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4 / 10Stock Comparison
ZYXI vs UNH vs MCK vs INVA
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Healthcare Plans
Medical - Distribution
Biotechnology
ZYXI vs UNH vs MCK vs INVA — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||||
|---|---|---|---|---|
| Industry | Medical - Distribution | Medical - Healthcare Plans | Medical - Distribution | Biotechnology |
| Market Cap | $2M | $335.60B | $92.15B | $1.93B |
| Revenue (TTM) | $108M | $449.71B | $403.43B | $424M |
| Net Income (TTM) | $-74M | $12.04B | $4.76B | $504M |
| Gross Margin | 71.6% | 18.8% | 3.6% | 76.2% |
| Operating Margin | -62.8% | 4.2% | 1.5% | 14.8% |
| Forward P/E | 0.6x | 20.2x | 19.3x | 11.9x |
| Total Debt | $74M | $78.39B | $7.39B | $269M |
| Cash & Equiv. | $40M | $24.36B | $5.69B | $551M |
ZYXI vs UNH vs MCK vs INVA — 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% |
| UnitedHealth Group … (UNH) | 100 | 94.1 | -5.9% |
| McKesson Corporation (MCK) | 100 | 523.9 | +423.9% |
| Innoviva, Inc. (INVA) | 100 | 143.2 | +43.2% |
Price return only. Dividends and distributions are not included.
Quick Verdict: ZYXI vs UNH vs MCK vs INVA
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 is your priority.
- Lower P/E (0.6x vs 11.9x)
UNH is the clearest fit if your priority is income & stability.
- Dividend streak 25 yrs, beta 0.59, yield 2.4%
- 2.4% yield, 25-year raise streak, vs ZYXI's 0.5%, (1 stock pays no dividend)
MCK is the clearest fit if your priority is long-term compounding and valuation efficiency.
- 348.1% 10Y total return vs UNH's 220.6%
- PEG 0.49 vs INVA's 1.15
- Beta 0.04, yield 0.4%, current ratio 0.90x
- Beta 0.04 vs ZYXI's 4.55
INVA carries the broadest edge in this set and is the clearest fit for growth exposure and sleep-well-at-night.
- Rev growth 18.5%, EPS growth 8.2%, 3Y rev CAGR 8.7%
- Lower volatility, beta 0.13, Low D/E 22.9%, current ratio 14.64x
- 18.5% revenue growth vs ZYXI's 4.4%
- 118.9% margin vs ZYXI's -68.4%
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 18.5% revenue growth vs ZYXI's 4.4% | |
| Value | Lower P/E (0.6x vs 11.9x) | |
| Quality / Margins | 118.9% margin vs ZYXI's -68.4% | |
| Stability / Safety | Beta 0.04 vs ZYXI's 4.55 | |
| Dividends | 2.4% yield, 25-year raise streak, vs ZYXI's 0.5%, (1 stock pays no dividend) | |
| Momentum (1Y) | +21.7% vs ZYXI's -97.4% | |
| Efficiency (ROA) | 32.4% ROA vs ZYXI's -82.4%, ROIC 14.2% vs 6.1% |
ZYXI vs UNH vs MCK vs INVA — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
ZYXI vs UNH vs MCK vs INVA — Financial Metrics
Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
INVA leads in 1 of 6 categories
ZYXI leads 1 • MCK leads 1 • UNH leads 1 • 2 tied
Explore the data ↓Income & Cash Flow (Last 12 Months)
INVA leads this category, winning 6 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
UNH is the larger business by revenue, generating $449.7B annually — 4156.2x ZYXI's $108M. INVA is the more profitable business, keeping 118.9% of every revenue dollar as net income compared to ZYXI's -68.4%. On growth, INVA holds the edge at +10.6% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||||
|---|---|---|---|---|
| RevenueTrailing 12 months | $108M | $449.7B | $403.4B | $424M |
| EBITDAEarnings before interest/tax | -$64M | $23.2B | $6.8B | $86M |
| Net IncomeAfter-tax profit | -$74M | $12.0B | $4.8B | $504M |
| Free Cash FlowCash after capex | -$21M | $19.7B | $6.0B | $181M |
| Gross MarginGross profit ÷ Revenue | +71.6% | +18.8% | +3.6% | +76.2% |
| Operating MarginEBIT ÷ Revenue | -62.8% | +4.2% | +1.5% | +14.8% |
| Net MarginNet income ÷ Revenue | -68.4% | +2.7% | +1.2% | +118.9% |
| FCF MarginFCF ÷ Revenue | -19.4% | +4.4% | +1.5% | +42.8% |
| Rev. Growth (YoY)Latest quarter vs prior year | -73.3% | +2.0% | +6.0% | +10.6% |
| EPS Growth (YoY)Latest quarter vs prior year | -20.1% | +0.7% | +37.0% | +4.0% |
Valuation Metrics
ZYXI leads this category, winning 5 of 7 comparable metrics.
Valuation Metrics
At 0.6x trailing earnings, ZYXI trades at a 98% valuation discount to MCK's 29.2x P/E. Adjusting for growth (PEG ratio), INVA offers better value at 0.67x vs MCK's 0.75x — a lower PEG means you pay less per unit of expected earnings growth.
| Metric | ||||
|---|---|---|---|---|
| Market CapShares × price | $2M | $335.6B | $92.1B | $1.9B |
| Enterprise ValueMkt cap + debt − cash | $36M | $389.6B | $93.8B | $1.7B |
| Trailing P/EPrice ÷ TTM EPS | 0.61x | 27.95x | 29.25x | 6.91x |
| Forward P/EPrice ÷ next-FY EPS est. | — | 20.19x | 19.28x | 11.91x |
| PEG RatioP/E ÷ EPS growth rate | — | — | 0.75x | 0.67x |
| EV / EBITDAEnterprise value multiple | 3.33x | 16.70x | 18.74x | 8.10x |
| Price / SalesMarket cap ÷ Revenue | 0.01x | 0.75x | 0.26x | 4.55x |
| Price / BookPrice ÷ Book value/share | 0.05x | 3.31x | — | 1.65x |
| Price / FCFMarket cap ÷ FCF | 0.14x | 20.88x | 17.63x | 9.88x |
Profitability & Efficiency
Evenly matched — MCK and INVA each lead in 4 of 9 comparable metrics.
Profitability & Efficiency
MCK delivers a 3.0% return on equity — every $100 of shareholder capital generates $3 in annual profit, vs $-18 for ZYXI. INVA carries lower financial leverage with a 0.23x debt-to-equity ratio, signaling a more conservative balance sheet compared to ZYXI's 2.07x. On the Piotroski fundamental quality scale (0–9), ZYXI scores 6/9 vs INVA's 5/9, reflecting solid financial health.
| Metric | ||||
|---|---|---|---|---|
| ROE (TTM)Return on equity | -18.1% | +11.5% | +3.0% | +46.5% |
| ROA (TTM)Return on assets | -82.4% | +3.9% | +5.7% | +32.4% |
| ROICReturn on invested capital | +6.1% | +9.2% | +5.4% | +14.2% |
| ROCEReturn on capital employed | +5.4% | +9.7% | +30.5% | +12.4% |
| Piotroski ScoreFundamental quality 0–9 | 6 | 6 | 6 | 5 |
| Debt / EquityFinancial leverage | 2.07x | 0.77x | — | 0.23x |
| Net DebtTotal debt minus cash | $34M | $54.0B | $1.7B | -$282M |
| Cash & Equiv.Liquid assets | $40M | $24.4B | $5.7B | $551M |
| Total DebtShort + long-term debt | $74M | $78.4B | $7.4B | $269M |
| Interest CoverageEBIT ÷ Interest expense | -22.32x | 4.71x | 33.79x | 63.45x |
Total Returns (Dividends Reinvested)
MCK leads this category, winning 4 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in MCK five years ago would be worth $38,689 today (with dividends reinvested), compared to $111 for ZYXI. Over the past 12 months, INVA leads with a +21.7% total return vs ZYXI's -97.4%. The 3-year compound annual growth rate (CAGR) favors MCK at 27.3% vs ZYXI's -82.1% — a key indicator of consistent wealth creation.
| Metric | ||||
|---|---|---|---|---|
| YTD ReturnYear-to-date | -49.1% | +10.6% | -8.5% | +14.7% |
| 1-Year ReturnPast 12 months | -97.4% | -3.2% | +4.6% | +21.7% |
| 3-Year ReturnCumulative with dividends | -99.4% | -19.9% | +106.4% | +95.2% |
| 5-Year ReturnCumulative with dividends | -98.9% | -2.6% | +286.9% | +94.4% |
| 10-Year ReturnCumulative with dividends | -29.4% | +220.6% | +348.1% | +94.9% |
| CAGR (3Y)Annualised 3-year return | -82.1% | -7.1% | +27.3% | +25.0% |
Risk & Volatility
Evenly matched — UNH and MCK each lead in 1 of 2 comparable metrics.
Risk & Volatility
MCK is the less volatile stock with a 0.04 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. UNH currently trades 93.5% 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 | 0.59x | 0.04x | 0.13x |
| 52-Week HighHighest price in past year | $2.82 | $395.52 | $999.00 | $25.15 |
| 52-Week LowLowest price in past year | $0.02 | $234.60 | $637.00 | $16.52 |
| % of 52W HighCurrent price vs 52-week peak | +2.0% | +93.5% | +75.3% | +90.7% |
| RSI (14)Momentum oscillator 0–100 | 59.5 | 75.9 | 16.2 | 39.9 |
| Avg Volume (50D)Average daily shares traded | 96K | 7.9M | 757K | 621K |
Analyst Outlook
UNH leads this category, winning 2 of 2 comparable metrics.
Analyst Outlook
Analyst consensus: UNH as "Buy", MCK as "Buy", INVA as "Buy". Consensus price targets imply 65.2% upside for INVA (target: $38) vs 4.2% for UNH (target: $385). For income investors, UNH offers the higher dividend yield at 2.35% vs MCK's 0.36%.
| Metric | ||||
|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | — | Buy | Buy | Buy |
| Price TargetConsensus 12-month target | — | $385.43 | $1006.50 | $37.67 |
| # AnalystsCovering analysts | — | 52 | 31 | 10 |
| Dividend YieldAnnual dividend ÷ price | +0.5% | +2.4% | +0.4% | — |
| Dividend StreakConsecutive years of raises | 1 | 25 | 17 | 0 |
| Dividend / ShareAnnual DPS | $0.00 | $8.70 | $2.69 | — |
| Buyback YieldShare repurchases ÷ mkt cap | +100.0% | +1.7% | +3.4% | +0.2% |
INVA leads in 1 of 6 categories (Income & Cash Flow). ZYXI leads in 1 (Valuation Metrics). 2 tied.
ZYXI vs UNH vs MCK vs INVA: Key Questions Answered
10 questions · data-driven answers · updated daily
01Is ZYXI or UNH or MCK or INVA a better buy right now?
For growth investors, Innoviva, Inc.
(INVA) is the stronger pick with 18. 5% revenue growth year-over-year, versus 4. 4% for Zynex, Inc. (ZYXI). Zynex, Inc. (ZYXI) offers the better valuation at 0. 6x trailing P/E, making it the more compelling value choice. Analysts rate UnitedHealth Group Incorporated (UNH) a "Buy" — based on 52 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 UNH or MCK or INVA?
On trailing P/E, Zynex, Inc.
(ZYXI) is the cheapest at 0. 6x versus McKesson Corporation at 29. 2x. On forward P/E, Innoviva, Inc. is actually cheaper at 11. 9x — 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: McKesson Corporation wins at 0. 49x versus Innoviva, Inc. 's 1. 15x — a PEG below 1. 0 traditionally signals the market is underpricing earnings growth.
03Which is the better long-term investment — ZYXI or UNH or MCK or INVA?
Over the past 5 years, McKesson Corporation (MCK) delivered a total return of +286.
9%, compared to -98. 9% for Zynex, Inc. (ZYXI). Over 10 years, the gap is even starker: MCK returned +348. 1% versus ZYXI's -29. 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 UNH or MCK or INVA?
By beta (market sensitivity over 5 years), McKesson Corporation (MCK) is the lower-risk stock at 0.
04β versus Zynex, Inc. 's 4. 55β — meaning ZYXI is approximately 10453% more volatile than MCK relative to the S&P 500. On balance sheet safety, Innoviva, Inc. (INVA) carries a lower debt/equity ratio of 23% versus 2% for Zynex, Inc. — giving it more financial flexibility in a downturn.
05Which is growing faster — ZYXI or UNH or MCK or INVA?
By revenue growth (latest reported year), Innoviva, Inc.
(INVA) is pulling ahead at 18. 5% versus 4. 4% for Zynex, Inc. (ZYXI). On earnings-per-share growth, the picture is similar: Innoviva, Inc. grew EPS 816. 7% year-over-year, compared to -66. 7% for Zynex, Inc.. Over a 3-year CAGR, ZYXI leads at 13. 9% 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 UNH or MCK or INVA?
Innoviva, Inc.
(INVA) is the more profitable company, earning 63. 8% net margin versus 0. 9% for McKesson Corporation — meaning it keeps 63. 8% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: INVA leads at 38. 5% versus 1. 2% for MCK. At the gross margin level — before operating expenses — ZYXI leads at 79. 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.
07Is ZYXI or UNH or MCK or INVA 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, McKesson Corporation (MCK) is the more undervalued stock at a PEG of 0. 49x versus Innoviva, Inc. 's 1. 15x. A PEG below 1. 0 is traditionally considered the threshold for growth-adjusted undervaluation. On forward earnings alone, Innoviva, Inc. (INVA) trades at 11. 9x forward P/E versus 20. 2x for UnitedHealth Group Incorporated — 8. 3x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for INVA: 65. 2% to $37. 67.
08Which pays a better dividend — ZYXI or UNH or MCK or INVA?
In this comparison, UNH (2.
4% yield), ZYXI (0. 5% yield), MCK (0. 4% yield) pay a dividend. INVA does not pay a meaningful dividend and should not be held primarily for income.
09Is ZYXI or UNH or MCK or INVA better for a retirement portfolio?
For long-horizon retirement investors, McKesson Corporation (MCK) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.
04), +348. 1% 10Y return). Zynex, Inc. (ZYXI) carries a higher beta of 4. 55 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (MCK: +348. 1%, ZYXI: -29. 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 ZYXI and UNH and MCK and INVA?
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; UNH is a large-cap quality compounder stock; MCK is a mid-cap high-growth stock; INVA is a small-cap high-growth stock. ZYXI, UNH pay a dividend while MCK, INVA 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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