ALGN vs. ZBH: Align vs. Zimmer Biomet Stock Comparison

November 11, 2026

How do Align (ALGN) and Zimmer Biomet (ZBH) stack up? This page sets them side by side across company profile, performance and risk, profitability, growth, financial strength, dividends, and valuation, with selected fundamentals also measured against each stock's industry-group peers.

Company Profile

Align (ALGN) and Zimmer Biomet (ZBH) both belong to the Health Care Equipment & Supplies industry, though ALGN is classified under Health Care Supplies while ZBH falls under Health Care Equipment.

Company profile comparison for Align (ALGN) and Zimmer Biomet (ZBH)
Profile Item	ALGN	ZBH
Name	Align Technology Inc.	Zimmer Biomet Holdings Inc.
Country/Region	United States	United States
GICS Sector	Health Care	Health Care
GICS Industry Group	Health Care Equipment & Services	Health Care Equipment & Services
GICS Industry	Health Care Equipment & Supplies	Health Care Equipment & Supplies
GICS Sub-Industry	Health Care Supplies	Health Care Equipment
Market Capitalization	11.70 billion USD	19.98 billion USD
Currency	USD	USD
Exchange	Nasdaq	NYSE
Listing Date	January 30, 2001	July 25, 2001
Security Type	Common Stock	Common Stock

Price Performance

Cumulative Growth

ALGN

ZBH

GSPC

Align (ALGN) vs. Zimmer Biomet (ZBH), with S&P 500 (GSPC) for reference: Growth of a $10,000 investment over the past five years. Adjusted for dividends and splits.

Trailing Returns

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Trailing total returns for Align (ALGN) and Zimmer Biomet (ZBH). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for Align (ALGN) and Zimmer Biomet (ZBH). Each bar is that year's total return, measured year-end to year-end.

Performance Metrics

Price performance metrics for Align (ALGN) and Zimmer Biomet (ZBH)
Metric	ALGN	ZBH
Total Return (1Y)	27.43%	24.04%
Total Return (3Y, Annualized)	-2.84%	2.38%
Total Return (5Y, Annualized)	-24.73%	-2.74%

Risk Profile

Drawdown History

ALGN

ZBH

GSPC

Align (ALGN) vs. Zimmer Biomet (ZBH), with S&P 500 (GSPC) for reference: Drawdown from the running peak over the past five years. Each line shows the decline from its prior peak; 0% marks a new high.

Return Distribution

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Distribution of monthly total returns for Align (ALGN) and Zimmer Biomet (ZBH). Each bar is the share of months whose return fell in that 5% bucket.

Risk Metrics

Align (ALGN) has an aggressive beta of 1.67, indicating higher sensitivity to broad-market moves, while Zimmer Biomet (ZBH) is defensive at 0.42 and tends to be less market-sensitive — they sit on opposite ends of the beta spectrum.

Risk profile metrics for Align (ALGN) and Zimmer Biomet (ZBH)
Metric	ALGN	ZBH
Volatility (1Y, Annualized)	40.49%	32.39%
Beta (5Y)	1.67	0.42
Max Drawdown (5Y)	-82.44%	-43.94%
Avg. Volume (3M)	942.14K	2.09M

Risk-Adjusted Performance

Risk-Return Positioning

ALGN and ZBH are plotted by 1-year volatility (risk) and 1-year return. The dashed Capital Allocation Line runs from the risk-free rate through the shared industry median.

Risk-Adjusted Metrics

Risk-adjusted metrics for Align (ALGN) and Zimmer Biomet (ZBH)
Metric	ALGN	ZBH
Sharpe Ratio (1Y)	0.57	0.61
Sortino Ratio (1Y)	0.89	0.93

Profitability

ROE (TTM)

Both Align (ALGN) at 11.91% and Zimmer Biomet (ZBH) at 6.03% land near their industries’ usual ROE ranges, so capital efficiency looks broadly in line with peers on both sides.

ALGN

Health Care Equipment & Services industry group

11.91%

Max: 47.61%
Q3: 14.36%
ALGN: 11.91%
Median: 5.45%
Q1: -10.67%
Min: -47.01%

ZBH

Health Care Equipment & Services industry group

6.03%

Max: 47.61%
Q3: 14.36%
ZBH: 6.03%
Median: 5.45%
Q1: -10.67%
Min: -47.01%

Align (ALGN) vs. Zimmer Biomet (ZBH): A comparison of their ROE against the Health Care Equipment & Services industry group benchmark.

Net Margin (TTM)

Align (ALGN) at 11.83% retains a top-quartile share of revenue as profit, ahead of Zimmer Biomet (ZBH) at 8.95%, which keeps about the industry-typical share.

ALGN

Health Care Equipment & Services industry group

11.83%

Max: 29.35%
ALGN: 11.83%
Q3: 9.33%
Median: 2.18%
Q1: -6.29%
Min: -28.46%

ZBH

Health Care Equipment & Services industry group

8.95%

Max: 29.35%
Q3: 9.33%
ZBH: 8.95%
Median: 2.18%
Q1: -6.29%
Min: -28.46%

Align (ALGN) vs. Zimmer Biomet (ZBH): A comparison of their net margin against the Health Care Equipment & Services industry group benchmark.

Operating Margin (TTM)

Both Align (ALGN) at 20.13% and Zimmer Biomet (ZBH) at 17.35% convert sales into operating profit at a top-quartile rate, pointing to tighter cost discipline before financing and tax.

ALGN

Health Care Equipment & Services industry group

20.13%

Max: 35.43%
ALGN: 20.13%
Q3: 14.14%
Median: 6.81%
Q1: -0.28%
Min: -16.29%

ZBH

Health Care Equipment & Services industry group

17.35%

Max: 35.43%
ZBH: 17.35%
Q3: 14.14%
Median: 6.81%
Q1: -0.28%
Min: -16.29%

Align (ALGN) vs. Zimmer Biomet (ZBH): A comparison of their operating margin against the Health Care Equipment & Services industry group benchmark.

Profitability Metrics

Profitability metrics for Align (ALGN) and Zimmer Biomet (ZBH)
Metric	ALGN	ZBH
ROE (TTM)	11.91%	6.03%
ROA (TTM)	8.01%	3.81%
Net Margin (TTM)	11.83%	8.95%
Operating Margin (TTM)	20.13%	17.35%
Gross Margin (TTM)	71.53%	69.33%

Growth

Revenue Growth

Zimmer Biomet (ZBH) at 7.20% is around its peer norm for revenue growth, while Align (ALGN) at 0.90% drops into the bottom quartile, signaling weaker demand or pricing momentum.

Align (ALGN) vs. Zimmer Biomet (ZBH): A comparison of their Revenue Growth across different time periods.

EPS Growth

Both Align (ALGN) at 0.53% and Zimmer Biomet (ZBH) at -19.86% land near their industries' usual EPS growth ranges, so bottom-line momentum looks broadly in line with peers on both sides.

Align (ALGN) vs. Zimmer Biomet (ZBH): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for Align (ALGN) and Zimmer Biomet (ZBH)
Metric	ALGN	ZBH
Revenue Growth (YoY)	0.90%	7.20%
Revenue Growth (3Y CAGR)	2.61%	5.85%
EPS Growth (YoY)	0.53%	-19.86%
EPS Growth (3Y CAGR)	7.02%	47.78%

Financial Strength

Current Ratio (MRQ)

Both Align (ALGN) at 1.43 and Zimmer Biomet (ZBH) at 1.46 carry current ratio within their industries’ typical mid-ranges, suggesting balanced short-term liquidity relative to peers.

ALGN

Health Care Equipment & Services industry group

1.43

Max: 7.59
Q3: 4.00
Median: 1.98
ALGN: 1.43
Q1: 1.37
Min: 0.30

ZBH

Health Care Equipment & Services industry group

1.46

Max: 7.59
Q3: 4.00
Median: 1.98
ZBH: 1.46
Q1: 1.37
Min: 0.30

Align (ALGN) vs. Zimmer Biomet (ZBH): A comparison of their current ratio against the Health Care Equipment & Services industry group benchmark.

Debt / Equity (MRQ)

Align (ALGN) at 0.03 keeps leverage in the lower industry quartile, while Zimmer Biomet (ZBH) at 0.60 runs a more typical debt-to-equity mix.

ALGN

Health Care Equipment & Services industry group

0.03

Max: 1.88
Q3: 0.91
Median: 0.58
Q1: 0.16
ALGN: 0.03
Min: 0.00

ZBH

Health Care Equipment & Services industry group

0.60

Max: 1.88
Q3: 0.91
ZBH: 0.60
Median: 0.58
Q1: 0.16
Min: 0.00

Align (ALGN) vs. Zimmer Biomet (ZBH): A comparison of their debt-to-equity ratio against the Health Care Equipment & Services industry group benchmark.

Financial Strength Metrics

Financial strength metrics for Align (ALGN) and Zimmer Biomet (ZBH)
Metric	ALGN	ZBH
Current Ratio (MRQ)	1.43	1.46
Debt / Equity (MRQ)	0.03	0.60
Net Debt / EBITDA	-1.04	2.85

Dividends

Dividend Yield (TTM)

Align (ALGN) pays no dividend (yield 0.00%) — it may be reinvesting, using buybacks, or simply not returning cash through dividends. Meanwhile Zimmer Biomet (ZBH) reports a yield of 0.90%, ranking against industry peers normally.

ALGN

Health Care Equipment & Services industry group

0.00%

ALGN: 0.00%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

ZBH

Health Care Equipment & Services industry group

0.90%

ZBH: 0.90%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

Align (ALGN) vs. Zimmer Biomet (ZBH): A comparison of their dividend yield against the Health Care Equipment & Services industry group benchmark.

Dividend Payout Ratio (TTM)

Align (ALGN) pays no dividend (payout 0.00%) — it may be reinvesting, using buybacks, or simply not returning cash through dividends. Meanwhile Zimmer Biomet (ZBH) reports a payout of 24.24%, ranking against industry peers normally.

ALGN

Health Care Equipment & Services industry group

0.00%

ALGN: 0.00%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

ZBH

Health Care Equipment & Services industry group

24.24%

ZBH: 24.24%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

Align (ALGN) vs. Zimmer Biomet (ZBH): A comparison of their payout ratio against the Health Care Equipment & Services industry group benchmark.

Dividend Metrics

Dividend metrics for Align (ALGN) and Zimmer Biomet (ZBH)
Metric	ALGN	ZBH
Dividend Yield (TTM)	0.00%	0.90%
Dividend Payout Ratio (TTM)	0.00%	24.24%

Valuation

P/E Ratio (TTM)

Both Align (ALGN) at 24.20 and Zimmer Biomet (ZBH) at 26.66 land around their industries’ usual P/E ratio levels — neither is getting a clear earnings-multiple discount or premium versus peers.

ALGN

Health Care Equipment & Services industry group

24.20

Max: 80.41
Q3: 47.62
Median: 29.93
ALGN: 24.20
Q1: 21.19
Min: 4.21

ZBH

Health Care Equipment & Services industry group

26.66

Max: 80.41
Q3: 47.62
Median: 29.93
ZBH: 26.66
Q1: 21.19
Min: 4.21

Align (ALGN) vs. Zimmer Biomet (ZBH): A comparison of their P/E ratio against the Health Care Equipment & Services industry group benchmark.

P/S Ratio (TTM)

On P/S ratio, both Align (ALGN) at 2.81 and Zimmer Biomet (ZBH) at 2.33 are priced roughly in line with their industries — neither looks cheap nor rich on a sales basis.

ALGN

Health Care Equipment & Services industry group

2.81

Max: 8.80
Q3: 4.32
ALGN: 2.81
Median: 2.13
Q1: 1.10
Min: 0.03

ZBH

Health Care Equipment & Services industry group

2.33

Max: 8.80
Q3: 4.32
ZBH: 2.33
Median: 2.13
Q1: 1.10
Min: 0.03

Align (ALGN) vs. Zimmer Biomet (ZBH): A comparison of their P/S ratio against the Health Care Equipment & Services industry group benchmark.

P/B Ratio (MRQ)

Zimmer Biomet (ZBH) at 1.58 sits in the lower P/B ratio quartile against book while Align (ALGN) at 2.73 is valued near its industry’s middle — ZBH is cheaper on assets, though weigh it against ROE and asset quality.

ALGN

Health Care Equipment & Services industry group

2.73

Max: 11.68
Q3: 6.12
Median: 3.00
ALGN: 2.73
Q1: 1.73
Min: -1.31

ZBH

Health Care Equipment & Services industry group

1.58

Max: 11.68
Q3: 6.12
Median: 3.00
Q1: 1.73
ZBH: 1.58
Min: -1.31

Align (ALGN) vs. Zimmer Biomet (ZBH): A comparison of their P/B ratio against the Health Care Equipment & Services industry group benchmark.

Valuation Metrics

Valuation metrics for Align (ALGN) and Zimmer Biomet (ZBH)
Metric	ALGN	ZBH
P/E Ratio (TTM)	24.20	26.66
P/S Ratio (TTM)	2.81	2.33
P/B Ratio (MRQ)	2.73	1.58
Free Cash Flow Yield (TTM)	4.90%	7.22%