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ICU Medical Inc.: Q3 FY2025 earnings call

What management said about Q3 FY2025, from the documents filed with the SEC on 6 November 2025: press release. Guidance figures: 4 raised. The quarter’s numbers.

Key takeaways

  • Revenue fell as Vital Care declined: Third quarter 2025 revenue was $537.0 million against $589.1 million. Vital Care fell $86.5 million, while Consumables and Infusion Systems rose. Source
  • Adjusted EPS and EBITDA rose: Adjusted diluted EPS was $2.03 against $1.59, and adjusted EBITDA was $105.9 million against $94.8 million. Source
  • Consumables and Infusion Systems grew: Consumables rose to $285.1 million from $264.9 million and Infusion Systems to $173.9 million from $159.8 million in the quarter. Source
  • Quality charges rose: Quality system and product-related charges were $13.8 million against $7.7 million. The company excluded these charges from its adjusted measures. Source
  • Free cash flow rose in the quarter: Free cash flow was $27.6 million against $16.2 million in the quarter. Nine-month free cash flow was $55.9 million against $109.2 million. Source
  • Debt reduced with sale proceeds: Principal repayments of long-term debt were $272.8 million for nine months. Long-term debt was $1,313.9 million, against $1,531.9 million at December 31, 2024. Source

“We are pleased with our third quarter results.”

Vivek Jain, ICU Medical’s Chief Executive Officer

Guidance

AreaPeriodFigureAgainst last quarter
Adjusted EBITDA Sourcefiscal 2025 full year$395 million to $405 millionRaised from $380 million to $390 million
Adjusted diluted EPS Sourcefiscal 2025 full year$7.35 to $7.65Raised from $6.85 to $7.15
GAAP net loss Sourcefiscal 2025 full year$(8) million to $0 millionRaised from $(43) million to $(35) million
GAAP diluted loss per share Sourcefiscal 2025 full year$(0.30) to $0.00Raised from $(1.68) to $(1.38)

What changed from last quarter

  • Guidance raised: Adjusted EBITDA and adjusted diluted EPS full-year ranges were raised from the second-quarter estimates. Source
  • Guidance raised: GAAP net loss and GAAP loss per share estimates for fiscal 2025 were updated to narrower ranges closer to zero. Source
  • Ended: The IV Solutions business was disposed of on May 1, 2025, within the second quarter, and was part of the Vital Care product line. Source

Quarterly results and growth drivers

  • Revenue fell as Vital Care declined: Third quarter 2025 revenue was $537.0 million against $589.1 million. Vital Care fell $86.5 million, while Consumables and Infusion Systems rose. Source
  • Gross profit edged down, margin rose: GAAP gross profit was $200.9 million against $204.9 million, while GAAP gross margin was 37% against 35% a year earlier. Source
  • GAAP net loss narrowed: GAAP net loss was $3.4 million, or $0.14 per diluted share, against a net loss of $33.0 million, or $1.35 per diluted share, a year earlier. Source
  • Adjusted EPS and EBITDA rose: Adjusted diluted EPS was $2.03 against $1.59, and adjusted EBITDA was $105.9 million against $94.8 million. Source
  • Nine-month figures compared with prior year: Nine-month revenue was $1,690.6 million against $1,752.2 million, and nine-month diluted EPS was $0.66 against $(3.85). Source

Product lines and revenue mix

  • Consumables and Infusion Systems grew: Consumables rose to $285.1 million from $264.9 million and Infusion Systems to $173.9 million from $159.8 million in the quarter. Source
  • Vital Care fell with IV Solutions exit: Vital Care was $78.0 million against $164.5 million in the quarter, and $358.2 million against $500.8 million for nine months. IV Solutions was included in this line. Source
  • Contract manufacturing excluded from adjusted revenue: Adjusted revenue was $533.3 million, as the adjustment removed $3.7 million of contract manufacturing revenue from reported revenue. Source

Costs, margins and quality charges

  • Selling and R&D costs were mixed: Selling, general and administrative expense was $152.8 million against $162.7 million. Research and development was $21.3 million against $21.0 million. Source
  • Quality charges rose: Quality system and product-related charges were $13.8 million against $7.7 million. The company excluded these charges from its adjusted measures. Source
  • Restructuring charges declined: Restructuring, strategic transaction and integration charges were $13.1 million against $16.8 million, and were excluded from adjusted results. Source
  • Operating income and interest expense rose and fell: Income from operations was $13.7 million against $8.2 million. Interest expense, net was $19.8 million against $24.7 million. Source

Non-GAAP adjustments and tax treatment

  • Adjusted gross margin was 41%: Adjusted gross profit was $218.6 million on adjusted revenue of $533.3 million, a 41% adjusted gross margin against 37% a year earlier. Source
  • Tax valuation allowance excluded from non-GAAP tax: A $1.4 million tax expense from a valuation allowance was excluded from non-GAAP tax, based on an estimate of a three-year cumulative U.S. GAAP loss position. Source
  • Gain on sale excluded from adjusted results: The company recorded a $3.0 million gain on sale of business in the quarter, excluded from adjusted results. Nine-month gain was $44.8 million. Source

Cash flow, debt and balance sheet

  • Free cash flow rose in the quarter: Free cash flow was $27.6 million against $16.2 million in the quarter. Nine-month free cash flow was $55.9 million against $109.2 million. Source
  • Operating cash flow lower year to date: Nine-month operating cash flow was $119.2 million against $163.8 million, while purchases of property, plant and equipment were $63.4 million against $55.3 million. Source
  • Debt reduced with sale proceeds: Principal repayments of long-term debt were $272.8 million for nine months. Long-term debt was $1,313.9 million, against $1,531.9 million at December 31, 2024. Source
  • Cash and inventories compared with year-end: Cash and cash equivalents were $299.7 million at September 30, 2025, against $308.6 million at December 31, 2024. Inventories were $622.4 million against $584.7 million. Source

Investor contact and non-GAAP definitions

  • CEO described quarter as pleasing: Vivek Jain, Chief Executive Officer, said the company was pleased with its third quarter results. Source
  • CFO named as company contact: Brian Bonnell, Chief Financial Officer, is the named company contact in the release. Source
  • Free cash flow is a supplemental measure: The company states that free cash flow is supplemental to GAAP measures and is not a residual cash flow measure available for discretionary spending. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.