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Side-by-side financial comparison of Boston Scientific (BSX) and Cognizant (CTSH). Click either name above to swap in a different company.

Cognizant is the larger business by last-quarter revenue ($5.3B vs $5.2B, roughly 1.0× Boston Scientific). Boston Scientific runs the higher net margin — 25.7% vs 12.2%, a 13.6% gap on every dollar of revenue. On growth, Boston Scientific posted the faster year-over-year revenue change (11.6% vs -73.0%). Over the past eight quarters, Boston Scientific's revenue compounded faster (12.4% CAGR vs 4.9%).

Boston Scientific Corporation (BSC) is an American biotechnology and biomedical engineering firm and multinational manufacturer of medical devices used in interventional medical specialties, including interventional radiology, interventional cardiology, peripheral interventions, neuromodulation, neurovascular intervention, electrophysiology, cardiac surgery, vascular surgery, endoscopy, oncology, urology and gynecology.

Cognizant Technology Solutions Corporation is an American multinational information technology consulting and outsourcing company originally founded in India. It is headquartered in Teaneck, New Jersey, United States. Cognizant is part of the NASDAQ-100 and trades under CTSH. It was founded in Chennai, India, as an in-house technology unit of Dun & Bradstreet in 1994, and started serving external clients in 1996.

BSX vs CTSH — Head-to-Head

Bigger by revenue
CTSH
CTSH
1.0× larger
CTSH
$5.3B
$5.2B
BSX
Growing faster (revenue YoY)
BSX
BSX
+84.6% gap
BSX
11.6%
-73.0%
CTSH
Higher net margin
BSX
BSX
13.6% more per $
BSX
25.7%
12.2%
CTSH
Faster 2-yr revenue CAGR
BSX
BSX
Annualised
BSX
12.4%
4.9%
CTSH

Income Statement — Q1 FY2026 vs Q1 FY2026

Metric
BSX
BSX
CTSH
CTSH
Revenue
$5.2B
$5.3B
Net Profit
$1.3B
$648.0M
Gross Margin
69.5%
Operating Margin
16.0%
Net Margin
25.7%
12.2%
Revenue YoY
11.6%
-73.0%
Net Profit YoY
99.0%
18.7%
EPS (diluted)
$0.90
$1.34

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
BSX
BSX
CTSH
CTSH
Q1 26
$5.2B
$5.3B
Q4 25
$5.3B
$5.3B
Q3 25
$5.1B
$5.4B
Q2 25
$5.1B
$5.2B
Q1 25
$4.7B
$5.1B
Q4 24
$4.6B
$5.1B
Q3 24
$4.2B
$5.0B
Q2 24
$4.1B
$4.8B
Net Profit
BSX
BSX
CTSH
CTSH
Q1 26
$1.3B
$648.0M
Q4 25
$670.0M
$648.0M
Q3 25
$755.0M
$274.0M
Q2 25
$795.0M
$645.0M
Q1 25
$672.0M
$663.0M
Q4 24
$563.0M
$546.0M
Q3 24
$468.0M
$582.0M
Q2 24
$322.0M
$566.0M
Gross Margin
BSX
BSX
CTSH
CTSH
Q1 26
69.5%
Q4 25
69.6%
Q3 25
69.9%
Q2 25
67.7%
Q1 25
68.8%
Q4 24
67.8%
Q3 24
68.8%
Q2 24
69.2%
Operating Margin
BSX
BSX
CTSH
CTSH
Q1 26
16.0%
Q4 25
15.6%
16.0%
Q3 25
20.7%
16.0%
Q2 25
16.2%
15.6%
Q1 25
19.8%
16.7%
Q4 24
14.8%
14.8%
Q3 24
17.4%
14.6%
Q2 24
12.6%
14.6%
Net Margin
BSX
BSX
CTSH
CTSH
Q1 26
25.7%
12.2%
Q4 25
12.7%
12.2%
Q3 25
14.9%
5.1%
Q2 25
15.7%
12.3%
Q1 25
14.4%
13.0%
Q4 24
12.3%
10.7%
Q3 24
11.1%
11.5%
Q2 24
7.8%
11.7%
EPS (diluted)
BSX
BSX
CTSH
CTSH
Q1 26
$0.90
$1.34
Q4 25
$0.45
$1.35
Q3 25
$0.51
$0.56
Q2 25
$0.53
$1.31
Q1 25
$0.45
$1.34
Q4 24
$0.38
$1.10
Q3 24
$0.32
$1.17
Q2 24
$0.22
$1.14

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
BSX
BSX
CTSH
CTSH
Cash + ST InvestmentsLiquidity on hand
$1.9B
Total DebtLower is stronger
$576.0M
Stockholders' EquityBook value
$15.0B
Total Assets
$20.7B
Debt / EquityLower = less leverage
0.04×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
BSX
BSX
CTSH
CTSH
Q1 26
$1.9B
Q4 25
$2.0B
$1.9B
Q3 25
$1.3B
$2.4B
Q2 25
$534.0M
$1.8B
Q1 25
$725.0M
$2.0B
Q4 24
$414.0M
$2.2B
Q3 24
$2.5B
$2.0B
Q2 24
$2.9B
$2.2B
Total Debt
BSX
BSX
CTSH
CTSH
Q1 26
$576.0M
Q4 25
$11.1B
Q3 25
$11.1B
Q2 25
$11.1B
Q1 25
$10.5B
Q4 24
$9.0B
Q3 24
$9.2B
Q2 24
$9.0B
Stockholders' Equity
BSX
BSX
CTSH
CTSH
Q1 26
$15.0B
Q4 25
$24.2B
$15.0B
Q3 25
$23.4B
$14.9B
Q2 25
$22.4B
$15.3B
Q1 25
$22.2B
$14.9B
Q4 24
$21.8B
$14.4B
Q3 24
$20.7B
$14.5B
Q2 24
$20.4B
$13.9B
Total Assets
BSX
BSX
CTSH
CTSH
Q1 26
$20.7B
Q4 25
$43.7B
$20.7B
Q3 25
$42.7B
$20.1B
Q2 25
$41.6B
$20.2B
Q1 25
$40.1B
$20.0B
Q4 24
$39.4B
$20.0B
Q3 24
$38.1B
$20.2B
Q2 24
$37.1B
$18.6B
Debt / Equity
BSX
BSX
CTSH
CTSH
Q1 26
0.04×
Q4 25
0.46×
Q3 25
0.48×
Q2 25
0.50×
Q1 25
0.47×
Q4 24
0.41×
Q3 24
0.45×
Q2 24
0.44×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
BSX
BSX
CTSH
CTSH
Operating Cash FlowLast quarter
$858.0M
Free Cash FlowOCF − Capex
$781.0M
FCF MarginFCF / Revenue
14.6%
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
1.32×
TTM Free Cash FlowTrailing 4 quarters
$3.1B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
BSX
BSX
CTSH
CTSH
Q1 26
$858.0M
Q4 25
$1.4B
$858.0M
Q3 25
$1.3B
$1.2B
Q2 25
$1.3B
$398.0M
Q1 25
$541.0M
$400.0M
Q4 24
$1.5B
$920.0M
Q3 24
$1.0B
$847.0M
Q2 24
$813.0M
$262.0M
Free Cash Flow
BSX
BSX
CTSH
CTSH
Q1 26
$781.0M
Q4 25
$1.0B
$781.0M
Q3 25
$1.2B
$1.2B
Q2 25
$1.1B
$331.0M
Q1 25
$354.0M
$323.0M
Q4 24
$1.2B
$837.0M
Q3 24
$823.0M
$791.0M
Q2 24
$658.0M
$183.0M
FCF Margin
BSX
BSX
CTSH
CTSH
Q1 26
14.6%
Q4 25
19.2%
14.6%
Q3 25
22.9%
21.4%
Q2 25
22.3%
6.3%
Q1 25
7.6%
6.3%
Q4 24
25.8%
16.5%
Q3 24
19.6%
15.7%
Q2 24
16.0%
3.8%
Capex Intensity
BSX
BSX
CTSH
CTSH
Q1 26
Q4 25
6.6%
1.4%
Q3 25
3.6%
1.2%
Q2 25
3.1%
1.3%
Q1 25
4.0%
1.5%
Q4 24
6.1%
1.6%
Q3 24
4.3%
1.1%
Q2 24
3.8%
1.6%
Cash Conversion
BSX
BSX
CTSH
CTSH
Q1 26
1.32×
Q4 25
2.04×
1.32×
Q3 25
1.78×
4.48×
Q2 25
1.62×
0.62×
Q1 25
0.81×
0.60×
Q4 24
2.59×
1.68×
Q3 24
2.14×
1.46×
Q2 24
2.52×
0.46×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

BSX
BSX

Cardiovascular$3.1B59%
Endoscopy$673.0M13%
Urology$633.0M12%
Other$386.0M7%
Neuromodulation$271.0M5%
LACA$155.0M3%

CTSH
CTSH

Health Sciences$1.6B30%
Financial Services$1.6B30%
Products and Resources$1.3B25%
Communications, Media and Technology$808.0M15%

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