Boston Scientific operates within two main segments: Cardiovascular and MedSurg. In FY 24, the Cardiovascular segment accounted for 64.2% of total sales, with Cardiology contributing 49.8% and Peripheral Interventions adding 14.4%. The MedSurg segment made up 35.8% of total sales, with Endoscopy representing 16%, Urology 13.1%, and Neuromodulation 6.6%. Geographically, the company's revenue distribution is as follows: the US (61%), Europe/Middle East/Africa (19.3%), Asia/Pacific (16%), and Latin America/the Caribbean (3.7%).

Analysts adjust target prices

Boston Scientific released its Q1 25 results on April 23, 2025, with revenue up 20.7% y/y, reaching $4,660m, driven by increased market penetration and advanced medical devices and technologies. Operating income rose by 35.2% to $937m, with margins expanding by 215bp to 20.1%. Net profit increased by 36.4% to $674m. Notably, the company marked the seventh consecutive quarter surpassing analyst revenue expectations. Following the announcement, the stock experienced a 4% uptick. In response, Jefferies adjusted its stock price target to $125, while Leerink Partners raised theirs to $118.

Strategic agreement

Boston Scientific has entered into an agreement with Bittium to acquire electrocardiogram (ECG) measuring devices for monitoring cardiac arrhythmias. The deal, worth between $30m and $45m, depending on its scope and implementation, will see revenue recognized gradually from 2025 to 2028. In addition, Boston Scientific and Bittium Biosignals will continue their collaborative efforts in the joint development of customized ECG technologies, further enhancing our capabilities in cardiac care.

Notable improvement in ROE

Boston Scientific has posted a strong revenue CAGR of 12.1% over FY 21-24, reaching $16.8bn, driven by product portfolio enhancement through innovative medical devices. Operating income rose at a CAGR of 18.1% over the same period to $3bn in FY 24, with margin expanding by 103bp to 17.9%. Net income rose at a CAGR of 21.2% to $1.9bn in FY 24.

Strong performance led cash from operations to rise from $1.9bn to $3.4bn over the last three years (FY 21-24). Total debt increased from $9.5bn to $11.2bn by end-FY 24. Consequently, the gearing ratio improved from 57.3% to 51%. Moreover, ROE improved from 6.5% to 8.9% in FY 24.

In comparison, the company’s local peer Intuitive Surgical, Inc., rose with a revenue CAGR of 13.5% over FY 21-24, reaching $8.4bn in FY 24. Operating income grew at a CAGR of 9.2% to $2.4bn. Net income rose at a CAGR of 10.9%, reaching $2.3bn.

Looking ahead, analysts anticipated revenue CAGR of 12.2% over FY 24-27, reaching $23.7bn. In addition, analysts expect EBIT CAGR of 14.2% to $6.7bn, with margins expanding 146bp to 28.5% in FY 27. Net income CAGR of 30.5% to $4.1bn. Likewise, analysts estimate an EBIT CAGR of 15.3% and a net profit CAGR of 13.1% for Intuitive Surgical.

Promising analyst ratings

Over the past year, the company's stock has delivered impressive returns of approximately 35.7%, thanks to a strong earnings trajectory. In comparison, Intuitive Surgical’s stock delivered lower returns of about 21.9% over the same period.

Boston Scientific is currently trading at a P/E of 54.3x, based on FY 25 estimated EPS of $1.9. This is lower than its 3-year historical average of 76.2x and Intuitive Surgical’s valuation of 74.5x. Likewise, the company is currently trading at an EV/EBIT multiple of 30x, based on FY 25 estimated EBIT of $5,393m, which is lower than its 3-year historical average of 26.4x and that of Intuitive Surgical (54.5x).

Boston Scientific is almost universally liked by 34 analysts; 23 of them have ‘Buy’ ratings, eight of them have ‘Outperform’ ratings and three have ‘Hold’ rating, with an average target price of $117.6, implying 12.9% upside potential.

Overall, the company reported strong Q1 25 results, with significant revenue and profit growth driven by product innovation and market expansion. The company’s consistent performance and strategic initiatives have positioned the company for continued growth and success. With strong financial results, innovative product development, and promising partnerships, the company is well-equipped to maintain its upward trajectory.

However, Boston Scientific encounters several risks that could impact its operations and growth. Regulatory adherence may delay product launches and affect revenue. Intense market competition pressures pricing and market share. Product liability claims pose financial and reputational threats. Continuous R&D investment is crucial for innovation and maintaining a competitive edge.

https://www.marketscreener.com/quote/stock/BOSTON-SCIENTIFIC-CORPORA-11935/news/Boston-Scientific-exceeds-analysts-estimates-for-seven-straight-quarters-50340583/