Medical - Instruments & Supplies
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5 / 10Stock Comparison
COO vs HSIC vs HOLX vs ALGN vs IDXX
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Distribution
Medical - Instruments & Supplies
Medical - Devices
Medical - Diagnostics & Research
COO vs HSIC vs HOLX vs ALGN vs IDXX — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | |||||
|---|---|---|---|---|---|
| Industry | Medical - Instruments & Supplies | Medical - Distribution | Medical - Instruments & Supplies | Medical - Devices | Medical - Diagnostics & Research |
| Market Cap | $11.75B | $8.13B | $16.97B | $12.09B | $44.49B |
| Revenue (TTM) | $4.15B | $13.18B | $4.13B | $4.10B | $4.45B |
| Net Income (TTM) | $401M | $398M | $544M | $430M | $1.10B |
| Gross Margin | 64.2% | 29.1% | 52.8% | 67.7% | 62.1% |
| Operating Margin | 17.2% | 5.8% | 17.5% | 14.4% | 31.6% |
| Forward P/E | 13.0x | 13.2x | 17.2x | 14.8x | 38.3x |
| Total Debt | $2.78B | $3.69B | $2.63B | $114M | $1.08B |
| Cash & Equiv. | $111M | $156M | $1.96B | $1.08B | $180M |
COO vs HSIC vs HOLX vs ALGN vs IDXX — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| The Cooper Companie… (COO) | 100 | 75.7 | -24.3% |
| Henry Schein, Inc. (HSIC) | 100 | 116.6 | +16.6% |
| Hologic, Inc. (HOLX) | 100 | 142.6 | +42.6% |
| Align Technology, I… (ALGN) | 100 | 68.7 | -31.3% |
| IDEXX Laboratories,… (IDXX) | 100 | 181.3 | +81.3% |
Price return only. Dividends and distributions are not included.
Quick Verdict: COO vs HSIC vs HOLX vs ALGN vs IDXX
Each card shows where this stock fits in a portfolio — not just who wins on paper.
COO ranks third and is worth considering specifically for value.
- Lower P/E (13.0x vs 14.8x)
HSIC is the clearest fit if your priority is income & stability.
- Dividend streak 1 yrs, beta 0.72
HOLX is the #2 pick in this set and the best alternative if sleep-well-at-night and defensive is your priority.
- Lower volatility, beta 0.45, Low D/E 52.0%, current ratio 3.75x
- Beta 0.45, current ratio 3.75x
- Beta 0.45 vs ALGN's 1.65
- +35.3% vs COO's -27.6%
Among these 5 stocks, ALGN doesn't own a clear edge in any measured category.
IDXX carries the broadest edge in this set and is the clearest fit for growth exposure and long-term compounding.
- Rev growth 10.4%, EPS growth 22.6%, 3Y rev CAGR 8.5%
- 5.4% 10Y total return vs HOLX's 124.3%
- PEG 2.68 vs HSIC's 4.20
- 10.4% revenue growth vs ALGN's 0.9%
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 10.4% revenue growth vs ALGN's 0.9% | |
| Value | Lower P/E (13.0x vs 14.8x) | |
| Quality / Margins | 24.6% margin vs HSIC's 3.0% | |
| Stability / Safety | Beta 0.45 vs ALGN's 1.65 | |
| Dividends | Tie | None of these 5 stocks pay a meaningful dividend |
| Momentum (1Y) | +35.3% vs COO's -27.6% | |
| Efficiency (ROA) | 32.6% ROA vs COO's 3.2%, ROIC 42.5% vs 4.8% |
COO vs HSIC vs HOLX vs ALGN vs IDXX — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
COO vs HSIC vs HOLX vs ALGN vs IDXX — Financial Metrics
Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
IDXX leads in 2 of 6 categories
HSIC leads 2 • HOLX leads 1 • COO leads 0 • ALGN leads 0 • 1 tied
Explore the data ↓Income & Cash Flow (Last 12 Months)
IDXX leads this category, winning 3 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
HSIC is the larger business by revenue, generating $13.2B annually — 3.2x ALGN's $4.1B. IDXX is the more profitable business, keeping 24.6% of every revenue dollar as net income compared to HSIC's 3.0%. On growth, IDXX holds the edge at +14.3% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | |||||
|---|---|---|---|---|---|
| RevenueTrailing 12 months | $4.2B | $13.2B | $4.1B | $4.1B | $4.4B |
| EBITDAEarnings before interest/tax | $1.0B | $1.1B | $974M | $790M | $1.5B |
| Net IncomeAfter-tax profit | $401M | $398M | $544M | $430M | $1.1B |
| Free Cash FlowCash after capex | $333M | $561M | $1000M | $717M | $845M |
| Gross MarginGross profit ÷ Revenue | +64.2% | +29.1% | +52.8% | +67.7% | +62.1% |
| Operating MarginEBIT ÷ Revenue | +17.2% | +5.8% | +17.5% | +14.4% | +31.6% |
| Net MarginNet income ÷ Revenue | +9.7% | +3.0% | +13.2% | +10.5% | +24.6% |
| FCF MarginFCF ÷ Revenue | +8.0% | +4.3% | +24.2% | +17.5% | +19.0% |
| Rev. Growth (YoY)Latest quarter vs prior year | +6.2% | +7.7% | +2.5% | +6.2% | +14.3% |
| EPS Growth (YoY)Latest quarter vs prior year | +26.9% | +14.9% | -9.2% | +23.6% | +16.6% |
Valuation Metrics
HSIC leads this category, winning 4 of 7 comparable metrics.
Valuation Metrics
At 21.7x trailing earnings, HSIC trades at a 49% valuation discount to IDXX's 42.8x P/E. Adjusting for growth (PEG ratio), IDXX offers better value at 3.00x vs HSIC's 6.87x — a lower PEG means you pay less per unit of expected earnings growth.
| Metric | |||||
|---|---|---|---|---|---|
| Market CapShares × price | $11.8B | $8.1B | $17.0B | $12.1B | $44.5B |
| Enterprise ValueMkt cap + debt − cash | $14.4B | $11.7B | $17.6B | $11.1B | $45.4B |
| Trailing P/EPrice ÷ TTM EPS | 32.09x | 21.66x | 30.53x | 29.87x | 42.82x |
| Forward P/EPrice ÷ next-FY EPS est. | 13.00x | 13.25x | 17.21x | 14.84x | 38.29x |
| PEG RatioP/E ÷ EPS growth rate | — | 6.87x | — | — | 3.00x |
| EV / EBITDAEnterprise value multiple | 13.05x | 10.90x | 17.39x | 13.96x | 30.95x |
| Price / SalesMarket cap ÷ Revenue | 2.87x | 0.62x | 4.14x | 3.00x | 10.34x |
| Price / BookPrice ÷ Book value/share | 1.46x | 1.80x | 3.43x | 3.03x | 28.15x |
| Price / FCFMarket cap ÷ FCF | 27.10x | 14.18x | 18.44x | 24.63x | 42.23x |
Profitability & Efficiency
Evenly matched — ALGN and IDXX each lead in 5 of 9 comparable metrics.
Profitability & Efficiency
IDXX delivers a 70.9% return on equity — every $100 of shareholder capital generates $71 in annual profit, vs $5 for COO. ALGN carries lower financial leverage with a 0.03x debt-to-equity ratio, signaling a more conservative balance sheet compared to HSIC's 0.77x. On the Piotroski fundamental quality scale (0–9), HOLX scores 7/9 vs HSIC's 4/9, reflecting strong financial health.
| Metric | |||||
|---|---|---|---|---|---|
| ROE (TTM)Return on equity | +4.8% | +8.2% | +11.0% | +10.7% | +70.9% |
| ROA (TTM)Return on assets | +3.2% | +3.6% | +6.1% | +6.9% | +32.6% |
| ROICReturn on invested capital | +4.8% | +7.1% | +9.4% | +15.4% | +42.5% |
| ROCEReturn on capital employed | +6.1% | +9.8% | +8.8% | +14.5% | +61.4% |
| Piotroski ScoreFundamental quality 0–9 | 5 | 4 | 7 | 7 | 7 |
| Debt / EquityFinancial leverage | 0.34x | 0.77x | 0.52x | 0.03x | 0.67x |
| Net DebtTotal debt minus cash | $2.7B | $3.5B | $667M | -$965M | $897M |
| Cash & Equiv.Liquid assets | $111M | $156M | $2.0B | $1.1B | $180M |
| Total DebtShort + long-term debt | $2.8B | $3.7B | $2.6B | $114M | $1.1B |
| Interest CoverageEBIT ÷ Interest expense | 6.40x | 4.59x | 8.00x | 389.13x | 35.55x |
Total Returns (Dividends Reinvested)
IDXX leads this category, winning 3 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in HOLX five years ago would be worth $11,678 today (with dividends reinvested), compared to $3,044 for ALGN. Over the past 12 months, HOLX leads with a +35.3% total return vs COO's -27.6%. The 3-year compound annual growth rate (CAGR) favors IDXX at 4.9% vs ALGN's -18.0% — a key indicator of consistent wealth creation.
| Metric | |||||
|---|---|---|---|---|---|
| YTD ReturnYear-to-date | -26.0% | -7.8% | +1.9% | +8.2% | -16.4% |
| 1-Year ReturnPast 12 months | -27.6% | +2.8% | +35.3% | -6.7% | +14.3% |
| 3-Year ReturnCumulative with dividends | -37.8% | -11.3% | -8.5% | -44.9% | +15.4% |
| 5-Year ReturnCumulative with dividends | -40.2% | -14.6% | +16.8% | -69.6% | +6.6% |
| 10-Year ReturnCumulative with dividends | +55.0% | +5.8% | +124.3% | +123.3% | +542.3% |
| CAGR (3Y)Annualised 3-year return | -14.7% | -3.9% | -2.9% | -18.0% | +4.9% |
Risk & Volatility
HOLX leads this category, winning 2 of 2 comparable metrics.
Risk & Volatility
HOLX is the less volatile stock with a 0.45 beta — it tends to amplify market swings less than ALGN's 1.65 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. HOLX currently trades 100.0% from its 52-week high vs COO's 66.8% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | |||||
|---|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 0.89x | 0.72x | 0.45x | 1.65x | 1.36x |
| 52-Week HighHighest price in past year | $89.83 | $89.29 | $76.04 | $208.31 | $769.98 |
| 52-Week LowLowest price in past year | $59.68 | $61.95 | $53.62 | $122.00 | $485.41 |
| % of 52W HighCurrent price vs 52-week peak | +66.8% | +79.3% | +100.0% | +81.0% | +72.7% |
| RSI (14)Momentum oscillator 0–100 | 24.7 | 34.3 | 69.1 | 40.1 | 49.2 |
| Avg Volume (50D)Average daily shares traded | 2.0M | 1.2M | 10.3M | 1.1M | 535K |
Analyst Outlook
HSIC leads this category, winning 1 of 1 comparable metric.
Analyst Outlook
Analyst consensus: COO as "Buy", HSIC as "Hold", HOLX as "Hold", ALGN as "Buy", IDXX as "Buy". Consensus price targets imply 56.4% upside for COO (target: $94) vs 3.9% for HOLX (target: $79).
| Metric | |||||
|---|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Hold | Hold | Buy | Buy |
| Price TargetConsensus 12-month target | $93.86 | $85.43 | $79.00 | $203.60 | $747.50 |
| # AnalystsCovering analysts | 24 | 32 | 42 | 33 | 22 |
| Dividend YieldAnnual dividend ÷ price | — | — | — | — | — |
| Dividend StreakConsecutive years of raises | 0 | 1 | — | — | — |
| Dividend / ShareAnnual DPS | — | — | — | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | +2.5% | +10.5% | +4.4% | +3.9% | +2.7% |
IDXX leads in 2 of 6 categories (Income & Cash Flow, Total Returns). HSIC leads in 2 (Valuation Metrics, Analyst Outlook). 1 tied.
COO vs HSIC vs HOLX vs ALGN vs IDXX: Key Questions Answered
10 questions · data-driven answers · updated daily
01Is COO or HSIC or HOLX or ALGN or IDXX a better buy right now?
For growth investors, IDEXX Laboratories, Inc.
(IDXX) is the stronger pick with 10. 4% revenue growth year-over-year, versus 0. 9% for Align Technology, Inc. (ALGN). Henry Schein, Inc. (HSIC) offers the better valuation at 21. 7x trailing P/E (13. 2x forward), making it the more compelling value choice. Analysts rate The Cooper Companies, Inc. (COO) a "Buy" — based on 24 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 — COO or HSIC or HOLX or ALGN or IDXX?
On trailing P/E, Henry Schein, Inc.
(HSIC) is the cheapest at 21. 7x versus IDEXX Laboratories, Inc. at 42. 8x. On forward P/E, The Cooper Companies, Inc. is actually cheaper at 13. 0x — notably different from the trailing picture, reflecting expected earnings growth. The PEG ratio (P/E divided by earnings growth rate) is the most growth-adjusted single valuation metric: IDEXX Laboratories, Inc. wins at 2. 68x versus Henry Schein, Inc. 's 4. 20x.
03Which is the better long-term investment — COO or HSIC or HOLX or ALGN or IDXX?
Over the past 5 years, Hologic, Inc.
(HOLX) delivered a total return of +16. 8%, compared to -69. 6% for Align Technology, Inc. (ALGN). Over 10 years, the gap is even starker: IDXX returned +542. 3% versus HSIC's +5. 8%. 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 — COO or HSIC or HOLX or ALGN or IDXX?
By beta (market sensitivity over 5 years), Hologic, Inc.
(HOLX) is the lower-risk stock at 0. 45β versus Align Technology, Inc. 's 1. 65β — meaning ALGN is approximately 264% more volatile than HOLX relative to the S&P 500. On balance sheet safety, Align Technology, Inc. (ALGN) carries a lower debt/equity ratio of 3% versus 77% for Henry Schein, Inc. — giving it more financial flexibility in a downturn.
05Which is growing faster — COO or HSIC or HOLX or ALGN or IDXX?
By revenue growth (latest reported year), IDEXX Laboratories, Inc.
(IDXX) is pulling ahead at 10. 4% versus 0. 9% for Align Technology, Inc. (ALGN). On earnings-per-share growth, the picture is similar: IDEXX Laboratories, Inc. grew EPS 22. 6% year-over-year, compared to -25. 0% for Hologic, Inc.. Over a 3-year CAGR, IDXX leads at 8. 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 — COO or HSIC or HOLX or ALGN or IDXX?
IDEXX Laboratories, Inc.
(IDXX) is the more profitable company, earning 24. 6% net margin versus 3. 0% for Henry Schein, Inc. — meaning it keeps 24. 6% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: IDXX leads at 31. 6% versus 5. 7% for HSIC. At the gross margin level — before operating expenses — ALGN leads at 68. 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 COO or HSIC or HOLX or ALGN or IDXX more undervalued right now?
The PEG ratio (forward P/E divided by expected earnings growth rate) is the most precise measure of undervaluation relative to growth potential.
By this metric, IDEXX Laboratories, Inc. (IDXX) is the more undervalued stock at a PEG of 2. 68x versus Henry Schein, Inc. 's 4. 20x. Both stocks trade at elevated growth-adjusted valuations, so expected growth needs to materialise. On forward earnings alone, The Cooper Companies, Inc. (COO) trades at 13. 0x forward P/E versus 38. 3x for IDEXX Laboratories, Inc. — 25. 3x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for COO: 56. 4% to $93. 86.
08Which pays a better dividend — COO or HSIC or HOLX or ALGN or IDXX?
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.
09Is COO or HSIC or HOLX or ALGN or IDXX better for a retirement portfolio?
For long-horizon retirement investors, Hologic, Inc.
(HOLX) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 45), +124. 3% 10Y return). Align Technology, Inc. (ALGN) carries a higher beta of 1. 65 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (HOLX: +124. 3%, ALGN: +123. 3%), 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 COO and HSIC and HOLX and ALGN and IDXX?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.
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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