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

RxSight, Inc. is the larger business by last-quarter revenue ($32.6M vs $22.2M, roughly 1.5× Usio, Inc.). Usio, Inc. runs the higher net margin — -6.7% vs -28.1%, a 21.3% gap on every dollar of revenue. On growth, Usio, Inc. posted the faster year-over-year revenue change (8.2% vs -18.9%). Usio, Inc. produced more free cash flow last quarter ($1.1M vs $-2.3M). Over the past eight quarters, RxSight, Inc.'s revenue compounded faster (5.1% CAGR vs 3.0%).

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.

Usio, Inc. is an American financial technology company headquartered in San Antonio, Texas. It provides integrated electronic payment services, including ACH processing, credit card and debit card acceptance, payment facilitation for software platforms, prepaid card issuing and a document print and mail operation.

RXST vs USIO — Head-to-Head

Bigger by revenue
RXST
RXST
1.5× larger
RXST
$32.6M
$22.2M
USIO
Growing faster (revenue YoY)
USIO
USIO
+27.1% gap
USIO
8.2%
-18.9%
RXST
Higher net margin
USIO
USIO
21.3% more per $
USIO
-6.7%
-28.1%
RXST
More free cash flow
USIO
USIO
$3.3M more FCF
USIO
$1.1M
$-2.3M
RXST
Faster 2-yr revenue CAGR
RXST
RXST
Annualised
RXST
5.1%
3.0%
USIO

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
RXST
RXST
USIO
USIO
Revenue
$32.6M
$22.2M
Net Profit
$-9.2M
$-1.5M
Gross Margin
77.5%
21.9%
Operating Margin
-34.8%
-5.7%
Net Margin
-28.1%
-6.7%
Revenue YoY
-18.9%
8.2%
Net Profit YoY
-54.1%
-337.8%
EPS (diluted)
$-0.22
$-0.05

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
RXST
RXST
USIO
USIO
Q4 25
$32.6M
$22.2M
Q3 25
$30.3M
$21.2M
Q2 25
$33.6M
$20.0M
Q1 25
$37.9M
$22.0M
Q4 24
$40.2M
$20.6M
Q3 24
$35.3M
$21.3M
Q2 24
$34.9M
$20.1M
Q1 24
$29.5M
$21.0M
Net Profit
RXST
RXST
USIO
USIO
Q4 25
$-9.2M
$-1.5M
Q3 25
$-9.8M
$-415.1K
Q2 25
$-11.8M
$-366.7K
Q1 25
$-8.2M
$-235.0K
Q4 24
$-5.9M
$628.9K
Q3 24
$-6.3M
$2.9M
Q2 24
$-6.1M
$75.5K
Q1 24
$-9.1M
$-250.2K
Gross Margin
RXST
RXST
USIO
USIO
Q4 25
77.5%
21.9%
Q3 25
79.9%
23.0%
Q2 25
74.9%
25.8%
Q1 25
74.8%
21.9%
Q4 24
71.6%
24.6%
Q3 24
71.4%
23.0%
Q2 24
69.5%
23.9%
Q1 24
70.1%
23.1%
Operating Margin
RXST
RXST
USIO
USIO
Q4 25
-34.8%
-5.7%
Q3 25
-40.1%
-2.2%
Q2 25
-41.6%
-2.0%
Q1 25
-28.2%
-1.1%
Q4 24
-21.5%
-2.9%
Q3 24
-26.1%
-1.8%
Q2 24
-23.9%
-1.0%
Q1 24
-36.2%
-1.3%
Net Margin
RXST
RXST
USIO
USIO
Q4 25
-28.1%
-6.7%
Q3 25
-32.4%
-2.0%
Q2 25
-35.0%
-1.8%
Q1 25
-21.6%
-1.1%
Q4 24
-14.8%
3.1%
Q3 24
-17.9%
13.4%
Q2 24
-17.4%
0.4%
Q1 24
-30.8%
-1.2%
EPS (diluted)
RXST
RXST
USIO
USIO
Q4 25
$-0.22
$-0.05
Q3 25
$-0.24
$-0.02
Q2 25
$-0.29
$-0.01
Q1 25
$-0.20
$-0.01
Q4 24
$-0.14
$0.03
Q3 24
$-0.16
$0.10
Q2 24
$-0.16
$0.00
Q1 24
$-0.25
$-0.01

Balance Sheet & Financial Strength

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

Metric
RXST
RXST
USIO
USIO
Cash + ST InvestmentsLiquidity on hand
$228.1M
$7.4M
Total DebtLower is stronger
$1.4M
Stockholders' EquityBook value
$275.7M
$17.9M
Total Assets
$311.8M
$134.9M
Debt / EquityLower = less leverage
0.08×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
RXST
RXST
USIO
USIO
Q4 25
$228.1M
$7.4M
Q3 25
$227.5M
$7.7M
Q2 25
$227.5M
$8.1M
Q1 25
$229.3M
$8.7M
Q4 24
$237.2M
$8.1M
Q3 24
$237.1M
$8.4M
Q2 24
$233.3M
$7.2M
Q1 24
$125.4M
$7.1M
Total Debt
RXST
RXST
USIO
USIO
Q4 25
$1.4M
Q3 25
$836.7K
Q2 25
$647.1K
Q1 25
$683.3K
Q4 24
$719.4K
Q3 24
$562.9K
Q2 24
$597.2K
Q1 24
$630.9K
Stockholders' Equity
RXST
RXST
USIO
USIO
Q4 25
$275.7M
$17.9M
Q3 25
$276.0M
$18.7M
Q2 25
$278.0M
$18.7M
Q1 25
$279.3M
$19.0M
Q4 24
$281.2M
$19.2M
Q3 24
$277.3M
$18.9M
Q2 24
$275.2M
$15.7M
Q1 24
$163.9M
$15.3M
Total Assets
RXST
RXST
USIO
USIO
Q4 25
$311.8M
$134.9M
Q3 25
$308.5M
$99.4M
Q2 25
$309.0M
$108.4M
Q1 25
$313.0M
$109.6M
Q4 24
$318.6M
$107.2M
Q3 24
$310.5M
$114.6M
Q2 24
$305.5M
$108.8M
Q1 24
$183.2M
$99.1M
Debt / Equity
RXST
RXST
USIO
USIO
Q4 25
0.08×
Q3 25
0.04×
Q2 25
0.03×
Q1 25
0.04×
Q4 24
0.04×
Q3 24
0.03×
Q2 24
0.04×
Q1 24
0.04×

Cash Flow & Capital Efficiency

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

Metric
RXST
RXST
USIO
USIO
Operating Cash FlowLast quarter
$-1.1M
$1.5M
Free Cash FlowOCF − Capex
$-2.3M
$1.1M
FCF MarginFCF / Revenue
-6.9%
4.8%
Capex IntensityCapex / Revenue
3.5%
2.0%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$-19.3M
$1.7M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
RXST
RXST
USIO
USIO
Q4 25
$-1.1M
$1.5M
Q3 25
$-1.2M
$303.8K
Q2 25
$-4.4M
$-263.9K
Q1 25
$-8.8M
$1.4M
Q4 24
$-4.3M
$2.9M
Q3 24
$650.0K
$1.4M
Q2 24
$-4.0M
$369.1K
Q1 24
$-9.3M
$88.7K
Free Cash Flow
RXST
RXST
USIO
USIO
Q4 25
$-2.3M
$1.1M
Q3 25
$-1.8M
$85.2K
Q2 25
$-5.9M
$-503.2K
Q1 25
$-9.4M
$1.1M
Q4 24
$-5.1M
$2.7M
Q3 24
$-453.0K
$1.4M
Q2 24
$-5.5M
$246.3K
Q1 24
$-11.3M
$-88.1K
FCF Margin
RXST
RXST
USIO
USIO
Q4 25
-6.9%
4.8%
Q3 25
-5.8%
0.4%
Q2 25
-17.6%
-2.5%
Q1 25
-24.8%
4.8%
Q4 24
-12.7%
13.1%
Q3 24
-1.3%
6.4%
Q2 24
-15.9%
1.2%
Q1 24
-38.2%
-0.4%
Capex Intensity
RXST
RXST
USIO
USIO
Q4 25
3.5%
2.0%
Q3 25
1.9%
1.0%
Q2 25
4.6%
1.2%
Q1 25
1.5%
1.4%
Q4 24
2.1%
1.0%
Q3 24
3.1%
0.3%
Q2 24
4.4%
0.6%
Q1 24
6.7%
0.8%
Cash Conversion
RXST
RXST
USIO
USIO
Q4 25
Q3 25
Q2 25
Q1 25
Q4 24
4.61×
Q3 24
0.50×
Q2 24
4.89×
Q1 24

Financial Flow Comparison

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

Revenue Breakdown by Segment

RXST
RXST

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

USIO
USIO

Credit Card Revenue$7.7M35%
ACH And Complementary Service Revenue$6.1M28%
Output Solutions$5.4M24%
Prepaid Card Services Revenue$2.6M12%

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