Tearsheet

Boston Scientific (BSX)


Market Price (10/18/2025): $99.23 | Market Cap: $146.9 Bil
Sector: Health Care | Industry: Health Care Equipment

Boston Scientific (BSX)


Market Price (10/18/2025): $99.23
Market Cap: $146.9 Bil
Sector: Health Care
Industry: 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


0 Attractive cash flow generation
CFO/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 multiples
P/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
1 Low stock price volatility
Vol 12M is 23%
  Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -2.8%
0 Attractive cash flow generation
CFO/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
1 Low stock price volatility
Vol 12M is 23%
2 Expensive valuation multiples
P/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
3 Yield minus risk free rate is negative
ERPEquity 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

 202020212022202320242025Total [1]
Returns
BSX Return-20%18%9%25%55%9%111%
Peers Return12%13%-21%3%6%-3%6%
S&P 500 Return16%27%-19%24%23%13%103%

Monthly Win Rates [3]
BSX Win Rate42%42%58%58%83%67% 
Peers Win Rate53%50%42%47%53%53% 
S&P 500 Win Rate58%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

Unique KeyEventBSXS&P 500
2022 Inflation Shock2022 Inflation Shock  
2022 Inflation Shock% Loss% Loss-25.2%-25.4%
2022 Inflation Shock% Gain to Breakeven% Gain to Breakeven33.7%34.1%
2022 Inflation ShockTime to BreakevenTime to Breakeven181 days464 days
2020 Covid Pandemic2020 Covid Pandemic  
2020 Covid Pandemic% Loss% Loss-43.5%-33.9%
2020 Covid Pandemic% Gain to Breakeven% Gain to Breakeven77.0%51.3%
2020 Covid PandemicTime to BreakevenTime to Breakeven497 days148 days
2018 Correction2018 Correction  
2018 Correction% Loss% Loss-18.7%-19.8%
2018 Correction% Gain to Breakeven% Gain to Breakeven23.0%24.7%
2018 CorrectionTime to BreakevenTime to Breakeven46 days120 days
2008 Global Financial Crisis2008 Global Financial Crisis  
2008 Global Financial Crisis% Loss% Loss-70.5%-56.8%
2008 Global Financial Crisis% Gain to Breakeven% Gain to Breakeven239.2%131.3%
2008 Global Financial CrisisTime to BreakevenTime to Breakeven2538 days1480 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

Limiting losses and compounding gains is essential to preserving wealth over time.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

Better Bets than Boston Scientific (BSX)

Latest Trefis Analyses

Trade Ideas

Select past ideas related to BSX. For more, see Trefis Trade Ideas.

Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
ADMA_9302025_Dip_Buyer_ValueBuy09302025ADMAADMA BiologicsDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
-0.7%-0.7%-4.6%
REGN_9302025_Dip_Buyer_ValueBuy09302025REGNRegeneron PharmaceuticalsDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
1.2%1.2%-0.8%
HAE_9262025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG09262025HAEHaemoneticsDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
3.3%3.3%-0.1%
WAT_9192025_Monopoly_xInd_xCD_Getting_Cheaper09192025WATWatersMonopolyMY | Getting CheaperMonopoly-Like with P/S Decline
Large cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple
11.3%11.3%-4.3%
ISRG_9052025_Monopoly_xInd_xCD_Getting_Cheaper09052025ISRGIntuitive SurgicalMonopolyMY | Getting CheaperMonopoly-Like with P/S Decline
Large cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple
-6.9%-6.9%-8.0%
Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
ADMA_9302025_Dip_Buyer_ValueBuy09302025ADMAADMA BiologicsDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
-0.7%-0.7%-4.6%
REGN_9302025_Dip_Buyer_ValueBuy09302025REGNRegeneron PharmaceuticalsDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
1.2%1.2%-0.8%
HAE_9262025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG09262025HAEHaemoneticsDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
3.3%3.3%-0.1%
WAT_9192025_Monopoly_xInd_xCD_Getting_Cheaper09192025WATWatersMonopolyMY | Getting CheaperMonopoly-Like with P/S Decline
Large cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple
11.3%11.3%-4.3%
ISRG_9052025_Monopoly_xInd_xCD_Getting_Cheaper09052025ISRGIntuitive SurgicalMonopolyMY | Getting CheaperMonopoly-Like with P/S Decline
Large cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple
-6.9%-6.9%-8.0%

Recent Active Movers

Recent Active Movers

More From Trefis

Peer Comparisons for Boston Scientific

Financials

BSXABTISRGMDTBDXBAXMedian
NameBoston S.Abbott L.Intuitiv.MedtronicBecton D.Baxter I. 
Mkt Price99.24128.54446.1395.78189.1023.09113.89
Mkt Cap146.9224.1159.9122.854.311.8134.8
Rev LTM18,49443,1099,14534,20021,38610,88719,940
Op Inc LTM3,3887,5152,6346,6472,9553983,172
FCF LTM3,2346,7751,9945,3032,5502182,892
FCF 3Y Avg2,1145,9721,1974,9642,5046582,309
CFO LTM4,2859,0372,8267,1463,2547653,770
CFO 3Y Avg3,0148,1302,1166,6253,2781,1663,146

Growth & Margins

BSXABTISRGMDTBDXBAXMedian
NameBoston S.Abbott L.Intuitiv.MedtronicBecton D.Baxter I. 
Rev Chg LTM21.4%5.9%20.8%5.0%7.9%3.6%6.9%
Rev Chg 3Y Avg14.6%-1.5%15.4%3.3%4.1%-5.7%3.7%
Rev Chg Q22.8%7.4%21.4%8.4%10.4%4.3%9.4%
QoQ Delta Rev Chg LTM5.4%1.8%4.9%2.0%2.5%1.1%2.2%
Op Mgn LTM18.3%17.4%28.8%19.4%13.8%3.7%17.9%
Op Mgn 3Y Avg17.6%16.2%26.3%18.6%13.3%2.9%16.9%
QoQ Delta Op Mgn LTM-0.2%0.6%0.6%-0.1%0.9%0.1%0.3%
CFO/Rev LTM23.2%21.0%30.9%20.9%15.2%7.0%20.9%
CFO/Rev 3Y Avg18.8%19.6%26.9%20.2%16.3%11.2%19.2%
FCF/Rev LTM17.5%15.7%21.8%15.5%11.9%2.0%15.6%
FCF/Rev 3Y Avg13.1%14.4%15.0%15.1%12.4%6.3%13.7%

Valuation

BSXABTISRGMDTBDXBAXMedian
NameBoston S.Abbott L.Intuitiv.MedtronicBecton D.Baxter I. 
Mkt Cap146.9224.1159.9122.854.311.8134.8
P/S7.95.217.53.62.51.14.4
P/EBIT44.126.660.719.221.7370.235.3
P/E58.616.061.326.334.3-76.430.3
P/CFO34.324.856.617.216.715.521.0
Total Yield1.7%8.0%1.6%6.7%5.1%2.7%3.9%
Dividend Yield0.0%1.8%0.0%2.9%2.2%4.0%2.0%
FCF Yield 3Y Avg1.8%3.0%0.8%4.5%4.1%3.5%3.2%
D/E0.10.10.00.20.40.80.2
Net D/E0.10.0-0.00.20.30.70.1

Returns

BSXABTISRGMDTBDXBAXMedian
NameBoston S.Abbott L.Intuitiv.MedtronicBecton D.Baxter I. 
1M Rtn0.8%-3.8%2.9%2.0%0.8%-0.5%0.8%
3M Rtn-4.2%4.4%-14.0%7.7%6.3%-16.3%0.1%
6M Rtn4.3%-1.0%-7.6%17.8%-3.7%-19.1%-2.4%
12M Rtn14.8%11.1%-5.8%10.2%-19.7%-35.6%2.2%
3Y Rtn141.6%29.8%130.3%25.8%-13.7%-55.0%27.8%
1M Excs Rtn0.5%-4.5%1.9%0.5%-0.1%-3.0%0.2%
3M Excs Rtn-10.1%-1.9%-19.2%1.9%2.8%-20.7%-6.0%
6M Excs Rtn-21.8%-27.1%-33.7%-8.3%-29.9%-45.2%-28.5%
12M Excs Rtn-0.2%-1.7%-21.4%-4.5%-34.8%-50.2%-12.9%
3Y Excs Rtn64.3%-49.5%53.1%-54.6%-96.1%-140.8%-52.0%

Financials

Segment Financials

Revenue by Segment

$ Mil20242023202220212020
Cardiovascular8,7147,6796,7213,8764,208
MedSurg5,3784,8554,3893,0663,307
Impact of foreign currency fluctuations149208766  
Other -601221981
Rhythm and Neuro   2,7523,140
Total14,24112,68211,8889,91310,736


Operating Income by Segment
$ Mil20242023202220212020
Cardiovascular2,2811,7841,5726611,137
MedSurg1,8341,4891,3681,0791,204
Corporate expenses, including hedging activities and impact of foreign currency fluctuations on-3772967-405-264
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 -60314356
Rhythm and Neuro   439666
Total2,3431,6501,199-801,518


Assets by Segment
$ Mil20242023202220212020
Goodwill14,387  9,95110,176
Other intangible assets, net6,003  5,9177,886
Cardiovascular5,988  2,4612,535
All other corporate assets5,869  7,8506,082
MedSurg2,888  1,6381,803
Other   1,133211
Rhythm and Neuro   1,8271,873
Total35,135  30,77730,566


Price Behavior

Short Interest

Short Interest: As Of Date9302025
Short Interest: Shares Quantity19,401,596
Short Interest: % Change Since 91520252.0%
Average Daily Volume13,301,110
Days-to-Cover Short Interest1.46
Basic Shares Quantity1,479,900,000
Short % of Basic Shares1.3%

Earnings Returns History

Expand for More

 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
7/23/20254.5%3.2%2.8%
4/23/20254.1%8.1%10.1%
2/5/20251.4%2.4%-2.6%
10/23/2024-0.6%-3.9%2.5%
7/24/2024-1.1%-5.8%0.3%
4/24/20245.7%4.2%9.2%
1/31/20243.0%5.5%7.8%
10/26/2023-0.4%3.3%11.3%
...
SUMMARY STATS   
# Positive151517
# Negative997
Median Positive3.5%3.5%6.3%
Median Negative-1.3%-2.9%-5.9%
Max Positive6.2%9.4%17.4%
Max Negative-6.2%-5.8%-8.2%

SEC Filings

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Report DateFiling DateFiling
6302025801202510-Q 6/30/2025
3312025501202510-Q 3/31/2025
12312024218202510-K 12/31/2024
93020241101202410-Q 9/30/2024
6302024801202410-Q 6/30/2024
3312024501202410-Q 3/31/2024
12312023220202410-K 12/31/2023
93020231101202310-Q 9/30/2023
6302023803202310-Q 6/30/2023
3312023504202310-Q 3/31/2023
12312022223202310-K 12/31/2022
93020221103202210-Q 9/30/2022
6302022804202210-Q 6/30/2022
3312022505202210-Q 3/31/2022
12312021223202210-K 12/31/2021
93020211104202110-Q 9/30/2021

Insider Activity

Expand for More

 OwnerTitleFiling DateActionPriceSharesTransacted
Value
Value of
Held Shares
Form
0FUJIMORI YOSHIAKI 7302025Sell106.992,901310,378222,646Form
1LUDWIG EDWARD J 7282025Sell106.034,000424,1201,959,330Form
2LUDWIG EDWARD J 5302025Sell104.594,000418,3682,351,121Form
3Brown Vance RSVP, GC and Corp. Secretary5222025Sell106.424,826513,5833,338,076Form
4Brown Vance RSVP, GC and Corp. Secretary4222025Sell95.094,826458,9043,441,592Form