ENVALITH
テルモ株式会社 logo

TERUMO CORPORATION

4543Prime MarketPrecision Instruments

テルモ株式会社 logo
TERUMO CORPORATION4543

Business

Terumo Corporation is a medical device manufacturer founded in 1921, operating as a group that includes 101 consolidated subsidiaries. The company comprises four segments: Cardiac and Vascular Company (endovascular treatment, neurovascular, and cardiac surgery), Medical Care Solutions Company (solutions for hospitals, home care, and pharmaceuticals), Blood and Cell Technology Company (blood and cell processing), and Organ Technologies Business (organ preservation devices). Overseas markets account for approximately 80% of revenue, capturing global medical demand centered on the Americas, Europe, and Asia. Its main customers are medical institutions and medical-related companies such as hospitals, blood centers, and pharmaceutical companies, and its business is underpinned by structural growth in medical demand driven by an aging population, an increase in chronic diseases, and the spread of minimally invasive treatments.

Business Model

The core revenue source is the manufacture and sale of high-value-added medical devices in the cardiovascular, blood, and cell fields, with global supply supported by a tripolar production system spanning Costa Rica, Japan, and Vietnam. In addition, the company pursues revenue diversification through a CDMO business for pharmaceutical companies (Kofu Plant and Leverkusen Plant in Germany) and by providing solutions that combine digital ecosystems and software. Research and development expenses continue to be invested at 6.8% of revenue (¥76.9 billion), maintaining a structure that sustains the new product pipeline and technological competitive advantage.

Company Strengths

The Cardiac and Vascular Company's revenue was ¥676,421 million, maintaining a high adjusted operating margin of 24.2%. It holds a broad range of sub-segments including Interventional Systems (¥443,505 million), Neuro (¥106,902 million), Cardiovascular, and Aortic, achieving revenue growth across all sub-segments while diversifying the risk of dependence on a single area.

The company is promoting globally optimized production locations, building a tripolar system across Costa Rica, Japan, and Vietnam. Production output for the current period across all segments totaled ¥1,163,848 million (up 13.7% year on year), realizing an increased production system in response to expanding demand. Capital expenditures of ¥97.1 billion were made, continuously strengthening production capacity at the Ashitaka Plant, Kofu Plant, Terumo BCT, and other facilities.

The company has continued to carry out strategic M&A, including the 2006 acquisition of MicroVention (neurovascular), the 2011 acquisition of CaridianBCT (blood and cell), and the 2017 acquisition of Bolton Medical (aortic). Most recently, it acquired the Leverkusen plant in Germany (€150 million) in September 2025 and Organox (approximately US$1.5 billion) in October 2025, expanding its business into new areas such as CDMO and organ preservation.

ENVALITH's Perspective

Adjusted operating profit for FY2026 (ending March 2026) was ¥219,369 million (up 7.8% year on year), with the adjusted operating profit margin improving to 19.4%. For FY2027 (ending March 2027), the company forecasts adjusted operating profit of ¥261,500 million (up 19.2% year on year) and an adjusted operating profit margin of 21.1%. Meanwhile, the impact of U.S. tariff policy is pressuring the gross profit margin, and although the company has incorporated certain assumptions into its earnings outlook, downside risk remains depending on how tariff trends evolve.

Following the acquisition of OrganOx (acquisition consideration of ¥230,632 million), goodwill and intangible assets increased substantially, causing total assets at the end of FY2026 (ending March 2026) to expand to ¥2,312,234 million (up 26.5% year on year). Bonds and borrowings within current liabilities surged from ¥15,000 million to ¥279,886 million, while the ratio of equity attributable to owners of the parent declined from 74.8% to 68.5%. The interest coverage ratio also fell from 123.4x to 83.7x, and the rise in financial leverage warrants close monitoring.

Overseas revenue for FY2026 (ending March 2026) was ¥909,274 million (up 11.0% year on year), driving overall performance. Against actual exchange rates of ¥151 to the dollar and ¥175 to the euro, the forecast for FY2027 (ending March 2027) assumes ¥155 to the dollar and ¥180 to the euro, with yen depreciation serving as an external tailwind for the earnings outlook. On the other hand, translation differences on foreign operations boosted comprehensive income for the period by ¥113,960 million, and it should be noted that a reversal in exchange rate trends could have a significant impact on comprehensive income and net assets.

Growth Strategy

Advancing the shift 'From Devices to Solutions' toward the final year of GS26; accelerating growth through M&A and capital investment

The core business of the Cardiovascular Company, centered on access products. Achieved a year-on-year increase of 8.6% overseas in FY2026 (ending March 2026). Continuing to promote production increases and productivity improvements under the three-pillar structure of Costa Rica, Japan, and Vietnam, aiming to expand sales in high-growth markets.

Global Blood Solutions, centered on Source Plasma Collection Systems (Global Blood Solutions) in North America, achieved high growth of 15.5% year-on-year overseas in FY2026 (ending March 2026). Continuing investment to expand production capacity (¥21,700 million in the current fiscal year) to accelerate expansion into growth regions.

On September 30, 2025, acquired WuXi Biologics' drug product manufacturing plant in Leverkusen, Germany, for an acquisition price of ¥27,104 million. This will be utilized as the company's first overseas CDMO production site, strengthening global contract manufacturing capabilities for combination products such as prefilled syringes.

On October 29, 2025, made OrganOx Limited (organ preservation devices) a wholly owned subsidiary for an acquisition price of ¥230,632 million. Organ preservation devices utilizing normothermic machine perfusion (NMP) technology will be developed as a new segment, the "Organ Technologies Business." Recorded revenue of ¥7,985 million in FY2026 (ending March 2026), mainly in North America.

Issued 5-year bonds denominated in USD 500 million (payment date April 28, 2026, coupon rate 4.488% per annum, 2.371% per annum after interest rate and currency swap). Refinanced short-term borrowings used for the OrganOx acquisition into long-term funding to ensure financial stability.

Last updated: July 19, 2026