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Medtronic cuts 2026 guidance on private equity charge related to MiniMed approval

March 25, 2026 By Sean Whooley

The Flex automated insulin pump. [Image courtesy of MiniMed]
Medtronic (NYSE:MDT) said in an SEC filing that it lowered its full-year guidance after a one-time charge related to its MiniMed diabetes unit.

Last week, MiniMed announced FDA clearance for the MiniMed Flex, a next-generation automated insulin delivery system. Clearance came “several months earlier than anticipated,” according to the filing, facilitating earlier commercialization. R&D for the pump was funded in part by affiliates of private equity firm Blackstone, through a deal dating back to 2020. As a result, the clearance triggers payments to Blackstone, affecting Medtronic’s 2026 guidance as it works through separation of MiniMed.

MiniMed went public earlier this month through an initial public offering (IPO). Medtronic owned approximately 90.03% of the outstanding shares of common stock ahead of a final split-off as of the date of the IPO’s closing.

Based on Medtronic’s ownership interest, it faces a one-time charge of $157 million in the fourth quarter of fiscal 2026 related to a series of future payments to Blackstone, according to the filing. It expects an 8¢ per share impact on fourth-quarter results, in addition to a 2¢ per share dilution to Medtronic shareholders for each month of the quarter based on the timing of the IPO. The company expects a 4¢ per share impact during the fourth quarter, which ends on April 24, 2026.

Given these impacts, Medtronic lowered full-year adjusted EPS projections to a range between $5.50 and $5.54. It previously projected between $5.62 and $5.66 on its third-quarter earnings call last month.

Medtronic does not expect an impact to its 2027 financial results.

Filed Under: Business/Financial News, Diabetes, Drug-Device Combinations, Featured, Initial Public Offering (IPO), MassDevice Earnings Roundup, Technology, Wall Street Beat Tagged With: Medtronic, minimed

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About Sean Whooley

Sean Whooley is an associate editor who mainly produces work for MassDevice, Medical Design & Outsourcing and Drug Delivery Business News. He received a bachelor's degree in multiplatform journalism from the University of Maryland, College Park. You can connect with him on LinkedIn or email him at [email protected].

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