Factors that may cause such differences are discussed in our periodic reports and other filings with the SEC, including the Risk Factors section of our most recent annual report on Form 10-K. Boston Scientific disclaims any intention or obligation to update these forward-looking statements, except as required by law. In addition, this call does not constitute an offer to sell or the solicitation of any offer to buy any securities or solicitation of any vote or approval in connection with the proposed transa ...

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 ...

Key Takeaways BSX is set to report Q4 results on Feb. 4, with revenues seen up 15.4% and earnings expected to rise 11.4%. BSX's MedSurg unit is expected to grow 11.4%, led by Endoscopy, Urology gains and Neuromodulation. BSX's Cardiovascular sales are seen up 17.5% on WATCHMAN uptake, FARAPULSE demand and strength. Boston Scientific (BSX) is slated to report fourth-quarter 2025 results on Feb. 4, before market open.The renowned medical device manufacturer posted earnings per share (EPS) of 75 cents in the l ...

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]

Core Insights - Boston Scientific (BSX) reported an adjusted gross margin of 71% in Q3 2025, a 60-basis-point improvement year-over-year, primarily due to a favorable product mix and strong growth in electrophysiology (EP) and WATCHMAN units, although tariffs limited growth potential [1][4] - WATCHMAN's sales increased by 35% in Q3, with over 600,000 patients treated, driven by accelerated adoption in the U.S. and strong clinical evidence [2] - EP sales surged 63% year-over-year, supported by the growth of the Farapulse Pulsed Field Ablation (PFA) System, with expectations for global PFA penetration to reach about 50% by the end of 2025 [3] Financial Performance - The adjusted operating margin rose by 80 basis points to 28%, reflecting solid performance on the top line [1] - Full-year adjusted gross margin is expected to be slightly above 2024 levels, despite an estimated $100 million tariff headwind, with management projecting an operating margin expansion of approximately 100 basis points [4] Market Position and Valuation - Year-to-date, Boston Scientific shares have increased by 9.8%, outperforming the industry growth of 3.4% [7] - The company's shares trade at a forward 12-month Price-to-Sales (P/S) ratio of 6.59, which is lower than its median but above the industry average [9] Earnings Estimates - Earnings estimates for Boston Scientific are showing an upward trend, with current estimates for the current year at $3.04 and $3.45 for the next year [11]

Industry Overview - Cardiovascular disease is the largest contributor to healthcare spending globally, presenting significant growth opportunities in the cardiovascular devices market, which is projected to grow at a CAGR of nearly 5% from 2025 to 2030, driven by minimally invasive procedures, technological advancements, and AI integration [1] Company Analysis: Boston Scientific - Boston Scientific has a market capitalization of approximately $144 billion and specializes in a wide range of interventional medical devices [2] - The company is well-positioned in the $20 billion global MedSurg market, which is expected to grow at 7% through 2026-2028, with Boston Scientific aiming to exceed this growth [3] - Recent acquisitions, including Nalu Medical, Silk Road Medical, Intera Oncology, SoniVie, and Elutia, Inc., enhance its growth potential [3] - The Farapulse Pulsed Field Ablation System has gained FDA approval for expanded use in treating drug-refractory, symptomatic, persistent atrial fibrillation, contributing to its market share in electrophysiology [4] - The WATCHMAN business is rapidly growing, with favorable future prospects driven by new data and device launches [5] - Full-year net sales are expected to grow approximately 20% on a reported basis and 15.5% organically, with adjusted earnings anticipated between $3.02 and $3.04 per share, indicating a growth of 20% to 21% compared to 2024 [6] Company Analysis: Edwards Lifesciences - Edwards Lifesciences, valued at around $49 billion, focuses on structural heart innovation and reported a 12.6% year-over-year growth in Q3 2025 [7] - The company benefits from its RESILIA portfolio, with strong contributions from therapies like INSPIRIS, KONECT, and MITRIS, and is expanding its global access [8] - The introduction of the SAPIEN M3 is expected to enhance physician awareness and referrals, contributing to the growth of Transcatheter Mitral and Tricuspid Therapies, projected to reach $2 billion by 2030 [10] - The TAVR segment is experiencing growth due to renewed focus on treating aortic stenosis, with FDA approval for the SAPIEN 3 platform for severe AS patients without symptoms [11] - Edwards' updated sales growth guidance is at the high end of 9-10%, with adjusted EPS guidance raised to $2.56 to $2.62 [12] Comparative Analysis - Boston Scientific is viewed as the more compelling investment option due to its broad electrophysiology portfolio, strength in the WATCHMAN business, and impactful acquisitions [9] - Both companies have outperformed the broader medical sector, but Edwards has shown more resilience [16] - Boston Scientific trades at a forward price-to-sales ratio of 6.51X, which is lower than its historical median and Edwards' price-to-earnings ratio of 7.53X [16] - Analysts remain bullish on both companies, but Boston Scientific's attractive valuation makes it a more appealing choice currently [18]