Boston Scientific sees Q4 sales down about 1%–3%
Boston Scientific estimates full-year adjusted EPS of $3.16 to $3.18 and a fourth-quarter sales decline.
Sentiment and the balance of points
Rhea-AI Sentiment reads the wording of the document, how positive or negative its language is on a 1 to 5 scale. The balance of points shown with the takes weighs what the document actually discloses, so the two can disagree, for example when a trial that missed its main goal is described in upbeat language.
Form Type
8-K
Rhea-AI Filing Summary
Boston Scientific Corporation (BSX) reported third-quarter 2026 net sales of $5.138 billion, up 1.5% year over year. GAAP net income attributable to common stockholders was $582 million, or $0.40 per share, versus $755 million, or $0.51, a year earlier; adjusted EPS was $0.73 versus $0.75. For the nine months ended September 30, 2026, net sales were $15.784 billion and net income attributable to common stockholders was $2.830 billion, compared with $14.788 billion and $2.226 billion in 2025.
For full-year 2026, Boston Scientific estimates net sales growth of approximately 4.25% reported and 3.75% organic, with adjusted EPS of $3.16 to $3.18. Its fourth-quarter estimate is for net sales to decline approximately (3.0) to (1.0) percent on reported and organic bases, with adjusted EPS of $0.77 to $0.79.
It received FDA 510(k) clearance for two technologies in the StoneSmart ecosystem and an expanded size offering of the SEISMIQ peripheral lithotripsy catheter. The company commenced enrollment in the Elite AF trial and entered a strategic collaboration with Heartflow on AI-powered CT-guided PCI planning. It noted the American Medical Association's assignment of Category I CPT codes for renal denervation and implantable tibial nerve stimulation devices, effective January 2028.
1 point · 0 major0 major · 1 point
How this balance works
Rhea-AI gives every point it takes from this document a weight. Minor counts 1, Moderate 3 and Major 9, so one Major point outweighs several Minor ones. The bar adds up the weights on each side, and when neither side holds more than 65% of the total the balance reads Mixed.
It reads the document as published, with the same rules for every company, and it does not look at what the market expected or at how the stock traded, so a point can be objectively good on a day the stock falls.
Rhea-AI Sentiment measures something else, the tone of the wording.
Positive
- Moderate pointNine-month net income attributable to common stockholders: $2.830 billion versus $2.226 billion.
Negative
- Moderate pointQ3 GAAP net income: $582 million, versus $755 million.
Filing Explained
Boston Scientific’s full-year adjusted EPS estimate of
8-K Event Classification
2 items: 2.02, 9.01
2 items
Item 2.02
Results of Operations and Financial Condition
Financial
Disclosure of earnings results, typically an earnings press release or preliminary financials.
Item 9.01
Financial Statements and Exhibits
Exhibits
Financial statements, pro forma financial information, or exhibit attachments filed with this report.
Key Figures
Third-quarter net sales: $5.138 billion
GAAP net income attributable to common stockholders: $582 million
GAAP net income per common share, diluted: $0.40 per share
+5 more
8 metrics
Third-quarter net sales
$5.138 billion
Third quarter 2026; up 1.5% year over year
GAAP net income attributable to common stockholders
$582 million
Third quarter 2026; $755 million in third quarter 2025
GAAP net income per common share, diluted
$0.40 per share
Third quarter 2026; $0.51 per share in third quarter 2025
Adjusted EPS
$0.73 per share
Third quarter 2026; $0.75 per share in third quarter 2025
Nine-month net income attributable to common stockholders
$2.830 billion
Nine months ended September 30, 2026; $2.226 billion in 2025
Full-year net sales growth guidance
Approximately 4.25% reported; approximately 3.75% organic
Full-year 2026 estimate
Full-year adjusted EPS guidance
$3.16 to $3.18
Full-year 2026 estimate
Fourth-quarter net sales growth guidance
Approximately (3.0) to (1.0) percent
Fourth-quarter 2026 estimate on reported and organic bases
Key Terms
organic net sales growth, adjusted EPS, 510(k) clearance, Category I Current Procedural Terminology (CPT) codes, +1 more
5 terms
organic net sales growth financial
"organic net sales guidance excludes the impact"
Organic net sales growth measures how much a company’s core revenue rose from its existing operations, excluding effects from buying or selling businesses and from changes in currency values. Investors use it to see whether customers are actually buying more or paying higher prices — like checking growth from the same orchard year-to-year rather than counting fruit from newly added orchards — which helps assess true demand and underlying business health.
adjusted EPS financial
"achieved adjusted EPS of $0.73 for the period"
Adjusted earnings per share (adjusted eps) is a measure of a company's profit per share that has been modified to exclude certain one-time or unusual items, such as costs from restructuring or asset sales. It provides a clearer picture of the company’s core performance by removing events that may distort the usual earnings. Investors use adjusted eps to better understand a company's ongoing profitability and compare it more accurately over time.
510(k) clearance regulatory
"Received U.S. FDA 510(k) clearance for two technologies"
A 510(k) clearance is a U.S. regulatory approval that lets a medical device be sold because it is shown to be substantially similar to an already-legal device; think of it as a passport saying the new product is close enough to a known item to enter the market without a full, lengthy review. For investors, 510(k) clearance signals faster, lower-cost market access and reduced regulatory risk compared with new, untested device pathways, which can materially affect timelines, costs and revenue prospects.
Category I Current Procedural Terminology (CPT) codes medical
"assignment of Category I Current Procedural Terminology (CPT) codes"
non-GAAP financial measures financial
"These non-GAAP financial measures are not in accordance"
Non-GAAP financial measures are numbers companies use to show their financial performance that exclude certain expenses or income. They help investors see how the company might perform without one-time costs or other unusual items, giving a different perspective from official reports. However, since they can be adjusted, they don’t always tell the full story and should be looked at alongside standard financial figures.
Earnings Snapshot
Net sales: $5.138 billion · Guidance included
Third quarter ended September 30, 2026
Net sales
$5.138 billion
Up 1.5% year over year
GAAP net income attributable to common stockholders
$582 million
Compared with $755 million in third quarter 2025
GAAP net income per common share, diluted
$0.40 per share
Compared with $0.51 per share in third quarter 2025
Adjusted EPS
$0.73 per share
Compared with $0.75 per share in third quarter 2025
Guidance
Full-year 2026 net sales growth of approximately 4.25% reported and approximately 3.75% organic; adjusted EPS of $3.16 to $3.18. Fourth-quarter 2026 net sales are estimated to decline approximately (3.0) to (1.0) percent on reported and organic bases; adjusted EPS is estimated at $0.77 to $0.79.
FAQ
AI-generated questions and answers. How Rhea-AI works. Not financial advice.
What were BSX's third-quarter 2026 sales and earnings?
BSX reported $5.138 billion in net sales, up 1.5% year over year, and $582 million of GAAP net income attributable to common stockholders, or $0.40 per share, versus $755 million, or $0.51, a year earlier. Adjusted EPS was $0.73 versus $0.75.
What is Boston Scientific's 2026 sales and EPS guidance?
For full-year 2026, Boston Scientific estimates net sales growth of approximately 4.25% on a reported basis and approximately 3.75% on an organic basis, with adjusted EPS of $3.16 to $3.18. For the fourth quarter, it estimates net sales to decline approximately (3.0) to (1.0) percent on reported and organic bases, with adjusted EPS of $0.77 to $0.79.
Which BSX products received FDA clearance?
Boston Scientific received 510(k) clearance for the Navigator Flex Ureteral Access Sheath Set and the LithoVue Elite Single-Use Digital Flexible Ureteroscope within its StoneSmart ecosystem, as well as an expanded size offering for the SEISMIQ Intravascular Lithotripsy Peripheral Catheter. The Navigator is designed to enable suction to remove kidney stone debris, and the LithoVue Elite displays real-time fluid temperature alongside ureteroscopy video.
What is the Boston Scientific and Heartflow collaboration focused on?
The companies entered a strategic collaboration to advance AI-powered, computed tomography-guided planning for percutaneous coronary intervention procedures. They will explore integrating Heartflow's PCI Navigator pre-procedural planning tool with Boston Scientific's AVVIGO+ Multi-Modality Guidance System.
AI-generated analysis. How Rhea-AI works. Not financial advice.
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
_____________________________________________________________________
FORM 8-K
CURRENT REPORT
PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
_____________________________________________________________________
Date of Report (Date of earliest event reported): October 28, 2026
(Exact name of registrant as specified in its charter)
| (State or other jurisdiction of incorporation or organization) | (Commission File Number) | (I.R.S. Employer Identification No.) | ||||||||||||
(Address of Principal Executive Offices) (Zip Code)
(Registrant's telephone number, including area code)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
| Written communication pursuant to Rule 425 under the Securities Act (17 CFR 230.425) | |||||
| Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) | |||||
| Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) | |||||
| Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) | |||||
Securities registered pursuant to Section 12(b) of the Act:
| Title of each class | Trading Symbol | Name of each exchange on which registered | ||||||||||||
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company ☐
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
ITEM 2.02. RESULTS OF OPERATIONS AND FINANCIAL CONDITION.
On October 28, 2026, Boston Scientific Corporation issued a press release announcing financial results for the third quarter ended September 30, 2026. A copy of the release is furnished with this report as Exhibit 99.1.
The information contained in Item 2.02 of this Current Report on Form 8-K and Exhibit 99.1 shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934 (the “Exchange Act”) or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933 or the Exchange Act, regardless of any general incorporation language in such filing.
ITEM 9.01. FINANCIAL STATEMENTS AND EXHIBITS.
(d) Exhibits
Exhibit No. Description
99.1 Press Release issued by Boston Scientific Corporation dated October 28, 2026
104 Cover Page Interactive Data File - the cover page XBRL tags are embedded within the Inline XBRL
document
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
| Date: | October 28, 2026 | BOSTON SCIENTIFIC CORPORATION | |||||||||
| By: | /s/ Susan Thompson | ||||||||||
| Susan Thompson | |||||||||||
| Vice President, Chief Corporate Counsel and Assistant Secretary | |||||||||||
FOR IMMEDIATE RELEASE
Boston Scientific announces results for third quarter 2026
Marlborough, Mass. (October 28, 2026) -- Boston Scientific Corporation (NYSE: BSX) generated net sales of $5.138 billion during the third quarter of 2026, growing 1.5 percent on a reported, operational1 and organic2 basis, all compared to the prior year period. The company reported GAAP net income attributable to Boston Scientific common stockholders of $582 million or $0.40 per share (EPS), compared to $755 million or $0.51 per share a year ago, and achieved adjusted3 EPS of $0.73 for the period, compared to $0.75 a year ago.
"This has been a challenging year for Boston Scientific and I’m proud of how our global teams have responded, particularly to the cybersecurity incident, working with urgency and resilience to restore operations and continue supporting customers and patients," said Mike Mahoney, chairman and chief executive officer, Boston Scientific. "As we move forward, I remain confident in our long-term strategy, fueled by our dedicated talent, differentiated portfolio and strong pipeline of meaningful innovation."
Third quarter financial results and recent developments:
•Reported net sales of $5.138 billion, representing an increase of 1.5 percent on a reported, operational and organic basis, all compared to the prior year period.
•Reported GAAP net income attributable to Boston Scientific common stockholders of $0.40 per share, and achieved adjusted EPS of $0.73 per share.
•Achieved the following net sales growth in each reportable segment, compared to the prior year period:
◦MedSurg: 0.6 percent reported, 0.7 percent operational and organic
◦Cardiovascular: 1.9 percent reported, operational and organic
•Achieved the following net sales growth/(decline) in each region, compared to the prior year period:
◦United States (U.S.): 0.5 percent reported and operational
◦Europe, Middle East and Africa (EMEA): 4.4 percent reported and 6.1 percent operational
◦Asia-Pacific (APAC): (0.6) percent reported and (1.1) percent operational
◦Latin America and Canada (LACA): 16.0 percent reported and 10.5 percent operational
•Commenced enrollment in the Elite AF clinical trial to evaluate the safety and effectiveness of the next-generation WATCHMAN Elite™ Left Atrial Appendage Closure Device in patients with non-valvular atrial fibrillation who are eligible for anticoagulation therapy to reduce their risk of stroke and who have a rationale to seek a non-pharmacologic alternative.
•Received U.S. Food and Drug Administration (FDA) 510(k) clearance for two technologies within the StoneSmart™ Solutions ecosystem, including the Navigator™ Flex Ureteral Access Sheath Set, designed to enable the use of suction to remove kidney stone debris, and the LithoVue™ Elite Single-Use Digital Flexible Ureteroscope with temperature sensing, designed to display real-time fluid temperature alongside ureteroscopy video for procedural monitoring.
•Received U.S. FDA 510(k) clearance for an expanded size offering of the SEISMIQ™ Intravascular Lithotripsy Peripheral Catheter to treat patients with severely calcified peripheral artery disease both above and below the knee.
•Recognized the American Medical Association's assignment of Category I Current Procedural Terminology (CPT®) codes for renal denervation devices, such as the investigational TIVUS™ Renal Denervation
System, and implantable tibial nerve stimulation (ITNS) devices, including the eCoin® ITNS System, effective January 2028.
•Entered into a strategic collaboration with Heartflow, Inc. (Nasdaq: HTFL) to advance AI-powered, computed tomography (CT)-guided planning for percutaneous coronary intervention (PCI) procedures and explore integration of Heartflow's PCI Navigator pre-procedural planning tool and the AVVIGO™+ Multi-Modality Guidance System.
1. Operational net sales growth excludes the impact of foreign currency fluctuations.
2. Organic net sales growth excludes the impact of foreign currency fluctuations and net sales attributable to certain acquisitions and divestitures for which there are less than a full period of comparable net sales.
3. Adjusted EPS excludes the impact of certain charges (credits) as defined below within the "Use of Non-GAAP Financial Measures" section.
Net sales for the third quarter by business and region:
| Increase/(Decrease) | ||||||||||||||||||||||||||||||||||||||||||||
| Three Months Ended September 30, | Reported Basis | Impact of Foreign Currency Fluctuations | Operational Basis | Impact of Certain Acquisitions/Divestitures | Organic Basis | |||||||||||||||||||||||||||||||||||||||
| (in millions) | 2026 | 2025 | ||||||||||||||||||||||||||||||||||||||||||
| Endoscopy | $ | 741 | $ | 747 | (0.8) | % | 0.1 | % | (0.6) | % | — | % | (0.6) | % | ||||||||||||||||||||||||||||||
| Urology | 661 | 682 | (3.2) | % | 0.1 | % | (3.1) | % | — | % | (3.1) | % | ||||||||||||||||||||||||||||||||
| Neuromodulation | 331 | 293 | 13.1 | % | (0.1) | % | 13.0 | % | — | % | 13.0 | % | ||||||||||||||||||||||||||||||||
| MedSurg | 1,733 | 1,722 | 0.6 | % | 0.1 | % | 0.7 | % | — | % | 0.7 | % | ||||||||||||||||||||||||||||||||
| Cardiovascular | 3,406 | 3,343 | 1.9 | % | (0.0) | % | 1.9 | % | — | % | 1.9 | % | ||||||||||||||||||||||||||||||||
| Net Sales | $ | 5,138 | $ | 5,065 | 1.5 | % | 0.0 | % | 1.5 | % | — | % | 1.5 | % | ||||||||||||||||||||||||||||||
| Increase/(Decrease) | ||||||||||||||||||||||||||||||||||||||||||||
| Three Months Ended September 30, | Reported Basis | Impact of Foreign Currency Fluctuations | Operational Basis | |||||||||||||||||||||||||||||||||||||||||
| (in millions) | 2026 | 2025 | ||||||||||||||||||||||||||||||||||||||||||
| U.S. | $ | 3,309 | $ | 3,294 | 0.5 | % | — | % | 0.5 | % | ||||||||||||||||||||||||||||||||||
| EMEA | 829 | 793 | 4.4 | % | 1.7 | % | 6.1 | % | ||||||||||||||||||||||||||||||||||||
| APAC | 797 | 802 | (0.6) | % | (0.4) | % | (1.1) | % | ||||||||||||||||||||||||||||||||||||
| LACA | 203 | 175 | 16.0 | % | (5.5) | % | 10.5 | % | ||||||||||||||||||||||||||||||||||||
| Net Sales | $ | 5,138 | $ | 5,065 | 1.5 | % | 0.0 | % | 1.5 | % | ||||||||||||||||||||||||||||||||||
| Amounts may not add due to rounding. Growth rates are based on actual, non-rounded amounts and may not recalculate precisely. | ||||||||||||||||||||||||||||||||||||||||||||
| Net sales growth rates that exclude the impact of foreign currency fluctuations and/or the impact of certain acquisitions/divestitures are not prepared in accordance with U.S. GAAP. | ||||||||||||||||||||||||||||||||||||||||||||
Guidance for Full Year and Fourth Quarter 2026
The company now estimates net sales growth for the full year 2026, versus the prior year period, to be approximately 4.25 percent on a reported basis and approximately 3.75 percent on an organic basis. Full year organic net sales guidance excludes the impact of foreign currency fluctuations and net sales attributable to certain acquisitions and divestitures for which there are less than a full period of comparable net sales. The company now estimates adjusted EPS, excluding certain charges (credits), of $3.16 to $3.18.
The company estimates net sales to decline in the fourth quarter of 2026, versus the prior year period, by approximately (3.0) to (1.0) percent on a reported and organic basis. Fourth quarter organic net sales guidance excludes the impact of foreign currency fluctuations and net sales attributable to certain acquisitions and
divestitures for which there are less than a full period of comparable net sales. The company estimates adjusted EPS, excluding certain charges (credits), of $0.77 to $0.79.
The company has not provided reconciliations of the forward-looking adjusted EPS guidance to GAAP guidance as it is unable to predict with reasonable certainty and without unreasonable efforts the impact of certain items such as intangible asset impairment charges, acquisition-related charges, restructuring and restructuring-related charges and litigation-related charges. The combined impact of these items is uncertain, dependent on various factors and cannot be predicted with reasonable certainty, and could be material to our GAAP measures of financial results.
Conference Call Information
Boston Scientific management will be discussing these results with analysts on a conference call today at 8:00 a.m. ET. The company will webcast the call to interested parties through its website: investors.bostonscientific.com. Please see the website for details on how to access the webcast. The webcast will be available for approximately one year on the Boston Scientific website.
About Boston Scientific
Boston Scientific transforms lives through innovative medical technologies that improve the health of patients around the world. As a global medical technology leader for more than 45 years, we advance science for life by providing a broad range of high-performance solutions that address unmet patient needs and reduce the cost of healthcare. Our portfolio of devices and therapies helps physicians diagnose and treat complex cardiovascular, respiratory, digestive, oncological, neurological and urological diseases and conditions. Learn more at www.bostonscientific.com and follow us on LinkedIn.
Cautionary Statement Regarding Forward-Looking Statements
This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. Forward-looking statements may be identified by words like "anticipate," "expect," "project," "believe," "plan," "estimate," "may," "intend" and similar words. These forward-looking statements are based on our beliefs, assumptions and estimates using information available to us at the time and are not intended to be guarantees of future events or performance. These forward-looking statements include, among other things, statements regarding our expected net sales; reported, operational and organic revenue growth rates; adjusted EPS for the fourth quarter and full year 2026; our financial performance; impacts of the August 2026 cybersecurity incident; acquisitions; clinical trials; our business plans and product performance; and new and anticipated product approvals and launches. If our underlying assumptions turn out to be incorrect, or if certain risks or uncertainties materialize, actual results could vary materially from the expectations and projections expressed or implied by our forward-looking statements. These factors, in some cases, have affected and in the future (together with other factors) could affect our ability to implement our business strategy and may cause actual results to differ materially from those contemplated by the statements expressed in this press release. As a result, readers are cautioned not to place undue reliance on any of our forward-looking statements.
Risks and uncertainties that may cause such differences include, among other things: economic conditions, including the impact of foreign currency fluctuations; future U.S. and global political, competitive, reimbursement and regulatory conditions, including changing trade and tariff policies; geopolitical conflicts and tensions; manufacturing, distribution and supply chain disruptions and cost increases; disruptions caused by cybersecurity events, including the impacts of the cybersecurity incident first reported on August 26, 2026 on our operations and financial results; disruptions caused by public health emergencies or extreme weather or other climate change-related events; labor shortages and increases in labor costs; variations in outcomes of ongoing and future clinical trials and market studies; new product introductions and the market acceptance of those products; market competition for our products; expected pricing environment; expected procedural volumes; the closing and integration of acquisitions; demographic trends; intellectual property rights; litigation; financial market conditions; the execution and effect of our prior and new restructuring programs; the execution and effect of our business strategy, including our cost-savings and growth initiatives; our ability to achieve sustainability goals; and future business decisions made by us and our competitors. New risks and uncertainties may arise from time to time and are difficult to predict. All of these factors are difficult or impossible to predict accurately and many of them are beyond our control. For a further list and description of these and other important risks and uncertainties that may affect our future operations, see Part I, Item 1A. Risk Factors in our most recent Annual Report on Form 10-K filed with the Securities and Exchange Commission, which we may update in Part II, Item 1A. Risk Factors in Quarterly
Reports on Form 10-Q we have filed or will file hereafter. We disclaim any intention or obligation to publicly update or revise any forward-looking statements to reflect any change in our expectations or in events, conditions, or circumstances on which those expectations may be based, or that may affect the likelihood that actual results will differ from those contained in the forward-looking statements, except as required by law. This cautionary statement is applicable to all forward-looking statements contained in this press release.
Note: Amounts reported in millions within this press release are computed based on the amounts in thousands. As a result, the sum of the components reported in millions may not equal the total amount reported in millions due to rounding. Certain columns and rows within tables may not add due to the use of rounded numbers. Percentages presented are calculated from the underlying unrounded amounts.
Use of Non-GAAP Financial Information
A reconciliation of the company's non-GAAP financial measures to the corresponding GAAP measures, and an explanation of the company's use of these non-GAAP financial measures, is included in the exhibits attached to this press release.
| CONTACT: | ||||||||||||||
| Media: | Chanel Hastings | Investors: | Lauren Tengler | |||||||||||
| 508-382-0288 (office) | 508-683-4479 (office) | |||||||||||||
| Media Relations | Investor Relations | |||||||||||||
| Boston Scientific Corporation | Boston Scientific Corporation | |||||||||||||
| chanel.hastings@bsci.com | BSXInvestorRelations@bsci.com | |||||||||||||
BOSTON SCIENTIFIC CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
| Three Months Ended September 30, | Nine Months Ended September 30, | ||||||||||||||||
| (in millions, except per share data) | 2026 | 2025 | 2026 | 2025 | |||||||||||||
| Net sales | $ | 5,138 | $ | 5,065 | $ | 15,784 | $ | 14,788 | |||||||||
| Cost of products sold (excluding amortization expense) | 1,710 | 1,523 | 4,894 | 4,613 | |||||||||||||
| Gross profit | 3,428 | 3,542 | 10,890 | 10,175 | |||||||||||||
| Operating expenses: | |||||||||||||||||
| Selling, general and administrative expenses | 1,683 | 1,741 | 5,266 | 5,053 | |||||||||||||
| Research and development expenses | 520 | 514 | 1,589 | 1,483 | |||||||||||||
| Royalty expense | 12 | 12 | 37 | 40 | |||||||||||||
| Amortization expense | 234 | 225 | 699 | 669 | |||||||||||||
| Intangible asset impairment charges | 39 | 0 | 39 | 46 | |||||||||||||
| Restructuring net charges (credits) | 63 | (8) | 74 | 85 | |||||||||||||
| Contingent consideration net expense (benefit) | (32) | 11 | (78) | 11 | |||||||||||||
| Litigation-related net charges (credits) | 81 | — | 157 | — | |||||||||||||
| 2,600 | 2,494 | 7,783 | 7,387 | ||||||||||||||
| Operating income (loss) | 828 | 1,048 | 3,107 | 2,788 | |||||||||||||
| Other income (expense): | |||||||||||||||||
| Interest expense | (100) | (87) | (285) | (259) | |||||||||||||
| Other, net | 4 | (23) | 133 | 156 | |||||||||||||
| Income (loss) before income taxes | 733 | 939 | 2,955 | 2,685 | |||||||||||||
| Income tax expense (benefit) | 153 | 183 | 132 | 463 | |||||||||||||
| Net income (loss) | 580 | 755 | 2,823 | 2,222 | |||||||||||||
| Net income (loss) attributable to noncontrolling interests | (2) | (0) | (6) | (4) | |||||||||||||
| Net income (loss) attributable to Boston Scientific common stockholders | $ | 582 | $ | 755 | $ | 2,830 | $ | 2,226 | |||||||||
| Net income (loss) per common share - basic | $ | 0.40 | $ | 0.51 | $ | 1.93 | $ | 1.50 | |||||||||
| Net income (loss) per common share - diluted | $ | 0.40 | $ | 0.51 | $ | 1.92 | $ | 1.49 | |||||||||
| Weighted-average shares outstanding | |||||||||||||||||
| Basic | 1,448.7 | 1,481.7 | 1,468.0 | 1,479.6 | |||||||||||||
| Diluted | 1,452.0 | 1,495.5 | 1,473.9 | 1,494.0 | |||||||||||||
| Amounts may not add due to rounding. | |||||||||||||||||
BOSTON SCIENTIFIC CORPORATION
NON-GAAP NET INCOME AND NET INCOME PER SHARE RECONCILIATIONS
(Unaudited)
| Three Months Ended September 30, 2026 | |||||||||||||||||||||||||||||
| (in millions, except per share data) | Gross Profit | Operating Expenses | Operating Income (Loss) | Other Income (Expense) | Income (Loss) Before Income Taxes | Net Income (Loss) | Net Income (Loss) Attributable to Noncontrolling Interests | Net Income (Loss) Attributable to Boston Scientific Common Stockholders | Impact per Share | ||||||||||||||||||||
| Reported | $ | 3,428 | $ | 2,600 | $ | 828 | $ | (95) | $ | 733 | $ | 580 | $ | (2) | $ | 582 | $ | 0.40 | |||||||||||
| Non-GAAP adjustments: | |||||||||||||||||||||||||||||
| Amortization expense | — | (234) | 234 | — | 234 | 207 | 2 | 204 | 0.14 | ||||||||||||||||||||
| Goodwill and other intangible asset impairment charges | — | (39) | 39 | — | 39 | 35 | — | 35 | 0.02 | ||||||||||||||||||||
| Acquisition/divestiture-related net charges/credits | 38 | (44) | 82 | 8 | 90 | 61 | — | 61 | 0.04 | ||||||||||||||||||||
| Restructuring and restructuring-related net charges/credits | 23 | (70) | 94 | — | 94 | 75 | — | 75 | 0.05 | ||||||||||||||||||||
| Litigation-related net charges/credits | — | (81) | 81 | — | 81 | 63 | — | 63 | 0.04 | ||||||||||||||||||||
| Investment portfolio net losses/gains and impairments | — | — | — | (36) | (36) | (28) | — | (28) | (0.02) | ||||||||||||||||||||
| EU MDR implementation costs | 3 | (3) | 5 | — | 5 | 5 | — | 5 | 0.00 | ||||||||||||||||||||
| Deferred tax expenses/benefits | — | — | — | — | — | 66 | — | 66 | 0.05 | ||||||||||||||||||||
| Adjusted | $ | 3,493 | $ | 2,128 | $ | 1,364 | $ | (124) | $ | 1,240 | $ | 1,063 | $ | 0 | $ | 1,063 | $ | 0.73 | |||||||||||
| Three Months Ended September 30, 2025 | |||||||||||||||||||||||||||||
| (in millions, except per share data) | Gross Profit | Operating Expenses | Operating Income (Loss) | Other Income (Expense) | Income (Loss) Before Income Taxes | Net Income (Loss) | Net Income (Loss) Attributable to Noncontrolling Interests | Net Income (Loss) Attributable to Boston Scientific Common Stockholders | Impact per Share | ||||||||||||||||||||
| Reported | $ | 3,542 | $ | 2,494 | $ | 1,048 | $ | (110) | $ | 939 | $ | 755 | $ | (0) | $ | 755 | $ | 0.51 | |||||||||||
| Non-GAAP adjustments: | |||||||||||||||||||||||||||||
| Amortization expense | — | (225) | 225 | — | 225 | 194 | 2 | 191 | 0.13 | ||||||||||||||||||||
| Goodwill and other intangible asset impairment charges | — | (0) | 0 | — | 0 | 0 | — | 0 | 0.00 | ||||||||||||||||||||
| Acquisition/divestiture-related net charges/credits | 23 | (76) | 99 | 0 | 99 | 95 | — | 95 | 0.06 | ||||||||||||||||||||
| Restructuring and restructuring-related net charges/credits | 23 | (14) | 36 | — | 36 | 30 | — | 30 | 0.02 | ||||||||||||||||||||
| Investment portfolio net losses/gains and impairments | — | — | — | (6) | (6) | (5) | — | (5) | (0.00) | ||||||||||||||||||||
| EU MDR implementation costs | 7 | (4) | 11 | — | 11 | 9 | — | 9 | 0.01 | ||||||||||||||||||||
| Deferred tax expenses/benefits | — | — | — | — | — | 47 | — | 47 | 0.03 | ||||||||||||||||||||
| Discrete tax items | — | — | — | — | — | 1 | — | 1 | 0.00 | ||||||||||||||||||||
| Adjusted | $ | 3,595 | $ | 2,175 | $ | 1,419 | $ | (116) | $ | 1,303 | $ | 1,126 | $ | 2 | $ | 1,124 | $ | 0.75 | |||||||||||
| An explanation of the company's use of these non-GAAP financial measures is provided at the end of this document. | |||||||||||||||||||||||||||||
| Amounts may not add due to rounding. | |||||||||||||||||||||||||||||
BOSTON SCIENTIFIC CORPORATION
NON-GAAP NET INCOME AND NET INCOME PER SHARE RECONCILIATIONS
(Unaudited)
| Nine Months Ended September 30, 2026 | |||||||||||||||||||||||||||||
| (in millions, except per share data) | Gross Profit | Operating Expenses | Operating Income (Loss) | Other Income (Expense) | Income (Loss) Before Income Taxes | Net Income (Loss) | Net Income (Loss) Attributable to Noncontrolling Interests | Net Income (Loss) Attributable to Boston Scientific Common Stockholders | Impact per Share | ||||||||||||||||||||
| Reported | $ | 10,890 | $ | 7,783 | $ | 3,107 | $ | (152) | $ | 2,955 | $ | 2,823 | $ | (6) | $ | 2,830 | $ | 1.92 | |||||||||||
| Non-GAAP adjustments: | |||||||||||||||||||||||||||||
| Amortization expense | — | (699) | 699 | — | 699 | 617 | 7 | 610 | 0.41 | ||||||||||||||||||||
| Goodwill and other intangible asset impairment charges | — | (39) | 39 | — | 39 | 35 | — | 35 | 0.02 | ||||||||||||||||||||
| Acquisition/divestiture-related net charges/credits | 96 | (162) | 257 | (28) | 229 | 164 | — | 164 | 0.11 | ||||||||||||||||||||
| Restructuring and restructuring-related net charges/credits | 71 | (100) | 170 | — | 170 | 145 | — | 145 | 0.10 | ||||||||||||||||||||
| Litigation-related net charges/credits | — | (157) | 157 | — | 157 | 122 | — | 122 | 0.08 | ||||||||||||||||||||
| Investment portfolio net losses/gains and impairments | — | — | — | (175) | (175) | (134) | — | (134) | (0.09) | ||||||||||||||||||||
| EU MDR implementation costs | 12 | (7) | 19 | — | 19 | 17 | — | 17 | 0.01 | ||||||||||||||||||||
| IEEPA tariff refund | (83) | — | (83) | — | (83) | (77) | — | (77) | (0.05) | ||||||||||||||||||||
| Deferred tax expenses/benefits | — | — | — | — | — | (184) | — | (184) | (0.13) | ||||||||||||||||||||
| Adjusted | $ | 10,985 | $ | 6,618 | $ | 4,366 | $ | (356) | $ | 4,011 | $ | 3,528 | $ | 1 | $ | 3,527 | $ | 2.39 | |||||||||||
| Nine Months Ended September 30, 2025 | |||||||||||||||||||||||||||||
| (in millions, except per share data) | Gross Profit | Operating Expenses | Operating Income (Loss) | Other Income (Expense) | Income (Loss) Before Income Taxes | Net Income (Loss) | Net Income (Loss) Attributable to Noncontrolling Interests | Net Income (Loss) Attributable to Boston Scientific Common Stockholders | Impact per Share | ||||||||||||||||||||
| Reported | $ | 10,175 | $ | 7,387 | $ | 2,788 | $ | (103) | $ | 2,685 | $ | 2,222 | $ | (4) | $ | 2,226 | $ | 1.49 | |||||||||||
| Non-GAAP adjustments: | |||||||||||||||||||||||||||||
| Amortization expense | — | (669) | 669 | — | 669 | 576 | 7 | 570 | 0.38 | ||||||||||||||||||||
| Goodwill and other intangible asset impairment charges | — | (46) | 46 | — | 46 | 37 | — | 37 | 0.02 | ||||||||||||||||||||
| Acquisition/divestiture-related net charges/credits | 159 | (226) | 385 | (229) | 156 | 157 | — | 157 | 0.10 | ||||||||||||||||||||
| Restructuring and restructuring-related net charges/credits | 84 | (162) | 247 | — | 247 | 215 | — | 215 | 0.14 | ||||||||||||||||||||
| Investment portfolio net losses/gains and impairments | — | — | — | (0) | (0) | (0) | — | (0) | (0.00) | ||||||||||||||||||||
| EU MDR implementation costs | 22 | (11) | 34 | — | 34 | 29 | — | 29 | 0.02 | ||||||||||||||||||||
| Deferred tax expenses/benefits | — | — | — | — | — | 139 | — | 139 | 0.09 | ||||||||||||||||||||
| Discrete tax items | — | — | — | — | — | 1 | — | 1 | 0.00 | ||||||||||||||||||||
| Adjusted | $ | 10,440 | $ | 6,272 | $ | 4,168 | $ | (332) | $ | 3,836 | $ | 3,375 | $ | 3 | $ | 3,372 | $ | 2.26 | |||||||||||
| An explanation of the company's use of these non-GAAP financial measures is provided at the end of this document. | |||||||||||||||||||||||||||||
| Amounts may not add due to rounding. | |||||||||||||||||||||||||||||
BOSTON SCIENTIFIC CORPORATION
Q4 and FY 2026 GUIDANCE RECONCILIATIONS
(Unaudited)
| Net Sales | ||||||||||||||
| Q4 2026 Estimate | Full Year 2026 Estimate | |||||||||||||
| (Low) | (High) | |||||||||||||
| Reported growth/(decline) | (3.0) | % | (1.0) | % | ~4.25% | |||||||||
| Impact of foreign currency fluctuations | — | % | — | % | ~(0.5)% | |||||||||
Operational growth/(decline) | (3.0) | % | (1.0) | % | ~3.75% | |||||||||
| Impact of certain acquisitions/divestitures | — | % | — | % | — | % | ||||||||
Organic growth/(decline) | (3.0) | % | (1.0) | % | ~3.75% | |||||||||
Use of Non-GAAP Financial Measures
To supplement our unaudited consolidated financial statements presented on a GAAP basis, we disclose certain non-GAAP financial measures, including adjusted net income (loss), adjusted net income (loss) attributable to Boston Scientific common stockholders and adjusted net income (loss) per share (EPS) that exclude certain charges (credits); operational net sales, which exclude the impact of foreign currency fluctuations; and organic net sales, which exclude the impact of foreign currency fluctuations as well as the impact of certain acquisitions and divestitures with less than a full period of comparable net sales. These non-GAAP financial measures are not in accordance with generally accepted accounting principles in the United States and should not be considered in isolation from or as a replacement for the most directly comparable GAAP financial measures. Further, other companies may calculate these non-GAAP financial measures differently than we do, which may limit the usefulness of those measures for comparative purposes.
To calculate adjusted net income (loss), adjusted net income (loss) attributable to Boston Scientific common stockholders and adjusted net income (loss) per share, we exclude certain charges (credits) from GAAP net income and GAAP net income attributable to Boston Scientific common stockholders, which include amortization expense, goodwill and other intangible asset impairment charges, acquisition/divestiture-related net charges (credits), investment portfolio net losses (gains) and impairments, restructuring and restructuring-related net charges (credits), litigation-related net charges (credits), European Union (EU) Medical Device Regulation (MDR) implementation costs, debt extinguishment net charges, deferred tax expenses (benefits), discrete tax items and other charges (credits) as appropriate. Amounts are presented after-tax using our effective tax rate, unless the amount is a significant unusual or infrequently occurring item in accordance with Financial Accounting Standards Board Accounting Standards Codification Topic 740-270-30, “General Methodology and Use of Estimated Annual Effective Tax Rate.” In addition to the explanation below, please refer to Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations in our most recent Annual Report on Form 10-K filed with the Securities and Exchange Commission or Part I, Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations in any Quarterly Report on Form 10-Q that we have filed or will file thereafter for an explanation of each of these adjustments and the reasons for excluding each item. The following is an explanation of each incremental or revised adjustment type, since our most recent Annual Report on Form 10-K, that management excluded as part of these non-GAAP financial measures as well as the reason for excluding each item:
•Restructuring and restructuring-related net charges (credits) - These adjustments primarily represent severance and other compensation-related charges, fixed asset write-offs, contract cancellations, project management fees, facility shut down costs, costs to transfer manufacturing lines between geographically dispersed facilities and other direct costs associated with our restructuring plans. These restructuring plans each consist of distinct initiatives that are fundamentally different from our ongoing, core cost reduction initiatives in terms of, among other things, the frequency with which each action is performed and the required planning, resourcing, cost and timing. Examples of such initiatives include the movement of business activities, facility consolidations and closures and the transfer of product lines between manufacturing facilities, which, due to the highly regulated nature of our industry, requires a significant investment in time and cost to create duplicate manufacturing lines, run product validations and seek regulatory approvals. Restructuring plans take place over a defined timeframe and have a distinct project timeline that requires, and begins subsequent to, approval by our Board of Directors. In contrast to our ongoing cost reduction initiatives, restructuring plans typically result in duplicative cost and exit costs over the defined timeframe and are not considered part of our core, ongoing operations. In addition, we may incur certain charges such as severance and other compensation-related charges, fixed asset write-offs, contract cancellations, facility shutdown costs, and inventory write-downs associated with discontinuations of significant product lines. These restructuring plans and activities are incremental to the core activities that arise in the ordinary course of our business. Restructuring and restructuring-related net charges (credits) are excluded from management's assessment of operating performance and from our operating segments' measures of profit and loss used for making operating decisions and assessing performance.
•Deferred tax expenses (benefits) - These amounts represent significant non-cash tax benefits arising from internal reorganizations or intra-entity asset transfers. The deferred tax effects related to the establishment and subsequent reversal of net deferred tax assets are excluded from management's assessment of operating performance used for making operating decisions and assessing performance.
•IEEPA tariff refund - This amount relates to the benefit recognized in connection with the recovery of previously incurred tariffs imposed under the International Emergency Economic Powers Act (IEEPA) recognized in Cost of products sold within our unaudited consolidated statements of operations. This amount is excluded from management's assessment of operating performance used for making operating decisions and assessing performance.
The GAAP financial measures most directly comparable to adjusted net income (loss), adjusted net income (loss) attributable to Boston Scientific common stockholders and adjusted net income (loss) per share are GAAP net income (loss), GAAP net income (loss) attributable to Boston Scientific common stockholders and GAAP net income (loss) per common share - diluted, respectively.
To calculate operational net sales growth rates, which exclude the impact of foreign currency fluctuations, we convert actual net sales from local currency to U.S. dollars using constant foreign currency exchange rates in the current and prior periods. To calculate organic net sales growth rates, we also remove the impact of certain acquisitions and divestitures with less than a full period of comparable net sales. The GAAP financial measure most directly comparable to operational net sales and organic net sales is net sales reported on a GAAP basis.
Reconciliations of each of these non-GAAP financial measures to the corresponding GAAP financial measure are included in the accompanying schedules.
Management uses these supplemental non-GAAP financial measures to evaluate performance period over period, to analyze the underlying trends in our business, to assess our performance relative to our competitors and to establish operational goals and forecasts that are used in allocating resources. In addition, management uses these non-GAAP financial measures to further its understanding of the performance of our operating segments. The adjustments excluded from our non-GAAP financial measures are consistent with those excluded from our operating segments’ measures of net sales and profit or loss. These adjustments are excluded from the segment measures reported to our chief operating decision maker that are used to make operating decisions and assess performance.
We believe that presenting adjusted net income (loss), adjusted net income (loss) attributable to Boston Scientific common stockholders, adjusted net income (loss) per share, operational and organic net sales growth rates, in addition to the corresponding GAAP financial measures, provides investors greater transparency to the information used by management for its operational decision-making and allows investors to see our results “through the eyes” of management. We further believe that providing this information assists our investors in understanding our operating performance and the methodology used by management to evaluate and measure such performance.