Hello, welcome to the Q4 2026 Haemonetics Corporation Earnings Conference Call. At this time, all participants are in a listen-only mode. After the speaker's presentation, there'll be a question and answer session. To ask a question during the session, you will need to press star one one on your telephone. You will hear an automated message advising your hand is raised. To withdraw your question, please press star one one again. Please be advised that today's conference is being recorded. I would now like to hand the conference over to Olga Guyette, Vice President of Investor Relations and Treasury. Please go ahead.
Good morning, and thank you for joining us for Haemonetics' Q4 fiscal year 2026 conference call and webcast. I'm joined today by Christopher Simon, our CEO, and James D'Arecca, our CFO. This morning, we released our Q4 and full fiscal 2026 results and issued fiscal year 2027 guidance. The materials, including our earnings release and supplemental earnings presentation, are available on our investor relations website and also in this morning's press release. Before we begin, I'd like to remind everyone that we will use both reported and organic revenue growth rates that exclude the impact of FX, the divestiture of the whole blood product line, and the exit of certain liquid solutions products. Organic growth ex CSL also excludes the impact of the previously disclosed transition of CSL's U.S. disposable business.
Our fiscal year 2027 organic revenue guidance is also adjusted for the impact of the 53rd week. We'll refer to other non-GAAP financial measures to help investors understand Haemonetics' ongoing business performance. Please note that these measures exclude certain charges and income items. A full list of excluded items, reconciliations to our GAAP results, and comparisons with the prior year periods are provided in our earnings release. Our remarks today include forward-looking statements and our actual results may differ materially from the anticipated results. Factors that might cause our results to differ include those referenced in the safe harbor statement in today's earnings release and in other SEC filings. We do not undertake any obligation to update these forward-looking statements. Now, I'd like to turn it over to Chris.
Thanks, Olga. Good morning, everyone. We delivered Q4 revenue of $346 million, up 5% reported and 9% organic ex CSL, with adjusted EPS of $1.29, up 4% year-over-year. For the full fiscal year, revenue was $1.3 billion and adjusted EPS was $4.96 per share, with improved adjusted earnings, higher adjusted margins, and stronger free cash flow than in the prior year, despite $153 million of non-recurring revenue from portfolio transitions. Our performance reflects the strength of our core platforms, with Plasma and TEG driving momentum, margin expansion, and reinforcing our leadership in attractive end markets. This foundation enabled targeted investments to position Interventional Technologies to contribute to growth in fiscal 2027 and beyond.
At the same time, we advanced our innovation agenda with U.S. FDA clearance of Persona PLUS, the expanded indication for VASCADE MVP XL, a submission to expand the VASCADE label in Japan, and the acquisition of Vivasure. Moving on to our business unit results. Hospital revenue was $160 million in the Q4 and $588 million for the full year, growing 8% in the quarter and 4% for the year, or 7% and 4% on an organic basis, respectively. Results were supported by strong performance in Blood Management Technologies, partially offset by Interventional Technologies, consistent with trends we've discussed throughout the year. Blood Management Technologies delivered a record quarter, with broad-based performance driving revenue growth of 21% in the quarter and 14% for the year.
Hemostasis management grew in the high teens, fueled by sustained strength in TEG 6s, higher disposable utilization, continued capital placements, and strong European momentum following the HN cartridge launch. Transfusion management delivered outsized growth in the quarter, contributing nearly half of the franchise growth as we continue to gain share through the adoption of our integrated solutions that enhance Hospital safety and efficiency. In Interventional Technologies, revenue declined 10% in the quarter and 9% for the full year. Vascular closure was down 8% in the quarter, reflecting 6% decline in MVP and MVP XL in electrophysiology and continued softness in lower growth coronary and peripheral procedures. Performance in EP was affected by share loss in the Q1 of fiscal 2026 and evolving procedure dynamics.
Sequentially, EP grew 8% and sensor-guided technologies returned to growth, partially offsetting the continued impact of PFA on esophageal cooling. Over the past year, we strengthened our commercial organization, equipped our teams with better tools, and advanced our product portfolio. Q4 was our strongest quarter of fiscal 2026, and we have renewed confidence in the trajectory of IVT. The headwinds that drove approximately 80% of the decline in fiscal 2026, first, OEM-related softness in sensor-guided technologies, and second, PFA impacts on esophageal cooling have now been lapped or reduced to a non-material base. With the expanded MVP XL label and the anticipated release of PerQseal Elite, we are strengthening our competitive position and re-energizing the business as we enter fiscal 2027. Turning to Plasma and Blood Center, Plasma momentum continued with another quarter of growth driven by category leadership, differentiated innovation, and strong market fundamentals.
The franchise delivered $130 million in revenue in Q4, up 3% reported and 13% organic ex CSL as we annualized the last of the discontinued CSL U.S. disposable supply agreement. Full year revenue was $524 million, down 2% reported, up 20% organic ex CSL, above our revised guidance range of 17%-19%. Market fundamentals remain highly attractive, supported by resilient immunoglobulin demand and continued global expansion in Plasma collections. Our share of U.S. Plasma collections grew in the high single digits in both the quarter and full year, with double-digit growth in Europe as customers increasingly rely on our platform to drive efficiencies.
Persona PLUS is the next step in our innovation cycle, further strengthening our competitive position by enhancing percent yield by mid-single digits on average, supported by a large randomized clinical trial of over 30,000 donations and underpinned by our proprietary patent-protected technology. It has been met with strong customer enthusiasm, with multiple adoptions underway. Blood Center also contributed positively to the Q4, generating $56 million in revenue, up 1% reported and up 6% organic. For the full year, revenue was $221 million, down 15%, reflecting the whole blood divestiture, but up 5% on an organic basis. Performance was driven by continued strength in global Plasma demand and stable and growing U.S. red cell collections, despite our ongoing portfolio rationalization efforts.
For the full year, total company revenue declined 2% reported due to portfolio transitions that grew 10% organically ex CSL at the upper end of our guidance. We expect growth to continue in fiscal 2027 with projected revenue growth of 4%-7% reported and 3%-6% organic, adjusted for the extra week in FX. In Hospital, we expect mid-single-digit growth with both franchises contributing. We anticipate continued expansion of the TEG 6s installed base and increased HN cartridge utilization in Blood Management Technologies. In IVT, we are ending the year with a stronger commercial organization, improving market dynamics, and a more competitive portfolio supported by the VASCADE MVP XL label expansion. With most headwinds now behind us, we are focused on translating these improvements into consistent growth. Our guidance excludes any contribution from PerQseal Elite, which is currently undergoing FDA review.
In Plasma, consistent with our FY 2026 approach, our mid-single-digit growth outlook is grounded in controllable drivers, share gains, the rollout of Persona PLUS, and modest collection volume growth while retaining upside if collection trends remain strong and or adoption accelerates. We remain confident in the durability of growth and our ability to further extend our leadership in this attractive market. In Blood Center, strong Plasma-driven demand and customer relationships will continue to support performance. However, ongoing portfolio rationalization remains a near-term headwind, and we expect revenue to decline in the mid-single digits. We're encouraged by our progress, and we remain focused on consistent execution to deliver growth and sustainable value for our customers and our shareholders. James, over to you.
Thank you, Chris, and good morning, everyone. We closed the year with strong execution and meaningful progress in strengthening the quality of our earnings, expanding margins, improving cash flow, and further aligning our portfolio with higher growth, higher margin markets that will continue to support our growth aspirations in the long run. Adjusted gross margin in the Q4 was 59.7%, down 50 basis points year-over-year, primarily reflecting the absence of the prior year CSL shortfall payment and the impact from tariffs enacted earlier in the year, partially offset by a structurally higher margin portfolio. For the full year, adjusted gross margin expanded 280 basis points to 60.3%, driven by portfolio transformation, strong volume growth in Plasma and Blood Management Technologies, and continued strong demand for our market-leading innovation.
Adjusted operating expenses in the Q4 were $122 million, up 5% year-over-year, largely driven by the addition of Vivasure and the impact from tariffs, coupled with higher-than-expected costs from the self-insured portion of our benefits plan, higher performance-based compensation, and a deliberate step-up in targeted investments to strengthen our commercial capabilities. Together with the adjusted gross margin dynamics in the quarter, this resulted in an adjusted operating income of $85 million and adjusted operating margin of 24.4%, down 50 basis points year-over-year.
Adjusted operating expenses for the full year were $465 million, up 2%, driven by continued investment in R&D and selling and marketing, the acquisition of Vivasure, and higher performance-based compensation. Adjusted operating margin for the year expanded 140 basis points to 25.4%, reflecting structural improvement from portfolio transformation even as we continued to invest for future growth and absorb macro cost headwinds. The adjusted tax rate was 24.8% in the Q4 in fiscal year 2026, compared to 22.2% and 23.2% in the prior year, respectively. Adjusted EPS increased 4% to $1.29 in the Q4, inclusive of a modest benefit from share count, which was more than offset by higher interest, tax, and FX.
For the full year, adjusted EPS was $4.96, up 9%, demonstrating the strength of the underlying business and disciplined capital allocation that helped offset the impact of portfolio transitions, which are now fully behind us, partially offset by higher interest and tax. Now turning to the balance sheet and cash flow. Cash generation continues to be a defining strength of the business and a key source of strategic flexibility. With our major device investments and productivity initiatives largely behind us, the business has returned to a strong and sustainable cash flow profile. In the Q4, we generated $45 million of free cash flow, bringing the full-year free cash flow to $210 million, with the free cash flow to adjusted net income conversion ratio of 89%.
While free cash flow in the quarter was down versus last year, mainly due to the timing of income taxes paid and accounts receivable, full-year free cash flow increased by $65 million, largely driven by better working capital management and less CapEx. We ended the year with $245 million in cash after deploying $175 million to repurchase over 3 million shares, investing $61 million in the Vivasure acquisition, and continuing to fund organic growth, reflecting a balanced capital allocation approach that supports both organic growth and shareholder returns. We enhanced capital structure flexibility and positioned the business for continued deleveraging that can be supported by strong cash flow.
While total debt remained unchanged at $1.2 billion, we refinanced $300 million of convertible notes with the revolving credit facility, ending the year with $700 million of convertible notes due in 2029, $239 million of Term Loan A debt, and a revolver balance of $300 million, with a net leverage ratio as defined in our credit agreement at 2.73x EBITDA. On that note, let's move on to discuss the rest of our fiscal year 2027 guidance. Consistent with the strong foundation and momentum Chris outlined, we expect fiscal 2027 revenue growth of 4%-7% reported and 3%-6% organic.
We expect continued margin expansion with adjusted operating margin improving 50 to 100 basis points year-over-year, driven by continued strong momentum across our growth franchises, innovation, and operating leverage as we begin to scale IVT. Also included in that expectation is a full year of dilution from the Vivasure acquisition, with no associated revenue in our fiscal year 2027 guidance, additional impact from tariffs, ERP-related costs, and continued investment in targeted high-return growth initiatives.
At the earnings level, we expect adjusted EPS to grow broadly in line with revenue, as improvements in operating leverage and mix benefits are assumed to be largely offset by higher interest and tax, which is expected to be higher by about 100 basis points than in fiscal 2026. Importantly, the business is expected to continue to demonstrate strong earnings quality, supported by a highly recurring revenue model and disciplined capital deployment. We expect free cash flow conversion of approximately 80%, reflecting a disciplined approach to working capital that preserves flexibility to manage inflationary and tariff pressures and invest in growth while enabling organic investment, deleveraging, and opportunistic share buybacks. With that, I'll turn it back to Chris for closing remarks.
Thanks, James. I want to share a few closing thoughts about our journey over the last four years. Fiscal 2026 marked the culmination of our long-range plan for transformational growth, whereby we fundamentally repositioned Haemonetics into a more focused, higher quality, and more resilient company with significantly stronger growth, margins, and cash flow. We evolved and rebalanced our portfolio. In Plasma, we drove broad adoption of NexSys and Persona while advancing the next wave of innovation with Express Plus to reduce procedure times, Persona PLUS to further improve yield, and Device 360 to digitize and streamline center operations. We rationalized our Blood Center portfolio, including the divestiture of whole blood, to drive margin expansion. We broadened the clinical utility of TEG 6s with the HN cartridge, extending into high acuity settings such as cardiovascular surgery and liver transplantation, and advanced international expansion with CE mark certification.
We strengthened the VASCADE platform with MVP XL for larger sheath procedures, enhanced our clinical evidence, scaled commercially, and expanded into large bore closure with PerQseal Elite. We also revamped the operating model of the company, advancing operational excellence, scaling and automating our manufacturing and supply chain capabilities, progressing our ERP digital transformation, and building the commercial and clinical infrastructure required to sustain growth, including a robust NexSys capital cycle to support ongoing global share gains. The results, low teens compounded average organic revenue growth ex CSL, high teens adjusted EPS CAGR, low 60s adjusted gross margins, 660 basis points of adjusted operating margin expansion, and $636 million of cumulative free cash flow. Results achieved while investing for growth, navigating dynamic markets and macro environments, and overcoming $153 million of non-recurring revenue from portfolio transitions.
With the transitions behind us, we expect growth to re-accelerate and become more consistent, supported by a structurally more attractive mix of recurring revenue from high growth, high margin platforms. Our priorities for fiscal 2027 are clear. Continue to win in Plasma, extend our leadership in TEG, and reinvigorate growth in vascular closure while driving greater operating efficiency. Quality earnings growth will further strengthen our balance sheet and create opportunities for value creation through disciplined capital allocation, including organic growth, delevering, and opportunistic returns of capital to shareholders via buybacks when appropriate. Thank you, operator. Please open the line for questions.
Thank you. At this time, we will conduct a question-and-answers session. As a reminder, to ask a question, you'll need to press star one one on your telephone and wait your name to be announced. To withdraw your question, you'll press star one one again . Please stand by while we compile the Q&A roster. Our first question comes from the line of Andrew Cooper from Raymond James. Your line is now open.
Hey, everybody. Thanks for the questions. Maybe first on Plasma. I don't think you shared, and apologies if I missed it, but U.S. collection volume trends you saw in the quarter at kind of the market level. You know, as you think about the end market views for 2027, given discussions with fractionators, would love just kind of the latest and greatest thinking that's included in the guide. Secondly, if you could give a little bit more on the Persona PLUS rollout in terms of how the base has adopted it, how much has adopted it thus far. Are you able to take some price with that, or is this more of a tool to, you know, extend contracts, ensure stickiness, et cetera? So just would love kind of how that rollout is shaping up.
Great. Good morning, Andrew. Thanks for the question. FY 2026 was a record year for Plasma. We overcame, you know, that hangover that's been out there for a bit now and had what we describe internally as the trifecta of growth, where we had, you know, price from the remaining Persona rollout. We had meaningful uptick in share gains, which is something we're obviously quite proud of, and a return to double-digit growth on collection volume in the latter part of the year. You know, real strength there. In the Q4, in addition to the normal seasonality, you know, we lapped our price gains on Persona, so that was not a meaningful contributor in the quarter. We do have, you know, some ongoing share gains from earlier transformation, earlier transitions. You know, modest tick down in collection volume.
Again, you know, quite consistent with what we see as kind of the long-term trend for growth. FY 2027 guide, we took a page out of our playbook for FY 2026, we're really only talking about the things that we directly control. You know, the annualization of share gains and the committed upgrade to Persona PLUS. We didn't really include any collection volume, I think 0%-2% again this year. We don't control that. You know, obviously, as I said in the prepared remarks, if collection volumes remain hot and/or the pace of adoption of Persona accelerates, we have meaningful upside from what we otherwise view as very prudent guidance with mid-single digit growth for the year. In terms of PLUS, it's the next stage of our advancements. Nobody can match it. It's another, you know, Persona on average gave, you know, 10% benefit.
This is another 5% on average above that. Tremendous acceptance into the market. We've already begun the upgrade cycle. While we don't talk about price explicitly, the value of dropping, you know, that additional 5% yield to our customers, it, you know, creates a lot of room for mutual benefit, right? You should absolutely expect price to be part of the equation as we roll forward this year. As it is our convention, we won't put it into the guide until it's fully contracted, and we have a committed timeline for implementation. More to come there. We think it gives us, you know, some breathing room as the year progresses, some potential upside, but really excited about it. Puts, you know, just another, you know, another step forward for the platform to advance and really be unrivaled in the market.
Great. If I can just ask one more, maybe on margins. I think you sort of forecasted the 50 to 100 basis points as a reasonable starting point, but you're coming off a little bit lower of an exit rate here. When we look at 4Q, you know, for you, James, maybe, you called out increased investments, some of which I assume will persist versus things that are maybe a little bit more one time in terms of, you know, benefit costs. I think you called out performance comp and tariffs. Just if you could break that down for us a little bit more and lay out, you know, how those things flow into the 2027 guide as well.
Yeah, sure. Thanks, Andrew. On Q4 operating margins, the results certainly were lower than we initially expected, and it really comes down to the three items, which I think you mentioned. First, tariffs were higher than anticipated. We saw roughly 60% of the annual impact in Q4 as our Plasma inventories were depleted. Second, as you mentioned, we had the higher claims expense for our self-insured medical plans. Third, we stepped up sales and marketing investment ahead of our FY 2027 launches, including MVP XL and PerQseal Elite.
When I look to FY 2027, we expect the operating margin expansion to be driven primarily by gross margin improvement, but also by greater operating leverage. On gross margin, we expect the benefits from our Plasma innovation cycle, which Chris just talked about, including Persona PLUS, along with volume-driven leverage. And we also expect a favorable mix shift, as Hospital, which runs, you know, close to 70% gross margins, contributes more of the growth. Offsetting some of that, we did incorporate higher tariff costs into our standard costs, and we're assuming a 15% tariff level versus the current 10% that we're paying. That differential is already built in.
Overall, on operating expenses, I'd say, you know, we're investing, so expenses are gonna be up, including with Vivasure. But we're expecting operating leverage as revenue growth and gross margin expansion outpace expense growth. We're staying disciplined and, you know, we're looking to protect our profitability while funding, you know, the launches. Overall, you know, we do think some of those items will recur, like the tariffs. We're building in higher costs for medical. We do have those bigger investments in there for S&M. That's all built in, you know, to the guide and, you know, we look forward to improved operating margins next year.
Great. Plenty to ask on Hospital. I'll leave that to the others and hop back in the queue. Thank you.
Thank you. Our next question comes from the line of Marie Thibault from BTIG. Your line is now open.
Great. Thank you for taking the questions. Maybe I'll pick up where Andrew left off and ask about Hospital. I thought it was really encouraging to hear you're feeling re-energized about the interventional tech trajectory. Just wanna get a little bit more detail on the dynamics you're seeing, stabilization, signs of improvement. Certainly, you got the expanded label for MVP XL, so would love more details on that, and a cadence for how you think fiscal 2027 could unfold for this part of the business.
Yep. Thanks, Marie. We, you know, I think quite clearly whether it's six or nine or 12 months from now, we will look back at this point and say that was the inflection point. You know, Q4 of fiscal 2026 is when Haemonetics IVT turned the corner. You know, we understand, you know, we were down, you know, 9% for the year. When you step back from that number, and there's no apologies here, but the reality is fully 80% of that 9% decline was attributable to two factors: the re-leveling of the guide wire OEM business. With J&J's acquisition of Abiomed, they took the inventory down, rebalanced their sourcing a bit, and that was a big chunk of the hit.
The other hit, of course, was ensoETM, which is on the wrong side of the PFA adoption curve. The good news is we've lapped the first, and the second is now at a level where at, you know, roughly $2 million per quarter, it can't hurt us. What you will see from us going forward is threefold. You will see a return to growth at or above market rates for vascular closure, led by electrophysiology. You'll see SavvyWire, the direct retail business that we control, growing disproportionately.
With any luck, we'll launch the PerQseal Elite product later this year, and we think that's a novel offering for large bore closure, which gives us a lot of encouragement. You know, in short, the enthusiasm you're hearing from us is a better team, b etter tools, a better product, and a more accommodating market overall. We understand our win-loss ratio. We understand what this team is capable of. We've equipped them. You heard from James, you know, the investments we've made throughout the year, but especially in the Q4, to position them for stellar performance in FY 2027, and that's exactly what we expect.
All right. That's great detail. A quick one maybe for James here. Free cash flow conversion, I think you cited 89% this fiscal year, which is tremendous. You're pointing to 80% conversion next fiscal year. Obviously, nothing to sneeze at, still very impressive. What's behind that trajectory, the 80% versus the nearly 90% this year? Thanks for taking the questions.
Yeah. For the most part, Marie, that's just a bit of conservatism being built in. You know, we know that we have to increase our inventory levels, so it's, you know, working capital related really, driving most of that. Also a healthy dose of conservatism in there.
Thank you.
Thank you. One moment for our next question. Our next question comes from the line of Anthony Petrone from Mizuho. Your line is now open.
Thanks. Good morning, everyone. Maybe one on Plasma, one on IVT. On Plasma, maybe just a recap on the landscape there. You know, some chatter that there's some discounting going on by some of the fractionators in that space. Then in addition to that there's a shift as it relates to CIDP prescriptions, in other words, the FcRn competition question. What's the latest in terms of what you're hearing just on finished good IG inventory as well as FcRn competition in CIDP? I'll have a quick follow-up on VASCADE MVP.
Yeah, Anthony, it's Christopher. Thanks for the question. We remain really bullish on Plasma. It defines durable growth in our portfolio and is a major source not only of earnings, but free cash flow and return on invested capital. You know, we look at this, there are certainly others that are more expert, beginning with our customers, but our understanding, you know, is quite positive with regards to the long-term demand of IG-derived pharmaceutical therapies. What gets lost in the chatter, I think, is that, you know, fully, you know, half the market, more than half the market and a disproportionate source of growth of the category is primary and secondary immune deficiencies, which tragically are being driven incidence and prevalence by cancer therapy. You know, there is no alternative to IG in that space and, you know, we see that growth unabated.
On the other side, autoimmune, what we look to primarily is new patient starts. What we see is IG remains the standard of care. I think folks misinterpret that when they see growth in VYVGART, that that must come at the expense of IG, and the reality is just that's just, you know, a misinterpretation of the facts. The reality is both can grow because the primary use for VYVGART in those autoimmune categories is as secondary therapy for when their patient is non-responsive to IG or that they want to overlay anti-FcRn in addition to IG to get an optimal result.
There's very few examples of naive IG patients being started on, you know, the alternative therapy, and there's none that I'm aware of where someone is being switched off of IG who was otherwise well-tolerated and well-treated. Some of that's economic, some of that's just the base underlying efficacy of IG therapy. You know, there will always be noise in the system. There will always be a degree of cyclicality. You know, inventory levels are more art than science as we understand it. We remain very bullish on the near, the intermediate, and the long-term demand for IG therapy and the need to collect accordingly.
Very good. Just quick on MVP VASCADE. You know, all of the PFA companies reported here. It looks like the market, you know, for cardiac ablation slowed a little bit in 1Q. You know, just from the vantage point of Haemonetics, where does it see just the underlying, you know, market for EP volumes? Thanks.
Yeah. Thanks, Anthony. I think one of the positives, you know, silver lining, if you will, of the pace of PFA adoption and the changing modalities associated with it is that it, you know, is very quickly settling in, which is helpful for us because we have a dual effect. You know, higher procedure volumes is obviously a good thing, but the reduction in access sites works against demand for our product. Because this is now leveling, you will increasingly see demand for closure track with the underlying demand for procedures, which is meaningfully ahead. When we go back and estimate FY 2026, the underlying growth in access sites was probably, you know, mid-single digits, perhaps as low as 3.5% or 4%.
What we expect for this year is certainly higher than that, probably in the, you know, mid to high single digits, which is, you know, bodes well for us, given our aspiration to grow at or above the market fairly quickly here. From our vantage point, you know, we're ubiquitous, particularly with the label expansion and the added clinical evidence, which is really outstanding. We are, you know, indifferent between which therapy is used. We have the best access closure for small and mid-bore, soon to be large bore as well. From our vantage point, we think we can grow at or above market. If the market modulates down a tad, that probably just gives us a chance to catch our breath and get back on our front foot.
Thank you. Our next question comes from the line of Alan Gong from JP Morgan. Your line is now open.
Hi. Thanks for the question. I guess, like one that I have is on, you know, PerQseal. I know you're not including any contribution in your current guidance, but just remind us on, you know, the pathway to market there and potential upside to the guide from that.
Yeah. Hi, Alan. As is our convention, we've included all of the launch expense, which actually began last quarter, to prepare the team, the product and the market for, you know, a truly outstanding launch whenever that comes this year. The product has been submitted to FDA. It's under review. We'll have the normal ongoing process. I don't want to comment about the timeline. It's just unpredictable in that regard, particularly in this current environment. We really like the data submission. It's based on a set of trials that have been well vetted by the academic community, we feel quite confident in the product's profile and its eventual approval.
We didn't include any of the revenue because we don't control it. Whenever it comes, we will be ready to go. We think this will really be a meaningful novel offering for large- bore closure, up to 26 French outer diameter. We think it'll strengthen our play, not only in vascular closure more broadly, but in structural heart as well. It's a nice complement. It's a true tuck-in. We don't need to add additional resources beyond what we already have in place. We just need to make sure those resources have the tools and are properly trained and equipped to be able to, you know, create launch intensity, which we expect later this year.
Got it. Then just as a quick follow-up to an earlier question just on, you know, Plasma supply. I just wanted to confirm, you know, when we think about, you know, some call-outs of maybe abnormal stocking and potential destocking dynamics in the quarter, that's not something that you're seeing. That's not something that you're necessarily concerned about for the rest of the fiscal year. I just want to make sure that's the right way to think about it. Thank you.
Yeah, Alan, I just go back to our guidance at mid-single digit. We have included 0%-2% collection volume growth for the year. If what you are describing is right, we're indemnified from it, right? We didn't anticipate collection volume growth. Anything that, you know, is above that 0%-2% is gonna be upside for us as the year progresses. What we'll lean into is, you know, an expedited rollout of Persona PLUS, where we have meaningful innovation-based pricing that will really help the market.
There have been, in prior yield rollouts, there have been trade-offs made where folks collect less because, you know, collect less total collections because they're getting more per collection from us. You know, that's part of our value proposition. It drives margin expansion, and it helps with the overall profitability and the durability of what we're doing. You know, the actual inventory levels, I think the numbers get confusing because you've got individual customers at very different stages in the life cycle. You know, for us, with north of 50% share of the total collection market between the U.S. and Europe, you know, we have more ability to kind of balance that out perhaps than some.
Thank you. Our next question comes from the line of Larry Solow from CJS Securities. The line is now open.
Yes. Hi, good morning. It's Peter Lukas for Larry. Just following up on PerQseal. Should we expect incremental sales and marketing investment in fiscal year 2027 ahead of when approved, and how should we kind of think about that?
Yeah, I'll let James walk through the details of it, Pete. Our guidance, mid-single-digit growth for Hospital and 100 basis points of margin expansion fully anticipates the resourcing of that launch for success. Good news is we were able to do a bunch of that work in the Q4, but some of it will continue into the year, but it's fully reflected in our guidance. What's not reflected per my answer to the prior question is any revenue attainment. We'll, you know, if and when, we'll adjust accordingly.
When you look at the numbers, it was. Vivasure was roughly, you know, $0.05 or so dilutive in Q4. If you take that and multiply it by four, that would give you about $0.20 dilution for Vivasure for the full year.
Extremely helpful. Thanks. I think you covered the rest of my questions.
Thank you. Our next question comes from the line of David Rescott from Baird. Your line is now open.
Great. Thanks for taking the questions. Two quick clarification questions and then had a follow-up. It sounds like you just answered part of the first one as it relates to the contribution from these launch investments for Vivasure. Can you think about or help us think about when we look at the margins in the quarter, operating margins in Plasma was down 650 basis points year-over-year. What maybe that baseline operating margin overall was in your mind, maybe taking out that $0.05 kind of gets you to what that adjusted ex Vivasure number is. As it relates to the guide for 2027, you know, you called out EPS growth comparable to that of revenue. Just curious if that's specific to the reported revenue growth or the organic revenue growth guidance for the year. I had a follow-up.
On the second one, the EPS is commensurate with the reported revenue growth because that includes all 53 weeks. On the operating margin question on Plasma, there's a couple things that drove the decline versus the Q4 in the previous year. One, I would say is, I mentioned, was we had some tariff expense that came in in the quarter that was higher than what we anticipated. That pushed it down.
The other thing that pushed it down was as we got into the Q4, we hit some of the higher tiers on our volume-based pricing, and that also pushed it down a bit as well. The, you know, the baseline, you know, Plasma operating margin, you know, if you took the average of the year, excluding the $16 million that was in the Q1 for software, that should get you something close to a, you know, to a baseline amount there for Plasma.
Hey, David, it's Chris. If I could just jump in on that, if I may. Because I think one thing that may get lost in the shuffle is we fully expect FY 2027 to be a robust year of product launches. It'll include the heparinase neutralization cartridge, which is now in Europe, but we'll take, you know, more broadly, the MVP label expansion, which gives us tremendous cachet at IDNs and ASCs and just, you know, a broader opportunity to promote the product directly in the market.
We talked about Persona PLUS and what we think that will mean. We expect everyone to adopt that over the course of time here. Then PerQseal Elite when it comes. We factored in what we believe are the costs associated with making sure this goes. That's part of the guide. If we surprise ourselves positively, you know, the revenue forecast and the associated margins with that will look prudent in hindsight.
Okay. And then maybe on the assumptions for the Plasma guide in the year. Appreciate the color you have provided on that already. When we look back to, you know, the NexSys Persona Express Plus launch a couple years ago, you had the improved yield benefits coming out of that and the period exiting that the underlying Plasma market growth, you know, declined or was slower than expected. I know we don't definitively know what the reason was, but perhaps you could assume that better yield, you know, was a factor there.
You know, as you think about launching the new Persona PLUS system with a, you know, better, a yield enhancement coming with it, you know, how, I guess, do you potentially expect that to, you know, impact the overall Plasma collections? If again, you know, perhaps the reason why you had slower growth in the prior couple year period, you know, may have been related to the initial new product launch. Feel free to tell me if you think that's wrong as well. Thank you.
Yeah, David, I don't think we have clairvoyance on this, right? We continue to believe Plasma will play an outsized role in terms of durable growth, free cash flow, and return on invested capital. The guidance of mid-single-digit growth for FY 2027 includes the annualization of share gains which have already been implemented, right? You know, share gains, you know, we grew 20% in fiscal 2026, as you know. Fully half of that growth were share gains, and so that is still annualizing as we speak and will continue certainly through the first part of the year. Innovation-based pricing, important lever for us. We've annualized all the Persona gains previously built in. What we will have is potential upside associated with, you know, the Persona PLUS and accelerated adoption there, given what that means to the market.
In terms of volume, again, 0%-2% because we don't control it. You know, the dynamic you describe is very much what took place for the second wave of Persona rollout, where some of the largest collectors took the 10% yield and met their annual objectives and were able to meaningfully lower cost per liter as a result. The first wave of Persona rollout was the opposite effect, which is folks that were intending to grow 10% for the year grew 20% to meet their individual demand at the time. It'll vary by individual customer. It's really difficult to call. We feel like we're well-insulated at that mid-single-digit overall guide, given that 0%-2% is what's attributable to volume at this point.
All right, thank you.
Thank you. Our next question comes from the line of Mike Matson from Needham. Your line is now open.
Hi, everybody. This is Joseph on from Mike. Maybe just one on Plasma and then a quick follow-up on Vivasure. 4Q looks like Plasma growth ex CSL, you know, maybe slowed compared to the last three quarters, but, you know, I'm just wondering, was there any weather disruptions early in the quarter that affect the Plasma there? How should we be thinking about Q1? I believe it's usually the seasonally weakest. Should we expect, you know, sequential decline from here? You know, with fiscal 2027 being, I guess, the first clean year without the impact from CSL, can you maybe tell us if there's any residual impacts on the business that maybe investors aren't considering, or is it completely headwind-free from here?
Yeah, if I could, Joe, thanks for the questions. Let me answer them in reverse order. I used the phrase in a public setting recently that, you know, the fog is clearing, and it's gonna reveal the forest for the trees. I think the $153 million of overhang or hangover, depending on who you're talking to, does clear entirely. You know, it'll be nice to be able to talk with you guys without the asterisks and the but fors and what sounds like a list of apologies, just durable growth, cash flow, and return on capital, which that business is known for. Yes, we are very much looking forward to a clean print in FY 2027 and beyond. In terms of the Q4, Q1 dynamic, you are right in the seasonality.
Actually, our fiscal Q4, which is the first calendar year that we just concluded, typically is the weakest collection period of the year. There's lots of things that get attributed this year to your point. Yeah, we had some heavy storms that prevented donors from getting into the centers, back at the very beginning of the quarter. That seemed to normalize and correct out. There are a lot of speculation about tax refunds and, you know, given the changes in the tax laws that refunds were larger, but then some were delayed.
I don't really know how to, you know, handicap the ups and downs on that. You know, we had a good quarter. The, you know, Plasma did what we needed it to do to round out the year. In terms of Q1 softness, it's not what we're experiencing. You know, again, we don't control it, so we're gonna remain prudent and conservative around that. Typically, Q1 begins the build, and it gains real momentum in Q2 and Q3, and we would expect this year to look similar.
Great. That's very helpful. Then, yeah, just a quick one. Are you guys seeing any early commercial signals? Obviously, you know, not launched, but any early signals with your customers for interest in, you know, the Vivasure platform for TCAR? Maybe how large could that opportunity be in fiscal 2027? I know it's more of a, you know, second half later in the year launch, but any help, any color there would be helpful.
Sure. The early signals are overwhelmingly positive. I think the readouts at the various, you know, TCT and HRS and elsewhere have been uniformly positively met that there's a novel new therapy coming for large- bore closure, where there's just tremendous unmet need in the market today, given the existing therapies. The product is approved for sale in Europe. We've intentionally not leaned in because as part of our integration planning, we have work to do in terms of manufacturing scale-up, reduction in cost of goods sold, you know, make the product accretive, not just on a top-line basis, but also to our margin expansion. We are working diligently on that.
What we see in Europe, though, because we've done a very controlled process where we're working with the major academic centers around Europe, is really, you know, meaningful interest and excitement about what the product means for the marketplace. When we step back on a global basis, we estimate the TAM for that opportunity at roughly $300 million. You know, we know where we sit vis-a-vis the competition. We know what we need to do to be successful on the launch. Let's wait for the release from FDA and the ultimate label that we receive, then we'll be more than happy to drill down on exactly what this means. When I use the term, you know, launch velocity, we'll put numbers behind it that'll be easily quantified.
Thanks very much.
Thank you. This concludes our question and answer session. I'd like to thank you for your participation in today's conference. This does conclude our program. You may now disconnect.