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Boston Scientific (BSX) Q4 2025 earnings results (fourth quarter 2025)

10-K filed Feb 17, 2026

Boston Scientific (BSX) reported revenue of $5.3B for the fourth quarter 2025 (Q4 2025), +16% from a year earlier and +4% from the quarter before. Operating margin was 15.6%, net earnings $670M (12.7% of revenue).

Revenue$5.3B
Year over year+16%
Quarter over quarter+4%
Operating margin15.6%
Net earnings$670M

Boston Scientific, Q4 2025: revenue $5.3B (+16% year over year), operating margin 15.6%, net earnings $670M, operating cash flow $1.4B. The chart follows the revenue to costs, profit and cash.

Q4 2025AmountQ/QY/Y
Revenue$5.3B+4%+16%
Gross profit$3.7B+4%+19%
Operating profit$825M-21%+22%
Net earnings$670M-11%+19%
Operating cash flow$1.4B+2%-6%
Free cash flow$1.0B-13%-14%

What changed

Revenue was $5.3B in Q4 2025, up 16% year over year and up 4% from the previous quarter.

Gross margin was 69.6%, up 1.7 points from a year earlier. Operating profit was $0.82B, a 15.6% margin (up 0.8 points year over year). Of the extra revenue versus a year earlier, 21% reached operating profit, above the 15% margin then. Operating expenses grew 18% against revenue growth of 16%. The fastest-growing cost line was Other operating costs (+29%). Net earnings were $0.67B, up 19% year over year. The effective tax rate was 4.3%.

Operating cash flow was $1.4B (down 6% year over year), 204% of net earnings. Non-cash charges added back $0.36B of depreciation and amortization and $0.07B of share-based compensation. Working capital and other items added $0.26B. Capital expenditures of $0.35B left free cash flow of $1.0B.

Questions

What was Boston Scientific's revenue in the fourth quarter 2025?

Boston Scientific (BSX) reported revenue of $5.3B for the fourth quarter 2025 (Q4 2025), +16% from a year earlier and +4% from the quarter before.

Was Boston Scientific profitable in the fourth quarter 2025?

Operating profit was $825M (15.6% of revenue) and net earnings $670M.

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Source: Boston Scientific 10-K on SEC EDGAR.