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]

Core Insights - Boston Scientific (BSX) is expected to report its second-quarter 2025 results on July 23, with prior EPS of 75 cents exceeding estimates by 11.94% [1] - The company has consistently surpassed earnings estimates over the last four quarters, with an average surprise of 8.79% [1] Revenue and EPS Estimates - The Zacks Consensus Estimate for BSX's Q2 2025 revenues is $4.89 billion, reflecting an 18.7% increase year-over-year [2] - The EPS estimate for Q2 2025 is projected at 72 cents, indicating a 16.1% rise compared to the previous year [2] Performance Influencers - The MedSurg division is anticipated to maintain strong sales momentum, particularly in the Endoscopy business, driven by the Axios platform and technologies like OverStitch and Mantis clip [4] - The Urology business is expected to benefit from its core stone management franchise and the integration of the Axonics acquisition [5] - Neuromodulation growth is likely supported by the Brain and Pain franchises, with positive trends from Deep Brain Stimulation and the Intercept product [6] Segment Performance - MedSurg revenues are estimated at $1.68 billion, a 13.1% year-over-year increase [7] - The Cardiovascular unit is projected to perform well, with revenues expected to rise 8.3% year-over-year to $719.95 million [14] - Key contributors to Cardiovascular growth include the AGENT Drug-Coated Balloon and the completion of the SoniVie acquisition [10][11] Earnings Expectations - Boston Scientific has an Earnings ESP of +0.88%, indicating a higher likelihood of beating estimates [15] - The company holds a Zacks Rank of 2 (Buy), suggesting favorable conditions for earnings performance [16]

Core Insights - Boston Scientific's MedSurg segment is experiencing robust growth, particularly in endoscopy, neuromodulation, and urology, with promising long-term prospects for WATCHMAN devices [1][5][8] - The company's stock has outperformed the industry and S&P 500, with a 33.6% increase over the past year [2] - Strategic acquisitions have significantly contributed to revenue growth, with recent buyouts adding 400 basis points to Q1 sales and driving 18.2% organic revenue growth [6][9] MedSurg Segment Performance - The Endoscopy business is gaining market share due to strong growth in endoluminal surgery and single-use imaging franchises, alongside the AXIOS platform [3] - Urology market share is expanding globally, driven by successful product launches like the TENACIO pump and the LithoVue portfolio [4] - Neuromodulation is also seeing growth, particularly in pain and brain businesses, with expectations for improved growth in deep brain stimulation by 2025 [4] WATCHMAN Device Growth - The WATCHMAN device is gaining momentum as a leading non-pharmacologic alternative to oral anti-coagulants, with a 24% year-over-year sales increase in Q1 2025 [5][8] - The next-generation WATCHMAN FLX and FLX Pro are capturing significant market share [5] Strategic Acquisitions - Recent acquisitions, including Bolt Medical and Cortex, have added valuable products to Boston Scientific's portfolio [6] - The acquisition of Axonics in Q4 2024 has also contributed positively to sales growth [9] Financial Performance - The company has consistently beaten earnings estimates, with an average surprise of 8.79% over the last four quarters [2] - The Zacks Consensus Estimate for 2025 earnings per share is $2.91, with revenues expected to rise by 16.4% to $19.50 billion [11] Currency Exposure - Boston Scientific faces risks from currency fluctuations, with 40% of sales coming from international markets, which could impact revenues by 50 basis points in 2025 [10]

Industry Overview - The MedSurg equipment market is projected to grow at a compound annual growth rate (CAGR) of 9.54% from 2025 to 2030 [1] - The growth is driven by an aging population, rising chronic diseases, and rapid technological advancements [3] Boston Scientific (BSX) - Boston Scientific's MedSurg segment is gaining market share, particularly in Endoscopy, Urology, and Neuromodulation [4] - The Endoscopy segment is experiencing growth due to endoluminal surgery and single-use imaging [4] - Urology is benefiting from strong contributions from the Core Stone and prosthetic urology franchises [4] - Neuromodulation is boosted by new products like Cartesia leads and Lumina 3D programming algorithm [4] - The structural heart segment is also performing well, with a 24% growth in WATCHMAN sales [5] - Emerging markets are a vital growth engine, with net sales growing nearly 9.8% year-over-year [6] - In Q1, Boston Scientific reported an adjusted gross margin increase of 19 basis points and an operating margin improvement of 127 basis points [7] - The company raised its full-year 2025 outlook, projecting 15-17% reported net sales growth and adjusted EPS of $2.87-$2.94 [7] Medtronic (MDT) - Medtronic's MedSurg portfolio is benefiting from positive sales momentum in Surgical Robotics, particularly the Hugo robotic-assisted surgery system [8] - The Hugo RAS system has expanded its installed base to 30 countries, with growth in procedure volumes and utilization [8] - Medtronic is seeing significant growth in Cardiac Ablation Solutions, with nearly 30% growth in the fiscal fourth quarter [9] - The company is focused on expansion in emerging markets, which grew mid-single digits in the quarter [11] - Medtronic's operational performance in Q1 showed gross margin improvement of 19 basis points and operating margin growth of 210 basis points [12] - For fiscal 2026, Medtronic projects organic revenue growth of 5% over fiscal 2025 [12] Stock Performance - Over the past year, Boston Scientific's shares have risen by 35.2%, while Medtronic's shares have gained only 7.4% [13] - Boston Scientific is trading at a forward five-year price-to-sales (P/S) ratio of 7.5X, compared to Medtronic's 3.1X [15] - The Zacks Consensus Estimate for Boston Scientific's 2025 EPS implies a year-over-year improvement of 15.9% [17] - Analysts have shown declining confidence in Medtronic, with downward EPS estimate revisions in the last 60 days [18] Investment Outlook - Boston Scientific is gaining strength across MedSurg and structural heart segments, supported by innovation and global expansion [19] - Despite expected tariff impacts, Boston Scientific's raised guidance reflects confidence in sustained growth [19] - Medtronic, while carrying a Zacks Rank 4 (Sell), may attract value-focused investors due to its discounted P/S ratio [20]

Core Insights - Boston Scientific (BSX) has raised its full-year 2025 guidance for net sales growth to approximately 15-17% on a reported basis and nearly 12-14% on an organic basis, reflecting strong first-quarter results and ongoing momentum in key growth areas [1][8] - The company reported an organic sales growth of 18% in the first quarter, exceeding the guided range of 14-16%, with adjusted EPS at $0.75, a 34% year-over-year increase [2] - The Cardiology segment saw a significant sales increase of 31%, driven by products like WATCHMAN and AGENT drug-coated balloon, while the Electrophysiology business experienced a remarkable 145% year-over-year growth [3][8] Financial Performance - Full-year adjusted earnings per share are now expected to be in the range of $2.87-$2.94, up from the previous estimate of $2.80-$2.87 [1] - The company anticipates a $200 million tariff impact in 2025, primarily in the second half, but plans to offset this through organic sales growth and discretionary spending reductions [4] Competitive Landscape - Competitors like Edwards Lifesciences and Stryker have also adjusted their sales forecasts, with Edwards maintaining an 8-10% growth forecast and Stryker raising its guidance to 8.5-9.5% organic growth [5][6] - Boston Scientific's stock has outperformed the industry, gaining 33.4% over the past year compared to the industry's 8.8% growth [7] Valuation Metrics - Boston Scientific currently trades at a forward 12-month price-to-earnings ratio of 33.19X, which is above the industry average of 20.83X [9]

Core Insights - Boston Scientific (BSX) is strategically positioned to benefit from the expanding cardiovascular devices market, which is projected to grow from $72.83 billion in 2023 at a CAGR of 7.3% from 2024 to 2029 [1][2] - The company's strong performance in Q1 2025, with a revenue increase of 22.2% and adjusted EPS growth of 34%, reflects its leadership in the cardiovascular segment [6][7] - BSX's stock has outperformed the broader Medical Product industry and key competitors, with a 31.8% increase over the past year [3] Market Performance - The cardiovascular devices market is experiencing growth due to aging demographics, minimally invasive procedures, and technological innovations [2] - Boston Scientific's Electrophysiology business has seen organic growth of 145%, making it the second-largest player in this space [8] - The company reported a 26.2% year-over-year increase in cardiovascular segment sales, with U.S. revenues rising by 31% [6][9] Financial Outlook - For full-year 2025, Boston Scientific raised its organic revenue growth guidance to 12-14% and expects adjusted EPS of $2.87-$2.94, indicating a year-over-year growth of 14-17% [11] - The Zacks Consensus Estimate for BSX's 2025 sales and EPS suggests a year-over-year improvement of 16.4% and 15.9%, respectively [12] Product Performance - The WATCHMAN device sales grew by 24% year over year, supported by procedural growth and new product versions [10] - The FARAPULSE system is gaining traction globally, contributing to the rapid expansion of BSX's market share in Electrophysiology [8][9] Competitive Positioning - Boston Scientific's shares are trading at a forward P/E of 33.31X, which is above the industry average of 21.29X, indicating a premium valuation [15] - The company is expected to continue delivering shareholder value through strong operational performance and growth in key segments [17][18]

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]