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Icu Medical Financials

ICUI
Source SEC Filings (10-K/10-Q) Updated Dec 31, 2025 Currency USD FYE December

This page shows Icu Medical (ICUI) financial statements, including the income statement, balance sheet, cash flow statement, and key financial ratios. View 19 years of annual fundamentals and quarterly data, with year-over-year growth rates and compound annual growth rates (CAGR). All figures are derived from SEC filings (10-K and 10-Q reports).

Financial Health Signals

Profitability Growth Leverage Liquidity Cash Flow Returns 38 / 100
Financial Profile 38/100

Based on FY2025 annual data. Scores normalized against common benchmarks. How we calculate these scores

Profitability
26

Icu Medical has an operating margin of 1.9%, meaning the company retains $2 of operating profit per $100 of revenue. This below-average margin results in a low score of 26/100, suggesting thin profitability after operating expenses. This is up from 1.8% the prior year.

Growth
23

Icu Medical's revenue declined 6.3% year-over-year, from $2.4B to $2.2B. This contraction results in a growth score of 23/100.

Leverage
90

Icu Medical carries a low D/E ratio of 0.60, meaning only $0.60 of long-term debt for every $1 of shareholders' equity. This conservative leverage earns a score of 90/100, indicating a strong balance sheet with room for future borrowing.

Liquidity
44

Icu Medical's current ratio of 2.39 indicates adequate short-term liquidity, earning a score of 44/100. The company can meet its near-term obligations, though with limited headroom.

Cash Flow
35

Icu Medical has a free cash flow margin of 4.1%, earning a moderate score of 35/100. The company generates positive cash flow after capital investments, but with room for improvement.

Returns
11

Icu Medical generates a 0.0% ROE, indicating limited profit relative to shareholders' investment. This results in a returns score of 11/100. This is up from -6.0% the prior year.

Altman Z-Score Grey Zone
2.02

Icu Medical scores 2.02, placing it in the grey zone between 1.81 and 2.99. This signals moderate financial risk that warrants monitoring.

Piotroski F-Score Neutral
6/9

Icu Medical passes 6 of 9 financial strength tests. All 4 profitability signals pass (positive income, cash flow, and earnings quality), 1 of 3 leverage/liquidity signals pass, 1 of 2 efficiency signals pass.

Earnings Quality Cash-Backed
245.69x

For every $1 of reported earnings, Icu Medical generates $245.69 in operating cash flow ($179.8M OCF vs $732K net income). This indicates profits are well-supported by actual cash generation, not accounting adjustments.

Interest Coverage At Risk
0.5x

Icu Medical earns $0.5 in operating income for every $1 of interest expense ($42.8M vs $93.3M). This narrow margin raises concern about the company's ability to service its debt if operating income declines.

Key Financial Metrics

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Earnings & Revenue

Revenue
$2.2B
YoY-6.3%
5Y CAGR+11.9%
10Y CAGR+20.6%

Icu Medical generated $2.2B in revenue in fiscal year 2025. This represents a decrease of 6.3% from the prior year.

EBITDA
$243.6M
YoY-7.2%
5Y CAGR+5.8%
10Y CAGR+10.9%

Icu Medical's EBITDA was $243.6M in fiscal year 2025, measuring earnings before interest, taxes, depreciation, and amortization. This represents a decrease of 7.2% from the prior year.

Net Income
$732K
YoY+100.6%
5Y CAGR-61.5%
10Y CAGR-33.8%

Icu Medical reported $732K in net income in fiscal year 2025. This represents an increase of 100.6% from the prior year.

EPS (Diluted)
$0.03
YoY+100.6%
5Y CAGR-62.5%
10Y CAGR-36.3%

Icu Medical earned $0.03 per diluted share (EPS) in fiscal year 2025. This represents an increase of 100.6% from the prior year.

Cash & Balance Sheet

Free Cash Flow
$91.8M
YoY-26.4%
5Y CAGR-6.8%
10Y CAGR+6.0%

Icu Medical generated $91.8M in free cash flow in fiscal year 2025, representing cash available after capex. This represents a decrease of 26.4% from the prior year.

Cash & Debt
$308.0M
YoY-0.2%
5Y CAGR-4.9%
10Y CAGR-0.9%

Icu Medical held $308.0M in cash against $1.3B in long-term debt as of fiscal year 2025.

Dividends Per Share
N/A
Shares Outstanding
25M
YoY+0.7%
5Y CAGR+3.2%
10Y CAGR+4.4%

Icu Medical had 25M shares outstanding in fiscal year 2025. This represents an increase of 0.7% from the prior year.

Margins & Returns

Gross Margin
36.8%
YoY+2.2pp
5Y CAGR+0.5pp
10Y CAGR-16.1pp

Icu Medical's gross margin was 36.8% in fiscal year 2025, indicating the percentage of revenue retained after direct costs. This is up 2.2 percentage points from the prior year.

Operating Margin
1.9%
YoY+0.1pp
5Y CAGR-5.8pp
10Y CAGR-18.1pp

Icu Medical's operating margin was 1.9% in fiscal year 2025, reflecting core business profitability. This is up 0.1 percentage points from the prior year.

Net Margin
0.0%
YoY+5.0pp
5Y CAGR-6.8pp
10Y CAGR-13.1pp

Icu Medical's net profit margin was 0.0% in fiscal year 2025, showing the share of revenue converted to profit. This is up 5.0 percentage points from the prior year.

Return on Equity
0.0%
YoY+6.0pp
5Y CAGR-5.8pp
10Y CAGR-7.7pp

Icu Medical's ROE was 0.0% in fiscal year 2025, measuring profit generated per dollar of shareholder equity. This is up 6.0 percentage points from the prior year.

Capital Allocation

R&D Spending
$87.5M
YoY-1.3%
5Y CAGR+15.3%
10Y CAGR+18.7%

Icu Medical invested $87.5M in research and development in fiscal year 2025. This represents a decrease of 1.3% from the prior year.

Share Buybacks
$8.8M
YoY-26.9%
5Y CAGR-7.4%
10Y CAGR+19.1%

Icu Medical spent $8.8M on share buybacks in fiscal year 2025, returning capital to shareholders by reducing shares outstanding. This represents a decrease of 26.9% from the prior year.

Capital Expenditures
$88.0M
YoY+10.9%
5Y CAGR-0.9%
10Y CAGR+21.1%

Icu Medical invested $88.0M in capex in fiscal year 2025, funding long-term assets and infrastructure. This represents an increase of 10.9% from the prior year.

ICUI Income Statement

Metric Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24 Q2'24 Q1'24
Revenue $540.7M+0.7% $537.0M-2.2% $548.9M-9.2% $604.7M-4.0% $629.8M+6.9% $589.1M-1.2% $596.5M+5.3% $566.7M
Cost of Revenue $337.7M+0.5% $336.1M-1.4% $340.8M-13.6% $394.6M-2.0% $402.5M+4.8% $384.3M-1.2% $389.0M+2.0% $381.4M
Gross Profit $203.0M+1.0% $200.9M-3.5% $208.1M-1.0% $210.1M-7.5% $227.3M+10.9% $204.9M-1.2% $207.4M+12.0% $185.2M
R&D Expenses $21.1M-0.8% $21.3M-2.8% $21.9M-6.1% $23.3M+4.2% $22.4M+6.3% $21.0M-10.1% $23.4M+7.1% $21.8M
SG&A Expenses $155.8M+2.0% $152.8M-4.2% $159.4M+1.4% $157.2M-1.0% $158.8M-2.4% $162.7M+2.0% $159.5M+1.2% $157.7M
Operating Income $5.6M-58.9% $13.7M+29.6% $10.6M-17.9% $12.9M-65.8% $37.7M+357.6% $8.2M+7.1% $7.7M+172.2% -$10.7M
Interest Expense $30.9M+56.3% $19.8M-3.6% $20.5M-6.7% $22.0M-35.7% $34.2M+38.7% $24.7M+3.5% $23.8M+0.3% $23.8M
Income Tax -$2.7M-303.2% -$658K-155.9% $1.2M-74.2% $4.6M-85.7% $32.0M+112.9% $15.1M+703.8% $1.9M-30.7% $2.7M
Net Income -$15.7M-363.3% -$3.4M-109.6% $35.3M+328.3% -$15.5M+35.1% -$23.8M+27.8% -$33.0M-54.1% -$21.4M+45.8% -$39.5M
EPS (Diluted) N/A $-0.14-109.8% $1.43+327.0% $-0.63 N/A $-1.35-53.4% $-0.88+46.0% $-1.63

ICUI Balance Sheet

Metric Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24 Q2'24 Q1'24
Total Assets $4.1B-1.3% $4.1B-0.1% $4.1B-1.8% $4.2B-0.5% $4.2B-2.3% $4.3B+0.4% $4.3B0.0% $4.3B
Current Assets $1.2B-1.4% $1.2B+2.3% $1.2B-17.1% $1.4B-1.3% $1.4B+14.6% $1.3B+1.8% $1.2B+4.1% $1.2B
Cash & Equivalents $308.0M+2.7% $299.7M-0.1% $300.0M+3.6% $289.7M-6.1% $308.6M-1.3% $312.5M+3.3% $302.6M+20.4% $251.4M
Inventory $615.9M-1.1% $622.4M+1.0% $616.5M+4.4% $590.3M+1.0% $584.7M-15.5% $692.0M+1.3% $682.9M-1.5% $693.0M
Accounts Receivable $180.5M-5.8% $191.5M+6.7% $179.5M+5.0% $170.9M-6.5% $182.8M+5.1% $174.0M+14.6% $151.8M+4.5% $145.2M
Goodwill $1.5B+0.1% $1.5B-0.2% $1.5B+3.2% $1.5B+1.6% $1.4B-3.1% $1.5B+1.9% $1.5B-0.6% $1.5B
Total Liabilities $1.9B-2.5% $2.0B-0.8% $2.0B-9.3% $2.2B-1.9% $2.2B-0.8% $2.3B+0.3% $2.2B+1.3% $2.2B
Current Liabilities $498.9M+1.2% $492.9M+2.1% $482.8M-12.1% $549.0M-1.3% $556.2M+1.2% $549.6M+7.4% $511.9M+12.4% $455.4M
Long-Term Debt $1.3B-3.7% $1.3B-1.8% $1.3B-10.1% $1.5B-2.8% $1.5B-0.7% $1.5B-0.7% $1.6B-0.7% $1.6B
Total Equity $2.1B-0.2% $2.1B+0.5% $2.1B+6.4% $2.0B+1.1% $2.0B-4.1% $2.0B+0.5% $2.0B-1.5% $2.1B
Retained Earnings $690.9M-2.2% $706.6M-0.5% $710.0M+5.2% $674.7M-2.2% $690.2M-3.3% $714.0M-4.4% $747.0M-2.8% $768.4M

ICUI Cash Flow Statement

Metric Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24 Q2'24 Q1'24
Operating Cash Flow $60.6M+6.9% $56.7M+405.8% $11.2M-78.2% $51.3M+27.7% $40.2M+11.3% $36.1M-56.0% $82.0M+79.0% $45.8M
Capital Expenditures $24.6M-15.2% $29.1M+47.6% $19.7M+34.7% $14.6M-39.3% $24.1M+20.9% $19.9M+2.3% $19.5M+22.3% $15.9M
Free Cash Flow $36.0M+30.1% $27.6M+425.6% -$8.5M-123.1% $36.7M+127.8% $16.1M-0.5% $16.2M-74.1% $62.5M+109.2% $29.9M
Investing Cash Flow -$18.4M+38.8% -$30.0M-116.0% $187.5M+1215.1% -$16.8M+36.7% -$26.5M-16.1% -$22.9M-5.4% -$21.7M-21.4% -$17.9M
Financing Cash Flow -$34.5M-34.2% -$25.7M+86.8% -$195.0M-246.2% -$56.3M-587.8% -$8.2M+21.1% -$10.4M0.0% -$10.4M+61.3% -$26.8M
Dividends Paid N/A N/A N/A N/A N/A N/A N/A N/A
Share Buybacks N/A N/A N/A N/A N/A N/A N/A N/A

ICUI Financial Ratios

Metric Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24 Q2'24 Q1'24
Gross Margin 37.5%+0.1pp 37.4%-0.5pp 37.9%+3.2pp 34.8%-1.3pp 36.1%+1.3pp 34.8%0.0pp 34.8%+2.1pp 32.7%
Operating Margin 1.0%-1.5pp 2.5%+0.6pp 1.9%-0.2pp 2.1%-3.9pp 6.0%+4.6pp 1.4%+0.1pp 1.3%+3.2pp -1.9%
Net Margin -2.9%-2.3pp -0.6%-7.1pp 6.4%+9.0pp -2.6%+1.2pp -3.8%+1.8pp -5.6%-2.0pp -3.6%+3.4pp -7.0%
Return on Equity -0.7%-0.6pp -0.2%-1.8pp 1.7%+2.5pp -0.8%+0.4pp -1.2%+0.4pp -1.6%-0.6pp -1.1%+0.9pp -1.9%
Return on Assets -0.4%-0.3pp -0.1%-0.9pp 0.9%+1.2pp -0.4%+0.2pp -0.6%+0.2pp -0.8%-0.3pp -0.5%+0.4pp -0.9%
Current Ratio 2.39-0.1 2.450.0 2.44-0.1 2.590.0 2.59+0.3 2.29-0.1 2.41-0.2 2.61
Debt-to-Equity 0.60-0.0 0.62-0.0 0.63-0.1 0.75-0.0 0.78+0.0 0.750.0 0.760.0 0.76
FCF Margin 6.7%+1.5pp 5.1%+6.7pp -1.6%-7.6pp 6.1%+3.5pp 2.6%-0.2pp 2.8%-7.7pp 10.5%+5.2pp 5.3%

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Frequently Asked Questions

Icu Medical (ICUI) reported $2.2B in total revenue for fiscal year 2025. This represents a -6.3% change compared to the previous fiscal year. Revenue measures the total income earned from the company's primary business operations before any expenses are deducted.

Icu Medical (ICUI) revenue declined by 6.3% year-over-year, from $2.4B to $2.2B in fiscal year 2025.

Yes, Icu Medical (ICUI) reported a net income of $732K in fiscal year 2025, with a net profit margin of 0.0%.

Icu Medical (ICUI) reported diluted earnings per share of $0.03 for fiscal year 2025. This represents a 100.6% change compared to the previous fiscal year. EPS represents the portion of a company's net income allocated to each outstanding share of common stock and is widely used to evaluate profitability on a per-share basis.

Icu Medical (ICUI) had EBITDA of $243.6M in fiscal year 2025, measuring earnings before interest, taxes, depreciation, and amortization.

As of fiscal year 2025, Icu Medical (ICUI) had $308.0M in cash and equivalents against $1.3B in long-term debt.

Icu Medical (ICUI) had a gross margin of 36.8% in fiscal year 2025, indicating the percentage of revenue retained after direct costs of goods sold.

Icu Medical (ICUI) had an operating margin of 1.9% in fiscal year 2025, reflecting the profitability of core business operations before interest and taxes.

Icu Medical (ICUI) had a net profit margin of 0.0% in fiscal year 2025, representing the share of revenue converted into profit after all expenses.

Icu Medical (ICUI) has a return on equity of 0.0% for fiscal year 2025, measuring how efficiently the company generates profit from shareholder equity.

Icu Medical (ICUI) generated $91.8M in free cash flow during fiscal year 2025. This represents a -26.4% change compared to the previous fiscal year. Free cash flow represents the cash a company generates after accounting for capital expenditures, and is widely used to assess financial flexibility and shareholder value.

Icu Medical (ICUI) generated $179.8M in operating cash flow during fiscal year 2025, representing cash generated from core business activities.

Icu Medical (ICUI) had $4.1B in total assets as of fiscal year 2025, including both current and long-term assets.

Icu Medical (ICUI) invested $88.0M in capital expenditures during fiscal year 2025, funding long-term assets and infrastructure.

Icu Medical (ICUI) invested $87.5M in research and development during fiscal year 2025.

Yes, Icu Medical (ICUI) spent $8.8M on share buybacks during fiscal year 2025, returning capital to shareholders by reducing shares outstanding.

Icu Medical (ICUI) had 25M shares outstanding as of fiscal year 2025.

Icu Medical (ICUI) had a current ratio of 2.39 as of fiscal year 2025, which is generally considered healthy.

Icu Medical (ICUI) had a debt-to-equity ratio of 0.60 as of fiscal year 2025, measuring the company's financial leverage by comparing total debt to shareholder equity.

Icu Medical (ICUI) had a return on assets of 0.0% for fiscal year 2025, measuring how efficiently the company uses its assets to generate profit.

Icu Medical (ICUI) has an Altman Z-Score of 2.02, placing it in the Grey Zone (moderate risk). The Z-Score combines five financial ratios—working capital, retained earnings, EBIT, market capitalization, and revenue relative to total assets—to predict the likelihood of bankruptcy. Scores above 2.99 indicate financial safety while scores below 1.81 suggest financial distress. Learn more in our complete guide to financial health indicators.

Icu Medical (ICUI) has a Piotroski F-Score of 6 out of 9, indicating neutral financial health. The F-Score evaluates nine binary signals across profitability (positive ROA, positive cash flow, improving ROA, earnings quality), leverage (decreasing debt, improving liquidity, no share dilution), and operating efficiency (improving gross margin, improving asset turnover). Scores of 7–9 indicate strong and improving fundamentals. Learn more in our complete guide to financial health indicators.

Icu Medical (ICUI) has an earnings quality ratio of 245.69x, considered cash-backed (high quality). This ratio compares operating cash flow to net income. A ratio above 1.0x means the company generates more cash than its reported earnings, indicating sustainable, cash-backed profits. Ratios below 1.0x suggest earnings rely on accounting accruals rather than actual cash generation. Learn more in our complete guide to financial health indicators.

Icu Medical (ICUI) has an interest coverage ratio of 0.5x, meaning it can struggle to cover its interest obligations. This ratio divides operating income by interest expense. Ratios above 5x indicate strong debt-servicing ability, while ratios below 2x suggest the company may face difficulty meeting interest payments if earnings decline. Learn more in our complete guide to financial health indicators.

Icu Medical (ICUI) scores 38 out of 100 on our Financial Profile, indicating weak overall financial health. This composite score evaluates six dimensions: profitability (operating margin), revenue growth, leverage (debt-to-equity), liquidity (current ratio), cash flow quality (free cash flow margin), and shareholder returns (return on equity). Each dimension is normalized against standard financial benchmarks. Learn more in our complete guide to financial health indicators.

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