Financials · ICUI

ICU Medical Inc. (ICUI) financials

For the twelve months ended Sep 30, 2026, ICU Medical Inc. reported $2.18B of revenue and $60.33M of net income.

Revenue, TTM
$2.18B
Revenue growth, YoY
-5.9%
Net income, TTM
$60.33M
Net margin
2.8%
Free cash flow, TTM
$208.60M
EPS, diluted, TTM
$2.40
Cash
$301.78M
Total debt
$1.15B
P/E
73.90
P/S
2.04
Market cap
$4.46B
Annual revenue$2.23B
FY2016FY2025
Annual net income$732.0K
FY2016FY2025
Annual free cash flow$91.80M
FY2016FY2025

ICUI revenue and earnings growth

ICUI revenueQ3 2026$560.44M

Quarter YoY
+4.4%
QoQ
+1.6%
FY YoY
-6.3%
5Y CAGR
+11.9%
10Y CAGR
+20.6%

ICUI revenue was $560.44M in fiscal Q3 2026 (ended Sep 30, 2026), up 4.4% from a year earlier and up 1.6% from the prior quarter. For the full fiscal 2025 it was $2.23B, down 6.3% from fiscal 2024. Compound annual growth was +11.9% over 5 years and +20.6% over 10 years. It rose in 7 of the last 10 fiscal years.

ICUI net incomeQ3 2026$26.85M

QoQ
+40.7%
5Y CAGR
-61.5%
10Y CAGR
-33.8%

ICUI net income was $26.85M in fiscal Q3 2026 (ended Sep 30, 2026), compared with -$3.40M a year earlier and up 40.7% from the prior quarter. For the full fiscal 2025 it was $732.0K, compared with -$117.69M in fiscal 2024. Compound annual growth was -61.5% over 5 years and -33.8% over 10 years.

ICUI EPSQ3 2026$1.07

QoQ
+40.8%
5Y CAGR
-62.5%
10Y CAGR
-36.3%

ICUI diluted EPS was $1.07 in fiscal Q3 2026 (ended Sep 30, 2026), compared with -$0.14 a year earlier and up 40.8% from the prior quarter. For the full fiscal 2025 it was $0.03, compared with -$4.83 in fiscal 2024. Compound annual growth was -62.5% over 5 years and -36.3% over 10 years.

ICUI free cash flowQ3 2026$83.40M

Quarter YoY
+201.8%
QoQ
+35.3%
FY YoY
-26.4%
5Y CAGR
-6.8%
10Y CAGR
+6.0%

ICUI free cash flow was $83.40M in fiscal Q3 2026 (ended Sep 30, 2026), up 201.8% from a year earlier and up 35.3% from the prior quarter. For the full fiscal 2025 it was $91.80M, down 26.4% from fiscal 2024. Compound annual growth was -6.8% over 5 years and +6.0% over 10 years.

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Income statement

Income statement
Line item
Dec 31, 2025
Dec 31, 2024
Dec 31, 2023
Dec 31, 2022
Dec 31, 2021
Dec 31, 2020
Dec 31, 2019
Dec 31, 2018
Dec 31, 2017
Dec 31, 2016
Revenue$2.23B$2.38B$2.26B$2.28B$1.32B$1.27B$1.27B$1.40B$1.29B$379.37M
Cost of revenue$1.41B$1.56B$1.52B$1.58B$824.82M$809.51M$794.34M$830.01M$866.52M$177.97M
Gross profit$822.04M$824.78M$739.87M$697.76M$491.49M$461.50M$471.86M$570.03M$426.10M$201.40M
Research and development$87.50M$88.61M$85.34M$92.98M$47.50M$42.95M$48.61M$52.87M$51.25M$12.96M
Selling, general and admin$625.21M$638.76M$606.69M$608.35M$302.58M$283.95M$276.98M$320.00M$302.17M$89.43M
Operating income$42.83M$42.96M$22.82M-$42.90M$123.25M$98.16M$107.36M$29.76M-$13.29M$82.94M
Interest expense$93.34M$106.54M$102.73M$70.81M$858.0K$1.75M$549.0K$709.0K$2.05M$118.0K
Pre-tax income$4.36M-$66.01M-$78.30M--$97.49M$114.71M$22.37M$51.28M$85.16M
Income tax$2.44M$51.68M-$48.64M-$40.12M$20.05M$10.62M$13.67M-$6.42M-$17.36M$22.08M
Net income$732.0K-$117.69M-$29.66M-$74.29M$103.14M$86.87M$101.03M$28.79M$68.64M$63.08M
EPS, basic$0.03-$4.83-$1.23-$3.11$4.86$4.16$4.90$1.41$3.50$3.90
EPS, diluted$0.03-$4.83-$1.23-$3.11$4.74$4.02$4.69$1.33$3.29$3.66
Diluted shares24.9M24.4M24.1M23.9M21.8M21.6M21.5M21.6M20.9M17.3M

Balance sheet

Balance sheet
Line item
Dec 31, 2025
Dec 31, 2024
Dec 31, 2023
Dec 31, 2022
Dec 31, 2021
Dec 31, 2020
Dec 31, 2019
Dec 31, 2018
Dec 31, 2017
Dec 31, 2016
Cash and equivalents$307.96M$308.57M$254.22M$208.78M$552.83M$396.10M$268.67M$344.78M$290.07M$445.08M
Receivables$180.51M$182.83M$161.57M$221.72M$105.89M$124.09M$202.22M$176.30M$112.70M$56.16M
Inventory$615.86M$584.68M$709.36M$696.01M$290.24M$314.93M$337.64M$311.16M$288.66M$49.26M
Current assets$1.19B$1.44B$1.22B$1.24B$1.03B$920.78M$882.20M$927.04M$864.66M$569.10M
Goodwill$1.50B$1.43B$1.47B$1.45B$43.44M$33.00M$31.25M$11.20M$12.36M$5.58M
Total assets$4.05B$4.20B$4.38B$4.52B$1.88B$1.76B$1.69B$1.59B$1.50B$704.69M
Current liabilities$498.86M$556.18M$481.84M$494.56M$200.78M$195.49M$248.47M$249.29M$210.29M$40.54M
Short-term debt$18.75M$51.00M$51.00M$29.69M$0-$0---
Long-term debt$1.27B$1.53B$1.58B$1.62B$0----$0
Total debt$1.28B$1.58B$1.63B$1.65B$0----$0
Total liabilities$1.93B$2.24B$2.26B$2.43B$264.71M$261.43M$315.14M$321.74M$298.70M$44.53M
Shareholders' equity$2.12B$1.97B$2.12B$2.09B$1.62B$1.50B$1.38B$1.26B$1.20B$660.15M

Cash flow

Cash flow
Line item
Dec 31, 2025
Dec 31, 2024
Dec 31, 2023
Dec 31, 2022
Dec 31, 2021
Dec 31, 2020
Dec 31, 2019
Dec 31, 2018
Dec 31, 2017
Dec 31, 2016
Operating cash flow$179.85M$204.03M$166.20M-$62.13M$267.54M$222.75M$101.92M$160.22M$154.42M$89.94M
Capital expenditures$88.04M$79.37M$83.89M$90.31M$68.54M$92.00M$97.31M$92.72M$74.48M$23.36M
Free cash flow$91.80M$124.66M$82.31M-$152.44M$199.00M$130.75M$4.61M$67.50M$79.94M$66.58M
Investing cash flow$122.23M-$88.96M-$87.95M-$1.91B-$90.69M-$98.14M-$166.89M-$103.37M-$266.87M$16.28M
Financing cash flow-$311.52M-$55.80M-$35.98M$1.64B-$16.87M-$40.0K-$10.91M$8.02M-$44.35M$2.47M
Share repurchases$8.77M$11.99M$9.35M$10.88M$8.34M$12.88M$18.64M$6.25M$4.06M$17.23M
Stock-based compensation$55.76M$46.88M$40.56M$36.02M$27.34M$23.95M$21.92M$24.24M$19.35M$15.24M
Depreciation and amortization$200.74M$219.51M$228.77M$235.15M$89.70M$85.63M$76.92M$74.73M$66.57M$19.05M

Key ratios

Key ratios
Line item
Dec 31, 2025
Dec 31, 2024
Dec 31, 2023
Dec 31, 2022
Dec 31, 2021
Dec 31, 2020
Dec 31, 2019
Dec 31, 2018
Dec 31, 2017
Dec 31, 2016
Revenue growth, YoY-6.3%5.4%-0.9%73.2%3.6%0.4%-9.6%8.3%240.7%11.0%
Net income growth, YoY----18.7%-14.0%250.9%-58.1%8.8%40.2%
EPS growth, YoY----17.9%-14.3%252.6%-59.6%-10.1%34.1%
Gross margin36.8%34.6%32.8%30.6%37.3%36.3%37.3%40.7%33.0%53.1%
Operating margin1.9%1.8%1.0%-1.9%9.4%7.7%8.5%2.1%-1.0%21.9%
Net margin0.0%-4.9%-1.3%-3.3%7.8%6.8%8.0%2.1%5.3%16.6%
Free cash flow margin4.1%5.2%3.6%-6.7%15.1%10.3%0.4%4.8%6.2%17.6%
Return on equity0.0%-6.0%-1.4%-3.6%6.4%5.8%7.3%2.3%5.7%9.6%
Return on assets0.0%-2.8%-0.7%-1.6%5.5%4.9%6.0%1.8%4.6%9.0%
Current ratio2.392.592.532.505.134.713.553.724.1114.04
Debt to equity0.600.810.770.790.00----0.00

Source: XBRL data ICU Medical Inc. files with the SEC, latest filing dated Nov 5, 2026 (see filings on SEC EDGAR). Provided for information only, not investment advice. Check the filing before relying on a number.

* Worked out from the filings rather than stated in them: Q4 is the full year less the first nine months.

Per-share figures are as filed. The filings show no stock split in these periods.

EPS growth is left out where the share count moved enough to suggest a split the filings do not show. Growth rates need a positive starting figure. CAGR is compound annual growth between fiscal years. The CSV holds every period on file, in full figures, from the same SEC filings.

ICUI peers

CompanyRevenueGrowthNet incomeNet marginMarket cap
ICUI$2.18B-5.9%$60.33M2.8%$4.46B
SYK$26.30B+7.9%$3.62B13.8%$121.36B
MMM$25.25B+1.7%$3.54B14.0%$97.60B
BSX$21.07B+8.9%$3.50B16.6%$65.41B
BDX$23.25B+17.4%$941.00M4.0%$58.43B
MDLN$30.68B-$683.00M2.2%$55.45B
RMD$5.73B+9.0%$1.59B27.8%$33.55B
DXCM$5.10B+13.0%$991.00M19.4%$29.97B
WST$3.40B+12.6%$638.90M18.8%$28.76B

ICUI FAQ

9 questions
  • What is ICUI revenue?
    ICU Medical Inc. (ICUI) reported $2.18B of revenue for the twelve months ended Sep 30, 2026. That is down 5.9% from the year before. Revenue for fiscal 2025 was $2.23B.
  • Is ICUI profitable?
    Yes. ICU Medical Inc. earned $60.33M in net income for the twelve months ended Sep 30, 2026, a net margin of 2.8%.
  • How much cash and debt does ICUI have?
    ICU Medical Inc. reported $301.78M in cash and cash equivalents and $1.15B of debt on its most recent balance sheet in SEC filings.
  • How fast is ICUI revenue growing?
    ICU Medical Inc.'s revenue changed -6.3% in fiscal 2025, to $2.23B. Its compound annual growth rate was +11.9% over 5 years and +20.6% over 10 years.
  • What is ICUI gross margin?
    ICU Medical Inc.'s gross profit was $879.02M on $2.18B of revenue for the twelve months ended Sep 30, 2026, a gross margin of 40.3%.
  • What is ICUI free cash flow?
    ICU Medical Inc. generated $208.60M of free cash flow for the twelve months ended Sep 30, 2026, which is operating cash flow of $279.24M less capital expenditures.
  • What is ICUI earnings per share?
    Diluted earnings per share were $2.40 for the twelve months ended Sep 30, 2026, from SEC filings, restated for any stock split those filings show.
  • When did ICUI last report financial results?
    The latest statements here come from ICU Medical Inc.'s 10-Q filed on Nov 5, 2026, covering the period ended Sep 30, 2026.
  • Where does this ICUI financial data come from?
    Quantisnow builds these statements from the structured XBRL data ICU Medical Inc. files with the SEC. It is provided for information only and is not investment advice.