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ICUI

BEARISH
$125.68 Live
ICU Medical, Inc. · NASDAQ
Target $182.67 (+45.3%)
$107.0 52W Range $160.29

At a glance

Key valuation, profitability, growth, and risk metrics.

Updated Apr 12, 2026
Market cap
$3.14B
P/E
4189.33
ROE
0.0%
Profit margin
0.0%
Debt/Equity
0.63
Dividend yield
N/A

AI Analysis

AI-powered fundamental assessment

Confidence
80%
ICUI presents a stark contradiction between a strong balance sheet and a collapsing income statement. While the Piotroski F-Score of 8/9 indicates exceptional structural financial health, the company is suffering from a severe earnings crisis, evidenced by a P/E ratio of 4189.33 and a -131.5% Q/Q EPS growth. The massive disconnect between the current price ($125.68) and the Graham Number ($7.62) suggests the stock is trading at a significant premium based on future recovery hopes rather than current fundamentals. With revenue declining by 14.1% and insiders selling, the strong health score is currently insufficient to offset the operational deterioration.

Key Strengths

Strong Piotroski F-Score (8/9) indicating high structural health
Healthy Current Ratio (2.39) showing strong short-term liquidity
Manageable Debt/Equity ratio (0.63)
Strong Gross Margins (36.84%) suggesting product value remains intact
Significant positive analyst target price ($182.67) suggesting long-term recovery potential

Key Risks

Severe earnings collapse with recent Q/Q EPS growth of -131.5%
Negative revenue growth (-14.10% YoY) indicating market share loss or demand drop
Extreme valuation disconnect (Current P/E 4189.33 vs Forward P/E 13.66)
Bearish insider sentiment with consistent selling and zero buying
Poor long-term price performance (5Y Change: -38.8%)
AI Fair Value Estimate
Based on comprehensive analysis
$82.5
-34.4% below current price

Performance Snowflake

Multi-dimensional analysis across 5 key categories

Overall
33
Weak
Value
15
Future
20
Past
40
Health
90
Dividend
0
AI Verdict
High-risk recovery play
Key drivers: Operational collapse, Strong balance sheet, Valuation bubble relative to current earnings
Confidence
85%
Value
15/100

Ref P/E 4189.33, Graham Number $7.62

Positives
  • Low PEG ratio (0.08) if growth returns
Watchpoints
  • P/E ratio is astronomical
  • Price is vastly higher than Graham Number ($7.62)
Future
20/100

Ref Revenue Growth -14.10%

Positives
  • Forward P/E (13.66) suggests expected earnings rebound
Watchpoints
  • Negative YoY and Q/Q revenue growth
  • Recent EPS surprise is deeply negative (-37.92% avg)
Past
40/100

Ref Historical Earnings Track Record

Positives
  • Consistent history of beating estimates prior to 2025
Watchpoints
  • Long-term price erosion (5Y -38.8%)
Health
90/100

Ref Piotroski F-Score 8/9

Positives
  • Piotroski F-Score 8/9
  • Strong Current Ratio
  • Low Debt/Equity
Watchpoints
  • Altman Z-Score not provided
Dividend
0/100

Ref Dividend Yield N/A

Positives
No standout positives identified.
Watchpoints
  • No dividend paid
  • 0/100 Dividend Strength

Stock Price & Analyst Targets

Real-time price movements and analyst price targets

Current Price
$125.68
Analyst Target
$182.67
Upside/Downside
+45.3%

Multi-Horizon Performance vs Peers

Price momentum across 5Y → 1W horizons for ICUI and closest competitors.

Updated 2026-04-10
ICU
ICU Medical, Inc.
Primary
5Y
-38.8%
3Y
-28.3%
1Y
-9.2%
6M
+10.1%
1M
-6.0%
1W
+1.9%
BEA
Beam Therapeutics Inc.
Peer
5Y
-69.2%
3Y
-29.2%
1Y
+20.1%
6M
+45.3%
1M
+12.2%
1W
+1.1%
BKD
Brookdale Senior Living Inc.
Peer
5Y
+153.4%
3Y
+367.5%
1Y
+163.2%
6M
+72.4%
1M
+18.9%
1W
+6.2%
BLL
BillionToOne, Inc.
Peer
5Y
-32.0%
3Y
-32.0%
1Y
-32.0%
6M
-32.0%
1M
+2.8%
1W
+6.2%
ARQ
Arcutis Biotherapeutics, Inc.
Peer
5Y
-30.1%
3Y
+98.3%
1Y
+53.6%
6M
+31.6%
1M
-14.4%
1W
-5.2%

Positive values indicate cumulative gains over the specified period. Comparables pulled from the same sector to highlight whether momentum is stock-specific or industry-wide.

Historical Performance Trends

Long-term financial metrics and growth patterns

Revenue & Net Income

Profit & Operating Margins

Return on Equity (ROE)

Quarterly Revenue Growth

Historical data shows last 12 quarters (3 years)

Valuation Metrics

Key valuation ratios and pricing indicators

P/E Ratio
4189.33
Forward P/E
13.66
PEG Ratio
0.08
P/B Ratio
1.46
P/S Ratio
1.41
EV/Revenue
1.85
EV/EBITDA
13.35
Market Cap
$3.14B

Profitability

Profit margins and return metrics

Profit Margin 0.03%
Operating Margin 4.83%
Gross Margin 36.84%
ROE 0.04%
ROA 1.66%

Growth

Revenue and earnings growth rates

Revenue Growth -14.1%
Earnings Growth N/A
Q/Q Revenue Growth -14.15%
Q/Q Earnings Growth N/A

Financial Health

Balance sheet strength and liquidity metrics

Debt/Equity
0.63
Moderate
Current Ratio
2.39
Strong
Quick Ratio
0.99
Poor
Cash/Share
$12.62

Financial Statement Flow

Interactive flow visualization showing how money moves through the company Q4 2025

Revenue
$0.5B
Gross Margin
37.5%
Op. Margin
4.8%
Net Margin
-2.9%
Total Assets
$4.1B
Liabilities
$1.9B
Equity
$2.1B
Debt/Equity
0.91x
Operating CF
$0.1B
CapEx
$-0.0B
Free Cash Flow
$0.0B
FCF Yield
56%

Quarterly Earnings History

EPS performance vs analyst estimates

2026-05-07
$N/A
2026-02-19
$-0.64
-195.4% surprise
2025-11-06
$2.03
+41.6% surprise
2025-08-07
$2.1
+40.0% surprise

Healthcare Sector Comparison

Comparing ICUI against 264 companies in the Healthcare sector (20 bullish, 87 neutral, 157 bearish)
P/E Ratio
4189.33
This Stock
vs
88.64
Sector Avg
+4626.5% (Expensive)
Return on Equity (ROE)
0.04%
This Stock
vs
-46.09%
Sector Avg
-100.1% (Below Avg)
Profit Margin
0.03%
This Stock
vs
-19.58%
Sector Avg
-100.2% (Weaker)
Debt to Equity
0.63
This Stock
vs
4.1
Sector Avg
-84.5% (Less Debt)
Revenue Growth
-14.1%
This Stock
vs
88.16%
Sector Avg
-116.0% (Slower)
Current Ratio
2.39
This Stock
vs
3.58
Sector Avg
-33.3% (Weaker)

Similar Companies

Peer comparison within the same industry

Recent Insider Trading

Insider buy and sell transactions from the last 6 months

SOUSA BEN
Chief Technology Officer
Stock Award
2026-03-13
1,300 shares
JAIN VIVEK
Chief Executive Officer
Stock Award
2026-03-13
21,972 shares
SANZONE VIRGINIA RUTH
General Counsel
Stock Award
2026-03-13
7,324 shares
VOIGTLANDER CHRISTIAN B
Chief Operating Officer
Stock Award
2026-03-13
14,648 shares
WOOLSON DANIEL
Officer
Stock Award
2026-03-13
2,924 shares
BONNELL BRIAN MICHAEL
Chief Financial Officer
Stock Award
2026-03-13
14,648 shares
SOUSA BEN
Chief Technology Officer
Stock Award
2026-03-06
9,543 shares
JAIN VIVEK
Chief Executive Officer
Stock Award
2026-03-06
112,917 shares
SANZONE VIRGINIA RUTH
General Counsel
Stock Award
2026-03-06
29,454 shares
VOIGTLANDER CHRISTIAN B
Chief Operating Officer
Stock Award
2026-03-06
75,279 shares
WOOLSON DANIEL
Officer
Stock Award
2026-03-06
19,885 shares
BONNELL BRIAN MICHAEL
Chief Financial Officer
Stock Award
2026-03-06
75,279 shares
WOOLSON DANIEL
Officer
Sell
2025-11-25
2,897 shares · $441,364
SANZONE VIRGINIA RUTH
General Counsel
Sell
2025-11-11
930 shares · $132,381
FINNEY ELISHA W
Director
Sell
2025-11-11
1,285 shares · $180,440
Insider transactions can signal confidence or concerns about company prospects

Wall Street Analysts

Professional analyst ratings and price targets

Consensus
NONE
6 analysts
Keybanc
2026-02-20
Maintains
Overweight Overweight
Piper Sandler
2026-02-20
Maintains
Overweight Overweight
Keybanc
2025-11-07
Maintains
Overweight Overweight
Piper Sandler
2025-11-07
Maintains
Overweight Overweight
Keybanc
2025-10-21
Maintains
Overweight Overweight

Past News Coverage

Recent headlines mentioning ICUI from our newsroom.

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