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BACK vs PTCT vs SRPT vs ATXI vs BMRN

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
BACK
IMAC Holdings, Inc.

Medical - Care Facilities

HealthcareNASDAQ • US
Market Cap$77K
5Y Perf.-99.9%
PTCT
PTC Therapeutics, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$6.11B
5Y Perf.+45.3%
SRPT
Sarepta Therapeutics, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$2.11B
5Y Perf.-86.9%
ATXI
Avenue Therapeutics, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$2M
5Y Perf.-100.0%
BMRN
BioMarin Pharmaceutical Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$10.40B
5Y Perf.-49.3%

BACK vs PTCT vs SRPT vs ATXI vs BMRN — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
BACK logoBACK
PTCT logoPTCT
SRPT logoSRPT
ATXI logoATXI
BMRN logoBMRN
IndustryMedical - Care FacilitiesBiotechnologyBiotechnologyBiotechnologyBiotechnology
Market Cap$77K$6.11B$2.11B$2M$10.40B
Revenue (TTM)$23K$827M$2.18B$1M$3.24B
Net Income (TTM)$-10M$-187M$65M$-4M$269M
Gross Margin-18.4%49.7%34.4%100.0%75.9%
Operating Margin-398.1%-8.3%-1.9%-279.8%13.8%
Forward P/E9.5x5.9x13.6x
Total Debt$0.00$492M$1.04B$0.00$643M
Cash & Equiv.$504K$985M$801M$3M$1.31B

BACK vs PTCT vs SRPT vs ATXI vs BMRNLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

BACK
PTCT
SRPT
ATXI
BMRN
StockMay 20May 26Return
IMAC Holdings, Inc. (BACK)1000.1-99.9%
PTC Therapeutics, I… (PTCT)100145.3+45.3%
Sarepta Therapeutic… (SRPT)10013.1-86.9%
Avenue Therapeutics… (ATXI)1000.0-100.0%
BioMarin Pharmaceut… (BMRN)10050.7-49.3%

Price return only. Dividends and distributions are not included.

Quick Verdict: BACK vs PTCT vs SRPT vs ATXI vs BMRN

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: BMRN leads in 3 of 7 categories (5-stock set), making it the strongest pick for profitability and margin quality and capital preservation and lower volatility. IMAC Holdings, Inc. is the stronger pick specifically for dividend income and shareholder returns. PTCT, SRPT, and ATXI also each lead in at least one category. As sector peers, any of these can serve as alternatives in the same allocation.
BACK
IMAC Holdings, Inc.
The Income Pick

BACK is the #2 pick in this set and the best alternative if dividends is your priority.

  • 100.0% yield; 1-year raise streak; the other 4 pay no meaningful dividend
Best for: dividends
PTCT
PTC Therapeutics, Inc.
The Growth Play

PTCT ranks third and is worth considering specifically for growth exposure and long-term compounding.

  • Rev growth 114.5%, EPS growth 264.5%, 3Y rev CAGR 35.3%
  • 8.5% 10Y total return vs SRPT's 13.2%
  • 114.5% revenue growth vs BACK's -98.6%
Best for: growth exposure and long-term compounding
SRPT
Sarepta Therapeutics, Inc.
The Value Play

SRPT is the clearest fit if your priority is value.

  • Lower P/E (5.9x vs 13.6x)
Best for: value
ATXI
Avenue Therapeutics, Inc.
The Momentum Pick

ATXI is the clearest fit if your priority is momentum.

  • +140.8% vs SRPT's -45.4%
Best for: momentum
BMRN
BioMarin Pharmaceutical Inc.
The Income Pick

BMRN carries the broadest edge in this set and is the clearest fit for income & stability and sleep-well-at-night.

  • beta 0.64
  • Lower volatility, beta 0.64, Low D/E 10.6%, current ratio 5.21x
  • Beta 0.64, current ratio 5.21x
  • 8.3% margin vs BACK's -426.9%
Best for: income & stability and sleep-well-at-night
See the full category breakdown
CategoryWinnerWhy
GrowthPTCT logoPTCT114.5% revenue growth vs BACK's -98.6%
ValueSRPT logoSRPTLower P/E (5.9x vs 13.6x)
Quality / MarginsBMRN logoBMRN8.3% margin vs BACK's -426.9%
Stability / SafetyBMRN logoBMRNBeta 0.64 vs SRPT's 1.95, lower leverage
DividendsBACK logoBACK100.0% yield; 1-year raise streak; the other 4 pay no meaningful dividend
Momentum (1Y)ATXI logoATXI+140.8% vs SRPT's -45.4%
Efficiency (ROA)BMRN logoBMRN3.4% ROA vs BACK's -31.3%

BACK vs PTCT vs SRPT vs ATXI vs BMRN — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

BACKIMAC Holdings, Inc.

Segment breakdown not available.

PTCTPTC Therapeutics, Inc.
FY 2025
Collaboration and License Revenue
54.6%$998M
Product
32.1%$587M
Royalty
13.4%$244M
SRPTSarepta Therapeutics, Inc.

Segment breakdown not available.

ATXIAvenue Therapeutics, Inc.

Segment breakdown not available.

BMRNBioMarin Pharmaceutical Inc.
FY 2025
Product
98.3%$3.2B
Royalty And Other
1.7%$53M

BACK vs PTCT vs SRPT vs ATXI vs BMRN — Financial Metrics

Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLBMRNLAGGINGATXI

Income & Cash Flow (Last 12 Months)

BMRN leads this category, winning 4 of 6 comparable metrics.

BMRN is the larger business by revenue, generating $3.2B annually — 142688.7x BACK's $22,723. BMRN is the more profitable business, keeping 8.3% of every revenue dollar as net income compared to BACK's -426.9%. On growth, BMRN holds the edge at +2.8% YoY revenue growth, suggesting stronger near-term business momentum.

MetricBACK logoBACKIMAC Holdings, In…PTCT logoPTCTPTC Therapeutics,…SRPT logoSRPTSarepta Therapeut…ATXI logoATXIAvenue Therapeuti…BMRN logoBMRNBioMarin Pharmace…
RevenueTrailing 12 months$22,723$827M$2.2B$1M$3.2B
EBITDAEarnings before interest/tax-$9M-$37M-$6M-$4M$521M
Net IncomeAfter-tax profit-$10M-$187M$65M-$4M$269M
Free Cash FlowCash after capex-$5M-$169M$107M-$2M$767M
Gross MarginGross profit ÷ Revenue-18.4%+49.7%+34.4%+100.0%+75.9%
Operating MarginEBIT ÷ Revenue-398.1%-8.3%-1.9%-2.8%+13.8%
Net MarginNet income ÷ Revenue-426.9%-22.6%+3.0%-2.7%+8.3%
FCF MarginFCF ÷ Revenue-215.1%-20.4%+4.9%-124.1%+23.7%
Rev. Growth (YoY)Latest quarter vs prior year-62.3%-76.8%-1.9%+2.8%
EPS Growth (YoY)Latest quarter vs prior year+26.3%-100.3%+162.6%+89.1%-43.2%
BMRN leads this category, winning 4 of 6 comparable metrics.

Valuation Metrics

SRPT leads this category, winning 3 of 6 comparable metrics.

At 9.5x trailing earnings, PTCT trades at a 68% valuation discount to BMRN's 30.0x P/E. On an enterprise value basis, PTCT's 6.3x EV/EBITDA is more attractive than BMRN's 15.9x.

MetricBACK logoBACKIMAC Holdings, In…PTCT logoPTCTPTC Therapeutics,…SRPT logoSRPTSarepta Therapeut…ATXI logoATXIAvenue Therapeuti…BMRN logoBMRNBioMarin Pharmace…
Market CapShares × price$77,135$6.1B$2.1B$2M$10.4B
Enterprise ValueMkt cap + debt − cash-$427,054$5.6B$2.3B-$906,784$9.7B
Trailing P/EPrice ÷ TTM EPS-0.00x9.47x-2.80x-0.59x30.03x
Forward P/EPrice ÷ next-FY EPS est.5.91x13.65x
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple6.27x15.87x
Price / SalesMarket cap ÷ Revenue1.07x3.53x0.96x3.23x
Price / BookPrice ÷ Book value/share1.83x3.70x1.75x
Price / FCFMarket cap ÷ FCF8.70x14.34x
SRPT leads this category, winning 3 of 6 comparable metrics.

Profitability & Efficiency

BMRN leads this category, winning 5 of 9 comparable metrics.

SRPT delivers a 4.9% return on equity — every $100 of shareholder capital generates $5 in annual profit, vs $-161 for ATXI. BMRN carries lower financial leverage with a 0.11x debt-to-equity ratio, signaling a more conservative balance sheet compared to SRPT's 0.91x. On the Piotroski fundamental quality scale (0–9), PTCT scores 7/9 vs BACK's 1/9, reflecting strong financial health.

MetricBACK logoBACKIMAC Holdings, In…PTCT logoPTCTPTC Therapeutics,…SRPT logoSRPTSarepta Therapeut…ATXI logoATXIAvenue Therapeuti…BMRN logoBMRNBioMarin Pharmace…
ROE (TTM)Return on equity+4.9%-160.6%+4.4%
ROA (TTM)Return on assets-31.3%-6.8%+1.9%-105.8%+3.4%
ROICReturn on invested capital-31.4%+7.4%
ROCEReturn on capital employed+55.9%-24.0%-9.0%+8.1%
Piotroski ScoreFundamental quality 0–917425
Debt / EquityFinancial leverage0.91x0.11x
Net DebtTotal debt minus cash-$504,189-$492M$238M-$3M-$669M
Cash & Equiv.Liquid assets$504,189$985M$801M$3M$1.3B
Total DebtShort + long-term debt$0$492M$1.0B$0$643M
Interest CoverageEBIT ÷ Interest expense-28.20x-1.67x-14.00x16.96x
BMRN leads this category, winning 5 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

PTCT leads this category, winning 5 of 6 comparable metrics.

A $10,000 investment in PTCT five years ago would be worth $18,943 today (with dividends reinvested), compared to $1 for ATXI. Over the past 12 months, ATXI leads with a +140.8% total return vs SRPT's -45.4%. The 3-year compound annual growth rate (CAGR) favors PTCT at 9.9% vs ATXI's -80.9% — a key indicator of consistent wealth creation.

MetricBACK logoBACKIMAC Holdings, In…PTCT logoPTCTPTC Therapeutics,…SRPT logoSRPTSarepta Therapeut…ATXI logoATXIAvenue Therapeuti…BMRN logoBMRNBioMarin Pharmace…
YTD ReturnYear-to-date-69.8%-4.0%-6.4%-22.7%-9.1%
1-Year ReturnPast 12 months+18.8%+73.3%-45.4%+140.8%-9.6%
3-Year ReturnCumulative with dividends-99.2%+32.7%-84.3%-99.3%-43.7%
5-Year ReturnCumulative with dividends-99.9%+89.4%-71.5%-100.0%-29.2%
10-Year ReturnCumulative with dividends-100.0%+852.1%+13.2%-100.0%-35.6%
CAGR (3Y)Annualised 3-year return-80.3%+9.9%-46.0%-80.9%-17.4%
PTCT leads this category, winning 5 of 6 comparable metrics.

Risk & Volatility

Evenly matched — PTCT and ATXI each lead in 1 of 2 comparable metrics.

ATXI is the less volatile stock with a -0.23 beta — it tends to amplify market swings less than SRPT's 1.95 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. PTCT currently trades 84.2% from its 52-week high vs BACK's 18.1% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricBACK logoBACKIMAC Holdings, In…PTCT logoPTCTPTC Therapeutics,…SRPT logoSRPTSarepta Therapeut…ATXI logoATXIAvenue Therapeuti…BMRN logoBMRNBioMarin Pharmace…
Beta (5Y)Sensitivity to S&P 500-0.04x1.03x1.95x-0.23x0.64x
52-Week HighHighest price in past year$0.21$87.50$44.14$0.97$66.28
52-Week LowLowest price in past year$0.03$39.53$10.42$0.15$50.76
% of 52W HighCurrent price vs 52-week peak+18.1%+84.2%+45.2%+54.6%+81.6%
RSI (14)Momentum oscillator 0–10040.440.048.654.646.6
Avg Volume (50D)Average daily shares traded2K1.1M2.9M3K1.8M
Evenly matched — PTCT and ATXI each lead in 1 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Analyst consensus: PTCT as "Buy", SRPT as "Buy", BMRN as "Buy". Consensus price targets imply 69.3% upside for BMRN (target: $92) vs 26.7% for SRPT (target: $25). BACK is the only dividend payer here at 100.00% yield — a key consideration for income-focused portfolios.

MetricBACK logoBACKIMAC Holdings, In…PTCT logoPTCTPTC Therapeutics,…SRPT logoSRPTSarepta Therapeut…ATXI logoATXIAvenue Therapeuti…BMRN logoBMRNBioMarin Pharmace…
Analyst RatingConsensus buy/hold/sellBuyBuyBuy
Price TargetConsensus 12-month target$98.00$25.29$91.50
# AnalystsCovering analysts265441
Dividend YieldAnnual dividend ÷ price+100.0%
Dividend StreakConsecutive years of raises1
Dividend / ShareAnnual DPS$0.80
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%+1.2%0.0%0.0%
Insufficient data to determine a leader in this category.
Key Takeaway

BMRN leads in 2 of 6 categories (Income & Cash Flow, Profitability & Efficiency). SRPT leads in 1 (Valuation Metrics). 1 tied.

Best OverallBioMarin Pharmaceutical Inc. (BMRN)Leads 2 of 6 categories
Loading custom metrics...

BACK vs PTCT vs SRPT vs ATXI vs BMRN: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is BACK or PTCT or SRPT or ATXI or BMRN a better buy right now?

For growth investors, PTC Therapeutics, Inc.

(PTCT) is the stronger pick with 114. 5% revenue growth year-over-year, versus -98. 6% for IMAC Holdings, Inc. (BACK). PTC Therapeutics, Inc. (PTCT) offers the better valuation at 9. 5x trailing P/E, making it the more compelling value choice. Analysts rate PTC Therapeutics, Inc. (PTCT) a "Buy" — based on 26 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.

02

Which has the better valuation — BACK or PTCT or SRPT or ATXI or BMRN?

On trailing P/E, PTC Therapeutics, Inc.

(PTCT) is the cheapest at 9. 5x versus BioMarin Pharmaceutical Inc. at 30. 0x. On forward P/E, Sarepta Therapeutics, Inc. is actually cheaper at 5. 9x — notably different from the trailing picture, reflecting expected earnings growth.

03

Which is the better long-term investment — BACK or PTCT or SRPT or ATXI or BMRN?

Over the past 5 years, PTC Therapeutics, Inc.

(PTCT) delivered a total return of +89. 4%, compared to -100. 0% for Avenue Therapeutics, Inc. (ATXI). Over 10 years, the gap is even starker: PTCT returned +852. 1% versus ATXI's -100. 0%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

04

Which is safer — BACK or PTCT or SRPT or ATXI or BMRN?

By beta (market sensitivity over 5 years), Avenue Therapeutics, Inc.

(ATXI) is the lower-risk stock at -0. 23β versus Sarepta Therapeutics, Inc. 's 1. 95β — meaning SRPT is approximately -944% more volatile than ATXI relative to the S&P 500. On balance sheet safety, BioMarin Pharmaceutical Inc. (BMRN) carries a lower debt/equity ratio of 11% versus 91% for Sarepta Therapeutics, Inc. — giving it more financial flexibility in a downturn.

05

Which is growing faster — BACK or PTCT or SRPT or ATXI or BMRN?

By revenue growth (latest reported year), PTC Therapeutics, Inc.

(PTCT) is pulling ahead at 114. 5% versus -98. 6% for IMAC Holdings, Inc. (BACK). On earnings-per-share growth, the picture is similar: PTC Therapeutics, Inc. grew EPS 264. 5% year-over-year, compared to -404. 7% for Sarepta Therapeutics, Inc.. Over a 3-year CAGR, PTCT leads at 35. 3% 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.

06

Which has better profit margins — BACK or PTCT or SRPT or ATXI or BMRN?

PTC Therapeutics, Inc.

(PTCT) is the more profitable company, earning 39. 4% net margin versus -125. 5% for IMAC Holdings, Inc. — meaning it keeps 39. 4% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: PTCT leads at 49. 5% versus -78. 0% for BACK. At the gross margin level — before operating expenses — ATXI 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.

07

Is BACK or PTCT or SRPT or ATXI or BMRN more undervalued right now?

On forward earnings alone, Sarepta Therapeutics, Inc.

(SRPT) trades at 5. 9x forward P/E versus 13. 6x for BioMarin Pharmaceutical Inc. — 7. 7x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for BMRN: 69. 3% to $91. 50.

08

Which pays a better dividend — BACK or PTCT or SRPT or ATXI or BMRN?

In this comparison, BACK (100.

0% yield) pays a dividend. PTCT, SRPT, ATXI, BMRN do not pay a meaningful dividend and should not be held primarily for income.

09

Is BACK or PTCT or SRPT or ATXI or BMRN better for a retirement portfolio?

For long-horizon retirement investors, IMAC Holdings, Inc.

(BACK) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β -0. 04), 100. 0% yield). Sarepta Therapeutics, Inc. (SRPT) carries a higher beta of 1. 95 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (BACK: -100. 0%, SRPT: +13. 2%), 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.

10

What are the main differences between BACK and PTCT and SRPT and ATXI and BMRN?

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: BACK is a small-cap income-oriented stock; PTCT is a small-cap high-growth stock; SRPT is a small-cap high-growth stock; ATXI is a small-cap quality compounder stock; BMRN is a mid-cap quality compounder stock. BACK pays a dividend while PTCT, SRPT, ATXI, BMRN do 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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BACK

Income & Dividend Stock

  • Sector: Healthcare
  • Market Cap > $2B
  • Dividend Yield > 40.0%
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PTCT

Quality Business

  • Sector: Healthcare
  • Market Cap > $100B
  • Gross Margin > 29%
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SRPT

Quality Business

  • Sector: Healthcare
  • Market Cap > $100B
  • Gross Margin > 20%
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ATXI

Quality Business

  • Sector: Healthcare
  • Market Cap > $100B
  • Gross Margin > 60%
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BMRN

Quality Business

  • Sector: Healthcare
  • Market Cap > $100B
  • Net Margin > 5%
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Beat Both

Find stocks that outperform BACK and PTCT and SRPT and ATXI and BMRN on the metrics below

Revenue Growth>
%
(BACK: -62.3% · PTCT: -76.8%)

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