Core Insights - Boston Scientific reported adjusted earnings of 75 cents per share on $5.07 billion in third-quarter sales, exceeding analyst expectations of 71 cents per share and $4.97 billion in sales [1][2] - The company experienced a year-over-year increase in earnings from 63 cents per share and sales of $4.21 billion in the same quarter last year [1] - For the full year, Boston Scientific guided to 20% sales growth on a strict basis and 15.5% organic growth, with projected adjusted earnings between $3.02 and $3.04 per share [2] Stock Performance - In premarket trading, Boston Scientific stock rose over 3% to $102.88, although it remains below its 50-day and 200-day moving averages [3] - The stock is currently consolidating with a buy point at $109.50 according to MarketSurge [3] Analyst Expectations - Analysts projected earnings of $2.98 per share and total sales of $19.88 billion for Boston Scientific, reflecting an almost 19% increase [2]

Core Viewpoint - Boston Scientific (BSX.US) reported a strong performance in Q3, with sales exceeding analyst expectations and a significant year-over-year growth in revenue and adjusted earnings per share [1] Financial Performance - Q3 sales increased by 20% year-over-year to $5.07 billion, surpassing Wall Street's forecast of $4.97 billion [1] - The cardiovascular segment saw a 22% year-over-year sales growth, reaching $3.34 billion, which was above the expected $3.27 billion [1] - Adjusted earnings per share for the quarter were $0.75, exceeding the anticipated $0.71 [1] Guidance Update - The company raised its full-year adjusted earnings per share guidance to a range of $3.02 to $3.04, which is higher than the analyst consensus of $2.98 [1]

Core Insights - Boston Scientific Corporation (BSX) reported third-quarter 2025 adjusted earnings per share (EPS) of 75 cents, a 19% increase year-over-year, surpassing the Zacks Consensus Estimate by 5.6% and exceeding the company's guidance of 70-72 cents [1][8] - Total revenues for the quarter reached $5.07 billion, reflecting a 20.3% year-over-year increase on a reported basis and 19.4% on an operational basis, exceeding the Zacks Consensus Estimate by 1.9% [3][8] Revenue Breakdown - Revenue growth was driven by a 27% increase in the United States, a 2.6% rise in Europe, the Middle East and Africa (EMEA), a 17.1% increase in the Asia Pacific region, and a 10.4% rise in Latin America and Canada [4] - Organic growth, adjusted for foreign currency fluctuations and acquisitions/divestitures, was reported at 15.3% [3] Segment Performance - MedSurg segment revenues totaled $1.72 billion, up 16.4% year-over-year, with notable contributions from the Endoscopy unit ($747 million, up 9% organically), Urology ($682 million, up 5.4%), and Neuromodulation ($293 million, up 8.6%) [6] - The Cardiovascular segment generated $3.34 billion in revenues, reflecting a 22.4% increase year-over-year [7][9] Margin and Expense Analysis - Gross margin expanded by 110 basis points to 69.9%, while the cost of products sold rose by 16.1% to $1.52 billion [10] - Selling, general and administrative expenses increased by 11.5% to $1.74 billion, and research and development expenses rose by 26.3% to $514 million [11] Future Outlook - For 2025, Boston Scientific anticipates net sales growth of approximately 20% and adjusted EPS in the range of $3.02-$3.04, an increase from previous guidance [12][13] - Fourth-quarter revenue growth is projected between 14.5-16.5% on a reported basis, with adjusted earnings expected in the range of 77-79 cents per share [13][14] Strategic Developments - The company achieved several milestones, including regulatory approval in Japan for the FARAPULSE PFA System and the initiation of the AGENT DCB STANCE trial [16] - Boston Scientific completed an asset acquisition with Elutia, Inc. for the antibiotic-eluting EluPro BioEnvelope and CanGaroo Envelope [17]

Core Viewpoint - Boston Scientific reported a strong third-quarter performance with a 20% year-over-year sales growth, reaching $5.07 billion, surpassing Wall Street's expectations of $4.97 billion [1] Group 1: Financial Performance - The cardiovascular segment achieved a 22% year-over-year sales increase, totaling $3.34 billion, exceeding the anticipated $3.27 billion [1] - Adjusted earnings per share (EPS) for the quarter were $0.75, higher than the expected $0.71 [1] Group 2: Future Guidance - For the fourth quarter, the company projects EPS to be between $0.77 and $0.79, compared to analyst expectations of $0.76 [1] - The full-year adjusted EPS guidance has been raised from a range of $2.95 to $2.99 to a new range of $3.02 to $3.04, while analysts had anticipated $2.98 [1]

Financial Data and Key Metrics Changes - Total company operational sales grew 19% in Q3 2025, while organic sales increased by 15%, exceeding the guidance range of 12% to 14% [6][22] - Adjusted EPS for Q3 2025 was $0.75, reflecting a 19% growth and surpassing the guidance range of $0.70 to $0.72 [6][22] - Adjusted operating margin for Q3 was 28%, with an adjusted gross margin of 71%, showing a 60 basis point improvement year-over-year [23][6] Business Line Data and Key Metrics Changes - Urology sales grew 27% operationally and 5% organically, driven by international business and Global Stone Management [9] - Endoscopy experienced a 9% growth, with double-digit growth in key products [10] - Neuromodulation sales increased by 9%, supported by strong performance in the brain franchise [10] - Peripheral interventions sales grew 16% operationally and 6% organically, with low single-digit growth in arterial due to pricing pressures in China [11] Market Data and Key Metrics Changes - U.S. operational sales grew 27%, with strong performance across cardiovascular businesses, endoscopy, and neuromodulation [7] - Europe, Middle East, and Africa (EMEA) saw a 2% decline operationally due to specific headwinds, while Asia-Pacific grew 17% operationally [7][8] - China experienced mid-teens growth, driven by strong performance in electrophysiology and the recent approval of the Watchman Flex Pro device [8][9] Company Strategy and Development Direction - The company is focused on sustaining above-market growth, with a full-year 2025 organic growth guidance of approximately 15.5% [6][25] - The acquisition of Nalu Medical is expected to expand the company's portfolio into a new pain adjacency, complementing its existing strengths [11][81] - The company aims to achieve 10% plus average organic revenue growth from 2026 to 2028, along with annual adjusted operating margin expansion [28] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in sustaining growth despite challenges, with a focus on innovation and clinical evidence generation [20][39] - The company does not anticipate procedural pull-forwards due to external pressures, maintaining consistent procedural demand [38] - Management remains optimistic about the growth potential in the electrophysiology and Watchman markets, projecting a 20% CAGR over the long-range plan [33][48] Other Important Information - The company faced a $30 million backorder due to an ERP system upgrade, impacting various business lines but expected to improve in Q4 [7][75] - The company maintains a strong cash position with $1.275 billion on hand and a gross debt leverage ratio of 2.0 times [24] Q&A Session Summary Question: Is Watchman a key growth driver? - Management confirmed that Watchman is a significant growth driver, with expectations of continued market expansion and strong adoption rates [32][34] Question: What is the outlook for the China market? - Management indicated strong growth in China, with expectations for continued double-digit growth despite pricing pressures [39][40] Question: How will the new product cycle impact CRM growth? - Management expressed confidence in the upcoming Denali platform and Empower leadless pacemaker, anticipating improved growth in the CRM segment [85][86] Question: What are the drivers for growth outside EP and Watchman? - Management highlighted strong performance in neuromodulation, endoscopy, and the potential of the Nalu acquisition to enhance growth in the pain management segment [60][61]

Financial Data and Key Metrics Changes - In Q3 2025, total company operational sales grew 19%, and organic sales grew 15%, exceeding the guidance range of 12%-14% [6][22] - Q3 adjusted EPS was $0.75, reflecting a 19% increase and surpassing the guidance range of $0.70-$0.72 [6][22] - Adjusted operating margin for Q3 was 28%, with an expectation to expand full-year adjusted operating margin by approximately 100 basis points [6][23][26] Business Line Data and Key Metrics Changes - Urology sales grew 27% operationally and 5% organically, driven by international business and Global Stone Management [9] - Endoscopy grew 9%, with double-digit growth in key products [10] - Neuromodulation sales increased by 9%, supported by strong performance in the brain franchise [10] - Peripheral interventions sales grew 16% operationally and 6% organically, with low double-digit growth in the U.S. [11] - Cardiology sales grew 23%, with interventional cardiology therapy sales growing 3% [14] Market Data and Key Metrics Changes - U.S. operational sales grew 27%, while Europe, Middle East, and Africa (EMEA) declined 2% due to specific headwinds [7][8] - Asia-Pacific grew 17% operationally, led by strong growth in Japan and China [8] - WATCHMAN sales grew 35%, reflecting strong market penetration and adoption [15][16] Company Strategy and Development Direction - The company is focused on strategic tuck-in M&A in high-growth adjacencies, with the recent agreement to acquire Nalu Medical to expand into peripheral nerve pain [11][24] - The company aims for 10%+ average organic revenue growth from 2026 to 2028, with a target of 70%-80% annual free cash flow conversion [28] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in sustaining above-market growth, with expectations for continued strong performance in the cardiovascular and MedSurg segments [6][7] - The company anticipates improvements in backorders and operational performance in Europe in the fourth quarter [8] - Management remains optimistic about the growth potential of WATCHMAN and electrophysiology, projecting a 20% CAGR over the long-range plan [32][48] Other Important Information - The company experienced a backorder of approximately $30 million due to an ERP system upgrade, impacting various business lines [8][76] - The company expects to close the acquisition of Nalu Medical in the first half of 2026 [11][24] Q&A Session Summary Question: Is WATCHMAN a key growth driver? - Management confirmed that WATCHMAN is a significant growth driver, with expectations for continued market expansion and strong performance [32] Question: What is the outlook for the China market? - Management indicated that the China business is performing well, with expectations for double-digit growth despite price pressures [39] Question: How will the new product cycle impact CRM growth? - Management expressed confidence in the upcoming product cycle, including the Denali platform and EMPOWER leadless pacemaker, to strengthen CRM growth [86] Question: What are the dynamics outside EP and WATCHMAN? - Management highlighted strong growth in other divisions, including neuromodulation and endoscopy, and emphasized ongoing investments in these areas [58]

Financial Data and Key Metrics Changes - In Q3 2025, total company operational sales grew 19%, and organic sales grew 15%, exceeding the guidance range of 12% to 14% [5][20] - Q3 adjusted EPS was $0.75, reflecting a 19% increase and surpassing the guidance range of $0.70 to $0.72 [5][20] - Adjusted operating margin for Q3 was 28%, with an expected full-year adjusted EPS guidance of $3.02 to $3.04, representing growth of 20% to 21% [6][25] Business Line Data and Key Metrics Changes - Urology sales grew 27% operationally and 5% organically, driven by international business and Global Stone Management [8] - Endoscopy grew 9%, with double-digit growth in key products, particularly in the U.S. [9] - Neuromodulation sales increased by 9%, supported by strong performance in the brain franchise and pain franchise [9][10] - Cardiology sales grew 23%, with interventional cardiology therapy sales growing 3% [12] Market Data and Key Metrics Changes - U.S. operational sales grew 27%, while Europe, Middle East, and Africa (EMEA) declined 2% due to specific headwinds [6][7] - Asia-Pacific grew 17% operationally, led by strong growth in Japan and China [7][8] - Watchman sales grew 35%, reflecting strong uptake in the U.S. [14] Company Strategy and Development Direction - The company is focused on strategic tuck-in M&A in high-growth adjacencies, with recent acquisitions including Nalu Medical [20][24] - The company aims for 10% plus average organic revenue growth from 2026 to 2028, with a target of 50 basis points of annual adjusted operating margin expansion [26] - The company is investing in innovative solutions across both AF and non-AF segments to outpace market growth [17] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in sustaining above-market growth, particularly in the U.S. and Asia-Pacific [5][6] - The company anticipates improvements in backorders and expects to recover from ERP implementation challenges in Europe [7][10] - Management remains optimistic about the growth potential of Watchman and EP technologies, projecting a 20% CAGR over the long-range plan [32][44] Other Important Information - The company expects full-year 2025 reported revenue growth of approximately 20%, with operational revenue growth of about 19% [24] - Free cash flow for Q3 was $1.163 billion, with expectations of approximately $3.5 billion for the full year [23] Q&A Session Summary Question: Is Watchman a key growth driver? - Management confirmed that Watchman is a significant growth driver, with expectations of continued strong performance and market penetration [30][32] Question: What is the outlook for the China market? - Management indicated that the China business is performing well, with expectations of double-digit growth despite VBP price pressures [36][38] Question: How will the new product cycle impact CRM growth? - Management expressed confidence in the upcoming Denali platform and Empower leadless pacemaker, which are expected to enhance growth in the CRM segment [78][80] Question: What are the drivers for growth outside of EP and Watchman? - Management highlighted strong performance in neuromodulation, endoscopy, and the potential for Urology to improve in 2026 [55][56]

Financial Data and Key Metrics Changes - In Q3 2025, total company operational sales grew 19% and organic sales grew 15%, exceeding the guidance range of 12% to 14% [6][27] - Q3 adjusted EPS was $0.75, a 19% increase, surpassing the guidance range of $0.70 to $0.72 [6][27] - Adjusted operating margin for Q3 was 28%, an increase of 80 basis points year-over-year [27][28] Business Line Data and Key Metrics Changes - Urology sales grew 27% operationally and 5% organically, driven by international business and global stone management franchise [10] - Endoscopy sales increased by 9%, with double-digit growth in key products [12] - Neuromodulation sales grew 9%, supported by strong performance in the brain franchise [12] - Peripheral Interventions sales grew 16% operationally and 6% organically, with low single-digit growth in arterial business impacted by China VBP [14] Market Data and Key Metrics Changes - U.S. operational sales grew 27%, with strong performance across cardiovascular businesses, endoscopy, and neuromodulation [8] - Europe, Middle East, and Africa (EMEA) saw a decline of 2% operationally due to specific headwinds, but excluding these, growth would have been in high single digits [8] - Asia Pacific grew 17% operationally, led by strong growth in Japan and China [9] Company Strategy and Development Direction - The company is focused on expanding its innovative portfolio and maintaining above-market growth, with a full-year organic growth guidance raised to approximately 15.5% [7][30] - The acquisition of Nalu Medical is expected to enhance the company's portfolio in the pain management space [13][92] - The company aims to be market share leaders in electrophysiology (EP) and continues to invest in innovative solutions to drive growth [24][66] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in sustained above-market growth, particularly in the U.S. and China, despite challenges in EMEA [8][46] - The company anticipates continued strong performance in the WATCHMAN market, projecting approximately 20% growth over the long-range plan [39][50] - Management noted that there are no signals of procedural pull-forward due to external pressures, indicating consistent demand [44] Other Important Information - The company expects full-year 2025 reported revenue growth of approximately 20%, with operational revenue growth of about 19% [30] - Adjusted gross margin for Q3 was 71%, reflecting a 60 basis point improvement year-over-year [28] - Free cash flow for Q3 was $1,163 million, with expectations of approximately $3,500 million for the full year [29] Q&A Session Summary Question: Is WATCHMAN a key growth driver? - Management confirmed that WATCHMAN is a significant growth driver, with expectations of continued market expansion and strong adoption rates [36][39] Question: What is the outlook for the China business? - Management indicated that the China business is performing well, with mid-teens growth expected to continue despite VBP pressures [42][46] Question: How will the new product cycle impact CRM growth? - Management expressed confidence in the upcoming product cycle, including the Denali platform and leadless pacemaker, which are expected to enhance growth in the CRM segment [98][100] Question: What is the impact of the $30 million back order? - The back order primarily affected the MedSurg and Peripheral Interventions businesses, but management expects it to normalize by the end of the year [85][86]

Core Insights - Boston Scientific reported quarterly earnings of $0.75 per share, exceeding the Zacks Consensus Estimate of $0.71 per share, and showing an increase from $0.63 per share a year ago, resulting in an earnings surprise of +5.63% [1] - The company achieved revenues of $5.07 billion for the quarter ended September 2025, surpassing the Zacks Consensus Estimate by 1.94%, and up from $4.21 billion year-over-year [2] - Boston Scientific has consistently surpassed consensus EPS and revenue estimates over the last four quarters [2] Earnings Performance - The earnings surprise of +5.63% indicates strong performance relative to expectations, with a previous quarter's surprise of +4.17% [1][2] - The company has maintained a favorable trend in estimate revisions leading up to the earnings release, contributing to a Zacks Rank 2 (Buy) for the stock [6] Future Outlook - Current consensus EPS estimate for the upcoming quarter is $0.76 on revenues of $5.16 billion, and for the current fiscal year, it is $2.98 on revenues of $19.85 billion [7] - The sustainability of stock price movement will depend on management's commentary during the earnings call and future earnings expectations [3][4] Industry Context - The Medical - Products industry, to which Boston Scientific belongs, is currently ranked in the bottom 42% of over 250 Zacks industries, which may impact stock performance [8] - Empirical research indicates a strong correlation between near-term stock movements and trends in earnings estimate revisions, suggesting that industry outlook can significantly affect stock performance [5][8]

Company Performance - Boston Scientific reported Q3 sales of $5.07 billion, reflecting a year-over-year growth of 20.3% [1] - Electrophysiology sales reached $865 million in Q3, marking a significant year-over-year growth of 64.2% [2][4] - The company's cardiovascular sales totaled $3.34 billion, with a growth rate of 22.4% year-over-year [1] Product Insights - The growth in electrophysiology sales was primarily driven by the pulsed field ablation (PFA) portfolio, particularly the Farapulse system [2] - The Farapulse PFA system has been utilized in over 500,000 procedures, maintaining its position as the leading PFA technology [4] - Sales of the Farapulse system grew in double digits in the U.S. during Q3, aided by the adoption of the Opal mapping system [4] Market Outlook - Boston Scientific anticipates that PFA's global penetration will reach 50% by the end of 2025 and approximately 80% by 2028 [6] - The global electrophysiology market is projected to grow from an estimated $13 billion in 2025 to $20 billion in 2028 [6] - The company aims to continue expanding its market share in electrophysiology and maintain a strong leadership position in PFA through innovative products and resources [5]