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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:73Outperform
Price Target:
$115.00
▲(11.47% Upside)
Boston Scientific's overall stock score reflects strong financial performance and a positive earnings call, highlighting robust growth and strategic initiatives. However, the high P/E ratio suggests potential overvaluation, and mixed technical indicators indicate a cautious outlook. The discontinuation of the ACURATE valve systems presents a challenge, but the company's increased guidance and strategic focus on high-demand segments support a favorable long-term perspective.
Positive Factors
Earnings
Boston Scientific reported Q2 revenue and EPS ahead of expectations due to strong performance in PFA and Watchman products.
Growth Outlook
BSX raised its 2025 organic growth guidance to 14-15%, which is higher than previous estimates.
Product Innovation
The label expansion for Watchman to include the option to use Intracardiac Echocardiography (ICE) can materially speed up the procedure as it removes the need for general anesthesia.
Negative Factors
Product Advisory
Boston Scientific issued a physician advisory letter highlighting calcification risk in older-generation ePTFE-coated ENDOTAK RELIANCE defibrillation leads.
Product Discontinuation
Management anticipates an impact on Interventional Cardiology due to the neo2 discontinuation.
Sales Impact
The adjusted income statement had a $100m impact in Q2 with the majority of this being inventory charges and the rest being sales returns.

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 across multiple therapeutic areas. The company’s revenue model is primarily based on direct sales to hospitals, healthcare facilities, and clinics, as well as through partnerships with various distributors. Key revenue streams include sales from cardiovascular devices, which encompass coronary and peripheral interventions, as well as rhythm management products such as implantable cardioverter-defibrillators and pacemakers. Additionally, Boston Scientific benefits from recurring revenue through the sale of consumable products and accessories needed for procedures using their devices. The company also invests in research and development to innovate and expand its product offerings, which can lead to increased market share and revenue growth. Strategic partnerships with healthcare providers and co-development agreements with other medical technology firms further enhance its revenue potential by broadening its product portfolio and market reach.

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 experiencing robust growth, significantly contributing to the company's overall performance, driven by high demand for products like FARAPULSE and WATCHMAN. Despite challenges in the Urology segment due to supply chain issues, the company raised its full-year guidance, reflecting confidence in continued growth. The earnings call emphasized strong revenue growth and strategic investments in R&D, indicating a positive outlook despite regional challenges and product discontinuations.
Data provided by:Main Street Data

Boston Scientific Earnings Call Summary

Earnings Call Date:Jul 23, 2025
(Q2-2025)
|
% Change Since: <0.01%|
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 strong financial performance with consistent revenue growth, solid profitability, and efficient cash flow management. The company's balanced approach between leveraging debt and maximizing equity returns supports its strategic growth initiatives in the medical devices sector. However, attention to further debt reduction could enhance financial 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.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue17.55B16.75B14.24B12.68B11.89B9.91B
Gross Profit10.85B10.27B8.83B7.71B7.46B5.58B
EBITDA4.16B3.94B3.45B2.74B2.52B1.51B
Net Income2.03B1.85B1.59B698.00M1.04B-82.00M
Balance Sheet
Total Assets40.14B39.40B35.14B32.47B32.23B30.78B
Cash, Cash Equivalents and Short-Term Investments725.00M414.00M865.00M928.00M1.93B1.73B
Total Debt11.71B11.15B9.49B9.28B9.45B9.54B
Total Liabilities17.69B17.39B15.61B14.90B15.61B15.45B
Stockholders Equity22.21B21.77B19.28B17.57B16.62B15.33B
Cash Flow
Free Cash Flow2.87B2.65B1.70B914.00M1.32B1.13B
Operating Cash Flow3.81B3.44B2.50B1.53B1.87B1.51B
Investing Cash Flow-5.90B-5.69B-2.57B-2.01B-1.60B-411.00M
Financing Cash Flow478.00M1.81B5.00M-548.00M-95.00M293.00M

Boston Scientific Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price103.17
Price Trends
50DMA
103.56
Negative
100DMA
102.20
Positive
200DMA
98.77
Positive
Market Momentum
MACD
-0.30
Positive
RSI
46.37
Neutral
STOCH
32.28
Neutral
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 103.17 is below the 20-day moving average (MA) of 104.62, below the 50-day MA of 103.56, and above the 200-day MA of 98.77, indicating a neutral trend. The MACD of -0.30 indicates Positive momentum. The RSI at 46.37 is Neutral, neither overbought nor oversold. The STOCH value of 32.28 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 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 (60)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
79
Outperform
$225.01B16.1731.01%1.76%5.85%152.28%
77
Outperform
$117.85B25.459.49%3.02%3.62%31.18%
76
Outperform
$45.90B53.4315.71%-5.23%-39.83%
73
Outperform
$154.32B61.4011.71%21.45%36.19%
73
Outperform
$31.36B56.6722.83%9.30%-14.95%
72
Outperform
$146.01B50.5414.25%0.87%11.36%-15.66%
60
Neutral
HK$18.32B5.45-4.00%3.31%9.92%-18.97%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
BSX
Boston Scientific
103.17
24.49
31.13%
ABT
Abbott Laboratories
131.75
21.96
20.00%
DXCM
Dexcom
80.95
3.26
4.20%
EW
Edwards Lifesciences
78.26
10.00
14.65%
MDT
Medtronic
93.02
10.92
13.30%
SYK
Stryker
381.91
43.90
12.99%

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.

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: Aug 15, 2025