Medical - Devices
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BSX vs TMO
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Diagnostics & Research
BSX vs TMO — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||
|---|---|---|
| Industry | Medical - Devices | Medical - Diagnostics & Research |
| Market Cap | $83.23B | $175.76B |
| Revenue (TTM) | $20.07B | $45.20B |
| Net Income (TTM) | $2.89B | $6.86B |
| Gross Margin | 69.0% | 39.4% |
| Operating Margin | 19.8% | 17.8% |
| Forward P/E | 16.6x | 19.0x |
| Total Debt | $12.42B | $40.85B |
| Cash & Equiv. | $2.04B | $9.86B |
BSX vs TMO — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| Boston Scientific C… (BSX) | 100 | 147.4 | +47.4% |
| Thermo Fisher Scien… (TMO) | 100 | 135.4 | +35.4% |
Price return only. Dividends and distributions are not included.
Quick Verdict: BSX vs TMO
Each card shows where this stock fits in a portfolio — not just who wins on paper.
BSX carries the broadest edge in this set and is the clearest fit for income & stability and growth exposure.
- Dividend streak 0 yrs, beta 0.34
- Rev growth 19.9%, EPS growth 55.2%, 3Y rev CAGR 16.5%
- Lower volatility, beta 0.34, Low D/E 50.7%, current ratio 1.62x
TMO is the clearest fit if your priority is long-term compounding.
- 229.1% 10Y total return vs BSX's 154.2%
- 15.2% margin vs BSX's 14.4%
- 0.4% yield; 8-year raise streak; the other pay no meaningful dividend
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 19.9% revenue growth vs TMO's 3.9% | |
| Value | Lower P/E (16.6x vs 19.0x) | |
| Quality / Margins | 15.2% margin vs BSX's 14.4% | |
| Stability / Safety | Beta 0.34 vs TMO's 1.10, lower leverage | |
| Dividends | 0.4% yield; 8-year raise streak; the other pay no meaningful dividend | |
| Momentum (1Y) | +16.6% vs BSX's -46.2% | |
| Efficiency (ROA) | 6.9% ROA vs TMO's 6.4%, ROIC 8.8% vs 7.5% |
BSX vs TMO — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
BSX vs TMO — Financial Metrics
Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.
Income & Cash Flow (Last 12 Months)
BSX leads this category, winning 5 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
TMO is the larger business by revenue, generating $45.2B annually — 2.3x BSX's $20.1B. Profitability is closely matched — net margins range from 15.2% (TMO) to 14.4% (BSX). On growth, BSX holds the edge at +15.9% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||
|---|---|---|
| RevenueTrailing 12 months | $20.1B | $45.2B |
| EBITDAEarnings before interest/tax | $4.7B | $10.5B |
| Net IncomeAfter-tax profit | $2.9B | $6.9B |
| Free Cash FlowCash after capex | $3.6B | $6.7B |
| Gross MarginGross profit ÷ Revenue | +69.0% | +39.4% |
| Operating MarginEBIT ÷ Revenue | +19.8% | +17.8% |
| Net MarginNet income ÷ Revenue | +14.4% | +15.2% |
| FCF MarginFCF ÷ Revenue | +18.1% | +14.9% |
| Rev. Growth (YoY)Latest quarter vs prior year | +15.9% | +6.2% |
| EPS Growth (YoY)Latest quarter vs prior year | +18.5% | +11.3% |
Valuation Metrics
TMO leads this category, winning 4 of 6 comparable metrics.
Valuation Metrics
At 26.7x trailing earnings, TMO trades at a 8% valuation discount to BSX's 28.9x P/E. On an enterprise value basis, TMO's 19.0x EV/EBITDA is more attractive than BSX's 25.1x.
| Metric | ||
|---|---|---|
| Market CapShares × price | $83.2B | $175.8B |
| Enterprise ValueMkt cap + debt − cash | $93.6B | $206.8B |
| Trailing P/EPrice ÷ TTM EPS | 28.87x | 26.66x |
| Forward P/EPrice ÷ next-FY EPS est. | 16.58x | 19.04x |
| PEG RatioP/E ÷ EPS growth rate | — | 12.62x |
| EV / EBITDAEnterprise value multiple | 25.07x | 18.99x |
| Price / SalesMarket cap ÷ Revenue | 4.15x | 3.94x |
| Price / BookPrice ÷ Book value/share | 3.42x | 3.33x |
| Price / FCFMarket cap ÷ FCF | 22.75x | 27.93x |
Profitability & Efficiency
BSX leads this category, winning 8 of 9 comparable metrics.
Profitability & Efficiency
TMO delivers a 13.2% return on equity — every $100 of shareholder capital generates $13 in annual profit, vs $12 for BSX. BSX carries lower financial leverage with a 0.51x debt-to-equity ratio, signaling a more conservative balance sheet compared to TMO's 0.76x. On the Piotroski fundamental quality scale (0–9), BSX scores 7/9 vs TMO's 6/9, reflecting strong financial health.
| Metric | ||
|---|---|---|
| ROE (TTM)Return on equity | +12.4% | +13.2% |
| ROA (TTM)Return on assets | +6.9% | +6.4% |
| ROICReturn on invested capital | +8.8% | +7.5% |
| ROCEReturn on capital employed | +11.1% | +9.1% |
| Piotroski ScoreFundamental quality 0–9 | 7 | 6 |
| Debt / EquityFinancial leverage | 0.51x | 0.76x |
| Net DebtTotal debt minus cash | $10.4B | $31.0B |
| Cash & Equiv.Liquid assets | $2.0B | $9.9B |
| Total DebtShort + long-term debt | $12.4B | $40.9B |
| Interest CoverageEBIT ÷ Interest expense | 11.03x | 5.89x |
Total Returns (Dividends Reinvested)
Evenly matched — BSX and TMO each lead in 3 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in BSX five years ago would be worth $13,011 today (with dividends reinvested), compared to $10,211 for TMO. Over the past 12 months, TMO leads with a +16.6% total return vs BSX's -46.2%. The 3-year compound annual growth rate (CAGR) favors BSX at 1.8% vs TMO's -4.2% — a key indicator of consistent wealth creation.
| Metric | ||
|---|---|---|
| YTD ReturnYear-to-date | -40.9% | -20.1% |
| 1-Year ReturnPast 12 months | -46.2% | +16.6% |
| 3-Year ReturnCumulative with dividends | +5.4% | -11.9% |
| 5-Year ReturnCumulative with dividends | +30.1% | +2.1% |
| 10-Year ReturnCumulative with dividends | +154.2% | +229.1% |
| CAGR (3Y)Annualised 3-year return | +1.8% | -4.2% |
Risk & Volatility
Evenly matched — BSX and TMO each lead in 1 of 2 comparable metrics.
Risk & Volatility
BSX is the less volatile stock with a 0.34 beta — it tends to amplify market swings less than TMO's 1.10 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. TMO currently trades 73.4% from its 52-week high vs BSX's 51.1% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||
|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 0.34x | 1.10x |
| 52-Week HighHighest price in past year | $109.50 | $643.99 |
| 52-Week LowLowest price in past year | $54.98 | $385.46 |
| % of 52W HighCurrent price vs 52-week peak | +51.1% | +73.4% |
| RSI (14)Momentum oscillator 0–100 | 33.1 | 39.8 |
| Avg Volume (50D)Average daily shares traded | 15.3M | 1.9M |
Analyst Outlook
TMO leads this category, winning 1 of 1 comparable metric.
Analyst Outlook
Wall Street rates BSX as "Buy" and TMO as "Buy". Consensus price targets imply 63.1% upside for BSX (target: $91) vs 38.4% for TMO (target: $655). TMO is the only dividend payer here at 0.36% yield — a key consideration for income-focused portfolios.
| Metric | ||
|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy |
| Price TargetConsensus 12-month target | $91.33 | $654.67 |
| # AnalystsCovering analysts | 43 | 42 |
| Dividend YieldAnnual dividend ÷ price | — | +0.4% |
| Dividend StreakConsecutive years of raises | 0 | 8 |
| Dividend / ShareAnnual DPS | — | $1.69 |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | +1.7% |
BSX leads in 2 of 6 categories (Income & Cash Flow, Profitability & Efficiency). TMO leads in 2 (Valuation Metrics, Analyst Outlook). 2 tied.
BSX vs TMO: Frequently Asked Questions
10 questions · data-driven answers · updated daily
01Is BSX or TMO a better buy right now?
For growth investors, Boston Scientific Corporation (BSX) is the stronger pick with 19.
9% revenue growth year-over-year, versus 3. 9% for Thermo Fisher Scientific Inc. (TMO). Thermo Fisher Scientific Inc. (TMO) offers the better valuation at 26. 7x trailing P/E (19. 0x forward), making it the more compelling value choice. Analysts rate Boston Scientific Corporation (BSX) a "Buy" — based on 43 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.
02Which has the better valuation — BSX or TMO?
On trailing P/E, Thermo Fisher Scientific Inc.
(TMO) is the cheapest at 26. 7x versus Boston Scientific Corporation at 28. 9x. On forward P/E, Boston Scientific Corporation is actually cheaper at 16. 6x — notably different from the trailing picture, reflecting expected earnings growth.
03Which is the better long-term investment — BSX or TMO?
Over the past 5 years, Boston Scientific Corporation (BSX) delivered a total return of +30.
1%, compared to +2. 1% for Thermo Fisher Scientific Inc. (TMO). Over 10 years, the gap is even starker: TMO returned +229. 1% versus BSX's +154. 2%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.
04Which is safer — BSX or TMO?
By beta (market sensitivity over 5 years), Boston Scientific Corporation (BSX) is the lower-risk stock at 0.
34β versus Thermo Fisher Scientific Inc. 's 1. 10β — meaning TMO is approximately 219% more volatile than BSX relative to the S&P 500. On balance sheet safety, Boston Scientific Corporation (BSX) carries a lower debt/equity ratio of 51% versus 76% for Thermo Fisher Scientific Inc. — giving it more financial flexibility in a downturn.
05Which is growing faster — BSX or TMO?
By revenue growth (latest reported year), Boston Scientific Corporation (BSX) is pulling ahead at 19.
9% versus 3. 9% for Thermo Fisher Scientific Inc. (TMO). On earnings-per-share growth, the picture is similar: Boston Scientific Corporation grew EPS 55. 2% year-over-year, compared to 7. 3% for Thermo Fisher Scientific Inc.. Over a 3-year CAGR, BSX leads at 16. 5% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.
06Which has better profit margins — BSX or TMO?
Thermo Fisher Scientific Inc.
(TMO) is the more profitable company, earning 15. 1% net margin versus 14. 4% for Boston Scientific Corporation — meaning it keeps 15. 1% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: BSX leads at 19. 8% versus 18. 2% for TMO. At the gross margin level — before operating expenses — BSX leads at 69. 0%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.
07Is BSX or TMO more undervalued right now?
On forward earnings alone, Boston Scientific Corporation (BSX) trades at 16.
6x forward P/E versus 19. 0x for Thermo Fisher Scientific Inc. — 2. 5x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for BSX: 63. 1% to $91. 33.
08Which pays a better dividend — BSX or TMO?
In this comparison, TMO (0.
4% yield) pays a dividend. BSX does not pay a meaningful dividend and should not be held primarily for income.
09Is BSX or TMO better for a retirement portfolio?
For long-horizon retirement investors, Boston Scientific Corporation (BSX) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.
34), +154. 2% 10Y return). Both have compounded well over 10 years (BSX: +154. 2%, TMO: +229. 1%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.
10What are the main differences between BSX and TMO?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.
In terms of investment character: BSX is a mid-cap high-growth stock; TMO is a mid-cap quality compounder stock. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.
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