Boston Scientific Corp (NYSE:BSX) Stock Plummets 9% Despite Mixed Q4 2025 Earnings

Last update: Feb 4, 2026

Boston Scientific Corp (NYSE:BSX) reported its fourth-quarter and full-year 2025 financial results, delivering a performance that narrowly missed revenue expectations while slightly exceeding adjusted profit forecasts. The market's immediate reaction, however, has been sharply negative, with the stock trading down significantly in pre-market activity.

Summary of Q4 2025 Results

The medical device manufacturer reported strong top-line growth, though it came in just shy of Wall Street's consensus. For the quarter, the company generated net sales of $5.286 billion, representing a 15.9% increase on a reported basis compared to the prior year. On an adjusted organic basis, which excludes the impact of foreign currency and recent acquisitions, growth was 12.7%. The company's profitability metrics showed strength, with GAAP earnings per share (EPS) rising to $0.45 from $0.38 a year ago.

Earnings and Revenue Versus Estimates

The market's focus zeroed in on how the reported figures stacked up against analyst projections. The results presented a mixed picture that appears to have disappointed investors anticipating a more decisive beat.

  • Revenue: Reported sales of $5.286 billion fell short of the analyst estimate of approximately $5.333 billion.
  • Adjusted EPS: The company posted adjusted earnings per share of $0.80, which slightly surpassed the consensus estimate of $0.7873.

While the earnings beat is a positive, the revenue miss—even by a relatively small margin—seems to be the primary driver behind the negative sentiment in early trading. In a market that often rewards companies that exceed on both top and bottom lines, falling short on revenue can overshadow a profit beat.

Market Reaction and Price Action

The financial community's response to the earnings report has been decisively negative based on early price movement. Following the release, Boston Scientific shares are indicated down over 9% in pre-market trading. This sharp decline contrasts with the stock's more muted performance over recent weeks, which had seen relatively little change.

This dramatic pre-market drop suggests investors are penalizing the company for the revenue shortfall and may be expressing concern about the growth trajectory or future execution, despite the solid underlying growth rates and profit expansion detailed in the press release.

Looking Ahead: Analyst Estimates for 2026

The press release did not provide specific financial guidance for the coming year. However, current analyst estimates offer a benchmark for future performance. Wall Street is forecasting continued growth for Boston Scientific in 2026.

  • Q1 2026 Estimates: Analysts are projecting sales of approximately $5.246 billion and adjusted EPS of about $0.80 for the first quarter.
  • Full-Year 2026 Estimates: For the full year, the consensus points to sales expectations around $22.59 billion and adjusted EPS near $3.50.

Investors will likely await management's commentary on the earnings call for its official outlook and any insights into whether the company believes it can meet or exceed these current street expectations.

For a detailed breakdown of historical earnings, future estimates, and analyst revisions, you can review the data here: Boston Scientific Earnings & Estimates.

Disclaimer: This article is for informational purposes only and does not constitute financial advice, a recommendation to buy or sell any security, or an endorsement of any investment strategy. Investors should conduct their own research and consult with a qualified financial advisor before making any investment decisions.