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ICU Medical

ICUI
40
Medical - Instruments & Supplies · Healthcare
Exchange
NASDAQ
Winston Score
40
Winston is serious
Mixed quality — meaningful strengths and weaknesses.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Mixed
Growth
Mixed
Cash Flow
Strong
Stability
Good
Valuation
Good

Winston Score History

The full picture

ICU Medical makes medical devices and supplies used in hospitals and clinics. Its main products include IV infusion systems, oncology drug delivery tools, and critical care equipment — things nurses and doctors use to safely give patients fluids and medications. The company serves hospitals, healthcare systems, and specialty clinics, and it is one of the larger dedicated infusion therapy companies in the United States.

ICU Medical earns revenue by selling its devices and the disposable supplies that go with them, creating a recurring stream as hospitals reorder consumables regularly. The company operates primarily in the US but also sells internationally, and its 2022 acquisition of Smiths Medical significantly expanded its scale and product range. With a gross margin around 36% but a thin operating margin near 4%, the business is still working to absorb integration costs from that deal — improving profitability from that merger is the key near-term challenge and opportunity investors are watching.

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Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+0.5% YoY

YoY Growth Rate

Slow revenue growth

EPS Growth

-46.9% YoY

YoY Growth Rate

Earnings declining

Insider Activity

2.0%ownership

Flat

Insider ownership roughly steady over the past year

Cash Position

Cash flow positive

$432M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

Company generates more cash than it spends — no dilution risk from fundraising

Growth context

ICU Medical is growing revenue at 1% year-over-year. The Winston Score measures business quality today — these growth metrics show what could matter tomorrow.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

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Quality

Profit per sale
Gross Margin
42.6%
Healthy — 42.6% gross margin
Profit after running costs
Operating Margin
7.1%
Modest — 7.1% operating margin
Return on the money invested
ROCE
3.2%
Weak — 3.2% return on capital

ROIC between 0% and 5%. They earn a few cents back per dollar invested in the business.

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Growth

Sales growth
Sales YoY
-9.0%
Shrinking sales (-9.0% YoY)
Profit growth
EPS YoY
N/A
Data not available
How steady the profit is
EPS Consistency
5/8 quarters
Mixed — about half the quarters showed growth

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Cash Flow

Profit that turns into cash
Cash Conversion
915%
Turns 915% of profit into real cash
Spare cash per sale
FCF Margin
8.4%
Modest free cash flow (8.4%)

FCF margin between 0% and 10%. Some cash from sales, but not a lot.

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Stability

What it owes vs what it owns
Debt / Equity
0.57
Conservative — low debt load (0.57)
Covers its interest
Interest Cover
1.31x
Dangerous — barely covers interest (1.3x)

Interest coverage between 1 and 3. Profits cover interest, but with little room to spare.

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Valuation

Price vs profit
P/E Ratio (TTM)
152.4x
no trend
Expensive — P/E 152.4

P/E over 35. The market is pricing in heavy, sustained growth.

Cheaper or dearer next year
P/E vs Forward
+135.8
GROWING
Earnings expected to grow meaningfully — cheaper on forward P/E (152.4 → 16.6)

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Dividends

Not applicable for this business.
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