Skip to content
    ABT
    Earnings call· Dec 2025(Q4 FY25)

    ABBOTT LABORATORIES ABT

    Jan 22, 2026 Source

    Executive summary

    Abbott Q4 FY25 — Strong MedTech and Diabetes Growth Offset Nutrition Challenges

    Abbott delivered strong Q4 FY25 results, with robust growth in Medical Devices and EPD, and accelerating Core Lab Diagnostics, despite anticipated declines in COVID testing. The company is addressing challenges in its Nutrition business by implementing price and promotion initiatives and launching new products to reignite volume growth, expecting a return to growth in the second half of 2026. Strategic actions, including the Exact Sciences acquisition, position Abbott for sustainable long-term growth.

    Highlights

    5
    • Adjusted EPS grew 12% year-over-year to $1.50.

    • Medical Devices sales grew 10.5%, driven by strong performance in Diabetes Care, Electrophysiology, Structural Heart, and Heart Failure.

    • Diabetes Care CGM sales exceeded $7.5 billion in 2025, marking the third consecutive year of over $1 billion growth.

    • EPD sales increased 7%, achieving its fifth consecutive year of sales growth exceeding 7%.

    • Core Lab Diagnostics grew 3.5%, accelerating for the third consecutive quarter.

    Concerns

    3
    • Nutrition sales declined in the quarter due to market share loss and suppressed volume growth from price increases.

    • Diagnostics sales declined 3.5% due to anticipated year-over-year decline in COVID testing sales.

    • Nutrition business is expected to remain challenged in H1 2026 before returning to growth in H2.

    Guidance & targets

    7
    CategoryTargetConfidence
    Full-year 2026 organic sales growth
    6.5% to 7.5%
    high materiality
    High
    Full-year 2026 adjusted earnings per share
    $5.55 to $5.80
    high materiality
    High
    Q1 2026 adjusted earnings per share
    $1.12 to $1.18
    medium materiality
    High
    Full-year 2026 reported sales FX impact
    around 1% favorable
    low materiality
    High
    Q1 2026 reported sales FX impact
    around 3% favorable
    low materiality
    High
    Adjusted tax rate
    15% to 16%
    medium materiality
    High
    Operating margin improvement
    50 to 70 basis point improvement
    medium materiality
    High

    Segment performance

    13
    SegmentRevenueYoYQoQMargin
    Nutrition
    Sales declined in the quarter due to market share loss from a WIC contract and suppressed volume growth from price increases. Expected to remain challenged in H1 2026, with a return to growth in H2.
    declined
    Diagnostics
    Decline due to anticipated year-over-year decline in COVID testing sales.
    declined 3.5%
    Core Lab Diagnostics
    Achieved third consecutive quarter of accelerating growth, building steady momentum into 2026.
    Full year growth (excluding China): 7%
    3.5%
    Point of Care Diagnostics
    Driven by adoption of high-sensitivity troponin test.
    7%
    EPD
    Growth was well balanced across markets and therapeutic areas, including double-digit growth in India and several countries across Latin America and the Middle East. Fifth consecutive year of sales growth exceeding 7%.
    7%
    Medical Devices
    Strong performance across high-growth segments like Diabetes, Structural Heart, Electrophysiology, and Heart Failure, and foundational segments like Rhythm Management and Vascular.
    10.5%
    Diabetes Care
    Third consecutive year of CGM sales growth by more than $1 billion, driven by strong market fundamentals, cost leadership, and innovation.
    2025 sales: >$7.5 billion2025 YoY growth: 17%
    12%
    Electrophysiology
    Double-digit growth in the U.S. and internationally. FDA approval of Volt PFA catheter and CE Mark for TactiFlex Duo Ablation Catheter.
    double digits
    Structural Heart
    Growth driven by double-digit growth in Navitor, TriClip, and MitraClip.
    double digits
    Heart Failure
    Driven by growth across ventricular assist devices and CardioMEMS implantable sensor.
    12%
    Rhythm Management
    Led by continued strong uptake of AVEIR leadless pacemaker. Third consecutive year of significantly outperforming the market.
    Full year growth: 10%
    12%
    Vascular
    Led by double-digit growth in vessel closure products and growth from Esprit (below-the-knee resorbable stent).
    Full year sales growth: 5%
    6.5%
    Neuromodulation
    Led by strong international growth of Eterna rechargeable spinal cord stimulation device.
    5.5%

    Operational metrics

    10
    Adjusted gross margin
    57.1%increased 20 bps
    Q4 FY25

    Increased 20 basis points compared to the prior year, despite the impact of tariffs.

    Adjusted R&D
    6.2%
    Q4 FY25

    As a percentage of sales.

    Adjusted SG&A
    25.1%
    Q4 FY25

    As a percentage of sales.

    Adjusted operating margin
    25.8%increased 150 bps
    Q4 FY25

    Reflects an increase of 150 basis points compared to the prior year.

    Foreign exchange impact on sales
    1.4%favorable year-over-year
    Q4 FY25

    Favorable year-over-year impact on fourth quarter sales, in line with expectations.

    Nutrition R&D spend
    2% to 2.2%
    Ongoing

    This business operates around 2% to 2.2% of R&D, with resources reallocated to new product development.

    Global low voltage/pacing segment market size
    ~$5 billion
    Current

    The global low voltage or pacing segment market is around $4.8 billion to $5.2 billion.

    US SGLT2 users
    6 million
    Current

    Approximately 6 million SGLT2 users in the US.

    SGLT2 users on CGM
    1 million
    Current

    Only about 1 million of the 6 million US SGLT2 users are on CGMs, indicating a large opportunity.

    Gross debt-to-EBITDA ratio (post-Exact Sciences acquisition)
    ~2.7x
    Post-acquisition

    Expected post-close, indicating plenty of capacity for further capital allocation.

    Industry KPIs

    11
    MetricValueDetails
    Tariff impact
    Pricing realized price
    New product launch ramp
    Procedure volume growthdouble-digit growth%
    FCF conversion leverage guidance
    Installed base system placements10%%
    Segment franchise organic growth3.8%%
    Consumables recurring revenue mix>$7.5 billionUSD
    Sales force commercial capacity build
    Indicated addressable patient population$10 billionUSD
    Pivotal trial clinical evidence milestones

    Product announcements

    3
    ProductTypeDetails
    Volt PFA catheterlaunch
    TactiFlex Duo Ablation Catheterlaunch
    Ensure (new versions)launch

    Deals & partnerships

    2
    Exact SciencesAcquisition to enter and lead in the fast-growing cancer diagnostics market, adding a new high-growth business with an attractive pipeline.

    The announced acquisition of Exact Sciences is a strategic move to shape Abbott's future. Shareholder vote is scheduled for February 20th, and all required clearances have been submitted. Management is focused on integration post-close.

    LARALABAcquisition of an AI-powered imaging interventional cardiology company.

    Abbott acquired LARALAB, an AI-powered imaging interventional cardiology company, and is integrating its technology into product offerings for pre-procedural planning, particularly in Structural Heart procedures where imaging is critical.

    Risks & headwinds

    4
    Nutrition sales decline due to market share loss and suppressed volume growthQ4 FY25, expected to remain challenged in H1 2026.

    Sales declined in Q4 FY25.

    Mitigation: Implementing price and promotion initiatives; increasing focus on innovation with at least 8 new product launches over the next 12 months to reignite volume growth.

    Anticipated year-over-year decline in COVID testing salesQ4 FY25.

    Diagnostics sales declined 3.5% in Q4 FY25.

    Mitigation: Focusing on accelerating core lab diagnostics and other segments; COVID testing sales are expected to be stable around $200 million in 2026.

    China VBP (Volume-Based Procurement) impact on Diagnostics2025 (bulk of impact), expected to be more stable in 2026.

    Experienced a $400 million headwind in 2025 for Diagnostics.

    Mitigation: New management team in place; segmenting the market and looking at different product offerings; future VBP waves expected to have less impact due to smaller market share in those categories.

    Tariff impact on gross margin2025.

    Impacted gross margin profile.

    Mitigation: Adjusted gross margin increased 20 basis points compared to the prior year despite the impact of tariffs, indicating effective management.

    What to watch in Q1 FY26

    5

    Nutrition volume growth

    H2 2026
    CurrentSales declined in Q4 FY25
    TargetReturn to positive growth

    Why it matters

    Critical for the long-term sustainability and balanced growth profile of the Nutrition business, following strategic changes to reignite demand.

    We expect performance in the Nutrition to remain challenged in the first half of the year with a return to growth in the second half.

    Q&A highlights

    6

    Why is 2026 revenue guidance lower than previous consensus, and what is the expected cadence of growth through the year, especially concerning Nutrition?

    Robert Ford confirmed the slightly lower top-line midpoint is primarily due to the near-term outlook for the Nutrition business. He explained that Nutrition faces consumer packaged goods-like challenges with price increases suppressing volume, leading to a strategic shift to reignite volume growth. He expects Nutrition to be challenged in H1 2026 but return to growth in H2, contributing to an overall H1/H2 growth dynamic for the company. Other segments are performing strongly, and the Exact Sciences acquisition adds a new growth vertical.

    The 0.5 point change on the top line is, as you pointed out, is really the change in the near-term outlook, I'd say, of our Nutrition business.

    asked by Larry Biegelsen · answered by Robert Ford

    3 min read6 chapters

    Detailed Narrative

    01

    2025 Highlights and Strategic Positioning

    Robert Ford reflected on 2025 as a year demonstrating Abbott's leadership in innovation, disciplined execution, and strategic actions for sustainable long-term growth. Key milestones included regulatory approvals for Volt and TactiFlex Duo PFA products, a new indication for Navitor TAVR, CMS national coverage for TriClip and CardioMEMS, and completing enrollment in a pivotal LAA device trial. The announced acquisition of Exact Sciences is expected to establish Abbott in the fast-growing cancer diagnostics market, adding a new high-growth business and pipeline.

    02

    Nutrition Business Transformation

    The Nutrition segment experienced a sales decline in Q4 FY25 due to market share loss from a WIC contract and suppressed volume growth resulting from prior price increases. Management acknowledged that higher prices, while mitigating manufacturing costs, are now constraining demand. To reignite volume growth, Abbott began implementing price and promotion initiatives in Q4 and plans to launch at least 8 new products over the next 12 months. The business is expected to remain challenged in H1 2026, with a return to positive growth in H2.

    03

    Medical Devices Momentum

    Medical Devices sales grew 10.5% in Q4 FY25, driven by strong performance across several segments. Diabetes Care saw CGM sales exceed $7.5 billion in 2025, growing 17% for the year and marking the third consecutive year of over $1 billion growth. Electrophysiology achieved double-digit growth, bolstered by FDA approval of Volt PFA and CE Mark for TactiFlex Duo. Structural Heart also posted double-digit growth in Navitor, TriClip, and MitraClip, while Heart Failure grew 12%. Foundational segments like Rhythm Management (12% growth) and Vascular (6.5% growth) also outperformed their markets.

    04

    Diagnostics Acceleration

    Diagnostics sales declined 3.5% in Q4 FY25 due to the anticipated year-over-year decline in COVID testing sales. However, Core Lab Diagnostics grew 3.5%, achieving its third consecutive quarter of accelerating growth. For the full year, Core Lab Diagnostics grew 7% excluding China, reflecting durable demand. Point of Care Diagnostics sales grew 7%, driven by the adoption of Abbott's high-sensitivity troponin test. The company expects overall Diagnostics to achieve mid-single-digit growth in 2026, with the China business becoming more stable after significant VBP impacts in 2025.

    05

    Electrophysiology Portfolio Strength

    Abbott highlighted its strong Electrophysiology portfolio, emphasizing a 'toolbox approach' for physicians. The successful launch of Volt PFA in Europe and its limited market release in the US received positive feedback for its integration and potential for sedation. With both RF and PFA products, comprehensive diagnostic elements, and an LAA device, Abbott believes it is uniquely positioned. The company expects to grow at least in line with the mid-to-high teens market, leveraging its complete portfolio and strong clinical infrastructure.

    06

    CGM Market Opportunity

    Despite the law of large numbers, CGM sales continue to grow by over $1 billion annually, with significant penetration opportunities remaining across intensive insulin users, basal insulin users, and non-insulin users globally. Abbott is optimistic about potential non-insulin user reimbursement in the US, citing strong clinical data and support from medical organizations and CMS. The upcoming launch of the dual glucose-ketone sensor (GKS) is also expected to drive market share conversion and expansion, particularly in the underrepresented pumper segment and among SGLT2 users.

    AI-generated summary of the company’s earnings call. Not investment advice.