This article first appeared on GuruFocus .
Release Date: February 27, 2026
For the complete transcript of the earnings call, please refer to the full earnings call transcript .
Positive Points
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Medistim ASA ( STU:MD1 ) reported a record sales figure of NOK182.3 million for Q4 2025, marking a 20.6% growth compared to the previous year.
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The company's own products saw a significant sales increase of 25%, with the AMERICAS region leading with a 44.3% currency-neutral growth.
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Operating profit for Q4 2025 was strong at NOK42.3 million, up 63.8% from the same quarter last year, with an EBIT margin of 23.2%.
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For the full year 2025, Medistim ASA achieved nearly NOK700 million in revenues, reflecting a 24.4% growth, with own product sales growing by 28.3%.
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The Board proposed a dividend of NOK8 per share, totaling NOK146.2 million, reflecting the company's strong financial performance and cash position.
Negative Points
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The Asia Pacific region experienced a decline of 24.2% in sales for Q4 2025, indicating regional variability and challenges.
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The company faced a tariff expense of almost NOK4 million due to US tariffs, impacting the cost of goods sold.
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Salary and social expenses increased due to strengthening of the commercial and R&D teams, as well as higher commissions and bonuses.
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IT infrastructure expenses of NOK5.8 million negatively impacted the EBIT margin, which would have been higher without these costs.
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The transition to a cloud-based IT system resulted in certain expenses being expensed rather than capitalized, affecting financial results.
Q & A Highlights
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Q: Can you elaborate on the significant growth in the AMERICAS region and what factors contributed to this performance? A: Kari Krogstad, President and CEO, explained that the AMERICAS region, particularly the USA, led the growth with a 44.3% currency-neutral increase. This was driven by strong sales of high-value imaging systems, which compensated for a decline in total capital system sales. Additionally, there was a notable increase in flow and imaging probe sales, with flow probes up 56% and imaging probes up 15%. The new direct market in Canada also contributed positively with a 56% growth in Q4.
Q: What impact did the tariffs in the US have on Medistim's financials, and how is the company managing these costs? A: Thomas Jakobsen, CFO, noted that the tariffs implemented in the US resulted in a NOK4 million expense included in the cost of goods sold. To mitigate this, Medistim shipped products to the US before the tariffs took effect, selling from inventory in the second and third quarters of 2025. However, the full tariff impact was felt in Q4, and this effect will continue as long as the 15% tariff is in place.
Q: How is Medistim addressing the challenges in the Asia Pacific region, particularly in China? A: Kari Krogstad highlighted that despite a slow Q4 with a 24% decline, the Asia Pacific region achieved a 40% growth for the full year. In China, sales were down 49% for the quarter but up 32% for the year. Medistim relies on distributors in this region, which can lead to quarterly sales variability. The company is optimistic about future growth, especially with the transition to a direct organization in China.
Q: What strategic initiatives is Medistim undertaking to expand its market presence, particularly in Japan? A: Kari Krogstad announced that Medistim will open a direct sales office in Tokyo on March 16th. This move aims to capture the distributor margin and enhance market penetration. Medistim has a strong presence in Japan, with 90% of CABG surgeries using their products. The company plans to increase the adoption of imaging systems and explore growth opportunities in vascular procedures.
Q: Can you provide more details about the SMARTFLOW trial and its significance for Medistim? A: Kari Krogstad explained that the SMARTFLOW trial is a randomized clinical trial in CABG surgery, led by Professor Mario Gaudino. It aims to evaluate the impact of transit-time flow measurement (TTFM) on graft failure. Medistim is the sole industry sponsor, contributing USD500,000. The trial will involve 1,242 patients across 20 centers globally. Positive outcomes could influence future guideline recommendations and promote TTFM adoption.
For the complete transcript of the earnings call, please refer to the full earnings call transcript .
