ICU Medical Announces Third Quarter 2024 Results and Updates Its Fiscal Year 2024 Guidance

Rhea-AI Summary

ICU Medical (NASDAQ:ICUI) reported Q3 2024 financial results with revenue of $589.1 million, up from $553.3 million year-over-year. The company posted a GAAP net loss of $(33.0) million, or $(1.35) per diluted share, compared to a net income of $7.2 million, or $0.30 per share in Q3 2023. Gross margin improved to 34.8% from 33.2%. Adjusted EBITDA increased to $94.8 million from $89.8 million. The company updated its FY2024 guidance, projecting adjusted EBITDA of $355-365 million and adjusted EPS of $5.40-5.70.

Positive

• Revenue increased 6.5% YoY to $589.1 million
• Gross margin improved to 34.8% from 33.2% YoY
• Adjusted EBITDA grew to $94.8 million from $89.8 million YoY
• All product lines showed positive revenue growth
• Raised FY2024 adjusted EPS guidance to $5.40-5.70 from $4.95-5.35

Negative

• GAAP net loss of $(33.0) million compared to $7.2 million profit last year
• EPS declined to $(1.35) from $0.30 YoY
• Lowered FY2024 GAAP EPS guidance to $(5.28)-$(4.98) from $(4.78)-$(4.38)

Insights

Financial Analyst

ICU Medical's Q3 2024 shows mixed performance with notable improvements in revenue and margins, but concerning bottom-line results. Revenue increased by 6.5% to $589.1 million, with gross margin expanding to 34.8%. However, the company swung to a significant loss of $33.0 million compared to a profit last year.

The consumables segment led growth with a 9.5% increase, while all product lines showed positive momentum. The updated guidance suggests operational improvements, with adjusted EBITDA guidance tightened to $355-365 million and adjusted EPS raised to $5.40-5.70. However, the widening GAAP loss projection raises concerns about underlying cost structures and operational efficiency.

The divergence between GAAP and adjusted metrics indicates significant non-operational factors affecting profitability, warranting closer scrutiny of the company's financial health and operational strategy.

Market Research Analyst

The medical device sector context makes ICU Medical's performance particularly noteworthy. The company's 6.5% revenue growth outpaces the industry average, suggesting market share gains. The consumables segment's strong performance indicates improving hospital utilization rates and procedure volumes.

The Vital Care segment's modest growth and increased Pfizer contract manufacturing revenue ($9.1 million vs $6.7 million) demonstrate diversification benefits. However, margin improvements haven't translated to bottom-line growth, suggesting potential market pricing pressures or cost challenges that could affect long-term competitiveness in the $4.3B market cap company.

SAN CLEMENTE, Calif., Nov. 12, 2024 (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, 2024.

Third Quarter 2024 Results

Third quarter 2024 revenue was $589.1 million, as compared to $553.3 million in the same period in the prior year. GAAP gross profit for the third quarter of 2024 was $204.9 million, as compared to $183.9 million in the same period in the prior year. GAAP gross margin for the third quarter of 2024 was 34.8%, as compared to 33.2% in the same period in the prior year. GAAP net loss for the third quarter of 2024 was $(33.0) million, or $(1.35) per diluted share, as compared to GAAP net income of $7.2 million, or $0.30 per diluted share, for the third quarter of 2023. Adjusted diluted earnings per share for the third quarter of 2024 was $1.59 as compared to $1.57 for the third quarter of 2023. Adjusted EBITDA was $94.8 million for the third quarter of 2024 as compared to $89.8 million for the third quarter of 2023.

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, “Third quarter results were generally in line with our expectations."

Revenues by product line for the three and nine months ended September 30, 2024 and 2023 were as follows (in millions):

		Three months ended September 30,									Nine months ended September 30,
Product Line			2024			2023		$ Change				2024			2023		$ Change
Consumables		$	264.9		$	242.0		$	22.9		$	770.7		$	715.1		$	55.6
Infusion Systems			159.8			149.0			10.8			480.7			463.9			16.8
Vital Care*			164.5			162.3			2.2			500.8			492.3			8.5
Total**		$	589.2		$	553.3		$	35.9		$	1,752.2		$	1,671.3		$	80.9

*Vital Care includes Pfizer contract manufacturing revenue of $9.1 million and $38.6 million for the three and nine months ended September 30, 2024, respectively, as compared to $6.7 million and $33.6 million for the three and nine months ended September 30, 2023.
** Totals may differ from the income statement due to the rounding of product lines.

Fiscal Year 2024 Guidance

For Fiscal Year 2024 the Company updated its estimates of GAAP net loss from a range of $(118) to $(108) to a range of $(130) to $(122) and GAAP diluted loss per share from a range of $(4.78) to $(4.38) to a range of $(5.28) to $(4.98). The Company updated the estimated range of its full year 2024 guidance of adjusted EBITDA from a range of $345 million to $365 million to a range of $355 million to $365 million and updated the estimated range of diluted earnings per share from a range of $4.95 to $5.35 to a range of $5.40 to $5.70.

Conference Call

The Company will host a conference call to discuss its third quarter 2024 financial results, today at 4:30 p.m. ET (1:30 p.m. PT). The call can be accessed at (800) 343-5172, 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 ''will,'' ''expect,'' ''believe,'' ''could,'' ''would,'' ''estimate,'' ''continue,'' ''build,'' ''expand'' or the negative thereof or comparable terminology and may include (without limitation) information regarding the Company's expectations, goals and intentions regarding the future. 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, decreased demand for the Company's products, decreased free cash flow, changes in product mix, increased competition from competitors, lack of growth or improving efficiencies, unexpected changes in the Company's arrangements with its largest customers, the impact from fluctuations in foreign currency exchange rates, the impact of inflation on raw materials, freight charges and labor, rising interest rates, and the Company's ability to meet expectations regarding the ongoing integration of the Smiths Medical business. Future results are subject to risks and uncertainties, including the risk factors, and other risks and uncertainties, described in the Company's filings with the Securities and Exchange Commission ("SEC"), which include those in the Company's most recent Annual Report on Form 10-K for the fiscal year ended December 31, 2023, and our subsequent filings with the SEC. 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 (Unaudited) (In thousands)
	September 30, 2024				December 31, 2023
ASSETS
CURRENT ASSETS:
Cash and cash equivalents	$	312,512			$	254,222
Short-term investment securities		—				501
TOTAL CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENT SECURITIES		312,512				254,723
Accounts receivable, net of allowance for doubtful accounts		173,983				161,566
Inventories		692,038				709,360
Prepaid income taxes		5,787				21,983
Prepaid expenses and other current assets		73,735				73,640
TOTAL CURRENT ASSETS		1,258,055				1,221,272
PROPERTY, PLANT AND EQUIPMENT, net		595,627				612,909
OPERATING LEASE RIGHT-OF-USE ASSETS		59,757				69,909
GOODWILL		1,478,293				1,472,446
INTANGIBLE ASSETS, net		785,823				870,588
DEFERRED INCOME TAXES		40,646				37,295
OTHER ASSETS		86,837				94,020
TOTAL ASSETS	$	4,305,038			$	4,378,439
LIABILITIES AND STOCKHOLDERS’ EQUITY
CURRENT LIABILITIES:
Accounts payable	$	168,562			$	150,030
Accrued liabilities		325,728				268,215
Current portion of long-term debt		51,000				51,000
Income tax payable		2,767				7,714
Contingent earn-out liability		1,500				4,879
TOTAL CURRENT LIABILITIES		549,557				481,838
CONTINGENT EARN-OUT LIABILITY		—				3,991
LONG-TERM DEBT		1,543,342				1,577,770
OTHER LONG-TERM LIABILITIES		80,389				100,497
DEFERRED INCOME TAXES		48,538				55,873
INCOME TAX LIABILITY		34,625				35,060
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 —24,461 and 24,144 shares at September 30, 2024 and December 31, 2023, respectively, and outstanding — 24,459 and 24,141 shares at September 30, 2024 and December 31, 2023, respectively		2,446				2,414
Additional paid-in capital		1,394,799				1,366,493
Treasury stock, at cost		(208	)			(262	)
Retained earnings		713,986				807,846
Accumulated other comprehensive loss		(62,436	)			(53,081	)
TOTAL STOCKHOLDERS' EQUITY		2,048,587				2,123,410
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY	$	4,305,038			$	4,378,439

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,
		2024				2023				2024				2023
TOTAL REVENUES	$	589,131			$	553,311			$	1,752,241			$	1,671,270
COST OF GOODS SOLD		384,279				369,391				1,154,717				1,102,982
GROSS PROFIT		204,852				183,920				597,524				568,288
OPERATING EXPENSES:
Selling, general and administrative		162,707				148,609				479,913				452,076
Research and development		21,028				20,870				66,260				62,933
Restructuring, strategic transaction and integration		16,828				7,160				50,069				30,527
Change in fair value of contingent earn-out		(3,947	)			(15,572	)			(3,991	)			(12,256	)
TOTAL OPERATING EXPENSES		196,616				161,067				592,251				533,280
INCOME FROM OPERATIONS		8,236				22,853				5,273				35,008
INTEREST EXPENSE, net		(24,683	)			(24,175	)			(72,296	)			(70,811	)
OTHER EXPENSE, net		(1,481	)			(4,044	)			(7,206	)			(5,815	)
LOSS BEFORE INCOME TAXES		(17,928	)			(5,366	)			(74,229	)			(41,618	)
(PROVISION) BENEFIT FOR INCOME TAXES		(15,055	)			12,604				(19,631	)			29,110
NET (LOSS) INCOME	$	(32,983	)		$	7,238			$	(93,860	)		$	(12,508	)
NET (LOSS) INCOME PER SHARE
Basic	$	(1.35	)		$	0.30			$	(3.85	)		$	(0.52	)
Diluted	$	(1.35	)		$	0.30			$	(3.85	)		$	(0.52	)
WEIGHTED AVERAGE NUMBER OF SHARES
Basic		24,438				24,132				24,353				24,075
Diluted		24,438				24,368				24,353				24,075

ICU MEDICAL, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) (In thousands)
	Nine months ended September 30,
		2024				2023
CASH FLOWS FROM OPERATING ACTIVITIES:
Net loss	$	(93,860	)		$	(12,508	)
Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation and amortization		166,519				171,615
Noncash lease expense		16,008				16,543
Provision for doubtful accounts		1,381				865
Provision for warranty, returns and field action		1,801				5,597
Stock compensation		34,366				29,878
Loss on disposal of property, plant and equipment and other assets		184				1,757
Debt issuance costs amortization		5,111				5,108
Change in fair value of contingent earn-out liability		(3,991	)			(12,256	)
Usage of spare parts		13,965				13,587
Other		7,256				4,407
Changes in operating assets and liabilities, net of amounts acquired:
Accounts receivable		(11,517	)			43,086
Inventories		9,416				(66,662	)
Prepaid expenses and other current assets		(11,188	)			11,295
Other assets		(17,540	)			(18,860	)
Accounts payable		21,086				(65,049	)
Accrued liabilities		20,484				(10,532	)
Income taxes, including excess tax benefits and deferred income taxes		4,360				(42,939	)
Net cash provided by operating activities		163,841				74,932
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchases of property, plant and equipment		(55,292	)			(53,956	)
Proceeds from sale of assets		695				1,481
Intangible asset additions		(8,317	)			(7,742	)
Proceeds from sale and maturities of investment securities		500				2,920
Net cash used in investing activities		(62,414	)			(57,297	)
CASH FLOWS FROM FINANCING ACTIVITIES:
Principal repayments of long-term debt		(38,250	)			(22,250	)
Proceeds from exercise of stock options		5,883				4,022
Payments on finance leases		(775	)			(681	)
Payments of contingent earn-out liability		(2,600	)			—
Tax withholding payments related to net share settlement of equity awards		(11,867	)			(9,221	)
Net cash used in financing activities		(47,609	)			(28,130	)
Effect of exchange rate changes on cash		4,472				(1,097	)
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS		58,290				(11,592	)
CASH AND CASH EQUIVALENTS, beginning of period		254,222				208,784
CASH AND CASH EQUIVALENTS, end of period	$	312,512			$	197,192

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 include adjusted EBITDA, adjusted revenue, adjusted gross profit, adjusted selling, general and administrative, adjusted research and development, adjusted restructuring, strategic transaction and integration, adjusted change in fair value of contingent earn-out, adjusted (loss) income from operations, adjusted other expense, net, adjusted (loss) income before income taxes, adjusted (provision) benefit for income taxes, adjusted net (loss) income and adjusted diluted (loss) earnings per share, all of which exclude special items because they are highly variable or unusual and impact year-over-year comparisons.

For the three months ended September 30, 2024 and 2023, special items include the following:

Contract manufacturing: We manufacture certain products for Pfizer in accordance with a manufacturing services agreement. We do not include the contract revenue in our adjusted revenue as the commercial relationship under this agreement was originally negotiated contemporaneously with a business combination and is not indicative of a normal market transaction.

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.

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.

Legal settlement: Occasionally, we are involved in legal proceedings that may result in one-time legal settlements. We exclude these settlements as they have no direct correlation to the operation of our ongoing business.

Asset write-offs and similar charges: Occasionally, we may write-off certain assets or we may sell certain assets. We exclude the non-cash gain/loss on the write-off/sale of these assets 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.

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,
		2024				2023
GAAP net (loss) income	$	(32,983	)		$	7,238
Non-GAAP adjustments:
Interest, net		24,683				24,175
Stock compensation expense		11,770				10,947
Depreciation and amortization expense		55,675				58,371
Restructuring, strategic transaction and integration		16,828				7,160
Change in fair value of contingent earn-out		(3,947	)			(15,572	)
Quality system and product-related charges		7,737				4,016
Asset write-offs and similar charges		—				6,083
Legal settlement		20				—
Provision (Benefit) for income taxes		15,055				(12,604	)
Total non-GAAP adjustments		127,821				82,576
Adjusted EBITDA	$	94,838			$	89,814

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, 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			Income (loss) 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	%		4	%		3	%	(1		)%		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
Legal settlement		—			—			(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	%		4	%		—	%		—	%		13	%		8	%		19.9	%		7	%

_______________________

* 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, and expectation of remaining for 2024, 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, 2023 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			Income from operations			Other expense, net			(Loss) income before income taxes			Benefit (provision) for income taxes			Net income			Diluted earnings per share
Reported (GAAP)	$	553,311		$	183,920		$	148,609		$	20,870		$	7,160		$	(15,572	)	$	22,853		$	(28,219	)	$	(5,366	)	$	12,604		$	7,238		$	0.30
Reported percent of total revenues (or percent of (loss) income before income taxes for benefit (provision) for income taxes)					33	%		27	%		4	%		1	%	(3		)%		4	%	(5		)%	(1		)%		234.9	%		1	%
Contract manufacturing		(6,696	)		—			—			—			—			—			—			—			—			—			—
Stock compensation expense		—			1,754			(8,743	)		(450	)		—			—			10,947			—			10,947			(2,627	)		8,320			0.34
Amortization expense		—			—			(33,411	)		—			—			—			33,411			—			33,411			(8,179	)		25,232			1.04
Restructuring, strategic transaction and integration		—			—			—			—			(7,160	)		—			7,160			—			7,160			(1,722	)		5,438			0.22
Change in fair value of contingent earn-out		—			—			—			—			—			15,572			(15,572	)		—			(15,572	)		—			(15,572	)		(0.64	)
Quality system and product-related remediation		—			4,016			—			—			—			—			4,016			—			4,016			(974	)		3,042			0.12
Asset write-offs and similar charges		—			6,306			—			—			—			—			6,306			223			6,083			(1,513	)		4,570			0.19
Adjusted (Non-GAAP)*	$	546,615		$	195,996		$	106,455		$	20,420		$	—		$	—		$	69,121		$	(27,996	)	$	40,679		$	(2,411	)	$	38,268		$	1.57
Adjusted percent of total revenues (or percent of (loss) income before income taxes for benefit (provision) for income taxes)					36	%		19	%		4	%		—	%		—	%		13	%	(5		)%		7	%		5.9	%		7	%

_____________
* 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,
		2024				2023				2024				2023
Net cash provided by operating activities	$	36,097				35,161			$	163,841			$	74,932
Purchase of property, plant and equipment		(19,910	)			(21,467	)			(55,292	)			(53,956	)
Proceeds from sale of assets		3				50				695				1,481
Free cash flow	$	16,190			$	13,744			$	109,244			$	22,457

ICU MEDICAL, INC. AND SUBSIDIARIES Fiscal Year 2024 Outlook (Unaudited) (In millions, except per share data)
	Low End of Guidance				High End of Guidance
GAAP net loss	$	(130	)		$	(122	)
Non-GAAP adjustments:
Interest, net		97				97
Stock compensation expense		46				46
Depreciation and amortization expense		223				223
Restructuring, strategic transaction and integration		65				65
Quality and regulatory initiatives and remediation		30				30
Change in fair value of contingent earn-out		(4	)			(4	)
Provision for income taxes		28				30
Total non-GAAP adjustments	$	485			$	487
Adjusted EBITDA	$	355			$	365
GAAP basic/diluted loss per share	$	(5.28	)		$	(4.98	)
Non-GAAP adjustments:
Stock compensation expense		1.87				1.87
Amortization expense		5.53				5.53
Restructuring, strategic transaction and integration		2.64				2.64
Quality and regulatory initiatives and remediation		1.22				1.22
Change in fair value of contingent earn-out		(0.16	)			(0.16	)
Tax expense from valuation allowance		2.29				2.29
Estimated income tax impact from adjustments		(2.71	)			(2.71	)
Adjusted diluted earnings per share	$	5.40			$	5.70

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

FAQ

What was ICU Medical's (ICUI) revenue in Q3 2024?

ICU Medical reported revenue of $589.1 million in Q3 2024, an increase from $553.3 million in Q3 2023.

What was ICU Medical's (ICUI) earnings per share in Q3 2024?

ICU Medical reported a GAAP loss of $(1.35) per diluted share in Q3 2024, compared to earnings of $0.30 per diluted share in Q3 2023.

What is ICU Medical's (ICUI) updated guidance for fiscal year 2024?

ICU Medical updated its FY2024 guidance with adjusted EBITDA of $355-365 million and adjusted EPS of $5.40-5.70.

How did ICU Medical's (ICUI) gross margin perform in Q3 2024?

ICU Medical's gross margin improved to 34.8% in Q3 2024 from 33.2% in Q3 2023.