Medical - Devices
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5 / 10Stock Comparison
PEN vs DBVT vs NVAX vs ISRG vs SYK
Revenue, margins, valuation, and 5-year total return — side by side.
Biotechnology
Biotechnology
Medical - Instruments & Supplies
Medical - Devices
PEN vs DBVT vs NVAX vs ISRG vs SYK — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | |||||
|---|---|---|---|---|---|
| Industry | Medical - Devices | Biotechnology | Biotechnology | Medical - Instruments & Supplies | Medical - 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 Margin | 67.4% | — | 84.6% | 66.3% | 63.5% |
| Operating Margin | 12.9% | — | -11.2% | 30.5% | 22.4% |
| Forward P/E | 65.8x | — | 4.0x | 43.3x | 19.1x |
| 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 SYK — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| Penumbra, Inc. (PEN) | 100 | 186.9 | +86.9% |
| DBV Technologies S.… (DBVT) | 100 | 40.7 | -59.3% |
| Novavax, Inc. (NVAX) | 100 | 22.0 | -78.0% |
| Intuitive Surgical,… (ISRG) | 100 | 232.8 | +132.8% |
| Stryker Corporation (SYK) | 100 | 145.8 | +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.
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
DBVT is the clearest fit if your priority is momentum.
- +100.5% vs SYK's -24.5%
NVAX is the clearest fit if your priority is growth.
- 64.7% revenue growth vs DBVT's -100.0%
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%
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
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 64.7% revenue growth vs DBVT's -100.0% | |
| Value | Lower P/E (19.1x vs 43.3x), PEG 1.28 vs 1.99 | |
| Quality / Margins | 28.2% margin vs NVAX's -14.7% | |
| Stability / Safety | Beta 0.23 vs NVAX's 2.22 | |
| Dividends | 1.2% yield; 34-year raise streak; the other 4 pay no meaningful dividend | |
| Momentum (1Y) | +100.5% vs SYK's -24.5% | |
| Efficiency (ROA) | 14.8% 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
Segment breakdown not available.
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.
Who Leads Where
ISRG leads in 3 of 6 categories
SYK leads 2 • PEN leads 1 • DBVT leads 0 • NVAX leads 0
Explore the data ↓Income & Cash Flow (Last 12 Months)
ISRG leads this category, winning 4 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
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.
| Metric | |||||
|---|---|---|---|---|---|
| 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% |
Valuation Metrics
SYK leads this category, winning 3 of 7 comparable metrics.
Valuation 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.
| Metric | |||||
|---|---|---|---|---|---|
| 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 EPS | 71.29x | -0.75x | 3.98x | 57.19x | 33.98x |
| Forward P/EPrice ÷ next-FY EPS est. | 65.80x | — | — | 43.35x | 19.06x |
| PEG RatioP/E ÷ EPS growth rate | — | — | — | 2.63x | 2.29x |
| EV / EBITDAEnterprise value multiple | 61.47x | — | 2.83x | 43.28x | 19.76x |
| Price / SalesMarket cap ÷ Revenue | 9.03x | — | 1.48x | 15.88x | 4.35x |
| Price / BookPrice ÷ Book value/share | 8.87x | 0.65x | — | 9.10x | 4.87x |
| Price / FCFMarket cap ÷ FCF | 72.45x | — | — | 64.18x | 25.53x |
Profitability & Efficiency
ISRG leads this category, winning 5 of 9 comparable metrics.
Profitability & Efficiency
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.
| Metric | |||||
|---|---|---|---|---|---|
| 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 0–9 | 7 | 4 | 5 | 6 | 6 |
| Debt / EquityFinancial leverage | 0.15x | 0.13x | — | 0.02x | 0.66x |
| 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 expense | 304.65x | -189.82x | -6.40x | — | 6.72x |
Total Returns (Dividends Reinvested)
ISRG leads this category, winning 4 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
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.
| Metric | |||||
|---|---|---|---|---|---|
| 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% |
Risk & Volatility
PEN leads this category, winning 2 of 2 comparable metrics.
Risk & Volatility
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.
| Metric | |||||
|---|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 0.23x | 1.26x | 2.22x | 1.00x | 0.52x |
| 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 0–100 | 38.1 | 47.4 | 61.8 | 43.6 | 26.6 |
| Avg Volume (50D)Average daily shares traded | 533K | 252K | 4.2M | 1.8M | 2.1M |
Analyst Outlook
SYK leads this category, winning 1 of 1 comparable metric.
Analyst Outlook
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.
| Metric | |||||
|---|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Hold | Buy | Buy | Buy | Buy |
| Price TargetConsensus 12-month target | $369.83 | $46.33 | $18.00 | $622.60 | $389.62 |
| # AnalystsCovering analysts | 22 | 15 | 23 | 55 | 50 |
| Dividend YieldAnnual dividend ÷ price | — | — | — | — | +1.2% |
| Dividend StreakConsecutive years of raises | — | 0 | 1 | — | 34 |
| Dividend / ShareAnnual DPS | — | — | — | — | $3.36 |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | 0.0% | +0.3% | +1.4% | 0.0% |
ISRG leads in 3 of 6 categories (Income & Cash Flow, Profitability & Efficiency). SYK leads in 2 (Valuation Metrics, Analyst Outlook).
PEN vs DBVT vs NVAX vs ISRG vs SYK: Key Questions Answered
10 questions · data-driven answers · updated daily
01Is 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.
02Which 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.
03Which 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.
04Which 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.
05Which 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.
06Which 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.
07Is 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.
08Which 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.
09Is 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.
10What 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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