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Boston Scientific is a mature compounder in the medical device sector, benefiting from a diverse portfolio across cardiovascular, MedSurg, and rhythm management, generating strong operating cash flows and consistent margin expansion. Fair value range: low $55.9, high $85.0, with mid-point at $70.4.
Stock analysis

BSX BSX fair value $56–$85

BSX
By StockMarketAgent.AI team· supervised by
分析日: 2026-05-12次回更新: 2026-08-12Methodology v2.5Review: automatedArchetype: Mature compounder
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株価
$54.10
▲ +16.29 (+30.11%)
公正価値
$70
$56–$85
評価
強い買い
confidence 88/100
上昇余地
+30.1%
upside to fair value
安全余裕率
$59.83
MoS level · 15%
時価総額
$80.4B
P/E fwd 14.4
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§1 エグゼクティブサマリー

  • Strong Buy rating driven by 30% upside to $70.39 composite fair value midpoint.
  • Mature compounder profile translates high ROE into durable EPS growth with fading downside risk.
  • Q1 revenue growth of 11.6% outpaces major cardiovascular and MedSurg peers.
  • Valuation explicitly bridges benchmark optimism with structural terminal constraints via a moat-fade framework.
Fair value
$70
Margin of safety
+23.1%
Confidence
88/100
Moat
9/10

Educational analysis only — not financial advice. Always do your own due diligence.

$54.10Price
Low $55.91
Mid $70.39
High $85.05

Boston Scientific is a mature compounder in the medical device sector, benefiting from a diverse portfolio across cardiovascular, MedSurg, and rhythm management, generating strong operating cash flows and consistent margin expansion.

  • High switching costs in implantable
    High switching costs in implantable MedSurg devices.
  • Intangible assets via robust IP
    Intangible assets via robust IP in structural heart (WATCHMAN).
  • Cycle upside
    Demographic tailwinds and deferred elective procedure catch-up drive sustained, above-trend cardiovascular demand.

§2 ベアケース

A severe macro shock testing hospital capital budgets exposes operating leverageLeverageThe proportion of debt in the company's capital structure. Commonly measured as Debt/EBITDA, Debt/Equity, or Net Debt/EBITDA. risks. With high fixed costs and a reinvestment rate of 82.6%, a top-line deceleration below 6% rapidly compresses the 20% operating marginOperating marginOperating income (EBIT) divided by revenue. Captures profitability after both direct costs and operating expenses but before interest, tax, and non-operating items., forcing fair valueFair valueOur composite estimate of intrinsic per-share value, blended across DCF, exit-multiple, and reverse-DCF methods. Reported as a low/mid/high range to capture model uncertainty. down toward the $55.91 bear floor.

このテーゼが崩れる経路

Multiple Compression to Peer Median

· Medium

Premium valuation collapses as the market forces reversion to peer median PEG ratios.

FV impact
Valuation plunges to $40.05 peg_adjusted_peer level.
Trigger
12-24 months

Reimbursement Rate Cuts

· Low

Medicare reimbursement cuts and hospital consolidation severely erode structural pricing power.

FV impact
Midpoint fair value drops to the $55.91 bear boundary.
Trigger
12-36 months

WATCHMAN Normalization Stall

· Medium

Accelerated market share gains in the structural heart segment fail, normalizing revenue growth abruptly.

FV impact
Pulls valuation below the $61.91 FCFF DCF baseline.
Trigger
6-18 months
監視すべき早期警戒シグナル
指標現在トリガーしきい値
Revenue growth decelerates below 6% falsification trigger.MonitorDeterioration versus the report thesis
Operating margins fail to sustain the 20.0% normalized assumption.MonitorDeterioration versus the report thesis
Peer forward P/E multiples compress, dragging the premium valuation.MonitorDeterioration versus the report thesis
Regulatory setbacks in the cardiac rhythm management pipeline.MonitorDeterioration versus the report thesis
Free cash flow conversion drops below 1.0x net income.MonitorDeterioration versus the report thesis

§3 財務履歴

損益計算書 — 直近6期
項目T−0T−1T−2T−3T−4CAGR
期間2021-12-312022-12-312023-12-312024-12-312025-12-31Trend
売上高$11.89B$12.68B$14.24B$16.75B$20.07B+14.0%
売上総利益$8.18B$8.73B$9.90B$11.49B$13.85B+14.1%
営業利益$1.82B$2.03B$2.42B$3.00B$3.97B+21.5%
純利益$1.04B$698.0M$1.59B$1.85B$2.90B+29.2%
EPS (希薄化後)$0.69$0.45$1.07$1.25$1.94+29.5%
EBITDA$2.51B$2.75B$3.45B$3.86B$5.10B+19.4%
研究開発$1.20B$1.32B$1.41B$1.62B$2.05B+14.3%
販管費$4.36B$4.52B$5.19B$5.98B$6.89B+12.1%

品質スコア

OCF / 純利益
1.57×
>1 は利益の質が高いことを示す
会計品質ゲート
Fail
セクター調整後ゲート
ROIC
8.3%
投下資本利益率
セクション 3

Numbers analysis

キャッシュフロー

Cash-flow quality is reflected in the OCFOperating cash flowCash generated from the company's core operations after working-capital changes but before capital expenditures. The first line of the cash-flow statement. / net incomeNet IncomeNet Income is an income-statement line item used to reconcile revenue to operating profit, pre-tax income, net income, or per-share earnings. It should be compared across periods and against peer disclosure conventions., accounting-quality, and ROICROICReturn on invested capital. Operating profit (after tax) divided by invested capital. The single best gauge of capital-efficiency. Spread over WACC = economic value created. rows above.

資本配分

Capital allocation should be evaluated against reinvestment needs, balance-sheet strength, and shareholder returns.

個人サブスクライバー — §4以降11セクション追加

完全な分析を読む — 11セクション追加。

Competitive moat, industry cycle, peer comparison, intrinsic valuation, sensitivity, scenarios, earnings decision tree, position management, investor perspectives, scorecard, and final recommendation.

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FAQ

BSX — frequently asked questions

  1. Based on our latest analysis, BSX looks meaningfully undervalued. The current price is $54.1 versus a composite fair-value midpoint of $70.4 (range $55.9–$85.0), which implies roughly 30.1% upside to the midpoint.
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