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Side-by-side financial comparison of Pediatrix Medical Group, Inc. (MD) and Paycom (PAYC). Click either name above to swap in a different company.

Paycom is the larger business by last-quarter revenue ($544.3M vs $493.8M, roughly 1.1× Pediatrix Medical Group, Inc.). Paycom runs the higher net margin — 20.9% vs 6.8%, a 14.1% gap on every dollar of revenue. On growth, Paycom posted the faster year-over-year revenue change (10.2% vs -1.7%). Over the past eight quarters, Paycom's revenue compounded faster (4.3% CAGR vs -0.1%).

Pediatrix Medical Group, Inc. is a leading U.S. specialized medical service provider focusing on maternal-fetal care, neonatology, pediatric cardiology and other pediatric subspecialties. It partners with U.S. healthcare facilities to deliver evidence-based care to women, newborns and children.

Paycom Software, Inc., known simply as Paycom, is an online payroll and human resource software provider based in Oklahoma City, Oklahoma with offices throughout the United States. It is attributed with being one of the first fully online payroll providers. Founded in 1998, it reported annual revenue of $2.052 billion for 2025, up from $1.883 billion for 2024.

MD vs PAYC — Head-to-Head

Bigger by revenue
PAYC
PAYC
1.1× larger
PAYC
$544.3M
$493.8M
MD
Growing faster (revenue YoY)
PAYC
PAYC
+11.9% gap
PAYC
10.2%
-1.7%
MD
Higher net margin
PAYC
PAYC
14.1% more per $
PAYC
20.9%
6.8%
MD
Faster 2-yr revenue CAGR
PAYC
PAYC
Annualised
PAYC
4.3%
-0.1%
MD

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
MD
MD
PAYC
PAYC
Revenue
$493.8M
$544.3M
Net Profit
$33.7M
$113.8M
Gross Margin
83.9%
Operating Margin
9.9%
28.9%
Net Margin
6.8%
20.9%
Revenue YoY
-1.7%
10.2%
Net Profit YoY
10.5%
0.2%
EPS (diluted)
$0.40
$2.06

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
MD
MD
PAYC
PAYC
Q4 25
$493.8M
$544.3M
Q3 25
$492.9M
$493.3M
Q2 25
$468.8M
$483.6M
Q1 25
$458.4M
$530.5M
Q4 24
$502.4M
$493.9M
Q3 24
$511.2M
$451.9M
Q2 24
$504.3M
$437.5M
Q1 24
$495.1M
$499.9M
Net Profit
MD
MD
PAYC
PAYC
Q4 25
$33.7M
$113.8M
Q3 25
$71.7M
$110.7M
Q2 25
$39.3M
$89.5M
Q1 25
$20.7M
$139.4M
Q4 24
$30.5M
$113.6M
Q3 24
$19.4M
$73.3M
Q2 24
$-153.0M
$68.0M
Q1 24
$4.0M
$247.2M
Gross Margin
MD
MD
PAYC
PAYC
Q4 25
83.9%
Q3 25
82.7%
Q2 25
81.9%
Q1 25
84.1%
Q4 24
83.1%
Q3 24
80.5%
Q2 24
80.8%
Q1 24
84.3%
Operating Margin
MD
MD
PAYC
PAYC
Q4 25
9.9%
28.9%
Q3 25
13.8%
22.8%
Q2 25
12.8%
23.2%
Q1 25
7.0%
34.9%
Q4 24
7.8%
30.1%
Q3 24
6.6%
23.2%
Q2 24
-31.3%
21.7%
Q1 24
3.2%
57.2%
Net Margin
MD
MD
PAYC
PAYC
Q4 25
6.8%
20.9%
Q3 25
14.5%
22.4%
Q2 25
8.4%
18.5%
Q1 25
4.5%
26.3%
Q4 24
6.1%
23.0%
Q3 24
3.8%
16.2%
Q2 24
-30.3%
15.5%
Q1 24
0.8%
49.4%
EPS (diluted)
MD
MD
PAYC
PAYC
Q4 25
$0.40
$2.06
Q3 25
$0.84
$1.96
Q2 25
$0.46
$1.58
Q1 25
$0.24
$2.48
Q4 24
$0.37
$2.04
Q3 24
$0.23
$1.31
Q2 24
$-1.84
$1.20
Q1 24
$0.05
$4.37

Balance Sheet & Financial Strength

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

Metric
MD
MD
PAYC
PAYC
Cash + ST InvestmentsLiquidity on hand
$375.2M
$370.0M
Total DebtLower is stronger
$570.5M
Stockholders' EquityBook value
$865.9M
$1.7B
Total Assets
$2.2B
$7.6B
Debt / EquityLower = less leverage
0.66×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MD
MD
PAYC
PAYC
Q4 25
$375.2M
$370.0M
Q3 25
$340.1M
$375.0M
Q2 25
$224.7M
$532.2M
Q1 25
$99.0M
$520.8M
Q4 24
$229.9M
$402.0M
Q3 24
$103.8M
$325.8M
Q2 24
$19.4M
$346.5M
Q1 24
$8.0M
$371.3M
Total Debt
MD
MD
PAYC
PAYC
Q4 25
$570.5M
Q3 25
$577.2M
Q2 25
$583.9M
Q1 25
$590.5M
Q4 24
$597.1M
Q3 24
Q2 24
Q1 24
Stockholders' Equity
MD
MD
PAYC
PAYC
Q4 25
$865.9M
$1.7B
Q3 25
$890.7M
$1.7B
Q2 25
$833.8M
$1.8B
Q1 25
$789.2M
$1.7B
Q4 24
$764.9M
$1.6B
Q3 24
$732.5M
$1.5B
Q2 24
$706.5M
$1.4B
Q1 24
$856.2M
$1.4B
Total Assets
MD
MD
PAYC
PAYC
Q4 25
$2.2B
$7.6B
Q3 25
$2.2B
$4.2B
Q2 25
$2.1B
$4.0B
Q1 25
$2.0B
$4.6B
Q4 24
$2.2B
$5.9B
Q3 24
$2.1B
$3.5B
Q2 24
$2.0B
$4.3B
Q1 24
$2.2B
$4.7B
Debt / Equity
MD
MD
PAYC
PAYC
Q4 25
0.66×
Q3 25
0.65×
Q2 25
0.70×
Q1 25
0.75×
Q4 24
0.78×
Q3 24
Q2 24
Q1 24

Cash Flow & Capital Efficiency

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

Metric
MD
MD
PAYC
PAYC
Operating Cash FlowLast quarter
$114.1M
$196.1M
Free Cash FlowOCF − Capex
$122.6M
FCF MarginFCF / Revenue
22.5%
Capex IntensityCapex / Revenue
13.5%
Cash ConversionOCF / Net Profit
3.39×
1.72×
TTM Free Cash FlowTrailing 4 quarters
$408.0M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
MD
MD
PAYC
PAYC
Q4 25
$114.1M
$196.1M
Q3 25
$137.3M
$177.8M
Q2 25
$137.2M
$122.5M
Q1 25
$-117.5M
$182.5M
Q4 24
$133.0M
$160.4M
Q3 24
$91.8M
$92.8M
Q2 24
$107.0M
$132.1M
Q1 24
$-125.2M
$148.6M
Free Cash Flow
MD
MD
PAYC
PAYC
Q4 25
$122.6M
Q3 25
$79.8M
Q2 25
$60.8M
Q1 25
$144.8M
Q4 24
$109.0M
Q3 24
$44.6M
Q2 24
$86.5M
Q1 24
$100.9M
FCF Margin
MD
MD
PAYC
PAYC
Q4 25
22.5%
Q3 25
16.2%
Q2 25
12.6%
Q1 25
27.3%
Q4 24
22.1%
Q3 24
9.9%
Q2 24
19.8%
Q1 24
20.2%
Capex Intensity
MD
MD
PAYC
PAYC
Q4 25
13.5%
Q3 25
19.9%
Q2 25
12.8%
Q1 25
7.1%
Q4 24
10.4%
Q3 24
10.7%
Q2 24
10.4%
Q1 24
9.5%
Cash Conversion
MD
MD
PAYC
PAYC
Q4 25
3.39×
1.72×
Q3 25
1.91×
1.61×
Q2 25
3.49×
1.37×
Q1 25
-5.66×
1.31×
Q4 24
4.36×
1.41×
Q3 24
4.72×
1.27×
Q2 24
1.94×
Q1 24
-31.03×
0.60×

Financial Flow Comparison

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

Revenue Breakdown by Segment

MD
MD

Health Care Patient Service$421.6M85%
Hospitals Contracts$70.0M14%
Other$2.2M0%

PAYC
PAYC

Recurring$510.3M94%
Interest On Funds Held For Clients$27.2M5%
Implementation And Other$6.8M1%

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