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Boston Scientific (BSX) AI Stock Analysis
Boston Scientific
(NYSE:BSX)
BSX scores well on financial performance (sustained revenue growth, expanding margins, improving ROE), but the overall score is pulled down by the latest earnings outlook (guided Q4 declines, 2027 growth challenges, and margin/cyber-related headwinds). Technicals are mixed with the stock well below its 200-day average, while valuation appears reasonable at ~18x earnings.
Boston Scientific Key Performance Indicators (KPIs)
Revenue by GeographyBreaks down revenue across regions (U.S., Europe, Asia and other markets), revealing where Boston Scientific is strongest, where it’s growing fastest, and how exposed it is to currency, reimbursement or regulatory risks. Regional trends show whether global demand and market access are likely to sustain overall revenue growth.
APAC has emerged as the fastest‑growing region, accelerating into near parity with EMEA in recent quarters, while EMEA remains the largest and steady contributor. LACA shows the strongest percentage gains off a small base, signaling upside but limited scale today. Specialty Pharma’s drop to zero reflects a portfolio reclassification/divestiture that concentrates growth in core device markets. Management’s Q2 commentary corroborates APAC strength (+11%) but warns US WATCHMAN and EP softness and mix headwinds could temper near‑term consolidated growth despite Penumbra/MiRus investments for longer‑term upside.
Boston Scientific (BSX) vs. SPDR S&P 500 ETF (SPY)
- Market Cap
- $64.23B
- Dividend Yield
- ―
- Average Volume (3M)
- 19.63M
- Price to Earnings (P/E)
- 18.7
- Beta (1Y)
- 0.73
- Revenue Growth
- 8.88%
- EPS Growth
- 25.77%
- Country
- US
- Employees
- 59,000
- Sector
- General
- Sector Strength
- 55
- Industry
- Medical - Devices
Boston Scientific Business Overview & Revenue Model
Company Description
Boston Scientific Corporation (BSX) operates as a global leader in medical technology, specializing in the design, manufacturing, and commercialization of innovative medical devices tailored for a diverse array of interventional medical specialties a...
How the Company Makes Money
Boston Scientific primarily makes money by selling single-use and implantable medical devices and the associated systems used in procedures performed in hospitals, ambulatory surgery centers, and specialty clinics. Its revenue is largely generated fr...
Boston Scientific Earnings Call Summary
The call was dominated by near-term execution setbacks, including the cyber incident, a below-guidance third quarter, fourth-quarter revenue declines, margin pressure, China pricing headwinds, WATCHMAN and EP weakness, and an expected challenge to grow revenue and adjusted EPS in 2027. The company highlighted resilient operations, strong performance in several businesses, restructuring savings, product approvals, and a substantial future pipeline, but these positives were outweighed by the current downcycle and multiple forecast and launch challenges.
Q3-2026 Updates
Positive Updates
Negative Updates
Company Guidance
For fourth quarter 26, Boston Scientific guided to organic revenue declines of -1% to -3%, reported revenue decline in a range of down 3% to down 1%, operational and organic revenue decline in a range of down 3% to down 1%, and adjusted EPS of $0.77 to $0.79, including a cyber headwind of approximately 200 to 300 basis points and roughly $0.04 to $0.05 of EPS impact; for full-year 2026, it expects organic revenue growth of 4%, reported revenue growth of approximately 4.25%, operational and organic growth of approximately 3.75%, adjusted operating margin of approximately 27.6%, adjusted below-the-line expense of approximately $485 million, adjusted tax rate of approximately 12%, free cash flow of approximately $3.6 billion, and adjusted EPS of $3.16 to $3.18, representing growth of 3% to 4% year-over-year versus 2025 including an approximate $0.06 headwind from foreign exchange; for 2027, excluding Penumbra, it expects to be challenged to grow revenue and adjusted EPS, with the underlying base business consistently growing about 6% year-over-year, about a point of impact due to comp pricing issues, WATCHMAN market dynamics of about -7% to -8%, and additional pressure from a competitive launch, while it expects restructuring savings of over $500 million over the next 3 years and over half of those savings exiting 2027; it expects growth to improve in 2028 and above market WAMGR in 2029, with WAMGR at about 7% and maybe 7% to 8% over the next 3 years.
Boston Scientific Financial Statement Overview
Summary
Strong multi-year revenue growth and notable margin expansion, with improving ROE. Balance sheet leverage looks manageable, but rising debt and sub-1.0 operating cash flow coverage of net income (0.70 TTM) temper the score.
Income Statement
88Very PositiveBalance Sheet
76PositiveCash Flow
74Positive| Breakdown | TTM | Dec 2025 | Dec 2024 | Dec 2023 | Dec 2022 | Dec 2021 |
|---|---|---|---|---|---|---|
Income Statement | ||||||
| Total Revenue | 21.00B | 20.07B | 16.75B | 14.24B | 12.68B | 11.89B |
| Gross Profit | 14.94B | 13.85B | 10.27B | 8.83B | 7.71B | 7.46B |
| EBITDA | 5.80B | 5.10B | 3.94B | 3.45B | 2.74B | 2.52B |
| Net Income | 3.67B | 2.89B | 1.85B | 1.59B | 698.00M | 1.04B |
Balance Sheet | ||||||
| Total Assets | 45.22B | 43.67B | 39.40B | 35.14B | 32.47B | 32.23B |
| Cash, Cash Equivalents and Short-Term Investments | 539.00M | 2.04B | 414.00M | 865.00M | 928.00M | 1.93B |
| Total Debt | 12.62B | 12.42B | 11.15B | 9.49B | 9.28B | 9.45B |
| Total Liabilities | 20.04B | 19.20B | 17.39B | 15.61B | 14.90B | 15.61B |
| Stockholders Equity | 24.93B | 24.23B | 21.77B | 19.28B | 17.57B | 16.62B |
Cash Flow | ||||||
| Free Cash Flow | 3.63B | 3.66B | 2.65B | 1.70B | 914.00M | 1.32B |
| Operating Cash Flow | 4.53B | 4.53B | 3.44B | 2.50B | 1.53B | 1.87B |
| Investing Cash Flow | -3.56B | -2.64B | -5.69B | -2.57B | -2.01B | -1.60B |
| Financing Cash Flow | -958.00M | -395.00M | 1.81B | 5.00M | -548.00M | -95.00M |
Boston Scientific Technical Analysis
Price Trends
Market Momentum
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For BSX, the sentiment is Neutral. The current price of 43.78 is below the 20-day moving average (MA) of 43.81, below the 50-day MA of 44.67, and below the 200-day MA of 56.29, indicating a neutral trend. The MACD of -0.21 indicates Positive momentum. The RSI at 50.88 is Neutral, neither overbought nor oversold. The STOCH value of 52.00 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral 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.
Latest Risks Added
0 New RisksBoston Scientific Peers Comparison
Overall Rating
EW81Outperform
MDT74Outperform
SYK71Outperform
ABT69Neutral
ZBH69Neutral
BSX67Neutral
Financial Indicators
| Name | Overall Rating | Market Cap | P/E Ratio | ROE | Dividend Yield | Revenue Growth | EPS Growth |
|---|---|---|---|---|---|---|---|
| 81Outperform | $53.03B | 53.60 | 9.69% | ― | 14.55% | 15.09% | |
| 74Outperform | $123.49B | 24.28 | 10.60% | 2.88% | 9.77% | 12.28% | |
| 71Outperform | $111.95B | 32.47 | 15.61% | 1.15% | 7.87% | 22.82% | |
| 69Neutral | $183.77B | 40.80 | 9.12% | 2.29% | 10.00% | ― | |
| 69Neutral | $18.03B | 23.57 | 6.36% | 0.99% | 8.62% | 0.09% | |
| 67Neutral | $60.84B | 18.70 | 14.18% | ― | 8.88% | 25.77% | |
| Sector * | 55Neutral | $6.65B | 3.83 | -15.92% | 6.20% | 10.91% | 7.18% |
* General Sector Average
Performance Comparison
| Show on chart | Ticker | Company Name | Price | Change | % Change |
|---|---|---|---|---|---|
| BSX | Boston Scientific | 44.32 | -54.52 | -55.16% | |
| ABT | Abbott Laboratories | 110.16 | -12.59 | -10.26% | |
| EW | Edwards Lifesciences Corp. | 93.26 | 9.11 | 10.83% | |
| MDT | Medtronic | 99.29 | 11.77 | 13.45% | |
| SYK | Stryker Corp | 306.81 | -51.83 | -14.45% | |
| ZBH | Zimmer Biomet Holdings | 97.35 | -4.74 | -4.64% |
Boston Scientific Corporate Events
Boston Scientific Announces New COO and Operating Structure
PositiveBoston Scientific announced on Oct. 7, 2026, that longtime cardiovascular executive Joseph M. Fitzgerald will become executive vice president and chief operating officer on Jan. 1, 2027, overseeing global operations, business units and regions. Fitzg...
Boston Scientific Announces Retirement of MedSurg, Asia Pacific Chief
NeutralBoston Scientific said that on September 21, 2026, Arthur C. Butcher informed the company he will retire as executive vice president and group president for MedSurg and Asia Pacific effective January 1, 2027, marking a leadership change in a major re...
Boston Scientific Discloses Cyberattack Disrupting Global Operations
NegativeOn August 25, 2026, Boston Scientific Corporation disclosed that it had identified a cybersecurity incident affecting certain information technology systems, leading to a global disruption of its operations. The company activated incident response pr...
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 28, 2026