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Stock Comparison

PRE vs CSTL

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

Live fundamentals10-year financials5-year price chart
PRE
Prenetics Global Limited

Medical - Diagnostics & Research

HealthcareNASDAQ • HK
Market Cap$242M
5Y Perf.-85.8%
CSTL
Castle Biosciences, Inc.

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$750M
5Y Perf.-64.6%

PRE vs CSTL — Key Financials

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

Company Snapshot
PRE logoPRE
CSTL logoCSTL
IndustryMedical - Diagnostics & ResearchMedical - Diagnostics & Research
Market Cap$242M$750M
Revenue (TTM)$69M$340M
Net Income (TTM)$-47M$-13M
Gross Margin47.2%48.5%
Operating Margin-62.9%-4.4%
Total Debt$2M$37M
Cash & Equiv.$32M$117M

PRE vs CSTLLong-Term Stock Performance

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

PRE
CSTL
StockJul 21May 26Return
Prenetics Global Li… (PRE)10014.2-85.8%
Castle Biosciences,… (CSTL)10035.4-64.6%

Price return only. Dividends and distributions are not included.

Quick Verdict: PRE vs CSTL

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

Bottom line: PRE leads in 3 of 6 categories, making it the strongest pick for growth and revenue expansion and capital preservation and lower volatility. Castle Biosciences, Inc. is the stronger pick specifically for profitability and margin quality and operational efficiency and capital deployment. As sector peers, any of these can serve as alternatives in the same allocation.
PRE
Prenetics Global Limited
The Income Pick

PRE carries the broadest edge in this set and is the clearest fit for income & stability and growth exposure.

  • beta 0.27
  • Rev growth 201.7%, EPS growth -14.0%, 3Y rev CAGR 91.5%
  • Lower volatility, beta 0.27, Low D/E 1.3%, current ratio 3.01x
Best for: income & stability and growth exposure
CSTL
Castle Biosciences, Inc.
The Long-Run Compounder

CSTL is the clearest fit if your priority is long-term compounding.

  • 15.7% 10Y total return vs PRE's -86.0%
  • -3.8% margin vs PRE's -67.4%
  • -2.3% ROA vs PRE's -23.7%, ROIC -8.5% vs -20.8%
Best for: long-term compounding
See the full category breakdown
CategoryWinnerWhy
GrowthPRE logoPRE201.7% revenue growth vs CSTL's 3.7%
Quality / MarginsCSTL logoCSTL-3.8% margin vs PRE's -67.4%
Stability / SafetyPRE logoPREBeta 0.27 vs CSTL's 0.88, lower leverage
DividendsTieNeither stock pays a meaningful dividend
Momentum (1Y)PRE logoPRE+204.0% vs CSTL's +48.9%
Efficiency (ROA)CSTL logoCSTL-2.3% ROA vs PRE's -23.7%, ROIC -8.5% vs -20.8%

PRE vs CSTL — Revenue Breakdown by Segment

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

PREPrenetics Global Limited

Segment breakdown not available.

CSTLCastle Biosciences, Inc.
FY 2025
Dermatologic
100.0%$216M

PRE vs CSTL — Financial Metrics

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

BEST OVERALLCSTLLAGGINGPRE

Income & Cash Flow (Last 12 Months)

CSTL leads this category, winning 5 of 6 comparable metrics.

CSTL is the larger business by revenue, generating $340M annually — 4.9x PRE's $69M. CSTL is the more profitable business, keeping -3.8% of every revenue dollar as net income compared to PRE's -67.4%. On growth, PRE holds the edge at +2.0% YoY revenue growth, suggesting stronger near-term business momentum.

MetricPRE logoPREPrenetics Global …CSTL logoCSTLCastle Bioscience…
RevenueTrailing 12 months$69M$340M
EBITDAEarnings before interest/tax-$54M-$2M
Net IncomeAfter-tax profit-$47M-$13M
Free Cash FlowCash after capex$0$5M
Gross MarginGross profit ÷ Revenue+47.2%+48.5%
Operating MarginEBIT ÷ Revenue-62.9%-4.4%
Net MarginNet income ÷ Revenue-67.4%-3.8%
FCF MarginFCF ÷ Revenue-23.8%+1.3%
Rev. Growth (YoY)Latest quarter vs prior year+2.0%-4.9%
EPS Growth (YoY)Latest quarter vs prior year+36.9%+45.6%
CSTL leads this category, winning 5 of 6 comparable metrics.

Valuation Metrics

CSTL leads this category, winning 2 of 3 comparable metrics.
MetricPRE logoPREPrenetics Global …CSTL logoCSTLCastle Bioscience…
Market CapShares × price$242M$750M
Enterprise ValueMkt cap + debt − cash$213M$670M
Trailing P/EPrice ÷ TTM EPS-3.83x-29.82x
Forward P/EPrice ÷ next-FY EPS est.
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple
Price / SalesMarket cap ÷ Revenue2.62x2.18x
Price / BookPrice ÷ Book value/share1.28x1.52x
Price / FCFMarket cap ÷ FCF26.47x
CSTL leads this category, winning 2 of 3 comparable metrics.

Profitability & Efficiency

CSTL leads this category, winning 6 of 9 comparable metrics.

CSTL delivers a -2.8% return on equity — every $100 of shareholder capital generates $-3 in annual profit, vs $-29 for PRE. PRE carries lower financial leverage with a 0.01x debt-to-equity ratio, signaling a more conservative balance sheet compared to CSTL's 0.08x. On the Piotroski fundamental quality scale (0–9), PRE scores 5/9 vs CSTL's 3/9, reflecting solid financial health.

MetricPRE logoPREPrenetics Global …CSTL logoCSTLCastle Bioscience…
ROE (TTM)Return on equity-28.9%-2.8%
ROA (TTM)Return on assets-23.7%-2.3%
ROICReturn on invested capital-20.8%-8.5%
ROCEReturn on capital employed-21.2%-8.6%
Piotroski ScoreFundamental quality 0–953
Debt / EquityFinancial leverage0.01x0.08x
Net DebtTotal debt minus cash-$30M-$80M
Cash & Equiv.Liquid assets$32M$117M
Total DebtShort + long-term debt$2M$37M
Interest CoverageEBIT ÷ Interest expense-199.93x-49.20x
CSTL leads this category, winning 6 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

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

A $10,000 investment in CSTL five years ago would be worth $4,401 today (with dividends reinvested), compared to $1,395 for PRE. Over the past 12 months, PRE leads with a +204.0% total return vs CSTL's +48.9%. The 3-year compound annual growth rate (CAGR) favors PRE at 7.6% vs CSTL's 3.0% — a key indicator of consistent wealth creation.

MetricPRE logoPREPrenetics Global …CSTL logoCSTLCastle Bioscience…
YTD ReturnYear-to-date+0.8%-35.8%
1-Year ReturnPast 12 months+204.0%+48.9%
3-Year ReturnCumulative with dividends+24.7%+9.3%
5-Year ReturnCumulative with dividends-86.0%-56.0%
10-Year ReturnCumulative with dividends-86.0%+15.7%
CAGR (3Y)Annualised 3-year return+7.6%+3.0%
PRE leads this category, winning 4 of 6 comparable metrics.

Risk & Volatility

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

PRE is the less volatile stock with a 0.27 beta — it tends to amplify market swings less than CSTL's 0.88 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. PRE currently trades 67.3% from its 52-week high vs CSTL's 55.9% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricPRE logoPREPrenetics Global …CSTL logoCSTLCastle Bioscience…
Beta (5Y)Sensitivity to S&P 5000.27x0.88x
52-Week HighHighest price in past year$23.63$44.28
52-Week LowLowest price in past year$5.07$14.59
% of 52W HighCurrent price vs 52-week peak+67.3%+55.9%
RSI (14)Momentum oscillator 0–10041.047.0
Avg Volume (50D)Average daily shares traded183K333K
PRE leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Wall Street rates PRE as "Buy" and CSTL as "Buy". Consensus price targets imply 126.4% upside for PRE (target: $36) vs 93.1% for CSTL (target: $48).

MetricPRE logoPREPrenetics Global …CSTL logoCSTLCastle Bioscience…
Analyst RatingConsensus buy/hold/sellBuyBuy
Price TargetConsensus 12-month target$36.00$47.80
# AnalystsCovering analysts111
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%
Insufficient data to determine a leader in this category.
Key Takeaway

CSTL leads in 3 of 6 categories (Income & Cash Flow, Valuation Metrics). PRE leads in 2 (Total Returns, Risk & Volatility).

Best OverallCastle Biosciences, Inc. (CSTL)Leads 3 of 6 categories
Loading custom metrics...

PRE vs CSTL: Frequently Asked Questions

8 questions · data-driven answers · updated daily

01

Is PRE or CSTL a better buy right now?

For growth investors, Prenetics Global Limited (PRE) is the stronger pick with 201.

7% revenue growth year-over-year, versus 3. 7% for Castle Biosciences, Inc. (CSTL). Analysts rate Prenetics Global Limited (PRE) a "Buy" — based on 1 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 — PRE or CSTL?

Over the past 5 years, Castle Biosciences, Inc.

(CSTL) delivered a total return of -56. 0%, compared to -86. 0% for Prenetics Global Limited (PRE). Over 10 years, the gap is even starker: CSTL returned +15. 7% versus PRE's -86. 0%. 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 — PRE or CSTL?

By beta (market sensitivity over 5 years), Prenetics Global Limited (PRE) is the lower-risk stock at 0.

27β versus Castle Biosciences, Inc. 's 0. 88β — meaning CSTL is approximately 231% more volatile than PRE relative to the S&P 500. On balance sheet safety, Prenetics Global Limited (PRE) carries a lower debt/equity ratio of 1% versus 8% for Castle Biosciences, Inc. — giving it more financial flexibility in a downturn.

04

Which is growing faster — PRE or CSTL?

By revenue growth (latest reported year), Prenetics Global Limited (PRE) is pulling ahead at 201.

7% versus 3. 7% for Castle Biosciences, Inc. (CSTL). On earnings-per-share growth, the picture is similar: Prenetics Global Limited grew EPS -14. 0% year-over-year, compared to -233. 9% for Castle Biosciences, Inc.. Over a 3-year CAGR, PRE leads at 91. 5% 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 — PRE or CSTL?

Castle Biosciences, Inc.

(CSTL) is the more profitable company, earning -7. 0% net margin versus -63. 1% for Prenetics Global Limited — meaning it keeps -7. 0% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: CSTL leads at -12. 4% versus -40. 5% for PRE. At the gross margin level — before operating expenses — CSTL leads at 68. 7%, 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 — PRE or CSTL?

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 PRE or CSTL better for a retirement portfolio?

For long-horizon retirement investors, Prenetics Global Limited (PRE) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.

27)). Both have compounded well over 10 years (PRE: -86. 0%, CSTL: +15. 7%), 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 PRE and CSTL?

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

In terms of investment character: PRE is a small-cap high-growth stock; CSTL is a small-cap quality compounder stock. 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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High-Growth Disruptor

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 101%
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CSTL

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  • Sector: Healthcare
  • Market Cap > $100B
  • Gross Margin > 29%
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Revenue Growth>
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