Medical - Diagnostics & Research
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GRAL vs DBVT vs EXAS vs ALKS
Revenue, margins, valuation, and 5-year total return — side by side.
Biotechnology
Medical - Diagnostics & Research
Biotechnology
GRAL vs DBVT vs EXAS vs ALKS — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||||
|---|---|---|---|---|
| Industry | Medical - Diagnostics & Research | Biotechnology | Medical - Diagnostics & Research | Biotechnology |
| Market Cap | $2.58B | $1712.35T | $20.02B | $5.90B |
| Revenue (TTM) | $156M | $0.00 | $3.25B | $1.56B |
| Net Income (TTM) | $-395M | $-168M | $-208M | $153M |
| Gross Margin | -14.8% | — | 69.7% | 65.4% |
| Operating Margin | -348.7% | — | -6.4% | 12.3% |
| Forward P/E | — | — | 582.8x | 24.8x |
| Total Debt | $98M | $22M | $2.52B | $70M |
| Cash & Equiv. | $250M | $194M | $956M | $1.12B |
GRAL vs DBVT vs EXAS vs ALKS — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | Jun 24 | May 26 | Return |
|---|---|---|---|
| GRAIL, Inc. (GRAL) | 100 | 409.4 | +309.4% |
| DBV Technologies S.… (DBVT) | 100 | 399.8 | +299.8% |
| Exact Sciences Corp… (EXAS) | 100 | 244.7 | +144.7% |
| Alkermes plc (ALKS) | 100 | 146.9 | +46.9% |
Price return only. Dividends and distributions are not included.
Quick Verdict: GRAL vs DBVT vs EXAS vs ALKS
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%
- 360.6% 10Y total return vs EXAS's 16.7%
DBVT is the clearest fit if your priority is income & stability.
- Dividend streak 0 yrs, beta 1.26
- +110.4% vs ALKS's +16.5%
EXAS is the #2 pick in this set and the best alternative if defensive is your priority.
- Beta 0.12, current ratio 2.43x
- 17.7% revenue growth vs DBVT's -100.0%
- Beta 0.12 vs GRAL's 2.70
ALKS carries the broadest edge in this set and is the clearest fit for sleep-well-at-night.
- Lower volatility, beta 1.06, Low D/E 3.8%, current ratio 3.55x
- Lower P/E (24.8x vs 582.8x)
- 9.8% margin vs GRAL's -253.2%
- 5.4% ROA vs DBVT's -89.0%
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 17.7% revenue growth vs DBVT's -100.0% | |
| Value | Lower P/E (24.8x vs 582.8x) | |
| Quality / Margins | 9.8% margin vs GRAL's -253.2% | |
| Stability / Safety | Beta 0.12 vs GRAL's 2.70 | |
| Dividends | Tie | None of these 4 stocks pay a meaningful dividend |
| Momentum (1Y) | +110.4% vs ALKS's +16.5% | |
| Efficiency (ROA) | 5.4% ROA vs DBVT's -89.0% |
GRAL vs DBVT vs EXAS vs ALKS — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
Segment breakdown not available.
Segment breakdown not available.
GRAL vs DBVT vs EXAS vs ALKS — Financial Metrics
Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
ALKS leads in 3 of 6 categories
GRAL leads 1 • EXAS leads 1 • DBVT leads 0
Explore the data ↓Income & Cash Flow (Last 12 Months)
ALKS leads this category, winning 4 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
EXAS and DBVT operate at a comparable scale, with $3.2B and $0 in trailing revenue. ALKS is the more profitable business, keeping 9.8% of every revenue dollar as net income compared to GRAL's -2.5%. On growth, ALKS holds the edge at +28.2% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||||
|---|---|---|---|---|
| RevenueTrailing 12 months | $156M | $0 | $3.2B | $1.6B |
| EBITDAEarnings before interest/tax | -$388M | -$112M | -$41M | $212M |
| Net IncomeAfter-tax profit | -$395M | -$168M | -$208M | $153M |
| Free Cash FlowCash after capex | -$291M | -$151M | $357M | $392M |
| Gross MarginGross profit ÷ Revenue | -14.8% | — | +69.7% | +65.4% |
| Operating MarginEBIT ÷ Revenue | -3.5% | — | -6.4% | +12.3% |
| Net MarginNet income ÷ Revenue | -2.5% | — | -6.4% | +9.8% |
| FCF MarginFCF ÷ Revenue | -186.7% | — | +11.0% | +25.1% |
| Rev. Growth (YoY)Latest quarter vs prior year | +28.1% | — | +23.1% | +28.2% |
| EPS Growth (YoY)Latest quarter vs prior year | +26.1% | +91.5% | +90.4% | -4.1% |
Valuation Metrics
ALKS leads this category, winning 2 of 4 comparable metrics.
Valuation Metrics
| Metric | ||||
|---|---|---|---|---|
| Market CapShares × price | $2.6B | $1712.35T | $20.0B | $5.9B |
| Enterprise ValueMkt cap + debt − cash | $2.4B | $1712.35T | $21.6B | $4.9B |
| Trailing P/EPrice ÷ TTM EPS | -5.66x | -0.76x | -95.37x | 24.76x |
| Forward P/EPrice ÷ next-FY EPS est. | — | — | 582.83x | — |
| PEG RatioP/E ÷ EPS growth rate | — | — | — | — |
| EV / EBITDAEnterprise value multiple | — | — | — | 17.25x |
| Price / SalesMarket cap ÷ Revenue | 17.54x | — | 6.16x | 4.00x |
| Price / BookPrice ÷ Book value/share | 0.90x | 0.66x | 8.24x | 3.28x |
| Price / FCFMarket cap ÷ FCF | — | — | 56.10x | 12.28x |
Profitability & Efficiency
ALKS leads this category, winning 7 of 9 comparable metrics.
Profitability & Efficiency
ALKS delivers a 8.8% return on equity — every $100 of shareholder capital generates $9 in annual profit, vs $-130 for DBVT. GRAL carries lower financial leverage with a 0.04x debt-to-equity ratio, signaling a more conservative balance sheet compared to EXAS's 1.05x. On the Piotroski fundamental quality scale (0–9), EXAS scores 7/9 vs DBVT's 4/9, reflecting strong financial health.
| Metric | ||||
|---|---|---|---|---|
| ROE (TTM)Return on equity | -16.4% | -130.2% | -8.7% | +8.8% |
| ROA (TTM)Return on assets | -14.3% | -89.0% | -3.5% | +5.4% |
| ROICReturn on invested capital | -16.8% | — | -3.6% | +18.9% |
| ROCEReturn on capital employed | -18.6% | -145.7% | -4.0% | +14.2% |
| Piotroski ScoreFundamental quality 0–9 | 5 | 4 | 7 | 7 |
| Debt / EquityFinancial leverage | 0.04x | 0.13x | 1.05x | 0.04x |
| Net DebtTotal debt minus cash | -$152M | -$172M | $1.6B | -$1.0B |
| Cash & Equiv.Liquid assets | $250M | $194M | $956M | $1.1B |
| Total DebtShort + long-term debt | $98M | $22M | $2.5B | $70M |
| Interest CoverageEBIT ÷ Interest expense | — | -189.82x | -5.47x | 32.30x |
Total Returns (Dividends Reinvested)
GRAL leads this category, winning 3 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in GRAL five years ago would be worth $46,061 today (with dividends reinvested), compared to $3,090 for DBVT. Over the past 12 months, DBVT leads with a +110.4% total return vs ALKS's +16.5%. The 3-year compound annual growth rate (CAGR) favors GRAL at 66.4% vs ALKS's 4.6% — a key indicator of consistent wealth creation.
| Metric | ||||
|---|---|---|---|---|
| YTD ReturnYear-to-date | -29.2% | +4.9% | +3.1% | +25.3% |
| 1-Year ReturnPast 12 months | +81.3% | +110.4% | +96.9% | +16.5% |
| 3-Year ReturnCumulative with dividends | +360.6% | +19.7% | +53.0% | +14.5% |
| 5-Year ReturnCumulative with dividends | +360.6% | -69.1% | +0.4% | +60.9% |
| 10-Year ReturnCumulative with dividends | +360.6% | -87.0% | +1669.1% | -11.0% |
| CAGR (3Y)Annualised 3-year return | +66.4% | +6.2% | +15.2% | +4.6% |
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 GRAL's 2.70 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 GRAL's 52.9% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||||
|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 2.70x | 1.26x | 0.12x | 1.06x |
| 52-Week HighHighest price in past year | $118.84 | $26.18 | $104.98 | $36.60 |
| 52-Week LowLowest price in past year | $29.95 | $7.53 | $38.81 | $25.17 |
| % of 52W HighCurrent price vs 52-week peak | +52.9% | +76.3% | +99.9% | +96.7% |
| RSI (14)Momentum oscillator 0–100 | 64.1 | 48.1 | 76.4 | 60.2 |
| Avg Volume (50D)Average daily shares traded | 856K | 252K | 4.2M | 2.3M |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
Analyst consensus: GRAL as "Buy", DBVT as "Buy", EXAS as "Buy", ALKS as "Buy". Consensus price targets imply 131.8% upside for DBVT (target: $46) vs -1.6% for EXAS (target: $103).
| Metric | ||||
|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy | Buy | Buy |
| Price TargetConsensus 12-month target | $77.33 | $46.33 | $103.18 | $44.00 |
| # AnalystsCovering analysts | 4 | 15 | 41 | 28 |
| Dividend YieldAnnual dividend ÷ price | — | — | — | — |
| Dividend StreakConsecutive years of raises | — | 0 | — | 0 |
| Dividend / ShareAnnual DPS | — | — | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | 0.0% | +0.1% | +0.5% |
ALKS leads in 3 of 6 categories (Income & Cash Flow, Valuation Metrics). GRAL leads in 1 (Total Returns).
GRAL vs DBVT vs EXAS vs ALKS: Key Questions Answered
9 questions · data-driven answers · updated daily
01Is GRAL or DBVT or EXAS or ALKS a better buy right now?
For growth investors, Exact Sciences Corporation (EXAS) is the stronger pick with 17.
7% revenue growth year-over-year, versus -5. 2% for Alkermes plc (ALKS). Alkermes plc (ALKS) offers the better valuation at 24. 8x trailing P/E, making it the more compelling value choice. 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 DBVT or EXAS or ALKS?
Over the past 5 years, GRAIL, Inc.
(GRAL) delivered a total return of +360. 6%, compared to -69. 1% for DBV Technologies S. A. (DBVT). Over 10 years, the gap is even starker: EXAS returned +1669% versus DBVT's -87. 0%. 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 DBVT or EXAS or ALKS?
By beta (market sensitivity over 5 years), Exact Sciences Corporation (EXAS) is the lower-risk stock at 0.
12β versus GRAIL, Inc. 's 2. 70β — meaning GRAL is approximately 2145% more volatile than EXAS relative to the S&P 500. On balance sheet safety, GRAIL, Inc. (GRAL) carries a lower debt/equity ratio of 4% versus 105% for Exact Sciences Corporation — giving it more financial flexibility in a downturn.
04Which is growing faster — GRAL or DBVT or EXAS or ALKS?
By revenue growth (latest reported year), Exact Sciences Corporation (EXAS) is pulling ahead at 17.
7% versus -5. 2% for Alkermes plc (ALKS). On earnings-per-share growth, the picture is similar: GRAIL, Inc. grew EPS 82. 5% year-over-year, compared to -347. 5% for DBV Technologies S. A.. 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 DBVT or EXAS or ALKS?
Alkermes plc (ALKS) is the more profitable company, earning 16.
4% net margin versus -277. 5% for GRAIL, Inc. — meaning it keeps 16. 4% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: ALKS leads at 17. 2% versus -363. 0% for GRAL. At the gross margin level — before operating expenses — ALKS leads at 86. 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.
06Is GRAL or DBVT or EXAS or ALKS more undervalued right now?
Analyst consensus price targets imply the most upside for DBVT: 131.
8% to $46. 33.
07Which pays a better dividend — GRAL or DBVT or EXAS or ALKS?
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 GRAL or DBVT or EXAS or ALKS 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). 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 (EXAS: +1669%, GRAL: +360. 6%), 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 GRAL and DBVT and EXAS and ALKS?
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: GRAL is a small-cap high-growth stock; DBVT is a mega-cap quality compounder stock; EXAS is a mid-cap high-growth stock; ALKS 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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