SYNTHOS RESEARCH

The Cooper Companies COO

Healthcare · Medical - Instruments & Supplies · Synthos Deep Dive · 2026-07-03

$74.20
Buy — Tactical
Risk 5Growth 5Exponential 3Fair value $95 $70–$118

At a glance

VerdictBuy — Tactical — systematic Synthos tier
Price (2026-07-02)$74.20 · market cap ~$14.5B
Synthos scores (0–10)Downside Risk 5 · Growth Quality 5 · Exponential Potential 3
Synthos fair value (base case)~$95+28% · full range $70 (bear) – $118 (bull)
Street consensus$80.33 (high $98 / low $61; median $85.5; 16 Buy · 8 Hold · 1 Sell) — context, not our anchor
Valuation39× trailing GAAP EPS · ~16× FY26E · ~15× FY27E · ~13× FY29E non-GAAP EPS · EV/S 4.0× · EV/EBITDA 19×
Exponential Potential3/10 · Low — ~5% organic revenue growth, decelerating; mature two-player contact-lens category caps the multibagger
TechnicalsMixed — $74.2, −12% off 52-wk high, above 50-DMA & just above 200-DMA, RSI 75 (overbought), +1.9% 12-mo (SPY +20.6%)
ConvictionLow (breadth 0) — zero net-bullish voices, zero traceable claims; call rests on fundamentals + quant
Position sizingSatellite-defensive, ~1.5–3% — a fair-priced steady grower, not a high-conviction anchor
Next catalyst2026-09-02 Q3 FY26 earnings (Street EPS $1.13)
Single biggest riskGrowth stays low-single-digit while the CooperSurgical fertility-recall litigation / strategic review overhangs the stock

One-line thesis. Cooper is a defensive, low-beta medical-device duopolist (contact lenses + women's health) trading at a reasonable ~15–16× forward non-GAAP earnings after a rough year, but the top line only grows mid-single-digits, returns on capital are mediocre, a fresh $272M litigation charge just landed, and — critically — no Synthos expert voices cover it, so the modest +28% base-case upside is a quant/fundamentals call, not a conviction one.

◆ Synthos call — Buy — Tactical COO offers ~28% upside to fair value (~$95) with the trend confirming — buy $73–$74, take profits toward $95, and exit on a close below the 200-day (~$73).
Downside Risk (lower = safer)
5/10 · Moderate
Reasonable ~16× forward non-GAAP EPS & 0.87 beta, but 2.7× net-debt/EBITDA, a −35% peak drawdown and a fresh $272M litigation charge.
Growth Quality
5/10 · Moderate
Only ~5% organic revenue & ~9% non-GAAP EPS CAGR; 68% gross margin but ROIC ~2.5% weighed down by acquisition goodwill.
Exponential Potential
3/10 · Low
Mature contact-lens/women's-health duopoly, low-single-digit and decelerating top line — a steady compounder, not an exponential.
◆ Target entry zone $73 – $74 accumulate in this band; ideal adds on a dip toward the 200-day average near $73, keeping roughly a 22% margin below our $95 base-case fair value
⚖ Reverse-DCF cross-check Market-implied growth ≈ 2%/yr To justify today’s $74, earnings would have to compound roughly 2% a year for 10 years (9% discount rate). Analysts forecast ~9%/yr, so the market is pricing in LESS than what the Street expects.
What do the 5 tiers mean? (Core · Tactical · Watch · Hold · Avoid)
Buy — CoreOwn it as a foundation — start or add now, size it for years, let dips be gifts.
Buy — TacticalGood price + confirmed trend + a defined exit — buy the setup, not a marriage.
WatchWe want the business, just not at this price/setup — act only when the listed trigger hits.
HoldFine to keep if you own it — no reason to buy more; new money does better elsewhere.
AvoidDon't own it — the problem is the business or the expectations, so a cheaper price won't fix it.

In plain English

Cooper makes two everyday medical things: contact lenses (CooperVision, two-thirds of sales) and women's-health and fertility products (CooperSurgical, one-third). These are steady, boring, repeat-purchase businesses — people keep buying contacts every month.

The good news: the stock isn't expensive for what it is. After a weak year the price fell, and you're now paying about 15 times next year's adjusted profit for a company that keeps two-thirds of every sales dollar as gross profit. Our verdict is Buy — Tactical: worth owning for a rebound, but keep the position small, because the growth is slow and no expert we track has weighed in on it.

Here's what our three scores mean in everyday terms:

The one big worry: growth stays stuck in the low single digits while the lawsuit over CooperSurgical's 2023 fertility-media recall — and a "strategic review" of that unit — hangs over the stock.


Price & moving averages 12 months · 50 & 200-day averages · 52-week range

5666758493Jul '25Sep '25Nov '25Feb '26Apr '26Jul '2652w hi $84Price 74200-DMA 7350-DMA 6452w lo $59

Solid = price · dashed = 50-day average · dotted = 200-day average · amber = 52-week high/low. Price above both averages is an uptrend.

Bollinger Bands 20-day average ± 2 standard deviations

5464738392Jul '25Sep '25Nov '25Feb '26Apr '26Jul '26Price 7420-day avg 68

The shaded band widens when the stock gets more volatile. Riding the upper edge = strong momentum (sometimes stretched); the lower edge = weak / potentially oversold.

RSI (14) momentum gauge · 0–100

705030Jul '25Sep '25Nov '25Feb '26Apr '26Jul '26RSI 75.1

Above 70 (red band) = overbought, below 30 (green band) = oversold. Currently 75.

MACD 12 / 26 / 9 · trend & momentum

0Jul '25Sep '25Nov '25Feb '26Apr '26Jul '26MACD 2.3signal 1.6

Blue crossing above amber (bars flip green) = momentum turning up; below (bars red) = turning down. Bar height = the size of that gap.

Relative performance vs S&P 500 & its sector (XLV (sector)), set to 100 a year ago

7790102114126Jul '25Sep '25Nov '25Feb '26Apr '26Jul '26XLV (sector) 121S&P 500 120COO 102

Solid = COO · dashed = S&P 500 · dotted = XLV (sector). A rising line means it is beating that benchmark — the sector line shows whether it is a leader or laggard within its own group.

Forward revenue & earnings actual → estimate · "FY" = fiscal year, "E" = estimate

01346$3BFY22EPS $3$4BFY23EPS $2$4BFY24EPS $4$4BFY25EPS $4$4BFY26EEPS $5$5BFY27EEPS $5$5BFY28EEPS $5$5BFY29EEPS $6

Darker bars = actual results, brighter = analyst estimates. Taller bars to the right = expected growth.

Key stats an RIA wants

Price$74.20
Market cap$14B
P/E trailing
P/E FY26E / FY27E16× / 15×
EV / Sales4.0×
EV / EBITDA19.4×
Gross margin64.4%
Net margin5.6%
Dividend yield0.00%
Beta0.873
52-wk range$59 – $84
RSI(14)75
50 / 200-DMA$64 / $73
12-mo return+2% (SPY +21%)
Street target$80 ($61–$98)
Analyst grades16 Buy · 8 Hold · 1 Sell
FMP ratingB
Next earnings2026-08-05

What the experts actually said 0 traceable claims on COO · showing the highest-conviction voices

Every claim reconciles to a real claim_id in the Synthos knowledge base — this is the evidence the verdict is built on, not vibes. Management (the company itself) is shown but half-weighted; one cautionary voice is included on purpose.

1. What it is

The Cooper Companies (Nasdaq: COO) is a ~$14.5B global medical-device firm run through two units. Fiscal year ends October 31.

Revenue mix (FY2025, from filings):

2. The expert thesis — why the panel is bullish (traceable)

There is no expert coverage of COO in the Synthos knowledge base: total_claims = 0, net-bullish voices = 0. No independent analyst voice we track — bullish or bearish — has said anything reconcilable about this name.

That matters for honesty: this verdict carries no conviction premium. It is built entirely from the reported financials, live analyst consensus estimates (FMP), management's own guidance (half-weighted, §9), and Synthos's quant scoring. Where a name like Eli Lilly earns a "High" conviction rating from 13 reconciled expert voices, Cooper earns "Low (breadth 0)" by construction. Treat the call accordingly: it is a fundamentals-and-valuation judgment, not a crowd-of-experts signal.

3. Synthos scores & the Bull / Base / Bear cases

Three scores, 0–10, each anchored to real metrics (not probabilities we can't honestly calibrate):

Score0–10The read
Downside Risk (lower = safer)5 · ModerateForward multiple is reasonable (~16× FY26E non-GAAP) and beta is 0.87, but net-debt/EBITDA is 2.7×, the stock has a −35% max drawdown from its peak, and a fresh $271.6M litigation charge (fertility recall) pushed GAAP Q2 to a loss.
Growth Quality5 · Average68% gross margin and recurring demand are attractive, but organic revenue grows only ~5%, non-GAAP EPS CAGR ~9%, and ROIC ~2.5% / ROE ~2.8% are weighed down by ~$5.4B of acquisition goodwill & intangibles.
Exponential Potential3 · LowMature contact-lens/women's-health duopoly; low-single-digit and decelerating top line. A steady compounder, not an exponential — no acceleration, limited room-to-run at scale.

The three cases (our own scenario model — assumptions shown; each target is a ~12–18-month fair value). We deliberately do not attach probabilities. All EPS figures below are non-GAAP (the basis for management's guidance and Street estimates).

CaseKey assumptionsFair value
BullFertility/myopia reaccelerate, litigation & strategic-review overhang clears, margins expand on synergies. FY28E EPS ~$5.48 earns a re-rating back to ~21–22×.~$118 (+59%)
Base (our anchor)Estimates roughly hit — FY27E non-GAAP EPS ~$5.01; a defensive mid-single-digit grower earns a ~19× multiple.~$95 (+28%)
BearGrowth stalls near GDP, FX/tariff drag persists, litigation reopens or strategic review disappoints. FY27E EPS misses to ~$4.70; multiple de-rates to ~15×.~$70 (−6%)

Synthos fair value = the base case, ~$95 (+28%), with the full $70–$118 span as the honest range. This anchor sits above the Street's $80.33 consensus (we think the forward multiple is too depressed for a 68%-gross-margin duopolist) but below the Street high of $98. This is a tracked call — the Forecaster Scorecard grades it once it matures. Given the low conviction (zero expert breadth), size it as a satellite, not an anchor.

4. Exponential Potential

Synthos separates compounders (durable but slow) from exponentials (accelerating multi-baggers). COO is firmly a slow compounder:

Exponential Potential: Low (3/10). Own COO for defensive, mid-single-digit compounding and a possible mean-reversion in the multiple — not for exponential upside.

5. Financials (real numbers — FMP annual/quarterly + the Q2 FY26 release)

6. Valuation — priced in or room?

On trailing GAAP numbers COO looks expensive (39× EPS, 19× EV/EBITDA) — but that's distorted by intangible amortization and the litigation charge. The honest lens is forward non-GAAP: at $74.20 the stock trades at ~16× FY26E · ~15× FY27E · ~13× FY29E non-GAAP EPS. For a 68%-gross-margin, low-beta, recurring-revenue duopolist, that is not demanding — it is roughly a market multiple for a below-market grower, which is the crux of the tactical case: the multiple has room to re-rate if growth holds.

EV/EBITDA 19× TTM and EV/S 4.0× are middle-of-the-road for medtech. The bull needs the multiple to normalize back toward COO's historical low-20s forward P/E; the bear says a ~5% grower with 2.7× leverage and a legal overhang deserves only ~15×. Street targets (context): consensus $80.33, median $85.5, high $98, low $61. Our $95 base FV is above consensus because we weight the FY27 earnings power and a modest re-rate; we are not calling it cheap on trailing GAAP.

7. Technicals (from the tech block)

8. Moat & competitive position

Cooper's moat is scale and consumable recurrence in an oligopoly: contact lenses are a repeat, prescription-anchored purchase, and only four players (J&J Vision, Alcon, Bausch + Lomb, CooperVision) have the manufacturing scale to compete globally. Toric/multifocal and myopia-management (MiSight) are structurally advantaged, higher-value niches. CooperSurgical adds a defensible fertility-consumables and IUD (PARAGARD) franchise. The weaknesses: mediocre returns on capital (ROIC ~2.5%, dragged by goodwill from a deal-heavy history), FX/tariff sensitivity, and the fertility-recall litigation that just cost $272M.

Peer set (FMP-supplied; note these are loosely comparable, not pure contact-lens peers): Hologic $17.0B (women's health — the closest comp), Smith & Nephew $12.8B, Fresenius Medical Care $12.6B, ICON $13.3B, Solventum $13.6B, Neurocrine $17.5B, Universal Health $9.9B, Tempus AI $10.5B, Doximity $4.1B, Summit Therapeutics $12.0B. The truest strategic comps (Alcon, Bausch + Lomb, J&J Vision) are not in this list; against them Cooper is the #2–3 lens player with the strongest myopia-management position.

9. Management, capital allocation & guidance

10. Catalysts & what to watch

Thesis tripwires (what would change the call): organic growth falling below ~3%; non-GAAP margin reversing the synergy gains; leverage rising above ~3× net-debt/EBITDA; or the strategic review resolving value-destructively.

11. Key risks

12. Verdict, position sizing & monitoring

Buy — Tactical. Cooper is a defensible, low-beta duopolist whose stock has de-rated to a reasonable ~15–16× forward non-GAAP earnings after a bad year, offering ~28% base-case upside on modest multiple normalization plus mid-single-digit compounding. But this is a low-conviction, fundamentals-only call: growth is slow, returns on capital are mediocre, leverage is real, a fresh litigation charge just hit, and no Synthos expert voice covers the name. That combination argues for a tactical, modestly-sized position, not a core holding.


Provenance & disclosures