Medical - Instruments & Supplies
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5 / 10Stock Comparison
XRAY vs ALGN vs HSIC vs NVST vs IDXX
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Devices
Medical - Distribution
Medical - Equipment & Services
Medical - Diagnostics & Research
XRAY vs ALGN vs HSIC vs NVST vs IDXX — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | |||||
|---|---|---|---|---|---|
| Industry | Medical - Instruments & Supplies | Medical - Devices | Medical - Distribution | Medical - Equipment & Services | Medical - Diagnostics & Research |
| Market Cap | $2.20B | $12.09B | $8.13B | $3.95B | $44.49B |
| Revenue (TTM) | $3.68B | $4.10B | $13.18B | $2.81B | $4.45B |
| Net Income (TTM) | $-628M | $430M | $398M | $68M | $1.10B |
| Gross Margin | 48.9% | 67.7% | 29.1% | 55.1% | 62.1% |
| Operating Margin | 4.1% | 14.4% | 5.8% | 9.0% | 31.6% |
| Forward P/E | 7.7x | 14.8x | 13.2x | 17.0x | 38.3x |
| Total Debt | $2.47B | $114M | $3.69B | $1.71B | $1.08B |
| Cash & Equiv. | $326M | $1.08B | $156M | $1.21B | $180M |
XRAY vs ALGN vs HSIC vs NVST vs IDXX — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| DENTSPLY SIRONA Inc. (XRAY) | 100 | 23.6 | -76.4% |
| Align Technology, I… (ALGN) | 100 | 68.7 | -31.3% |
| Henry Schein, Inc. (HSIC) | 100 | 116.6 | +16.6% |
| Envista Holdings Co… (NVST) | 100 | 114.7 | +14.7% |
| IDEXX Laboratories,… (IDXX) | 100 | 181.3 | +81.3% |
Price return only. Dividends and distributions are not included.
Quick Verdict: XRAY vs ALGN vs HSIC vs NVST vs IDXX
Each card shows where this stock fits in a portfolio — not just who wins on paper.
XRAY is the #2 pick in this set and the best alternative if value and dividends is your priority.
- Lower P/E (7.7x vs 17.0x)
- 5.8% yield; 23-year raise streak; the other 4 pay no meaningful dividend
Among these 5 stocks, ALGN doesn't own a clear edge in any measured category.
HSIC ranks third and is worth considering specifically for income & stability and sleep-well-at-night.
- Dividend streak 1 yrs, beta 0.72
- Lower volatility, beta 0.72, Low D/E 76.9%, current ratio 1.38x
- Beta 0.72, current ratio 1.38x
- Beta 0.72 vs XRAY's 1.70, lower leverage
NVST is the clearest fit if your priority is momentum.
- +36.4% vs XRAY's -27.8%
IDXX carries the broadest edge in this set and is the clearest fit for growth exposure and long-term compounding.
- Rev growth 10.4%, EPS growth 22.6%, 3Y rev CAGR 8.5%
- 5.4% 10Y total return vs HSIC's 5.8%
- PEG 2.68 vs NVST's 11.37
- 10.4% revenue growth vs XRAY's -3.0%
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 10.4% revenue growth vs XRAY's -3.0% | |
| Value | Lower P/E (7.7x vs 17.0x) | |
| Quality / Margins | 24.6% margin vs XRAY's -17.1% | |
| 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 XRAY's -27.8% | |
| Efficiency (ROA) | 32.6% ROA vs XRAY's -11.2%, ROIC 42.5% vs 5.1% |
XRAY vs ALGN vs HSIC vs NVST vs IDXX — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
XRAY vs ALGN vs HSIC vs NVST vs IDXX — Financial Metrics
Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
IDXX leads in 2 of 6 categories
XRAY leads 2 • ALGN leads 0 • HSIC leads 0 • NVST leads 0 • 2 tied
Explore the data ↓Income & Cash Flow (Last 12 Months)
IDXX leads this category, winning 3 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
HSIC is the larger business by revenue, generating $13.2B annually — 4.7x NVST's $2.8B. IDXX is the more profitable business, keeping 24.6% of every revenue dollar as net income compared to XRAY's -17.1%. On growth, NVST holds the edge at +14.4% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | |||||
|---|---|---|---|---|---|
| RevenueTrailing 12 months | $3.7B | $4.1B | $13.2B | $2.8B | $4.4B |
| EBITDAEarnings before interest/tax | $424M | $790M | $1.1B | $342M | $1.5B |
| Net IncomeAfter-tax profit | -$628M | $430M | $398M | $68M | $1.1B |
| Free Cash FlowCash after capex | $104M | $717M | $561M | $220M | $845M |
| Gross MarginGross profit ÷ Revenue | +48.9% | +67.7% | +29.1% | +55.1% | +62.1% |
| Operating MarginEBIT ÷ Revenue | +4.1% | +14.4% | +5.8% | +9.0% | +31.6% |
| Net MarginNet income ÷ Revenue | -17.1% | +10.5% | +3.0% | +2.4% | +24.6% |
| FCF MarginFCF ÷ Revenue | +2.8% | +17.5% | +4.3% | +7.8% | +19.0% |
| Rev. Growth (YoY)Latest quarter vs prior year | +0.1% | +6.2% | +7.7% | +14.4% | +14.3% |
| EPS Growth (YoY)Latest quarter vs prior year | -150.0% | +23.6% | +14.9% | +130.0% | +16.6% |
Valuation Metrics
XRAY leads this category, winning 4 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), IDXX offers better value at 3.00x vs NVST's 57.98x — a lower PEG means you pay less per unit of expected earnings growth.
| Metric | |||||
|---|---|---|---|---|---|
| Market CapShares × price | $2.2B | $12.1B | $8.1B | $4.0B | $44.5B |
| Enterprise ValueMkt cap + debt − cash | $4.3B | $11.1B | $11.7B | $4.4B | $45.4B |
| Trailing P/EPrice ÷ TTM EPS | -3.67x | 29.87x | 21.66x | 86.57x | 42.82x |
| Forward P/EPrice ÷ next-FY EPS est. | 7.75x | 14.84x | 13.25x | 16.97x | 38.29x |
| PEG RatioP/E ÷ EPS growth rate | — | — | 6.87x | 57.98x | 3.00x |
| EV / EBITDAEnterprise value multiple | 7.19x | 13.96x | 10.90x | 13.01x | 30.95x |
| Price / SalesMarket cap ÷ Revenue | 0.60x | 3.00x | 0.62x | 1.45x | 10.34x |
| Price / BookPrice ÷ Book value/share | 1.64x | 3.03x | 1.80x | 1.32x | 28.15x |
| Price / FCFMarket cap ÷ FCF | 21.19x | 24.63x | 14.18x | 17.15x | 42.23x |
Profitability & Efficiency
Evenly matched — ALGN and IDXX each lead in 5 of 9 comparable metrics.
Profitability & Efficiency
IDXX delivers a 70.9% return on equity — every $100 of shareholder capital generates $71 in annual profit, vs $-41 for XRAY. 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 | -41.2% | +10.7% | +8.2% | +2.2% | +70.9% |
| ROA (TTM)Return on assets | -11.2% | +6.9% | +3.6% | +1.2% | +32.6% |
| ROICReturn on invested capital | +5.1% | +15.4% | +7.1% | +4.8% | +42.5% |
| ROCEReturn on capital employed | +6.1% | +14.5% | +9.8% | +4.9% | +61.4% |
| Piotroski ScoreFundamental quality 0–9 | 6 | 7 | 4 | 7 | 7 |
| Debt / EquityFinancial leverage | 1.84x | 0.03x | 0.77x | 0.55x | 0.67x |
| Net DebtTotal debt minus cash | $2.1B | -$965M | $3.5B | $496M | $897M |
| Cash & Equiv.Liquid assets | $326M | $1.1B | $156M | $1.2B | $180M |
| Total DebtShort + long-term debt | $2.5B | $114M | $3.7B | $1.7B | $1.1B |
| Interest CoverageEBIT ÷ Interest expense | -5.12x | 389.13x | 4.59x | 12.76x | 35.55x |
Total Returns (Dividends Reinvested)
IDXX leads this category, winning 4 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in IDXX five years ago would be worth $10,663 today (with dividends reinvested), compared to $1,978 for XRAY. Over the past 12 months, NVST leads with a +36.4% total return vs XRAY's -27.8%. The 3-year compound annual growth rate (CAGR) favors IDXX at 4.9% vs XRAY's -32.5% — a key indicator of consistent wealth creation.
| Metric | |||||
|---|---|---|---|---|---|
| YTD ReturnYear-to-date | -2.4% | +8.2% | -7.8% | +11.8% | -16.4% |
| 1-Year ReturnPast 12 months | -27.8% | -6.7% | +2.8% | +36.4% | +14.3% |
| 3-Year ReturnCumulative with dividends | -69.3% | -44.9% | -11.3% | -30.4% | +15.4% |
| 5-Year ReturnCumulative with dividends | -80.2% | -69.6% | -14.6% | -46.5% | +6.6% |
| 10-Year ReturnCumulative with dividends | -74.4% | +123.3% | +5.8% | -13.3% | +542.3% |
| CAGR (3Y)Annualised 3-year return | -32.5% | -18.0% | -3.9% | -11.4% | +4.9% |
Risk & Volatility
Evenly matched — ALGN and HSIC each lead in 1 of 2 comparable metrics.
Risk & Volatility
HSIC 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 XRAY's 64.0% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | |||||
|---|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 1.70x | 1.65x | 0.72x | 1.63x | 1.36x |
| 52-Week HighHighest price in past year | $17.18 | $208.31 | $89.29 | $30.42 | $769.98 |
| 52-Week LowLowest price in past year | $9.85 | $122.00 | $61.95 | $16.41 | $485.41 |
| % of 52W HighCurrent price vs 52-week peak | +64.0% | +81.0% | +79.3% | +79.7% | +72.7% |
| RSI (14)Momentum oscillator 0–100 | 37.1 | 40.1 | 34.3 | 36.4 | 49.2 |
| Avg Volume (50D)Average daily shares traded | 4.2M | 1.1M | 1.2M | 2.5M | 535K |
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", IDXX as "Buy". Consensus price targets imply 33.5% upside for IDXX (target: $748) 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 | Buy |
| Price TargetConsensus 12-month target | $13.75 | $203.60 | $85.43 | $27.44 | $747.50 |
| # AnalystsCovering analysts | 31 | 33 | 32 | 19 | 22 |
| 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% | +3.9% | +10.5% | +4.2% | +2.7% |
IDXX leads in 2 of 6 categories (Income & Cash Flow, Total Returns). XRAY leads in 2 (Valuation Metrics, Analyst Outlook). 2 tied.
XRAY vs ALGN vs HSIC vs NVST vs IDXX: Key Questions Answered
10 questions · data-driven answers · updated daily
01Is XRAY or ALGN or HSIC or NVST or IDXX a better buy right now?
For growth investors, IDEXX Laboratories, Inc.
(IDXX) is the stronger pick with 10. 4% 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 — XRAY or ALGN or HSIC or NVST or IDXX?
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: IDEXX Laboratories, Inc. wins at 2. 68x versus Envista Holdings Corp's 11. 37x.
03Which is the better long-term investment — XRAY or ALGN or HSIC or NVST or IDXX?
Over the past 5 years, IDEXX Laboratories, Inc.
(IDXX) delivered a total return of +6. 6%, compared to -80. 2% for DENTSPLY SIRONA Inc. (XRAY). Over 10 years, the gap is even starker: IDXX returned +542. 3% versus XRAY's -74. 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 — XRAY or ALGN or HSIC or NVST or IDXX?
By beta (market sensitivity over 5 years), Henry Schein, Inc.
(HSIC) is the lower-risk stock at 0. 72β versus DENTSPLY SIRONA Inc. 's 1. 70β — meaning XRAY is approximately 135% more volatile than HSIC 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 — XRAY or ALGN or HSIC or NVST or IDXX?
By revenue growth (latest reported year), IDEXX Laboratories, Inc.
(IDXX) is pulling ahead at 10. 4% 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, IDXX leads at 8. 5% 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 — XRAY or ALGN or HSIC or NVST or IDXX?
IDEXX Laboratories, Inc.
(IDXX) is the more profitable company, earning 24. 6% net margin versus -16. 3% for DENTSPLY SIRONA Inc. — meaning it keeps 24. 6% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: IDXX leads at 31. 6% versus 5. 7% for HSIC. 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 XRAY or ALGN or HSIC or NVST or IDXX 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, IDEXX Laboratories, Inc. (IDXX) is the more undervalued stock at a PEG of 2. 68x 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 38. 3x for IDEXX Laboratories, Inc. — 30. 5x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for IDXX: 33. 5% to $747. 50.
08Which pays a better dividend — XRAY or ALGN or HSIC or NVST or IDXX?
In this comparison, XRAY (5.
8% yield) pays a dividend. ALGN, HSIC, NVST, IDXX do not pay a meaningful dividend and should not be held primarily for income.
09Is XRAY or ALGN or HSIC or NVST or IDXX 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 XRAY and ALGN and HSIC and NVST and IDXX?
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: 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; IDXX is a mid-cap quality compounder stock. XRAY pays a dividend while ALGN, HSIC, NVST, IDXX 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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