ICU MEDICAL INC/DE (ICUI) Earnings History

ICU MEDICAL INC/DE - Q4 FY2025 EarningsMet

Filed at: Feb 19, 2026, 4:08 PM EST|Read from source

EXECUTIVE SUMMARY

ICU Medical reported a challenging fourth quarter with declining revenues and a net loss, primarily driven by a significant drop in the Vital Care segment. Despite a slight improvement in gross margin, the company's adjusted EBITDA and adjusted EPS also saw a year-over-year decrease, reflecting ongoing operational headwinds.

POSITIVE HIGHLIGHTS

  • •

    GAAP gross margin improved to 38% from 36% in the prior year's fourth quarter.

    positive
  • •

    Consumables revenue increased 6% year-over-year to $284.7 million.

    positive
  • •

    Infusion Systems revenue increased 3% year-over-year to $176.3 million.

    positive
  • •

    Free cash flow for the twelve months ended December 31, 2025 was $99.9 million.

    positive

CONCERNS & RISKS

  • •

    Total revenues decreased 14% year-over-year to $540.7 million in Q4 FY2025.

    negative
  • •

    Vital Care product line revenue plummeted 58% year-over-year to $79.7 million in Q4 FY2025, significantly impacting overall revenue.

    negative
  • •

    GAAP net loss for Q4 FY2025 was $(15.7) million, or $(0.64) per diluted share, compared to a net loss of $(23.8) million, or $(0.97) per diluted share, in Q4 FY2024.

    negative
  • •

    Adjusted diluted EPS decreased to $1.91 in Q4 FY2025 from $2.11 in Q4 FY2024.

    negative
  • •

    Adjusted EBITDA decreased to $98.2 million in Q4 FY2025 from $105.5 million in Q4 FY2024.

    negative
  • •

    Inventories increased to $615.9 million from $584.7 million year-over-year.

    attention

FINANCIAL METRICS

Revenue
Quarterly
$540.70M
-14.2%
Prior year: $629.80M
Annual (YTD)
$2.23B
N/A
Prior year: $2.38B
Net Income
Quarterly
$-15.73M
+34.0%
Prior year: $-23.83M
Annual (YTD)
$732.00K
N/A
Prior year: $-117.69M
EPS (Diluted)
Quarterly
$-0.64
+34.0%
Prior year: $-0.97
Operating Income
Quarterly
$5.63M
-85.0%
Prior year: $37.69M
Annual (YTD)
$42.83M
N/A
Prior year: $42.96M
EPS (Basic)
Quarterly
N/A
N/A

MARGIN ANALYSIS

Gross Margin
Current Quarter
38.0%
Prior Year
36.0%
YoY Change
+200 bps
Operating Margin
Current Quarter
1.0%
Prior Year
6.0%
YoY Change
-500 bps
Net Margin
Current Quarter
-2.9%
Prior Year
-3.8%
YoY Change
+90 bps

Margin expansion indicates improving profitability and operational efficiency. Measured in basis points (bps): 100 bps = 1.0%.

REVENUE BY SEGMENT — Q4 FY2025 2025

VISUAL OVERVIEW

|
Consumables
0.0%
N/A
Infusion Systems
0.0%
N/A
Vital Care
0.0%
N/A

DETAILED BREAKDOWN

|
SegmentCurrentPrior YrYoY% Total
Consumables
N/A———
Infusion Systems
N/A———
Vital Care
N/A———
Total Revenue$0.00M——100.0%

Segment performance shows business unit health and growth drivers.

MANAGEMENT GUIDANCE

FY2026

GAAP net income
26,000,000—44,000,000
Mid-point: 35,000,000
"Range"
GAAP EPS
$1.03—$1.74
Mid-point: $1.39
"Range"
Adjusted EBITDA
400,000,000—430,000,000
Mid-point: 415,000,000
"Range"
Adjusted EPS
$7.75—$8.45
Mid-point: $8.10
"Range"

Forward-looking guidance is subject to change and does not constitute a guarantee. Actual results may differ materially from these estimates.

SPECIAL ITEMS & ADJUSTMENTS

Q4 2025
Contract manufacturing revenue excluded from adjusted revenue
Not indicative of normal market transactions.
+$4.764M
Q4 2025
Stock compensation expense excluded from adjusted results
Excluded to better understand operating performance.
+$13.879M
$0.42 per share
Q4 2025
Amortization expense excluded from adjusted results
Excluded for consistent comparison across accounting periods.
+$33.034M
$0.99 per share
Q4 2025
Restructuring, strategic transaction and integration charges
Incurred outside the ordinary course of business.
+$20.452M
$0.61 per share
Q4 2025
Settlements
One-time settlements.
+$0.125M
Q4 2025
Quality system and product-related remediation charges
Excluded for comparability of ongoing operations.
+$10.976M
$0.33 per share
Q4 2025
Asset write-offs and similar charges
Non-cash gain/loss excluded for comparability.
+$0.887M
$0.03 per share
Q4 2025
Noncash release of loss on contract provision
Non-recurring noncash adjustment.
$1.076M
$0.02 per share
Q4 2025
Loss on extinguishment of debt
Non-cash loss excluded for comparability.
+$2.463M
$0.07 per share
Q4 2025
Debt refinancing-related charges
Infrequent, event-driven charges excluded.
+$0.26M
$0.01 per share
Q4 2025
Tax expense from valuation allowance
Added back for non-GAAP tax rate calculation.
+$2.539M
$0.10 per share
Total Impact
+$88.303M$2.54 per share

Special items are non-recurring events that may distort period-over-period comparisons. Analysts typically adjust for these when calculating normalized earnings.

MANAGEMENT COMMENTARY

Fourth quarter results were generally in line with our expectations.

— ICU MEDICAL INC/DE, Q4 FY2025 2025 Earnings Call

Focus on providing quality, innovation and value to our clinical customers worldwide.

— ICU MEDICAL INC/DE, Q4 FY2025 2025 Earnings Call

The Company will host a conference call to discuss its fourth quarter and full year 2025 financial results.

— ICU MEDICAL INC/DE, Q4 FY2025 2025 Earnings Call

Commentary excerpts from earnings call transcripts provide management's perspective on performance, strategy, and outlook. Always review full transcripts for complete context.

OPERATIONAL METRICS

Inventory
615.9M
+5.3% YoY
Prior year: 584.7M
thousands

Operational metrics provide insight into business drivers and customer engagement beyond traditional financial measures.