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

MERIT MEDICAL SYSTEMS INC is the larger business by last-quarter revenue ($381.9M vs $269.6M, roughly 1.4× PROASSURANCE CORP). PROASSURANCE CORP runs the higher net margin — 12.4% vs 10.7%, a 1.6% gap on every dollar of revenue. On growth, MERIT MEDICAL SYSTEMS INC posted the faster year-over-year revenue change (7.5% vs -7.1%). Over the past eight quarters, MERIT MEDICAL SYSTEMS INC's revenue compounded faster (6.3% CAGR vs -2.7%).

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.

ProAssurance Corporation, headquartered in Birmingham, Alabama, is a property and casualty company that sells professional liability insurance to doctors. The company was founded in 1976 as Mutual Assurance and was later renamed to Medical Assurance in 1997. The name "ProAssurance" was created in 2001 when Medical Assurance merged with Professionals Group. The company is currently the fourth largest medical professional liability insurance writer and has over $6 billion in assets.

MMSI vs PRA — Head-to-Head

Bigger by revenue
MMSI
MMSI
1.4× larger
MMSI
$381.9M
$269.6M
PRA
Growing faster (revenue YoY)
MMSI
MMSI
+14.5% gap
MMSI
7.5%
-7.1%
PRA
Higher net margin
PRA
PRA
1.6% more per $
PRA
12.4%
10.7%
MMSI
Faster 2-yr revenue CAGR
MMSI
MMSI
Annualised
MMSI
6.3%
-2.7%
PRA

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
MMSI
MMSI
PRA
PRA
Revenue
$381.9M
$269.6M
Net Profit
$41.0M
$33.4M
Gross Margin
48.4%
Operating Margin
11.6%
17.3%
Net Margin
10.7%
12.4%
Revenue YoY
7.5%
-7.1%
Net Profit YoY
36.0%
106.4%
EPS (diluted)
$0.68
$0.65

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
PRA
PRA
Q1 26
$381.9M
Q4 25
$393.9M
$269.6M
Q3 25
$384.2M
$279.6M
Q2 25
$382.5M
$276.8M
Q1 25
$355.4M
$272.1M
Q4 24
$355.2M
$290.1M
Q3 24
$339.8M
$285.3M
Q2 24
$338.0M
$290.4M
Net Profit
MMSI
MMSI
PRA
PRA
Q1 26
$41.0M
Q4 25
$38.0M
$33.4M
Q3 25
$27.8M
$1.4M
Q2 25
$32.6M
$21.9M
Q1 25
$30.1M
$-5.8M
Q4 24
$27.9M
$16.2M
Q3 24
$28.4M
$16.4M
Q2 24
$35.7M
$15.5M
Gross Margin
MMSI
MMSI
PRA
PRA
Q1 26
48.4%
Q4 25
49.6%
Q3 25
48.5%
Q2 25
48.2%
Q1 25
48.4%
Q4 24
48.7%
Q3 24
46.4%
Q2 24
47.7%
Operating Margin
MMSI
MMSI
PRA
PRA
Q1 26
11.6%
Q4 25
13.8%
17.3%
Q3 25
11.1%
1.6%
Q2 25
12.3%
9.9%
Q1 25
11.5%
-2.3%
Q4 24
10.3%
6.5%
Q3 24
11.0%
7.4%
Q2 24
13.6%
6.2%
Net Margin
MMSI
MMSI
PRA
PRA
Q1 26
10.7%
Q4 25
9.6%
12.4%
Q3 25
7.2%
0.5%
Q2 25
8.5%
7.9%
Q1 25
8.5%
-2.1%
Q4 24
7.9%
5.6%
Q3 24
8.4%
5.8%
Q2 24
10.6%
5.3%
EPS (diluted)
MMSI
MMSI
PRA
PRA
Q1 26
$0.68
Q4 25
$0.64
$0.65
Q3 25
$0.46
$0.03
Q2 25
$0.54
$0.42
Q1 25
$0.49
$-0.11
Q4 24
$0.46
$0.32
Q3 24
$0.48
$0.32
Q2 24
$0.61
$0.30

Balance Sheet & Financial Strength

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

Metric
MMSI
MMSI
PRA
PRA
Cash + ST InvestmentsLiquidity on hand
$488.1M
$36.5M
Total DebtLower is stronger
$735.2M
$420.4M
Stockholders' EquityBook value
$1.6B
$1.3B
Total Assets
$2.7B
$5.4B
Debt / EquityLower = less leverage
0.45×
0.31×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MMSI
MMSI
PRA
PRA
Q1 26
$488.1M
Q4 25
$446.4M
$36.5M
Q3 25
$392.5M
$54.5M
Q2 25
$341.8M
$41.6M
Q1 25
$395.5M
$43.5M
Q4 24
$376.7M
$54.9M
Q3 24
$523.1M
$45.3M
Q2 24
$636.7M
$36.9M
Total Debt
MMSI
MMSI
PRA
PRA
Q1 26
$735.2M
Q4 25
$734.0M
$420.4M
Q3 25
$732.9M
$421.5M
Q2 25
$731.8M
$422.6M
Q1 25
$730.7M
$423.7M
Q4 24
$729.6M
$424.9M
Q3 24
$750.5M
$425.9M
Q2 24
$801.3M
$426.9M
Stockholders' Equity
MMSI
MMSI
PRA
PRA
Q1 26
$1.6B
Q4 25
$1.6B
$1.3B
Q3 25
$1.5B
$1.3B
Q2 25
$1.5B
$1.3B
Q1 25
$1.4B
$1.2B
Q4 24
$1.4B
$1.2B
Q3 24
$1.3B
$1.2B
Q2 24
$1.3B
$1.1B
Total Assets
MMSI
MMSI
PRA
PRA
Q1 26
$2.7B
Q4 25
$2.7B
$5.4B
Q3 25
$2.6B
$5.6B
Q2 25
$2.6B
$5.5B
Q1 25
$2.5B
$5.5B
Q4 24
$2.4B
$5.6B
Q3 24
$2.4B
$5.7B
Q2 24
$2.4B
$5.6B
Debt / Equity
MMSI
MMSI
PRA
PRA
Q1 26
0.45×
Q4 25
0.46×
0.31×
Q3 25
0.48×
0.32×
Q2 25
0.49×
0.33×
Q1 25
0.51×
0.34×
Q4 24
0.53×
0.35×
Q3 24
0.57×
0.35×
Q2 24
0.62×
0.38×

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
PRA
PRA
Operating Cash FlowLast quarter
$-25.6M
Free Cash FlowOCF − Capex
$24.7M
FCF MarginFCF / Revenue
6.5%
Capex IntensityCapex / Revenue
4.2%
Cash ConversionOCF / Net Profit
-0.77×
TTM Free Cash FlowTrailing 4 quarters
$220.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
MMSI
MMSI
PRA
PRA
Q1 26
Q4 25
$98.5M
$-25.6M
Q3 25
$75.0M
$27.2M
Q2 25
$83.3M
$-28.1M
Q1 25
$40.6M
$-11.6M
Q4 24
$68.7M
$-10.7M
Q3 24
$47.3M
$14.0M
Q2 24
$68.5M
$-12.8M
Free Cash Flow
MMSI
MMSI
PRA
PRA
Q1 26
$24.7M
Q4 25
$74.0M
Q3 25
$52.5M
Q2 25
$69.6M
Q1 25
$19.5M
Q4 24
$65.3M
Q3 24
$38.0M
Q2 24
$57.9M
FCF Margin
MMSI
MMSI
PRA
PRA
Q1 26
6.5%
Q4 25
18.8%
Q3 25
13.7%
Q2 25
18.2%
Q1 25
5.5%
Q4 24
18.4%
Q3 24
11.2%
Q2 24
17.1%
Capex Intensity
MMSI
MMSI
PRA
PRA
Q1 26
4.2%
Q4 25
6.2%
Q3 25
5.8%
Q2 25
3.6%
Q1 25
5.9%
Q4 24
1.0%
Q3 24
2.8%
Q2 24
3.1%
Cash Conversion
MMSI
MMSI
PRA
PRA
Q1 26
Q4 25
2.59×
-0.77×
Q3 25
2.70×
18.81×
Q2 25
2.56×
-1.28×
Q1 25
1.35×
Q4 24
2.46×
-0.66×
Q3 24
1.66×
0.85×
Q2 24
1.92×
-0.83×

Financial Flow Comparison

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

Revenue Breakdown by Segment

MMSI
MMSI

Segment breakdown not available.

PRA
PRA

Workers Compensation Insurance Segment$164.4M61%
Other$59.6M22%
Segregated Portfolio Cell Reinsurance$45.7M17%

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