BOSTON SCIENTIFIC CORP (BSX) Stock Analysis

BOSTON SCIENTIFIC CORP (BSX) Stock Analysis

Analysis from 10-Q filed 2025-11-03. Data as of Q4 2025.

Overall Grade: F (Concerning)

BOSTON SCIENTIFIC CORP faces challenges in financial performance that warrant careful analysis.

Metric Value Context
ROIC 10.3% Near cost of capital
FCF Margin 18.2% Strong cash generation
Debt/Equity 0.5x Conservative leverage

Investment Thesis: Healthy free cash flow margin of 18.2% provides financial flexibility for growth and shareholder returns.

Explore BOSTON SCIENTIFIC CORP: Earnings History | Filing Intelligence | ROIC Analysis


Profitability: BOSTON SCIENTIFIC CORP earns 10.3% ROIC, Top 25% in Healthcare

BOSTON SCIENTIFIC CORP's trailing-twelve-month ROIC of 10.3% ranks Top 25% in Healthcare companies (sector median: -3.9%), driven by NOPAT margin of 15.4% combined with asset turnover of 0.5x. Source: 10-Q filed 2025-11-03. Gross margin of 69.0% with operating margin at 18.0% reflects strong pricing power.

Metric BSX Rating Context
Return on Invested Capital (ROIC) 10.3% Adequate Above sector median of -3.9%
Return on Equity (ROE) 12.7% Adequate Moderate equity returns
Gross Margin 69.0% Excellent Strong pricing power
Operating Margin 18.0% Good Efficient operations

Cash Flow: BOSTON SCIENTIFIC CORP generates $3.7B FCF at 18.2% margin, positive NaN/8 quarters

BOSTON SCIENTIFIC CORP generated $3.7B in free cash flow (TTM), a 18.2% FCF margin, a margin that ranks Top 5% in Healthcare. Operating cash flow exceeds net income by 1.6x, indicating high earnings quality. FCF was positive in N/A of the last 8 quarters. Source: 10-Q filed 2025-11-03.

Metric BSX Rating Context
Free Cash Flow Margin 18.2% Good Excellent cash conversion
Free Cash Flow (TTM) $3.7B Good Positive cash generation
OCF/Net Income 1.6x Excellent High earnings quality
FCF Consistency (8Q) N/A Warning Variable cash flow

Balance Sheet: BOSTON SCIENTIFIC CORP at 0.5x leverage

BOSTON SCIENTIFIC CORP's debt-to-equity ratio of 0.5x reflects moderate leverage. Total debt of $11.4B offset by $2.1B in cash. Source: 10-Q filed 2025-11-03.

Metric BSX Rating Context
Debt to Equity 0.5x Good Conservative capital structure
Net Cash Position $-9.3B Warning Net debt position

Valuation: BOSTON SCIENTIFIC CORP trades at 48.4x earnings

BOSTON SCIENTIFIC CORP trades at a P/E of 48.4x. Free cash flow yield of 2.6% reflects market expectations for growth.

Metric BSX Rating Context
P/E Ratio 48.4x Adequate Premium valuation
EV/Sales 7.5x Adequate Growth premium priced in
FCF Yield 2.6% Adequate Lower cash yield

Capital Allocation: BOSTON SCIENTIFIC CORP returns 0.0% shareholder yield

BOSTON SCIENTIFIC CORP's total shareholder yield is 0.0% (dividends + buybacks). Source: 10-Q filed 2025-11-03.

Metric BSX Rating Context
Total Shareholder Yield 0.0% Warning Dividend + buyback yield combined
Total Capital Returned (TTM) $0 Adequate Dividends + buybacks returned to shareholders

Sector Rankings

Metric Value Percentile vs Median
Return on Invested Capital (ROIC) 10.3% Top 25% -
Free Cash Flow Margin 18.2% Top 5% -
Gross Margin 69.0% Top 50% 1.1x above
Operating Margin 18.0% Top 25% 9.4x above
Return on Equity (ROE) 12.7% Top 25% -
P/E Ratio 48.4x N/A -

Financial Scorecard

Metric BSX Rating Sector Context
Return on Invested Capital (ROIC) 10.3% Adequate Top 25% of sector (median: -3.9%)
Free Cash Flow Margin 18.2% Good Top 5% of sector (median: 0.0%)
Gross Margin 69.0% Excellent Top 50% of sector (median: 64.0%)
Debt to Equity Ratio 47.2% Good Moderate leverage
P/E Ratio (Price-to-Earnings) 48.4x Adequate High expectations priced in
Free Cash Flow Yield 2.6% Warning Growth-focused valuation

Frequently Asked Questions

Q: What is BOSTON SCIENTIFIC CORP's Return on Invested Capital (ROIC)?

BOSTON SCIENTIFIC CORP (BSX) has a trailing twelve-month Return on Invested Capital (ROIC) of 10.3%. This compares above the sector median of -3.9%. An ROIC near 8-12% is approximately the cost of capital for most companies.

Q: What is BOSTON SCIENTIFIC CORP's Free Cash Flow Margin?

BOSTON SCIENTIFIC CORP (BSX) has a free cash flow margin of 18.2%, generating $3.7 billion in free cash flow over the trailing twelve months. A FCF margin between 10-20% represents healthy cash generation for most industries.

Q: Is BOSTON SCIENTIFIC CORP stock overvalued or undervalued?

BOSTON SCIENTIFIC CORP (BSX) trades at a P/E ratio of 48.4x, which is above the sector median of N/A. The EV/Sales multiple is 7.5x. Free cash flow yield is 2.6%, reflecting growth expectations priced into the stock.

Q: What is BOSTON SCIENTIFIC CORP's revenue and earnings growth?

BOSTON SCIENTIFIC CORP (BSX) grew revenue by 19.9% year-over-year. Earnings per share increased by 55.2% compared to the prior year. Solid growth above 10% suggests healthy business momentum.

Q: How does BOSTON SCIENTIFIC CORP compare to competitors in Healthcare?

Compared to other companies in Healthcare, BOSTON SCIENTIFIC CORP (BSX) shows: ROIC of 10.3% is above the sector median of -3.9% (Top 25%). FCF margin of 18.2% exceeds the sector median of 0.0% (Top 0% of sector). Gross margin at 69.0% is 5.1 percentage points higher than sector peers. These rankings are based on MetricDuck's analysis of all Healthcare companies with available SEC filings.

Q: What warning signs should I watch for with BOSTON SCIENTIFIC CORP?

BOSTON SCIENTIFIC CORP (BSX) shows no major financial warning signs based on current metrics. However, investors should always monitor: 1) Margin compression trends, 2) Cash flow consistency, 3) Debt levels relative to cash generation, and 4) Changes in competitive positioning.


Data Source: Data sourced from 10-Q filed 2025-11-03. TTM metrics as of Q4 2025.

Methodology: Financial metrics calculated from SEC 10-K and 10-Q filings using standardized formulas. Sector comparisons use peer group based on SIC code.

Scope: This analysis covers SEC filing fundamentals — profitability, cash flow, balance sheet, and valuation metrics. For analyst estimates and price targets, consult sell-side research.

This analysis is for informational purposes only and does not constitute investment advice.