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Side-by-side financial comparison of MERIT MEDICAL SYSTEMS INC (MMSI) and Penumbra Inc (PEN). Click either name above to swap in a different company.

MERIT MEDICAL SYSTEMS INC is the larger business by last-quarter revenue ($393.9M vs $385.4M, roughly 1.0× Penumbra Inc). Penumbra Inc runs the higher net margin — 12.3% vs 9.6%, a 2.6% gap on every dollar of revenue. On growth, Penumbra Inc posted the faster year-over-year revenue change (22.1% vs 10.9%). MERIT MEDICAL SYSTEMS INC produced more free cash flow last quarter ($74.0M vs $68.0M). Over the past eight quarters, Penumbra Inc's revenue compounded faster (17.6% CAGR vs 10.3%).

Merit Medical Systems Inc. is a global medical device firm that designs, manufactures, and markets a broad portfolio of interventional and diagnostic products used across cardiology, radiology, oncology, endoscopy, and critical care segments. It primarily serves hospitals, clinics, and healthcare providers worldwide, focusing on minimally invasive solutions that enhance patient outcomes and streamline clinical workflows.

Penumbra, Inc. is an American medical device company headquartered in Alameda, California. The company was founded by Arani Bose and Adam Elsesser in 2004. It manufactures devices for interventional therapies to treat vascular conditions such as stroke and aneurysm.

MMSI vs PEN — Head-to-Head

Bigger by revenue
MMSI
MMSI
1.0× larger
MMSI
$393.9M
$385.4M
PEN
Growing faster (revenue YoY)
PEN
PEN
+11.2% gap
PEN
22.1%
10.9%
MMSI
Higher net margin
PEN
PEN
2.6% more per $
PEN
12.3%
9.6%
MMSI
More free cash flow
MMSI
MMSI
$6.0M more FCF
MMSI
$74.0M
$68.0M
PEN
Faster 2-yr revenue CAGR
PEN
PEN
Annualised
PEN
17.6%
10.3%
MMSI

Income Statement — Q4 2025 vs Q4 2025

Metric
MMSI
MMSI
PEN
PEN
Revenue
$393.9M
$385.4M
Net Profit
$38.0M
$47.3M
Gross Margin
49.6%
68.0%
Operating Margin
13.8%
15.4%
Net Margin
9.6%
12.3%
Revenue YoY
10.9%
22.1%
Net Profit YoY
36.0%
40.6%
EPS (diluted)
$0.64
$1.20

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
MMSI
MMSI
PEN
PEN
Q4 25
$393.9M
$385.4M
Q3 25
$384.2M
$354.7M
Q2 25
$382.5M
$339.5M
Q1 25
$355.4M
$324.1M
Q4 24
$355.2M
$315.5M
Q3 24
$339.8M
$301.0M
Q2 24
$338.0M
$299.4M
Q1 24
$323.5M
$278.7M
Net Profit
MMSI
MMSI
PEN
PEN
Q4 25
$38.0M
$47.3M
Q3 25
$27.8M
$45.9M
Q2 25
$32.6M
$45.3M
Q1 25
$30.1M
$39.2M
Q4 24
$27.9M
$33.7M
Q3 24
$28.4M
$29.5M
Q2 24
$35.7M
$-60.2M
Q1 24
$28.2M
$11.0M
Gross Margin
MMSI
MMSI
PEN
PEN
Q4 25
49.6%
68.0%
Q3 25
48.5%
67.8%
Q2 25
48.2%
66.0%
Q1 25
48.4%
66.6%
Q4 24
48.7%
66.8%
Q3 24
46.4%
66.5%
Q2 24
47.7%
54.4%
Q1 24
46.9%
65.0%
Operating Margin
MMSI
MMSI
PEN
PEN
Q4 25
13.8%
15.4%
Q3 25
11.1%
13.8%
Q2 25
12.3%
12.0%
Q1 25
11.5%
12.4%
Q4 24
10.3%
13.6%
Q3 24
11.0%
11.7%
Q2 24
13.6%
-27.0%
Q1 24
11.1%
4.3%
Net Margin
MMSI
MMSI
PEN
PEN
Q4 25
9.6%
12.3%
Q3 25
7.2%
12.9%
Q2 25
8.5%
13.3%
Q1 25
8.5%
12.1%
Q4 24
7.9%
10.7%
Q3 24
8.4%
9.8%
Q2 24
10.6%
-20.1%
Q1 24
8.7%
3.9%
EPS (diluted)
MMSI
MMSI
PEN
PEN
Q4 25
$0.64
$1.20
Q3 25
$0.46
$1.17
Q2 25
$0.54
$1.15
Q1 25
$0.49
$1.00
Q4 24
$0.46
$0.88
Q3 24
$0.48
$0.75
Q2 24
$0.61
$-1.55
Q1 24
$0.48
$0.28

Balance Sheet & Financial Strength

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

Metric
MMSI
MMSI
PEN
PEN
Cash + ST InvestmentsLiquidity on hand
$446.4M
$186.9M
Total DebtLower is stronger
$734.0M
Stockholders' EquityBook value
$1.6B
$1.4B
Total Assets
$2.7B
$1.8B
Debt / EquityLower = less leverage
0.46×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MMSI
MMSI
PEN
PEN
Q4 25
$446.4M
$186.9M
Q3 25
$392.5M
$321.0M
Q2 25
$341.8M
$421.8M
Q1 25
$395.5M
$376.1M
Q4 24
$376.7M
$324.4M
Q3 24
$523.1M
$280.5M
Q2 24
$636.7M
$288.3M
Q1 24
$581.9M
$223.1M
Total Debt
MMSI
MMSI
PEN
PEN
Q4 25
$734.0M
Q3 25
$732.9M
Q2 25
$731.8M
Q1 25
$730.7M
Q4 24
$729.6M
Q3 24
$750.5M
Q2 24
$801.3M
Q1 24
$800.1M
Stockholders' Equity
MMSI
MMSI
PEN
PEN
Q4 25
$1.6B
$1.4B
Q3 25
$1.5B
$1.4B
Q2 25
$1.5B
$1.3B
Q1 25
$1.4B
$1.2B
Q4 24
$1.4B
$1.2B
Q3 24
$1.3B
$1.1B
Q2 24
$1.3B
$1.2B
Q1 24
$1.2B
$1.2B
Total Assets
MMSI
MMSI
PEN
PEN
Q4 25
$2.7B
$1.8B
Q3 25
$2.6B
$1.7B
Q2 25
$2.6B
$1.7B
Q1 25
$2.5B
$1.6B
Q4 24
$2.4B
$1.5B
Q3 24
$2.4B
$1.5B
Q2 24
$2.4B
$1.5B
Q1 24
$2.3B
$1.6B
Debt / Equity
MMSI
MMSI
PEN
PEN
Q4 25
0.46×
Q3 25
0.48×
Q2 25
0.49×
Q1 25
0.51×
Q4 24
0.53×
Q3 24
0.57×
Q2 24
0.62×
Q1 24
0.65×

Cash Flow & Capital Efficiency

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

Metric
MMSI
MMSI
PEN
PEN
Operating Cash FlowLast quarter
$98.5M
$86.5M
Free Cash FlowOCF − Capex
$74.0M
$68.0M
FCF MarginFCF / Revenue
18.8%
17.7%
Capex IntensityCapex / Revenue
6.2%
4.8%
Cash ConversionOCF / Net Profit
2.59×
1.83×
TTM Free Cash FlowTrailing 4 quarters
$215.7M
$174.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
MMSI
MMSI
PEN
PEN
Q4 25
$98.5M
$86.5M
Q3 25
$75.0M
$58.3M
Q2 25
$83.3M
$44.9M
Q1 25
$40.6M
$49.0M
Q4 24
$68.7M
$51.1M
Q3 24
$47.3M
$56.5M
Q2 24
$68.5M
$22.6M
Q1 24
$36.2M
$38.3M
Free Cash Flow
MMSI
MMSI
PEN
PEN
Q4 25
$74.0M
$68.0M
Q3 25
$52.5M
$42.0M
Q2 25
$69.6M
$29.4M
Q1 25
$19.5M
$35.5M
Q4 24
$65.3M
$45.7M
Q3 24
$38.0M
$51.0M
Q2 24
$57.9M
$18.1M
Q1 24
$24.5M
$32.5M
FCF Margin
MMSI
MMSI
PEN
PEN
Q4 25
18.8%
17.7%
Q3 25
13.7%
11.8%
Q2 25
18.2%
8.7%
Q1 25
5.5%
11.0%
Q4 24
18.4%
14.5%
Q3 24
11.2%
16.9%
Q2 24
17.1%
6.0%
Q1 24
7.6%
11.7%
Capex Intensity
MMSI
MMSI
PEN
PEN
Q4 25
6.2%
4.8%
Q3 25
5.8%
4.6%
Q2 25
3.6%
4.6%
Q1 25
5.9%
4.2%
Q4 24
1.0%
1.7%
Q3 24
2.8%
1.8%
Q2 24
3.1%
1.5%
Q1 24
3.6%
2.1%
Cash Conversion
MMSI
MMSI
PEN
PEN
Q4 25
2.59×
1.83×
Q3 25
2.70×
1.27×
Q2 25
2.56×
0.99×
Q1 25
1.35×
1.25×
Q4 24
2.46×
1.52×
Q3 24
1.66×
1.91×
Q2 24
1.92×
Q1 24
1.28×
3.48×

Financial Flow Comparison

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

Revenue Breakdown by Segment

MMSI
MMSI

Other$154.6M39%
Peripheral Intervention$93.2M24%
Cardiac Intervention$50.2M13%
OEM$42.6M11%
Custom Procedural Solutions$33.1M8%
Endoscopy Segment$20.1M5%

PEN
PEN

Segment breakdown not available.

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