| Profitability | 53/100 |
| Growth | 63/100 |
| Momentum | 90/100 |
| Quality | 81/100 |
| Earnings Quality | 74/100 |
| Balance Sheet | 72/100 |
| Value | 51/100 |
| Risk (safety) | 100/100 |
| Overall | 68.5/100 |
| Symbol | IS Score |
|---|---|
| ALC | 46 |
| THC | 63 |
| VTRS | 37 |
| GH | 42 |
| INSM | 49 |
| GMAB | 40 |
| STE | 69 |
Both readings sit above the midpoint — business quality at 69 and price structure at 80 out of 100 — so they are not in conflict. The fundamentals and the tape are saying the same thing, which is the case in which either one alone would have been enough.
| Trigger | Where it stands now | What it would mean |
|---|---|---|
| IS Score reaches 75 and holds two consecutive quarters | now 68.5 | would move us up one band |
| IS Score stops falling - one quarter higher than the prior | last four: 72 → 71 → 72 → 69 | the direction matters more than the level |
| Technical vote share back above 50% | now 82% | price structure no longer broken |
This page is InsiderStreet's own reading, produced from the data in the rest of this document. It is not a price target and not investment advice. Analyst consensus and street price targets appear later under their own heading and are the street's numbers, not ours.
| Insider | Role | Date | Type | Shares | Value | Post-Txn Owned |
|---|---|---|---|---|---|---|
| Burton Karen L | Sr. Vice Pres., CFO | 2026-10-01 | TAX W/H | 228 | — | 12,956 |
| Sohi Mohsen | director | 2026-08-12 | EXERCISE | 4,058 | $0.35M | 28,363 |
| Sohi Mohsen | director | 2026-08-12 | SELL | 4,058 | $0.96M | 24,305 |
| Sohi Mohsen | director | 2026-08-12 | EXERCISE | 4,058 | $0.35M | 0 |
| Boulud Pierre | director | 2026-08-10 | A-Award | 1,025 | — | 1,392 |
| Alegria Esther M. | director | 2026-08-10 | A-Award | 1,506 | $0.36M | 1,506 |
| Alegria Esther M. | director | 2026-08-10 | A-Award | 512 | — | 3,408 |
| Sohi Mohsen | director | 2026-08-10 | A-Award | 1,099 | $0.26M | 1,099 |
| 6-mo decomposition (Form 4) | Txns | Shares | Value | Signal weight |
|---|---|---|---|---|
| S — Open-market sales | 6 | 14,484 | $3.2M | Counted |
| M — Exercises (paired A/D) | 4 | 14,718 | $1.4M | None — mechanics |
| F — Tax withholding | 24 | 11,890 | $2.5M | None — compensation |
| P — Open-market purchases | 0 | 0 | $0 | Counted — none occurred |
| Filed | Filer | Shares registered | Est. proceeds |
|---|---|---|---|
| 2026-08-18 | Breeden Richard C | 4,110 | $1.0M |
| 2026-08-12 | Sohi Mohsen | 4,058 | $1.0M |
| 2026-06-15 | Zangerle John Adam | 1,419 | $0.3M |
| 2026-06-05 | Carestio Daniel A | 1,374 | $0.3M |
| Trailing 12 mo | 11 filings | 43,797 | $11M |
| Filed | Form | Reporting person | % of class | Shares |
|---|---|---|---|---|
| 2026-05-12 | SCHEDULE 13G | STATE STREET CORPORATION | 5.10% | 5.0M sh |
| 2026-04-29 | SCHEDULE 13G | Vanguard Portfolio Management | 5.05% | 5.0M sh |
| 2026-03-27 | SCHEDULE 13G/A | The Vanguard Group | — | exit/reporting change |
| 2025-11-04 | SCHEDULE 13G/A | Massachusetts Financial Services Company | 4.90% | 4.8M sh |
| Member | Chamber | Trade | Size band | Traded | Disclosed |
|---|---|---|---|---|---|
| Ro Khanna | House | SELL | $1,001 - $15,000 | 2026-09-25 | 2026-10-09 |
| Kevin Hern | House | SELL | $15,001 - $50,000 | 2026-09-15 | 2026-09-28 |
| Kevin Hern | House | SELL | $15,001 - $50,000 | 2026-09-15 | 2026-09-25 |
| Susan M. Collins | Senate | SELL | $1,001 - $15,000 | 2014-07-23 | 2015-07-20 |
| Susan M. Collins | Senate | SELL | $1,001 - $15,000 | 2014-07-23 | 2015-07-19 |
| Susan M. Collins | Senate | SELL | $1,001 - $15,000 | 2014-07-23 | 2014-08-14 |
| Fund | Weight | Position |
|---|---|---|
| VITSX | 0.0% | $649M |
| VTI | 0.0% | $649M |
| VSMPX | 0.0% | $649M |
| VTSAX | 0.0% | $649M |
| VFFSX | 0.0% | $538M |
| VOO | 0.0% | $538M |
| ATS Venue (4-wk) | Shares | Avg trade |
|---|---|---|
| Incr Intelligent Cross Llc | 1.2M | 32 sh |
| Ubsa Ubs Ats | 1.0M | 45 sh |
| Sgmt Sigma X2 | 0.7M | 29 sh |
| Ebxl Level Ats | 0.6M | 22 sh |
| Mstx Ms Trajectory Cross (Ats-1) | 0.5M | 18 sh |
| Mlix Instinct X | 0.4M | 43 sh |
| Region | Revenue | Share |
|---|---|---|
| UNITED STATES | $4.3B | 73% |
| Other foreign locations | $1.5B | 25% |
| IRELAND | $108M | 2% |
Moat score 58/100 — Narrow; primary source Efficient Scale.
| Officer | Title |
|---|---|
| Daniel A. Carestio | President, Chief Executive Officer & Director |
| Andrew Xilas | Senior Vice President & GM of Dental |
| John Adam Zangerle | Senior Vice President, General Counsel & Secretary |
| Karen L. Burton | Senior Vice President, Chief Financial Officer & Chief Accounting Officer |
| Period | EPS est. | EPS actual | EPS surprise | Rev est. ($M) | Rev actual ($M) | Rev surprise |
|---|
| YoY growth | FY22 | FY23 | FY24 | FY25 | FY26 |
|---|---|---|---|---|---|
| Revenue | +35.9% | +7.4% | +13.3% | +6.2% | +8.7% |
| Gross profit | +40.2% | +5.2% | +12.0% | +8.3% | +9.3% |
| Operating income | -12.9% | +65.6% | +5.7% | +3.7% | +27.1% |
| Net income | -38.6% | -56.1% | +253.4% | +62.5% | +27.7% |
| $B · FY ends | FY22 | FY23 | FY24 | FY25 | FY26 | Trend |
|---|---|---|---|---|---|---|
| Revenue | 4.2 | 4.5 | 5.1 | 5.5 | 5.9 | |
| Cost of revenue | 2.3 | 2.6 | 2.9 | 3.1 | 3.3 | |
| Gross profit | 1.9 | 2.0 | 2.2 | 2.4 | 2.6 | |
| R&D expense | 0.1 | 0.1 | 0.1 | 0.1 | 0.1 | |
| SG&A expense | 1.3 | 1.1 | 1.3 | 1.3 | 1.4 | |
| Operating income | 0.5 | 0.8 | 0.8 | 0.9 | 1.1 | |
| EBITDA | 1.0 | 1.3 | 1.4 | 1.4 | 1.6 | |
| D&A | 0.6 | 0.6 | 0.6 | 0.5 | 0.5 | |
| Pretax income | 0.4 | 0.7 | 0.7 | 0.8 | 1.0 | |
| Income tax | 0.1 | 0.1 | 0.1 | 0.2 | 0.3 | |
| Net income | 0.2 | 0.1 | 0.4 | 0.6 | 0.8 | |
| Diluted EPS ($) | 2.48 | 1.07 | 3.81 | 6.20 | 7.93 | |
| Diluted shares (M) | 98 | 100 | 99 | 99 | 99 |
| $B | FY23 | FY24 | FY25 | FY26 | |
|---|---|---|---|---|---|
| Cash & equivalents | 0.2 | 0.2 | 0.2 | 0.4 | |
| ST investments | 0.0 | 0.0 | 0.0 | 0.0 | |
| Receivables (net) | 0.9 | 1.0 | 1.0 | 1.1 | |
| Total current assets | 2.0 | 2.9 | 2.0 | 2.4 | |
| PP&E (net) | 1.8 | 1.9 | 2.1 | 2.3 | |
| Goodwill + intangibles | 6.0 | 6.2 | 6.0 | 5.8 | |
| Total assets | 10.8 | 11.1 | 10.1 | 10.7 | |
| Accounts payable | 0.3 | 0.3 | 0.3 | 0.3 | |
| Short-term debt | 0.1 | 0.1 | 0.1 | 0.2 | |
| Deferred revenue | 0.1 | 0.1 | 0.1 | 0.1 | |
| Total current liabilities | 0.9 | 0.9 | 1.0 | 1.1 | |
| Long-term debt | 3.0 | 3.1 | 1.9 | 1.8 | |
| Total liabilities | 4.7 | 4.7 | 3.5 | 3.5 | |
| Shareholders' equity | 6.1 | 6.3 | 6.6 | 7.2 |
| $B | FY23 | FY24 | FY25 | FY26 | |
|---|---|---|---|---|---|
| Net income | 0.1 | 0.4 | 0.6 | 0.8 | |
| D&A | 0.6 | 0.6 | 0.5 | 0.5 | |
| Stock-based compensation | 0.0 | 0.1 | 0.1 | 0.1 | |
| Working capital change | (0.3) | (0.1) | 0.1 | 0.0 | |
| Operating cash flow | 0.8 | 1.0 | 1.1 | 1.3 | |
| Capital expenditures | (0.4) | (0.4) | (0.4) | (0.4) | |
| Investing cash flow | (0.4) | (0.9) | 0.4 | (0.5) | |
| Buybacks | (0.3) | (0.0) | (0.2) | (0.2) | |
| Dividends paid | (0.2) | (0.2) | (0.2) | (0.2) | |
| Debt issuance / (repay) | (0.0) | 0.1 | (1.2) | (0.1) | |
| Financing cash flow | (0.5) | (0.1) | (1.6) | (0.6) | |
| Free cash flow | 0.4 | 0.6 | 0.8 | 1.0 |
| Ratio | FY22 | FY23 | FY24 | FY25 | FY26 | TTM | Trend |
|---|---|---|---|---|---|---|---|
| PROFITABILITY | |||||||
| ROE | 4.7% | 1.7% | 6.1% | 9.5% | 11.3% | 11% | |
| ROA | 2.7% | 1.0% | 3.5% | 5.8% | 7.5% | 7.5% | |
| ROIC | 3.5% | 2.0% | 7.1% | 7.7% | 9.4% | 8.7% | |
| Gross margin | 44.6% | 43.7% | 43.2% | 44.0% | 44.2% | 44.4% | |
| Operating margin | 11.3% | 17.4% | 16.3% | 15.9% | 18.6% | 18.9% | |
| Net margin | 5.8% | 2.4% | 7.4% | 11.3% | 13.2% | 13.3% | |
| EBITDA margin | 23.9% | 29.6% | 27.5% | 24.9% | 26.9% | 27.0% | |
| FCF margin | 8.7% | 8.0% | 12.7% | 14.3% | 16.4% | — | |
| VALUATION | |||||||
| P/E | 96.35 | 173.26 | 57.75 | 36.15 | 27.81 | 27.2 | |
| P/B | 3.60 | 3.05 | 3.47 | 3.36 | 3.03 | 3.0 | |
| P/S | 5.12 | 3.74 | 4.52 | 4.07 | 3.67 | 3.60 | |
| P/FCF | 59.15 | 46.95 | 35.63 | 28.56 | 22.38 | 23.5 | |
| EV/EBITDA | 27.61 | 26.29 | 17.41 | 17.85 | 14.71 | 14.3 | |
| EV/Revenue | 5.76 | 4.35 | 5.17 | 4.44 | 3.94 | 3.9 | |
| Earnings yield | 1.0% | 0.6% | 1.7% | 2.8% | 3.6% | 3.70% | |
| FCF yield | 1.7% | 2.1% | 2.8% | 3.5% | 4.5% | 4.26% | |
| Ratio | FY22 | FY23 | FY24 | FY25 | FY26 | TTM | Trend |
|---|---|---|---|---|---|---|---|
| LEVERAGE & SOLVENCY | |||||||
| Current ratio | 2.04 | 2.33 | 3.08 | 1.96 | 2.09 | 1.91 | |
| Quick ratio | 1.41 | 1.63 | 2.36 | 1.39 | 1.54 | 1.35 | |
| Debt / equity | 0.50 | 0.53 | 0.54 | 0.33 | 0.29 | 0.28 | |
| Debt / assets | 28.7% | 30.0% | 30.6% | 21.7% | 19.4% | 19.0% | |
| Net debt / EBITDA | 3.06 | 3.70 | 2.21 | 1.49 | 1.04 | 0.96 | |
| Interest coverage | 4.51 | 2.42 | 6.04 | 10.23 | 18.20 | — | |
| Ratio | FY22 | FY23 | FY24 | FY25 | FY26 | TTM | Trend |
|---|---|---|---|---|---|---|---|
| EFFICIENCY | |||||||
| Asset turnover | 0.51 | 0.45 | 0.44 | 0.51 | 0.57 | 0.56 | |
| Receivables turnover | 6.51 | 5.96 | 5.16 | 5.32 | 5.56 | 6.0 | |
| DSO (days) | 56 | 61 | 71 | 69 | 66 | 61 | |
| DPO (days) | 27 | 32 | 34 | 32 | 34 | 37 | |
| Cash conversion cycle | 92 | 106 | 121 | 112 | 98 | 101 | |
| GROWTH (YoY) | |||||||
| Revenue growth | 47.5% | 8.1% | -2.5% | 12.9% | 8.7% | — | |
| Net income growth | -38.4% | -56.1% | 253.4% | 62.5% | 27.3% | — | |
| EPS growth | -47.4% | -55.6% | 256.0% | 62.7% | 27.8% | — | |
| FCF growth | -11.8% | -0.6% | 55.2% | 26.9% | 25.0% | — | |
| PER SHARE ($) | |||||||
| EPS (diluted, TTM) | 2.42 | 1.07 | 3.83 | 6.22 | 7.95 | 8.25 | |
| Book value / share | 64.81 | 61.04 | 63.75 | 66.87 | 73.00 | 73.99 | |
| Revenue / share | 45.49 | 49.79 | 48.92 | 55.28 | 60.32 | 61.86 | |
| FCF / share | 3.94 | 3.97 | 6.20 | 7.88 | 9.88 | 9.48 | |
| Cash / share | 3.46 | 2.09 | 2.09 | 1.74 | 4.47 | 4.94 | |
| SHAREHOLDER RETURN & SCORES | |||||||
| Buyback yield | 0.2% | 1.7% | 0.1% | 1.0% | 1.1% | 1.65% | |
| Altman Z-Score | 3.75 | 3.26 | 3.93 | 5.06 | 5.11 | 5.2 | |
| Piotroski F-Score | 5 | 6 | 6 | 8 | 9 | 8/9 | |
| Beneish M-Score | -2.30 | -2.60 | -2.43 | -2.80 | -2.69 | -2.47 | |
| Model | Score | Zone | Note |
|---|---|---|---|
| Piotroski F-Score | 8 / 9 | Strong | |
| Altman Z-Score | 5.2 | Safe (>2.99) | Safe |
| Income quality | 1.59 | Cash-backed | OCF ÷ net income |
| Beneish M-Score | -2.47 | Non-manipulator | vs −2.22 threshold |
| DuPont Decomposition (TTM) | Value |
|---|---|
| Tax burden | 0.74 |
| Interest burden | 0.96 |
| Operating margin | 18.9% |
| Asset turnover | 0.57× |
| Financial leverage | 1.49× |
| = ROE | 11% |
| Growth Quality (live) | Value |
|---|---|
| Revenue stability | 0.94 |
| Earnings stability | 0.63 |
| Earnings persistence | 0.90 |
| Revenue CAGR 3y | 6.6% |
| EPS CAGR 3y | 89.8% |
| FCF CAGR 3y | 23.3% |
| Company | Mkt cap | P/E | ROE | Net margin | Rev growth | Piotroski | 1-yr ret |
|---|---|---|---|---|---|---|---|
| ALC | $32.0B | 50.9 | 3% | 0.0% | +7.8% | 6/9 | -12.2% |
| THC | $21.5B | 10.2 | 53% | 14.7% | +5.4% | 7/9 | +34.2% |
| VTRS | $21.4B | -51.8 | -3% | -3.2% | +4.4% | 7/9 | +87.0% |
| GH | $21.3B | -45.4 | 172% | -35.9% | +42.7% | 6/9 | +135.1% |
| INSM | $21.0B | -23.4 | -87% | -3.1% | +185.8% | 5/9 | — |
| GMAB | $22.8B | 29.3 | 4% | 26.2% | -77.7% | 4/9 | — |
| UTHR | $22.9B | 17.6 | 19% | 42.5% | +2.5% | 6/9 | — |
| INCY | $22.9B | 13.9 | 31% | 35.0% | +26.9% | 8/9 | — |
| Consensus estimates | Revenue mean | High / Low | EPS mean | High / Low | # EPS est. |
|---|---|---|---|---|---|
| FY2026 | $5.94B | $5.95B / $5.92B | $10.20 | $10.21 / $10.19 | 5 |
| FY2027 | $6.38B | $6.40B / $6.35B | $11.21 | $11.34 / $10.98 | 5 |
| FY2028 | $6.78B | $6.81B / $6.75B | $12.25 | $12.28 / $12.23 | 5 |
| Window | Avg Target | vs. Price | # Targets |
|---|---|---|---|
| Last Quarter | $275.00 | +23.5% | 1 |
| Last Year | $271.33 | +21.9% | 3 |
| All Time | $258.43 | +16.1% | 7 |
| Moving Average | Value | Distance | % Distance | Signal |
|---|---|---|---|---|
| SMA 20 | $212.43 | +10.23 | +4.82% | Above |
| SMA 50 | $221.22 | +1.44 | +0.65% | Above |
| SMA 200 | $226.08 | -3.42 | -1.51% | Below |
| EMA 9 | $217.55 | +5.11 | +2.35% | Above |
| EMA 21 | $215.45 | +7.21 | +3.35% | Above |
| EMA 50 | $217.31 | +5.35 | +2.46% | Above |
| EMA 200 | $224.02 | -1.36 | -0.61% | Below |
| Level | Value | Level | Value |
|---|---|---|---|
| Pivot / R1 / R2 | $222.61 / $226.23 / $228.12 | S1 / S2 | $220.72 / $217.10 |
| Bollinger (20,2) | $202.61 – $222.24 | Squeeze | Off |
| 52-wk range | $195.14 – $268.76 | Off 52-wk high | -17.2% |
| ATR (14) | $4.79 (2.2%) | Historical vol | 17.3% |
| Computed from live weekly prices | STE | S&P 500 |
|---|---|---|
| Weekly volatility (σ, 1y) | 3.78% | 1.83% |
| Best / worst week (1y) | +11.5% / -11.0% | — |
| Max drawdown (5y, monthly) | -34.1% | — |
| 1-week VaR (95%) | -7.6% | — |
| Beta (5y) | 0.91 | 1.00 |
| Reading | STE | Medical - Specialties n=176 | Healthcare n=5,272 | All US symbols n=70,435 |
|---|---|---|---|---|
| Overall | +16.3 | -22.7 | -24.0 | -20.5 |
| Trend | +22.4 | -30.1 | -25.6 | -21.3 |
| Momentum | +50.2 | -28.5 | -28.5 | -15.8 |
| Volume | +45.4 | +4.5 | -25.0 | -3.8 |
| Executive | Total comp | Structure |
|---|---|---|
| Daniel A. Carestio President and CEO | $11.5M | 53% equity+incentive |
| Karen L. Burton Senior Vice President and Ch | $3.2M | 48% equity+incentive |
| J. Adam Zangerle Senior Vice President, Gene | $3.0M | 49% equity+incentive |
| Cary L. Majors Senior Vice President and Pre | $2.5M | 48% equity+incentive |
| Michael J. Tokich Senior Financial Advisor | $2.2M | 52% equity+incentive |
| Pillar (live disclosure scores) | Score |
|---|---|
| Environmental | 67 |
| Social | 59 |
| Governance | 69 |
| Composite ESG | 65 |
| Filed | 8-K contents | Items |
|---|---|---|
| 2026-10-13 | Material Agreement | 1.01 |
| 2026-08-06 | Officer/Director Change | 5.02 |
| 2026-08-06 | Shareholder Vote | 5.07 |
| 2026-08-05 | Earnings Release; Exit/Disposal Costs; Exhibits | 2.02,2.05,9.01 |
| 2026-05-07 | Officer/Director Change; Regulation FD; Exhibits | 5.02,7.01,9.01 |
| 2026-04-06 | Officer/Director Change | 5.02 |
| 2026-02-04 | Results of Operations and Financial Condition; Financial Statements an | 2.02,9.01 |
| 2025-11-05 | Results of Operations and Financial Condition; Financial Statements an | 2.02,9.01 |
Methodology. Every figure originates in InsiderStreet's production data layer and is computed deterministically by the same engines that power insiderstreet.ai. This factsheet contains no model-written text. Sections without underlying data are omitted rather than estimated.
| Data domain | Source | Coverage for this report |
|---|---|---|
| Price & volume | market_db.historical_prices | 52 rows |
| Fundamentals | income_statements_annual | 6 rows · 2021 to 2026 |
| Reported vs consensus | fact/earnings_calendar | 24 rows · 2020-11-02 to 2026-08-05 |
| Analyst estimates | dim/forward_estimates | 3 rows · 2026-03-31 to 2028-03-31 |
| Institutional ownership (13F) | holdings_db.institutional_ownership_summary | 28 rows · 2019 to 2025 |
| Insider transactions (Form 4) | edgar/form4 | 12 rows · 2026-08-10 to 2026-10-01 |
| Proposed sales (Form 144) | edgar/form144 | 1 record |
| Beneficial ownership (13D/G) | edgar/13dg | 4 rows · 2025-11-04 to 2026-05-12 |
| Short-sale volume (FINRA) | edgar/short_volume_daily | 60 rows · 2026-07-23 to 2026-10-15 |
| Dark pool (ATS, tier 1) | edgar/darkpool_weekly | 12 rows · 2026-06-15 to 2026-08-31 |
| ETF & fund holding | etf_holdings_changelog (30d) | 1 record |
| Peer set | stock_peers_dynamic | 8 rows |
| Industry medians | industry_medians | 1 record |
| Congressional trades | congress_db (House + Senate) | 1 record |
| ESG | fact/esg_disclosures | 1 record |
Method. Every figure in this factsheet is looked up from a named field computed in code. It contains no model-written text.
Not covered. Short interest as a percent of float and days-to-cover are not in this data set — the short-sale figures above are FINRA volume, a flow, and cannot support squeeze or covering analysis. Options positioning and intraday data are also absent. 13F ownership is filed 45 days after quarter end and congressional trades are disclosed on a lag, so both describe a past position, not a current one.