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ICU Medical, Inc. (ICUI) 10-Year Financial Performance & Capital Metrics

ICUI • • Industrial / General
HealthcareMedical InstrumentsInfusion & Drug Delivery SystemsIV Therapy & Access Products
AboutICU Medical, Inc., together with its subsidiaries, develops, manufactures, and sells medical devices used in infusion therapy and critical care applications worldwide. The company's infusion therapy products include needlefree products under the MicroClave, MicroClave Clear, and NanoClave brands; Neutron catheter patency devices; SwabCap and SwabTip disinfecting caps; Tego hemodialysis connectors; ClearGuard HD, an antimicrobial barrier cap for hemodialysis catheters; and ChemoClave and ChemoLock closed system transfer devices, as well as Diana hazardous drug compounding system for the preparation of hazardous drugs. It also provides IV therapy and diluents, such as sodium chloride, dextrose, balanced electrolyte solutions, lactated ringer's, ringer's, mannitol, sodium chloride/dextrose, and sterile water; and irrigation comprising sodium chloride and sterile water irrigation, physiologic solutions, ringer's irrigation, acetic acid irrigation, glycine irrigation, sorbitol-mannitol irrigation, flexible containers, and pour bottle options. The company offers infusion pumps under the Plum 360 and LifeCare PCA brands; IV mediation safety software, including ICU Medical MedNet, an enterprise-class medication management platform that connects smart pumps to hospital's electronic health records, asset tracking systems, and alarm notification platforms; and related professional services. It also provides critical care products, such as Cogent 2-in-1 and CardioFlo hemodynamic monitoring systems; TDQ and OptiQ cardiac output monitoring catheters; TriOx venous oximetry catheters; Transpac blood pressure transducers; and SafeSet closed blood sampling and conservation systems. The company sells its products to acute care hospitals, wholesalers, ambulatory clinics, and alternate site facilities, including outpatient clinics, home health care providers, and long-term care facilities. ICU Medical, Inc. was founded in 1984 and is headquartered in San Clemente, California.Show more
  • Revenue $2.38B +5.4%
  • EBITDA $45M -82.0%
  • Net Income -$118M -296.9%
  • EPS (Diluted) -4.83 -292.7%
  • Gross Margin 34.62% +5.7%
  • EBITDA Margin 1.91% -82.9%
  • Operating Margin 1.8% +78.5%
  • Net Margin -4.94% -276.4%
  • ROE -5.76% -309.0%
  • ROIC 0.94% +96.9%
  • Debt/Equity 0.84 +4.1%
  • Interest Coverage 0.40 +81.5%
Technical Analysis

Key Insights

Based on financial data analysis

✓Strengths

  • ✓Strong 5Y sales CAGR of 13.5%

✗Weaknesses

  • ✗Thin 5Y average net margin of 1.0%

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

Price & Volume

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Growth Metrics

Revenue CAGR

10Y22.65%
5Y13.47%
3Y21.86%
TTM-0.84%

Profit (Net Income) CAGR

10Y-
5Y-
3Y-
TTM93.37%

EPS CAGR

10Y-
5Y-
3Y-
TTM93.22%

ROCE

10Y Avg4.79%
5Y Avg2.86%
3Y Avg0.07%
Latest1.14%

Peer Comparison

IV Therapy & Access Products
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Sector-Specific
NameMarket CapCurrent PriceP/E RatioRevenue Growth 1YNet MarginROEFCF YieldDebt/Equity
TFXTeleflex Incorporated4.62B104.6170.682.45%-10.28%-8.58%11.02%0.41
HAEHaemonetics Corporation3.46B74.0022.363.95%12.67%19.81%4.11%1.49
ICUIICU Medical, Inc.3.83B155.12-32.125.44%-0.32%-0.35%3.26%0.84

Profit & Loss

Dec 2015Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Sales/Revenue+341.67M379.37M1.29B1.4B1.27B1.27B1.32B2.28B2.26B2.38B
Revenue Growth %0.1%0.11%2.41%0.08%-0.1%0%0.04%0.73%-0.01%0.05%
Cost of Goods Sold+160.87M177.97M866.52M830.01M794.34M809.51M824.82M1.58B1.52B1.56B
COGS % of Revenue0.47%0.47%0.67%0.59%0.63%0.64%0.63%0.69%0.67%0.65%
Gross Profit+180.8M201.4M426.1M570.03M471.86M461.5M491.49M697.76M739.87M824.78M
Gross Margin %0.53%0.53%0.33%0.41%0.37%0.36%0.37%0.31%0.33%0.35%
Gross Profit Growth %0.19%0.11%1.12%0.34%-0.17%-0.02%0.06%0.42%0.06%0.11%
Operating Expenses+98.93M102.38M355.21M381.01M364.5M363.33M368.25M740.66M717.05M781.82M
OpEx % of Revenue0.29%0.27%0.27%0.27%0.29%0.29%0.28%0.32%0.32%0.33%
Selling, General & Admin83.22M89.43M303.95M328.15M276.98M283.95M302.58M608.35M606.69M638.76M
SG&A % of Revenue0.24%0.24%0.24%0.23%0.22%0.22%0.23%0.27%0.27%0.27%
Research & Development15.71M12.96M51.25M52.87M48.61M42.95M47.5M92.98M85.34M88.61M
R&D % of Revenue0.05%0.03%0.04%0.04%0.04%0.03%0.04%0.04%0.04%0.04%
Other Operating Expenses0767K-2.48M1.47M38.91M36.43M18.16M39.33M25.01M54.44M
Operating Income+68.56M82.94M-15.08M21.61M107.36M98.16M123.25M-42.9M22.82M42.96M
Operating Margin %0.2%0.22%-0.01%0.02%0.08%0.08%0.09%-0.02%0.01%0.02%
Operating Income Growth %0.76%0.21%-1.18%2.43%3.97%-0.09%0.26%-1.35%1.53%0.88%
EBITDA+86.64M101.99M51.49M96.35M184.28M193.01M222.54M192.25M251.6M45.4M
EBITDA Margin %0.25%0.27%0.04%0.07%0.15%0.15%0.17%0.08%0.11%0.02%
EBITDA Growth %0.48%0.18%-0.5%0.87%0.91%0.05%0.15%-0.14%0.31%-0.82%
D&A (Non-Cash Add-back)18.07M19.05M66.57M74.73M76.92M94.85M99.29M235.15M228.77M2.44M
EBIT69.74M85.28M53.33M197.16M115.26M99.25M124.17M-43.6M24.43M40.53M
Net Interest Income+-39K-118K-2.05M-709K-549K1.92M1.98M-66.38M-95.22M-95.75M
Interest Income000003.68M2.84M4.43M7.51M10.79M
Interest Expense39K118K2.05M709K549K1.75M858K70.81M102.73M106.54M
Other Income/Expense1.13M2.22M64.58M-7.38M7.35M-668K-59K-71.51M-101.12M-108.98M
Pretax Income+69.7M85.16M51.28M22.37M114.71M97.49M123.19M-114.41M-78.3M-66.01M
Pretax Margin %0.2%0.22%0.04%0.02%0.09%0.08%0.09%-0.05%-0.03%-0.03%
Income Tax+24.71M22.08M-17.36M-6.42M13.67M10.62M20.05M-40.12M-48.64M51.68M
Effective Tax Rate %0.65%0.74%1.34%1.29%0.88%0.89%0.84%0.65%0.38%1.78%
Net Income+44.98M63.08M68.64M28.79M101.03M86.87M103.14M-74.29M-29.66M-117.69M
Net Margin %0.13%0.17%0.05%0.02%0.08%0.07%0.08%-0.03%-0.01%-0.05%
Net Income Growth %0.71%0.4%0.09%-0.58%2.51%-0.14%0.19%-1.72%0.6%-2.97%
Net Income (Continuing)44.98M63.08M68.64M28.79M101.03M86.87M103.14M-74.29M-29.66M-117.69M
Discontinued Operations0000000000
Minority Interest0000000000
EPS (Diluted)+2.733.663.291.334.694.024.74-3.11-1.23-4.83
EPS Growth %0.63%0.34%-0.1%-0.6%2.53%-0.14%0.18%-1.66%0.6%-2.93%
EPS (Basic)2.843.903.501.334.904.164.86-3.11-1.23-4.83
Diluted Shares Outstanding16.5M17.25M20.86M21.6M21.55M21.59M21.78M23.87M24.09M24.39M
Basic Shares Outstanding15.85M16.17M19.61M21.6M20.63M20.91M21.21M23.87M24.09M24.39M
Dividend Payout Ratio----------

Balance Sheet

Dec 2015Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Total Current Assets+505.01M569.1M864.66M927.04M882.2M914.38M1.03B1.24B1.22B1.44B
Cash & Short-Term Investments377.4M445.08M300.13M382.11M292.64M410.78M567.25M213.01M254.72M308.57M
Cash Only336.16M445.08M290.07M344.78M268.67M396.1M552.83M208.78M254.22M308.57M
Short-Term Investments41.23M010.06M37.33M23.97M14.69M14.42M4.22M501K0
Accounts Receivable57.85M59.11M149.12M196.44M202.22M127.77M124.81M246.9M182.15M202.7M
Days Sales Outstanding61.856.8742.1151.2158.2936.6934.6139.5329.4331.06
Inventory43.63M49.26M288.66M311.16M337.64M314.93M290.24M696.01M709.36M584.68M
Days Inventory Outstanding99101.03121.59136.83155.15142128.44160.56170.42137.04
Other Current Assets18.5M13.99M38.89M21.1M27.16M25.24M20.27M43.05M41.01M321.42M
Total Non-Current Assets+121.82M135.59M632.29M658.36M810.18M849.32M850.93M3.28B3.16B2.76B
Property, Plant & Equipment74.32M85.7M398.68M432.64M490.55M513.2M510.88M713.58M685.52M499.3M
Fixed Asset Turnover4.60x4.43x3.24x3.24x2.58x2.48x2.58x3.20x3.30x4.77x
Goodwill6.46M5.58M12.36M11.2M31.25M33M43.44M1.45B1.47B1.43B
Intangible Assets23.94M22.38M143.75M133.42M211.41M197.23M188.31M982.77M870.59M740.79M
Long-Term Investments-17.1M-21.93M14.58M2.02M012.97M7.86M3.69M3.12M8.76M
Other Non-Current Assets17.1M21.93M38.14M40.42M48.98M61.88M57.83M99.69M88.19M56.11M
Total Assets+626.83M704.69M1.5B1.59B1.69B1.76B1.88B4.52B4.38B4.2B
Asset Turnover0.55x0.54x0.86x0.88x0.75x0.72x0.70x0.50x0.52x0.57x
Asset Growth %0.16%0.12%1.12%0.06%0.07%0.04%0.07%1.4%-0.03%-0.04%
Total Current Liabilities+42.62M40.54M210.29M249.29M248.47M195.49M200.78M494.56M481.84M556.18M
Accounts Payable13.67M14.64M78.23M120.47M128.63M71.86M81.13M215.9M150.03M148.02M
Days Payables Outstanding31.0230.0332.9552.9859.132.435.949.8136.0434.69
Short-Term Debt000009.29M029.69M51M51M
Deferred Revenue (Current)001000K1000K1000K1000K1000K1000K1000K1000K
Other Current Liabilities8.14M12.28M67.31M58.61M15.22M53.51M33.11M42.93M71.21M103.17M
Current Ratio11.85x14.04x4.11x3.72x3.55x4.68x5.13x2.50x2.53x2.59x
Quick Ratio10.83x12.82x2.74x2.47x2.19x3.07x3.68x1.09x1.06x1.54x
Cash Conversion Cycle129.78127.88130.75135.07154.33146.29127.14150.28163.81133.4
Total Non-Current Liabilities+4.34M4M88.41M72.45M66.67M65.94M63.93M1.93B1.77B1.68B
Long-Term Debt00000001.62B1.58B1.53B
Capital Lease Obligations000028.9M43.41M36.04M62.77M54.93M43.11M
Deferred Tax Liabilities1.37M1.37M1.49M721K2.09M1.66M1.49M126.01M55.87M48.81M
Other Non-Current Liabilities2.96M2.63M86.92M71.73M35.12M19.67M26.4M102.46M74.04M49.69M
Total Liabilities46.95M44.53M298.7M321.74M315.14M261.43M264.71M2.43B2.26B2.24B
Total Debt+000036.26M52.7M45.05M1.73B1.7B1.64B
Net Debt-336.16M-445.08M-290.07M-344.78M-232.41M-343.4M-507.78M1.53B1.45B1.33B
Debt / Equity----0.03x0.04x0.03x0.83x0.80x0.84x
Debt / EBITDA----0.20x0.27x0.20x9.02x6.77x36.16x
Net Debt / EBITDA-3.88x-4.36x-5.63x-3.58x-1.26x-1.78x-2.28x7.93x5.76x29.36x
Interest Coverage1758.08x702.89x-7.37x30.48x195.56x56.00x143.64x-0.61x0.22x0.40x
Total Equity+579.87M660.15M1.2B1.26B1.38B1.5B1.62B2.09B2.12B1.97B
Equity Growth %0.14%0.14%0.82%0.05%0.09%0.09%0.08%0.29%0.02%-0.07%
Book Value per Share35.1538.2657.4558.5063.9269.5874.1987.5688.1480.58
Total Shareholders' Equity579.87M660.15M1.2B1.26B1.38B1.5B1.62B2.09B2.12B1.97B
Common Stock1.61M1.63M2.02M2.05M2.07M2.11M2.13M2.4M2.41M2.45M
Retained Earnings453.9M516.98M585.62M620.75M721.78M808.65M911.79M837.5M807.85M690.16M
Treasury Stock0-14K0-95K-157K-39K-27K-243K-262K-92K
Accumulated OCI-20.76M-21.27M-14.96M-16.95M-15.4M-1.52M-19.27M-80.98M-53.08M-139.4M
Minority Interest0000000000

Cash Flow

Dec 2015Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Cash from Operations+54.87M89.94M154.42M160.22M101.92M222.75M267.54M-62.13M166.2M204.03M
Operating CF Margin %0.16%0.24%0.12%0.11%0.08%0.18%0.2%-0.03%0.07%0.09%
Operating CF Growth %-0.1%0.64%0.72%0.04%-0.36%1.19%0.2%-1.23%3.68%0.23%
Net Income44.98M63.08M68.64M28.79M101.03M86.87M103.14M-74.29M-29.66M-117.69M
Depreciation & Amortization18.07M19.05M66.57M74.73M85.21M94.85M89.7M235.15M228.79M240.86M
Stock-Based Compensation12.83M15.24M19.35M24.24M21.92M23.95M27.34M36.02M40.56M46.88M
Deferred Taxes3.14M-110K-55.96M20.27M27.62M3.77M0000
Other Non-Cash Items1.67M1.43M-69K37.58M-22.23M30.27M32.33M44.71M62.1M36.55M
Working Capital Changes-25.83M-8.76M55.89M-25.41M-111.64M-16.97M15.04M-303.73M-135.6M-2.57M
Change in Receivables-20.52M744K-54.53M-76.74M-23.68M78.05M13.76M-19.15M48.63M-46.84M
Change in Inventory-8.34M-5.5M181.7M-21.77M-25M19.2M20.82M-201.09M-6.08M16.83M
Change in Payables3.12M-463K46.65M23.27M-2.7M-46.41M2.35M37.47M-68.3M12.53M
Cash from Investing+-11.24M16.28M-266.87M-103.37M-166.89M-98.14M-90.69M-1.91B-87.95M-88.96M
Capital Expenditures-13.94M-24.55M-79.68M-100.78M-106.04M-100.39M-68.54M-90.31M-83.89M-79.37M
CapEx % of Revenue0.04%0.06%0.06%0.07%0.08%0.08%0.05%0.04%0.04%0.03%
Acquisitions----------
Investments----------
Other Investing3.59M3.27M5.21M13.77M33K14.56M-12.41M-8.03M-8.28M-10.09M
Cash from Financing+25.01M2.47M-44.35M8.02M-10.91M-40K-16.87M1.64B-35.98M-55.8M
Debt Issued (Net)----------
Equity Issued (Net)----------
Dividends Paid0000000000
Share Repurchases----------
Other Financing26.53M19.71M34.71M14.28M00-16.26M-4.28M0-2.6M
Net Change in Cash----------
Free Cash Flow+40.93M65.39M74.74M59.44M-4.12M122.36M186.37M-161.46M72.53M124.66M
FCF Margin %0.12%0.17%0.06%0.04%-0%0.1%0.14%-0.07%0.03%0.05%
FCF Growth %-0.05%0.6%0.14%-0.2%-1.07%30.69%0.52%-1.87%1.45%0.72%
FCF per Share2.483.793.582.75-0.195.678.56-6.763.015.11
FCF Conversion (FCF/Net Income)1.22x1.43x2.25x5.56x1.01x2.56x2.59x0.84x-5.60x-1.73x
Interest Paid39K118K2.05M709K549K1.75M858K63.71M95.91M99.72M
Taxes Paid23M21.1M5.11M12.6M9.68M31.63M19.56M27.5M35.81M25.25M

Key Ratios

Metric2015201620172018201920202021202220232024
Return on Equity (ROE)8.27%10.17%7.39%2.34%7.65%6.03%6.61%-4.01%-1.41%-5.76%
Return on Invested Capital (ROIC)21.6%27.12%-2.01%1.77%7.8%6.39%8.15%-1.36%0.48%0.94%
Gross Margin52.92%53.09%32.96%40.72%37.27%36.31%37.34%30.6%32.75%34.62%
Net Margin13.17%16.63%5.31%2.06%7.98%6.83%7.84%-3.26%-1.31%-4.94%
Debt / Equity----0.03x0.04x0.03x0.83x0.80x0.84x
Interest Coverage1758.08x702.89x-7.37x30.48x195.56x56.00x143.64x-0.61x0.22x0.40x
FCF Conversion1.22x1.43x2.25x5.56x1.01x2.56x2.59x0.84x-5.60x-1.73x
Revenue Growth10.48%11.04%240.72%8.31%-9.56%0.38%3.56%73.21%-0.92%5.44%

Revenue by Segment

2014201520172018201920202021202220232024
Infusion Consumables---483.04M477.61M473.74M555.19M566.62M969.13M1.04B
Infusion Consumables Growth-----1.12%-0.81%17.19%2.06%71.04%7.20%
Vital Care-------284.61M660.95M690.77M
Vital Care Growth--------132.23%4.51%
Infusion Systems---355.48M328.28M359.69M352.32M351.08M629.04M652.41M
Infusion Systems Growth-----7.65%9.57%-2.05%-0.35%79.17%3.71%
IV Solutions---507.99M414.97M388.97M359.48M363.47M--
IV Solutions Growth-----18.31%-6.27%-7.58%1.11%--
Infusion Consumables-Smiths Medical-------340.12M--
Infusion Consumables-Smiths Medical Growth----------
Vascular Access-------326.76M--
Vascular Access Growth----------
Critical Care---53.53M45.34M48.6M49.32M47.33M--
Critical Care Growth-----15.30%7.19%1.48%-4.04%--
Other Revenue1.25M1.16M--------
Other Revenue Growth--7.33%--------
Sales Revenue, Net-341.67M--------
Sales Revenue, Net Growth----------
Infusion Therapy215.98M244.75M--------
Infusion Therapy Growth-13.32%--------
Critical Care Revenue55.07M54.31M--------
Critical Care Revenue Growth--1.38%--------
Oncology Revenue36.95M41.45M--------
Oncology Revenue Growth-12.17%--------

Revenue by Geography

2014201520172018201920202021202220232024
UNITED STATES--979.94M1.05B923.34M910.63M941.81M1.46B1.44B1.53B
UNITED STATES Growth---7.63%-12.45%-1.38%3.42%55.03%-1.37%6.39%
EMEA---134.36M130.53M132.76M147.49M367.41M373.57M393.53M
EMEA Growth-----2.85%1.71%11.09%149.11%1.68%5.34%
Asia Pacific--54.47M----257.21M241.7M232M
Asia Pacific Growth---------6.03%-4.01%
Other foreign countries--30.18M211M212.34M227.61M227.01M195.31M203.84M223.59M
Other foreign countries Growth---599.03%0.64%7.20%-0.26%-13.96%4.37%9.69%
Foreign--312.68M345.36M342.87M-----
Foreign Growth---10.45%-0.72%-----
Europe--100.42M-------
Europe Growth----------
CANADA--69.75M-------
CANADA Growth----------

Frequently Asked Questions

Growth & Financials

ICU Medical, Inc. (ICUI) reported $2.32B in revenue for fiscal year 2024. This represents a 668% increase from $302.2M in 2011.

ICU Medical, Inc. (ICUI) grew revenue by 5.4% over the past year. This is steady growth.

ICU Medical, Inc. (ICUI) reported a net loss of $7.4M for fiscal year 2024.

Dividend & Returns

ICU Medical, Inc. (ICUI) has a return on equity (ROE) of -5.8%. Negative ROE indicates the company is unprofitable.

ICU Medical, Inc. (ICUI) generated $67.1M in free cash flow for fiscal year 2024. Positive FCF indicates the company can fund dividends, buybacks, or reinvestment.

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