Medtronic Q1 2027 earnings: profit and sales beat estimates, guidance raised

Medtronic topped profit and sales expectations in its fiscal Q1 2027, driven by strong heart-device sales, and raised its full-year guidance.

Q1 2027ReportedExpectedSurprise
EPS$1.45$1.40+3.4%
Revenue$9.76B$9.64B+1.2%

Key takeaways

  • Adjusted profit per share and revenue both came in above what analysts had penciled in, and Medtronic called it a strong start to the fiscal year.
  • Sales grew about 14% from a year earlier, but roughly $570 million of that came from an extra week in this year’s quarter (a calendar quirk of Medtronic’s fiscal calendar), so the underlying growth rate is somewhat smaller than the headline number suggests.
  • The heart-related products (cardiovascular) business was the standout, growing nearly 19%; within it, devices that regulate heart rhythm rose 15% and a newer heart-ablation product line roughly tripled in sales, both signs the company’s newer treatments are gaining traction with doctors.
  • Encouraged by the quarter, Medtronic raised its full-year sales growth target and now expects adjusted earnings per share of $5.94 to $6.00 for fiscal 2027, up from its earlier forecast.
  • TTM gross margin near 66% and operating margin near 18% show Medtronic still keeps a large share of each sales dollar after production costs, with a smaller slice left after other operating expenses and taxes are paid — a fairly typical profile for a large medical-device maker.
  • CEO Geoff Martha said the quarter’s strength wasn’t just the top-line number but the breadth of performance across businesses, including growing contributions from newer product lines.
  • Management pointed to its Hugo surgical robot and its Ardian blood-pressure device as long-term growth opportunities it’s investing in for future quarters.
  • The company also announced expanded European regulatory approval (CE Mark) for its Affera mapping and Sphere-9 ablation catheter system used to treat irregular heartbeats.

Q1 2027 in context

MetricJul 2026Jul 2025Change
Revenue$9.8B$8.6B+13.7%
Net income$1.5B$1.0B+41.3%
Free cash flow$1.3B$584M+120.9%
Diluted EPS$1.14$0.81+40.7%
Gross margin65.0%65.0%-0.0 pts
Operating margin18.1%16.8%+1.2 pts
Net margin15.1%12.1%+2.9 pts

Figures for the quarter ended Jul 2026 and the quarter ended Jul 2025, as reported to the SEC.

Medtronic PLC revenue, same quarter each year
$7.9BJul 2024$8.6BJul 2025$9.8BJul 2026
Medtronic PLC quarterly revenue through Jul 2026
$8.4BOct 2024$8.3BJan 2025$8.9BApr 2025$8.6BJul 2025$9.0BOct 2025$9.0BJan 2026$9.8BApr 2026$9.8BJul 2026

How the stock took it

Medtronic PLC closed at $90.65 on Aug 31, 2026, the last session before the report, and at $92.18 on Sep 2, 2026, the first session after it — +1.7% across the report.

Closes from the market's daily record. Each figure spans the report date — from the last session that closed before it to the first that closed after — because a company may report before the open or after the close.

Fundamentals

MetricValuePeriod
Gross margin65.8%Trailing 12 months
Operating margin17.8%Trailing 12 months
Net profit margin13.2%Trailing 12 months
Pretax margin16.9%Trailing 12 months
EPS$3.73Trailing 12 months
Revenue growth (YoY)8.4%Trailing 12 months
EPS growth (YoY)3.1%Trailing 12 months
Return on equity9.8%Trailing 12 months

Financial history →

Sources: company report · earnings call

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