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Side-by-side financial comparison of Orthofix Medical Inc. (OFIX) and PROASSURANCE CORP (PRA). Click either name above to swap in a different company.

PROASSURANCE CORP is the larger business by last-quarter revenue ($269.6M vs $219.9M, roughly 1.2× Orthofix Medical Inc.). PROASSURANCE CORP runs the higher net margin — 12.4% vs -1.0%, a 13.4% gap on every dollar of revenue. On growth, Orthofix Medical Inc. posted the faster year-over-year revenue change (2.0% vs -7.1%). Over the past eight quarters, Orthofix Medical Inc.'s revenue compounded faster (8.0% CAGR vs -2.7%).

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.

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.

OFIX vs PRA — Head-to-Head

Bigger by revenue
PRA
PRA
1.2× larger
PRA
$269.6M
$219.9M
OFIX
Growing faster (revenue YoY)
OFIX
OFIX
+9.0% gap
OFIX
2.0%
-7.1%
PRA
Higher net margin
PRA
PRA
13.4% more per $
PRA
12.4%
-1.0%
OFIX
Faster 2-yr revenue CAGR
OFIX
OFIX
Annualised
OFIX
8.0%
-2.7%
PRA

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
OFIX
OFIX
PRA
PRA
Revenue
$219.9M
$269.6M
Net Profit
$-2.2M
$33.4M
Gross Margin
71.1%
Operating Margin
0.2%
17.3%
Net Margin
-1.0%
12.4%
Revenue YoY
2.0%
-7.1%
Net Profit YoY
92.4%
106.4%
EPS (diluted)
$-0.05
$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
OFIX
OFIX
PRA
PRA
Q4 25
$219.9M
$269.6M
Q3 25
$205.6M
$279.6M
Q2 25
$203.1M
$276.8M
Q1 25
$193.6M
$272.1M
Q4 24
$215.7M
$290.1M
Q3 24
$196.6M
$285.3M
Q2 24
$198.6M
$290.4M
Q1 24
$188.6M
$284.7M
Net Profit
OFIX
OFIX
PRA
PRA
Q4 25
$-2.2M
$33.4M
Q3 25
$-22.8M
$1.4M
Q2 25
$-14.1M
$21.9M
Q1 25
$-53.1M
$-5.8M
Q4 24
$-29.1M
$16.2M
Q3 24
$-27.4M
$16.4M
Q2 24
$-33.4M
$15.5M
Q1 24
$-36.0M
$4.6M
Gross Margin
OFIX
OFIX
PRA
PRA
Q4 25
71.1%
Q3 25
72.2%
Q2 25
68.7%
Q1 25
62.8%
Q4 24
69.0%
Q3 24
68.7%
Q2 24
67.8%
Q1 24
67.5%
Operating Margin
OFIX
OFIX
PRA
PRA
Q4 25
0.2%
17.3%
Q3 25
-8.3%
1.6%
Q2 25
-7.9%
9.9%
Q1 25
-25.2%
-2.3%
Q4 24
-5.3%
6.5%
Q3 24
-9.6%
7.4%
Q2 24
-12.5%
6.2%
Q1 24
-15.6%
1.9%
Net Margin
OFIX
OFIX
PRA
PRA
Q4 25
-1.0%
12.4%
Q3 25
-11.1%
0.5%
Q2 25
-6.9%
7.9%
Q1 25
-27.4%
-2.1%
Q4 24
-13.5%
5.6%
Q3 24
-13.9%
5.8%
Q2 24
-16.8%
5.3%
Q1 24
-19.1%
1.6%
EPS (diluted)
OFIX
OFIX
PRA
PRA
Q4 25
$-0.05
$0.65
Q3 25
$-0.57
$0.03
Q2 25
$-0.36
$0.42
Q1 25
$-1.35
$-0.11
Q4 24
$-0.76
$0.32
Q3 24
$-0.71
$0.32
Q2 24
$-0.88
$0.30
Q1 24
$-0.95
$0.09

Balance Sheet & Financial Strength

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

Metric
OFIX
OFIX
PRA
PRA
Cash + ST InvestmentsLiquidity on hand
$82.0M
$36.5M
Total DebtLower is stronger
$420.4M
Stockholders' EquityBook value
$450.0M
$1.3B
Total Assets
$850.6M
$5.4B
Debt / EquityLower = less leverage
0.31×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
OFIX
OFIX
PRA
PRA
Q4 25
$82.0M
$36.5M
Q3 25
$62.9M
$54.5M
Q2 25
$65.6M
$41.6M
Q1 25
$58.0M
$43.5M
Q4 24
$83.2M
$54.9M
Q3 24
$30.1M
$45.3M
Q2 24
$26.4M
$36.9M
Q1 24
$27.0M
$65.4M
Total Debt
OFIX
OFIX
PRA
PRA
Q4 25
$420.4M
Q3 25
$157.2M
$421.5M
Q2 25
$157.0M
$422.6M
Q1 25
$156.9M
$423.7M
Q4 24
$157.0M
$424.9M
Q3 24
$118.5M
$425.9M
Q2 24
$118.0M
$426.9M
Q1 24
$118.2M
$427.8M
Stockholders' Equity
OFIX
OFIX
PRA
PRA
Q4 25
$450.0M
$1.3B
Q3 25
$442.5M
$1.3B
Q2 25
$458.3M
$1.3B
Q1 25
$458.3M
$1.2B
Q4 24
$503.1M
$1.2B
Q3 24
$525.9M
$1.2B
Q2 24
$546.0M
$1.1B
Q1 24
$570.3M
$1.1B
Total Assets
OFIX
OFIX
PRA
PRA
Q4 25
$850.6M
$5.4B
Q3 25
$832.6M
$5.6B
Q2 25
$837.2M
$5.5B
Q1 25
$823.1M
$5.5B
Q4 24
$893.3M
$5.6B
Q3 24
$867.9M
$5.7B
Q2 24
$882.0M
$5.6B
Q1 24
$906.0M
$5.7B
Debt / Equity
OFIX
OFIX
PRA
PRA
Q4 25
0.31×
Q3 25
0.36×
0.32×
Q2 25
0.34×
0.33×
Q1 25
0.34×
0.34×
Q4 24
0.31×
0.35×
Q3 24
0.23×
0.35×
Q2 24
0.22×
0.38×
Q1 24
0.21×
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
OFIX
OFIX
PRA
PRA
Operating Cash FlowLast quarter
$27.7M
$-25.6M
Free Cash FlowOCF − Capex
$16.8M
FCF MarginFCF / Revenue
7.6%
Capex IntensityCapex / Revenue
4.9%
Cash ConversionOCF / Net Profit
-0.77×
TTM Free Cash FlowTrailing 4 quarters
$-1.3M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
OFIX
OFIX
PRA
PRA
Q4 25
$27.7M
$-25.6M
Q3 25
$12.4M
$27.2M
Q2 25
$11.6M
$-28.1M
Q1 25
$-18.4M
$-11.6M
Q4 24
$23.7M
$-10.7M
Q3 24
$11.7M
$14.0M
Q2 24
$9.0M
$-12.8M
Q1 24
$-18.6M
$-11.6M
Free Cash Flow
OFIX
OFIX
PRA
PRA
Q4 25
$16.8M
Q3 25
$2.5M
Q2 25
$4.5M
Q1 25
$-25.1M
Q4 24
$15.2M
Q3 24
$6.3M
Q2 24
$-360.0K
Q1 24
$-29.1M
FCF Margin
OFIX
OFIX
PRA
PRA
Q4 25
7.6%
Q3 25
1.2%
Q2 25
2.2%
Q1 25
-13.0%
Q4 24
7.0%
Q3 24
3.2%
Q2 24
-0.2%
Q1 24
-15.4%
Capex Intensity
OFIX
OFIX
PRA
PRA
Q4 25
4.9%
Q3 25
4.8%
Q2 25
3.5%
Q1 25
3.5%
Q4 24
4.0%
Q3 24
2.7%
Q2 24
4.7%
Q1 24
5.6%
Cash Conversion
OFIX
OFIX
PRA
PRA
Q4 25
-0.77×
Q3 25
18.81×
Q2 25
-1.28×
Q1 25
Q4 24
-0.66×
Q3 24
0.85×
Q2 24
-0.83×
Q1 24
-2.52×

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%

PRA
PRA

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

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