ICUI ICU Medical, Inc.
Stable Earnings Power
F 30.0 / 100 pillar composite

AlphaQuality composite grade, weighted for stable earnings power businesses.

⚠ 3 of the last 5 fiscal years showed negative net income — AlphaQuality will not grade above F for persistent unprofitability in a stable earnings power business.

Grade overrides the 30.0 pillar composite — hard gates always win.

Profitability

Weight: 20%
F 20
  • 5yr Avg ROIC 0.9%
  • Operating Margin Trend -0.54 pp/yr

Capital Efficiency

Weight: 15%
F 11
  • 5yr Avg ROE -1.1%
  • 5yr Share-Count CAGR 3.4%

Growth Quality

Weight: 15%
C 52
  • 5yr Revenue CAGR 14.1%
  • 5yr EPS CAGR -71.9%
  • Revenue-Growth Years (5) 3/5

Cash Generation

Weight: 15%
C 54
  • 5yr FCF Margin 3.9%
  • 5yr FCF/NI Conversion 63.61x

Balance Sheet

Weight: 20%
D 35
  • Net Debt / EBITDA 3.32x
  • Interest Coverage (EBIT/Int) 1.03x
  • Altman Z-Score 2.13

Stability

Weight: 15%
D+ 44
  • EPS Volatility (σ/μ) 0.54
  • Piotroski F-Score 5
  • Negative-Revenue Years (5) 2/5

Guru Flow

Curated superinvestor sentiment — not part of the AlphaQuality grade.
Holding

2 of 3 gurus held; 1 added; 1 trimmed; 1 full exit.

Holders
2 -1
Avg Δ position
-27.4%
New buys
0
Full exits
1
As of Q1 2026