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Boston Scientific (BSX) Stock Fundamentals, Analysis & Risk Signals

Health score, competitive moat, risk signals, and key metrics at a glance.

NYSE•Healthcare•Medical Devices
A
ExcellentMetricSide Score: 87/100
ProfitabilityProfit25/30
GrowthGrowth25/25
Balance SheetBalance21/25
Cash QualityCash16/20
Price & Volume
Market Cap $67.03B

Boston Scientific Corporation develops, manufactures, and markets medical devices for use in various interventional medical specialties worldwide. The company operates in two segments, MedSurg and Cardiovascular. It offers devices to diagnose and treat a range of gastrointestinal conditions, such as resolution clips, biliary stent systems, stents and electrocautery enhanced delivery systems, SpyGlass, single-use scopes used for diagnostic and therapeutic procedures in the pancreaticobiliary system, in endoscopic retrograde cholangiopancreatography procedures, and single-use duodenoscopes, as well as endoluminal surgery and infection prevention products; devices to treat urological conditions, including ureteral stents, catheters, baskets, guidewires, urinary and bowel dysfunction, sheaths, balloons, single-use digital flexible ureteroscopes, holmium laser systems, penile implants, artificial urinary sphincter, laser system, and hydrogel systems; and devices to treat neurological movement disorders and manage chronic pain, such as spinal cord stimulator systems, radiofrequency ablation, and intraosseous nerve ablation and deep brain stimulation systems. The company also provides technologies for diagnosing and treating a range of diseases and abnormalities of the heart; WATCHMAN FLX, a left atrial appendage closure (LAAC) device; and implantable devices that monitor the heart and deliver electricity to treat cardiac abnormalities, such as cardioverter and cardiac resynchronization therapy defibrillators, MRI S-ICD systems, cardiac resynchronization therapy pacemakers, remote patient management systems, insertable cardiac monitor systems, and remote cardiac monitoring systems. In addition, it offers diagnosis and treatment of rate and rhythm disorders of the heart; peripheral arterial and venous diseases; and products to diagnose and treat forms of cancer. The company was incorporated in 1979 and is headquartered in Marlborough, Massachusetts.

Moat Signals

Competitive analysis based on 66 quarters of fundamental data

Pricing Power

Strong Moat

Operating margins are expanding at ~17.3%, suggesting durable pricing power and cost discipline.

Competitive Advantage

Moderate Moat

ROE is positive at ~10.6% on average, adequate but below the threshold typically associated with wide moats.

Cash Generation

Strong Moat

Free cash flow is consistently positive and growing — a hallmark of a capital-light business that can self-fund growth.

Demand Durability

Strong Moat

TTM revenue has grown consistently (7 of 7 quarters up), with ~35.4% growth over the period. Strong demand durability.

Risk Signals

Data-driven red flags and warnings across 66 quarters

Low Risk

Margin Pressure

Healthy

Margins are stable or improving at ~18.4% — no sign of cost or pricing stress.

Earnings Quality

Healthy

FCF covers net income by 1.4x on average — earnings are well-supported by cash generation.

Leverage Risk

Healthy

D/E ratio is 0.4 — conservative capital structure with low financial risk.

Revenue Decline

Healthy

Revenue is stable or growing over recent quarters — demand appears durable.

Cash Burn

Healthy

Free cash flow is consistently positive — the business self-funds without external capital reliance.

Share Dilution

Healthy

Share count is stable — no significant dilution or buyback activity.

Metrics at a Glance

as of March 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue
$20.61B
17.4%
Q. Revenue
$5.20B
TTM EBITDA
$5.19B
25.3%
TTM Op. Income
$3.79B
33.1%
Q. Op. Income
$1.10B
TTM Net Income
$3.56B
75.8%
Q. Net Income
$1.34B
EPS
$0.9
Shares Out.
$1.48B
0.5%
$20.61B in TTM revenue grew 17.4% YoY, reaching $5.20B last quarter. TTM EBITDA of $5.19B and TTM operating income of $3.79B shows growth is flowing through. Net income of $3.56B TTM confirms the company is converting revenue into profit. Revenue is growing at a healthy pace — a signal to hold.

Margins

Gross, EBITDA, operating, and net margin trends

Gross Margin
69.5%
0.9%
EBITDA Margin
27.9%
Op. Margin
21.2%
7.1%
Net Margin
25.7%
78.6%
Op. margin of 21.2% is up 1.4% YoY — cost efficiency is improving. Net margin at 25.7% and gross margin of 69.5% — earnings take a bigger bite when COGS stays lean..

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio
18.8x
P/S Ratio
3.3x
P/B Ratio
2.6x
At 18.8x P/E, the stock trades in line with market averages — fairly valued. P/S of 3.3x and P/B of 2.6x provide additional context. Assess whether the current multiple is justified by the company's growth and profitability trajectory.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets
$44.35B
Cash
$1.45B
Long-Term Debt
$10.99B
Book Value
$25.62B
D/E Ratio
0.4
Debt/EBITDA
7.6
With $44.35B in assets and $10.99B in long-term debt, the D/E of 0.4and book value of $25.62B — shows a conservative capital structure — the company has a strong financial cushion to weather downturns.

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow
$348.00M
Free Cash Flow
$171.00M
51.7%
FCF Margin
0.8%
FCF / Net Income
0.1
FCF of $171.00M on $348.00M in operating cash flow. The FCF / Net Income ratio of 0.0x indicates partial cash conversion — earnings quality needs attention.

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