BOSTON SCIENTIFIC CORP annual report, FY2015

Boston Scientific Corporation — FY2015 Form 10-K

Business context and reporting period. Boston Scientific develops, manufactures and sells less-invasive medical devices across cardiovascular, rhythm management and MedSurg markets. This annual report covers the fiscal year ended December 31, 2015; the filing also reports unaudited fourth-quarter results. International sales were approximately 43% of 2015 revenue.

Financial performance

MetricFY2015FY2014
Net sales$7.477 billion$7.380 billion
Gross profit / margin$5.304 billion / 70.9%$5.170 billion / 70.1%
Operating income (loss)$(327) million$(301) million
Net income (loss)$(239) million; $(0.18) per share$(119) million; $(0.09) per share
Operating cash flow$600 million$1.269 billion
Capital expenditures$247 million$259 million
Cash and cash equivalents at year-end$319 million$587 million
Total debt at year-end$5.677 billion$4.244 billion
Working capital at year-end$1.041 billion$760 million

Reported sales increased 1% year over year. Excluding foreign currency effects and divested-business sales, sales grew 8%; currency reduced reported 2015 sales by approximately $505 million. Management’s adjusted net income, a non-GAAP measure excluding specified charges, was $1.267 billion, or $0.93 per share, versus $1.129 billion, or $0.84 per share, in 2014. These adjustments included $705 million after tax of litigation-related charges and $446 million of after-tax amortization expense.

Gross margin rose 80 basis points, principally from manufacturing cost reductions, partly offset by pricing and mix pressure and $36 million of acquired-inventory step-up costs. R&D spending increased 7% to $876 million. Interest expense rose to $284 million from $216 million, including $45 million of debt-extinguishment charges. Cash from operations fell 53%, primarily due to the $600 million payment settling Johnson & Johnson’s Guidant-related lawsuit.

Fourth quarter: sales were $1.978 billion versus $1.887 billion in Q4 2014; operating loss was $271 million versus $493 million, and net loss was $142 million versus $299 million. Quarterly results included substantial specified charges, including litigation and amortization; the filing reports $504 million of after-tax net charges in Q4 2015.

Material changes and business developments

  • Completed the $1.616 billion cash acquisition of the AMS male urology portfolio in August 2015; it contributed approximately $158 million of 2015 sales. The deal included up to $50 million in additional sales-based consideration.
  • Acquired Xlumena and CeloNova portfolios and made strategic investments, contributing to $1.734 billion of acquisition payments, net of cash acquired, during 2015.
  • Constant-currency sales grew across most businesses, while reported sales declined in Interventional Cardiology, CRM and Endoscopy, principally reflecting currency effects. CRM reported sales fell 5%; constant-currency growth was 1%. Drug-eluting stent sales declined to $1.074 billion from $1.151 billion.
  • Urology and Pelvic Health sales rose 30% reported, largely due to AMS; Peripheral Interventions grew 6% reported and Neuromodulation 6%. The 2014 Restructuring Plan was substantially completed, with certain plant-network actions continuing into 2016.

Outlook, risks and contingencies

The filing provides no specific consolidated revenue or earnings guidance. Management expected approximately $350 million of capital expenditures in 2016 and projected the restructuring plan would produce $200 million of gross annual expense reductions by the end of 2016, with a substantial portion reinvested in growth. The U.S. medical-device excise tax was suspended through December 31, 2017; its status afterward was uncertain.

  • Legal exposure: 2015 litigation-related net charges were $1.105 billion; probable and estimable legal accruals totaled $1.936 billion at year-end. More than 35,000 mesh-related cases or claims had been asserted by February 23, 2016; settlement agreements covered over 10,000 cases and claims, subject to participation thresholds. The company stated additional losses could be accrued and paid.
  • Mirowski matter: a Maryland appeals court affirmed a $308 million judgment in January 2016; the company planned to seek reconsideration. The filing says the subsequent-event accrual adjustment was reflected in the 2015 financial statements.
  • Tax uncertainty: the IRS asserted $1.162 billion plus interest for disputed transfer-pricing and transaction matters covering specified tax years. The company contested the assessments; trial was expected in the second half of 2016. Gross unrecognized tax benefits were $1.056 billion, and gross accrued tax interest and penalties were $500 million.
  • Leverage and liquidity: debt increased by $1.433 billion year over year, principally reflecting acquisition financing. The company reported investment-grade ratings and compliance with debt covenants; its $2.0 billion revolving facility was undrawn. It cited operating cash flow and capital-market access as liquidity sources.
  • Other material risks include pricing and reimbursement pressure, competition, product quality and regulatory compliance, clinical and launch execution, acquisition integration, supply/manufacturing interruptions, foreign exchange, patent and product-liability litigation, and potential goodwill impairment. Electrophysiology goodwill had approximately 28% fair-value headroom; management identified the unit as more vulnerable to a future impairment test.

Ernst & Young issued unqualified opinions on the financial statements and internal control over financial reporting. The company reported effective disclosure controls and internal controls; the AMS acquisition was excluded from management’s internal-control assessment under the applicable acquired-business transition allowance.

Important facts for investors to verify

  • Reconcile reported GAAP losses with management’s non-GAAP adjusted earnings and assess the scale and recurrence of excluded charges, especially litigation and amortization.
  • Review the mesh claims, settlement participation conditions, Mirowski judgment and other litigation accruals for potential additional cash requirements.
  • Track cash conversion and leverage following the AMS acquisition, including debt maturities, covenant headroom and the ability to sustain investment-grade ratings.
  • Assess whether constant-currency growth can offset pricing pressure and currency headwinds, particularly in drug-eluting stents and CRM.
  • Monitor the IRS disputes, tax reserves and the possible financial impact of their resolution.
  • Evaluate delivery of the restructuring savings, integration of acquisitions, and commercial/regulatory progress for growth products such as WATCHMAN and Lotus.