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4 / 10Stock Comparison
AMS vs NVCR vs NKTR vs ARAY
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Instruments & Supplies
Biotechnology
Medical - Devices
AMS vs NVCR vs NKTR vs ARAY — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||||
|---|---|---|---|---|
| Industry | Medical - Care Facilities | Medical - Instruments & Supplies | Biotechnology | Medical - Devices |
| Market Cap | $13M | $1.92B | $1.69B | $35M |
| Revenue (TTM) | $29M | $674M | $55M | $429M |
| Net Income (TTM) | $-2M | $-173M | $-164M | $-46M |
| Gross Margin | 25.0% | 75.2% | 99.6% | 26.8% |
| Operating Margin | -12.3% | -27.2% | -237.9% | -5.1% |
| Forward P/E | 6.1x | — | — | — |
| Total Debt | $23M | $290M | $149M | $176M |
| Cash & Equiv. | $11M | $103M | $15M | $57M |
AMS vs NVCR vs NKTR vs ARAY — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| American Shared Hos… (AMS) | 100 | 109.2 | +9.2% |
| NovoCure Limited (NVCR) | 100 | 25.0 | -75.0% |
| Nektar Therapeutics (NKTR) | 100 | 25.6 | -74.4% |
| Accuray Incorporated (ARAY) | 100 | 14.0 | -86.0% |
Price return only. Dividends and distributions are not included.
Quick Verdict: AMS vs NVCR vs NKTR vs ARAY
Each card shows where this stock fits in a portfolio — not just who wins on paper.
AMS carries the broadest edge in this set and is the clearest fit for growth exposure and long-term compounding.
- Rev growth 32.9%, EPS growth 245.9%, 3Y rev CAGR 17.1%
- -4.7% 10Y total return vs NVCR's 30.3%
- 32.9% revenue growth vs NKTR's -43.9%
- -7.6% margin vs NKTR's -297.1%
NVCR plays a supporting role in this comparison — it may shine differently against other peers.
NKTR is the #2 pick in this set and the best alternative if income & stability and sleep-well-at-night is your priority.
- beta 1.85
- Lower volatility, beta 1.85, current ratio 4.97x
- Beta 1.85, current ratio 4.97x
- Beta 1.85 vs ARAY's 2.42, lower leverage
ARAY lags the leaders in this set but could rank higher in a more targeted comparison.
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 32.9% revenue growth vs NKTR's -43.9% | |
| Quality / Margins | -7.6% margin vs NKTR's -297.1% | |
| Stability / Safety | Beta 1.85 vs ARAY's 2.42, lower leverage | |
| Dividends | Tie | None of these 4 stocks pay a meaningful dividend |
| Momentum (1Y) | +8.2% vs ARAY's -78.4% | |
| Efficiency (ROA) | -3.8% ROA vs NKTR's -62.8%, ROIC -5.8% vs -57.2% |
AMS vs NVCR vs NKTR vs ARAY — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
Segment breakdown not available.
AMS vs NVCR vs NKTR vs ARAY — Financial Metrics
Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
ARAY leads in 1 of 6 categories
AMS leads 1 • NKTR leads 1 • NVCR leads 0 • 2 tied
Explore the data ↓Income & Cash Flow (Last 12 Months)
Evenly matched — AMS and ARAY each lead in 2 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
NVCR is the larger business by revenue, generating $674M annually — 22.9x AMS's $29M. Profitability is closely matched — net margins range from -7.6% (AMS) to -3.0% (NKTR). On growth, NVCR holds the edge at +12.3% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||||
|---|---|---|---|---|
| RevenueTrailing 12 months | $29M | $674M | $55M | $429M |
| EBITDAEarnings before interest/tax | $2M | -$165M | -$130M | -$15M |
| Net IncomeAfter-tax profit | -$2M | -$173M | -$164M | -$46M |
| Free Cash FlowCash after capex | -$10M | -$48M | -$209M | -$28M |
| Gross MarginGross profit ÷ Revenue | +25.0% | +75.2% | +99.6% | +26.8% |
| Operating MarginEBIT ÷ Revenue | -12.3% | -27.2% | -2.4% | -5.1% |
| Net MarginNet income ÷ Revenue | -7.6% | -25.7% | -3.0% | -10.8% |
| FCF MarginFCF ÷ Revenue | -34.7% | -7.1% | -3.8% | -6.5% |
| Rev. Growth (YoY)Latest quarter vs prior year | +2.5% | +12.3% | -25.3% | -7.4% |
| EPS Growth (YoY)Latest quarter vs prior year | -56.7% | -100.0% | -4.5% | -6.1% |
Valuation Metrics
ARAY leads this category, winning 3 of 4 comparable metrics.
Valuation Metrics
On an enterprise value basis, AMS's 7.5x EV/EBITDA is more attractive than ARAY's 11.0x.
| Metric | ||||
|---|---|---|---|---|
| Market CapShares × price | $13M | $1.9B | $1.7B | $35M |
| Enterprise ValueMkt cap + debt − cash | $25M | $2.1B | $1.8B | $154M |
| Trailing P/EPrice ÷ TTM EPS | 6.09x | -13.80x | -8.57x | -18.91x |
| Forward P/EPrice ÷ next-FY EPS est. | — | — | — | — |
| PEG RatioP/E ÷ EPS growth rate | 0.93x | — | — | — |
| EV / EBITDAEnterprise value multiple | 7.51x | — | — | 10.99x |
| Price / SalesMarket cap ÷ Revenue | 0.46x | 2.92x | 30.64x | 0.08x |
| Price / BookPrice ÷ Book value/share | 0.45x | 5.51x | 15.66x | 0.37x |
| Price / FCFMarket cap ÷ FCF | — | — | — | — |
Profitability & Efficiency
AMS leads this category, winning 6 of 9 comparable metrics.
Profitability & Efficiency
AMS delivers a -7.9% return on equity — every $100 of shareholder capital generates $-8 in annual profit, vs $-4 for NKTR. AMS carries lower financial leverage with a 0.77x debt-to-equity ratio, signaling a more conservative balance sheet compared to ARAY's 2.17x. On the Piotroski fundamental quality scale (0–9), ARAY scores 6/9 vs NKTR's 2/9, reflecting solid financial health.
| Metric | ||||
|---|---|---|---|---|
| ROE (TTM)Return on equity | -7.9% | -50.8% | -4.0% | -77.5% |
| ROA (TTM)Return on assets | -3.8% | -16.5% | -62.8% | -10.1% |
| ROICReturn on invested capital | -5.8% | -16.4% | -57.2% | +3.0% |
| ROCEReturn on capital employed | -6.4% | -28.9% | -55.7% | +2.8% |
| Piotroski ScoreFundamental quality 0–9 | 5 | 5 | 2 | 6 |
| Debt / EquityFinancial leverage | 0.77x | 0.85x | 1.66x | 2.17x |
| Net DebtTotal debt minus cash | $12M | $187M | $134M | $119M |
| Cash & Equiv.Liquid assets | $11M | $103M | $15M | $57M |
| Total DebtShort + long-term debt | $23M | $290M | $149M | $176M |
| Interest CoverageEBIT ÷ Interest expense | -1.35x | -96.80x | -4.74x | -1.86x |
Total Returns (Dividends Reinvested)
NKTR leads this category, winning 4 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in AMS five years ago would be worth $5,894 today (with dividends reinvested), compared to $606 for ARAY. Over the past 12 months, NKTR leads with a +818.2% total return vs ARAY's -78.4%. The 3-year compound annual growth rate (CAGR) favors NKTR at 93.3% vs ARAY's -56.6% — a key indicator of consistent wealth creation.
| Metric | ||||
|---|---|---|---|---|
| YTD ReturnYear-to-date | -4.3% | +28.3% | +92.0% | -65.5% |
| 1-Year ReturnPast 12 months | -27.4% | +1.1% | +818.2% | -78.4% |
| 3-Year ReturnCumulative with dividends | -28.0% | -75.7% | +621.8% | -91.8% |
| 5-Year ReturnCumulative with dividends | -41.1% | -91.3% | -72.3% | -93.9% |
| 10-Year ReturnCumulative with dividends | -4.7% | +30.3% | -59.1% | -94.5% |
| CAGR (3Y)Annualised 3-year return | -10.4% | -37.6% | +93.3% | -56.6% |
Risk & Volatility
Evenly matched — AMS and NVCR each lead in 1 of 2 comparable metrics.
Risk & Volatility
AMS is the less volatile stock with a -0.02 beta — it tends to amplify market swings less than ARAY's 2.42 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. NVCR currently trades 83.9% from its 52-week high vs ARAY's 14.0% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||||
|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | -0.02x | 2.20x | 1.85x | 2.42x |
| 52-Week HighHighest price in past year | $3.11 | $20.06 | $109.00 | $2.10 |
| 52-Week LowLowest price in past year | $1.25 | $9.82 | $7.99 | $0.28 |
| % of 52W HighCurrent price vs 52-week peak | +64.6% | +83.9% | +76.5% | +14.0% |
| RSI (14)Momentum oscillator 0–100 | 63.8 | 69.8 | 53.4 | 58.4 |
| Avg Volume (50D)Average daily shares traded | 138K | 1.5M | 991K | 1.4M |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
Analyst consensus: NVCR as "Buy", NKTR as "Buy". Consensus price targets imply 99.0% upside for NVCR (target: $34) vs 59.3% for NKTR (target: $133).
| Metric | ||||
|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | — | Buy | Buy | — |
| Price TargetConsensus 12-month target | — | $33.50 | $132.83 | — |
| # AnalystsCovering analysts | — | 15 | 33 | — |
| Dividend YieldAnnual dividend ÷ price | — | — | — | — |
| Dividend StreakConsecutive years of raises | 0 | — | — | — |
| Dividend / ShareAnnual DPS | — | — | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | 0.0% | 0.0% | 0.0% |
ARAY leads in 1 of 6 categories (Valuation Metrics). AMS leads in 1 (Profitability & Efficiency). 2 tied.
AMS vs NVCR vs NKTR vs ARAY: Key Questions Answered
8 questions · data-driven answers · updated daily
01Is AMS or NVCR or NKTR or ARAY a better buy right now?
For growth investors, American Shared Hospital Services (AMS) is the stronger pick with 32.
9% revenue growth year-over-year, versus -43. 9% for Nektar Therapeutics (NKTR). American Shared Hospital Services (AMS) offers the better valuation at 6. 1x trailing P/E, making it the more compelling value choice. Analysts rate NovoCure Limited (NVCR) a "Buy" — based on 15 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 is the better long-term investment — AMS or NVCR or NKTR or ARAY?
Over the past 5 years, American Shared Hospital Services (AMS) delivered a total return of -41.
1%, compared to -93. 9% for Accuray Incorporated (ARAY). Over 10 years, the gap is even starker: NVCR returned +30. 3% versus ARAY's -94. 5%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.
03Which is safer — AMS or NVCR or NKTR or ARAY?
By beta (market sensitivity over 5 years), American Shared Hospital Services (AMS) is the lower-risk stock at -0.
02β versus Accuray Incorporated's 2. 42β — meaning ARAY is approximately -15516% more volatile than AMS relative to the S&P 500. On balance sheet safety, American Shared Hospital Services (AMS) carries a lower debt/equity ratio of 77% versus 2% for Accuray Incorporated — giving it more financial flexibility in a downturn.
04Which is growing faster — AMS or NVCR or NKTR or ARAY?
By revenue growth (latest reported year), American Shared Hospital Services (AMS) is pulling ahead at 32.
9% versus -43. 9% for Nektar Therapeutics (NKTR). On earnings-per-share growth, the picture is similar: American Shared Hospital Services grew EPS 245. 9% year-over-year, compared to -12. 1% for Nektar Therapeutics. Over a 3-year CAGR, AMS leads at 17. 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.
05Which has better profit margins — AMS or NVCR or NKTR or ARAY?
American Shared Hospital Services (AMS) is the more profitable company, earning 7.
7% net margin versus -297. 1% for Nektar Therapeutics — meaning it keeps 7. 7% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: ARAY leads at 1. 7% versus -236. 8% for NKTR. At the gross margin level — before operating expenses — NKTR leads at 100. 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.
06Which pays a better dividend — AMS or NVCR or NKTR or ARAY?
None of the stocks in this comparison currently pay a material dividend.
All are effectively zero-yield and should be held for capital appreciation rather than income.
07Is AMS or NVCR or NKTR or ARAY better for a retirement portfolio?
For long-horizon retirement investors, American Shared Hospital Services (AMS) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β -0.
02)). Accuray Incorporated (ARAY) carries a higher beta of 2. 42 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (AMS: -4. 7%, ARAY: -94. 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.
08What are the main differences between AMS and NVCR and NKTR and ARAY?
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: AMS is a small-cap high-growth stock; NVCR is a small-cap quality compounder stock; NKTR is a small-cap quality compounder stock; ARAY is a small-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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