Boston Scientific Stock To $54?

+70.48%
Upside
75.50
Market
129
Trefis
BSX: Boston Scientific logo
BSX
Boston Scientific

Boston Scientific (BSX) stock has fallen 18% during the past day, and is currently trading at $75.50. Our multi-factor assessment suggests that it may be time to reduce exposure to BSX stock. We are primarily concerned current valuation and a price of $54 may not be out of reach. We believe there is not much to fear in BSX stock given its overall Strong operating performance and financial condition. But given its Very High valuation, the stock appears Relatively Expensive.

Below is our assessment:

  CONCLUSION
What you pay:
Valuation Very High
What you get:
Growth Very Strong
Profitability Moderate
Financial Stability Strong
Downturn Resilience Weak
Operating Performance Strong
 
Stock Opinion Relatively Expensive

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Let’s get into details of each of the assessed factors but before that, for quick background: With $112 Bil in market cap, Boston Scientific provides medical devices for interventional specialties, including diagnosis and treatment of gastrointestinal, pulmonary, urological, pelvic, cardiovascular, rhythm, and neurological conditions.

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[1] Valuation Looks Very High

  BSX S&P 500
Price-to-Sales Ratio 5.9 3.3
Price-to-Earnings Ratio 40.9 24.6
Price-to-Free Cash Flow Ratio 31.4 21.6

This table highlights how BSX is valued vs broader market. For more details see: BSX Valuation Ratios

[2] Growth Is Very Strong

  • Boston Scientific has seen its top line grow at an average rate of 15.6% over the last 3 years
  • Its revenues have grown 22% from $16 Bil to $19 Bil in the last 12 months
  • Also, its quarterly revenues grew 20.3% to $5.1 Bil in the most recent quarter from $4.2 Bil a year ago.

  BSX S&P 500
3-Year Average 15.6% 5.6%
Latest Twelve Months* 21.6% 6.4%
Most Recent Quarter (YoY)* 20.3% 7.4%

This table highlights how BSX is growing vs broader market. For more details see: BSX Revenue Comparison

[3] Profitability Appears Moderate

  • BSX last 12 month operating income was $3.7 Bil representing operating margin of 19.2%
  • With cash flow margin of 23.9%, it generated nearly $4.6 Bil in operating cash flow over this period
  • For the same period, BSX generated nearly $2.8 Bil in net income, suggesting net margin of about 14.4%

  BSX S&P 500
Current Operating Margin 19.2% 18.8%
Current OCF Margin 23.9% 20.6%
Current Net Income Margin 14.4% 12.8%

This table highlights how BSX profitability vs broader market. For more details see: BSX Operating Income Comparison

[4] Financial Stability Looks Strong

  • BSX Debt was $12 Bil at the end of the most recent quarter, while its current Market Cap is $112 Bil. This implies Debt-to-Equity Ratio of 10.6%
  • BSX Cash (including cash equivalents) makes up $1.3 Bil of $43 Bil in total Assets. This yields a Cash-to-Assets Ratio of 3.0%

  BSX S&P 500
Current Debt-to-Equity Ratio 10.6% 20.2%
Current Cash-to-Assets Ratio 3.0% 7.2%

[5] Downturn Resilience Is Weak

BSX has fared worse than the S&P 500 index during various economic downturns. We assess this based on both (a) how much the stock fell and, (b) how quickly it recovered.

2022 Inflation Shock

  • BSX stock fell 25.2% from a high of $47.10 on 20 April 2022 to $35.24 on 14 June 2022 vs. a peak-to-trough decline of 25.4% for the S&P 500.
  • However, the stock fully recovered to its pre-Crisis peak by 12 December 2022
  • Since then, the stock increased to a high of $108.14 on 8 September 2025 , and currently trades at $75.50

  BSX S&P 500
% Change from Pre-Recession Peak -25.2% -25.4%
Time to Full Recovery 181 days 464 days

 
2020 Covid Pandemic

  • BSX stock fell 43.5% from a high of $45.71 on 9 January 2020 to $25.83 on 23 March 2020 vs. a peak-to-trough decline of 33.9% for the S&P 500.
  • However, the stock fully recovered to its pre-Crisis peak by 2 August 2021

  BSX S&P 500
% Change from Pre-Recession Peak -43.5% -33.9%
Time to Full Recovery 497 days 148 days

 
2008 Global Financial Crisis

  • BSX stock fell 70.5% from a high of $18.59 on 30 January 2007 to $5.48 on 20 November 2008 vs. a peak-to-trough decline of 56.8% for the S&P 500.
  • However, the stock fully recovered to its pre-Crisis peak by 2 November 2015

  BSX S&P 500
% Change from Pre-Recession Peak -70.5% -56.8%
Time to Full Recovery 2,538 days 1,480 days

 

But the risk is not limited to major market crashes. Stocks fall even when markets are good – think events like earnings, business updates, outlook changes. Read BSX Dip Buyer Analyses to see how the stock has recovered from sharp dips in the past.

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