XML 53 R42.htm IDEA: XBRL DOCUMENT
v3.21.1

Contractual Obligations and Commitments (Details) € in Millions, $ in Millions |  | 3 Months Ended | 12 Months Ended |
--- | --- | --- | --- | ---
Apr. 21, 2020 USD ($) | Mar. 31, 2021 USD ($) | Dec. 31, 2020 USD ($) | Mar. 31, 2021 EUR (€)
Debt Instrument [Line Items] |  |  |  |
Total debt |  | $ 9,095 | $ 9,143 |
Debt, Current |  | 13 | 13 |
Long-term Debt and Capital Lease Obligations |  | 9,082 | 9,130 |
Deemed Consolidated EBITDA | $ 671 |  |  |
Exclusion from EBITDA for Restructuring Charges |  | 500 |  |
Restructuring charges remaining to be excluded from calculation of consolidated EBITDA |  | 57 |  |
Litigation and Debt Exclusion from EBITDA |  | 2,624 |  |
Legal payments remaining to be excluded from calculation of consolidated EBITDA |  | 809 |  |
Letters of Credit Outstanding, Amount |  | $ 126 | 124 |
Current Requirement [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Maximum Leverage Ratio |  | 4.50 |  | 4.50
Actual, Covenant [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Maximum Leverage Ratio |  | 3.29 |  | 3.29
Requirement, third quarter following qualified acquisition [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Maximum Leverage Ratio |  | 4.50 |  | 4.50
Requirement, fourth quarter following qualified acquisition [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Maximum Leverage Ratio |  | 4.25 |  | 4.25
Requirement, fifth quarter following qualified acquisition [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Maximum Leverage Ratio |  | 4.00 |  | 4.00
Requirement, sixth quarter and thereafter following qualified acquisition [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Maximum Leverage Ratio |  | 3.75 |  | 3.75
Requirement, extension through the remainder of 2020 [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Maximum Leverage Ratio | 4.75 |  |  |
the 2018 Facility [Member] | Revolving Credit Facility [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Line of Credit Facility, Maximum Borrowing Capacity |  | $ 2,750 |  |
May 2022 Notes [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Long-term Debt |  | $ 250 | 250 |
Debt Instrument, Interest Rate, Stated Percentage |  | 3.375% |  | 3.375%
October 2023 Notes [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Long-term Debt |  | $ 244 | 244 |
Debt Instrument, Interest Rate, Stated Percentage |  | 4.125% |  | 4.125%
March 2024 Notes [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Long-term Debt |  | $ 850 | 850 |
Debt Instrument, Interest Rate, Stated Percentage |  | 3.45% |  | 3.45%
May 2025 Notes [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Long-term Debt |  | $ 523 | 523 |
Debt Instrument, Interest Rate, Stated Percentage |  | 3.85% |  | 3.85%
June 2025 Notes [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Long-term Debt |  | $ 500 | 500 |
Debt Instrument, Interest Rate, Stated Percentage |  | 1.90% |  | 1.90%
March 2026 Notes [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Long-term Debt |  | $ 850 | 850 |
Debt Instrument, Interest Rate, Stated Percentage |  | 3.75% |  | 3.75%
December 2027 Notes [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Long-term Debt |  | $ 1,055 | 1,105 | € 900
Debt Instrument, Interest Rate, Stated Percentage |  | 0.625% |  | 0.625%
March 2028 Notes [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Long-term Debt |  | $ 434 | 434 |
Debt Instrument, Interest Rate, Stated Percentage |  | 4.00% |  | 4.00%
March 2029 Notes [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Long-term Debt |  | $ 850 | 850 |
Debt Instrument, Interest Rate, Stated Percentage |  | 4.00% |  | 4.00%
June 2030 Notes [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Long-term Debt |  | $ 1,200 | 1,200 |
Debt Instrument, Interest Rate, Stated Percentage |  | 2.65% |  | 2.65%
November 2035 Notes [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Long-term Debt |  | $ 350 | 350 |
Debt Instrument, Interest Rate, Stated Percentage |  | 7.00% |  | 7.00%
March 2039 Notes [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Long-term Debt |  | $ 750 | 750 |
Debt Instrument, Interest Rate, Stated Percentage |  | 4.55% |  | 4.55%
January 2040 Notes [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Long-term Debt |  | $ 300 | 300 |
Debt Instrument, Interest Rate, Stated Percentage |  | 7.375% |  | 7.375%
March 2049 Notes [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Long-term Debt |  | $ 1,000 | 1,000 |
Debt Instrument, Interest Rate, Stated Percentage |  | 4.70% |  | 4.70%
Senior Notes [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Long-term Debt |  | $ 9,155 | 9,205 |
Debt Instrument, Unamortized Discount (Premium) and Debt Issuance Costs, Net |  | (85) | (88) |
Interest Rate Swap [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Long-term Debt |  | 5 | 5 |
Finance Lease Obligation |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Long-term Debt |  | 6 | 7 |
Euro Denominated Factoring Arrangements [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Transfer of Financial Assets Accounted for as Sales, Amount Derecognized |  | $ 149 | $ 148 |
Average interest rate of de-recognized receivables |  | 2.00% | 1.90% |
Yen Denominated Factoring Arrangements [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Transfer of Financial Assets Accounted for as Sales, Amount Derecognized |  | $ 198 | $ 240 |
Average interest rate of de-recognized receivables |  | 0.60% | 0.60% |
Renminbi Denominated Factoring Arrangements [Member] |  |  |  |
Debt Instrument [Line Items] |  |  |  |
Transfer of Financial Assets Accounted for as Sales, Amount Derecognized |  | $ 0 | $ 0 |
Average interest rate of de-recognized receivables |  | 3.50% | 3.50% |

X
- Definition Deemed Consolidated EBITDA + References No definition available. + Details
Name: | bsx_DeemedConsolidatedEBITDA
Namespace Prefix: | bsx_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Exclusion from EBITDA for Restructuring Charges + References No definition available. + Details
Name: | bsx_ExclusionFromEbitdaForRestructuringCharges
Namespace Prefix: | bsx_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Legal payments remaining to be excluded from calculation of consolidated EBITDA + References No definition available. + Details
Name: | bsx_LegalPaymentsRemainingToBeExcludedFromCalculationOfConsolidatedEbitda
Namespace Prefix: | bsx_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Exclusion of litigation payments and any debt Issued to fund tax deficiency payments + References No definition available. + Details
Name: | bsx_LitigationAndDebtExclusionFromEbitda
Namespace Prefix: | bsx_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Maximum leverage ratio permitted by revolving credit facility agreement. + References No definition available. + Details
Name: | bsx_MaximumLeverageRatio
Namespace Prefix: | bsx_
Data Type: | xbrli:pureItemType
Balance Type: | na
Period Type: | instant

X
- Definition Restructuring charges remaining to be excluded from calculation of consolidated EBITDA. + References No definition available. + Details
Name: | bsx_RestructuringChargesRemainingToBeExcludedFromCalculationOfConsolidatedEbitda
Namespace Prefix: | bsx_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Amount of short-term and long-term debt and lease obligation. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-03.13,16) -URI http://asc.fasb.org/extlink&oid=120398452&loc=d3e534808-122878 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-03.16) -URI http://asc.fasb.org/extlink&oid=120400017&loc=d3e572229-122910 + Details
Name: | us-gaap_DebtAndCapitalLeaseObligations
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Amount of short-term debt and current maturity of long-term debt and capital lease obligations due within one year or the normal operating cycle, if longer. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.19,20) -URI http://asc.fasb.org/extlink&oid=120391452&loc=d3e13212-122682 + Details
Name: | us-gaap_DebtCurrent
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Contractual interest rate for funds borrowed, under the debt agreement. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.22(a)(1)) -URI http://asc.fasb.org/extlink&oid=120391452&loc=d3e13212-122682 + Details
Name: | us-gaap_DebtInstrumentInterestRateStatedPercentage
Namespace Prefix: | us-gaap_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | instant

X
- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. + References No definition available. + Details
Name: | us-gaap_DebtInstrumentLineItems
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Amount of unamortized debt discount (premium) and debt issuance costs. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 470 -SubTopic 20 -Section 50 -Paragraph 4 -Subparagraph (b)(2) -URI http://asc.fasb.org/extlink&oid=120520924&loc=SL6031897-161870 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 835 -SubTopic 30 -Section 45 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=119993939&loc=d3e28555-108399 + Details
Name: | us-gaap_DebtInstrumentUnamortizedDiscountPremiumAndDebtIssuanceCostsNet
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition The total amount of the contingent obligation under letters of credit outstanding as of the reporting date. + References No definition available. + Details
Name: | us-gaap_LettersOfCreditOutstandingAmount
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Maximum borrowing capacity under the credit facility without consideration of any current restrictions on the amount that could be borrowed or the amounts currently outstanding under the facility. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.19(b),22(b)) -URI http://asc.fasb.org/extlink&oid=120391452&loc=d3e13212-122682 + Details
Name: | us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Amount, after unamortized (discount) premium and debt issuance costs, of long-term debt. Includes, but not limited to, notes payable, bonds payable, debentures, mortgage loans and commercial paper. Excludes capital lease obligations. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 470 -SubTopic 20 -Section 50 -Paragraph 4 -Subparagraph (b)(3) -URI http://asc.fasb.org/extlink&oid=120520924&loc=SL6031897-161870 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-03(a)(16)) -URI http://asc.fasb.org/extlink&oid=120400017&loc=d3e572229-122910 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-03(16)) -URI http://asc.fasb.org/extlink&oid=120398452&loc=d3e534808-122878 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02(22)) -URI http://asc.fasb.org/extlink&oid=120391452&loc=d3e13212-122682 + Details
Name: | us-gaap_LongTermDebt
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Amount of long-term debt and lease obligation, classified as noncurrent. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02(22)) -URI http://asc.fasb.org/extlink&oid=120391452&loc=d3e13212-122682 + Details
Name: | us-gaap_LongTermDebtAndCapitalLeaseObligations
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Yield on the receivable, on which interest has been imputed, as calculated from its issuance value or purchase price. The calculated effective interest rate considers factors such as the issued face value or price paid for the receivable, the time period between payments, and the time until maturity [full receipt] of the receivable. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 835 -SubTopic 30 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=119993939&loc=d3e28551-108399 + Details
Name: | us-gaap_ReceivableWithImputedInterestEffectiveYieldInterestRate
Namespace Prefix: | us-gaap_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- Definition Amount of derecognized financial assets from transactions which comprise an initial transfer and an agreement entered into in contemplation of the initial transfer resulting in retention of substantially all of the exposure to the economic return throughout the term of the transaction, at the date of derecognition. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 860 -SubTopic 20 -Section 50 -Paragraph 4D -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=121570589&loc=SL51823488-111719 + Details
Name: | us-gaap_TransferOfFinancialAssetsAccountedForAsSalesAmountDerecognized
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Details
Name: | bsx_CovenantAxis=bsx_CurrentRequirementMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | bsx_CovenantAxis=bsx_ActualCovenantMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | bsx_CovenantAxis=bsx_RequirementthirdquarterfollowingqualifiedacquisitionMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | bsx_CovenantAxis=bsx_RequirementfourthquarterfollowingqualifiedacquisitionMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | bsx_CovenantAxis=bsx_RequirementfifthquarterfollowingqualifiedacquisitionMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | bsx_CovenantAxis=bsx_RequirementsixthquarterandthereafterfollowingqualifiedacquisitionMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | bsx_CovenantAxis=bsx_Requirementextensionthroughtheremainderof2020Member
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LineOfCreditFacilityAxis=bsx_The2018FacilityDomain
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_CreditFacilityAxis=us-gaap_RevolvingCreditFacilityMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=bsx_May2022NotesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=bsx_October2023NotesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=bsx_March2024NotesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=bsx_May2025NotesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=bsx_June2025NotesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=bsx_March2026NotesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=bsx_December2027NotesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=bsx_March2028NotesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=bsx_March2029NotesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=bsx_June2030NotesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=bsx_November2035NotesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=bsx_March2039NotesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=bsx_January2040NotesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=bsx_March2049NotesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=us-gaap_SeniorNotesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=us-gaap_InterestRateSwapMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_LongtermDebtTypeAxis=us-gaap_CapitalLeaseObligationsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_DebtInstrumentAxis=bsx_EuroDenominatedFactoringArrangementsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_DebtInstrumentAxis=bsx_YenDenominatedFactoringArrangementsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_DebtInstrumentAxis=bsx_RenminbiDenominatedFactoringArrangementsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |