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Side-by-side financial comparison of James River Group Holdings, Inc. (JRVR) and VIEMED HEALTHCARE, INC. (VMD). Click either name above to swap in a different company.

James River Group Holdings, Inc. is the larger business by last-quarter revenue ($151.4M vs $76.2M, roughly 2.0× VIEMED HEALTHCARE, INC.). On growth, VIEMED HEALTHCARE, INC. posted the faster year-over-year revenue change (25.5% vs -12.1%). Over the past eight quarters, VIEMED HEALTHCARE, INC.'s revenue compounded faster (22.7% CAGR vs -10.3%).

James River Corporation was an American pulp and paper company based in Richmond, Virginia, once the largest paper manufacturer in the world.

Viemed Healthcare, Inc. is a medical technology firm specializing in respiratory care solutions. It develops, manufactures and distributes portable ventilators, respiratory therapy devices and related support services, catering to acute care, post-acute care and home care segments across North America, Europe and key Asia-Pacific markets for patients with respiratory conditions.

JRVR vs VMD — Head-to-Head

Bigger by revenue
JRVR
JRVR
2.0× larger
JRVR
$151.4M
$76.2M
VMD
Growing faster (revenue YoY)
VMD
VMD
+37.6% gap
VMD
25.5%
-12.1%
JRVR
Faster 2-yr revenue CAGR
VMD
VMD
Annualised
VMD
22.7%
-10.3%
JRVR

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
JRVR
JRVR
VMD
VMD
Revenue
$151.4M
$76.2M
Net Profit
$5.6M
Gross Margin
57.9%
Operating Margin
11.0%
Net Margin
7.4%
Revenue YoY
-12.1%
25.5%
Net Profit YoY
30.7%
EPS (diluted)
$0.14

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
JRVR
JRVR
VMD
VMD
Q1 26
$151.4M
Q4 25
$167.7M
$76.2M
Q3 25
$172.7M
$71.9M
Q2 25
$174.8M
$63.1M
Q1 25
$172.3M
$59.1M
Q4 24
$126.7M
$60.7M
Q3 24
$191.5M
$58.0M
Q2 24
$188.3M
$55.0M
Net Profit
JRVR
JRVR
VMD
VMD
Q1 26
Q4 25
$32.1M
$5.6M
Q3 25
$1.0M
$3.5M
Q2 25
$4.8M
$3.2M
Q1 25
$9.6M
$2.6M
Q4 24
$-64.8M
$4.3M
Q3 24
$-39.4M
$3.9M
Q2 24
$7.6M
$1.5M
Gross Margin
JRVR
JRVR
VMD
VMD
Q1 26
Q4 25
57.9%
Q3 25
57.5%
Q2 25
58.3%
Q1 25
56.3%
Q4 24
59.5%
Q3 24
59.3%
Q2 24
59.8%
Operating Margin
JRVR
JRVR
VMD
VMD
Q1 26
Q4 25
14.6%
11.0%
Q3 25
1.5%
7.8%
Q2 25
4.2%
8.1%
Q1 25
9.3%
6.5%
Q4 24
-57.0%
10.6%
Q3 24
-27.1%
9.7%
Q2 24
10.7%
6.6%
Net Margin
JRVR
JRVR
VMD
VMD
Q1 26
Q4 25
19.1%
7.4%
Q3 25
0.6%
4.9%
Q2 25
2.7%
5.0%
Q1 25
5.6%
4.4%
Q4 24
-51.1%
7.1%
Q3 24
-20.6%
6.7%
Q2 24
4.0%
2.7%
EPS (diluted)
JRVR
JRVR
VMD
VMD
Q1 26
Q4 25
$0.59
$0.14
Q3 25
$-0.02
$0.09
Q2 25
$0.06
$0.08
Q1 25
$0.16
$0.06
Q4 24
$-2.44
$0.10
Q3 24
$-1.10
$0.10
Q2 24
$0.13
$0.04

Balance Sheet & Financial Strength

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

Metric
JRVR
JRVR
VMD
VMD
Cash + ST InvestmentsLiquidity on hand
$228.2M
$13.5M
Total DebtLower is stronger
Stockholders' EquityBook value
$518.4M
$141.5M
Total Assets
$4.8B
$199.2M
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
JRVR
JRVR
VMD
VMD
Q1 26
$228.2M
Q4 25
$260.9M
$13.5M
Q3 25
$238.8M
$11.1M
Q2 25
$220.0M
$20.0M
Q1 25
$279.4M
$10.2M
Q4 24
$362.3M
$17.5M
Q3 24
$359.8M
$11.3M
Q2 24
$672.5M
$8.8M
Stockholders' Equity
JRVR
JRVR
VMD
VMD
Q1 26
$518.4M
Q4 25
$538.2M
$141.5M
Q3 25
$503.6M
$133.6M
Q2 25
$492.6M
$139.7M
Q1 25
$484.5M
$134.8M
Q4 24
$460.9M
$131.4M
Q3 24
$530.3M
$125.0M
Q2 24
$541.8M
$119.4M
Total Assets
JRVR
JRVR
VMD
VMD
Q1 26
$4.8B
Q4 25
$4.9B
$199.2M
Q3 25
$5.0B
$202.4M
Q2 25
$5.0B
$184.6M
Q1 25
$4.9B
$178.1M
Q4 24
$5.0B
$177.1M
Q3 24
$5.0B
$169.5M
Q2 24
$4.7B
$163.9M

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
JRVR
JRVR
VMD
VMD
Operating Cash FlowLast quarter
$18.4M
Free Cash FlowOCF − Capex
$9.7M
FCF MarginFCF / Revenue
12.7%
Capex IntensityCapex / Revenue
11.5%
Cash ConversionOCF / Net Profit
3.27×
TTM Free Cash FlowTrailing 4 quarters
$11.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
JRVR
JRVR
VMD
VMD
Q1 26
Q4 25
$-18.8M
$18.4M
Q3 25
$34.3M
$18.4M
Q2 25
$25.2M
$12.3M
Q1 25
$-51.5M
$2.9M
Q4 24
$-247.1M
$15.0M
Q3 24
$-269.9M
$12.7M
Q2 24
$-8.7M
$10.2M
Free Cash Flow
JRVR
JRVR
VMD
VMD
Q1 26
Q4 25
$-23.6M
$9.7M
Q3 25
$33.7M
$10.7M
Q2 25
$24.7M
$4.1M
Q1 25
$-52.7M
$-12.6M
Q4 24
$-252.0M
$3.2M
Q3 24
$-270.8M
$1.7M
Q2 24
$-9.3M
$1.2M
FCF Margin
JRVR
JRVR
VMD
VMD
Q1 26
Q4 25
-14.1%
12.7%
Q3 25
19.5%
14.9%
Q2 25
14.1%
6.5%
Q1 25
-30.6%
-21.4%
Q4 24
-198.9%
5.2%
Q3 24
-141.4%
3.0%
Q2 24
-4.9%
2.3%
Capex Intensity
JRVR
JRVR
VMD
VMD
Q1 26
Q4 25
2.9%
11.5%
Q3 25
0.4%
10.6%
Q2 25
0.3%
12.9%
Q1 25
0.7%
26.2%
Q4 24
3.9%
19.5%
Q3 24
0.4%
19.0%
Q2 24
0.3%
16.3%
Cash Conversion
JRVR
JRVR
VMD
VMD
Q1 26
Q4 25
-0.59×
3.27×
Q3 25
33.61×
5.23×
Q2 25
5.29×
3.88×
Q1 25
-5.38×
1.09×
Q4 24
3.47×
Q3 24
3.29×
Q2 24
-1.14×
6.94×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

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