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CAI vs ILMN vs EXAS vs PACB vs TMO

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

Live fundamentals10-year financials5-year price chart
CAI
Caris Life Sciences, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$5.61B
5Y Perf.-25.7%
ILMN
Illumina, Inc.

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$21.07B
5Y Perf.+45.4%
EXAS
Exact Sciences Corporation

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$20.02B
5Y Perf.+94.5%
PACB
Pacific Biosciences of California, Inc.

Medical - Devices

HealthcareNASDAQ • US
Market Cap$498M
5Y Perf.+33.1%
TMO
Thermo Fisher Scientific Inc.

Medical - Diagnostics & Research

HealthcareNYSE • US
Market Cap$176.36B
5Y Perf.+17.0%

CAI vs ILMN vs EXAS vs PACB vs TMO — Key Financials

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

Company Snapshot
CAI logoCAI
ILMN logoILMN
EXAS logoEXAS
PACB logoPACB
TMO logoTMO
IndustryBiotechnologyMedical - Diagnostics & ResearchMedical - Diagnostics & ResearchMedical - DevicesMedical - Diagnostics & Research
Market Cap$5.61B$21.07B$20.02B$498M$176.36B
Revenue (TTM)$907M$4.39B$3.25B$160M$45.20B
Net Income (TTM)$34M$853M$-208M$-546M$6.86B
Gross Margin53.1%67.1%69.7%28.2%39.4%
Operating Margin11.9%20.9%-6.4%-346.1%17.8%
Forward P/E164.6x26.8x582.8x19.1x
Total Debt$379M$2.55B$2.52B$759M$40.85B
Cash & Equiv.$798M$1.42B$956M$64M$9.86B

CAI vs ILMN vs EXAS vs PACB vs TMOLong-Term Stock Performance

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

CAI
ILMN
EXAS
PACB
TMO
StockJun 25May 26Return
Caris Life Sciences… (CAI)10074.3-25.7%
Illumina, Inc. (ILMN)100145.4+45.4%
Exact Sciences Corp… (EXAS)100194.5+94.5%
Pacific Biosciences… (PACB)100133.1+33.1%
Thermo Fisher Scien… (TMO)100117.0+17.0%

Price return only. Dividends and distributions are not included.

Quick Verdict: CAI vs ILMN vs EXAS vs PACB vs TMO

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

Bottom line: ILMN leads in 3 of 7 categories (5-stock set), making it the strongest pick for valuation and capital efficiency and profitability and margin quality. Exact Sciences Corporation is the stronger pick specifically for capital preservation and lower volatility and recent price momentum and sentiment. CAI and TMO also each lead in at least one category. As sector peers, any of these can serve as alternatives in the same allocation.
CAI
Caris Life Sciences, Inc.
The Growth Play

CAI ranks third and is worth considering specifically for growth exposure.

  • Rev growth 97.0%, EPS growth 29.6%, 3Y rev CAGR 46.5%
  • 97.0% revenue growth vs ILMN's -0.8%
Best for: growth exposure
ILMN
Illumina, Inc.
The Value Pick

ILMN carries the broadest edge in this set and is the clearest fit for valuation efficiency.

  • PEG 6.33 vs TMO's 9.05
  • Better valuation composite
  • 19.4% margin vs PACB's -341.5%
  • 13.4% ROA vs PACB's -66.8%, ROIC 16.8% vs -45.8%
Best for: valuation efficiency
EXAS
Exact Sciences Corporation
The Long-Run Compounder

EXAS is the #2 pick in this set and the best alternative if long-term compounding and sleep-well-at-night is your priority.

  • 16.7% 10Y total return vs TMO's 229.1%
  • Lower volatility, beta 0.12, current ratio 2.43x
  • Beta 0.12, current ratio 2.43x
  • Beta 0.12 vs PACB's 2.43, lower leverage
Best for: long-term compounding and sleep-well-at-night
PACB
Pacific Biosciences of California, Inc.
The Healthcare Pick

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

Best for: healthcare exposure
TMO
Thermo Fisher Scientific Inc.
The Income Pick

TMO is the clearest fit if your priority is income & stability.

  • Dividend streak 8 yrs, beta 1.10, yield 0.4%
  • 0.4% yield; 8-year raise streak; the other 4 pay no meaningful dividend
Best for: income & stability
See the full category breakdown
CategoryWinnerWhy
GrowthCAI logoCAI97.0% revenue growth vs ILMN's -0.8%
ValueILMN logoILMNBetter valuation composite
Quality / MarginsILMN logoILMN19.4% margin vs PACB's -341.5%
Stability / SafetyEXAS logoEXASBeta 0.12 vs PACB's 2.43, lower leverage
DividendsTMO logoTMO0.4% yield; 8-year raise streak; the other 4 pay no meaningful dividend
Momentum (1Y)EXAS logoEXAS+96.9% vs CAI's -29.1%
Efficiency (ROA)ILMN logoILMN13.4% ROA vs PACB's -66.8%, ROIC 16.8% vs -45.8%

CAI vs ILMN vs EXAS vs PACB vs TMO — Revenue Breakdown by Segment

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

CAICaris Life Sciences, Inc.

Segment breakdown not available.

ILMNIllumina, Inc.
FY 2025
Sequencing
91.8%$4.0B
Microarray
8.2%$358M
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
TMOThermo Fisher Scientific Inc.
FY 2025
Consumables
41.9%$18.7B
Service
41.7%$18.6B
Instruments
16.4%$7.3B

CAI vs ILMN vs EXAS vs PACB vs TMO — Financial Metrics

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

BEST OVERALLILMNLAGGINGPACB

Income & Cash Flow (Last 12 Months)

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

TMO is the larger business by revenue, generating $45.2B annually — 282.5x PACB's $160M. ILMN is the more profitable business, keeping 19.4% of every revenue dollar as net income compared to PACB's -3.4%. On growth, CAI holds the edge at +78.8% YoY revenue growth, suggesting stronger near-term business momentum.

MetricCAI logoCAICaris Life Scienc…ILMN logoILMNIllumina, Inc.EXAS logoEXASExact Sciences Co…PACB logoPACBPacific Bioscienc…TMO logoTMOThermo Fisher Sci…
RevenueTrailing 12 months$907M$4.4B$3.2B$160M$45.2B
EBITDAEarnings before interest/tax$127M$1.1B-$41M-$169M$10.5B
Net IncomeAfter-tax profit$34M$853M-$208M-$546M$6.9B
Free Cash FlowCash after capex$89M$989M$357M-$124M$6.7B
Gross MarginGross profit ÷ Revenue+53.1%+67.1%+69.7%+28.2%+39.4%
Operating MarginEBIT ÷ Revenue+11.9%+20.9%-6.4%-3.5%+17.8%
Net MarginNet income ÷ Revenue+3.7%+19.4%-6.4%-3.4%+15.2%
FCF MarginFCF ÷ Revenue+9.9%+22.5%+11.0%-77.4%+14.9%
Rev. Growth (YoY)Latest quarter vs prior year+78.8%+4.8%+23.1%+13.8%+6.2%
EPS Growth (YoY)Latest quarter vs prior year+99.6%+6.1%+90.4%+11.3%
ILMN leads this category, winning 3 of 6 comparable metrics.

Valuation Metrics

TMO leads this category, winning 3 of 7 comparable metrics.

At 25.5x trailing earnings, ILMN trades at a 5% valuation discount to TMO's 26.8x P/E. Adjusting for growth (PEG ratio), ILMN offers better value at 6.01x vs TMO's 12.67x — a lower PEG means you pay less per unit of expected earnings growth.

MetricCAI logoCAICaris Life Scienc…ILMN logoILMNIllumina, Inc.EXAS logoEXASExact Sciences Co…PACB logoPACBPacific Bioscienc…TMO logoTMOThermo Fisher Sci…
Market CapShares × price$5.6B$21.1B$20.0B$498M$176.4B
Enterprise ValueMkt cap + debt − cash$5.2B$22.2B$21.6B$1.2B$207.4B
Trailing P/EPrice ÷ TTM EPS-10.44x25.45x-95.37x-0.91x26.75x
Forward P/EPrice ÷ next-FY EPS est.164.65x26.77x582.83x19.11x
PEG RatioP/E ÷ EPS growth rate6.01x12.67x
EV / EBITDAEnterprise value multiple76.59x19.58x19.04x
Price / SalesMarket cap ÷ Revenue6.90x4.86x6.16x3.11x3.96x
Price / BookPrice ÷ Book value/share57.46x7.95x8.24x92.53x3.34x
Price / FCFMarket cap ÷ FCF83.80x22.63x56.10x28.02x
TMO leads this category, winning 3 of 7 comparable metrics.

Profitability & Efficiency

ILMN leads this category, winning 5 of 9 comparable metrics.

ILMN delivers a 32.8% return on equity — every $100 of shareholder capital generates $33 in annual profit, vs $-11 for PACB. CAI carries lower financial leverage with a 0.66x debt-to-equity ratio, signaling a more conservative balance sheet compared to PACB's 141.98x. On the Piotroski fundamental quality scale (0–9), ILMN scores 8/9 vs PACB's 3/9, reflecting strong financial health.

MetricCAI logoCAICaris Life Scienc…ILMN logoILMNIllumina, Inc.EXAS logoEXASExact Sciences Co…PACB logoPACBPacific Bioscienc…TMO logoTMOThermo Fisher Sci…
ROE (TTM)Return on equity+6.5%+32.8%-8.7%-11.2%+13.2%
ROA (TTM)Return on assets+3.2%+13.4%-3.5%-66.8%+6.4%
ROICReturn on invested capital+21.3%+16.8%-3.6%-45.8%+7.5%
ROCEReturn on capital employed+7.7%+17.6%-4.0%-58.0%+9.1%
Piotroski ScoreFundamental quality 0–968736
Debt / EquityFinancial leverage0.66x0.94x1.05x141.98x0.76x
Net DebtTotal debt minus cash-$419M$1.1B$1.6B$696M$31.0B
Cash & Equiv.Liquid assets$798M$1.4B$956M$64M$9.9B
Total DebtShort + long-term debt$379M$2.6B$2.5B$759M$40.9B
Interest CoverageEBIT ÷ Interest expense3.22x12.09x-5.47x-77.95x5.89x
ILMN leads this category, winning 5 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

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

A $10,000 investment in TMO five years ago would be worth $10,283 today (with dividends reinvested), compared to $663 for PACB. Over the past 12 months, EXAS leads with a +96.9% total return vs CAI's -29.1%. The 3-year compound annual growth rate (CAGR) favors EXAS at 15.2% vs PACB's -48.7% — a key indicator of consistent wealth creation.

MetricCAI logoCAICaris Life Scienc…ILMN logoILMNIllumina, Inc.EXAS logoEXASExact Sciences Co…PACB logoPACBPacific Bioscienc…TMO logoTMOThermo Fisher Sci…
YTD ReturnYear-to-date-26.5%+3.2%+3.1%-10.3%-19.8%
1-Year ReturnPast 12 months-29.1%+81.7%+96.9%+46.0%+16.8%
3-Year ReturnCumulative with dividends-29.1%-27.1%+53.0%-86.5%-11.7%
5-Year ReturnCumulative with dividends-29.1%-62.8%+0.4%-93.4%+2.8%
10-Year ReturnCumulative with dividends-29.1%+0.7%+1669.1%-81.3%+229.1%
CAGR (3Y)Annualised 3-year return-10.8%-10.0%+15.2%-48.7%-4.0%
EXAS leads this category, winning 4 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 PACB's 2.43 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 CAI's 46.7% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricCAI logoCAICaris Life Scienc…ILMN logoILMNIllumina, Inc.EXAS logoEXASExact Sciences Co…PACB logoPACBPacific Bioscienc…TMO logoTMOThermo Fisher Sci…
Beta (5Y)Sensitivity to S&P 5001.60x1.23x0.12x2.43x1.10x
52-Week HighHighest price in past year$42.50$155.53$104.98$2.73$643.99
52-Week LowLowest price in past year$16.28$73.86$38.81$0.85$385.46
% of 52W HighCurrent price vs 52-week peak+46.7%+89.2%+99.9%+60.4%+73.7%
RSI (14)Momentum oscillator 0–10048.665.276.460.243.1
Avg Volume (50D)Average daily shares traded2.2M1.5M4.2M5.9M1.9M
EXAS leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

TMO leads this category, winning 1 of 1 comparable metric.

Analyst consensus: CAI as "Buy", ILMN as "Buy", EXAS as "Buy", PACB as "Buy", TMO as "Buy". Consensus price targets imply 44.9% upside for CAI (target: $29) vs -39.4% for PACB (target: $1). TMO is the only dividend payer here at 0.36% yield — a key consideration for income-focused portfolios.

MetricCAI logoCAICaris Life Scienc…ILMN logoILMNIllumina, Inc.EXAS logoEXASExact Sciences Co…PACB logoPACBPacific Bioscienc…TMO logoTMOThermo Fisher Sci…
Analyst RatingConsensus buy/hold/sellBuyBuyBuyBuyBuy
Price TargetConsensus 12-month target$28.75$147.38$103.18$1.00$654.67
# AnalystsCovering analysts650411842
Dividend YieldAnnual dividend ÷ price+0.4%
Dividend StreakConsecutive years of raises48
Dividend / ShareAnnual DPS$1.69
Buyback YieldShare repurchases ÷ mkt cap+0.0%+3.5%+0.1%0.0%+1.7%
TMO leads this category, winning 1 of 1 comparable metric.
Key Takeaway

ILMN leads in 2 of 6 categories (Income & Cash Flow, Profitability & Efficiency). TMO leads in 2 (Valuation Metrics, Analyst Outlook).

Best OverallIllumina, Inc. (ILMN)Leads 2 of 6 categories
Loading custom metrics...

CAI vs ILMN vs EXAS vs PACB vs TMO: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is CAI or ILMN or EXAS or PACB or TMO a better buy right now?

For growth investors, Caris Life Sciences, Inc.

(CAI) is the stronger pick with 97. 0% revenue growth year-over-year, versus -0. 8% for Illumina, Inc. (ILMN). Illumina, Inc. (ILMN) offers the better valuation at 25. 5x trailing P/E (26. 8x forward), making it the more compelling value choice. Analysts rate Caris Life Sciences, Inc. (CAI) a "Buy" — based on 6 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 has the better valuation — CAI or ILMN or EXAS or PACB or TMO?

On trailing P/E, Illumina, Inc.

(ILMN) is the cheapest at 25. 5x versus Thermo Fisher Scientific Inc. at 26. 8x. On forward P/E, Thermo Fisher Scientific Inc. is actually cheaper at 19. 1x — notably different from the trailing picture, reflecting expected earnings growth. The PEG ratio (P/E divided by earnings growth rate) is the most growth-adjusted single valuation metric: Illumina, Inc. wins at 6. 33x versus Thermo Fisher Scientific Inc. 's 9. 05x.

03

Which is the better long-term investment — CAI or ILMN or EXAS or PACB or TMO?

Over the past 5 years, Thermo Fisher Scientific Inc.

(TMO) delivered a total return of +2. 8%, compared to -93. 4% for Pacific Biosciences of California, Inc. (PACB). Over 10 years, the gap is even starker: EXAS returned +1669% 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.

04

Which is safer — CAI or ILMN or EXAS or PACB or TMO?

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

12β versus Pacific Biosciences of California, Inc. 's 2. 43β — meaning PACB is approximately 1915% more volatile than EXAS relative to the S&P 500. On balance sheet safety, Caris Life Sciences, Inc. (CAI) carries a lower debt/equity ratio of 66% versus 142% for Pacific Biosciences of California, Inc. — giving it more financial flexibility in a downturn.

05

Which is growing faster — CAI or ILMN or EXAS or PACB or TMO?

By revenue growth (latest reported year), Caris Life Sciences, Inc.

(CAI) is pulling ahead at 97. 0% versus -0. 8% for Illumina, Inc. (ILMN). On earnings-per-share growth, the picture is similar: Illumina, Inc. grew EPS 170. 9% year-over-year, compared to -70. 1% for Pacific Biosciences of California, Inc.. Over a 3-year CAGR, CAI leads at 46. 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.

06

Which has better profit margins — CAI or ILMN or EXAS or PACB or TMO?

Illumina, Inc.

(ILMN) is the more profitable company, earning 19. 6% net margin versus -341. 5% for Pacific Biosciences of California, Inc. — meaning it keeps 19. 6% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: ILMN leads at 19. 9% versus -348. 5% for PACB. At the gross margin level — before operating expenses — EXAS leads at 69. 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.

07

Is CAI or ILMN or EXAS or PACB or TMO more undervalued right now?

The PEG ratio (forward P/E divided by expected earnings growth rate) is the most precise measure of undervaluation relative to growth potential.

By this metric, Illumina, Inc. (ILMN) is the more undervalued stock at a PEG of 6. 33x versus Thermo Fisher Scientific Inc. 's 9. 05x. Both stocks trade at elevated growth-adjusted valuations, so expected growth needs to materialise. On forward earnings alone, Thermo Fisher Scientific Inc. (TMO) trades at 19. 1x forward P/E versus 582. 8x for Exact Sciences Corporation — 563. 7x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for CAI: 44. 9% to $28. 75.

08

Which pays a better dividend — CAI or ILMN or EXAS or PACB or TMO?

In this comparison, TMO (0.

4% yield) pays a dividend. CAI, ILMN, EXAS, PACB do not pay a meaningful dividend and should not be held primarily for income.

09

Is CAI or ILMN or EXAS or PACB or TMO 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.

10

What are the main differences between CAI and ILMN and EXAS and PACB and TMO?

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: CAI is a small-cap high-growth stock; ILMN is a mid-cap quality compounder stock; EXAS is a mid-cap high-growth stock; PACB is a small-cap quality compounder stock; TMO is a mid-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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