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A maker of medical devices used by doctors and patients worldwide, from Micra pacemakers and Evolut heart-valve systems to Hugo surgical robots, Nellcor pulse oximeters, and insulin pumps. It began in 1949 when electrical engineer Earl Bakken and his brother-in-law Palmer Hermundslie started repairing medical equipment in a Minneapolis garage, coining the name by blending "medical" and "electronic." Four years later, Bakken built the world's first wearable, battery-powered pacemaker after a citywide power outage left heart patients vulnerable.
FY2026 revenue rose 8% to $36.4B and diluted EPS rose to $3.73 as Diabetes completed its MiniMed IPO.
Medtronic separated its via a MiniMed IPO in March 2026. rose 8% to $36.4B and rose to $3.73, driven by Cardiovascular up 12% and Diabetes up 13% on adoption, while cost of products sold rose on $185M in tariffs and $84M in . The company enters FY2027 with the Diabetes separation to finish and a $250M tariff impact estimated.
Key takeaways
The completed an IPO as in March 2026 and is now reported under All Other, with Medtronic retaining about 90% ownership. rose 8% to $36.4B, with Cardiovascular up 12% on growth and Diabetes up 13% on international adoption. rose to $3.73 from $3.61 and rose to $5.53 from $5.49, reflecting adjustments for , restructuring, and litigation. Cost of products sold rose as a percentage of net sales due to $185M in higher tariffs and duties and $84M in . was $7.3B and was $5.4B, up from $5.2B, supported by higher customer collections. The company issued €1.5B in new Euro-denominated and repaid €2.5B, ending with total debt of $28.0B and estimating a $250M pre-tax net tariff impact for FY2027.
Section summaries
Business
Medtronic operates three segments—Cardiovascular, Neuroscience, Medical Surgical—and is separating its Diabetes business via the MiniMed IPO.
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The includes Cardiac Rhythm & Heart Failure, Structural Heart & Aortic, and Coronary & Peripheral Vascular divisions, offering products like pacemakers, Evolut TAVR systems, and drug-eluting stents.
What changed
The spinoff flagged in FY2025 as within 18 months of May 2025 progressed via the MiniMed IPO in March 2026, with completion of separation planned within the next fiscal year. The FY2026 tariff impact flagged at $185M–$350M (later $185M) for FY2026 landed at $185M in tariffs and duties plus $84M in on cost of products sold, with the majority in the second half as expected. The Puerto Rico IRS dispute remanded to Tax Court in September 2025 remained unresolved; total uncertain tax position reserves rose to $2.951B as of April 24, 2026 from $2.902B a year earlier, still a critical audit matter. Medical Surgical, flat at company level in FY2025, is no longer a reported after the Diabetes separation changed the structure to three segments plus All Other. rose to $5.4B in FY2026 from $5.2B in FY2025 after the Q1 FY2026 drop to $2.300B and prior-quarter declines, ending the year up 4.6%.
What to watch
Completion of the separation within the next fiscal year and its effect on and retained ownership. The $250M pre-tax net tariff impact for FY2027 on cost of products sold. Outcome of the Puerto Rico IRS appeal and any change to the $2.951B uncertain tax reserve. FY2027 trajectory after the $185M tariffs and $84M write-offs pressured cost of products sold in FY2026.
The spans Cranial & Spinal Technologies (e.g., Mazor robotics, Infuse bone graft), Specialty Therapies (e.g., Solitaire stroke devices, InterStim neurostimulators), and Neuromodulation (e.g., Inceptiv spinal cord stimulator, Percept brain stimulators).
The comprises Surgical & Endoscopy (e.g., Hugo RAS system, GI Genius endoscopy) and Acute Care & Monitoring (e.g., Nellcor pulse oximetry, BIS brain monitoring).
The , which includes insulin pumps and CGM systems, completed an IPO as in March 2026 and is now reported under All Other.
Medtronic's strategy focuses on innovation-driven growth, leveraging AI and data for remote care, and competing amid pricing pressure from GPOs, IDNs, and GLP-1 drug alternatives.
Medtronic faces intense competition, regulatory complexity, supply-chain fragility, and risks from its Diabetes Business separation and tax litigation.
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Competition from large firms, niche manufacturers, drugs, and shifts to ASCs could erode market share and pricing power, especially where government mandates steep discounts.
Supply chain is vulnerable to sole-source dependencies, sterilization capacity constraints, and shortages of semiconductors or resins, while new chemical regulations (EtO, PFAS) may further constrain supply.
Extensive FDA and global regulations create ongoing compliance risk; adverse inspections, warning letters, or failure to secure timely approvals could restrict sales and require costly remediation.
The separation of the via the MiniMed IPO introduces execution, cost, and market risks, with Medtronic retaining ~90% ownership and no assurance of completing further steps on planned terms.
An adverse outcome in the long-running IRS dispute over income allocation with the Puerto Rico subsidiary could materially harm financial condition, following a 2025 appellate remand to Tax Court.
Quality problems, product liability claims, or cybersecurity breaches—including AI-amplified attacks—could cause recalls, reputational damage, and significant financial loss.
Medtronic's principal executive office is located in Ireland and is owned by the Company, while its main operational offices are located in the Minneapolis, Minnesota metropolitan area and are owned by the Company. The Company's total manufacturing and research space is approxim…
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Medtronic's principal executive office is located in Ireland and is owned by the Company, while its main operational offices are located in the Minneapolis, Minnesota metropolitan area and are owned by the Company.
The Company's total manufacturing and research space is approximately 10.2 million square feet. Approximately 41 percent of the manufacturing and research facilities are owned by Medtronic and the remaining balance is leased. The Company’s largest manufacturing facilities are located in the U.S., Mexico, Puerto Rico, China, Ireland, Dominican Republic, Switzerland, Italy, and France. Many of these facilities serve more than one of our divisions and also perform research activities.
Medtronic also maintains sales and administrative offices outside the U.S. at approximately 110 locations in over 60 countries. A majority of these locations are leased. The Company is using substantially all of its currently available productive space to develop, manufacture, and market its products. The Company's facilities are well-maintained, suitable for their respective uses, and adequate for current needs.
In accordance with Item 103 of Regulation S-K, we have adopted a $1 million disclosure threshold for proceedings under environmental laws to which a governmental authority is a party, as we believe matters under this threshold are not material to the Company. A discussion of the…
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In accordance with Item 103 of Regulation S-K, we have adopted a $1 million disclosure threshold for proceedings under environmental laws to which a governmental authority is a party, as we believe matters under this threshold are not material to the Company. A discussion of the Company’s legal proceedings and other loss contingencies are described in Note 18 to the consolidated financial statements in “Item 8. Financial Statements and Supplementary Data” in this Annual Report on Form 10-K.
Medtronic FY26 revenue grew 8% to $36.4B, driven by Cardiovascular and Diabetes, while GAAP diluted EPS rose to $3.73.
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Total increased 8% to $36.4 billion, with up 12% on strong growth and Diabetes up 13% on international adoption.
rose to $3.73 from $3.61, while diluted EPS increased to $5.53 from $5.49, reflecting adjustments for , restructuring, and litigation.
Cost of products sold as a percentage of increased, primarily due to $185 million in higher tariffs and duties and $84 million in asset write-offs.
increased to $7.3 billion, and rose to $5.4 billion, supported by higher customer collections.
The company estimates a pre-tax net tariff impact of $250 million for fiscal year 2027 and plans to complete the separation of its within the next fiscal year.
Medtronic issued €1.5 billion in new Euro-denominated Senior Notes and repaid €2.5 billion, ending the year with total debt of $28.0 billion.
Quantitative and Qualitative Disclosures About Market Risk
Currency and interest rate risks are managed via derivatives and fixed-rate debt, with sensitivity to a 10% USD move at $1.7B.
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Currency exposure arises from global operations, with unhedged emerging-market currencies potentially causing earnings and cash flow volatility.
Gross notional of outstanding currency derivatives was $20.3B at April 24, 2026, down from $23.6B a year earlier, with a net of $135M.
A uniform 10% strengthening or weakening of the U.S. dollar against all currencies would change the fair value of currency derivatives by approximately $1.7B, offset by underlying transaction gains/losses.
Interest rate risk stems from short-term investments and borrowings; the debt portfolio is primarily fixed-rate and denominated in U.S. dollars and Euros.
A hypothetical 50-basis-point shift in interest rates would change the fair value of interest-rate-sensitive instruments by $91M at April 24, 2026, versus $74M a year earlier.
Auditor gave unqualified opinions on Medtronic's FY2026 financials and internal controls, highlighting a critical audit matter on Puerto Rico tax reserves.
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PricewaterhouseCoopers LLP issued an unqualified opinion on the consolidated financial statements for the fiscal year ended April 24, 2026, and on the effectiveness of .
The audit identified a involving the high degree of estimation uncertainty in the income tax reserve for an related to a Puerto Rico manufacturing subsidiary.
Total reserves for uncertain tax positions were $2.951 billion as of April 24, 2026, with the Puerto Rico manufacturing reserve making up a significant portion.
The auditor's procedures for the critical matter included evaluating the consistency of the reserve calculation with the relevant U.S. Tax Court case documents and rulings.
The auditor has served as the Company's auditor since 1963.