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]

Financial Data and Key Metrics Changes - Boston Scientific reported 16.5% organic growth and 22% EPS growth for FY 2024, with a strong start to FY 2025 showing 18% organic growth and 34% EPS growth in Q1 [1][2] - The company raised its full-year guidance to 12-14% organic growth and enhanced its EPS and margin profile despite tariff impacts [4][5] Business Line Data and Key Metrics Changes - The weighted average market growth rate for Boston Scientific has improved from around 1% years ago to approximately 8% currently, driven by a focus on innovation and faster-growing markets [7][8] - The discontinuation of the Accurate neo two product is expected to impact full-year sales by about $200 million, but the company maintains its guidance for Q2 and full-year sales and adjusted EPS [15][16] Market Data and Key Metrics Changes - The overall health of the med tech market remains resilient, with Boston Scientific positioned in high-growth markets such as electrophysiology (EP) and left atrial closure (LAC) [6][8] - The company has successfully navigated macro headwinds, including tariffs and regulatory changes, maintaining strong patient volume due to aging demographics [9][10] Company Strategy and Development Direction - Boston Scientific aims to be the highest-performing med tech company, focusing on enhancing its market growth rate and delivering differentiated results over the next five years [4][21] - The company is investing heavily in its portfolio to position itself for future growth, particularly in the EP and LAC markets [21][66] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's ability to navigate macroeconomic challenges and emphasized the strength of its global team and supply chain [10][12] - The company anticipates continued growth in the FerriPulse product line, with expectations for PFA to exceed 60% of global AF ablations by 2026 [48][49] Other Important Information - The company has a robust venture capital portfolio that supports its growth strategy, with successful acquisitions contributing to its market position [88][90] - The launch of the FerriPulse product has been described as one of the best in med tech history, with significant market potential and positive feedback from healthcare professionals [35][39] Q&A Session Summary Question: Can you provide an update on the tariff situation? - The company has seen better news regarding tariffs, which is beneficial for its operations, and will provide updates in the second quarter [12][13] Question: What is the impact of discontinuing the Accurate neo two product? - The decision was made due to increased regulatory requirements, but the company expects to meet its sales and EPS guidance despite the financial impact [15][16] Question: How does the company view its growth prospects in the next few years? - Management believes the company will exceed its previous growth guidance and is focused on enhancing its market position and product portfolio [20][21] Question: What is the significance of the CHAMPION trial for WATCHMAN? - The CHAMPION trial aims to demonstrate the efficacy of WATCHMAN compared to oral anticoagulants, which could significantly expand the market for left atrial appendage closure [77][78] Question: How does Boston Scientific plan to compete in interventional cardiology without a TAVR asset? - The company is focusing on its strengths in coronary interventions and has a comprehensive portfolio that addresses unmet needs in the market [79][82]