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Side-by-side financial comparison of ICU MEDICAL INC (ICUI) and MSC INDUSTRIAL DIRECT CO INC (MSM). Click either name above to swap in a different company.

MSC INDUSTRIAL DIRECT CO INC is the larger business by last-quarter revenue ($965.7M vs $540.7M, roughly 1.8× ICU MEDICAL INC). MSC INDUSTRIAL DIRECT CO INC runs the higher net margin — 5.4% vs -2.9%, a 8.3% gap on every dollar of revenue. On growth, MSC INDUSTRIAL DIRECT CO INC posted the faster year-over-year revenue change (4.0% vs -14.1%). ICU MEDICAL INC produced more free cash flow last quarter ($36.0M vs $7.4M). Over the past eight quarters, ICU MEDICAL INC's revenue compounded faster (-2.3% CAGR vs -3.4%).

ICU Medical, Inc. is a medical technology company based in San Clemente, California. ICU Medical products are designed to prevent bloodstream infections and protect healthcare workers from exposure to infectious diseases or hazardous drugs. ICU Medical product line includes intravenous therapy (IV) products, pumps, needle-free vascular access devices, custom infusion sets, closed system hazardous drug handling devices and systems, sensor catheters, needle-free closed blood sampling systems, a...

MSC Industrial Direct Co., Inc (MSC), through its subsidiaries, primarily MSC Industrial Supply Co., is one of the largest industrial equipment distributors in the United States, distributing more than 1.5 million metalworking and other industrial products.

ICUI vs MSM — Head-to-Head

Bigger by revenue
MSM
MSM
1.8× larger
MSM
$965.7M
$540.7M
ICUI
Growing faster (revenue YoY)
MSM
MSM
+18.2% gap
MSM
4.0%
-14.1%
ICUI
Higher net margin
MSM
MSM
8.3% more per $
MSM
5.4%
-2.9%
ICUI
More free cash flow
ICUI
ICUI
$28.5M more FCF
ICUI
$36.0M
$7.4M
MSM
Faster 2-yr revenue CAGR
ICUI
ICUI
Annualised
ICUI
-2.3%
-3.4%
MSM

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
ICUI
ICUI
MSM
MSM
Revenue
$540.7M
$965.7M
Net Profit
$-15.7M
$51.8M
Gross Margin
37.5%
40.7%
Operating Margin
1.0%
7.9%
Net Margin
-2.9%
5.4%
Revenue YoY
-14.1%
4.0%
Net Profit YoY
34.0%
11.1%
EPS (diluted)
$-0.63
$0.93

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
ICUI
ICUI
MSM
MSM
Q4 25
$540.7M
$965.7M
Q3 25
$537.0M
$978.2M
Q2 25
$548.9M
$971.1M
Q1 25
$604.7M
Q4 24
$629.8M
$928.5M
Q3 24
$589.1M
Q2 24
$596.5M
$979.4M
Q1 24
$566.7M
$935.3M
Net Profit
ICUI
ICUI
MSM
MSM
Q4 25
$-15.7M
$51.8M
Q3 25
$-3.4M
$56.5M
Q2 25
$35.3M
$56.8M
Q1 25
$-15.5M
Q4 24
$-23.8M
$46.6M
Q3 24
$-33.0M
Q2 24
$-21.4M
$71.7M
Q1 24
$-39.5M
$61.8M
Gross Margin
ICUI
ICUI
MSM
MSM
Q4 25
37.5%
40.7%
Q3 25
37.4%
40.4%
Q2 25
37.9%
41.0%
Q1 25
34.7%
Q4 24
36.1%
40.7%
Q3 24
34.8%
Q2 24
34.8%
40.9%
Q1 24
32.7%
41.5%
Operating Margin
ICUI
ICUI
MSM
MSM
Q4 25
1.0%
7.9%
Q3 25
2.6%
8.6%
Q2 25
1.9%
8.5%
Q1 25
2.1%
Q4 24
6.0%
7.8%
Q3 24
1.4%
Q2 24
1.3%
10.9%
Q1 24
-1.9%
9.7%
Net Margin
ICUI
ICUI
MSM
MSM
Q4 25
-2.9%
5.4%
Q3 25
-0.6%
5.8%
Q2 25
6.4%
5.9%
Q1 25
-2.6%
Q4 24
-3.8%
5.0%
Q3 24
-5.6%
Q2 24
-3.6%
7.3%
Q1 24
-7.0%
6.6%
EPS (diluted)
ICUI
ICUI
MSM
MSM
Q4 25
$-0.63
$0.93
Q3 25
$-0.14
$1.02
Q2 25
$1.43
$1.02
Q1 25
$-0.63
Q4 24
$-0.97
$0.83
Q3 24
$-1.35
Q2 24
$-0.88
$1.27
Q1 24
$-1.63
$1.10

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
ICUI
ICUI
MSM
MSM
Cash + ST InvestmentsLiquidity on hand
$40.3M
Total DebtLower is stronger
$214.1M
Stockholders' EquityBook value
$2.1B
$1.4B
Total Assets
$4.1B
$2.5B
Debt / EquityLower = less leverage
0.16×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ICUI
ICUI
MSM
MSM
Q4 25
$40.3M
Q3 25
$56.2M
Q2 25
$71.7M
Q1 25
Q4 24
$308.6M
$57.3M
Q3 24
$312.5M
Q2 24
$302.6M
$25.9M
Q1 24
$251.4M
$22.2M
Total Debt
ICUI
ICUI
MSM
MSM
Q4 25
$214.1M
Q3 25
$168.8M
Q2 25
$285.0M
Q1 25
Q4 24
$289.9M
Q3 24
Q2 24
$299.8M
Q1 24
$294.5M
Stockholders' Equity
ICUI
ICUI
MSM
MSM
Q4 25
$2.1B
$1.4B
Q3 25
$2.1B
$1.4B
Q2 25
$2.1B
$1.4B
Q1 25
$2.0B
Q4 24
$2.0B
$1.4B
Q3 24
$2.0B
Q2 24
$2.0B
$1.4B
Q1 24
$2.1B
$1.4B
Total Assets
ICUI
ICUI
MSM
MSM
Q4 25
$4.1B
$2.5B
Q3 25
$4.1B
$2.5B
Q2 25
$4.1B
$2.5B
Q1 25
$4.2B
Q4 24
$4.2B
$2.5B
Q3 24
$4.3B
Q2 24
$4.3B
$2.5B
Q1 24
$4.3B
$2.5B
Debt / Equity
ICUI
ICUI
MSM
MSM
Q4 25
0.16×
Q3 25
0.12×
Q2 25
0.21×
Q1 25
Q4 24
0.21×
Q3 24
Q2 24
0.21×
Q1 24
0.21×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
ICUI
ICUI
MSM
MSM
Operating Cash FlowLast quarter
$60.6M
$29.4M
Free Cash FlowOCF − Capex
$36.0M
$7.4M
FCF MarginFCF / Revenue
6.6%
0.8%
Capex IntensityCapex / Revenue
4.6%
2.3%
Cash ConversionOCF / Net Profit
0.57×
TTM Free Cash FlowTrailing 4 quarters
$91.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ICUI
ICUI
MSM
MSM
Q4 25
$60.6M
$29.4M
Q3 25
$56.7M
Q2 25
$11.2M
$151.6M
Q1 25
$51.3M
Q4 24
$40.2M
$101.9M
Q3 24
$36.1M
Q2 24
$82.0M
$143.5M
Q1 24
$45.8M
$78.7M
Free Cash Flow
ICUI
ICUI
MSM
MSM
Q4 25
$36.0M
$7.4M
Q3 25
$27.6M
Q2 25
$-8.5M
$100.7M
Q1 25
$36.7M
Q4 24
$16.1M
$81.7M
Q3 24
$16.2M
Q2 24
$62.5M
$114.0M
Q1 24
$29.9M
$53.4M
FCF Margin
ICUI
ICUI
MSM
MSM
Q4 25
6.6%
0.8%
Q3 25
5.1%
Q2 25
-1.5%
10.4%
Q1 25
6.1%
Q4 24
2.6%
8.8%
Q3 24
2.7%
Q2 24
10.5%
11.6%
Q1 24
5.3%
5.7%
Capex Intensity
ICUI
ICUI
MSM
MSM
Q4 25
4.6%
2.3%
Q3 25
5.4%
Q2 25
3.6%
5.2%
Q1 25
2.4%
Q4 24
3.8%
2.2%
Q3 24
3.4%
Q2 24
3.3%
3.0%
Q1 24
2.8%
2.7%
Cash Conversion
ICUI
ICUI
MSM
MSM
Q4 25
0.57×
Q3 25
Q2 25
0.32×
2.67×
Q1 25
Q4 24
2.18×
Q3 24
Q2 24
2.00×
Q1 24
1.27×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

ICUI
ICUI

Infusion Consumables$284.7M53%
Infusion Systems$176.3M33%
Vital Care$79.7M15%

MSM
MSM

Segment breakdown not available.

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