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ICU Medical (ICUI) investor relations material
ICU Medical Q2 2026 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Executive summary
Q2 2026 GAAP revenue was $551.7 million, up 1% year-over-year, with 6% organic growth excluding IV Solutions divestiture and currency impacts.
Gross margin improved to 43% in Q2 2026 from 38% in Q2 2025, driven by tariff refunds and the divestiture of the lower-margin IV Solutions business.
Adjusted EBITDA reached $110 million and adjusted EPS was $2.37, both showing year-over-year improvement.
Net income for Q2 2026 was $19.1 million, down from $35.3 million in Q2 2025, reflecting the prior-year gain on sale of business.
Strong free cash flow enabled $50 million in debt repayment, reducing net leverage to 2.3x.
Financial highlights
Adjusted EBITDA margin for Q2 2026 was approximately 20%, with core business offsetting headwinds from deconsolidation and tariffs.
Free cash flow for the six months ended June 30, 2026 was $89.3 million, up from $28.3 million in the prior year.
Adjusted SG&A was $112 million (20.4% of revenue), and adjusted R&D was $22 million (4.0% of revenue).
Net interest expense was $16 million in Q2 2026; adjusted effective tax rate was 23%.
Operating cash flow for the first half of 2026 was $119.1 million.
Outlook and guidance
Full-year adjusted EBITDA guidance raised to $415–$435 million (from $400–$430 million); adjusted EPS guidance increased to $8.60–$9.00 (from $7.75–$8.45).
Fiscal 2026 GAAP net income guidance raised to $73–83 million (from $26–$44 million); GAAP EPS guidance increased to $2.89–$3.29 (from $1.03–$1.74).
Full-year adjusted gross margin expected at 41.5%, reflecting lower tariffs and synergy capture.
Capital expenditures for 2026 projected at $85–$100 million.
Guidance assumes stable macro environment, with inflation, currency, and interest rates at current levels.
- Revenue up 8.6% year-over-year, but net loss widened and adjusted profitability declined.ICUI
Q2 20249 Jul 2026 - Q3 revenue up 6.5–7%, guidance raised, and Otsuka JV to transform IV Solutions business.ICUI
Q3 20249 Jul 2026 - Innovation and margin expansion are set to drive sustained growth and capital returns.ICUI
47th Annual Raymond James Institutional Investor Conference8 Jul 2026 - Growth in consumables and IV systems, innovation, and operational focus drive positive outlook.ICUI
Morgan Stanley 23rd Annual Global Healthcare Conference8 Jul 2026 - Adjusted EPS rose 15% to $1.97 as organic revenue grew 1% despite a 12% revenue decline.ICUI
Q1 202614 May 2026 - Directors and governance changes approved; 10% special meeting right proposal rejected.ICUI
AGM 202613 May 2026 - Margin expansion, pump upgrades, and consumables innovation drive a positive outlook.ICUI
2026 KeyBanc Capital Markets Healthcare Forum29 Apr 2026 - Infusion-focused growth, margin expansion, and share repurchases drive future value.ICUI
25th Annual Needham Virtual Healthcare Conference13 Apr 2026 - Shareholders will vote on directors, governance reforms, and executive pay, with ESG in focus.ICUI
Proxy filing2 Apr 2026
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