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Boston Scientific (BSX) AI Stock Analysis

BSX

Boston Scientific

(NYSE:BSX)

Select Model
Rating:67Neutral
Price Target:$49.00â–²(11.92% Upside)
Action:reiterated
Date:10/28/26

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.

Positive Factors
Revenue and Margin ExpansionSustained revenue growth alongside expanding profitability indicates meaningful operating leverage and stronger earnings power. The improvement across gross, operating, and net margins can support reinvestment in innovation, commercial execution, and capacity while strengthening competitiveness over the next several quarters.
Negative Factors
2027 Growth ChallengeThe expected 2027 growth challenge signals that recent execution and market pressures may persist beyond one quarter. Pressure from EP, WATCHMAN, China pricing, comp issues, and a competitive launch could restrain organic expansion and delay the company’s return to a stronger growth trajectory.

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.

$0.00$1.00B$2.00B$3.00B$4.00B$5.00BMar 21Jun 21Sep 21Dec 21Mar 22Jun 22Sep 22Dec 22Mar 23Jun 23Sep 23Dec 23Mar 24Jun 24Sep 24Dec 24Mar 25Jun 25Sep 25Dec 25Mar 26Jun 26Sep 26
Chart Insights

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.

Data provided by:The Fly

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

-60%-40%-20%0%20%BSX-55.19%SPY+12.58%Dec '25Jan '26Feb '26Mar '26Apr '26May '26Jun '26Jul '26Aug '26Sep '26Oct '26Nov '26
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

Earnings Call Date:Oct 27, 2026(Q3-2026)|% Change Since:-2.84%|Next Earnings Date:Feb 02, 2027
Earnings Call SentimentNegative

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.

Positive Updates

Operations Restored After Cyber Incident
All operations were back up and running as of September 8 following a two-week outage, and management praised employees for their resiliency in returning to support physicians and patients.

Negative Updates

Third-Quarter Revenue Miss From Cyber Incident
Third-quarter organic revenue grew 1.5%, below the original guidance range of 3% to 5%. Management estimated that the cyber incident reduced organic revenue growth by approximately 300 basis points, or roughly $150 million of revenue.

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 Positive

Balance Sheet

76Positive

Cash Flow

74Positive
Financial statement breakdown
BreakdownTTMDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue21.00B20.07B16.75B14.24B12.68B11.89B
Gross Profit14.94B13.85B10.27B8.83B7.71B7.46B
EBITDA5.80B5.10B3.94B3.45B2.74B2.52B
Net Income3.67B2.89B1.85B1.59B698.00M1.04B
Balance Sheet
Total Assets45.22B43.67B39.40B35.14B32.47B32.23B
Cash, Cash Equivalents and Short-Term Investments539.00M2.04B414.00M865.00M928.00M1.93B
Total Debt12.62B12.42B11.15B9.49B9.28B9.45B
Total Liabilities20.04B19.20B17.39B15.61B14.90B15.61B
Stockholders Equity24.93B24.23B21.77B19.28B17.57B16.62B
Cash Flow
Free Cash Flow3.63B3.66B2.65B1.70B914.00M1.32B
Operating Cash Flow4.53B4.53B3.44B2.50B1.53B1.87B
Investing Cash Flow-3.56B-2.64B-5.69B-2.57B-2.01B-1.60B
Financing Cash Flow-958.00M-395.00M1.81B5.00M-548.00M-95.00M

Boston Scientific Technical Analysis

Technical Analysis SentimentNeutral
Last Price43.78

Price Trends

50DMA44.67Negative
100DMA45.54Negative
200DMA56.29Negative

Market Momentum

MACD-0.21Positive
RSI50.88Neutral
STOCH52.00Neutral

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.

Higher RiskSector Avg.Lower RiskFinance & CorporateTech & InnovationLegal & RegulatoryProductionAbility to SellMacro & Political
Legal & Regulatory - Litigation, compliance, new legislation, and taxation risks

Latest Risks Added

0 New Risks

Boston Scientific Peers Comparison

Overall Rating

UnderperformOutperform
Sector (55)

Financial Indicators

BSX against its peers
NameOverall RatingMarket CapP/E RatioROEDividend YieldRevenue GrowthEPS Growth
EWEW81Outperform$53.03B53.609.69%―14.55%15.09%
MDTMDT74Outperform$123.49B24.2810.60%2.88%9.77%12.28%
SYKSYK71Outperform$111.95B32.4715.61%1.15%7.87%22.82%
ABTABT69Neutral$183.77B40.809.12%2.29%10.00%―
ZBHZBH69Neutral$18.03B23.576.36%0.99%8.62%0.09%
BSXBSX67Neutral$60.84B18.7014.18%―8.88%25.77%
Sector *55Neutral$6.65B3.83-15.92%6.20%10.91%7.18%

* General Sector Average

Performance Comparison

-40%-20%0%BSXABTEWMDTSYKZBHDec '25Jan '26Feb '26Mar '26Apr '26May '26Jun '26Jul '26Aug '26Sep '26Oct '26Nov '26
BSX and its peers over the selected period
Show on chartTickerCompany NamePriceChange% Change
BSXBoston Scientific44.32-54.52-55.16%
ABTAbbott Laboratories110.16-12.59-10.26%
EWEdwards Lifesciences Corp.93.269.1110.83%
MDTMedtronic99.2911.7713.45%
SYKStryker Corp306.81-51.83-14.45%
ZBHZimmer Biomet Holdings97.35-4.74-4.64%

Boston Scientific Corporate Events

Business Operations and StrategyExecutive/Board Changes

Boston Scientific Announces New COO and Operating Structure

Positive
Oct 7, 2026

Boston 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...

Executive/Board Changes

Boston Scientific Announces Retirement of MedSurg, Asia Pacific Chief

Neutral
Sep 23, 2026

Boston 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...

Business Operations and StrategyFinancial Disclosures

Boston Scientific Discloses Cyberattack Disrupting Global Operations

Negative
Aug 26, 2026

On 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...

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 28, 2026