Boston Scientific (BSX)
Market Price (10/18/2025): $99.23 | Market Cap: $146.9 BilSector: Health Care | Industry: Health Care Equipment
Boston Scientific (BSX)
Market Price (10/18/2025): $99.23Market Cap: $146.9 BilSector: Health CareIndustry: Health Care Equipment
Investment Highlights
Why It Matters
Which of these 2 stories sounds closer for this stock?
1. Generates cash flow
The stock generated 4% or more of the share price (called cash flow yield), and shows moderate 10-15% or more growth.
2. Riding a trend
Think Tesla during the pandemic of 2020 when EVs were riding a cultural high, or Nvidia in the current AI boom, or even Figma. These companies don’t have enough yield, or, enough growth, or both - however - they are riding a trend. They have momentum. These can be more volatile - they don’t have the floor of strong cash flow
Attractive cash flow generationCFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 23%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is 17%, CFO LTM is 4.3 Bil, FCF LTM is 3.2 Bil | Expensive valuation multiplesP/EBITPrice/EBIT or Price/(Operating Income) ratio is 44x, P/CFOPrice/(Cash Flow from Operations). CFO is cash before capital expenditures. is 34x, P/EPrice/Earnings or Price/(Net Income) is 59x | |
Low stock price volatilityVol 12M is 23% | Yield minus risk free rate is negativeERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -2.8% |
Attractive cash flow generationCFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 23%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is 17%, CFO LTM is 4.3 Bil, FCF LTM is 3.2 Bil |
Low stock price volatilityVol 12M is 23% |
Expensive valuation multiplesP/EBITPrice/EBIT or Price/(Operating Income) ratio is 44x, P/CFOPrice/(Cash Flow from Operations). CFO is cash before capital expenditures. is 34x, P/EPrice/Earnings or Price/(Net Income) is 59x |
Yield minus risk free rate is negativeERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -2.8% |
Market Valuation & Key Metrics
BSX Stock
Return vs. Risk
Price Returns Compared
2020 | 2021 | 2022 | 2023 | 2024 | 2025 | Total [1] | |
---|---|---|---|---|---|---|---|
Returns | |||||||
BSX Return | -20% | 18% | 9% | 25% | 55% | 9% | 111% |
Peers Return | 12% | 13% | -21% | 3% | 6% | -3% | 6% |
S&P 500 Return | 16% | 27% | -19% | 24% | 23% | 13% | 103% |
Monthly Win Rates [3] | |||||||
BSX Win Rate | 42% | 42% | 58% | 58% | 83% | 67% | |
Peers Win Rate | 53% | 50% | 42% | 47% | 53% | 53% | |
S&P 500 Win Rate | 58% | 75% | 42% | 67% | 75% | 67% | |
Max Drawdowns [4] | |||||||
BSX Max Drawdown | -43% | -2% | -17% | -3% | -0% | 0% | |
Peers Max Drawdown | -28% | -9% | -31% | -17% | -10% | -14% | |
S&P 500 Max Drawdown | -31% | -1% | -25% | -1% | -2% | -15% | |
[1] Cumulative total returns since the beginning of 2020
[2] Peers: ABT, ISRG, MDT, BDX, BAX. See BSX Returns vs. Peers.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2025 data is for the year up to 10/17/2025 (YTD)
Downturns Compared
Event | BSX | S&P 500 |
---|---|---|
2022 Inflation Shock | ||
% Loss | -25.2% | -25.4% |
% Gain to Breakeven | 33.7% | 34.1% |
Time to Breakeven | 181 days | 464 days |
2020 Covid Pandemic | ||
% Loss | -43.5% | -33.9% |
% Gain to Breakeven | 77.0% | 51.3% |
Time to Breakeven | 497 days | 148 days |
2018 Correction | ||
% Loss | -18.7% | -19.8% |
% Gain to Breakeven | 23.0% | 24.7% |
Time to Breakeven | 46 days | 120 days |
2008 Global Financial Crisis | ||
% Loss | -70.5% | -56.8% |
% Gain to Breakeven | 239.2% | 131.3% |
Time to Breakeven | 2538 days | 1480 days |
How Low Can It Go?
Boston Scientific's stock fell -25.2% during the 2022 Inflation Shock from a high on 4/20/2022. A -25.2% loss requires a 33.7% gain to breakeven.
Preserve Wealth
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Asset Allocation
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Latest Trefis Analyses
Trade Ideas
Select past ideas related to BSX. For more, see Trefis Trade Ideas.
Date | Ticker | Company | Category | Trade Strategy | 6M Fwd Rtn | 12M Fwd Rtn | 12M Max DD |
---|---|---|---|---|---|---|---|
09302025 | ADMA | ADMA Biologics | Dip Buy | DB | P/E OPMDip Buy with Low PE and High MarginBuying dips for companies with tame PE and meaningfully high operating margin | -0.7% | -0.7% | -4.6% |
09302025 | REGN | Regeneron Pharmaceuticals | Dip Buy | DB | P/E OPMDip Buy with Low PE and High MarginBuying dips for companies with tame PE and meaningfully high operating margin | 1.2% | 1.2% | -0.8% |
09262025 | HAE | Haemonetics | Dip Buy | DB | FCF Yield | Low D/EDip Buy with High Free Cash Flow YieldBuying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap | 3.3% | 3.3% | -0.1% |
09192025 | WAT | Waters | Monopoly | MY | Getting CheaperMonopoly-Like with P/S DeclineLarge cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple | 11.3% | 11.3% | -4.3% |
09052025 | ISRG | Intuitive Surgical | Monopoly | MY | Getting CheaperMonopoly-Like with P/S DeclineLarge cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple | -6.9% | -6.9% | -8.0% |
Date | Ticker | Company | Category | Trade Strategy | 6M Fwd Rtn | 12M Fwd Rtn | 12M Max DD |
---|---|---|---|---|---|---|---|
09302025 | ADMA | ADMA Biologics | Dip Buy | DB | P/E OPMDip Buy with Low PE and High MarginBuying dips for companies with tame PE and meaningfully high operating margin | -0.7% | -0.7% | -4.6% |
09302025 | REGN | Regeneron Pharmaceuticals | Dip Buy | DB | P/E OPMDip Buy with Low PE and High MarginBuying dips for companies with tame PE and meaningfully high operating margin | 1.2% | 1.2% | -0.8% |
09262025 | HAE | Haemonetics | Dip Buy | DB | FCF Yield | Low D/EDip Buy with High Free Cash Flow YieldBuying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap | 3.3% | 3.3% | -0.1% |
09192025 | WAT | Waters | Monopoly | MY | Getting CheaperMonopoly-Like with P/S DeclineLarge cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple | 11.3% | 11.3% | -4.3% |
09052025 | ISRG | Intuitive Surgical | Monopoly | MY | Getting CheaperMonopoly-Like with P/S DeclineLarge cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple | -6.9% | -6.9% | -8.0% |
Research & Analysis
Invest in Strategies
Wealth Management
Peer Comparisons for Boston Scientific
Financials
Median | |
---|---|
Name | |
Mkt Price | 113.89 |
Mkt Cap | 134.8 |
Rev LTM | 19,940 |
Op Inc LTM | 3,172 |
FCF LTM | 2,892 |
FCF 3Y Avg | 2,309 |
CFO LTM | 3,770 |
CFO 3Y Avg | 3,146 |
Growth & Margins
Median | |
---|---|
Name | |
Rev Chg LTM | 6.9% |
Rev Chg 3Y Avg | 3.7% |
Rev Chg Q | 9.4% |
QoQ Delta Rev Chg LTM | 2.2% |
Op Mgn LTM | 17.9% |
Op Mgn 3Y Avg | 16.9% |
QoQ Delta Op Mgn LTM | 0.3% |
CFO/Rev LTM | 20.9% |
CFO/Rev 3Y Avg | 19.2% |
FCF/Rev LTM | 15.6% |
FCF/Rev 3Y Avg | 13.7% |
Valuation
Median | |
---|---|
Name | |
Mkt Cap | 134.8 |
P/S | 4.4 |
P/EBIT | 35.3 |
P/E | 30.3 |
P/CFO | 21.0 |
Total Yield | 3.9% |
Dividend Yield | 2.0% |
FCF Yield 3Y Avg | 3.2% |
D/E | 0.2 |
Net D/E | 0.1 |
Returns
Median | |
---|---|
Name | |
1M Rtn | 0.8% |
3M Rtn | 0.1% |
6M Rtn | -2.4% |
12M Rtn | 2.2% |
3Y Rtn | 27.8% |
1M Excs Rtn | 0.2% |
3M Excs Rtn | -6.0% |
6M Excs Rtn | -28.5% |
12M Excs Rtn | -12.9% |
3Y Excs Rtn | -52.0% |
Comparison Analyses
Segment Financials
Revenue by Segment
$ Mil | 2024 | 2023 | 2022 | 2021 | 2020 |
---|---|---|---|---|---|
Cardiovascular | 8,714 | 7,679 | 6,721 | 3,876 | 4,208 |
MedSurg | 5,378 | 4,855 | 4,389 | 3,066 | 3,307 |
Impact of foreign currency fluctuations | 149 | 208 | 766 | ||
Other | -60 | 12 | 219 | 81 | |
Rhythm and Neuro | 2,752 | 3,140 | |||
Total | 14,241 | 12,682 | 11,888 | 9,913 | 10,736 |
$ Mil | 2024 | 2023 | 2022 | 2021 | 2020 |
---|---|---|---|---|---|
Cardiovascular | 2,281 | 1,784 | 1,572 | 661 | 1,137 |
MedSurg | 1,834 | 1,489 | 1,368 | 1,079 | 1,204 |
Corporate expenses, including hedging activities and impact of foreign currency fluctuations on | -377 | 29 | 67 | -405 | -264 |
Goodwill and other intangible asset impairment charges, acquisition/divestiture-related net charges | -567 | -789 | -1,070 | -1,208 | -582 |
Amortization expense | -828 | -803 | -741 | -789 | -699 |
Other | -60 | 3 | 143 | 56 | |
Rhythm and Neuro | 439 | 666 | |||
Total | 2,343 | 1,650 | 1,199 | -80 | 1,518 |
$ Mil | 2024 | 2023 | 2022 | 2021 | 2020 |
---|---|---|---|---|---|
Goodwill | 14,387 | 9,951 | 10,176 | ||
Other intangible assets, net | 6,003 | 5,917 | 7,886 | ||
Cardiovascular | 5,988 | 2,461 | 2,535 | ||
All other corporate assets | 5,869 | 7,850 | 6,082 | ||
MedSurg | 2,888 | 1,638 | 1,803 | ||
Other | 1,133 | 211 | |||
Rhythm and Neuro | 1,827 | 1,873 | |||
Total | 35,135 | 30,777 | 30,566 |
Returns Analyses
Earnings Returns History
Expand for MoreForward Returns | |||
---|---|---|---|
Earnings Date | 1D Returns | 5D Returns | 21D Returns |
7/23/2025 | 4.5% | 3.2% | 2.8% |
4/23/2025 | 4.1% | 8.1% | 10.1% |
2/5/2025 | 1.4% | 2.4% | -2.6% |
10/23/2024 | -0.6% | -3.9% | 2.5% |
7/24/2024 | -1.1% | -5.8% | 0.3% |
4/24/2024 | 5.7% | 4.2% | 9.2% |
1/31/2024 | 3.0% | 5.5% | 7.8% |
10/26/2023 | -0.4% | 3.3% | 11.3% |
... | |||
SUMMARY STATS | |||
# Positive | 15 | 15 | 17 |
# Negative | 9 | 9 | 7 |
Median Positive | 3.5% | 3.5% | 6.3% |
Median Negative | -1.3% | -2.9% | -5.9% |
Max Positive | 6.2% | 9.4% | 17.4% |
Max Negative | -6.2% | -5.8% | -8.2% |
SEC Filings
Expand for MoreReport Date | Filing Date | Filing |
---|---|---|
6302025 | 8012025 | 10-Q 6/30/2025 |
3312025 | 5012025 | 10-Q 3/31/2025 |
12312024 | 2182025 | 10-K 12/31/2024 |
9302024 | 11012024 | 10-Q 9/30/2024 |
6302024 | 8012024 | 10-Q 6/30/2024 |
3312024 | 5012024 | 10-Q 3/31/2024 |
12312023 | 2202024 | 10-K 12/31/2023 |
9302023 | 11012023 | 10-Q 9/30/2023 |
6302023 | 8032023 | 10-Q 6/30/2023 |
3312023 | 5042023 | 10-Q 3/31/2023 |
12312022 | 2232023 | 10-K 12/31/2022 |
9302022 | 11032022 | 10-Q 9/30/2022 |
6302022 | 8042022 | 10-Q 6/30/2022 |
3312022 | 5052022 | 10-Q 3/31/2022 |
12312021 | 2232022 | 10-K 12/31/2021 |
9302021 | 11042021 | 10-Q 9/30/2021 |
Insider Activity
Expand for MoreOwner | Title | Filing Date | Action | Price | Shares | TransactedValue | Value ofHeld Shares | Form | |
---|---|---|---|---|---|---|---|---|---|
0 | FUJIMORI YOSHIAKI | 7302025 | Sell | 106.99 | 2,901 | 310,378 | 222,646 | Form | |
1 | LUDWIG EDWARD J | 7282025 | Sell | 106.03 | 4,000 | 424,120 | 1,959,330 | Form | |
2 | LUDWIG EDWARD J | 5302025 | Sell | 104.59 | 4,000 | 418,368 | 2,351,121 | Form | |
3 | Brown Vance R | SVP, GC and Corp. Secretary | 5222025 | Sell | 106.42 | 4,826 | 513,583 | 3,338,076 | Form |
4 | Brown Vance R | SVP, GC and Corp. Secretary | 4222025 | Sell | 95.09 | 4,826 | 458,904 | 3,441,592 | Form |
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