ALGN vs RMD vs SYK Stock Comparison

Align Technology, Resmed and Stryker Prices as of Nov 2, 2026 Peers: Industry group
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ALGN Align Technology Inc
$154.13 +7.2% 1M +11.8% 1Y
Market cap
$11.53B
P/E
27.9x
Revenue (TTM)
$4.14B
Div. yield
–
Dental Healthcare
2 wins
RMD Resmed Inc
$232.88 +6.4% 1M -5.7% 1Y
Market cap
$34.56B
P/E
22.7x
Revenue (TTM)
$5.65B
Div. yield
–
Medical Devices Healthcare
7 wins
SYK Stryker Corp
$306.89 +11.4% 1M -13.9% 1Y
Market cap
$127.13B
P/E
35.1x
Revenue (TTM)
$26.30B
Div. yield
–
Medical Devices Healthcare
2 wins

Head to Head

11 decided of 12

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

QuestionALGNRMDSYKLeader
Larger companyMarket capitalisation $11.53B $34.56B $127.13B SYK
Cheaper on earningsLower P/E, profitable companies only 27.9x 22.7x 35.1x RMD
Cheaper on forward earningsLower price / next fiscal year consensus EPS 13.8x 17.7x 19.5x ALGN
Faster revenue growthRevenue growth, trailing twelve months +4.4% +9.9% +7.9% RMD
More profitableNet margin, trailing twelve months 10.0% 26.9% 13.8% RMD
Better return on capitalReturn on invested capital — 20.8% 10.0% RMD
Less leveragedLower net debt / EBITDA — -0.4x 1.8x RMD
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +11.8% -5.7% -13.9% ALGN
Better 5-year returnAnnualised price return, 5 years -25.6%/yr -2.8%/yr +2.5%/yr SYK
Less volatileAnnualised volatility, 1 year 39.2% 30.5% 31.6% RMD
Higher overall scoreMean of the five percentile scores vs peers 66/100 80/100 69/100 RMD

Percentile Scorecard

ALGNRMDSYK

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

AxisALGNRMDSYK
Valuation 87 #31 of 227 75 #58 of 227 68 #73 of 227
Growth 23 #170 of 220 64 #79 of 220 61 #87 of 220
Profitability 88 #26 of 209 100 #2 of 209 89 #24 of 209
Financial Health 45 #133 of 240 76 #58 of 240 49 #124 of 240
Shareholder Returns 89 #16 of 138 85 #22 of 138 77 #33 of 138
Overall 66 80 69
  • ALGN ranked among 247 companies in Medical Devices and Diagnostics
  • RMD ranked among 247 companies in Medical Devices and Diagnostics
  • SYK 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

PeriodALGNRMDSYKSPY
1 month +7.2%+6.4%+11.4% -2.3%
3 months -10.9%+8.2%-10.1% -0.7%
6 months -10.3%+11.2%+5.5% +4.8%
Year to date -1.3%-3.3%-12.7% +10.3%
1 year +11.8%-5.7%-13.9% +10.3%
3 years -21.9%+52.4%+11.1% +73.0%
3 years, per year -7.9%+15.1%+3.6% +20.1%
5 years -77.1%-13.1%+12.9% +61.9%
5 years, per year -25.6%-2.8%+2.5% +10.1%
10 years +80.9%+304.7%+165.7% +258.6%
10 years, per year +6.1%+15.0%+10.3% +13.6%

Risk

MeasureALGNRMDSYKSPY
Volatility, 1Y 39.2%30.5%31.6% 12.8%
Downside volatility, 1Y 37.4%33.7%32.9% 12.8%
Beta vs S&P 500, 1Y 1.350.490.18 1.00
Return / volatility, 1Y 0.30-0.19-0.44 0.80
Max drawdown, 5Y -82.4%-49.8%-33.1% -25.4%
From 52-week high -22.0%-15.6%-20.8% -3.5%
52-week high $197.51$275.96$387.46 $779.14
52-week low $132.28$182.82$269.88 $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.

MultipleALGNRMDSYK
P/E now vs peer median 26.6xmedian 28.4x 22.2xmedian 28.4x 32.5xmedian 28.4x
P/S now vs peer median 2.7xmedian 3.0x 5.9xmedian 3.0x 4.5xmedian 3.0x
EV/EBITDA now vs peer median 12.3xmedian 18.0x 15.7xmedian 18.0x 19.5xmedian 18.0x
P/FCF now vs peer median 17.3xmedian 25.0x 20.4xmedian 25.0x 25.7xmedian 25.0x
P/B now vs peer median 2.6xmedian 2.3x 5.1xmedian 2.3x 5.0xmedian 2.3x
PEG now vs peer median 2.19median 0.93 1.13median 0.93 2.77median 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 monthsALGNRMDSYK
Revenue $4.14B $5.65B $26.30B
Gross profit $2.82B $3.45B $17.18B
Operating income $547.59M $1.89B $5.43B
Net income $413.58M $1.52B $3.62B
Free cash flow $633.57M $1.65B $4.57B
R&D $377.00M $378.28M $1.68B
EPS (diluted) $5.78 $10.43 $9.39
Cash & equivalents $1.10B $1.47B $3.27B
Total debt – $659.37M $14.93B
Shares (diluted) 71.52M 146.05M 386.00M
Enterprise value $7.27B $28.63B $113.32B

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
MetricALGNRMDSYK
P/E 26.6x 22.2x 32.5x
P/FCF 17.3x 20.4x 25.7x
P/Operating cash flow 14.5x 18.6x 21.6x
P/S 2.7x 5.9x 4.5x
P/B 2.6x 5.1x 5.0x
P/Tangible book 2.7x 5.5x 6.6x
EV/EBITDA 12.3x 15.7x 19.5x
EV/EBIT 18.0x 17.4x 23.8x
EV/Revenue 2.4x 5.8x 4.9x
EV/FCF 15.6x 19.9x 28.3x
EV/Operating cash flow 13.1x 18.2x 23.8x
PEG (3Y EPS CAGR) 2.19 1.13 2.77

Growth

14 metrics
MetricALGNRMDSYK
Revenue growth (1Y) 4.4% 9.9% 7.9%
Revenue CAGR (3Y) 3.5% 10.2% 9.8%
Gross profit growth (1Y) 1.8% 13.0% 10.1%
Gross profit CAGR (3Y) 2.6% 13.6% 10.9%
Operating income growth (1Y) -8.8% 11.9% 48.2%
Operating income CAGR (3Y) -0.8% 18.6% 16.4%
Net income growth (1Y) -5.5% 8.8% 23.1%
Net income CAGR (3Y) 9.6% 19.3% 11.9%
EPS growth (1Y) -4.1% 9.7% 23.3%
EPS CAGR (3Y) 12.2% 19.7% 11.7%
Operating cash flow growth (1Y) 3.4% 3.1% 12.7%
Operating cash flow CAGR (3Y) -4.3% 37.6% 19.6%
Free cash flow growth (1Y) 0.3% -0.7% 12.3%
Free cash flow CAGR (3Y) 1.2% 42.2% 21.2%

Profitability

14 metrics
MetricALGNRMDSYK
Gross margin 68.0% 61.1% 65.3%
EBITDA margin 19.4% 36.9% 25.2%
Operating margin 13.2% 33.4% 20.7%
Pretax margin 13.7% 34.0% 19.5%
Net margin 10.0% 26.9% 13.8%
FCF margin 15.3% 29.2% 17.4%
Operating cash flow margin 18.3% 31.9% 20.7%
Return on equity 9.9% 23.3% -4.0%
Return on assets 6.5% 17.2% -2.0%
Return on invested capital – 20.8% 10.0%
Return on capital employed 12.3% 25.2% 13.2%
Asset turnover 0.7x 0.6x 0.6x
Cash conversion (OCF / net income) 1.8x 1.2x 1.5x
Stock comp / revenue 4.3% 1.8% 1.0%

Financial Health

11 metrics
MetricALGNRMDSYK
Debt / assets – 7.4% 31.6%
Debt / equity – 0.1x 0.6x
Net debt / EBITDA – -0.4x 1.8x
Debt / FCF – 0.4x 3.3x
Liabilities / assets 34.0% 26.6% 50.4%
Equity / assets 66.0% 73.4% 49.6%
Interest coverage – – 9.3x
Current ratio 1.4x 3.1x 2.2x
Quick ratio 1.2x 1.8x 1.1x
Cash ratio 0.6x 1.1x 0.5x
Altman Z-score 4.65 11.32 4.73

Shareholder Returns

7 metrics
MetricALGNRMDSYK
Dividend yield – 1.1% 1.1%
Net buyback yield 2.3% 1.9% –
Shareholder yield 2.3% 2.9% 1.1%
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.

ConsensusALGNRMDSYK
Forward P/E 13.8xFY2026 17.7xFY2027 19.5xFY2026
EPS, next fiscal year $10.95FY2026 $12.86FY2027 $15.91FY2026
EPS growth, next FY +4.2%FY2026 +15.1%FY2027 +16.7%FY2026
EPS growth, the year after +16.3% +9.8% +2.5%
Revenue, next fiscal year $3.86BFY2026 $5.97BFY2027 $26.14BFY2026
Revenue growth, next FY -4.2%FY2026 +5.6%FY2027 +4.1%FY2026
Revenue growth, the year after +3.5% -3.4% +18.2%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersALGNRMDSYK
Held by institutions 100.0% 68.7% 80.3%
Institutions holding 677 889 2,266
Change in shares held, QoQ +4.2% +3.2% +3.2%
Institutions buying 292 405 1,104
Institutions selling 268 359 852
Buyers to sellers 1.09 1.13 1.30

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.

ALGNRMDSYK
ALGN 1.00 0.37 0.30
RMD 0.37 1.00 0.53
SYK 0.30 0.53 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ALGN, RMD and SYK?

Stryker (SYK) is the largest by market capitalisation: Align Technology (ALGN) $11.53B, Resmed (RMD) $34.56B, Stryker (SYK) $127.13B.

Which stock is cheaper, ALGN, RMD and SYK?

Resmed (RMD) trades on the lowest price-to-earnings ratio (Align Technology (ALGN) 27.9x, Resmed (RMD) 22.7x, Stryker (SYK) 35.1x). On next year's consensus earnings, Align Technology (ALGN) is cheapest (Align Technology (ALGN) 13.8x, Resmed (RMD) 17.7x, Stryker (SYK) 19.5x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Resmed (RMD) grew revenue fastest over the trailing twelve months: Align Technology (ALGN) +4.4%, Resmed (RMD) +9.9%, Stryker (SYK) +7.9%.

Which company is more profitable?

Resmed (RMD) has the highest net margin (Align Technology (ALGN) 10.0%, Resmed (RMD) 26.9%, Stryker (SYK) 13.8%). On return on invested capital, Resmed (RMD) leads (Resmed (RMD) 20.8%, Stryker (SYK) 10.0%).

Which stock has performed better?

Over the past year Align Technology (ALGN) returned the most: Align Technology (ALGN) +11.8%, Resmed (RMD) -5.7%, Stryker (SYK) -13.9%. Over five years, Stryker (SYK) compounded fastest (Align Technology (ALGN) -25.6%/yr, Resmed (RMD) -2.8%/yr, Stryker (SYK) +2.5%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Resmed (RMD) has been the steadiest (Align Technology (ALGN) 39.2%, Resmed (RMD) 30.5%, Stryker (SYK) 31.6%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, ALGN, RMD and SYK?

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