ICU Medical Reports Q4 2025 Earnings Highlights
Written by Emily J. Thompson, Senior Investment Analyst
Updated: Feb 20 2026
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Should l Buy ICUI?
Source: seekingalpha
- Revenue Growth: ICU Medical reported Q4 2025 revenue of $536 million, reflecting a 14% decline in reported terms but achieving 2% organic growth, with a full-year organic growth of 5%, indicating the company's stability and growth potential in the market.
- Cost and Profit Analysis: The adjusted gross margin stood at 40.5%, aligning with prior guidance, while adjusted EBITDA was $98 million, a 7% decrease year-over-year primarily due to the deconsolidation of IV Solutions and tariffs, highlighting challenges in cost control.
- Future Outlook: The company anticipates organic revenue growth in the low to mid-single-digit range for 2026, with an adjusted EBITDA target of $400 million to $430 million, reflecting management's confidence in future growth and market demand.
- Strategic Integration Progress: Management emphasized the completion of several integration milestones, including the closure of the FDA warning letter, which is expected to provide more strategic options for the company and further drive innovation and operational synergies.
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Analyst Views on ICUI
Wall Street analysts forecast ICUI stock price to rise
3 Analyst Rating
2 Buy
1 Hold
0 Sell
Moderate Buy
Current: 123.230
Low
172.00
Averages
173.50
High
175.00
Current: 123.230
Low
172.00
Averages
173.50
High
175.00
About ICUI
ICU Medical, Inc. develops, manufactures, and sells medical products used in infusion therapy, vascular access, and vital care applications. Its product portfolio includes ambulatory, syringe, and large volume intravenous (IV) pumps and safety software, dedicated and non-dedicated IV sets, needlefree IV connectors, peripheral IV catheters, sharps safety products, and sterile IV solutions. Its product offerings also include Consumables, Infusion Systems and Vital Care. Its consumables business unit includes infusion therapy, oncology, vascular access, and tracheostomy products. Its infusion systems offer a portfolio of infusion pumps, software, and professional services. Its vital care business unit includes hemodynamic monitoring, general anesthesia and respiratory, temperature management solutions and regional anesthesia/pain management products. Its infusion therapy products include infusion sets, extension sets, needle-free connectors, and disinfection caps.
About the author

Emily J. Thompson
Emily J. Thompson, a Chartered Financial Analyst (CFA) with 12 years in investment research, graduated with honors from the Wharton School. Specializing in industrial and technology stocks, she provides in-depth analysis for Intellectia’s earnings and market brief reports.
- Slow Revenue Growth: ICU Medical reported revenue of $526 million for Q1 2026, reflecting a 1% organic growth but a 12% decline in reported figures, indicating weak market demand that could impact future investment confidence.
- Margin Improvement: The adjusted gross margin for the first quarter was 41%, slightly exceeding expectations due to a favorable product mix in infusion businesses, which enhances the company's profitability in a competitive medical device market.
- Free Cash Flow Performance: The company generated $28 million in free cash flow during the first quarter, despite recognizing $10 million in tariff expenses, demonstrating effective cash flow management that supports future debt reduction and capital returns.
- Stable Market Outlook: Management reiterated that the full-year financial guidance remains applicable, estimating that a $10 increase in oil prices would result in an additional $3 million in annual expenses, highlighting the company's sensitivity to external economic factors and its strategic response.
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- Earnings Release Schedule: ICU Medical will release its Q1 2026 earnings on May 7, 2026, at 4:00 p.m. ET, reflecting the company's ongoing innovation and development in the medical products sector.
- Conference Call Details: Following the earnings release, the company will hold a conference call at 4:30 p.m. ET on the same day, providing investors and analysts with an in-depth analysis of the financial results, enhancing transparency and communication.
- Webcast Availability: The conference call will be accessible via webcast, allowing investors to easily access the information through the company's website, ensuring widespread dissemination and timely access to critical updates.
- Company Background: ICU Medical is a global leader in infusion systems and high-value critical care products, committed to delivering quality and innovative medical solutions to clinical customers worldwide, further solidifying its market position.
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- Investigation Context: Purcell & Lefkowitz LLP is investigating ICU Medical, Inc. to determine if the company's directors breached their fiduciary duties in recent corporate actions, which could significantly impact shareholder rights.
- Shareholder Rights Protection: The investigation focuses on safeguarding the interests of ICU Medical shareholders, and those interested in more information can contact the law firm to ensure their rights are upheld.
- Commitment to Legal Services: Purcell & Lefkowitz LLP is dedicated to representing shareholders nationwide against securities fraud and breaches of fiduciary duty, highlighting their expertise in protecting shareholder interests.
- Free Legal Consultation: The firm offers free legal consultations, allowing shareholders to directly contact attorneys via phone or email to discuss case details and potential legal options.
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- Investigation Background: Purcell & Lefkowitz LLP is investigating ICU Medical, Inc. to determine if the company's directors breached their fiduciary duties in recent corporate actions, potentially impacting shareholder rights.
- Shareholder Rights Protection: The investigation focuses on safeguarding ICU Medical shareholders' interests, and shareholders seeking more information can contact the law firm through the provided details for free legal consultations.
- Law Firm Overview: Purcell & Lefkowitz LLP is dedicated to representing shareholders nationwide, specializing in cases of securities fraud, breaches of fiduciary duty, and other corporate misconduct, highlighting its expertise in shareholder rights protection.
- Potential Impact: This investigation could negatively affect ICU Medical's corporate governance and shareholder trust, and if any wrongdoing by the board is found, it may lead to legal liabilities and damage to the company's reputation.
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- Oversold Signal: ICU Medical Inc (Ticker: ICUI) saw its RSI drop to 29.96 during Friday's trading, indicating the stock has entered oversold territory, suggesting that the recent heavy selling may be exhausting, prompting bullish investors to seek buying opportunities.
- Price Fluctuation: ICUI shares hit a low of $129.18, with the current trading price at $132.00, showing significant volatility compared to the 52-week low of $107 and high of $160.29, reflecting drastic market sentiment changes.
- Market Comparison: Compared to the S&P 500 ETF (SPY) RSI of 41.2, ICUI's oversold condition may attract bullish investors' attention, leading them to evaluate potential entry points for investment.
- Investor Sentiment: Despite the current poor stock performance, the oversold signal could spark investor interest, especially if the market rebounds, potentially allowing ICUI's stock price to recover and present investment opportunities.
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- Revenue Growth: ICU Medical reported Q4 2025 revenue of $536 million, reflecting a 14% decline in reported terms but achieving 2% organic growth, with a full-year organic growth of 5%, indicating the company's stability and growth potential in the market.
- Cost and Profit Analysis: The adjusted gross margin stood at 40.5%, aligning with prior guidance, while adjusted EBITDA was $98 million, a 7% decrease year-over-year primarily due to the deconsolidation of IV Solutions and tariffs, highlighting challenges in cost control.
- Future Outlook: The company anticipates organic revenue growth in the low to mid-single-digit range for 2026, with an adjusted EBITDA target of $400 million to $430 million, reflecting management's confidence in future growth and market demand.
- Strategic Integration Progress: Management emphasized the completion of several integration milestones, including the closure of the FDA warning letter, which is expected to provide more strategic options for the company and further drive innovation and operational synergies.
See More








