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Baxter International Inc.: Q3 FY2025 earnings call

What management said about Q3 FY2025, from the documents filed with the SEC on 30 October 2025: press release. Guidance figures: 3 lowered, 5 new, 3 kept. The quarter’s numbers.

Key takeaways

  • Sales grew 5% reported, 2% operational: Continuing-operations sales were about $2.84 billion, up 5% reported and 2% operational. Operational growth excludes Kidney Care manufacturing agreement sales and the China IV exit, at constant currency. Source
  • GAAP result was a loss: U.S. GAAP loss from continuing operations was $51 million, or $0.10 per diluted share, against income of $61 million a year earlier. Income tax expense was $172 million on pre-tax income of $121 million. Source
  • Adjusted EPS rose 41%: Adjusted diluted EPS from continuing operations was $0.69, up from $0.49 a year earlier. Adjusted net income attributable to Baxter stockholders was $355 million, against $411 million. Source
  • Full-year guidance lowered, Q4 guidance added: Full-year 2025 reported and operational sales growth guidance and adjusted EPS guidance were lowered, and fourth-quarter guidance was issued. Figures are listed under guidance. Source
  • Medical Products & Therapies slipped 1%: Medical Products & Therapies sales were about $1.33 billion, down 1% reported and operational. Infusion Therapies & Technologies fell 4% to $1.02 billion, while Advanced Surgery rose 13% to $306 million. Source
  • Gross margin fell 4.8 points: Gross margin was $950 million, or 33.5% of net sales, against 38.3% a year earlier. Cost of sales rose 13% to $1,885 million. Source
  • Free cash flow negative for nine months: Nine-month free cash flow from continuing operations was negative $18 million, against $62 million, as capital expenditures rose to $373 million from $314 million. Source
  • Hider leads performance review: Andrew Hider, the new CEO, said he has been working with teams to understand what drives performance and the challenges ahead. Source

“I joined Baxter because it’s a global healthcare leader - an iconic brand with an essential portfolio that touches more than 350 million patients every year,”

Andrew Hider, president and CEO

Guidance

AreaPeriodFigureAgainst last quarter
Sales growth, reported, continuing operations SourceFY 20254% to 5%Lowered from 6% to 7%
Sales growth, operational SourceFY 20251% to 2%Lowered from 3% to 4%
Adjusted diluted EPS, continuing operations, before special items SourceFY 2025$2.35 to $2.40Lowered from $2.42 to $2.52
Sales growth, reported, continuing operations SourceQ4 2025approximately 2%New
Sales growth, operational SourceQ4 2025decline of approximately 2%New
Adjusted diluted EPS, continuing operations, before special items SourceQ4 2025$0.52 to $0.57New
Sales growth bridge, Kidney Care MSA impact SourceQ4 2025(~300 bps)New
Sales growth bridge, Kidney Care MSA impact SourceFY 2025(~300 bps)Kept
Sales growth bridge, exit of IV Solutions in China SourceFY 2025~50 bpsKept
Sales growth bridge, foreign exchange SourceQ4 2025(~100 bps)New
Sales growth bridge, foreign exchange SourceFY 2025(~50 bps)Kept

What changed from last quarter

  • Guidance lowered: Full-year reported sales growth guidance lowered to 4% to 5% from 6% to 7%. Source
  • Guidance lowered: Full-year operational sales growth guidance lowered to 1% to 2% from 3% to 4%. Source
  • Guidance lowered: Full-year adjusted diluted EPS guidance lowered to $2.35 to $2.40 from $2.42 to $2.52. Source
  • New guidance: Fourth-quarter 2025 sales and adjusted EPS guidance is given in this release; the prior release gave third-quarter guidance only. Source
  • New: Andrew Hider joined the company as president and CEO, succeeding Brent Shafer, who was named chair and interim CEO in the prior release. Source
  • New: The Welch Allyn Connex 360 Vital Signs Monitor was launched as the next-generation patient monitoring device. Source

Results and growth drivers

  • Sales grew 5% reported, 2% operational: Continuing-operations sales were about $2.84 billion, up 5% reported and 2% operational. Operational growth excludes Kidney Care manufacturing agreement sales and the China IV exit, at constant currency. Source
  • GAAP result was a loss: U.S. GAAP loss from continuing operations was $51 million, or $0.10 per diluted share, against income of $61 million a year earlier. Income tax expense was $172 million on pre-tax income of $121 million. Source
  • Adjusted EPS rose 41%: Adjusted diluted EPS from continuing operations was $0.69, up from $0.49 a year earlier. Adjusted net income attributable to Baxter stockholders was $355 million, against $411 million. Source
  • Reported operating income rose 11%: Operating income was $172 million, up from $155 million, with a 6.1% margin against 5.7%. Other operating income, net of $48 million was included in the result. Source
  • Full-year guidance lowered, Q4 guidance added: Full-year 2025 reported and operational sales growth guidance and adjusted EPS guidance were lowered, and fourth-quarter guidance was issued. Figures are listed under guidance. Source

Segments and regions

  • Medical Products & Therapies slipped 1%: Medical Products & Therapies sales were about $1.33 billion, down 1% reported and operational. Infusion Therapies & Technologies fell 4% to $1.02 billion, while Advanced Surgery rose 13% to $306 million. Source
  • Healthcare Systems & Technologies up 3%: Healthcare Systems & Technologies sales were $773 million, up 3% reported and 2% operational. Care & Connectivity Solutions rose 4% to $473 million, and Front Line Care rose 1% to $300 million. Source
  • Pharmaceuticals grew 7%: Pharmaceuticals sales were $632 million, up 7% reported and operational. Drug Compounding rose 12% to $299 million, and Injectables & Anesthesia rose 4% to $333 million. Source
  • Segment margins moved in both directions: Medical Products & Therapies segment operating margin was 20.5%, against 20.0%. Pharmaceuticals margin fell to 8.9% from 9.9%, and Healthcare Systems & Technologies fell to 13.5% from 18.1%. Source
  • U.S. and international sales diverged: U.S. sales were $1.54 billion, up 3% reported and down 1% operational. International sales were $1.29 billion, up 8% reported and 5% operational. Source

“In my first weeks, I’ve seen firsthand the passion and expertise that are at the heart of this company.”

Andrew Hider, president and CEO

Products, customers and supply resilience

  • Connex 360 monitor launched: The company launched the Welch Allyn Connex 360 Vital Signs Monitor, a next-generation patient monitoring device with a connectivity and security platform and configurable setups. Source
  • IV products earned resiliency badge: Baxter was awarded a Gold Level Resiliency Badge from HIRC for IV Solutions, Nutrition Solutions and Premix Drugs, reported as the first manufacturer to earn it across these categories. Source
  • Vantive sales sit in Other: The Other line, mainly sales to Vantive under the Kidney Care supply agreement, was $101 million against $17 million. Its operational growth was 0%. Source
  • North Cove site recovered after Helene: The company highlighted actions that supported an expedited recovery at its North Cove site after Hurricane Helene, and said it is further strengthening resiliency across its supply chain. Source

Costs, margins and pricing

  • Gross margin fell 4.8 points: Gross margin was $950 million, or 33.5% of net sales, against 38.3% a year earlier. Cost of sales rose 13% to $1,885 million. Source
  • Adjusted gross margin 39.4%: Adjusted gross margin was 39.4% of net sales, against 43.7% a year earlier, on adjusted gross margin dollars of $1,117 million. Source
  • Selling and R&D spending declined: Selling, general and administrative expenses fell 6% to $708 million, or 25.0% of net sales against 27.9%. Research and development expenses fell 9% to $118 million. Source
  • Business optimization charges rose: Business optimization charges were $38 million, against $18 million a year earlier, tied to cost-structure initiatives after the Kidney Care sale. Source

“but I’m energized by the team’s commitment, motivated by our potential, and confident we’ve begun taking the right steps to build a future of growth and enhanced performance.”

Andrew Hider, president and CEO

Demand and customer response

  • Infusion pump and IV softness: Infusion Therapies & Technologies sales fell on lower infusion pump sales and IV solutions softness, which the company believes reflects fluid conservation after Hurricane Helene. Source
  • Drug compounding volumes rose abroad: Pharmaceuticals performance reflected increased volumes in select international markets and steady contributions from the Injectables portfolio. Source
  • Front Line Care improved sequentially: Front Line Care sales were $300 million, up 1%, with sequential improvement in both U.S. and international markets. Source

Capital, cash and returns to shareholders

  • Free cash flow negative for nine months: Nine-month free cash flow from continuing operations was negative $18 million, against $62 million, as capital expenditures rose to $373 million from $314 million. Source
  • Operating cash flow slightly lower: Nine-month operating cash flow from continuing operations was $355 million, against $376 million. Financing cash used from continuing operations was $4,069 million, against $1,222 million. Source
  • Net interest expense down 33%: Net interest expense was $58 million in the quarter, against $87 million a year earlier. Diluted weighted-average shares were 514 million, against 512 million. Source

Strategy and investment

  • Continuous improvement system launched: After reviewing performance with teams, the CEO said the company launched a new enterprise-wide continuous improvement system to sharpen execution and strengthen future results. Source
  • Kidney Care reported as discontinued: Continuing operations exclude the Kidney Care business, acquired by Carlyle in January 2025 and reported as discontinued operations. Discontinued operations contributed $5 million of net income in the quarter. Source
  • Hillrom integration items: Hillrom acquisition and integration items were $8 million in the quarter, against $5 million a year earlier, and are excluded from adjusted results. Source

People and leadership

  • Hider leads performance review: Andrew Hider, the new CEO, said he has been working with teams to understand what drives performance and the challenges ahead. Source
  • Early impressions of team: Hider said his first weeks showed passion and expertise at the heart of the company, and said he is energized by the team’s commitment and motivated by its potential. Source
  • Workforce of about 38,000: The company describes its workforce as approximately 38,000 team members who live its enduring Mission. Source

Reporting basis and non-GAAP measures

  • Adjusted figures exclude special items: Adjusted results exclude special items such as intangible asset amortization, business optimization, acquisition and integration costs, and tax matters. The release also reports free cash flow. Source
  • Operational growth definition: Operational sales growth excludes the Kidney Care MSA not reflected in reportable segments, reflects the previously announced exit of IV Solutions in China, and is calculated at constant currency. Source
  • No GAAP reconciliation for EPS guidance: Forward-looking adjusted EPS guidance excludes potential charges or gains, and the company has not reconciled it to forward-looking GAAP EPS guidance. Source

Figures management reported

FigureReported
Patients touched annually Sourcemore than 350 million

Risks management discussed

  • Operational: Warranty and remediation charges arose from field corrective actions across the infusion pump category, with $32 million of product-related reserves in the quarter. Source
  • Demand: IV solutions softness was attributed to post-Hurricane Helene fluid conservation efforts, which the company believes continue to affect demand. Source
  • Operational: Hurricane Helene remediation, air freight and other costs were $8 million in the quarter, with supply chain resiliency work continuing. Source
  • Financial: Income tax expense included higher reserves for uncertain tax positions, which drove a GAAP tax expense of $172 million in the quarter. Source
  • Regulatory: Costs to comply with the EU medical device regulations for previously registered products were $5 million in the quarter. Source

Earlier plans management reported on

  • Not stated: The release refers to the exit as previously announced and reflects it in operational sales growth, without a status update. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.