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Stocks
ICU Medical, Inc.
ICUI

ICUI ICU Medical, Inc.

ICU Medical, Inc. · NASDAQ
Market Closed
156.48
▼ ⁦-0.50%⁩ (-0.78)
Market Cap$3.9B
Beta0.75
52w Low52w High
112.50192.85
Last Week
⁦-7.87%⁩
Last Month
⁦-15.21%⁩
Last 3 Months
⁦+18.87%⁩
Last Year
⁦+23.17%⁩
EL7 Factor Analysis
How we score this
Overall62
Balanced — near the middle of the marketHigh FlyerF 7/9Better than 62% of Market stocks, per EL7's model
FactorScoreDistributionValueAvgRank
▸
Valuation
44
131.5x▼17.8xAround median
▸
Growth
36
-9.0%▼7.1%Bottom tier
▸
Quality
60
3.0%▼4.5%Around median
▸
Safety
53
3.0x▼2.6xAround median
▸
Capital Return
84
—2.12%Top tier
▸
Momentum
69
31.4%▲2.9%Top tier
▸
Sentiment
35
6▲3Bottom tier
Fair Value
Current price$156
Analyst target · 2 analysts
$187
⁦+20%⁩
See it undervalued
Range ⁦$163–$200⁩
vs
DCF (estimate)
$92
⁦-41%⁩
Sees it clearly overvalued
⁦7.9⁩% discount · ⁦1⁩% growth
Bottom lineThe two methods disagree — estimate range ⁦$92–$187⁩.

Estimates — analyst targets and a simplified DCF, not investment advice.

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Annual plan
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Monthly plan
$29/mo

Analyst Consensus

This section combines price targets, revision history, analyst coverage changes, and an AI summary of what changed on the Street.

Price Target· 2 analysts setting price target
$186.40
⁦+19.1%⁩
Current Price $156.48·Median $187.00
Low
$163.00
High
$200.00
Current price
$156.48
Average target
$186.40
Street summary

ICU Medical (ICUI) Target Price Revision Analysis

Bullish tilt

The stock has seen a notable improvement in its average target price over the past thirty days, with the consensus rising from $170 to $186.4, an increase of 9.65%. This rise reflects an increase in the number of analysts contributing to the target price, with a dispersion in forecasts ranging from a minimum of $163 to a maximum of $200, indicating cautious optimism despite the price gap.

As of 2026-08-31
Revisions momentum · 30d
⁦0.0%⁩
Average rating
★ 4.25
Buy
Analyst coverage
⁦8 (+1)⁩
New coverage
Buy conviction
88%
High
Target dispersion
24%
Analyst ratings over time8 analysts rating
3
4
1
Strong BuyBuyHoldSellStrong Sell
Rating trend — last 12 months4.29 → 4.25
Recent analyst moves
  • = Reiterate2026-08-07
    Raymond James
    Strong Buy
  • = Reiterate2026-08-07
    BTIG
    Buy
  • = Reiterate2026-08-07
    Needham
    Buy
Premium content
Key Financials

Ten ratios that matter, each compared against its sector median and average — so you can see whether a number is rich or cheap relative to peers in the same sector.

StockSector medianSector averagetypical sector range
MetricValuePosition within sectorVerdict
  • P/E (TTM)
    131.50x
    3.94x44.30x
    Very expensive
  • Forward P/E
    16.67x
    4.64x37.16x
    Cheap
  • EV / EBITDA
    15.06x
    3.77x30.13x
    Cheap
  • FCF Yield
    4.8%
    -138.2%7.8%
    Strong
  • Revenue Growth YoY
    -9.0%
    -56.9%93.8%
    Near median
  • EPS Growth YoY
    178.3%
    -160.1%130.2%
    Exceptional
  • Gross Margin
    39.1%
    12.8%90.7%
    Near median
  • ROIC
    3.0%
    -155.3%16.0%
    Strong
  • Net Debt / EBITDA
    3.04x
    0.60x5.10x
    Low debt
  • Dividend Yield
    —
    —
  • Payout Ratio
    —
    —
  • Altman Z-Score
    —
    —
Financial Analysis
|

Stock Analysis

AI-generated
Based on 2026-08-06 data

Company Overview

ICU Medical develops and manufactures infusion therapy solutions, and its portfolio combines consumables, infusion systems, and Vital Care products. The infusion systems platform includes LifeShield, Plum Duo, Solo, Medfusion 5000, and CADD pumps, and the company seeks to connect hospital pumps, syringe pumps, and ambulatory pumps through a common interface and software; therefore, its revenue model comes from sales of devices and pumps, dedicated sets and related consumables, as well as vital care products.

In fiscal Q2 2026, revenue reached $548 million, with organic growth of 6% and reported growth of 1%; the difference was affected by the deconsolidation of the IV Solutions business following the formation of the joint venture with Otsuka in mid-2025. Adjusted gross margin was 41%, and adjusted earnings before interest, taxes, depreciation, and amortization were $110 million, with a 20% margin and 10% year-over-year growth, while adjusted earnings per share were $2.37, up 13%. Free cash flow also reached $62 million, including a $20 million tariff refund that was excluded from the adjusted income statement.

The business mix drove growth in fiscal Q2 2026, with infusion systems increasing 13% on a reported basis and 12% organically, including a record quarter for pumps, while consumables delivered 5% organic growth and reached a record level of absolute sales, with all four families improving year over year. In contrast, Vital Care declined 4% organically and 32% on a reported basis because of the deconsolidation of IV Solutions, although it improved sequentially. The latest available EDGAR data show that fiscal Q1 2026 recorded revenue of $530.2 million, gross profit of $206.2 million, net income of $30.1 million, and earnings per share of $1.20.

What's Driving the Stock

  • ICU Medical raised its fiscal 2026 adjusted earnings before interest, taxes, depreciation, and amortization guidance from $400–430 million to $415–435 million, and raised its adjusted earnings per share range from $7.75–8.45 to $8.60–9.00, reflecting first-half strength, lower tariffs, and accelerated savings realization.
Earnings callEDGAR filings30-day newsInsider activity

Automated analysis for informational purposes only — not investment advice.

  • Infusion systems achieved 12% organic growth in fiscal Q2 2026 and a record quarter for pumps, driven primarily by competitive wins and installations resulting from prior deals, while management maintained its expectation of organic growth of 6% or higher in the near term despite pulling forward installations worth a few million dollars from their originally planned timing.
  • Consumables achieved 5% organic growth in fiscal Q2 2026, with all four families improving year over year, and management expects this business to continue growing at a mid-single-digit rate for the remainder of fiscal 2026, supported by stable utilization and patient admissions, as well as some customer wins.
  • The company made progress on the additional validation testing requested by the FDA for the Medfusion 5000 pump and believes the revised package will be resubmitted to the FDA during 2026. Management points to a large installed base available for upgrades, while LifeShield, Plum Duo, and Solo support opportunities to win customers from competitors and upgrade the installed base.
  • Free cash flow reached $62 million in fiscal Q2 2026, enabling the repayment of $50 million of debt and reducing net leverage to 2.3 times. The company targets free cash flow of $150 million and leverage approaching 2 times by the end of fiscal 2026, with restructuring and remediation spending expected to decline in the second half.
  • Joint venture partner Otsuka funded a $0.5 billion investment in IV Solutions production to bring PVC-free products and technologies to the U.S. market. The joint venture's revenue is not included in consolidated revenue, but its products remain commercially linked to ICU Medical pumps and consumables in the United States.
  • Buying & Selling Case

    ▲ Buying Case4 pts

    • +Fiscal Q2 2026 results show simultaneous improvement in growth and profitability, as revenue increased 6% organically, the adjusted earnings before interest, taxes, depreciation, and amortization margin reached 20%, and adjusted earnings per share grew 13% to $2.37.
    • +The new product cycles in LifeShield, Plum Duo, Solo, and Medfusion 5000 give the company opportunities to combine competitive wins with upgrades to its existing device base, after the pump business reached a record level and infusion systems delivered 12% organic growth in fiscal Q2 2026.
    • +The increase in fiscal 2026 guidance to $415–435 million for adjusted earnings before interest, taxes, depreciation, and amortization and $8.60–9.00 for adjusted earnings per share supports the outlook for earnings improvement, while management also raised its adjusted gross margin forecast to approximately 41.5%.
    • +Improved cash generation provides a clear path to reducing financial risk; the company repaid $50 million of debt in fiscal Q2 2026, and net leverage declined to 2.3 times, with a target of approaching 2 times by the end of fiscal 2026.

    ▼ Selling Case6 pts

    • −Vital Care remains an operational weakness, as its revenue declined 4% organically and 32% on a reported basis in fiscal Q2 2026, and management expects it to end the year slightly lower because of fiscal Q1 performance, even with the business expected to remain stable during the rest of the year.
    • −Fiscal 2026 guidance depends on stable inflation, currencies, interest rates, oil and diesel prices, and no change in tariff policy; tariff expense reached $8 million in Q2, and management estimated the additional annual tariff burden at between $30 and $40 million.
    • −Currencies associated with ICU Medical's operations are pressuring earnings, particularly the Costa Rican colón and Mexican peso at production sites and the Japanese yen in commercial operations. Management estimated the cumulative negative impact of the relevant currency basket at approximately $60 million during the four years preceding the August 6, 2026 call.
    • −Expanding the margin by an additional two percentage points remains an incomplete objective and requires continued savings from factory and logistics consolidation, the realization of price increases, and an improved product mix. Management also explained that the decline in selling, general, and administrative expenses to 20.4% of revenue in fiscal Q2 2026 benefited partly from expense timing that will not necessarily recur.
    • −Medfusion 5000 remains subject to additional FDA validation requirements after the process was not completed on the first attempt, and the company did not provide a specific approval date. Work on CADD was also deferred behind the priority given to Medfusion, with no specific timing, making the future contribution of these two programs vulnerable to regulatory and execution delays.
    • −The insider trading signal was classified as a strong sell, with four sales, no purchases, and net sales of $3.1 million during the three months ending with the latest transaction on August 13, 2026. This remains a weak signal on its own because insider sales may be prearranged, and the context does not explain the reasons for those transactions.

    Valuation

    The average analyst price target is $186.40, within a wide range of $163 to $200, compared with a 52-week range of $112.50 to $192.85; accordingly, the average target is below the top of the 52-week range, while the highest target exceeds that peak. The consensus is “Buy,” but the absence of a displayed earnings multiple and the wide range of targets require balancing the fiscal 2026 guidance increase and improved cash flow against risks related to Vital Care, currencies, tariffs, and regulatory execution.

    BuyAnalyst target: $186.4(+19.1%)

    Figures in the text are as of 2026-08-31; the live price is shown at the top of the page.

    FAQ

    What drove ICUI's fiscal Q2 2026 results?

    ICU Medical's revenue reached approximately $548 million, with organic growth of 6% and reported growth of 1% in fiscal Q2 2026. Infusion systems led performance with 12% organic growth, while consumables grew 5% organically, and both businesses reached record levels. Adjusted gross margin was 41%, and adjusted earnings before interest, taxes, depreciation, and amortization rose 10% to $110 million. Adjusted earnings per share also increased 13% to $2.37.

    How important are the Plum Duo, Solo, and Medfusion 5000 pumps to ICU Medical's growth?

    Plum Duo, Solo, and Medfusion 5000 are part of ICU Medical's plan to offer hospital pumps, syringe pumps, and ambulatory pumps through a common interface and software. The pump business achieved a record quarter in fiscal Q2 2026, with infusion systems growing 12% organically, and most of the strength came from competitive wins, along with some upgrades by existing customers. The company made progress on the additional validation testing for the Medfusion 5000 pump and believes a revised package will be returned to the FDA during 2026. Management did not specify an approval date and also said the CADD program would follow Medfusion without a specified timeline.

    What is ICU Medical's fiscal 2026 guidance?

    The company raised its adjusted earnings before interest, taxes, depreciation, and amortization range to $415–435 million, compared with the previous range of $400–430 million. It also raised expected adjusted earnings per share to $8.60–9.00 from $7.75–8.45. Management expects an adjusted gross margin of approximately 41.5% and adjusted operating expenses equal to approximately 25% of revenue. This guidance assumes a stable economic environment, currency and interest rates, and no change in the current tariff policy.

    Have ICUI's financial position and cash flow improved?

    ICU Medical generated free cash flow of $62 million in fiscal Q2 2026, including a $20 million tariff refund. Free cash flow from the beginning of the fiscal year through the end of Q2 reached approximately $89 million, and the company targets $150 million for the full fiscal 2026 year. The company repaid $50 million of debt during the quarter, ending it with debt of $1.24 billion and cash of $298 million. Net leverage declined to 2.3 times, and management targets approaching 2 times by the end of fiscal 2026.

    What are the main operational risks facing ICU Medical?

    Vital Care declined 4% organically and 32% on a reported basis in fiscal Q2 2026, and management expects the business to decline slightly for the full year. The company also faces an additional annual tariff burden of between $30 and $40 million, along with higher oil and diesel costs. Movements in the Costa Rican colón, Mexican peso, and Japanese yen had a negative impact of approximately $60 million during the four years preceding the August 6, 2026 call. In addition, the targeted margin expansion requires completing factory and logistics savings and improving pricing and product mix.

    How do analysts view ICUI's stock valuation?

    The analyst consensus is “Buy,” and the average price target is $186.40. The target range extends from $163 to $200, while the stock's 52-week range is between $112.50 and $192.85. The average target is below the top of the 52-week range, while the highest target exceeds that peak, reflecting meaningful variation in analyst estimates. The increase in fiscal 2026 guidance supports the positive outlook, but currency and tariff risks, Vital Care weakness, and regulatory uncertainty surrounding Medfusion 5000 remain countervailing factors.