The Filing Desk

ICU Medical vs Merit Medical Systems

ICU Medical ICUI · Merit Medical Systems MMSI · Health Care Supplies

ICU Medical reported revenue of $2.2 billion in fiscal 2025, 1.5 times Merit Medical Systems' $1.5 billion in fiscal 2025. ICU Medical's revenue fell 6.3% in its latest year, and Merit Medical Systems' grew 11.8%. ICU Medical had an operating margin of 1.9%, against 12.2% at Merit Medical Systems. Free cash flow was $92 million at ICU Medical and $216 million at Merit Medical Systems.

Side by side

ICU MedicalMerit Medical Systems
Latest fiscal yearFY2025, Dec 31, 2025FY2025, Dec 31, 2025
Revenue$2.2B$1.5B
Revenue growth−6.3%11.8%
Revenue growth a year, last 5 years11.9%9.5%
Gross margin36.8%48.7%
Operating margin1.9%12.2%
Net margin0.0%8.5%
Free cash flow$92M$216M
Free cash flow margin4.1%14.2%
Return on capital0.7%7.7%
Net debt to EBITDA4.0x0.9x
Dividends and buybacks$9M$0M
Change in diluted share count2.1%1.8%
Last close$172.11$87.23
P/E at the last close71.7×32.7×
Insider trades, last 12 monthssold $8.3 millionbought $573,303, sold $8.5 million
Piotroski F-score6 of 98 of 9
Amounts in each company's own currency, US$ unless marked (a foreign company may report in another), each company's latest fiscal year from its 10-K, or 20-F or 40-F for a foreign company. Growth rates compare with the year before; the five-year rate is the average a year. Free cash flow is cash from operations minus capital spending; return on capital is after-tax operating income over the money invested in the business; P/E is the last close over the latest earnings per share. Banks are measured differently (return on equity, efficiency ratio), so some rows apply to one company only.

Ten years

Revenue
US$ billions, fiscal years
ICU MedicalMerit Medical Systems
Operating margin
Percent of revenue
ICU MedicalMerit Medical Systems
Free cash flow
US$ billions. Cash from operations minus capital expenditure.
ICU MedicalMerit Medical Systems

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Source: the companies' Form 10-K filings, from SEC EDGAR, and the last close. For information only, not investment advice: the figures describe results, not which company is the better investment. The Filing Desk is not affiliated with either company. Full figures on the ICU Medical and Merit Medical Systems pages.