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Side-by-side financial comparison of Pediatrix Medical Group, Inc. (MD) and Skyward Specialty Insurance Group, Inc. (SKWD). 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 $385.6M, roughly 1.3× Skyward Specialty Insurance Group, Inc.). Skyward Specialty Insurance Group, Inc. runs the higher net margin — 11.2% vs 6.8%, a 4.4% gap on every dollar of revenue. On growth, Skyward Specialty Insurance Group, Inc. posted the faster year-over-year revenue change (26.7% vs -1.7%). Over the past eight quarters, Skyward Specialty Insurance Group, Inc.'s revenue compounded faster (20.6% 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.

Skyward Specialty Insurance Group, Inc. is a specialty property and casualty insurance provider offering tailored coverage solutions including commercial auto, general liability, professional indemnity, and specialty property policies. It primarily serves small-to-medium enterprises and niche industry segments across the United States, focusing on underwriting complex, hard-to-place risks for underserved client groups.

MD vs SKWD — Head-to-Head

Bigger by revenue
MD
MD
1.3× larger
MD
$493.8M
$385.6M
SKWD
Growing faster (revenue YoY)
SKWD
SKWD
+28.4% gap
SKWD
26.7%
-1.7%
MD
Higher net margin
SKWD
SKWD
4.4% more per $
SKWD
11.2%
6.8%
MD
Faster 2-yr revenue CAGR
SKWD
SKWD
Annualised
SKWD
20.6%
-0.1%
MD

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
MD
MD
SKWD
SKWD
Revenue
$493.8M
$385.6M
Net Profit
$33.7M
$43.2M
Gross Margin
Operating Margin
9.9%
14.2%
Net Margin
6.8%
11.2%
Revenue YoY
-1.7%
26.7%
Net Profit YoY
10.5%
200.1%
EPS (diluted)
$0.40
$1.03

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
SKWD
SKWD
Q4 25
$493.8M
$385.6M
Q3 25
$492.9M
$382.5M
Q2 25
$468.8M
$319.9M
Q1 25
$458.4M
$328.5M
Q4 24
$502.4M
$304.4M
Q3 24
$511.2M
$300.9M
Q2 24
$504.3M
$279.9M
Q1 24
$495.1M
$265.0M
Net Profit
MD
MD
SKWD
SKWD
Q4 25
$33.7M
$43.2M
Q3 25
$71.7M
$45.9M
Q2 25
$39.3M
$38.8M
Q1 25
$20.7M
$42.1M
Q4 24
$30.5M
$14.4M
Q3 24
$19.4M
$36.7M
Q2 24
$-153.0M
$31.0M
Q1 24
$4.0M
$36.8M
Operating Margin
MD
MD
SKWD
SKWD
Q4 25
9.9%
14.2%
Q3 25
13.8%
15.8%
Q2 25
12.8%
15.6%
Q1 25
7.0%
15.7%
Q4 24
7.8%
6.1%
Q3 24
6.6%
15.6%
Q2 24
-31.3%
14.4%
Q1 24
3.2%
17.7%
Net Margin
MD
MD
SKWD
SKWD
Q4 25
6.8%
11.2%
Q3 25
14.5%
12.0%
Q2 25
8.4%
12.1%
Q1 25
4.5%
12.8%
Q4 24
6.1%
4.7%
Q3 24
3.8%
12.2%
Q2 24
-30.3%
11.1%
Q1 24
0.8%
13.9%
EPS (diluted)
MD
MD
SKWD
SKWD
Q4 25
$0.40
$1.03
Q3 25
$0.84
$1.10
Q2 25
$0.46
$0.93
Q1 25
$0.24
$1.01
Q4 24
$0.37
$0.33
Q3 24
$0.23
$0.89
Q2 24
$-1.84
$0.75
Q1 24
$0.05
$0.90

Balance Sheet & Financial Strength

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

Metric
MD
MD
SKWD
SKWD
Cash + ST InvestmentsLiquidity on hand
$375.2M
$168.5M
Total DebtLower is stronger
$570.5M
Stockholders' EquityBook value
$865.9M
$1.0B
Total Assets
$2.2B
$4.8B
Debt / EquityLower = less leverage
0.66×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MD
MD
SKWD
SKWD
Q4 25
$375.2M
$168.5M
Q3 25
$340.1M
$160.1M
Q2 25
$224.7M
$136.6M
Q1 25
$99.0M
$112.9M
Q4 24
$229.9M
$121.6M
Q3 24
$103.8M
$105.6M
Q2 24
$19.4M
$73.0M
Q1 24
$8.0M
$85.1M
Total Debt
MD
MD
SKWD
SKWD
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
SKWD
SKWD
Q4 25
$865.9M
$1.0B
Q3 25
$890.7M
$961.4M
Q2 25
$833.8M
$899.9M
Q1 25
$789.2M
$850.7M
Q4 24
$764.9M
$794.0M
Q3 24
$732.5M
$797.5M
Q2 24
$706.5M
$723.6M
Q1 24
$856.2M
$692.3M
Total Assets
MD
MD
SKWD
SKWD
Q4 25
$2.2B
$4.8B
Q3 25
$2.2B
$4.6B
Q2 25
$2.1B
$4.3B
Q1 25
$2.0B
$4.0B
Q4 24
$2.2B
$3.7B
Q3 24
$2.1B
$3.6B
Q2 24
$2.0B
$3.4B
Q1 24
$2.2B
$3.2B
Debt / Equity
MD
MD
SKWD
SKWD
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
SKWD
SKWD
Operating Cash FlowLast quarter
$114.1M
$408.1M
Free Cash FlowOCF − Capex
$402.6M
FCF MarginFCF / Revenue
104.4%
Capex IntensityCapex / Revenue
1.4%
Cash ConversionOCF / Net Profit
3.39×
9.44×
TTM Free Cash FlowTrailing 4 quarters
$755.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
MD
MD
SKWD
SKWD
Q4 25
$114.1M
$408.1M
Q3 25
$137.3M
$171.4M
Q2 25
$137.2M
$88.2M
Q1 25
$-117.5M
$96.8M
Q4 24
$133.0M
$305.1M
Q3 24
$91.8M
$168.0M
Q2 24
$107.0M
$21.0M
Q1 24
$-125.2M
$94.3M
Free Cash Flow
MD
MD
SKWD
SKWD
Q4 25
$402.6M
Q3 25
$168.9M
Q2 25
$87.1M
Q1 25
$96.6M
Q4 24
$300.9M
Q3 24
$167.6M
Q2 24
$18.4M
Q1 24
$94.0M
FCF Margin
MD
MD
SKWD
SKWD
Q4 25
104.4%
Q3 25
44.2%
Q2 25
27.2%
Q1 25
29.4%
Q4 24
98.8%
Q3 24
55.7%
Q2 24
6.6%
Q1 24
35.5%
Capex Intensity
MD
MD
SKWD
SKWD
Q4 25
1.4%
Q3 25
0.6%
Q2 25
0.3%
Q1 25
0.1%
Q4 24
1.4%
Q3 24
0.1%
Q2 24
0.9%
Q1 24
0.1%
Cash Conversion
MD
MD
SKWD
SKWD
Q4 25
3.39×
9.44×
Q3 25
1.91×
3.73×
Q2 25
3.49×
2.27×
Q1 25
-5.66×
2.30×
Q4 24
4.36×
21.18×
Q3 24
4.72×
4.58×
Q2 24
0.68×
Q1 24
-31.03×
2.56×

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%

SKWD
SKWD

Segment breakdown not available.

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