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HI

HOLOGIC INC (HOLX)·Q4 2025 Earnings Summary

Executive Summary

  • Q4 2025 delivered mid‑single‑digit growth and clean beats vs consensus: revenue $1,049.5M (+6.2% YoY) and non‑GAAP EPS $1.13 (+11.9% YoY), both above S&P Global consensus ($1,034.5M revenue; $1.10 EPS). The company did not host a call due to the pending Blackstone/TPG acquisition . Consensus values retrieved from S&P Global.*
  • Operating leverage improved on a non‑GAAP basis (operating margin 31.2% vs 30.0% YoY) despite tariff headwinds; interventional breast and surgical led growth, while core U.S. molecular diagnostics offset lower COVID and China softness .
  • Full‑year FY25 outcomes landed at the high end of Q3 guidance (revenue $4,100.5M; non‑GAAP EPS $4.26), validating management’s Q3 outlook upgrades .
  • Near‑term stock narrative is dominated by M&A: definitive agreement to be acquired for up to $79/share (cash + CVRs); FY26 guidance withdrawn and Q4 call canceled, reducing forward qualitative disclosures until close .

What Went Well and What Went Wrong

What Went Well

  • Interventional Breast strength and tuck‑ins: Interventional breast solutions +24.5% YoY (Endomag inclusion; organic interventional +17.1%), supporting non‑GAAP operating margin expansion to 31.2% (+120 bps YoY) .
  • Surgical momentum: Surgical +10.2% YoY (+9.5% CC), driven by MyoSure, Fluent, and Gynesonics; organic surgical +5.3% (+4.5% CC) .
  • Diagnostics resilience ex‑COVID: Organic diagnostics ex‑COVID +5.4% (+4.4% CC) with U.S. molecular assays (BV/CV/TV, Panther Fusion) leading; cash from operations $355.1M in Q4, supporting a 0.4x net leverage ratio .

Management quotes (Q3 call, showing momentum into Q4):

  • “Our diagnostics business continued to grow nicely… and our breast health business improved sequentially as planned.” — CEO Steve MacMillan .
  • “We expect mid single digit revenue growth and high single digit EPS growth in the fourth quarter.” — CFO Karleen Oberton (Q3 guidance that proved conservative) .
  • “We now expect to incur $10–$12M in tariffs per quarter [in FY26]… roughly half of what we originally expected.” — COO Essex Mitchell .

What Went Wrong

  • Gross margin pressure: non‑GAAP gross margin 60.9% (-60 bps YoY) on mix and tariffs; GAAP gross margin down 90 bps (Manchester facility closure costs) .
  • International/China headwinds: Diagnostics international constant‑currency growth was minimal; Q3 commentary confirmed China down >50% YoY and HIV funding pressures, with residual impact into 1H FY26 .
  • GAAP optics and impairments: FY25 saw sizable non‑cash impairments (Q2) and restructuring/transaction costs; while largely non‑GAAP‑excluded, they depressed GAAP margins earlier in the year .

Financial Results

MetricQ2 2025Q3 2025Q4 2025
Revenue ($USD Millions)$1,005.3 $1,023.8 $1,049.5
GAAP Diluted EPS ($)($0.08) $0.86 $0.83
Non‑GAAP Diluted EPS ($)$1.03 $1.08 $1.13
GAAP Gross Margin (%)37.5% 56.3% 55.6%
Non‑GAAP Gross Margin (%)61.1% 60.3% 60.9%
GAAP Operating Margin (%)(0.7%) 24.9% 22.6%
Non‑GAAP Operating Margin (%)30.0% 30.1% 31.2%
GAAP Net Margin (%)(1.7%) 19.0% 17.9%
Non‑GAAP Net Margin (%)23.2% 23.8% 24.3%
Adjusted EBITDA ($USD Millions)$325.8 $340.9 $347.0
Cash from Operations ($USD Millions)$169.5 $343.2 $355.1

Segment breakdown (YoY and sequential context):

Segment ($USD Millions)Q4 2024Q3 2025Q4 2025YoY changeCC change
Diagnostics$443.3 $448.9 $454.1 +2.4% +1.5%
Molecular Diagnostics$319.3 $320.5 $323.1 +1.2% +0.4%
Cytology & Perinatal$116.5 $121.4 $123.1 +5.7% +4.1%
Breast Health (Total)$375.5 $365.2 $393.7 +4.8% +4.2%
Breast Imaging$293.4 $264.7 $291.5 (0.6%) (1.2%)
Interventional Breast$82.1 $100.5 $102.2 +24.5% +23.7%
GYN Surgical$156.5 $178.4 $172.5 +10.2% +9.5%
Skeletal Health$12.7 $31.3 $29.2 +129.9% +128.1%

KPIs and mix:

KPIQ4 2025
COVID‑19 Assay Revenue ($USD Millions)$5.9
COVID‑19 Related Revenue ($USD Millions)$23.2
Organic Revenue ($USD Millions)$1,027.7
Organic Revenue ex‑COVID ($USD Millions)$998.6
U.S. Revenue Mix (%)74.7%
International Revenue Mix (%)25.3%
Cash & Cash Equivalents ($USD Billions)$1.96
Net Leverage Ratio (x)0.4x

Consensus vs actual (Q4 2025):

MetricActualConsensusSurprise
Revenue ($USD Millions)$1,049.5 $1,034.5*+$15.0M / +1.5%
Non‑GAAP EPS ($)$1.13 $1.1008*+$0.029 / +2.6%

Values retrieved from S&P Global.*

Guidance Changes

MetricPeriodPrevious GuidanceCurrent/ActualChange
Revenue ($USD Millions)Q4 2025$1,030–$1,040 $1,049.5 Raised vs guide (beat)
Non‑GAAP EPS ($)Q4 2025$1.09–$1.12 $1.13 Raised vs guide (beat)
GAAP EPS ($)Q4 2025$0.90–$0.93 $0.83 Lower than guide (mix/charges)
COVID Assay ($M)Q4 2025~$5 $5.9 Higher
COVID Related ($M)Q4 2025~$25 $23.2 Lower
Blood Screening ($M)Q4 2025~$5 $7.9 Higher
Tariff Expense ($M)Q4 2025~$8 Reflected in GM bps; total indicated In‑line
Other income (net) ($M)Q4 2025~($20) ~$0 (line item near zero) Better
Non‑GAAP Tax Rate (%)FY 2025~19.25% 19.00% TTM; 18.29% in Q4 Slightly lower
Diluted Shares (M)FY 2025~228 227.6 FY; 225.7 in Q4 Slightly lower
Revenue ($USD Millions)FY 2025$4,081–$4,091 $4,100.5 At/above
Non‑GAAP EPS ($)FY 2025$4.23–$4.26 $4.26 At high end
FY 2026 GuidanceFY 2026Provided historicallyWithdrawn (post‑deal announcement) Withdrawn

Earnings Call Themes & Trends

TopicPrevious Mentions (Q2 & Q3)Current Period (Q4)Trend
AI/technology initiativesLaunch of Genius AI Detection PRO and Fusion menu expansion; digital cytology rollout Expanded CE marking to whole‑slide imaging for Genius Digital Diagnostics (EU) Continued innovation; expanding footprint
Tariffs/macroWorst‑case $20–$25M/qtr mitigated to $10–$12M/qtr in FY26; ~$8M expected in Q4 Non‑GAAP GM down 60 bps YoY on mix/tariffs Manageable headwind; mitigation ongoing
Breast Health executionReorg and end‑of‑life strategy; interventional performance +31.8% in Q3; gantry sequential uptick Breast imaging stable YoY (-0.6%); interventional +24.5% YoY; organic breast +3.3% Sequential improvement; mix favorable
Regional trends (China/HIV)China down >50%; HIV funding cuts pressuring 1H FY26 International CC growth modest in diagnostics; U.S. +5.2% YoY Ongoing headwind (China/HIV)
Regulatory/R&DFDA clearance & CE marks for Panther Fusion GI assays Same; plus EU digital pathology expansion Pipeline advancing
M&A/Capital allocationGynesonics acquisition; Endomag performing ahead of plan; buybacks Definitive agreement to be acquired by Blackstone/TPG; FY26 guidance withdrawn Transaction dominates narrative

Management Commentary

  • “We’re pleased with our performance… delivered revenue and non‑GAAP EPS that exceeded our guidance.” — CEO Steve MacMillan (Q3 call) .
  • “We expect mid single digit revenue growth and high single digit EPS growth in the fourth quarter.” — CFO Karleen Oberton (Q3 call) .
  • “We expect to mitigate roughly half… now $10–$12M in tariffs per quarter [FY26].” — COO Essex Mitchell (Q3 call) .
  • Q4 press release highlights: cash flow from operations $355.1M; adjusted EBITDA $347.0M; non‑GAAP operating margin +120 bps; interventional breast and surgical strength; FDA/CE for Panther Fusion GI assays .

Q&A Highlights

  • Tariffs mitigation and FY26 impact: Management reduced expected tariff headwinds to $10–$12M/qtr (from $20–$25M), aiding FY26 gross margins despite residual pressure .
  • Breast Health trajectory: Sequential gantry improvement and strong interventional momentum; Endomag “running well ahead of plan” and turns organic in August, bolstering growth mix .
  • China/HIV outlook: China business materially smaller (~$10M/qtr run‑rate); HIV funding cuts to pressure 1H FY26 diagnostics .
  • Fusion platform/menu: Continued rollout, pricing premium, ~one‑third of customers have Fusion; Open Access kits contributing; GI and HAI assays targeted in later FY26/FY27 .
  • Capital allocation: Significant buybacks YTD; no large M&A imminent (pre‑deal); confidence in tuck‑ins like Endomag .

Estimates Context

  • Q4 2025 beats vs S&P Global consensus: revenue $1,049.5M vs $1,034.5M*, non‑GAAP EPS $1.13 vs $1.1008*; upside driven by interventional breast and surgical growth, and core U.S. molecular diagnostics . Values retrieved from S&P Global.*
  • With FY26 guidance withdrawn due to the pending acquisition, sell‑side models likely move to deal‑close scenarios; near‑term adjustments focus on tariff run‑rate ($10–$12M/qtr in FY26) and China/HIV drag in 1H FY26 .

Key Takeaways for Investors

  • Solid Q4 execution with clean revenue and EPS beats; non‑GAAP operating margin expansion underscores improving mix and cost discipline despite tariffs .
  • Interventional Breast and Surgical are the growth hinges into close; Endomag integration strengthens recurring profile and supports margin quality .
  • Diagnostics ex‑COVID remains healthy; Panther Fusion and BV/CV/TV sustain core growth while China/HIV headwinds cap international momentum near term .
  • FY25 finished at/above upgraded Q3 guidance; however, FY26 visibility paused with M&A; expect limited incremental disclosures until regulatory and shareholder approvals progress .
  • Tariff headwinds now “halved” for FY26; model ~100 bps gross margin drag vs FY25 per CFO, offset by mix and operating leverage .
  • Cash generation and low leverage (0.4x) preserve strategic flexibility prior to transaction close; balance sheet remains a strength .
  • Trading setup: near‑term moves tied to deal milestones; operational beats/misses less likely to drive price until post‑close; watch China/HIV run‑rate, tariffs, and interventional momentum as key operational KPIs .
Footnote: S&P Global consensus metrics (marked with *) sourced via SPGI data feed.