ICU Medical, Inc.
Description
ICU Medical, Inc., together with its subsidiaries, develops, manufactures, and sells medical devices used in infusion therapy, vascular access, and vital care applications worldwide. Its infusion therapy products include needlefree products under the MicroClave, MicroClave Clear, and NanoClave brands; Neutron catheter patency devices; ChemoClave and ChemoLock closed system transfer devices, which are used to limit the escape of hazardous drugs or vapor concentrations, block the transfer of environmental contaminants into the system, and eliminates the risk of needlestick injury; Tego needle free connectors; Deltec GRIPPER non-coring needles for portal access; and ClearGuard, SwabCap, and SwabTip disinfection caps. The company 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 solutions 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. It offers infusion pumps under the Plum 360 and Plum Duo brands; ambulatory and syringe infusion hardware products; IV mediation safety software, including ICU Medical MedNet, an enterprise-class medication management platform; LifeShield and PharmGuard medication infusion safety software; hemodynamic monitoring products; anesthesia systems and devices, breathing circuits, ventilation, respiratory, and specialty airway products; temperature management solutions; anesthesia/pain management trays and components; and professional services. The company's customers include 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 based in San Clemente, California.
About
Earnings
| Date | Estimate EPS | Actual EPS | Difference | % Surprise |
|---|---|---|---|---|
| Nov 11, 2025 | — | — | — | — |
| Aug 6, 2025 | — | — | — | — |
| May 6, 2025 | — | — | — | — |
| Feb 26, 2025 | — | — | — | — |
| Nov 13, 2024 | 1.25 | 1.59 | 0.34 | 27.20% |
Earnings estimate
|
Next Quarter
(Mar 2025)
|
Next Year
(Dec 2025)
|
|||
|---|---|---|---|---|
| Number of analysts | — | 2 | — | 6 |
| Average estimate | — | 1.37 | — | 7.13 |
| Low estimate | — | 1.14 | — | 6.66 |
| High estimate | — | 1.59 | — | 7.46 |
| Last year EPS | — | 0.96 | — | 5.60 |
Growth estimates
Analyst Ratings
| Date | Firm | Action | Rating | Price Target |
|---|---|---|---|---|
| Dec 11, 2024 |
Jefferies
Michael Toomey
|
Upgrade | Buy | Announces $200 |
| Nov 13, 2024 |
Keybanc
Brett Fishbin
|
Maintains | Overweight | ▲ Raises $198 → $209 |
| Nov 13, 2024 |
Needham
Mike Matson
|
Reiterates | Hold | — |
| Oct 15, 2024 |
Keybanc
Brett Fishbin
|
Maintains | Overweight | ▲ Raises $147 → $198 |
| Oct 14, 2024 |
Jefferies
Michael Toomey
|
Initiates | Hold | Announces $183 |
| Oct 10, 2024 |
Needham
Mike Matson
|
Reiterates | Hold | — |
| Sep 12, 2024 |
Raymond James
Jayson Bedford
|
Maintains | Outperform | ▲ Raises $158 → $190 |
| Aug 8, 2024 |
Keybanc
Brett Fishbin
|
Maintains | Overweight | ▲ Raises $136 → $147 |
| Aug 8, 2024 |
Raymond James
Jayson Bedford
|
Maintains | Outperform | ▲ Raises $135 → $158 |
| Aug 8, 2024 |
Needham
Mike Matson
|
Reiterates | Hold | — |
| Jun 21, 2024 |
Needham
Mike Matson
|
Initiates | Hold | — |
| Jun 17, 2024 |
Raymond James
Jayson Bedford
|
Upgrade | Outperform | Announces $135 |
| Feb 28, 2024 |
Keybanc
Brett Fishbin
|
Maintains | Overweight | ▲ Raises $134 → $136 |
| Feb 6, 2024 |
Keybanc
Brett Fishbin
|
Initiates | Overweight | Announces $134 |
| Dec 14, 2023 |
CL King
Kristen Stewart
|
Initiates | Buy | Announces $110 |
| May 9, 2023 |
Keybanc
Matthew Mishan
|
Maintains | Overweight | ▲ Raises $200 → $216 |
| Nov 8, 2022 |
Raymond James
Jayson Bedford
|
Downgrade | Market Perform | — |
| Aug 9, 2022 |
Keybanc
Matthew Mishan
|
Maintains | Overweight | ▼ Lowers $230 → $225 |
| Aug 9, 2022 |
Raymond James
Jayson Bedford
|
Maintains | Outperform | ▼ Lowers $208 → $190 |
| Aug 8, 2022 |
Raymond James
Jayson Bedford
|
Maintains | Outperform | ▼ Lowers $235 → $208 |
| Aug 3, 2022 |
Keybanc
Matthew Mishan
|
Maintains | Overweight | ▼ Lowers $265 → $230 |
| May 10, 2022 |
Keybanc
Matthew Mishan
|
Maintains | Overweight | ▼ Lowers $280 → $265 |
| May 10, 2022 |
Raymond James
Jayson Bedford
|
Maintains | Outperform | ▼ Lowers $265 → $235 |
| Feb 28, 2022 |
Raymond James
Jayson Bedford
|
Maintains | Outperform | ▼ Lowers $286 → $265 |
| Oct 22, 2021 |
Keybanc
Matthew Mishan
|
Maintains | Overweight | ▼ Lowers $302 → $280 |
| Sep 9, 2021 |
Keybanc
Matthew Mishan
|
Maintains | Overweight | ▲ Raises $225 → $302 |
| Sep 9, 2021 |
Raymond James
Jayson Bedford
|
Maintains | Outperform | ▲ Raises $220 → $286 |
| Aug 6, 2021 |
Keybanc
Matthew Mishan
|
Maintains | Overweight | ▼ Lowers $236 → $225 |
| Aug 5, 2021 |
Raymond James
Jayson Bedford
|
Maintains | Outperform | ▼ Lowers $245 → $220 |
| Feb 26, 2021 |
Raymond James
Jayson Bedford
|
Maintains | Outperform | ▲ Raises $235 → $245 |
Income statement
| 2023 | 2022 | 2021 | 2020 | 2019 | |
|---|---|---|---|---|---|
| Fiscal date | 2023-12-31 | 2022-12-31 | 2021-12-31 | 2020-12-31 | 2019-12-31 |
| Total reported revenue | 2.26B | 2.28B | 1.32B | 1.27B | 1.27B |
| Cost of revenue | 1.52B | 1.58B | 824.82M | 809.51M | 794.34M |
| Gross profit | 739.87M | 697.76M | 491.49M | 461.50M | 471.86M |
| Operating expense | |||||
| Research & development | 85.34M | 92.98M | 47.50M | 42.95M | 48.61M |
| Selling general and admin | 606.69M | 608.35M | 302.58M | 283.95M | 276.98M |
| Other operating expenses | — | — | 127,000 | -975,000 | 5.74M |
| Operating income | 47.84M | -3.57M | 141.28M | 135.57M | 140.53M |
| Non operating interest income | |||||
| Income | 7.51M | 4.43M | 2.84M | 3.68M | — |
| Expense | 102.73M | 70.81M | 858,000 | 1.75M | 549,000 |
| Other income expense | -30.92M | -44.47M | -20.08M | -40.00M | -25.28M |
| Pretax income | -78.30M | -114.41M | 123.19M | 97.49M | 114.71M |
| Tax provision | -48.64M | -40.12M | 20.05M | 10.62M | 13.67M |
| Net income | -29.66M | -74.29M | 103.14M | 86.87M | 101.04M |
| Basic EPS | -1.23 | -3.11 | 4.86 | 4.16 | 4.90 |
| Diluted EPS | -1.23 | -3.11 | 4.74 | 4.02 | 4.69 |
| Basic average shares | 24.09M | 23.87M | 21.21M | 20.91M | 20.63M |
| Diluted average shares | 24.09M | 23.87M | 21.21M | 20.91M | 20.63M |
| EBITDA | 284.28M | 239.21M | 234.45M | 227.69M | 225.35M |
| Net income from continuing op. | -29.66M | -74.29M | 103.14M | 86.87M | 101.04M |
| Minority interests | — | — | — | — | — |
| Preferred stock dividends | — | — | — | — | — |
Balance sheet
| 2023 | 2022 | 2021 | 2020 | 2019 | |
|---|---|---|---|---|---|
| Fiscal date | 2023-12-31 | 2022-12-31 | 2021-12-31 | 2020-12-31 | 2019-12-31 |
| Total assets | 4.38B | 4.52B | 1.88B | 1.76B | 1.69B |
| Current assets | |||||
| Cash | — | — | — | — | — |
| Cash equivalents | — | — | — | — | — |
| Cash and cash equivalents | 254.22M | 208.78M | 552.83M | 396.10M | 268.67M |
| Other short term investments | 501,000 | 4.22M | 14.42M | 14.69M | 23.97M |
| Accounts receivable | 161.57M | 221.72M | 105.89M | 124.09M | 202.22M |
| Other receivables | 17.83M | 21.64M | 14.76M | 14.96M | 13.78M |
| Inventory | 709.36M | 696.01M | 290.24M | 314.93M | 337.64M |
| Prepaid assets | 34.04M | 36.23M | 27.24M | 37.01M | 22.55M |
| Restricted cash | — | — | — | — | — |
| Assets held for sale | — | — | — | — | — |
| Hedging assets | 29.85M | 33.29M | 1.06M | 3.56M | 2.37M |
| Other current assets | 3.67M | 3.53M | 2.23M | 1.82M | 1.99M |
| Non current assets | |||||
| Properties | 556.11M | 527.21M | 443.74M | 441.45M | 399.51M |
| Land and improvements | — | — | — | — | — |
| Machinery furniture equipment | 636.08M | 559.90M | 431.73M | 397.41M | 309.77M |
| Construction in progress | 117.22M | 152.91M | 72.15M | 53.72M | 101.43M |
| Leases | — | — | — | — | — |
| Accumulated depreciation | -623.89M | -526.44M | -436.74M | -376.47M | -320.16M |
| Goodwill | 3.82B | 3.88B | 275.19M | 263.23M | 273.90M |
| Investment properties | — | — | — | — | — |
| Financial assets | 4.88M | 26.75M | — | — | — |
| Intangible assets | 870.59M | 982.77M | 188.31M | 197.23M | 211.41M |
| Investments and advances | 3.12M | 3.69M | 7.86M | 12.97M | — |
| Other non current assets | 120.61M | 104.40M | 100.44M | 83.59M | 76.98M |
| Total liabilities | 2.26B | 2.43B | 264.71M | 261.43M | 315.14M |
| Current liabilities | |||||
| Accounts payable | 150.03M | 215.90M | 81.13M | 71.86M | 128.63M |
| Accrued expenses | 140.31M | 139.20M | 57.12M | 50.01M | 81.83M |
| Short term debt | 71.16M | 47.86M | 9.01M | 8.74M | 7.36M |
| Deferred revenue | 31.64M | 30.84M | 12.65M | 5.57M | 6.70M |
| Tax payable | 17.49M | 17.84M | 7.77M | 5.99M | 8.73M |
| Pensions | 40.57M | 33.18M | 33.11M | 27.02M | 15.22M |
| Other current liabilities | 7.47M | 1.85M | — | 26.30M | — |
| Non current liabilities | |||||
| Long term debt | 1.63B | 1.69B | 36.04M | 43.41M | 28.90M |
| Provision for risks and charges | 35.06M | 41.80M | 18.02M | 16.44M | 14.46M |
| Deferred liabilities | 55.87M | 126.01M | 1.49M | 1.66M | 2.09M |
| Derivative product liabilities | — | — | 1.48M | — | — |
| Other non current liabilities | 33.93M | 54.36M | 4.27M | 582,000 | 17.89M |
| Shareholders equity | |||||
| Common stock | 2.41M | 2.40M | 2.13M | 2.11M | 2.07M |
| Retained earnings | 807.85M | 837.50M | 911.79M | 808.65M | 721.78M |
| Other shareholders equity | -53.08M | -80.98M | -19.27M | -1.52M | -15.40M |
| Total shareholders equity | 2.12B | 2.09B | 1.62B | 1.50B | 1.38B |
| Additional paid in capital | 1.37B | 1.33B | 721.41M | 693.07M | 668.95M |
| Treasury stock | 262,000 | 243,000 | 27,000 | 39,000 | 157,000 |
| Minority interest | — | — | — | — | — |
Cash flow statement
| 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 | 2013 | 2012 | 2011 | 2010 | 2009 | 2008 | 2007 | 2006 | 2005 | 2004 | 2003 | 2002 | 2001 | 2000 | 1999 | 1998 | 1997 | 1996 | 1995 | 1994 | 1993 | 1992 | 1991 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Operating Activities | |||||||||||||||||||||||||||||||||
| Net Income | -29.66M | -74.29M | 103.14M | 86.87M | 101.04M | 28.79M | 68.64M | 63.08M | 44.99M | 26.34M | 40.42M | 41.28M | 44.67M | 29.92M | 26.56M | 24.30M | 23.08M | 25.66M | 20.27M | 5.00M | 22.30M | 19.68M | 15.39M | 11.79M | 9.40M | 7.20M | 5.70M | 4.70M | 4.20M | 2.90M | 3.00M | 4.00M | 900,000 |
| Depreciation | 228.77M | 235.15M | 89.70M | 85.63M | 76.92M | 74.74M | 66.57M | 19.05M | 18.07M | 19.45M | 19.51M | 19.00M | 18.29M | 17.35M | 15.67M | 14.22M | 11.80M | 11.23M | 9.70M | 8.60M | 7.36M | 5.29M | 5.03M | 4.61M | 3.90M | 2.40M | 2.10M | 2.00M | 1.80M | 1.10M | 500,000 | 200,000 | 100,000 |
| Deferred Taxes | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | 1.65M | — | 1.45M | 528,000 | -37,000 | -888,000 | -1.10M | -500,000 | -400,000 | — | 300,000 | — | -400,000 | — | — |
| Stock-Based Compensation | 40.56M | 36.03M | 27.34M | 23.95M | 21.92M | 24.24M | 19.35M | 15.24M | 12.83M | 9.59M | 5.43M | 5.56M | 4.02M | 3.47M | 2.71M | 1.89M | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other Non-Cash Items | 37.59M | 36.76M | 29.50M | 39.49M | -13.94M | 44.89M | 12.75M | 1.43M | 1.67M | 2.19M | 2.72M | 2.59M | 1.29M | 1.09M | 1,000 | -270,000 | 1.38M | 214,000 | — | 1.98M | 842,000 | 10.19M | 3.76M | — | 100,000 | — | — | — | — | 100,000 | — | -100,000 | -100,000 |
| Accounts Receivable | 48.64M | -19.15M | 13.76M | 78.05M | -23.68M | 20.70M | -149.84M | 744,000 | -20.52M | 4.91M | 3.56M | -5.40M | 6.23M | -6.38M | -9.04M | -12.38M | 523,000 | -2.35M | -14.66M | 15.72M | -8.31M | -3.19M | -637,000 | -5.41M | -600,000 | -3.10M | -300,000 | -300,000 | -600,000 | -600,000 | -100,000 | -700,000 | 100,000 |
| Accounts Payable | -68.30M | 37.47M | 2.35M | -46.42M | -2.70M | 23.27M | 46.65M | -463,000 | 3.12M | -621,000 | -31,000 | -1.54M | 2.67M | -8.22M | 10.38M | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other Assets & Liabilities | -113.13M | -289.12M | 651,000 | -14.91M | -50.15M | -50.85M | 150.10M | -4.79M | -6.72M | 491,000 | -4.09M | 3.79M | 181,000 | -6.48M | 7.53M | 1.04M | 2.11M | -1.93M | 10.67M | -6.97M | 1.62M | -5.86M | 312,000 | 1.94M | 2.80M | 1.30M | 2.10M | -800,000 | 1.00M | -2.00M | -500,000 | -600,000 | 600,000 |
| Operating Cash Flow | 144.48M | -37.15M | 266.42M | 252.67M | 109.40M | 165.78M | 214.22M | 94.30M | 53.43M | 62.34M | 67.50M | 65.29M | 77.36M | 30.75M | 53.81M | 28.81M | 38.89M | 32.83M | 27.63M | 24.34M | 25.25M | 26.65M | 23.82M | 12.04M | 14.50M | 7.30M | 9.20M | 5.60M | 6.70M | 1.50M | 2.50M | 2.80M | 1.60M |
| Investing Activities | |||||||||||||||||||||||||||||||||
| Capital Expenditures | -83.89M | -90.31M | -68.54M | -92.01M | -97.31M | -92.72M | -74.48M | -23.36M | -12.98M | -16.60M | -18.42M | -19.16M | -15.82M | -23.17M | -16.69M | -11.35M | -23.14M | -13.55M | -5.51M | -7.10M | -10.67M | -11.89M | -6.23M | -3.99M | -14.80M | -6.70M | -800,000 | -1.30M | -1.70M | -9.40M | -3.10M | -700,000 | -300,000 |
| Net Intangibles | -9.78M | -9.02M | -12.63M | -8.39M | -8.73M | -8.06M | -5.20M | -1.19M | -951,000 | -989,000 | -1.08M | -1.15M | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Net Acquisitions | — | -1.84B | -14.45M | — | -76.13M | -1.30M | -162.45M | -2.58M | -27.82M | — | — | — | — | — | -5.66M | — | -3.22M | — | -32.61M | — | -5.88M | -9.48M | — | — | — | — | — | — | — | — | — | — | — |
| Purchase of Investments | — | -3.40M | -13.28M | -32.83M | -26.04M | -30.50M | -24.74M | -118.38M | -56.14M | -93.59M | -86.02M | -98.88M | -90.50M | -23.38M | -99.19M | -62.95M | -38.86M | -43.72M | -60.41M | -23.63M | — | -15.17M | -20.29M | — | -500,000 | -3.90M | -2.50M | — | — | -1.00M | -1.80M | — | — |
| Sale of Investments | 4.22M | 36.43M | 18.00M | 28.90M | 41.29M | 15.44M | — | 158.53M | 83.05M | 89.43M | 92.35M | 77.80M | 41.61M | 64.67M | 107.21M | 83.27M | 54.86M | 19.85M | 62.25M | 13.25M | 12.95M | — | — | -12.30M | — | — | — | 500,000 | 4.00M | 8.00M | — | — | — |
| Investing Cash Flow | -78.17M | -1.90B | -78.06M | -89.75M | -158.16M | -95.31M | -261.67M | 17.47M | -10.29M | -20.76M | -12.04M | -40.23M | -45.73M | 19.63M | -37.76M | 3.61M | -10.30M | -34.55M | -33.63M | -14.82M | -12.51M | -36.55M | -26.52M | -16.29M | -15.30M | -10.50M | -3.30M | -2.80M | 2.30M | -2.40M | -4.90M | -13.40M | -300,000 |
| Financing Activities | |||||||||||||||||||||||||||||||||
| Long-Term Debt Issuance | — | 1.66B | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Long-Term Debt Payments | -30.65M | -23.06M | -607,000 | -150.36M | — | — | -75.00M | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other Financing Charges | -9.35M | -13.06M | -25.64M | -12.88M | -18.64M | -6.25M | — | — | 9.33M | 5.70M | 6.97M | 4.57M | 4.29M | 1.68M | 101,000 | 10.37M | 551,000 | 6.51M | — | — | — | — | — | — | 100,000 | — | — | — | — | — | — | — | -2.30M |
| Financing Cash Flow | -40.00M | 1.63B | -26.24M | -163.23M | -37.28M | -12.50M | -76.35M | -14.87M | 9.97M | 2.35M | 6.39M | 6.79M | -7.67M | -26.97M | -20.34M | 4.51M | -36.96M | 9.28M | 7.66M | -6.94M | -12.70M | 8.72M | 4.15M | 3.58M | 400,000 | 3.10M | -4.50M | -3.60M | 16.80M | 300,000 | 600,000 | 10.70M | -2.30M |
| Other Cash Details | |||||||||||||||||||||||||||||||||
| End Cash Position | 254.22M | 208.78M | 552.83M | 396.10M | 268.67M | 344.78M | 290.07M | 445.08M | 336.16M | 275.81M | 226.02M | 146.90M | 99.59M | 78.85M | 51.25M | 55.70M | 7.87M | 13.15M | 6.85M | 5.62M | 1.79M | 4.17M | 3.90M | 1.95M | 1.90M | — | — | — | — | — | — | — | — |
| Income Tax Paid | 35.81M | 27.50M | 19.56M | 31.63M | 9.68M | 12.60M | 5.11M | 21.10M | 23.00M | 8.67M | 12.17M | 16.74M | 20.11M | 15.25M | 9.03M | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Interest Paid | 95.91M | 63.71M | 858,000 | 1.75M | 549,000 | 709,000 | 2.05M | 118,000 | 39,000 | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Free Cash Flow | 72.53M | -161.46M | 186.37M | 122.36M | -4.12M | 59.44M | 74.74M | 65.39M | 50.26M | 48.75M | 46.23M | 45.97M | 48.66M | 9.92M | 34.45M | 18.88M | 17.87M | 12.00M | 21.86M | 18.18M | 12.16M | 16.20M | 18.10M | 8.77M | — | -100,000 | 7.90M | 5.20M | 5.30M | -8.50M | 200,000 | 2.30M | 2.70M |
Top Institutional Holders
| Holder | Date Reported | Shares | Value | % Held |
|---|---|---|---|---|
| iShares Core S&P Smallcap ETF | Nov 30, 2024 | 1,581,897 | 254.67M | 6.46% |
| Janus Henderson Enterprise Fund | Sep 30, 2024 | 1,230,753 | 198.14M | 5.03% |
| Undiscovered Managers Behavioral Value Fund | Sep 30, 2024 | 1,216,453 | 195.84M | 4.97% |
| Vanguard Total Stock Market Index Fund | Sep 30, 2024 | 726,732 | 117.00M | 2.97% |
| iShares Russell 2000 ETF | Nov 30, 2024 | 601,023 | 96.76M | 2.45% |
| Vanguard Small-Cap Index Fund | Sep 30, 2024 | 580,749 | 93.49M | 2.37% |
| Janus Henderson Triton Fund | Sep 30, 2024 | 451,026 | 72.61M | 1.84% |
| Vanguard Small Cap Value Index Fund | Sep 30, 2024 | 393,208 | 63.30M | 1.61% |
| Vanguard Extended Market Index Fund | Sep 30, 2024 | 359,666 | 57.90M | 1.47% |
| Fidelity Select Portfolios - Medical Technology & Devices Port | Nov 30, 2024 | 350,000 | 56.35M | 1.43% |
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