Record Full-Year Revenue and Strong Organic Growth
Full-year 2025 revenue of $20.74 billion (reported growth +19.9% vs. 2024). Operational revenue for the year grew 19.2% and organic revenue grew 15.8%, exceeding guidance (~15.5%). Q4 2025 operational revenue grew 14.3% and organic revenue grew 12.7% (Q4 reported revenue $5.286 billion, +15.9% reported).
Robust EPS and Margin Expansion
Q4 adjusted EPS $0.80 (+15% vs. prior year) and full-year adjusted EPS $3.06 (+22% vs. prior year). Full-year adjusted operating margin expanded 100 basis points to 28.0% and adjusted gross margin expanded 30 basis points to 70.6%.
Strong Free Cash Flow and Balance Sheet
Full-year free cash flow of $3.659 billion (+38% vs. 2024) with 80% free cash flow conversion. Cash on hand $1.96 billion and gross debt leverage ratio 1.9x. 2026 free cash flow expected ≈ $4.2 billion.
Exceptional EP Performance and PFA Adoption
Global EP organic growth of 35% in Q4 and 73% full-year driven by PFA (Farapulse) adoption. Management cited ~70% PFA penetration for AF ablations in the U.S. and strong uptake of mapping systems and OPAL placements, positioning EP to outpace a forecasted ~15% market growth in 2026.
WATCHMAN Franchise Momentum and Clinical Catalysts
WATCHMAN grew 29% in Q4 and delivered strong double-digit full-year growth across major markets. Over 25,000 patients treated concomitantly. CHAMPION trial accepted as a late breaker at ACC; positive data could expand indicated patients materially (management noted potential expansion from ~5M to ~20M globally if favorable).
Cardiovascular and Interventional Oncology Strength
Cardiovascular segment: Q4 organic growth 16% and full-year organic 21%. Interventional Oncology & Embolization: Q4 organic growth 12% and nearly $1 billion in full-year sales. Drug-eluting technology (Agent DCB) grew >20% for the full year.
Balanced 2026 Guidance and Long-Range Targets
2026 guidance: full-year organic growth 10.0%–11.0%, Q1 organic 8.5%–10.0%. Full-year adjusted EPS guidance $3.43–$3.49 (+12%–14% vs. 2025). Long-range plan reaffirmed: 10%+ annual organic growth (2026–2028) and 150 bps operating margin expansion.
Strategic M&A and Credit Strength
Closed acquisition of Nalu Medical; announced agreements to acquire Valencia Technologies and Penumbra (expected to close in 2026). All three major rating agencies affirmed A-equivalent credit rating; Fitch upgraded outlook to positive.