Medical - Devices
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COCH vs LNTH vs MDT
Revenue, margins, valuation, and 5-year total return — side by side.
Drug Manufacturers - Specialty & Generic
Medical - Devices
COCH vs LNTH vs MDT — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | |||
|---|---|---|---|
| Industry | Medical - Devices | Drug Manufacturers - Specialty & Generic | Medical - Devices |
| Market Cap | $13M | $6.06B | $97.62B |
| Revenue (TTM) | $241K | $1.55B | $35.48B |
| Net Income (TTM) | $-24M | $279M | $4.61B |
| Gross Margin | -262.7% | 60.5% | 61.9% |
| Operating Margin | -92.4% | 18.8% | 17.9% |
| Forward P/E | — | 17.7x | 13.8x |
| Total Debt | $919K | $738K | $28.52B |
| Cash & Equiv. | $4M | $359M | $2.22B |
COCH vs LNTH vs MDT — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | Apr 21 | May 26 | Return |
|---|---|---|---|
| Envoy Medical, Inc. (COCH) | 100 | 6.5 | -93.5% |
| Lantheus Holdings, … (LNTH) | 100 | 392.7 | +292.7% |
| Medtronic plc (MDT) | 100 | 58.2 | -41.8% |
Price return only. Dividends and distributions are not included.
Quick Verdict: COCH vs LNTH vs MDT
Each card shows where this stock fits in a portfolio — not just who wins on paper.
COCH is the clearest fit if your priority is growth exposure.
- Rev growth 7.1%, EPS growth 17.4%, 3Y rev CAGR 0.6%
- 7.1% revenue growth vs LNTH's 0.5%
- 14.7% yield, vs MDT's 3.7%, (1 stock pays no dividend)
LNTH is the clearest fit if your priority is long-term compounding and sleep-well-at-night.
- 42.9% 10Y total return vs MDT's 24.3%
- Lower volatility, beta 0.45, Low D/E 0.1%, current ratio 2.70x
- 18.0% margin vs COCH's -98.6%
MDT has the current edge in this matchup, primarily because of its strength in income & stability and defensive.
- Dividend streak 36 yrs, beta 0.42, yield 3.7%
- Beta 0.42, yield 3.7%, current ratio 1.85x
- Better valuation composite
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 7.1% revenue growth vs LNTH's 0.5% | |
| Value | Better valuation composite | |
| Quality / Margins | 18.0% margin vs COCH's -98.6% | |
| Stability / Safety | Beta 0.42 vs COCH's 0.95 | |
| Dividends | 14.7% yield, vs MDT's 3.7%, (1 stock pays no dividend) | |
| Momentum (1Y) | +15.7% vs COCH's -58.3% | |
| Efficiency (ROA) | 175.8% ROA vs COCH's -256.7% |
COCH vs LNTH vs MDT — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
COCH vs LNTH vs MDT — Financial Metrics
Side-by-side numbers across 3 stocks — who leads on profitability, valuation, growth, and risk.
Income & Cash Flow (Last 12 Months)
LNTH leads this category, winning 4 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
MDT is the larger business by revenue, generating $35.5B annually — 147236.5x COCH's $241,000. LNTH is the more profitable business, keeping 18.0% of every revenue dollar as net income compared to COCH's -98.6%. On growth, COCH holds the edge at +78.6% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | |||
|---|---|---|---|
| RevenueTrailing 12 months | $241,000 | $1.5B | $35.5B |
| EBITDAEarnings before interest/tax | -$22M | $347M | $9.4B |
| Net IncomeAfter-tax profit | -$24M | $279M | $4.6B |
| Free Cash FlowCash after capex | -$18M | $372M | $5.4B |
| Gross MarginGross profit ÷ Revenue | -2.6% | +60.5% | +61.9% |
| Operating MarginEBIT ÷ Revenue | -92.4% | +18.8% | +17.9% |
| Net MarginNet income ÷ Revenue | -98.6% | +18.0% | +13.0% |
| FCF MarginFCF ÷ Revenue | -76.3% | +24.0% | +15.2% |
| Rev. Growth (YoY)Latest quarter vs prior year | +78.6% | +1.2% | +8.8% |
| EPS Growth (YoY)Latest quarter vs prior year | +25.0% | +76.5% | -11.9% |
Valuation Metrics
MDT leads this category, winning 4 of 6 comparable metrics.
Valuation Metrics
At 21.1x trailing earnings, MDT trades at a 23% valuation discount to LNTH's 27.3x P/E. On an enterprise value basis, MDT's 14.1x EV/EBITDA is more attractive than LNTH's 15.0x.
| Metric | |||
|---|---|---|---|
| Market CapShares × price | $13M | $6.1B | $97.6B |
| Enterprise ValueMkt cap + debt − cash | $10M | $5.7B | $123.9B |
| Trailing P/EPrice ÷ TTM EPS | -0.51x | 27.29x | 21.09x |
| Forward P/EPrice ÷ next-FY EPS est. | — | 17.70x | 13.80x |
| PEG RatioP/E ÷ EPS growth rate | — | — | 35.17x |
| EV / EBITDAEnterprise value multiple | — | 14.96x | 14.06x |
| Price / SalesMarket cap ÷ Revenue | 54.66x | 3.93x | 2.91x |
| Price / BookPrice ÷ Book value/share | — | 5.84x | 2.04x |
| Price / FCFMarket cap ÷ FCF | — | 17.11x | 18.83x |
Profitability & Efficiency
LNTH leads this category, winning 7 of 9 comparable metrics.
Profitability & Efficiency
LNTH delivers a 24.3% return on equity — every $100 of shareholder capital generates $24 in annual profit, vs $9 for MDT. LNTH carries lower financial leverage with a 0.00x debt-to-equity ratio, signaling a more conservative balance sheet compared to MDT's 0.59x. On the Piotroski fundamental quality scale (0–9), MDT scores 6/9 vs COCH's 3/9, reflecting solid financial health.
| Metric | |||
|---|---|---|---|
| ROE (TTM)Return on equity | — | +24.3% | +9.4% |
| ROA (TTM)Return on assets | -2.6% | +12.4% | +175.8% |
| ROICReturn on invested capital | — | +30.6% | +6.0% |
| ROCEReturn on capital employed | -44.7% | +17.1% | +7.5% |
| Piotroski ScoreFundamental quality 0–9 | 3 | 5 | 6 |
| Debt / EquityFinancial leverage | — | 0.00x | 0.59x |
| Net DebtTotal debt minus cash | -$3M | -$358M | $26.3B |
| Cash & Equiv.Liquid assets | $4M | $359M | $2.2B |
| Total DebtShort + long-term debt | $919,000 | $738,000 | $28.5B |
| Interest CoverageEBIT ÷ Interest expense | -5.82x | 15.83x | 9.08x |
Total Returns (Dividends Reinvested)
LNTH leads this category, winning 6 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in LNTH five years ago would be worth $43,814 today (with dividends reinvested), compared to $651 for COCH. Over the past 12 months, LNTH leads with a +15.7% total return vs COCH's -58.3%. The 3-year compound annual growth rate (CAGR) favors LNTH at -0.6% vs COCH's -60.3% — a key indicator of consistent wealth creation.
| Metric | |||
|---|---|---|---|
| YTD ReturnYear-to-date | -9.0% | +38.3% | -20.0% |
| 1-Year ReturnPast 12 months | -58.3% | +15.7% | -5.5% |
| 3-Year ReturnCumulative with dividends | -93.7% | -1.9% | -6.3% |
| 5-Year ReturnCumulative with dividends | -93.5% | +338.1% | -29.2% |
| 10-Year ReturnCumulative with dividends | -93.5% | +4289.6% | +24.3% |
| CAGR (3Y)Annualised 3-year return | -60.3% | -0.6% | -2.1% |
Risk & Volatility
Evenly matched — LNTH and MDT each lead in 1 of 2 comparable metrics.
Risk & Volatility
MDT is the less volatile stock with a 0.42 beta — it tends to amplify market swings less than COCH's 0.95 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. LNTH currently trades 98.1% from its 52-week high vs COCH's 33.2% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | |||
|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 0.95x | 0.45x | 0.42x |
| 52-Week HighHighest price in past year | $1.91 | $94.86 | $106.33 |
| 52-Week LowLowest price in past year | $0.36 | $47.25 | $75.91 |
| % of 52W HighCurrent price vs 52-week peak | +33.2% | +98.1% | +71.6% |
| RSI (14)Momentum oscillator 0–100 | 45.3 | 69.9 | 29.2 |
| Avg Volume (50D)Average daily shares traded | 235K | 872K | 7.9M |
Analyst Outlook
Evenly matched — COCH and MDT each lead in 1 of 2 comparable metrics.
Analyst Outlook
Analyst consensus: LNTH as "Buy", MDT as "Buy". Consensus price targets imply 43.8% upside for MDT (target: $110) vs 6.7% for LNTH (target: $99). For income investors, COCH offers the higher dividend yield at 14.65% vs MDT's 3.65%.
| Metric | |||
|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | — | Buy | Buy |
| Price TargetConsensus 12-month target | — | $99.25 | $109.50 |
| # AnalystsCovering analysts | — | 17 | 49 |
| Dividend YieldAnnual dividend ÷ price | +14.7% | — | +3.7% |
| Dividend StreakConsecutive years of raises | 0 | 0 | 36 |
| Dividend / ShareAnnual DPS | $0.09 | — | $2.78 |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | +5.0% | +3.3% |
LNTH leads in 3 of 6 categories (Income & Cash Flow, Profitability & Efficiency). MDT leads in 1 (Valuation Metrics). 2 tied.
COCH vs LNTH vs MDT: Key Questions Answered
10 questions · data-driven answers · updated daily
01Is COCH or LNTH or MDT a better buy right now?
For growth investors, Envoy Medical, Inc.
(COCH) is the stronger pick with 7. 1% revenue growth year-over-year, versus 0. 5% for Lantheus Holdings, Inc. (LNTH). Medtronic plc (MDT) offers the better valuation at 21. 1x trailing P/E (13. 8x forward), making it the more compelling value choice. Analysts rate Lantheus Holdings, Inc. (LNTH) a "Buy" — based on 17 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 — COCH or LNTH or MDT?
On trailing P/E, Medtronic plc (MDT) is the cheapest at 21.
1x versus Lantheus Holdings, Inc. at 27. 3x. On forward P/E, Medtronic plc is actually cheaper at 13. 8x.
03Which is the better long-term investment — COCH or LNTH or MDT?
Over the past 5 years, Lantheus Holdings, Inc.
(LNTH) delivered a total return of +338. 1%, compared to -93. 5% for Envoy Medical, Inc. (COCH). Over 10 years, the gap is even starker: LNTH returned +42. 9% versus COCH's -93. 5%. 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 — COCH or LNTH or MDT?
By beta (market sensitivity over 5 years), Medtronic plc (MDT) is the lower-risk stock at 0.
42β versus Envoy Medical, Inc. 's 0. 95β — meaning COCH is approximately 124% more volatile than MDT relative to the S&P 500. On balance sheet safety, Lantheus Holdings, Inc. (LNTH) carries a lower debt/equity ratio of 0% versus 59% for Medtronic plc — giving it more financial flexibility in a downturn.
05Which is growing faster — COCH or LNTH or MDT?
By revenue growth (latest reported year), Envoy Medical, Inc.
(COCH) is pulling ahead at 7. 1% versus 0. 5% for Lantheus Holdings, Inc. (LNTH). On earnings-per-share growth, the picture is similar: Medtronic plc grew EPS 30. 8% year-over-year, compared to -21. 8% for Lantheus Holdings, Inc.. Over a 3-year CAGR, LNTH leads at 18. 1% 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 — COCH or LNTH or MDT?
Lantheus Holdings, Inc.
(LNTH) is the more profitable company, earning 15. 2% net margin versus -98. 6% for Envoy Medical, Inc. — meaning it keeps 15. 2% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: LNTH leads at 20. 2% versus -92. 4% for COCH. At the gross margin level — before operating expenses — MDT leads at 65. 3%, 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 COCH or LNTH or MDT more undervalued right now?
On forward earnings alone, Medtronic plc (MDT) trades at 13.
8x forward P/E versus 17. 7x for Lantheus Holdings, Inc. — 3. 9x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for MDT: 43. 8% to $109. 50.
08Which pays a better dividend — COCH or LNTH or MDT?
In this comparison, COCH (14.
7% yield), MDT (3. 7% yield) pay a dividend. LNTH does not pay a meaningful dividend and should not be held primarily for income.
09Is COCH or LNTH or MDT better for a retirement portfolio?
For long-horizon retirement investors, Medtronic plc (MDT) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.
42), 3. 7% yield). Both have compounded well over 10 years (MDT: +24. 3%, COCH: -93. 5%), 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 COCH and LNTH and MDT?
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: COCH is a small-cap income-oriented stock; LNTH is a small-cap quality compounder stock; MDT is a mid-cap income-oriented stock. COCH, MDT pay a dividend while LNTH does not, making them suitable for different income and tax situations. 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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