ICU Medical
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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.
Logotype for ICU Medical Inc
Q2 2026 earnings summary6 Aug, 2026

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.

MedFusion and CADD 510(k) resubmission status
Gross margin impact from Section 301 tariffs
Debt acceleration risks from springing maturity
Infusion Systems vs Vital Care organic growth
Reason for GAAP vs Adjusted EBITDA guidance gap
Structural gross margin impact from divestiture
Medfusion 5000 FDA resubmission and upgrade cycle
Sustainability of 12% IV systems organic growth
Update on Vital Care strategic alternatives
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Q3 20265 Nov, 2026
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