Biggest changeThe Interventional segment’s revenue growth in 2023 primarily reflected the following: • Double-digit growth in global sales of the Surgery unit’s advanced repair and reconstruction platforms, as well as strong growth in sales of biosurgery products, was partially offset by a decline in revenues attributable to the sale of the Surgical Instrumentation platform in the fourth quarter. • Growth driven by global market penetration of the Peripheral Intervention unit’s peripheral vascular disease platform was partially offset by the impact of planned strategic portfolio exits. • Continued strong demand for the Urology and Critical Care unit’s PureWick TM offerings in the acute and alternative care settings. 40 Table of Contents Interventional segment operating income was as follows: (Millions of dollars) 2024 2023 2022 Interventional segment operating income $ 1,420 $ 1,217 $ 1,081 Segment operating income as % of Interventional revenues 28.5 % 25.7 % 24.2 % The Interventional segment's operating income as a percentage of revenues in 2024 and 2023, compared with the prior-year periods, reflected the following: • The Interventional segment’s higher gross profit margin in 2024 compared with 2023 primarily reflected favorable impacts from product mix and pricing. • The Interventional segment’s gross profit margin was flat in 2023 compared with 2022, which primarily reflected: ◦ Favorable impacts from price, continuous improvement projects, and a favorable comparison to the prior-year period, which was unfavorably impacted by certain purchase accounting adjustments; offset by ◦ Unfavorable impacts of higher raw material, labor and freight costs. • Lower selling and administrative expense, as well as research and development expense, as percentages of revenues in 2024 compared with 2023, and in 2023 compared with 2022, primarily reflected revenue growth that outpaced spending.
Biggest changeSelling and administrative expense as a percentage of revenues in 2024 was higher compared with 2023, which primarily reflected consistent spending on slower revenue growth. • Lower research and development expense as a percentage of revenues in 2025 compared with 2024, and in 2024 compared with 2023, primarily reflected the timing of project spending and product launches. 41 Table of Contents Interventional Segment The following summarizes Interventional revenues by organizational unit: 2025 vs. 2024 2024 vs. 2023 (Millions of dollars) 2025 2024 2023 Total Change Estimated FX Impact FXN Change Total Change Estimated FX Impact FXN Change Surgery $ 1,572 $ 1,492 $ 1,497 5.3 % 0.1 % 5.2 % (0.3) % (0.1) % (0.2) % Peripheral Intervention 1,996 1,933 1,865 3.3 % 0.1 % 3.2 % 3.7 % (0.4) % 4.1 % Urology and Critical Care 1,649 1,554 1,374 6.1 % 0.2 % 5.9 % 13.1 % (0.5) % 13.6 % Total Interventional revenues $ 5,217 $ 4,980 $ 4,736 4.8 % 0.2 % 4.6 % 5.1 % (0.4) % 5.5 % The Interventional segment’s revenue growth in 2025 primarily reflected the following: • Strong growth in sales of the Surgery unit’s advanced tissue regeneration portfolio, as well as the unit’s biosurgery and infection prevention products, partially offset by lower U.S. revenues attributable to legacy hernia products. • Strong growth in the Peripheral Intervention unit’s peripheral vascular disease portfolio that was particularly driven by sales of the unit’s Rotarex TM Atherectomy System, partially offset by an expected VoBP impact in China. • Continued double-digit growth in sales of the Urology and Critical Care unit’s PureWick TM offerings.
BD reports the results associated with Advanced Patient Monitoring’s product offerings as a separate organizational unit within our Medical segment and additional disclosures relating to this acquisition are provided in Notes 8, 11 and 16 to the consolidated financial statements contained in Item 8. Financial Statements and Supplementary Data.
BD reports the results associated with Advanced Patient Monitoring’s product offerings as a separate organizational unit within our Medical segment and additional disclosures relating to this acquisition are provided in Notes 11 and 16 to the consolidated financial statements contained in Item 8. Financial Statements and Supplementary Data.
We generally use the income approach to derive the fair value for impairment assessments. This approach calculates fair value by estimating future cash flows attributable to the assets and then discounting these cash flows to a present value using a risk-adjusted discount rate.
We generally use the income approach to derive the fair value for impairment assessments. This approach calculates fair value by estimating future cash flows attributable to the assets and then discounting these cash flows to present value using a risk-adjusted discount rate.
BD's management team aligns our operating model and investments with these key strategic pillars through continuous focus on the following underlying objectives: Grow • Accelerating innovation in smart devices, robotics, analytics, and artificial intelligence in order to enable new care settings, improve outcomes, streamline care workflows, and reduce costs within healthcare settings; • Focusing on a strong portfolio of core leading products, solutions and services that deliver greater benefits to patients, healthcare workers and researchers; • Investing in research and development that leads to and expands category leadership, as well as results in a robust product pipeline; • Leveraging our global scale in order to provide equitable access to affordable medical technologies around the world, including in under-resourced markets; • Supplementing our internal growth through strategic acquisitions in faster growing market segments; and • Focusing on cash management and an efficient capital structure in order to drive balance sheet productivity and strong shareholder returns.
BD's management team aligns our operating model and investments with these key strategic pillars through continuous focus on the following underlying objectives: Grow • Accelerating innovation in smart devices, robotics, analytics, and artificial intelligence in order to enable new care settings, improve outcomes, streamline care workflows, and reduce costs within healthcare settings; • Focusing on a strong portfolio of core leading products, solutions and services that deliver greater benefits to patients, healthcare workers and researchers; • Investing in research and development that leads to and expands category leadership, as well as results in a robust product pipeline; • Leveraging our global scale in order to provide equitable access to affordable medical technologies around the world, including in under-resourced markets; 35 Table of Contents • Supplementing our internal growth through strategic acquisitions in faster growing market segments; and • Focusing on cash management and an efficient capital structure in order to drive balance sheet productivity and strong shareholder returns.
We establish accruals to the extent future losses for individual matters are probable and reasonably estimable based upon our assessment of the likelihood of any adverse judgments or outcomes relative to these matters, as well as the potential ranges of probable losses.
We establish accruals to the extent losses for individual matters are probable and reasonably estimable based upon our assessment of the likelihood of any adverse judgments or outcomes relative to these matters, as well as the potential ranges of probable losses.
Simplify • Driving operating effectiveness and margin expansion through deployment of our BD Excellence program to increase factory productivity and asset efficiencies; 33 Table of Contents • Reducing complexity, increasing agility and improving customer experience by rationalizing our product portfolio, as well as by simplifying and optimizing our architecture and operating model; • Making strategic investments that prioritize a culture of quality and our quality management system to ensure we are a best-in-class, proactive quality-driven organization; • Enhancing customer experiences through the digitalization of internal processes and go-to-market approaches; • Collaborating across our supply chain to responsibly source materials and goods, as well as to reduce environmental impacts; and • Continuing our investments in an enterprise-wide renewable energy strategy to create more resilient operations.
Simplify • Driving operating effectiveness and margin expansion through deployment of our BD Excellence program to increase factory productivity and asset efficiencies; • Reducing complexity, increasing agility and improving customer experience by rationalizing our product portfolio, as well as by simplifying and optimizing our architecture and operating model; • Making strategic investments that prioritize a culture of quality and our quality management system to ensure we are a best-in-class, proactive quality-driven organization; • Enhancing customer experiences through the digitalization of internal processes and go-to-market approaches; • Collaborating across our supply chain to responsibly source materials and goods, as well as to reduce environmental impacts; and • Continuing our investments in an enterprise-wide renewable energy strategy to create more resilient operations.
In particular, there has been increased regulatory focus on the use and emission of ethylene oxide in sterilization processes, and additional regulatory requirements may be imposed in the future that could adversely impact BD or our third-party sterilization providers. • IT system disruptions, breaches or breakdowns, including through cyberattacks, ransom attacks or cyber-intrusion, which could impair our ability or that of our customers, suppliers and other business partners to conduct business, result in the loss of BD trade secrets or otherwise compromise sensitive information of BD or its customers, suppliers and other business partners, or of patients, including sensitive personal data, or result in efficacy or safety concerns for certain of our products, and result in investigations, legal proceedings, liability, expense or reputational damage or actions by regulatory bodies or civil litigation. • Difficulties inherent in product development, including the potential inability to successfully continue technological innovation, successfully complete clinical trials, obtain and maintain regulatory approvals and registrations in the U.S. and abroad, obtain intellectual property protection for our products, obtain coverage and adequate reimbursement for new products, or gain and maintain market approval of products, as well as the possibility of infringement claims by competitors with respect to patents or other intellectual property rights, all of which could preclude or delay commercialization of a product.
In particular, there has been increased regulatory focus on the use and emission of ethylene oxide in sterilization processes, and additional regulatory requirements may be imposed in the future that could adversely impact us or our third-party sterilization providers. • IT system disruptions, breaches or breakdowns, including through cyberattacks, ransom attacks or cyber-intrusion, which could impair our ability or that of our customers, suppliers and other business partners to conduct business, result in the loss of our trade secrets or otherwise compromise sensitive information 57 Table of Contents of BD or its customers, suppliers and other business partners, or of patients, including sensitive personal data, or result in efficacy or safety concerns for certain of our products, and result in investigations, legal proceedings, liability, expense or reputational damage or actions by regulatory bodies or civil litigation. • Difficulties inherent in product development, including the potential inability to successfully continue technological innovation, successfully complete clinical trials, obtain and maintain regulatory approvals, clearances and registrations in the U.S. and abroad, obtain intellectual property protection for our products, obtain coverage and adequate reimbursement for new products, or gain and maintain market approval of products, as well as the possibility of infringement claims by competitors with respect to patents or other intellectual property rights, all of which could preclude or delay commercialization of a product.
We also face currency exposure that arises from translating the results of our worldwide operations, including sales, to the U.S. dollar at exchange rates that have fluctuated from the beginning of a reporting period. We did not enter into contracts to hedge cash flows against these foreign currency impacts in fiscal year 2024 or 2023.
We also face currency exposure that arises from translating the results of our worldwide operations, including sales, to the U.S. dollar at exchange rates that have fluctuated from the beginning of a reporting period. We did not enter into contracts to hedge cash flows against these foreign currency impacts in fiscal year 2025 or 2024.
Given the uncertain nature of litigation generally, we are not able in all cases to reasonably estimate the amount or range of loss that could result from an unfavorable outcome of the litigation to which we are a party. When appropriate, accruals are developed with the consultation of outside counsel regarding the nature, timing and extent of each matter.
Given the uncertain nature of litigation generally, we are not able in all cases to reasonably estimate the amount or range of loss that could result from an unfavorable outcome of litigation in which the Company is a party. When appropriate, accruals are developed with the consultation of outside counsel regarding the nature, timing and extent of each matter.
Proceeds from this facility may be used for general corporate purposes and Becton Dickinson Euro Finance S.à r.l., an indirect, wholly owned finance subsidiary of BD, is authorized as an additional borrower under the credit facility. There were no borrowings outstanding under the revolving credit facility at September 30, 2024.
Proceeds from this facility may be used for general corporate purposes and Becton Dickinson Euro Finance S.à r.l., an indirect, wholly owned finance subsidiary of BD, is authorized as an additional borrower under the credit facility. There were no borrowings outstanding under the revolving credit facility at September 30, 2025.
Given the uncertain nature of litigation, we could incur charges in excess of any currently established accruals and, to the extent available, liability insurance. In the opinion of management, any such future charges, individually or in the aggregate, could have a material adverse effect on BD’s consolidated results of operations, financial condition and/or consolidated cash flows.
Given the uncertain nature of litigation, we could incur charges in excess of any currently established accruals and, to the extent available, liability insurance and any such future charges, individually or in the aggregate, could have a material adverse effect on BD’s consolidated results of operations, financial condition and/or consolidated cash flows.
As a result, we are permanently reinvested with respect to all of our historical foreign earnings as of September 30, 2024. Additional disclosures regarding our accounting for income taxes are provided in Note 17 to the consolidated financial statements contained in Item 8. Financial Statements and Supplementary Data.
As a result, we are permanently reinvested with respect to all of our historical foreign earnings as of September 30, 2025. Additional disclosures regarding our accounting for income taxes are provided in Note 17 to the consolidated financial statements contained in Item 8. Financial Statements and Supplementary Data.
Our review of goodwill for each reporting unit compares the fair value of the reporting unit, estimated using an income approach, with its carrying value. Our annual goodwill impairment test performed on July 1, 2024 did not result in any impairment charges, as the fair value of each reporting unit exceeded its carrying value.
Our review of goodwill for each reporting unit compares the fair value of the reporting unit, estimated using an income approach, with its carrying value. Our annual goodwill impairment test performed on July 1, 2025 did not result in any impairment charges, as the fair value of each reporting unit exceeded its carrying value.
To calculate the pension expense in 2025, we will apply the individual spot rates along the yield curve that correspond with the timing of each future cash outflow for benefit payments in order to calculate interest cost and service cost.
To calculate the pension expense in 2026, we will apply the individual spot rates along the yield curve that correspond with the timing of each future cash outflow for benefit payments in order to calculate interest cost and service cost.
Additional disclosures regarding the method to be used in calculating the interest cost and service cost components of pension expense for 2025 are provided in Note 10 to the consolidated financial statements contained in Item 8. Financial Statements and Supplementary Data.
Additional disclosures regarding the method to be used in calculating the interest cost and service cost components of pension expense for 2026 are provided in Note 10 to the consolidated financial statements contained in Item 8. Financial Statements and Supplementary Data.
Investors should understand that it is not possible to predict or identify all such factors and should not consider this list to be a complete statement of all potential risks and uncertainties. 56 Table of Contents
Investors should understand that it is not possible to predict or identify all such factors and should not consider this list to be a complete statement of all potential risks and uncertainties. 59 Table of Contents
Cautionary Statement Regarding Forward-Looking Statements This report includes forward-looking statements within the meaning of the federal securities laws. BD and its representatives may also, from time to time, make certain forward-looking statements in publicly released materials, both written and oral, including statements contained in filings with the Securities and Exchange Commission, press releases, and our reports to shareholders.
Cautionary Statement Regarding Forward-Looking Statements This report includes forward-looking statements within the meaning of the federal securities laws. BD and its representatives may also, from time to time, make certain forward-looking statements in publicly released materials, both written and oral, including statements contained in filings with the SEC, press releases, and our reports to shareholders.
Financial Statements and Supplementary Data. 49 Table of Contents Access to Capital and Credit Ratings Our corporate credit ratings with the rating agencies Standard & Poor's Ratings Services (“S&P”), Moody's Investors Service (“Moody's”) and Fitch Ratings (“Fitch”) were as follows at September 30, 2024: S&P Moody’s Fitch Ratings: Senior Unsecured Debt BBB Baa2 BBB Commercial Paper A-2 P-2 F2 Outlook Stable Stable Stable Our corporate credit ratings at September 30, 2024 were unchanged compared with our ratings at September 30, 2023.
Financial Statements and Supplementary Data. 51 Table of Contents Access to Capital and Credit Ratings Our corporate credit ratings with the rating agencies Standard & Poor's Ratings Services (“S&P”), Moody's Investors Service (“Moody's”) and Fitch Ratings (“Fitch”) were as follows at September 30, 2025: S&P Moody’s Fitch Ratings: Senior Unsecured Debt BBB Baa2 BBB Commercial Paper A-2 P-2 F2 Outlook Stable Stable Stable Our corporate credit ratings at September 30, 2025 were unchanged compared with our ratings at September 30, 2024.
As exchange rates are an important factor in understanding period-to-period comparisons, we believe the presentation of results on a foreign currency-neutral basis in addition to reported results helps improve investors’ ability to understand our operating results and evaluate our performance in comparison to prior periods.
As exchange rates are an important factor in understanding period-to-period comparisons, we believe the presentation of results on a foreign currency-neutral basis, excluding translational foreign currency impacts, in addition to reported results helps improve investors’ ability to understand our operating results and evaluate our performance in comparison to prior periods.
The impact that changes in interest rates would have on interest rate derivatives outstanding at September 30, 2024 and 2023, as well as the effect that changes in interest rates would have on our earnings or cash flows over a one-year period, based upon our overall interest rate exposure, were estimated as follows: Increase (decrease) to fair value of interest rate derivatives outstanding Increase (decrease) to earnings or cash flows (Millions of dollars) 2024 2023 2024 2023 10% increase in interest rates $ (12) $ (3) $ 5 $ 2 10% decrease in interest rates $ 12 $ 2 $ (5) $ (2) Liquidity and Capital Resources Our strong financial position and cash flow performance have provided us with the capacity to accelerate our innovation pipeline through investments in research and development, as well as through strategic acquisitions.
The impact that changes in interest rates would have on interest rate derivatives outstanding at September 30, 2025 and 2024, as well as the effect that changes in interest rates would have on our earnings or cash flows over a one-year period, based upon our overall interest rate exposure, were estimated as follows: Increase (decrease) to fair value of interest rate derivatives outstanding Increase (decrease) to earnings or cash flows (Millions of dollars) 2025 2024 2025 2024 10% increase in interest rates $ (11) $ (12) $ (1) $ 5 10% decrease in interest rates $ 11 $ 12 $ 1 $ (5) Liquidity and Capital Resources Our strong financial position and cash flow performance have provided us with the capacity to accelerate our innovation pipeline through investments in research and development, as well as through strategic acquisitions.
Cash flows from continuing operating activities in 2023 reflected net income, adjusted by a change in operating assets and liabilities that was a net use of cash, which was significantly lower than the net use of cash in 2022 due to efforts in 2023 to optimize inventory levels.
Cash flows from continuing operating activities in 2023 reflected net income, adjusted by a change in operating assets and liabilities that was a net use of cash, which was significantly lower than the net use of cash 49 Table of Contents in 2022 due to efforts in 2023 to optimize inventory levels.
We were in compliance with these covenants, as applicable, as of September 30, 2024. • We are required to have a leverage coverage ratio of no more than: ◦ 4.25-to-1 as of the last day of each fiscal quarter following the closing of the credit facility; or ◦ 4.75-to-1 for the four full fiscal quarters following the consummation of a material acquisition.
We were in compliance with these covenants, as applicable, as of September 30, 2025. • We are required to have a leverage coverage ratio of no more than: ◦ 4.25-to-1 as of the last day of each fiscal quarter following the closing of the credit facility; or ◦ 4.75-to-1 for the five full fiscal quarters following the consummation of a material acquisition.
With respect to the foreign currency derivative instruments outstanding at September 30, 2024 and 2023, the impact that changes in the U.S. dollar would have on pre-tax earnings was estimated as follows: Increase (decrease) (Millions of dollars) 2024 2023 10% appreciation in U.S. dollar $ (143) $ (100) 10% depreciation in U.S. dollar $ 147 $ 100 These calculations do not reflect the impact of exchange gains or losses on the underlying transactions that would substantially offset the results of the derivative instruments. 46 Table of Contents Interest Rate Risk When managing interest rate exposures, we strive to achieve an appropriate balance between fixed and floating rate instruments.
With respect to the foreign currency derivative instruments outstanding at September 30, 2025 and 2024, the impact that changes in the U.S. dollar would have on pre-tax earnings was estimated as follows: Increase (decrease) (Millions of dollars) 2025 2024 10% appreciation in U.S. dollar $ (42) $ (143) 10% depreciation in U.S. dollar $ 68 $ 147 These calculations do not reflect the impact of exchange gains or losses on the underlying transactions that would substantially offset the results of the derivative instruments. 48 Table of Contents Interest Rate Risk When managing interest rate exposures, we strive to achieve an appropriate balance between fixed and floating rate instruments.
Proceeds from these programs may be used for working capital purposes and general corporate purposes, which may include acquisitions, share repurchases and repayments of debt. We had $400 million of commercial paper borrowings outstanding as of September 30, 2024. We have additional informal lines of credit outside the United States.
Proceeds from these programs may be used for working capital purposes and general corporate purposes, which may include acquisitions, share repurchases and repayments of debt. We had $855 million of commercial paper borrowings outstanding as of September 30, 2025. We have additional informal lines of credit outside the United States.
Contingencies We are involved, both as a plaintiff and a defendant, in various legal proceedings that arise in the ordinary course of business, including, without limitation, product liability and environmental matters, as further discussed in Note 6 to the consolidated financial statements contained in Item 8. Financial Statements and Supplementary Data.
Contingencies We are involved, both as a plaintiff and a defendant, in various legal proceedings that arise in the ordinary course of business, including, without limitation, product liability and environmental matters in certain U.S. and international locations, as further discussed in Note 6 to the consolidated financial statements contained in Item 8. Financial Statements and Supplementary Data.
Environmental laws, particularly with respect to the emission of greenhouse gases, are also becoming more stringent throughout the world, which may increase our costs of operations or necessitate changes in our manufacturing plants or processes or those of our suppliers, or result in liability to BD. • The effect of adverse media exposure or other publicity regarding BD’s business or operations, including the effect on BD’s reputation or demand for its products. • The effect of market fluctuations on the value of assets in BD’s pension plans and on actuarial interest rate and asset return assumptions, which could require BD to make additional contributions to the plans or increase our pension plan expense. • Our ability to obtain the anticipated benefits of restructuring programs, if any, that we may undertake.
New environmental laws, particularly with respect to the emission of greenhouse gases, may also increase our costs of operations or necessitate changes in our manufacturing plants or processes or those of our suppliers, or result in liability to us. • The effect of adverse media exposure or other publicity regarding our business or operations, including the effect on our reputation or demand for its products. • The effect of market fluctuations on the value of assets in our pension plans and on actuarial interest rate and asset return assumptions, which could require us to make additional contributions to the plans or increase our pension plan expense. • Our ability to obtain the anticipated benefits of restructuring programs, if any, that we may undertake.
Financial Statements and Supplementary Data. Other operating expense (income), net Other operating expense (income) in 2024, 2023 and 2022 included the following items which are further discussed in the Notes to the consolidated financial statements contained in Item 8.
Other operating expense (income), net Other operating expense (income) in 2025, 2024 and 2023 included the following items which are further discussed in the Notes to the consolidated financial statements contained in Item 8.
This increase reflected the following impacts: Increase (decrease) in current-year revenues Volume/other (a) 4.2 % Pricing 0.7 % Foreign currency impact (0.1) % Impact due to sale of Surgical Instrumentation platform (0.7) % Acquisition of Advanced Patient Monitoring 0.4 % Other (b) (0.3) % Increase in revenues from the prior-year period 4.2 % (a) Volume/other includes revenues attributable to products, services and licensing.
This increase reflected the following impacts: Increase (decrease) in current-year revenues Volume/other (a) 3.2 % Pricing (0.3) % Foreign currency impact 0.1 % Acquisition of Advanced Patient Monitoring 4.8 % Other (b) 0.4 % Increase in revenues from the prior-year period 8.2 % (a) Volume/other includes revenues attributable to products, services and licensing.
Higher interest income in 2024 compared with 2023, and in 2023 compared with 2022, primarily reflected higher overall interest rates and levels of cash on hand during the current-year periods, compared with the prior-year periods.
Higher interest income in 2024 compared with 2023 primarily reflected higher overall interest rates and levels of cash on hand during 2024, compared with the prior-year period.
Financial Statements and Supplementary Data. 48 Table of Contents Debt-Related Activities Certain measures relating to our total debt were as follows: 2024 2023 2022 Total debt (Millions of dollars) $ 20,110 $ 15,879 $ 16,065 Weighted average cost of total debt 3.4 % 3.0 % 2.8 % Total debt as a percentage of total capital (a) 42.9 % 37.2 % 37.3 % (a) Represents shareholders’ equity, net non-current deferred income tax liabilities, and debt.
Financial Statements and Supplementary Data. 50 Table of Contents Debt-Related Activities Certain measures relating to our total debt were as follows: 2025 2024 2023 Total debt (Millions of dollars) $ 19,181 $ 20,110 $ 15,879 Weighted average cost of total debt 3.4 % 3.4 % 3.0 % Total debt as a percentage of total capital (a) 42.6 % 42.9 % 37.2 % (a) Represents shareholders’ equity, net non-current deferred income tax liabilities, and debt.
Specifically for the U.S. plans, we will use a discount rate of 4.98% for 2025, which was based on an actuarially-determined, company-specific yield curve to measure liabilities as of the measurement date.
Specifically for the U.S. plans, we will use a discount rate of 5.25% for 2026, which was based on an actuarially-determined, company-specific yield curve to measure liabilities as of the measurement date.
Gross Profit Margin The comparisons of gross profit margins in 2024 and 2023 with the prior-year periods reflected the following impacts: 2024 2023 Gross profit margin % prior-year period 42.2 % 44.9 % Impact of purchase accounting adjustments and other specified items 3.2 % (2.5) % Operating performance 0.7 % 0.1 % Foreign currency impact (0.9) % (0.3) % Gross profit margin % current-year period 45.2 % 42.2 % The favorable impact on gross margin from specified items in 2024 compared with 2023 reflected a favorable comparison to specified items recorded in 2023, which included $653 million of charges recorded in the Medical segment to adjust the estimate of future product remediation costs, as noted above, partially offset by an unfavorable impact of $59 million due to a fair value step-up adjustment recorded by the Medical segment in 2024 relating to Advanced Patient Monitoring's inventory on the acquisition date.
Gross Profit Margin The comparisons of gross profit margins in 2025 and 2024 with the prior-year periods reflected the following impacts: 2025 2024 Gross profit margin % prior-year period 45.2 % 42.2 % Impact of purchase accounting adjustments and other specified items (1.1) % 3.2 % Operating performance 1.5 % 0.7 % Foreign currency impact (0.2) % (0.9) % Gross profit margin % current-year period 45.4 % 45.2 % The unfavorable impact on gross margin from specified items in 2025 compared with 2024 primarily reflected an impact of $336 million resulting from a fair value step-up adjustment relating to Advanced Patient Monitoring's inventory on the acquisition date, as well as the impact from amortization of intangibles acquired in the transaction which occurred on September 3, 2024. 45 Table of Contents The favorable impact on gross margin from specified items in 2024 compared with 2023 primarily reflected a favorable comparison to specified items recorded in 2023, which included $653 million of charges recorded in the Medical segment to adjust the estimate of future product remediation costs, partially offset by an unfavorable impact of $59 million due to a fair value step-up adjustment recorded by the Medical segment in 2024 relating to Advanced Patient Monitoring's inventory on the acquisition date.
Net Cash Flows from Continuing Investing Activities Capital expenditures Our investments in capital expenditures are focused on projects that enhance our cost structure and manufacturing capabilities, as well as support our BD 2025 strategy for growth and simplification. Capital expenditures of $725 million, $874 million and $973 million in 2024, 2023 and 2022, respectively, primarily related to manufacturing capacity expansions.
Net Cash Flows from Investing Activities Capital expenditures Our investments in capital expenditures are focused on projects that enhance our cost structure and manufacturing capabilities, as well as support the objectives of our growth strategy. Capital expenditures of $760 million, $725 million and $874 million in 2025, 2024 and 2023, respectively, primarily related to manufacturing capacity expansions.
The following table summarizes our consolidated statement of cash flows in 2024, 2023 and 2022: (Millions of dollars) 2024 2023 2022 Net cash provided by (used for) continuing operations Operating activities $ 3,844 $ 2,990 $ 2,471 Investing activities $ (5,514) $ (716) $ (3,220) Financing activities $ 2,087 $ (1,956) $ (736) Net Cash Flows from Continuing Operating Activities Cash flows from operating activities in 2024 was largely driven by our net income, adjusted by a change in operating assets and liabilities that was a net source of cash.
The following table summarizes our consolidated statement of cash flows in 2025, 2024 and 2023: (Millions of dollars) 2025 2024 2023 Net cash provided by (used for) operations Continuing operating activities $ 3,430 $ 3,844 $ 2,990 Investing activities $ (818) $ (5,514) $ (716) Financing activities $ (3,617) $ 2,087 $ (1,956) Net Cash Flows from Continuing Operating Activities Cash flows from operating activities in 2025 were largely driven by our net income, adjusted by a change in operating assets and liabilities that was a net use of cash.
Medical Segment The following summarizes Medical revenues by organizational unit: 2024 vs. 2023 2023 vs. 2022 (Millions of dollars) 2024 2023 2022 Total Change Estimated FX Impact FXN Change Total Change Estimated FX Impact FXN Change Medication Delivery Solutions $ 4,429 $ 4,293 $ 4,308 3.2 % (0.1) % 3.3 % (0.3) % (1.9) % 1.6 % Medication Management Solutions 3,297 2,980 2,533 10.7 % 0.2 % 10.5 % 17.6 % (1.0) % 18.6 % Pharmaceutical Systems 2,273 2,229 2,001 2.0 % 0.2 % 1.8 % 11.4 % (1.7) % 13.1 % Advanced Patient Monitoring 74 — — NM NM NM NM NM NM Total Medical revenues $ 10,074 $ 9,502 $ 8,841 6.0 % — % 6.0 % 7.5 % (1.6) % 9.1 % "NM" denotes that the percentage change is not meaningful.
Results of Operations Medical Segment The following summarizes Medical revenues by organizational unit: 2025 vs. 2024 2024 vs. 2023 (Millions of dollars) 2025 2024 2023 Total Change Estimated FX Impact FXN Change Total Change Estimated FX Impact FXN Change Medication Delivery Solutions $ 4,575 $ 4,429 $ 4,293 3.3 % (0.2) % 3.5 % 3.2 % (0.1) % 3.3 % Medication Management Solutions 3,474 3,297 2,980 5.4 % 0.2 % 5.2 % 10.7 % 0.2 % 10.5 % Pharmaceutical Systems 2,324 2,273 2,229 2.2 % 0.6 % 1.6 % 2.0 % 0.2 % 1.8 % Advanced Patient Monitoring 1,082 74 — NM NM NM NM NM NM Total Medical revenues $ 11,456 $ 10,074 $ 9,502 13.7 % 0.1 % 13.6 % 6.0 % — % 6.0 % "NM" denotes that the percentage change is not meaningful.
The credit facility provides borrowings of up to $2.750 billion, with separate sub-limits of $100 million and $194 million for letters of credit and swingline loans, respectively. The expiration date of the credit facility, which was extended in July 2024, may be extended for up to one additional one-year period, subject to certain restrictions (including the consent of the lenders).
The credit facility provides borrowings of up to $2.750 billion, with separate sub-limits of $100 million and $236 million for letters of credit and swingline loans, respectively. The expiration date of the credit facility may be extended for up to two additional one-year periods, subject to certain restrictions (including the consent of the lenders).
Risk Factors in this report and our subsequent Quarterly Reports on Form 10-Q. • General global, regional or national economic downturns and macroeconomic trends, including heightened inflation, capital market volatility, interest rate and currency rate fluctuations, and economic slowdown or recession, that may result in unfavorable conditions that could negatively affect demand for our products and services, impact the prices we can charge for our products and services, disrupt our transportation networks or other aspects of our supply chain, impair our ability to produce our products, or increase borrowing costs. • The impact of inflation and disruptions in our global supply chain on BD and our suppliers (particularly sole-source suppliers and providers of sterilization services), including fluctuations in the cost and availability of oil-based resins and other raw materials, as well as certain components, used in the production or sterilization of our products, transportation constraints, disruptions and delays, product shortages, energy shortages or increased energy costs, labor shortages or disputes, and increased operating and labor costs. 53 Table of Contents • Conditions in international markets, including social and political conditions, geopolitical developments such as the continuation and/or escalation of the evolving situations in Ukraine, the Middle East and Asia, civil unrest, political conflict, terrorist activity, governmental changes, restrictions on the ability to transfer capital across borders, economic sanctions, export controls, tariffs and other protectionist measures, barriers to market participation (such as local company and products preferences), difficulties in protecting and enforcing our intellectual property rights, and governmental expropriation of assets.
Risk Factors in this report and our subsequent Quarterly Reports on Form 10-Q. • General global, regional or national economic downturns and macroeconomic trends, including heightened inflation, capital market volatility (including volatility resulting from the imposition of (and changing policies around) tariffs and related countermeasures), import or export licensing requirements, other governmental restrictions, interest rate and currency rate fluctuations, and economic slowdown or recession, that may result in unfavorable conditions that could negatively affect demand for our products and services, impact the prices we can charge for our products and services, disrupt aspects of our supply chain, impair our ability to produce our products, or increase borrowing costs. • The impact of inflation, tariffs, and disruptions in our global supply chain on us and our suppliers (particularly sole-source suppliers and providers of sterilization services), including fluctuations in the cost and availability of oil-based resins and other raw materials, as well as certain components, used in the production or sterilization of our products, transportation constraints, disruptions and delays, product shortages, energy shortages or increased energy costs, labor shortages or disputes, and increased operating and labor costs. • The risks associated with the proposed combination of our Biosciences and Diagnostic Solutions business with Waters, including factors that could delay, prevent or otherwise adversely affect the 55 Table of Contents completion, timing or terms of the proposed transaction, or our ability to realize the expected benefits of the proposed transaction. • Conditions in international markets, including social and political conditions, geopolitical developments such as the continuation and/or escalation of the situation in Ukraine, the Middle East and Asia, civil unrest, political conflict, terrorist activity, governmental changes, restrictions on the ability to transfer capital across borders, economic sanctions, export controls, tariffs and other protectionist measures, barriers to market participation (such as local company and products preferences), difficulties in protecting and enforcing our intellectual property rights, and governmental expropriation of assets.
BD’s Spin-Off of Diabetes Care and Sale of Surgical Instrumentation Platform In August 2023, we completed the sale of the Interventional segment's Surgical Instrumentation platform. The historical financial results for this platform have not been classified as a discontinued operation. In April 2022, we completed the spin-off of our former Diabetes Care business as a separate publicly traded company.
BD’s Divestitures In August 2023, we completed the sale of the Interventional segment's Surgical Instrumentation platform. The historical financial results for this platform have not been classified as a discontinued operation. In April 2022, we completed the separation and distribution of Embecta Corp., formerly BD's Diabetes Care business, into a separate, publicly-traded company.
Specified Items Reflected in the financial results for 2024, 2023 and 2022 were the following specified items: (Millions of dollars) 2024 2023 2022 Integration costs (a) $ 23 $ 67 $ 68 Restructuring costs (a) 387 239 123 Transaction costs (b) 48 — — Financing costs (b) (8) — — Separation-related items (c) 13 14 20 Purchase accounting adjustments (d) 1,503 1,434 1,431 Product, litigation, and other items (e) 346 554 268 European regulatory initiative-related costs (f) 104 139 146 Impacts of debt extinguishment — — 24 Total specified items 2,416 2,448 2,082 Less: tax impact of specified items 297 399 366 After-tax impact of specified items $ 2,119 $ 2,050 $ 1,716 (a) Represents amounts associated with restructuring and integration activities which are recorded in Integration, restructuring and transaction expense and are further discussed below.
Specified Items Reflected in the financial results for 2025, 2024 and 2023 were the following specified items: (Millions of dollars) 2025 2024 2023 Integration costs (a) $ 127 $ 23 $ 67 Restructuring costs (a) 275 387 239 Transaction costs (b) 6 48 — Financing impacts (b) — (8) — Separation-related items (c) 97 13 14 Purchase accounting adjustments (d) 1,898 1,503 1,434 Product, litigation, and other items (e) 548 346 554 European regulatory initiative-related costs (f) — 104 139 Total specified items 2,951 2,416 2,448 Less: tax impact of specified items 473 297 399 After-tax impact of specified items $ 2,477 $ 2,119 $ 2,050 (a) Represents amounts associated with restructuring and acquisition integration activities which are recorded in Integration, restructuring and transaction expense and are further discussed below.
This may include decreases in the demand for our products, disruptions to our operations or the operations of our suppliers and customers, disruptions to our supply chain, or increases in transportation costs. • The risks associated with the qualification of the spin-off of our former Diabetes Care business as a tax-free transaction for U.S. federal income tax purposes. • Our ability to penetrate or expand our operations in emerging markets, which depends on local economic and political conditions, and how well we are able to make necessary infrastructure enhancements to production facilities and distribution networks. 55 Table of Contents • Our ability to recruit and retain key employees and the impact of labor conditions which could increase employee turnover or increase our labor and operating costs and negatively affect our ability to efficiently operate our business. • Fluctuations in the demand for products we sell to pharmaceutical companies that are used to manufacture, or are sold with, the products of such companies, as a result of funding constraints, consolidation or otherwise. • The impact of climate change, or legal, regulatory or market measures to address climate change, such as regulation of greenhouse gas emissions, zero-carbon energy and sustainability mandates and related disclosure requirements, and additional taxes on fuel and energy, and changing customer and other stakeholder preferences and requirements, such as those regarding the use of materials of concern, increased demand for products with lower environmental footprints, and for companies to set and demonstrate progress against sustainability goals and greenhouse gas reduction targets. • Natural disasters, including the impacts of hurricanes, tornadoes, windstorms, fires, earthquakes and floods and other extreme weather events, global health pandemics, war, terrorism, labor disruptions and international conflicts that could cause significant economic disruption and political and social instability, resulting in decreased demand for our products, adversely affect our manufacturing and distribution capabilities or cause interruptions in our supply chain. • Pending and potential future litigation or other proceedings asserting, and/or investigations concerning and/or subpoenas and requests seeking information with respect to, alleged violations of law (including in connection with federal and/or state healthcare programs (such as Medicare or Medicaid) and/or sales and marketing practices (such as investigative subpoenas and the civil investigative demands received by BD)), potential anti-corruption and related internal control violations under the Foreign Corrupt Practices Act, antitrust claims, securities law claims, environmental and product liability matters (including pending claims relating to ethlyene oxide, our hernia repair implant products, surgical continence and pelvic organ prolapse products for women, vena cava filter products and implantable ports, which involve, or could involve in the future, lawsuits seeking class action status or seeking to establish multi-district or other consolidated proceedings), data privacy breaches and patent infringement, and the availability or collectability of insurance relating to any such claims. • New or changing laws and regulations affecting our domestic and foreign operations, or changes in enforcement practices, including, without limitation, laws relating to sales practices, environmental protection and reporting, price controls, privacy, data protection, cybersecurity, artificial intelligence, employment, labor, and licensing and regulatory requirements for new products and products in the post-marketing phase.
Delays in obtaining necessary approvals or clearances from the FDA or other regulatory agencies due to government shutdowns or reductions in government staffing or changes in the regulatory process may also delay product launches and increase development costs. • The impact of business combinations or divestitures, including any volatility in earnings relating to acquisition-related costs, and our ability to successfully integrate any business we may acquire. • Risks relating to our overall level of indebtedness, including our ability to service our debt and refinance our indebtedness, which is dependent upon the capital markets and the overall macroeconomic environment and our financial condition at such time. • The risks associated with the qualification of the spin-off of our former Diabetes Care business as a tax-free transaction for U.S. federal income tax purposes. • Risks associated with our development, deployment and use of AI in our products and business operations. • Our ability to penetrate or expand our operations in emerging markets, which depends on local economic and political conditions, and how well we are able to make necessary infrastructure enhancements to production facilities and distribution networks. • Our ability to recruit and retain key employees and the impact of labor conditions which could increase employee turnover or increase our labor and operating costs and negatively affect our ability to efficiently operate our business. • Fluctuations in the demand for products we sell to pharmaceutical companies that are used to manufacture, or are sold with, the products of such companies, as a result of funding constraints, consolidation, the development of alternative therapies for disease states that may be delivered without a medical device, or otherwise. • The impact of climate change, legal, regulatory or market measures to address climate change, such as regulation of greenhouse gas emissions, zero-carbon energy and sustainability mandates and related disclosure requirements, and additional taxes on fuel and energy, or related sustainability efforts, and changing customer and other stakeholder preferences and requirements, such as those regarding the use of materials of concern, shifting demand for products with lower environmental footprints, and for progress toward sustainability goals and greenhouse gas reduction targets. • Natural disasters, including the impacts of hurricanes, tornadoes, windstorms, fires, earthquakes and floods and other extreme weather events, public health crises (such as pandemics and epidemics), war, terrorism, labor disruptions and international conflicts that could cause significant economic disruption and political and social instability, resulting in decreased demand for our products, adversely affect our manufacturing and distribution capabilities or cause interruptions in our supply chain, and our response may involve the implementation of measures which may not be successful. • Pending and potential future litigation or other proceedings asserting, and/or investigations concerning and/or subpoenas and requests seeking information with respect to, alleged violations of law (including in connection with federal and/or state healthcare programs (such as Medicare or Medicaid), government contracts and/or sales and marketing practices (such as investigative subpoenas and the civil 58 Table of Contents investigative demands received by us)), potential anti-corruption and related internal control violations under the Foreign Corrupt Practices Act, antitrust claims, securities law claims, environmental and product liability matters (including pending claims relating to ethylene oxide, our hernia repair implant products, surgical continence and pelvic organ prolapse products for women, vena cava filter products and implantable ports, which involve, or could involve in the future, lawsuits seeking class action status or seeking to establish multi-district or other consolidated proceedings), data privacy breaches and patent infringement, and the availability or collectability of insurance relating to any such claims. • New or changing laws and regulations affecting our domestic and foreign operations, or changes in enforcement practices, including, without limitation, laws relating to sales practices, healthcare, environmental protection and reporting, price controls, privacy, data protection, cybersecurity, AI, employment, labor and licensing and regulatory requirements for new products and products in the post-marketing phase.
These results should be considered in addition to, not as a substitute for, results reported in accordance with U.S. generally accepted accounting principles ("GAAP"). Results on a foreign currency-neutral basis, as we present them, may not be comparable to similarly titled measures used by other companies and are not measures of performance presented in accordance with U.S. GAAP.
Results on a foreign currency-neutral basis, as we present them, may not be comparable to similarly titled measures used by other companies and are not measures of performance presented in accordance with U.S. GAAP.
Additional disclosures regarding our debt instruments are provided in Note 16 to the consolidated financial statements contained in Item 8. Financial Statements and Supplementary Data. Cash and Short-term Investments At September 30, 2024, total worldwide cash and equivalents and short-term investments, including restricted cash, were $2.301 billion. More than half of these assets were held in the United States.
Additional disclosures regarding our debt instruments are provided in Note 16 to the consolidated financial statements contained in Item 8. Financial Statements and Supplementary Data. Cash and Short-term Investments At September 30, 2025, total worldwide cash and equivalents and short-term investments, including restricted cash, were $859 million and were primarily held outside of the United States.
Sensitivity to changes in key assumptions for our U.S. pension and other postretirement and postemployment plans are as follows: • Discount rate — A change of plus (minus) 25 basis points, with other assumptions held constant, would have an estimated $1 million favorable (unfavorable) impact on the total U.S. net pension and other postretirement and postemployment benefit plan costs.
We believe our discount rate and expected long-term rate of return on plan assets assumptions are appropriate based upon the above factors. 54 Table of Contents Sensitivity to changes in key assumptions for our U.S. pension and other postretirement and postemployment plans are as follows: • Discount rate — A change of plus (minus) 25 basis points, with other assumptions held constant, would have an estimated $3 million favorable (unfavorable) impact on the total U.S. net pension and other postretirement and postemployment benefit plan costs.
Income Taxes The income tax rates for continuing operations in 2024, 2023 and 2022 were as follows: 2024 2023 2022 Effective income tax rate for continuing operations 15.0 % 7.9 % 8.3 % Impact, in basis points, from specified items 150 (500) (500) The effective income tax rate for continuing operations in 2024 compared with 2023 primarily reflected the impact of more favorable discrete items recorded in 2023.
Income Taxes The income tax rates for continuing operations in 2025, 2024 and 2023 were as follows: 2025 2024 2023 Effective income tax rate for continuing operations 10.8 % 15.0 % 7.9 % Impact, in basis points, from specified items (320) 150 (500) The effective income tax rate for continuing operations in 2025 compared with 2024 primarily reflected more favorable discrete items recorded in 2025 and an unfavorable impact to the 2024 rate that was attributable to non-deductible costs.
Financial Statements and Supplementary Data. 34 Table of Contents Key Trends Affecting Results of Operations Our operations, supply chain, suppliers and customers are exposed to various global macroeconomic factors and we continually evaluate macroeconomic conditions to assess their potential impact to our operations and financial results.
Key Trends and Uncertainties Affecting Results of Operations Our operations, supply chain, suppliers and customers are exposed to various global macroeconomic factors and other risks which we continually evaluate to assess their potential impact to our operations and financial results.
Additional disclosures regarding these legislative and legal matters are provided in Notes 6 and 8 to the consolidated financial statements contained in Item 8. Financial Statements and Supplementary Data.
Additional disclosures regarding this matter are provided in Note 6 to the consolidated financial statements contained in Item 8. Financial Statements and Supplementary Data.
To fund cash needs in the United States, we rely on ongoing cash flow from U.S. operations, access to capital markets and remittances from foreign subsidiaries of earnings that are not considered to be permanently reinvested. Financing Facilities We have a senior unsecured revolving credit facility in place which will expire in September 2027.
To fund cash needs in the United States, we rely on ongoing cash flow from U.S. operations, access to capital markets and remittances from foreign subsidiaries of earnings that are not considered to be permanently reinvested.
Operating performance in 2023 was unfavorably impacted by higher raw material, labor and freight costs. 43 Table of Contents Operating Expenses Operating expenses in 2024, 2023 and 2022 were as follows: Increase (decrease) in basis points (Millions of dollars) 2024 2023 2022 2024 vs. 2023 2023 vs. 2022 Selling and administrative expense $ 4,857 $ 4,719 $ 4,709 % of revenues 24.1 % 24.4 % 25.0 % (30) (60) Research and development expense $ 1,190 $ 1,237 $ 1,256 % of revenues 5.9 % 6.4 % 6.7 % (50) (30) Integration, restructuring and transaction expense $ 458 $ 313 $ 192 Other operating expense (income), net $ 222 $ (210) $ 37 Selling and administrative Selling and administrative expense as a percentage of revenues in 2024 was lower compared with 2023, which primarily reflected higher revenues and lower shipping costs in the current-year period, partially offset by higher selling costs.
Operating Expenses Operating expenses in 2025, 2024 and 2023 were as follows: Increase (decrease) in basis points (Millions of dollars) 2025 2024 2023 2025 vs. 2024 2024 vs. 2023 Selling and administrative expense $ 5,278 $ 4,857 $ 4,719 % of revenues 24.2 % 24.1 % 24.4 % 10 (30) Research and development expense $ 1,265 $ 1,190 $ 1,237 % of revenues 5.8 % 5.9 % 6.4 % (10) (50) Integration, restructuring and transaction expense $ 408 $ 458 $ 313 Other operating expense (income), net $ 396 $ 222 $ (210) Selling and administrative Selling and administrative expense as a percentage of revenues in 2025 was flat compared with 2024, which primarily reflected higher revenues, offset by higher selling costs and higher administrative costs in the current-year period.
The Medical segment’s revenue growth in 2024 primarily reflected the following. • Strong global demand for the Medication Delivery Solutions unit’s Vascular Access Management portfolio, as well as strong U.S. demand for medication delivery products, partially offset by the impact of unfavorable market dynamics in China. • Double-digit growth in sales of infusion systems, as well as higher utilization of infusion sets within the Medication Management Solutions unit, partially offset by an unfavorable comparison to stronger placements of dispensing solutions in 2023. • Double-digit growth in sales of the Pharmaceutical Systems unit’s prefillable solutions in the biologic drug category, partially offset by customer order patterns relating to other drug categories. • Overall Medical segment revenue growth in 2024 also reflected the acquired Advanced Patient Monitoring unit’s sales beginning on September 3, 2024.
The Medical segment’s revenue growth in 2024 primarily reflected the following. • Strong global demand for the Medication Delivery Solutions unit’s Vascular Access Management portfolio, as well as strong U.S. demand for medication delivery products, partially offset by the impact of unfavorable market dynamics in China. • Double-digit growth in sales of infusion systems, as well as higher utilization of infusion sets within the Medication Management Solutions unit, partially offset by an unfavorable comparison to stronger placements of dispensing solutions in 2023. • Double-digit growth in sales of the Pharmaceutical Systems unit’s prefillable solutions in the biologic drug category, partially offset by customer order patterns relating to other drug categories. • Overall Medical segment revenue growth in 2024 also reflected the acquired Advanced Patient Monitoring unit’s sales beginning on September 3, 2024. 39 Table of Contents Medical segment operating income was as follows: (Millions of dollars) 2025 2024 (a) 2023 (a) Medical segment operating income $ 4,140 $ 3,583 $ 3,352 Segment operating income as % of Medical revenues 36.1 % 35.6 % 35.3 % (a) Prior-period segment income amounts have been recast to conform to the current year presentation, as further discussed in Note 8 to the consolidated financial statements contained in Item 8.
Financial Statements and Supplementary Data: 44 Table of Contents (Millions of dollars) 2024 2023 2022 Charge to accrue an estimated liability for the SEC investigation (see Note 6) $ 175 $ — $ — Other amounts recorded for legal matters (see Note 6) 79 — — Amounts recorded for product liabilities, including related defense costs (see Note 6) (36) 26 21 Separation-related items 13 14 20 Gain recognized on sale of business (see Note 2) — (268) — Other (9) 18 (4) Other operating expense (income), net $ 222 $ (210) $ 37 Net Interest Expense (Millions of dollars) 2024 2023 2022 Interest expense $ (528) $ (452) $ (398) Interest income 163 49 16 Net interest expense $ (364) $ (403) $ (382) Higher interest expense in 2024 compared with 2023 primarily reflected higher overall interest rates on debt outstanding, as well as higher total debt outstanding at September 30, 2024 compared with September 30, 2023, which reflected debt issued in our third quarter of fiscal year 2024 to fund the cash consideration payable upon our acquisition of Advanced Patient Monitoring.
Financial Statements and Supplementary Data: (Millions of dollars) 2025 2024 2023 Amounts recorded for product liability and certain other legal matters (see Note 6) $ 297 $ 43 $ 58 Charge to accrue an estimated liability for the SEC investigation (see Note 6) — 175 — Separation-related items (See Note 1) 97 13 14 Gain recognized on sale of business (see Note 2) — — (268) Other 3 (9) (14) Other operating expense (income), net $ 396 $ 222 $ (210) Net Interest Expense (Millions of dollars) 2025 2024 2023 Interest expense $ (613) $ (528) $ (452) Interest income 38 163 49 Net interest expense $ (575) $ (364) $ (403) Higher interest expense in 2025 compared with 2024, and in 2024 compared with 2023, primarily reflected higher total debt outstanding due to the issuance of debt in our third quarter of fiscal year 2024 to fund the cash consideration payable upon our acquisition of Advanced Patient Monitoring.
Emerging market revenues were as follows: 2024 vs. 2023 2023 vs. 2022 (Millions of dollars) 2024 2023 2022 Total Change Estimated FX Impact FXN Change Total Change Estimated FX Impact FXN Change Emerging markets $ 3,054 $ 2,966 $ 2,904 3.0 % (0.6) % 3.6 % 2.1 % (3.6) % 5.7 % Emerging market revenue growth in 2024 primarily reflected strong sales in Latin America and in countries other than China within Greater Asia, partially offset by a decline in China driven by unfavorable market dynamics, as further discussed above.
Emerging market revenues were as follows: 2025 vs. 2024 2024 vs. 2023 (Millions of dollars) 2025 2024 2023 Total Change Estimated FX Impact FXN Change Total Change Estimated FX Impact FXN Change Emerging markets $ 3,133 $ 3,054 $ 2,966 2.6 % (1.2) % 3.8 % 3.0 % (0.6) % 3.6 % Emerging market revenue growth in 2025 and 2024 primarily reflected strong sales in certain countries within Greater Asia and Latin America.
The net use of cash in 2023 primarily reflected lower levels of accounts payable and accrued expenses, as well as higher levels of trade receivables, partially offset by lower levels of prepaid expenses. Cash flows from continuing operating activities in 2022 reflected net income, adjusted by a change in operating assets and liabilities that was a net use of cash.
The net use of cash in 2023 primarily reflected lower levels of accounts payable and accrued expenses, as well as higher levels of trade receivables, partially offset by lower levels of prepaid expenses.
(see Note 2) $ — $ — $ 1,266 Net transfer of cash to Embecta upon spin-off $ — $ — $ (265) Additional disclosures regarding the equity and debt-related financing activities detailed above are provided in Notes 4 and 16 to the consolidated financial statements contained in Item 8.
Additional disclosures regarding the equity and debt-related financing activities detailed above are provided in Notes 4 and 16 to the consolidated financial statements contained in Item 8.
Net Cash Flows from Continuing Financing Activities Net cash from continuing financing activities in 2024, 2023 and 2022 included the following significant cash flows: (Millions of dollars) 2024 2023 2022 Cash inflow (outflow) Change in short-term debt $ 400 $ (230) $ 230 Proceeds from long-term debt $ 4,517 $ 1,662 $ 497 Payments of debt $ (1,142) $ (2,155) $ (805) Share repurchases $ (500) $ — $ (500) Dividends paid $ (1,100) $ (1,114) $ (1,082) Distribution from Embecta Corp.
Net Cash Flows from Financing Activities Net cash flows from financing activities in 2025, 2024 and 2023 included the following significant cash flows: (Millions of dollars) 2025 2024 2023 Cash inflow (outflow) Change in short-term debt $ 455 $ 400 $ (230) Proceeds from long-term debt $ — $ 4,517 $ 1,662 Payments of debt $ (1,789) $ (1,142) $ (2,155) Share repurchases $ (1,000) $ (500) $ — Dividends paid $ (1,196) $ (1,100) $ (1,114) In November 2025, we repurchased $250 million of our common stock through open market repurchases.
The historical results of the Diabetes Care business that was contributed in the spin-off were reflected as discontinued operations in our consolidated financial statements. Additional disclosures regarding the sale and spin-off are provided in Note 2 to the consolidated financial statements contained in Item 8.
Historical financial results have been reflected as discontinued operations in our consolidated financial statements. Additional disclosures regarding the sale and separation are provided in Note 2 to the consolidated financial statements contained in Item 8. Financial Statements and Supplementary Data.
Life Sciences segment operating income was as follows: (Millions of dollars) 2024 2023 2022 Life Sciences segment operating income $ 1,595 $ 1,585 $ 1,710 Segment operating income as % of Life Sciences revenues 30.7 % 30.9 % 30.7 % The Life Sciences segment's operating income as a percentage of revenues in 2024 and 2023, compared with the prior-year periods, reflected the following: • The Life Sciences segment’s lower gross profit margin in 2024 compared with 2023 primarily reflected higher raw material and labor costs, as well as declines in respiratory illness-related revenues and unfavorable foreign currency translation, partially offset by lower manufacturing costs resulting from continuous improvement projects and other productivity initiatives. • The Life Sciences segment’s higher gross profit margin in fiscal year 2023 compared with 2022 primarily reflected the following: 39 Table of Contents ◦ Favorable impacts in 2023 from price and continuous improvement projects in our manufacturing facilities; partially offset by ◦ The decline in COVID-19-only testing revenues and a decline in licensing income compared with 2022, as well as higher raw material and labor costs in 2023. • Selling and administrative expense as a percentage of revenues in 2024 was higher compared with 2023, which primarily reflected lower costs in 2023.
The Life Sciences segment's operating income as a percentage of revenues in 2025 and 2024, compared with the prior-year periods, reflected the following: • The Life Sciences segment’s gross profit margin in 2025 was higher compared with 2024, which primarily reflected lower manufacturing costs resulting from continuous improvement projects, supply chain optimization and other productivity initiatives, partially offset by unfavorable impacts from higher labor costs, tariffs and foreign currency translation. • The Life Sciences segment’s lower gross profit margin in 2024 compared with 2023 primarily reflected higher raw material and labor costs, as well as declines in respiratory illness-related revenues and unfavorable foreign currency translation, partially offset by lower manufacturing costs resulting from the productivity initiatives noted above. • Selling and administrative expense as a percentage of revenues in 2025 was higher compared with 2024, which primarily reflected the current-period decline in revenues and higher shipping, selling, general and administrative costs.
(b) Represents transaction costs, which are recorded in Integration, restructuring and transaction expense , and financing impacts, which are recorded in Interest income and Interest expense , associated with the Advanced Patient Monitoring acquisition. (c) Represents costs recorded to Other operating expense (income), net and incurred in connection with the separation of BD's former Diabetes Care business.
(b) Represents transaction costs, which are recorded in Integration, restructuring and transaction expense , and financing impacts, which are recorded in Interest income and Interest expense , associated with the Advanced Patient Monitoring acquisition.
Foreign currency-neutral ("FXN") information compares results between periods as if exchange rates had remained constant period-over-period. We use results on a foreign currency-neutral basis as one measure to evaluate our performance. We calculate foreign currency-neutral percentages by converting our current-period local currency financial results using the prior-period foreign currency exchange rates and comparing these adjusted amounts to our current-period results.
We calculate translational foreign currency impacts by converting our current-period local currency financial results using the prior-period foreign currency exchange rates and comparing these adjusted amounts to our current-period results, which allows us to compare results between periods as if exchange rates had remained constant period-over-period.
Restructuring expense in 2024, 2023 and 2022 primarily included restructuring costs related to simplification and other cost-saving initiatives. Transaction costs in 2024 included legal, advisory and other costs, relating to our agreement to acquire Advanced Patient Monitoring. For further disclosures regarding the costs relating to restructurings, refer to Note 12 to the consolidated financial statements contained in Item 8.
Restructuring expense in 2025, 2024 and 2023 additionally included restructuring costs related to simplification and other cost-saving initiatives. For further disclosures regarding the costs 46 Table of Contents relating to restructurings, refer to Note 12 to the consolidated financial statements contained in Item 8. Financial Statements and Supplementary Data.
The effective income tax rate for continuing operations in 2023 compared with 2022 primarily reflected the impact of a remeasurement of deferred tax assets and liabilities upon the approval of a tax incentive. 45 Table of Contents Net Income and Diluted Earnings per Share from Continuing Operations Net income and diluted earnings per share from continuing operations in 2024, 2023 and 2022 were as follows: 2024 2023 2022 Net income from continuing operations (Millions of dollars) $ 1,705 $ 1,530 $ 1,635 Diluted earnings per share from continuing operations $ 5.86 $ 5.10 $ 5.38 Unfavorable impact-specified items $ 7.28 $ 7.11 $ 5.97 (Unfavorable) favorable impact-foreign currency impact $ (0.56) $ (0.37) $ 0.14 Financial Instrument Market Risk We selectively use financial instruments to manage market risk, primarily foreign currency exchange risk and interest rate risk relating to our ongoing business operations.
Net Income and Diluted Earnings per Share from Continuing Operations Net income and diluted earnings per share from continuing operations in 2025, 2024 and 2023 were as follows: 2025 2024 2023 Net income from continuing operations (Millions of dollars) $ 1,678 $ 1,705 $ 1,530 Diluted earnings per share from continuing operations $ 5.82 $ 5.86 $ 5.10 Unfavorable impact-specified items $ 8.59 $ 7.28 $ 7.11 Favorable (unfavorable) impact-foreign currency translation $ 0.02 $ (0.06) $ (0.31) Financial Instrument Market Risk We selectively use financial instruments to manage market risk, primarily foreign currency exchange risk and interest rate risk relating to our ongoing business operations.
BD 2025, our vehicle for value creation, is anchored in three key pillars: grow, simplify and empower.
Our strategy is anchored in three key pillars: grow, simplify and empower.
These favorable impacts to operating performance in 2024 were partially offset by higher raw material and labor costs and an unfavorable absorption impact of planned inventory reductions.
Operating performance in 2024 primarily reflected lower manufacturing costs from our productivity initiatives and a favorable impact from pricing, partially offset by higher raw material and labor costs and an unfavorable absorption impact of planned inventory reductions.
Interventional Segment The following summarizes Interventional revenues by organizational unit: 2024 vs. 2023 2023 vs. 2022 (Millions of dollars) 2024 2023 2022 Total Change Estimated FX Impact FXN Change Total Change Estimated FX Impact FXN Change Surgery $ 1,492 $ 1,497 $ 1,400 (0.3) % (0.1) % (0.2) % 6.9 % (1.3) % 8.2 % Peripheral Intervention 1,933 1,865 1,759 3.7 % (0.4) % 4.1 % 6.0 % (2.9) % 8.9 % Urology and Critical Care 1,554 1,374 1,305 13.1 % (0.5) % 13.6 % 5.3 % (1.8) % 7.1 % Total Interventional revenues $ 4,980 $ 4,736 $ 4,464 5.1 % (0.4) % 5.5 % 6.1 % (2.0) % 8.1 % The Interventional segment’s revenue growth in 2024 primarily reflected the following: • Strong growth in sales across the Surgery unit’s advanced repair and reconstruction platforms, as well as its infection prevention products; the prior-year period’s revenues included $140 million attributable to the unit’s former Surgical Instrumentation platform, which was sold in the fourth quarter of fiscal year 2023. • Double-digit growth attributable to the Peripheral Intervention unit’s peripheral vascular disease platform, partially offset by a decline in sales of our oncology products due to customer ordering patterns and market dynamics in China. • Double-digit growth in sales of the Urology and Critical Care unit’s PureWick TM offerings and current-year licensing revenue.
The Interventional segment’s revenue growth in 2024 primarily reflected the following: • Strong growth in sales across the Surgery unit’s advanced repair and reconstruction platforms, as well as its infection prevention products; the prior-year period’s revenues included $140 million attributable to the unit’s former Surgical Instrumentation platform, which was sold in the fourth quarter of fiscal year 2023. • Double-digit growth attributable to the Peripheral Intervention unit’s peripheral vascular disease platform, partially offset by a decline in sales of our oncology products due to customer ordering patterns and market dynamics in China. • Double-digit growth in sales of the Urology and Critical Care unit’s PureWick TM offerings and current-year licensing revenue. 42 Table of Contents Interventional segment operating income was as follows: (Millions of dollars) 2025 2024 (a) 2023 (a) Interventional segment operating income $ 2,253 $ 2,115 $ 1,939 Segment operating income as % of Interventional revenues 43.2 % 42.5 % 40.9 % (a) Prior-period segment income amounts have been recast to conform to the current year presentation, as further discussed in Note 8 to the consolidated financial statements contained in Item 8.
Higher interest expense in 2023 compared with 2022 was largely attributable to the higher levels of commercial paper borrowings outstanding throughout 2023 and higher overall interest rates on debt outstanding. Additional disclosures regarding our financing arrangements and debt instruments are provided in Note 16 to the consolidated financial statements contained in Item 8. Financial Statements and Supplementary Data.
Additional disclosures regarding our financing arrangements and debt instruments are provided in Note 16 to the consolidated financial statements contained in Item 8. Financial Statements and Supplementary Data. Lower interest income in 2025 compared with 2024 primarily reflected lower levels of cash on hand and lower overall interest rates, compared with the prior-year period.
Geographic Revenues BD’s worldwide revenues by geography were as follows: 2024 vs. 2023 2023 vs. 2022 (Millions of dollars) 2024 2023 2022 Total Change Estimated FX Impact FXN Change Total Change Estimated FX Impact FXN Change United States $ 11,663 $ 11,113 $ 10,722 4.9 % — 4.9 % 3.7 % — 3.7 % International 8,515 8,258 8,148 3.1 % (0.2) % 3.3 % 1.4 % (4.2) % 5.6 % Total revenues $ 20,178 $ 19,372 $ 18,870 4.2 % (0.1) % 4.2 % 2.7 % (1.8) % 4.5 % U.S. revenue growth in 2024 reflected strong sales in the Medical segment’s Medication Delivery Solutions and Medication Management Solutions units, as well as in the Interventional segment’s Urology and Critical Care unit.
Geographic Revenues BD’s worldwide revenues by geography were as follows: 2025 vs. 2024 2024 vs. 2023 (Millions of dollars) 2025 2024 2023 Total Change Estimated FX Impact FXN Change Total Change Estimated FX Impact FXN Change United States $ 12,790 $ 11,663 $ 11,113 9.7 % — 9.7 % 4.9 % — 4.9 % International 9,049 8,515 8,258 6.3 % 0.4 % 5.9 % 3.1 % (0.2) % 3.3 % Total revenues $ 21,840 $ 20,178 $ 19,372 8.2 % 0.1 % 8.1 % 4.2 % (0.1) % 4.2 % U.S. revenue growth in 2025 was largely driven by the acquired Advanced Patient Monitoring unit’s sales.
We will use a long-term expected rate of return on 52 Table of Contents plan assets assumption of 7.5% for the U.S. pension plan in 2025. We believe our discount rate and expected long-term rate of return on plan assets assumptions are appropriate based upon the above factors.
We will use a long-term expected rate of return on plan assets assumption of 7.5% for the U.S. pension plan in 2026.
U.S. revenue growth in 2023 was particularly driven by strong sales in the Medical segment’s Medication Management Solutions and Pharmaceutical Systems units and in the Life Sciences segment’s Biosciences unit, as well as by strong sales in the Interventional segment’s Surgery and Urology and Critical Care units.
U.S. revenue growth also reflected strong sales in the Medical segment’s Medication Delivery Solutions and Medication Management Solutions units, as well as the Interventional segment’s Urology and Critical Care unit. U.S. revenue growth in 2025 was partially offset by a decline in the Life Sciences segment’s Diagnostic Solutions unit, as further discussed above.
We continue to pursue growth opportunities in emerging markets, which include the following geographic regions: Eastern Europe, the Middle East and Africa (collectively referred to below as “EMA”), as well as, Latin America and certain countries within Greater Asia. Strategic Objectives BD remains focused on delivering durable growth, creating shareholder value and making appropriate investments for the future.
We continue to pursue growth opportunities in emerging markets, which include the following geographic regions: Eastern Europe, the Middle East and Africa (collectively referred to below as “EMA”), as well as, Latin America and certain countries within Greater Asia. As further discussed in Note 8 to the consolidated financial statements contained in Item 8.
We have experienced, and may continue to experience, temporary shortages in supply of certain materials or components that are used in our products. The stable flow of global transport is critical to our operations and as such, events affecting the flow of logistics around the globe may adversely impact our supply chain and distribution channels.
The stable flow of global transport is critical to our operations and as such, events affecting the flow of logistics around the globe may adversely impact our supply chain and distribution channels. In general, major disruptions in the sourcing, manufacturing and distribution of our products could adversely impact our results of operations.
The majority of revenues relating to extended warranty contracts associated with certain 50 Table of Contents instruments and equipment is generally recognized within a few years whereas deferred revenue relating to software maintenance contracts is generally recognized over a longer period.
The majority of revenues relating to extended warranty contracts associated with certain instruments and equipment is generally recognized within a few years whereas deferred revenue relating to software maintenance contracts is generally recognized over a longer period. 52 Table of Contents Our agreements with customers within certain organizational units, primarily Medication Management Solutions, Diagnostic Solutions and Biosciences, contain multiple performance obligations that include both products and certain services noted above.
BD’s effective tax rate in any given period could be impacted if, upon resolution with taxing authorities, we prevailed in 51 Table of Contents positions for which reserves have been established, or we were required to pay amounts in excess of established reserves.
BD’s effective tax rate in any given period could be impacted if, upon resolution with taxing authorities, we prevailed in positions for which reserves have been established, or we were required to pay amounts in excess of established reserves. 53 Table of Contents We have reviewed our needs in the United States for possible repatriation of undistributed earnings of our foreign subsidiaries and we continue to invest foreign subsidiaries earnings outside of the United States to fund foreign investments or meet foreign working capital and property, plant and equipment expenditure needs.
The transaction price for these agreements is allocated to each performance obligation based upon its relative standalone selling price. Standalone selling price is the amount at which we would sell a promised good or service separately to a customer. We generally estimate standalone selling prices using list prices and a consideration of typical discounts offered to customers.
Determining whether products and services are considered distinct performance obligations that should be accounted for separately may require judgment. The transaction price for these agreements is allocated to each performance obligation based upon its relative standalone selling price. Standalone selling price is the amount at which we would sell a promised good or service separately to a customer.
We also consider trends related to certain key financial data, including gross profit margin, selling and administrative expense, investment in research and development, return on invested capital, and cash flows.
We also consider trends related to certain key financial data, including gross profit margin, selling and administrative expense, investment in research and development, return on invested capital, and cash flows. Proposed Combination of Our Biosciences and Diagnostic Solutions Business with Waters As noted above and as further discussed in Note 1 to the consolidated financial statements contained in Item 8.
Acquisitions Cash outflows for acquisitions in 2024 was attributable to the acquisition of Advanced Patient Monitoring in the fourth quarter of 2024.
Acquisitions Cash outflows for acquisitions in 2024 was attributable to the acquisition of Advanced Patient Monitoring in the fourth quarter of 2024. For further discussion, refer to Note 11 to the consolidated financial statements contained in Item 8. Financial Statements and Supplementary Data.
International revenue growth in 2024 also reflected the unfavorable impact of a $62 million accrual which resulted from recent developments relating to the Italian government medical device pay back legislation and substantially relates to years prior to the current fiscal year. Additional disclosures regarding this matter are provided in Note 6 to the consolidated financial statements contained in Item 8.
(b) Represents the impact of accruals recognized in fiscal year 2024 relating to the Italian government medical device pay back legislation, as well as another legal matter, and which substantially relate to years prior to fiscal year 2024. Additional disclosures regarding these legislative and legal matters are provided in Note 6 to the consolidated financial statements contained in Item 8.
Details of spending by segment are contained in Note 8 to the consolidated financial statements contained in Item 8. Financial Statements and Supplementary Data. Purchases of investments, net Cash outflows from continuing investing activities in 2024 included net purchases of investments, primarily in time deposits, of $421 million.
Details of spending by segment are contained in Note 8 to the consolidated financial statements contained in Item 8. Financial Statements and Supplementary Data.
The investment gains on deferred compensation plan assets were recorded to Other expense, net . Research and development Lower research and development expense as a percentage of revenues in 2024 compared with 2023, and in 2023 compared with 2022, primarily reflected the progression of current projects and revenue growth that outpaced project spending.
Financial Statements and Supplementary Data. Lower research and development expense as a percentage of revenues in 2024 compared with 2023, primarily reflected the progression of current projects and revenue growth that outpaced project spending. Spending in 2025, 2024 and 2023 reflected our continued commitment to invest in new products and platforms.
We evaluate our results of operations on both a reported and a foreign currency-neutral basis, which excludes the impact of fluctuations in foreign currency exchange rates.
The fiscal year 2025 impact of foreign currency on our revenues, which is primarily translational, is provided above. The translational impact on our earnings is provided further below. We evaluate our results of operations on both a reported and a foreign currency-neutral basis.
The amounts in 2024, 2023 and 2022 included net charges within Cost of products sold of $38 million, $653 million and $72 million, respectively, to record or adjust future costs estimated for product remediation efforts. The amounts in 2023 and 2022 also included pension settlement costs of $57 million and $73 million, respectively, which were recorded to Other expense, net.
Financial Statements and Supplementary Data. • The amounts in 2025, 2024 and 2023 included charges within Cost of products sold of $98 million, $38 million and $653 million, respectively, to record or adjust future costs estimated for product remediation efforts. • The amount in 2025 included a non-cash $30 million charge recorded within Research and development expense to write down certain assets in the Life Sciences segment, as further discussed below. • The amounts in 2025 and 2023 included pension settlement costs of $38 million and $57 million, respectively, which were recorded to Other expense, net, as further discussed in Note 10 to the consolidated financial statements contained in Item 8.
The use of alternative estimates could result in a different amount of revenue deferral. Our gross revenues are subject to a variety of deductions, including rebates. These deductions represent estimates of the related obligations and judgment is required when determining the impact on gross revenues for a reporting period.
These deductions represent estimates of the related obligations and require judgment when determining the impact on gross revenues for a reporting period.