ICU MEDICAL INC quarterly report, Q3 FY2013

ICU Medical, Inc. — Q3 2013 Form 10-Q

Reporting period: Three and nine months ended September 30, 2013; unaudited. ICU Medical develops and sells medical devices for infusion therapy, critical care and oncology. It operates as one business segment.

Financial performance

MetricQ3 2013Q3 2012Nine months 2013Nine months 2012
Total revenue$82.8 million$81.4 million$235.8 million$234.2 million
Gross profit / margin$41.0 million / 49%$40.7 million / 50%$115.8 million / 49%$114.7 million / 49%
Operating income$15.4 million$17.5 million$38.4 million$42.5 million
Net income$11.0 million$12.2 million$27.1 million$28.9 million
Diluted EPS$0.72$0.82$1.79$1.98
Operating cash flow—$42.2 million$40.9 million

Revenue increased about 2% in Q3 and 1% year to date, while net income declined about 9% and 6%, respectively. Q3 operating income fell about 12%; higher SG&A was a key pressure. The quarter’s gross margin declined one percentage point year over year; the nine-month margin was unchanged.

Liquidity and capital resources

At September 30, cash and cash equivalents were $188.0 million and investment securities were $72.8 million, totaling $260.8 million, up $34.7 million from year-end 2012. Current assets were $363.8 million and current liabilities $27.1 million. The balance sheet lists no borrowings or debt. Nine-month investing cash use was $11.3 million, including $15.2 million of property and equipment purchases; financing provided $9.0 million.

Management said existing cash, investments and expected operating cash generation should fund operations for at least the next 12 months. Estimated 2013 capital expenditures were $20–$24 million, including manufacturing capacity and facility improvements.

Material changes, outlook and risks

  • Customer concentration: Hospira represented 40% of revenue in both the third quarter and first nine months of 2013. It accounted for 39% of accounts receivable at quarter-end. Lower Hospira infusion shipments, including planned Clave reductions and inventory management, weighed on domestic sales.
  • Product and regional trends: Nine-month oncology revenue rose 31% to $27.4 million and international sales increased 12% to $66.5 million. Critical care revenue fell 8% to $38.9 million, primarily due to competition. Infusion therapy revenue was approximately flat at $159.8 million.
  • Costs and guidance: Nine-month SG&A increased to $68.4 million, or 29% of revenue, from $63.9 million, or 27%. The increase included $1.3 million of medical device excise tax, $1.3 million in charges for a strategic transaction that did not proceed, and higher IT and sales-related costs. Management expected 2013 SG&A of about 28% of revenue, R&D of about 3%, and an effective tax rate of about 31%; these are estimates, not guarantees. It anticipated modest increases in non-Hospira domestic sales and international sales, and oncology growth, while expecting critical care sales to decline.
  • Legal contingency: In the RyMed patent case, the court ruled on September 30, 2013 that ICU Medical could not overcome RyMed’s prosecution-history-estoppel defense for verdicts based on the doctrine of equivalents. ICU Medical was evaluating appeal or proceeding to damages. Management did not expect other routine proceedings to materially affect results.
  • Other exposures: The filing identifies risks from reliance on Hospira and other large customers, competition, product development and market adoption, international operations and foreign exchange, raw-material costs, regulation and litigation. Management reported effective disclosure controls and no material change in internal control over financial reporting during the quarter.

Key facts for investors to verify

  • Whether Hospira shipment patterns and inventory levels stabilize, and how customer concentration affects sales and receivables.
  • Whether oncology and international growth can offset critical care competition and uneven infusion product demand.
  • Whether higher SG&A and one-time transaction costs abate, and whether the stated 2013 expense, tax and capital-spending expectations are met.
  • Developments in the RyMed case, including any appeal and potential damages exposure.
  • Investment portfolio liquidity and interest-rate and foreign-exchange sensitivity; the filing estimates a 10% euro exchange-rate move could change specified balance-sheet amounts by about $7.4 million.