUI
$42.0M more FCF
ICUI
$36.0M
$-6.0M
WTTR
Faster 2-yr revenue CAGR
ICUI
ICUI
Annualised
ICUI
-2.3%
-2.8%
WTTR

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ICUI
ICUI
WTTR
WTTR
Revenue
$540.7M
$346.5M
Net Profit
$-15.7M
$-346.0K
Gross Margin
37.5%
13.1%
Operating Margin
1.0%
-0.1%
Net Margin
-2.9%
-0.1%
Revenue YoY
-14.1%
-0.7%
Net Profit YoY
34.0%
78.9%
EPS (diluted)
$-0.63

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
WTTR
WTTR
Q4 25
$540.7M
$346.5M
Q3 25
$537.0M
$322.2M
Q2 25
$548.9M
$364.2M
Q1 25
$604.7M
$374.4M
Q4 24
$629.8M
$349.0M
Q3 24
$589.1M
$371.3M
Q2 24
$596.5M
$365.1M
Q1 24
$566.7M
$366.5M
Net Profit
ICUI
ICUI
WTTR
WTTR
Q4 25
$-15.7M
$-346.0K
Q3 25
$-3.4M
$2.7M
Q2 25
$35.3M
$10.6M
Q1 25
$-15.5M
$8.2M
Q4 24
$-23.8M
$-1.6M
Q3 24
$-33.0M
$15.8M
Q2 24
$-21.4M
$12.9M
Q1 24
$-39.5M
$3.6M
Gross Margin
ICUI
ICUI
WTTR
WTTR
Q4 25
37.5%
13.1%
Q3 25
37.4%
13.5%
Q2 25
37.9%
15.9%
Q1 25
34.7%
14.9%
Q4 24
36.1%
12.7%
Q3 24
34.8%
16.8%
Q2 24
34.8%
16.5%
Q1 24
32.7%
14.4%
Operating Margin
ICUI
ICUI
WTTR
WTTR
Q4 25
1.0%
-0.1%
Q3 25
2.6%
-0.5%
Q2 25
1.9%
4.2%
Q1 25
2.1%
4.2%
Q4 24
6.0%
0.7%
Q3 24
1.4%
6.6%
Q2 24
1.3%
5.6%
Q1 24
-1.9%
1.9%
Net Margin
ICUI
ICUI
WTTR
WTTR
Q4 25
-2.9%
-0.1%
Q3 25
-0.6%
0.8%
Q2 25
6.4%
2.9%
Q1 25
-2.6%
2.2%
Q4 24
-3.8%
-0.5%
Q3 24
-5.6%
4.3%
Q2 24
-3.6%
3.5%
Q1 24
-7.0%
1.0%
EPS (diluted)
ICUI
ICUI
WTTR
WTTR
Q4 25
$-0.63
Q3 25
$-0.14
Q2 25
$1.43
Q1 25
$-0.63
Q4 24
$-0.97
Q3 24
$-1.35
Q2 24
$-0.88
Q1 24
$-1.63

Balance Sheet & Financial Strength

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

Metric
ICUI
ICUI
WTTR
WTTR
Cash + ST InvestmentsLiquidity on hand
$18.1M
Total DebtLower is stronger
$320.0M
Stockholders' EquityBook value
$2.1B
$805.6M
Total Assets
$4.1B
$1.6B
Debt / EquityLower = less leverage
0.40×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ICUI
ICUI
WTTR
WTTR
Q4 25
$18.1M
Q3 25
$17.8M
Q2 25
$51.2M
Q1 25
$27.9M
Q4 24
$308.6M
$20.0M
Q3 24
$312.5M
$10.9M
Q2 24
$302.6M
$16.4M
Q1 24
$251.4M
$12.8M
Total Debt
ICUI
ICUI
WTTR
WTTR
Q4 25
$320.0M
Q3 25
$305.0M
Q2 25
$275.0M
Q1 25
$250.0M
Q4 24
$85.0M
Q3 24
$80.0M
Q2 24
$90.0M
Q1 24
$75.0M
Stockholders' Equity
ICUI
ICUI
WTTR
WTTR
Q4 25
$2.1B
$805.6M
Q3 25
$2.1B
$808.1M
Q2 25
$2.1B
$799.3M
Q1 25
$2.0B
$793.1M
Q4 24
$2.0B
$793.5M
Q3 24
$2.0B
$796.5M
Q2 24
$2.0B
$782.0M
Q1 24
$2.1B
$770.0M
Total Assets
ICUI
ICUI
WTTR
WTTR
Q4 25
$4.1B
$1.6B
Q3 25
$4.1B
$1.6B
Q2 25
$4.1B
$1.5B
Q1 25
$4.2B
$1.5B
Q4 24
$4.2B
$1.4B
Q3 24
$4.3B
$1.3B
Q2 24
$4.3B
$1.3B
Q1 24
$4.3B
$1.3B
Debt / Equity
ICUI
ICUI
WTTR
WTTR
Q4 25
0.40×
Q3 25
0.38×
Q2 25
0.34×
Q1 25
0.32×
Q4 24
0.11×
Q3 24
0.10×
Q2 24
0.12×
Q1 24
0.10×

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
WTTR
WTTR
Operating Cash FlowLast quarter
$60.6M
$65.5M
Free Cash FlowOCF − Capex
$36.0M
$-6.0M
FCF MarginFCF / Revenue
6.6%
-1.7%
Capex IntensityCapex / Revenue
4.6%
20.6%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$91.8M
$-79.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ICUI
ICUI
WTTR
WTTR
Q4 25
$60.6M
$65.5M
Q3 25
$56.7M
$71.7M
Q2 25
$11.2M
$82.6M
Q1 25
$51.3M
$-5.1M
Q4 24
$40.2M
$67.8M
Q3 24
$36.1M
$51.9M
Q2 24
$82.0M
$83.1M
Q1 24
$45.8M
$32.1M
Free Cash Flow
ICUI
ICUI
WTTR
WTTR
Q4 25
$36.0M
$-6.0M
Q3 25
$27.6M
$-23.5M
Q2 25
$-8.5M
$3.2M
Q1 25
$36.7M
$-53.5M
Q4 24
$16.1M
$12.7M
Q3 24
$16.2M
$16.7M
Q2 24
$62.5M
$34.0M
Q1 24
$29.9M
$-1.6M
FCF Margin
ICUI
ICUI
WTTR
WTTR
Q4 25
6.6%
-1.7%
Q3 25
5.1%
-7.3%
Q2 25
-1.5%
0.9%
Q1 25
6.1%
-14.3%
Q4 24
2.6%
3.6%
Q3 24
2.7%
4.5%
Q2 24
10.5%
9.3%
Q1 24
5.3%
-0.4%
Capex Intensity
ICUI
ICUI
WTTR
WTTR
Q4 25
4.6%
20.6%
Q3 25
5.4%
29.6%
Q2 25
3.6%
21.8%
Q1 25
2.4%
12.9%
Q4 24
3.8%
15.8%
Q3 24
3.4%
9.5%
Q2 24
3.3%
13.5%
Q1 24
2.8%
9.2%
Cash Conversion
ICUI
ICUI
WTTR
WTTR
Q4 25
Q3 25
26.72×
Q2 25
0.32×
7.76×
Q1 25
-0.61×
Q4 24
Q3 24
3.29×
Q2 24
6.46×
Q1 24
8.86×

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%

WTTR
WTTR

Water Services$178.3M51%
Marcellus Utica$38.6M11%
Rockies$38.3M11%
Eagle Ford$28.2M8%
Midcon$23.0M7%
Haynesville E.Texas$19.1M6%
Bakken$17.3M5%
Eliminations And Other Geographical Regions$3.6M1%

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