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Boston Scientific Announces Results for Fourth Quarter and Full Year 2023 Boston Scientific Corporation (NYSE: BSX) generated net sales of $3.725 billion during the fourth quarter of 2023, growing 14.9 percent on a reported ...

Key Takeaway: Boston Scientific Corporation reported impressive financial results for Q4 and full-year 2023, with net sales reaching $3.725 billion, a 14.9% increase year-over-year. The company also noted a significant rise in net income, achieving $1.570 billion, or $1.07 per share, compared to $642 million the previous year. Adjusted earnings per share for the year was recorded at $2.05. Looking forward, Boston Scientific anticipates steady growth for 2024, projecting net sales to increase by approximately 8.5% to 9.5%.

Market Sentiment Analysis

POSITIVE FACTORS

  • Net sales grew by 14.9% in Q4 2023 compared to the previous year.
  • Full-year net income increased significantly to $1.570 billion from $642 million.
  • The company achieved adjusted EPS of $2.05 for 2023, up from $1.71 in 2022.

Full Press Release Details

MARLBOROUGH, Mass. , Jan. 31, 2024 /PRNewswire/ -- Boston Scientific Corporation (NYSE: BSX ) generated net sales of $3.725 billion during the fourth quarter of 2023, growing 14.9 percent on a reported basis, 14.5 percent on an operational 1 basis and 13.6 percent on an organic 2 basis, all compared to the prior year period. The company reported GAAP net income attributable to Boston Scientific common stockholders of $504 million or $0.34 per share (EPS), compared to $126 million or $0.09 per share a year ago and achieved adjusted 3 EPS of $0.55 for the period, compared to $0.45 a year ago.
For the full year 2023, the company generated net sales of $14.240 billion , growing 12.3 percent on a reported basis, 13.1 percent on an operational 1 basis and 12.3 percent on an organic 2 basis. The company reported GAAP net income attributable to Boston Scientific common stockholders of $1.570 billion or $1.07 per share, compared to $642 million or $0.45 per share a year ago, and delivered full year adjusted 3 EPS of $2.05 , compared to $1.71 a year ago.
"I am grateful to our global team, and proud of our exceptional results in 2023," said Mike Mahoney , chairman and chief executive officer, Boston Scientific. "We are excited about our future and long-range plans as we deliver on our mission to transform patient lives."
Fourth quarter financial results and recent developments:
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 acquisitions and divestitures for which there are less than a full period of comparable net sales.
3 Adjusted EPS excludes the impacts of certain charges (credits) which may include amortization expense, goodwill and intangible asset impairment charges, acquisition/divestiture-related net charges (credits), investment portfolio gains and losses, restructuring and restructuring-related net charges (credits), certain litigation-related net charges (credits), European Union Medical Device Regulation (EU MDR) implementation costs, debt extinguishment charges, deferred tax expenses (benefits) and discrete tax items.
4 Periodically, we assess our list of Emerging Markets countries, and effective January 1, 2023, modified our list to include all countries except the United States, Western and Central Europe, Japan, Australia, New Zealand and Canada. We have revised prior year amounts to conform to the current year's presentation.
Fourth quarter net sales by business and region:
Increase/(Decrease)
Three Months Ended December 31, Reported Basis Impact of Foreign Currency Fluctuations Operational Basis Impact of Recent Acquisitions / Divestitures Organic Basis
(in millions) 2023 2022
Endoscopy $ 645 $ 571 12.9 % (0.7) % 12.2 % (1.4) % 10.8 %
Urology 527 477 10.5 % (0.5) % 9.9 % — % 9.9 %
Neuromodulation 269 249 8.0 % (0.5) % 7.5 % (4.9) % 2.6 %
MedSurg 1,441 1,297 11.1 % (0.6) % 10.5 % (1.6) % 8.9 %
Cardiology 1,751 1,529 14.5 % (0.3) % 14.2 % — % 14.2 %
Peripheral Interventions 533 476 12.1 % 0.1 % 12.2 % (2.1) % 10.2 %
Cardiovascular 2,285 2,005 13.9 % (0.2) % 13.8 % (0.5) % 13.3 %
3,725 3,302 12.8 % (0.4) % 12.5 % (0.9) % 11.6 %
Other 5 (60) (100.0) % — % (100.0) % — % (100.0) %
Net Sales $ 3,725 $ 3,242 14.9 % (0.4) % 14.5 % (0.9) % 13.6 %
Increase/(Decrease)
Three Months Ended December 31, Reported Basis Impact of Foreign Currency Fluctuations Operational Basis
(in millions) 2023 2022
U.S. $ 2,213 $ 1,986 11.4 % — % 11.4 %
EMEA 749 657 14.0 % (2.4) % 11.6 %
APAC 616 536 14.8 % 2.2 % 17.0 %
LACA 148 122 20.8 % (6.2) % 14.6 %
3,725 3,302 12.8 % (0.4) % 12.5 %
Other 5 (60) (100.0) % — % (100.0) %
Net Sales $ 3,725 $ 3,242 14.9 % (0.4) % 14.5 %
Emerging Markets 4 $ 595 $ 511 16.3 % 2.4 % 18.7 %
5 In 2022, reflects unplanned reserves established in connection with the activation of the Italian government payback provision, aimed at rationalizing public spending and requiring medical device companies to pay back a portion of spend exceeding allocated health care budgets. In 2023, these sales reserves were allocated to reportable segments.
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 acquisitions/divestitures are not prepared in accordance with GAAP.
Full year net sales by business and region:
Increase/(Decrease)
Year Ended December 31, Reported Basis Impact of Foreign Currency Fluctuations Operational Basis Impact of Recent Acquisitions / Divestitures Organic Basis
(in millions) 2023 2022
Endoscopy $ 2,482 $ 2,221 11.7 % 0.6 % 12.3 % (1.2) % 11.1 %
Urology 1,964 1,773 10.8 % 0.4 % 11.1 % — % 11.1 %
Neuromodulation 976 917 6.4 % 0.3 % 6.7 % (1.3) % 5.3 %
MedSurg 5,422 4,911 10.4 % 0.4 % 10.8 % (0.8) % 10.0 %
Cardiology 6,709 5,932 13.1 % 0.9 % 14.0 % (0.5) % 13.6 %
Peripheral Interventions 2,110 1,899 11.1 % 1.4 % 12.6 % (1.6) % 10.9 %
Cardiovascular 8,819 7,831 12.6 % 1.1 % 13.7 % (0.7) % 12.9 %
14,240 12,742 11.8 % 0.8 % 12.6 % (0.8) % 11.8 %
Other 5 (60) (100.0) % — % (100.0) % — % (100.0) %
Net Sales $ 14,240 $ 12,682 12.3 % 0.8 % 13.1 % (0.8) % 12.3 %
Increase/(Decrease)
Year Ended December 31, Reported Basis Impact of Foreign Currency Fluctuations Operational Basis
(in millions) 2023 2022
U.S. $ 8,425 $ 7,632 10.4 % — % 10.4 %
EMEA 2,856 2,526 13.1 % (0.2) % 12.9 %
APAC 2,400 2,116 13.4 % 5.7 % 19.1 %
LACA 560 469 19.3 % (2.4) % 16.9 %
14,240 12,742 11.8 % 0.8 % 12.6 %
Other 5 (60) (100.0) % — % (100.0) %
Net Sales $ 14,240 $ 12,682 12.3 % 0.8 % 13.1 %
Emerging Markets 4 $ 2,310 $ 1,968 17.3 % 4.5 % 21.9 %
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 acquisitions/divestitures are not prepared in accordance with U.S. GAAP.
Guidance for Full Year and First Quarter 2024
The company estimates net sales growth for the full year 2024, versus the prior year period, to be in a range of approximately 8.5 to 9.5 percent on a reported basis, and approximately 8 to 9 percent on an organic basis. Full year organic net sales guidance excludes the impact of foreign currency fluctuations and net sales attributable to acquisitions and divestitures for which there are less than a full period of comparable net sales. The company estimates EPS on a GAAP basis in a range of $1.38 to $1.42 and estimates adjusted EPS, excluding certain charges (credits), of $2.23 to $2.27 .
The company estimates net sales growth for the first quarter of 2024, versus the prior year period, to be in a range of approximately 7.5 to 9.5 percent on a reported basis, and approximately 7 to 9 percent on an organic basis. First quarter organic net sales guidance excludes the impact of foreign currency fluctuations and net sales attributable to acquisitions and divestitures for which there are less than a full period of comparable net sales. The company estimates EPS on a GAAP basis in a range of $0.29 to $0.31 and estimates adjusted EPS, excluding certain charges (credits), of $0.50 to $0.52 .
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 40 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 health care. 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 connect on LinkedIn and X , formerly Twitter.
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; reported and adjusted EPS for the first quarter and full year 2024; our financial performance; 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.
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: Emily Anderson Investors: Lauren Tengler
617-515-2000 (office) 508-683-4479 (office)
Media Relations Investor Relations
Boston Scientific Corporation Boston Scientific Corporation
[email protected] [email protected]
BOSTON SCIENTIFIC CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
Three Months Ended December 31, Year Ended December 31,
in millions, except per share data 2023 2022 2023 2022
Net sales $ 3,725 $ 3,242 $ 14,240 $ 12,682
Cost of products sold 1,146 1,011 4,345 3,956
Gross profit 2,579 2,231 9,896 8,727
Operating expenses:
Selling, general and administrative expenses 1,379 1,163 5,190 4,520
Research and development expenses 363 330 1,414 1,323
Royalty expense 12 13 46 47
Amortization expense 208 199 828 803
Intangible asset impairment charges 58 132
Contingent consideration net expense (benefit) 14 (33) 58 35
Restructuring net charges (credits) 19 6 69 24
Litigation-related net charges (credits) 131 (111) 173
Loss (gain) on disposal of businesses and assets 22 22
1,995 1,830 7,553 7,078
Operating income (loss) 584 402 2,343 1,649
Other income (expense):
Interest expense (65) (64) (265) (470)
Other, net (14) 58 (93) (38)
Income (loss) before income taxes 505 396 1,985 1,141
Income tax expense (benefit) 1 256 393 443
Net income (loss) $ 504 $ 140 $ 1,592 $ 698
Preferred stock dividends (14) (23) (55)
Net income (loss) attributable to noncontrolling interests (0) (1)
Net income (loss) attributable to Boston Scientific common stockholders $ 504 $ 126 $ 1,570 $ 642
Net income (loss) per common share - basic $ 0.34 $ 0.09 $ 1.08 $ 0.45
Net income (loss) per common share - diluted $ 0.34 $ 0.09 $ 1.07 $ 0.45
Weighted-average shares outstanding
Basic 1,465.3 1,432.7 1,453.0 1,430.5
Diluted 1,476.9 1,442.4 1,463.5 1,439.7
BOSTON SCIENTIFIC CORPORATION
NON-GAAP NET INCOME AND NET INCOME PER SHARE RECONCILIATIONS
(Unaudited)
Three Months Ended December 31, 2023
in millions, except per share data Gross Profit Operating Expenses Operating Income (Loss) Other Income (Expense) Income (Loss) Before Income Taxes Net Income (Loss) Preferred Stock Dividends Net Income (Loss) Attributable to Boston Scientific Common Stockholders Impact per Share
Reported $ 2,579 $ 1,995 $ 584 $ (79) $ 505 $ 504 $ — $ 504 $ 0.34
Non-GAAP adjustments:
Amortization expense (208) 208 208 178 176 0.12
Acquisition/divestiture-related net charges (credits) 9 (120) 129 (0) 129 54 54 0.04
Restructuring and restructuring-related net charges (credits) 22 (30) 52 52 43 43 0.03
Litigation-related net charges (credits) (1) (1) (0.00)
Investment portfolio net losses (gains) (0) (0) 2 2 0.00
EU MDR implementation costs 11 (5) 16 16 14 14 0.01
Deferred tax expenses (benefits) 44 44 0.03
Discrete tax items (18) (18) (0.01)
Adjusted $ 2,621 $ 1,631 $ 990 $ (79) $ 911 $ 819 $ — $ 817 $ 0.55
Three Months Ended December 31, 2022
in millions, except per share data Gross Profit Operating Expenses Operating Income (Loss) Other Income (Expense) Income (Loss) Before Income Taxes Net Income (Loss) Preferred Stock Dividends Net Income (Loss) Attributable to Boston Scientific Common Stockholders Impact per Share (1)
Reported $ 2,231 $ 1,830 $ 402 $ (6) $ 396 $ 140 $ (14) $ 126 $ 0.09
Non-GAAP adjustments:
Amortization expense (199) 199 199 175 175 0.12
Acquisition/divestiture-related net charges (credits) 24 (29) 53 (44) 9 59 59 0.04
Restructuring and restructuring-related net charges (credits) 16 (12) 28 28 25 25 0.02
Litigation-related net charges (credits) (131) 131 131 101 101 0.07
Investment portfolio net losses (gains) (38) (38) (32) (32) (0.02)
EU MDR implementation costs 13 (6) 19 19 17 17 0.01
Deferred tax expenses (benefits) 42 42 0.03
Discrete tax items 129 129 0.09
Adjusted $ 2,285 $ 1,452 $ 833 $ (88) $ 745 $ 656 $ (14) $ 642 $ 0.45
(1) For the three months ended December 31, 2022 the effect of assuming the conversion of 5.50% Mandatory Convertible Preferred Stock, Series A (MCPS) into shares of common stock was anti-dilutive, and therefore excluded from the calculation of EPS. Accordingly, GAAP net income and adjusted net income were reduced by cumulative Preferred stock dividends , as presented in our unaudited consolidated statements of operations, for purposes of calculating net income attributable to common stockholders. On June 1, 2023, all outstanding shares of MCPS automatically converted into shares of common stock.
An explanation of the company's use of these non-GAAP financial measures is provided at the end of this document.
BOSTON SCIENTIFIC CORPORATION
NON-GAAP NET INCOME AND NET INCOME PER SHARE RECONCILIATIONS
(Unaudited)
Year Ended December 31, 2023
in millions, except per share data Gross Profit Operating Expenses Operating Income (Loss) Other Income (Expense) Income (Loss) Before Income Taxes Net Income (Loss) Preferred Stock Dividends Net Income (Loss) Attributable to Boston Scientific Common Stockholders Impact per Share (2)
Reported $ 9,896 $ 7,553 $ 2,343 $ (358) $ 1,985 $ 1,592 $ (23) $ 1,570 $ 1.07
Non-GAAP adjustments:
Amortization expense (828) 828 828 713 709 0.48
Intangible asset impairment charges (58) 58 58 54 54 0.04
Acquisition/divestiture-related net charges (credits) 53 (314) 367 6 373 352 352 0.24
Restructuring and restructuring-related net charges (credits) 77 (107) 185 185 156 156 0.11
Litigation-related net charges (credits) 111 (111) (111) (88) (88) (0.06)
Investment portfolio net losses (gains) 21 21 24 24 0.02
EU MDR implementation costs 47 (21) 69 69 59 59 0.04
Deferred tax expenses (benefits) 155 155 0.11
Discrete tax items 8 8 0.01
Adjusted $ 10,073 $ 6,335 $ 3,738 $ (331) $ 3,407 $ 3,025 $ (23) $ 2,999 $ 2.05
Year Ended December 31, 2022
in millions, except per share data Gross Profit Operating Expenses Operating Income (Loss) Other Income (Expense) Income (Loss) Before Income Taxes Net Income (Loss) Preferred Stock Dividends Net Income (Loss) Attributable to Boston Scientific Common Stockholders Impact per Share (2)
Reported $ 8,727 $ 7,078 $ 1,649 $ (508) $ 1,141 $ 698 $ (55) $ 642 $ 0.45
Non-GAAP adjustments:
Amortization expense (803) 803 803 694 694 0.48
Goodwill and Intangible asset impairment charges (132) 132 132 102 102 0.07
Acquisition/divestiture-related net charges (credits) 97 (206) 303 (18) 285 338 338 0.24
Restructuring and restructuring-related net charges (credits) 65 (45) 110 110 96 96 0.07
Litigation-related net charges (credits) (173) 173 173 133 133 0.09
Investment portfolio net losses (gains) (30) (30) (28) (28) (0.02)
EU MDR implementation costs 46 (25) 71 71 62 62 0.04
Debt extinguishment charges 194 194 149 149 0.10
Deferred tax expenses (benefits) 140 140 0.10
Discrete tax items 129 129 0.09
Adjusted $ 8,935 $ 5,694 $ 3,241 $ (362) $ 2,880 $ 2,514 $ (55) $ 2,459 $ 1.71
(2) For the years ended December 31, 2023 and 2022, the effect of assuming the conversion of MCPS into shares of common stock was anti-dilutive, and therefore excluded from the calculation of EPS. Accordingly, GAAP net income and adjusted net income were reduced by cumulative Preferred stock dividends, as presented in our unaudited consolidated statements of operations, for purposes of calculating net income attributable to common stockholders. On June 1, 2023, all outstanding shares of MCPS automatically converted into shares of common stock.
An explanation of the company's use of these non-GAAP financial measures is provided at the end of this document.
BOSTON SCIENTIFIC CORPORATION Q1 and FY 2024 GUIDANCE RECONCILIATIONS (Unaudited)
Q1 2024 Estimate Full Year 2024 Estimate
(Low) (High) (Low) (High)
Reported growth 7.5 % 9.5 % 8.5 % 9.5 %
Impact of foreign currency fluctuations 1.0 % 1.0 % 0.5 % 0.5 %
Operational growth 8.5 % 10.5 % 9.0 % 10.0 %
Impact of acquisitions/divestitures (1.5) % (1.5) % (1.0) % (1.0) %
Organic growth 7.0 % 9.0 % 8.0 % 9.0 %
Earnings per Share
Q1 2024 Estimate Full Year 2024 Estimate
(Low) (High) (Low) (High)
GAAP results $ 0.29 $ 0.31 $ 1.38 $ 1.42
Amortization expense 0.12 0.12 0.48 0.48
Acquisition/divestiture-related net charges (credits) 0.03 0.03 0.10 0.10
Restructuring and restructuring-related net charges (credits) 0.02 0.02 0.11 0.11
Other adjustments 0.04 0.04 0.16 0.16
Adjusted results $ 0.50 $ 0.52 $ 2.23 $ 2.27
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 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 intangible asset impairment charges, acquisition/divestiture-related net charges (credits), investment portfolio gains and losses, restructuring and restructuring-related net charges (credits), certain litigation-related net charges (credits), EU MDR implementation costs, debt extinguishment charges, deferred tax expenses (benefits) and discrete tax items. Amounts are presented after-tax using the company's 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." Please refer to Part II, Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations in our most recent Annual Report filed 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 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 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 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.
SOURCE Boston Scientific Corporation

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Frequently Asked Questions

What were Boston Scientific's net sales in Q4 2023?

Boston Scientific reported net sales of $3.725 billion in Q4 2023.

How much did Boston Scientific's full-year sales grow in 2023?

For 2023, Boston Scientific's full-year sales grew by 12.3 percent.

What was the adjusted EPS for Boston Scientific in Q4 2023?

The adjusted EPS for Boston Scientific in Q4 2023 was $0.55.

What growth is forecasted for Boston Scientific in 2024?

Boston Scientific estimates net sales growth of 8.5 to 9.5 percent in 2024.

When will Boston Scientific discuss its financial results?

Boston Scientific will discuss its results on a conference call today at 8:00 a.m. ET.

Last updated: Jan 31, 2024