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XTNT vs ATEC vs NVCR vs OSPN vs GMED

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

Live fundamentals10-year financials5-year price chart
XTNT
Xtant Medical Holdings, Inc.

Medical - Devices

HealthcareAMEX • US
Market Cap$80M
5Y Perf.-53.7%
ATEC
Alphatec Holdings, Inc.

Medical - Devices

HealthcareNASDAQ • US
Market Cap$1.17B
5Y Perf.+74.2%
NVCR
NovoCure Limited

Medical - Instruments & Supplies

HealthcareNASDAQ • JE
Market Cap$1.92B
5Y Perf.-75.0%
OSPN
OneSpan Inc.

Software - Infrastructure

TechnologyNASDAQ • US
Market Cap$455M
5Y Perf.-40.2%
GMED
Globus Medical, Inc.

Medical - Devices

HealthcareNYSE • US
Market Cap$11.51B
5Y Perf.+55.7%

XTNT vs ATEC vs NVCR vs OSPN vs GMED — Key Financials

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

Company Snapshot
XTNT logoXTNT
ATEC logoATEC
NVCR logoNVCR
OSPN logoOSPN
GMED logoGMED
IndustryMedical - DevicesMedical - DevicesMedical - Instruments & SuppliesSoftware - InfrastructureMedical - Devices
Market Cap$80M$1.17B$1.92B$455M$11.51B
Revenue (TTM)$133M$595M$674M$246M$3.10B
Net Income (TTM)$2M$-125M$-173M$70M$587M
Gross Margin62.0%89.6%75.2%70.5%50.9%
Operating Margin4.8%-9.6%-27.2%19.4%17.2%
Forward P/E27.1x9.9x19.0x
Total Debt$35M$620M$290M$6M$119M
Cash & Equiv.$6M$161M$103M$70M$526M

XTNT vs ATEC vs NVCR vs OSPN vs GMEDLong-Term Stock Performance

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

XTNT
ATEC
NVCR
OSPN
GMED
StockMay 20May 26Return
Xtant Medical Holdi… (XTNT)10046.3-53.7%
Alphatec Holdings, … (ATEC)100174.2+74.2%
NovoCure Limited (NVCR)10025.0-75.0%
OneSpan Inc. (OSPN)10059.8-40.2%
Globus Medical, Inc. (GMED)100155.7+55.7%

Price return only. Dividends and distributions are not included.

Quick Verdict: XTNT vs ATEC vs NVCR vs OSPN vs GMED

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

Bottom line: OSPN leads in 4 of 7 categories (5-stock set), making it the strongest pick for valuation and capital efficiency and profitability and margin quality. Xtant Medical Holdings, Inc. is the stronger pick specifically for growth and revenue expansion and capital preservation and lower volatility. GMED also leads in specific categories worth noting. This set spans 2 sectors — these stocks serve different portfolio roles, not just different price points.
XTNT
Xtant Medical Holdings, Inc.
The Income Pick

XTNT is the #2 pick in this set and the best alternative if income & stability and growth exposure is your priority.

  • beta 0.69
  • Rev growth 28.4%, EPS growth 107.7%, 3Y rev CAGR 28.5%
  • Lower volatility, beta 0.69, Low D/E 81.8%, current ratio 2.35x
  • Beta 0.69, current ratio 2.35x
Best for: income & stability and growth exposure
ATEC
Alphatec Holdings, Inc.
The Growth Angle

ATEC lags the leaders in this set but could rank higher in a more targeted comparison.

Best for: healthcare exposure
NVCR
NovoCure Limited
The Healthcare Pick

Among these 5 stocks, NVCR doesn't own a clear edge in any measured category.

Best for: healthcare exposure
OSPN
OneSpan Inc.
The Value Play

OSPN carries the broadest edge in this set and is the clearest fit for value and quality.

  • Lower P/E (9.9x vs 19.0x)
  • 28.5% margin vs NVCR's -25.7%
  • 3.9% yield; 2-year raise streak; the other 4 pay no meaningful dividend
  • 18.9% ROA vs NVCR's -16.5%, ROIC 21.7% vs -16.4%
Best for: value and quality
GMED
Globus Medical, Inc.
The Long-Run Compounder

GMED ranks third and is worth considering specifically for long-term compounding.

  • 264.4% 10Y total return vs ATEC's 225.4%
  • +19.0% vs ATEC's -37.8%
Best for: long-term compounding
See the full category breakdown
CategoryWinnerWhy
GrowthXTNT logoXTNT28.4% revenue growth vs OSPN's 0.0%
ValueOSPN logoOSPNLower P/E (9.9x vs 19.0x)
Quality / MarginsOSPN logoOSPN28.5% margin vs NVCR's -25.7%
Stability / SafetyXTNT logoXTNTBeta 0.69 vs NVCR's 2.20, lower leverage
DividendsOSPN logoOSPN3.9% yield; 2-year raise streak; the other 4 pay no meaningful dividend
Momentum (1Y)GMED logoGMED+19.0% vs ATEC's -37.8%
Efficiency (ROA)OSPN logoOSPN18.9% ROA vs NVCR's -16.5%, ROIC 21.7% vs -16.4%

XTNT vs ATEC vs NVCR vs OSPN vs GMED — Revenue Breakdown by Segment

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

XTNTXtant Medical Holdings, Inc.
FY 2024
Orthobiologics
56.6%$66M
Spinal Implant
42.1%$49M
License Revenue
1.3%$2M
ATECAlphatec Holdings, Inc.
FY 2025
Products And Services
100.0%$764M
NVCRNovoCure Limited

Segment breakdown not available.

OSPNOneSpan Inc.
FY 2025
Subscription
64.2%$156M
Hardware Products
20.2%$49M
Maintenance, support and other
14.3%$35M
Professional Services and Other
1.3%$3M
GMEDGlobus Medical, Inc.
FY 2024
Spine
93.9%$2.4B
Emerging Technology
6.1%$154M

XTNT vs ATEC vs NVCR vs OSPN vs GMED — Financial Metrics

Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLOSPNLAGGINGNVCR

Income & Cash Flow (Last 12 Months)

Evenly matched — OSPN and GMED each lead in 2 of 6 comparable metrics.

GMED is the larger business by revenue, generating $3.1B annually — 23.3x XTNT's $133M. OSPN is the more profitable business, keeping 28.5% of every revenue dollar as net income compared to NVCR's -25.7%. On growth, GMED holds the edge at +27.0% YoY revenue growth, suggesting stronger near-term business momentum.

MetricXTNT logoXTNTXtant Medical Hol…ATEC logoATECAlphatec Holdings…NVCR logoNVCRNovoCure LimitedOSPN logoOSPNOneSpan Inc.GMED logoGMEDGlobus Medical, I…
RevenueTrailing 12 months$133M$595M$674M$246M$3.1B
EBITDAEarnings before interest/tax$11M$4M-$165M$57M$745M
Net IncomeAfter-tax profit$2M-$125M-$173M$70M$587M
Free Cash FlowCash after capex$5M$7M-$48M$47M$605M
Gross MarginGross profit ÷ Revenue+62.0%+89.6%+75.2%+70.5%+50.9%
Operating MarginEBIT ÷ Revenue+4.8%-9.6%-27.2%+19.4%+17.2%
Net MarginNet income ÷ Revenue+1.3%-21.1%-25.7%+28.5%+18.9%
FCF MarginFCF ÷ Revenue+3.9%+1.2%-7.1%+19.0%+19.5%
Rev. Growth (YoY)Latest quarter vs prior year+19.0%-100.0%+12.3%+4.1%+27.0%
EPS Growth (YoY)Latest quarter vs prior year+123.7%+37.1%-100.0%-18.9%+66.7%
Evenly matched — OSPN and GMED each lead in 2 of 6 comparable metrics.

Valuation Metrics

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

At 6.4x trailing earnings, OSPN trades at a 71% valuation discount to GMED's 21.7x P/E. On an enterprise value basis, OSPN's 6.0x EV/EBITDA is more attractive than ATEC's 3752.1x.

MetricXTNT logoXTNTXtant Medical Hol…ATEC logoATECAlphatec Holdings…NVCR logoNVCRNovoCure LimitedOSPN logoOSPNOneSpan Inc.GMED logoGMEDGlobus Medical, I…
Market CapShares × price$80M$1.2B$1.9B$455M$11.5B
Enterprise ValueMkt cap + debt − cash$109M$1.6B$2.1B$391M$11.1B
Trailing P/EPrice ÷ TTM EPS-4.75x-8.07x-13.80x6.39x21.70x
Forward P/EPrice ÷ next-FY EPS est.27.09x9.89x19.03x
PEG RatioP/E ÷ EPS growth rate0.70x
EV / EBITDAEnterprise value multiple3752.09x6.00x18.51x
Price / SalesMarket cap ÷ Revenue0.68x1.54x2.92x1.87x3.92x
Price / BookPrice ÷ Book value/share1.77x32.28x5.51x1.72x2.55x
Price / FCFMarket cap ÷ FCF422.56x9.02x19.54x
OSPN leads this category, winning 4 of 6 comparable metrics.

Profitability & Efficiency

OSPN leads this category, winning 7 of 9 comparable metrics.

OSPN delivers a 27.3% return on equity — every $100 of shareholder capital generates $27 in annual profit, vs $-4 for ATEC. OSPN carries lower financial leverage with a 0.02x debt-to-equity ratio, signaling a more conservative balance sheet compared to ATEC's 17.21x. On the Piotroski fundamental quality scale (0–9), GMED scores 9/9 vs XTNT's 2/9, reflecting strong financial health.

MetricXTNT logoXTNTXtant Medical Hol…ATEC logoATECAlphatec Holdings…NVCR logoNVCRNovoCure LimitedOSPN logoOSPNOneSpan Inc.GMED logoGMEDGlobus Medical, I…
ROE (TTM)Return on equity+3.8%-4.4%-50.8%+27.3%+13.0%
ROA (TTM)Return on assets+1.8%-15.8%-16.5%+18.9%+11.3%
ROICReturn on invested capital-12.8%-12.6%-16.4%+21.7%+8.9%
ROCEReturn on capital employed-17.9%-13.7%-28.9%+19.6%+10.4%
Piotroski ScoreFundamental quality 0–926559
Debt / EquityFinancial leverage0.82x17.21x0.85x0.02x0.03x
Net DebtTotal debt minus cash$29M$459M$187M-$64M-$408M
Cash & Equiv.Liquid assets$6M$161M$103M$70M$526M
Total DebtShort + long-term debt$35M$620M$290M$6M$119M
Interest CoverageEBIT ÷ Interest expense1.55x-3.29x-96.80x1656.95x81.13x
OSPN leads this category, winning 7 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

GMED leads this category, winning 5 of 6 comparable metrics.

A $10,000 investment in GMED five years ago would be worth $11,607 today (with dividends reinvested), compared to $875 for NVCR. Over the past 12 months, GMED leads with a +19.0% total return vs ATEC's -37.8%. The 3-year compound annual growth rate (CAGR) favors GMED at 13.5% vs NVCR's -37.6% — a key indicator of consistent wealth creation.

MetricXTNT logoXTNTXtant Medical Hol…ATEC logoATECAlphatec Holdings…NVCR logoNVCRNovoCure LimitedOSPN logoOSPNOneSpan Inc.GMED logoGMEDGlobus Medical, I…
YTD ReturnYear-to-date-24.0%-62.7%+28.3%-0.1%-2.5%
1-Year ReturnPast 12 months+10.0%-37.8%+1.1%-19.1%+19.0%
3-Year ReturnCumulative with dividends-12.3%-47.8%-75.7%-7.0%+46.3%
5-Year ReturnCumulative with dividends-66.1%-48.7%-91.3%-50.3%+16.1%
10-Year ReturnCumulative with dividends-97.8%+225.4%+30.3%-21.7%+264.4%
CAGR (3Y)Annualised 3-year return-4.3%-19.5%-37.6%-2.4%+13.5%
GMED leads this category, winning 5 of 6 comparable metrics.

Risk & Volatility

Evenly matched — XTNT and GMED each lead in 1 of 2 comparable metrics.

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. GMED currently trades 83.9% from its 52-week high vs ATEC's 33.3% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricXTNT logoXTNTXtant Medical Hol…ATEC logoATECAlphatec Holdings…NVCR logoNVCRNovoCure LimitedOSPN logoOSPNOneSpan Inc.GMED logoGMEDGlobus Medical, I…
Beta (5Y)Sensitivity to S&P 5000.69x1.13x2.20x1.23x1.29x
52-Week HighHighest price in past year$0.95$23.29$20.06$18.13$101.40
52-Week LowLowest price in past year$0.44$6.85$9.82$10.07$51.79
% of 52W HighCurrent price vs 52-week peak+60.0%+33.3%+83.9%+67.0%+83.9%
RSI (14)Momentum oscillator 0–10060.926.869.861.545.0
Avg Volume (50D)Average daily shares traded142K3.0M1.5M599K998K
Evenly matched — XTNT and GMED each lead in 1 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Analyst consensus: ATEC as "Buy", NVCR as "Buy", OSPN as "Buy", GMED as "Buy". Consensus price targets imply 222.6% upside for ATEC (target: $25) vs 27.6% for OSPN (target: $16). OSPN is the only dividend payer here at 3.95% yield — a key consideration for income-focused portfolios.

MetricXTNT logoXTNTXtant Medical Hol…ATEC logoATECAlphatec Holdings…NVCR logoNVCRNovoCure LimitedOSPN logoOSPNOneSpan Inc.GMED logoGMEDGlobus Medical, I…
Analyst RatingConsensus buy/hold/sellBuyBuyBuyBuy
Price TargetConsensus 12-month target$25.00$33.50$15.50$110.67
# AnalystsCovering analysts16151536
Dividend YieldAnnual dividend ÷ price+3.9%
Dividend StreakConsecutive years of raises2
Dividend / ShareAnnual DPS$0.48
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%0.0%+2.9%+2.6%
Insufficient data to determine a leader in this category.
Key Takeaway

OSPN leads in 2 of 6 categories (Valuation Metrics, Profitability & Efficiency). GMED leads in 1 (Total Returns). 2 tied.

Best OverallOneSpan Inc. (OSPN)Leads 2 of 6 categories
Loading custom metrics...

XTNT vs ATEC vs NVCR vs OSPN vs GMED: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is XTNT or ATEC or NVCR or OSPN or GMED a better buy right now?

For growth investors, Xtant Medical Holdings, Inc.

(XTNT) is the stronger pick with 28. 4% revenue growth year-over-year, versus 0. 0% for OneSpan Inc. (OSPN). OneSpan Inc. (OSPN) offers the better valuation at 6. 4x trailing P/E (9. 9x forward), making it the more compelling value choice. Analysts rate Alphatec Holdings, Inc. (ATEC) a "Buy" — based on 16 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 has the better valuation — XTNT or ATEC or NVCR or OSPN or GMED?

On trailing P/E, OneSpan Inc.

(OSPN) is the cheapest at 6. 4x versus Globus Medical, Inc. at 21. 7x. On forward P/E, OneSpan Inc. is actually cheaper at 9. 9x.

03

Which is the better long-term investment — XTNT or ATEC or NVCR or OSPN or GMED?

Over the past 5 years, Globus Medical, Inc.

(GMED) delivered a total return of +16. 1%, compared to -91. 3% for NovoCure Limited (NVCR). Over 10 years, the gap is even starker: GMED returned +264. 4% 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.

04

Which is safer — XTNT or ATEC or NVCR or OSPN or GMED?

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, OneSpan Inc. (OSPN) carries a lower debt/equity ratio of 2% versus 17% for Alphatec Holdings, Inc. — giving it more financial flexibility in a downturn.

05

Which is growing faster — XTNT or ATEC or NVCR or OSPN or GMED?

By revenue growth (latest reported year), Xtant Medical Holdings, Inc.

(XTNT) is pulling ahead at 28. 4% versus 0. 0% for OneSpan Inc. (OSPN). On earnings-per-share growth, the picture is similar: Globus Medical, Inc. grew EPS 422. 7% year-over-year, compared to 15. 0% for Alphatec Holdings, Inc.. Over a 3-year CAGR, GMED leads at 42. 2% 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.

06

Which has better profit margins — XTNT or ATEC or NVCR or OSPN or GMED?

OneSpan Inc.

(OSPN) is the more profitable company, earning 30. 0% net margin versus -20. 8% for NovoCure Limited — meaning it keeps 30. 0% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: OSPN leads at 20. 6% versus -23. 5% for NVCR. At the gross margin level — before operating expenses — NVCR leads at 74. 5%, 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.

07

Is XTNT or ATEC or NVCR or OSPN or GMED more undervalued right now?

On forward earnings alone, OneSpan Inc.

(OSPN) trades at 9. 9x forward P/E versus 27. 1x for Alphatec Holdings, Inc. — 17. 2x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for ATEC: 222. 6% to $25. 00.

08

Which pays a better dividend — XTNT or ATEC or NVCR or OSPN or GMED?

In this comparison, OSPN (3.

9% yield) pays a dividend. XTNT, ATEC, NVCR, GMED do not pay a meaningful dividend and should not be held primarily for income.

09

Is XTNT or ATEC or NVCR or OSPN or GMED better for a retirement portfolio?

For long-horizon retirement investors, OneSpan Inc.

(OSPN) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 1. 23), 3. 9% yield). 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 (OSPN: -21. 7%, 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.

10

What are the main differences between XTNT and ATEC and NVCR and OSPN and GMED?

These companies operate in different sectors (XTNT (Healthcare) and ATEC (Healthcare) and NVCR (Healthcare) and OSPN (Technology) and GMED (Healthcare)), which means they face different economic cycles, regulatory environments, and macro sensitivities — making direct comparison nuanced.

In terms of investment character: XTNT is a small-cap high-growth stock; ATEC is a small-cap high-growth stock; NVCR is a small-cap quality compounder stock; OSPN is a small-cap deep-value stock; GMED is a mid-cap high-growth stock. OSPN pays a dividend while XTNT, ATEC, NVCR, GMED 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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Revenue Growth>
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(XTNT: 19.0% · ATEC: -100.0%)

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