Buy, Hold or Sell Hologic Stock? Key Insights Ahead of Q4 Earnings

Core Insights - Hologic (HOLX) is scheduled to release its fourth-quarter fiscal 2025 results on November 3, with earnings per share (EPS) estimated to increase by 8.9% year over year to $1.10 and revenues projected to rise by 4.7% to $1.03 billion [1][5]. Financial Performance - The Zacks Consensus Estimate for fiscal fourth-quarter EPS has remained stable over the past 60 days, indicating no revisions [1][2]. - Hologic's earnings performance over the trailing four quarters has been mixed, with three beats and one miss, averaging a surprise of 0.96% [2][3]. Segment Analysis - The Diagnostics unit is expected to face macroeconomic pressures, limiting growth potential, while the Breast Health and GYN Surgical divisions are showing modest gains [5][20]. - The Molecular Diagnostics unit is anticipated to drive growth, particularly in the U.S. vaginitis market, and the oncology business may benefit from the Breast Cancer Index test [6][7]. - The Breast Health division is likely to return to growth, supported by new leadership and improved sales strategies, with a projected 0.1% year-over-year revenue increase [8]. - The GYN Surgical division is expected to deliver strong revenue performance, with an 11.9% year-over-year increase, driven by international markets and new product reimbursements [9]. - The Skeletal Health division is projected to see significant growth of 144.8% year-over-year, rebounding from previous operational challenges [10]. Market Position and Valuation - Year-to-date, Hologic shares have declined by 3.2%, underperforming compared to the industry average decline of 8.1% [11]. - The stock is currently trading at a forward Price/Sales (P/S) ratio of 3.64, above its median of 3.47 and the sector's 2.30 [15]. Strategic Considerations - Hologic is focusing on innovation and market access, with new product launches and a strong emphasis on operational efficiency [17][18]. - The company faces ongoing macroeconomic challenges, including tariffs that may impact gross margins and revenue expectations, particularly in China [19][20].