ALC vs MDT vs PEN Stock Comparison

Alcon, Medtronic and Penumbra Prices as of Oct 27, 2026 Peers: Industry group
ALC Alcon Inc
$69.42 +7.7% 1M -8.8% 1Y
Market cap
$33.84B
P/E
53.2x
Revenue (TTM)
$10.80B
Div. yield
0.40%
Medical Devices Healthcare
MDT Medtronic plc
$93.93 +6.0% 1M -0.2% 1Y
Market cap
$120.23B
P/E
23.0x
Revenue (TTM)
$37.54B
Div. yield
3.04%
Medical Devices Healthcare
7 wins
PEN Penumbra Inc
$324.07 +1.6% 1M +30.7% 1Y
Market cap
$12.76B
P/E
79.4x
Revenue (TTM)
$1.50B
Div. yield
–
Medical Devices Healthcare
4 wins

Head to Head

11 decided of 12

Medtronic leads on 7 of the 12 questions below (Medtronic 7, Penumbra 4). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionALCMDTPENLeader
Larger companyMarket capitalisation $33.84B $120.23B $12.76B MDT
Cheaper on earningsLower P/E, profitable companies only 53.2x 23.0x 79.4x MDT
Cheaper on forward earningsLower price / next fiscal year consensus EPS 21.6x 16.9x 72.3x MDT
Faster revenue growthRevenue growth, trailing twelve months +8.5% +9.8% +17.6% PEN
More profitableNet margin, trailing twelve months 6.0% 13.9% 10.7% MDT
Better return on capitalReturn on invested capital 3.6% 6.9% — MDT
Less leveragedLower net debt / EBITDA — 2.0x — –
Higher dividend yieldTrailing dividend yield 0.40% 3.04% — MDT
Better 1-year returnPrice return, last 12 months -8.8% -0.2% +30.7% PEN
Better 5-year returnAnnualised price return, 5 years -3.5%/yr -5.0%/yr +3.1%/yr PEN
Less volatileAnnualised volatility, 1 year 28.6% 24.7% 26.4% MDT
Higher overall scoreMean of the five percentile scores vs peers 68/100 66/100 74/100 PEN

Percentile Scorecard

ALCMDTPEN

Each axis is the mean percentile of its metrics against the company's industry group. 100 is the best in the group, 50 the middle.

Scores by Axis

AxisALCMDTPEN
Valuation 79 #48 of 227 85 #36 of 227 55 #103 of 227
Growth 48 #114 of 219 51 #107 of 219 93 #16 of 219
Profitability 76 #50 of 206 86 #29 of 206 86 #30 of 206
Financial Health 60 #96 of 238 50 #120 of 238 85 #36 of 238
Shareholder Returns 74 #35 of 134 59 #56 of 134 50 #68 of 134
Overall 68 66 74
  • ALC ranked among 247 companies in Medical Devices and Diagnostics
  • MDT ranked among 247 companies in Medical Devices and Diagnostics
  • PEN ranked among 247 companies in Medical Devices and Diagnostics

Price Performance

Price return, split-adjusted, before dividends. Click a name to hide or show it.

Returns

PeriodALCMDTPENSPY
1 month +7.7%+6.0%+1.6% -0.2%
3 months +0.4%+8.1%+1.3% +3.9%
6 months -7.9%+14.7%-0.6% +8.2%
Year to date -11.9%-2.2%+4.2% +12.9%
1 year -8.8%-0.2%+30.7% +12.3%
3 years -0.9%+35.3%+68.1% +87.4%
3 years, per year -0.3%+10.6%+18.9% +23.3%
5 years -16.1%-22.5%+16.6% +67.9%
5 years, per year -3.5%-5.0%+3.1% +10.9%
10 years —+15.8%+401.7% +261.1%
10 years, per year —+1.5%+17.5% +13.7%

Risk

MeasureALCMDTPENSPY
Volatility, 1Y 28.6%24.7%26.4% 12.7%
Downside volatility, 1Y 28.8%22.0%17.7% 12.7%
Beta vs S&P 500, 1Y 0.380.110.06 1.00
Return / volatility, 1Y -0.31-0.011.16 0.97
Max drawdown, 5Y -38.4%-43.6%-59.7% -25.4%
From 52-week high -20.4%-10.8%-9.8% -1.2%
52-week high $87.18$105.35$359.40 $779.14
52-week low $62.02$73.75$225.54 $631.97

Valuation History

Weekly multiples on trailing twelve-month fundamentals. Negative or extreme readings (a loss year, a collapsed denominator) are left out so the chart stays readable.

MultipleALCMDTPEN
P/E now vs peer median 53.2xmedian 29.6x 23.0xmedian 29.6x 79.4xmedian 29.6x
P/S now vs peer median 3.1xmedian 2.9x 3.2xmedian 2.9x 8.5xmedian 2.9x
EV/EBITDA now vs peer median —median 17.4x 14.4xmedian 17.4x 59.2xmedian 17.4x
P/FCF now vs peer median 19.4xmedian 22.3x 19.6xmedian 22.3x 59.1xmedian 22.3x
P/B now vs peer median 1.6xmedian 2.3x 2.4xmedian 2.3x 8.3xmedian 2.3x
PEG now vs peer median 2.54median 1.04 1.59median 1.04 1.04median 1.04

Financial History

Reported figures by fiscal period, placed on the calendar year (or quarter) each period ended in, so companies with different fiscal years line up.

Trailing twelve monthsALCMDTPEN
Revenue $10.80B $37.54B $1.50B
Gross profit $6.17B $24.41B $1.02B
Operating income $948.00M $6.79B $187.34M
Net income $643.00M $5.27B $160.59M
Free cash flow $1.74B $6.13B $215.91M
R&D $1.43B $2.92B $92.25M
EPS (diluted) $1.30 $4.07 $4.06
Cash & equivalents $1.36B $1.69B $205.27M
Total debt $4.72B $113.29B –
Shares (diluted) 496.20M 1.29B 39.57M
Enterprise value $24.80B $86.10B $10.48B

All Metrics

58 metrics · best in bold

Bold marks the best reading: the lowest positive value for multiples, leverage and payout, the highest for everything else. The bar under each value is its percentile against that company's own peers. Hover a value for its rank and the peer median.

Valuation

12 metrics
MetricALCMDTPEN
P/E 53.2x 23.0x 79.4x
P/FCF 19.4x 19.6x 59.1x
P/Operating cash flow 14.6x 15.0x 45.9x
P/S 3.1x 3.2x 8.5x
P/B 1.6x 2.4x 8.3x
P/Tangible book 2.5x 3.0x 8.4x
EV/EBITDA – 14.4x 59.2x
EV/EBIT 38.4x 20.6x 64.6x
EV/Revenue 3.4x 3.7x 8.0x
EV/FCF 20.9x 22.8x 56.1x
EV/Operating cash flow 15.8x 17.4x 43.6x
PEG (3Y EPS CAGR) 2.54 1.59 1.04

Growth

14 metrics
MetricALCMDTPEN
Revenue growth (1Y) 8.5% 9.8% 17.6%
Revenue CAGR (3Y) 5.9% 6.0% 17.1%
Gross profit growth (1Y) 11.7% 9.3% 20.0%
Gross profit CAGR (3Y) 7.3% 5.6% 19.9%
Operating income growth (1Y) -34.3% 10.9% 17.6%
Operating income CAGR (3Y) 7.5% 6.4% 73.0%
Net income growth (1Y) -40.1% 12.4% 8.7%
Net income CAGR (3Y) 21.1% 13.0% 76.7%
EPS growth (1Y) -40.7% 12.4% 7.8%
EPS CAGR (3Y) 21.0% 14.5% 76.1%
Operating cash flow growth (1Y) 10.3% 12.4% 37.9%
Operating cash flow CAGR (3Y) 25.9% 11.3% 146.0%
Free cash flow growth (1Y) 7.5% 15.6% 33.6%
Free cash flow CAGR (3Y) 48.0% 11.3% 650.9%

Profitability

14 metrics
MetricALCMDTPEN
Gross margin 57.2% 65.0% 67.8%
EBITDA margin – 25.9% 13.6%
Operating margin 8.8% 18.1% 12.4%
Pretax margin 6.9% 17.6% 13.5%
Net margin 6.0% 13.9% 10.7%
FCF margin 16.1% 16.3% 14.3%
Operating cash flow margin 21.4% 21.4% 18.5%
Return on equity 2.9% 10.4% 10.7%
Return on assets 2.1% 5.7% 8.3%
Return on invested capital 3.6% 6.9% –
Return on capital employed 3.4% 8.3% 11.0%
Asset turnover 0.3x 0.4x 0.8x
Cash conversion (OCF / net income) 3.6x 1.5x 1.7x
Stock comp / revenue 1.6% 1.3% 4.0%

Financial Health

11 metrics
MetricALCMDTPEN
Debt / assets 15.2% 30.2% –
Debt / equity 0.2x 0.6x –
Net debt / EBITDA – 2.0x –
Debt / FCF 2.7x 4.6x –
Liabilities / assets 30.6% 45.5% 22.5%
Equity / assets 69.4% 54.5% 77.5%
Interest coverage 9.2x 9.4x –
Current ratio 2.1x 2.1x 5.7x
Quick ratio 1.3x 1.3x 3.6x
Cash ratio 0.7x 0.7x 2.8x
Altman Z-score – 3.00 19.22

Shareholder Returns

7 metrics
MetricALCMDTPEN
Dividend yield 0.4% 3.0% –
Net buyback yield 2.7% 0.2% -0.2%
Shareholder yield 3.1% 3.2% -0.2%
Payout ratio (earnings) – 69.3% –
Payout ratio (FCF) – 59.5% –
Dividend growth (1Y) – 1.4% –
Dividend CAGR (3Y) – 0.2% –

Analyst Estimates

Solid lines are reported fiscal-year results; dashed lines are the consensus for the years ahead. Hover a year for the analysts' high and low, and how each result compared with its estimate.

ConsensusALCMDTPEN
Forward P/E 21.6xFY2026 16.9xFY2026 72.3xFY2026
EPS, next fiscal year $3.22FY2026 $5.57FY2026 $4.48FY2026
EPS growth, next FY +7.7%FY2026 +0.7%FY2026 +16.7%FY2026
EPS growth, the year after +15.5% +7.2% +42.6%
Revenue, next fiscal year $10.50BFY2026 $39.92BFY2026 $1.63BFY2026
Revenue growth, next FY +4.3%FY2026 +9.8%FY2026 +16.3%FY2026
Revenue growth, the year after +8.1% -4.7% +7.5%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersALCMDTPEN
Held by institutions 48.8% 85.1% 86.6%
Institutions holding 629 2,124 451
Change in shares held, QoQ +5.3% -0.2% +0.9%
Institutions buying 225 1,013 195
Institutions selling 274 913 182
Buyers to sellers 0.82 1.11 1.07

Return Correlation

Daily returns, last 12 months

1.00 means two stocks move in lockstep, 0 that they move independently. Pairs below about 0.5 diversify each other.

ALCMDTPEN
ALC 1.00 0.47 0.15
MDT 0.47 1.00 0.21
PEN 0.15 0.21 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ALC, MDT and PEN?

Medtronic (MDT) is the largest by market capitalisation: Alcon (ALC) $33.84B, Medtronic (MDT) $120.23B, Penumbra (PEN) $12.76B.

Which stock is cheaper, ALC, MDT and PEN?

Medtronic (MDT) trades on the lowest price-to-earnings ratio (Alcon (ALC) 53.2x, Medtronic (MDT) 23.0x, Penumbra (PEN) 79.4x). On next year's consensus earnings, Medtronic (MDT) is cheapest (Alcon (ALC) 21.6x, Medtronic (MDT) 16.9x, Penumbra (PEN) 72.3x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Penumbra (PEN) grew revenue fastest over the trailing twelve months: Alcon (ALC) +8.5%, Medtronic (MDT) +9.8%, Penumbra (PEN) +17.6%.

Which company is more profitable?

Medtronic (MDT) has the highest net margin (Alcon (ALC) 6.0%, Medtronic (MDT) 13.9%, Penumbra (PEN) 10.7%). On return on invested capital, Medtronic (MDT) leads (Alcon (ALC) 3.6%, Medtronic (MDT) 6.9%).

Which stock has performed better?

Over the past year Penumbra (PEN) returned the most: Alcon (ALC) -8.8%, Medtronic (MDT) -0.2%, Penumbra (PEN) +30.7%. Over five years, Penumbra (PEN) compounded fastest (Alcon (ALC) -3.5%/yr, Medtronic (MDT) -5.0%/yr, Penumbra (PEN) +3.1%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Medtronic (MDT) has the highest dividend yield: Alcon (ALC) 0.40%, Medtronic (MDT) 3.04%. Penumbra (PEN) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Medtronic (MDT) has been the steadiest (Alcon (ALC) 28.6%, Medtronic (MDT) 24.7%, Penumbra (PEN) 26.4%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, ALC, MDT and PEN?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Medtronic (MDT) leads on 7. Business Quant does not give investment advice; use the comparison as a starting point for your own research.

Data from SEC filings, exchange prices and consensus estimates, via Business Quant. Percentile scores compare each company with its own peer group, so two companies' scores are each relative to different peers unless you rank against the whole market. Price returns exclude dividends. Nothing on this page is investment advice.