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Stock Comparison

ADPT vs NTRA vs EXAS vs PACB vs TWST

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

Live fundamentals10-year financials5-year price chart
ADPT
Adaptive Biotechnologies Corporation

Biotechnology

HealthcareNASDAQ • US
Market Cap$2.35B
5Y Perf.-62.0%
NTRA
Natera, Inc.

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$31.16B
5Y Perf.+401.3%
EXAS
Exact Sciences Corporation

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$20.02B
5Y Perf.+20.4%
PACB
Pacific Biosciences of California, Inc.

Medical - Devices

HealthcareNASDAQ • US
Market Cap$498M
5Y Perf.-53.1%
TWST
Twist Bioscience Corporation

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$3.65B
5Y Perf.+54.3%

ADPT vs NTRA vs EXAS vs PACB vs TWST — Key Financials

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

Company Snapshot
ADPT logoADPT
NTRA logoNTRA
EXAS logoEXAS
PACB logoPACB
TWST logoTWST
IndustryBiotechnologyMedical - Diagnostics & ResearchMedical - Diagnostics & ResearchMedical - DevicesMedical - Diagnostics & Research
Market Cap$2.35B$31.16B$20.02B$498M$3.65B
Revenue (TTM)$295M$2.31B$3.25B$160M$409M
Net Income (TTM)$-50M$-208M$-208M$-546M$-81M
Gross Margin75.3%64.8%69.7%28.2%52.1%
Operating Margin-15.8%-13.4%-6.4%-346.1%-33.9%
Forward P/E582.8x
Total Debt$281M$214M$2.52B$759M$137M
Cash & Equiv.$70M$1.08B$956M$64M$183M

ADPT vs NTRA vs EXAS vs PACB vs TWSTLong-Term Stock Performance

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

ADPT
NTRA
EXAS
PACB
TWST
StockMay 20May 26Return
Adaptive Biotechnol… (ADPT)10038.0-62.0%
Natera, Inc. (NTRA)100501.3+401.3%
Exact Sciences Corp… (EXAS)100120.4+20.4%
Pacific Biosciences… (PACB)10046.9-53.1%
Twist Bioscience Co… (TWST)100154.3+54.3%

Price return only. Dividends and distributions are not included.

Quick Verdict: ADPT vs NTRA vs EXAS vs PACB vs TWST

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

Bottom line: EXAS leads in 5 of 7 categories (5-stock set), making it the strongest pick for valuation and capital efficiency and profitability and margin quality. Adaptive Biotechnologies Corporation is the stronger pick specifically for growth and revenue expansion. As sector peers, any of these can serve as alternatives in the same allocation.
ADPT
Adaptive Biotechnologies Corporation
The Growth Play

ADPT is the #2 pick in this set and the best alternative if growth exposure is your priority.

  • Rev growth 54.8%, EPS growth 63.9%, 3Y rev CAGR 14.3%
  • 54.8% revenue growth vs PACB's 3.9%
Best for: growth exposure
NTRA
Natera, Inc.
The Long-Run Compounder

NTRA ranks third and is worth considering specifically for long-term compounding and sleep-well-at-night.

  • 20.9% 10Y total return vs EXAS's 16.7%
  • Lower volatility, beta 1.26, Low D/E 12.5%, current ratio 3.39x
  • Beta 1.26, current ratio 3.39x
Best for: long-term compounding and sleep-well-at-night
EXAS
Exact Sciences Corporation
The Income Pick

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

  • beta 0.12
  • Better valuation composite
  • -6.4% margin vs PACB's -341.5%
  • Beta 0.12 vs TWST's 2.47
Best for: income & stability
PACB
Pacific Biosciences of California, Inc.
The Healthcare Pick

PACB lags the leaders in this set but could rank higher in a more targeted comparison.

Best for: healthcare exposure
TWST
Twist Bioscience Corporation
The Growth Angle

Among these 5 stocks, TWST doesn't own a clear edge in any measured category.

Best for: healthcare exposure
See the full category breakdown
CategoryWinnerWhy
GrowthADPT logoADPT54.8% revenue growth vs PACB's 3.9%
ValueEXAS logoEXASBetter valuation composite
Quality / MarginsEXAS logoEXAS-6.4% margin vs PACB's -341.5%
Stability / SafetyEXAS logoEXASBeta 0.12 vs TWST's 2.47
DividendsTieNone of these 5 stocks pay a meaningful dividend
Momentum (1Y)EXAS logoEXAS+96.9% vs NTRA's +37.3%
Efficiency (ROA)EXAS logoEXAS-3.5% ROA vs PACB's -66.8%, ROIC -3.6% vs -45.8%

ADPT vs NTRA vs EXAS vs PACB vs TWST — Revenue Breakdown by Segment

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

ADPTAdaptive Biotechnologies Corporation
FY 2021
Sequencing Revenue
51.1%$79M
Development Support Revenue
42.4%$65M
Development Revenue Regulatory Milestones
6.5%$10M
NTRANatera, Inc.
FY 2025
Product
99.6%$2.3B
Licensing and other
0.4%$10M
EXASExact Sciences Corporation
FY 2025
Screening
77.9%$2.5B
Precision Oncology
22.1%$717M
PACBPacific Biosciences of California, Inc.
FY 2025
Product
45.9%$136M
Consumable
27.7%$82M
Instrument
18.2%$54M
Service And Other
8.2%$24M
TWSTTwist Bioscience Corporation
FY 2025
Ngs Tools
55.3%$208M
Synthetic Genes
30.2%$114M
Antibody Discovery
6.2%$23M
Oligo Pools
5.4%$20M
Dna And Biopharma Libraries
3.0%$11M

ADPT vs NTRA vs EXAS vs PACB vs TWST — Financial Metrics

Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLEXASLAGGINGPACB

Income & Cash Flow (Last 12 Months)

EXAS leads this category, winning 3 of 6 comparable metrics.

EXAS is the larger business by revenue, generating $3.2B annually — 20.3x PACB's $160M. Profitability is closely matched — net margins range from -6.4% (EXAS) to -3.4% (PACB). On growth, NTRA holds the edge at +39.8% YoY revenue growth, suggesting stronger near-term business momentum.

MetricADPT logoADPTAdaptive Biotechn…NTRA logoNTRANatera, Inc.EXAS logoEXASExact Sciences Co…PACB logoPACBPacific Bioscienc…TWST logoTWSTTwist Bioscience …
RevenueTrailing 12 months$295M$2.3B$3.2B$160M$409M
EBITDAEarnings before interest/tax-$34M-$310M-$41M-$169M-$115M
Net IncomeAfter-tax profit-$50M-$208M-$208M-$546M-$81M
Free Cash FlowCash after capex-$30M$97M$357M-$124M-$95M
Gross MarginGross profit ÷ Revenue+75.3%+64.8%+69.7%+28.2%+52.1%
Operating MarginEBIT ÷ Revenue-15.8%-13.4%-6.4%-3.5%-33.9%
Net MarginNet income ÷ Revenue-16.8%-9.0%-6.4%-3.4%-19.8%
FCF MarginFCF ÷ Revenue-10.0%+4.2%+11.0%-77.4%-23.2%
Rev. Growth (YoY)Latest quarter vs prior year+35.1%+39.8%+23.1%+13.8%+19.3%
EPS Growth (YoY)Latest quarter vs prior year+35.0%+185.4%+90.4%-7.6%
EXAS leads this category, winning 3 of 6 comparable metrics.

Valuation Metrics

Evenly matched — NTRA and EXAS and PACB and TWST each lead in 1 of 4 comparable metrics.
MetricADPT logoADPTAdaptive Biotechn…NTRA logoNTRANatera, Inc.EXAS logoEXASExact Sciences Co…PACB logoPACBPacific Bioscienc…TWST logoTWSTTwist Bioscience …
Market CapShares × price$2.4B$31.2B$20.0B$498M$3.6B
Enterprise ValueMkt cap + debt − cash$2.6B$30.3B$21.6B$1.2B$3.6B
Trailing P/EPrice ÷ TTM EPS-37.67x-144.62x-95.37x-0.91x-45.03x
Forward P/EPrice ÷ next-FY EPS est.582.83x
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple
Price / SalesMarket cap ÷ Revenue8.49x13.51x6.16x3.11x9.68x
Price / BookPrice ÷ Book value/share9.91x17.55x8.24x92.53x7.40x
Price / FCFMarket cap ÷ FCF285.53x56.10x
Evenly matched — NTRA and EXAS and PACB and TWST each lead in 1 of 4 comparable metrics.

Profitability & Efficiency

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

EXAS delivers a -8.7% return on equity — every $100 of shareholder capital generates $-9 in annual profit, vs $-11 for PACB. NTRA carries lower financial leverage with a 0.13x debt-to-equity ratio, signaling a more conservative balance sheet compared to PACB's 141.98x. On the Piotroski fundamental quality scale (0–9), EXAS scores 7/9 vs PACB's 3/9, reflecting strong financial health.

MetricADPT logoADPTAdaptive Biotechn…NTRA logoNTRANatera, Inc.EXAS logoEXASExact Sciences Co…PACB logoPACBPacific Bioscienc…TWST logoTWSTTwist Bioscience …
ROE (TTM)Return on equity-23.9%-15.3%-8.7%-11.2%-17.5%
ROA (TTM)Return on assets-9.9%-10.6%-3.5%-66.8%-12.5%
ROICReturn on invested capital-12.6%-36.1%-3.6%-45.8%-26.9%
ROCEReturn on capital employed-13.2%-18.3%-4.0%-58.0%-24.9%
Piotroski ScoreFundamental quality 0–955734
Debt / EquityFinancial leverage1.25x0.13x1.05x141.98x0.29x
Net DebtTotal debt minus cash$210M-$862M$1.6B$696M-$46M
Cash & Equiv.Liquid assets$70M$1.1B$956M$64M$183M
Total DebtShort + long-term debt$281M$214M$2.5B$759M$137M
Interest CoverageEBIT ÷ Interest expense-6.68x-25.21x-5.47x-77.95x
EXAS leads this category, winning 6 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

TWST leads this category, winning 3 of 6 comparable metrics.

A $10,000 investment in NTRA five years ago would be worth $21,587 today (with dividends reinvested), compared to $663 for PACB. Over the past 12 months, EXAS leads with a +96.9% total return vs NTRA's +37.3%. The 3-year compound annual growth rate (CAGR) favors TWST at 63.5% vs PACB's -48.7% — a key indicator of consistent wealth creation.

MetricADPT logoADPTAdaptive Biotechn…NTRA logoNTRANatera, Inc.EXAS logoEXASExact Sciences Co…PACB logoPACBPacific Bioscienc…TWST logoTWSTTwist Bioscience …
YTD ReturnYear-to-date-7.7%-3.9%+3.1%-10.3%+80.7%
1-Year ReturnPast 12 months+66.7%+37.3%+96.9%+46.0%+78.6%
3-Year ReturnCumulative with dividends+122.6%+314.0%+53.0%-86.5%+336.9%
5-Year ReturnCumulative with dividends-58.0%+115.9%+0.4%-93.4%-49.9%
10-Year ReturnCumulative with dividends-63.5%+2089.4%+1669.1%-81.3%+318.1%
CAGR (3Y)Annualised 3-year return+30.6%+60.6%+15.2%-48.7%+63.5%
TWST leads this category, winning 3 of 6 comparable metrics.

Risk & Volatility

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

EXAS is the less volatile stock with a 0.12 beta — it tends to amplify market swings less than TWST's 2.47 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. EXAS currently trades 99.9% from its 52-week high vs PACB's 60.4% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricADPT logoADPTAdaptive Biotechn…NTRA logoNTRANatera, Inc.EXAS logoEXASExact Sciences Co…PACB logoPACBPacific Bioscienc…TWST logoTWSTTwist Bioscience …
Beta (5Y)Sensitivity to S&P 5002.07x1.26x0.12x2.43x2.47x
52-Week HighHighest price in past year$20.76$256.36$104.98$2.73$66.00
52-Week LowLowest price in past year$8.38$131.81$38.81$0.85$23.30
% of 52W HighCurrent price vs 52-week peak+70.8%+85.7%+99.9%+60.4%+88.7%
RSI (14)Momentum oscillator 0–10052.357.176.460.257.0
Avg Volume (50D)Average daily shares traded2.0M1.3M4.2M5.9M1.2M
EXAS leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Analyst consensus: ADPT as "Buy", NTRA as "Buy", EXAS as "Buy", PACB as "Buy", TWST as "Buy". Consensus price targets imply 44.7% upside for ADPT (target: $21) vs -39.4% for PACB (target: $1).

MetricADPT logoADPTAdaptive Biotechn…NTRA logoNTRANatera, Inc.EXAS logoEXASExact Sciences Co…PACB logoPACBPacific Bioscienc…TWST logoTWSTTwist Bioscience …
Analyst RatingConsensus buy/hold/sellBuyBuyBuyBuyBuy
Price TargetConsensus 12-month target$21.25$262.50$103.18$1.00$49.50
# AnalystsCovering analysts1727411813
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%+0.1%0.0%+0.0%
Insufficient data to determine a leader in this category.
Key Takeaway

EXAS leads in 3 of 6 categories (Income & Cash Flow, Profitability & Efficiency). TWST leads in 1 (Total Returns). 1 tied.

Best OverallExact Sciences Corporation (EXAS)Leads 3 of 6 categories
Loading custom metrics...

ADPT vs NTRA vs EXAS vs PACB vs TWST: Key Questions Answered

9 questions · data-driven answers · updated daily

01

Is ADPT or NTRA or EXAS or PACB or TWST a better buy right now?

For growth investors, Adaptive Biotechnologies Corporation (ADPT) is the stronger pick with 54.

8% revenue growth year-over-year, versus 3. 9% for Pacific Biosciences of California, Inc. (PACB). Analysts rate Adaptive Biotechnologies Corporation (ADPT) a "Buy" — based on 17 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 — ADPT or NTRA or EXAS or PACB or TWST?

Over the past 5 years, Natera, Inc.

(NTRA) delivered a total return of +115. 9%, compared to -93. 4% for Pacific Biosciences of California, Inc. (PACB). Over 10 years, the gap is even starker: NTRA returned +20. 9% versus PACB's -81. 3%. 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 — ADPT or NTRA or EXAS or PACB or TWST?

By beta (market sensitivity over 5 years), Exact Sciences Corporation (EXAS) is the lower-risk stock at 0.

12β versus Twist Bioscience Corporation's 2. 47β — meaning TWST is approximately 1951% more volatile than EXAS relative to the S&P 500. On balance sheet safety, Natera, Inc. (NTRA) carries a lower debt/equity ratio of 13% versus 142% for Pacific Biosciences of California, Inc. — giving it more financial flexibility in a downturn.

04

Which is growing faster — ADPT or NTRA or EXAS or PACB or TWST?

By revenue growth (latest reported year), Adaptive Biotechnologies Corporation (ADPT) is pulling ahead at 54.

8% versus 3. 9% for Pacific Biosciences of California, Inc. (PACB). On earnings-per-share growth, the picture is similar: Exact Sciences Corporation grew EPS 80. 3% year-over-year, compared to -70. 1% for Pacific Biosciences of California, Inc.. Over a 3-year CAGR, NTRA leads at 41. 1% 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 — ADPT or NTRA or EXAS or PACB or TWST?

Exact Sciences Corporation (EXAS) is the more profitable company, earning -6.

4% net margin versus -341. 5% for Pacific Biosciences of California, Inc. — meaning it keeps -6. 4% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: EXAS leads at -6. 4% versus -348. 5% for PACB. At the gross margin level — before operating expenses — ADPT leads at 74. 2%, 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

Is ADPT or NTRA or EXAS or PACB or TWST more undervalued right now?

Analyst consensus price targets imply the most upside for ADPT: 44.

7% to $21. 25.

07

Which pays a better dividend — ADPT or NTRA or EXAS or PACB or TWST?

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.

08

Is ADPT or NTRA or EXAS or PACB or TWST better for a retirement portfolio?

For long-horizon retirement investors, Exact Sciences Corporation (EXAS) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.

12), +1669% 10Y return). Pacific Biosciences of California, Inc. (PACB) carries a higher beta of 2. 43 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (EXAS: +1669%, PACB: -81. 3%), 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.

09

What are the main differences between ADPT and NTRA and EXAS and PACB and TWST?

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: ADPT is a small-cap high-growth stock; NTRA is a mid-cap high-growth stock; EXAS is a mid-cap high-growth stock; PACB is a small-cap quality compounder stock; TWST is a small-cap high-growth 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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EXAS

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PACB

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(ADPT: 35.1% · NTRA: 39.8%)

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