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GRAL vs DBVT vs EXAS vs ALKS vs GH

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

Live fundamentals10-year financials5-year price chart
GRAL
GRAIL, Inc.

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$2.58B
5Y Perf.+301.0%
DBVT
DBV Technologies S.A.

Biotechnology

HealthcareNASDAQ • FR
Market Cap$1712.35T
5Y Perf.+294.6%
EXAS
Exact Sciences Corporation

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$20.02B
5Y Perf.+144.7%
ALKS
Alkermes plc

Biotechnology

HealthcareNASDAQ • IE
Market Cap$5.90B
5Y Perf.+45.2%
GH
Guardant Health, Inc.

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$12.10B
5Y Perf.+231.4%

GRAL vs DBVT vs EXAS vs ALKS vs GH — Key Financials

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

Company Snapshot
GRAL logoGRAL
DBVT logoDBVT
EXAS logoEXAS
ALKS logoALKS
GH logoGH
IndustryMedical - Diagnostics & ResearchBiotechnologyMedical - Diagnostics & ResearchBiotechnologyMedical - Diagnostics & Research
Market Cap$2.58B$1712.35T$20.02B$5.90B$12.10B
Revenue (TTM)$156M$0.00$3.25B$1.56B$1.08B
Net Income (TTM)$-395M$-168M$-208M$153M$-433M
Gross Margin-14.8%69.7%65.4%64.9%
Operating Margin-348.7%-6.4%12.3%-41.4%
Forward P/E582.8x24.8x
Total Debt$98M$22M$2.52B$70M$1.68B
Cash & Equiv.$250M$194M$956M$1.12B$378M

GRAL vs DBVT vs EXAS vs ALKS vs GHLong-Term Stock Performance

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

GRAL
DBVT
EXAS
ALKS
GH
StockJun 24May 26Return
GRAIL, Inc. (GRAL)100401.0+301.0%
DBV Technologies S.… (DBVT)100394.6+294.6%
Exact Sciences Corp… (EXAS)100244.7+144.7%
Alkermes plc (ALKS)100145.2+45.2%
Guardant Health, In… (GH)100331.4+231.4%

Price return only. Dividends and distributions are not included.

Quick Verdict: GRAL vs DBVT vs EXAS vs ALKS vs GH

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

Bottom line: ALKS leads in 3 of 7 categories (5-stock set), making it the strongest pick for valuation and capital efficiency and profitability and margin quality. Guardant Health, Inc. is the stronger pick specifically for growth and revenue expansion and recent price momentum and sentiment. EXAS also leads in specific categories worth noting. As sector peers, any of these can serve as alternatives in the same allocation.
GRAL
GRAIL, Inc.
The Long-Run Compounder

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

  • 360.6% 10Y total return vs EXAS's 16.7%
Best for: long-term compounding
DBVT
DBV Technologies S.A.
The Income Pick

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

  • Dividend streak 0 yrs, beta 1.26
Best for: income & stability
EXAS
Exact Sciences Corporation
The Defensive Pick

EXAS ranks third and is worth considering specifically for sleep-well-at-night.

  • Lower volatility, beta 0.12, current ratio 2.43x
  • Beta 0.12 vs GRAL's 2.70
Best for: sleep-well-at-night
ALKS
Alkermes plc
The Value Play

ALKS carries the broadest edge in this set and is the clearest fit for value and quality.

  • Better valuation composite
  • 9.8% margin vs GRAL's -253.2%
  • 5.4% ROA vs DBVT's -89.0%
Best for: value and quality
GH
Guardant Health, Inc.
The Growth Play

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

  • Rev growth 32.9%, EPS growth 6.7%, 3Y rev CAGR 29.8%
  • Beta 0.86, current ratio 4.84x
  • 32.9% revenue growth vs DBVT's -100.0%
  • +132.2% vs ALKS's +16.5%
Best for: growth exposure and defensive
See the full category breakdown
CategoryWinnerWhy
GrowthGH logoGH32.9% revenue growth vs DBVT's -100.0%
ValueALKS logoALKSBetter valuation composite
Quality / MarginsALKS logoALKS9.8% margin vs GRAL's -253.2%
Stability / SafetyEXAS logoEXASBeta 0.12 vs GRAL's 2.70
DividendsTieNone of these 5 stocks pay a meaningful dividend
Momentum (1Y)GH logoGH+132.2% vs ALKS's +16.5%
Efficiency (ROA)ALKS logoALKS5.4% ROA vs DBVT's -89.0%

GRAL vs DBVT vs EXAS vs ALKS vs GH — Revenue Breakdown by Segment

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

GRALGRAIL, Inc.

Segment breakdown not available.

DBVTDBV Technologies S.A.

Segment breakdown not available.

EXASExact Sciences Corporation
FY 2025
Screening
77.9%$2.5B
Precision Oncology
22.1%$717M
ALKSAlkermes plc
FY 2025
Vivitrol
39.8%$468M
Aristada And Aristada Initio
31.5%$370M
Manufactured Product And Royalty
24.8%$291M
Manufacturing Revenue
3.9%$46M
GHGuardant Health, Inc.
FY 2025
Oncology
69.6%$684M
Biopharma & Data
21.4%$210M
Screening
8.1%$80M
Licensing & Other
0.9%$9M

GRAL vs DBVT vs EXAS vs ALKS vs GH — Financial Metrics

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

BEST OVERALLALKSLAGGINGGH

Income & Cash Flow (Last 12 Months)

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

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, GH holds the edge at +48.3% YoY revenue growth, suggesting stronger near-term business momentum.

MetricGRAL logoGRALGRAIL, Inc.DBVT logoDBVTDBV Technologies …EXAS logoEXASExact Sciences Co…ALKS logoALKSAlkermes plcGH logoGHGuardant Health, …
RevenueTrailing 12 months$156M$0$3.2B$1.6B$1.1B
EBITDAEarnings before interest/tax-$388M-$112M-$41M$212M-$418M
Net IncomeAfter-tax profit-$395M-$168M-$208M$153M-$433M
Free Cash FlowCash after capex-$291M-$151M$357M$392M-$225M
Gross MarginGross profit ÷ Revenue-14.8%+69.7%+65.4%+64.9%
Operating MarginEBIT ÷ Revenue-3.5%-6.4%+12.3%-41.4%
Net MarginNet income ÷ Revenue-2.5%-6.4%+9.8%-40.1%
FCF MarginFCF ÷ Revenue-186.7%+11.0%+25.1%-20.8%
Rev. Growth (YoY)Latest quarter vs prior year+28.1%+23.1%+28.2%+48.3%
EPS Growth (YoY)Latest quarter vs prior year+26.1%+91.5%+90.4%-4.1%-10.4%
ALKS leads this category, winning 3 of 6 comparable metrics.

Valuation Metrics

ALKS leads this category, winning 2 of 4 comparable metrics.
MetricGRAL logoGRALGRAIL, Inc.DBVT logoDBVTDBV Technologies …EXAS logoEXASExact Sciences Co…ALKS logoALKSAlkermes plcGH logoGHGuardant Health, …
Market CapShares × price$2.6B$1712.35T$20.0B$5.9B$12.1B
Enterprise ValueMkt cap + debt − cash$2.4B$1712.35T$21.6B$4.9B$13.4B
Trailing P/EPrice ÷ TTM EPS-5.66x-0.76x-95.37x24.76x-27.79x
Forward P/EPrice ÷ next-FY EPS est.582.83x
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple17.25x
Price / SalesMarket cap ÷ Revenue17.54x6.16x4.00x12.32x
Price / BookPrice ÷ Book value/share0.90x0.66x8.24x3.28x
Price / FCFMarket cap ÷ FCF56.10x12.28x
ALKS leads this category, winning 2 of 4 comparable metrics.

Profitability & Efficiency

ALKS leads this category, winning 7 of 9 comparable metrics.

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.

MetricGRAL logoGRALGRAIL, Inc.DBVT logoDBVTDBV Technologies …EXAS logoEXASExact Sciences Co…ALKS logoALKSAlkermes plcGH logoGHGuardant Health, …
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%-26.5%
ROICReturn on invested capital-16.8%-3.6%+18.9%-34.9%
ROCEReturn on capital employed-18.6%-145.7%-4.0%+14.2%-29.4%
Piotroski ScoreFundamental quality 0–954775
Debt / EquityFinancial leverage0.04x0.13x1.05x0.04x
Net DebtTotal debt minus cash-$152M-$172M$1.6B-$1.0B$1.3B
Cash & Equiv.Liquid assets$250M$194M$956M$1.1B$378M
Total DebtShort + long-term debt$98M$22M$2.5B$70M$1.7B
Interest CoverageEBIT ÷ Interest expense-189.82x-5.47x32.30x-181.67x
ALKS leads this category, winning 7 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

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

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, GH leads with a +132.2% 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.

MetricGRAL logoGRALGRAIL, Inc.DBVT logoDBVTDBV Technologies …EXAS logoEXASExact Sciences Co…ALKS logoALKSAlkermes plcGH logoGHGuardant Health, …
YTD ReturnYear-to-date-29.2%+4.9%+3.1%+25.3%-9.3%
1-Year ReturnPast 12 months+81.3%+110.4%+96.9%+16.5%+132.2%
3-Year ReturnCumulative with dividends+360.6%+19.7%+53.0%+14.5%+292.1%
5-Year ReturnCumulative with dividends+360.6%-69.1%+0.4%+60.9%-31.9%
10-Year ReturnCumulative with dividends+360.6%-87.0%+1669.1%-11.0%+186.5%
CAGR (3Y)Annualised 3-year return+66.4%+6.2%+15.2%+4.6%+57.7%
GRAL 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 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.

MetricGRAL logoGRALGRAIL, Inc.DBVT logoDBVTDBV Technologies …EXAS logoEXASExact Sciences Co…ALKS logoALKSAlkermes plcGH logoGHGuardant Health, …
Beta (5Y)Sensitivity to S&P 5002.63x1.26x0.05x1.00x0.86x
52-Week HighHighest price in past year$118.84$26.18$104.98$36.60$120.74
52-Week LowLowest price in past year$29.95$7.53$38.81$25.17$36.36
% of 52W HighCurrent price vs 52-week peak+52.9%+76.3%+99.9%+96.7%+76.4%
RSI (14)Momentum oscillator 0–10064.148.176.460.255.9
Avg Volume (50D)Average daily shares traded856K252K4.2M2.3M1.9M
EXAS leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Analyst consensus: GRAL as "Buy", DBVT as "Buy", EXAS as "Buy", ALKS as "Buy", GH as "Buy". Consensus price targets imply 131.8% upside for DBVT (target: $46) vs -1.6% for EXAS (target: $103).

MetricGRAL logoGRALGRAIL, Inc.DBVT logoDBVTDBV Technologies …EXAS logoEXASExact Sciences Co…ALKS logoALKSAlkermes plcGH logoGHGuardant Health, …
Analyst RatingConsensus buy/hold/sellBuyBuyBuyBuyBuy
Price TargetConsensus 12-month target$75.67$46.33$103.18$46.00$133.14
# AnalystsCovering analysts615412830
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises00
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%+0.1%+0.5%+0.1%
Insufficient data to determine a leader in this category.
Key Takeaway

ALKS leads in 3 of 6 categories (Income & Cash Flow, Valuation Metrics). GRAL leads in 1 (Total Returns).

Best OverallAlkermes plc (ALKS)Leads 3 of 6 categories
Loading custom metrics...

GRAL vs DBVT vs EXAS vs ALKS vs GH: Key Questions Answered

9 questions · data-driven answers · updated daily

01

Is GRAL or DBVT or EXAS or ALKS or GH a better buy right now?

For growth investors, Guardant Health, Inc.

(GH) is the stronger pick with 32. 9% 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 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 is the better long-term investment — GRAL or DBVT or EXAS or ALKS or GH?

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. 1%. 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 — GRAL or DBVT or EXAS or ALKS or GH?

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

05β versus GRAIL, Inc. 's 2. 63β — meaning GRAL is approximately 4906% 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.

04

Which is growing faster — GRAL or DBVT or EXAS or ALKS or GH?

By revenue growth (latest reported year), Guardant Health, Inc.

(GH) is pulling ahead at 32. 9% 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.

05

Which has better profit margins — GRAL or DBVT or EXAS or ALKS or GH?

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.

06

Is GRAL or DBVT or EXAS or ALKS or GH more undervalued right now?

Analyst consensus price targets imply the most upside for DBVT: 131.

8% to $46. 33.

07

Which pays a better dividend — GRAL or DBVT or EXAS or ALKS or GH?

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 GRAL or DBVT or EXAS or ALKS or GH 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.

05), +1669% 10Y return). GRAIL, Inc. (GRAL) carries a higher beta of 2. 63 — 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: +351. 2%), 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 GRAL and DBVT and EXAS and ALKS and GH?

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; GH is a mid-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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GRAL

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  • Sector: Healthcare
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EXAS

High-Growth Disruptor

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  • Revenue Growth > 11%
  • Gross Margin > 41%
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ALKS

High-Growth Disruptor

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 14%
  • Net Margin > 5%
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GH

High-Growth Disruptor

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 24%
  • Gross Margin > 38%
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