MDT vs PEN vs BSX Stock Comparison

Medtronic, Penumbra and Boston Scientific Prices as of Oct 26, 2026 Peers: Industry group
MDT Medtronic plc
$94.78 +6.9% 1M +1.2% 1Y
Market cap
$120.77B
P/E
23.1x
Revenue (TTM)
$37.54B
Div. yield
0.03%
Medical Devices Healthcare
3 wins
PEN Penumbra Inc
$325.19 +2.0% 1M +28.5% 1Y
Market cap
$12.78B
P/E
79.6x
Revenue (TTM)
$1.50B
Div. yield
–
Medical Devices Healthcare
4 wins
BSX Boston Scientific Corp
$45.60 +3.8% 1M -54.9% 1Y
Market cap
$66.53B
P/E
18.1x
Revenue (TTM)
$21.00B
Div. yield
–
Medical Devices Healthcare
4 wins

Head to Head

11 decided of 12

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

QuestionMDTPENBSXLeader
Larger companyMarket capitalisation $120.77B $12.78B $66.53B MDT
Cheaper on earningsLower P/E, profitable companies only 23.1x 79.6x 18.1x BSX
Cheaper on forward earningsLower price / next fiscal year consensus EPS 17.0x 72.6x 14.6x BSX
Faster revenue growthRevenue growth, trailing twelve months +9.8% +17.6% +13.5% PEN
More profitableNet margin, trailing twelve months 13.9% 10.7% 17.5% BSX
Better return on capitalReturn on invested capital 6.9% — 10.5% BSX
Less leveragedLower net debt / EBITDA 2.0x — 2.2x MDT
Higher dividend yieldTrailing dividend yield 0.03% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +1.2% +28.5% -54.9% PEN
Better 5-year returnAnnualised price return, 5 years -5.0%/yr +3.7%/yr +0.8%/yr PEN
Less volatileAnnualised volatility, 1 year 24.8% 26.4% 40.0% MDT
Higher overall scoreMean of the five percentile scores vs peers 66/100 74/100 69/100 PEN

Percentile Scorecard

MDTPENBSX

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

AxisMDTPENBSX
Valuation 84 #37 of 228 55 #104 of 228 89 #27 of 228
Growth 50 #111 of 221 94 #15 of 221 86 #33 of 221
Profitability 87 #28 of 208 87 #29 of 208 91 #19 of 208
Financial Health 49 #123 of 239 85 #37 of 239 42 #140 of 239
Shareholder Returns 58 #58 of 137 49 #70 of 137 39 #84 of 137
Overall 66 74 69
  • MDT ranked among 248 companies in Medical Devices and Diagnostics
  • PEN ranked among 248 companies in Medical Devices and Diagnostics
  • BSX ranked among 248 companies in Medical Devices and Diagnostics

Price Performance

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

Returns

PeriodMDTPENBSXSPY
1 month +6.9%+2.0%+3.8% -0.8%
3 months +12.6%+1.8%+0.2% +3.5%
6 months +14.3%-0.9%-23.9% +7.0%
Year to date -1.3%+4.6%-52.2% +12.2%
1 year +1.2%+28.5%-54.9% +13.0%
3 years +36.5%+68.7%-7.9% +86.3%
3 years, per year +10.9%+19.0%-2.7% +23.1%
5 years -22.6%+19.8%+4.3% +68.6%
5 years, per year -5.0%+3.7%+0.8% +11.0%
10 years +16.8%+386.4%+106.4% +258.0%
10 years, per year +1.6%+17.1%+7.5% +13.6%

Risk

MeasureMDTPENBSXSPY
Volatility, 1Y 24.8%26.4%40.0% 12.7%
Downside volatility, 1Y 22.0%17.8%47.1% 12.7%
Beta vs S&P 500, 1Y 0.110.060.14 1.00
Return / volatility, 1Y 0.051.08-1.37 1.02
Max drawdown, 5Y -43.6%-59.7%-61.6% -25.4%
From 52-week high -10.0%-9.5%-56.6% -1.8%
52-week high $105.35$359.40$104.98 $779.14
52-week low $73.75$225.54$41.57 $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.

MultipleMDTPENBSX
P/E now vs peer median 23.2xmedian 30.6x 79.7xmedian 30.6x 18.2xmedian 30.6x
P/S now vs peer median 3.2xmedian 3.0x 8.5xmedian 3.0x 3.1xmedian 3.0x
EV/EBITDA now vs peer median 14.5xmedian 17.5x 59.4xmedian 17.5x 14.0xmedian 17.5x
P/FCF now vs peer median 19.8xmedian 23.3x 59.3xmedian 23.3x 18.2xmedian 23.3x
P/B now vs peer median 2.4xmedian 2.4x 8.4xmedian 2.4x 2.6xmedian 2.4x
PEG now vs peer median 1.60median 0.87 1.05median 0.87 0.30median 0.87

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 monthsMDTPENBSX
Revenue $37.54B $1.50B $21.00B
Gross profit $24.41B $1.02B $14.68B
Operating income $6.79B $187.34M $4.15B
Net income $5.27B $160.59M $3.67B
Free cash flow $6.13B $215.91M $3.63B
R&D $2.92B $92.25M $2.15B
EPS (diluted) $4.07 $4.06 $2.49
Cash & equivalents $1.69B $205.27M $539.00M
Total debt $113.29B – $12.62B
Shares (diluted) 1.29B 39.57M 1.47B
Enterprise value $86.02B $10.49B $61.30B

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
MetricMDTPENBSX
P/E 23.2x 79.7x 18.2x
P/FCF 19.8x 59.3x 18.2x
P/Operating cash flow 15.1x 46.1x 14.6x
P/S 3.2x 8.5x 3.1x
P/B 2.4x 8.4x 2.6x
P/Tangible book 3.0x 8.4x 3.6x
EV/EBITDA 14.5x 59.4x 14.0x
EV/EBIT 20.7x 64.9x 18.8x
EV/Revenue 3.7x 8.1x 3.7x
EV/FCF 22.9x 56.3x 21.6x
EV/Operating cash flow 17.5x 43.7x 17.3x
PEG (3Y EPS CAGR) 1.60 1.05 0.30

Growth

14 metrics
MetricMDTPENBSX
Revenue growth (1Y) 9.8% 17.6% 13.5%
Revenue CAGR (3Y) 6.0% 17.1% 16.1%
Gross profit growth (1Y) 9.3% 20.0% 16.3%
Gross profit CAGR (3Y) 5.6% 19.9% 16.4%
Operating income growth (1Y) 10.9% 17.6% 31.9%
Operating income CAGR (3Y) 6.4% 73.0% 31.5%
Net income growth (1Y) 12.4% 8.7% 46.9%
Net income CAGR (3Y) 13.0% 76.7% 59.0%
EPS growth (1Y) 12.4% 7.8% 48.6%
EPS CAGR (3Y) 14.5% 76.1% 61.5%
Operating cash flow growth (1Y) 12.4% 37.9% 5.7%
Operating cash flow CAGR (3Y) 11.3% 146.0% 28.7%
Free cash flow growth (1Y) 15.6% 33.6% 4.0%
Free cash flow CAGR (3Y) 11.3% 650.9% 33.9%

Profitability

14 metrics
MetricMDTPENBSX
Gross margin 65.0% 67.8% 69.9%
EBITDA margin 25.9% 13.6% 26.5%
Operating margin 18.1% 12.4% 19.8%
Pretax margin 17.6% 13.5% 18.4%
Net margin 13.9% 10.7% 17.5%
FCF margin 16.3% 14.3% 17.3%
Operating cash flow margin 21.4% 18.5% 21.6%
Return on equity 10.4% 10.7% 14.3%
Return on assets 5.7% 8.3% 8.2%
Return on invested capital 6.9% – 10.5%
Return on capital employed 8.3% 11.0% 10.8%
Asset turnover 0.4x 0.8x 0.5x
Cash conversion (OCF / net income) 1.5x 1.7x 1.2x
Stock comp / revenue 1.3% 4.0% 1.5%

Financial Health

11 metrics
MetricMDTPENBSX
Debt / assets 30.2% – 27.9%
Debt / equity 0.6x – 0.5x
Net debt / EBITDA 2.0x – 2.2x
Debt / FCF 4.6x – 3.5x
Liabilities / assets 45.5% 22.5% 44.3%
Equity / assets 54.5% 77.5% 55.7%
Interest coverage 9.4x – 11.4x
Current ratio 2.1x 5.7x 1.2x
Quick ratio 1.3x 3.6x 0.6x
Cash ratio 0.7x 2.8x 0.1x
Altman Z-score 3.02 19.28 3.03

Shareholder Returns

7 metrics
MetricMDTPENBSX
Dividend yield 3.0% – –
Net buyback yield 0.2% -0.2% -0.3%
Shareholder yield 3.2% -0.2% -0.3%
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.

ConsensusMDTPENBSX
Forward P/E 17.0xFY2026 72.6xFY2026 14.6xFY2026
EPS, next fiscal year $5.57FY2026 $4.48FY2026 $3.12FY2026
EPS growth, next FY +0.7%FY2026 +16.7%FY2026 +2.0%FY2026
EPS growth, the year after +7.2% +42.6% +14.7%
Revenue, next fiscal year $39.92BFY2026 $1.63BFY2026 $20.67BFY2026
Revenue growth, next FY +9.8%FY2026 +16.3%FY2026 +3.0%FY2026
Revenue growth, the year after -4.7% +7.5% +1.6%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersMDTPENBSX
Held by institutions 85.1% 86.6% 90.5%
Institutions holding 2,124 451 1,481
Change in shares held, QoQ -0.2% +0.9% -0.7%
Institutions buying 1,013 195 738
Institutions selling 913 182 610
Buyers to sellers 1.11 1.07 1.21

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.

MDTPENBSX
MDT 1.00 0.22 0.47
PEN 0.22 1.00 0.29
BSX 0.47 0.29 1.00

Add a Peer

Largest companies in the same industry

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Frequently Asked Questions

Which is bigger, MDT, PEN and BSX?

Medtronic (MDT) is the largest by market capitalisation: Medtronic (MDT) $120.77B, Penumbra (PEN) $12.78B, Boston Scientific (BSX) $66.53B.

Which stock is cheaper, MDT, PEN and BSX?

Boston Scientific (BSX) trades on the lowest price-to-earnings ratio (Medtronic (MDT) 23.1x, Penumbra (PEN) 79.6x, Boston Scientific (BSX) 18.1x). On next year's consensus earnings, Boston Scientific (BSX) is cheapest (Medtronic (MDT) 17.0x, Penumbra (PEN) 72.6x, Boston Scientific (BSX) 14.6x). 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: Medtronic (MDT) +9.8%, Penumbra (PEN) +17.6%, Boston Scientific (BSX) +13.5%.

Which company is more profitable?

Boston Scientific (BSX) has the highest net margin (Medtronic (MDT) 13.9%, Penumbra (PEN) 10.7%, Boston Scientific (BSX) 17.5%). On return on invested capital, Boston Scientific (BSX) leads (Medtronic (MDT) 6.9%, Boston Scientific (BSX) 10.5%).

Which stock has performed better?

Over the past year Penumbra (PEN) returned the most: Medtronic (MDT) +1.2%, Penumbra (PEN) +28.5%, Boston Scientific (BSX) -54.9%. Over five years, Penumbra (PEN) compounded fastest (Medtronic (MDT) -5.0%/yr, Penumbra (PEN) +3.7%/yr, Boston Scientific (BSX) +0.8%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

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

Which stock is riskier?

By one-year price volatility, Medtronic (MDT) has been the steadiest (Medtronic (MDT) 24.8%, Penumbra (PEN) 26.4%, Boston Scientific (BSX) 40.0%). Volatility measures how widely the price swings, not the risk of the business.

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

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Boston Scientific (BSX) 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.