Hologic's International Momentum Takes Shape: Will Execution Pay Off?
While many of Hologic's product successes began in the United States, it has now built the capabilities to scale internationally on a consistent basis. In its Surgical division, the company continues to invest organically, especially in the International business, where it has delivered more than 20% growth for several years. The momentum is supported by increased reimbursement and the promotion of guidelines for its portfolio of product offerings. In the fiscal second quarter of 2025, the International Surgical business rose 16.2% year over year.
MyoSure is seeing even faster gains abroad, fueled by vastly untapped markets and higher demand for minimally invasive options to treat uterine polyps and fibroids. Newly acquired Gynesonics gave a boost, having already generated a healthy mix of international sales before joining Hologic. Now with the support of Hologic's large Gyn sales force, Gynesonics' sales are expected to grow at a strong double-digit rate. NovaSure is also seeing higher sales volume in Europe despite posting domestic declines.
That said, global exposure brings added operational challenges. The company's second-quarter international sales were hurt by the ongoing physician strike in South Korea, reduced hospital spending in China and lower HIV testing sales in Africa due to USAID funding cuts. In China, Hologic's cytology business is now weighed down by tariff implications, anti-American sentiment and intensifying local competition.
International Performance of Hologic's Top Rivals
Becton, Dickinson and Company BDX, or BD, derives a significant portion of its revenues from overseas, with products being distributed either directly or through independent distribution channels and sales representatives. In the second quarter of 2025, BD's international revenues increased 1.2%, driven by gains in the Medical segment's Pharmaceutical Systems unit and the acquired Advanced Patient Monitoring unit's sales. Based on tariffs in effect as of April 30, 2025, BD anticipates a $90 million hit to fiscal year 2025 operating expenses.
Abbott ABT, too, maintains a strong global footprint, with sales outside the United States accounting for approximately 61% of its 2024 net sales. In the second quarter of 2025, international sales increased 6.6% year over year. Abbott remains the global leader in adult nutrition, supported by continued demand for its Ensure and Glucerna brands. ABT's Electrophysiology division also drove strong performance across 15 key markets — including India, China, and other markets across Asia, Latin America and the Middle East — representing some of the most attractive growth areas for branded generic medicines.
HOLX Stock Performance, Valuation and Estimates
Year to date, Hologic shares have declined 8.5% compared with the industry's 10.2% fall.
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Hologic is trading at a forward five-year price-to-earnings of 14.84X, lower than the industry average of 28.28X. The stock carries a Value Score of B at present.
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Consensus estimates for Hologic's fiscal 2025 EPS are showing a downward trend for the past 90 days.
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HOLX stock currently carries a Zacks Rank #4 (Sell).
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