Head to Head Contrast: Vapotherm (NYSE:VAPO) and ICU Medical (NYSE:ICUI)

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ICU Medical (NASDAQ:ICUI) and Vapotherm (NYSE:VAPO) are both medical companies, but which is the superior stock? We will compare the two companies based on the strength of their earnings, profitability, analyst recommendations, valuation, risk, dividends and institutional ownership.

Institutional and Insider Ownership

92.5% of ICU Medical shares are held by institutional investors. Comparatively, 47.9% of Vapotherm shares are held by institutional investors. 11.4% of ICU Medical shares are held by company insiders. Comparatively, 34.4% of Vapotherm shares are held by company insiders. Strong institutional ownership is an indication that large money managers, endowments and hedge funds believe a company will outperform the market over the long term.


This table compares ICU Medical and Vapotherm’s net margins, return on equity and return on assets.

Net Margins Return on Equity Return on Assets
ICU Medical 3.56% 12.41% 9.99%
Vapotherm N/A N/A N/A

Earnings and Valuation

This table compares ICU Medical and Vapotherm’s gross revenue, earnings per share and valuation.

Gross Revenue Price/Sales Ratio Net Income Earnings Per Share Price/Earnings Ratio
ICU Medical $1.40 billion 2.30 $28.79 million $7.71 20.23
Vapotherm $42.38 million 4.65 -$42.47 million ($13.83) -0.81

ICU Medical has higher revenue and earnings than Vapotherm. Vapotherm is trading at a lower price-to-earnings ratio than ICU Medical, indicating that it is currently the more affordable of the two stocks.

Analyst Recommendations

This is a summary of current recommendations for ICU Medical and Vapotherm, as provided by MarketBeat.com.

Sell Ratings Hold Ratings Buy Ratings Strong Buy Ratings Rating Score
ICU Medical 0 0 1 0 3.00
Vapotherm 0 0 4 0 3.00

ICU Medical presently has a consensus target price of $300.00, suggesting a potential upside of 92.33%. Vapotherm has a consensus target price of $26.50, suggesting a potential upside of 135.14%. Given Vapotherm’s higher probable upside, analysts clearly believe Vapotherm is more favorable than ICU Medical.


ICU Medical beats Vapotherm on 8 of the 12 factors compared between the two stocks.

About ICU Medical

ICU Medical, Inc. develops, manufactures, and sells medical devices used in vascular therapy, critical care, and oncology applications worldwide. It offers infusion therapy products comprising a tube running from a bottle or plastic bag containing a solution to a catheter inserted in a patient's vein. The company's infusion therapy products include needlefree connector products under the MicroClave, MicroClave Clear, and NanoClave brands; Neutron catheter patency connectors; SwabCap disinfecting caps; Tego hemodialysis connectors; NovaCath and SuperCath peripheral intravenous (IV) catheters; and ChemoLock and ChemoClave closed system transfer devices, as well as Diana hazardous drug compounding system for the preparation of hazardous drugs. It also provides IV therapy and diluents, including sodium chloride, dextrose, balanced electrolyte solutions, lactated ringer's, ringer's, mannitol, sodium chloride/dextrose, and sterile water; and irrigation/urologics, such as sodium chloride irrigation, sterile water irrigation, physiologic solutions, ringer's irrigation, acetic acid irrigation, glycine irrigation, sorbitol-mannitol irrigation, flexible containers, and pour bottle options. In addition, the company offers infusion pumps under the Plum 360 and LifeCare PCA brands; Cogent 2-in-1 and CardioFlo hemodynamic monitoring systems; TDQ and OptiQ cardiac output monitoring catheters; Transpac blood pressure transducers; and SafeSet closed blood sampling and conservation systems. Further, it provides ICU Medical Mednet, an enterprise medication management platform that connects smart pumps to hospital's electronic health records, asset tracking systems, and alarm notification platforms. The company sells its products to acute care hospitals, wholesalers, ambulatory clinics, and alternate site facilities, such as clinics, home health care providers, and long-term care facilities. ICU Medical, Inc. was founded in 1984 and is headquartered in San Clemente, California.

About Vapotherm

Vapotherm, Inc., a medical technology company, focuses on the development and commercialization of proprietary Hi-VNI technology products used to treat patients of various ages suffering from respiratory distress worldwide. The company offers precision flow systems, such as Precision Flow Hi-VNI, Precision Flow Plus, Precision Flow Classic, and Precision Flow Heliox that use Hi-VNI technology to deliver heated, humidified, and oxygenated air at a high velocity to patients through a small-bore nasal interface. It also provides companion products, including Vapotherm Transfer Unit and Q50 compressor; and disposable products comprising single-use disposables and nasal interfaces. The company sells its products to hospitals. Vapotherm, Inc. was founded in 1993 and is headquartered in Exeter, New Hampshire.

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