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Side-by-side financial comparison of Orthofix Medical Inc. (OFIX) and Paymentus Holdings, Inc. (PAY). Click either name above to swap in a different company.

Paymentus Holdings, Inc. is the larger business by last-quarter revenue ($330.5M vs $219.9M, roughly 1.5× Orthofix Medical Inc.). Paymentus Holdings, Inc. runs the higher net margin — 6.3% vs -1.0%, a 7.3% gap on every dollar of revenue. On growth, Paymentus Holdings, Inc. posted the faster year-over-year revenue change (28.1% vs 2.0%). Paymentus Holdings, Inc. produced more free cash flow last quarter ($45.0M vs $16.8M). Over the past eight quarters, Paymentus Holdings, Inc.'s revenue compounded faster (33.7% CAGR vs 8.0%).

Orthofix Medical Inc. is a global medical device firm specializing in orthopedic care. It develops, manufactures and sells spinal implants, trauma care products, bone growth stimulation therapies and regenerative medicine offerings, serving orthopedic surgeons and healthcare providers across North America, Europe and Asia Pacific.

Paymentus Holdings, Inc. is a leading cloud-based bill payment and customer engagement technology provider. It offers integrated digital payment solutions, billing automation tools, and self-service portals for enterprises across utilities, financial services, government, healthcare, and telecommunications segments, primarily operating in the North American market.

OFIX vs PAY — Head-to-Head

Bigger by revenue
PAY
PAY
1.5× larger
PAY
$330.5M
$219.9M
OFIX
Growing faster (revenue YoY)
PAY
PAY
+26.2% gap
PAY
28.1%
2.0%
OFIX
Higher net margin
PAY
PAY
7.3% more per $
PAY
6.3%
-1.0%
OFIX
More free cash flow
PAY
PAY
$28.2M more FCF
PAY
$45.0M
$16.8M
OFIX
Faster 2-yr revenue CAGR
PAY
PAY
Annualised
PAY
33.7%
8.0%
OFIX

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
OFIX
OFIX
PAY
PAY
Revenue
$219.9M
$330.5M
Net Profit
$-2.2M
$20.7M
Gross Margin
71.1%
25.4%
Operating Margin
0.2%
7.3%
Net Margin
-1.0%
6.3%
Revenue YoY
2.0%
28.1%
Net Profit YoY
92.4%
57.2%
EPS (diluted)
$-0.05
$0.16

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
OFIX
OFIX
PAY
PAY
Q4 25
$219.9M
$330.5M
Q3 25
$205.6M
$310.7M
Q2 25
$203.1M
$280.1M
Q1 25
$193.6M
$275.2M
Q4 24
$215.7M
$257.9M
Q3 24
$196.6M
$231.6M
Q2 24
$198.6M
$197.4M
Q1 24
$188.6M
$184.9M
Net Profit
OFIX
OFIX
PAY
PAY
Q4 25
$-2.2M
$20.7M
Q3 25
$-22.8M
$17.7M
Q2 25
$-14.1M
$14.7M
Q1 25
$-53.1M
$13.8M
Q4 24
$-29.1M
$13.1M
Q3 24
$-27.4M
$14.4M
Q2 24
$-33.4M
$9.4M
Q1 24
$-36.0M
$7.2M
Gross Margin
OFIX
OFIX
PAY
PAY
Q4 25
71.1%
25.4%
Q3 25
72.2%
24.1%
Q2 25
68.7%
25.5%
Q1 25
62.8%
24.0%
Q4 24
69.0%
25.6%
Q3 24
68.7%
26.2%
Q2 24
67.8%
29.8%
Q1 24
67.5%
28.5%
Operating Margin
OFIX
OFIX
PAY
PAY
Q4 25
0.2%
7.3%
Q3 25
-8.3%
6.4%
Q2 25
-7.9%
5.7%
Q1 25
-25.2%
5.7%
Q4 24
-5.3%
5.5%
Q3 24
-9.6%
5.2%
Q2 24
-12.5%
5.2%
Q1 24
-15.6%
4.5%
Net Margin
OFIX
OFIX
PAY
PAY
Q4 25
-1.0%
6.3%
Q3 25
-11.1%
5.7%
Q2 25
-6.9%
5.3%
Q1 25
-27.4%
5.0%
Q4 24
-13.5%
5.1%
Q3 24
-13.9%
6.2%
Q2 24
-16.8%
4.7%
Q1 24
-19.1%
3.9%
EPS (diluted)
OFIX
OFIX
PAY
PAY
Q4 25
$-0.05
$0.16
Q3 25
$-0.57
$0.14
Q2 25
$-0.36
$0.11
Q1 25
$-1.35
$0.11
Q4 24
$-0.76
$0.11
Q3 24
$-0.71
$0.11
Q2 24
$-0.88
$0.07
Q1 24
$-0.95
$0.06

Balance Sheet & Financial Strength

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

Metric
OFIX
OFIX
PAY
PAY
Cash + ST InvestmentsLiquidity on hand
$82.0M
$320.9M
Total DebtLower is stronger
Stockholders' EquityBook value
$450.0M
$560.4M
Total Assets
$850.6M
$667.9M
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
OFIX
OFIX
PAY
PAY
Q4 25
$82.0M
$320.9M
Q3 25
$62.9M
$287.9M
Q2 25
$65.6M
$266.4M
Q1 25
$58.0M
$245.8M
Q4 24
$83.2M
$205.9M
Q3 24
$30.1M
$187.5M
Q2 24
$26.4M
$188.8M
Q1 24
$27.0M
$180.1M
Total Debt
OFIX
OFIX
PAY
PAY
Q4 25
Q3 25
$157.2M
Q2 25
$157.0M
Q1 25
$156.9M
Q4 24
$157.0M
Q3 24
$118.5M
Q2 24
$118.0M
Q1 24
$118.2M
Stockholders' Equity
OFIX
OFIX
PAY
PAY
Q4 25
$450.0M
$560.4M
Q3 25
$442.5M
$537.4M
Q2 25
$458.3M
$516.7M
Q1 25
$458.3M
$500.4M
Q4 24
$503.1M
$485.6M
Q3 24
$525.9M
$468.8M
Q2 24
$546.0M
$451.6M
Q1 24
$570.3M
$439.4M
Total Assets
OFIX
OFIX
PAY
PAY
Q4 25
$850.6M
$667.9M
Q3 25
$832.6M
$644.4M
Q2 25
$837.2M
$609.5M
Q1 25
$823.1M
$590.9M
Q4 24
$893.3M
$576.2M
Q3 24
$867.9M
$552.9M
Q2 24
$882.0M
$527.7M
Q1 24
$906.0M
$514.0M
Debt / Equity
OFIX
OFIX
PAY
PAY
Q4 25
Q3 25
0.36×
Q2 25
0.34×
Q1 25
0.34×
Q4 24
0.31×
Q3 24
0.23×
Q2 24
0.22×
Q1 24
0.21×

Cash Flow & Capital Efficiency

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

Metric
OFIX
OFIX
PAY
PAY
Operating Cash FlowLast quarter
$27.7M
$45.1M
Free Cash FlowOCF − Capex
$16.8M
$45.0M
FCF MarginFCF / Revenue
7.6%
13.6%
Capex IntensityCapex / Revenue
4.9%
0.0%
Cash ConversionOCF / Net Profit
2.18×
TTM Free Cash FlowTrailing 4 quarters
$-1.3M
$161.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
OFIX
OFIX
PAY
PAY
Q4 25
$27.7M
$45.1M
Q3 25
$12.4M
$35.1M
Q2 25
$11.6M
$31.5M
Q1 25
$-18.4M
$50.4M
Q4 24
$23.7M
$27.9M
Q3 24
$11.7M
$6.7M
Q2 24
$9.0M
$18.0M
Q1 24
$-18.6M
$11.0M
Free Cash Flow
OFIX
OFIX
PAY
PAY
Q4 25
$16.8M
$45.0M
Q3 25
$2.5M
$35.0M
Q2 25
$4.5M
$31.4M
Q1 25
$-25.1M
$50.4M
Q4 24
$15.2M
$27.8M
Q3 24
$6.3M
$6.7M
Q2 24
$-360.0K
$17.8M
Q1 24
$-29.1M
$10.8M
FCF Margin
OFIX
OFIX
PAY
PAY
Q4 25
7.6%
13.6%
Q3 25
1.2%
11.3%
Q2 25
2.2%
11.2%
Q1 25
-13.0%
18.3%
Q4 24
7.0%
10.8%
Q3 24
3.2%
2.9%
Q2 24
-0.2%
9.0%
Q1 24
-15.4%
5.9%
Capex Intensity
OFIX
OFIX
PAY
PAY
Q4 25
4.9%
0.0%
Q3 25
4.8%
0.0%
Q2 25
3.5%
0.0%
Q1 25
3.5%
0.0%
Q4 24
4.0%
0.0%
Q3 24
2.7%
0.0%
Q2 24
4.7%
0.1%
Q1 24
5.6%
0.1%
Cash Conversion
OFIX
OFIX
PAY
PAY
Q4 25
2.18×
Q3 25
1.98×
Q2 25
2.14×
Q1 25
3.65×
Q4 24
2.12×
Q3 24
0.47×
Q2 24
1.93×
Q1 24
1.52×

Financial Flow Comparison

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

Revenue Breakdown by Segment

OFIX
OFIX

Spinal Implants Biologics And Enabling Technologies$113.6M52%
Bone Growth Therapies$68.3M31%
Other$22.7M10%
IT$5.9M3%
GB$3.5M2%
FR$3.5M2%
DE$2.3M1%

PAY
PAY

Payment Transaction Processing Revenue$326.9M99%
Other$3.5M1%

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