Medical devices & instruments

45 companies · $300B combined revenue · $44.5B operating profit

The typical US-listed medical devices & instruments company grew revenue 10.3% and earnings 3% in its latest year, at a 13.3% operating margin, and 9 of 45 earn a return on capital above 15%. Figures from each company's latest annual filing with the SEC, refreshed daily.

10.3%Median revenue growth
3%Median earnings growth
9.5%Median revenue growth, 3 yrs
15.7%Median earnings growth, 3 yrs
13.3%Median operating margin
7.6%Median ROCE

Growth engines: the 4 Cylinders

All four working: 7% of companies

A company's earnings per share can grow in only four ways: more sales, profits growing faster than sales (operating leverage), wider margins, and less debt. Each bar is the share of companies where that engine worked in their latest year.

  • Sales growth · Revenue up 10% or more50%
  • Operating leverage · Operating income growing faster than a growing revenue49%
  • Margin expansion · Operating margin up 1 point or more45%
  • Debt reduction · Debt down 5% or more, or net cash38%

Combined revenue · 43 companies reporting in US dollars

Revenue
$0$100B$200B$300BFY21FY22FY23FY24FY25

Combined operating margin

Operating margin
0%5%10%15%20%FY21FY22FY23FY24FY25

All 45 companies

Median–10.3%3%13.3%7.6%0.58x
ISRGIntuitive Surgical$10.1B20.5%▲23%▲29.3%▲16%▲–
MDTMedtronic$36.4B8.4%▼3%17.8%▲7.9%▲0.57x▲
SYKStryker$25.1B11.2%▲8.5%▲19.5%▲12.2%▲0.71x▼
MMM3M$24.9B1.5%▼-22.1%▼18.6%▲16.5%▲2.68x▼
BSXBoston Scientific$20.1B19.9%▲56.7%▲18%▲9.4%▲0.47x▲
BDXBecton Dickinson$21.8B8.2%▼-1.6%▼11.8%▼5.5%▼0.76x▼
EWEdwards Lifesciences$6.1B11.5%▲-74.3%▼20.8%▲10.6%▲0.06x▲
MDLNMedline$28.4B11.5%▲-0.3%▼7.8%▼6.1%▼1.17x▼
RMDResmed$5.7B9.9%▼8.8%▲33.4%▲24.9%▲0.10x▲
DXCMDexcom$4.7B15.6%▲45.1%▲19.6%▲21.7%▲–
GEHCGE HealthCare Technologies$20.6B4.8%▼4.6%▲13.4%▲9.9%▲0.96x▼
ALCALCON$10.4B4.9%▼-3.7%▼13.1%▼4.8%▼0.21x▲
WSTWest Pharmaceutical Services$3.1B6.3%▼0.2%▼19%▲16.2%▲0.06x▲
PHGKoninklijke PhilipsEUR 17.8B-1%▼–8%▼7.3%▼0.74x▼
STESteris$5.9B8.7%▼27.3%▲18.6%▲11.5%▲0.27x▲
ZBHZimmer Biomet$8.2B7.2%▼-22%▼13.3%5.4%▼0.59x▼
SOLVSolventum$8.3B0.9%▼225%▲26.2%▲19.5%▲1.00x▼
BAXBaxter International$11.2B5.7%▼–-2.7%▼-1.8%▼1.54x▼
PENPenumbra$1.4B17.5%▲1168%▲13.5%▲11.5%▲–
SNNSmith & Nephew$6.2B6.1%▼51.7%▲12.9%▼9%▲0.59x▼
COOCooper Companies$4.1B5.1%▼-4.4%▼16.7%▲6.1%▼0.30x▲
GMEDGlobus Medical$2.9B16.7%▲422%▲16.3%▲10%▲–
ALGNAlign Technology$4.0B0.9%▼-2.6%▼13.5%▲12.7%▲–
GKOSGlaukos$507M32.3%▲–-39.3%▼-25.2%▼–
PODDInsulet$2.7B30.7%▲-40.9%▼17.5%▲18.9%▲0.63x▼
MSAMSA Safety$1.9B3.7%▼-2.1%▼19.8%▲16.4%▲0.42x▲
BLCOBausch & Lomb$5.1B6.5%▼–2.2%▼0.9%▼0.78x▼
HAEHaemonetics$1.3B-2%▼-42%▼11.7%▼7.4%▼1.54x▼
TFXTeleflex$2.0B17.2%▲-1400%▼5.9%▼1.9%▼0.85x▼
MMSIMerit Medical Systems$1.5B11.8%▲6.8%▲12.2%▼7.6%0.46x▲
STVNStevanato Group S.p.A.EUR 1.2B7.4%▼18.7%▲16.8%▲9.9%▲0.31x▲
MMEDMiniMed$3.1B14.3%▲–-6.1%▼-4.8%▼–
HTFLHeartflow$176M39.9%▲–-36.4%▼-20.2%▼–
ITGRInteger$1.9B8%▼-14.3%▼11.9%▼7%▼0.68x▼
LIVNLivaNova$1.4B10.7%▲-483%▼14.4%▲11.1%▲0.31x▲
ICUIIcu Medical$2.2B-6.3%▼–1.9%▼1.2%▼0.60x▼
NVSTEnvista$2.7B8.3%▼–7.9%▼4.5%▼0.47x▲
IRTCiRhythm$747M26.2%▲–-7.7%▼-6.6%▼–
PLSEPulse Biosciences$0M––-21983%▼-88.8%▼–
WRBYWarby Parker$872M13%▲–-0.6%▼-0.9%▼–
ATRCAtriCure$535M14.9%▲–-1.8%▼-1.6%▼0.13x▲
TMDXTransMedics$605M37.1%▲437%▲17.9%▲11.1%▲–
UFPTUfp Technologies$603M19.5%▲15.8%▲15.3%▲15.9%▲0.32x▲
AXGNAxogen$225M20.2%▲–-3.5%▼-4%▼0.38x▲
BFLYButterfly Network$98M19%▲–-88.5%▼-37.3%▼–

▲ better than the median, ▼ worse. n/a: the ratio doesn't apply to that kind of business (e.g. a bank's operating margin). Sort by any column. Figures from each company's latest 10-K (or 20-F/40-F).