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Boston Scientific (BSX) Q1 2026 earnings results (first quarter 2026)

10-Q filed May 1, 2026

Boston Scientific (BSX) reported revenue of $5.2B for the first quarter 2026 (Q1 2026), +12% from a year earlier and -2% from the quarter before. Operating margin was 21.2%, net earnings $1.3B (25.7% of revenue).

Revenue$5.2B
Year over year+12%
Quarter over quarter-2%
Operating margin21.2%
Net earnings$1.3B

Boston Scientific, Q1 2026: revenue $5.2B (+12% year over year), operating margin 21.2%, net earnings $1.3B, operating cash flow $348M. The chart follows the revenue to costs, profit and cash.

Q1 2026AmountQ/QY/Y
Revenue$5.2B-2%+12%
Gross profit$3.6B-2%+13%
Operating profit$1.1B+33%+20%
Net earnings$1.3B+100%+99%
Operating cash flow$348M-74%-36%
Free cash flow$171M-83%-52%

What changed

Revenue was $5.2B in Q1 2026, up 12% year over year and down 2% from the previous quarter. Interventional Cardiology & Vascular Therapies was the largest line at 24% of revenue. Electrophysiology added $0.17B year over year (up 24%), 32% of the total change.

Gross margin was 69.5%, up 0.6 points from Q1 2025. Operating profit was $1.1B, a 21.2% margin (up 1.4 points year over year). Of the extra revenue versus Q1 2025, 33% reached operating profit, above the 20% margin then. Operating expenses grew 10% against revenue growth of 12%. The fastest-growing cost line was Research & development (+16%). Net earnings were $1.3B, up 99% year over year. The effective tax rate was -15.1%.

Operating cash flow was $0.35B (down 36% year over year), 26% of net earnings. Non-cash charges added back $0.35B of depreciation and amortization and $0.08B of share-based compensation. Working capital and other items used $1.4B. Capital expenditures of $0.18B left free cash flow of $0.17B.

Questions

What was Boston Scientific's revenue in the first quarter 2026?

Boston Scientific (BSX) reported revenue of $5.2B for the first quarter 2026 (Q1 2026), +12% from a year earlier and -2% from the quarter before.

Was Boston Scientific profitable in the first quarter 2026?

Operating profit was $1.1B (21.2% of revenue) and net earnings $1.3B.

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Source: Boston Scientific 10-Q on SEC EDGAR.