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ZYXI vs DBVT vs ALKS vs STIM
Revenue, margins, valuation, and 5-year total return — side by side.
Biotechnology
Biotechnology
Medical - Diagnostics & Research
ZYXI vs DBVT vs ALKS vs STIM — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||||
|---|---|---|---|---|
| Industry | Medical - Distribution | Biotechnology | Biotechnology | Medical - Diagnostics & Research |
| Market Cap | $2M | $1712.35T | $5.90B | $128M |
| Revenue (TTM) | $108M | $0.00 | $1.56B | $152M |
| Net Income (TTM) | $-74M | $-168M | $153M | $-37M |
| Gross Margin | 71.6% | — | 65.4% | 48.0% |
| Operating Margin | -62.8% | — | 12.3% | -19.4% |
| Forward P/E | 0.6x | — | 24.8x | — |
| Total Debt | $74M | $22M | $70M | $90M |
| Cash & Equiv. | $40M | $194M | $1.12B | $34M |
ZYXI vs DBVT vs ALKS vs STIM — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | Mar 26 | Return |
|---|---|---|---|
| Zynex, Inc. (ZYXI) | 100 | 0.3 | -99.7% |
| DBV Technologies S.… (DBVT) | 100 | 44.6 | -55.4% |
| Alkermes plc (ALKS) | 100 | 207.2 | +107.2% |
| Neuronetics, Inc. (STIM) | 100 | 114.2 | +14.2% |
Price return only. Dividends and distributions are not included.
Quick Verdict: ZYXI vs DBVT vs ALKS vs STIM
Each card shows where this stock fits in a portfolio — not just who wins on paper.
ZYXI is the #2 pick in this set and the best alternative if value and dividends is your priority.
- Better valuation composite
- 0.5% yield; 1-year raise streak; the other 3 pay no meaningful dividend
DBVT is the clearest fit if your priority is income & stability.
- Dividend streak 0 yrs, beta 1.26
- +110.4% vs ZYXI's -97.4%
ALKS carries the broadest edge in this set and is the clearest fit for long-term compounding and sleep-well-at-night.
- -11.0% 10Y total return vs DBVT's -87.0%
- Lower volatility, beta 1.06, Low D/E 3.8%, current ratio 3.55x
- Beta 1.06, current ratio 3.55x
- 9.8% margin vs ZYXI's -68.4%
STIM is the clearest fit if your priority is growth exposure.
- Rev growth 99.2%, EPS growth 57.2%, 3Y rev CAGR 31.8%
- 99.2% revenue growth vs DBVT's -100.0%
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 99.2% revenue growth vs DBVT's -100.0% | |
| Value | Better valuation composite | |
| Quality / Margins | 9.8% margin vs ZYXI's -68.4% | |
| Stability / Safety | Beta 1.06 vs ZYXI's 4.55, lower leverage | |
| Dividends | 0.5% yield; 1-year raise streak; the other 3 pay no meaningful dividend | |
| Momentum (1Y) | +110.4% vs ZYXI's -97.4% | |
| Efficiency (ROA) | 5.4% ROA vs DBVT's -89.0% |
ZYXI vs DBVT vs ALKS vs STIM — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
Segment breakdown not available.
ZYXI vs DBVT vs ALKS vs STIM — Financial Metrics
Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
ALKS leads in 3 of 6 categories
ZYXI leads 2 • DBVT leads 1 • STIM leads 0
Explore the data ↓Income & Cash Flow (Last 12 Months)
ALKS leads this category, winning 4 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
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 ZYXI's -68.4%. On growth, ALKS holds the edge at +28.2% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||||
|---|---|---|---|---|
| RevenueTrailing 12 months | $108M | $0 | $1.6B | $152M |
| EBITDAEarnings before interest/tax | -$64M | -$112M | $212M | -$27M |
| Net IncomeAfter-tax profit | -$74M | -$168M | $153M | -$37M |
| Free Cash FlowCash after capex | -$21M | -$151M | $392M | -$4M |
| Gross MarginGross profit ÷ Revenue | +71.6% | — | +65.4% | +48.0% |
| Operating MarginEBIT ÷ Revenue | -62.8% | — | +12.3% | -19.4% |
| Net MarginNet income ÷ Revenue | -68.4% | — | +9.8% | -24.5% |
| FCF MarginFCF ÷ Revenue | -19.4% | — | +25.1% | -2.6% |
| Rev. Growth (YoY)Latest quarter vs prior year | -73.3% | — | +28.2% | +7.8% |
| EPS Growth (YoY)Latest quarter vs prior year | -20.1% | +91.5% | -4.1% | +23.8% |
Valuation Metrics
ZYXI leads this category, winning 4 of 5 comparable metrics.
Valuation Metrics
At 0.6x trailing earnings, ZYXI trades at a 98% valuation discount to ALKS's 24.8x P/E. On an enterprise value basis, ZYXI's 3.3x EV/EBITDA is more attractive than ALKS's 17.3x.
| Metric | ||||
|---|---|---|---|---|
| Market CapShares × price | $2M | $1712.35T | $5.9B | $128M |
| Enterprise ValueMkt cap + debt − cash | $36M | $1712.35T | $4.9B | $184M |
| Trailing P/EPrice ÷ TTM EPS | 0.61x | -0.76x | 24.76x | -3.12x |
| Forward P/EPrice ÷ next-FY EPS est. | — | — | — | — |
| PEG RatioP/E ÷ EPS growth rate | — | — | — | — |
| EV / EBITDAEnterprise value multiple | 3.33x | — | 17.25x | — |
| Price / SalesMarket cap ÷ Revenue | 0.01x | — | 4.00x | 0.86x |
| Price / BookPrice ÷ Book value/share | 0.05x | 0.66x | 3.28x | 4.62x |
| Price / FCFMarket cap ÷ FCF | 0.14x | — | 12.28x | — |
Profitability & Efficiency
ALKS leads this category, winning 8 of 9 comparable metrics.
Profitability & Efficiency
ALKS delivers a 8.8% return on equity — every $100 of shareholder capital generates $9 in annual profit, vs $-18 for ZYXI. ALKS carries lower financial leverage with a 0.04x debt-to-equity ratio, signaling a more conservative balance sheet compared to STIM's 3.44x. On the Piotroski fundamental quality scale (0–9), ALKS scores 7/9 vs STIM's 4/9, reflecting strong financial health.
| Metric | ||||
|---|---|---|---|---|
| ROE (TTM)Return on equity | -18.1% | -130.2% | +8.8% | -139.8% |
| ROA (TTM)Return on assets | -82.4% | -89.0% | +5.4% | -27.1% |
| ROICReturn on invested capital | +6.1% | — | +18.9% | -26.6% |
| ROCEReturn on capital employed | +5.4% | -145.7% | +14.2% | -28.5% |
| Piotroski ScoreFundamental quality 0–9 | 6 | 4 | 7 | 4 |
| Debt / EquityFinancial leverage | 2.07x | 0.13x | 0.04x | 3.44x |
| Net DebtTotal debt minus cash | $34M | -$172M | -$1.0B | $56M |
| Cash & Equiv.Liquid assets | $40M | $194M | $1.1B | $34M |
| Total DebtShort + long-term debt | $74M | $22M | $70M | $90M |
| Interest CoverageEBIT ÷ Interest expense | -22.32x | -189.82x | 32.30x | -2.43x |
Total Returns (Dividends Reinvested)
DBVT leads this category, winning 3 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in ALKS five years ago would be worth $16,091 today (with dividends reinvested), compared to $111 for ZYXI. Over the past 12 months, DBVT leads with a +110.4% total return vs ZYXI's -97.4%. The 3-year compound annual growth rate (CAGR) favors DBVT at 6.2% vs ZYXI's -82.1% — a key indicator of consistent wealth creation.
| Metric | ||||
|---|---|---|---|---|
| YTD ReturnYear-to-date | -49.1% | +4.9% | +25.3% | +27.8% |
| 1-Year ReturnPast 12 months | -97.4% | +110.4% | +16.5% | -59.6% |
| 3-Year ReturnCumulative with dividends | -99.4% | +19.7% | +14.5% | -16.4% |
| 5-Year ReturnCumulative with dividends | -98.9% | -69.1% | +60.9% | -86.7% |
| 10-Year ReturnCumulative with dividends | -29.4% | -87.0% | -11.0% | -93.4% |
| CAGR (3Y)Annualised 3-year return | -82.1% | +6.2% | +4.6% | -5.8% |
Risk & Volatility
ALKS leads this category, winning 2 of 2 comparable metrics.
Risk & Volatility
ALKS is the less volatile stock with a 1.06 beta — it tends to amplify market swings less than ZYXI's 4.55 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 ZYXI's 2.0% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||||
|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 4.55x | 1.26x | 1.06x | 1.90x |
| 52-Week HighHighest price in past year | $2.82 | $26.18 | $36.60 | $4.85 |
| 52-Week LowLowest price in past year | $0.02 | $7.53 | $25.17 | $0.80 |
| % of 52W HighCurrent price vs 52-week peak | +2.0% | +76.3% | +96.7% | +37.9% |
| RSI (14)Momentum oscillator 0–100 | 59.5 | 48.1 | 60.2 | 59.6 |
| Avg Volume (50D)Average daily shares traded | 96K | 252K | 2.3M | 2.0M |
Analyst Outlook
ZYXI leads this category, winning 1 of 1 comparable metric.
Analyst Outlook
Analyst consensus: DBVT as "Buy", ALKS as "Buy", STIM as "Buy". Consensus price targets imply 334.8% upside for STIM (target: $8) vs 24.3% for ALKS (target: $44). ZYXI is the only dividend payer here at 0.51% yield — a key consideration for income-focused portfolios.
| Metric | ||||
|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | — | Buy | Buy | Buy |
| Price TargetConsensus 12-month target | — | $46.33 | $44.00 | $8.00 |
| # AnalystsCovering analysts | — | 15 | 28 | 7 |
| Dividend YieldAnnual dividend ÷ price | +0.5% | — | — | — |
| Dividend StreakConsecutive years of raises | 1 | 0 | 0 | — |
| Dividend / ShareAnnual DPS | $0.00 | — | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | +100.0% | 0.0% | +0.5% | 0.0% |
ALKS leads in 3 of 6 categories (Income & Cash Flow, Profitability & Efficiency). ZYXI leads in 2 (Valuation Metrics, Analyst Outlook).
ZYXI vs DBVT vs ALKS vs STIM: Key Questions Answered
9 questions · data-driven answers · updated daily
01Is ZYXI or DBVT or ALKS or STIM a better buy right now?
For growth investors, Neuronetics, Inc.
(STIM) is the stronger pick with 99. 2% revenue growth year-over-year, versus -5. 2% for Alkermes plc (ALKS). Zynex, Inc. (ZYXI) offers the better valuation at 0. 6x 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.
02Which has the better valuation — ZYXI or DBVT or ALKS or STIM?
On trailing P/E, Zynex, Inc.
(ZYXI) is the cheapest at 0. 6x versus Alkermes plc at 24. 8x.
03Which is the better long-term investment — ZYXI or DBVT or ALKS or STIM?
Over the past 5 years, Alkermes plc (ALKS) delivered a total return of +60.
9%, compared to -98. 9% for Zynex, Inc. (ZYXI). Over 10 years, the gap is even starker: ALKS returned -11. 0% versus STIM's -93. 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 — ZYXI or DBVT or ALKS or STIM?
By beta (market sensitivity over 5 years), Alkermes plc (ALKS) is the lower-risk stock at 1.
06β versus Zynex, Inc. 's 4. 55β — meaning ZYXI is approximately 329% more volatile than ALKS relative to the S&P 500. On balance sheet safety, Alkermes plc (ALKS) carries a lower debt/equity ratio of 4% versus 3% for Neuronetics, Inc. — giving it more financial flexibility in a downturn.
05Which is growing faster — ZYXI or DBVT or ALKS or STIM?
By revenue growth (latest reported year), Neuronetics, Inc.
(STIM) is pulling ahead at 99. 2% versus -5. 2% for Alkermes plc (ALKS). On earnings-per-share growth, the picture is similar: Neuronetics, Inc. grew EPS 57. 2% year-over-year, compared to -347. 5% for DBV Technologies S. A.. Over a 3-year CAGR, STIM leads at 31. 8% 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 — ZYXI or DBVT or ALKS or STIM?
Alkermes plc (ALKS) is the more profitable company, earning 16.
4% net margin versus -26. 1% for Neuronetics, Inc. — 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 -21. 1% for STIM. 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.
07Which pays a better dividend — ZYXI or DBVT or ALKS or STIM?
In this comparison, ZYXI (0.
5% yield) pays a dividend. DBVT, ALKS, STIM do not pay a meaningful dividend and should not be held primarily for income.
08Is ZYXI or DBVT or ALKS or STIM better for a retirement portfolio?
For long-horizon retirement investors, Alkermes plc (ALKS) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 1.
06)). Neuronetics, Inc. (STIM) carries a higher beta of 1. 90 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (ALKS: -11. 0%, STIM: -93. 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.
09What are the main differences between ZYXI and DBVT and ALKS and STIM?
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: ZYXI is a small-cap deep-value stock; DBVT is a mega-cap quality compounder stock; ALKS is a small-cap quality compounder stock; STIM is a small-cap high-growth stock. ZYXI pays a dividend while DBVT, ALKS, STIM 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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