Boston Scientific Corporation (BSX) Cash Flow Statement
Where BSX’s cash came from and went, 2025
December 31, 2025 · U.S. dollars- Cash from operations
- $4.53B +32.0% vs 2024
- Capital expenditures
- $876.0M 4.4% of revenue
- Free cash flow
- $3.66B 18.2% margin
- Returned to shareholders
- —
- Change in cash
- $1.54B cash at year-end $2.15B
Cash from operations
$4.53B
Capital expenditures
−$876.0M
Acquisitions & other
−$1.76B
Share buybacks (net)
+$282.0M
Net borrowing (repayment)
−$491.0M
Other financing
−$186.0M
Currency & other
+$42.0M
Change in cash
$1.54B
Drawn to scale: where the cash came from and how it was used. Hover for values.
BSX operating cash flow, capex and free cash flow
Operating cash flowCapital expendituresFree cash flowFCF margin (right axis)
BSX cash flow trends, 2016–2025
| Metric | Trend | Then | Latest | Change |
|---|---|---|---|---|
| Operating cash flow | $972.0M2016 | $4.53B2025 | +18.7%/yr | |
| Capital expenditures | $376.0M2016 | $876.0M2025 | +9.9%/yr | |
| Free cash flow | $596.0M2016 | $3.66B2025 | +22.3%/yr | |
| Free cash flow margin | 7.1%2016 | 18.2%2025 | +11.1 pts | |
| Operating cash flow / net income | 2.802016 | 1.572025 | −1.23 | |
| Stock-based compensation | $116.0M2016 | $299.0M2025 | +11.1%/yr | |
| Dividends paid | $02016 | $02024 | — | |
| Share buybacks (net) | $02016 | $02025 | — | |
| Capex / revenue | 4.5%2016 | 4.4%2025 | −0.1 pts |
Change is the average annual growth (CAGR) or the difference between the first and latest year.
BSX cash flow by activity
OperatingInvestingFinancingChange in cash
BSX net income vs operating cash flow
Net incomeOperating cash flow
Operating cash flow above net income usually means earnings are backed by cash (depreciation and stock-based pay are non-cash expenses).
BSX cash flow statement
| 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | |
|---|---|---|---|---|---|---|---|---|---|---|
| Operating activities | ||||||||||
| Net income | $2.89B | $1.85B | $1.59B | $698.0M | $1.04B | −$82.0M | $4.70B | $1.67B | $104.0M | $347.0M |
| Depreciation & amortization | $1.37B | $1.27B | $1.20B | $1.14B | $1.09B | $1.12B | $1.01B | $894.0M | $844.0M | $815.0M |
| Stock-based compensation | $299.0M | $266.0M | $233.0M | $220.0M | $194.0M | $170.0M | $157.0M | $140.0M | $127.0M | $116.0M |
| Change in working capital | −$246.0M | −$462.0M | −$770.0M | −$1.00B | −$351.0M | $42.0M | −$282.0M | −$2.16B | $66.0M | −$4.0M |
| Other non-cash items | $221.0M | $516.0M | $252.0M | $477.0M | −$107.0M | $255.0M | −$3.75B | −$235.0M | $285.0M | −$302.0M |
| Cash from operating activities | $4.53B | $3.44B | $2.50B | $1.53B | $1.87B | $1.51B | $1.84B | $310.0M | $1.43B | $972.0M |
| Investing activities | ||||||||||
| Capital expenditures | −$876.0M | −$790.0M | −$800.0M | −$612.0M | −$554.0M | −$376.0M | −$461.0M | −$316.0M | −$319.0M | −$376.0M |
| Investments (net) | — | −$5.69B | −$1.70B | $56.0M | $15.0M | −$146.0M | −$348.0M | −$172.0M | −$131.0M | −$132.0M |
| Acquisitions & other investing | −$1.76B | $790.0M | −$70.0M | −$1.46B | −$1.06B | $111.0M | −$4.23B | −$1.43B | −$560.0M | −$379.0M |
| Cash from investing activities | −$2.64B | −$5.69B | −$2.57B | −$2.01B | −$1.60B | −$411.0M | −$5.04B | −$1.92B | −$1.01B | −$887.0M |
| Financing activities | ||||||||||
| Dividends paid | — | $0 | −$28.0M | −$55.0M | −$55.0M | −$28.0M | −$28.0M | −$28.0M | −$28.0M | $0 |
| Share repurchases & issuance (net) | $282.0M | $230.0M | $182.0M | $136.0M | $110.0M | −$535.0M | $123.0M | $101.0M | $85.0M | $111.0M |
| Net borrowing (repayment) | −$491.0M | $1.83B | −$4.0M | −$165.0M | −$165.0M | −$999.0M | $2.79B | $1.41B | $123.0M | −$190.0M |
| Shares issued | $0 | $0 | $0 | $0 | $0 | $1.95B | $123.0M | $101.0M | $0 | $0 |
| Other financing | −$186.0M | −$243.0M | −$145.0M | −$464.0M | $15.0M | −$95.0M | −$39.0M | −$147.0M | −$70.0M | −$127.0M |
| Cash from financing activities | −$395.0M | $1.81B | $5.0M | −$548.0M | −$95.0M | $293.0M | $2.97B | $1.43B | $110.0M | −$206.0M |
| Summary | ||||||||||
| Net change in cash | $1.54B | −$449.0M | −$82.0M | −$1.04B | $173.0M | $1.39B | −$222.0M | −$190.0M | $530.0M | −$123.0M |
| Cash at end of period | $2.15B | $606.0M | $995.0M | $1.13B | $2.17B | $2.00B | $607.0M | $829.0M | $1.02B | $196.0M |
| Free cash flow | $3.66B | $2.65B | $1.70B | $914.0M | $1.32B | $1.13B | $1.38B | −$6.0M | $1.11B | $596.0M |
| Free cash flow margin | 18.2% | 15.8% | 12.0% | 7.2% | 11.1% | 11.4% | 12.8% | −0.1% | 12.2% | 7.1% |
| Capex / revenue | 4.4% | 4.7% | 5.6% | 4.8% | 4.7% | 3.8% | 4.3% | 3.2% | 3.5% | 4.5% |
| Operating cash flow / net income | 1.57 | 1.86 | 1.57 | 2.19 | 1.80 | — | 0.39 | 0.19 | 13.71 | 2.80 |
| Jun '26 | Mar '26 | Dec '25 | Sep '25 | Jun '25 | Mar '25 | Dec '24 | Sep '24 | Jun '24 | Mar '24 | Dec '23 | Sep '23 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Operating activities | ||||||||||||
| Net income | $904.0M | $1.34B | $672.0M | $755.0M | $795.0M | $672.0M | $562.0M | $700.0M | $324.0M | $493.0M | $504.0M | $504.0M |
| Depreciation & amortization | $355.0M | $351.0M | $365.0M | $342.0M | $336.0M | $325.0M | $348.0M | $306.0M | $311.0M | $304.0M | $313.0M | $300.0M |
| Stock-based compensation | $87.0M | $83.0M | $71.0M | $79.0M | $75.0M | $74.0M | $69.0M | −$61.0M | $195.0M | $63.0M | $59.0M | $59.0M |
| Change in working capital | $74.0M | −$915.0M | $155.0M | $44.0M | $233.0M | −$678.0M | $324.0M | $166.0M | −$209.0M | −$743.0M | −$57.0M | −$176.0M |
| Other non-cash items | $54.0M | −$512.0M | $101.0M | $123.0M | −$153.0M | $148.0M | $153.0M | −$109.0M | $192.0M | $47.0M | $138.0M | $11.0M |
| Cash from operating activities | $1.47B | $348.0M | $1.36B | $1.34B | $1.29B | $541.0M | $1.46B | $1.00B | $813.0M | $164.0M | $957.0M | $698.0M |
| Investing activities | ||||||||||||
| Capital expenditures | −$195.0M | −$177.0M | −$351.0M | −$181.0M | −$190.0M | −$187.0M | −$293.0M | −$304.0M | −$155.0M | −$245.0M | −$267.0M | −$206.0M |
| Investments (net) | — | — | — | $14.0M | −$1.13B | −$500.0M | −$3.70B | −$1.43B | −$271.0M | −$285.0M | −$1.05B | −$197.0M |
| Acquisitions & other investing | −$1.76B | −$414.0M | −$161.0M | −$335.0M | $190.0M | $187.0M | $293.0M | $304.0M | $155.0M | $245.0M | $267.0M | $206.0M |
| Cash from investing activities | −$1.96B | −$591.0M | −$512.0M | −$502.0M | −$1.13B | −$500.0M | −$3.70B | −$1.43B | −$271.0M | −$285.0M | −$1.05B | −$197.0M |
| Financing activities | ||||||||||||
| Dividends paid | — | — | — | — | — | — | $0 | −$23.0M | $0 | $0 | −$17.0M | −$28.0M |
| Share repurchases & issuance (net) | −$2.00B | — | $282.0M | $262.0M | $147.0M | $115.0M | $230.0M | −$63.0M | — | $80.0M | $119.0M | $165.0M |
| Net borrowing (repayment) | $1.66B | −$259.0M | −$209.0M | −$215.0M | −$314.0M | $247.0M | $189.0M | $0 | — | — | — | −$41.0M |
| Shares issued | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Other financing | −$72.0M | −$1.0M | −$257.0M | −$151.0M | −$173.0M | −$129.0M | −$205.0M | $93.0M | $24.0M | $1.49B | −$87.0M | −$80.0M |
| Cash from financing activities | −$410.0M | −$260.0M | −$184.0M | −$104.0M | −$340.0M | $233.0M | $214.0M | $7.0M | $24.0M | $1.57B | $15.0M | $16.0M |
| Summary | ||||||||||||
| Net change in cash | −$890.0M | −$521.0M | $672.0M | $730.0M | −$178.0M | $313.0M | −$2.04B | −$413.0M | $566.0M | $1.44B | −$77.0M | $512.0M |
| Cash at end of period | $753.0M | $1.52B | $2.04B | $1.37B | $741.0M | $919.0M | $606.0M | $2.65B | $2.99B | $2.50B | $1.05B | $1.13B |
| Free cash flow | $1.28B | $171.0M | $1.01B | $1.16B | $1.10B | $354.0M | $1.16B | $698.0M | $658.0M | −$81.0M | $690.0M | $492.0M |
| Free cash flow margin | 23.5% | 3.3% | 19.2% | 22.9% | 21.7% | 7.6% | 25.5% | 16.6% | 16.0% | −2.1% | 18.5% | 13.9% |
| Capex / revenue | 3.6% | 3.4% | 6.6% | 3.6% | 3.8% | 4.0% | 6.4% | 7.2% | 3.8% | 6.4% | 7.2% | 5.8% |
| Operating cash flow / net income | 1.63 | 0.26 | 2.03 | 1.78 | 1.62 | 0.81 | 2.59 | 1.43 | 2.51 | 0.33 | 1.90 | 1.38 |
Negative numbers are cash paid out. Quarterly columns are labeled by the month the quarter ended. Figures in U.S. dollars as reported; data from EODHD.
BSX cash generation
In fiscal 2025 (ended December 31, 2025), Boston Scientific generated $4.5 billion of cash from operations (up 32.0%) and spent $876.0 million on capital expenditures, leaving free cash flow of $3.7 billion, 18.2% of revenue. Cash and equivalents rose by $1.5 billion over the year.
Related: BSX income statement, BSX balance sheet. See the BSX stock overview for the latest quote and news.
BSX cash flow FAQ
What is Boston Scientific's free cash flow?
Boston Scientific's free cash flow was $3.7 billion in fiscal 2025: $4.5 billion of operating cash flow minus $876.0 million of capital expenditures It was $2.6 billion a year earlier..
How much cash does Boston Scientific generate from operations?
Boston Scientific generated $4.5 billion of cash from operating activities in fiscal 2025, 1.57 times its net income of $2.9 billion.
How much does Boston Scientific spend on capital expenditures?
Boston Scientific spent $876.0 million on capital expenditures in fiscal 2025, 4.4% of revenue, compared with $790.0 million the year before.