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Stock Comparison

XTNT vs DBVT vs ALKS vs ATEC vs NVCR

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%
DBVT
DBV Technologies S.A.

Biotechnology

HealthcareNASDAQ • FR
Market Cap$1712.35T
5Y Perf.-58.8%
ALKS
Alkermes plc

Biotechnology

HealthcareNASDAQ • IE
Market Cap$5.90B
5Y Perf.+116.4%
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%

XTNT vs DBVT vs ALKS vs ATEC vs NVCR — Key Financials

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

Company Snapshot
XTNT logoXTNT
DBVT logoDBVT
ALKS logoALKS
ATEC logoATEC
NVCR logoNVCR
IndustryMedical - DevicesBiotechnologyBiotechnologyMedical - DevicesMedical - Instruments & Supplies
Market Cap$80M$1712.35T$5.90B$1.17B$1.92B
Revenue (TTM)$133M$0.00$1.56B$595M$674M
Net Income (TTM)$2M$-168M$153M$-125M$-173M
Gross Margin62.0%65.4%89.6%75.2%
Operating Margin4.8%12.3%-9.6%-27.2%
Forward P/E24.8x27.1x
Total Debt$35M$22M$70M$620M$290M
Cash & Equiv.$6M$194M$1.12B$161M$103M

XTNT vs DBVT vs ALKS vs ATEC vs NVCRLong-Term Stock Performance

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

XTNT
DBVT
ALKS
ATEC
NVCR
StockMay 20May 26Return
Xtant Medical Holdi… (XTNT)10046.3-53.7%
DBV Technologies S.… (DBVT)10041.2-58.8%
Alkermes plc (ALKS)100216.4+116.4%
Alphatec Holdings, … (ATEC)100174.2+74.2%
NovoCure Limited (NVCR)10025.0-75.0%

Price return only. Dividends and distributions are not included.

Quick Verdict: XTNT vs DBVT vs ALKS vs ATEC vs NVCR

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

Bottom line: ALKS leads in 3 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. DBVT also leads in specific categories worth noting. As sector peers, any of these can serve as alternatives in the same allocation.
XTNT
Xtant Medical Holdings, Inc.
The Growth Play

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

  • Rev growth 28.4%, EPS growth 107.7%, 3Y rev CAGR 28.5%
  • 28.4% revenue growth vs DBVT's -100.0%
  • Beta 0.69 vs NVCR's 2.20, lower leverage
Best for: growth exposure
DBVT
DBV Technologies S.A.
The Income Pick

DBVT ranks third and is worth considering specifically for income & stability.

  • Dividend streak 0 yrs, beta 1.26
  • +110.4% vs ATEC's -37.8%
Best for: income & stability
ALKS
Alkermes plc
The Defensive Pick

ALKS carries the broadest edge in this set and is the clearest fit for sleep-well-at-night and defensive.

  • Lower volatility, beta 1.06, Low D/E 3.8%, current ratio 3.55x
  • Beta 1.06, current ratio 3.55x
  • Better valuation composite
  • 9.8% margin vs NVCR's -25.7%
Best for: sleep-well-at-night and defensive
ATEC
Alphatec Holdings, Inc.
The Long-Run Compounder

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

  • 225.4% 10Y total return vs ALKS's -11.0%
Best for: long-term compounding
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
See the full category breakdown
CategoryWinnerWhy
GrowthXTNT logoXTNT28.4% revenue growth vs DBVT's -100.0%
ValueALKS logoALKSBetter valuation composite
Quality / MarginsALKS logoALKS9.8% margin vs NVCR's -25.7%
Stability / SafetyXTNT logoXTNTBeta 0.69 vs NVCR's 2.20, lower leverage
DividendsTieNone of these 5 stocks pay a meaningful dividend
Momentum (1Y)DBVT logoDBVT+110.4% vs ATEC's -37.8%
Efficiency (ROA)ALKS logoALKS5.4% ROA vs DBVT's -89.0%

XTNT vs DBVT vs ALKS vs ATEC vs NVCR — 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
DBVTDBV Technologies S.A.

Segment breakdown not available.

ALKSAlkermes plc
FY 2025
Vivitrol
39.8%$468M
Aristada And Aristada Initio
31.5%$370M
Manufactured Product And Royalty
24.8%$291M
Manufacturing Revenue
3.9%$46M
ATECAlphatec Holdings, Inc.
FY 2025
Products And Services
100.0%$764M
NVCRNovoCure Limited

Segment breakdown not available.

XTNT vs DBVT vs ALKS vs ATEC vs NVCR — Financial Metrics

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

BEST OVERALLALKSLAGGINGNVCR

Income & Cash Flow (Last 12 Months)

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

ALKS and DBVT operate at a comparable scale, with $1.6B and $0 in trailing revenue. ALKS is the more profitable business, keeping 9.8% of every revenue dollar as net income compared to NVCR's -25.7%. On growth, ALKS holds the edge at +28.2% YoY revenue growth, suggesting stronger near-term business momentum.

MetricXTNT logoXTNTXtant Medical Hol…DBVT logoDBVTDBV Technologies …ALKS logoALKSAlkermes plcATEC logoATECAlphatec Holdings…NVCR logoNVCRNovoCure Limited
RevenueTrailing 12 months$133M$0$1.6B$595M$674M
EBITDAEarnings before interest/tax$11M-$112M$212M$4M-$165M
Net IncomeAfter-tax profit$2M-$168M$153M-$125M-$173M
Free Cash FlowCash after capex$5M-$151M$392M$7M-$48M
Gross MarginGross profit ÷ Revenue+62.0%+65.4%+89.6%+75.2%
Operating MarginEBIT ÷ Revenue+4.8%+12.3%-9.6%-27.2%
Net MarginNet income ÷ Revenue+1.3%+9.8%-21.1%-25.7%
FCF MarginFCF ÷ Revenue+3.9%+25.1%+1.2%-7.1%
Rev. Growth (YoY)Latest quarter vs prior year+19.0%+28.2%-100.0%+12.3%
EPS Growth (YoY)Latest quarter vs prior year+123.7%+91.5%-4.1%+37.1%-100.0%
ALKS leads this category, winning 4 of 6 comparable metrics.

Valuation Metrics

ALKS leads this category, winning 2 of 5 comparable metrics.

On an enterprise value basis, ALKS's 17.3x EV/EBITDA is more attractive than ATEC's 3752.1x.

MetricXTNT logoXTNTXtant Medical Hol…DBVT logoDBVTDBV Technologies …ALKS logoALKSAlkermes plcATEC logoATECAlphatec Holdings…NVCR logoNVCRNovoCure Limited
Market CapShares × price$80M$1712.35T$5.9B$1.2B$1.9B
Enterprise ValueMkt cap + debt − cash$109M$1712.35T$4.9B$1.6B$2.1B
Trailing P/EPrice ÷ TTM EPS-4.75x-0.76x24.76x-8.07x-13.80x
Forward P/EPrice ÷ next-FY EPS est.27.09x
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple17.25x3752.09x
Price / SalesMarket cap ÷ Revenue0.68x4.00x1.54x2.92x
Price / BookPrice ÷ Book value/share1.77x0.66x3.28x32.28x5.51x
Price / FCFMarket cap ÷ FCF12.28x422.56x
ALKS leads this category, winning 2 of 5 comparable metrics.

Profitability & Efficiency

ALKS leads this category, winning 8 of 9 comparable metrics.

ALKS delivers a 8.8% return on equity — every $100 of shareholder capital generates $9 in annual profit, vs $-4 for ATEC. ALKS carries lower financial leverage with a 0.04x debt-to-equity ratio, signaling a more conservative balance sheet compared to ATEC's 17.21x. On the Piotroski fundamental quality scale (0–9), ALKS scores 7/9 vs XTNT's 2/9, reflecting strong financial health.

MetricXTNT logoXTNTXtant Medical Hol…DBVT logoDBVTDBV Technologies …ALKS logoALKSAlkermes plcATEC logoATECAlphatec Holdings…NVCR logoNVCRNovoCure Limited
ROE (TTM)Return on equity+3.8%-130.2%+8.8%-4.4%-50.8%
ROA (TTM)Return on assets+1.8%-89.0%+5.4%-15.8%-16.5%
ROICReturn on invested capital-12.8%+18.9%-12.6%-16.4%
ROCEReturn on capital employed-17.9%-145.7%+14.2%-13.7%-28.9%
Piotroski ScoreFundamental quality 0–924765
Debt / EquityFinancial leverage0.82x0.13x0.04x17.21x0.85x
Net DebtTotal debt minus cash$29M-$172M-$1.0B$459M$187M
Cash & Equiv.Liquid assets$6M$194M$1.1B$161M$103M
Total DebtShort + long-term debt$35M$22M$70M$620M$290M
Interest CoverageEBIT ÷ Interest expense1.55x-189.82x32.30x-3.29x-96.80x
ALKS leads this category, winning 8 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

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

A $10,000 investment in ALKS five years ago would be worth $16,091 today (with dividends reinvested), compared to $875 for NVCR. Over the past 12 months, DBVT leads with a +110.4% total return vs ATEC's -37.8%. The 3-year compound annual growth rate (CAGR) favors DBVT at 6.2% vs NVCR's -37.6% — a key indicator of consistent wealth creation.

MetricXTNT logoXTNTXtant Medical Hol…DBVT logoDBVTDBV Technologies …ALKS logoALKSAlkermes plcATEC logoATECAlphatec Holdings…NVCR logoNVCRNovoCure Limited
YTD ReturnYear-to-date-24.0%+4.9%+25.3%-62.7%+28.3%
1-Year ReturnPast 12 months+10.0%+110.4%+16.5%-37.8%+1.1%
3-Year ReturnCumulative with dividends-12.3%+19.7%+14.5%-47.8%-75.7%
5-Year ReturnCumulative with dividends-66.1%-69.1%+60.9%-48.7%-91.3%
10-Year ReturnCumulative with dividends-97.8%-87.0%-11.0%+225.4%+30.3%
CAGR (3Y)Annualised 3-year return-4.3%+6.2%+4.6%-19.5%-37.6%
DBVT leads this category, winning 3 of 6 comparable metrics.

Risk & Volatility

Evenly matched — XTNT and ALKS 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. ALKS currently trades 96.7% 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…DBVT logoDBVTDBV Technologies …ALKS logoALKSAlkermes plcATEC logoATECAlphatec Holdings…NVCR logoNVCRNovoCure Limited
Beta (5Y)Sensitivity to S&P 5000.69x1.26x1.06x1.13x2.20x
52-Week HighHighest price in past year$0.95$26.18$36.60$23.29$20.06
52-Week LowLowest price in past year$0.44$7.53$25.17$6.85$9.82
% of 52W HighCurrent price vs 52-week peak+60.0%+76.3%+96.7%+33.3%+83.9%
RSI (14)Momentum oscillator 0–10060.948.160.226.869.8
Avg Volume (50D)Average daily shares traded142K252K2.3M3.0M1.5M
Evenly matched — XTNT and ALKS each lead in 1 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Analyst consensus: DBVT as "Buy", ALKS as "Buy", ATEC as "Buy", NVCR as "Buy". Consensus price targets imply 222.6% upside for ATEC (target: $25) vs 24.3% for ALKS (target: $44).

MetricXTNT logoXTNTXtant Medical Hol…DBVT logoDBVTDBV Technologies …ALKS logoALKSAlkermes plcATEC logoATECAlphatec Holdings…NVCR logoNVCRNovoCure Limited
Analyst RatingConsensus buy/hold/sellBuyBuyBuyBuy
Price TargetConsensus 12-month target$46.33$44.00$25.00$33.50
# AnalystsCovering analysts15281615
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises00
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%+0.5%0.0%0.0%
Insufficient data to determine a leader in this category.
Key Takeaway

ALKS leads in 3 of 6 categories (Income & Cash Flow, Valuation Metrics). DBVT leads in 1 (Total Returns). 1 tied.

Best OverallAlkermes plc (ALKS)Leads 3 of 6 categories
Loading custom metrics...

XTNT vs DBVT vs ALKS vs ATEC vs NVCR: Key Questions Answered

9 questions · data-driven answers · updated daily

01

Is XTNT or DBVT or ALKS or ATEC or NVCR 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 -5. 2% for Alkermes plc (ALKS). Alkermes plc (ALKS) offers the better valuation at 24. 8x trailing P/E, making it the more compelling value choice. Analysts rate DBV Technologies S. A. (DBVT) a "Buy" — based on 15 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 — XTNT or DBVT or ALKS or ATEC or NVCR?

Over the past 5 years, Alkermes plc (ALKS) delivered a total return of +60.

9%, compared to -91. 3% for NovoCure Limited (NVCR). Over 10 years, the gap is even starker: ATEC returned +225. 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.

03

Which is safer — XTNT or DBVT or ALKS or ATEC or NVCR?

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, Alkermes plc (ALKS) carries a lower debt/equity ratio of 4% versus 17% for Alphatec Holdings, Inc. — giving it more financial flexibility in a downturn.

04

Which is growing faster — XTNT or DBVT or ALKS or ATEC or NVCR?

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

(XTNT) is pulling ahead at 28. 4% versus -5. 2% for Alkermes plc (ALKS). On earnings-per-share growth, the picture is similar: NovoCure Limited grew EPS 21. 8% year-over-year, compared to -347. 5% for DBV Technologies S. A.. Over a 3-year CAGR, ATEC leads at 29. 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.

05

Which has better profit margins — XTNT or DBVT or ALKS or ATEC or NVCR?

Alkermes plc (ALKS) is the more profitable company, earning 16.

4% net margin versus -20. 8% for NovoCure Limited — meaning it keeps 16. 4% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: ALKS leads at 17. 2% versus -23. 5% for NVCR. At the gross margin level — before operating expenses — ALKS leads at 86. 7%, 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

Is XTNT or DBVT or ALKS or ATEC or NVCR more undervalued right now?

Analyst consensus price targets imply the most upside for ATEC: 222.

6% to $25. 00.

07

Which pays a better dividend — XTNT or DBVT or ALKS or ATEC or NVCR?

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.

08

Is XTNT or DBVT or ALKS or ATEC or NVCR 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.

09

What are the main differences between XTNT and DBVT and ALKS and ATEC and NVCR?

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: XTNT is a small-cap high-growth stock; DBVT is a mega-cap quality compounder stock; ALKS is a small-cap quality compounder stock; ATEC is a small-cap high-growth stock; NVCR is a small-cap quality compounder 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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XTNT

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NVCR

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  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 6%
  • Gross Margin > 45%
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