STOCK TITAN

ICU Medical (NASDAQ: ICUI) Q1 2026 revenue dips 12% but earnings improve

Filing Impact
(High)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

ICU Medical reported first quarter 2026 results reflecting its IV Solutions divestiture. GAAP revenue was $530.2 million, down 12% year-over-year, but non-GAAP organic revenue excluding the divested business and foreign currency increased 1%.

GAAP gross profit was $206.2 million with gross margin improving to 39% from 35%. The company generated GAAP net income of $30.1 million, or $1.20 per diluted share, versus a GAAP net loss of $15.5 million, or $(0.63) per diluted share, a year earlier. Adjusted diluted EPS rose to $1.97 from $1.72, and adjusted EBITDA was stable at $98.7 million. Free cash flow for the quarter was $27.6 million.

Positive

  • None.

Negative

  • None.

Insights

ICU Medical turned a GAAP profit, with stronger margins despite lower revenue.

ICU Medical’s Q1 2026 revenue fell 12% to $530.2M, mainly reflecting the prior divestiture of the IV Solutions business. On a non-GAAP organic basis excluding divestiture and currency, revenue inched up 1%, suggesting a relatively stable underlying franchise.

Profitability improved meaningfully. Gross margin expanded from 35% to 39%, and GAAP net income reached $30.1M versus a prior net loss, while adjusted diluted EPS rose to $1.97. Adjusted EBITDA was essentially flat at $98.7M. Free cash flow of $27.6M supports continued deleveraging against long-term debt of about $1.28B as of March 31, 2026.

Item 2.02 Results of Operations and Financial Condition Financial
Disclosure of earnings results, typically an earnings press release or preliminary financials.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
GAAP revenue $530.2M Q1 2026, down 12% year-over-year
GAAP net income $30.1M Q1 2026 vs $(15.5)M net loss in Q1 2025
GAAP diluted EPS $1.20/share Q1 2026 vs $(0.63)/share in Q1 2025
Adjusted diluted EPS $1.97/share Q1 2026 vs $1.72/share in Q1 2025
Adjusted EBITDA $98.7M Q1 2026 vs $99.4M in Q1 2025
Gross margin 39% Q1 2026 GAAP gross margin vs 35% in Q1 2025
Free cash flow $27.6M Three months ended March 31, 2026
Total assets $4.01B As of March 31, 2026
Adjusted EBITDA financial
"Adjusted EBITDA was $98.7 million for the first quarter of 2026 as compared to $99.4 million"
Adjusted EBITDA is a way companies measure how much money they make from their core operations, like running a business, by removing certain costs or income that aren’t part of regular business activities. It helps investors see how well a company is doing without distractions from unusual expenses or gains, making it easier to compare companies or track performance over time.
free cash flow financial
"Reconciliation of Net Cash Provided by Operating Activities to Free Cash Flow"
Free cash flow is the amount of money a company has left over after paying all its expenses and investing in its business, like buying equipment or updating facilities. It shows how much cash is available to reward shareholders, pay down debt, or save for future growth. This helps investors understand if a company is financially healthy and able to grow.
non-GAAP organic revenue financial
"excluding the impact of the IV Solutions divestiture and foreign currency, non-GAAP organic revenue increased 1%"
valuation allowance financial
"The valuation allowance was recorded based on an assessment of available positive and negative evidence"
A valuation allowance is a reserve set aside to reduce the value of certain assets on a company's financial records when there is uncertainty about whether they will generate the expected benefits. It acts like a caution sign, indicating that some assets might not be fully recoverable or worth their recorded amount. This matters to investors because it provides a more realistic picture of a company's financial health and potential risks.
Revenue $530.2M -12% year-over-year GAAP; +1% non-GAAP organic
GAAP net income $30.1M vs $(15.5)M net loss in Q1 2025
GAAP diluted EPS $1.20 vs $(0.63) in Q1 2025
Adjusted diluted EPS $1.97 vs $1.72 in Q1 2025
Adjusted EBITDA $98.7M vs $99.4M in Q1 2025
falseICU MEDICAL INC/DE000088398400008839842026-05-072026-05-07

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

 FORM 8-K

CURRENT REPORT

Pursuant to Section 13 OR 15(d) of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported) May 7, 2026

ICU MEDICAL, INC.

(Exact name of registrant as specified in its charter)
Delaware001-3463433-0022692
(State or other jurisdiction
of incorporation)
(Commission File Number)
(IRS Employer
Identification No.)
951 Calle Amanecer,San Clemente,California92673
(Address of principal executive offices)(Zip Code)

(949) 366-2183
Registrant's telephone number, including area code

N/A
(Former name or former address, if changed since last report)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading SymbolName of each exchange on which registered
Common stock, par value $0.10 per shareICUIThe Nasdaq Stock Market LLC
(Global Select Market)
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.





Item 2.02. Results of Operations and Financial Condition

    On May 7, 2026, ICU Medical, Inc. issued a press release announcing its financial results for the first quarter of 2026. A copy of this press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated in Item 2.02 by reference.
     
Item 9.01. Financial Statements and Exhibits.
(d)Exhibits
99.1
Press release, dated May 7, 2026 announcing ICU Medical, Inc.'s first quarter 2026 earnings.
104Cover Page Interactive Data File (the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document)

SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
 
    ICU MEDICAL, INC.
Date: May 7, 2026  By: /s/ Brian M. Bonnell
   Brian M. Bonnell
   Chief Financial Officer and Treasurer




Exhibit 99.1
ICU Medical Announces First Quarter 2026 Results



SAN CLEMENTE, Calif., May 7, 2026 (GLOBE NEWSWIRE) -- ICU Medical, Inc. (Nasdaq:ICUI), a leader in the development, manufacture and sale of innovative medical products, today announced financial results for the quarterly period ended March 31, 2026.

First Quarter 2026 Results

The following year-over-year results reflect the strategic divestiture of the IV Solutions business on May 1, 2025. First quarter 2026 GAAP revenue declined 12% year-over-year; however, excluding the impact of the IV Solutions divestiture and foreign currency, non-GAAP organic revenue increased 1%.

First quarter 2026 GAAP revenue was $530.2 million, as compared to $604.7 million in the same period in the prior year. GAAP gross profit for the first quarter of 2026 was $206.2 million, as compared to $210.1 million in the same period in the prior year. GAAP gross margin for the first quarter of 2026 was 39%, as compared to 35% in the same period in the prior year. GAAP net income for the first quarter of 2026 was $30.1 million, or $1.20 per diluted share, as compared to GAAP net loss of $(15.5) million, or $(0.63) per diluted share, for the first quarter of 2025. Adjusted diluted earnings per share for the first quarter of 2026 was $1.97 as compared to $1.72 for the first quarter of 2025. Adjusted EBITDA was $98.7 million for the first quarter of 2026 as compared to $99.4 million for the first quarter of 2025.

Adjusted EBITDA and adjusted diluted earnings per share are measures calculated and presented on the basis of methodologies other than in accordance with GAAP. Please refer to the Use of Non-GAAP Financial Information following the financial statements herein for further discussion and reconciliations of these measures to GAAP measures.

Vivek Jain, ICU Medical’s Chief Executive Officer, said, “First quarter results were generally in line with our expectations."

Revenues by product line for the three months ended March 31, 2026 and 2025 were as follows (in millions):
Three months ended
March 31,
Product Line20262025$ Change
Consumables$278.3$266.2$12.1
Infusion Systems179.6166.313.3
Vital Care*72.3172.2(99.9)
Total**$530.2$604.7$(74.5)
*On May 1, 2025, we disposed of our IV Solutions business which was included within our Vital Care product line. Vital Care includes contract manufacturing revenue of $4.5 million for the three months ended March 31, 2026, as compared to $5.2 million for the three months ended March 31, 2025.
** Totals may differ from the income statement due to the rounding of product lines.

Conference Call

The Company will host a conference call to discuss its first quarter financial results, today at 4:30 p.m. ET (1:30 p.m. PT). The call can be accessed at (800) 343-4136, conference ID "ICUMED". The conference call will be simultaneously available by webcast, which can be accessed by going to the Company's website at www.icumed.com, clicking on the Investors tab, clicking on Event Calendar and clicking on the Webcast icon and following the prompts. The webcast will also be available by replay.

About ICU Medical

ICU Medical (Nasdaq: ICUI) is a global leader in infusion systems, infusion consumables and high-value critical care products used in hospital, alternate site and home care settings. Our team is focused on providing quality, innovation and value to our clinical customers worldwide. ICU Medical is headquartered in San Clemente, California. More information about ICU Medical can be found at www.icumed.com.




Forward-Looking Statements

This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Such statements contain words such as
“aim,” “anticipate,” “believe,” “can,” “continue,” “could,” “estimate,” “expect,” “forecast,” “goal,” “intend,” “may,” “might,” “plan,” “possible,” “potential,” “predict,” “project,” “should,” “target,” “will,” “would” or the negative thereof or comparable terminology and may include (without limitation) information regarding the Company's expectations, goals and intentions regarding the future and financial outlook for 2026. These forward-looking statements are based on management's current expectations, estimates, forecasts and projections about the Company and assumptions management believes are reasonable, all of which are subject to risks and uncertainties that could cause actual results and events to differ materially from those stated in the forward-looking statements. These risks and uncertainties include, but are not limited to: risks from doing business in foreign countries, including related to tariffs and other barriers to trade; the Company’s ability to compete successfully, including with larger international companies and established local companies; decreased demand for the Company's products; costs related to product development; cost volatility or potential loss of supply of raw materials due to our dependence on single and limited source third-party suppliers; ability to achieve operating efficiencies; risks related to significant sales through our distributors; inflation and foreign currency exchange rates; impacts from global macroeconomic and geopolitical conditions, including from escalated conflicts in the Middle East and associated disruptions to shipping and increased oil costs; healthcare costs and reimbursement levels; disruptions at the FDA and other governmental agencies; damage at the Company’s manufacturing or supply facilities; risks associated with the IV Solutions joint venture and the Smiths Medical integration; risks associated with the timing and resolution of the 2025 warning letter; risks related to protection of our information technology systems and compliance with privacy laws and regulations; risks related to our intellectual property; and the other important factors described under “Risk Factors” in the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2025 and our subsequent filings with the SEC, including, without limitation, in the Company's Quarterly Report on Form 10-Q for the quarterly period ended March 31, 2026. Forward-looking statements contained in this press release are made only as of the date hereof, and the Company undertakes no obligation to update or revise the forward-looking statements, whether as a result of new information, future events or otherwise unless required by law.





ICU MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited)
(In thousands)
 March 31,
2026
December 31,
2025
 
ASSETS 
CURRENT ASSETS: 
Cash and cash equivalents$288,330$307,963
Accounts receivable, net of allowance for doubtful accounts 201,077180,515
Inventories605,590615,859
Prepaid expenses and other current assets118,24886,217
TOTAL CURRENT ASSETS1,213,2451,190,554
PROPERTY, PLANT AND EQUIPMENT, net445,135451,817
OPERATING LEASE RIGHT-OF-USE ASSETS50,79254,470
GOODWILL1,485,5611,499,754
INTANGIBLE ASSETS, net598,968633,559
DEFERRED INCOME TAXES25,64825,891
OTHER ASSETS63,49662,877
INVESTMENTS IN UNCONSOLIDATED AFFILIATES130,918131,586
TOTAL ASSETS$4,013,763$4,050,508
LIABILITIES AND STOCKHOLDERS’ EQUITY 
CURRENT LIABILITIES: 
Accounts payable$173,982$154,374
Accrued liabilities314,570315,337
Current portion of long-term debt18,75018,750
Income tax payable10,60210,400
TOTAL CURRENT LIABILITIES517,904498,861
LONG-TERM DEBT1,261,8261,265,917
OTHER LONG-TERM LIABILITIES82,33389,536
DEFERRED INCOME TAXES14,51437,756
INCOME TAX LIABILITY25,25834,613
COMMITMENTS AND CONTINGENCIES
STOCKHOLDERS’ EQUITY:
Convertible preferred stock, $1.00 par value; Authorized — 500 shares; Issued and outstanding — none
Common stock, $0.10 par value; Authorized — 80,000 shares; Issued —25,186 and 24,688 shares at March 31, 2026 and December 31, 2025, respectively, and outstanding — 24,993 and 24,688 shares at March 31, 2026 and December 31, 2025, respectively2,5192,469
Additional paid-in capital1,465,4671,465,118
Treasury stock, at cost(25,183)(22)
Retained earnings721,022690,890
Accumulated other comprehensive loss(51,897)(34,630)
TOTAL STOCKHOLDERS' EQUITY2,111,9282,123,825
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY$4,013,763$4,050,508





ICU MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (Unaudited)
(In thousands, except per share data)

Three months ended
March 31,
20262025
TOTAL REVENUES$530,225$604,702
COST OF GOODS SOLD323,999394,593
GROSS PROFIT206,226210,109
OPERATING EXPENSES: 
Selling, general and administrative154,566157,233
Research and development21,28023,291
Restructuring, strategic transaction and integration16,80116,697
TOTAL OPERATING EXPENSES192,647197,221
INCOME FROM OPERATIONS13,57912,888
INTEREST EXPENSE, net(16,494)(22,031)
OTHER EXPENSE, net(1,060)(1,763)
LOSS BEFORE INCOME TAXES AND EQUITY IN LOSSES OF UNCONSOLIDATED AFFILIATES(3,975)(10,906)
BENEFIT (PROVISION) FOR INCOME TAXES34,714(4,570)
NET INCOME (LOSS) FROM CONSOLIDATED COMPANIES30,739(15,476)
EQUITY IN LOSSES OF UNCONSOLIDATED AFFILIATES(607)
NET INCOME (LOSS)$30,132$(15,476)
NET INCOME (LOSS) PER SHARE 
Basic$1.22$(0.63)
Diluted $1.20$(0.63)
WEIGHTED AVERAGE NUMBER OF SHARES 
Basic24,76424,539
Diluted 25,18224,539






















ICU MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited)
(In thousands) 

Three months ended
March 31,
 20262025
CASH FLOWS FROM OPERATING ACTIVITIES:  
Net income (loss)$30,132 $(15,476)
Adjustments to reconcile net loss to net cash provided by operating activities: 
Depreciation and amortization50,027 49,445 
Noncash lease expense4,173 4,475 
Stock compensation14,011 12,179 
Loss on disposal of property, plant and equipment and other assets136 1,696 
Debt issuance costs amortization774 1,700 
Undistributed equity in loss of unconsolidated affiliates607 — 
Other2,989 9,214 
Changes in operating assets and liabilities, net of amounts acquired: 
Accounts receivable(24,145)22,439 
Inventories6,088 (8,224)
Prepaid expenses and other current assets(14,347)(8,464)
Other assets(2,363)(6,815)
Accounts payable20,150 32,099 
Accrued liabilities(9,846)(36,343)
Income taxes, including excess tax benefits and deferred income taxes(39,477)(6,598)
Net cash provided by operating activities38,909 51,327 
CASH FLOWS FROM INVESTING ACTIVITIES: 
Purchases of property, plant and equipment(11,302)(14,621)
Deposit received for the sale of a business2,000 — 
Proceeds from sale of assets42 
Intangible asset additions(1,908)(2,232)
Net cash used in investing activities(11,209)(16,811)
CASH FLOWS FROM FINANCING ACTIVITIES: 
Principal repayments of long-term debt(4,688)(47,750)
Proceeds from exercise of stock options— 133 
Payments on finance leases(658)(328)
Tax withholding payments related to net share settlement of equity awards(38,776)(8,391)
Net cash used in financing activities(44,122)(56,336)
Effect of exchange rate changes on cash(3,211)2,958 
NET DECREASE IN CASH AND CASH EQUIVALENTS(19,633)(18,862)
CASH AND CASH EQUIVALENTS, beginning of period307,963 308,566 
CASH AND CASH EQUIVALENTS, end of period$288,330 $289,704 



Use of Non-GAAP Financial Information

This press release contains financial measures that are not calculated in accordance with U.S. generally accepted accounting principles ("GAAP"). The non-GAAP financial measures should be considered supplemental to, and not as a substitute for, or superior to, financial measures calculated in accordance with GAAP. There are material limitations in using these non-GAAP financial measures because they are not prepared in accordance with GAAP and may not be comparable to similarly titled non-GAAP financial measures used by other companies, including peer companies. Our management believes that the non-GAAP data provides useful supplemental information to management and investors regarding our performance and facilitates a more meaningful comparison of results of operations between current and prior periods. We use non-GAAP financial measures in addition to and in conjunction with GAAP financial measures to analyze and assess the overall performance of our business, in making financial, operating and planning decisions, and in determining executive incentive compensation.

The non-GAAP financial measures as shown in the tables below, exclude special items because they are highly variable or unusual and impact year-over-year comparisons.

For the three months ended March 31, 2026 and 2025, special items include the following:

Contract manufacturing: We manufacture certain products or product components in accordance with manufacturing services agreements. We do not include the contract revenue in our adjusted revenue, or any gross profit impact in our adjusted gross profit as the commercial relationship under these types of agreements are originally negotiated contemporaneously with a business combination or other transactions and are not indicative of normal market transactions.

Stock compensation expense: Stock-based compensation is generally fixed at the time the stock-based instrument is granted and amortized over a period of several years. The value of our restricted stock awards is determined using the grant date stock price, which may not be indicative of our operational performance over the expense period. Additionally, in order to establish the fair value of performance-based stock awards, which are currently an element of our ongoing stock-based compensation, we are required to apply judgment to estimate the probability of the extent to which performance objectives will be achieved. Based on the above factors, we believe it is useful to exclude stock-based compensation in order to better understand our operating performance.

Intangible asset amortization expense: We do not acquire businesses or capitalize certain patent costs on a predictable cycle. The amount of purchase price allocated to intangible assets and the term of amortization can vary significantly and are unique to each acquisition. Capitalized patent costs can vary significantly based on our current level of development activities. We believe that excluding amortization of intangible assets provides the users of our financial statements with a consistent basis for comparison across accounting periods.

Restructuring, strategic transaction and integration: We incur restructuring and strategic transaction charges that result from events, which arise from unforeseen circumstances and/or often occur outside of the ordinary course of our ongoing business. Although these events are reflected in our GAAP financial statements, these unique transactions may limit the comparability of our ongoing operations with prior and future periods.

Settlements: Occasionally, we are involved in contract renegotiations or other events that may result in one-time settlements. We exclude these settlements as they have no direct correlation to the operation of our ongoing business.

Quality system and product-related remediation: We exclude certain quality system and product-related remediation charges in determining our non-GAAP financial measures as they may limit the comparability of our ongoing operations with prior and future periods and distort the evaluation of our normal operating performance.

Noncash release of loss on contract provision: We provide certain services under fixed priced arrangements in accordance with a transition services arrangement. We do not include the loss on contract provision or subsequent release net of the related interest accretion as a result of providing those services in our non-GAAP financial measures as the agreement was negotiated contemporaneously with a disposition and is not indicative of a normal market transaction. The loss provision and subsequent release is a non-recurring noncash adjustment that if included may limit the comparability of our ongoing operations with prior and future periods.

From time to time in the future, there may be other items that we may exclude if we believe that doing so is consistent with the goal of providing useful information to investors and management.

In addition to the above special items, Adjusted EBITDA additionally excludes the following items from net income:




Depreciation expense: We exclude depreciation expense in deriving adjusted EBITDA because companies utilize productive assets of different ages and the depreciable lives can vary significantly resulting in considerable variability in depreciation expense among companies.

Interest, net: We exclude interest in deriving adjusted EBITDA as interest can vary significantly among companies depending on a company's level of income generating instruments and/or level of debt.

Taxes: We exclude taxes in deriving adjusted EBITDA as taxes are deemed to be non-core to the business and may limit the comparability of our ongoing operations with prior and future periods and distort the evaluation of our normal operating performance.

Adjusted Diluted EPS excludes from diluted EPS, net of tax, the special items listed above. The tax effect on the special items is calculated using the specific tax rate applied to each adjustment based on the nature of the item/or the tax jurisdiction in which the item has been recorded. Additionally, adjusted diluted EPS may exclude the income tax impact of certain non-recurring discrete tax items that are not reflective of income tax expense/benefit incurred as a result of current period earnings/ loss, as well as the impact of certain deferred tax valuation allowances when assessed against non-GAAP profitability.

We also present Free cash flow as a non-GAAP financial measure as management believes that this is an important measure for use in evaluating overall company financial performance as it measures our ability to generate additional cash flow from business operations. Free cash flow should be considered in addition to, rather than as a substitute for, net income as a measure of our performance or net cash provided by operating activities as a measure of our liquidity. Additionally, our definition of free cash flow is limited and does not represent residual cash flows available for discretionary expenditures due to the fact that the measure does not deduct the payments required for debt service and other obligations or payments made for business acquisitions. Therefore, we believe it is important to view free cash flow as supplemental to our entire statement of cash flows.

We also present organic revenue growth as a non-GAAP financial measure as management believes that this measure provides a more representative view of the Company's underlying growth trajectory by excluding the impact of revenue from non-arm's length transactions, the impact of foreign currency and the revenue associated with acquisitions and divestitures. We calculate constant currency revenue by translating current period foreign currency revenue at prior period comparable exchange rates and we calculate the constant currency growth percentages by dividing the current period constant currency revenue by the prior year comparable period revenue.

The following tables reconcile our non-GAAP financial measures for the periods presented:





ICU MEDICAL, INC. AND SUBSIDIARIES
Reconciliation of GAAP to Non-GAAP Financial Measures (Unaudited)
(In thousands)
 Adjusted EBITDA
Three months ended
March 31,
20262025
GAAP net income (loss)$30,132$(15,476)
Non-GAAP adjustments:
Interest, net16,49422,031
Stock compensation expense14,01112,179
Depreciation and amortization expense50,02749,445
Restructuring, strategic transaction and integration16,80116,697
Settlements15
Quality system and product-related remediation7,4079,980
Noncash release of loss on contract provision(1,120)
Gross profit on contract manufacturing(374)
(Benefit) provision for income taxes(34,714)4,570
Total non-GAAP adjustments68,547114,902
 Adjusted EBITDA $98,679$99,426




ICU MEDICAL, INC. AND SUBSIDIARIES
Reconciliation of GAAP to Non-GAAP Financial Measures (Unaudited)
(In thousands, except percentages and per share data)

The Company’s U.S. GAAP results for the three months ended March 31, 2026 included special items which impacted the U.S. GAAP measures as follows:

Total revenuesGross profitSelling, general and administrativeResearch and developmentRestructuring, strategic transaction and integrationLoss from operationsInterest expense, net(Loss) income before income taxes and equity in loss of unconsolidated affiliatesBenefit (Provision) for income taxesNet income from consolidated companiesEquity in loss of unconsolidated affiliatedNet income (loss) Diluted earnings (loss) income per share
Reported (GAAP)$530,225 $206,226 $154,566 $21,280 $16,801 $13,579 $(16,494)$(3,975)$34,714 $30,739 $(607)$30,132 $1.20 
Reported percent of total revenues or (percent of income (loss) before income taxes and equity in earnings of unconsolidated affiliates)39 %29 %%%%(3)%(1)%873.3 %%
Contract manufacturing(4,451)(374)— — — (374)— (374)92 (282)— (282)(0.01)
Stock compensation expense— 1,863 (11,553)(595)— 14,011 — 14,011 (3,401)10,610 — 10,610 0.42 
Amortization expense— 1,265 (31,831)— — 33,096 — 33,096 (8,231)24,865 — 24,865 0.99 
Restructuring, strategic transaction and integration— — — — (16,801)16,801 — 16,801 (4,126)12,675 — 12,675 0.50 
Settlements— — (15)— — 15 — 15 (4)11 — 11 — 
Quality system and product-related remediation— 7,407 — — — 7,407 — 7,407 (1,699)5,708 — 5,708 0.23 
Noncash release of loss on contract provision— — 1,120 — — (1,120)332 (788)193 (595)— (595)(0.02)
Tax benefit from discrete reserve release and valuation allowance*— — — — — — — — (33,390)(33,390)— (33,390)(1.33)
Tax benefit from equity in loss of unconsolidated affiliates— — — — — — — — (149)(149)149 — — 
Adjusted (Non-GAAP)**$525,774 $216,387 $112,287 $20,685 $— $83,415 $(16,162)$66,193 $(16,001)$50,192 $(458)$49,734 $1.97 
Adjusted percent of total revenues or (percent of (loss) income before income taxes and equity in loss of unconsolidated affiliates for benefit (provision) for income taxes)41 %21 %%— %16 %(3)%13 %24.2 %10 %
______________________
* The Company’s non-GAAP annual effective tax rate is calculated without the tax expense related to the valuation allowance against certain U.S. Federal and State deferred tax assets, as well as, the tax benefit on the release of income tax reserves in foreign jurisdictions for tax years which are no longer subject to an assessment from the local taxing authorities. The valuation allowance was recorded based on an assessment of available positive and negative evidence, including, predominantly, an estimate that we will be in a three-year cumulative U.S. loss position on a GAAP basis as of March 31, 2026. However, based on the same assessment, including, predominantly, our being, in a three-year cumulative U.S. income position on a non-GAAP basis, which excludes the impact of our non-GAAP adjustments, we concluded that recording a valuation allowance would not have been appropriate for non-GAAP reporting. As a result, the tax expense for the valuation allowance was added back to our calculation of non-GAAP annual effective tax rate. Tax reserves were released as a result of the expiration of statute of limitations which resulted in a discrete tax benefit for GAAP purposes. This tax benefit is excluded from our non-GAAP annual effective tax rate to the extent it is not related to on-going business operations.
** Amounts may not foot due to rounding.




ICU MEDICAL, INC. AND SUBSIDIARIES
Reconciliation of GAAP to Non-GAAP Financial Measures (Unaudited)(continued)
(In thousands, except percentages and per share data)

The Company’s U.S. GAAP results for the three months ended March 31, 2025 included special items which impacted the U.S. GAAP measures as follows:

Total revenuesGross profitSelling, general and administrativeResearch and developmentRestructuring, strategic transaction and integrationIncome (loss) from operations(Loss) income before income taxesProvision for income taxesNet (loss) incomeDiluted (loss) earnings per share
Reported (GAAP)$604,702 $210,109 $157,233 $23,291 $16,697 $12,888 $(10,906)$(4,570)$(15,476)$(0.63)
Reported percent of total revenues (or percent of (loss) income before income taxes for benefit (provision) for income taxes)35 %26 %%%%(2)%(41.9)%(3)%
Contract manufacturing(5,212)— — — — — — — — 
Stock compensation expense— 1,683 (9,868)(628)— 12,179 12,179 (2,957)9,222 0.37 
Amortization expense— 1,039 (31,533)— — 32,572 32,572 (8,026)24,546 0.99 
Depreciation expense reduction - assets held for sale classification— (3,223)— — — (3,223)(3,223)790 (2,433)(0.10)
Restructuring, strategic transaction and integration— — — — (16,697)16,697 16,697 (4,091)12,606 0.51 
Quality system and product-related remediation— 9,980 — — — 9,980 9,980 (2,338)7,642 0.31 
Tax expense from valuation allowance*— — — — — — — 6,402 6,402 0.26 
Adjusted (Non-GAAP)**$599,490 $219,588 $115,832 $22,663 $— $81,093 $57,299 $(14,790)$42,509 $1.72 
Adjusted percent of total revenues (or percent of (loss) income before income taxes for provision for income taxes)37 %19 %%— %14 %10 %25.8 %%
_____________
* The Company’s non-GAAP annual effective tax rate is calculated without the tax expense related to the valuation allowance against certain U.S. Federal and State deferred tax assets. The valuation allowance was recorded based on an assessment of available positive and negative evidence, including, predominantly, an estimate that we will be in a three-year cumulative U.S. loss position on a GAAP basis as of March 31, 2025. However, based on the same assessment, including, predominantly, our being, in a three-year cumulative U.S. income position on a non-GAAP basis, which excludes the impact of our non-GAAP adjustments, we concluded that recording a valuation allowance would not have been appropriate for non-GAAP reporting. As a result, the tax expense for the valuation allowance was added back to our calculation of non-GAAP annual effective tax rate.
** Amounts may not foot due to rounding





ICU MEDICAL, INC. AND SUBSIDIARIES
Reconciliation of GAAP to Non-GAAP Financial Measures (Unaudited)(continued)
(In thousands, except percentages)

Reconciliation of GAAP revenue growth to Non-GAAP organic revenue growth:
Three months ended
March 31,
20262025
Consumables GAAP revenue$278,275 $266,226 
Consumables GAAP revenue growth%%
Foreign currency impact (3)
(6,814)
Non-GAAP organic revenue $271,461 $266,226 
Non-GAAP organic revenue growth%10 %
Infusion Systems GAAP revenue$179,604 $166,300 
Infusion Systems GAAP revenue growth%%
Foreign currency impact (3)
(3,636)
Non-GAAP organic revenue$175,968 $166,300 
Non-GAAP organic revenue growth %%
Vital Care GAAP revenue$72,346 $172,176 
Vital Care GAAP revenue growth(58)%%
MSA Revenue (1)
(4,451)(5,212)
Non-GAAP adjusted revenue67,895 166,964 
Non-GAAP adjusted revenue growth(59)%10 %
Less: Revenue from divested business (2)
(89,494)
Foreign currency impact (3)
(1,401)
Non-GAAP organic revenue $66,494 $77,470 
Non-GAAP organic revenue growth (14)%11 %
Total GAAP revenue$530,225 $604,702 
Total GAAP revenue growth(12)%%
MSA Revenue (1)
(4,451)(5,212)
Non-GAAP adjusted revenue525,774 599,490 
Non-GAAP adjusted revenue growth(12)%%
Less: Revenue from divested business (2)
(89,494)
Foreign currency impact (3)
(11,851)
Non-GAAP organic revenue $513,923 $509,996 
Non-GAAP organic revenue growth %10 %
_____________________________________________
(1) We manufacture certain products or product components in accordance with manufacturing services agreements. We do not include the contract revenue in our adjusted
revenue as the commercial relationship under these types of agreements are originally negotiated contemporaneously with a business combination or other transactions and
are not indicative of normal market transactions.



(2) For businesses divested, non-GAAP organic revenue growth excludes prior period revenue associated with the divested business for the same length
of time they were not owned by the company in the current year. The divested business prior period revenue in this line item does not include MSA revenue, which is excluded on a separate line.
(3) We exclude the impact of foreign exchange rate changes to show a constant currency comparison of our underlying business performance.




ICU MEDICAL, INC. AND SUBSIDIARIES
Reconciliation of GAAP to Non-GAAP Financial Measures (Unaudited)(continued)
(In thousands)
Reconciliation of Net Cash Provided by Operating Activities to Free Cash Flow
Three months ended
March 31,
20262025
Net cash provided by operating activities$38,909 51,327 
Purchase of property, plant and equipment(11,302)(14,621)
Proceeds from sale of assets42 
Free cash flow$27,608 $36,748 



CONTACT:
ICU Medical, Inc.                    
Brian Bonnell, Chief Financial Officer
(949) 366-2183
ICR, Inc.
John Mills, Partner
(646) 277-1254

FAQ

How did ICU Medical (ICUI) perform financially in Q1 2026?

ICU Medical reported GAAP revenue of $530.2 million in Q1 2026, down 12% year-over-year, mainly due to an IV Solutions divestiture. The company generated GAAP net income of $30.1 million, or $1.20 diluted EPS, compared with a net loss a year earlier.

What was ICU Medical (ICUI)’s non-GAAP organic revenue growth in Q1 2026?

ICU Medical’s non-GAAP organic revenue grew 1% in Q1 2026. This measure excludes revenue from the divested IV Solutions business, contract manufacturing under certain agreements, and foreign currency effects, providing a clearer view of the company’s underlying ongoing operations versus the prior-year period.

How did ICU Medical (ICUI)’s profitability and margins change in Q1 2026?

ICU Medical’s GAAP gross margin improved to 39% in Q1 2026 from 35% a year earlier. GAAP net income was $30.1 million versus a net loss previously, and adjusted diluted EPS increased to $1.97 from $1.72, reflecting stronger profitability after adjustments.

What were ICU Medical (ICUI)’s key non-GAAP metrics like adjusted EBITDA and free cash flow?

ICU Medical reported adjusted EBITDA of $98.7 million in Q1 2026, compared with $99.4 million a year earlier. The company also generated free cash flow of $27.6 million, calculated as net cash from operating activities minus capital expenditures plus small asset-sale proceeds.

How did the IV Solutions divestiture affect ICU Medical (ICUI)’s Q1 2026 results?

The prior IV Solutions business divestiture, completed May 1, 2025, significantly reduced Vital Care revenue, which fell from $172.2 million to $72.3 million. As a result, total GAAP revenue declined 12%, while non-GAAP organic revenue, excluding this divested business and currency, increased modestly.

What does ICU Medical (ICUI) disclose about its use of non-GAAP measures?

ICU Medical uses non-GAAP metrics such as adjusted EBITDA, adjusted diluted EPS, free cash flow, and non-GAAP organic revenue growth. The company excludes items like stock compensation, restructuring, certain contract manufacturing revenue, quality remediation costs, and divestiture-related effects, and provides reconciliations to comparable GAAP figures.

Filing Exhibits & Attachments

4 documents