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

Pediatrix Medical Group, Inc. is the larger business by last-quarter revenue ($493.8M vs $375.3M, roughly 1.3× ROYAL GOLD INC). ROYAL GOLD INC runs the higher net margin — 24.9% vs 6.8%, a 18.1% gap on every dollar of revenue. On growth, ROYAL GOLD INC posted the faster year-over-year revenue change (85.3% vs -1.7%). Over the past eight quarters, ROYAL GOLD INC's revenue compounded faster (58.8% 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.

Royal Gold Inc. is a leading precious metals streaming and royalty firm that acquires and manages a diversified portfolio of streaming interests, royalties, and equity interests tied to mining projects. Its assets cover gold, silver, and copper production across North America, South America, Africa, and Australia, operating with a low-risk model that avoids direct mining operations.

MD vs RGLD — Head-to-Head

Bigger by revenue
MD
MD
1.3× larger
MD
$493.8M
$375.3M
RGLD
Growing faster (revenue YoY)
RGLD
RGLD
+87.0% gap
RGLD
85.3%
-1.7%
MD
Higher net margin
RGLD
RGLD
18.1% more per $
RGLD
24.9%
6.8%
MD
Faster 2-yr revenue CAGR
RGLD
RGLD
Annualised
RGLD
58.8%
-0.1%
MD

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
MD
MD
RGLD
RGLD
Revenue
$493.8M
$375.3M
Net Profit
$33.7M
$93.6M
Gross Margin
64.6%
Operating Margin
9.9%
56.2%
Net Margin
6.8%
24.9%
Revenue YoY
-1.7%
85.3%
Net Profit YoY
10.5%
-12.8%
EPS (diluted)
$0.40
$1.04

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
RGLD
RGLD
Q4 25
$493.8M
$375.3M
Q3 25
$492.9M
$252.1M
Q2 25
$468.8M
$209.6M
Q1 25
$458.4M
$193.4M
Q4 24
$502.4M
$202.6M
Q3 24
$511.2M
$193.8M
Q2 24
$504.3M
$174.1M
Q1 24
$495.1M
$148.9M
Net Profit
MD
MD
RGLD
RGLD
Q4 25
$33.7M
$93.6M
Q3 25
$71.7M
$126.8M
Q2 25
$39.3M
$132.3M
Q1 25
$20.7M
$113.5M
Q4 24
$30.5M
$107.4M
Q3 24
$19.4M
$96.2M
Q2 24
$-153.0M
$81.2M
Q1 24
$4.0M
$47.2M
Gross Margin
MD
MD
RGLD
RGLD
Q4 25
64.6%
Q3 25
73.6%
Q2 25
72.6%
Q1 25
69.4%
Q4 24
70.3%
Q3 24
66.6%
Q2 24
64.7%
Q1 24
58.4%
Operating Margin
MD
MD
RGLD
RGLD
Q4 25
9.9%
56.2%
Q3 25
13.8%
64.4%
Q2 25
12.8%
67.7%
Q1 25
7.0%
63.6%
Q4 24
7.8%
65.9%
Q3 24
6.6%
61.3%
Q2 24
-31.3%
58.6%
Q1 24
3.2%
50.7%
Net Margin
MD
MD
RGLD
RGLD
Q4 25
6.8%
24.9%
Q3 25
14.5%
50.3%
Q2 25
8.4%
63.1%
Q1 25
4.5%
58.7%
Q4 24
6.1%
53.0%
Q3 24
3.8%
49.7%
Q2 24
-30.3%
46.6%
Q1 24
0.8%
31.7%
EPS (diluted)
MD
MD
RGLD
RGLD
Q4 25
$0.40
$1.04
Q3 25
$0.84
$1.92
Q2 25
$0.46
$2.01
Q1 25
$0.24
$1.72
Q4 24
$0.37
$1.63
Q3 24
$0.23
$1.46
Q2 24
$-1.84
$1.23
Q1 24
$0.05
$0.72

Balance Sheet & Financial Strength

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

Metric
MD
MD
RGLD
RGLD
Cash + ST InvestmentsLiquidity on hand
$375.2M
$233.7M
Total DebtLower is stronger
$570.5M
Stockholders' EquityBook value
$865.9M
$7.2B
Total Assets
$2.2B
$9.5B
Debt / EquityLower = less leverage
0.66×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MD
MD
RGLD
RGLD
Q4 25
$375.2M
$233.7M
Q3 25
$340.1M
$172.8M
Q2 25
$224.7M
$248.2M
Q1 25
$99.0M
$240.8M
Q4 24
$229.9M
$195.5M
Q3 24
$103.8M
$127.9M
Q2 24
$19.4M
$74.2M
Q1 24
$8.0M
$137.9M
Total Debt
MD
MD
RGLD
RGLD
Q4 25
$570.5M
Q3 25
$577.2M
Q2 25
$583.9M
Q1 25
$590.5M
Q4 24
$597.1M
Q3 24
$0
Q2 24
$50.0M
Q1 24
Stockholders' Equity
MD
MD
RGLD
RGLD
Q4 25
$865.9M
$7.2B
Q3 25
$890.7M
$3.4B
Q2 25
$833.8M
$3.3B
Q1 25
$789.2M
$3.2B
Q4 24
$764.9M
$3.1B
Q3 24
$732.5M
$3.0B
Q2 24
$706.5M
$3.0B
Q1 24
$856.2M
$2.9B
Total Assets
MD
MD
RGLD
RGLD
Q4 25
$2.2B
$9.5B
Q3 25
$2.2B
$4.5B
Q2 25
$2.1B
$3.6B
Q1 25
$2.0B
$3.5B
Q4 24
$2.2B
$3.4B
Q3 24
$2.1B
$3.3B
Q2 24
$2.0B
$3.3B
Q1 24
$2.2B
$3.3B
Debt / Equity
MD
MD
RGLD
RGLD
Q4 25
0.66×
Q3 25
0.65×
Q2 25
0.70×
Q1 25
0.75×
Q4 24
0.78×
Q3 24
0.00×
Q2 24
0.02×
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
RGLD
RGLD
Operating Cash FlowLast quarter
$114.1M
$241.7M
Free Cash FlowOCF − Capex
FCF MarginFCF / Revenue
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
3.39×
2.58×
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
MD
MD
RGLD
RGLD
Q4 25
$114.1M
$241.7M
Q3 25
$137.3M
$174.0M
Q2 25
$137.2M
$152.8M
Q1 25
$-117.5M
$136.4M
Q4 24
$133.0M
$141.1M
Q3 24
$91.8M
$136.7M
Q2 24
$107.0M
$113.5M
Q1 24
$-125.2M
$138.3M
Cash Conversion
MD
MD
RGLD
RGLD
Q4 25
3.39×
2.58×
Q3 25
1.91×
1.37×
Q2 25
3.49×
1.15×
Q1 25
-5.66×
1.20×
Q4 24
4.36×
1.31×
Q3 24
4.72×
1.42×
Q2 24
1.40×
Q1 24
-31.03×
2.93×

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%

RGLD
RGLD

Gold$216.9M58%
Pueblo Viejo$47.3M13%
Andacollo$32.6M9%
Silver$32.1M9%
Other$27.2M7%
Copper$13.7M4%
Cortez Legacy Zone$5.4M1%

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