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Boston Scientific (BSX)
NYSE:BSX

Boston Scientific (BSX) AI Stock Analysis

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Boston Scientific

(NYSE:BSX)

78Outperform
Boston Scientific exhibits a strong financial performance with robust revenue growth and operational efficiency. The earnings call provided positive guidance, reinforcing growth prospects despite challenges like tariffs and foreign exchange impacts. However, the high valuation metrics suggest potential overvaluation, and technical indicators indicate a possible overbought condition, which could lead to future stock price corrections. Overall, the company maintains a favorable position in the medical devices sector.
Positive Factors
Earnings
BSX's revenue and EPS came in ahead of both analyst and consensus expectations, showcasing strong operational performance.
Growth Potential
Management raised its FY25 guidance ahead of consensus estimates, highlighting strong performance and growth potential.
Reimbursement
Recent positive updates on reimbursement for AGENT include the approval for new technology add-on payment and additional reimbursement in the outpatient setting.
Negative Factors
Competition
BSX sees some headwind from low-cost competition in urology and endoscopy, particularly outside the US.
Tariff Impact
BSX expects a tariff impact of ~$200M in 2H25 but expects this to be offset by improved revenue growth, reduced discretionary spending, and currency.

Boston Scientific (BSX) vs. S&P 500 (SPY)

Boston Scientific Business Overview & Revenue Model

Company DescriptionBoston Scientific Corporation develops, manufactures, and markets medical devices for use in various interventional medical specialties worldwide. It operates through three segments: MedSurg, Rhythm and Neuro, and Cardiovascular. The company offers devices to diagnose and treat gastrointestinal and pulmonary conditions; devices to treat various urological and pelvic conditions; implantable cardioverter and implantable cardiac resynchronization therapy defibrillators; pacemakers and implantable cardiac resynchronization therapy pacemakers; and remote patient management systems. It also provides medical technologies to diagnose and treat rate and rhythm disorders of the heart comprising 3-D cardiac mapping and navigation solutions, ablation catheters, diagnostic catheters, mapping catheters, intracardiac ultrasound catheters, delivery sheaths, and other accessories; spinal cord stimulator systems for the management of chronic pain; indirect decompression systems; and deep brain stimulation systems. In addition, the company offers interventional cardiology products, including drug-eluting coronary stent systems used in the treatment of coronary artery disease; percutaneous coronary interventions products to treat atherosclerosis; intravascular catheter-directed ultrasound imaging catheters, fractional flow reserve devices, and systems for use in coronary arteries and heart chambers, as well as various peripheral vessels; and structural heart therapies. Further, it provides stents, balloon catheters, wires, and atherectomy systems to treat arterial diseases; thrombectomy and acoustic pulse thrombolysis systems, wires, and stents to treat venous diseases; and peripheral embolization devices, radioactive microspheres, ablation systems, cryotherapy ablation systems, and micro and drainage catheters to treat cancer. The company was incorporated in 1979 and is headquartered in Marlborough, Massachusetts.
How the Company Makes MoneyBoston Scientific generates revenue primarily through the sale of its medical devices and technology solutions across its various sectors. The company's key revenue streams stem from its Cardiovascular, Rhythm and Neuro, and MedSurg segments. Within these segments, Boston Scientific offers products such as pacemakers, implantable cardioverter-defibrillators, heart valves, stents, endoscopes, and surgical instruments. Additionally, the company engages in strategic partnerships and collaborations with healthcare providers, research institutions, and other industry players to enhance its product offerings and expand its market reach. Factors such as innovation in medical technology, an aging population, and rising global demand for healthcare solutions significantly contribute to its earnings.

Boston Scientific Financial Statement Overview

Summary
Boston Scientific presents a strong financial profile with consistent revenue growth, solid profitability, and efficient cash flow management. The company's balanced approach between leveraging debt and maximizing equity returns supports its strategic growth initiatives in the medical devices sector. However, attention to further debt reduction could enhance financial resilience.
Income Statement
85
Very Positive
Boston Scientific has demonstrated robust growth in its revenue, with a notable TTM (Trailing-Twelve-Months) increase of 4.81% compared to the previous year. The company maintains strong gross and net profit margins at 67.15% and 11.57% respectively, indicating efficient cost management and profitability. The EBIT and EBITDA margins are solid at 17.52% and 21.65%, reflecting operational efficiency. Overall, the company shows a positive growth trajectory in the medical devices industry.
Balance Sheet
78
Positive
The balance sheet reflects a healthy financial position with a Debt-to-Equity ratio of 0.51, showing manageable leverage. The Return on Equity (ROE) stands at a strong 9.15%, indicating effective utilization of shareholders' equity. The Equity Ratio is 55.33%, suggesting a stable asset base supported by equity. Overall, the company maintains a strong balance between debt and equity, although there is room for improvement in reducing debt levels.
Cash Flow
80
Positive
Boston Scientific exhibits strong cash flow management with a Free Cash Flow growth rate of 8.62%, indicating improved cash generation. The Operating Cash Flow to Net Income ratio is 1.88, demonstrating the company's ability to convert income into cash efficiently. The Free Cash Flow to Net Income ratio is 1.41, reflecting good cash flow productivity. Overall, the company shows robust cash flow health, supporting its financial stability and operational needs.
Breakdown
Dec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income StatementTotal Revenue
16.75B14.24B12.68B11.89B9.91B
Gross Profit
11.49B9.89B8.68B8.13B6.40B
EBIT
2.60B2.34B1.65B2.04B1.04B
EBITDA
3.94B3.45B2.74B2.52B1.51B
Net Income Common Stockholders
1.85B1.59B698.00M1.04B-140.00M
Balance SheetCash, Cash Equivalents and Short-Term Investments
414.00M865.00M928.00M1.93B1.73B
Total Assets
39.40B35.14B32.47B32.23B30.78B
Total Debt
11.15B9.49B9.28B9.45B9.54B
Net Debt
10.73B8.63B8.35B7.53B7.80B
Total Liabilities
17.39B15.61B14.90B15.61B15.45B
Stockholders Equity
21.77B19.28B17.57B16.62B15.33B
Cash FlowFree Cash Flow
2.65B1.70B914.00M1.32B1.13B
Operating Cash Flow
3.44B2.50B1.53B1.87B1.51B
Investing Cash Flow
-5.69B-2.57B-2.01B-1.60B-411.00M
Financing Cash Flow
1.81B5.00M-548.00M-95.00M293.00M

Boston Scientific Technical Analysis

Technical Analysis Sentiment
Positive
Last Price102.86
Price Trends
50DMA
99.30
Positive
100DMA
98.80
Positive
200DMA
91.23
Positive
Market Momentum
MACD
1.72
Negative
RSI
57.11
Neutral
STOCH
53.26
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For BSX, the sentiment is Positive. The current price of 102.86 is above the 20-day moving average (MA) of 99.92, above the 50-day MA of 99.30, and above the 200-day MA of 91.23, indicating a bullish trend. The MACD of 1.72 indicates Negative momentum. The RSI at 57.11 is Neutral, neither overbought nor oversold. The STOCH value of 53.26 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for BSX.

Boston Scientific Risk Analysis

Boston Scientific disclosed 27 risk factors in its most recent earnings report. Boston Scientific reported the most risks in the “Legal & Regulatory” category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Boston Scientific Peers Comparison

Overall Rating
UnderperformOutperform
Sector (52)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
ABABT
79
Outperform
$231.50B17.2030.66%1.71%5.00%139.98%
BSBSX
78
Outperform
$154.04B76.299.65%19.35%14.31%
SYSYK
78
Outperform
$144.36B51.0414.26%0.86%10.76%-15.22%
76
Outperform
$32.00B60.2623.72%9.11%-17.87%
MDMDT
75
Outperform
$105.58B25.368.42%3.35%2.72%4.48%
EWEW
71
Outperform
$43.88B30.2616.73%-9.84%-35.77%
52
Neutral
$5.15B3.56-42.19%2.83%14.48%-0.49%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
BSX
Boston Scientific
102.86
30.05
41.27%
ABT
Abbott Laboratories
133.24
30.53
29.72%
DXCM
Dexcom
84.67
-40.28
-32.24%
EW
Edwards Lifesciences
73.68
-11.02
-13.01%
MDT
Medtronic
83.48
2.69
3.33%
SYK
Stryker
380.92
59.33
18.45%

Boston Scientific Earnings Call Summary

Earnings Call Date:Apr 23, 2025
(Q1-2025)
|
% Change Since: 8.22%|
Next Earnings Date:Jul 23, 2025
Earnings Call Sentiment Positive
The earnings call reflected a generally positive outlook with strong revenue and EPS growth exceeding expectations, particularly in the cardiology and electrophysiology segments. However, challenges such as significant tariff impacts, slower growth in certain segments, and foreign exchange headwinds were noted, adding some concerns to the otherwise strong performance.
Q1-2025 Updates
Positive Updates
Exceptional Revenue Growth
Total company operational sales grew 22% and organic sales grew 18%, both exceeding the high end of the guidance range of 14% to 16%.
Adjusted EPS Exceeds Guidance
First quarter adjusted EPS of $0.75 grew 34%, exceeding the high end of the guidance range of $0.66 to $0.68.
Cardiology Segment Performance
Cardiology delivered another fantastic quarter with sales growing 31%, including a 24% growth in WATCHMAN and 9% in interventional cardiology therapies.
Electrophysiology Leadership
Electrophysiology sales grew 145%, and the company is now the #2 player globally in EP.
Strong Regional Growth in the U.S.
The U.S. grew 31% with double-digit growth in 5 of 8 business units.
Negative Updates
Impact of Newly Enacted Tariffs
Tariffs are expected to have an approximate $200 million impact in 2025, posing a headwind to financial performance.
Challenges in Urology and CRM
Urology sales grew 4% organically, affected by supply chain issues. Cardiac Rhythm Management sales grew only 1% in the first quarter.
Foreign Exchange Headwind
A 130 basis point headwind from foreign exchange affected first quarter revenue growth.
Company Guidance
During the Boston Scientific First Quarter 2025 Earnings Call, the company reported robust financial performance and provided updated guidance. The firm's operational sales grew by 22%, with organic sales increasing by 18%, both surpassing the high end of the guidance range of 14% to 16%. Adjusted EPS for the quarter was $0.75, a 34% growth that exceeded the guidance range of $0.66 to $0.68. The adjusted operating margin was reported at 28.9%. Looking forward, Boston Scientific raised its full-year organic growth guidance from 10% to 12% to a range of 12% to 14%, reflecting strong performance in its cardiology portfolio. The company also provided second-quarter organic growth guidance of 13% to 15% and adjusted EPS guidance of $0.71 to $0.73, with a full-year adjusted EPS range of $2.87 to $2.94, indicating growth of 14% to 17%. Despite a $200 million impact from tariffs, the company plans to offset this through increased sales and strategic cost reductions.

Boston Scientific Corporate Events

Executive/Board ChangesShareholder MeetingsBusiness Operations and Strategy
Boston Scientific Stockholders Approve Key Governance Proposals
Positive
May 6, 2025

On May 1, 2025, Boston Scientific held its Annual Meeting of Stockholders virtually, where all 10 director nominees were elected for a one-year term. Additionally, stockholders approved the compensation for the company’s Named Executive Officers, ratified the appointment of Ernst & Young LLP as the independent public accounting firm for 2025, and supported a proposal for a simple majority vote, indicating strong shareholder engagement and support for the company’s governance and strategic direction.

Spark’s Take on BSX Stock

According to Spark, TipRanks’ AI Analyst, BSX is a Outperform.

Boston Scientific has a robust financial performance and positive earnings outlook, with strong growth in key segments. However, valuation concerns and potential market corrections due to technical indicators may pose risks. Overall, the company holds a favorable position in the medical devices sector, but careful monitoring of external challenges such as tariffs is advised.

To see Spark’s full report on BSX stock, click here.

Executive/Board Changes
Boston Scientific Announces CFO Retirement and Successor
Neutral
Apr 23, 2025

On April 23, 2025, Boston Scientific announced the retirement of Dan Brennan, its Chief Financial Officer, after nearly 30 years with the company. Brennan will be succeeded by Jon Monson, currently the Senior Vice President of Investor Relations, effective June 30, 2025. Monson, with over 25 years at Boston Scientific, brings extensive financial expertise and will oversee several key company functions. This leadership transition is expected to ensure continuity and further strengthen the company’s financial strategies and operations.

Spark’s Take on BSX Stock

According to Spark, TipRanks’ AI Analyst, BSX is a Outperform.

Boston Scientific shows robust financial performance with strong revenue growth and effective cash management. Despite this, the stock’s technical indicators suggest a bearish trend, and its high P/E ratio indicates potential overvaluation. The positive sentiment from the earnings call and promising guidance for 2025 provide a positive outlook, but challenges such as pricing pressures in China and currency impacts remain concerns.

To see Spark’s full report on BSX stock, click here.

Glossary
OutperformA stock rated as "Outperform" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock is likely to deliver higher returns compared to the average returns of other stocks in the same sector or market index. Investors might consider this stock a good buying opportunity.
NeutralA stock rated as "Neutral" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly attractive nor unattractive for investment. Investors may consider holding onto the stock, as it is not expected to either significantly outperform or underperform the market.
UnderperformA stock rated as "Underperform" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock may deliver lower returns compared to the average returns of other stocks in the same sector or market index. Investors might consider selling the stock or avoiding it as an investment.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.