Group 1 - Boston Scientific is confirmed as one of the first multinational medical companies to participate in the 9th China International Import Expo (CIIE) scheduled for 2026 [1] - The company aims to leverage the CIIE platform to better understand local clinical needs and accelerate the introduction of innovative products tailored to China's healthcare landscape [4][11] - Boston Scientific has a strong history of innovation, with over 10% of its revenue invested in R&D annually and multiple products recognized with prestigious awards [5] Group 2 - At the 8th CIIE, Boston Scientific will showcase over 80 innovative products, including five that will have their debut, addressing various clinical needs such as liver tumors and atrial fibrillation [7] - The company has successfully transitioned 22 products from exhibition to market approval in mainland China, demonstrating the effectiveness of the CIIE as a platform for commercialization [10] - The CIIE serves as a unique value proposition for connecting global innovations with China's clinical demands, acting as an accelerator for healthcare technology [11] Group 3 - The establishment of Boston Scientific's first manufacturing base in China, completed within a year, highlights the efficiency and speed of operations in the country, enhancing the company's local strategy [11] - The company emphasizes the importance of digitalization and precision in responding to the evolving healthcare needs in China, aligning with national health initiatives [11]

Core Viewpoint - Boston Scientific reported strong financial performance in Q2 2025, with sales of $5.061 billion, a year-over-year increase of 22.8%, driven primarily by its Cardiovascular and MedSurg segments [1][2]. Financial Performance - The company achieved net sales of $5.061 billion, exceeding analyst expectations of $4.89 billion, with an operational growth of 21.6% and organic growth of 17.4%, surpassing the previous guidance of 13%-15% [2][4]. - GAAP net profit reached $797 million, translating to an EPS of $0.53, more than doubling from $324 million (EPS of $0.22) in the same period last year [2][4]. - Adjusted EPS was $0.75, higher than the company's prior guidance of $0.71–$0.73 and market consensus of $0.73 [2][4]. - The company raised its full-year revenue growth guidance from 15%-17% to 18%-19% and adjusted EPS expectations from $2.87–$2.94 to $2.95–$2.99 [2]. Business Segment Performance - The Cardiovascular segment was the main growth driver, with sales of $3.345 billion, a 26.8% increase year-over-year [3][5]. - The MedSurg segment generated $1.716 billion in sales, reflecting a 15.7% year-over-year growth [3][6]. - Key contributors to Cardiovascular growth included electrophysiology and structural heart disease treatments, while MedSurg saw stable performance across urology, digestion, and neuromodulation [3][6][7]. Product and Regulatory Progress - The Farapulse system received FDA approval for expanded indications, and the company initiated clinical trials to evaluate its effectiveness in patients with recurrent atrial fibrillation [10][12]. - The Watchman FLX Pro device received CE mark certification in the EU, enhancing its clinical adoption potential [14]. Market Environment and Policy Changes - The CMS proposal to include catheter ablation procedures in outpatient surgery center payment coverage could significantly enhance patient access and affordability, benefiting the deployment of Farapulse and Watchman [15]. Strategic Acquisitions - Boston Scientific completed acquisitions of three medical technology companies, focusing on interventional oncology, chronic disease treatment, and vascular disease, which align with its existing business and enhance its product pipeline [16].

Core Insights - Boston Scientific reported strong second-quarter 2025 results, with revenue of $5.06 billion and adjusted EPS of $0.75, both exceeding Wall Street expectations and the company's own guidance [1][2][5] Financial Performance - Revenue increased by 22.8% year-over-year from $4.12 billion in Q2 2024 to $5.06 billion in Q2 2025 [2] - Adjusted EPS rose by 21.0% from $0.62 in Q2 2024 to $0.75 in Q2 2025 [2] - Net income attributable to stockholders was $797 million, up from $324 million in the same quarter last year [5] - Adjusted gross margin was 69.5%, slightly down from early 2025 levels due to tariff impacts [5][13] Segment Performance - The Cardiovascular segment generated $3.35 billion in revenue, a 26.8% increase year-over-year, driven by the adoption of WATCHMAN and FARAPULSE devices [6] - The MedSurg segment revenue rose to $1.72 billion, a 15.7% increase, with Urology group growth at 28.9% due to acquisitions [7][8] Regional Performance - U.S. sales grew by 30.7%, contributing significantly to overall revenue growth, while EMEA saw a modest 6.8% increase and Asia-Pacific grew by 18% [9] Strategic Focus - The company is concentrating on building category leadership, investing in R&D, entering adjacent medical fields through acquisitions, and strengthening global reach [4] - Recent acquisitions include Intera Oncology and SoniVie Ltd., enhancing capabilities in high-growth therapy areas [11] Research and Development - R&D expenses increased to $526 million in Q2 2025, supporting new clinical trials and product development [12] Future Guidance - For Q3 2025, the company projects revenue growth of 17-19% and adjusted EPS of $0.70-0.72 [14] - For the full year, expected revenue growth is 18-19% with adjusted EPS of $2.95-2.99 [14]

Core Insights - Boston Scientific Corporation (BSX) reported second-quarter 2025 adjusted earnings per share (EPS) of 75 cents, reflecting a 20.9% increase year-over-year, surpassing both the Zacks Consensus Estimate by 4.2% and the company's own guidance range of 71-73 cents per share [1][9] - The company's revenues for the second quarter reached $5.06 billion, marking a 22.8% year-over-year increase, exceeding the Zacks Consensus Estimate by 2.3% and the company's forecast of 17%-19% growth [3][9] Revenue Performance - Total revenues for Q2 2025 were $5.06 billion, with a reported growth of 22.8% and an operational growth of 21.6% at constant exchange rates [3] - Organic growth, adjusted for foreign currency fluctuations and acquisitions/divestitures, was 17.4% [3] - Revenue growth by region included a 30.7% increase in the United States, 6.8% in EMEA, 18% in Asia Pacific, and 4% in Latin America and Canada [5] Segment Analysis - Boston Scientific reorganized its operations into two main segments: MedSurg and Cardiovascular, both generating revenue from medical device sales [6] - MedSurg revenues were $1.72 billion, up 15.7% year-over-year, with notable contributions from Endoscopy ($737 million), Urology ($679 million), and Neuromodulation ($303 million) [7] - Cardiovascular segment revenues reached $3.35 billion, up 26.8% year-over-year, with Cardiology sales at $2.65 billion and Peripheral Interventions at $698 million [10] Margin and Cost Analysis - The gross margin for Q2 contracted by 152 basis points to 67.7%, with a 28.9% increase in the cost of products sold to $1.63 billion [11] - Selling, general, and administrative expenses rose by 18.7% to $1.72 billion, while research and development expenses increased by 37.3% to $526 million [11] Future Outlook - For 2025, Boston Scientific raised its net sales growth forecast to 18-19% from the previous 15-17%, with adjusted EPS guidance increased to $2.95-$2.99 [12][13] - The Zacks Consensus Estimate for 2025 sales is currently at $19.50 billion, indicating a 16.4% rise from 2024 [12] Recent Developments - The company achieved several milestones, including FDA approval for the FARAPULSE PFA System and CE Mark for the WATCHMAN FLX Pro device, enhancing its product offerings in atrial fibrillation and liver cancer treatment [15][16]

Company Performance & Market Observations - Intuitive Surgical (ISRG) is well-regarded in the medical equipment sector, but the speaker clarifies they are not ISRG [1] - Boston Scientific had another strong quarter [1] - Mike Mahoney is delivering fantastic results, including a significant revenue beat [1] - Certain sectors of the market are performing exceptionally well [1] - Equal weight versus the S&P 500 is underperforming on a relative basis [2] - Russell is not performing well [2] Economic & Policy Speculation - There is concern about speculation in some areas [3] - Speculation about potential rate cuts and their impact on mortgage rates [3] - Discussion about the Federal Reserve and potential policy actions [3][4]

Financial Data and Key Metrics Changes - In Q2 2025, total company operational sales grew 22% and organic sales grew 17%, exceeding the guidance range of 13% to 15% [6][23] - Adjusted EPS for Q2 was $0.75, representing a 23% increase, also surpassing the guidance range of $0.71 to $0.73 [6][23] - Adjusted operating margin was 27.6%, an increase of 50 basis points compared to Q2 2024 [7][24] Business Line Data and Key Metrics Changes - Urology sales grew 28% operationally and 6% organically, driven by stone management and prosthetic urology franchises [11] - Endoscopy grew 8% globally, with double-digit growth in the U.S., supported by strong performance in key products [12] - Cardiology sales increased by 28%, with interventional cardiology therapy sales growing 9% [13] Market Data and Key Metrics Changes - U.S. operational growth was 31%, primarily driven by the cardiovascular portfolio [8][9] - EMEA grew 2% operationally, with 7% growth excluding the Accurate Valve discontinuation [9] - Asia Pacific saw a 15% operational growth, led by strong performance in Japan, China, and Australia [10] Company Strategy and Development Direction - The company is focusing on expanding its portfolio and investing in clinical evidence to support new technologies [15][21] - There is a commitment to strategic acquisitions and high-growth adjacencies, with recent acquisitions of Sonae V and Entera Medical [26] - The company aims to continue outpacing market growth through organic portfolio enhancements and strategic M&A [94] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the growth trajectory, expecting full-year organic growth to be in the range of 14% to 15% [28][29] - The anticipated impact of tariffs and the Accurate Valve discontinuation was discussed, with expectations for gross margin to remain flat for the year [24][45] - Management highlighted the importance of clinical data and reimbursement developments in driving future growth [72][75] Other Important Information - The company received a credit rating upgrade from Moody's to A3, reflecting improved financial stability [26] - Free cash flow for Q2 was $1,129 million, with expectations for full-year free cash flow to be approximately $3,500 million [26] Q&A Session Summary Question: WATCHMAN growth and durability - Management noted strong growth in WATCHMAN, driven by safety and efficacy, with expectations for continued growth in the future [35][38] Question: Gross margin concerns - Management addressed the impact of the Accurate Valve discontinuation on gross margin, emphasizing strong sales performance and cost controls [42][44] Question: Growth vectors for EP business - Management highlighted market growth, PFA adoption, and new product introductions as key growth drivers for the electrophysiology business [49][50] Question: MedSurg business performance - Management emphasized strong performance in Endoscopy and Neuromodulation, with expectations for continued growth despite some competitive pressures [55][60] Question: ASC setting and growth implications - Management expressed optimism about the ASC setting, viewing it as a positive development for future growth despite potential challenges [64][68] Question: Renal denervation market potential - Management discussed the potential of the renal denervation market, emphasizing the importance of clinical trials and market positioning [71][75] Question: Evolution of the EP portfolio - Management outlined plans for expanding the EP portfolio, including new product launches and indication expansions [78][82]

Financial Data and Key Metrics Changes - In Q2 2025, total company operational sales grew 22% and organic sales grew 17%, exceeding the guidance range of 13% to 15% [5][20] - Adjusted EPS for Q2 was $0.75, a 23% increase, surpassing the guidance range of $0.71 to $0.73 [5][20] - Adjusted operating margin was 27.6%, reflecting a 50 basis point increase compared to Q2 2024 [5][21] Business Line Data and Key Metrics Changes - Urology sales grew 28% operationally and 6% organically, driven by stone management and prosthetic urology franchises [9] - Endoscopy grew 8% globally, with double-digit growth in the U.S., supported by strong performance in key products [10] - Cardiology sales increased by 28%, with interventional cardiology therapy sales growing 9% [11] Market Data and Key Metrics Changes - U.S. operational growth was 31%, primarily from the cardiovascular portfolio [7] - EMEA grew 2% operationally, with 7% growth excluding the Accurate Valve discontinuation [7] - Asia Pacific saw a 15% operational growth, led by strong performance in Japan, China, and Australia [8] Company Strategy and Development Direction - The company is focused on expanding its portfolio and investing in clinical evidence to drive growth, particularly in the electrophysiology market [17][18] - Strategic acquisitions, such as Entera Medical, are aimed at enhancing the interventional oncology portfolio [19][23] - The company anticipates continued high single-digit growth in the second half of the year, driven by proprietary technologies and strategic partnerships [10] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving organic growth of 14% to 15% for the full year 2025, reflecting strong momentum across global businesses [6][24] - The anticipated impact of tariffs has been revised down to approximately $100 million for the full year [21][24] - Management highlighted the importance of clinical data and reimbursement decisions in shaping future growth, particularly in the WATCHMAN and FerriPulse markets [36][99] Other Important Information - The company received a credit rating upgrade from Moody's to A3, indicating improved financial stability [23] - Free cash flow for Q2 was $1.129 billion, with expectations of approximately $3.5 billion for the full year 2025 [23][24] Q&A Session Summary Question: WATCHMAN growth and durability - Management noted a 28% growth in WATCHMAN, driven by its safety and efficacy profile, and expects continued growth as more physicians adopt concomitant procedures [34][36] Question: Gross margin concerns - Management acknowledged a $130 million write-down related to the Accurate exit but emphasized strong sales performance and cost controls that offset this impact [40][43] Question: Growth vectors for electrophysiology business - Management highlighted market growth, PFA adoption, and new product launches as key growth drivers for the electrophysiology segment [48][50] Question: Capacity issues with WATCHMAN and FerriPulse - Management indicated no current capacity constraints but noted that hospitals are investing in additional labs to accommodate growing demand [102][106] Question: Impact of Medicare rule changes - Management expressed concerns about proposed reimbursement cuts but remains confident that physicians will prioritize appropriate treatments for patients [98][99]

Company Performance - Boston Scientific reported quarterly earnings of $0.75 per share, exceeding the Zacks Consensus Estimate of $0.72 per share, and up from $0.62 per share a year ago, representing an earnings surprise of +4.17% [1] - The company posted revenues of $5.06 billion for the quarter ended June 2025, surpassing the Zacks Consensus Estimate by 3.48%, compared to revenues of $4.12 billion in the same quarter last year [2] - Over the last four quarters, Boston Scientific has consistently surpassed consensus EPS and revenue estimates [2] Stock Performance - Boston Scientific shares have increased approximately 15.5% since the beginning of the year, outperforming the S&P 500's gain of 7.3% [3] - The stock currently holds a Zacks Rank 2 (Buy), indicating expectations of outperforming the market in the near future [6] Future Outlook - The current consensus EPS estimate for the upcoming quarter is $0.70 on revenues of $4.85 billion, and for the current fiscal year, it is $2.91 on revenues of $19.5 billion [7] - The outlook for the industry, particularly the Medical - Products sector, is currently in the bottom 30% of Zacks industries, which may impact stock performance [8]

Financial Performance - The company's reported net sales reached $5061 billion, demonstrating a 228% increase year-over-year[21] - Operational net sales grew by 216% year-over-year[14] - Organic net sales increased by 174% compared to the previous year[14] - Reported earnings per share (EPS) stood at $053, compared to $022 in Q2 2024[18] - Adjusted EPS was $075, up from $062 in Q2 2024[18] - The company's free cash flow reached $1129 million in Q2 2025, compared to $660 million in Q2 2024[35] Segment Performance - MedSurg segment reported net sales of $1716 billion, a 157% increase year-over-year[22] - Cardiovascular segment reported net sales of $3345 billion, a 268% increase year-over-year[25] - Cardiology segment net sales increased by 293% to $2647 billion[27] - Electrophysiology (EP) net sales surged by 961% to $840 million[27] Guidance - The company projects Q3 2025 reported net sales growth of 17%-19% and organic net sales growth of 12%-14%[18] - Q3 2025 reported EPS is expected to be $044-$046, with adjusted EPS of $070-$072[18] - For the full year 2025, the company anticipates reported net sales growth of 18%-19% and organic net sales growth of 14%-15%[18] - Full year 2025 reported EPS is projected to be $189-$193, with adjusted EPS of $295-$299[18]

[Financial & Operational Highlights](index=1&type=section&id=Financial%20%26%20Operational%20Highlights) Boston Scientific reported strong Q2 2025 financial results exceeding guidance, alongside significant regulatory approvals and strategic acquisitions [Q2 2025 Performance Summary](index=1&type=section&id=Q2%202025%20Performance%20Summary) Boston Scientific reported exceptional results for the second quarter of 2025, with net sales of $5.061 billion, representing a 22.8% reported growth and 17.4% organic growth. Both GAAP and adjusted EPS significantly increased year-over-year and surpassed the company's guidance, reflecting strong commercial execution and margin expansion Q2 2025 Key Financial Metrics | Metric | Q2 2025 | Q2 2024 | % Change | | :--- | :--- | :--- | :--- | | Net Sales | $5.061B | $4.120B | +22.8% Reported | | GAAP Net Income | $797M | $324M | +146.0% | | GAAP EPS | $0.53 | $0.22 | +140.9% | | Adjusted EPS | $0.75 | $0.62 | +21.0% | - The company's performance exceeded its own guidance ranges for sales growth and earnings per share[2](index=2&type=chunk) Q2 2025 Performance vs. Guidance | Metric | Q2 2025 Actual | Q2 2025 Guidance | | :--- | :--- | :--- | | Reported Net Sales Growth | 22.8% | 17.5% to 19.5% | | Organic Net Sales Growth | 17.4% | 13.0% to 15.0% | | GAAP EPS | $0.53 | $0.45 to $0.47 | | Adjusted EPS | $0.75 | $0.71 to $0.73 | [Recent Corporate & Clinical Developments](index=2&type=section&id=Recent%20Corporate%20%26%20Clinical%20Developments) During the quarter, Boston Scientific achieved significant regulatory and clinical milestones, including FDA approval for the FARAPULSE™ PFA System for persistent AF and a CE Mark for the WATCHMAN FLX™ Pro device. The company also expanded its portfolio by completing the acquisitions of Intera Oncology Inc. and SoniVie Ltd - Received FDA approval to expand the use of the FARAPULSE™ Pulsed Field Ablation (PFA) System for treating symptomatic persistent atrial fibrillation (AF)[6](index=6&type=chunk) - Obtained CE Mark for the WATCHMAN FLX™ Pro Left Atrial Appendage Closure Device, which is optimized for healing and improved visualization[6](index=6&type=chunk) - Completed the acquisition of Intera Oncology Inc., adding a hepatic artery infusion pump and a chemotherapy drug to its portfolio[6](index=6&type=chunk) - Completed the acquisition of SoniVie Ltd., developer of the TIVUS™ Intravascular Ultrasound System for treating hypertension[6](index=6&type=chunk) [Detailed Financial Performance](index=3&type=section&id=Detailed%20Financial%20Performance) Net sales growth was primarily driven by strong Cardiovascular segment performance and significant expansion in the United States market [Net Sales by Business Segment](index=3&type=section&id=Net%20Sales%20by%20Business%20Segment) The Cardiovascular segment was the largest and fastest-growing business, with reported sales increasing by 26.8% to $3.345 billion. The MedSurg segment also posted strong results with 15.7% reported growth. On an organic basis, Cardiology was the standout performer with 27.9% growth Q2 2025 Net Sales by Business Segment (in millions) | Business Segment | Q2 2025 Sales | Q2 2024 Sales | Reported Growth | Organic Growth | | :--- | :--- | :--- | :--- | :--- | | **MedSurg** | **$1,716** | **$1,483** | **15.7%** | **7.0%** | | Endoscopy | $737 | $676 | 9.1% | 7.8% | | Urology | $676 | $525 | 28.9% | 6.3% | | Neuromodulation | $303 | $282 | 7.2% | 6.6% | | **Cardiovascular** | **$3,345** | **$2,637** | **26.8%** | **23.2%** | | Cardiology | $2,647 | $2,047 | 29.3% | 27.9% | | Peripheral Interventions | $698 | $590 | 18.3% | 7.0% | | **Total Net Sales** | **$5,061** | **$4,120** | **22.8%** | **17.4%** | [Net Sales by Region](index=3&type=section&id=Net%20Sales%20by%20Region) The United States was the primary driver of growth, with sales increasing 30.7% to $3.224 billion. The Asia-Pacific (APAC) region also delivered strong performance with 18.0% reported growth. Emerging Markets grew 11.6% on a reported basis Q2 2025 Net Sales by Region (in millions) | Region | Q2 2025 Sales | Q2 2024 Sales | Reported Growth | Operational Growth | | :--- | :--- | :--- | :--- | :--- | | U.S. | $3,224 | $2,466 | 30.7% | 30.7% | | EMEA | $878 | $822 | 6.8% | 1.8% | | APAC | $790 | $670 | 18.0% | 15.4% | | LACA | $169 | $162 | 4.0% | 8.9% | | **Total Net Sales** | **$5,061** | **$4,120** | **22.8%** | **21.6%** | | Emerging Markets | $758 | $680 | 11.6% | 12.1% | [Financial Outlook](index=4&type=section&id=Financial%20Outlook) Boston Scientific raised its full-year and Q3 2025 guidance, projecting strong net sales growth and increased adjusted EPS [Full Year 2025 Guidance](index=4&type=section&id=Full%20Year%202025%20Guidance) The company raised its full-year 2025 guidance, projecting net sales growth of approximately 18% to 19% on a reported basis and 14% to 15% organically. Adjusted EPS is now estimated to be in the range of $2.95 to $2.99, with GAAP EPS expected between $1.89 and $1.93 Full Year 2025 Guidance | Metric | Low Estimate | High Estimate | | :--- | :--- | :--- | | Reported Net Sales Growth | 18.0% | 19.0% | | Organic Net Sales Growth | 14.0% | 15.0% | | GAAP EPS | $1.89 | $1.93 | | Adjusted EPS | $2.95 | $2.99 | [Third Quarter 2025 Guidance](index=4&type=section&id=Third%20Quarter%202025%20Guidance) For the third quarter of 2025, Boston Scientific anticipates reported net sales growth between 17% and 19% (12% to 14% organic). The company forecasts GAAP EPS of $0.44 to $0.46 and adjusted EPS of $0.70 to $0.72 Third Quarter 2025 Guidance | Metric | Low Estimate | High Estimate | | :--- | :--- | :--- | | Reported Net Sales Growth | 17.0% | 19.0% | | Organic Net Sales Growth | 12.0% | 14.0% | | GAAP EPS | $0.44 | $0.46 | | Adjusted EPS | $0.70 | $0.72 | [Consolidated Financial Statements (GAAP)](index=6&type=section&id=Consolidated%20Financial%20Statements%20%28GAAP%29) The consolidated financial statements highlight significant year-over-year growth in net sales, operating income, and net income for the second quarter of 2025 [Consolidated Statements of Operations](index=6&type=section&id=Consolidated%20Statements%20of%20Operations) For the three months ended June 30, 2025, the company's net sales grew to $5.061 billion from $4.120 billion in the prior-year period. This top-line growth, combined with managed operating expenses, resulted in operating income of $819 million and net income attributable to common stockholders of $797 million, or $0.53 per diluted share, a substantial increase from $324 million, or $0.22 per share, in Q2 2024 Consolidated Statements of Operations Highlights (in millions) | Line Item | Three Months Ended June 30, 2025 | Three Months Ended June 30, 2024 | | :--- | :--- | :--- | | Net sales | $5,061 | $4,120 | | Gross profit | $3,424 | $2,850 | | Operating income | $819 | $520 | | Net income attributable to Boston Scientific common stockholders | $797 | $324 | | Diluted net income per common share | $0.53 | $0.22 | [Non-GAAP Financial Measures & Reconciliations](index=7&type=section&id=Non-GAAP%20Financial%20Measures%20%26%20Reconciliations) The company provides non-GAAP financial measures to offer a clearer view of underlying business performance by adjusting for specific non-recurring or non-cash items [Reconciliation of GAAP to Non-GAAP Results](index=7&type=section&id=Reconciliation%20of%20GAAP%20to%20Non-GAAP%20Results) The company's adjusted EPS for Q2 2025 was $0.75, compared to a GAAP EPS of $0.53. The primary adjustments included $0.13 for amortization expense, $0.10 for restructuring charges, and a credit of ($0.06) for acquisition/divestiture-related items. These adjustments reconcile the reported GAAP net income of $797 million to an adjusted net income of $1,127 million Q2 2025 GAAP to Adjusted EPS Reconciliation | Description | Impact per Share | | :--- | :--- | | **Reported GAAP EPS** | **$0.53** | | Amortization expense | $0.13 | | Goodwill and other intangible asset impairment charges | $0.02 | | Acquisition/divestiture-related net charges (credits) | ($0.06) | | Restructuring and restructuring related net charges (credits) | $0.10 | | EU MDR implementation costs | $0.01 | | Deferred tax expenses (benefits) | $0.03 | | Other | ($0.00) | | **Adjusted EPS** | **$0.75** | [Explanation of Non-GAAP Measures](index=10&type=section&id=Explanation%20of%20Non-GAAP%20Measures) Boston Scientific uses non-GAAP financial measures such as operational net sales, organic net sales, and adjusted net income/EPS to supplement its GAAP reporting. Management believes these measures provide greater transparency into underlying business trends by excluding items like foreign currency fluctuations, amortization of intangible assets, restructuring costs, and acquisition-related charges. These metrics are used internally for performance evaluation, resource allocation, and setting operational goals - Non-GAAP measures are used to exclude certain charges/credits, such as amortization expense, acquisition-related costs, restructuring charges, and EU MDR implementation costs[25](index=25&type=chunk)[26](index=26&type=chunk) - Operational net sales exclude the impact of foreign currency fluctuations, while organic net sales exclude both currency impacts and the effect of certain acquisitions/divestitures[25](index=25&type=chunk)[28](index=28&type=chunk) - Management utilizes these non-GAAP measures to evaluate period-over-period performance, analyze business trends, assess performance relative to competitors, and establish operational goals and forecasts[30](index=30&type=chunk)[31](index=31&type=chunk)