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Side-by-side financial comparison of Pediatrix Medical Group, Inc. (MD) and TRUPANION, INC. (TRUP). 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 $376.9M, roughly 1.3× TRUPANION, INC.). On growth, TRUPANION, INC. posted the faster year-over-year revenue change (11.7% vs -1.7%). Over the past eight quarters, TRUPANION, INC.'s revenue compounded faster (11.0% 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.
TRUPANION, INC.TRUPEarnings & Financial Report
Trupanion, Inc. is a pet insurance provider headquartered in Seattle, Washington. Established in 1998, Trupanion operates across the United States, Canada, Australia, and Puerto Rico. The company offers coverage for pets and is self-underwritten by the American Pet Insurance Company (APIC).
MD vs TRUP — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $493.8M | $376.9M |
| Net Profit | $33.7M | — |
| Gross Margin | — | 17.3% |
| Operating Margin | 9.9% | 1.9% |
| Net Margin | 6.8% | — |
| Revenue YoY | -1.7% | 11.7% |
| Net Profit YoY | 10.5% | — |
| EPS (diluted) | $0.40 | $0.13 |
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.
| Q4 25 | $493.8M | $376.9M | ||
| Q3 25 | $492.9M | $366.9M | ||
| Q2 25 | $468.8M | $353.6M | ||
| Q1 25 | $458.4M | $342.0M | ||
| Q4 24 | $502.4M | $337.3M | ||
| Q3 24 | $511.2M | $327.5M | ||
| Q2 24 | $504.3M | $314.8M | ||
| Q1 24 | $495.1M | $306.1M |
| Q4 25 | $33.7M | — | ||
| Q3 25 | $71.7M | — | ||
| Q2 25 | $39.3M | — | ||
| Q1 25 | $20.7M | — | ||
| Q4 24 | $30.5M | — | ||
| Q3 24 | $19.4M | — | ||
| Q2 24 | $-153.0M | — | ||
| Q1 24 | $4.0M | — |
| Q4 25 | — | 17.3% | ||
| Q3 25 | — | 16.4% | ||
| Q2 25 | — | 15.5% | ||
| Q1 25 | — | 14.9% | ||
| Q4 24 | — | 15.7% | ||
| Q3 24 | — | 15.1% | ||
| Q2 24 | — | 12.8% | ||
| Q1 24 | — | 11.8% |
| Q4 25 | 9.9% | 1.9% | ||
| Q3 25 | 13.8% | 1.6% | ||
| Q2 25 | 12.8% | 0.7% | ||
| Q1 25 | 7.0% | -0.4% | ||
| Q4 24 | 7.8% | 0.1% | ||
| Q3 24 | 6.6% | 0.5% | ||
| Q2 24 | -31.3% | -1.7% | ||
| Q1 24 | 3.2% | -2.0% |
| Q4 25 | 6.8% | — | ||
| Q3 25 | 14.5% | — | ||
| Q2 25 | 8.4% | — | ||
| Q1 25 | 4.5% | — | ||
| Q4 24 | 6.1% | — | ||
| Q3 24 | 3.8% | — | ||
| Q2 24 | -30.3% | — | ||
| Q1 24 | 0.8% | — |
| Q4 25 | $0.40 | $0.13 | ||
| Q3 25 | $0.84 | $0.13 | ||
| Q2 25 | $0.46 | $0.22 | ||
| Q1 25 | $0.24 | $-0.03 | ||
| Q4 24 | $0.37 | $0.04 | ||
| Q3 24 | $0.23 | $0.03 | ||
| Q2 24 | $-1.84 | $-0.14 | ||
| Q1 24 | $0.05 | $-0.16 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $375.2M | $370.7M |
| Total DebtLower is stronger | $570.5M | $101.8M |
| Stockholders' EquityBook value | $865.9M | $383.9M |
| Total Assets | $2.2B | $915.0M |
| Debt / EquityLower = less leverage | 0.66× | 0.27× |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $375.2M | $370.7M | ||
| Q3 25 | $340.1M | $348.5M | ||
| Q2 25 | $224.7M | $319.6M | ||
| Q1 25 | $99.0M | $321.8M | ||
| Q4 24 | $229.9M | $307.4M | ||
| Q3 24 | $103.8M | $293.1M | ||
| Q2 24 | $19.4M | $277.2M | ||
| Q1 24 | $8.0M | $275.2M |
| Q4 25 | $570.5M | $101.8M | ||
| Q3 25 | $577.2M | — | ||
| Q2 25 | $583.9M | — | ||
| Q1 25 | $590.5M | — | ||
| Q4 24 | $597.1M | $127.5M | ||
| Q3 24 | — | — | ||
| Q2 24 | — | — | ||
| Q1 24 | — | — |
| Q4 25 | $865.9M | $383.9M | ||
| Q3 25 | $890.7M | $368.6M | ||
| Q2 25 | $833.8M | $355.5M | ||
| Q1 25 | $789.2M | $333.7M | ||
| Q4 24 | $764.9M | $323.3M | ||
| Q3 24 | $732.5M | $320.2M | ||
| Q2 24 | $706.5M | $305.8M | ||
| Q1 24 | $856.2M | $303.4M |
| Q4 25 | $2.2B | $915.0M | ||
| Q3 25 | $2.2B | $880.2M | ||
| Q2 25 | $2.1B | $847.8M | ||
| Q1 25 | $2.0B | $837.2M | ||
| Q4 24 | $2.2B | $806.9M | ||
| Q3 24 | $2.1B | $816.1M | ||
| Q2 24 | $2.0B | $795.9M | ||
| Q1 24 | $2.2B | $789.5M |
| Q4 25 | 0.66× | 0.27× | ||
| Q3 25 | 0.65× | — | ||
| Q2 25 | 0.70× | — | ||
| Q1 25 | 0.75× | — | ||
| Q4 24 | 0.78× | 0.39× | ||
| 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 | | |
|---|---|---|
| Operating Cash FlowLast quarter | $114.1M | $29.3M |
| Free Cash FlowOCF − Capex | — | $25.3M |
| FCF MarginFCF / Revenue | — | 6.7% |
| Capex IntensityCapex / Revenue | — | 1.0% |
| Cash ConversionOCF / Net Profit | 3.39× | — |
| TTM Free Cash FlowTrailing 4 quarters | — | $75.4M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $114.1M | $29.3M | ||
| Q3 25 | $137.3M | $29.2M | ||
| Q2 25 | $137.2M | $15.0M | ||
| Q1 25 | $-117.5M | $16.0M | ||
| Q4 24 | $133.0M | $23.7M | ||
| Q3 24 | $91.8M | $15.3M | ||
| Q2 24 | $107.0M | $6.9M | ||
| Q1 24 | $-125.2M | $2.4M |
| Q4 25 | — | $25.3M | ||
| Q3 25 | — | $23.9M | ||
| Q2 25 | — | $12.0M | ||
| Q1 25 | — | $14.0M | ||
| Q4 24 | — | $21.8M | ||
| Q3 24 | — | $13.4M | ||
| Q2 24 | — | $4.0M | ||
| Q1 24 | — | $-631.0K |
| Q4 25 | — | 6.7% | ||
| Q3 25 | — | 6.5% | ||
| Q2 25 | — | 3.4% | ||
| Q1 25 | — | 4.1% | ||
| Q4 24 | — | 6.5% | ||
| Q3 24 | — | 4.1% | ||
| Q2 24 | — | 1.3% | ||
| Q1 24 | — | -0.2% |
| Q4 25 | — | 1.0% | ||
| Q3 25 | — | 1.4% | ||
| Q2 25 | — | 0.8% | ||
| Q1 25 | — | 0.6% | ||
| Q4 24 | — | 0.6% | ||
| Q3 24 | — | 0.6% | ||
| Q2 24 | — | 0.9% | ||
| Q1 24 | — | 1.0% |
| Q4 25 | 3.39× | — | ||
| Q3 25 | 1.91× | — | ||
| Q2 25 | 3.49× | — | ||
| Q1 25 | -5.66× | — | ||
| Q4 24 | 4.36× | — | ||
| Q3 24 | 4.72× | — | ||
| Q2 24 | — | — | ||
| Q1 24 | -31.03× | — |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
MD
| Health Care Patient Service | $421.6M | 85% |
| Hospitals Contracts | $70.0M | 14% |
| Other | $2.2M | 0% |
TRUP
| Subscriptionbusiness | $261.4M | 69% |
| Other | $115.4M | 31% |
