Medical - Devices
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5 / 10Stock Comparison
VVOS vs XRAY vs ALGN vs HSIC vs NVST
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Instruments & Supplies
Medical - Devices
Medical - Distribution
Medical - Equipment & Services
VVOS vs XRAY vs ALGN vs HSIC vs NVST — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | |||||
|---|---|---|---|---|---|
| Industry | Medical - Devices | Medical - Instruments & Supplies | Medical - Devices | Medical - Distribution | Medical - Equipment & Services |
| Market Cap | $5M | $2.20B | $12.09B | $8.13B | $3.95B |
| Revenue (TTM) | $17M | $3.68B | $4.10B | $13.18B | $2.81B |
| Net Income (TTM) | $-17M | $-628M | $430M | $398M | $68M |
| Gross Margin | 55.7% | 48.9% | 67.7% | 29.1% | 55.1% |
| Operating Margin | -91.0% | 4.1% | 14.4% | 5.8% | 9.0% |
| Forward P/E | — | 7.7x | 14.8x | 13.2x | 17.0x |
| Total Debt | $2M | $2.47B | $114M | $3.69B | $1.71B |
| Cash & Equiv. | $6M | $326M | $1.08B | $156M | $1.21B |
VVOS vs XRAY vs ALGN vs HSIC vs NVST — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | Dec 20 | May 26 | Return |
|---|---|---|---|
| Vivos Therapeutics,… (VVOS) | 100 | 0.4 | -99.6% |
| DENTSPLY SIRONA Inc. (XRAY) | 100 | 21.0 | -79.0% |
| Align Technology, I… (ALGN) | 100 | 31.6 | -68.4% |
| Henry Schein, Inc. (HSIC) | 100 | 105.9 | +5.9% |
| Envista Holdings Co… (NVST) | 100 | 71.9 | -28.1% |
Price return only. Dividends and distributions are not included.
Quick Verdict: VVOS vs XRAY vs ALGN vs HSIC vs NVST
Each card shows where this stock fits in a portfolio — not just who wins on paper.
VVOS has the current edge in this matchup, primarily because of its strength in sleep-well-at-night and defensive.
- Lower volatility, beta 0.72, Low D/E 19.0%, current ratio 1.50x
- Beta 0.72, current ratio 1.50x
- 8.9% revenue growth vs XRAY's -3.0%
- Beta 0.72 vs XRAY's 1.70, lower leverage
XRAY ranks third and is worth considering specifically for dividends.
- 5.8% yield; 23-year raise streak; the other 4 pay no meaningful dividend
ALGN is the #2 pick in this set and the best alternative if quality and efficiency is your priority.
- 10.5% margin vs VVOS's -98.8%
- 6.9% ROA vs VVOS's -66.7%, ROIC 15.4% vs -422.2%
HSIC is the clearest fit if your priority is income & stability and long-term compounding.
- Dividend streak 1 yrs, beta 0.72
- 5.8% 10Y total return vs ALGN's 123.3%
- PEG 4.20 vs NVST's 11.37
- Lower P/E (13.2x vs 17.0x), PEG 4.20 vs 11.37
NVST is the clearest fit if your priority is growth exposure.
- Rev growth 8.3%, EPS growth 104.3%, 3Y rev CAGR 1.9%
- +36.4% vs VVOS's -76.6%
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 8.9% revenue growth vs XRAY's -3.0% | |
| Value | Lower P/E (13.2x vs 17.0x), PEG 4.20 vs 11.37 | |
| Quality / Margins | 10.5% margin vs VVOS's -98.8% | |
| Stability / Safety | Beta 0.72 vs XRAY's 1.70, lower leverage | |
| Dividends | 5.8% yield; 23-year raise streak; the other 4 pay no meaningful dividend | |
| Momentum (1Y) | +36.4% vs VVOS's -76.6% | |
| Efficiency (ROA) | 6.9% ROA vs VVOS's -66.7%, ROIC 15.4% vs -422.2% |
VVOS vs XRAY vs ALGN vs HSIC vs NVST — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
VVOS vs XRAY vs ALGN vs HSIC vs NVST — Financial Metrics
Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
ALGN leads in 2 of 6 categories
XRAY leads 2 • HSIC leads 1 • VVOS leads 0 • NVST leads 0 • 1 tied
Explore the data ↓Income & Cash Flow (Last 12 Months)
ALGN leads this category, winning 4 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
HSIC is the larger business by revenue, generating $13.2B annually — 761.3x VVOS's $17M. ALGN is the more profitable business, keeping 10.5% of every revenue dollar as net income compared to VVOS's -98.8%. On growth, VVOS holds the edge at +75.7% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | |||||
|---|---|---|---|---|---|
| RevenueTrailing 12 months | $17M | $3.7B | $4.1B | $13.2B | $2.8B |
| EBITDAEarnings before interest/tax | -$15M | $424M | $790M | $1.1B | $342M |
| Net IncomeAfter-tax profit | -$17M | -$628M | $430M | $398M | $68M |
| Free Cash FlowCash after capex | -$14M | $104M | $717M | $561M | $220M |
| Gross MarginGross profit ÷ Revenue | +55.7% | +48.9% | +67.7% | +29.1% | +55.1% |
| Operating MarginEBIT ÷ Revenue | -91.0% | +4.1% | +14.4% | +5.8% | +9.0% |
| Net MarginNet income ÷ Revenue | -98.8% | -17.1% | +10.5% | +3.0% | +2.4% |
| FCF MarginFCF ÷ Revenue | -83.4% | +2.8% | +17.5% | +4.3% | +7.8% |
| Rev. Growth (YoY)Latest quarter vs prior year | +75.7% | +0.1% | +6.2% | +7.7% | +14.4% |
| EPS Growth (YoY)Latest quarter vs prior year | -22.5% | -150.0% | +23.6% | +14.9% | +130.0% |
Valuation Metrics
XRAY leads this category, winning 3 of 7 comparable metrics.
Valuation Metrics
At 21.7x trailing earnings, HSIC trades at a 75% valuation discount to NVST's 86.6x P/E. Adjusting for growth (PEG ratio), HSIC offers better value at 6.87x vs NVST's 57.98x — a lower PEG means you pay less per unit of expected earnings growth.
| Metric | |||||
|---|---|---|---|---|---|
| Market CapShares × price | $5M | $2.2B | $12.1B | $8.1B | $4.0B |
| Enterprise ValueMkt cap + debt − cash | $747,820 | $4.3B | $11.1B | $11.7B | $4.4B |
| Trailing P/EPrice ÷ TTM EPS | -0.30x | -3.67x | 29.87x | 21.66x | 86.57x |
| Forward P/EPrice ÷ next-FY EPS est. | — | 7.75x | 14.84x | 13.25x | 16.97x |
| PEG RatioP/E ÷ EPS growth rate | — | — | — | 6.87x | 57.98x |
| EV / EBITDAEnterprise value multiple | — | 7.19x | 13.96x | 10.90x | 13.01x |
| Price / SalesMarket cap ÷ Revenue | 0.37x | 0.60x | 3.00x | 0.62x | 1.45x |
| Price / BookPrice ÷ Book value/share | 0.42x | 1.64x | 3.03x | 1.80x | 1.32x |
| Price / FCFMarket cap ÷ FCF | — | 21.19x | 24.63x | 14.18x | 17.15x |
Profitability & Efficiency
ALGN leads this category, winning 8 of 9 comparable metrics.
Profitability & Efficiency
ALGN delivers a 10.7% return on equity — every $100 of shareholder capital generates $11 in annual profit, vs $-7 for VVOS. ALGN carries lower financial leverage with a 0.03x debt-to-equity ratio, signaling a more conservative balance sheet compared to XRAY's 1.84x. On the Piotroski fundamental quality scale (0–9), ALGN scores 7/9 vs HSIC's 4/9, reflecting strong financial health.
| Metric | |||||
|---|---|---|---|---|---|
| ROE (TTM)Return on equity | -6.8% | -41.2% | +10.7% | +8.2% | +2.2% |
| ROA (TTM)Return on assets | -66.7% | -11.2% | +6.9% | +3.6% | +1.2% |
| ROICReturn on invested capital | -4.2% | +5.1% | +15.4% | +7.1% | +4.8% |
| ROCEReturn on capital employed | -162.5% | +6.1% | +14.5% | +9.8% | +4.9% |
| Piotroski ScoreFundamental quality 0–9 | 4 | 6 | 7 | 4 | 7 |
| Debt / EquityFinancial leverage | 0.19x | 1.84x | 0.03x | 0.77x | 0.55x |
| Net DebtTotal debt minus cash | -$5M | $2.1B | -$965M | $3.5B | $496M |
| Cash & Equiv.Liquid assets | $6M | $326M | $1.1B | $156M | $1.2B |
| Total DebtShort + long-term debt | $2M | $2.5B | $114M | $3.7B | $1.7B |
| Interest CoverageEBIT ÷ Interest expense | — | -5.12x | 389.13x | 4.59x | 12.76x |
Total Returns (Dividends Reinvested)
HSIC leads this category, winning 3 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in HSIC five years ago would be worth $8,536 today (with dividends reinvested), compared to $42 for VVOS. Over the past 12 months, NVST leads with a +36.4% total return vs VVOS's -76.6%. The 3-year compound annual growth rate (CAGR) favors HSIC at -3.9% vs VVOS's -56.9% — a key indicator of consistent wealth creation.
| Metric | |||||
|---|---|---|---|---|---|
| YTD ReturnYear-to-date | -73.7% | -2.4% | +8.2% | -7.8% | +11.8% |
| 1-Year ReturnPast 12 months | -76.6% | -27.8% | -6.7% | +2.8% | +36.4% |
| 3-Year ReturnCumulative with dividends | -92.0% | -69.3% | -44.9% | -11.3% | -30.4% |
| 5-Year ReturnCumulative with dividends | -99.6% | -80.2% | -69.6% | -14.6% | -46.5% |
| 10-Year ReturnCumulative with dividends | -99.7% | -74.4% | +123.3% | +5.8% | -13.3% |
| CAGR (3Y)Annualised 3-year return | -56.9% | -32.5% | -18.0% | -3.9% | -11.4% |
Risk & Volatility
Evenly matched — VVOS and ALGN each lead in 1 of 2 comparable metrics.
Risk & Volatility
VVOS is the less volatile stock with a 0.72 beta — it tends to amplify market swings less than XRAY's 1.70 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. ALGN currently trades 81.0% from its 52-week high vs VVOS's 8.4% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | |||||
|---|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 0.72x | 1.70x | 1.65x | 0.72x | 1.63x |
| 52-Week HighHighest price in past year | $7.95 | $17.18 | $208.31 | $89.29 | $30.42 |
| 52-Week LowLowest price in past year | $0.65 | $9.85 | $122.00 | $61.95 | $16.41 |
| % of 52W HighCurrent price vs 52-week peak | +8.4% | +64.0% | +81.0% | +79.3% | +79.7% |
| RSI (14)Momentum oscillator 0–100 | 28.2 | 37.1 | 40.1 | 34.3 | 36.4 |
| Avg Volume (50D)Average daily shares traded | 231K | 4.2M | 1.1M | 1.2M | 2.5M |
Analyst Outlook
XRAY leads this category, winning 1 of 1 comparable metric.
Analyst Outlook
Analyst consensus: XRAY as "Hold", ALGN as "Buy", HSIC as "Hold", NVST as "Hold". Consensus price targets imply 25.0% upside for XRAY (target: $14) vs 13.2% for NVST (target: $27). XRAY is the only dividend payer here at 5.84% yield — a key consideration for income-focused portfolios.
| Metric | |||||
|---|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | — | Hold | Buy | Hold | Hold |
| Price TargetConsensus 12-month target | — | $13.75 | $203.60 | $85.43 | $27.44 |
| # AnalystsCovering analysts | — | 31 | 33 | 32 | 19 |
| Dividend YieldAnnual dividend ÷ price | — | +5.8% | — | — | — |
| Dividend StreakConsecutive years of raises | — | 23 | — | 1 | — |
| Dividend / ShareAnnual DPS | — | $0.64 | — | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | 0.0% | +3.9% | +10.5% | +4.2% |
ALGN leads in 2 of 6 categories (Income & Cash Flow, Profitability & Efficiency). XRAY leads in 2 (Valuation Metrics, Analyst Outlook). 1 tied.
VVOS vs XRAY vs ALGN vs HSIC vs NVST: Key Questions Answered
10 questions · data-driven answers · updated daily
01Is VVOS or XRAY or ALGN or HSIC or NVST a better buy right now?
For growth investors, Vivos Therapeutics, Inc.
(VVOS) is the stronger pick with 8. 9% revenue growth year-over-year, versus -3. 0% for DENTSPLY SIRONA Inc. (XRAY). Henry Schein, Inc. (HSIC) offers the better valuation at 21. 7x trailing P/E (13. 2x forward), making it the more compelling value choice. Analysts rate Align Technology, Inc. (ALGN) a "Buy" — based on 33 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 — VVOS or XRAY or ALGN or HSIC or NVST?
On trailing P/E, Henry Schein, Inc.
(HSIC) is the cheapest at 21. 7x versus Envista Holdings Corp at 86. 6x. On forward P/E, DENTSPLY SIRONA Inc. is actually cheaper at 7. 7x — 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: Henry Schein, Inc. wins at 4. 20x versus Envista Holdings Corp's 11. 37x.
03Which is the better long-term investment — VVOS or XRAY or ALGN or HSIC or NVST?
Over the past 5 years, Henry Schein, Inc.
(HSIC) delivered a total return of -14. 6%, compared to -99. 6% for Vivos Therapeutics, Inc. (VVOS). Over 10 years, the gap is even starker: ALGN returned +123. 3% versus VVOS's -99. 7%. 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 — VVOS or XRAY or ALGN or HSIC or NVST?
By beta (market sensitivity over 5 years), Vivos Therapeutics, Inc.
(VVOS) is the lower-risk stock at 0. 72β versus DENTSPLY SIRONA Inc. 's 1. 70β — meaning XRAY is approximately 135% more volatile than VVOS relative to the S&P 500. On balance sheet safety, Align Technology, Inc. (ALGN) carries a lower debt/equity ratio of 3% versus 184% for DENTSPLY SIRONA Inc. — giving it more financial flexibility in a downturn.
05Which is growing faster — VVOS or XRAY or ALGN or HSIC or NVST?
By revenue growth (latest reported year), Vivos Therapeutics, Inc.
(VVOS) is pulling ahead at 8. 9% versus -3. 0% for DENTSPLY SIRONA Inc. (XRAY). On earnings-per-share growth, the picture is similar: Envista Holdings Corp grew EPS 104. 3% year-over-year, compared to 0. 5% for Align Technology, Inc.. Over a 3-year CAGR, ALGN leads at 2. 6% 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 — VVOS or XRAY or ALGN or HSIC or NVST?
Align Technology, Inc.
(ALGN) is the more profitable company, earning 10. 2% net margin versus -74. 1% for Vivos Therapeutics, Inc. — meaning it keeps 10. 2% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: ALGN leads at 15. 3% versus -74. 3% for VVOS. At the gross margin level — before operating expenses — ALGN leads at 68. 3%, 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 VVOS or XRAY or ALGN or HSIC or NVST 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, Henry Schein, Inc. (HSIC) is the more undervalued stock at a PEG of 4. 20x versus Envista Holdings Corp's 11. 37x. Both stocks trade at elevated growth-adjusted valuations, so expected growth needs to materialise. On forward earnings alone, DENTSPLY SIRONA Inc. (XRAY) trades at 7. 7x forward P/E versus 17. 0x for Envista Holdings Corp — 9. 2x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for XRAY: 25. 0% to $13. 75.
08Which pays a better dividend — VVOS or XRAY or ALGN or HSIC or NVST?
In this comparison, XRAY (5.
8% yield) pays a dividend. VVOS, ALGN, HSIC, NVST do not pay a meaningful dividend and should not be held primarily for income.
09Is VVOS or XRAY or ALGN or HSIC or NVST better for a retirement portfolio?
For long-horizon retirement investors, Henry Schein, Inc.
(HSIC) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 72)). Envista Holdings Corp (NVST) carries a higher beta of 1. 63 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (HSIC: +5. 8%, NVST: -13. 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 VVOS and XRAY and ALGN and HSIC and NVST?
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: VVOS is a small-cap quality compounder stock; XRAY is a small-cap income-oriented stock; ALGN is a mid-cap quality compounder stock; HSIC is a small-cap quality compounder stock; NVST is a small-cap quality compounder stock. XRAY pays a dividend while VVOS, ALGN, HSIC, NVST 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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