Orin
BSXNYSE·Medical - Devices

Boston Scientific Corporation BSX

Market cap $66.1BP/E 18.0× trailingGross margin 71.2%Reports Wed 28 Oct, before the open
$44.62
−0.30 (−0.67%)Wed close 16:00 ET
52-wk $42.20 – $105.65
Watch
Orin's take
0.60conviction · moderate
Refreshed 28 Aug · take v9. A new filing or a print queues the next refresh.

Boston Scientific is a buy at $46.84 following the post-cyberattack selloff, trading at 18.89x trailing P/E — approximately 29% below the peer median of 26.66x — despite FY2025 revenue of $20.07B (up 19.87% YoY) and diluted EPS of $1.94 (up 55.2% YoY). A cluster buy by four insiders including CEO Michael Mahoney deploying approximately $9.5M between July 31 and August 25, 2026 signals management confidence even as a cybersecurity incident causes ongoing global operational disruption.

With FY2025 free cash flow of $3.658B and an FCF margin of 18.22%, the fundamental franchise remains intact while the stock sits well below its 200-day moving average of $68.145, pricing in significant worst-case scenarios.

What could go wrong

  • Cyberattack impact escalation. The August 26, 2026 cybersecurity incident is causing global disruption to order processing and shipping; the company has stated the nature, scope, and impact are yet to be determined, meaning Q3 2026 results could be materially affected.
  • Product recall compounding disruption. The same August 26 news cycle referenced a product recall alongside the cyberattack, adding a second layer of near-term operational and reputational risk.
  • Technical breakdown. Stock at $46.84 is well below the 200-day MA of $68.145 with a negative MACD histogram of -0.589 and RSI at 43.0, indicating persistent downward momentum that could attract further selling.
  • Institutional outflows. Smart money score is slightly negative at -0.0191 as of the quarter ended 2026-06-30, with fund count declining from 71 to 68 quarter-over-quarter, suggesting modest institutional caution predating the cyberattack.

What would change my mind

Cyberattack resolution and operational restart. Company confirms full restoration of order processing and shipping with quantified, limited financial impactbullish
Q3 2026 revenue miss from shipment delays. Q3 2026 results show material revenue shortfall attributable to cyberattack-related disruptionsbearish
Regulatory or legal action from incident. FDA, DOJ, or class-action litigation emerges from the cybersecurity incident or product recallbearish
Insider continued accumulation. Additional insider open-market purchases occur in September 2026 following the cluster buy windowbullish

Where this comes from: FMP FY2025 annual + derived_metrics · peer_relative composite · insider cluster_buy · news articles (TechCrunch, CNBC, Motley Fool, Benzinga). Orin's read on BSX; not advice.

Twelve months actual closes to 2026-09-23 · actual filings

Sept 25Nov 25Jan 26Mar 26May 26Jul 26

50-day average 200-day average · volume below

Largest holders · 13F Q2 2026

Money flow
FilerPositionOf fund
Vanguard Capital Management$4.1B0.1% of fund
State Street$3.0B0.1% of fund
Brasada Capital Management$2.6B0.5% of fund
Fmr$2.0B0.1% of fund
Massachusetts Financial Services /Ma/$1.5B0.5% of fund
Geode Capital Management$1.4B0.1% of fund

121 filers · quarter ended Q2 2026 · positions, not flows

Insiders, last 24 months: 281 Form 4 filings, net −$88.3M. Of the 50 on hand, 6 were open-market purchases and 0 sales— the rest are grants, option exercises and tax withholding.

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Where it trades

vs its own 5y · Healthcare
MetricNowOwn medianSector
P/E18.0×58.1×26.4×
EV/EBITDA13.8×27.2×
P/S3.16×5.90×
P/B2.6×4.4×

Its P/E sits below all 5 of the last 5 years (−2.83σ from its own mean).

What the price assumes

6.4%

free-cash-flow growth every year for 10 years, discounted at 10%, is what today’s price implies — starting from $3.7B of trailing free cash flow. It is an assumption the market is making, not a forecast Orin is making.

What Wall Street published

44 firms · 2026-09-23
Consensus target

$65

$50$100 · +46% against today's price

How they rate it
  • 37 buy or overweight
  • 7 hold
  • 0 underweight or sell

The analysts’ consensus and their own ratings, not Orin’s. A target is a twelve-month opinion published by the firm that wrote it.

Against the companies it is compared to

median P/E 26.6× of 8 peers
CompanyMarket capP/EEV/EBITDAGrossNetROE
BSXBoston Scientific Corporation$66B18.0×13.8×71.2%17.5%15%
ABTAbbott Laboratories$179B33.3×20.8×56.8%11.6%11%
AMGNAmgen Inc.$219B25.0×15.9×72.7%22.9%89%
DHRDanaher Corporation$156B39.2×24.9×58.5%15.9%8%
GILDGilead Sciences, Inc.$188B331.4×79.6%-10.6%-16%
HCAHCA Healthcare, Inc.$94B14.6×9.0×28.4%8.8%-113%
MCKMcKesson Corporation$103B23.5×15.3×3.6%1.1%-194%
MDTMedtronic plc$114B21.8×14.9×66.7%13.9%11%
PFEPfizer Inc.$161B37.2×17.6×71.3%6.8%5%
SYKStryker Corporation$105B28.1×18.6×65.2%14.4%16%

The median is of the 8 peers listed above and nothing else — check it against the column. This company trades 32.3% below it. The peer set is the vendor’s, so a company can appear here that a person would not have chosen.

What it has traded at

P/E by fiscal year
FY16 83.2×FY25 48.6×

What its sector has traded at

Healthcare
FY14 6.5×FY26 28.6×

Two scales, drawn separately on purpose: a sector median and one company’s multiple are not the same number and putting them on one axis invites a comparison neither series supports.

Discounted cash flow

not recomputed since
ModelFair valueAgainstComputed
Standard DCF$94$48.26 · +96%2026-06-10
Levered DCF$110$48.26 · +129%2026-06-10

The vendor’s intrinsic-value models. Treat them as a low-growth anchor — for a fast grower the market routinely pays well above a DCF. These were computed against the price in the “against” column, not today’s.

Every estimate on one scale

price $44.62
52-week range$42 – $106
Analyst targets$50 – $100
Standard DCF$94 as of 2026-06-10, when it was $48.26
Levered DCF$110 as of 2026-06-10, when it was $48.26
At own 5y-median P/E (58×)$144
At 5y P/E range (49–95×)$121 – $235
At sector P/E (26×)$66

The vertical rule is the current price. Ranges and point estimates are the backend’s, published as they were calculated; an arrow means the estimate sits beyond this scale, and its number is on the right.