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Boston Scientific Corp.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 4 February 2026: press release. Guidance figures: 8 new. The quarter’s numbers.

Key takeaways

  • Quarterly sales grew 15.9 percent reported: Net sales were $5.286 billion, up 15.9 percent reported, 14.3 percent operational and 12.7 percent organic, against $4.561 billion a year earlier. Source
  • Adjusted EPS rose to $0.80: GAAP diluted EPS was $0.45 versus $0.38 a year earlier. Adjusted EPS was $0.80 versus $0.70. Full-year GAAP EPS was $1.94 and adjusted EPS $3.06, against $1.25 and $2.51. Source
  • Full-year 2026 sales growth guided: Net sales growth for 2026 is estimated at 10.5 to 11.5 percent reported and 10.0 to 11.0 percent organic. Currency is estimated to lower reported growth by 0.5 points. Source
  • Full-year 2026 adjusted EPS guided: Adjusted EPS for 2026 is estimated at $3.43 to $3.49. The company did not reconcile this to GAAP guidance, citing items it cannot predict with reasonable certainty. Source
  • Cardiovascular grew 18.2 percent reported: Cardiovascular net sales were $3.477 billion, up 18.2 percent reported and 16.1 percent organic, against $2.942 billion. MedSurg reached $1.809 billion, up 11.7 percent reported. Source
  • Penumbra acquisition agreed: The company agreed to acquire Penumbra, a publicly traded company with peripheral thrombectomy, embolization and neurovascular products. The agreement is subject to customary closing conditions. Source

“2025 was another exceptional year for Boston Scientific, with our global teams delivering differentiated innovation and high performance that enabled us to exceed our goals”

Mike Mahoney, chairman and chief executive officer, Boston Scientific

Guidance

AreaPeriodFigureAgainst last quarter
Net sales growth, reported Sourcefull year 202610.5 to 11.5 percentNew
Net sales growth, organic Sourcefull year 202610.0 to 11.0 percentNew
Currency impact on net sales growth Sourcefull year 2026(0.5) percentNew
Adjusted EPS Sourcefull year 2026$3.43 to $3.49New
Net sales growth, reported Sourcefirst quarter 202610.5 to 12.0 percentNew
Net sales growth, organic Sourcefirst quarter 20268.5 to 10.0 percentNew
Currency impact on net sales growth Sourcefirst quarter 2026(2.0) percentNew
Adjusted EPS Sourcefirst quarter 2026$0.78 to $0.80New

What changed from last quarter

  • New guidance: Full-year 2026 net sales growth guidance was given for the first time, on a reported and organic basis. Source
  • New guidance: Full-year 2026 adjusted EPS guidance of $3.43 to $3.49 was given for the first time. Source
  • New guidance: First-quarter 2026 net sales growth and adjusted EPS guidance were given. Source
  • New: Agreement announced to acquire Penumbra, a publicly traded peripheral and neurovascular thrombectomy company. Source
  • New: Agreement announced to acquire Valencia Technologies, developer of the eCoin urge incontinence device. Source
  • New: Nalu Medical acquisition was completed; the third-quarter release had announced it as an agreement. Source
  • New: FDA approval and CE mark received for the FARAPOINT PFA catheter. Source
  • New: U.S. launch of the SEISMIQ intravascular lithotripsy system was initiated for peripheral artery disease. Source

Fourth quarter and full-year results

  • Quarterly sales grew 15.9 percent reported: Net sales were $5.286 billion, up 15.9 percent reported, 14.3 percent operational and 12.7 percent organic, against $4.561 billion a year earlier. Source
  • Full-year sales reached $20.074 billion: Full-year 2025 net sales were $20.074 billion, up 19.9 percent reported and 15.8 percent organic, against $16.747 billion in 2024. Source
  • Adjusted EPS rose to $0.80: GAAP diluted EPS was $0.45 versus $0.38 a year earlier. Adjusted EPS was $0.80 versus $0.70. Full-year GAAP EPS was $1.94 and adjusted EPS $3.06, against $1.25 and $2.51. Source

2026 guidance

  • Full-year 2026 sales growth guided: Net sales growth for 2026 is estimated at 10.5 to 11.5 percent reported and 10.0 to 11.0 percent organic. Currency is estimated to lower reported growth by 0.5 points. Source
  • Full-year 2026 adjusted EPS guided: Adjusted EPS for 2026 is estimated at $3.43 to $3.49. The company did not reconcile this to GAAP guidance, citing items it cannot predict with reasonable certainty. Source
  • First-quarter 2026 sales growth guided: First-quarter 2026 net sales growth is estimated at 10.5 to 12.0 percent reported and 8.5 to 10.0 percent organic. Currency is estimated to lower reported growth by 2.0 points. Source
  • First-quarter 2026 adjusted EPS guided: Adjusted EPS for the first quarter of 2026 is estimated at $0.78 to $0.80. Source

“As a direct result of the dedication, consistency and winning spirit of our team, we have impacted millions of patient lives”

Mike Mahoney, chairman and chief executive officer, Boston Scientific

Segments and regions

  • Cardiovascular grew 18.2 percent reported: Cardiovascular net sales were $3.477 billion, up 18.2 percent reported and 16.1 percent organic, against $2.942 billion. MedSurg reached $1.809 billion, up 11.7 percent reported. Source
  • Endoscopy and Neuromodulation both grew: Endoscopy net sales were $760 million, up 10.1 percent reported and 8.2 percent organic. Neuromodulation net sales were $332 million, up 11.1 percent reported. Source
  • U.S. and EMEA growth differed: U.S. net sales were $3.385 billion, up 17.0 percent. EMEA was $933 million, up 12.4 percent reported and 4.8 percent operational, with currency reducing reported growth by 7.6 points. Source
  • APAC and Emerging Markets growth: APAC net sales were $788 million, up 15.2 percent reported and 14.8 percent operational. Emerging Markets net sales were $771 million, up 15.4 percent reported and 13.0 percent operational. Source

Products, trials and approvals

  • FARAPOINT PFA catheter approved: FDA approval and CE mark were received for the FARAPOINT catheter, which creates focal and linear-shaped lesions within a single navigation-enabled device. Source
  • SEISMIQ launch started in peripheral disease: The U.S. launch of the SEISMIQ intravascular lithotripsy system began for complex calcified peripheral artery disease. The FRACTURE IDE coronary trial completed enrollment. Source
  • OPTIMIZE trial began enrolling: OPTIMIZE began enrolling patients to test mapping and PFA delivery outside the pulmonary veins. SIMPLAAFY and FRACTURE IDE completed enrollment; MOSAIC began enrolling. Source
  • Elevance covers ESG procedure: Elevance Health began covering Endoscopic Sleeve Gastroplasty with the OverStitch system from December 18, 2025. TheraSphere 360 received 510(k) clearance. Source

Costs and earnings

  • Cost of products sold rose: Cost of products sold, excluding amortization, was $1.608 billion versus $1.466 billion. Reported gross profit was $3.678 billion versus $3.095 billion. Source
  • Operating expenses increased: Selling, general and administrative expenses were $1.834 billion versus $1.612 billion. Research and development expenses were $569 million versus $460 million. Source
  • Adjusted operating income rose: Adjusted operating income was $1.444 billion versus $1.251 billion. Adjusted gross profit was $3.735 billion versus $3.222 billion. Source
  • Tax expense rose in both periods: Income tax expense was $30 million in the quarter versus $23 million, and $493 million for the year versus $436 million. Deferred tax expense of $206 million was excluded from full-year adjusted results. Source
  • Diluted share count increased: Diluted weighted-average shares were 1,495.8 million in the quarter versus 1,490.2 million, and 1,494.5 million for the year versus 1,485.9 million. Source

Acquisitions and agreements

  • Penumbra acquisition agreed: The company agreed to acquire Penumbra, a publicly traded company with peripheral thrombectomy, embolization and neurovascular products. The agreement is subject to customary closing conditions. Source
  • Valencia acquisition agreed: The company agreed to acquire Valencia Technologies, which makes the eCoin implantable tibial nerve stimulation device for urge urinary incontinence. Closing is subject to customary conditions. Source
  • Nalu Medical acquisition completed: The Nalu Neuromodulation System, which uses peripheral nerve stimulation for chronic pain, was acquired. The third-quarter release had announced the agreement. Source

Currency and portfolio effects

  • Currency lowered fourth-quarter growth: Currency lowered reported growth by 1.6 points in the quarter. Certain acquisitions and divestitures accounted for a further 1.6 points, leaving 12.7 percent organic growth. Source
  • Full-year currency and portfolio effects: For the year, currency lowered reported growth by 0.7 points. Acquisitions and divestitures accounted for 3.4 points, leaving 15.8 percent organic growth. Source
  • Urology portfolio effect of 9.5 points: Urology's operational growth of 12.7 percent included 9.5 points from certain acquisitions and divestitures, leaving 3.2 percent organic growth in the quarter. Source

Coming up, as management said on 4 February 2026

  • Penumbra closing pending: The Penumbra agreement remains subject to customary closing conditions; the release gives no closing date. Source
  • Valencia closing pending: The Valencia agreement remains subject to customary closing conditions; the release gives no closing date. Source

Risks management discussed

  • Operational: Worldwide sales of two aortic valve systems were discontinued; they had about $50 million of quarterly sales in the prior year. Source

Earlier plans management reported on

  • Ahead: Management said the company exceeded its goals for 2025. Source
  • Not stated: Fourth-quarter reported net sales growth is compared with the 14.5 to 16.5 percent guidance range given in the third-quarter release. Source
  • Not stated: Fourth-quarter adjusted EPS is compared with the $0.77 to $0.79 guidance range given in the third-quarter release. 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.