ALGN vs NVST vs XRAY Stock Comparison

Align Technology, Envista Holdings and Dentsply Sirona Prices as of Oct 23, 2026 Peers: Industry group
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ALGN Align Technology Inc
$154.51 +4.3% 1M +13.6% 1Y
Market cap
$10.89B
P/E
26.3x
Revenue (TTM)
$4.14B
Div. yield
–
Dental Healthcare
3 wins

Head to Head

11 decided of 12

Envista Holdings leads on 7 of the 12 questions below (Envista Holdings 7, Align Technology 3, Dentsply Sirona 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionALGNNVSTXRAYLeader
Larger companyMarket capitalisation $10.89B $3.83B $1.84B ALGN
Cheaper on earningsLower P/E, profitable companies only 26.3x 40.3x -3.4x ALGN
Cheaper on forward earningsLower price / next fiscal year consensus EPS 14.1x 15.7x 6.3x XRAY
Faster revenue growthRevenue growth, trailing twelve months +4.4% +11.9% -0.8% NVST
More profitableNet margin, trailing twelve months 10.0% 3.3% -15.0% ALGN
Better return on capitalReturn on invested capital — 2.5% -8.7% NVST
Less leveragedLower net debt / EBITDA — 0.8x 50.9x NVST
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +13.6% +16.6% -28.3% NVST
Better 5-year returnAnnualised price return, 5 years -23.5%/yr -9.6%/yr -30.6%/yr NVST
Less volatileAnnualised volatility, 1 year 39.1% 37.8% 47.9% NVST
Higher overall scoreMean of the five percentile scores vs peers 66/100 74/100 57/100 NVST

Percentile Scorecard

ALGNNVSTXRAY

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

AxisALGNNVSTXRAY
Valuation 88 #28 of 228 97 #7 of 228 86 #34 of 228
Growth 21 #176 of 222 49 #113 of 222 43 #127 of 222
Profitability 87 #28 of 210 73 #57 of 210 57 #92 of 210
Financial Health 44 #136 of 241 52 #117 of 241 13 #211 of 241
Shareholder Returns 90 #15 of 138 96 #6 of 138 86 #20 of 138
Overall 66 74 57
  • ALGN ranked among 248 companies in Medical Devices and Diagnostics
  • NVST ranked among 248 companies in Medical Devices and Diagnostics
  • XRAY 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

PeriodALGNNVSTXRAYSPY
1 month +4.3%-1.0%-3.6% -1.0%
3 months -7.5%-10.4%-27.1% +2.9%
6 months -18.5%-12.0%-20.8% +6.4%
Year to date -1.1%+8.6%-17.5% +11.4%
1 year +13.6%+16.6%-28.3% +13.1%
3 years -41.8%-5.9%-71.1% +79.4%
3 years, per year -16.5%-2.0%-33.9% +21.5%
5 years -73.8%-39.6%-83.8% +67.7%
5 years, per year -23.5%-9.6%-30.6% +10.9%
10 years +72.6%—-83.8% +255.2%
10 years, per year +5.6%—-16.7% +13.5%

Risk

MeasureALGNNVSTXRAYSPY
Volatility, 1Y 39.1%37.8%47.9% 12.7%
Downside volatility, 1Y 37.0%34.6%46.7% 12.7%
Beta vs S&P 500, 1Y 1.291.141.18 1.00
Return / volatility, 1Y 0.350.44-0.59 1.03
Max drawdown, 5Y -82.4%-71.0%-85.8% -25.4%
From 52-week high -21.8%-22.1%-35.8% -2.5%
52-week high $197.51$30.26$14.68 $779.14
52-week low $131.91$18.95$8.42 $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.

MultipleALGNNVSTXRAY
P/E now vs peer median 26.7xmedian 30.7x 40.2xmedian 30.7x -3.4xmedian 30.7x
P/S now vs peer median 2.7xmedian 3.0x 1.3xmedian 3.0x 0.5xmedian 3.0x
EV/EBITDA now vs peer median 12.4xmedian 17.7x 10.5xmedian 17.7x 99.1xmedian 17.7x
P/FCF now vs peer median 17.4xmedian 23.7x 15.3xmedian 23.7x 13.1xmedian 23.7x
P/B now vs peer median 2.6xmedian 2.4x 1.2xmedian 2.4x 1.4xmedian 2.4x
PEG now vs peer median 2.19median 0.96 -1.81median 0.96 -0.20median 0.96

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 monthsALGNNVSTXRAY
Revenue $4.14B $2.86B $3.64B
Gross profit $2.82B $1.58B $1.80B
Operating income $547.59M $273.60M -$310.00M
Net income $413.58M $95.00M -$546.00M
Free cash flow $633.57M $248.10M $143.00M
R&D $377.00M $120.80M $166.00M
EPS (diluted) $5.78 $0.58 $-2.72
Cash & equivalents $1.10B $1.13B $239.00M
Total debt – $1.44B $2.22B
Shares (diluted) 71.52M 164.10M 200.50M
Enterprise value $6.63B -$721.83M $723.23M

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
MetricALGNNVSTXRAY
P/E 26.7x 40.2x -3.4x
P/FCF 17.4x 15.3x 13.1x
P/Operating cash flow 14.6x 12.5x 5.9x
P/S 2.7x 1.3x 0.5x
P/B 2.6x 1.2x 1.4x
P/Tangible book 2.7x 1.5x 3.9x
EV/EBITDA 12.4x 10.5x 99.1x
EV/EBIT 18.1x 15.0x -12.5x
EV/Revenue 2.4x 1.4x 1.1x
EV/FCF 15.6x 16.5x 27.0x
EV/Operating cash flow 13.1x 13.5x 12.1x
PEG (3Y EPS CAGR) 2.19 -1.81 -0.20

Growth

14 metrics
MetricALGNNVSTXRAY
Revenue growth (1Y) 4.4% 11.9% -0.8%
Revenue CAGR (3Y) 3.5% 3.4% -2.5%
Gross profit growth (1Y) 1.8% 13.1% -4.9%
Gross profit CAGR (3Y) 2.6% 2.3% -4.8%
Operating income growth (1Y) -8.8% 79.6% 70.1%
Operating income CAGR (3Y) -0.8% -4.4% 33.9%
Net income growth (1Y) -5.5% 76.6% 42.5%
Net income CAGR (3Y) 9.6% -24.0% 19.1%
EPS growth (1Y) -4.1% 82.8% 42.8%
EPS CAGR (3Y) 12.2% -22.2% 17.3%
Operating cash flow growth (1Y) 3.4% 3.6% 12.7%
Operating cash flow CAGR (3Y) -4.3% 8.8% -1.5%
Free cash flow growth (1Y) 0.3% -3.8% 3.6%
Free cash flow CAGR (3Y) 1.2% 15.8% -10.3%

Profitability

14 metrics
MetricALGNNVSTXRAY
Gross margin 68.0% 55.2% 49.5%
EBITDA margin 19.4% 13.6% 1.1%
Operating margin 13.2% 9.6% -8.5%
Pretax margin 13.7% 8.2% -9.5%
Net margin 10.0% 3.3% -15.0%
FCF margin 15.3% 8.7% 3.9%
Operating cash flow margin 18.3% 10.6% 8.8%
Return on equity 9.9% 3.1% -41.0%
Return on assets 6.5% 1.7% -10.5%
Return on invested capital – 2.5% -8.7%
Return on capital employed 12.3% 5.7% -7.7%
Asset turnover 0.7x 0.5x 0.7x
Cash conversion (OCF / net income) 1.8x 3.2x -0.6x
Stock comp / revenue 4.3% 1.4% 0.9%

Financial Health

11 metrics
MetricALGNNVSTXRAY
Debt / assets – 25.7% 42.7%
Debt / equity – 0.5x 1.6x
Net debt / EBITDA – 0.8x 50.9x
Debt / FCF – 5.8x 15.6x
Liabilities / assets 34.0% 45.0% 74.0%
Equity / assets 66.0% 55.0% 26.0%
Interest coverage – – -3.4x
Current ratio 1.4x 2.4x 1.6x
Quick ratio 1.2x 1.9x 0.7x
Cash ratio 0.6x 1.4x 0.2x
Altman Z-score 4.66 1.73 0.55

Shareholder Returns

7 metrics
MetricALGNNVSTXRAY
Dividend yield – – 1.7%
Net buyback yield 2.2% 4.3% –
Shareholder yield 2.2% 4.3% 1.7%
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.

ConsensusALGNNVSTXRAY
Forward P/E 14.1xFY2026 15.7xFY2026 6.3xFY2026
EPS, next fiscal year $10.99FY2026 $1.50FY2026 $1.49FY2026
EPS growth, next FY +4.6%FY2026 +26.1%FY2026 -6.9%FY2026
EPS growth, the year after +16.4% +16.7% +6.7%
Revenue, next fiscal year $3.86BFY2026 $2.99BFY2026 $3.68BFY2026
Revenue growth, next FY -4.2%FY2026 +9.8%FY2026 +0.0%FY2026
Revenue growth, the year after +4.0% +2.6% +2.2%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersALGNNVSTXRAY
Held by institutions 100.0% 100.0% 100.0%
Institutions holding 675 382 375
Change in shares held, QoQ +4.2% +6.4% +6.1%
Institutions buying 292 200 206
Institutions selling 268 129 116
Buyers to sellers 1.09 1.55 1.78

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.

ALGNNVSTXRAY
ALGN 1.00 0.69 0.58
NVST 0.69 1.00 0.61
XRAY 0.58 0.61 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ALGN, NVST and XRAY?

Align Technology (ALGN) is the largest by market capitalisation: Align Technology (ALGN) $10.89B, Envista Holdings (NVST) $3.83B, Dentsply Sirona (XRAY) $1.84B.

Which stock is cheaper, ALGN, NVST and XRAY?

Align Technology (ALGN) trades on the lowest price-to-earnings ratio (Align Technology (ALGN) 26.3x, Envista Holdings (NVST) 40.3x, Dentsply Sirona (XRAY) -3.4x). On next year's consensus earnings, Dentsply Sirona (XRAY) is cheapest (Align Technology (ALGN) 14.1x, Envista Holdings (NVST) 15.7x, Dentsply Sirona (XRAY) 6.3x). 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%, Envista Holdings (NVST) +11.9%, Dentsply Sirona (XRAY) -0.8%.

Which company is more profitable?

Align Technology (ALGN) has the highest net margin (Align Technology (ALGN) 10.0%, Envista Holdings (NVST) 3.3%, Dentsply Sirona (XRAY) -15.0%). On return on invested capital, Envista Holdings (NVST) leads (Envista Holdings (NVST) 2.5%, Dentsply Sirona (XRAY) -8.7%).

Which stock has performed better?

Over the past year Envista Holdings (NVST) returned the most: Align Technology (ALGN) +13.6%, Envista Holdings (NVST) +16.6%, Dentsply Sirona (XRAY) -28.3%. Over five years, Envista Holdings (NVST) compounded fastest (Align Technology (ALGN) -23.5%/yr, Envista Holdings (NVST) -9.6%/yr, Dentsply Sirona (XRAY) -30.6%/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) 39.1%, Envista Holdings (NVST) 37.8%, Dentsply Sirona (XRAY) 47.9%). Volatility measures how widely the price swings, not the risk of the business.

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

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.