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Merit Medical (MMSI) Q1 FY26 earnings call: guidance and Q&A

Earnings call· Mar 2026 (Q1 FY26)· Health Care· Apr 30, 2026

Source: earnings call transcript

Executive summary

Merit Medical Q1 FY26 — Strong Start with Strategic Oncology Acquisition

Merit Medical delivered a strong Q1 FY26, surpassing revenue and EPS expectations, driven by solid organic growth and contributions from recent acquisitions. The company strategically expanded its oncology platform with the acquisition of View Point Medical, significantly broadening its addressable market. Despite headwinds in OEM sales and tariff impacts, management reaffirmed its full-year guidance, confident in its continued growth initiatives and disciplined operational execution.

Highlights

5
  • Total revenue of $381.9 million, up 7% GAAP and 5% constant currency, exceeding high end of expectations.

  • Non-GAAP operating margin increased 47 basis points year-over-year to 19.7%, highest Q1 operating margin in company history.

  • Non-GAAP EPS grew 9% to $0.94, exceeding high end of expectations by $0.07.

  • Free cash flow generated $25 million, a 26% increase year-over-year.

  • Strategic acquisition of View Point Medical for $140 million, expanding oncology market opportunity 3x-4x.

Concerns

4
  • OEM sales declined 14% year-over-year in Q1, significantly lower than guidance assumptions.

  • Gross margin down 20 basis points year-over-year to 53.2%, impacted by $4.6 million tariff costs.

  • Acquisition of View Point Medical expected to be $0.05 dilutive to 2026 non-GAAP EPS.

  • Geopolitical issues in the Middle East led to $1.5 million of left-on-table revenue due to shipping delays.

Guidance & targets

CategoryTargetConfidence
Total GAAP Net Revenue Growth
6.3% to 7.8% year-over-year
high materiality
High
Total Constant Currency Net Revenue Growth
5.6% to 7% year-over-year
high materiality
High
Foundational Products Sales Growth
mid-single digits year-over-year
medium materiality
Medium
Therapeutic Products Sales Growth
high single digits year-over-year
medium materiality
Medium
Inorganic Revenue Contributions
$17 million to $20 million
medium materiality
High
Total Net Revenue Growth (Organic Constant Currency)
4.5% to 6% year-over-year
high materiality
High
WRAPSODY CIE Revenue
$7 million
medium materiality
High
Non-GAAP Diluted Earnings Per Share
$4.01 to $4.15
high materiality
High
Tariff Impact (Non-GAAP EPS)
$0.19 per share
high materiality
Medium
Total Revenue (GAAP)
$400 million to $410 million
high materiality
High
Total Revenue Growth (GAAP)
5% to 7% year-over-year
high materiality
High
Total Revenue Growth (Constant Currency)
4% to 7% year-over-year
high materiality
High
Inorganic Revenue Contributions
$4 million to $4.5 million
medium materiality
High
Total Revenue Growth (Organic Constant Currency)
3% to 5%
high materiality
High
Non-GAAP Operating Margins
18.7% to 20.4%
high materiality
High
Non-GAAP EPS
$0.90 to $1
high materiality
High
View Point Medical Revenue Contribution
$2 million to $4 million
medium materiality
High
View Point Medical Non-GAAP EPS Dilution
approximately $0.05
high materiality
High
View Point Medical Revenue Contribution
$14 million to $16 million
medium materiality
High
View Point Medical Sales Growth Rate
at least 20% per year
medium materiality
High
OEM Business Normalized Growth Profile
mid- to high single digits annually
medium materiality
High
OEM Business Growth
mid-single digits
medium materiality
High
China Sales Growth
low single digits
medium materiality
Medium

Segment performance

SegmentRevenueYoYQoQMargin
Foundational Products
Driven primarily by Vascular Intervention and Access platforms, offsetting declines in OEM and Procedural Solution products (impacted by DualCap divestiture).
Organic constant currency growth: 1.5%
$254.6M4%——
Therapeutic Products
Driven by strong growth in Cardiac Therapies and Endoscopy platforms, and contributions from Vascular Intervention and Oncology platforms, offsetting declines in OEM and Renal Therapies platforms.
Organic constant currency growth: 5.2%
$127.3M7%——
United States
Sales increased $14.5 million, modestly exceeding the high end of expectations.
$227.1M6.8%——
International
Sales increased $4.1 million, modestly exceeding the high end of expectations.
$154.8M3%——
OEM
Sales declined significantly year-over-year in Q1, lower than guidance assumptions, due to macro environment in APAC and U.S. customer inventory destocking. Expected to return to mid-single-digit growth in Q2.
—-14%——
APAC
Up 1% on a constant currency basis in Q1, which was a beat for us. OEM sales to customers in this region were impacted by macro environment.
—1%——
China
Sales increased by about 2% year-over-year on a constant currency basis in Q1, in line with expectations. VBP impact was modestly better than expected.
—2%——

Product announcements

ProductTypeDetails
The Resilience Through-the-Scope (TTS) Esophageal Stentlaunch

Deals & partnerships

View Point Medical Acquisition of a company manufacturing the OneMark Detection Imaging System and OneMark Tissue Markers, expanding oncology portfolio. $140 million (aggregate consideration)

$90 million paid in cash at closing, with two deferred payments of $25 million each scheduled for the first and second anniversary of closing. Expands annual addressable procedure opportunity by approximately 3x for oncology business.

DualCap product line Divestiture of the DualCap product line.

Discussed in Q4 2025 call. DualCap product sales and royalty revenue totaled approximately $20 million in 2025.

Medtronic Distribution deal for OEM products.

Medtronic is an existing OEM customer. This deal is a good example of the lumpy nature of OEM business and contributes to gaining confidence in the OEM platform for FY26.

Risks & headwinds

OEM Sales Decline Q1 FY26

Declined 14% year-over-year in Q1

Mitigation:Management characterizes as transient/timing-based; expects return to mid-single-digit growth in Q2 and mid-to-high single digits annually. New Medtronic distribution deal provides confidence.

Tariff Impact Q1 FY26 and FY26

$4.6 million impact to gross margin in Q1 (120 bps); $15 million or $0.19 per share assumed for FY26

Mitigation:Company has started process for tariff reimbursement; will re-evaluate 2026 guidance after Q2 based on Supreme Court decision and potential administrative challenges.

Geopolitical Issues (Middle East) Q1 FY26

$1.5 million of revenue left on the table in Q1

Mitigation:Currently manageable; no price increases from vendors, fuel surcharges are typical. Will re-evaluate if issues continue.

View Point Medical Acquisition Dilution FY26

$0.05 dilutive to 2026 non-GAAP EPS

Mitigation:Offset by better-than-expected Q1 non-GAAP EPS results; expected to be accretive in 2027 and longer term.

OEM Demand Trends (APAC) Q1 FY26

Impacted OEM sales in Q1

Mitigation:Largely consistent with expectations; APAC region as a whole beat expectations.

China Volume-Based Purchasing (VBP) Q1 FY26 and FY26

Impacted China sales growth (2% YoY CC in Q1, expected low single digits for FY26)

Mitigation:VBP impact was modestly better than expected in Q1; company continues to deal with it.

What to watch in Q2 FY26

Tariff Reimbursement Status

Q2 FY26 earnings call
Current Process started for majority of tariffs
Target Update on reimbursement status and potential reduction in FY26 tariff impact

Why it matters

Successful reimbursement could significantly reduce the $0.19/share tariff headwind baked into FY26 EPS guidance.

I think we'll have an update, hopefully, on our second quarter call as to how that shakes out. Feeling optimistic, I would say, if things stay as they are today, I definitely think that the $15 million would come down.

Find out whether MMSI delivers this. Inve re-checks your case every morning.

Q&A highlights

Seeking updates on WRAPSODY performance, anecdotal or quantitative, given the reaffirmed $7M guidance.

Martha Aronson stated the company is pleased with WRAPSODY's progress, noting the go-to-market strategy reset instituted late last year is working, and they are tracking right on the $7 million guidance for FY26.

“We've given, I think, our previous guidance or our revised guidance in 2026 of $7 million for WRAPSODY for the fiscal year, and we're tracking right on that.”

asked by Michael Petusky · answered by Martha Aronson

2 min read 5 chapters

Detailed narrative

Q1 Performance Exceeds Expectations

Merit Medical reported strong first-quarter results, with total revenue of $381.9 million, up 7% GAAP and 5% constant currency, surpassing the high end of expectations. This growth was driven by 2.7% organic constant currency growth and better-than-expected contributions from the Biolife and C2 CryoBalloon acquisitions.

Non-GAAP operating margin reached a record 19.7% for a first quarter, increasing 47 basis points year-over-year, and non-GAAP EPS grew 9% to $0.94, exceeding guidance by $0.07.

Strategic Oncology Expansion with View Point Medical Acquisition

Subsequent to quarter-end, Merit acquired View Point Medical for $140 million, paying $90 million in cash at closing. This acquisition significantly expands Merit's oncology portfolio, particularly in breast and soft tissue tumor localization. The OneMark system, which uses ultrasound-enhanced technology, complements Merit's existing SCOUT radar platform, expanding the addressable market for localization procedures by 3x-4x, targeting an additional 1.3 million annual procedures in the US.

New Revenue Reporting Structure

The company formally introduced a new revenue reporting structure, categorizing products into "foundational" and "therapeutic." Foundational products, comprising about two-thirds of 2025 revenue, grew at a 6% CAGR over the last three years, while therapeutic products, one-third of 2025 revenue, grew at an 11% organic CAGR.

This new structure, along with an internal operating model based on eight platforms (Access, Vascular Intervention, Procedural Solutions, Cardiac Therapies, Renal Therapies, Oncology, Endoscopy, and OEM), aims to streamline internal planning and external communication.

OEM Business Headwinds and Outlook

OEM sales declined 14% year-over-year in Q1, primarily due to inventory destocking dynamics in the U.S. related to product line transfers to Tijuana, Mexico, and macro-environmental impacts in the APAC region. Despite this, management characterizes the lower-than-expected customer orders as transient, not reflecting market share loss, and expects OEM growth to return to mid-single digits in Q2 and mid-to-high single digits annually, supported by new opportunities like the Medtronic distribution deal.

Tariff Impact and Potential Refunds

The company's 2026 non-GAAP EPS guidance includes a $0.19 per share impact from tariffs, up from $0.12 in 2025. This estimate is based on policies prior to a U.S. Supreme Court decision, and management has initiated the process to seek refunds for past tariff payments. The ultimate financial impact remains uncertain, pending potential administrative challenges and further updates expected after Q2 FY26.

Summary of the company's earnings call; see how call summaries are prepared. Not investment advice.