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falseICU MEDICAL INC/DE000088398400008839842025-11-062025-11-06

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

 FORM 8-K

CURRENT REPORT

Pursuant to Section 13 OR 15(d) of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported) November 6, 2025

ICU MEDICAL, INC.

(Exact name of registrant as specified in its charter)
Delaware 001-34634 33-0022692
(State or other jurisdiction
of incorporation)
(Commission File Number)
(IRS Employer
Identification No.)
951 Calle Amanecer , San Clemente , California 92673
(Address of principal executive offices) (Zip Code)

(949) 366-2183
Registrant's telephone number, including area code

N/A
(Former name or former address, if changed since last report)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:
Title of each class Trading Symbol Name of each exchange on which registered
Common stock, par value $0.10 per share ICUI The Nasdaq Stock Market LLC
(Global Select Market)
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐





Item 2.02. Results of Operations and Financial Condition

    On November 6, 2025, ICU Medical, Inc. issued a press release announcing its financial results for the third quarter of 2025. A copy of this press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated in Item 2.02 by reference.
     
Item 9.01. Financial Statements and Exhibits.
(d) Exhibits
Press release, dated November 6, 2025 announcing ICU Medical, Inc.'s third quarter 2025 earnings.
104 Cover Page Interactive Data File (the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document)

SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
 
        ICU MEDICAL, INC.
Date: November 6, 2025     By:   /s/ Brian M. Bonnell
      Brian M. Bonnell
      Chief Financial Officer and Treasurer


EX-99.1 2 exhibit991q32025er.htm EX-99.1 Document


Exhibit 99.1
ICU Medical Announces Third Quarter 2025 Results
and Updates its Fiscal Year 2025 Guidance


SAN CLEMENTE, Calif., November 6, 2025 (GLOBE NEWSWIRE) -- ICU Medical, Inc. (Nasdaq:ICUI), a leader in the development, manufacture and sale of innovative medical products, today announced financial results for the quarterly period ended September 30, 2025.

Third Quarter 2025 Results

Third quarter 2025 revenue was $537.0 million, as compared to $589.1 million in the same period in the prior year. GAAP gross profit for the third quarter of 2025 was $200.9 million, as compared to $204.9 million in the same period in the prior year. GAAP gross margin for the third quarter of 2025 was 37%, as compared to 35% in the same period in the prior year. GAAP net loss for the third quarter of 2025 was $(3.4) million, or $(0.14) per diluted share, as compared to GAAP net loss of $(33.0) million, or $(1.35) per diluted share, for the third quarter of 2024. Adjusted diluted earnings per share for the third quarter of 2025 was $2.03 as compared to $1.59 for the third quarter of 2024. Adjusted EBITDA was $105.9 million for the third quarter of 2025 as compared to $94.8 million for the third quarter of 2024.

Adjusted EBITDA and adjusted diluted earnings per share are measures calculated and presented on the basis of methodologies other than in accordance with GAAP. Please refer to the Use of Non-GAAP Financial Information following the financial statements herein for further discussion and reconciliations of these measures to GAAP measures.

Vivek Jain, ICU Medical’s Chief Executive Officer, said, “We are pleased with our third quarter results."

Revenues by product line for the three and nine months ended September 30, 2025 and 2024 were as follows (in millions):
Three months ended
September 30,
Nine months ended
September 30,
Product Line 2025 2024 $ Change 2025 2024 $ Change
Consumables $ 285.1 $ 264.9 $ 20.2 $ 824.4 $ 770.7 $ 53.7
Infusion Systems 173.9 159.8 14.1 507.9 480.7 27.2
Vital Care* 78.0 164.5 (86.5) 358.2 500.8 (142.6)
Total** $ 537.0 $ 589.2 $ (52.2) $ 1,690.5 $ 1,752.2 $ (61.7)
*On May 1, 2025, we disposed of our IV Solutions business which was included within our Vital Care product line. For the three and nine months ended September 30, 2025, Vital Care includes $0.0 million and $126.5 million of IV Solutions revenue, respectively, as compared to $88.0 million and $268.7 million for the three and nine months ended September 30, 2024, respectively.
**Totals may differ from the income statement due to the rounding of product lines.

Fiscal Year 2025 Guidance

For Fiscal Year 2025 the Company is updating its estimates of GAAP net loss from a range of $(43) million to $(35) million to a range of $(8) million to $0 million and GAAP diluted loss per share from a range of $(1.68) to $(1.38) to a range of $(0.30) to $0.00. The Company is updating the estimate of the range of its full year 2025 guidance of adjusted EBITDA from a range of $380 million to $390 million to a range of $395 million to $405 million and diluted earnings per share from a range of $6.85 to $7.15 to a range of $7.35 to $7.65.

Conference Call

The Company will host a conference call to discuss its third quarter 2025 financial results, today at 4:30 p.m. ET (1:30 p.m. PT). The call can be accessed at (800) 267-6316, conference ID "ICUMED". The conference call will be simultaneously available by webcast, which can be accessed by going to the Company's website at www.icumed.com, clicking on the Investors tab, clicking on Event Calendar and clicking on the Webcast icon and following the prompts.



The webcast will also be available by replay.

About ICU Medical

ICU Medical (Nasdaq: ICUI) is a global leader in infusion systems, infusion consumables and high-value critical care products used in hospital, alternate site and home care settings. Our team is focused on providing quality, innovation and value to our clinical customers worldwide. ICU Medical is headquartered in San Clemente, California. More information about ICU Medical can be found at www.icumed.com.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Such statements contain words such as
“aim,” “anticipate,” “believe,” “can,” “continue,” “could,” “estimate,” “expect,” “forecast,” “goal,” “intend,” “may,” “might,” “plan,” “possible,” “potential,” “predict,” “project,” “should,” “target,” “will,” “would” or the negative thereof or comparable terminology and may include (without limitation) information regarding the Company's expectations, goals and intentions regarding the future and financial outlook for 2025. These forward-looking statements are based on management's current expectations, estimates, forecasts and projections about the Company and assumptions management believes are reasonable, all of which are subject to risks and uncertainties that could cause actual results and events to differ materially from those stated in the forward-looking statements. These risks and uncertainties include, but are not limited to: risks from doing business in foreign countries, including related to tariffs and other barriers to trade; the Company’s ability to compete successfully, including with larger international companies and established local companies; decreased demand for the Company's products; costs related to product development; cost volatility or potential loss of supply of raw materials due to our dependence on single and limited source third-party suppliers; ability to achieve operating efficiencies; risks related to significant sales through our distributors; inflation and foreign currency exchange rates; impacts from global macroeconomic and geopolitical conditions; healthcare costs and reimbursement levels; disruptions at the FDA and other governmental agencies; damage at the Company’s manufacturing or supply facilities; risks associated with the IV Solutions joint venture and the Smiths Medical acquisition; risks associated with the timing and resolution of the 2025 warning letter; risks related to protection of our information technology systems and compliance with privacy laws and regulations; risks related to our intellectual property; and the other important factors described under “Risk Factors” in the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2024, and our subsequent filings with the SEC, including, without limitation, in the Company's Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2025. Forward-looking statements contained in this press release are made only as of the date hereof, and the Company undertakes no obligation to update or revise the forward-looking statements, whether as a result of new information, future events or otherwise unless required by law.





ICU MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands, except par values)
  September 30, 2025 (Unaudited) December 31,
2024
 
ASSETS  
CURRENT ASSETS:  
Cash and cash equivalents $ 299,732 $ 308,566
Accounts receivable, net of allowance for doubtful accounts 191,541 182,828
Inventories 622,443 584,676
Prepaid expenses and other current assets 93,574 81,531
Assets held for sale 284,382
TOTAL CURRENT ASSETS 1,207,290 1,441,983
PROPERTY, PLANT AND EQUIPMENT, net 455,967 442,746
OPERATING LEASE RIGHT-OF-USE ASSETS 56,598 53,295
GOODWILL 1,498,767 1,432,772
INTANGIBLE ASSETS, net 664,827 740,789
DEFERRED INCOME TAXES 23,976 24,211
OTHER ASSETS 61,385 65,097
INVESTMENTS IN UNCONSOLIDATED AFFILIATES 134,086 3,038
TOTAL ASSETS $ 4,102,896 $ 4,203,931
LIABILITIES AND STOCKHOLDERS’ EQUITY  
CURRENT LIABILITIES:  
Accounts payable $ 171,752 $ 148,020
Accrued liabilities 316,103 306,923
Current portion of long-term debt 51,000
Income tax payable 5,045 17,328
Liabilities held for sale 32,911
TOTAL CURRENT LIABILITIES 492,900 556,182
LONG-TERM DEBT 1,313,931 1,531,858
OTHER LONG-TERM LIABILITIES 93,558 66,745
DEFERRED INCOME TAXES 41,371 48,814
INCOME TAX LIABILITY 33,886 35,097
COMMITMENTS AND CONTINGENCIES
STOCKHOLDERS’ EQUITY:
Convertible preferred stock, $1.00 par value; Authorized — 500 shares; Issued and outstanding — none
Common stock, $0.10 par value; Authorized — 80,000 shares; Issued — 24,686 shares at September 30, 2025 and 24,518 shares at December 31, 2024; and outstanding — 24,686 shares at September 30, 2025 and 24,517 shares at December 31, 2024 2,469 2,452
Additional paid-in capital 1,451,146 1,412,118
Treasury stock, at cost (12) (92)
Retained earnings 706,624 690,158
Accumulated other comprehensive loss (32,977) (139,401)
TOTAL STOCKHOLDERS' EQUITY 2,127,250 1,965,235
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY $ 4,102,896 $ 4,203,931





ICU MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (Unaudited)
(In thousands, except per share data)

Three months ended
September 30,
Nine months ended
September 30,
2025 2024 2025 2024
TOTAL REVENUES $ 536,990 $ 589,131 $ 1,690,558 $ 1,752,241
COST OF GOODS SOLD 336,109 384,279 1,071,504 1,154,717
GROSS PROFIT 200,881 204,852 619,054 597,524
OPERATING EXPENSES:  
Selling, general and administrative 152,773 162,707 469,398 479,913
Research and development 21,251 21,028 66,409 66,260
Restructuring, strategic transaction and integration 13,138 16,828 46,053 50,069
Change in fair value of contingent earn-out (3,947) (3,991)
TOTAL OPERATING EXPENSES 187,162 196,616 581,860 592,251
INCOME FROM OPERATIONS 13,719 8,236 37,194 5,273
INTEREST EXPENSE, net (19,808) (24,683) (62,388) (72,296)
OTHER INCOME (EXPENSE), net 607 (1,481) 662 (7,206)
GAIN ON SALE OF BUSINESS 2,969 44,792
(LOSS) INCOME BEFORE INCOME TAXES AND EQUITY IN (LOSS) EARNINGS OF UNCONSOLIDATED AFFILIATES (2,513) (17,928) 20,260 (74,229)
BENEFIT (PROVISION) FOR INCOME TAXES 658 (15,055) (5,090) (19,631)
NET (LOSS) INCOME FROM CONSOLIDATED COMPANIES (1,855) (32,983) 15,170 (93,860)
EQUITY IN (LOSS) EARNINGS OF UNCONSOLIDATED AFFILIATES (1,541) 1,296
NET (LOSS) INCOME $ (3,396) $ (32,983) $ 16,466 $ (93,860)
NET (LOSS) INCOME PER SHARE  
Basic $ (0.14) $ (1.35) $ 0.67 $ (3.85)
Diluted $ (0.14) $ (1.35) $ 0.66 $ (3.85)
WEIGHTED AVERAGE NUMBER OF SHARES  
Basic 24,686 24,438 24,624 24,353
Diluted 24,686 24,438 24,783 24,353



















ICU MEDICAL, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited)
(In thousands) 

Nine months ended
September 30,
  2025 2024
CASH FLOWS FROM OPERATING ACTIVITIES:    
Net income (loss) $ 16,466  $ (93,860)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:  
Depreciation and amortization 149,912  166,519 
Noncash lease expense 13,739  16,008 
Stock compensation 41,879  34,366 
Loss on disposal of property, plant and equipment and other assets 3,211  184 
Undistributed equity in earnings of unconsolidated affiliates (1,296) — 
Debt issuance costs amortization 5,112  5,111 
Change in fair value of contingent earn-out liability —  (3,991)
Net gain on sale of business (44,792) — 
Other 18,217  24,403 
Changes in operating assets and liabilities, net of amounts acquired:  
Accounts receivable 3,943  (11,517)
Inventories (36,213) 9,416 
Prepaid expenses and other current assets (4,721) (11,188)
Other assets (7,149) (17,540)
Accounts payable 23,328  21,086 
Accrued liabilities (28,887) 20,484 
Income taxes, including excess tax benefits and deferred income taxes (33,501) 4,360 
Net cash provided by operating activities 119,248  163,841 
CASH FLOWS FROM INVESTING ACTIVITIES:  
Purchases of property, plant and equipment (63,397) (55,292)
Proceeds from sale of business 211,185  — 
Proceeds from sale of assets 42  695 
Intangible asset additions (7,210) (8,317)
Proceeds from sale and maturities of investment securities —  500 
Net cash provided by (used in) investing activities 140,620  (62,414)
CASH FLOWS FROM FINANCING ACTIVITIES:  
Principal repayments of long-term debt (272,750) (38,250)
Proceeds from exercise of stock options 5,972  5,883 
Payments on finance leases (1,543) (775)
Payments of contingent earn-out liability —  (2,600)
Tax withholding payments related to net share settlement of equity awards (8,719) (11,867)
Net cash used in financing activities (277,040) (47,609)
Effect of exchange rate changes on cash 8,338  4,472 
NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS (8,834) 58,290 
CASH AND CASH EQUIVALENTS, beginning of period 308,566  254,222 
CASH AND CASH EQUIVALENTS, end of period $ 299,732  $ 312,512 



Use of Non-GAAP Financial Information

This press release contains financial measures that are not calculated in accordance with U.S. generally accepted accounting principles ("GAAP"). The non-GAAP financial measures should be considered supplemental to, and not as a substitute for, or superior to, financial measures calculated in accordance with GAAP. There are material limitations in using these non-GAAP financial measures because they are not prepared in accordance with GAAP and may not be comparable to similarly titled non-GAAP financial measures used by other companies, including peer companies. Our management believes that the non-GAAP data provides useful supplemental information to management and investors regarding our performance and facilitates a more meaningful comparison of results of operations between current and prior periods. We use non-GAAP financial measures in addition to and in conjunction with GAAP financial measures to analyze and assess the overall performance of our business, in making financial, operating and planning decisions, and in determining executive incentive compensation.

The non-GAAP financial measures as shown in the tables below, exclude special items because they are highly variable or unusual and impact year-over-year comparisons.

For the three months ended September 30, 2025 and 2024, special items include the following:

Contract manufacturing: We manufacture certain products or product components in accordance with manufacturing services agreements. We do not include the contract revenue in our adjusted revenue, or any gross profit impact in our adjusted gross profit as the commercial relationship under these types of agreements are originally negotiated contemporaneously with a business combination or other transactions and are not indicative of normal market transactions.

Stock compensation expense: Stock-based compensation is generally fixed at the time the stock-based instrument is granted and amortized over a period of several years. The value of stock options is determined using a complex formula that incorporates factors, such as market volatility, that are beyond our control. The value of our restricted stock awards is determined using the grant date stock price, which may not be indicative of our operational performance over the expense period. Additionally, in order to establish the fair value of performance-based stock awards, which are currently an element of our ongoing stock-based compensation, we are required to apply judgment to estimate the probability of the extent to which performance objectives will be achieved. Based on the above factors, we believe it is useful to exclude stock-based compensation in order to better understand our operating performance.

Intangible asset amortization expense: We do not acquire businesses or capitalize certain patent costs on a predictable cycle. The amount of purchase price allocated to intangible assets and the term of amortization can vary significantly and are unique to each acquisition. Capitalized patent costs can vary significantly based on our current level of development activities. We believe that excluding amortization of intangible assets provides the users of our financial statements with a consistent basis for comparison across accounting periods.

Restructuring, strategic transaction and integration: We incur restructuring and strategic transaction charges that result from events, which arise from unforeseen circumstances and/or often occur outside of the ordinary course of our ongoing business. Although these events are reflected in our GAAP financial statements, these unique transactions may limit the comparability of our ongoing operations with prior and future periods.

Settlements: Occasionally, we are involved in contract renegotiations/legal settlements and other judgments that may result in one-time settlements. We exclude these settlements as they have no direct correlation to the operation of our ongoing business.

Change in fair value of contingent earn-out: We exclude the impact of certain amounts recorded in connection with business combinations. We exclude items that are either non-cash or not normal, recurring operating expenses due to their nature, variability of amounts, and lack of predictability as to occurrence and/or timing.

Quality system and product-related remediation: We exclude certain quality system and product-related remediation charges in determining our non-GAAP financial measures as they may limit the comparability of our ongoing operations with prior and future periods and distort the evaluation of our normal operating performance.

Gain on sale of business: We exclude any non-cash gains/losses on the sale of a business in determining our non-GAAP financial measures as the inclusion may limit the comparability of our ongoing operations with prior and future periods and distort the evaluation of our normal operating performance.

Noncash release of loss on contract provision: We provide certain services under fixed priced arrangements in accordance with a transition services arrangement. We do not include the loss on contract provision or subsequent provision release net of the related interest accretion as a result of providing those services in our non-GAAP financial measures as the agreement was negotiated contemporaneously with a disposition and is not indicative of a normal market transaction.



The loss provision and subsequent release is a non-recurring noncash adjustment that if included may limit the comparability of our ongoing operations with prior and future periods.

From time to time in the future, there may be other items that we may exclude if we believe that doing so is consistent with the goal of providing useful information to investors and management.

In addition to the above special items, Adjusted EBITDA additionally excludes the following items from net income:

Depreciation expense: We exclude depreciation expense in deriving adjusted EBITDA because companies utilize productive assets of different ages and the depreciable lives can vary significantly resulting in considerable variability in depreciation expense among companies.

Interest, net: We exclude interest in deriving adjusted EBITDA as interest can vary significantly among companies depending on a company's level of income generating instruments and/or level of debt.

Taxes: We exclude taxes in deriving adjusted EBITDA as taxes are deemed to be non-core to the business and may limit the comparability of our ongoing operations with prior and future periods and distort the evaluation of our normal operating performance.

Adjusted Diluted EPS excludes from diluted EPS, net of tax, the special items listed above. The tax effect on the special items is calculated using the specific tax rate applied to each adjustment based on the nature of the item/or the tax jurisdiction in which the item has been recorded. Additionally, adjusted diluted EPS may exclude the income tax impact of certain non-recurring discrete tax items that are not reflective of income tax expense/benefit incurred as a result of current period earnings/ loss, as well as the impact of certain deferred tax valuation allowances when assessed against non-GAAP profitability.

We also present Free cash flow as a non-GAAP financial measure as management believes that this is an important measure for use in evaluating overall company financial performance as it measures our ability to generate additional cash flow from business operations. Free cash flow should be considered in addition to, rather than as a substitute for, net income as a measure of our performance or net cash provided by operating activities as a measure of our liquidity. Additionally, our definition of free cash flow is limited and does not represent residual cash flows available for discretionary expenditures due to the fact that the measure does not deduct the payments required for debt service and other obligations or payments made for business acquisitions. Therefore, we believe it is important to view free cash flow as supplemental to our entire statement of cash flows.

The following tables reconcile our non-GAAP financial measures for the periods presented:





ICU MEDICAL, INC. AND SUBSIDIARIES
Reconciliation of GAAP to Non-GAAP Financial Measures (Unaudited)
(In thousands, except per share data)
 Adjusted EBITDA
Three months ended
September 30,
2025 2024
GAAP net loss $ (3,396) $ (32,983)
Non-GAAP adjustments:
Interest, net 19,808 24,683
Stock compensation expense 15,243 11,770
Depreciation and amortization expense 50,802 55,675
Restructuring, strategic transaction and integration 13,138 16,828
Change in fair value of contingent earn-out (3,947)
Quality system and product-related charges 13,797 7,737
Settlements 1,426 20
Gain on sale of business (2,969)
Noncash release of loss on contract provision (1,076)
Gross profit on contract manufacturing (204)
(Benefit) provision for income taxes (658) 15,055
Total non-GAAP adjustments 109,307 127,821
 Adjusted EBITDA $ 105,911 $ 94,838





ICU MEDICAL, INC. AND SUBSIDIARIES
Reconciliation of GAAP to Non-GAAP Financial Measures (Unaudited)
(In thousands, except percentages and per share)

The Company’s U.S. GAAP results for the three months ended September 30, 2025 included special items which impacted the U.S. GAAP measures as follows:

Total revenues Gross profit Selling, general and administrative Research and development Restructuring, strategic transaction and integration Income (loss) from operations Interest expense, net Gain on sale of business Income (loss) before income taxes and equity in earnings of unconsolidated affiliates Benefit (provision) for income taxes Net (loss) income from consolidated companies Equity in (loss) earnings of unconsolidated affiliated Net (loss) income Diluted (loss) earnings per share
Reported (GAAP) $ 536,990  $ 200,881  $ 152,773  $ 21,251  $ 13,138  $ 13,719  $ (19,808) $ 2,969  $ (2,513) $ 658  $ (1,855) $ (1,541) $ (3,396) $ (0.14)
Reported percent of total revenues or (percent of income (loss) before income taxes and equity in earnings of unconsolidated affiliates) 37  % 28  % % % % (4) % % —  % 26.2  % —  %
Contract manufacturing (3,695) (204) —  —  —  (204) —  —  (204) 50  (154) —  (154) (0.01)
Stock compensation expense —  1,742  (12,910) (591) —  15,243  —  —  15,243  (3,707) 11,536  —  11,536  0.47 
Amortization expense —  1,179  (31,918) —  —  33,097  —  —  33,097  (8,160) 24,937  —  24,937  1.01 
Restructuring, strategic transaction and integration —  —  —  —  (13,138) 13,138  —  —  13,138  (3,232) 9,906  —  9,906  0.40 
Settlements —  1,176  (250) —  —  1,426  —  —  1,426  (349) 1,077  —  1,077  0.04 
Quality system and product-related remediation —  13,797  —  —  —  13,797  —  —  13,797  (3,283) 10,514  —  10,514  0.42 
Gain on sale of business —  —  —  —  —  —  —  (2,969) (2,969) 727  (2,242) —  (2,242) (0.09)
Noncash release of loss on contract provision —  —  1,076  —  —  (1,076) 359  —  (717) 176  (541) —  (541) (0.02)
Tax expense from valuation allowance* —  —  —  —  —  —  —  —  —  (1,385) (1,385) —  (1,385) (0.06)
Tax expense from equity in earnings of unconsolidated affiliates —  —  —  —  —  —  —  —  —  (377) (377) 377  —  — 
Adjusted (Non-GAAP)** $ 533,295  $ 218,571  $ 108,771  $ 20,660  $ —  $ 89,140  $ (19,449) $ —  $ 70,298  $ (18,882) $ 51,416  $ (1,164) $ 50,252  $ 2.03 
Adjusted percent of total revenues or (percent of income (loss) before income taxes and equity in earnings of unconsolidated affiliates) 41  % 20  % % —  % 17  % (4) % —  % 13  % 26.9  % 10  %
_______________________
*The Company’s non-GAAP annual effective tax rate is calculated without the tax expense related to the valuation allowance against certain U.S. Federal and State deferred tax assets. The valuation allowance was recorded based on an assessment of available positive and negative evidence, including, predominantly, an estimate that we will be in a three-year cumulative U.S. loss position on a GAAP basis as of September 30, 2025. However, based on the same assessment, including, predominantly, our being, in a three-year cumulative U.S. income position on a non-GAAP basis, which excludes the impact of our non-GAAP adjustments, we concluded that recording a valuation allowance would not have been appropriate for non-GAAP reporting. As a result, the tax expense for the valuation allowance was added back to our calculation of non-GAAP annual effective tax rate.
**Amounts may not foot due to rounding.




ICU MEDICAL, INC. AND SUBSIDIARIES
Reconciliation of GAAP to Non-GAAP Financial Measures (Unaudited)(continued)
(In thousands, except percentages and per share)

The Company’s U.S. GAAP results for the three months ended September 30, 2024 included special items which impacted the U.S. GAAP measures as follows:

Total revenues Gross profit Selling, general and administrative Research and development Restructuring, strategic transaction and integration Change in fair value of contingent earn-out (Loss) income from operations (Loss) income before income taxes Provision for income taxes Net (loss) income Diluted (loss) earnings per share
Reported (GAAP) $ 589,131  $ 204,852  $ 162,707  $ 21,028  $ 16,828  $ (3,947) $ 8,236  $ (17,928) $ (15,055) $ (32,983) $ (1.35)
Reported percent of total revenues (or percent of (loss) income before income taxes for benefit (provision) for income taxes) 35  % 28  % % % (1) % % (3) % (84.0) % (6) %
Contract manufacturing (9,063) —  —  —  —  —  —  —  —  — 
Stock compensation expense —  1,816  (9,287) (667) —  —  11,770  11,770  (2,825) 8,945  0.36 
Amortization expense —  692  (33,611) —  —  —  34,303  34,303  (8,338) 25,965  1.06 
Restructuring, strategic transaction and integration —  —  —  —  (16,828) —  16,828  16,828  (4,043) 12,785  0.52 
Change in fair value of contingent earn-out —  —  —  —  —  3,947  (3,947) (3,947) —  (3,947) (0.16)
Quality system and product-related remediation —  7,737  —  —  —  —  7,737  7,737  (1,839) 5,898  0.24 
Settlements —  —  (20) —  20  20  —  20  — 
Tax expense from valuation allowance* —  —  —  —  —  —  —  —  22,394  22,394  0.91 
Earnings per share impact on net loss due to basic versus diluted weighted average shares —  —  —  —  —  —  —  —  —  —  0.01 
Adjusted (Non-GAAP)** $ 580,068  $ 215,097  $ 119,789  $ 20,361  $ —  $ —  $ 74,947  $ 48,783  $ (9,706) $ 39,077  $ 1.59 
Adjusted percent of total revenues (or percent of (loss) income before income taxes for benefit (provision) for income taxes) 37  % 21  % % —  % —  % 13  % % 19.9  % %
_____________
* The Company’s non-GAAP annual effective tax rate is calculated without the tax expense related to the valuation allowance against certain U.S. Federal and State deferred tax assets. The valuation allowance was recorded based on an assessment of available positive and negative evidence, including, predominantly, an estimate that we will be in a three-year cumulative U.S. loss position on a GAAP basis as of September 30, 2024. However, based on the same assessment, including, predominantly, our being, in a three-year cumulative U.S. income position on a non-GAAP basis, which excludes the impact of our non-GAAP adjustments, we concluded that recording a valuation allowance would not have been appropriate for non-GAAP reporting. As a result, the tax expense for the valuation allowance was added back to our calculation of non-GAAP annual effective tax rate.
* Amounts may not foot due to rounding





ICU MEDICAL, INC. AND SUBSIDIARIES
Reconciliation of Net Cash Provided by Operating Activities to Free Cash Flow (Unaudited)
(In thousands)

Three months ended
September 30,
Nine months ended
September 30,
2025 2024 2025 2024
Net cash provided by operating activities $ 56,710  36,097  $ 119,248  $ 163,841 
Purchase of property, plant and equipment (29,080) (19,910) (63,397) (55,292)
Proceeds from sale of assets —  42  695 
Free cash flow $ 27,630  $ 16,190  $ 55,893  $ 109,244 







ICU MEDICAL, INC. AND SUBSIDIARIES
Fiscal Year 2025
Outlook (Unaudited)
(In millions, except per share data)

Low End of Guidance High End of Guidance
GAAP net loss $ (8) $
Non-GAAP adjustments:
Interest, net 82 82
Stock compensation expense 55 55
Depreciation and amortization expense 202 202
Restructuring, strategic transaction and integration 59 59
Settlements 2 2
Quality and regulatory initiatives and remediation 40 40
Gain on sale of business (45) (45)
Noncash release of loss on contract provision (2) (2)
Gross profit on contract manufacturing (1) (1)
Provision for income taxes 11 13
Total non-GAAP adjustments $ 403 $ 405
Adjusted EBITDA $ 395 $ 405
GAAP loss per share $ (0.30) $
Non-GAAP adjustments:
Stock compensation expense 2.20 2.20
Amortization expense 5.31 5.31
Restructuring, strategic transaction and integration 2.37 2.37
Settlements 0.06 0.06
Quality and regulatory initiatives and remediation 1.62 1.62
Depreciation expense reduction - assets held for sale classification (0.17) (0.17)
Gain on sale of business (1.80) (1.80)
Noncash release of loss on contract provision (0.08) (0.08)
Gross profit on contract manufacturing (0.05) (0.05)
Estimated income tax impact from adjustments (1.81) (1.81)
Adjusted earnings per share $ 7.35 $ 7.65

CONTACT:
ICU Medical, Inc.                    
Brian Bonnell, Chief Financial Officer
(949) 366-2183
ICR, Inc.
John Mills, Partner
(646) 277-1254