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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)

Rating:80Outperform
Price Target:
$124.00
▲(16.83%Upside)
Boston Scientific's overall stock score reflects its strong financial performance and positive earnings outlook, supported by significant growth in key segments. Technical analysis shows bullish momentum, but valuation concerns due to a high P/E ratio could limit upside potential. Strategic investments and geographical expansion bolster long-term prospects despite short-term challenges from product discontinuation.
Positive Factors
Financial Performance
Boston Scientific delivered a standout performance, with net sales growth and organic growth above the high end of the prior guide, supported by strong growth in EP and WATCHMAN.
Growth Strategy
Management continues to effectively execute on their growth strategy across multiple lines of business, particularly EP and WATCHMAN, where FARAPULSE continues to maintain a dominant leadership position.
Revenue and Earnings
BSX reported Q2 revenue and EPS ahead of expectations due to strong performance in PFA and Watchman products.
Negative Factors
Gross Margin
BSX's gross margin was down due to inventory charges related to the ACCURATE discontinuation.
Inventory Charges
The adjusted income statement had a $100m impact in Q2 with the majority of this being inventory charges and the rest being sales returns.
Product Discontinuation
The discontinuation of Acurate is expected to negatively impact Interventional Cardiology growth.

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

Boston Scientific Business Overview & Revenue Model

Company DescriptionBoston Scientific Corporation (BSX) is a leading global medical technology company that develops, manufactures, and markets a wide range of medical devices used in various interventional medical specialties. The company operates in three main sectors: Cardiovascular, Rhythm Management, and MedSurg. Its core products include stents, catheters, pacemakers, implantable cardioverter-defibrillators, and other devices used in interventional cardiology, electrophysiology, endoscopy, urology, and pelvic health.
How the Company Makes MoneyBoston Scientific makes money primarily through the sale of its medical devices and technologies across its different business sectors. The company generates revenue from hospitals, clinics, and health systems that purchase its products for use in various medical procedures. Key revenue streams for Boston Scientific include its Cardiovascular segment, which offers products for coronary interventions, structural heart therapies, and peripheral interventions; the Rhythm Management segment, providing devices for cardiac rhythm disorders; and the MedSurg segment, which includes products for endoscopy, urology, and pelvic health. Additionally, Boston Scientific benefits from strategic partnerships and acquisitions that enhance its product portfolio and expand its market presence, contributing to its overall earnings.

Boston Scientific Key Performance Indicators (KPIs)

Any
Any
Revenue by Segment
Revenue by Segment
Analyzes revenue from different business units or product lines, highlighting which areas drive growth and where the company might be over-reliant or underperforming.
Chart InsightsBoston Scientific's cardiology segment is driving robust growth, with a notable 31% increase in sales, bolstered by strong performance in WATCHMAN and interventional cardiology therapies. Despite challenges in urology due to supply chain issues, and a $200 million tariff impact, the company raised its full-year organic growth guidance, reflecting confidence in its strategic initiatives. The earnings call highlighted exceptional revenue growth and EPS exceeding expectations, underscoring the company's resilience and strategic focus on high-performing segments like cardiology and electrophysiology.
Data provided by:Main Street Data

Boston Scientific Earnings Call Summary

Earnings Call Date:Jul 23, 2025
(Q2-2025)
|
% Change Since: 2.89%|
Next Earnings Date:Oct 22, 2025
Earnings Call Sentiment Positive
The earnings call highlighted strong revenue growth, particularly in the Cardiovascular and Electrophysiology segments, with significant contributions from geographic expansion and product line success. However, challenges such as the discontinuation of the ACURATE valve and slow growth in certain regions were noted.
Q2-2025 Updates
Positive Updates
Strong Revenue Growth
Total company operational sales grew 22% and organic sales grew 17%, exceeding the high end of the guidance range of 13% to 15%.
Cardiovascular Segment Success
Cardiology sales grew 28%, driven by strong performance in Interventional Cardiology and WATCHMAN product lines.
WATCHMAN Segment Growth
WATCHMAN grew 28% this quarter, reflecting strong safety profile and expanded labeling, with significant uptake in concomitant procedures.
Geographic Expansion
Asia Pacific grew 15% operationally, with strong double-digit growth in Japan, China, and Australia, driven by FARAPULSE and IVUS.
Positive EPS Performance
Adjusted EPS of $0.75 grew 23%, exceeding the high end of guidance, driven by strong sales performance.
Electrophysiology Growth
Electrophysiology sales grew 94%, supported by the FARAPULSE launch and positive results from the ADVANTAGE AF trial.
Negative Updates
ACURATE Valve Discontinuation
Charges related to the worldwide discontinuation of the ACURATE valve impacted gross margin negatively by 100 basis points.
Europe, Middle East, Africa Slowdown
EMEA grew 2% operationally, and 7% excluding the ACURATE valve discontinuation, indicating challenges in the region.
Urology Segment Challenges
Urology sales grew 28% operationally, but faced challenges with supply chain constraints and low-cost competition.
Company Guidance
During the Boston Scientific Second Quarter 2025 Earnings Call, the company highlighted its strong financial performance and increased guidance for the year. Total company operational sales grew by 22% in Q2, with organic sales growth at 17%, exceeding the prior guidance range of 13% to 15%. Adjusted EPS for the quarter was $0.75, surpassing the expected range of $0.71 to $0.73. The company also raised its full-year organic growth guidance from 12%-14% to 14%-15% and adjusted EPS expectations to $2.95-$2.99, reflecting growth of 18%-19%. Regionally, the U.S. saw a 31% operational growth driven by the cardiovascular portfolio, while Asia Pacific grew by 15%. The Cardiovascular segment, led by high demand for FARAPULSE, WATCHMAN, and Complex PCI, was a significant contributor. Despite challenges, such as the worldwide discontinuation of the ACURATE valve, Boston Scientific maintained a positive outlook with plans for continued investment in R&D and strategic partnerships to fuel growth.

Boston Scientific Financial Statement Overview

Summary
Boston Scientific demonstrates robust financial performance with strong revenue growth, profitability, and cash flow management. The company's solid balance sheet, with a good debt-to-equity ratio and strong equity returns, supports strategic growth in the medical devices sector. Further debt reduction could enhance resilience.
Income Statement
85
Very Positive
Boston Scientific has demonstrated robust growth in its revenue, with a notable TTM (Trailing-Twelve-Months) increase of 4.81% compared to the previous year. The company maintains strong gross and net profit margins at 67.15% and 11.57% respectively, indicating efficient cost management and profitability. The EBIT and EBITDA margins are solid at 17.52% and 21.65%, reflecting operational efficiency. Overall, the company shows a positive growth trajectory in the medical devices industry.
Balance Sheet
78
Positive
The balance sheet reflects a healthy financial position with a Debt-to-Equity ratio of 0.51, showing manageable leverage. The Return on Equity (ROE) stands at a strong 9.15%, indicating effective utilization of shareholders' equity. The Equity Ratio is 55.33%, suggesting a stable asset base supported by equity. Overall, the company maintains a strong balance between debt and equity, although there is room for improvement in reducing debt levels.
Cash Flow
80
Positive
Boston Scientific exhibits strong cash flow management with a Free Cash Flow growth rate of 8.62%, indicating improved cash generation. The Operating Cash Flow to Net Income ratio is 1.88, demonstrating the company's ability to convert income into cash efficiently. The Free Cash Flow to Net Income ratio is 1.41, reflecting good cash flow productivity. Overall, the company shows robust cash flow health, supporting its financial stability and operational needs.
BreakdownDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue16.75B14.24B12.68B11.89B9.91B
Gross Profit11.49B9.89B8.68B8.13B6.40B
EBITDA3.86B3.45B2.74B2.52B1.51B
Net Income1.85B1.59B698.00M1.04B-140.00M
Balance Sheet
Total Assets39.40B35.14B32.47B32.23B30.78B
Cash, Cash Equivalents and Short-Term Investments414.00M865.00M928.00M1.93B1.73B
Total Debt11.15B9.49B9.28B9.45B9.54B
Total Liabilities17.39B15.61B14.90B15.61B15.45B
Stockholders Equity21.77B19.28B17.57B16.62B15.33B
Cash Flow
Free Cash Flow2.65B1.70B914.00M1.32B1.13B
Operating Cash Flow3.44B2.50B1.53B1.87B1.51B
Investing Cash Flow-5.69B-2.57B-2.01B-1.60B-411.00M
Financing Cash Flow1.81B5.00M-548.00M-95.00M293.00M

Boston Scientific Technical Analysis

Technical Analysis Sentiment
Positive
Last Price106.14
Price Trends
50DMA
103.67
Positive
100DMA
101.46
Positive
200DMA
97.44
Positive
Market Momentum
MACD
0.69
Negative
RSI
57.27
Neutral
STOCH
66.52
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For BSX, the sentiment is Positive. The current price of 106.14 is above the 20-day moving average (MA) of 104.46, above the 50-day MA of 103.67, and above the 200-day MA of 97.44, indicating a bullish trend. The MACD of 0.69 indicates Negative momentum. The RSI at 57.27 is Neutral, neither overbought nor oversold. The STOCH value of 66.52 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive 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 (65)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
81
Outperform
$151.59B53.5314.26%0.82%10.76%-15.22%
80
Outperform
$157.13B63.319.65%21.45%36.19%
78
Outperform
$34.89B66.8023.72%9.11%-17.87%
77
Outperform
$118.29B25.549.49%3.02%3.62%31.18%
73
Outperform
$218.59B15.7430.66%1.83%5.85%
71
Outperform
$44.46B54.9016.73%-5.23%-40.13%
65
Neutral
¥354.70B11.38-2.99%2.49%11.76%-10.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
BSX
Boston Scientific
106.14
30.55
40.42%
ABT
Abbott Laboratories
126.54
23.75
23.11%
DXCM
Dexcom
88.99
21.51
31.88%
EW
Edwards Lifesciences
80.00
16.26
25.51%
MDT
Medtronic
92.94
15.51
20.03%
SYK
Stryker
403.53
73.23
22.17%

Boston Scientific Corporate Events

Product-Related AnnouncementsBusiness Operations and StrategyRegulatory Filings and Compliance
Boston Scientific Discontinues Aortic Valve Systems
Negative
May 28, 2025

On May 28, 2025, Boston Scientific announced the discontinuation of its ACURATE neo2™ and ACURATE Prime™ Aortic Valve Systems, ceasing global sales and halting pursuit of FDA approval due to increased regulatory demands. Despite the financial implications, the company expects to meet its sales and earnings guidance for 2025, though it is withholding reaffirmation of its GAAP EPS guidance until further updates in its second quarter earnings call.

The most recent analyst rating on (BSX) stock is a Buy with a $113.00 price target. To see the full list of analyst forecasts on Boston Scientific stock, see the BSX Stock Forecast page.

Executive/Board ChangesShareholder MeetingsBusiness Operations and Strategy
Boston Scientific Stockholders Approve Key Governance Proposals
Positive
May 6, 2025

On May 1, 2025, Boston Scientific held its Annual Meeting of Stockholders virtually, where all 10 director nominees were elected for a one-year term. Additionally, stockholders approved the compensation for the company’s Named Executive Officers, ratified the appointment of Ernst & Young LLP as the independent public accounting firm for 2025, and supported a proposal for a simple majority vote, indicating strong shareholder engagement and support for the company’s governance and strategic direction.

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 24, 2025