ALGN vs MLSS vs NVST Stock Comparison

Align Technology, Milestone Scientific and Envista Holdings Prices as of Nov 4, 2026 Peers: Industry group
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ALGN Align Technology Inc
$164.90 +17.2% 1M +21.5% 1Y
Market cap
$11.34B
P/E
27.4x
Revenue (TTM)
$4.14B
Div. yield
–
Dental Healthcare
2 wins

Head to Head

9 decided of 12

Envista Holdings leads on 7 of the 12 questions below (Envista Holdings 7, Align Technology 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionALGNMLSSNVSTLeader
Larger companyMarket capitalisation $11.34B $28.18M $4.01B ALGN
Cheaper on earningsLower P/E, profitable companies only 27.4x — 6.3x NVST
Cheaper on forward earningsLower price / next fiscal year consensus EPS 15.1x — 18.2x ALGN
Faster revenue growthRevenue growth, trailing twelve months +4.4% -27.5% +9.8% NVST
More profitableNet margin, trailing twelve months 10.0% — 22.0% NVST
Better return on capitalReturn on invested capital — — 15.0% –
Less leveragedLower net debt / EBITDA — — 0.3x –
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +21.5% -18.1% +35.2% NVST
Better 5-year returnAnnualised price return, 5 years -24.8%/yr -33.2%/yr -8.9%/yr NVST
Less volatileAnnualised volatility, 1 year 40.0% 81.5% 39.6% NVST
Higher overall scoreMean of the five percentile scores vs peers 65/100 — 82/100 NVST

Percentile Scorecard

ALGNMLSSNVST

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

AxisALGNMLSSNVST
Valuation 85 #35 of 229 – 97 #7 of 229
Growth 23 #171 of 221 – 76 #55 of 221
Profitability 87 #28 of 209 – 88 #26 of 209
Financial Health 44 #135 of 240 – 53 #114 of 240
Shareholder Returns 88 #18 of 146 – 96 #7 of 146
Overall 65 – 82
  • ALGN ranked among 248 companies in Medical Devices and Diagnostics
  • MLSS ranked among 248 companies in Medical Devices and Diagnostics
  • NVST ranked among 248 companies in Medical Devices and Diagnostics

Price Performance

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

Returns

PeriodALGNMLSSNVSTSPY
1 month +17.2%-20.5%+16.7% -1.0%
3 months -5.7%-31.1%-4.9% -0.4%
6 months -5.2%-23.2%+0.7% +4.5%
Year to date +5.6%+13.6%+25.5% +12.4%
1 year +21.5%-18.1%+35.2% +13.6%
3 years -16.5%-63.7%+23.3% +76.4%
3 years, per year -5.8%-28.7%+7.2% +20.8%
5 years -76.0%-86.7%-37.1% +63.7%
5 years, per year -24.8%-33.2%-8.9% +10.4%
10 years +92.3%-83.2%— +267.7%
10 years, per year +6.8%-16.4%— +13.9%

Risk

MeasureALGNMLSSNVSTSPY
Volatility, 1Y 40.0%81.5%39.6% 12.8%
Downside volatility, 1Y 37.4%82.4%35.3% 12.7%
Beta vs S&P 500, 1Y 1.401.161.25 1.00
Return / volatility, 1Y 0.54-0.220.89 1.06
Max drawdown, 5Y -82.4%-90.9%-71.0% -25.4%
From 52-week high -16.5%-43.6%-9.9% -1.6%
52-week high $197.51$0.55$30.26 $779.14
52-week low $132.28$0.25$18.95 $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.

MultipleALGNMLSSNVST
P/E now vs peer median 28.5xmedian 28.5x —median 28.5x 6.9xmedian 28.5x
P/S now vs peer median 2.8xmedian 2.9x 4.2xmedian 2.9x 1.5xmedian 2.9x
EV/EBITDA now vs peer median 13.3xmedian 18.5x —median 18.5x 5.5xmedian 18.5x
P/FCF now vs peer median 18.5xmedian 26.7x —median 26.7x 18.1xmedian 26.7x
P/B now vs peer median 2.8xmedian 2.3x —median 2.3x 1.4xmedian 2.3x
PEG now vs peer median 2.34median 0.93 —median 0.93 0.13median 0.93

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 monthsALGNMLSSNVST
Revenue $4.14B $6.58M $2.88B
Gross profit $2.82B – $1.61B
Operating income $547.59M – $731.30M
Net income $413.58M – $633.60M
Free cash flow $633.57M – $242.00M
R&D $377.00M – $121.80M
EPS (diluted) $5.78 – $3.88
Cash & equivalents $1.10B – $1.16B
Total debt – – $1.43B
Shares (diluted) 71.52M 93.13M 163.40M
Enterprise value $7.08B $28.18M -$567.74M

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
MetricALGNMLSSNVST
P/E 28.5x – 6.9x
P/FCF 18.5x – 18.1x
P/Operating cash flow 15.5x – 14.5x
P/S 2.8x 4.2x 1.5x
P/B 2.8x – 1.4x
P/Tangible book 2.8x – 1.8x
EV/EBITDA 13.3x – 5.5x
EV/EBIT 19.4x – 6.3x
EV/Revenue 2.6x 4.2x 1.6x
EV/FCF 16.8x – 19.2x
EV/Operating cash flow 14.1x – 15.4x
PEG (3Y EPS CAGR) 2.34 – 0.13

Growth

14 metrics
MetricALGNMLSSNVST
Revenue growth (1Y) 4.4% -27.5% 9.8%
Revenue CAGR (3Y) 3.5% -12.9% 3.7%
Gross profit growth (1Y) 1.8% – 11.0%
Gross profit CAGR (3Y) 2.6% – 3.0%
Operating income growth (1Y) -8.8% – 287.1%
Operating income CAGR (3Y) -0.8% – 31.4%
Net income growth (1Y) -5.5% – 4,041%
Net income CAGR (3Y) 9.6% – 49.2%
EPS growth (1Y) -4.1% – 4,110%
EPS CAGR (3Y) 12.2% – 52.7%
Operating cash flow growth (1Y) 3.4% – 0.6%
Operating cash flow CAGR (3Y) -4.3% – 2.0%
Free cash flow growth (1Y) 0.3% – -7.8%
Free cash flow CAGR (3Y) 1.2% – 3.7%

Profitability

14 metrics
MetricALGNMLSSNVST
Gross margin 68.0% – 55.9%
EBITDA margin 19.4% – 29.3%
Operating margin 13.2% – 25.4%
Pretax margin 13.7% – 23.8%
Net margin 10.0% – 22.0%
FCF margin 15.3% – 8.4%
Operating cash flow margin 18.3% – 10.5%
Return on equity 9.9% – 20.6%
Return on assets 6.5% – 11.3%
Return on invested capital – – 15.0%
Return on capital employed 12.3% – 15.3%
Asset turnover 0.7x – 0.5x
Cash conversion (OCF / net income) 1.8x – 0.5x
Stock comp / revenue 4.3% – 1.4%

Financial Health

11 metrics
MetricALGNMLSSNVST
Debt / assets – – 25.5%
Debt / equity – – 0.5x
Net debt / EBITDA – – 0.3x
Debt / FCF – – 5.9x
Liabilities / assets 34.0% – 45.0%
Equity / assets 66.0% – 55.0%
Interest coverage – – –
Current ratio 1.4x – 2.5x
Quick ratio 1.2x – 2.0x
Cash ratio 0.6x – 1.4x
Altman Z-score 4.86 – 2.28

Shareholder Returns

7 metrics
MetricALGNMLSSNVST
Dividend yield – – –
Net buyback yield 2.1% – 3.0%
Shareholder yield 2.1% – 3.0%
Payout ratio (earnings) – – –
Payout ratio (FCF) – – –
Dividend growth (1Y) – – –
Dividend CAGR (3Y) – – –

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.

ConsensusALGNMLSSNVST
Forward P/E 15.1xFY2026 – 18.2xFY2026
EPS, next fiscal year $10.95FY2026 $-0.04FY2026 $1.50FY2026
EPS growth, next FY +4.2%FY2026 – +26.1%FY2026
EPS growth, the year after +16.3% – +16.7%
Revenue, next fiscal year $3.86BFY2026 $9.29MFY2026 $2.99BFY2026
Revenue growth, next FY -4.2%FY2026 +3.6%FY2026 +9.8%FY2026
Revenue growth, the year after +3.5% +27.1% +2.6%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersALGNMLSSNVST
Held by institutions 100.0% 5.8% 100.0%
Institutions holding 678 31 382
Change in shares held, QoQ +4.2% +18.9% +6.4%
Institutions buying 293 11 200
Institutions selling 268 4 129
Buyers to sellers 1.09 2.75 1.55

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.

ALGNMLSSNVST
ALGN 1.00 0.20 0.71
MLSS 0.20 1.00 0.04
NVST 0.71 0.04 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ALGN, MLSS and NVST?

Align Technology (ALGN) is the largest by market capitalisation: Align Technology (ALGN) $11.34B, Milestone Scientific (MLSS) $28.18M, Envista Holdings (NVST) $4.01B.

Which stock is cheaper, ALGN, MLSS and NVST?

Envista Holdings (NVST) trades on the lowest price-to-earnings ratio (Align Technology (ALGN) 27.4x, Envista Holdings (NVST) 6.3x). On next year's consensus earnings, Align Technology (ALGN) is cheapest (Align Technology (ALGN) 15.1x, Envista Holdings (NVST) 18.2x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Envista Holdings (NVST) grew revenue fastest over the trailing twelve months: Align Technology (ALGN) +4.4%, Milestone Scientific (MLSS) -27.5%, Envista Holdings (NVST) +9.8%.

Which company is more profitable?

Envista Holdings (NVST) has the highest net margin (Align Technology (ALGN) 10.0%, Envista Holdings (NVST) 22.0%).

Which stock has performed better?

Over the past year Envista Holdings (NVST) returned the most: Align Technology (ALGN) +21.5%, Milestone Scientific (MLSS) -18.1%, Envista Holdings (NVST) +35.2%. Over five years, Envista Holdings (NVST) compounded fastest (Align Technology (ALGN) -24.8%/yr, Milestone Scientific (MLSS) -33.2%/yr, Envista Holdings (NVST) -8.9%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Envista Holdings (NVST) has been the steadiest (Align Technology (ALGN) 40.0%, Milestone Scientific (MLSS) 81.5%, Envista Holdings (NVST) 39.6%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, ALGN, MLSS and NVST?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Envista Holdings (NVST) 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.