Icu Medical Inc/De (NASDAQ: ICUI)

Sector: Healthcare Industry: Medical Instruments & Supplies CIK: 0000883984
Market Cap 3.55 Bn
P/B 1.67
P/E -481.75
P/S 1.53
ROIC (Qtr) 1.79
Div Yield % 0.00
Rev 1y % (Qtr) -8.85
Total Debt (Qtr) 1.31 Bn
Debt/Equity (Qtr) 0.62

About

ICU Medical Inc., a company with the ticker symbol ICUI, is a prominent player in the medical device industry, specializing in the development, manufacturing, and sale of innovative medical products used in infusion therapy, vascular access, and vital care applications. The company's operations are divided into three main segments: Consumables, Infusion Systems, and Vital Care. The Consumables segment includes a variety of products such as infusion therapy, oncology, vascular access, and tracheostomy products. The Infusion Systems segment offers...

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Price action

Investment thesis

Bull case

  • Tangible assets of 1.94B provide robust 6.04x coverage of other current liabilities 321.15M, indicating strong asset backing.
  • Cash reserves of 299.73M provide solid 1.78x coverage of other non-current liabilities 168.81M, indicating strong liquidity.
  • Operating cash flow of 159.44M provides strong 2.86x coverage of operating expenses 55.82M, showing operational efficiency.
  • Cash reserves of 299.73M provide comfortable 3.73x coverage of tax obligations 80.30M, showing strong fiscal management.
  • Strong tangible asset base of 1.94B provides 9.18x coverage of acquisition spending 211.19M, enabling strategic growth.

Bear case

  • Investment activities of 114.07M provide weak support for R&D spending of 88.76M, which is 1.29x, suggesting potentially insufficient investment in innovation relative to other capital deployment.
  • Cash reserves of 299.73M provide limited coverage of acquisition spending of 211.19M, which is 1.42x, suggesting aggressive expansion might strain liquidity if market conditions deteriorate.
  • The company's operating cash flow of 159.44M shows concerning coverage of stock compensation expenses of 54.40M, with a 2.93 ratio indicating potential earnings quality issues.
  • Operating earnings of 115.62M show weak coverage of depreciation charges of 221.98M, with a 0.52 ratio indicating high capital intensity and potential reinvestment needs.
  • Free cash flow of 62.33M represents just -0.22x of debt issuance (287.42M), suggesting concerning reliance on leverage rather than internal cash generation for growth.

Consolidation Items Breakdown of Revenue (2024)

Product and Service Breakdown of Revenue (2024)

Peer comparison

Companies in the Medical Instruments & Supplies
S.No. Ticker Company Market Cap P/E P/S Total Debt (Qtr)
1 ISRG Intuitive Surgical Inc 174.27 Bn 61.02 17.31 0.00 Bn
2 BDX Becton Dickinson & Co 59.72 Bn 37.77 3.14 19.18 Bn
3 RMD Resmed Inc 39.76 Bn 26.76 7.37 0.85 Bn
4 ALC Alcon Inc 38.93 Bn 37.18 3.82 5.24 Bn
5 WST West Pharmaceutical Services Inc 17.69 Bn 133.13 12.54 0.30 Bn
6 HOLX Hologic Inc 16.81 Bn 30.91 4.07 2.52 Bn
7 COO Cooper Companies, Inc. 16.37 Bn 43.67 4.00 2.51 Bn
8 ALGN Align Technology Inc 13.73 Bn 36.29 3.45 0.09 Bn

Industry comparisons

Current Valuation Value Ind Avg Percentile
EV to Assets EV to Assets 1.12 2.75
EV to Cash from Ops. EV/CFO 28.75 39.87
EV to Debt EV to Debt 3.49 27.09
EV to EBIT EV/EBIT 39.65 32.86
EV to EBITDA EV/EBITDA 15.52 19.31
EV to Free Cash Flow [EV/FCF] EV/FCF 73.55 0.88
EV to Market Cap EV to Market Cap 1.29 -4.26
EV to Revenue EV/Rev 1.98 252.61
Price to Book Value [P/B] P/B 1.67 6.13
Price to Earnings [P/E] P/E -481.75 184.03
Dividend Metrics Value Ind Avg Percentile
Dividend Coverage Ratio Dividend Coverage Ratio 0.00 -1.09
Dividend Payout Ratio % Div Payout % (Qtr) 0.00 1.36
Dividend per Basic Share Div per Share (Qtr) 0.00 0.25
FCF Dividend Payout Ratio % FCF Div Payout % (Qtr) 0.00 8.74
Interest Coverage Int. cover (Qtr) 1.35 -117.83
Growth Metrics Value Ind Avg Percentile
Capex Growth (1y) % Capex 1y % (Qtr) -2.37 -53.47
Cash and Equivalents Growth (1y) % Cash & Equiv 1y % (Qtr) -4.09 414.02
Dividend Growth (1y) % Dividend Growth (1y) % 0.00 -1.48
EBIAT Growth (1y) % EBIAT 1y % (Qtr) -101.07 -57.42
EBITDA Growth (1y) % EBITDA 1y % (Qtr) 28.37 -106.89
EBIT Growth (1y) % EBIT 1y % (Qtr) 913.87 -37.00
EBT Growth (1y) % EBT 1y % (Qtr) 126.84 -42.63
EPS Growth (1y) % EPS 1y % (Qtr) 93.00 -15.05
FCF Growth (1y) % FCF 1y % (Qtr) -61.10 56.29
Gross Profit Growth (1y) % Gross Profit 1y % (Qtr) 10.04 67.95
Liquidity Ratios Value Ind Avg Percentile
Asset Utilization Ratio Asset Util Ratio (Qtr) 0.57 0.54
Cash Payout Ratio Cash Payout (Qtr) 0.00 0.03
Cash Ratio Cash Ratio (Qtr) 0.61 2.51
Current Ratio Curr Ratio (Qtr) 2.45 7.80
Debt to Equity Ratio Debt/Equity (Qtr) 0.62 0.55
Interest Cover Ratio Int Coverage (Qtr) 1.35 -117.83
Times Interest Earned Times Interest Earned (Qtr) 1.35 -117.83
Profitability Value Ind Avg Percentile
EBITDA Margin % EBITDA Margin % (Qtr) 14.50 -2,368.59
EBIT Margin % EBIT Margin % (Qtr) 4.98 -2,472.59
EBT Margin % EBT Margin % (Qtr) 1.28 -2,442.52
Gross Margin % Gross Margin % (Qtr) 36.50 30.06
Net Profit Margin % Net Margin % (Qtr) -0.30 -2,438.49