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Stock Comparison

IART vs NTRA vs EXAS vs HOLX vs ILMN

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

Live fundamentals10-year financials5-year price chart
IART
Integra LifeSciences Holdings Corporation

Medical - Devices

HealthcareNASDAQ • US
Market Cap$1.06B
5Y Perf.-73.3%
NTRA
Natera, Inc.

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$31.16B
5Y Perf.+343.0%
EXAS
Exact Sciences Corporation

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$20.02B
5Y Perf.+20.4%
HOLX
Hologic, Inc.

Medical - Instruments & Supplies

HealthcareNASDAQ • US
Market Cap$16.97B
5Y Perf.+42.6%
ILMN
Illumina, Inc.

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$21.07B
5Y Perf.-59.8%

IART vs NTRA vs EXAS vs HOLX vs ILMN — Key Financials

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

Company Snapshot
IART logoIART
NTRA logoNTRA
EXAS logoEXAS
HOLX logoHOLX
ILMN logoILMN
IndustryMedical - DevicesMedical - Diagnostics & ResearchMedical - Diagnostics & ResearchMedical - Instruments & SuppliesMedical - Diagnostics & Research
Market Cap$1.06B$31.16B$20.02B$16.97B$21.07B
Revenue (TTM)$1.64B$2.31B$3.25B$4.13B$4.39B
Net Income (TTM)$-496M$-208M$-208M$544M$853M
Gross Margin39.6%64.8%69.7%52.8%67.1%
Operating Margin5.8%-13.4%-6.4%17.5%20.9%
Forward P/E5.7x582.8x17.2x27.2x
Total Debt$2.03B$214M$2.52B$2.63B$2.55B
Cash & Equiv.$235M$1.08B$956M$1.96B$1.42B

IART vs NTRA vs EXAS vs HOLX vs ILMNLong-Term Stock Performance

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

IART
NTRA
EXAS
HOLX
ILMN
StockMay 20May 26Return
Integra LifeScience… (IART)10026.7-73.3%
Natera, Inc. (NTRA)100443.0+343.0%
Exact Sciences Corp… (EXAS)100120.4+20.4%
Hologic, Inc. (HOLX)100142.6+42.6%
Illumina, Inc. (ILMN)10040.2-59.8%

Price return only. Dividends and distributions are not included.

Quick Verdict: IART vs NTRA vs EXAS vs HOLX vs ILMN

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

Bottom line: EXAS and ILMN are tied at the top with 2 categories each (5-stock set) — the right choice depends on your priorities. Illumina, Inc. is the stronger pick specifically for profitability and margin quality and operational efficiency and capital deployment. IART and NTRA also each lead in at least one category. As sector peers, any of these can serve as alternatives in the same allocation.
IART
Integra LifeSciences Holdings Corporation
The Value Play

IART ranks third and is worth considering specifically for value.

  • Lower P/E (5.7x vs 27.2x)
Best for: value
NTRA
Natera, Inc.
The Growth Play

NTRA is the clearest fit if your priority is growth exposure and long-term compounding.

  • Rev growth 35.9%, EPS growth 0.7%, 3Y rev CAGR 41.1%
  • 20.9% 10Y total return vs EXAS's 16.7%
  • 35.9% revenue growth vs ILMN's -0.8%
Best for: growth exposure and long-term compounding
EXAS
Exact Sciences Corporation
The Income Pick

EXAS has the current edge in this matchup, primarily because of its strength in income & stability.

  • beta 0.12
  • Beta 0.12 vs IART's 2.34, lower leverage
  • +96.9% vs IART's +6.5%
Best for: income & stability
HOLX
Hologic, Inc.
The Defensive Pick

HOLX is the clearest fit if your priority is sleep-well-at-night and defensive.

  • Lower volatility, beta 0.41, Low D/E 52.0%, current ratio 3.75x
  • Beta 0.41, current ratio 3.75x
Best for: sleep-well-at-night and defensive
ILMN
Illumina, Inc.
The Quality Compounder

ILMN is the #2 pick in this set and the best alternative if quality and efficiency is your priority.

  • 19.4% margin vs IART's -30.1%
  • 13.4% ROA vs IART's -13.7%, ROIC 16.8% vs 1.7%
Best for: quality and efficiency
See the full category breakdown
CategoryWinnerWhy
GrowthNTRA logoNTRA35.9% revenue growth vs ILMN's -0.8%
ValueIART logoIARTLower P/E (5.7x vs 27.2x)
Quality / MarginsILMN logoILMN19.4% margin vs IART's -30.1%
Stability / SafetyEXAS logoEXASBeta 0.12 vs IART's 2.34, lower leverage
DividendsTieNone of these 5 stocks pay a meaningful dividend
Momentum (1Y)EXAS logoEXAS+96.9% vs IART's +6.5%
Efficiency (ROA)ILMN logoILMN13.4% ROA vs IART's -13.7%, ROIC 16.8% vs 1.7%

IART vs NTRA vs EXAS vs HOLX vs ILMN — Revenue Breakdown by Segment

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

IARTIntegra LifeSciences Holdings Corporation
FY 2025
Codman Specialty Surgical
73.4%$1.2B
Tissue Technologies
26.6%$435M
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
HOLXHologic, Inc.
FY 2025
Diagnostics
44.6%$1.8B
Breast Health
36.2%$1.5B
Gyn Surgical
16.6%$680M
Skeletal Health
2.7%$109M
ILMNIllumina, Inc.
FY 2025
Sequencing
91.8%$4.0B
Microarray
8.2%$358M

IART vs NTRA vs EXAS vs HOLX vs ILMN — Financial Metrics

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

BEST OVERALLIARTLAGGINGHOLX

Income & Cash Flow (Last 12 Months)

Evenly matched — NTRA and ILMN each lead in 2 of 6 comparable metrics.

ILMN is the larger business by revenue, generating $4.4B annually — 2.7x IART's $1.6B. ILMN is the more profitable business, keeping 19.4% of every revenue dollar as net income compared to IART's -30.1%. On growth, NTRA holds the edge at +39.8% YoY revenue growth, suggesting stronger near-term business momentum.

MetricIART logoIARTIntegra LifeScien…NTRA logoNTRANatera, Inc.EXAS logoEXASExact Sciences Co…HOLX logoHOLXHologic, Inc.ILMN logoILMNIllumina, Inc.
RevenueTrailing 12 months$1.6B$2.3B$3.2B$4.1B$4.4B
EBITDAEarnings before interest/tax$209M-$310M-$41M$974M$1.1B
Net IncomeAfter-tax profit-$496M-$208M-$208M$544M$853M
Free Cash FlowCash after capex-$10M$97M$357M$1000M$989M
Gross MarginGross profit ÷ Revenue+39.6%+64.8%+69.7%+52.8%+67.1%
Operating MarginEBIT ÷ Revenue+5.8%-13.4%-6.4%+17.5%+20.9%
Net MarginNet income ÷ Revenue-30.1%-9.0%-6.4%+13.2%+19.4%
FCF MarginFCF ÷ Revenue-0.6%+4.2%+11.0%+24.2%+22.5%
Rev. Growth (YoY)Latest quarter vs prior year+2.4%+39.8%+23.1%+2.5%+4.8%
EPS Growth (YoY)Latest quarter vs prior year+81.8%+185.4%+90.4%-9.2%+6.1%
Evenly matched — NTRA and ILMN each lead in 2 of 6 comparable metrics.

Valuation Metrics

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

At 25.5x trailing earnings, ILMN trades at a 17% valuation discount to HOLX's 30.5x P/E. On an enterprise value basis, IART's 13.0x EV/EBITDA is more attractive than ILMN's 19.6x.

MetricIART logoIARTIntegra LifeScien…NTRA logoNTRANatera, Inc.EXAS logoEXASExact Sciences Co…HOLX logoHOLXHologic, Inc.ILMN logoILMNIllumina, Inc.
Market CapShares × price$1.1B$31.2B$20.0B$17.0B$21.1B
Enterprise ValueMkt cap + debt − cash$2.9B$30.3B$21.6B$17.6B$22.2B
Trailing P/EPrice ÷ TTM EPS-2.01x-144.62x-95.37x30.53x25.45x
Forward P/EPrice ÷ next-FY EPS est.5.71x582.83x17.21x27.22x
PEG RatioP/E ÷ EPS growth rate6.01x
EV / EBITDAEnterprise value multiple13.01x17.39x19.58x
Price / SalesMarket cap ÷ Revenue0.65x13.51x6.16x4.14x4.86x
Price / BookPrice ÷ Book value/share1.00x17.55x8.24x3.43x7.95x
Price / FCFMarket cap ÷ FCF285.53x56.10x18.44x22.63x
IART leads this category, winning 4 of 6 comparable metrics.

Profitability & Efficiency

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

ILMN delivers a 32.8% return on equity — every $100 of shareholder capital generates $33 in annual profit, vs $-48 for IART. NTRA carries lower financial leverage with a 0.13x debt-to-equity ratio, signaling a more conservative balance sheet compared to IART's 1.95x. On the Piotroski fundamental quality scale (0–9), ILMN scores 8/9 vs NTRA's 5/9, reflecting strong financial health.

MetricIART logoIARTIntegra LifeScien…NTRA logoNTRANatera, Inc.EXAS logoEXASExact Sciences Co…HOLX logoHOLXHologic, Inc.ILMN logoILMNIllumina, Inc.
ROE (TTM)Return on equity-47.6%-15.3%-8.7%+11.0%+32.8%
ROA (TTM)Return on assets-13.7%-10.6%-3.5%+6.1%+13.4%
ROICReturn on invested capital+1.7%-36.1%-3.6%+9.4%+16.8%
ROCEReturn on capital employed+2.2%-18.3%-4.0%+8.8%+17.6%
Piotroski ScoreFundamental quality 0–955778
Debt / EquityFinancial leverage1.95x0.13x1.05x0.52x0.94x
Net DebtTotal debt minus cash$1.8B-$862M$1.6B$667M$1.1B
Cash & Equiv.Liquid assets$235M$1.1B$956M$2.0B$1.4B
Total DebtShort + long-term debt$2.0B$214M$2.5B$2.6B$2.6B
Interest CoverageEBIT ÷ Interest expense-10.36x-25.21x-5.47x8.00x12.09x
ILMN leads this category, winning 6 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

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

A $10,000 investment in NTRA five years ago would be worth $21,587 today (with dividends reinvested), compared to $1,827 for IART. Over the past 12 months, EXAS leads with a +96.9% total return vs IART's +6.5%. The 3-year compound annual growth rate (CAGR) favors NTRA at 60.6% vs IART's -35.4% — a key indicator of consistent wealth creation.

MetricIART logoIARTIntegra LifeScien…NTRA logoNTRANatera, Inc.EXAS logoEXASExact Sciences Co…HOLX logoHOLXHologic, Inc.ILMN logoILMNIllumina, Inc.
YTD ReturnYear-to-date+12.9%-3.9%+3.1%+1.9%+3.2%
1-Year ReturnPast 12 months+6.5%+37.3%+96.9%+37.1%+81.7%
3-Year ReturnCumulative with dividends-73.1%+314.0%+53.0%-8.5%-27.1%
5-Year ReturnCumulative with dividends-81.7%+115.9%+0.4%+15.8%-62.8%
10-Year ReturnCumulative with dividends-63.0%+2089.4%+1669.1%+124.3%+0.7%
CAGR (3Y)Annualised 3-year return-35.4%+60.6%+15.2%-2.9%-10.0%
NTRA leads this category, winning 4 of 6 comparable metrics.

Risk & Volatility

Evenly matched — EXAS and HOLX each lead in 1 of 2 comparable metrics.

EXAS is the less volatile stock with a 0.12 beta — it tends to amplify market swings less than IART's 2.34 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. HOLX currently trades 100.0% from its 52-week high vs IART's 82.2% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricIART logoIARTIntegra LifeScien…NTRA logoNTRANatera, Inc.EXAS logoEXASExact Sciences Co…HOLX logoHOLXHologic, Inc.ILMN logoILMNIllumina, Inc.
Beta (5Y)Sensitivity to S&P 5002.39x1.17x0.05x0.45x1.20x
52-Week HighHighest price in past year$16.49$256.36$104.98$76.04$155.53
52-Week LowLowest price in past year$8.70$131.81$38.81$52.81$73.86
% of 52W HighCurrent price vs 52-week peak+82.2%+85.7%+99.9%+100.0%+89.2%
RSI (14)Momentum oscillator 0–10075.957.176.469.165.2
Avg Volume (50D)Average daily shares traded858K1.3M4.2M10.0M1.5M
Evenly matched — EXAS and HOLX each lead in 1 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Analyst consensus: IART as "Buy", NTRA as "Buy", EXAS as "Buy", HOLX as "Hold", ILMN as "Buy". Consensus price targets imply 20.8% upside for NTRA (target: $266) vs -11.5% for IART (target: $12).

MetricIART logoIARTIntegra LifeScien…NTRA logoNTRANatera, Inc.EXAS logoEXASExact Sciences Co…HOLX logoHOLXHologic, Inc.ILMN logoILMNIllumina, Inc.
Analyst RatingConsensus buy/hold/sellBuyBuyBuyHoldBuy
Price TargetConsensus 12-month target$12.00$265.63$105.00$79.00$147.38
# AnalystsCovering analysts2627414250
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises0
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap+0.0%0.0%+0.1%+4.4%+3.5%
Insufficient data to determine a leader in this category.
Key Takeaway

IART leads in 1 of 6 categories (Valuation Metrics). ILMN leads in 1 (Profitability & Efficiency). 2 tied.

Best OverallIntegra LifeSciences Holdin… (IART)Leads 1 of 6 categories
Loading custom metrics...

IART vs NTRA vs EXAS vs HOLX vs ILMN: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is IART or NTRA or EXAS or HOLX or ILMN a better buy right now?

For growth investors, Natera, Inc.

(NTRA) is the stronger pick with 35. 9% 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 (27. 2x forward), making it the more compelling value choice. Analysts rate Integra LifeSciences Holdings Corporation (IART) a "Buy" — based on 26 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 — IART or NTRA or EXAS or HOLX or ILMN?

On trailing P/E, Illumina, Inc.

(ILMN) is the cheapest at 25. 5x versus Hologic, Inc. at 30. 5x. On forward P/E, Integra LifeSciences Holdings Corporation is actually cheaper at 5. 7x — notably different from the trailing picture, reflecting expected earnings growth.

03

Which is the better long-term investment — IART or NTRA or EXAS or HOLX or ILMN?

Over the past 5 years, Natera, Inc.

(NTRA) delivered a total return of +115. 9%, compared to -81. 7% for Integra LifeSciences Holdings Corporation (IART). Over 10 years, the gap is even starker: NTRA returned +1835% versus IART's -62. 0%. 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 — IART or NTRA or EXAS or HOLX or ILMN?

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

05β versus Integra LifeSciences Holdings Corporation's 2. 39β — meaning IART is approximately 4443% 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 195% for Integra LifeSciences Holdings Corporation — giving it more financial flexibility in a downturn.

05

Which is growing faster — IART or NTRA or EXAS or HOLX or ILMN?

By revenue growth (latest reported year), Natera, Inc.

(NTRA) is pulling ahead at 35. 9% 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 -73. 6% for Integra LifeSciences Holdings Corporation. 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.

06

Which has better profit margins — IART or NTRA or EXAS or HOLX or ILMN?

Illumina, Inc.

(ILMN) is the more profitable company, earning 19. 6% net margin versus -31. 6% for Integra LifeSciences Holdings Corporation — 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 -13. 4% for NTRA. 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 IART or NTRA or EXAS or HOLX or ILMN more undervalued right now?

On forward earnings alone, Integra LifeSciences Holdings Corporation (IART) trades at 5.

7x forward P/E versus 582. 8x for Exact Sciences Corporation — 577. 1x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for NTRA: 20. 8% to $265. 63.

08

Which pays a better dividend — IART or NTRA or EXAS or HOLX or ILMN?

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.

09

Is IART or NTRA or EXAS or HOLX or ILMN 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). Integra LifeSciences Holdings Corporation (IART) carries a higher beta of 2. 39 — 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%, IART: -62. 0%), 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 IART and NTRA and EXAS and HOLX and ILMN?

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: IART is a small-cap quality compounder stock; NTRA is a mid-cap high-growth stock; EXAS is a mid-cap high-growth stock; HOLX is a mid-cap quality compounder stock; ILMN 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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(IART: 2.4% · NTRA: 39.8%)

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