BSX vs MDT vs PEN Stock Comparison

Boston Scientific, Medtronic and Penumbra Prices as of Oct 29, 2026 Peers: Industry group
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BSX Boston Scientific Corp
$42.68 -2.8% 1M -57.4% 1Y
Market cap
$61.64B
P/E
17.6x
Revenue (TTM)
$21.07B
Div. yield
–
Medical Devices Healthcare
2 wins
MDT Medtronic plc
$97.10 +11.5% 1M +5.9% 1Y
Market cap
$123.68B
P/E
23.6x
Revenue (TTM)
$37.54B
Div. yield
0.03%
Medical Devices Healthcare
3 wins
PEN Penumbra Inc
$321.84 +0.9% 1M +37.9% 1Y
Market cap
$12.55B
P/E
79.9x
Revenue (TTM)
$1.56B
Div. yield
–
Medical Devices Healthcare
4 wins

Head to Head

9 decided of 12

Penumbra leads on 4 of the 12 questions below (Penumbra 4, Medtronic 3, Boston Scientific 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionBSXMDTPENLeader
Larger companyMarket capitalisation $61.64B $123.68B $12.55B MDT
Cheaper on earningsLower P/E, profitable companies only 17.6x 23.6x 79.9x BSX
Cheaper on forward earningsLower price / next fiscal year consensus EPS 13.7x 17.4x 71.8x BSX
Faster revenue growthRevenue growth, trailing twelve months +8.9% +9.8% +17.0% PEN
More profitableNet margin, trailing twelve months — 13.9% 10.1% MDT
Better return on capitalReturn on invested capital — 6.9% — –
Less leveragedLower net debt / EBITDA — 2.0x — –
Higher dividend yieldTrailing dividend yield 0.00% 0.03% 0.00% –
Better 1-year returnPrice return, last 12 months -57.4% +5.9% +37.9% PEN
Better 5-year returnAnnualised price return, 5 years -0.2%/yr -4.1%/yr +3.1%/yr PEN
Less volatileAnnualised volatility, 1 year 40.3% 24.8% 25.9% MDT
Higher overall scoreMean of the five percentile scores vs peers — 66/100 72/100 PEN

Percentile Scorecard

BSXMDTPEN

Each axis is the mean percentile of its metrics against the company's industry group. 100 is the best in the group, 50 the middle.

Scores by Axis

AxisBSXMDTPEN
Valuation 86 #32 of 227 83 #40 of 227 55 #102 of 227
Growth 71 #64 of 218 52 #105 of 218 86 #32 of 218
Profitability – 89 #24 of 202 86 #29 of 202
Financial Health – 50 #118 of 233 85 #35 of 233
Shareholder Returns – 58 #55 of 130 50 #66 of 130
Overall – 66 72
  • BSX ranked among 247 companies in Medical Devices and Diagnostics
  • MDT ranked among 247 companies in Medical Devices and Diagnostics
  • PEN ranked among 247 companies in Medical Devices and Diagnostics

Price Performance

Price return, split-adjusted, before dividends. Click a name to hide or show it.

Returns

PeriodBSXMDTPENSPY
1 month -2.8%+11.5%+0.9% +0.7%
3 months -7.2%+13.3%+0.6% +3.7%
6 months -25.9%+19.9%-1.4% +7.1%
Year to date -55.2%+1.1%+3.5% +12.8%
1 year -57.4%+5.9%+37.9% +11.9%
3 years -14.7%+38.8%+68.2% +85.2%
3 years, per year -5.2%+11.5%+19.0% +22.8%
5 years -1.0%-19.0%+16.4% +67.6%
5 years, per year -0.2%-4.1%+3.1% +10.9%
10 years +93.2%+18.5%+388.7% +262.0%
10 years, per year +6.8%+1.7%+17.2% +13.7%

Risk

MeasureBSXMDTPENSPY
Volatility, 1Y 40.3%24.8%25.9% 12.7%
Downside volatility, 1Y 47.8%22.0%16.3% 12.6%
Beta vs S&P 500, 1Y 0.130.100.06 1.00
Return / volatility, 1Y -1.430.241.47 0.94
Max drawdown, 5Y -61.6%-43.6%-59.7% -25.4%
From 52-week high -59.3%-7.8%-10.5% -1.2%
52-week high $104.98$105.35$359.40 $779.14
52-week low $41.57$73.75$225.54 $631.97

Valuation History

Weekly multiples on trailing twelve-month fundamentals. Negative or extreme readings (a loss year, a collapsed denominator) are left out so the chart stays readable.

MultipleBSXMDTPEN
P/E now vs peer median 17.9xmedian 28.7x 23.8xmedian 28.7x 80.8xmedian 28.7x
P/S now vs peer median 2.9xmedian 3.0x 3.3xmedian 3.0x 8.1xmedian 3.0x
EV/EBITDA now vs peer median —median 17.8x 14.8xmedian 17.8x 57.4xmedian 17.8x
P/FCF now vs peer median 17.6xmedian 26.4x 20.3xmedian 26.4x 63.3xmedian 26.4x
P/B now vs peer median —median 2.4x 2.4xmedian 2.4x 8.0xmedian 2.4x
PEG now vs peer median 0.41median 0.99 1.64median 0.99 1.43median 0.99

Financial History

Reported figures by fiscal period, placed on the calendar year (or quarter) each period ended in, so companies with different fiscal years line up.

Trailing twelve monthsBSXMDTPEN
Revenue $21.07B $37.54B $1.56B
Gross profit $14.57B $24.41B $1.06B
Operating income $3.93B $6.79B $189.25M
Net income – $5.27B $157.02M
Free cash flow – $6.13B $200.29M
R&D $2.16B $2.92B $94.93M
EPS (diluted) $2.37 $4.07 $3.96
Cash & equivalents – $1.69B $254.28M
Total debt – $113.29B –
Shares (diluted) 1.47B 1.29B 39.62M
Enterprise value $61.64B $88.93B $10.05B

All Metrics

58 metrics · best in bold

Bold marks the best reading: the lowest positive value for multiples, leverage and payout, the highest for everything else. The bar under each value is its percentile against that company's own peers. Hover a value for its rank and the peer median.

Valuation

12 metrics
MetricBSXMDTPEN
P/E 17.9x 23.8x 80.8x
P/FCF 17.6x 20.3x 63.3x
P/Operating cash flow – 15.5x 48.6x
P/S 2.9x 3.3x 8.1x
P/B – 2.4x 8.0x
P/Tangible book – 3.1x 8.0x
EV/EBITDA – 14.8x 57.4x
EV/EBIT – 21.2x 63.5x
EV/Revenue 2.9x 3.8x 7.7x
EV/FCF – 23.4x 60.0x
EV/Operating cash flow – 17.9x 46.0x
PEG (3Y EPS CAGR) 0.41 1.64 1.43

Growth

14 metrics
MetricBSXMDTPEN
Revenue growth (1Y) 8.9% 9.8% 17.0%
Revenue CAGR (3Y) 15.3% 6.0% 16.2%
Gross profit growth (1Y) 9.8% 9.3% 19.1%
Gross profit CAGR (3Y) 15.1% 5.6% 18.7%
Operating income growth (1Y) 13.5% 10.9% 9.5%
Operating income CAGR (3Y) 22.1% 6.4% 63.4%
Net income growth (1Y) – 12.4% -4.3%
Net income CAGR (3Y) – 13.0% 56.9%
EPS growth (1Y) 27.2% 12.4% -5.0%
EPS CAGR (3Y) 43.2% 14.5% 56.4%
Operating cash flow growth (1Y) – 12.4% 28.4%
Operating cash flow CAGR (3Y) – 11.3% 61.1%
Free cash flow growth (1Y) – 15.6% 31.2%
Free cash flow CAGR (3Y) – 11.3% 61.8%

Profitability

14 metrics
MetricBSXMDTPEN
Gross margin – 65.0% 68.0%
EBITDA margin – 25.9% 13.4%
Operating margin – 18.1% 12.1%
Pretax margin – 17.6% 13.3%
Net margin – 13.9% 10.1%
FCF margin – 16.3% 12.8%
Operating cash flow margin – 21.4% 16.7%
Return on equity – 10.4% 10.1%
Return on assets – 5.7% 7.8%
Return on invested capital – 6.9% –
Return on capital employed – 8.3% 10.7%
Asset turnover – 0.4x 0.8x
Cash conversion (OCF / net income) – 1.5x 1.7x
Stock comp / revenue – 1.3% 3.7%

Financial Health

11 metrics
MetricBSXMDTPEN
Debt / assets – 30.2% –
Debt / equity – 0.6x –
Net debt / EBITDA – 2.0x –
Debt / FCF – 4.6x –
Liabilities / assets – 45.5% 21.8%
Equity / assets – 54.5% 78.2%
Interest coverage – 9.4x –
Current ratio – 2.1x 5.9x
Quick ratio – 1.3x 3.7x
Cash ratio – 0.7x 2.9x
Altman Z-score – 3.06 19.23

Shareholder Returns

7 metrics
MetricBSXMDTPEN
Dividend yield – 2.9% –
Net buyback yield – 0.2% -0.1%
Shareholder yield – 3.1% -0.1%
Payout ratio (earnings) – 69.3% –
Payout ratio (FCF) – 59.5% –
Dividend growth (1Y) – 1.4% –
Dividend CAGR (3Y) – 0.2% –

Analyst Estimates

Solid lines are reported fiscal-year results; dashed lines are the consensus for the years ahead. Hover a year for the analysts' high and low, and how each result compared with its estimate.

ConsensusBSXMDTPEN
Forward P/E 13.7xFY2026 17.4xFY2026 71.8xFY2026
EPS, next fiscal year $3.12FY2026 $5.57FY2026 $4.48FY2026
EPS growth, next FY +2.0%FY2026 +0.7%FY2026 +16.7%FY2026
EPS growth, the year after +14.7% +7.2% +42.6%
Revenue, next fiscal year $20.67BFY2026 $39.92BFY2026 $1.63BFY2026
Revenue growth, next FY +3.0%FY2026 +9.8%FY2026 +16.3%FY2026
Revenue growth, the year after +1.6% -4.7% +7.5%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersBSXMDTPEN
Held by institutions 90.5% 85.1% 86.6%
Institutions holding 1,482 2,126 451
Change in shares held, QoQ -0.7% -0.2% +0.9%
Institutions buying 739 1,015 195
Institutions selling 610 913 182
Buyers to sellers 1.21 1.11 1.07

Return Correlation

Daily returns, last 12 months

1.00 means two stocks move in lockstep, 0 that they move independently. Pairs below about 0.5 diversify each other.

BSXMDTPEN
BSX 1.00 0.46 0.30
MDT 0.46 1.00 0.21
PEN 0.30 0.21 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, BSX, MDT and PEN?

Medtronic (MDT) is the largest by market capitalisation: Boston Scientific (BSX) $61.64B, Medtronic (MDT) $123.68B, Penumbra (PEN) $12.55B.

Which stock is cheaper, BSX, MDT and PEN?

Boston Scientific (BSX) trades on the lowest price-to-earnings ratio (Boston Scientific (BSX) 17.6x, Medtronic (MDT) 23.6x, Penumbra (PEN) 79.9x). On next year's consensus earnings, Boston Scientific (BSX) is cheapest (Boston Scientific (BSX) 13.7x, Medtronic (MDT) 17.4x, Penumbra (PEN) 71.8x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Penumbra (PEN) grew revenue fastest over the trailing twelve months: Boston Scientific (BSX) +8.9%, Medtronic (MDT) +9.8%, Penumbra (PEN) +17.0%.

Which company is more profitable?

Medtronic (MDT) has the highest net margin (Medtronic (MDT) 13.9%, Penumbra (PEN) 10.1%).

Which stock has performed better?

Over the past year Penumbra (PEN) returned the most: Boston Scientific (BSX) -57.4%, Medtronic (MDT) +5.9%, Penumbra (PEN) +37.9%. Over five years, Penumbra (PEN) compounded fastest (Boston Scientific (BSX) -0.2%/yr, Medtronic (MDT) -4.1%/yr, Penumbra (PEN) +3.1%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Boston Scientific (BSX) 0.00%, Medtronic (MDT) 0.03%, Penumbra (PEN) 0.00%. Boston Scientific (BSX) and Penumbra (PEN) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Medtronic (MDT) has been the steadiest (Boston Scientific (BSX) 40.3%, Medtronic (MDT) 24.8%, Penumbra (PEN) 25.9%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, BSX, MDT and PEN?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Penumbra (PEN) leads on 4. Business Quant does not give investment advice; use the comparison as a starting point for your own research.

Data from SEC filings, exchange prices and consensus estimates, via Business Quant. Percentile scores compare each company with its own peer group, so two companies' scores are each relative to different peers unless you rank against the whole market. Price returns exclude dividends. Nothing on this page is investment advice.