Core Insights - Boston Scientific (BSX) reported strong fourth-quarter results for 2025, exceeding both revenue and earnings guidance, with over $20 billion in sales and 12.7% organic revenue growth [1][8] - The company faced challenges in Urology due to supply-chain issues and competitive pressures in Electrophysiology, leading to a 17.6% drop in stock price post-earnings announcement [2][3] Financial Performance - Boston Scientific achieved mid-teens growth for the second consecutive year, attributed to innovation and execution across business units [1] - The company expects organic growth of 10%-11% for 2026, despite near-term challenges [9][12] Segment Highlights - WATCHMAN business grew 29% year-over-year in Q4, supported by strong adoption in U.S. procedures and a strategic partnership with Siemens Healthineers [4] - Neuromodulation sales increased by 10% in Q4, with a full-year organic growth of 8%, bolstered by new product offerings and expanded reimbursement coverage [5] - APAC region sales surged 15% operationally in Q4, driven by strong performances in Japan and China [6] Market Position and Challenges - Boston Scientific holds approximately 65% market share in the PFA market, with expectations to exceed the 15% market growth rate despite competitive pressures [10] - The company announced acquisitions of Valencia Technologies and Penumbra to enhance its urology and cardiovascular capabilities [11] Profitability Outlook - Adjusted gross margin is expected to remain stable, with operating margin projected to expand by 50-75 basis points, and adjusted EPS anticipated to grow by 12%-14% [12] - First-quarter 2026 revenue growth is guided at 8.5%-10%, facing challenges from product discontinuations [13] Valuation Metrics - Boston Scientific trades at a forward Price/Sales (P/S) ratio of 4.87, which is below its historical median but above the industry average of 2.67 [17] Conclusion - Despite recent stock performance challenges, Boston Scientific's strong fundamentals and growth potential in key segments suggest a prudent hold for investors, with an attractive valuation relative to competitors [18]

Equipment: a mixed picture as companies see divergent sales trajectory Global Research ab 6 February 2026 First Read China Medtech Q425 read-across: many global firms maintain a cautious view on 2026 China outlook Another quarter of weak China results; challenges to linger especially for Dx Many large-cap global medtech companies continue to report YoY decline of China revenue in Q425, especially for diagnostics (Dx) business. Dx companies generally believes that the policy headwinds are likely to linger in ...

Core Insights - Boston Scientific achieved over $20 billion in sales for 2025, marking a mid-teens growth for the second consecutive year, driven by innovation and execution across business units [6][30] - The company reported a Q4 operational sales growth of 14% and organic sales growth of 13%, exceeding guidance [6][29] - Full year 2025 adjusted EPS grew 22% to $3.06, surpassing guidance, with operational sales growth of 19% and organic sales growth of 16% [7][30] Financial Performance - Q4 consolidated revenue reached $5.286 billion, representing a 15.9% reported growth, with operational revenue growth of 14.3% [29] - Full year 2025 consolidated revenue was $20.74 billion, a 19.9% increase, with operational revenue growth of 19.2% [30] - Adjusted gross margin for Q4 was 70.7%, with a full year adjusted gross margin of 70.6%, reflecting a 30 basis point expansion [31] Business Unit Highlights - The U.S. market saw a 17% growth in Q4 and 26% for the full year, particularly strong in EP, WATCHMAN, and ICTx [8] - The Cardiovascular segment delivered 16% operational growth in Q4 and 22% operational growth for the full year [14] - WATCHMAN business grew 29% in Q4, with strong adoption of concomitant procedures [22] Regional Performance - Europe, Middle East, and Africa (EMEA) grew 5% in Q4 and 3% for the full year, with high single-digit growth expected excluding the impact of product discontinuation [9] - Asia Pacific region grew 15% operationally in Q4 and 14% for the full year, driven by strong performance in Japan and China [10][11] Future Outlook - For Q1 2026, the company expects organic growth of 8.5% to 10% and for the full year, guidance is set at 10% to 11% [8][36] - Adjusted EPS for 2026 is projected to be between $3.43 and $3.49, indicating a growth of 12% to 14% [38] - The company anticipates continued momentum in EP and WATCHMAN, with expectations for the market to grow approximately 15% in 2026 [26][72] Strategic Acquisitions - Boston Scientific announced agreements to acquire Penumbra and Valencia Technologies, expected to close in 2026, enhancing its portfolio in high-growth segments [15][35] - The acquisition of Nalu Medical has been completed, complementing the neuromodulation pain franchise [35]

This story was originally published on MedTech Dive. To receive daily news and insights, subscribe to our free daily MedTech Dive newsletter. By the numbers   Q4 sales: $5.29 billion Nearly 16% increase year over year   Q4 electrophysiology sales: $890 million 37% increase year over year   2025 sales: $20.07 billion Nearly 20% increase year over year   2025 electrophysiology sales: $3.33 billion 74.6% growth year over year Boston Scientific has been one of the big winners of the pulsed field ...

Core Insights - Boston Scientific (BSX) is expected to report its fourth-quarter 2025 results on February 4, with earnings per share (EPS) anticipated at 78 cents, reflecting an 11.4% growth year-over-year, and revenues projected at $5.27 billion, indicating a 15.4% increase from the previous year [1][2]. Group 1: Financial Performance - The Zacks Consensus Estimate for BSX's revenues is set at $5.27 billion, which represents a 15.4% increase compared to the same quarter last year [2]. - The consensus for earnings is pegged at 78 cents per share, indicating an 11.4% growth from the year-ago quarter [2]. - BSX has consistently beaten earnings estimates in the past four quarters, with an average surprise of 7.36% [1]. Group 2: Business Segment Performance - The MedSurg division is expected to maintain strong sales momentum, with revenues estimated at $1.80 billion, suggesting an 11.4% year-over-year increase, driven by the Endoscopy and Urology businesses [4][7]. - The Cardiovascular segment is projected to see a 17.5% increase in revenues to $3.46 billion, supported by the uptake of WATCHMAN and FARAPULSE products [9][14]. - The Neuromodulation segment is anticipated to grow, bolstered by the Pain franchise and the acquisition of Nalu Medical, which expands BSX's portfolio in peripheral nerve pain [6]. Group 3: Market Developments - The Endoscopy business within MedSurg is benefiting from the Axios platform and the adoption of innovative technologies like OverStitch and Mantis clip [4]. - The Cardiovascular business is expected to perform well due to strong growth in coronary therapies, particularly from the AGENT Drug-Coated Balloon and the WATCHMAN FLX Pro device's launch in China [10][11]. - The Peripheral Interventions unit is likely to continue its growth trend, despite challenges in the Chinese market, with strong performance in Interventional Oncology & Embolization [13].

Core Insights - A favorable product mix shift is a significant driver of earnings quality in MedTech companies, leading to margin expansion and cash flow durability [1][2] Group 1: Industry Dynamics - The medical device sector is experiencing a positive shift in product mix, with companies focusing on clinically differentiated platforms and premium technologies to achieve consistent earnings growth [2] - Improving hospital capital expenditures and normalizing procedural growth are contributing to this favorable environment [2] Group 2: Company-Specific Analysis AngioDynamics (ANGO) - AngioDynamics is strategically reshaping its portfolio by exiting lower-growth product lines and focusing on higher-growth MedTech segments, resulting in a 13% year-over-year revenue growth in MedTech for Q2 fiscal 2026 [6][7] - MedTech revenues now account for 45% of total revenues, up from 43% a year ago, with adjusted gross margin increasing by 170 basis points to 56.4% [7][10] - The company has seen significant growth in its Auryon platform, achieving 18 consecutive quarters of double-digit growth [8] Boston Scientific (BSX) - Boston Scientific is benefiting from a mix shift towards premium, innovation-led franchises, particularly in electrophysiology and structural heart, which are driving margin expansion [12][14] - In Q3 2025, adjusted gross margin improved to 71%, up 60 basis points year-over-year, attributed to strong growth in its electrophysiology and WATCHMAN franchises [13][16] - Electrophysiology sales grew by 63% year-over-year, while WATCHMAN saw a 35% increase, both contributing to the favorable product mix [14] Medtronic (MDT) - Medtronic's product mix is improving, with a 5.5% organic revenue growth in Q2 fiscal 2026, driven by strong performance in Cardiac Ablation, where pulsed-field ablation now represents 75% of revenues [19] - The company anticipates that pressures on gross margin from capital-heavy platforms will ease as consumables scale, leading to an improved mix over time [20][21] - Medtronic's gradual shift towards faster-growing segments supports its long-term EPS growth guidance, despite near-term margin fluctuations [21][22]

Core Insights - Boston Scientific's Cardiovascular segment operates in a $50 billion market, projected to grow nearly 9% from 2026 to 2028, with expectations to exceed 10% average organic revenue growth [1] - The Electrophysiology (EP) business is anticipated to grow approximately 15% over the long-range plan, driven by market share gains and expansion into new areas [1][8] - The WATCHMAN device is the leading percutaneous left atrial appendage closure (LAAC) device globally, with a long-term growth outlook of over 20% contingent on trial outcomes [2][8] - The CRM DX business is expected to grow about 4% over the long-range plan, supported by recent investments and new product launches [3] - The Interventional Cardiology Therapies (ICTx) segment is projected to achieve 10% growth, particularly in emerging markets [4][8] - The Peripheral Interventions, Interventional Oncology, and Embolics businesses collectively represent a $11 billion market, with expected growth around 7% [4] Competitive Landscape - Medtronic's Diabetes business is preparing for an IPO, while its Hugo robotic-assisted surgery system has received FDA approval for urologic procedures [5] - Johnson & Johnson has acquired Halda Therapeutics for $3.05 billion, enhancing its portfolio in prostate cancer therapies [6] Financial Performance - Boston Scientific shares have increased by 7.5% over the past year, outperforming the industry average of 1.7% [7] - The company's forward five-year Price-to-Earnings (P/E) ratio stands at 27.81, above both its median and the industry average [9] Earnings Estimates - Current earnings estimates for Boston Scientific indicate a projected earnings per share of $3.04 for the year ending December 2025, increasing to $3.45 for December 2026 [11]

Core Insights - Boston Scientific (BSX) and Resmed (RMD) are significant players in the global medical devices market, with market capitalizations of $142.4 billion and $35.72 billion, respectively [2] - The medical devices market is projected to grow at nearly 7% CAGR from 2025 to 2030, prompting an evaluation of investment opportunities in both companies [3] Boston Scientific Overview - Boston Scientific is experiencing strong performance in its Cardiovascular and MedSurg segments, with expectations for above-market growth through 2025-2026 [4] - The WATCHMAN device is a leading product in percutaneous left atrial appendage closure (LAAC), with a projected market expansion of approximately 20% in the coming years [5] - The company is gaining market share in electrophysiology, particularly with the FARAPULSE Pulsed Field Ablation System, which received FDA approval for expanded use in July 2025 [6] - Recent acquisitions, including Intera Oncology and Elutia's BioEnvelope business, support Boston Scientific's growth strategy and expansion into high-growth areas [7] - Emerging markets accounted for 15% of Boston Scientific's consolidated net sales in the first nine months of 2025, indicating significant long-term growth potential [8] Resmed Overview - Resmed is witnessing strong demand for its mask portfolio, including the AirFit and AirTouch ranges, and is focusing on direct-to-consumer markets in regions like China and India [9] - The company has launched new variants of its AirTouch F30i mask and continues to see strong sales from its AirSense device platforms [9] - Resmed is advancing AI integration in its digital health products, including the launch of the personal sleep health digital assistant, Dawn, in the U.S. [11] - The company is optimizing operations to improve gross margins and has made acquisitions like Somnoware and Ectosense to support its 2030 growth strategy [12] Financial Estimates and Performance - The Zacks Consensus Estimate for Boston Scientific's 2025 EPS indicates a year-over-year increase of 21.1% to $3.04, with a slight upward revision in the last 60 days [13] - Resmed's fiscal 2026 EPS consensus estimate of $10.84 reflects a 13.5% improvement over 2025, with a 3.3% increase in estimates over the past 60 days [15] - In the last 12 months, BSX shares have increased by 6.8%, while RMD shares have risen by 5.8% [16] Investment Considerations - Boston Scientific is highlighted for its divisional strength, ongoing momentum with the WATCHMAN device, and strategic acquisitions in high-growth markets [18] - Resmed remains focused on innovation and strong demand for its products, but Boston Scientific is currently viewed as the more attractive investment option based on recent performance [18] - Boston Scientific holds a Zacks Rank 2 (Buy), while Resmed has a Zacks Rank 3 (Hold) [20]

Core Insights - Boston Scientific (BSX) has a stretched valuation with a Value Score of C, trading at a forward five-year price/earnings (P/E) of 27.77X, which is above its median and the industry average of 20.01X [1] - The company's performance has been mixed over the past year, underperforming key rivals Abbott (ABT) and Medtronic (MDT), but still faring better than the industry and sector [2] Valuation and Market Position - BSX's P/E ratio is higher than the broader Medical sector's P/E of 21.03X, indicating an expensive valuation compared to peers [1] - Key competitors, Abbott and Medtronic, are trading at lower P/E ratios of 22.15X and 20.01X, respectively [1] Business Performance and Growth Drivers - WATCHMAN sales increased by 35% in Q3 2025, supported by growing U.S. concomitant use, while the Electrophysiology (EP) business surged 63% in the same quarter due to FARAPULSE adoption [9][15] - The Urology business is driving strong sales from the global stone management franchise, with expectations of improving growth through 2026 following recent European approvals [10] - Endoscopy is experiencing robust growth in anchor products, and the Intracept procedure for chronic vertebrogenic pain is a significant growth driver in Neuromodulation [11] Strategic Initiatives - Boston Scientific aims to outpace market growth across neuromodulation, urology, and endoscopy, which together serve a global market of $20 billion growing nearly 7% [12] - The planned acquisition of Nalu Medical will expand the portfolio into peripheral nerve pain, presenting additional growth opportunities [12] Future Outlook - Management expects approximately 25% of U.S. WATCHMAN procedures to be performed concomitantly by the end of 2025, with a projected market growth of roughly 20% in the coming years [14] - Analysts remain optimistic about the company's earnings for 2025 and 2026, indicating confidence in its growth trajectory [16] Conclusion - Despite a premium valuation, Boston Scientific's innovative portfolio and strategic execution position it well for long-term growth, particularly through its WATCHMAN and EP products [18]

Core Insights - Boston Scientific has experienced significant growth over the past few years and is looking to build on this momentum moving forward [1] - The company aims to highlight its current growth drivers, such as FARAPULSE and WATCHMAN, while also focusing on future opportunities in adjacent markets [2] Company Growth and Strategy - The recent Investor Day was successful in showcasing the excitement around Boston Scientific's current offerings and future potential [2] - The company emphasizes a strong market growth in the procedures it addresses, alongside a commitment to innovation to enhance product value [2]