Boston Scientific Announces Results For Fourth Quarter And Full Year 2019

MARLBOROUGH, Mass., Feb. 5, 2020 /PRNewswire/ -- Boston Scientific Corporation (NYSE: BSX) generated sales of $2.905 billion during the fourth quarter of 2019. This represents growth of 13.4 percent on a reported basis, 14.1 percent on an operational(1) basis and 7.3 percent on an organic(2) basis, all compared to the prior year period. The company reported GAAP earnings of $3.996 billion or $2.83 per share (EPS), compared to GAAP earnings of $386 million or $0.27 per share a year ago and achieved adjusted earnings per share of $0.46 for the period, compared to $0.39 a year ago. Reported GAAP earnings include a significant net income tax benefit explained in the Use of Non-GAAP Financial Measures section below.

For the full year 2019, the company generated sales of $10.735 billion. This represents growth of 9.3 percent on a reported basis, 11.1 percent on an operational(1) basis and 7.3 percent on an organic(2) basis, all compared to the prior year period. The company reported GAAP earnings of $3.33 per share, inclusive of the net income tax benefit mentioned above, compared to $1.19 in 2018 and delivered full year adjusted earnings per share of $1.58, compared to $1.47 in 2018. Full year 2018 GAAP and adjusted earnings per share included a $0.07 net tax benefit.(3)

"We delivered strong revenue and adjusted EPS growth for the quarter and the year by developing innovative products, executing on our category leadership strategy and mitigating challenges," said Mike Mahoney, chairman and chief executive officer, Boston Scientific. "We're confident that we have the pipeline, leadership team and focused execution to deliver on our goals to address unmet clinical needs and work to improve the lives of millions of patients."

Fourth quarter financial results and recent developments:

    --  Reported fourth quarter sales of $2.905 billion, representing an
        increase of 13.4 percent on a reported basis, compared to the company's
        guidance range of 13 to 15 percent; 14.1 percent on an operational
        basis; and 7.3 percent on an organic basis, compared to the company's
        guidance range of 8 to 9 percent, all compared to the prior year period.
    --  Reported fourth quarter GAAP earnings of $2.83 per share, compared to
        the company's guidance range of $0.22 to $0.25 per share. Reported GAAP
        earnings include net litigation charges of $169 million, or $0.12 per
        share, primarily related to the previously disclosed Channel Medsystems,
        Inc. matter, and a net income tax benefit of $4.102 billion, or $2.90
        per share, explained in the Use of Non-GAAP Financial Measures section
        below. Achieved adjusted earnings per share of $0.46 per share, compared
        to the guidance range of $0.42 to $0.45 per share.
    --  Achieved fourth quarter revenue growth in all segments(5), compared to
        the prior year period:
        --  MedSurg: 9.8 percent reported, 10.6 percent operational and organic
        --  Rhythm and Neuro: 3.5 percent reported, 4.1 percent operational and
            1.0 percent organic
        --  Cardiovascular: 18.7 percent reported, 19.3 percent operational and
            10.0 percent organic
    --  Delivered fourth quarter Medical Device(5) revenue growth in all
        regions, compared to the prior year period:
        --  U.S.: 13.4 percent reported and operational
        --  EMEA (Europe, Middle East and Africa): 7.2 percent reported and 9.7
            percent operational
        --  APAC (Asia-Pacific): 11.3 percent reported and 11.5 percent
            operational
        --  Emerging Markets(4): 14.1 percent reported and 16.2 percent
            operational
    --  Received U.S. Food and Drug Administration (FDA) 510(k) clearance and
        Breakthrough Device Designation, and CE Mark for the EXALT(TM) Model D
        Duodenoscope, the first and only single-use duodenoscope. Initiated
        limited market release, including a successful first case in patient
        undergoing endoscopic retrograde cholangiopancreatography (ERCP), a
        procedure performed more than 1.5 million times worldwide each year to
        diagnose and treat pancreatic and biliary conditions.
    --  Positive 12-month data from the investigator-sponsored COMPARE trial,
        demonstrating non-inferiority of the low-dose paclitaxel-coated
        Ranger(TM) Drug-Coated Balloon (DCB) (2.0 µg/mm2) compared to the
        higher dose IN.PACT(TM) DCB (Medtronic) balloon (3.5 µg/mm2), was
        presented at the Leipzig Interventional Course (LINC) Congress. COMPARE
        is the first randomized controlled head-to-head trial comparing two
        drug-coated balloon technologies.
    --  Presented at the 2020 Gastrointestinal Cancers Symposium positive data
        on the impact of personalized radiation dosing using TheraSphere(TM)
        Yttrium-90 Glass Microspheres from the investigator-sponsored
        DOSISPHERE-01 trial. Data demonstrated personalized dosing of radiation
        increased overall survival of patients with the most common type of
        liver cancer, when compared to patients who received a standardized
        dose.
    --  Announced plans to initiate CHAMPION-AF--a randomized head-to-head trial
        of the WATCHMAN FLX(TM) Left Atrial Appendage Closure Device vs. direct
        oral anticoagulants--in the second half of 2020. The global trial is
        designed to study stroke risk reduction efficacy and bleeding endpoints
        in lower-risk patients with non-valvular atrial fibrillation.
    --  Received Japanese Pharmaceuticals and Medical Devices Agency (PMDA)
        approval and positive reimbursement in Japan for the LOTUS Edge(TM)
        Aortic Valve System, a minimally invasive transcatheter aortic valve
        replacement (TAVR) technology for patients with severe aortic stenosis.
    --  Received FDA approval for the INGEVITY(TM)+ active fixation pacing lead
        for use with pacemakers and defibrillators. Built on the INGEVITY(TM)
        platform with proven longevity, the new lead is designed to offer a more
        predictable implant experience for physicians.
    --  Received CE Mark for the POLARx(TM) Cryoablation System, which is
        indicated for the treatment of patients with paroxysmal atrial
        fibrillation (AF), an intermittent form of AF which causes an irregular
        and often abnormally fast heart rate.
    --  Announced at the North American Neuromodulation Society (NANS) Annual
        Meeting results of the COMBO randomized clinical trial showing that
        Combination Therapy delivered by the Spectra WaveWriter(TM) Spinal Cord
        Stimulator (SCS) System achieved an 88% responder rate in treating
        chronic pain--much higher than monotherapy alone. Also at NANS,
        announced an exclusive partnership with IBM Research to develop
        AI-generated predictive algorithms for highly personalized chronic pain
        therapy.
    --  Completed a public offering of EUR900 million aggregate principal amount
        of 0.625% Senior Notes due 2027, and completed cash tender offer for
        approximately $1.0 billion aggregate principal amount of certain
        outstanding senior notes.
    --  Completed the sale of BTG's royalty revenue stream associated with
        Zytiga® for $256 million in cash, the proceeds from which were used to
        repay portions of outstanding debt.


                        1.  Operational revenue growth excludes the
                         impact of foreign currency fluctuations.


                        2.  Organic revenue growth excludes the
                         impact of foreign currency fluctuations and
                         sales from the recent acquisitions of
                         NxThera, Inc., Claret Medical, Inc.,
                         Augmenix, Inc., Vertiflex, Inc. and BTG plc
                         (BTG), each with no prior year comparable
                         sales. Organic revenue growth also excludes
                         the impact of the divestiture of our global
                         embolic microspheres portfolio, a
                         transaction entered into in connection with
                         obtaining the antitrust clearances required
                         to complete the BTG transaction.


                        3. The full year 2018 net tax benefit of
                         $0.07 includes our previously disclosed
                         second quarter $0.06 benefit from settling
                         the IRS Stipulation of Settled Issues for
                         the 2001 through 2010 tax years, offset by a
                         fourth quarter $0.05 charge for our
                         previously announced tax reinvestment
                         strategy. In addition, the net benefit
                         includes a $0.06 benefit in the fourth
                         quarter for the settlement with the IRS of
                         our 2011 through 2013 tax years.


                        4.  We define Emerging Markets as the 20
                         countries that we believe have strong growth
                         potential based on their economic
                         conditions, healthcare sectors and our
                         global capabilities in our Medical Devices
                         business. Periodically, we assess our list
                         of Emerging Markets; effective January 1,
                         2019, we updated our list of Emerging Market
                         countries. We have revised prior year
                         amounts to the current year's presentation.
                         The revision had an immaterial impact on
                         prior year Emerging Markets sales.


                        5. We have three historical reportable
                         segments comprised of Medical Surgical
                         (MedSurg), Rhythm and Neuro, and
                         Cardiovascular, which represent an
                         aggregation of our operating segments that
                         generate revenues from the sale of medical
                         devices (Medical Devices). As part of our
                         acquisition of BTG on August 19, 2019, we
                         acquired an Interventional Medicine
                         business, which is now included in our
                         Peripheral Interventions operating
                         segment's 2019 revenues from the date of
                         acquisition.


                        6. As part of our acquisition of BTG on
                         August 19, 2019, we acquired a specialty
                         pharmaceuticals business (Specialty
                         Pharmaceuticals). Subsequent to acquisition,
                         Specialty Pharmaceuticals is now a stand-
                         alone operating segment presented alongside
                         our Medical Device reportable segments.
                         Specialty Pharmaceuticals net sales are
                         substantially U.S. based. Our chief
                         operating decision maker (CODM) reviews
                         financial information of our globally
                         managed Specialty Pharmaceuticals operating
                         segment at the worldwide level without
                         further disaggregation into regional
                         results. As such, Specialty Pharmaceuticals
                         net sales are presented globally, and our
                         Medical Devices reportable segments regional
                         net sales results do not include Specialty
                         Pharmaceuticals.

Net sales for the fourth quarter by business and region:


                                                                                                                                                    
         
     Change


                                                              Reported              Less: Impact        Operational                     Less: Impact             Organic
                                                                                                                          Basis                                     of Foreign          Basis            of Recent          Basis
                                                                                                                                                                     Currency                          Acquisitions
                                                                                                                                                                   Fluctuations                              /
                                                                                                                     Three Months Ended                                                                                                        Divestitures
                                                                     December 31,




     
       (in millions)                             2019                      2018



        
          Endoscopy                                            $
              499                               $
              458                                                  8.8%         (0.8)%                 9.6%         0.0%   9.6%


        
          Urology and Pelvic Health               379                                       342                                                11.1%                        (0.6)%          11.7%                 0.0%        11.7%



        
       
                MedSurg                       878                                       800                                                 9.8%                        (0.8)%          10.6%                 0.0%        10.6%


        
          Cardiac Rhythm Management               473                                       488                                               (3.3)%                        (0.7)%         (2.6)%                 0.0%       (2.6)%


        
          Electrophysiology                        84                                        81                                                 3.0%                        (0.7)%           3.7%                 0.0%         3.7%


        
          Neuromodulation                         261                                       220                                                18.7%                        (0.5)%          19.2%                11.4%         7.8%



        
       
                Rhythm and Neuro              817                                       790                                                 3.5%                        (0.6)%           4.1%                 3.1%         1.0%


        
          Interventional Cardiology               748                                       668                                                12.1%                        (0.7)%          12.8%                 0.0%        12.8%


        
          Peripheral Interventions                403                                       302                                                33.2%                        (0.6)%          33.8%                30.2%         3.6%



        
       
                Cardiovascular              1,151                                       970                                                18.7%                        (0.6)%          19.3%                 9.3%        10.0%


        
       
                Medical Devices5            2,847                                     2,561                                                11.2%                        (0.7)%          11.9%                 4.6%         7.3%



        
       
                Specialty Pharmaceuticals6     58                                       n/a                                                 n/a                           n/a            n/a                  n/a          n/a




     
       Net Sales                                        $
      
                2,905                    $
          
                2,561                                                 13.4%         (0.7)%                14.1%         6.8%   7.3%


                                                                                                                                                     
           
     Change


                                                                                        
              
                Three Months                    Reported
                                                                                                                                                     Basis                               Less: Impact              Operational
                                                                                                  Ended December 31,                                                         of Foreign                      Basis
                                                                                                                                                                               Currency
                                                                                                                                                                            Fluctuations




     
       (in millions)                                                     2019                              2018



        
       U.S.                                                                                  $
              1,654                          $
            1,459                                           13.4%                     0.0% 13.4%


        
       EMEA                                                               597                                                 557                                 7.2%                           (2.5)%                     9.7%


        
       APAC                                                               495                                                 445                                11.3%                           (0.2)%                    11.5%


        
       Latin America and Canada                                           101                                                 101                                 0.6%                           (2.3)%                     2.9%


        
       
                Medical Devices5                                    2,847                                               2,561                                11.2%                           (0.7)%                    11.9%



        
       
                Specialty Pharmaceuticals6                             58                                                 n/a                                 n/a                              n/a                      n/a



        
       
                Net Sales                                                   $
              
                2,905                    $
       
              2,561                                           13.4%                   (0.7)% 14.1%





        
       
                Emerging Markets4                                             $
              
                325                      $
       
              285                                           14.1%                   (2.1)% 16.2%




                         Amounts may not add due to rounding. Growth rates are based on actual, non-rounded amounts and may not
                          recalculate precisely.




                         Sales growth rates that exclude the impact of foreign currency fluctuations and/or the impact of recent
                          aforementioned acquisitions / divestitures are not prepared in accordance with U.S. GAAP.

Net sales for the full year by business and region:


                                                                                                                          
              
              Change


                                                       
        
                Year Ended                              Reported              Less:                 Operational                     Less: Impact              Organic
                                                            December 31,                                   Basis           Impact of                   Basis                       of Recent                     Basis
                                                                                                                             Foreign                                            Acquisitions /
                                                                                                                            Currency                                             Divestitures
                                                                                                                          Fluctuations




     
       (in millions)                                             2019            2018



        
          Endoscopy                                   $
              1,894                  $
         1,762                                     7.5%                      (1.7)%                             9.2%                 0.0%      9.2%


        
          Urology and Pelvic Health                             1,413                       1,245                                    13.4%                      (1.3)%                            14.7%                 6.3%      8.4%



        
       
                MedSurg                                     3,307                       3,007                                    10.0%                      (1.5)%                            11.5%                 2.7%      8.8%


        
          Cardiac Rhythm Management                             1,939                       1,951                                   (0.6)%                      (1.8)%                             1.2%                 0.0%      1.2%


        
          Electrophysiology                                       329                         311                                     5.5%                      (2.0)%                             7.5%                 0.0%      7.5%


        
          Neuromodulation                                         873                         779                                    12.0%                      (1.1)%                            13.1%                 6.3%      6.8%



        
       
                Rhythm and Neuro                            3,140                       3,041                                     3.3%                      (1.6)%                             4.9%                 1.6%      3.3%


        
          Interventional Cardiology                             2,816                       2,590                                     8.7%                      (2.3)%                            11.0%                 1.0%     10.0%


        
          Peripheral Interventions                              1,392                       1,187                                    17.3%                      (1.8)%                            19.1%                11.3%      7.8%



        
       
                Cardiovascular                              4,208                       3,777                                    11.4%                      (2.1)%                            13.5%                 4.2%      9.3%


        
       
                Medical Devices5                           10,654                       9,823                                     8.5%                      (1.7)%                            10.2%                 2.9%      7.3%



        
       
                Specialty Pharmaceuticals6                     81                         n/a                                     n/a                         n/a                              n/a                  n/a       n/a




     
       Net Sales                                 $
       
              10,735               $
     
          9,823                                     9.3%                      (1.8)%                            11.1%                 3.8%      7.3%


                                                                                                                                                              
           
     Change


                                                                                          
              
                Year Ended                             Reported
                                                                                                                                                              Basis                              Less: Impact              Operational
                                                                                                                                                                                     of Foreign                      Basis
                                                                                         
              
                December 31,                                                          Currency
                                                                                                                                                                                    Fluctuations




     
       (in millions)                                                     2019                               2018



        
       U.S.                                                                                   $
              6,097                                  $
            5,538                                          10.1%                     0.0% 10.1%


        
       EMEA                                                             2,264                                                          2,176                              4.0%                           (5.4)%                     9.4%


        
       APAC                                                             1,898                                                          1,727                              9.9%                           (2.4)%                    12.3%


        
       Latin America and Canada                                           395                                                            383                              3.3%                           (4.0)%                     7.3%


        
       
                Medical Devices5                                   10,654                                                          9,823                              8.5%                           (1.7)%                    10.2%



        
       
                Specialty Pharmaceuticals6                             81                                                            n/a                              n/a                              n/a                      n/a



        
       
                Net Sales                                                   $
              
                10,735                              $
     
              9,823                                           9.3%                   (1.8)% 11.1%





        
       
                Emerging Markets4                                            $
              
                1,252                              $
     
              1,097                                          14.1%                   (5.4)% 19.5%




                         Amounts may not add due to rounding. Growth rates are based on actual, non-rounded amounts and may not recalculate
                          precisely.




                         Sales growth rates that exclude the impact of foreign currency fluctuations and/or the impact of recent
                          aforementioned acquisitions / divestitures are not prepared in accordance with U.S. GAAP.

Guidance for Full Year and First Quarter 2020

The company estimates revenue growth for the full year 2020, versus the prior year period, to be in a range of approximately 10 to 12 percent on a reported basis and a growth range of approximately 6.5 to 8.5 percent on an organic basis. Full year organic guidance excludes the impact of foreign currency fluctuations and contribution of approximately 350 basis points from the acquisitions of Vertiflex and BTG, each with less than a full year of related net sales in the prior period, as well as the impact of the divestiture of our global embolic microspheres portfolio as part of the acquisition of BTG. The company estimates income on a GAAP basis in a range of $0.95 to $1.00 per share and estimates adjusted earnings, excluding certain charges (credits) in a range of $1.74 to $1.79 per share.

The company estimates revenue growth for the first quarter of 2020, versus the prior year period, to be in a range of approximately 10 to 12 percent on a reported basis and a growth range of approximately 5 to 7 percent on an organic basis. First quarter sales guidance contemplates a preliminary negative sales impact estimate of $10 million to $40 million due to the potential effect of the coronavirus on procedure volumes in China and supply chain disruption. First quarter organic guidance excludes the impact of foreign currency fluctuations and contribution of approximately 600 basis points from the acquisitions of Vertiflex and BTG, each with no prior year comparable sales, as well as the impact of the divestiture of our global embolic microspheres portfolio as part of the acquisition of BTG. The company estimates earnings on a GAAP basis in a range of $0.16 to $0.19 per share and estimates adjusted earnings, excluding certain charges (credits) in a range of $0.37 to $0.40 per share.

Conference Call Information

Boston Scientific management will be discussing these results with analysts on a conference call today at 8:00 a.m. ET. The company will webcast the call to interested parties through its website: www.bostonscientific.com. Please see the website for details on how to access the webcast. The webcast will be available for approximately one year on the Boston Scientific website.

About Boston Scientific
Boston Scientific transforms lives through innovative medical solutions that improve the health of patients around the world. As a global medical technology leader for more than 40 years, we advance science for life by providing a broad range of high performance solutions that address unmet patient needs and reduce the cost of healthcare. For more information, visit www.bostonscientific.com and connect on Twitter and Facebook.

Cautionary Statement Regarding Forward-Looking Statements
This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. Forward-looking statements may be identified by words like "anticipate," "expect," "project," "believe," "plan," "estimate," "intend," "aiming" and similar words. These forward-looking statements are based on our beliefs, assumptions and estimates using information available to us at the time and are not intended to be guarantees of future events or performance. These forward-looking statements include, among other things, statements regarding our expected net sales, GAAP, operational and organic revenue growth rates, GAAP earnings and adjusted earnings for the first quarter and full year 2020, our financial performance, our business plans and our positioning for revenue and earnings growth. If our underlying assumptions turn out to be incorrect, or if certain risks or uncertainties materialize, actual results could vary materially from the expectations and projections expressed or implied by our forward-looking statements. These risks and uncertainties, in some cases, have affected and in the future could affect our ability to implement our business strategy and may cause actual results to differ materially from those contemplated by the statements expressed in this press release. As a result, readers are cautioned not to place undue reliance on any of our forward-looking statements.

Risks and uncertainties that may cause such differences include, among other things: future economic, political, competitive, reimbursement and regulatory conditions, new product introductions and the market acceptance of those products, markets for our products, expected pricing environment, expected procedural volumes, the closing and integration of acquisitions, clinical trial results, demographic trends, intellectual property rights, litigation, financial market conditions, the execution and effect of our restructuring program, the execution and effect of our business strategy, including our cost-savings and growth initiatives and future business decisions made by us and our competitors. New risks and uncertainties may arise from time to time and are difficult to predict. All of these factors are difficult or impossible to predict accurately and many of them are beyond our control. For a further list and description of these and other important risks and uncertainties that may affect our future operations, see Part I, Item IA - Risk Factors in our most recent Annual Report on Form 10-K filed with the Securities and Exchange Commission, which we may update in Part II, Item 1A - Risk Factors in Quarterly Reports on Form 10-Q we have filed or will file hereafter. We disclaim any intention or obligation to publicly update or revise any forward-looking statement to reflect any change in our expectations or in events, conditions, or circumstances on which those expectations may be based, or that may affect the likelihood that actual results will differ from those contained in the forward-looking statements. This cautionary statement is applicable to all forward-looking statements contained in this press release.

Note: Amounts reported in millions within this press release are computed based on the amounts in thousands. As a result, the sum of the components reported in millions may not equal the total amount reported in millions due to rounding. Certain columns and rows within tables may not add due to the use of rounded numbers. Percentages presented are calculated from the underlying numbers in dollars.

Use of Non-GAAP Financial Information
A reconciliation of the company's non-GAAP financial measures to the corresponding GAAP measures, and an explanation of the company's use of these non-GAAP financial measures, is included in the exhibits attached to this press release.


     CONTACT:


     Media:   
     Kate Haranis                                      
     Investors: 
     Susie Lisa, CFA


              
     508-683-6585 (office)                                          
     508-683-5565 (office)


              
     Media Relations                                                
     Investor Relations


              
     Boston Scientific Corporation                                  
     Boston Scientific Corporation


                                            kate.haranis@bsci.com              
     
                
                  BSXInvestorRelations@bsci.com


                                                                                 
            
                BOSTON SCIENTIFIC CORPORATION


                                                                              
            CONDENSED CONSOLIDATED GAAP RESULTS OF OPERATIONS


                                                                                               
              (Unaudited)




                                                                                                    Three Months Ended                                           Year Ended
                                                                                           December 31,                                             December 31,




       
                in millions, except per share data                        2019                            2018                      2019                    2018

    ---                                                                                                                                                        ---






       Net sales                                                                                $
              2,905                                $
              2,561                           $
     10,735      $
     9,823



       Cost of products sold                                                   851                                         729                                            3,116    2,813




       Gross profit                                                          2,054                                       1,832                                            7,620    7,011





       Operating expenses:



       Selling, general and administrative expenses                          1,092                                         953                                            3,941    3,569



       Research and development expenses                                       309                                         288                                            1,174    1,113



       Royalty expense                                                          17                                          18                                               65       70



       Amortization expense                                                    201                                         162                                              699      599



       Intangible asset impairment charges                                       -                                                                                        105       35



       Contingent consideration expense (benefit)                             (26)                                       (10)                                            (35)    (21)



       Restructuring charges (credits)                                          28                                          16                                               38       36



       Litigation-related charges (credits)                                    223                                          85                                              115      103



                                                                              1,843                                       1,513                                            6,102    5,504




       Operating income (loss)                                                 210                                         319                                            1,518    1,506





       Other income (expense):



       Interest expense                                                      (179)                                       (64)                                           (473)   (241)



       Other, net                                                             (37)                                         40                                            (358)     156




       Income (loss) before income taxes                                       (6)                                        296                                              687    1,422



       Income tax expense (benefit)                                        (4,002)                                       (90)                                         (4,013)   (249)




       
                Net income (loss)                                              $
              
                3,996                             $
      
                386                       $
      
       4,700 $
      
       1,671






       
                Net income (loss) per common share - basic                      $
              
                2.87                            $
      
                0.28                        $
      
       3.38  $
      
       1.21



       
                Net income (loss) per common share - assuming dilution          $
              
                2.83                            $
      
                0.27                        $
      
       3.33  $
      
       1.19





       
                
                  Weighted-average shares outstanding

    ---


       Basic                                                               1,394.3                                     1,384.2                                          1,391.5  1,381.0



       Assuming dilution                                                   1,413.1                                     1,406.2                                          1,410.6  1,401.4


                                                                                                                                                                                                                 
              
                BOSTON SCIENTIFIC CORPORATION


                                                                                                                                                                                                         
             NON-GAAP NET INCOME AND NET INCOME PER SHARE RECONCILIATIONS


                                                                                                                                                                                                                                
              (Unaudited)




                                                                                                                                                                                                   
        
               Three Months Ended December 31, 2019



       
                in millions, except per share data                                                                                   Cost of             SG&A Expenses      R&D Expenses                                               Operating                              Pre-Tax               Net Income Impact per
                                                                                                                                       Products Sold                                                                                      Income (Loss)                         Income (Loss)               (Loss)     Share

    ---


       
                GAAP net income (loss)                                                                                                          $
     
     851                                 $
        
          1,092                                                                              $
     
       309                        $
     
     210           $
     
     (6)           $
        
       3,996  $
      
      2.83



       
                Non-GAAP adjustments:



       Amortization expense                                                                                                                                                                                                                                                                       201                      201                184               0.13



       Intangible asset impairment charges                                                                                                                                                                                                                                                                                                    5               0.00



       Acquisition / divestitures-related net charges (credits)                                                                                (54)                        (62)                                                                   (10)                                            101                      121                282               0.20



       Restructuring and restructuring-related net charges (credits)                                                                           (13)                         (3)                                                                                                                    44                       44                 37               0.03



       Litigation-related net charges (credits)                                                                                                                                                                                                                                                   223                      223                169               0.12



       Investment impairment charges                                                                                                                                                                                                                                                                                        1                  1               0.00



       EU MDR implementation charges                                                                                                            (3)                                                                                                (1)                                              4                        4                  3               0.00



       Debt extinguishment charges                                                                                                                                                                                                                                                                                         86                 67               0.05



       Deferred tax expenses (benefits)                                                                                                                                                                                                                                                                                                 (4,102)            (2.90)



       Discrete tax items                                                                                                                                                                                                                                                                                                                     2               0.00




       
                Adjusted net income                                                                                                             $
     
     781                                 $
        
          1,026                                                                              $
     
       297                        $
     
     783           $
     
     674              $
       
        643  $
      
      0.46







                                                                                                                                                                                                   
        
               Three Months Ended December 31, 2018



       
                in millions, except per share data                                                                                   Cost of             SG&A Expenses      R&D Expenses                                               Operating                              Pre-Tax               Net Income Impact per
                                                                                                                                       Products Sold                                                                                      Income (Loss)                         Income (Loss)               (Loss)     Share

    ---


       
                GAAP net income (loss)                                                                                                          $
     
     729                                   $
        
          953                                                                              $
     
       288                        $
     
     319           $
     
     296              $
       
        386  $
      
      0.27



       
                Non-GAAP adjustments:



       Amortization expense                                                                                                                                                                                                                                                                       162                      162                140               0.10



       Acquisition-related net charges (credits)                                                                                               (18)                        (32)                                                                    (9)                                             50                       22                 84               0.06



       Restructuring and restructuring-related net charges (credits)                                                                           (14)                         (7)                                                                    (1)                                             37                       37                 30               0.02



       Litigation-related net charges (credits)                                                                                                                                                                                                                                                    85                       85                 65               0.05



       Investment impairment charges                                                                                                                                                                                                                                                                                                        (2)              0.00



       Discrete tax items                                                                                                                                                                                                                                                                                                 (7)             (151)            (0.11)




       
                Adjusted net income                                                                                                             $
     
     697                                   $
        
          915                                                                              $
     
       278                        $
     
     653           $
     
     596              $
       
        552  $
      
      0.39






       
                An explanation of the company's use of these non-GAAP financial measures is provided at the end of this document.


                                                                                                                                                                                                              
              
                BOSTON SCIENTIFIC CORPORATION


                                                                                                                                                                                                        
           NON-GAAP NET INCOME AND NET INCOME PER SHARE RECONCILIATIONS


                                                                                                                                                                                                                             
              (Unaudited)




                                                                                                                                                                                                      
       
             Year Ended December 31, 2019



       
                in millions, except per share data                                                                                   Cost of               SG&A Expenses       R&D Expenses                                       Operating                             Pre-Tax Income            Net Income Impact per
                                                                                                                                       Products Sold                                                                                 Income (Loss)                                (Loss)                  (Loss)     Share

    ---


       
                GAAP net income (loss)                                                                                                          $
     
     3,116                                  $
     
       3,941                                                                               $
     
     1,174                        $
     
     1,518             $
       
       687           $
     
     4,700 $
     
     3.33



       
                Non-GAAP adjustments:



       Amortization expense                                                                                                                                                                                                                                                                     699                      699                  628                     0.44



       Intangible asset impairment charges                                                                                                                                                                                                                                                      105                      105                  102                     0.07



       Acquisition / divestitures-related net charges (credits)                                                                               (114)                          (162)                                                           (35)                                               275                      626                  672                     0.48



       Restructuring and restructuring-related net charges (credits)                                                                           (32)                           (12)                                                                                                               82                       82                   68                     0.05



       Litigation-related net charges (credits)                                                                                                                                                                                                                                                 115                      115                   72                     0.05



       Investment impairment charges                                                                                                                                                                                                                                                                                      4                    3                     0.00



       EU MDR implementation charges                                                                                                            (4)                                                                                           (1)                                                 6                        6                    5                     0.00



       Debt extinguishment charges                                                                                                                                                                                                                                                                                       86                   67                     0.05



       Deferred tax expenses (benefits)                                                                                                                                                                                                                                                                                                 (4,102)                  (2.91)



       Discrete tax items                                                                                                                                                                                                                                                                                                                    18                     0.01




       
                Adjusted net income                                                                                                             $
     
     2,966                                  $
     
       3,766                                                                               $
     
     1,138                        $
     
     2,800           $
       
       2,409           $
     
     2,234 $
     
     1.58







                                                                                                                                                                                                      
       
             Year Ended December 31, 2018



       
                in millions, except per share data                                                                                   Cost of               SG&A Expenses       R&D Expenses                                       Operating                             Pre-Tax Income            Net Income Impact per
                                                                                                                                       Products Sold                                                                                 Income (Loss)                                (Loss)                  (Loss)     Share

    ---


       
                GAAP net income (loss)                                                                                                          $
     
     2,813                                  $
     
       3,569                                                                               $
     
     1,113                        $
     
     1,506           $
       
       1,422           $
     
     1,671 $
     
     1.19



       
                Non-GAAP adjustments:



       Amortization expense                                                                                                                                                                                                                                                                     599                      599                  520                     0.37



       Intangible asset impairment charges                                                                                                                                                                                                                                                       35                       35                   31                     0.02



       Acquisition-related net charges (credits)                                                                                               (41)                           (84)                                                           (60)                                               164                     (46)                   5                     0.00



       Restructuring and restructuring-related net charges (credits)                                                                           (47)                           (11)                                                            (1)                                                96                       96                   77                     0.05



       Litigation-related net charges (credits)                                                                                                                                                                                                                                                 103                      103                   79                     0.06



       Investment impairment charges                                                                                                                                                                                                                                                                                      7                    6                     0.00



       Discrete tax items                                                                                                                                                                                                                                                                                               (7)               (328)                  (0.23)




       
                Adjusted net income                                                                                                             $
     
     2,724                                  $
     
       3,474                                                                               $
     
     1,052                        $
     
     2,503           $
       
       2,209           $
     
     2,060 $
     
     1.47








       
                An explanation of the company's use of these non-GAAP financial measures is provided at the end of this document.


                              BOSTON SCIENTIFIC CORPORATION


                 ESTIMATED REVENUE NON-GAAP GROWTH RATES AND
                NON-GAAP NET INCOME PER SHARE RECONCILIATIONS


                      
              (Unaudited)

Q1 and Full Year 2020 Estimated Revenue Growth Rates


                                                                                                                                                                           Q1 2020 Estimate                                  Full Year 2020 Estimate


                                                                                                                                                                                 (Low)                                (High)                         (Low) 
     
     (High)

                                                                                                                                                                                                                                                                  ---


              
                Estimated GAAP sales growth                                                                                                                                 10%                              12%                           10%        12%



              Less: Estimated impact of foreign currency fluctuations                                                                                                                 (1)%                             (1)%                            0%         0%




              
                Estimated sales growth, operational                                                                                                                         11%                              13%                           10%        12%



              Less: Estimated impact of the aforementioned acquisitions and                                                                                                             6%                               6%                          3.5%       3.5%
    divestitures




              
                Estimated sales growth, organic*                                                                                                                             5%                               7%                          6.5%       8.5%






              *Q1 2020 contemplates a preliminary negative sales impact estimate of $10 million to $40 million due to the potential effect of the coronavirus on procedure volumes in China and supply chain disruption.

Q1 and Full Year 2020 Earnings per Share Guidance


                                               Q1 2020 Estimate                        Full Year 2020 Estimate


                                      (Low)                     (High)      (Low)          (High)


                     GAAP results           $
           
                0.16            $
     
            0.19                  $
     
     0.95 $
     
     1.00

    ---



        Estimated
         amortization
         expense                       0.12                            0.12                              0.50  0.50


        Estimated
         acquisition /
         divestitures-
         related net
         charges
         (credits)                     0.06                            0.06                              0.18  0.18


        Estimated other
         adjustments                   0.03                            0.03                              0.11  0.11




                     Adjusted results       $
           
                0.37            $
     
            0.40                  $
     
     1.74 $
     
     1.79

    ---

Prior Guidance Estimate - Q4 2019 and Full Year 2019 Revenue Growth Rates


                                                                             Q4 2019 Estimate        Prior Full Year 2019
                                                                                                            Estimate


                                                                                   (Low)      (High)                      
     
     (Low)   
     
     (High)




              
                Estimated GAAP sales growth                                   13%    15%                               9%          9.5%



              Less: Estimated impact of foreign currency fluctuations                   (1)%   (1)%                             (2)%          (2)%




              
                Estimated sales growth, operational                           14%    16%                              11%         11.5%



              Less: Estimated impact of the aforementioned acquisitions and               6%     7%                             3.5%            4%
    divestitures




              
                Estimated sales growth, organic                                8%     9%                             7.5%          7.5%

Prior Guidance Estimate - Q4 2019 and Full Year 2019 Earnings per Share


                                               Q4 2019 Estimate                        Prior Full Year 2019
                                                                                                  Estimate


                                      (Low)                     (High)      (Low)         (High)



                     GAAP results           $
           
                0.22            $
     
           0.25                 $
     
     0.72 $
     
     0.75

    ---



        Estimated
         amortization
         expense                       0.13                            0.13                             0.44 0.44


        Estimated
         acquisition /
         divestitures-
         related net
         charges
         (credits)                     0.06                            0.06                             0.33 0.33


        Estimated other
         adjustments                   0.01                            0.01                             0.06 0.06




                     Adjusted results       $
           
                0.42            $
     
           0.45                 $
     
     1.55 $
     
     1.58

    ---

Use of Non-GAAP Financial Measures

To supplement our unaudited condensed consolidated financial statements presented on a GAAP basis, we disclose certain non-GAAP financial measures, including adjusted net income (earnings) and adjusted net income (earnings) per share that exclude certain amounts, operational net sales, which exclude the impact of foreign currency fluctuations and organic net sales, which exclude the impact of foreign currency fluctuations and the impact of recent aforementioned acquisitions and divestitures. These non-GAAP financial measures are not in accordance with generally accepted accounting principles in the United States and should not be considered in isolation from or as a replacement for the most directly comparable GAAP financial measures. Further, other companies may calculate these non-GAAP financial measures differently than we do, which may limit the usefulness of those measures for comparative purposes.

To calculate adjusted net income (earnings) and adjusted net income (earnings) per share we exclude certain charges (credits) from GAAP net income. Amounts are presented after-tax at the Company's effective tax rate, unless the amount is a significant unusual or infrequently occurring item in accordance with FASB Accounting Standards Codification section 740-270-30, "General Methodology and Use of Estimated Annual Effective Tax Rate." Please refer to Part II, Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations in our most recent Annual Report filed on Form 10-K filed with the Securities and Exchange Commission for an explanation of each of these adjustments and the reasons for excluding each item. The following is an explanation of each incremental or revised adjustment type that management excluded as part of these non-GAAP financial measures, since our most recent Annual Report on Form 10-K, as well as the reason for excluding each item:

    --  EU MDR implementation charges - These adjustments represent incremental
        costs or payments specific to complying with the new European Union
        Medical Device Regulation (EU MDR) for previously registered products.
        EU MDR is a replacement of the existing European Medical Devices
        Directive (MDD) regulatory framework, and manufacturers of currently
        marketed medical devices are required to comply with EU MDR beginning in
        May 2020. We expect to incur expenditures in connection with the new
        registration of medical devices that previously had been registered
        under MDD. We consider the adoption of EU MDR to be a significant change
        to a regulatory framework, and therefore, these expenditures are not
        considered to be ordinary course expenditures in connection with
        regulatory matters. As such, these medical device regulation charges are
        excluded from management's assessment of operating performance and from
        our operating segments' measures of profit and loss used for making
        operating decisions and assessing performance.
    --  Acquisition/divestiture-related net charges (credits) or payments -
        These adjustments may consist of (a) contingent consideration fair value
        adjustments; (b) gains on previously held investments; (c) due
        diligence, deal fees and costs, inventory step-up amortization,
        integration and exit costs, other fees, and accelerated compensation
        expense; and (d) separation costs and gains primarily associated with
        the sale of a business or portion of a business. The contingent
        consideration adjustments represent accounting adjustments to state
        contingent consideration liabilities at their estimated fair value.
        These adjustments can be highly variable depending on the assessed
        likelihood and amount of future contingent consideration payments. Due
        diligence, deal fees, inventory step-up amortization, integration and
        exit costs include legal, tax, severance and other expenses and gains
        associated with prior and potential future acquisitions and divestitures
        can be highly variable and not representative of ongoing operations.
        Acquisition/divestiture-related net charges (credits) are excluded from
        management's assessment of operating performance and from our operating
        segments' measures of profit and loss used for making operating
        decisions and assessing performance.
    --  Debt extinguishment net charges (credits) - These amounts relate to the
        early extinguishment of certain outstanding principal amounts of our
        senior notes. Certain debt extinguishment net charges (credits) are
        excluded from management's assessment of operating performance and from
        our operating segments' measures of profit and loss used for making
        operating decisions and assessing performance.
    --  Deferred tax expenses (benefits) - These amounts relate to a significant
        non-cash tax benefit arising from an intra-entity asset transfer of
        intellectual property completed in the fourth quarter of 2019. Certain
        deferred tax expenses (benefits) are excluded from management's
        assessment of operating performance and from our operating segments'
        measures of profit and loss used for making operating decisions and
        assessing performance.

The GAAP financial measures most directly comparable to adjusted net income and adjusted net income per share are GAAP net income and GAAP net income per share.

To calculate operational net sales growth rates, which exclude the impact of foreign currency fluctuations, we convert actual net sales from local currency to U.S. dollars using constant foreign currency exchange rates in the current and prior period. To calculate organic net sales growth rates, we remove the impact of recent aforementioned acquisitions with no prior period related net sales from operational net sales. In addition, to calculate organic net sales growth rates, we remove from prior year, sales from product lines that we divested. The GAAP financial measure most directly comparable to operational net sales and organic net sales is net sales on a GAAP basis.

Reconciliations of each of these non-GAAP financial measures to the corresponding GAAP financial measure are included in the accompanying schedules.

Management uses these supplemental non-GAAP financial measures to evaluate performance period over period, to analyze the underlying trends in our business, to assess our performance relative to our competitors and to establish operational goals and forecasts that are used in allocating resources. In addition, management uses these non-GAAP financial measures to further its understanding of the performance of our operating segments. With the exception of the impact of the recent aforementioned acquisitions and divestitures, the adjustments excluded from our non-GAAP financial measures are consistent with those excluded from our operating segments' measures of net sales and profit or loss. These adjustments are excluded from the segment measures reported to our chief operating decision maker that are used to make operating decisions and assess performance.

We believe that presenting adjusted net income and adjusted net income per share, operational net sales and organic net sales, in addition to the corresponding GAAP financial measures, provides investors greater transparency to the information used by management for its operational decision-making and allows investors to see our results "through the eyes" of management. We further believe that providing this information assists our investors in understanding our operating performance and the methodology used by management to evaluate and measure such performance.

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SOURCE Boston Scientific Corporation