Medical - Instruments & Supplies
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SMTI vs NVCR vs XTNT vs MDXG vs KROS
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Instruments & Supplies
Medical - Devices
Biotechnology
Biotechnology
SMTI vs NVCR vs XTNT vs MDXG vs KROS — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | |||||
|---|---|---|---|---|---|
| Industry | Medical - Instruments & Supplies | Medical - Instruments & Supplies | Medical - Devices | Biotechnology | Biotechnology |
| Market Cap | $170M | $1.92B | $80M | $548M | $433M |
| Revenue (TTM) | $103M | $674M | $133M | $389M | $244M |
| Net Income (TTM) | $-38M | $-173M | $2M | $31M | $87M |
| Gross Margin | 92.7% | 75.2% | 62.0% | 81.0% | 99.5% |
| Operating Margin | 4.9% | -27.2% | 4.8% | 10.2% | 28.9% |
| Forward P/E | 165.9x | — | — | 295.2x | 5.1x |
| Total Debt | $48M | $290M | $35M | $23M | $17M |
| Cash & Equiv. | $17M | $103M | $6M | $166M | $287M |
SMTI vs NVCR vs XTNT vs MDXG vs KROS — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| Sanara MedTech Inc. (SMTI) | 100 | 161.0 | +61.0% |
| NovoCure Limited (NVCR) | 100 | 25.0 | -75.0% |
| Xtant Medical Holdi… (XTNT) | 100 | 46.3 | -53.7% |
| MiMedx Group, Inc. (MDXG) | 100 | 102.8 | +2.8% |
| Keros Therapeutics,… (KROS) | 100 | 40.5 | -59.5% |
Price return only. Dividends and distributions are not included.
Quick Verdict: SMTI vs NVCR vs XTNT vs MDXG vs KROS
Each card shows where this stock fits in a portfolio — not just who wins on paper.
SMTI ranks third and is worth considering specifically for long-term compounding.
- 218.0% 10Y total return vs NVCR's 30.3%
NVCR lags the leaders in this set but could rank higher in a more targeted comparison.
XTNT is the #2 pick in this set and the best alternative if income & stability is your priority.
- beta 0.69
- Beta 0.69 vs NVCR's 2.20, lower leverage
- +10.0% vs MDXG's -47.1%
Among these 5 stocks, MDXG doesn't own a clear edge in any measured category.
KROS carries the broadest edge in this set and is the clearest fit for growth exposure and sleep-well-at-night.
- Rev growth 67.7%, EPS growth 146.0%
- Lower volatility, beta 1.03, Low D/E 5.6%, current ratio 15.45x
- Beta 1.03, current ratio 15.45x
- 67.7% revenue growth vs NVCR's 8.3%
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 67.7% revenue growth vs NVCR's 8.3% | |
| Value | Lower P/E (5.1x vs 295.2x) | |
| Quality / Margins | 35.7% margin vs SMTI's -36.4% | |
| Stability / Safety | Beta 0.69 vs NVCR's 2.20, lower leverage | |
| Dividends | Tie | None of these 5 stocks pay a meaningful dividend |
| Momentum (1Y) | +10.0% vs MDXG's -47.1% | |
| Efficiency (ROA) | 13.3% ROA vs SMTI's -49.2%, ROIC 167.9% vs 11.8% |
SMTI vs NVCR vs XTNT vs MDXG vs KROS — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
Segment breakdown not available.
SMTI vs NVCR vs XTNT vs MDXG vs KROS — Financial Metrics
Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
KROS leads in 3 of 6 categories
XTNT leads 1 • SMTI leads 0 • NVCR leads 0 • MDXG leads 0 • 1 tied
Explore the data ↓Income & Cash Flow (Last 12 Months)
KROS leads this category, winning 4 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
NVCR is the larger business by revenue, generating $674M annually — 6.5x SMTI's $103M. KROS is the more profitable business, keeping 35.7% of every revenue dollar as net income compared to SMTI's -36.4%. On growth, XTNT holds the edge at +19.0% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | |||||
|---|---|---|---|---|---|
| RevenueTrailing 12 months | $103M | $674M | $133M | $389M | $244M |
| EBITDAEarnings before interest/tax | $8M | -$165M | $11M | $53M | $72M |
| Net IncomeAfter-tax profit | -$38M | -$173M | $2M | $31M | $87M |
| Free Cash FlowCash after capex | $2M | -$48M | $5M | $66M | $106M |
| Gross MarginGross profit ÷ Revenue | +92.7% | +75.2% | +62.0% | +81.0% | +99.5% |
| Operating MarginEBIT ÷ Revenue | +4.9% | -27.2% | +4.8% | +10.2% | +28.9% |
| Net MarginNet income ÷ Revenue | -36.4% | -25.7% | +1.3% | +7.9% | +35.7% |
| FCF MarginFCF ÷ Revenue | +2.1% | -7.1% | +3.9% | +17.0% | +43.4% |
| Rev. Growth (YoY)Latest quarter vs prior year | +4.6% | +12.3% | +19.0% | -33.1% | -87.3% |
| EPS Growth (YoY)Latest quarter vs prior year | +3.8% | -100.0% | +123.7% | -2.4% | +66.7% |
Valuation Metrics
KROS leads this category, winning 3 of 6 comparable metrics.
Valuation Metrics
At 5.1x trailing earnings, KROS trades at a 56% valuation discount to MDXG's 11.5x P/E. On an enterprise value basis, KROS's 2.3x EV/EBITDA is more attractive than SMTI's 20.3x.
| Metric | |||||
|---|---|---|---|---|---|
| Market CapShares × price | $170M | $1.9B | $80M | $548M | $433M |
| Enterprise ValueMkt cap + debt − cash | $202M | $2.1B | $109M | $405M | $163M |
| Trailing P/EPrice ÷ TTM EPS | -4.38x | -13.80x | -4.75x | 11.53x | 5.06x |
| Forward P/EPrice ÷ next-FY EPS est. | 165.91x | — | — | 295.20x | — |
| PEG RatioP/E ÷ EPS growth rate | — | — | — | — | — |
| EV / EBITDAEnterprise value multiple | 20.27x | — | — | 5.14x | 2.26x |
| Price / SalesMarket cap ÷ Revenue | 1.65x | 2.92x | 0.68x | 1.31x | 1.78x |
| Price / BookPrice ÷ Book value/share | 27.75x | 5.51x | 1.77x | 2.15x | 1.45x |
| Price / FCFMarket cap ÷ FCF | 78.85x | — | — | 7.51x | 4.09x |
Profitability & Efficiency
KROS leads this category, winning 7 of 9 comparable metrics.
Profitability & Efficiency
KROS delivers a 14.3% return on equity — every $100 of shareholder capital generates $14 in annual profit, vs $-179 for SMTI. KROS carries lower financial leverage with a 0.06x debt-to-equity ratio, signaling a more conservative balance sheet compared to SMTI's 8.13x. On the Piotroski fundamental quality scale (0–9), NVCR scores 5/9 vs XTNT's 2/9, reflecting solid financial health.
| Metric | |||||
|---|---|---|---|---|---|
| ROE (TTM)Return on equity | -178.6% | -50.8% | +3.8% | +12.9% | +14.3% |
| ROA (TTM)Return on assets | -49.2% | -16.5% | +1.8% | +9.7% | +13.3% |
| ROICReturn on invested capital | +11.8% | -16.4% | -12.8% | +42.3% | +167.9% |
| ROCEReturn on capital employed | +15.6% | -28.9% | -17.9% | +25.7% | +15.6% |
| Piotroski ScoreFundamental quality 0–9 | 4 | 5 | 2 | 5 | 5 |
| Debt / EquityFinancial leverage | 8.13x | 0.85x | 0.82x | 0.09x | 0.06x |
| Net DebtTotal debt minus cash | $32M | $187M | $29M | -$144M | -$271M |
| Cash & Equiv.Liquid assets | $17M | $103M | $6M | $166M | $287M |
| Total DebtShort + long-term debt | $48M | $290M | $35M | $23M | $17M |
| Interest CoverageEBIT ÷ Interest expense | -9.97x | -96.80x | 1.55x | 25.32x | — |
Total Returns (Dividends Reinvested)
XTNT leads this category, winning 3 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in SMTI five years ago would be worth $7,170 today (with dividends reinvested), compared to $875 for NVCR. Over the past 12 months, XTNT leads with a +10.0% total return vs MDXG's -47.1%. The 3-year compound annual growth rate (CAGR) favors XTNT at -4.3% vs NVCR's -37.6% — a key indicator of consistent wealth creation.
| Metric | |||||
|---|---|---|---|---|---|
| YTD ReturnYear-to-date | -17.4% | +28.3% | -24.0% | -43.1% | -37.2% |
| 1-Year ReturnPast 12 months | -40.1% | +1.1% | +10.0% | -47.1% | -15.1% |
| 3-Year ReturnCumulative with dividends | -50.1% | -75.7% | -12.3% | -36.6% | -73.0% |
| 5-Year ReturnCumulative with dividends | -28.3% | -91.3% | -66.1% | -62.9% | -78.1% |
| 10-Year ReturnCumulative with dividends | +218.0% | +30.3% | -97.8% | -48.5% | -42.0% |
| CAGR (3Y)Annualised 3-year return | -20.7% | -37.6% | -4.3% | -14.1% | -35.4% |
Risk & Volatility
Evenly matched — NVCR and XTNT each lead in 1 of 2 comparable metrics.
Risk & Volatility
XTNT is the less volatile stock with a 0.69 beta — it tends to amplify market swings less than NVCR's 2.20 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. NVCR currently trades 83.9% from its 52-week high vs MDXG's 46.2% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | |||||
|---|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 1.42x | 2.20x | 0.69x | 1.22x | 1.03x |
| 52-Week HighHighest price in past year | $35.95 | $20.06 | $0.95 | $7.99 | $22.55 |
| 52-Week LowLowest price in past year | $16.04 | $9.82 | $0.44 | $3.02 | $10.41 |
| % of 52W HighCurrent price vs 52-week peak | +53.1% | +83.9% | +60.0% | +46.2% | +51.6% |
| RSI (14)Momentum oscillator 0–100 | 51.3 | 69.8 | 60.9 | 49.3 | 51.8 |
| Avg Volume (50D)Average daily shares traded | 57K | 1.5M | 142K | 1.4M | 409K |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
Analyst consensus: SMTI as "Buy", NVCR as "Buy", MDXG as "Buy", KROS as "Buy". Consensus price targets imply 781.4% upside for KROS (target: $103) vs 67.7% for SMTI (target: $32).
| Metric | |||||
|---|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy | — | Buy | Buy |
| Price TargetConsensus 12-month target | $32.00 | $33.50 | — | $10.00 | $102.60 |
| # AnalystsCovering analysts | 3 | 15 | — | 15 | 16 |
| Dividend YieldAnnual dividend ÷ price | — | — | — | — | — |
| Dividend StreakConsecutive years of raises | 1 | — | — | — | — |
| Dividend / ShareAnnual DPS | — | — | — | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | 0.0% | 0.0% | +0.6% | +86.6% |
KROS leads in 3 of 6 categories (Income & Cash Flow, Valuation Metrics). XTNT leads in 1 (Total Returns). 1 tied.
SMTI vs NVCR vs XTNT vs MDXG vs KROS: Key Questions Answered
10 questions · data-driven answers · updated daily
01Is SMTI or NVCR or XTNT or MDXG or KROS a better buy right now?
For growth investors, Keros Therapeutics, Inc.
(KROS) is the stronger pick with 67. 7% revenue growth year-over-year, versus 8. 3% for NovoCure Limited (NVCR). Keros Therapeutics, Inc. (KROS) offers the better valuation at 5. 1x trailing P/E, making it the more compelling value choice. Analysts rate Sanara MedTech Inc. (SMTI) a "Buy" — based on 3 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 — SMTI or NVCR or XTNT or MDXG or KROS?
On trailing P/E, Keros Therapeutics, Inc.
(KROS) is the cheapest at 5. 1x versus MiMedx Group, Inc. at 11. 5x. On forward P/E, Sanara MedTech Inc. is actually cheaper at 165. 9x — notably different from the trailing picture, reflecting expected earnings growth.
03Which is the better long-term investment — SMTI or NVCR or XTNT or MDXG or KROS?
Over the past 5 years, Sanara MedTech Inc.
(SMTI) delivered a total return of -28. 3%, compared to -91. 3% for NovoCure Limited (NVCR). Over 10 years, the gap is even starker: SMTI returned +218. 0% versus XTNT's -97. 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 — SMTI or NVCR or XTNT or MDXG or KROS?
By beta (market sensitivity over 5 years), Xtant Medical Holdings, Inc.
(XTNT) is the lower-risk stock at 0. 69β versus NovoCure Limited's 2. 20β — meaning NVCR is approximately 220% more volatile than XTNT relative to the S&P 500. On balance sheet safety, Keros Therapeutics, Inc. (KROS) carries a lower debt/equity ratio of 6% versus 8% for Sanara MedTech Inc. — giving it more financial flexibility in a downturn.
05Which is growing faster — SMTI or NVCR or XTNT or MDXG or KROS?
By revenue growth (latest reported year), Keros Therapeutics, Inc.
(KROS) is pulling ahead at 67. 7% versus 8. 3% for NovoCure Limited (NVCR). On earnings-per-share growth, the picture is similar: Keros Therapeutics, Inc. grew EPS 146. 0% year-over-year, compared to -282. 5% for Sanara MedTech Inc.. Over a 3-year CAGR, SMTI leads at 31. 0% 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 — SMTI or NVCR or XTNT or MDXG or KROS?
Keros Therapeutics, Inc.
(KROS) is the more profitable company, earning 35. 7% net margin versus -36. 4% for Sanara MedTech Inc. — meaning it keeps 35. 7% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: KROS leads at 28. 9% versus -23. 5% for NVCR. At the gross margin level — before operating expenses — KROS leads at 99. 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 SMTI or NVCR or XTNT or MDXG or KROS more undervalued right now?
On forward earnings alone, Sanara MedTech Inc.
(SMTI) trades at 165. 9x forward P/E versus 295. 2x for MiMedx Group, Inc. — 129. 3x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for KROS: 781. 4% to $102. 60.
08Which pays a better dividend — SMTI or NVCR or XTNT or MDXG or KROS?
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 SMTI or NVCR or XTNT or MDXG or KROS better for a retirement portfolio?
For long-horizon retirement investors, Xtant Medical Holdings, Inc.
(XTNT) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 69)). NovoCure Limited (NVCR) carries a higher beta of 2. 20 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (XTNT: -97. 8%, NVCR: +30. 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 SMTI and NVCR and XTNT and MDXG and KROS?
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: SMTI is a small-cap high-growth stock; NVCR is a small-cap quality compounder stock; XTNT is a small-cap high-growth stock; MDXG is a small-cap high-growth stock; KROS 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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