Boston Scientific (NYSE:BSX) Earnings Call Presentation

Transaction Overview - Boston Scientific announced a definitive agreement to acquire Penumbra, valuing the company at $374 per share[10] - The transaction consideration reflects a total equity value of $15 billion, funded by approximately $11 billion in cash and approximately $4 billion in Boston Scientific stock, resulting in a 73% cash, 27% stock mix[29] - The equity issuance is expected to be approximately 41 million shares, fixed at the time of signing based on Boston Scientific's 10-day VWAP ending January 13, 2026[29] - The transaction is expected to close in 2026, subject to Penumbra shareholder approval and customary closing conditions[28, 29] Penumbra Financials and Market Opportunity - Penumbra's Q4 2025 reported revenue growth is +21.4-22.0% compared to 2024[13] - Penumbra's FY25 reported revenue growth is +17.3-17.5% compared to 2024[13] - Penumbra's FY25E gross margin is 67.9-68.1% and operating margin is 13.3-13.6%[13] - Penumbra operates in large, underserved spaces including mechanical thrombectomy, embolization, and neurovascular segments[10] - The total annual U S opportunity includes 315,000+ peripheral patients and 175,000 MMAe patients[16] Strategic Rationale - The acquisition provides Boston Scientific with entry into new key segments with a WAMGR accretive to Boston Scientific[10] - The combination is expected to deliver meaningful revenue contribution and cost efficiencies, supporting long-range planning goals[10] - Penumbra has a WAMGR of approximately 11% in high-growth adjacent areas[18]