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Side-by-side financial comparison of Paysign, Inc. (PAYS) and RxSight, Inc. (RXST). Click either name above to swap in a different company.

RxSight, Inc. is the larger business by last-quarter revenue ($32.6M vs $22.8M, roughly 1.4× Paysign, Inc.). Paysign, Inc. runs the higher net margin — 6.0% vs -28.1%, a 34.1% gap on every dollar of revenue. On growth, Paysign, Inc. posted the faster year-over-year revenue change (45.8% vs -18.9%). Paysign, Inc. produced more free cash flow last quarter ($47.5M vs $-2.3M). Over the past eight quarters, Paysign, Inc.'s revenue compounded faster (31.3% CAGR vs 5.1%).

Paysign, Inc. is a specialized payment solutions provider that designs and delivers customized prepaid card programs, end-to-end payment processing services, and digital disbursement tools. Its core served segments include healthcare, corporate incentives, and general consumer markets, with primary operations and client bases across North America.

RxSight, Inc. is a medical technology company focused on developing and commercializing innovative intraocular lens solutions for patients undergoing cataract and refractive lens exchange procedures. Its flagship Light Adjustable Lens allows post-surgery power adjustment via a dedicated light delivery device, serving global ophthalmology care markets to improve post-operative visual outcomes for patients.

PAYS vs RXST — Head-to-Head

Bigger by revenue
RXST
RXST
1.4× larger
RXST
$32.6M
$22.8M
PAYS
Growing faster (revenue YoY)
PAYS
PAYS
+64.7% gap
PAYS
45.8%
-18.9%
RXST
Higher net margin
PAYS
PAYS
34.1% more per $
PAYS
6.0%
-28.1%
RXST
More free cash flow
PAYS
PAYS
$49.8M more FCF
PAYS
$47.5M
$-2.3M
RXST
Faster 2-yr revenue CAGR
PAYS
PAYS
Annualised
PAYS
31.3%
5.1%
RXST

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
PAYS
PAYS
RXST
RXST
Revenue
$22.8M
$32.6M
Net Profit
$1.4M
$-9.2M
Gross Margin
57.7%
77.5%
Operating Margin
8.1%
-34.8%
Net Margin
6.0%
-28.1%
Revenue YoY
45.8%
-18.9%
Net Profit YoY
-0.7%
-54.1%
EPS (diluted)
$0.02
$-0.22

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
PAYS
PAYS
RXST
RXST
Q4 25
$22.8M
$32.6M
Q3 25
$21.6M
$30.3M
Q2 25
$19.1M
$33.6M
Q1 25
$18.6M
$37.9M
Q4 24
$15.6M
$40.2M
Q3 24
$15.3M
$35.3M
Q2 24
$14.3M
$34.9M
Q1 24
$13.2M
$29.5M
Net Profit
PAYS
PAYS
RXST
RXST
Q4 25
$1.4M
$-9.2M
Q3 25
$2.2M
$-9.8M
Q2 25
$1.4M
$-11.8M
Q1 25
$2.6M
$-8.2M
Q4 24
$1.4M
$-5.9M
Q3 24
$1.4M
$-6.3M
Q2 24
$697.1K
$-6.1M
Q1 24
$309.1K
$-9.1M
Gross Margin
PAYS
PAYS
RXST
RXST
Q4 25
57.7%
77.5%
Q3 25
56.3%
79.9%
Q2 25
61.6%
74.9%
Q1 25
62.9%
74.8%
Q4 24
58.9%
71.6%
Q3 24
55.5%
71.4%
Q2 24
52.9%
69.5%
Q1 24
52.6%
70.1%
Operating Margin
PAYS
PAYS
RXST
RXST
Q4 25
8.1%
-34.8%
Q3 25
7.3%
-40.1%
Q2 25
7.5%
-41.6%
Q1 25
13.4%
-28.2%
Q4 24
3.0%
-21.5%
Q3 24
4.5%
-26.1%
Q2 24
0.9%
-23.9%
Q1 24
-2.0%
-36.2%
Net Margin
PAYS
PAYS
RXST
RXST
Q4 25
6.0%
-28.1%
Q3 25
10.3%
-32.4%
Q2 25
7.3%
-35.0%
Q1 25
13.9%
-21.6%
Q4 24
8.8%
-14.8%
Q3 24
9.4%
-17.9%
Q2 24
4.9%
-17.4%
Q1 24
2.3%
-30.8%
EPS (diluted)
PAYS
PAYS
RXST
RXST
Q4 25
$0.02
$-0.22
Q3 25
$0.04
$-0.24
Q2 25
$0.02
$-0.29
Q1 25
$0.05
$-0.20
Q4 24
$0.02
$-0.14
Q3 24
$0.03
$-0.16
Q2 24
$0.01
$-0.16
Q1 24
$0.01
$-0.25

Balance Sheet & Financial Strength

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

Metric
PAYS
PAYS
RXST
RXST
Cash + ST InvestmentsLiquidity on hand
$228.1M
Total DebtLower is stronger
Stockholders' EquityBook value
$48.5M
$275.7M
Total Assets
$276.3M
$311.8M
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
PAYS
PAYS
RXST
RXST
Q4 25
$228.1M
Q3 25
$227.5M
Q2 25
$227.5M
Q1 25
$229.3M
Q4 24
$237.2M
Q3 24
$237.1M
Q2 24
$233.3M
Q1 24
$125.4M
Stockholders' Equity
PAYS
PAYS
RXST
RXST
Q4 25
$48.5M
$275.7M
Q3 25
$45.8M
$276.0M
Q2 25
$42.2M
$278.0M
Q1 25
$39.3M
$279.3M
Q4 24
$30.4M
$281.2M
Q3 24
$28.5M
$277.3M
Q2 24
$26.9M
$275.2M
Q1 24
$25.5M
$163.9M
Total Assets
PAYS
PAYS
RXST
RXST
Q4 25
$276.3M
$311.8M
Q3 25
$209.5M
$308.5M
Q2 25
$193.9M
$309.0M
Q1 25
$205.1M
$313.0M
Q4 24
$179.0M
$318.6M
Q3 24
$167.0M
$310.5M
Q2 24
$182.3M
$305.5M
Q1 24
$173.0M
$183.2M

Cash Flow & Capital Efficiency

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

Metric
PAYS
PAYS
RXST
RXST
Operating Cash FlowLast quarter
$48.1M
$-1.1M
Free Cash FlowOCF − Capex
$47.5M
$-2.3M
FCF MarginFCF / Revenue
208.7%
-6.9%
Capex IntensityCapex / Revenue
2.6%
3.5%
Cash ConversionOCF / Net Profit
35.29×
TTM Free Cash FlowTrailing 4 quarters
$51.2M
$-19.3M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
PAYS
PAYS
RXST
RXST
Q4 25
$48.1M
$-1.1M
Q3 25
$6.8M
$-1.2M
Q2 25
$3.6M
$-4.4M
Q1 25
$-6.0M
$-8.8M
Q4 24
$14.3M
$-4.3M
Q3 24
$-20.2M
$650.0K
Q2 24
$20.6M
$-4.0M
Q1 24
$8.2M
$-9.3M
Free Cash Flow
PAYS
PAYS
RXST
RXST
Q4 25
$47.5M
$-2.3M
Q3 25
$6.3M
$-1.8M
Q2 25
$3.6M
$-5.9M
Q1 25
$-6.1M
$-9.4M
Q4 24
$14.2M
$-5.1M
Q3 24
$-20.3M
$-453.0K
Q2 24
$20.4M
$-5.5M
Q1 24
$8.2M
$-11.3M
FCF Margin
PAYS
PAYS
RXST
RXST
Q4 25
208.7%
-6.9%
Q3 25
29.2%
-5.8%
Q2 25
18.6%
-17.6%
Q1 25
-32.9%
-24.8%
Q4 24
91.0%
-12.7%
Q3 24
-133.0%
-1.3%
Q2 24
142.4%
-15.9%
Q1 24
62.1%
-38.2%
Capex Intensity
PAYS
PAYS
RXST
RXST
Q4 25
2.6%
3.5%
Q3 25
2.1%
1.9%
Q2 25
0.5%
4.6%
Q1 25
0.4%
1.5%
Q4 24
0.7%
2.1%
Q3 24
0.8%
3.1%
Q2 24
1.0%
4.4%
Q1 24
0.4%
6.7%
Cash Conversion
PAYS
PAYS
RXST
RXST
Q4 25
35.29×
Q3 25
3.05×
Q2 25
2.62×
Q1 25
-2.33×
Q4 24
10.43×
Q3 24
-14.03×
Q2 24
29.48×
Q1 24
26.67×

Financial Flow Comparison

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

Revenue Breakdown by Segment

PAYS
PAYS

Plasma Industry$12.6M55%
Pharma Industry$9.6M42%
Other$558.4K2%

RXST
RXST

Rxlal$28.2M86%
LDD$3.0M9%
Service Warranty Service Contracts And Accessories$1.5M4%

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