Drug Manufacturers - Specialty & Generic
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PCRX vs SYK vs ZBH vs MDT
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Devices
Medical - Devices
Medical - Devices
PCRX vs SYK vs ZBH vs MDT — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||||
|---|---|---|---|---|
| Industry | Drug Manufacturers - Specialty & Generic | Medical - Devices | Medical - Devices | Medical - Devices |
| Market Cap | $930M | $112.69B | $16.32B | $99.94B |
| Revenue (TTM) | $735M | $25.12B | $8.41B | $35.48B |
| Net Income (TTM) | $9M | $3.25B | $761M | $4.61B |
| Gross Margin | 60.2% | 63.5% | 70.0% | 61.9% |
| Operating Margin | 3.4% | 22.4% | 15.6% | 17.9% |
| Forward P/E | 8.6x | 19.6x | 9.8x | 14.1x |
| Total Debt | $454M | $14.86B | $7.52B | $28.52B |
| Cash & Equiv. | $159M | $4.01B | $592M | $2.22B |
PCRX vs SYK vs ZBH vs MDT — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| Pacira BioSciences,… (PCRX) | 100 | 53.8 | -46.2% |
| Stryker Corporation (SYK) | 100 | 150.3 | +50.3% |
| Zimmer Biomet Holdi… (ZBH) | 100 | 68.0 | -32.0% |
| Medtronic plc (MDT) | 100 | 79.1 | -20.9% |
Price return only. Dividends and distributions are not included.
Quick Verdict: PCRX vs SYK vs ZBH vs MDT
Each card shows where this stock fits in a portfolio — not just who wins on paper.
PCRX is the #2 pick in this set and the best alternative if value is your priority.
- Lower P/E (8.6x vs 14.1x)
SYK is the clearest fit if your priority is growth exposure and long-term compounding.
- Rev growth 11.2%, EPS growth 8.2%, 3Y rev CAGR 10.8%
- 187.1% 10Y total return vs MDT's 26.5%
- PEG 1.32 vs MDT's 36.00
- 11.2% revenue growth vs MDT's 3.6%
ZBH lags the leaders in this set but could rank higher in a more targeted comparison.
MDT carries the broadest edge in this set and is the clearest fit for income & stability and sleep-well-at-night.
- Dividend streak 36 yrs, beta 0.47, yield 3.6%
- Lower volatility, beta 0.47, Low D/E 59.1%, current ratio 1.85x
- Beta 0.47, yield 3.6%, current ratio 1.85x
- 13.0% margin vs PCRX's 1.3%
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 11.2% revenue growth vs MDT's 3.6% | |
| Value | Lower P/E (8.6x vs 14.1x) | |
| Quality / Margins | 13.0% margin vs PCRX's 1.3% | |
| Stability / Safety | Beta 0.47 vs ZBH's 0.65, lower leverage | |
| Dividends | 3.6% yield, 36-year raise streak, vs SYK's 1.1%, (1 stock pays no dividend) | |
| Momentum (1Y) | -2.8% vs SYK's -22.5% | |
| Efficiency (ROA) | 175.8% ROA vs PCRX's 0.7%, ROIC 6.0% vs 2.3% |
PCRX vs SYK vs ZBH vs MDT — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
PCRX vs SYK vs ZBH vs MDT — Financial Metrics
Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
SYK leads in 2 of 6 categories
PCRX leads 1 • MDT leads 1 • ZBH leads 0 • 2 tied
Explore the data ↓Income & Cash Flow (Last 12 Months)
SYK leads this category, winning 3 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
MDT is the larger business by revenue, generating $35.5B annually — 48.3x PCRX's $735M. MDT is the more profitable business, keeping 13.0% of every revenue dollar as net income compared to PCRX's 1.3%. On growth, SYK holds the edge at +11.4% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||||
|---|---|---|---|---|
| RevenueTrailing 12 months | $735M | $25.1B | $8.4B | $35.5B |
| EBITDAEarnings before interest/tax | $95M | $6.3B | $2.3B | $9.4B |
| Net IncomeAfter-tax profit | $9M | $3.2B | $761M | $4.6B |
| Free Cash FlowCash after capex | $133M | $4.3B | $1.8B | $5.4B |
| Gross MarginGross profit ÷ Revenue | +60.2% | +63.5% | +70.0% | +61.9% |
| Operating MarginEBIT ÷ Revenue | +3.4% | +22.4% | +15.6% | +17.9% |
| Net MarginNet income ÷ Revenue | +1.3% | +12.9% | +9.1% | +13.0% |
| FCF MarginFCF ÷ Revenue | +18.1% | +17.1% | +21.8% | +15.2% |
| Rev. Growth (YoY)Latest quarter vs prior year | +5.0% | +11.4% | +9.3% | +8.8% |
| EPS Growth (YoY)Latest quarter vs prior year | -30.0% | +56.0% | +34.1% | -11.9% |
Valuation Metrics
PCRX leads this category, winning 3 of 7 comparable metrics.
Valuation Metrics
At 21.6x trailing earnings, MDT trades at a 85% valuation discount to PCRX's 147.8x P/E. Adjusting for growth (PEG ratio), SYK offers better value at 2.36x vs MDT's 36.00x — a lower PEG means you pay less per unit of expected earnings growth.
| Metric | ||||
|---|---|---|---|---|
| Market CapShares × price | $930M | $112.7B | $16.3B | $99.9B |
| Enterprise ValueMkt cap + debt − cash | $1.2B | $123.5B | $23.3B | $126.2B |
| Trailing P/EPrice ÷ TTM EPS | 147.75x | 35.03x | 23.48x | 21.60x |
| Forward P/EPrice ÷ next-FY EPS est. | 8.61x | 19.62x | 9.83x | 14.13x |
| PEG RatioP/E ÷ EPS growth rate | — | 2.36x | — | 36.00x |
| EV / EBITDAEnterprise value multiple | 9.86x | 20.31x | 9.47x | 14.32x |
| Price / SalesMarket cap ÷ Revenue | 1.28x | 4.49x | 1.98x | 2.98x |
| Price / BookPrice ÷ Book value/share | 1.54x | 5.02x | 1.30x | 2.08x |
| Price / FCFMarket cap ÷ FCF | 6.80x | 26.31x | 11.09x | 19.28x |
Profitability & Efficiency
Evenly matched — PCRX and SYK and MDT each lead in 3 of 9 comparable metrics.
Profitability & Efficiency
SYK delivers a 15.0% return on equity — every $100 of shareholder capital generates $15 in annual profit, vs $1 for PCRX. MDT carries lower financial leverage with a 0.59x debt-to-equity ratio, signaling a more conservative balance sheet compared to SYK's 0.66x. On the Piotroski fundamental quality scale (0–9), PCRX scores 9/9 vs ZBH's 5/9, reflecting strong financial health.
| Metric | ||||
|---|---|---|---|---|
| ROE (TTM)Return on equity | +1.3% | +15.0% | +5.8% | +9.4% |
| ROA (TTM)Return on assets | +0.7% | +6.9% | +3.3% | +175.8% |
| ROICReturn on invested capital | +2.3% | +11.4% | +5.4% | +6.0% |
| ROCEReturn on capital employed | +2.8% | +13.0% | +6.9% | +7.5% |
| Piotroski ScoreFundamental quality 0–9 | 9 | 6 | 5 | 6 |
| Debt / EquityFinancial leverage | 0.66x | 0.66x | 0.59x | 0.59x |
| Net DebtTotal debt minus cash | $296M | $10.8B | $6.9B | $26.3B |
| Cash & Equiv.Liquid assets | $159M | $4.0B | $592M | $2.2B |
| Total DebtShort + long-term debt | $454M | $14.9B | $7.5B | $28.5B |
| Interest CoverageEBIT ÷ Interest expense | 2.37x | 6.72x | 4.08x | 9.08x |
Total Returns (Dividends Reinvested)
SYK leads this category, winning 4 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in SYK five years ago would be worth $12,152 today (with dividends reinvested), compared to $3,738 for PCRX. Over the past 12 months, MDT leads with a -2.8% total return vs SYK's -22.5%. The 3-year compound annual growth rate (CAGR) favors SYK at 1.8% vs PCRX's -17.6% — a key indicator of consistent wealth creation.
| Metric | ||||
|---|---|---|---|---|
| YTD ReturnYear-to-date | -3.4% | -15.2% | -7.1% | -18.1% |
| 1-Year ReturnPast 12 months | -6.1% | -22.5% | -10.4% | -2.8% |
| 3-Year ReturnCumulative with dividends | -44.1% | +5.5% | -37.2% | -4.2% |
| 5-Year ReturnCumulative with dividends | -62.6% | +21.5% | -47.3% | -27.7% |
| 10-Year ReturnCumulative with dividends | -51.2% | +187.1% | -17.8% | +26.5% |
| CAGR (3Y)Annualised 3-year return | -17.6% | +1.8% | -14.4% | -1.4% |
Risk & Volatility
Evenly matched — PCRX and MDT each lead in 1 of 2 comparable metrics.
Risk & Volatility
MDT is the less volatile stock with a 0.47 beta — it tends to amplify market swings less than ZBH's 0.65 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. PCRX currently trades 85.5% from its 52-week high vs SYK's 72.7% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||||
|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 0.47x | 0.55x | 0.65x | 0.47x |
| 52-Week HighHighest price in past year | $27.64 | $404.87 | $108.29 | $106.33 |
| 52-Week LowLowest price in past year | $18.80 | $289.91 | $79.83 | $77.16 |
| % of 52W HighCurrent price vs 52-week peak | +85.5% | +72.7% | +77.0% | +73.3% |
| RSI (14)Momentum oscillator 0–100 | 45.9 | 24.3 | 34.3 | 27.3 |
| Avg Volume (50D)Average daily shares traded | 695K | 2.1M | 2.2M | 7.8M |
Analyst Outlook
MDT leads this category, winning 2 of 2 comparable metrics.
Analyst Outlook
Analyst consensus: PCRX as "Hold", SYK as "Buy", ZBH as "Hold", MDT as "Buy". Consensus price targets imply 40.5% upside for MDT (target: $110) vs 17.4% for ZBH (target: $98). For income investors, MDT offers the higher dividend yield at 3.57% vs SYK's 1.14%.
| Metric | ||||
|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Hold | Buy | Hold | Buy |
| Price TargetConsensus 12-month target | $29.50 | $403.69 | $97.90 | $109.50 |
| # AnalystsCovering analysts | 36 | 50 | 42 | 49 |
| Dividend YieldAnnual dividend ÷ price | — | +1.1% | +1.1% | +3.6% |
| Dividend StreakConsecutive years of raises | — | 34 | 0 | 36 |
| Dividend / ShareAnnual DPS | — | $3.36 | $0.96 | $2.78 |
| Buyback YieldShare repurchases ÷ mkt cap | +16.0% | 0.0% | +3.0% | +3.2% |
SYK leads in 2 of 6 categories (Income & Cash Flow, Total Returns). PCRX leads in 1 (Valuation Metrics). 2 tied.
PCRX vs SYK vs ZBH vs MDT: Key Questions Answered
10 questions · data-driven answers · updated daily
01Is PCRX or SYK or ZBH or MDT a better buy right now?
For growth investors, Stryker Corporation (SYK) is the stronger pick with 11.
2% revenue growth year-over-year, versus 3. 6% for Medtronic plc (MDT). Medtronic plc (MDT) offers the better valuation at 21. 6x trailing P/E (14. 1x forward), making it the more compelling value choice. Analysts rate Stryker Corporation (SYK) a "Buy" — based on 50 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 — PCRX or SYK or ZBH or MDT?
On trailing P/E, Medtronic plc (MDT) is the cheapest at 21.
6x versus Pacira BioSciences, Inc. at 147. 8x. On forward P/E, Pacira BioSciences, Inc. is actually cheaper at 8. 6x — 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: Stryker Corporation wins at 1. 32x versus Medtronic plc's 36. 00x — a reasonable growth-adjusted valuation.
03Which is the better long-term investment — PCRX or SYK or ZBH or MDT?
Over the past 5 years, Stryker Corporation (SYK) delivered a total return of +21.
5%, compared to -62. 6% for Pacira BioSciences, Inc. (PCRX). Over 10 years, the gap is even starker: SYK returned +187. 1% versus PCRX's -51. 2%. 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 — PCRX or SYK or ZBH or MDT?
By beta (market sensitivity over 5 years), Medtronic plc (MDT) is the lower-risk stock at 0.
47β versus Zimmer Biomet Holdings, Inc. 's 0. 65β — meaning ZBH is approximately 40% more volatile than MDT relative to the S&P 500. On balance sheet safety, Medtronic plc (MDT) carries a lower debt/equity ratio of 59% versus 66% for Stryker Corporation — giving it more financial flexibility in a downturn.
05Which is growing faster — PCRX or SYK or ZBH or MDT?
By revenue growth (latest reported year), Stryker Corporation (SYK) is pulling ahead at 11.
2% versus 3. 6% for Medtronic plc (MDT). On earnings-per-share growth, the picture is similar: Pacira BioSciences, Inc. grew EPS 107. 4% year-over-year, compared to -19. 9% for Zimmer Biomet Holdings, Inc.. Over a 3-year CAGR, SYK leads at 10. 8% 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 — PCRX or SYK or ZBH or MDT?
Medtronic plc (MDT) is the more profitable company, earning 13.
9% net margin versus 1. 0% for Pacira BioSciences, Inc. — meaning it keeps 13. 9% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: SYK leads at 19. 5% versus 4. 6% for PCRX. At the gross margin level — before operating expenses — PCRX leads at 79. 4%, 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 PCRX or SYK or ZBH or MDT 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, Stryker Corporation (SYK) is the more undervalued stock at a PEG of 1. 32x versus Medtronic plc's 36. 00x. A PEG below 1. 5 suggests fair-to-attractive pricing relative to expected growth. On forward earnings alone, Pacira BioSciences, Inc. (PCRX) trades at 8. 6x forward P/E versus 19. 6x for Stryker Corporation — 11. 0x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for MDT: 40. 5% to $109. 50.
08Which pays a better dividend — PCRX or SYK or ZBH or MDT?
In this comparison, MDT (3.
6% yield), ZBH (1. 1% yield), SYK (1. 1% yield) pay a dividend. PCRX does not pay a meaningful dividend and should not be held primarily for income.
09Is PCRX or SYK or ZBH or MDT better for a retirement portfolio?
For long-horizon retirement investors, Stryker Corporation (SYK) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.
55), 1. 1% yield, +187. 1% 10Y return). Both have compounded well over 10 years (SYK: +187. 1%, PCRX: -51. 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.
10What are the main differences between PCRX and SYK and ZBH 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: PCRX is a small-cap quality compounder stock; SYK is a mid-cap quality compounder stock; ZBH is a mid-cap quality compounder stock; MDT is a mid-cap income-oriented stock. SYK, ZBH, MDT pay a dividend while PCRX 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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