Biotechnology
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5 / 10Stock Comparison
ADPT vs NTRA vs EXAS vs PACB vs TWST
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Diagnostics & Research
Medical - Diagnostics & Research
Medical - Devices
Medical - Diagnostics & Research
ADPT vs NTRA vs EXAS vs PACB vs TWST — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | |||||
|---|---|---|---|---|---|
| Industry | Biotechnology | Medical - Diagnostics & Research | Medical - Diagnostics & Research | Medical - Devices | Medical - 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 Margin | 75.3% | 64.8% | 69.7% | 28.2% | 52.1% |
| Operating Margin | -15.8% | -13.4% | -6.4% | -346.1% | -33.9% |
| Forward P/E | — | — | 582.8x | — | — |
| Total Debt | $281M | $214M | $2.52B | $759M | $137M |
| Cash & Equiv. | $70M | $1.08B | $956M | $64M | $183M |
ADPT vs NTRA vs EXAS vs PACB vs TWST — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| Adaptive Biotechnol… (ADPT) | 100 | 38.0 | -62.0% |
| Natera, Inc. (NTRA) | 100 | 501.3 | +401.3% |
| Exact Sciences Corp… (EXAS) | 100 | 120.4 | +20.4% |
| Pacific Biosciences… (PACB) | 100 | 46.9 | -53.1% |
| Twist Bioscience Co… (TWST) | 100 | 154.3 | +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.
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%
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
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
PACB lags the leaders in this set but could rank higher in a more targeted comparison.
Among these 5 stocks, TWST doesn't own a clear edge in any measured category.
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 54.8% revenue growth vs PACB's 3.9% | |
| Value | Better valuation composite | |
| Quality / Margins | -6.4% margin vs PACB's -341.5% | |
| Stability / Safety | Beta 0.12 vs TWST's 2.47 | |
| Dividends | Tie | None of these 5 stocks pay a meaningful dividend |
| Momentum (1Y) | +96.9% vs NTRA's +37.3% | |
| Efficiency (ROA) | -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
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.
Who Leads Where
EXAS leads in 3 of 6 categories
TWST leads 1 • ADPT leads 0 • NTRA leads 0 • PACB leads 0 • 1 tied
Explore the data ↓Income & Cash Flow (Last 12 Months)
EXAS leads this category, winning 3 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
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.
| Metric | |||||
|---|---|---|---|---|---|
| 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% |
Valuation Metrics
Evenly matched — NTRA and EXAS and PACB and TWST each lead in 1 of 4 comparable metrics.
Valuation Metrics
| Metric | |||||
|---|---|---|---|---|---|
| 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 ÷ Revenue | 8.49x | 13.51x | 6.16x | 3.11x | 9.68x |
| Price / BookPrice ÷ Book value/share | 9.91x | 17.55x | 8.24x | 92.53x | 7.40x |
| Price / FCFMarket cap ÷ FCF | — | 285.53x | 56.10x | — | — |
Profitability & Efficiency
EXAS leads this category, winning 6 of 9 comparable metrics.
Profitability & Efficiency
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.
| Metric | |||||
|---|---|---|---|---|---|
| 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 0–9 | 5 | 5 | 7 | 3 | 4 |
| Debt / EquityFinancial leverage | 1.25x | 0.13x | 1.05x | 141.98x | 0.29x |
| 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 | — |
Total Returns (Dividends Reinvested)
TWST leads this category, winning 3 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
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.
| Metric | |||||
|---|---|---|---|---|---|
| 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% |
Risk & Volatility
EXAS leads this category, winning 2 of 2 comparable metrics.
Risk & Volatility
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.
| Metric | |||||
|---|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 2.07x | 1.26x | 0.12x | 2.43x | 2.47x |
| 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 0–100 | 52.3 | 57.1 | 76.4 | 60.2 | 57.0 |
| Avg Volume (50D)Average daily shares traded | 2.0M | 1.3M | 4.2M | 5.9M | 1.2M |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
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).
| Metric | |||||
|---|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy | Buy | Buy | Buy |
| Price TargetConsensus 12-month target | $21.25 | $262.50 | $103.18 | $1.00 | $49.50 |
| # AnalystsCovering analysts | 17 | 27 | 41 | 18 | 13 |
| Dividend YieldAnnual dividend ÷ price | — | — | — | — | — |
| Dividend StreakConsecutive years of raises | — | — | — | — | — |
| Dividend / ShareAnnual DPS | — | — | — | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | 0.0% | +0.1% | 0.0% | +0.0% |
EXAS leads in 3 of 6 categories (Income & Cash Flow, Profitability & Efficiency). TWST leads in 1 (Total Returns). 1 tied.
ADPT vs NTRA vs EXAS vs PACB vs TWST: Key Questions Answered
9 questions · data-driven answers · updated daily
01Is 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.
02Which 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.
03Which 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.
04Which 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.
05Which 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.
06Is 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.
07Which 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.
08Is 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.
09What 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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