Q3 2026 results

MetricResultChange
Consolidated Revenue$5.138 billion1.5% growth
Adjusted EPS$0.73declined 3%
Adjusted Gross Margin68.0%300 basis point decrease
Adjusted Operating Margin26.5%150 basis point contraction
Free Cash Flow$867 millionNot stated

Guidance and outlook

  • Q4 2026 organic revenue: decline of 1% to 3%
  • Q4 2026 adjusted EPS: $0.77 to $0.79
  • Full year 2026 organic revenue growth: approximately 3.75%
  • Full year 2026 adjusted EPS: $3.16 to $3.18

How management sounded

Balanced (+2 on our -10 to +10 scale). Management acknowledged a challenging down cycle in 2027 and significant cyber incident impacts, though they remain confident in their long-term innovation pipeline. Management sounded more upbeat than on 0% of the 190 calls we cover; most companies sound positive on their own calls, so the comparison says more than the label.

Q&A summary

Cyber Incident Impact

Asked: Robbie Marcus with JPMorgan asked about the underlying impact of the cyber hack and why it bleeds into Q4.

Answer: Management explained the cyber incident caused a 300 basis point headwind in Q3 and will cause a 200 to 300 basis point impact in Q4 as inventory levels normalize.

2027 Outlook

Asked: Larry Biegelsen with Wells Fargo asked about confidence in improving growth in 2028 and the drivers.

Answer: Management expects 2027 to be a trough year and looks to new product launches in 2028, including CRM platform launches and EP and WATCHMAN portfolio improvements, to drive growth.

Restructuring

Asked: Joanne Wuensch with Citi asked about internal actions to build the bridge to 2028.

Answer: Management is implementing a restructuring program to delayer the organization and reduce discretionary spend, targeting over $500 million in savings over 3 years.

Penumbra Acquisition

Asked: Matt Taylor with Jefferies asked about the growth profile and dilution of the Penumbra acquisition.

Answer: Management expects to close the deal in early 2027 and noted that higher interest rates will likely increase the previously estimated $0.06 to $0.08 of dilution.

What to watch before the next call

  • The closing of the Penumbra acquisition, now expected in early 2027.
  • The progress of the company-wide restructuring program and its ability to deliver $500 million in savings.
  • Market performance of the WATCHMAN and EP franchises in 2027.