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Boston Scientific (BSX)
NYSE:BSX

Boston Scientific (BSX) AI Stock Analysis

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BSX

Boston Scientific

(NYSE:BSX)

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Outperform 79 (OpenAI - 4o)
Rating:79Outperform
Price Target:
$115.00
▲(19.26% Upside)
Boston Scientific's overall stock score is driven by strong financial performance and positive earnings call outcomes. While the technical analysis and valuation present some concerns, the company's robust growth trajectory and raised guidance support a favorable outlook.
Positive Factors
Revenue Growth
Strong revenue growth indicates robust demand for Boston Scientific's products, enhancing its market position and supporting long-term financial health.
Product Success
The success of key products like WATCHMAN demonstrates Boston Scientific's innovation and ability to capture market share, driving future growth.
Cash Flow Management
Strong cash flow management ensures liquidity and financial flexibility, enabling Boston Scientific to invest in growth opportunities and withstand economic fluctuations.
Negative Factors
EMEA Region Challenges
Operational challenges in EMEA could hinder growth in this region, potentially impacting overall revenue and necessitating strategic adjustments.
Urology Segment Growth
Slower growth in the urology segment may limit Boston Scientific's ability to capitalize on market opportunities, affecting segment profitability.
China Market Pressure
Regulatory pressures in China, such as VBP, could constrain sales growth in this key market, impacting Boston Scientific's global revenue potential.

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, which are used in a variety of procedures across multiple specialties. The company operates through several key segments, including Cardiovascular, Rhythm Management, MedSurg, and Neuromodulation, each contributing to its overall revenue. Major revenue streams include sales of implantable devices, surgical tools, and diagnostic equipment. Additionally, Boston Scientific benefits from strategic partnerships and collaborations with healthcare providers, hospitals, and research institutions, which enhance its distribution capabilities and expand its market reach. The company also invests in research and development to innovate and introduce new products, which serves as a significant driver of future revenue growth.

Boston Scientific Key Performance Indicators (KPIs)

Any
Any
Revenue by Geography
Revenue by Geography
Breaks down revenue across different regions, revealing where the company is strongest and where it may face risk or growth potential due to local economic conditions or market share shifts.
Chart InsightsBoston Scientific's U.S. revenue surged, driven by cardiovascular products, aligning with a 31% operational growth reported in the earnings call. APAC also showed robust growth, supported by strong performance in Japan, China, and Australia. However, EMEA's growth was sluggish, partly due to the ACURATE valve discontinuation. The company remains optimistic, raising its full-year organic growth guidance and emphasizing continued R&D investment and strategic partnerships to sustain momentum.
Data provided by:The Fly

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 balance sheet shows moderate leverage and effective equity utilization, contributing to financial stability.
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
Neutral
Last Price96.43
Price Trends
50DMA
98.55
Negative
100DMA
100.28
Negative
200DMA
100.95
Negative
Market Momentum
MACD
-1.25
Negative
RSI
49.68
Neutral
STOCH
83.02
Negative
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 96.43 is above the 20-day moving average (MA) of 96.35, below the 50-day MA of 98.55, and below the 200-day MA of 100.95, indicating a neutral trend. The MACD of -1.25 indicates Negative momentum. The RSI at 49.68 is Neutral, neither overbought nor oversold. The STOCH value of 83.02 is Negative, 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 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
$126.45B26.649.81%2.76%5.34%13.15%
79
Outperform
$141.74B51.5812.66%21.62%54.80%
79
Outperform
$49.71B36.8413.59%0.19%65.58%
73
Outperform
$218.14B15.7430.62%1.88%6.37%142.39%
73
Outperform
$17.66B22.066.41%1.05%5.47%-23.03%
70
Outperform
$135.84B46.6414.04%0.95%10.95%-18.32%
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
96.43
5.36
5.89%
ABT
Abbott Laboratories
125.20
12.58
11.17%
EW
Edwards Lifesciences
86.53
11.15
14.79%
MDT
Medtronic
97.71
18.77
23.78%
SYK
Stryker
356.52
-10.92
-2.97%
ZBH
Zimmer Biomet Holdings
89.80
-16.49
-15.51%

Boston Scientific Corporate Events

Executive/Board ChangesBusiness Operations and Strategy
Boston Scientific Approves 2026 Bonus Plan
Neutral
Nov 19, 2025

On November 18, 2025, Boston Scientific‘s Board of Directors approved the 2026 Annual Bonus Plan and two performance share programs, aiming to align executive compensation with company performance and shareholder interests. The bonus plan and performance share programs, effective from January 1, 2026, to December 31, 2028, are designed to incentivize employees based on company-wide metrics such as global sales, earnings, and sustainability goals, with potential impacts on executive compensation through policies like the Dodd-Frank Clawback Policy.

Executive/Board Changes
John E. Sununu to Leave Boston Scientific Board
Neutral
Oct 23, 2025

On October 22, 2025, John E. Sununu announced he will not seek re-election to Boston Scientific‘s Board of Directors at the 2026 Annual Meeting. Sununu, who has been a board member since 2009, will continue his roles until then, with his decision not stemming from any disagreement with the company. The board will assess the need for new directors following his departure.

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 30, 2025