Quarterly and Full-Year Revenue Growth
Q4 revenue $9.8B, up 9.9% reported and 6.6% organic; FY '26 revenue $36.4B, up 8.4% reported and 5.8% organic — company’s strongest top-line performance in 10 years.
Earnings and Cash Flow Outperformance
Adjusted EPS: Q4 $1.55 and FY '26 $5.53, both ahead of expectations; free cash flow $5.4B for FY '26, strongest since 2022; cash & investments $9.2B at year-end.
Cardiac Ablation Solutions (CAS) Surge
CAS grew 78% worldwide (124% U.S.), gained ~8 percentage points of U.S. share; PFA grew ~145% globally; Affera installed base increased 40% sequentially and CAS is annualizing ~ $2B.
Strong Momentum in Renal Denervation (Symplicity)
Symplicity is annualizing at ~$100M; physician finder covers 200 doctors across 300+ accounts; average weekly procedure volumes doubled since NCD; long-term data: sustained mean systolic BP reductions of 13.3 mmHg (ambulatory) and 18.1 mmHg (in-office) at 3 years with 90% of patients achieving meaningful benefit.
Surgical Robotics and Digital Ecosystem Progress (Hugo / Touch Surgery)
Worldwide Hugo procedure volumes growing 2x–3x the market; U.S. urology launch completed with first patients treated; 510(k) submission for General Surgery/GYN and LigaSure RAS; Touch Surgery installs >1,400 (up 30%+ sequentially).
Altaviva Early Commercial Traction
Nearly 1,000 physicians trained since launch; active implanters up 3x sequentially and patients treated up 2.5x sequentially; device features same-day activation and up to 15 years longevity driving early adoption.
Portfolio Optimization and Targeted M&A/Venture Activity
Completed MiniMed IPO (spin), closed CathWorks, announced Scientia and SPR Therapeutics acquisitions and investments in Beluga Medical and CardioACC; expect ~ $150M inorganic revenue contribution to FY '27; venture investments ~ $250M across 16 deals in FY '26.
Improved Gross Margin and Operational Efficiency
Adjusted gross margin 65.4%, up 30 bps year-over-year and 50 bps sequentially; pricing +30 bps and COGS efficiency net of inflation contributed ~60 bps; adjusted operating margin 25.5% and adjusted operating profit $2.5B.
Confident FY '27 Guidance
Guidance of FY '27 organic revenue growth 6.75%–7.25% (Q1 organic ~11.5%–12% including extra selling week); FY '27 EPS guidance $5.90–$6.00; expect operating margin to be ~60 bps higher year-over-year (excludes tariffs).