Not a surprise, BSX has had massive layoffs over the past year. The only way BSX can make their "net income" number look good is through massive headcount reduction and other cost-cutting measures. What really counts is making product and selling more of it, which is something BSX has failed to do consistently over the past 3 years. The past quarter was no surprise as revenues in their bread and butter divisions continued to plummet relative to the competition, indicating that BSX is still losing market share.
BSX cannot continue growing earnings though layoffs, eventually they will run out of people to fire.