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ICUIICU Medical, Inc.Sell4.9·$156.03
SellModerate Confidence
Investment thesis

The company has delivered a perfect four-quarter earnings beat streak with an exceptional average positive surprise and extraordinary free cash flow conversion, but revenue is declining and the current price offers thin reward against meaningful downside — keeping conviction limited despite the encouraging earnings track record.

Thesis pillars

  • Perfect Earnings Beat Streak→Stable
  • Declining Revenue Structural Headwind→Stable
  • Exceptional Free Cash Flow Conversion→Stable
  • +1 more pillar — see the Why tab for full reasoning

Full reasoning →

Open full analysis

ICU Medical, Inc. (ICUI) Stock Analysis

Range Bound setup · Catalyst-Driven edge

SellVALUE-TRAP 1/5ShortModerate Confidence

Healthcare · Medical Instruments & Supplies

Sell if holding. At $156.03, A.R:R 1.3:1 is below the 1.5:1 minimum. Reward from here is too thin for a buy — the engine flags exit. Additional concerns: Thin upside margin: 7.8%; Concentration risk — Supplier: single supplier.

ICU Medical develops, manufactures, and sells medical devices for infusion therapy, vascular access, and vital care, serving acute care hospitals, ambulatory clinics, and long-term care facilities in over 100 countries. Revenue flows through direct sales and distributors... Read more

$156.03+7.8% A.UpsideScore 4.9/10#26 of 30 Medical Instruments & Supplies
QualityF-score8 / 9FCF yield4.09%
Stop $146.87Target $168.24(analyst − 13%)A.R:R 1.3:1
Analyst target$193.38+23.9%8 analysts
$168.24our TP
$156.03price
$193.38mean
$210

Sell if holding. At $156.03, A.R:R 1.3:1 is below the 1.5:1 minimum. Reward from here is too thin for a buy — the engine flags exit. Additional concerns: Thin upside margin: 7.8%; Concentration risk — Supplier: single supplier. Chart setup: RSI 55 mid-range, Bollinger mid-band. Score 4.9/10, moderate confidence.

Passes 7/9 gates (positive momentum, clean insider activity, no SEC red flags, news events none recent, earnings proximity 29d clear, semi cycle peak clear, materials cycle peak clear). Fails on favorable risk/reward ratio. Suitability: aggressive.

news + 30-day 8-K events · 5-min refresh

Recent developments

updated 2026-10-08
TrendMatrix Research · upcoming catalyst calendar

Upcoming dated catalysts

Thu, Nov 5, 202629d to earnings· next earnings call

Thesis

Rewards
Sector modifier (Healthcare): +0.5
Strong earnings beat streak (4/4)
Risks
Concentration risk — Supplier: single supplier
Thin upside margin: 7.8%
V7 low-quality RISK_OFF penalty: -0.5 (Q=4.6)

Key Metrics

P/E (TTM)134.2
P/E (Fwd)16.6
Mkt Cap$4.0B
EV/EBITDA15.3
Profit Mgn1.4%
ROE1.4%
Rev Growth0.5%
Beta0.86
DividendNone
Rating analysts13

Quality Signals

Piotroski F8/9

Options Flow

P/C1.14bearish
IV47%normal

Concentration Risks(10-K Item 1A)

  • LOWCustomersingle distributor18%
    10-K Item 1: 'we had worldwide net sales to a single distributor of 18%, 18%, and 16% of consolidated net sales, respectively'
  • HIGHSuppliersingle supplier
    10-K Item 1: 'Certain components and raw materials are available only from a single supplier'

Model-generated analysis — not investment advice. Not a registered investment advisor. Past performance does not guarantee future results.

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About TrendMatrix. TrendMatrix is a publisher of general securities research and market commentary. We publish on a regular schedule. All content is the same for every subscriber in a tier — we do not provide personalized investment advice and we do not take into account any individual subscriber's financial situation, investment objectives, risk tolerance, tax situation, or holdings.

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Performance. Past performance is not indicative of future results. Performance figures reflect the published model only and do not reflect any individual subscriber's actual results.

Methodology · Editorial policy & full disclaimer

Rating Breakdown

2 floor-breakers

Growth below the gate floor. Component breakdown shows what dragged the score down.static

Earnings Growth
0.0
Revenue Growth
2.6

Ranks in the bottom of its industry peers on the composite signal. Better names in the same sector exist.static

Growth Rank
0.3
Quality Rank
3.6
Value Rank
4.4
GatesA.R:R 1.3 < 1.5@spotMomentum 5.1<5.5 (soft — BUY_NOW allowed but watch)Momentum 5.1>=4.5Insider activity: OKNo SEC red flagsNEWS EVENTS NONE RECENTEARNINGS PROXIMITY 29d clearSEMI CYCLE PEAK CLEARMATERIALS CYCLE PEAK CLEARRange BoundSuitability: Aggressive
RSI
55 · Neutral
↓ 20D MA↓ 50D MA↑ 200D MAGOLDEN CROSSSupport $151.33Resistance $167.67

Price Targets

$147
$168
A.Upside+7.8%
A.R:R1.3:1

Position Sizing

ConvictionNone
Suggested %0%
Max %0%
RegimeRisk-Off

Risk Alerts

! asymmetry at 1.3 (below the engine's 1.5 threshold)@spot

Earnings

B
B
B
B
4/4 beats
Next Earnings2026-11-05 (29d)

Verdict History

reverse chrono — latest first
Loading history...
Verdicts are recorded on every nightly pipeline run. Rows capture transitions (verdict flips, score deltas ≥0.3, entry/TP/SL changes). Rows with a ▶ can be expanded to see the change reason. Aggregate cohort performance is tracked in the recommendation ledger.
Frequently Asked Questions
Is ICUI stock a buy right now?

Sell if holding. At $156.03, A.R:R 1.3:1 is below the 1.5:1 minimum. Reward from here is too thin for a buy — the engine flags exit. Additional concerns: Thin upside margin: 7.8%; Concentration risk — Supplier: single supplier. Chart setup: RSI 55 mid-range, Bollinger mid-band. Prior stop was $146.87. Score 4.9/10, moderate confidence.

What is the ICUI stock price target?

Take-profit target: $168.24 (+7.8% upside). Prior stop was $146.87. Stop-loss: $146.87.

What are the risks of investing in ICUI?

Concentration risk — Supplier: single supplier; Thin upside margin: 7.8%; V7 low-quality RISK_OFF penalty: -0.5 (Q=4.6).

Is ICUI overvalued or undervalued?

ICU Medical, Inc. trades at a P/E of 134.2 (forward 16.6). TrendMatrix value score: 6.3/10. Verdict: Sell.

What do analysts say about ICUI?

13 analysts cover ICUI with a consensus score of 4.3/5. Average price target: $193.

What does ICU Medical, Inc. do?ICU Medical develops, manufactures, and sells medical devices for infusion therapy, vascular access, and vital care,...

ICU Medical develops, manufactures, and sells medical devices for infusion therapy, vascular access, and vital care, serving acute care hospitals, ambulatory clinics, and long-term care facilities in over 100 countries. Revenue flows through direct sales and distributors globally, with a single distributor accounting for 18% of consolidated net sales in 2025. In May 2025, ICU closed a transaction transferring its IV Solutions business to a joint venture with Otsuka Pharmaceutical Factory America, retaining a 40% stake.

Related stocks: STAA (STAAR Surgical Company) · TFX (Teleflex Incorporated) · NVST (Envista Holdings Corporation) · MMED (MiniMed Group, Inc.) · LMAT (LeMaitre Vascular, Inc.)
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