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Borrowings and Credit Arrangements (Details)
3 Months Ended 12 Months Ended 32 Months Ended 3 Months Ended
Sep. 30, 2013
USD ($)
Dec. 31, 2014
USD ($)
Dec. 31, 2013
USD ($)
Dec. 31, 2014
Uncommitted Credit Facilities With Two Commercial Japanese Banks [Member]
USD ($)
Dec. 31, 2014
Uncommitted Credit Facilities With Two Commercial Japanese Banks [Member]
JPY (¥)
Dec. 31, 2013
Uncommitted Credit Facilities With Two Commercial Japanese Banks [Member]
USD ($)
Dec. 31, 2014
Senior Notes [Member]
USD ($)
Dec. 31, 2014
Unsecured Term Loan Facility [Member]
USD ($)
Dec. 31, 2014
Covenant Requirement [Member]
Dec. 31, 2014
Actual, Covenant [Member]
Dec. 31, 2014
Credit Facility One [Member]
USD ($)
Apr. 18, 2012
Credit Facility One [Member]
USD ($)
Dec. 31, 2014
Unsecured Term Loan Facility [Member]
USD ($)
Aug. 06, 2013
Unsecured Term Loan Facility [Member]
USD ($)
Dec. 31, 2014
Uncommitted Credit Facilities With Two Commercial Japanese Banks [Member]
Dec. 31, 2014
November 2015 Notes [Member]
USD ($)
Dec. 31, 2014
June 2016 Notes [Member]
USD ($)
Dec. 31, 2014
January 2017 Notes [Member]
USD ($)
Dec. 31, 2014
October 2018 Notes [Member]
USD ($)
Dec. 31, 2014
January 2020 Notes [Member]
USD ($)
Dec. 31, 2014
October 2023 Notes [Member]
USD ($)
Dec. 31, 2014
November 2035 Notes [Member]
USD ($)
Dec. 31, 2014
January 2040 Notes [Member]
USD ($)
Aug. 13, 2013
$600 million, Senior Note [Member]
USD ($)
Aug. 13, 2013
$450 million, Senior Note [Member]
USD ($)
Sep. 30, 2013
$600 million, Snr Note [Member]
USD ($)
Sep. 30, 2013
$850 million, Senior Note [Member]
USD ($)
Debt Instrument [Line Items]                                                      
Senior notes issued     $ 2,200,000,000bsx_Seniornotesissued                                                
Repurchase rate of senior notes issued in ’09 and ’13 in event change-in-control     1.01bsx_Repurchaserateofseniornotesissuedin09and13ineventchangeincontrol                                                
Long-term Debt, Current Maturities   400,000,000us-gaap_LongTermDebtCurrent         400,000,000us-gaap_LongTermDebtCurrent
/ us-gaap_LongtermDebtTypeAxis
= us-gaap_SeniorNotesMember
0us-gaap_LongTermDebtCurrent
/ us-gaap_LongtermDebtTypeAxis
= bsx_UnsecuredTermLoanFacilityMember
                                     
Letters of Credit Outstanding, Amount   59,000,000us-gaap_LettersOfCreditOutstandingAmount 78,000,000us-gaap_LettersOfCreditOutstandingAmount                                                
Schedule of debt maturities                                                      
Payments due in year two   680,000,000us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo         600,000,000us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo
/ us-gaap_LongtermDebtTypeAxis
= us-gaap_SeniorNotesMember
80,000,000us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo
/ us-gaap_LongtermDebtTypeAxis
= bsx_UnsecuredTermLoanFacilityMember
                                     
Payments due in year three   330,000,000us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree         250,000,000us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree
/ us-gaap_LongtermDebtTypeAxis
= us-gaap_SeniorNotesMember
80,000,000us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree
/ us-gaap_LongtermDebtTypeAxis
= bsx_UnsecuredTermLoanFacilityMember
                                     
Payments due in year four   840,000,000us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour         600,000,000us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour
/ us-gaap_LongtermDebtTypeAxis
= us-gaap_SeniorNotesMember
240,000,000us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour
/ us-gaap_LongtermDebtTypeAxis
= bsx_UnsecuredTermLoanFacilityMember
                                     
Payments due in year five   0us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive         0us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive
/ us-gaap_LongtermDebtTypeAxis
= us-gaap_SeniorNotesMember
0us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive
/ us-gaap_LongtermDebtTypeAxis
= bsx_UnsecuredTermLoanFacilityMember
                                     
Payments due, Thereafter   1,950,000,000us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFive         1,950,000,000us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFive
/ us-gaap_LongtermDebtTypeAxis
= us-gaap_SeniorNotesMember
0us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFive
/ us-gaap_LongtermDebtTypeAxis
= bsx_UnsecuredTermLoanFacilityMember
                                     
Payments due, Total   4,200,000,000us-gaap_LongTermDebt         3,800,000,000us-gaap_LongTermDebt
/ us-gaap_LongtermDebtTypeAxis
= us-gaap_SeniorNotesMember
400,000,000us-gaap_LongTermDebt
/ us-gaap_LongtermDebtTypeAxis
= bsx_UnsecuredTermLoanFacilityMember
                                     
Summary of compliance with debt covenants                                                      
Maximum Leverage Ratio                 3.5bsx_MaximumLeverageRatio
/ bsx_CovenantAxis
= bsx_CurrentRequirementMember
2.4bsx_MaximumLeverageRatio
/ bsx_CovenantAxis
= bsx_ActualCovenantMember
                                 
Minimum interest coverage ratio                 3.0bsx_MinimumInterestCoverageRatio
/ bsx_CovenantAxis
= bsx_CurrentRequirementMember
8.2bsx_MinimumInterestCoverageRatio
/ bsx_CovenantAxis
= bsx_ActualCovenantMember
                                 
Borrowings and Credit Arrangements (Textuals) [Abstract]                                                      
Total debt   4,262,000,000us-gaap_DebtAndCapitalLeaseObligations 4,240,000,000us-gaap_DebtAndCapitalLeaseObligations                                                
Debt Instrument, Interest Rate, Effective Percentage                               6.25%us-gaap_DebtInstrumentInterestRateEffectivePercentage
/ us-gaap_DebtInstrumentAxis
= bsx_November2015NotesMember
          7.00%us-gaap_DebtInstrumentInterestRateEffectivePercentage
/ us-gaap_DebtInstrumentAxis
= bsx_November2035NotesMember
         
Revolving credit facility   300,000,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity                   2,000,000,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
/ us-gaap_LineOfCreditFacilityAxis
= bsx_CreditFacilityOneMember
                             
Interest Margin above LIBOR, Minimum                       0.875%bsx_InterestMarginAboveLiborMinimum
/ us-gaap_LineOfCreditFacilityAxis
= bsx_CreditFacilityOneMember
  1.00%bsx_InterestMarginAboveLiborMinimum
/ us-gaap_LineOfCreditFacilityAxis
= bsx_UnsecuredTermLoanFacilityMember
                         
Interest Margin above LIBOR, Maximum                       1.475%bsx_InterestMarginAboveLiborMaximum
/ us-gaap_LineOfCreditFacilityAxis
= bsx_CreditFacilityOneMember
  1.75%bsx_InterestMarginAboveLiborMaximum
/ us-gaap_LineOfCreditFacilityAxis
= bsx_UnsecuredTermLoanFacilityMember
                         
Current interest rate on revolving credit facility                     1.275%us-gaap_LineOfCreditFacilityInterestRateDuringPeriod
/ us-gaap_LineOfCreditFacilityAxis
= bsx_CreditFacilityOneMember
                               
Commitment fee percentage                     0.225%us-gaap_LineOfCreditFacilityCommitmentFeePercentage
/ us-gaap_LineOfCreditFacilityAxis
= bsx_CreditFacilityOneMember
                               
Amount of exclusions from EBITDA related to existing restructuring plans                       500,000,000bsx_ExclusionFromEbitdaForRestructuringCharges
/ us-gaap_LineOfCreditFacilityAxis
= bsx_CreditFacilityOneMember
                             
Restructuring charges remaining to be excluded from calculation of consolidated EBITDA                     116,000,000bsx_RestructuringChargesRemainingToBeExcludedFromCalculationOfConsolidatedEbitda
/ us-gaap_LineOfCreditFacilityAxis
= bsx_CreditFacilityOneMember
                               
Amount of exclusions from EBITDA related to future litigation charges and payments                       2,300,000,000bsx_LitigationAndDebtExclusionFromEbitda
/ us-gaap_LineOfCreditFacilityAxis
= bsx_CreditFacilityOneMember
                             
Legal payments remaining to be excluded from calculation of consolidated EBITDA                     2,107,000,000bsx_LegalPaymentsRemainingToBeExcludedFromCalculationOfConsolidatedEbitda
/ us-gaap_LineOfCreditFacilityAxis
= bsx_CreditFacilityOneMember
                               
Long-term Debt, Gross                           400,000,000us-gaap_DebtInstrumentCarryingAmount
/ us-gaap_LineOfCreditFacilityAxis
= bsx_UnsecuredTermLoanFacilityMember
                         
Senior notes   3,800,000,000us-gaap_SeniorNotes 3,800,000,000us-gaap_SeniorNotes                         400,000,000us-gaap_SeniorNotes
/ us-gaap_DebtInstrumentAxis
= bsx_November2015NotesMember
600,000,000us-gaap_SeniorNotes
/ us-gaap_DebtInstrumentAxis
= bsx_June2016NotesMember
250,000,000us-gaap_SeniorNotes
/ us-gaap_DebtInstrumentAxis
= bsx_January2017NotesMember
600,000,000us-gaap_SeniorNotes
/ us-gaap_DebtInstrumentAxis
= bsx_October2018NotesMember
850,000,000us-gaap_SeniorNotes
/ us-gaap_DebtInstrumentAxis
= bsx_January2020NotesMember
450,000,000us-gaap_SeniorNotes
/ us-gaap_DebtInstrumentAxis
= bsx_October2023NotesMember
350,000,000us-gaap_SeniorNotes
/ us-gaap_DebtInstrumentAxis
= bsx_November2035NotesMember
300,000,000us-gaap_SeniorNotes
/ us-gaap_DebtInstrumentAxis
= bsx_January2040NotesMember
600,000,000us-gaap_SeniorNotes
/ bsx_SeniorNotesAxis
= bsx_A600millionSeniorNoteMember
450,000,000us-gaap_SeniorNotes
/ bsx_SeniorNotesAxis
= bsx_A450millionSeniorNoteMember
   
Long-term Debt, Percentage Bearing Fixed Interest, Percentage Rate                                               2.65%us-gaap_LongTermDebtPercentageBearingFixedInterestRate
/ bsx_SeniorNotesAxis
= bsx_A600millionSeniorNoteMember
4.125%us-gaap_LongTermDebtPercentageBearingFixedInterestRate
/ bsx_SeniorNotesAxis
= bsx_A450millionSeniorNoteMember
   
Debt Instrument, Interest Rate, Stated Percentage                               5.50%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_DebtInstrumentAxis
= bsx_November2015NotesMember
6.40%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_DebtInstrumentAxis
= bsx_June2016NotesMember
5.125%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_DebtInstrumentAxis
= bsx_January2017NotesMember
2.65%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_DebtInstrumentAxis
= bsx_October2018NotesMember
6.00%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_DebtInstrumentAxis
= bsx_January2020NotesMember
4.125%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_DebtInstrumentAxis
= bsx_October2023NotesMember
6.25%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_DebtInstrumentAxis
= bsx_November2035NotesMember
7.375%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_DebtInstrumentAxis
= bsx_January2040NotesMember
       
Maximum amount of proceeds from sale of finance receivables   363,000,000bsx_MaximumAmountOfProceedsFromSaleOfFinanceReceivables   175,000,000bsx_MaximumAmountOfProceedsFromSaleOfFinanceReceivables
/ us-gaap_LongtermDebtTypeAxis
= bsx_UncommittedCreditFacilitiesWithTwoCommercialJapaneseBanksMember
21,000,000,000bsx_MaximumAmountOfProceedsFromSaleOfFinanceReceivables
/ us-gaap_LongtermDebtTypeAxis
= bsx_UncommittedCreditFacilitiesWithTwoCommercialJapaneseBanksMember
                                           
De-recognized receivables   167,000,000us-gaap_DerecognizedAssetsSecuritizedOrAssetbackedFinancingArrangementAssetsAndAnyOtherFinancialAssetsManagedTogetherPrincipalAmountOutstanding 146,000,000us-gaap_DerecognizedAssetsSecuritizedOrAssetbackedFinancingArrangementAssetsAndAnyOtherFinancialAssetsManagedTogetherPrincipalAmountOutstanding 134,000,000us-gaap_DerecognizedAssetsSecuritizedOrAssetbackedFinancingArrangementAssetsAndAnyOtherFinancialAssetsManagedTogetherPrincipalAmountOutstanding
/ us-gaap_LongtermDebtTypeAxis
= bsx_UncommittedCreditFacilitiesWithTwoCommercialJapaneseBanksMember
  147,000,000us-gaap_DerecognizedAssetsSecuritizedOrAssetbackedFinancingArrangementAssetsAndAnyOtherFinancialAssetsManagedTogetherPrincipalAmountOutstanding
/ us-gaap_LongtermDebtTypeAxis
= bsx_UncommittedCreditFacilitiesWithTwoCommercialJapaneseBanksMember
                                         
Average interest rate of de-recognized receivables   3.20%us-gaap_ReceivableWithImputedInterestEffectiveYieldInterestRate 3.33%us-gaap_ReceivableWithImputedInterestEffectiveYieldInterestRate                                                
Average discounted rates of notes receivables           1.80%bsx_AverageDiscountRateOfNotesReceivable
/ us-gaap_LongtermDebtTypeAxis
= bsx_UncommittedCreditFacilitiesWithTwoCommercialJapaneseBanksMember
                1.80%bsx_AverageDiscountRateOfNotesReceivable
/ us-gaap_DebtInstrumentAxis
= bsx_UncommittedCreditFacilitiesWithTwoCommercialJapaneseBanksMember
                       
Unsecured Term Loan Facility, Interest Rate During Period                         1.50%bsx_UnsecuredTermLoanFacilityInterestRateDuringPeriod
/ us-gaap_LineOfCreditFacilityAxis
= bsx_UnsecuredTermLoanFacilityMember
                           
Quarterly term-loan principal payments                         20,000,000bsx_Quarterlytermloanprincipalpayments
/ us-gaap_LineOfCreditFacilityAxis
= bsx_UnsecuredTermLoanFacilityMember
                           
Repayments of Debt                                                   600,000,000us-gaap_RepaymentsOfDebt
/ bsx_SeniorNotesAxis
= bsx_A600millionSnrNoteMember
850,000,000us-gaap_RepaymentsOfDebt
/ bsx_SeniorNotesAxis
= bsx_A850millionSeniorNoteMember
Payments of Debt Extinguishment Costs $ 70,000,000us-gaap_PaymentsOfDebtExtinguishmentCosts