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Stock Comparison

GRAL vs GH

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
GRAL
GRAIL, Inc.

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$2.57B
5Y Perf.+308.3%
GH
Guardant Health, Inc.

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$11.53B
5Y Perf.+219.4%

GRAL vs GH — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
GRAL logoGRAL
GH logoGH
IndustryMedical - Diagnostics & ResearchMedical - Diagnostics & Research
Market Cap$2.57B$11.53B
Revenue (TTM)$147M$903M
Net Income (TTM)$-408M$-399M
Gross Margin-42.5%63.8%
Operating Margin-382.0%-49.0%
Total Debt$98M$1.68B
Cash & Equiv.$250M$378M

GRAL vs GHLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

GRAL
GH
StockJun 24May 26Return
GRAIL, Inc. (GRAL)100408.3+308.3%
Guardant Health, In… (GH)100319.4+219.4%

Price return only. Dividends and distributions are not included.

Quick Verdict: GRAL vs GH

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: GH leads in 4 of 6 categories, making it the strongest pick for growth and revenue expansion and profitability and margin quality. GRAIL, Inc. is the stronger pick specifically for operational efficiency and capital deployment. As sector peers, any of these can serve as alternatives in the same allocation.
GRAL
GRAIL, Inc.
The Growth Play

GRAL is the clearest fit if your priority is growth exposure and long-term compounding.

  • Rev growth 17.2%, EPS growth 82.5%, 3Y rev CAGR 38.4%
  • 359.4% 10Y total return vs GH's 186.5%
  • -14.8% ROA vs GH's -31.2%, ROIC -16.8% vs -35.0%
Best for: growth exposure and long-term compounding
GH
Guardant Health, Inc.
The Income Pick

GH carries the broadest edge in this set and is the clearest fit for income & stability and sleep-well-at-night.

  • beta 0.86
  • Lower volatility, beta 0.86, current ratio 4.84x
  • Beta 0.86, current ratio 4.84x
Best for: income & stability and sleep-well-at-night
See the full category breakdown
CategoryWinnerWhy
GrowthGH logoGH32.9% revenue growth vs GRAL's 17.2%
Quality / MarginsGH logoGH-44.2% margin vs GRAL's -277.5%
Stability / SafetyGH logoGHBeta 0.86 vs GRAL's 2.70
DividendsTieNeither stock pays a meaningful dividend
Momentum (1Y)GH logoGH+120.0% vs GRAL's +95.1%
Efficiency (ROA)GRAL logoGRAL-14.8% ROA vs GH's -31.2%, ROIC -16.8% vs -35.0%

GRAL vs GH — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

GRALGRAIL, Inc.

Segment breakdown not available.

GHGuardant Health, Inc.
FY 2025
Oncology
69.6%$684M
Biopharma & Data
21.4%$210M
Screening
8.1%$80M
Licensing & Other
0.9%$9M

GRAL vs GH — Financial Metrics

Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLGHLAGGINGGRAL

Income & Cash Flow (Last 12 Months)

GH leads this category, winning 6 of 6 comparable metrics.

GH is the larger business by revenue, generating $903M annually — 6.1x GRAL's $147M. Profitability is closely matched — net margins range from -44.2% (GH) to -2.8% (GRAL). On growth, GH holds the edge at +38.5% YoY revenue growth, suggesting stronger near-term business momentum.

MetricGRAL logoGRALGRAIL, Inc.GH logoGHGuardant Health, …
RevenueTrailing 12 months$147M$903M
EBITDAEarnings before interest/tax-$406M-$402M
Net IncomeAfter-tax profit-$408M-$399M
Free Cash FlowCash after capex-$299M-$262M
Gross MarginGross profit ÷ Revenue-42.5%+63.8%
Operating MarginEBIT ÷ Revenue-3.8%-49.0%
Net MarginNet income ÷ Revenue-2.8%-44.2%
FCF MarginFCF ÷ Revenue-2.0%-29.1%
Rev. Growth (YoY)Latest quarter vs prior year+14.0%+38.5%
EPS Growth (YoY)Latest quarter vs prior year+15.6%+15.9%
GH leads this category, winning 6 of 6 comparable metrics.

Valuation Metrics

GH leads this category, winning 2 of 2 comparable metrics.
MetricGRAL logoGRALGRAIL, Inc.GH logoGHGuardant Health, …
Market CapShares × price$2.6B$11.5B
Enterprise ValueMkt cap + debt − cash$2.4B$12.8B
Trailing P/EPrice ÷ TTM EPS-5.65x-27.79x
Forward P/EPrice ÷ next-FY EPS est.
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple
Price / SalesMarket cap ÷ Revenue17.49x11.74x
Price / BookPrice ÷ Book value/share0.89x
Price / FCFMarket cap ÷ FCF
GH leads this category, winning 2 of 2 comparable metrics.

Profitability & Efficiency

GRAL leads this category, winning 5 of 5 comparable metrics.
MetricGRAL logoGRALGRAIL, Inc.GH logoGHGuardant Health, …
ROE (TTM)Return on equity-17.1%
ROA (TTM)Return on assets-14.8%-31.2%
ROICReturn on invested capital-16.8%-35.0%
ROCEReturn on capital employed-18.6%-29.4%
Piotroski ScoreFundamental quality 0–955
Debt / EquityFinancial leverage0.04x
Net DebtTotal debt minus cash-$152M$1.3B
Cash & Equiv.Liquid assets$250M$378M
Total DebtShort + long-term debt$98M$1.7B
Interest CoverageEBIT ÷ Interest expense-117.27x
GRAL leads this category, winning 5 of 5 comparable metrics.

Total Returns (Dividends Reinvested)

GRAL leads this category, winning 4 of 6 comparable metrics.

A $10,000 investment in GRAL five years ago would be worth $45,937 today (with dividends reinvested), compared to $6,853 for GH. Over the past 12 months, GH leads with a +120.0% total return vs GRAL's +95.1%. The 3-year compound annual growth rate (CAGR) favors GRAL at 66.2% vs GH's 57.7% — a key indicator of consistent wealth creation.

MetricGRAL logoGRALGRAIL, Inc.GH logoGHGuardant Health, …
YTD ReturnYear-to-date-29.4%-9.3%
1-Year ReturnPast 12 months+95.1%+120.0%
3-Year ReturnCumulative with dividends+359.4%+292.1%
5-Year ReturnCumulative with dividends+359.4%-31.5%
10-Year ReturnCumulative with dividends+359.4%+186.5%
CAGR (3Y)Annualised 3-year return+66.2%+57.7%
GRAL leads this category, winning 4 of 6 comparable metrics.

Risk & Volatility

GH leads this category, winning 2 of 2 comparable metrics.

GH is the less volatile stock with a 0.86 beta — it tends to amplify market swings less than GRAL's 2.70 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. GH currently trades 76.4% from its 52-week high vs GRAL's 52.8% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricGRAL logoGRALGRAIL, Inc.GH logoGHGuardant Health, …
Beta (5Y)Sensitivity to S&P 5002.70x0.86x
52-Week HighHighest price in past year$118.84$120.74
52-Week LowLowest price in past year$29.95$36.36
% of 52W HighCurrent price vs 52-week peak+52.8%+76.4%
RSI (14)Momentum oscillator 0–10052.951.9
Avg Volume (50D)Average daily shares traded884K1.9M
GH leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Wall Street rates GRAL as "Buy" and GH as "Buy". Consensus price targets imply 44.3% upside for GH (target: $133) vs 23.2% for GRAL (target: $77).

MetricGRAL logoGRALGRAIL, Inc.GH logoGHGuardant Health, …
Analyst RatingConsensus buy/hold/sellBuyBuy
Price TargetConsensus 12-month target$77.33$133.14
# AnalystsCovering analysts430
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%+0.1%
Insufficient data to determine a leader in this category.
Key Takeaway

GH leads in 3 of 6 categories (Income & Cash Flow, Valuation Metrics). GRAL leads in 2 (Profitability & Efficiency, Total Returns).

Best OverallGuardant Health, Inc. (GH)Leads 3 of 6 categories
Loading custom metrics...

GRAL vs GH: Frequently Asked Questions

8 questions · data-driven answers · updated daily

01

Is GRAL or GH a better buy right now?

For growth investors, Guardant Health, Inc.

(GH) is the stronger pick with 32. 9% revenue growth year-over-year, versus 17. 2% for GRAIL, Inc. (GRAL). Analysts rate GRAIL, Inc. (GRAL) a "Buy" — based on 4 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.

02

Which is the better long-term investment — GRAL or GH?

Over the past 5 years, GRAIL, Inc.

(GRAL) delivered a total return of +359. 4%, compared to -31. 5% for Guardant Health, Inc. (GH). Over 10 years, the gap is even starker: GRAL returned +359. 4% versus GH's +186. 5%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

03

Which is safer — GRAL or GH?

By beta (market sensitivity over 5 years), Guardant Health, Inc.

(GH) is the lower-risk stock at 0. 86β versus GRAIL, Inc. 's 2. 70β — meaning GRAL is approximately 214% more volatile than GH relative to the S&P 500.

04

Which is growing faster — GRAL or GH?

By revenue growth (latest reported year), Guardant Health, Inc.

(GH) is pulling ahead at 32. 9% versus 17. 2% for GRAIL, Inc. (GRAL). On earnings-per-share growth, the picture is similar: GRAIL, Inc. grew EPS 82. 5% year-over-year, compared to 6. 7% for Guardant Health, Inc.. Over a 3-year CAGR, GRAL leads at 38. 4% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.

05

Which has better profit margins — GRAL or GH?

Guardant Health, Inc.

(GH) is the more profitable company, earning -42. 4% net margin versus -277. 5% for GRAIL, Inc. — meaning it keeps -42. 4% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: GH leads at -44. 5% versus -363. 0% for GRAL. At the gross margin level — before operating expenses — GH leads at 64. 5%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.

06

Which pays a better dividend — GRAL or GH?

None of the stocks in this comparison currently pay a material dividend.

All are effectively zero-yield and should be held for capital appreciation rather than income.

07

Is GRAL or GH better for a retirement portfolio?

For long-horizon retirement investors, Guardant Health, Inc.

(GH) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 86), +186. 5% 10Y return). GRAIL, Inc. (GRAL) carries a higher beta of 2. 70 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (GH: +186. 5%, GRAL: +359. 4%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.

08

What are the main differences between GRAL and GH?

Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.

These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.

Find Stocks Like These

Explore pre-built screens for each stock's profile, or build a custom screen to find stocks that outperform both.

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GRAL

Quality Business

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 6%
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GH

High-Growth Disruptor

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 19%
  • Gross Margin > 38%
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(GRAL: 14.0% · GH: 38.5%)

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