ROARABLE // PRO
GLOBAL DESKS // NYC --:--:-- NYSE
US TAPE
ROAR ▸

ICUI // ICU Medical Inc.

DES <GO> NASDAQ RQD COCKPIT → CIK 0000883984 ↗
Health Care • Medical/Dental Instruments
$168.65 ▲ +2.26 (+1.36%)
MKT CAP: $4.22B • VOL: 202.5K
ICUI // ROARABLE RATING & 5-PILLAR RQD CONFIDENCE 02:00 EST DETERMINISTIC ENGINE
PRIOR: RQD 55/100 [D+] (+0 PT) • UNCHANGED
ROARABLE D+
RQD CONFIDENCE
55 / 100 +0D
5 X 20-PT QUANT PILLARS
E 0 D 35 C 59 B 70 A 86+
Roarable Sell — Weak Fundamentals / Trim
01 MASSIVE / SEC XBRL
Forensic Fundamentals
9 / 20
WARNING
FCF -26.4% vs NI +100.6% • ROIC-WACC -7.3% • Z 3.2
02 INSTITUTIONAL TAPE & TREND
Whale & Options Flow
[LOCKED] FLAGGED
UNLOCK BELOW TO REVEAL
03 SEC XBRL CAPITAL ALLOCATION
Insider & Capital Conviction
[LOCKED] FLAGGED
UNLOCK BELOW TO REVEAL
04 FRED 90D r-MATRIX
Macro Regime Fit
12 / 20
NEUTRAL
NEUTRAL • r(10Y)=+0.00 (+23bp) • r(OAS)=+0.00
05 10-K REDLINE AUDIT
Forensic 10-K Risk
15 / 20
SOLID
20 BASE - 5 DEDUCT • 0 CRIT / 0 MED • STABLE
ALERT

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ICUI // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: +41.48%▲ ASCENDING CHANNEL
2026-10-30O $169.6H $170.0L $163.2C $168.7VOL 216.6K
RES: $225.8SUP: $158.1SMA50: $164.2SMA200: $148.6
$198.3$175.7$153.0$130.4$107.8RES $225.8SUP $158.1$168.72026-04-302026-06-152026-07-312026-09-162026-10-30
ICUI // INSTITUTIONAL BULL VS. BEAR FORENSIC DEBATE
UNDERWEIGHT CONVICTION: 36/100
BEAR 0
100 BULL

ICU Medical Inc. (ICUI) exhibits 36.8% gross margins and 1.0% return on invested capital within Health Care (Medical/Dental Instruments), balanced against a 46.6x enterprise multiple and 4.8% implied options volatility.

▲ INSTITUTIONAL BULL THESIS (LONG)
01. Operating Leverage & Capital Efficiency Moat

Sustained 36.8% gross profitability converts into 1.9% operating margin and 1.0% ROIC, outpacing sector cost of capital.

ROIC: 1.0% // GM: 36.8%
02. Top-Line Expansion & Cash Conversion

YoY revenue trajectory of -6.3% paired with 2.18% free cash flow yield supports self-funded R&D and capital return.

REV YOY: -6.3% // FCF YLD: 2.18%
03. Balance Sheet Solvency & Forensic Quality

Altman Z-Score of 3.80 and Piotroski F-Score of 8/9 indicate low near-term refinancing stress.

ALTMAN Z: 3.80 // F-SCORE: 8/9
▼ INSTITUTIONAL BEAR THESIS (SHORT / RISK)
01. Multiple Compression & Duration Sensitivity

Trading at 24.0x trailing P/E (— Fwd P/E) leaves valuation vulnerable if real 10Y TIPS yields spike.

P/E: 24.0x // EV/EBITDA: 46.6x
02. Options Skew & Event Volatility Risk

Options market prices a ±5.2% implied move with a 0.85 put/call ratio around $168.65 max pain.

IMPL MOVE: ±5.2% // P/C: 0.85
03. Competitive Margin & CapEx Cycle Pressure

Elevated industry capital intensity and customer concentration in Medical/Dental Instruments require continuous execution to defend 0.0% net margins.

NET MARGIN: 0.0% // D/E: 0.60x
KEY CATALYST // Upcoming 10-Q/10-K XBRL margin progression, guidance revision vs — forward consensus, and institutional 13F positioning.
MACRO REGIME // Monitor US 10Y Real Yields (DFII10) and High-Yield Credit Spreads (OAS) for beta-adjusted multiple impact (Beta 1.10).
FORM 4 & 13F FLOW OPEN OWN <GO>
FILER SIDE $ VALUE
INSPECT FULL OWNERSHIP LEDGER IN OWN <GO>
UNUSUAL OPTIONS TAPE OPEN OPT <GO>
STRIKE / EXP TYPE PREMIUM
INSPECT GEX & CHAIN IN OPT <GO>
KEY VALUATION & PROFITABILITY RATIOS XBRL FA <GO>
TRAILING P/E —
FORWARD P/E —
EV / EBITDA 46.6x
FCF YIELD 2.18%
GROSS MARGIN 36.8%
OPERATING MARGIN 1.9%
NET MARGIN 0.0%
ROIC % 1.0%
REV GROWTH YOY -6.3%
DILUTED EPS TTM —
DEBT / EQUITY 0.60x
DIVIDEND YIELD 0.00%
RSI-14 MOMENTUM 50.1
5Y EQUITY BETA —
FRED MACRO SENSITIVITY (PEARSON r) ECST <GO>
MACRO CORRELATION CALIBRATION ACTIVE BELOW.
FRED MACRO REGIME STRESS-TEST SIMULATOR // ICUIPEARSON R VARIANCE ENGINE
01 // SELECT FEDERAL RESERVE & CREDIT SHOCK SCENARIO
02 // POSITION NOTIONAL EXPOSURE
HEADLINE STRESS SCORE
75/100SEVERE DRAWDOWN PRESSURE
PRIMARY FACTOR EXPOSURE
DFII10 // -0.61 r
Latest: 2.08%
EST. DIRECTIONAL MOVE
-8.50%
Implied Px: $154.32
EST. DOLLAR VARIANCE
-$4,248
On $50,000 Notional
[LOCKED // MULTI-FACTOR DRAWDOWN HEDGE & MACRO TRIGGER ALERT]

Unblur the exact $50,000 delta-adjusted ETF/options hedge ratio for ICUI & activate live FRED threshold breach alerts.

HEAD-TO-HEAD PEER COMPARISONS COMP <GO>