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    Hologic Inc (HOLX)

    Q2 2025 Earnings Summary

    Reported on May 3, 2025 (After Market Close)
    Pre-Earnings Price$57.28Last close (May 1, 2025)
    Post-Earnings Price$55.31Open (May 2, 2025)
    Price Change
    $-1.97(-3.44%)
    • Strong recurring revenue growth: The company reported 12% growth in nonproduct revenue driven by its breast health services and Biotheranostics, highlighting improved recurring revenue streams and customer stickiness.
    • Robust diagnostics platform: Positive feedback on the Panther and Fusion systems—with a large installed base and expanding assay menu—underscores the potential for sustained future growth in molecular diagnostics.
    • Resilient supply chain and operational flexibility: A predominantly U.S.-based manufacturing footprint and proactive management of tariffs and supply issues position the company well to mitigate macro headwinds and maintain stable operations.
    • Tariff Headwinds: Tariffs—primarily affecting products manufactured in Costa Rica and China—are expected to add $20–$25 million per quarter in cost pressure, with additional increases to cost of goods sold in later quarters, which could materially squeeze margins.
    • Declining International Revenue: Reduced revenue guidance from key international markets, notably a $20 million cut in China revenue and disruptions in Africa due to funding cuts, raises concerns over sustainable growth outside domestic markets.
    • Weak Breast Health Performance: The Breast Health segment experienced a significant downturn—with revenue declining notably due to lower gantry placements—and is forecasted to see a mid-single-digit organic decline, casting uncertainty on its near-term recovery.
    MetricYoY ChangeReason

    Total Revenue

    –22% (down from USD 1,017.8M in Q2 2024 to USD 792.7M in Q2 2025)

    Revenue contracted severely due to a drastic decline in sales volumes and operational challenges that reversed the previous period’s robust performance, suggesting both market slowdown and potential internal misalignments in scaling operations.

    Gross Profit

    –30% (declined from USD 542.3M in Q2 2024 to USD 377.3M in Q2 2025)

    Gross profit suffered a steeper decline than revenue, reflecting not only lower sales but also deteriorating margins and a high-cost structure that did not adjust proportionately, eroding profitability relative to the prior period.

    Operating Income

    Swung from a positive USD 210.4M in Q2 2024 to a loss of USD 7.0M in Q2 2025

    Operating income turned negative as fixed operating expenses and other costs failed to scale down with the significant revenue drop, emphasizing operational inefficiencies and the impact of a rigid cost structure relative to the previous strong quarter.

    Net Income

    Declined from USD 169.9M in Q2 2024 to –USD 17.4M in Q2 2025

    Net income reversed sharply because of the combined effects of lower revenue and gross profit along with escalating costs and potential non-operating expenses, undercutting the positive momentum seen in the previous period.

    United States Revenue

    –2% (from USD 759.4M in Q2 2024 to USD 744.9M in Q2 2025)

    U.S. revenue remained relatively resilient with only a slight decline, indicating that domestic markets held up better than international segments despite broader headwinds.

    Europe Revenue

    +7% (increased from USD 137.0M in Q2 2024 to USD 146.8M in Q2 2025)

    European revenue grew modestly, suggesting favorable market conditions or currency effects in the region that contrasted with the overall decline, partially mitigating global downturn trends.

    Asia-Pacific Revenue

    –8% (fell from USD 64.4M in Q2 2024 to USD 59.3M in Q2 2025)

    Asia-Pacific markets weakened, contributing to the overall revenue decline, possibly due to lower demand or market-specific challenges that diverged from the relatively stable U.S. performance.

    Rest of World Revenue

    –5% (declined from USD 57.0M in Q2 2024 to USD 54.3M in Q2 2025)

    Rest of World revenue dipped moderately, indicating that other international markets faced challenges that led to a reduction in sales, albeit less severe than the overall group decline.

    Basic EPS

    Shifted from USD 0.73 in Q2 2024 to –USD 0.08 in Q2 2025

    Earnings per share deteriorated dramatically due to the comprehensive decline in profitability across revenue, gross margin, and operating income, which, coupled with the existing share base, resulted in a negative EPS compared to the strong prior period.

    MetricPeriodPrevious GuidanceCurrent GuidanceChange

    Revenue ($USD Billions)

    FY 2025

    $4.05 to $4.10

    $4.05 to $4.10

    no change

    Non-GAAP EPS ($USD)

    FY 2025

    $4.25 to $4.35

    $4.15 to $4.25

    lowered

    Gross Margins (%)

    FY 2025

    low 60s

    Low 60s

    no change

    Operating Margin (%)

    FY 2025

    low 30s

    Low 30s

    no change

    Annual Effective Tax Rate (%)

    FY 2025

    Approximately 19.5%

    19.25%

    lowered

    Diluted Shares Outstanding (Millions)

    FY 2025

    approximately 130 million

    Approximately 228

    raised

    COVID-19 Assay Sales ($USD Millions)

    FY 2025

    ~$35 million

    $35 to $40

    raised

    COVID-19 Related Items ($USD Millions)

    FY 2025

    ~$100 million

    $100 to $105

    raised

    Revenue ($USD Billions)

    Q3 2025

    no prior guidance

    $1.00 to $1.01

    no prior guidance

    Non-GAAP EPS ($USD)

    Q3 2025

    no prior guidance

    $1.04 to $1.07

    no prior guidance

    COVID-19 Assay Sales ($USD Millions)

    Q3 2025

    no prior guidance

    Approximately $5

    no prior guidance

    COVID-19 Related Items ($USD Millions)

    Q3 2025

    no prior guidance

    $25

    no prior guidance

    Blood Screening Revenue ($USD Millions)

    Q3 2025

    no prior guidance

    Approximately $6

    no prior guidance

    Currency Impact ($USD Millions)

    Q3 2025

    no prior guidance

    Negligible headwind

    no prior guidance

    MetricPeriodGuidanceActualPerformance
    Revenue
    Q2 2025
    $995 million to $1.005 billion
    $792.7 million
    Missed
    Other Income/Expense
    Q2 2025
    Expected expense of $10 million to $15 million
    ($7.3 million)
    Beat
    TopicPrevious MentionsCurrent PeriodTrend

    Breast Health

    Consistently discussed across Q3 2024, Q4 2024, and Q1 2025 with emphasis on revenue declines, innovation in imaging/gantry systems, and leadership adjustments

    Q2 2025 noted a further revenue decline alongside a reorganization of the sales team, a renewed offensive on gantry upgrades, and stronger recurring revenue performance

    Recurring topic with mixed sentiment – persistent performance challenges are being met with strategic innovation and leadership changes.

    Molecular Diagnostics

    Highlighted robust growth, assay expansion (e.g., BV/CV/TV assay), and international penetration in Q3 2024, Q4 2024, and Q1 2025

    Q2 2025 continued to emphasize moderate growth drivers, menu expansion via Panther Fusion, and a strong competitive position

    Continued expansion and positive competitive positioning remain consistent.

    Supply Chain

    Earlier calls (Q3 2024, Q4 2024, Q1 2025) discussed legacy issues such as chip shortages, IV fluid constraints, and HIV testing disruptions

    In Q2 2025, domestic manufacturing emphasis (US, Costa Rica) and an expanded supplier network have alleviated semiconductor concerns and improved operational resilience

    Notable improvement with strong operational resilience emerging over previous disruptions.

    International Revenue

    Q3 2024 and Q4 2024 underscored significant international growth potential along with underpenetrated markets, while Q1 2025 noted mixed performance in areas like Breast Health and Surgical divisions

    Q2 2025 reported declines in certain regions (Africa, South Korea, China) offset by strong growth in surgical markets, highlighting both headwinds and opportunities

    Consistent emphasis with persistent regional headwinds; sentiment remains cautious amid emerging growth opportunities.

    Strategic M&A

    Across Q3 2024, Q4 2024, and Q1 2025, discussions focused on tuck-in acquisitions (e.g., Endomagnetics and Gynesonics) and successful integration efforts to drive long-term growth

    Q2 2025 reiterated the focus on strategic tuck-in acquisitions, with integration of recent deals proceeding well and contributing to margin expansion

    A consistently prioritized strategy with smooth integration bolstering long-term growth prospects.

    Policy & Regulatory Uncertainties

    Q1 2025 raised issues around disruptions in HIV testing (e.g., PEPFAR) and tariff risks; earlier periods (Q3/Q4 2024) did not address these concerns

    Q2 2025 continued to cite funding cuts in Africa and a de-risked China forecast, reflecting ongoing geopolitical and regulatory challenges

    Emerging as a growing concern – new regulatory and funding uncertainties are prompting a more cautious outlook.

    Tariff Headwinds

    Not mentioned in Q3 2024/Q4 2024; briefly flagged in Q1 2025 regarding potential tariffs from Costa Rica/Mexico

    Q2 2025 explicitly detailed tariff-related cost pressures (an added $20–25 million per quarter) and limited pricing flexibility under long-term contracts

    A newly emphasized risk due to evolving geopolitical pressures, marking an increased focus compared to previous periods.

    Skeletal Health

    Q3 2024 and Q4 2024 reported significant challenges including stop ship issues and major revenue declines; Q1 2025 observed a sharp decline in revenue

    Q2 2025 identified a “catch-up quarter” with revenue recovery and expectations for normalization later in the year

    While earlier periods showed operational setbacks, the current period reflects an encouraging recovery trend.

    Environmental Disruptions

    Not a recurring focus until Q4 2024, which mentioned hurricanes impacting IV fluid shortages affecting surgical and breast health segments

    No mention in Q2 2025

    No current mention suggests that the transitory impacts of environmental disruptions have likely resolved.

    1. Tariff Impact
      Q: How will tariffs affect margins next year?
      A: Management expects ongoing headwinds of $20–25 million per quarter from tariffs, with cost pressures increasing COGS in later quarters, assuming no major policy changes.

    2. China Revenue
      Q: How is China revenue trending?
      A: China revenue is being de-risked, with forecasts now around $30 million annually as the market becomes less competitive.

    3. Organic Growth Drivers
      Q: What caused the 60bps haircut in organic growth?
      A: The 60bps reduction is due to weaker performance in China and Africa, driven by funding cuts and reduced sales in these regions.

    4. Gantry Replacement Cycle
      Q: What is the current gantry lifespan?
      A: Gantrys now typically last 10–12 years, reflecting improved service support and fewer external upgrade catalysts.

    5. Envision Pricing
      Q: Will Envision be priced at a premium?
      A: Management is confident in Envision’s value, maintaining a premium price similar to current offerings with standard integrated software.

    6. Supply Chain & Semiconductors
      Q: Any issues with supply chain or semiconductors?
      A: They report no significant headwinds; supply chain robustness remains evident despite global challenges.

    7. M&A Strategy
      Q: What are the M&A focus areas?
      A: They are eyeing tuck-in opportunities across diagnostics, imaging, and surgical sectors, supported by a strong balance sheet with over $1.6 billion in cash.

    8. Service Revenue Growth
      Q: How performed non-product revenue?
      A: Non-product revenue, driven by breast services and Biotheranostics, grew by 12%, highlighting a strong recurring revenue base.

    9. Fusion Platform Ordering
      Q: What are the Fusion ordering trends?
      A: Approximately one-third of customers now have Fusion capabilities, with steady, seasonally driven ordering amid heightened respiratory demand.

    10. Africa Diagnostics Outlook
      Q: How is African diagnostics evolving?
      A: Due to funding cuts and operational challenges, African diagnostics have effectively been removed from future forecasts.

    11. Gantry Demand Timing
      Q: Are hospitals delaying gantry purchases for Envision?
      A: Hospitals are not significantly delaying purchases; they continue to upgrade with current products rather than waiting for Envision.