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Stock Comparison

SPRO vs NAOV vs VNDA vs ARAY

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

Live fundamentals10-year financials5-year price chart
SPRO
Spero Therapeutics, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$141M
5Y Perf.-78.3%
NAOV
NanoVibronix, Inc.

Medical - Devices

HealthcareNASDAQ • US
Market Cap$513K
5Y Perf.-99.9%
VNDA
Vanda Pharmaceuticals Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$378M
5Y Perf.-46.4%
ARAY
Accuray Incorporated

Medical - Devices

HealthcareNASDAQ • US
Market Cap$35M
5Y Perf.-81.9%

SPRO vs NAOV vs VNDA vs ARAY — Key Financials

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

Company Snapshot
SPRO logoSPRO
NAOV logoNAOV
VNDA logoVNDA
ARAY logoARAY
IndustryBiotechnologyMedical - DevicesBiotechnologyMedical - Devices
Market Cap$141M$513K$378M$35M
Revenue (TTM)$36M$3M$218M$429M
Net Income (TTM)$-44M$-4M$-240M$-46M
Gross Margin-202.6%30.0%71.1%26.8%
Operating Margin-130.9%-351.8%-73.6%-5.1%
Forward P/E3.8x
Total Debt$4M$116K$13M$176M
Cash & Equiv.$53M$752K$85M$57M

SPRO vs NAOV vs VNDA vs ARAYLong-Term Stock Performance

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

SPRO
NAOV
VNDA
ARAY
StockMay 20May 26Return
Spero Therapeutics,… (SPRO)10021.7-78.3%
NanoVibronix, Inc. (NAOV)1000.1-99.9%
Vanda Pharmaceutica… (VNDA)10053.6-46.4%
Accuray Incorporated (ARAY)10018.1-81.9%

Price return only. Dividends and distributions are not included.

Quick Verdict: SPRO vs NAOV vs VNDA vs ARAY

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

Bottom line: SPRO and NAOV are tied at the top with 2 categories each — the right choice depends on your priorities. NanoVibronix, Inc. is the stronger pick specifically for growth and revenue expansion and operational efficiency and capital deployment. ARAY also leads in specific categories worth noting. As sector peers, any of these can serve as alternatives in the same allocation.
SPRO
Spero Therapeutics, Inc.
The Income Pick

SPRO carries the broadest edge in this set and is the clearest fit for income & stability and sleep-well-at-night.

  • beta 0.90
  • Lower volatility, beta 0.90, Low D/E 9.3%, current ratio 2.19x
  • Beta 0.90, current ratio 2.19x
  • Beta 0.90 vs ARAY's 2.42, lower leverage
Best for: income & stability and sleep-well-at-night
NAOV
NanoVibronix, Inc.
The Growth Play

NAOV is the #2 pick in this set and the best alternative if growth exposure is your priority.

  • Rev growth 12.0%, EPS growth 35.2%, 3Y rev CAGR 14.7%
  • 12.0% revenue growth vs SPRO's -53.8%
  • -6.6% ROA vs SPRO's -80.9%, ROIC -7.7% vs -327.2%
Best for: growth exposure
VNDA
Vanda Pharmaceuticals Inc.
The Long-Run Compounder

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

  • -26.8% 10Y total return vs SPRO's -78.2%
Best for: long-term compounding
ARAY
Accuray Incorporated
The Quality Compounder

ARAY is the clearest fit if your priority is quality.

  • -10.8% margin vs NAOV's -133.0%
Best for: quality
See the full category breakdown
CategoryWinnerWhy
GrowthNAOV logoNAOV12.0% revenue growth vs SPRO's -53.8%
Quality / MarginsARAY logoARAY-10.8% margin vs NAOV's -133.0%
Stability / SafetySPRO logoSPROBeta 0.90 vs ARAY's 2.42, lower leverage
DividendsTieNone of these 4 stocks pay a meaningful dividend
Momentum (1Y)SPRO logoSPRO+334.3% vs NAOV's -95.7%
Efficiency (ROA)NAOV logoNAOV-6.6% ROA vs SPRO's -80.9%, ROIC -7.7% vs -327.2%

SPRO vs NAOV vs VNDA vs ARAY — Revenue Breakdown by Segment

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

SPROSpero Therapeutics, Inc.
FY 2024
Collaboration Revenue Related Party
56.3%$27M
Grant Revenue
42.9%$21M
Collaboration Revenue
0.8%$371,000
NAOVNanoVibronix, Inc.

Segment breakdown not available.

VNDAVanda Pharmaceuticals Inc.
FY 2025
Fanapt
62.2%$117M
Hetlioz
37.8%$71M
ARAYAccuray Incorporated
FY 2025
Product
51.8%$238M
Service
48.2%$221M

SPRO vs NAOV vs VNDA vs ARAY — Financial Metrics

Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLARAYLAGGINGVNDA

Income & Cash Flow (Last 12 Months)

ARAY leads this category, winning 3 of 6 comparable metrics.

ARAY is the larger business by revenue, generating $429M annually — 159.6x NAOV's $3M. ARAY is the more profitable business, keeping -10.8% of every revenue dollar as net income compared to NAOV's -133.0%. On growth, NAOV holds the edge at +92.0% YoY revenue growth, suggesting stronger near-term business momentum.

MetricSPRO logoSPROSpero Therapeutic…NAOV logoNAOVNanoVibronix, Inc.VNDA logoVNDAVanda Pharmaceuti…ARAY logoARAYAccuray Incorpora…
RevenueTrailing 12 months$36M$3M$218M$429M
EBITDAEarnings before interest/tax-$45M-$9M-$150M-$15M
Net IncomeAfter-tax profit-$44M-$4M-$240M-$46M
Free Cash FlowCash after capex-$28M-$7M-$127M-$28M
Gross MarginGross profit ÷ Revenue-2.0%+30.0%+71.1%+26.8%
Operating MarginEBIT ÷ Revenue-130.9%-3.5%-73.6%-5.1%
Net MarginNet income ÷ Revenue-122.6%-133.0%-110.0%-10.8%
FCF MarginFCF ÷ Revenue-77.4%-2.7%-58.5%-6.5%
Rev. Growth (YoY)Latest quarter vs prior year-77.4%+92.0%+3.4%-7.4%
EPS Growth (YoY)Latest quarter vs prior year+59.4%+129.2%-64.0%-6.1%
ARAY leads this category, winning 3 of 6 comparable metrics.

Valuation Metrics

ARAY leads this category, winning 3 of 3 comparable metrics.
MetricSPRO logoSPROSpero Therapeutic…NAOV logoNAOVNanoVibronix, Inc.VNDA logoVNDAVanda Pharmaceuti…ARAY logoARAYAccuray Incorpora…
Market CapShares × price$141M$512,711$378M$35M
Enterprise ValueMkt cap + debt − cash$93M-$123,289$305M$154M
Trailing P/EPrice ÷ TTM EPS-1.98x-0.14x-1.71x-18.91x
Forward P/EPrice ÷ next-FY EPS est.3.82x
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple10.99x
Price / SalesMarket cap ÷ Revenue2.95x0.20x1.75x0.08x
Price / BookPrice ÷ Book value/share2.94x0.82x1.15x0.37x
Price / FCFMarket cap ÷ FCF
ARAY leads this category, winning 3 of 3 comparable metrics.

Profitability & Efficiency

ARAY leads this category, winning 4 of 9 comparable metrics.

NAOV delivers a -8.4% return on equity — every $100 of shareholder capital generates $-8 in annual profit, vs $-165 for SPRO. VNDA carries lower financial leverage with a 0.04x debt-to-equity ratio, signaling a more conservative balance sheet compared to ARAY's 2.17x. On the Piotroski fundamental quality scale (0–9), ARAY scores 6/9 vs SPRO's 1/9, reflecting solid financial health.

MetricSPRO logoSPROSpero Therapeutic…NAOV logoNAOVNanoVibronix, Inc.VNDA logoVNDAVanda Pharmaceuti…ARAY logoARAYAccuray Incorpora…
ROE (TTM)Return on equity-165.5%-8.4%-61.4%-77.5%
ROA (TTM)Return on assets-80.9%-6.6%-44.6%-10.1%
ROICReturn on invested capital-3.3%-7.7%-32.2%+3.0%
ROCEReturn on capital employed-71.0%-139.7%-33.6%+2.8%
Piotroski ScoreFundamental quality 0–91226
Debt / EquityFinancial leverage0.09x0.19x0.04x2.17x
Net DebtTotal debt minus cash-$49M-$636,000-$72M$119M
Cash & Equiv.Liquid assets$53M$752,000$85M$57M
Total DebtShort + long-term debt$4M$116,000$13M$176M
Interest CoverageEBIT ÷ Interest expense-23.76x-1.86x
ARAY leads this category, winning 4 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

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

A $10,000 investment in VNDA five years ago would be worth $3,578 today (with dividends reinvested), compared to $9 for NAOV. Over the past 12 months, SPRO leads with a +334.3% total return vs NAOV's -95.7%. The 3-year compound annual growth rate (CAGR) favors SPRO at 9.7% vs NAOV's -83.3% — a key indicator of consistent wealth creation.

MetricSPRO logoSPROSpero Therapeutic…NAOV logoNAOVNanoVibronix, Inc.VNDA logoVNDAVanda Pharmaceuti…ARAY logoARAYAccuray Incorpora…
YTD ReturnYear-to-date+6.8%-22.4%-22.5%-65.5%
1-Year ReturnPast 12 months+334.3%-95.7%+45.9%-78.4%
3-Year ReturnCumulative with dividends+32.1%-99.5%-7.8%-91.8%
5-Year ReturnCumulative with dividends-81.3%-99.9%-64.2%-93.9%
10-Year ReturnCumulative with dividends-78.2%-100.0%-26.8%-94.5%
CAGR (3Y)Annualised 3-year return+9.7%-83.3%-2.7%-56.6%
SPRO leads this category, winning 4 of 6 comparable metrics.

Risk & Volatility

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

SPRO is the less volatile stock with a 0.90 beta — it tends to amplify market swings less than ARAY's 2.42 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. SPRO currently trades 78.0% from its 52-week high vs NAOV's 4.3% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricSPRO logoSPROSpero Therapeutic…NAOV logoNAOVNanoVibronix, Inc.VNDA logoVNDAVanda Pharmaceuti…ARAY logoARAYAccuray Incorpora…
Beta (5Y)Sensitivity to S&P 5000.92x1.45x1.00x2.66x
52-Week HighHighest price in past year$3.22$44.50$9.94$2.10
52-Week LowLowest price in past year$0.57$0.99$3.81$0.28
% of 52W HighCurrent price vs 52-week peak+78.0%+4.3%+64.3%+14.0%
RSI (14)Momentum oscillator 0–10046.645.154.958.4
Avg Volume (50D)Average daily shares traded384K335K1.6M1.4M
SPRO leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Analyst consensus: SPRO as "Buy", VNDA as "Buy".

MetricSPRO logoSPROSpero Therapeutic…NAOV logoNAOVNanoVibronix, Inc.VNDA logoVNDAVanda Pharmaceuti…ARAY logoARAYAccuray Incorpora…
Analyst RatingConsensus buy/hold/sellBuyBuy
Price TargetConsensus 12-month target$15.75
# AnalystsCovering analysts1319
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%0.0%0.0%
Insufficient data to determine a leader in this category.
Key Takeaway

ARAY leads in 3 of 6 categories (Income & Cash Flow, Valuation Metrics). SPRO leads in 2 (Total Returns, Risk & Volatility).

Best OverallAccuray Incorporated (ARAY)Leads 3 of 6 categories
Loading custom metrics...

SPRO vs NAOV vs VNDA vs ARAY: Key Questions Answered

8 questions · data-driven answers · updated daily

01

Is SPRO or NAOV or VNDA or ARAY a better buy right now?

For growth investors, NanoVibronix, Inc.

(NAOV) is the stronger pick with 12. 0% revenue growth year-over-year, versus -53. 8% for Spero Therapeutics, Inc. (SPRO). Analysts rate Spero Therapeutics, Inc. (SPRO) a "Buy" — based on 13 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 — SPRO or NAOV or VNDA or ARAY?

Over the past 5 years, Vanda Pharmaceuticals Inc.

(VNDA) delivered a total return of -64. 2%, compared to -99. 9% for NanoVibronix, Inc. (NAOV). Over 10 years, the gap is even starker: VNDA returned -28. 1% versus NAOV'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 — SPRO or NAOV or VNDA or ARAY?

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

(SPRO) is the lower-risk stock at 0. 92β versus Accuray Incorporated's 2. 66β — meaning ARAY is approximately 190% more volatile than SPRO relative to the S&P 500. On balance sheet safety, Vanda Pharmaceuticals Inc. (VNDA) carries a lower debt/equity ratio of 4% versus 2% for Accuray Incorporated — giving it more financial flexibility in a downturn.

04

Which is growing faster — SPRO or NAOV or VNDA or ARAY?

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

(NAOV) is pulling ahead at 12. 0% versus -53. 8% for Spero Therapeutics, Inc. (SPRO). On earnings-per-share growth, the picture is similar: Accuray Incorporated grew EPS 90. 3% year-over-year, compared to -1068. 8% for Vanda Pharmaceuticals Inc.. Over a 3-year CAGR, SPRO leads at 150. 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.

05

Which has better profit margins — SPRO or NAOV or VNDA or ARAY?

Accuray Incorporated (ARAY) is the more profitable company, earning -0.

3% net margin versus -144. 8% for NanoVibronix, Inc. — meaning it keeps -0. 3% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: ARAY leads at 1. 7% versus -152. 9% for SPRO. At the gross margin level — before operating expenses — VNDA leads at 94. 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

Which pays a better dividend — SPRO or NAOV or VNDA or ARAY?

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.

07

Is SPRO or NAOV or VNDA or ARAY better for a retirement portfolio?

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

(SPRO) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 92)). Accuray Incorporated (ARAY) carries a higher beta of 2. 66 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (SPRO: -77. 7%, ARAY: -92. 8%), 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.

08

What are the main differences between SPRO and NAOV and VNDA and ARAY?

Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.

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 > 46%
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  • Market Cap > $100B
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  • Market Cap > $100B
  • Gross Margin > 16%
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Beat Both

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Revenue Growth>
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(SPRO: -77.4% · NAOV: 92.0%)

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