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Merit Medical Systems Inc.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 24 February 2026: press release. Guidance figures: 3 new. The quarter’s numbers.

Key takeaways

  • Fourth-quarter revenue rose 11%: Fourth-quarter net sales were $393.9 million, up 11% reported and 10% in constant currency; constant currency organic revenue rose 7%. Source
  • Full-year revenue rose 12%: Full-year net sales were $1.516 billion, up 12% reported and 11% in constant currency, with constant currency organic growth of 7%. Source
  • Cardiac Intervention grew 22% for the year: Cardiac Intervention rose 22% to $448.9 million for the year, up 21% in constant currency, and 23% to $117.2 million in the fourth quarter. Source
  • Non-GAAP operating margin reached 21.0%: Non-GAAP operating margin was 21.0% in the fourth quarter, against 19.6% a year earlier, and 20.3% for the year, against 19.0%. Source
  • Free cash flow reached $215.7 million: Free cash flow was $215.7 million for the year, against $185.7 million, and $74.0 million in the fourth quarter. Operating cash flow was $297.4 million, up from $220.8 million. Source
  • F. Ann Millner named board chair: F. Ann Millner, Ed.D., formerly Lead Independent Director, was appointed Board Chair effective January 5, 2026. She has served as a director since 2015.

“Merit delivered better-than-expected revenue and financial results in the fourth quarter,”

Martha G. Aronson, Merit’s President and CEO

Guidance

AreaPeriodFigureAgainst last quarter
Total revenue SourceYear ending December 31, 2026$1.610 - $1.630 billionNew
Revenue growth, constant currency SourceYear ending December 31, 20265% - 7%New
Foreign exchange impact on 2026 revenue growth SourceYear ending December 31, 2026(0.8%)
Non-GAAP EPS SourceYear ending December 31, 2026$4.01 - $4.15New
Convertible notes dilution in non-GAAP EPS SourceYear ending December 31, 2026approximately $0.07 per share

What changed from last quarter

  • New guidance: Fiscal 2026 revenue and non-GAAP EPS guidance was introduced with this release; the prior release gave no annual guidance. Source
  • New: F. Ann Millner was appointed Chair of the Board effective January 5, 2026.
  • Ended: Fred P. Lampropoulos's employment as Executive Chair ended January 3, 2026, under the CEO Transition Agreement.
  • Ended: Merit divested its 17 DualCap anti-microbial cap product line in February 2026. Source

Results and growth drivers

  • Fourth-quarter revenue rose 11%: Fourth-quarter net sales were $393.9 million, up 11% reported and 10% in constant currency; constant currency organic revenue rose 7%. Source
  • Full-year revenue rose 12%: Full-year net sales were $1.516 billion, up 12% reported and 11% in constant currency, with constant currency organic growth of 7%. Source
  • Fourth-quarter non-GAAP EPS was $1.04: Non-GAAP net income was $62.5 million, or $1.04 per share, against $56.3 million, or $0.93, a year earlier. GAAP net income was $38.0 million, or $0.63 per share. Source
  • Full-year GAAP net income rose: Full-year GAAP net income was $128.5 million, or $2.13 per share, against $120.4 million, or $2.03 per share in fiscal 2024. Source
  • Full-year non-GAAP EPS was $3.83: Full-year non-GAAP net income was $231.4 million, or $3.83 per share, against $205.4 million, or $3.46 per share in fiscal 2024. Source

Segments and product lines

  • Cardiac Intervention grew 22% for the year: Cardiac Intervention rose 22% to $448.9 million for the year, up 21% in constant currency, and 23% to $117.2 million in the fourth quarter. Source
  • Endoscopy Devices rose 33% for the year: Endoscopy Devices rose 33% to $72.9 million for the year. Fourth-quarter Endoscopy Devices revenue was $20.1 million, up 15%. Source
  • Peripheral Intervention rose 9% for the year: Peripheral Intervention reached $579.8 million for the year, up 9%, and $154.9 million in the fourth quarter, up 15%. Source
  • Custom Procedural Solutions rose 5%: Custom Procedural Solutions reached $209.3 million for the year, up 5%, and $53.6 million in the fourth quarter, also up 5%. Source
  • OEM fell 15% in the quarter: OEM revenue was $205.0 million for the year, up 2%, but $48.1 million in the fourth quarter, down 15%. The 2024 comparatives were recast to add spine devices, about $22.6 million for the year. Source

“Our fourth quarter capped off an impressive year of operating and financial performance in 2025”

Martha G. Aronson, Merit’s President and CEO

Acquisitions and organic growth

  • Acquisitions added $62.3 million: Revenue from certain acquisitions was $62.3 million for the year and $10.8 million in the fourth quarter. Constant currency revenue, organic was $1.448 billion for the year. Source
  • Some acquired products excluded from organic growth: The C2 CryoBalloon assets from Pentax and the Biolife Merger are excluded from organic revenue; Cook and EGS are excluded for the full year. Source
  • Currency reduced reported revenue: Foreign exchange lowered reported revenue by $4.4 million in the fourth quarter and $5.2 million for the year, per the company's constant currency adjustments. Source

Costs, margins and operating expense

  • Non-GAAP operating margin reached 21.0%: Non-GAAP operating margin was 21.0% in the fourth quarter, against 19.6% a year earlier, and 20.3% for the year, against 19.0%. Source
  • GAAP operating margin rose to 13.8%: GAAP operating margin was 13.8% in the fourth quarter and 12.2% for the year, against 10.3% and 11.5% in the prior-year periods. Source
  • Non-GAAP gross margin reached 54.5%: Non-GAAP gross margin was 54.5% in the fourth quarter, against 53.5%, and 53.7% for the year, against 51.7%. GAAP gross margin for the year was 48.7%, against 47.4%. Source
  • Selling, general and administrative costs rose: Selling, general and administrative expense was $455.2 million for the year, up from $399.7 million; fourth-quarter expense was $114.8 million. Source
  • Intangible amortization adjusted out of costs: Non-GAAP adjustments to cost of sales included $75.0 million of intangible amortization for the year. Performance-based share-based compensation was $25.2 million for the year. Source
  • Income tax expense rose: Income tax expense was $13.1 million in the fourth quarter and $42.4 million for the year, against $5.2 million and $29.6 million a year earlier. Source

Cash flow and balance sheet

  • Free cash flow reached $215.7 million: Free cash flow was $215.7 million for the year, against $185.7 million, and $74.0 million in the fourth quarter. Operating cash flow was $297.4 million, up from $220.8 million. Source
  • Cash and debt at year-end: Cash and cash equivalents were $446.4 million at year-end, against $376.7 million. Total debt obligations were $747.5 million, the same as at December 31, 2024. Source
  • Available borrowing capacity of $697 million: Available borrowing capacity was approximately $697 million at year-end. Source
  • Cash paid for acquisitions fell: Cash paid in acquisitions, net of cash acquired, was $144.8 million for the year, against $320.2 million in 2024. Source
  • Interest expense and income fell: Interest expense was $26.5 million for the year, against $31.2 million, and interest income was $15.1 million, against $26.2 million. Source
  • Stock issuance proceeds fell: Proceeds from issuance of common stock were $28.2 million for the year, against $40.9 million in 2024. Source

Strategy and investment

  • Capital expenditures more than doubled: Capital expenditures for property and equipment were $81.7 million for the year, against $35.1 million in 2024. Source
  • Research and development spending rose: Research and development expense was $97.4 million for the year, up from $87.5 million, and $26.5 million in the fourth quarter. Source
  • Acquisition-related expense fell: Acquisition-related expense was $2.7 million for the year, excluded from non-GAAP results, against $8.8 million in 2024. Source

People and leadership

  • F. Ann Millner named board chair: F. Ann Millner, Ed.D., formerly Lead Independent Director, was appointed Board Chair effective January 5, 2026. She has served as a director since 2015.
  • Former chair's executive role ended: Fred P. Lampropoulos's employment as Executive Chair ended January 3, 2026. He resigned as director and chair January 4; the company said this was not a dispute with management or the board.
  • Sales and clinical team above 800: Merit's sales force and clinical support team totals more than 800 people, and the company employs about 7,500 people worldwide. Source

Regulatory and compliance costs

  • EU device regulation costs fell: Costs to comply with the E.U. Medical Device Regulation were $5.8 million for the year, against $7.5 million, and $0.9 million in the fourth quarter, against $1.4 million. Source
  • Integrity agreement compliance costs: Costs to comply with the corporate integrity agreement with the U.S. Department of Justice were $153 thousand for the year and $50 thousand in the fourth quarter. Source
  • Restructuring costs included Biolife contracts: Corporate restructuring costs were $2.5 million for the year, including costs to terminate certain Biolife Merger distribution contracts. The fourth quarter showed a $0.3 million benefit. Source

Coming up, as management said on 24 February 2026

  • Former chair's consulting term ends March 31: Mr. Lampropoulos's consulting agreement with Merit runs through March 31, 2026.

Risks management discussed

  • External: Guidance excludes possible effects of trade policies and related actions by the U.S. and other countries after February 24, 2026, along with material acquisitions and non-recurring transactions. Source
  • Financial: Management said items it cannot predict, such as acquisition costs, litigation and regulatory changes, could materially affect GAAP results for 2026. Source

Earlier plans management reported on

  • Not stated: Management said the team remains focused on the final year of the Continued Growth Initiatives Program and related financial targets. 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.