Boston Scientific Corporation
Orin's own judgment of how firmly the evidence points one way — not the chance the price goes up.
Buy BSX at $44.39 — the stock trades at 17.9x trailing P/E, a 50.9% discount to the medical-device peer median of 36.5x, despite FY2025 revenue of $20.07B (up 19.9% YoY) and diluted EPS of $1.94 (up 55.2% YoY).
Quarterly revenue growth has decelerated to 7.5% YoY in Q2 2026 and the stock sits below both its 50-day ($46.09) and 200-day ($59.10) moving averages, but a cluster buy by four insiders including CEO Michael Mahoney deploying approximately $9.4M between July 31 and August 25, 2026 signals management confidence at these levels. With FY2025 free cash flow of $3.658B (18.2% FCF margin) and eight consecutive quarterly EPS beats, the valuation cushion and insider alignment outweigh near-term growth deceleration concerns.
What could go wrong
- Revenue growth deceleration. Quarterly revenue YoY growth has slowed from 20.3% in Q3 2025 to 7.5% in Q2 2026, suggesting the post-pandemic rebound is fading and core franchise growth may be undershifting.
- Persistent technical downtrend. Stock trades at $44.39, well below the 200-day MA of $59.10 and the 50-day MA of $46.09, indicating sustained selling pressure and weak momentum despite a neutral RSI of 52.5.
- Net insider selling overhang. Over the trailing 24 months insiders net sold 867,788 shares worth approximately $98M; the recent cluster buy of ~$9.4M is notable but small relative to the cumulative disposition trend.
- Institutional outflow signals. Banque Pictet & Cie SA sold 694,882 shares (a 65% reduction) according to a 13F filing reported on October 17, 2026, suggesting some large holders are reducing exposure.
What would change my mind
Where this comes from: peer comparison · FY25 fundamentals · Q2 2026 results · insider trades. Orin's read on BSX; not advice.
How has the share price moved?
Down 56.0% over twelve months, from $102.43 on 27 Oct 2025 to $45.06 at the Tue 27 Oct 2026 close. Its highest close in that time was $104.98 on 13 Nov 2025; the last close is 57.1% below it.
- Green line: the closing price each trading day.
- Grey line: the average closing price over the last 50 trading days.
- Dashed amber line: the same over the last 200 trading days — a slower, smoother line.
- Bars along the bottom: shares traded each day — green when it closed higher than the day before, rose when lower (the most, 78.2M, on 4 Feb 2026).
- Flags: the company's filings, on the day they were made (a 10-Q is the quarterly report and a 10-K the annual report; an 8-K reports a major event).
On file
All BSX filingsLargest holders · 13F Q2 2026
Money flow| Filer | Position | Of fund |
|---|---|---|
| BlackRock | $5.5B | 0.1% |
| Vanguard Capital Management | $4.1B | 0.1% |
| State Street | $3.0B | 0.1% |
| FMR | $2.0B | 0.1% |
| Massachusetts Financial Services | $1.5B | 0.5% |
| Geode Capital Management | $1.4B | 0.1% |
| Vanguard Portfolio Management | $1.3B | 0.1% |
| D. E. Shaw | $1.1B | 0.5% |
| JPMorgan Chase | $1.0B | 0.1% |
| Norges Bank | $903.5M | 0.1% |
124 of the 815 filers we track · quarter ended Q2 2026 · positions, not flows
Insiders, last 24 months: 281 Form 4 filings; open-market trades net −$98.0M. Of the 50 on hand, 6 were open-market purchases and 0 sales — the rest are grants, option exercises and tax withholding.
Ask Orin about BSX
Orin answers questions about BSX from its filings, transcripts and numbers — with the source behind every claim. Your own desk starts with 3 free days, card required.
Start 3 free days →How is it priced, against its own past and its sector?
Priced at 18.2× its last 12 months of profit (Tue 27 Oct close) — lower than in all 5 of its last 5 fiscal years (middle 61.3×); the typical Healthcare company on the NYSE is at 25.8×.
| Measure | Now | Its usual | Sector |
|---|---|---|---|
| P/E | 18.2×below usual | 61.3× | 25.8× |
| P/S | 3.11×below usual | 5.90× | — |
| EV/EBITDA | 13.3×below usual | 27.2× | — |
| P/B | 2.7×below usual | 4.4× | — |
- "Its usual" is the middle of its own last 5 fiscal years.
P/E: the share price divided by one year of profit per share — roughly how many years of today's profit the price pays for. A company that loses money has no P/E.
P/S: the company's total market value divided by one year of revenue. Used when there is no profit to measure.
EV/EBITDA: the price of the whole company (its shares plus its debt, minus its cash) divided by one year of operating profit before interest, tax and write-downs.
P/B: the share price divided by the book value per share — what the company owns minus what it owes, as its accounts record it. When book value is tiny, P/B swings wildly and says little.
What do the analysts who cover it publish?
The analysts' average 12-month price target is $59.30 (from $48 to $71) — 32% above the Tue 27 Oct close price. That is their published opinion, not Orin's.
$59.30
$48 – $71 · +32% against the last close
- 20 buy or overweight
- 4 hold
- 0 underweight or sell
Price target: the share price an analyst publishes for about 12 months ahead. It is the opinion of the firm that wrote it; the average is across the firms that cover the company.
Overweight / underweight: analysts' rating words: overweight means the firm expects the stock to do better than the others it covers, underweight worse. Their words, not Orin's.
How is it priced next to the companies it is compared to?
Priced at 18.2× its last 12 months of profit. Only 2 of the 2 companies it is compared to made a profit (EW 57.0×, MDT 23.0×), so there is no typical P/E.
| Company | Market value | P/E | EV/EBITDA | Gross margin | Net margin | ROE |
|---|---|---|---|---|---|---|
| BSXBoston Scientific Corporation | $65B | 18.2× | 13.3× | 71.2% | 17.5% | 15% |
| EWEdwards Lifesciences Corporation | $58B | 57.0× | 34.7× | 78.1% | 15.3% | 10% |
| MDTMedtronic plc | $120B | 23.0× | 14.4× | 66.7% | 13.9% | 11% |
- The list of companies is the data vendor's choice, so it can include a company a person would not have picked.
Market value: the share price times the number of shares — what the whole company is priced at.
P/E: the share price divided by one year of profit per share — roughly how many years of today's profit the price pays for. A company that loses money has no P/E.
EV/EBITDA: the price of the whole company (its shares plus its debt, minus its cash) divided by one year of operating profit before interest, tax and write-downs.
Gross margin: the share of each $1 of sales left after the direct cost of making what was sold.
Net margin: the share of each $1 of sales kept as profit after every cost. Below zero, the company lost money.
ROE: return on equity: one year of profit as a share of the shareholders' money in the business (its book value).
Is it priced high or low compared with its own past?
Priced at 18.2× its last 12 months of profit (Tue 27 Oct close). It has no full fiscal year on file since its history starts, so there is nothing of its own to compare with.
- Now18.2×
P/E: the share price divided by one year of profit per share — roughly how many years of today's profit the price pays for. A company that loses money has no P/E.
Fiscal year (FY): the company's own 12-month accounting year, which need not match the calendar year.
How has its sector been priced?
Healthcare companies on the NYSE were priced at a typical 25.8× their yearly profit (Tue 27 Oct close).
- Now25.8×
- Each year is the middle of that calendar year's daily sector P/E; "Now" is the Tue 27 Oct close figure, the same one in the table above.
Sector P/E: the middle P/E of the companies in the same sector on the same stock exchange, as the data vendor works it out each day.
What does a cash-flow model say a share is worth?
A standard cash-flow model puts it at $84 a share — 86% above the $45.01 price it was computed against (27 Oct).
| Model | Value a share | Against the price then |
|---|---|---|
| Standard | $84 | 86% above $45.01 |
| Levered | $87 | 92% above $45.01 |
Discounted cash flow: a model's estimate of what the company is worth today, from the cash it is forecast to make in future years. Small changes in the forecast move it a lot, and it says little about a company that loses money.
Standard / levered: two versions of the cash-flow model: the standard one counts the cash before the company pays its lenders, the levered one after.