Medical - Devices
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4 / 10Stock Comparison
ZBH vs GMED vs SYK vs BSX
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Devices
Medical - Devices
Medical - Devices
ZBH vs GMED vs SYK vs BSX — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||||
|---|---|---|---|---|
| Industry | Medical - Devices | Medical - Devices | Medical - Devices | Medical - Devices |
| Market Cap | $16.32B | $11.51B | $112.69B | $84.08B |
| Revenue (TTM) | $8.41B | $3.10B | $25.12B | $20.07B |
| Net Income (TTM) | $761M | $587M | $3.25B | $2.89B |
| Gross Margin | 70.0% | 50.9% | 63.5% | 69.0% |
| Operating Margin | 15.6% | 17.2% | 22.4% | 19.8% |
| Forward P/E | 9.8x | 19.0x | 19.6x | 16.7x |
| Total Debt | $7.52B | $119M | $14.86B | $12.42B |
| Cash & Equiv. | $592M | $526M | $4.01B | $2.04B |
ZBH vs GMED vs SYK vs BSX — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| Zimmer Biomet Holdi… (ZBH) | 100 | 68.0 | -32.0% |
| Globus Medical, Inc. (GMED) | 100 | 155.7 | +55.7% |
| Stryker Corporation (SYK) | 100 | 150.3 | +50.3% |
| Boston Scientific C… (BSX) | 100 | 148.9 | +48.9% |
Price return only. Dividends and distributions are not included.
Quick Verdict: ZBH vs GMED vs SYK vs BSX
Each card shows where this stock fits in a portfolio — not just who wins on paper.
ZBH is the #2 pick in this set and the best alternative if income & stability and defensive is your priority.
- Dividend streak 0 yrs, beta 0.65, yield 1.1%
- Beta 0.65, yield 1.1%, current ratio 1.98x
- Lower P/E (9.8x vs 16.7x)
- 1.1% yield, vs SYK's 1.1%, (2 stocks pay no dividend)
GMED carries the broadest edge in this set and is the clearest fit for growth exposure and long-term compounding.
- Rev growth 16.7%, EPS growth 422.7%, 3Y rev CAGR 42.2%
- 264.4% 10Y total return vs SYK's 187.1%
- PEG 0.61 vs SYK's 1.32
- 18.9% margin vs ZBH's 9.1%
SYK lags the leaders in this set but could rank higher in a more targeted comparison.
BSX is the clearest fit if your priority is sleep-well-at-night.
- Lower volatility, beta 0.34, Low D/E 50.7%, current ratio 1.62x
- 19.9% revenue growth vs ZBH's 7.2%
- Beta 0.34 vs GMED's 1.29
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 19.9% revenue growth vs ZBH's 7.2% | |
| Value | Lower P/E (9.8x vs 16.7x) | |
| Quality / Margins | 18.9% margin vs ZBH's 9.1% | |
| Stability / Safety | Beta 0.34 vs GMED's 1.29 | |
| Dividends | 1.1% yield, vs SYK's 1.1%, (2 stocks pay no dividend) | |
| Momentum (1Y) | +19.0% vs BSX's -46.0% | |
| Efficiency (ROA) | 11.3% ROA vs ZBH's 3.3%, ROIC 8.9% vs 5.4% |
ZBH vs GMED vs SYK vs BSX — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
ZBH vs GMED vs SYK vs BSX — Financial Metrics
Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
GMED leads in 3 of 6 categories
ZBH leads 1 • SYK leads 0 • BSX leads 0 • 2 tied
Explore the data ↓Income & Cash Flow (Last 12 Months)
GMED leads this category, winning 3 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
SYK is the larger business by revenue, generating $25.1B annually — 8.1x GMED's $3.1B. GMED is the more profitable business, keeping 18.9% of every revenue dollar as net income compared to ZBH's 9.1%. On growth, GMED holds the edge at +27.0% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||||
|---|---|---|---|---|
| RevenueTrailing 12 months | $8.4B | $3.1B | $25.1B | $20.1B |
| EBITDAEarnings before interest/tax | $2.3B | $745M | $6.3B | $4.7B |
| Net IncomeAfter-tax profit | $761M | $587M | $3.2B | $2.9B |
| Free Cash FlowCash after capex | $1.8B | $605M | $4.3B | $3.6B |
| Gross MarginGross profit ÷ Revenue | +70.0% | +50.9% | +63.5% | +69.0% |
| Operating MarginEBIT ÷ Revenue | +15.6% | +17.2% | +22.4% | +19.8% |
| Net MarginNet income ÷ Revenue | +9.1% | +18.9% | +12.9% | +14.4% |
| FCF MarginFCF ÷ Revenue | +21.8% | +19.5% | +17.1% | +18.1% |
| Rev. Growth (YoY)Latest quarter vs prior year | +9.3% | +27.0% | +11.4% | +15.9% |
| EPS Growth (YoY)Latest quarter vs prior year | +34.1% | +66.7% | +56.0% | +18.5% |
Valuation Metrics
ZBH leads this category, winning 5 of 7 comparable metrics.
Valuation Metrics
At 21.7x trailing earnings, GMED trades at a 38% valuation discount to SYK's 35.0x P/E. Adjusting for growth (PEG ratio), GMED offers better value at 0.70x vs SYK's 2.36x — a lower PEG means you pay less per unit of expected earnings growth.
| Metric | ||||
|---|---|---|---|---|
| Market CapShares × price | $16.3B | $11.5B | $112.7B | $84.1B |
| Enterprise ValueMkt cap + debt − cash | $23.3B | $11.1B | $123.5B | $94.5B |
| Trailing P/EPrice ÷ TTM EPS | 23.48x | 21.70x | 35.03x | 29.16x |
| Forward P/EPrice ÷ next-FY EPS est. | 9.83x | 19.03x | 19.62x | 16.75x |
| PEG RatioP/E ÷ EPS growth rate | — | 0.70x | 2.36x | — |
| EV / EBITDAEnterprise value multiple | 9.47x | 18.51x | 20.31x | 25.30x |
| Price / SalesMarket cap ÷ Revenue | 1.98x | 3.92x | 4.49x | 4.19x |
| Price / BookPrice ÷ Book value/share | 1.30x | 2.55x | 5.02x | 3.46x |
| Price / FCFMarket cap ÷ FCF | 11.09x | 19.54x | 26.31x | 22.99x |
Profitability & Efficiency
GMED leads this category, winning 6 of 9 comparable metrics.
Profitability & Efficiency
SYK delivers a 15.0% return on equity — every $100 of shareholder capital generates $15 in annual profit, vs $6 for ZBH. GMED carries lower financial leverage with a 0.03x debt-to-equity ratio, signaling a more conservative balance sheet compared to SYK's 0.66x. On the Piotroski fundamental quality scale (0–9), GMED scores 9/9 vs ZBH's 5/9, reflecting strong financial health.
| Metric | ||||
|---|---|---|---|---|
| ROE (TTM)Return on equity | +5.8% | +13.0% | +15.0% | +12.4% |
| ROA (TTM)Return on assets | +3.3% | +11.3% | +6.9% | +6.9% |
| ROICReturn on invested capital | +5.4% | +8.9% | +11.4% | +8.8% |
| ROCEReturn on capital employed | +6.9% | +10.4% | +13.0% | +11.1% |
| Piotroski ScoreFundamental quality 0–9 | 5 | 9 | 6 | 7 |
| Debt / EquityFinancial leverage | 0.59x | 0.03x | 0.66x | 0.51x |
| Net DebtTotal debt minus cash | $6.9B | -$408M | $10.8B | $10.4B |
| Cash & Equiv.Liquid assets | $592M | $526M | $4.0B | $2.0B |
| Total DebtShort + long-term debt | $7.5B | $119M | $14.9B | $12.4B |
| Interest CoverageEBIT ÷ Interest expense | 4.08x | 81.13x | 6.72x | 11.03x |
Total Returns (Dividends Reinvested)
GMED leads this category, winning 5 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in BSX five years ago would be worth $13,117 today (with dividends reinvested), compared to $5,268 for ZBH. Over the past 12 months, GMED leads with a +19.0% total return vs BSX's -46.0%. The 3-year compound annual growth rate (CAGR) favors GMED at 13.5% vs ZBH's -14.4% — a key indicator of consistent wealth creation.
| Metric | ||||
|---|---|---|---|---|
| YTD ReturnYear-to-date | -7.1% | -2.5% | -15.2% | -40.3% |
| 1-Year ReturnPast 12 months | -10.4% | +19.0% | -22.5% | -46.0% |
| 3-Year ReturnCumulative with dividends | -37.2% | +46.3% | +5.5% | +6.5% |
| 5-Year ReturnCumulative with dividends | -47.3% | +16.1% | +21.5% | +31.2% |
| 10-Year ReturnCumulative with dividends | -17.8% | +264.4% | +187.1% | +155.5% |
| CAGR (3Y)Annualised 3-year return | -14.4% | +13.5% | +1.8% | +2.1% |
Risk & Volatility
Evenly matched — GMED and BSX each lead in 1 of 2 comparable metrics.
Risk & Volatility
BSX is the less volatile stock with a 0.34 beta — it tends to amplify market swings less than GMED's 1.29 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 BSX's 51.7% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||||
|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 0.65x | 1.29x | 0.55x | 0.34x |
| 52-Week HighHighest price in past year | $108.29 | $101.40 | $404.87 | $109.50 |
| 52-Week LowLowest price in past year | $79.83 | $51.79 | $289.91 | $54.98 |
| % of 52W HighCurrent price vs 52-week peak | +77.0% | +83.9% | +72.7% | +51.7% |
| RSI (14)Momentum oscillator 0–100 | 34.3 | 45.0 | 24.3 | 33.2 |
| Avg Volume (50D)Average daily shares traded | 2.2M | 998K | 2.1M | 15.5M |
Analyst Outlook
Evenly matched — ZBH and SYK each lead in 1 of 2 comparable metrics.
Analyst Outlook
Analyst consensus: ZBH as "Hold", GMED as "Buy", SYK as "Buy", BSX as "Buy". Consensus price targets imply 61.4% upside for BSX (target: $91) vs 17.4% for ZBH (target: $98). For income investors, ZBH offers the higher dividend yield at 1.15% vs SYK's 1.14%.
| Metric | ||||
|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Hold | Buy | Buy | Buy |
| Price TargetConsensus 12-month target | $97.90 | $110.67 | $403.69 | $91.33 |
| # AnalystsCovering analysts | 42 | 36 | 50 | 43 |
| Dividend YieldAnnual dividend ÷ price | +1.1% | — | +1.1% | — |
| Dividend StreakConsecutive years of raises | 0 | — | 34 | 0 |
| Dividend / ShareAnnual DPS | $0.96 | — | $3.36 | — |
| Buyback YieldShare repurchases ÷ mkt cap | +3.0% | +2.6% | 0.0% | 0.0% |
GMED leads in 3 of 6 categories (Income & Cash Flow, Profitability & Efficiency). ZBH leads in 1 (Valuation Metrics). 2 tied.
ZBH vs GMED vs SYK vs BSX: Key Questions Answered
10 questions · data-driven answers · updated daily
01Is ZBH or GMED or SYK or BSX a better buy right now?
For growth investors, Boston Scientific Corporation (BSX) is the stronger pick with 19.
9% revenue growth year-over-year, versus 7. 2% for Zimmer Biomet Holdings, Inc. (ZBH). Globus Medical, Inc. (GMED) offers the better valuation at 21. 7x trailing P/E (19. 0x forward), making it the more compelling value choice. Analysts rate Globus Medical, Inc. (GMED) a "Buy" — based on 36 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 — ZBH or GMED or SYK or BSX?
On trailing P/E, Globus Medical, Inc.
(GMED) is the cheapest at 21. 7x versus Stryker Corporation at 35. 0x. On forward P/E, Zimmer Biomet Holdings, Inc. is actually cheaper at 9. 8x — 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: Globus Medical, Inc. wins at 0. 61x versus Stryker Corporation's 1. 32x — a PEG below 1. 0 traditionally signals the market is underpricing earnings growth.
03Which is the better long-term investment — ZBH or GMED or SYK or BSX?
Over the past 5 years, Boston Scientific Corporation (BSX) delivered a total return of +31.
2%, compared to -47. 3% for Zimmer Biomet Holdings, Inc. (ZBH). Over 10 years, the gap is even starker: GMED returned +264. 4% versus ZBH's -17. 8%. 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 — ZBH or GMED or SYK or BSX?
By beta (market sensitivity over 5 years), Boston Scientific Corporation (BSX) is the lower-risk stock at 0.
34β versus Globus Medical, Inc. 's 1. 29β — meaning GMED is approximately 275% more volatile than BSX relative to the S&P 500. On balance sheet safety, Globus Medical, Inc. (GMED) carries a lower debt/equity ratio of 3% versus 66% for Stryker Corporation — giving it more financial flexibility in a downturn.
05Which is growing faster — ZBH or GMED or SYK or BSX?
By revenue growth (latest reported year), Boston Scientific Corporation (BSX) is pulling ahead at 19.
9% versus 7. 2% for Zimmer Biomet Holdings, Inc. (ZBH). On earnings-per-share growth, the picture is similar: Globus Medical, Inc. grew EPS 422. 7% year-over-year, compared to -19. 9% for Zimmer Biomet 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.
06Which has better profit margins — ZBH or GMED or SYK or BSX?
Globus Medical, Inc.
(GMED) is the more profitable company, earning 18. 3% net margin versus 8. 6% for Zimmer Biomet Holdings, Inc. — meaning it keeps 18. 3% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: BSX leads at 19. 8% versus 16. 3% for GMED. At the gross margin level — before operating expenses — BSX leads at 69. 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.
07Is ZBH or GMED or SYK or BSX 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, Globus Medical, Inc. (GMED) is the more undervalued stock at a PEG of 0. 61x versus Stryker Corporation's 1. 32x. A PEG below 1. 0 is traditionally considered the threshold for growth-adjusted undervaluation. On forward earnings alone, Zimmer Biomet Holdings, Inc. (ZBH) trades at 9. 8x forward P/E versus 19. 6x for Stryker Corporation — 9. 8x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for BSX: 61. 4% to $91. 33.
08Which pays a better dividend — ZBH or GMED or SYK or BSX?
In this comparison, ZBH (1.
1% yield), SYK (1. 1% yield) pay a dividend. GMED, BSX do not pay a meaningful dividend and should not be held primarily for income.
09Is ZBH or GMED or SYK or BSX better for a retirement portfolio?
For long-horizon retirement investors, Stryker Corporation (SYK) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.
55), 1. 1% yield, +187. 1% 10Y return). Both have compounded well over 10 years (SYK: +187. 1%, GMED: +264. 4%), 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 ZBH and GMED and SYK and BSX?
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: ZBH is a mid-cap quality compounder stock; GMED is a mid-cap high-growth stock; SYK is a mid-cap quality compounder stock; BSX is a mid-cap high-growth stock. ZBH, SYK pay a dividend while GMED, BSX 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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