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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's strong financial performance and positive earnings call outlook are key drivers of its overall score. The company shows excellent revenue and profit growth, alongside effective cash flow management. However, the high P/E ratio suggests potential overvaluation, and mixed technical indicators add a level of caution. While the company faces challenges in China and currency impacts, its strategic execution remains robust.
Positive Factors
Acquisition Strategy
The acquisition of Bolt Medical by Boston Scientific is expected to enhance the company's portfolio with innovative medical technologies.
Financial Performance
Boston's historical revenue growth is strong at 9.8%, surpassing the industry average.
Product Approval
Bolt Medical received approval for the Bolt Intravascular Lithotripsy (IVL) System, which is expected to be acquired by Boston Scientific.
Negative Factors
Competition
Chinese peers may manufacture similar products at a fraction of the cost, posing a risk to Boston's business.
Earnings Impact
BSX expects the deal to be slightly dilutive to its 2025E adjusted EPS.

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 demonstrates strong financial health with robust revenue and profit growth, efficient cost management, and a solid balance sheet. Increasing operating and free cash flows highlight the company's ability to generate and manage cash effectively. While debt levels have risen, the company's strong equity position and profitability mitigate potential risks, positioning it well for future growth.
Income Statement
85
Very Positive
Boston Scientific has shown strong revenue growth, with a substantial increase in total revenue over the years, notably a 17.6% growth from 2023 to 2024. The gross profit margin remains robust, consistently above 60%, which indicates efficient cost management. Net profit margin has improved, reaching 11.1% in 2024, reflecting enhanced profitability. The EBIT and EBITDA margins are healthy, demonstrating strong operational performance.
Balance Sheet
78
Positive
The company maintains a stable balance sheet with a Debt-to-Equity ratio of 0.49 in 2024, indicating a balanced use of leverage. The Return on Equity (ROE) is impressive at 8.5%, showcasing effective use of shareholders' funds. An equity ratio of 55.3% suggests a strong equity base supporting assets. While debt levels have increased, the strong equity position mitigates risk.
Cash Flow
80
Positive
Operating cash flow has significantly increased, supporting a 35.5% growth in free cash flow from 2023 to 2024. The operating cash flow to net income ratio stands at 1.85, indicating strong cash conversion efficiency. The free cash flow to net income ratio is 1.43, showcasing excellent cash flow management and ability to generate cash beyond net income.
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
2.60B3.45B2.74B2.52B1.51B
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
10.75B9.49B9.28B9.45B9.54B
Net Debt
10.33B8.63B8.35B7.53B7.80B
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
Negative
Last Price92.64
Price Trends
50DMA
101.05
Negative
100DMA
96.82
Negative
200DMA
88.95
Positive
Market Momentum
MACD
<0.01
Negative
RSI
51.53
Neutral
STOCH
40.35
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For BSX, the sentiment is Negative. The current price of 92.64 is below the 20-day moving average (MA) of 98.42, below the 50-day MA of 101.05, and above the 200-day MA of 88.95, indicating a neutral trend. The MACD of <0.01 indicates Negative momentum. The RSI at 51.53 is Neutral, neither overbought nor oversold. The STOCH value of 40.35 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative 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 (48)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
ABABT
79
Outperform
$220.33B16.6330.95%1.76%4.59%134.50%
BSBSX
78
Outperform
$143.13B77.579.03%17.60%16.84%
SYSYK
78
Outperform
$138.54B46.7615.26%0.90%10.23%-5.74%
77
Outperform
$187.36B81.5415.62%17.24%27.76%
MDMDT
77
Outperform
$109.38B25.928.42%3.28%2.72%4.48%
ZBZBH
73
Outperform
$20.59B23.347.24%0.93%3.84%-9.29%
48
Neutral
$6.36B1.28-45.04%2.64%19.24%1.69%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
BSX
Boston Scientific
92.64
24.57
36.10%
ABT
Abbott Labs
124.50
17.04
15.86%
ISRG
Intuitive Surgical
489.52
104.72
27.21%
MDT
Medtronic
82.54
5.03
6.49%
SYK
Stryker
348.39
9.47
2.79%
ZBH
Zimmer Biomet Holdings
102.26
-21.12
-17.12%

Boston Scientific Earnings Call Summary

Earnings Call Date: Feb 5, 2025 | % Change Since: -10.53% | Next Earnings Date: Apr 23, 2025
Earnings Call Sentiment Positive
The earnings call reflects strong operational and financial performance with significant growth in key areas such as electrophysiology and Watchmen sales. Despite challenges in China and currency impacts, the company exceeded its financial guidance and demonstrated solid strategic execution.
Highlights
Record Growth in Operational and Organic Sales
Operational sales grew 23% in Q4 and 18.5% for the full year 2024. Organic sales grew 20% in Q4 and 16% for the full year, both exceeding guidance.
Strong Adjusted EPS Growth
Q4 adjusted EPS grew 26% to $0.70, exceeding guidance. Full-year adjusted EPS grew 22% to $2.51, surpassing expectations.
Electrophysiology and FerraPulse Success
Electrophysiology sales grew 172% in Q4 and 139% for the full year. FerraPulse surpassed $1 billion in revenue globally.
Watchmen Sales Growth
Watchmen sales grew 20% in Q4 and 19% for the full year, supported by new DRG and positive trial data.
Strong Free Cash Flow Performance
Free cash flow for the full year 2024 was $2.648 billion, achieving 71% free cash flow conversion.
Lowlights
Challenges in China with VBP Pricing Pressures
Despite strong growth in China, ongoing VBP pricing pressures present a challenge.
Lower Growth in Neuromodulation
Neuromodulation sales grew 12% operationally but only 5% organically in Q4, with full-year organic growth at 3%.
Impact of Foreign Exchange
A 70 basis point headwind from foreign exchange affected Q4 results, with a 90 basis point headwind for the full year.
Company Guidance
During the call, Boston Scientific provided guidance for 2025, projecting organic revenue growth between 10% and 12% for the full year. They anticipate adjusted earnings per share (EPS) to be in the range of $2.80 to $2.87, reflecting growth of 12% to 14%. Operational revenue growth is expected to be between 13.5% and 15.5%, excluding a 350 basis point contribution from closed acquisitions. The company also expects first-quarter organic revenue growth to be between 14% and 16%. Additionally, Boston Scientific aims for an adjusted operating margin expansion of 50 to 75 basis points, improving from the full-year 2024 adjusted gross margin of 70.3%. They forecast a free cash flow in excess of $3 billion for 2025, emphasizing strategic tuck-in mergers and acquisitions as a key capital allocation priority.

Boston Scientific Corporate Events

Business Operations and Strategy
Boston Scientific Launches 2025 Incentive Programs
Positive
Nov 22, 2024

Boston Scientific Corporation has unveiled its 2025 Annual Bonus Plan and Performance Share Programs, promising enticing incentives for its workforce. The bonus plan offers cash rewards based on corporate performance metrics, while the performance share programs align executive compensation with shareholder interests through benchmarks in total shareholder return and organic net sales growth. These initiatives underscore the company’s commitment to rewarding performance and aligning employee motivations with business success.

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.