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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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Neutral 66 (OpenAI - 5.2)
Rating:66Neutral
Price Target:
$50.00
▲(12.99% Upside)
Action:Reiterated
Date:07/29/26
The score reflects strong underlying financial quality (expanding profitability and improving balance-sheet metrics) and a mixed but still constructive earnings outlook, offset by weak long-term technical trends and near-term business pressure (WATCHMAN and EP) that tempered guidance. Valuation appears reasonable on P/E, but the lack of dividend support and recent FCF softness keep the score in the mid-range.
Positive Factors
Scale & Margin Improvement
Boston Scientific has materially expanded scale and converted that scale into durable margin gains: revenue roughly doubled over several years and net margin improved to ~17% TTM. Sustained higher margins increase cash generation, fund R&D and product launches, and support longer-term profitability resilience.
Negative Factors
WATCHMAN Adoption Weakness
Weakening WATCHMAN adoption driven by changing clinical/referral patterns is a structural risk to a high-value franchise. Reduced procedure volumes and adoption uncertainty can compress revenue and mix for several quarters and constrain margin leverage until referral dynamics and reimbursement stabilize.
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Positive Factors
Negative Factors
Scale & Margin Improvement
Boston Scientific has materially expanded scale and converted that scale into durable margin gains: revenue roughly doubled over several years and net margin improved to ~17% TTM. Sustained higher margins increase cash generation, fund R&D and product launches, and support longer-term profitability resilience.
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Boston Scientific Key Performance Indicators (KPIs)

Any
Any
Revenue by Geography
Revenue by Geography
Breaks 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.
Chart InsightsAPAC has shifted from a secondary market to the fastest-growing engine, accelerating since 2023 and materially buttressing organic growth; EMEA remains the largest but lumpy—earlier POLARx/ACURATE discontinuations and inventory charges dented comps, then recovered—signaling product‑mix volatility rather than structural demand weakness. LACA posts steady share gains but stays small, and Specialty Pharma has been effectively exited, simplifying the revenue base. Management’s Asia momentum supports guidance, but Urology softness and EP share pressure limit near‑term upside.
Data provided by:The Fly

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

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 specialtie...
How the Company Makes Money
Boston Scientific makes money primarily by selling single-use and implantable medical devices (and related accessories) to hospitals, clinics, and other healthcare providers, with revenue recognized from product sales across its medical device fra...

Boston Scientific Earnings Call Summary

Earnings Call Date:Jul 29, 2026
(Q2-2026)
|
% Change Since: |
Next Earnings Date:Oct 28, 2026
Earnings Call Sentiment Neutral
The call presented a mixed picture: the company delivered a solid quarter with a top‑line beat, strong EPS growth (+15%), margin expansion, healthy cash generation and multiple business units growing double digits. However, management lowered near‑term expectations driven primarily by a sharp WATCHMAN market slowdown and competitive share pressure in U.S. Electrophysiology, which prompted updated guidance, margin mix headwinds and a restructuring to drive future savings. While long‑term catalysts (product launches, Penumbra and MiRus investments, and a $500M cost program) support confidence for recovery in 2028+, the near‑term outlook is tempered and uncertain.
Positive Updates
Top-line Beat and Organic Growth
Consolidated revenue of $5.442B represented 7.5% reported growth vs. Q2 2025 and organic/operational revenue growth of 7.0% (in line with Q2 guidance of 5%–7%), with a ~50 bps FX tailwind.
Negative Updates
Updated Near‑Term Guidance and Revenue Pressure
Full‑year 2026 organic revenue guidance was narrowed/updated to 5%–6% (reported 5.5%–6.5%), with Q3 organic growth guided to 3%–5% and full‑year adjusted EPS guided to $3.28–$3.32 (7%–8% growth). Management signaled a more pressured second half and a challenging 2027.
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Q2-2026 Updates
Negative
Top-line Beat and Organic Growth
Consolidated revenue of $5.442B represented 7.5% reported growth vs. Q2 2025 and organic/operational revenue growth of 7.0% (in line with Q2 guidance of 5%–7%), with a ~50 bps FX tailwind.
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Company Guidance
Boston Scientific updated 2026 guidance with full‑year organic/operational revenue growth of 5%–6% (reported growth 5.5%–6.5% including an estimated ~50 bps FX tailwind), third‑quarter organic/operational growth of 3%–5%, and Q3 adjusted EPS of $0.80–$0.82; full‑year adjusted EPS is guided to $3.28–$3.32 (7%–8% growth vs. 2025) with an approximate $0.05 FX headwind, an adjusted tax rate around 11.5%, and adjusted below‑the‑line expense of about $485M. Management expects full‑year adjusted operating margin expansion of 0–25 bps (Q2 adj. operating margin was 28.4% and adj. gross margin in Q2 was 70.3%, though full‑year gross margin is expected below 2025), and reiterated Q2 results of $5.442B revenue (7.5% reported / 7.0% operational and organic), $0.86 adj. EPS (+15%), $1.29B FCF in Q2 and a ~$3.8B FCF outlook for the year. The update assumes EP will be roughly flat in H2 and WATCHMAN will decline mid‑ to high‑single digits in H2 (WATCHMAN full year now guided to flat to low‑single digits); company liquidity and capital actions include ~$539M cash, ~2.0x gross debt leverage, ~1.475B diluted shares (after a ~$2B ASR and ~40M share repurchase), a $1.5B MiRus investment, anticipated close of Penumbra in H2'26 (slightly dilutive to 2026 margins/EPS), and a restructuring targeting ~$500M run‑rate savings exiting 2029 (with over half the savings and spend realized/executed by the end of 2027).

Boston Scientific Financial Statement Overview

Summary
Strong multi-year revenue expansion and meaningful margin improvement, with rising ROE and easing leverage trends. Offsetting factors are the recent decline in free cash flow growth and sub-1:1 cash conversion versus earnings, plus still-meaningful absolute debt.
Income Statement
86
Very Positive
Balance Sheet
78
Positive
Cash Flow
74
Positive
BreakdownTTMDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue20.61B20.07B16.75B14.24B12.68B11.89B
Gross Profit14.52B13.85B10.27B8.83B7.71B7.46B
EBITDA5.66B5.10B3.94B3.45B2.74B2.52B
Net Income3.55B2.89B1.85B1.59B698.00M1.04B
Balance Sheet
Total Assets44.35B43.67B39.40B35.14B32.47B32.23B
Cash, Cash Equivalents and Short-Term Investments1.52B2.04B414.00M865.00M928.00M1.93B
Total Debt11.03B12.42B11.15B9.49B9.28B9.45B
Total Liabilities18.25B19.20B17.39B15.61B14.90B15.61B
Stockholders Equity25.86B24.23B21.77B19.28B17.57B16.62B
Cash Flow
Free Cash Flow3.44B3.66B2.65B1.70B914.00M1.32B
Operating Cash Flow4.34B4.53B3.44B2.50B1.53B1.87B
Investing Cash Flow-2.73B-2.64B-5.69B-2.57B-2.01B-1.60B
Financing Cash Flow-888.00M-395.00M1.81B5.00M-548.00M-95.00M

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
73
Outperform
$18.37B24.276.01%1.05%9.23%-14.66%
72
Outperform
$182.75B33.9910.52%2.41%8.06%-61.33%
72
Outperform
$133.42B33.4715.10%1.05%8.48%27.36%
69
Neutral
$50.05B49.479.71%14.55%15.09%
68
Neutral
$109.71B22.779.85%3.43%8.43%3.17%
66
Neutral
$68.37B18.8414.82%13.53%46.29%
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
46.73
-58.68
-55.67%
ABT
Abbott Laboratories
105.70
-18.71
-15.04%
EW
Edwards Lifesciences
86.07
6.74
8.50%
MDT
Medtronic
85.39
-1.14
-1.31%
SYK
Stryker
325.70
-48.28
-12.91%
ZBH
Zimmer Biomet Holdings
93.93
4.25
4.74%

Boston Scientific Corporate Events

Business Operations and Strategy
Boston Scientific Launches 2026 Global Restructuring Plan
Neutral
Jul 27, 2026
On July 21, 2026, Boston Scientific’s board approved a new global restructuring program, the 2026 Restructuring Plan, aimed at driving sustained cost efficiencies and supporting continued growth by realigning its structure and resources with...
Business Operations and StrategyPrivate Placements and Financing
Boston Scientific Invests in MiRus to Expand TAVR Portfolio
Positive
May 18, 2026
On May 18, 2026, Boston Scientific said it invested $1.5 billion for roughly a 34% non‑voting stake in MiRus, a private developer of biomaterials and implants, and secured an exclusive option to buy MiRus’s SIEGEL balloon‑expanda...
Business Operations and StrategyStock BuybackFinancial Disclosures
Boston Scientific Launches $2 Billion Accelerated Share Repurchase
Positive
May 18, 2026
Boston Scientific on May 18, 2026, entered into a $2 billion accelerated share repurchase agreement with JPMorgan Chase as part of its previously announced $5 billion buyback program, initially receiving about 30.4 million shares based on the May ...
Executive/Board ChangesShareholder Meetings
Boston Scientific Shareholders Approve Directors and Governance Changes
Positive
May 5, 2026
Boston Scientific held its 2026 annual meeting of stockholders on April 30, 2026, in a virtual-only webcast format, where shareholders elected all 10 director nominees to one-year terms and approved, on an advisory basis, the compensation of the c...
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: Jul 29, 2026