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Medtronic plc: Q4 FY2026 earnings call

What management said about Q4 FY2026, from the documents filed with the SEC on 3 June 2026: press release. Guidance figures: 4 new. The quarter’s numbers.

Key takeaways

  • Q4 revenue rose 9.9% reported: Q4 revenue was $9.807 billion, up 9.9% reported and 6.6% organic, 90 basis points above the Q4 implied guidance the company gave. Source
  • Full-year revenue up 8.4%: FY26 revenue was $36.364 billion, up 8.4% reported and 5.8% organic. Management called it the highest annual revenue growth in 10 years. Source
  • Cardiac Ablation Solutions up 78%: Cardiac Ablation Solutions revenue rose 78% globally and 124% in the U.S. The company says it gained 8 points of U.S. share. Source
  • Q4 non-GAAP margin down 230 bps: Q4 non-GAAP operating profit was $2.500 billion, with a 25.5% operating margin, down 230 basis points on a year earlier. Source
  • FY26 non-GAAP margin down 130 bps: FY26 non-GAAP operating margin was 24.4%, down 130 basis points, or 150 basis points in constant currency. GAAP operating margin was flat year on year at 17.8%. Source
  • FY26 free cash flow $5.4 billion: FY26 cash from operations was $7.330 billion, up 4.1%. Free cash flow was $5.426 billion, up 4.6%, equal to 76% of non-GAAP net earnings. Source
  • Guidance excludes FX and Other: The FY27 organic revenue guidance excludes foreign currency and Other revenue, consistent with prior quarters. Source

“Our performance reflects the strongest annual top-line growth Medtronic has delivered in 10 years, powered by disciplined execution across our portfolio and continued operational rigor,”

Geoff Martha, Medtronic chairman and chief executive officer

Guidance

AreaPeriodFigureAgainst last quarter
Organic revenue growth SourceFY276.75% to 7.25%New
Diluted non-GAAP EPS SourceFY27$5.90 to $6.00New
Diluted non-GAAP EPS growth SourceFY276.7% to 8.5%New
Foreign currency impact on EPS SourceFY27neutral to 1% accretiveNew

What changed from last quarter

  • New guidance: The company gave its first FY27 guidance, covering organic revenue growth and diluted non-GAAP EPS. Source
  • New: The board approved a quarterly dividend of $0.72 per share for the first quarter of fiscal 2027, which the release describes as an increase. Source
  • New: The Diabetes business separation may use a spin-off, split-off, offering, or a combination. An offering and split-off is the current preferred structure, and no final decision has been made. Source
  • New: The company completed the CathWorks acquisition, which covers Coronary and Renal Denervation. Source
  • New: The company announced its intention to acquire Scientia Vascular (Neurovascular) and SPR Therapeutics (Neuromodulation), with the SPR announcement made in May. Source
  • New: The company entered agreements with Merit Medical Systems for the ViaVerte system in Neuromodulation and made an investment in Pulnovo Medical in Cardiovascular. Source
  • New: Stealth AXiS received FDA clearance for Spine, Cranial and ENT indications and a CE Mark for Spine and Cranial indications. Source

Fourth quarter and full-year results

  • Q4 revenue rose 9.9% reported: Q4 revenue was $9.807 billion, up 9.9% reported and 6.6% organic, 90 basis points above the Q4 implied guidance the company gave. Source
  • Full-year revenue up 8.4%: FY26 revenue was $36.364 billion, up 8.4% reported and 5.8% organic. Management called it the highest annual revenue growth in 10 years. Source
  • Q4 EPS: GAAP up, non-GAAP down: Q4 GAAP diluted EPS was $0.96, up 17.1%. Non-GAAP diluted EPS was $1.55, down 4.3%, and the company describes it as ahead of guidance. Source
  • FY26 EPS growth by measure: FY26 GAAP diluted EPS was $3.73, up 3.3%. Non-GAAP diluted EPS was $5.53, up 0.7%. Source
  • FY26 operating profit figures: FY26 GAAP operating profit was $6.467 billion, up 8.6%. Non-GAAP operating profit was $8.856 billion, up 2.4%, and down 0.6% in constant currency. Source

Cardiovascular and Neuroscience growth

  • Cardiovascular up 10.1% organic: Q4 Cardiovascular revenue was $3.797 billion, up 13.8% reported and 10.1% organic, with high-teens organic growth in Cardiac Rhythm & Heart Failure. Source
  • Cardiac Ablation Solutions up 78%: Cardiac Ablation Solutions revenue rose 78% globally and 124% in the U.S. The company says it gained 8 points of U.S. share. Source
  • Pacing and defibrillation drove CRM: Cardiac Rhythm Management grew in the mid-single digits, driven by Cardiac Pacing Therapies and Defibrillation Solutions. Micra grew in the mid-teens. Source
  • Neuroscience up 3.0% organic: Neuroscience revenue was $2.751 billion, up 5.0% reported and 3.0% organic. Each of its three businesses grew low-single digits organically. Source

“We are pleased to have delivered results ahead of expectations on both revenue and EPS,”

Thierry Piéton, Medtronic chief financial officer

Medical Surgical, Diabetes and currency

  • Medical Surgical up 5.1% organic: Medical Surgical revenue was $2.388 billion, up 8.0% reported and 5.1% organic. Acute Care & Monitoring rose low-double digits organically, and Surgical & Endoscopy rose low-single digits. Source
  • Diabetes up 8.1% organic: Diabetes revenue was $837 million, up 15.0% reported and 8.1% organic. The company notes its figures may differ from those of MiniMed. Source
  • Currency added to reported growth: Foreign exchange added $308 million to Q4 net sales and $819 million to full-year net sales. For FY26, currency added $0.15 to non-GAAP diluted EPS. Source

Margins, costs and tariffs

  • Q4 non-GAAP margin down 230 bps: Q4 non-GAAP operating profit was $2.500 billion, with a 25.5% operating margin, down 230 basis points on a year earlier. Source
  • Q4 margin hit from payment and tariffs: The company attributes 160 basis points of the Q4 operating margin to the MiniMed Blackstone payment and 80 basis points to tariffs. Source
  • FY26 non-GAAP margin down 130 bps: FY26 non-GAAP operating margin was 24.4%, down 130 basis points, or 150 basis points in constant currency. GAAP operating margin was flat year on year at 17.8%. Source
  • FY26 margin impacts from payment and tariffs: For FY26, the company cites 45 basis points of margin impact from the MiniMed Blackstone payment and 50 basis points from tariffs. Source
  • Q4 GAAP margin up 300 bps: Q4 GAAP operating profit was $1.873 billion, with a 19.1% operating margin, up 300 basis points. Source

Cash flow and shareholder returns

  • FY26 free cash flow $5.4 billion: FY26 cash from operations was $7.330 billion, up 4.1%. Free cash flow was $5.426 billion, up 4.6%, equal to 76% of non-GAAP net earnings. Source
  • $4.2 billion returned to shareholders: The company returned $4.2 billion to shareholders in FY26 and closed the year with $9.2 billion of cash and investments. Source
  • Buybacks fell, dividends paid rose: FY26 share repurchases were $1.035 billion, against $3.235 billion in FY25. Dividends paid to shareholders were $3.639 billion, against $3.589 billion. Source
  • Capital spending of $1.9 billion: Additions to property, plant and equipment were $1.904 billion in FY26, against $1.859 billion in FY25. Source

Strategy, pipeline and deals

  • Tuck-in M&A strategy activated: The CFO said the company's tuck-in M&A and investment strategy is activated, alongside a robust pipeline and financial discipline. Source
  • Priority growth products named: The CEO named Affera, Symplicity, Hugo, Altaviva and Stealth AXiS as the company's highest growth opportunities, in which it is building momentum. Source
  • Hugo filing and ProGrip clearance: The company filed with the FDA for Hugo RAS in general surgery and gynecologic indications, and for LigaSure RAS. ProGrip Advanced received FDA clearance. Source

FY27 guidance assumptions

  • Guidance excludes FX and Other: The FY27 organic revenue guidance excludes foreign currency and Other revenue, consistent with prior quarters. Source
  • 53rd week and Diabetes included: FY27 organic guidance includes the 53rd week and Diabetes revenue for the full fiscal year. Source
  • EPS guidance includes tariffs and M&A: The EPS guidance includes increased M&A and impacts from tariffs, interest and tax expense, and assumes Diabetes is consolidated for all 12 months of FY27. Source

Coming up, as management said on 3 June 2026

  • Dividend payment date: The $0.72 quarterly dividend is payable July 17, 2026, to holders of record at the close of business on June 26, 2026. Source

Figures management reported

FigureReported
Cardiac Ablation Solutions revenue growth, global Source78%
Cardiac Ablation Solutions revenue growth, U.S. Source124%
Cardiac Ablation Solutions U.S. share gain Source8 points
Micra revenue growth Sourcemid-teens

Risks management discussed

  • External: The FY27 EPS guidance includes the impact of tariffs, and tariffs reduced Q4 operating margin by 80 basis points. Source
  • Financial: Q4 non-GAAP adjustments include a net tax charge linked to the Diabetes separation, alongside an intercompany intellectual property sale. Source
  • Operational: The Diabetes separation is expected to run through capital markets transactions, and the final structure has not been set. Source

Earlier plans management reported on

  • Ahead: Q4 revenue came in 90 basis points above the Q4 implied guidance. Source
  • Ahead: The CFO said revenue and EPS results were ahead of expectations. 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.