Boston Scientific(BSX) - 2025 Q1 - Quarterly Report

Financial Performance - Boston Scientific's net sales for Q1 2025 were $4.663 billion, a 20.9$3.856 billion in Q1 2024, driven by strong commercial execution and operational net sales growth of 22.2%[132] - The reported net income for Q1 2025 was $674 million, or$0.45 per diluted share, compared to $495 million, or$0.33 per diluted share in Q1 2024[132] - Adjusted net income for Q1 2025 was $1.121 billion, or$0.75 per diluted share, compared to $832 million, or$0.56 per diluted share in Q1 2024[134] - Gross profit for Q1 2025 was $3.210 billion, up from$2.648 billion in Q1 2024, with a gross profit margin of 68.8% compared to 68.7% in the prior year[151] Segment Performance - The Cardiology segment generated $2.429 billion in net sales for Q1 2025, representing 52$120 million, or 23.5%, to $633 million in Q1 2025, supported by a significant contribution from the acquisition of Axonics[139] - The Endoscopy segment reported net sales of$673 million, a 4.7% increase, with operational growth of 5.9% despite foreign currency impacts[137] - Neuromodulation sales reached $271 million, up 5.8$83 million, or 14.4%, to $656 million, with operational growth of 15.8$233 million, or 17%, in Q1 2025, totaling $1.597 billion, which is 34.2$77 million, or 21%, in Q1 2025, amounting to $443 million, maintaining 9.5$541 million in Q1 2025, an increase of $378 million compared to$164 million in Q1 2024[175] - Cash used for investing activities was $(500) million in Q1 2025, including$239 million for the acquisition of Cortex, Inc.[174] Debt and Financing - Interest expense increased to $82 million in Q1 2025 from$69 million in Q1 2024, primarily due to increased debt from a €1.500 billion public offering[162] - The company had $725 million in unrestricted cash and cash equivalents as of March 31, 2025[171] - The company raised €1.500 billion from the issuance of euro-denominated senior notes, resulting in cash proceeds of$1.558 billion after discounts and costs[177] - As of March 31, 2025, the company maintained a leverage ratio of 2.21 times, well below the maximum permitted ratio of 4.75 times following a Qualified Acquisition[179] Acquisitions and Investments - The company announced an agreement to acquire SoniVie Ltd. for approximately $360 million upfront, with an additional$180 million contingent on regulatory milestones[181] - The company plans to use the net proceeds from the 2025 Eurobonds for general corporate purposes, including potential future acquisitions[177] Compliance and Risks - The company anticipates ongoing economic challenges due to inflation, tariffs, and geopolitical factors impacting operations[149] - The company faces risks from economic conditions, supply chain disruptions, and competitive pressures that could impact future performance[198] - The company is subject to geopolitical and economic conditions that may disrupt operations or impact sanctions on U.S. manufacturers doing business in affected regions[204] - The company faces risks associated with regulatory compliance and quality systems in the U.S., EU, and globally, which could affect operational performance[200] Market and Operational Factors - The company’s dependency on international net sales is essential for achieving growth and maintaining market positions in various regions, including investments in China and other emerging markets[204] - The impact of increased pressure on the availability and rate of third-party reimbursement for products is a significant concern for the company[200] - The potential failure to successfully integrate strategic acquisitions could hinder the realization of expected benefits, including cost synergies[204] - The company is exposed to market risk from changes in currency exchange rates and interest rates, which is managed through a risk management program including derivative financial instruments[207] - The company had currency derivative instruments outstanding with a contract amount of $9.546 billion as of March 31, 2025, compared to$7.636 billion as of December 31, 2024[208] - A ten percent appreciation in the U.S. dollar's value relative to the hedged currencies would increase the derivative instruments' fair value by $554 million as of March 31, 2025[208] - As of March 31, 2025,$11.243 billion in aggregate principal amount of the company's outstanding debt obligations was at fixed interest rates, representing approximately 100 percent of total debt[209] Corporate Governance - The company utilizes non-GAAP financial measures, including adjusted net income and operational net sales, to provide transparency in performance evaluation[187] - The company is in compliance with the financial covenant required by the 2021 Revolving Credit Facility as of March 31, 2025[178] - The company has $274 million remaining in restructuring charge exclusions and$1.429 billion in litigation exclusions as of March 31, 2025[180] - The company has not repurchased any shares during Q1 2025 or 2024, with $1.000 billion remaining under its stock repurchase program[184] - The company’s ability to attract and retain talent, including key personnel associated with acquisitions, is critical for maintaining corporate culture in a hybrid work environment[200]