Medical - Diagnostics & Research
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GRAL vs GH
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Diagnostics & Research
GRAL vs GH — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||
|---|---|---|
| Industry | Medical - Diagnostics & Research | Medical - 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 GH — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | Jun 24 | May 26 | Return |
|---|---|---|---|
| GRAIL, Inc. (GRAL) | 100 | 408.3 | +308.3% |
| Guardant Health, In… (GH) | 100 | 319.4 | +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.
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%
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
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 32.9% revenue growth vs GRAL's 17.2% | |
| Quality / Margins | -44.2% margin vs GRAL's -277.5% | |
| Stability / Safety | Beta 0.86 vs GRAL's 2.70 | |
| Dividends | Tie | Neither stock pays a meaningful dividend |
| Momentum (1Y) | +120.0% vs GRAL's +95.1% | |
| Efficiency (ROA) | -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
Segment breakdown not available.
GRAL vs GH — Financial Metrics
Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.
Income & Cash Flow (Last 12 Months)
GH leads this category, winning 6 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
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.
| Metric | ||
|---|---|---|
| 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% |
Valuation Metrics
GH leads this category, winning 2 of 2 comparable metrics.
Valuation Metrics
| Metric | ||
|---|---|---|
| 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 ÷ Revenue | 17.49x | 11.74x |
| Price / BookPrice ÷ Book value/share | 0.89x | — |
| Price / FCFMarket cap ÷ FCF | — | — |
Profitability & Efficiency
GRAL leads this category, winning 5 of 5 comparable metrics.
Profitability & Efficiency
| Metric | ||
|---|---|---|
| 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 0–9 | 5 | 5 |
| Debt / EquityFinancial leverage | 0.04x | — |
| 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 |
Total Returns (Dividends Reinvested)
GRAL leads this category, winning 4 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
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.
| Metric | ||
|---|---|---|
| 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% |
Risk & Volatility
GH leads this category, winning 2 of 2 comparable metrics.
Risk & Volatility
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.
| Metric | ||
|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 2.70x | 0.86x |
| 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 0–100 | 52.9 | 51.9 |
| Avg Volume (50D)Average daily shares traded | 884K | 1.9M |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
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).
| Metric | ||
|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy |
| Price TargetConsensus 12-month target | $77.33 | $133.14 |
| # AnalystsCovering analysts | 4 | 30 |
| Dividend YieldAnnual dividend ÷ price | — | — |
| Dividend StreakConsecutive years of raises | — | — |
| Dividend / ShareAnnual DPS | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | +0.1% |
GH leads in 3 of 6 categories (Income & Cash Flow, Valuation Metrics). GRAL leads in 2 (Profitability & Efficiency, Total Returns).
GRAL vs GH: Frequently Asked Questions
8 questions · data-driven answers · updated daily
01Is 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.
02Which 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.
03Which 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.
04Which 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.
05Which 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.
06Which 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.
07Is 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.
08What 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.
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