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Boston Scientific (BSX) investor relations material
Boston Scientific Q3 2025 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Executive summary
Q3 2025 net sales reached $5.065 billion, up 20.3% year-over-year, with organic growth of 15.3%-15.5%, exceeding guidance and driven by strong performance in Cardiovascular, MedSurg, and U.S. regions.
Adjusted EPS was $0.75, up from $0.63 year-over-year, surpassing guidance; GAAP net income was $755 million ($0.51 per share).
Growth was supported by robust commercial execution, new product launches, and strategic acquisitions, notably in Electrophysiology and Watchman.
U.S. operational sales grew 27%, while Asia-Pac grew 17% operationally; EMEA growth was limited by ACURATE valve discontinuation and ERP backorder.
Multiple acquisitions and regulatory approvals, including Nalu Medical and Elutia, expanded the portfolio and market reach.
Financial highlights
Q3 consolidated revenue was $5.065 billion, up 20.3% reported and 19.4% operationally year-over-year.
Adjusted gross margin was 71% (up 60 bps), and operating margin reached 28% (up 80 bps); GAAP operating margin was 20.7%.
Free cash flow for Q3 was $1.163 billion; cash on hand at quarter-end was $1.275 billion; leverage ratio was 2.0x.
Gross profit for Q3 was $3.542 billion; operating income was $1.048 billion.
SG&A expenses were $1.741 billion (34.4% of net sales); R&D expenses were $514 million (10.1% of net sales).
Outlook and guidance
Q4 2025 organic revenue growth guided at 11%-13%; full-year 2025 organic growth raised to ~15.5%.
Full-year adjusted EPS guidance raised to $3.02-$3.04, up 20%-21% year-over-year; GAAP EPS guidance is $1.97–$2.01.
Q4 2025 adjusted EPS guidance is $0.77–$0.79.
Targeting 10%+ average organic revenue growth and 50 bps annual operating margin expansion from 2026-2028.
Management expects continued growth from innovation, acquisitions, and emerging market expansion.
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