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Boston Scientific (BSX)
NYSE:BSX
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Boston Scientific (BSX) AI Stock Analysis

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BSX

Boston Scientific

(NYSE:BSX)

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Outperform 77 (OpenAI - 4o)
Rating:77Outperform
Price Target:
$118.00
▲(15.25% Upside)
Boston Scientific's strong financial performance and positive earnings call are the primary drivers of its stock score. While technical analysis shows mixed signals, the upward trend in stock price supports a positive outlook. However, the high P/E ratio suggests caution regarding valuation.
Positive Factors
Revenue Growth
Boston Scientific's strong revenue growth indicates a robust market position and effective sales strategy, supporting long-term business expansion.
Strategic Acquisitions
Strategic acquisitions enhance Boston Scientific's product portfolio, fostering innovation and competitive advantage in key medical sectors.
Cash Flow Management
Efficient cash flow management strengthens Boston Scientific's financial flexibility, enabling sustained investment in growth opportunities.
Negative Factors
Supply Chain Constraints
Supply chain issues could hinder product availability and sales growth, affecting Boston Scientific's ability to meet market demand.
Tariff Impacts
Tariff impacts can erode profit margins, posing a challenge to maintaining competitive pricing and profitability in international markets.
Product Discontinuation
Discontinuation of products may lead to financial write-offs and signal strategic missteps, potentially affecting investor confidence.

Boston Scientific (BSX) vs. SPDR S&P 500 ETF (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 across multiple therapeutic areas. The company’s revenue model is primarily based on direct sales to hospitals, healthcare facilities, and clinics, as well as through partnerships with various distributors. Key revenue streams include sales from cardiovascular devices, which encompass coronary and peripheral interventions, as well as rhythm management products such as implantable cardioverter-defibrillators and pacemakers. Additionally, Boston Scientific benefits from recurring revenue through the sale of consumable products and accessories needed for procedures using their devices. The company also invests in research and development to innovate and expand its product offerings, which can lead to increased market share and revenue growth. Strategic partnerships with healthcare providers and co-development agreements with other medical technology firms further enhance its revenue potential by broadening its product portfolio and market reach.

Boston Scientific Key Performance Indicators (KPIs)

Any
Any
Revenue by Segment
Revenue by Segment
Analyzes revenue from different business units or product lines, highlighting which areas drive growth and where the company might be over-reliant or underperforming.
Chart InsightsBoston Scientific's Cardiology segment is experiencing robust growth, significantly contributing to the company's overall performance, driven by high demand for products like FARAPULSE and WATCHMAN. Despite challenges in the Urology segment due to supply chain issues, the company raised its full-year guidance, reflecting confidence in continued growth. The earnings call emphasized strong revenue growth and strategic investments in R&D, indicating a positive outlook despite regional challenges and product discontinuations.
Data provided by:Main Street Data

Boston Scientific Earnings Call Summary

Earnings Call Date:Oct 22, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 04, 2026
Earnings Call Sentiment Positive
The earnings call presented a strong positive outlook with significant sales and EPS growth, driven by the success of key products like WATCHMAN and EP. However, there were challenges in the EMEA region and some product lines, particularly due to operational disruptions and market-specific headwinds.
Q3-2025 Updates
Positive Updates
Exceeding Revenue and EPS Expectations
Total company operational sales grew 19% and organic sales grew 15%, exceeding guidance of 12% to 14%. Q3 adjusted EPS of $0.75 grew 19%, exceeding guidance range of $0.70 to $0.72.
Strong Regional Growth
U.S. operational growth was 27%, driven by Cardiovascular, Endoscopy, and Neuromodulation. Asia Pac grew 17% operationally, led by Japan and China.
WATCHMAN and EP Success
WATCHMAN grew 35% this quarter with over 600,000 patients treated. EP sales grew 63%, with strong adoption of FARAPULSE technology.
Improved Full Year Guidance
Raised full year '25 adjusted EPS guidance to $3.02 to $3.04, representing growth of 20% to 21%. Full year organic revenue growth guidance increased to approximately 15.5%.
Negative Updates
EMEA Decline Due to Transient Headwinds
Europe, Middle East, and Africa declined 2% operationally due to the discontinuation of ACURATE valve and ERP system upgrade issues.
Urology Growth Challenges
Urology sales grew 5% organically, with Axonics performance below expectations due to commercial disruption.
Impact of China VBP
Peripheral interventions faced low single-digit declines in arterial sales due to China Volume-Based Procurement (VBP).
Company Guidance
In the Boston Scientific third quarter 2025 earnings call, the company reported robust financial performance, with total operational sales growing 19% and organic sales increasing by 15%, surpassing the guidance range of 12% to 14%. Adjusted EPS for the quarter was $0.75, a 19% increase, exceeding the guidance range of $0.70 to $0.72. The adjusted operating margin was 28%, and the company raised its full-year adjusted EPS guidance to $3.02-$3.04, representing growth of 20% to 21%. Looking ahead, Boston Scientific is guiding for 11% to 13% organic growth in Q4 2025, which would lift full-year 2025 guidance to approximately 15.5%. Region-wise, the U.S. saw a 27% operational growth, while Asia Pac grew 17%, led by strong performances in Japan and China. However, Europe, Middle East, and Africa (EMEA) declined by 2% due to specific headwinds, including the discontinuation of the ACURATE valve and ERP system upgrades, resulting in a $30 million backorder. Despite these challenges, the company anticipates improved backorder management in Q4.

Boston Scientific Financial Statement Overview

Summary
Boston Scientific exhibits strong financial performance with robust revenue growth, healthy profit margins, and efficient cash management. The company maintains a stable financial position with moderate leverage, positioning it well for future growth.
Income Statement
85
Very Positive
Boston Scientific has demonstrated strong revenue growth with a 5.36% increase in TTM, supported by healthy gross and net profit margins of 63.23% and 13.53% respectively. The EBIT and EBITDA margins are robust at 18.37% and 23.67%, indicating efficient operational management. Overall, the company shows a positive growth trajectory and profitability.
Balance Sheet
78
Positive
The balance sheet reflects a stable financial position with a manageable debt-to-equity ratio of 0.54, indicating moderate leverage. The return on equity stands at 11.49%, showcasing effective utilization of equity to generate profits. The equity ratio of 53.94% suggests a solid equity base relative to total assets, contributing to financial stability.
Cash Flow
82
Very Positive
Cash flow analysis reveals a strong free cash flow growth rate of 15.25% in TTM, highlighting improved cash generation capabilities. The operating cash flow to net income ratio of 0.83 and free cash flow to net income ratio of 0.77 indicate efficient cash conversion and healthy liquidity. Overall, cash flow management appears robust.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue18.49B16.75B14.24B12.68B11.89B9.91B
Gross Profit11.69B10.27B8.83B7.71B7.46B5.58B
EBITDA4.71B3.94B3.45B2.74B2.52B1.51B
Net Income2.50B1.85B1.59B698.00M1.04B-82.00M
Balance Sheet
Total Assets41.56B39.40B35.14B32.47B32.23B30.78B
Cash, Cash Equivalents and Short-Term Investments534.00M414.00M865.00M928.00M1.93B1.73B
Total Debt12.03B11.15B9.49B9.28B9.45B9.54B
Total Liabilities18.91B17.39B15.61B14.90B15.61B15.45B
Stockholders Equity22.42B21.77B19.28B17.57B16.62B15.33B
Cash Flow
Free Cash Flow3.31B2.65B1.70B914.00M1.32B1.13B
Operating Cash Flow4.29B3.44B2.50B1.53B1.87B1.51B
Investing Cash Flow-6.76B-5.69B-2.57B-2.01B-1.60B-411.00M
Financing Cash Flow114.00M1.81B5.00M-548.00M-95.00M293.00M

Boston Scientific Technical Analysis

Technical Analysis Sentiment
Positive
Last Price102.39
Price Trends
50DMA
101.17
Positive
100DMA
102.35
Positive
200DMA
101.68
Positive
Market Momentum
MACD
0.26
Negative
RSI
60.35
Neutral
STOCH
81.16
Negative
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 102.39 is above the 20-day moving average (MA) of 97.85, above the 50-day MA of 101.17, and above the 200-day MA of 101.68, indicating a bullish trend. The MACD of 0.26 indicates Negative momentum. The RSI at 60.35 is Neutral, neither overbought nor oversold. The STOCH value of 81.16 is Negative, 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 28 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 (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
80
Outperform
$123.01B26.019.72%2.94%4.98%22.08%
78
Outperform
$148.47B50.6914.25%0.86%11.36%-15.66%
77
Outperform
$153.88B54.7621.62%54.80%
77
Outperform
$222.69B15.801.84%6.37%
74
Outperform
$45.11B52.2515.71%-5.23%-39.83%
71
Outperform
$27.73B49.7522.83%9.30%-14.95%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
BSX
Boston Scientific
102.39
17.29
20.32%
ABT
Abbott Laboratories
126.34
11.97
10.47%
DXCM
Dexcom
71.06
-3.79
-5.06%
EW
Edwards Lifesciences
76.84
6.49
9.23%
MDT
Medtronic
95.90
7.81
8.87%
SYK
Stryker
383.06
26.40
7.40%

Boston Scientific Corporate Events

Boston Scientific Reports Strong Q3 2025 Results
Oct 23, 2025

Boston Scientific is a global leader in medical technology, providing innovative solutions that address complex health conditions across various medical fields including cardiovascular, respiratory, and neurological diseases.

Executive/Board Changes
Boston Scientific Announces Executive Retirement Plan Update
Neutral
Sep 4, 2025

On August 29, 2025, Boston Scientific announced that Jeffrey B. Mirviss will retire from his position as Executive Vice President and President of Peripheral Interventions, effective December 1, 2025. He will continue as a senior advisor until February 27, 2026, receiving a prorated base salary. The company plans to enter into a Retirement Agreement with Mr. Mirviss, ensuring he receives benefits consistent with the company’s Executive Retirement Plan and other incentive programs.

The most recent analyst rating on (BSX) stock is a Buy with a $116.00 price target. To see the full list of analyst forecasts on Boston Scientific stock, see the BSX Stock Forecast page.

Boston Scientific Reports Strong Q2 2025 Results
Jul 24, 2025

Boston Scientific Corporation is a leading global medical technology company that develops innovative solutions to improve patient health across various medical fields, including cardiovascular, respiratory, digestive, oncological, neurological, and urological diseases.

Boston Scientific Reports Strong Q2 Growth Amid Challenges
Jul 24, 2025

Boston Scientific’s recent earnings call painted a picture of robust growth, particularly in its Cardiovascular and Electrophysiology segments. The company reported strong revenue growth, bolstered by geographic expansion and successful product lines. However, the call also acknowledged some challenges, including the discontinuation of the ACURATE valve and slower growth in certain regions.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

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.Date of analysis: Oct 23, 2025