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LYRA vs SINT vs XNCR vs XTNT vs ATEC

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

Live fundamentals10-year financials5-year price chart
LYRA
Lyra Therapeutics, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$781K
5Y Perf.-99.9%
SINT
Sintx Technologies, Inc.

Medical - Devices

HealthcareNASDAQ • US
Market Cap$9M
5Y Perf.-100.0%
XNCR
Xencor, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$903M
5Y Perf.-57.8%
XTNT
Xtant Medical Holdings, Inc.

Medical - Devices

HealthcareAMEX • US
Market Cap$80M
5Y Perf.-53.6%
ATEC
Alphatec Holdings, Inc.

Medical - Devices

HealthcareNASDAQ • US
Market Cap$1.17B
5Y Perf.+206.1%

LYRA vs SINT vs XNCR vs XTNT vs ATEC — Key Financials

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

Company Snapshot
LYRA logoLYRA
SINT logoSINT
XNCR logoXNCR
XTNT logoXTNT
ATEC logoATEC
IndustryBiotechnologyMedical - DevicesBiotechnologyMedical - DevicesMedical - Devices
Market Cap$781K$9M$903M$80M$1.17B
Revenue (TTM)$600K$1M$93M$133M$595M
Net Income (TTM)$-33M$-17M$-172M$2M$-125M
Gross Margin50.0%50.0%94.4%62.0%89.6%
Operating Margin-58.2%-8.3%-144.7%4.8%-9.6%
Forward P/E27.1x
Total Debt$34M$3M$188M$35M$620M
Cash & Equiv.$41M$4M$54M$6M$161M

LYRA vs SINT vs XNCR vs XTNT vs ATECLong-Term Stock Performance

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

LYRA
SINT
XNCR
XTNT
ATEC
StockMay 20Mar 26Return
Lyra Therapeutics, … (LYRA)1000.1-99.9%
Sintx Technologies,… (SINT)1000.0-100.0%
Xencor, Inc. (XNCR)10042.2-57.8%
Xtant Medical Holdi… (XTNT)10046.4-53.6%
Alphatec Holdings, … (ATEC)100306.1+206.1%

Price return only. Dividends and distributions are not included.

Quick Verdict: LYRA vs SINT vs XNCR vs XTNT vs ATEC

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

Bottom line: XTNT leads in 3 of 6 categories (5-stock set), making it the strongest pick for growth and revenue expansion and profitability and margin quality. Lyra Therapeutics, Inc. is the stronger pick specifically for capital preservation and lower volatility. XNCR also leads in specific categories worth noting. As sector peers, any of these can serve as alternatives in the same allocation.
LYRA
Lyra Therapeutics, Inc.
The Income Pick

LYRA is the #2 pick in this set and the best alternative if income & stability and sleep-well-at-night is your priority.

  • beta 0.65
  • Lower volatility, beta 0.65, current ratio 3.41x
  • Beta 0.65, current ratio 3.41x
  • Beta 0.65 vs XNCR's 1.99
Best for: income & stability and sleep-well-at-night
SINT
Sintx Technologies, Inc.
The Healthcare Pick

SINT lags the leaders in this set but could rank higher in a more targeted comparison.

Best for: healthcare exposure
XNCR
Xencor, Inc.
The Momentum Pick

XNCR ranks third and is worth considering specifically for momentum.

  • +54.1% vs LYRA's -91.6%
Best for: momentum
XTNT
Xtant Medical Holdings, Inc.
The Growth Play

XTNT carries the broadest edge in this set and is the clearest fit for growth exposure.

  • Rev growth 28.4%, EPS growth 107.7%, 3Y rev CAGR 28.5%
  • 28.4% revenue growth vs SINT's -18.3%
  • 1.3% margin vs LYRA's -54.9%
  • 1.8% ROA vs SINT's -159.9%, ROIC -12.8% vs -253.2%
Best for: growth exposure
ATEC
Alphatec Holdings, Inc.
The Long-Run Compounder

ATEC is the clearest fit if your priority is long-term compounding.

  • 225.4% 10Y total return vs XNCR's 4.5%
Best for: long-term compounding
See the full category breakdown
CategoryWinnerWhy
GrowthXTNT logoXTNT28.4% revenue growth vs SINT's -18.3%
Quality / MarginsXTNT logoXTNT1.3% margin vs LYRA's -54.9%
Stability / SafetyLYRA logoLYRABeta 0.65 vs XNCR's 1.99
DividendsTieNone of these 5 stocks pay a meaningful dividend
Momentum (1Y)XNCR logoXNCR+54.1% vs LYRA's -91.6%
Efficiency (ROA)XTNT logoXTNT1.8% ROA vs SINT's -159.9%, ROIC -12.8% vs -253.2%

LYRA vs SINT vs XNCR vs XTNT vs ATEC — Revenue Breakdown by Segment

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

LYRALyra Therapeutics, Inc.

Segment breakdown not available.

SINTSintx Technologies, Inc.
FY 2024
Grant and Contract
56.8%$2M
Product
43.2%$1M
XNCRXencor, Inc.
FY 2025
Royalty
63.9%$80M
Milestone
36.1%$45M
XTNTXtant Medical Holdings, Inc.
FY 2024
Orthobiologics
56.6%$66M
Spinal Implant
42.1%$49M
License Revenue
1.3%$2M
ATECAlphatec Holdings, Inc.
FY 2025
Products And Services
100.0%$764M

LYRA vs SINT vs XNCR vs XTNT vs ATEC — Financial Metrics

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

BEST OVERALLXNCRLAGGINGATEC

Income & Cash Flow (Last 12 Months)

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

ATEC is the larger business by revenue, generating $595M annually — 991.6x LYRA's $600,000. XTNT is the more profitable business, keeping 1.3% of every revenue dollar as net income compared to LYRA's -54.9%. On growth, XTNT holds the edge at +19.0% YoY revenue growth, suggesting stronger near-term business momentum.

MetricLYRA logoLYRALyra Therapeutics…SINT logoSINTSintx Technologie…XNCR logoXNCRXencor, Inc.XTNT logoXTNTXtant Medical Hol…ATEC logoATECAlphatec Holdings…
RevenueTrailing 12 months$600,000$1M$93M$133M$595M
EBITDAEarnings before interest/tax-$34M-$9M-$127M$11M$4M
Net IncomeAfter-tax profit-$33M-$17M-$172M$2M-$125M
Free Cash FlowCash after capex-$34M-$8M-$189M$5M$7M
Gross MarginGross profit ÷ Revenue+50.0%+50.0%+94.4%+62.0%+89.6%
Operating MarginEBIT ÷ Revenue-58.2%-8.3%-144.7%+4.8%-9.6%
Net MarginNet income ÷ Revenue-54.9%-13.6%-185.7%+1.3%-21.1%
FCF MarginFCF ÷ Revenue-56.8%-6.3%-2.0%+3.9%+1.2%
Rev. Growth (YoY)Latest quarter vs prior year-87.2%-43.3%-100.0%+19.0%-100.0%
EPS Growth (YoY)Latest quarter vs prior year-17.8%+50.2%-159.1%+123.7%+37.1%
XTNT leads this category, winning 5 of 6 comparable metrics.

Valuation Metrics

XNCR leads this category, winning 2 of 3 comparable metrics.
MetricLYRA logoLYRALyra Therapeutics…SINT logoSINTSintx Technologie…XNCR logoXNCRXencor, Inc.XTNT logoXTNTXtant Medical Hol…ATEC logoATECAlphatec Holdings…
Market CapShares × price$781,126$9M$903M$80M$1.2B
Enterprise ValueMkt cap + debt − cash-$5M$8M$1.0B$109M$1.6B
Trailing P/EPrice ÷ TTM EPS-0.31x-0.39x-9.93x-4.75x-8.07x
Forward P/EPrice ÷ next-FY EPS est.27.09x
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple3752.09x
Price / SalesMarket cap ÷ Revenue0.51x8.49x7.19x0.68x1.54x
Price / BookPrice ÷ Book value/share2.47x2.26x1.44x1.77x32.28x
Price / FCFMarket cap ÷ FCF422.56x
XNCR leads this category, winning 2 of 3 comparable metrics.

Profitability & Efficiency

Evenly matched — XTNT and ATEC each lead in 3 of 9 comparable metrics.

XTNT delivers a 3.8% return on equity — every $100 of shareholder capital generates $4 in annual profit, vs $-10 for LYRA. XNCR carries lower financial leverage with a 0.30x debt-to-equity ratio, signaling a more conservative balance sheet compared to ATEC's 17.21x. On the Piotroski fundamental quality scale (0–9), ATEC scores 6/9 vs XTNT's 2/9, reflecting solid financial health.

MetricLYRA logoLYRALyra Therapeutics…SINT logoSINTSintx Technologie…XNCR logoXNCRXencor, Inc.XTNT logoXTNTXtant Medical Hol…ATEC logoATECAlphatec Holdings…
ROE (TTM)Return on equity-10.3%-3.7%-23.7%+3.8%-4.4%
ROA (TTM)Return on assets-60.2%-159.9%-20.5%+1.8%-15.8%
ROICReturn on invested capital-145.5%-2.5%-16.3%-12.8%-12.6%
ROCEReturn on capital employed-109.0%-162.4%-21.6%-17.9%-13.7%
Piotroski ScoreFundamental quality 0–923326
Debt / EquityFinancial leverage2.97x1.11x0.30x0.82x17.21x
Net DebtTotal debt minus cash-$6M-$898,000$134M$29M$459M
Cash & Equiv.Liquid assets$41M$4M$54M$6M$161M
Total DebtShort + long-term debt$34M$3M$188M$35M$620M
Interest CoverageEBIT ÷ Interest expense-181.30x-0.98x1.55x-3.29x
Evenly matched — XTNT and ATEC each lead in 3 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

Evenly matched — XNCR and XTNT and ATEC each lead in 2 of 6 comparable metrics.

A $10,000 investment in ATEC five years ago would be worth $5,129 today (with dividends reinvested), compared to $1 for SINT. Over the past 12 months, XNCR leads with a +54.1% total return vs LYRA's -91.6%. The 3-year compound annual growth rate (CAGR) favors XTNT at -4.3% vs LYRA's -85.0% — a key indicator of consistent wealth creation.

MetricLYRA logoLYRALyra Therapeutics…SINT logoSINTSintx Technologie…XNCR logoXNCRXencor, Inc.XTNT logoXTNTXtant Medical Hol…ATEC logoATECAlphatec Holdings…
YTD ReturnYear-to-date-86.1%-36.8%-17.5%-24.0%-62.7%
1-Year ReturnPast 12 months-91.6%-4.4%+54.1%+10.0%-37.8%
3-Year ReturnCumulative with dividends-99.7%-99.2%-55.0%-12.3%-47.8%
5-Year ReturnCumulative with dividends-99.9%-100.0%-68.9%-66.1%-48.7%
10-Year ReturnCumulative with dividends-100.0%-100.0%+4.5%-97.8%+225.4%
CAGR (3Y)Annualised 3-year return-85.0%-79.9%-23.4%-4.3%-19.5%
Evenly matched — XNCR and XTNT and ATEC each lead in 2 of 6 comparable metrics.

Risk & Volatility

Evenly matched — LYRA and XNCR each lead in 1 of 2 comparable metrics.

LYRA is the less volatile stock with a 0.65 beta — it tends to amplify market swings less than XNCR's 1.99 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. XNCR currently trades 65.9% from its 52-week high vs LYRA's 1.2% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricLYRA logoLYRALyra Therapeutics…SINT logoSINTSintx Technologie…XNCR logoXNCRXencor, Inc.XTNT logoXTNTXtant Medical Hol…ATEC logoATECAlphatec Holdings…
Beta (5Y)Sensitivity to S&P 5000.65x1.95x1.99x0.69x1.13x
52-Week HighHighest price in past year$37.50$6.78$18.69$0.95$23.29
52-Week LowLowest price in past year$0.44$1.99$6.92$0.44$6.85
% of 52W HighCurrent price vs 52-week peak+1.2%+35.3%+65.9%+60.0%+33.3%
RSI (14)Momentum oscillator 0–10022.346.154.760.926.8
Avg Volume (50D)Average daily shares traded159K37K865K142K3.0M
Evenly matched — LYRA and XNCR each lead in 1 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Analyst consensus: XNCR as "Buy", ATEC as "Buy". Consensus price targets imply 222.6% upside for ATEC (target: $25) vs 162.6% for XNCR (target: $32).

MetricLYRA logoLYRALyra Therapeutics…SINT logoSINTSintx Technologie…XNCR logoXNCRXencor, Inc.XTNT logoXTNTXtant Medical Hol…ATEC logoATECAlphatec Holdings…
Analyst RatingConsensus buy/hold/sellBuyBuy
Price TargetConsensus 12-month target$32.33$25.00
# AnalystsCovering analysts2716
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises1
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%+1.5%0.0%0.0%0.0%
Insufficient data to determine a leader in this category.
Key Takeaway

XTNT leads in 1 of 6 categories (Income & Cash Flow). XNCR leads in 1 (Valuation Metrics). 3 tied.

Best OverallXencor, Inc. (XNCR)Leads 1 of 6 categories
Loading custom metrics...

LYRA vs SINT vs XNCR vs XTNT vs ATEC: Key Questions Answered

9 questions · data-driven answers · updated daily

01

Is LYRA or SINT or XNCR or XTNT or ATEC a better buy right now?

For growth investors, Xtant Medical Holdings, Inc.

(XTNT) is the stronger pick with 28. 4% revenue growth year-over-year, versus -18. 3% for Sintx Technologies, Inc. (SINT). Analysts rate Xencor, Inc. (XNCR) a "Buy" — based on 27 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 is the better long-term investment — LYRA or SINT or XNCR or XTNT or ATEC?

Over the past 5 years, Alphatec Holdings, Inc.

(ATEC) delivered a total return of -48. 7%, compared to -100. 0% for Sintx Technologies, Inc. (SINT). Over 10 years, the gap is even starker: ATEC returned +225. 4% versus SINT'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.

03

Which is safer — LYRA or SINT or XNCR or XTNT or ATEC?

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

(LYRA) is the lower-risk stock at 0. 65β versus Xencor, Inc. 's 1. 99β — meaning XNCR is approximately 209% more volatile than LYRA relative to the S&P 500. On balance sheet safety, Xencor, Inc. (XNCR) carries a lower debt/equity ratio of 30% versus 17% for Alphatec Holdings, Inc. — giving it more financial flexibility in a downturn.

04

Which is growing faster — LYRA or SINT or XNCR or XTNT or ATEC?

By revenue growth (latest reported year), Xtant Medical Holdings, Inc.

(XTNT) is pulling ahead at 28. 4% versus -18. 3% for Sintx Technologies, Inc. (SINT). On earnings-per-share growth, the picture is similar: Xencor, Inc. grew EPS 65. 4% year-over-year, compared to -13. 5% for Lyra Therapeutics, Inc.. Over a 3-year CAGR, LYRA leads at 75. 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.

05

Which has better profit margins — LYRA or SINT or XNCR or XTNT or ATEC?

Xtant Medical Holdings, Inc.

(XTNT) is the more profitable company, earning -14. 0% net margin versus -60. 9% for Lyra Therapeutics, Inc. — meaning it keeps -14. 0% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: XTNT leads at -10. 3% versus -62. 8% for LYRA. At the gross margin level — before operating expenses — LYRA 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.

06

Is LYRA or SINT or XNCR or XTNT or ATEC more undervalued right now?

Analyst consensus price targets imply the most upside for ATEC: 222.

6% to $25. 00.

07

Which pays a better dividend — LYRA or SINT or XNCR or XTNT or ATEC?

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.

08

Is LYRA or SINT or XNCR or XTNT or ATEC better for a retirement portfolio?

For long-horizon retirement investors, Lyra Therapeutics, Inc.

(LYRA) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 65)). Sintx Technologies, Inc. (SINT) 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 (LYRA: -100. 0%, SINT: -100. 0%), 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.

09

What are the main differences between LYRA and SINT and XNCR and XTNT and ATEC?

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: LYRA is a small-cap quality compounder stock; SINT is a small-cap quality compounder stock; XNCR is a small-cap quality compounder stock; XTNT is a small-cap high-growth stock; ATEC is a small-cap high-growth 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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  • Sector: Healthcare
  • Market Cap > $100B
  • Gross Margin > 53%
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(LYRA: -87.2% · SINT: -43.3%)

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