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PEN vs DBVT vs NVAX vs ISRG vs SYK

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

Live fundamentals10-year financials5-year price chart
PEN
Penumbra, Inc.

Medical - Devices

HealthcareNYSE • US
Market Cap$12.67B
5Y Perf.+86.9%
DBVT
DBV Technologies S.A.

Biotechnology

HealthcareNASDAQ • FR
Market Cap$1690.08T
5Y Perf.-59.3%
NVAX
Novavax, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$1.66B
5Y Perf.-78.0%
ISRG
Intuitive Surgical, Inc.

Medical - Instruments & Supplies

HealthcareNASDAQ • US
Market Cap$159.85B
5Y Perf.+132.8%
SYK
Stryker Corporation

Medical - Devices

HealthcareNYSE • US
Market Cap$109.33B
5Y Perf.+45.8%

PEN vs DBVT vs NVAX vs ISRG vs SYK — Key Financials

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

Company Snapshot
PEN logoPEN
DBVT logoDBVT
NVAX logoNVAX
ISRG logoISRG
SYK logoSYK
IndustryMedical - DevicesBiotechnologyBiotechnologyMedical - Instruments & SuppliesMedical - Devices
Market Cap$12.67B$1690.08T$1.66B$159.85B$109.33B
Revenue (TTM)$1.45B$0.00$596M$10.58B$25.12B
Net Income (TTM)$171M$-168M$-88M$2.98B$3.25B
Gross Margin67.4%84.6%66.3%63.5%
Operating Margin12.9%-11.2%30.5%22.4%
Forward P/E65.8x4.0x43.3x19.1x
Total Debt$220M$22M$249M$303M$14.86B
Cash & Equiv.$187M$194M$241M$3.37B$4.01B

PEN vs DBVT vs NVAX vs ISRG vs SYKLong-Term Stock Performance

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

PEN
DBVT
NVAX
ISRG
SYK
StockMay 20May 26Return
Penumbra, Inc. (PEN)100186.9+86.9%
DBV Technologies S.… (DBVT)10040.7-59.3%
Novavax, Inc. (NVAX)10022.0-78.0%
Intuitive Surgical,… (ISRG)100232.8+132.8%
Stryker Corporation (SYK)100145.8+45.8%

Price return only. Dividends and distributions are not included.

Quick Verdict: PEN vs DBVT vs NVAX vs ISRG vs SYK

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

Bottom line: ISRG and SYK are tied at the top with 2 categories each (5-stock set) — the right choice depends on your priorities. Stryker Corporation is the stronger pick specifically for valuation and capital efficiency and dividend income and shareholder returns. PEN, DBVT, and NVAX also each lead in at least one category. As sector peers, any of these can serve as alternatives in the same allocation.
PEN
Penumbra, Inc.
The Growth Play

PEN ranks third and is worth considering specifically for growth exposure and sleep-well-at-night.

  • Rev growth 17.5%, EPS growth 11.6%, 3Y rev CAGR 18.3%
  • Lower volatility, beta 0.23, Low D/E 15.4%, current ratio 6.64x
  • Beta 0.23, current ratio 6.64x
  • Beta 0.23 vs NVAX's 2.22
Best for: growth exposure and sleep-well-at-night
DBVT
DBV Technologies S.A.
The Momentum Pick

DBVT is the clearest fit if your priority is momentum.

  • +100.5% vs SYK's -24.5%
Best for: momentum
NVAX
Novavax, Inc.
The Growth Leader

NVAX is the clearest fit if your priority is growth.

  • 64.7% revenue growth vs DBVT's -100.0%
Best for: growth
ISRG
Intuitive Surgical, Inc.
The Long-Run Compounder

ISRG has the current edge in this matchup, primarily because of its strength in long-term compounding.

  • 5.5% 10Y total return vs PEN's 5.0%
  • 28.2% margin vs NVAX's -14.7%
  • 14.8% ROA vs DBVT's -89.0%
Best for: long-term compounding
SYK
Stryker Corporation
The Income Pick

SYK is the #2 pick in this set and the best alternative if income & stability and valuation efficiency is your priority.

  • Dividend streak 34 yrs, beta 0.52, yield 1.2%
  • PEG 1.28 vs ISRG's 1.99
  • Lower P/E (19.1x vs 43.3x), PEG 1.28 vs 1.99
  • 1.2% yield; 34-year raise streak; the other 4 pay no meaningful dividend
Best for: income & stability and valuation efficiency
See the full category breakdown
CategoryWinnerWhy
GrowthNVAX logoNVAX64.7% revenue growth vs DBVT's -100.0%
ValueSYK logoSYKLower P/E (19.1x vs 43.3x), PEG 1.28 vs 1.99
Quality / MarginsISRG logoISRG28.2% margin vs NVAX's -14.7%
Stability / SafetyPEN logoPENBeta 0.23 vs NVAX's 2.22
DividendsSYK logoSYK1.2% yield; 34-year raise streak; the other 4 pay no meaningful dividend
Momentum (1Y)DBVT logoDBVT+100.5% vs SYK's -24.5%
Efficiency (ROA)ISRG logoISRG14.8% ROA vs DBVT's -89.0%

PEN vs DBVT vs NVAX vs ISRG vs SYK — Revenue Breakdown by Segment

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

PENPenumbra, Inc.
FY 2022
Peripheral Vascular
59.0%$499M
Neuro
41.0%$348M
DBVTDBV Technologies S.A.

Segment breakdown not available.

NVAXNovavax, Inc.
FY 2025
Product
50.0%$685M
Nuvaxovid Sales
45.6%$625M
Supply Sales
4.4%$60M
ISRGIntuitive Surgical, Inc.
FY 2025
Instruments and Accessories
59.8%$6.0B
Systems
24.6%$2.5B
Services
15.6%$1.6B
SYKStryker Corporation
FY 2025
MedSurg
62.3%$15.6B
Orthopaedics
37.7%$9.5B

PEN vs DBVT vs NVAX vs ISRG vs SYK — Financial Metrics

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

BEST OVERALLISRGLAGGINGNVAX

Income & Cash Flow (Last 12 Months)

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

SYK and DBVT operate at a comparable scale, with $25.1B and $0 in trailing revenue. ISRG is the more profitable business, keeping 28.2% of every revenue dollar as net income compared to NVAX's -14.7%. On growth, ISRG holds the edge at +23.0% YoY revenue growth, suggesting stronger near-term business momentum.

MetricPEN logoPENPenumbra, Inc.DBVT logoDBVTDBV Technologies …NVAX logoNVAXNovavax, Inc.ISRG logoISRGIntuitive Surgica…SYK logoSYKStryker Corporati…
RevenueTrailing 12 months$1.5B$0$596M$10.6B$25.1B
EBITDAEarnings before interest/tax$200M-$112M-$47M$3.8B$6.3B
Net IncomeAfter-tax profit$171M-$168M-$88M$3.0B$3.2B
Free Cash FlowCash after capex$213M-$151M-$97M$2.8B$4.3B
Gross MarginGross profit ÷ Revenue+67.4%+84.6%+66.3%+63.5%
Operating MarginEBIT ÷ Revenue+12.9%-11.2%+30.5%+22.4%
Net MarginNet income ÷ Revenue+11.8%-14.7%+28.2%+12.9%
FCF MarginFCF ÷ Revenue+14.6%-16.3%+26.8%+17.1%
Rev. Growth (YoY)Latest quarter vs prior year+15.6%-79.1%+23.0%+11.4%
EPS Growth (YoY)Latest quarter vs prior year-18.0%+91.5%-102.0%+18.8%+56.0%
ISRG leads this category, winning 4 of 6 comparable metrics.

Valuation Metrics

SYK leads this category, winning 3 of 7 comparable metrics.

At 4.0x trailing earnings, NVAX trades at a 94% valuation discount to PEN's 71.3x P/E. Adjusting for growth (PEG ratio), SYK offers better value at 2.29x vs ISRG's 2.63x — a lower PEG means you pay less per unit of expected earnings growth.

MetricPEN logoPENPenumbra, Inc.DBVT logoDBVTDBV Technologies …NVAX logoNVAXNovavax, Inc.ISRG logoISRGIntuitive Surgica…SYK logoSYKStryker Corporati…
Market CapShares × price$12.7B$1690.08T$1.7B$159.8B$109.3B
Enterprise ValueMkt cap + debt − cash$12.7B$1690.08T$1.7B$156.8B$120.2B
Trailing P/EPrice ÷ TTM EPS71.29x-0.75x3.98x57.19x33.98x
Forward P/EPrice ÷ next-FY EPS est.65.80x43.35x19.06x
PEG RatioP/E ÷ EPS growth rate2.63x2.29x
EV / EBITDAEnterprise value multiple61.47x2.83x43.28x19.76x
Price / SalesMarket cap ÷ Revenue9.03x1.48x15.88x4.35x
Price / BookPrice ÷ Book value/share8.87x0.65x9.10x4.87x
Price / FCFMarket cap ÷ FCF72.45x64.18x25.53x
SYK leads this category, winning 3 of 7 comparable metrics.

Profitability & Efficiency

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

ISRG delivers a 16.9% return on equity — every $100 of shareholder capital generates $17 in annual profit, vs $-130 for DBVT. ISRG carries lower financial leverage with a 0.02x debt-to-equity ratio, signaling a more conservative balance sheet compared to SYK's 0.66x. On the Piotroski fundamental quality scale (0–9), PEN scores 7/9 vs DBVT's 4/9, reflecting strong financial health.

MetricPEN logoPENPenumbra, Inc.DBVT logoDBVTDBV Technologies …NVAX logoNVAXNovavax, Inc.ISRG logoISRGIntuitive Surgica…SYK logoSYKStryker Corporati…
ROE (TTM)Return on equity+12.3%-130.2%+16.9%+15.0%
ROA (TTM)Return on assets+9.6%-89.0%-7.4%+14.8%+6.9%
ROICReturn on invested capital+11.3%+15.0%+11.4%
ROCEReturn on capital employed+12.5%-145.7%+100.4%+16.5%+13.0%
Piotroski ScoreFundamental quality 0–974566
Debt / EquityFinancial leverage0.15x0.13x0.02x0.66x
Net DebtTotal debt minus cash$33M-$172M$8M-$3.1B$10.8B
Cash & Equiv.Liquid assets$187M$194M$241M$3.4B$4.0B
Total DebtShort + long-term debt$220M$22M$249M$303M$14.9B
Interest CoverageEBIT ÷ Interest expense304.65x-189.82x-6.40x6.72x
ISRG leads this category, winning 5 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

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

A $10,000 investment in ISRG five years ago would be worth $16,174 today (with dividends reinvested), compared to $630 for NVAX. Over the past 12 months, DBVT leads with a +100.5% total return vs SYK's -24.5%. The 3-year compound annual growth rate (CAGR) favors ISRG at 14.1% vs SYK's 0.8% — a key indicator of consistent wealth creation.

MetricPEN logoPENPenumbra, Inc.DBVT logoDBVTDBV Technologies …NVAX logoNVAXNovavax, Inc.ISRG logoISRGIntuitive Surgica…SYK logoSYKStryker Corporati…
YTD ReturnYear-to-date+4.1%+3.6%+41.8%-19.9%-17.8%
1-Year ReturnPast 12 months+11.6%+100.5%+51.8%-16.4%-24.5%
3-Year ReturnCumulative with dividends+3.7%+18.1%+35.7%+48.5%+2.4%
5-Year ReturnCumulative with dividends+22.3%-68.3%-93.7%+61.7%+17.5%
10-Year ReturnCumulative with dividends+501.4%-87.1%-89.4%+549.2%+179.2%
CAGR (3Y)Annualised 3-year return+1.2%+5.7%+10.7%+14.1%+0.8%
ISRG leads this category, winning 4 of 6 comparable metrics.

Risk & Volatility

PEN leads this category, winning 2 of 2 comparable metrics.

PEN is the less volatile stock with a 0.23 beta — it tends to amplify market swings less than NVAX's 2.22 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. PEN currently trades 88.9% from its 52-week high vs SYK's 70.5% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricPEN logoPENPenumbra, Inc.DBVT logoDBVTDBV Technologies …NVAX logoNVAXNovavax, Inc.ISRG logoISRGIntuitive Surgica…SYK logoSYKStryker Corporati…
Beta (5Y)Sensitivity to S&P 5000.23x1.26x2.22x1.00x0.52x
52-Week HighHighest price in past year$362.41$26.18$11.97$603.88$404.87
52-Week LowLowest price in past year$221.26$7.53$5.80$427.84$284.97
% of 52W HighCurrent price vs 52-week peak+88.9%+75.3%+84.5%+74.5%+70.5%
RSI (14)Momentum oscillator 0–10038.147.461.843.626.6
Avg Volume (50D)Average daily shares traded533K252K4.2M1.8M2.1M
PEN leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

SYK leads this category, winning 1 of 1 comparable metric.

Analyst consensus: PEN as "Hold", DBVT as "Buy", NVAX as "Buy", ISRG as "Buy", SYK as "Buy". Consensus price targets imply 134.8% upside for DBVT (target: $46) vs 14.8% for PEN (target: $370). SYK is the only dividend payer here at 1.18% yield — a key consideration for income-focused portfolios.

MetricPEN logoPENPenumbra, Inc.DBVT logoDBVTDBV Technologies …NVAX logoNVAXNovavax, Inc.ISRG logoISRGIntuitive Surgica…SYK logoSYKStryker Corporati…
Analyst RatingConsensus buy/hold/sellHoldBuyBuyBuyBuy
Price TargetConsensus 12-month target$369.83$46.33$18.00$622.60$389.62
# AnalystsCovering analysts2215235550
Dividend YieldAnnual dividend ÷ price+1.2%
Dividend StreakConsecutive years of raises0134
Dividend / ShareAnnual DPS$3.36
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%+0.3%+1.4%0.0%
SYK leads this category, winning 1 of 1 comparable metric.
Key Takeaway

ISRG leads in 3 of 6 categories (Income & Cash Flow, Profitability & Efficiency). SYK leads in 2 (Valuation Metrics, Analyst Outlook).

Best OverallIntuitive Surgical, Inc. (ISRG)Leads 3 of 6 categories
Loading custom metrics...

PEN vs DBVT vs NVAX vs ISRG vs SYK: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is PEN or DBVT or NVAX or ISRG or SYK a better buy right now?

For growth investors, Novavax, Inc.

(NVAX) is the stronger pick with 64. 7% revenue growth year-over-year, versus 11. 2% for Stryker Corporation (SYK). Novavax, Inc. (NVAX) offers the better valuation at 4. 0x trailing P/E, making it the more compelling value choice. Analysts rate DBV Technologies S. A. (DBVT) 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.

02

Which has the better valuation — PEN or DBVT or NVAX or ISRG or SYK?

On trailing P/E, Novavax, Inc.

(NVAX) is the cheapest at 4. 0x versus Penumbra, Inc. at 71. 3x. On forward P/E, Stryker Corporation is actually cheaper at 19. 1x — 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. 28x versus Intuitive Surgical, Inc. 's 1. 99x — a reasonable growth-adjusted valuation.

03

Which is the better long-term investment — PEN or DBVT or NVAX or ISRG or SYK?

Over the past 5 years, Intuitive Surgical, Inc.

(ISRG) delivered a total return of +61. 7%, compared to -93. 7% for Novavax, Inc. (NVAX). Over 10 years, the gap is even starker: ISRG returned +549. 2% versus NVAX's -89. 4%. 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 — PEN or DBVT or NVAX or ISRG or SYK?

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

(PEN) is the lower-risk stock at 0. 23β versus Novavax, Inc. 's 2. 22β — meaning NVAX is approximately 872% more volatile than PEN relative to the S&P 500. On balance sheet safety, Intuitive Surgical, Inc. (ISRG) carries a lower debt/equity ratio of 2% versus 66% for Stryker Corporation — giving it more financial flexibility in a downturn.

05

Which is growing faster — PEN or DBVT or NVAX or ISRG or SYK?

By revenue growth (latest reported year), Novavax, Inc.

(NVAX) is pulling ahead at 64. 7% versus 11. 2% for Stryker Corporation (SYK). On earnings-per-share growth, the picture is similar: Penumbra, Inc. grew EPS 1156% year-over-year, compared to -347. 5% for DBV Technologies S. A.. Over a 3-year CAGR, PEN leads at 18. 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 — PEN or DBVT or NVAX or ISRG or SYK?

Novavax, Inc.

(NVAX) is the more profitable company, earning 39. 2% net margin versus 0. 0% for DBV Technologies S. A. — meaning it keeps 39. 2% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: NVAX leads at 50. 1% versus 0. 0% for DBVT. At the gross margin level — before operating expenses — NVAX leads at 93. 7%, 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 PEN or DBVT or NVAX or ISRG or SYK 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. 28x versus Intuitive Surgical, Inc. 's 1. 99x. A PEG below 1. 5 suggests fair-to-attractive pricing relative to expected growth. On forward earnings alone, Stryker Corporation (SYK) trades at 19. 1x forward P/E versus 65. 8x for Penumbra, Inc. — 46. 7x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for DBVT: 134. 8% to $46. 33.

08

Which pays a better dividend — PEN or DBVT or NVAX or ISRG or SYK?

In this comparison, SYK (1.

2% yield) pays a dividend. PEN, DBVT, NVAX, ISRG do not pay a meaningful dividend and should not be held primarily for income.

09

Is PEN or DBVT or NVAX or ISRG or SYK 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.

52), 1. 2% yield, +179. 2% 10Y return). Novavax, Inc. (NVAX) carries a higher beta of 2. 22 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (SYK: +179. 2%, NVAX: -89. 4%), 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 PEN and DBVT and NVAX and ISRG and SYK?

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: PEN is a mid-cap high-growth stock; DBVT is a mega-cap quality compounder stock; NVAX is a small-cap high-growth stock; ISRG is a mid-cap high-growth stock; SYK is a mid-cap quality compounder stock. SYK pays a dividend while PEN, DBVT, NVAX, ISRG 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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  • Revenue Growth > 11%
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